Inspection Reports for CalOaks Senior Living

An unannounced complaint investigation visit was conducted in response to an allegation that the licensee was not ensuring that staff follow proper infection control protocols.

The investigation included staff and resident interviews and a facility tour. Observations showed that infection control protocols were being followed, including disinfection, resident isolation, mask wearing, and visitor restrictions. The allegation was deemed unsubstantiated with no deficiencies cited.

The complaint alleged that the licensee was not ensuring staff followed proper infection control protocols. The allegation was found unsubstantiated based on interviews and observations during the investigation.

The inspection visit was an unannounced health and safety check conducted due to a prior incident involving aggressive behavior between residents reported in an Unusual Incident Report.

No imminent health or safety concerns were observed during the visit. Staff were observed providing care and supervision, checking residents every 30 minutes, and adequate food supplies were noted. The needs of residents appeared to be met.

The visit was conducted as a Case Management - Legal/Non-Compliance follow-up to verify the facility's compliance with Health & Safety Code Section 1569.38 regarding posting of accusation and written notices.

The Licensing Program Analyst observed that the accusation and written notices were properly posted in conspicuous locations throughout the facility as required by law. No deficiencies were issued during this visit.

An unannounced complaint investigation visit was conducted to investigate allegations that staff were not properly addressing roaches in the facility and were not preventing residents from smoking inside the facility.

The investigation found that staff and residents reported no evidence of roaches in the facility and confirmed pest control maintenance occurs monthly. Staff and residents also confirmed that residents do not smoke inside the facility and use a designated outdoor smoking area. The allegations were deemed unsubstantiated and no deficiencies were cited.

The complaint investigation was unsubstantiated based on staff and resident interviews and document review. No preponderance of evidence was found to prove the alleged violations occurred.

The inspection was an unannounced complaint investigation visit triggered by an allegation that the licensee failed to provide immediate written notice of a resident's death to the public administrator.

The investigation substantiated the allegation that the licensee did not provide immediate written notice of the resident's death to the public administrator, although the facility notified relevant agencies within the required timeframe. A citation will be issued in accordance with California regulations.

The complaint was substantiated based on record reviews and interviews. The facility notified the public administrator at the time of hospitalization but failed to provide immediate written notice of the resident's death to the public administrator responsible due to no known kin at the time.

An unannounced complaint investigation visit was conducted to investigate allegations of residents smoking in the hallway and pests in the rooms at Caloaks Senior Living Facility.

The investigation found no evidence to substantiate the allegations. Staff and residents confirmed no smoking inside the facility and the presence of a designated outdoor smoking area. No pests were observed, and pest control maintenance occurs monthly. No deficiencies were cited during the visit.

The complaint investigation was unsubstantiated based on staff and resident interviews, facility tour, and document review. Allegations included resident smoking in the hallway and pests in the rooms, both found unsubstantiated.

The inspection visit was an unannounced health and safety check conducted due to an incident reported on 10/22/2024 involving aggressive behavior between two residents.

No imminent health or safety concerns were observed during the visit. Staff were providing adequate care and supervision, residents' needs appeared to be met, and no health or safety hazards were found inside or outside the facility.

Unannounced complaint investigation visit conducted in response to allegations that facility staff do not change resident bedding regularly, did not provide required furniture for residents, and do not safeguard residents' personal belongings.

The investigation found the allegations to be unsubstantiated based on interviews with residents and staff, observations, and record reviews. No deficiencies were cited during the visit, although some deficiencies were initially cited but later dismissed with plans of correction.

Complaint investigation was unannounced and conducted by Licensing Program Analysts Beena Singh and Melody Brown. The complaint was received on 2021-04-19. The allegations were found unsubstantiated after interviews and observations. No deficiencies were cited per Title 22, Division 6, of the California Code of Regulations during the visit.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2021-05-17 regarding allegations against the facility.

The investigation found the allegations unsubstantiated after interviews with residents and staff, and observations during the visit. Residents were allowed to leave the facility freely, no insects were observed, and staff were found to safeguard residents' personal property adequately.

The complaint included allegations that staff were not allowing residents to leave the facility, the facility had insects, and staff did not safeguard residents' personal property. The investigation found these allegations unsubstantiated.

An unannounced complaint investigation visit was conducted in response to an allegation that facility staff do not keep resident bedrooms clean.

The allegation was unsubstantiated based on interviews with 10 residents and 8 staff members, all of whom denied the claim. Observations on 02/26/2025 confirmed bedrooms and living areas were clean, with clean bedding and no odors.

The complaint was unsubstantiated after investigation. Interviews with residents and staff, as well as observations, did not support the allegation that staff failed to keep resident bedrooms clean.

The visit was an unannounced required comprehensive annual inspection of the facility conducted by Licensing Program Analysts.

The inspection found several deficiencies including improper hot water temperature, lack of assistance with self-administered medications for some residents, pre-pouring medications, broken blinds and window screens, lack of required emergency supplies, and absence of non-slip mats in a resident bathroom. Some deficiencies were corrected during the visit, and plans of correction were established for others.

The visit was an unannounced Case Management follow-up to assess the facility's compliance with Health & Safety Code Section 1569.38 regarding posting of licensing and accusation notices.

The facility failed to post the required written notice and accusation notices in conspicuous locations as mandated by law since 02/12/2025, which poses potential health, safety, and personal rights risks to residents.

The visit was a follow-up on a substantiated complaint investigation regarding staff neglect that resulted in a resident's death.

The Department concluded that a civil penalty is warranted due to the facility staff failing to meet the resident's needs and properly supervise, resulting in the resident's death from hyperthermia after an unwitnessed fall.

The complaint investigation was substantiated, confirming staff neglect that led to the death of resident R1 due to environmental heat exposure after an unwitnessed fall.

The visit was an unannounced Case Management visit conducted to verify compliance with Health & Safety Code Section 1569.38 regarding notification requirements related to an accusation against the facility.

The facility posted the required accusations in conspicuous locations and provided written notification to residents, their responsible parties, and the local long-term care ombudsman within the required 10-day timeframe as mandated by law.

The visit was an unannounced required comprehensive annual inspection of the facility.

The facility was generally compliant with regulations but had deficiencies related to the absence of a required Community Care Licensing Division complaint poster, lack of physician documentation for a resident's half bed rail, and initially improper hot water temperature in Room #2 which was corrected during the visit.

The inspection was an unannounced complaint investigation visit conducted due to allegations that facility staff sold a television to a resident in care and that facility staff were financially abusing a resident.

The allegation that facility staff sold a television to a resident was substantiated based on interviews and document review confirming the sale of a 55-inch television by Staff #3 to Resident #1. The allegation of financial abuse by staff was unsubstantiated after interviews with residents and staff found no evidence of financial abuse.

The complaint investigation was substantiated for the allegation that facility staff sold a television to a resident in care. The allegation of financial abuse by staff was unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by an allegation that a resident sustained injury while in care due to lack of supervision.

The investigation found no evidence to corroborate the allegation. Staff interviews and observations confirmed appropriate supervision with residents being checked every two hours or more frequently as needed. The allegation was determined to be unsubstantiated.

The complaint alleged that a resident sustained injury due to lack of supervision. The investigation included file reviews, staff and resident interviews, and observations. The allegation was found unsubstantiated as no evidence supported the claim.

An unannounced complaint investigation was conducted in response to an allegation that staff yelled at a resident.

The investigation found no evidence to corroborate the allegation. Observations and interviews with residents and staff indicated that no staff yelled at residents during the visit.

The allegation that staff yelled at a resident was unsubstantiated based on the investigation findings.

The inspection was an unannounced complaint investigation initiated due to allegations that staff were not providing a diabetic diet for residents and that food was not of nutritious value to meet residents' needs.

The complaint that staff were not providing a diabetic diet for residents was substantiated, with evidence showing no diabetic menu or sugar-free options were provided, posing potential health risks. The allegation that food was not nutritious was unsubstantiated, with observations confirming residents were served nutritious meals.

The complaint investigation was substantiated regarding the failure to provide diabetic diets, with evidence including staff and resident interviews, menu and kitchen observations. The allegation regarding food not being nutritious was unsubstantiated.

The inspection was conducted as an unannounced complaint investigation visit following a complaint alleging that staff does not ensure residents attend medical appointments.

The investigation found no evidence to support the allegation. Interviews with residents and staff confirmed that residents attend their scheduled medical appointments and no cancellations by the facility were reported. The complaint was determined to be unfounded and dismissed.

The complaint alleged that staff does not ensure residents attend medical appointments. The complaint was investigated and found to be unfounded, meaning the allegations were false or without reasonable basis.

The visit was an unannounced collateral visit on a complaint investigation to interview residents and staff regarding complaint control number 56-AS-20230214082530.

The Licensing Program Analyst conducted interviews and an exit interview was held with the facility administrator. A copy of the report was provided to the administrator.

Complaint control number 56-AS-20230214082530 was the basis for the collateral visit and investigation.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-01-25 regarding staff yelling at a resident and facility overcharging a resident.

The investigation found the allegations to be unfounded after reviewing documents, conducting interviews with staff and residents, and observing staff interactions. Staff were reported to treat residents with respect and the facility charged only the allowed rate for basic services as per state regulations.

The complaint alleged that staff yelled at a resident and that the facility overcharged a resident. The investigation found these allegations to be unfounded, meaning they were false or without reasonable basis.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-07-29 regarding staff supervision and medication administration at Caloaks Senior Living Facility.

The investigation found no evidence to substantiate the allegations that staff failed to prevent a resident from wandering away or failed to ensure medication was taken as prescribed. Records review and interviews confirmed proper supervision and medication administration practices.

The complaint involved two allegations: 1) Staff does not prevent resident from wandering away from the facility, and 2) Staff does not ensure that resident takes medication as prescribed. Both allegations were found to be unsubstantiated based on investigation evidence.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-07-11 regarding allegations that a resident appeared unkempt, was not adequately hydrated, and did not receive medical attention while in care.

The investigation found all allegations to be unfounded after reviewing resident documents, conducting staff and resident interviews, and observing the facility. Staff were found to assist residents with hygiene, hydration, and medical needs, and the resident had regular physician visits.

Complaint allegations included that a resident appeared unkempt, was not adequately hydrated, and did not receive medical attention. The complaint was found to be unfounded and dismissed.

The visit was a Case Management Office Visit initiated to investigate deficiencies related to staff criminal background clearance and association with the facility.

The facility allowed staff members S7 and S8 to work without criminal background clearance, posing immediate health, safety, and personal rights risks to residents. Additionally, staff S6 and S9 had criminal background clearance but were not properly associated with the facility, posing potential risks. Civil penalties of $500 per individual were assessed for these violations.

The visit was complaint-related as it involved investigation of staff working without proper criminal background clearance and failure to associate staff clearances with the facility. The report does not explicitly state substantiation status.

An unannounced visit was conducted to investigate a complaint received on 2022-11-30 regarding allegations of staff misconduct towards residents at Caloaks Senior Living Facility.

The investigation included interviews with residents, staff, and witnesses, as well as records review. All allegations, including staff throwing socks at a resident, making inappropriate comments, and refusing to assist a resident, were found to be unsubstantiated due to lack of evidence.

The complaint involved allegations that staff threw socks at a resident, made inappropriate comments towards a resident, and refused to assist a resident. All allegations were investigated and found to be unsubstantiated.

The visit was an unannounced complaint investigation conducted in response to a complaint received on 2022-11-04 regarding allegations of staff failing to seek timely medical attention, failing to meet resident hygiene needs, facility cleanliness, and staff not assisting residents with feedings.

The investigation found that the facility appropriately addressed the medical needs of Resident R1, maintained hygiene and cleanliness standards, and provided feeding assistance to Resident R2. There was insufficient evidence to substantiate the allegations, and all four allegations were deemed unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included failure to seek timely medical attention, failure to meet hygiene needs, unclean facility, and lack of feeding assistance. Interviews and document reviews showed the facility met medical, hygiene, cleanliness, and feeding requirements. No evidence was found to prove violations occurred.

The visit was an unannounced case management visit to conduct inquiry into health and safety care concerns of residents.

Based on the review of records, tour of the facility, and interviews with residents and staff, no deficiencies were cited under Title 22, Division 6 of the California code of regulations.

The visit was an unannounced complaint investigation triggered by an allegation that the facility has roaches.

The investigation confirmed the presence of roaches in multiple resident rooms despite cleaning and spraying efforts. The facility's contracted exterminator was not servicing all rooms, and the treatment was insufficient to aggressively control the infestation. The complaint was substantiated.

The complaint was substantiated based on observations, interviews, and document review. The allegation that the facility has roaches was found valid by the preponderance of the evidence standard.

An unannounced complaint investigation visit was conducted in response to an allegation that a resident sustained multiple injuries due to lack of supervision from staff.

The investigation included interviews, observations, and records review, and found no evidence to substantiate the allegation. Staff and residents denied neglect or lack of supervision, and appropriate protocols were followed after the resident's fall.

The allegation that a resident sustained multiple injuries due to lack of supervision was determined to be unsubstantiated based on the evidence gathered during the investigation.

An unannounced complaint investigation visit was conducted in response to multiple allegations received on 2022-03-09 regarding neglect, overmedication, unsanitary conditions, lack of meals, unmet hygiene needs, and fraudulent signing of documents at Caloaks Senior Living Facility.

The investigation, which included interviews, observations, and records review, found all allegations to be unsubstantiated. Staff, residents, and witnesses denied neglect, overmedication, unsanitary conditions, lack of meals, unmet hygiene needs, and fraudulent signing of documents. The facility was observed to be clean, residents were provided meals and hygiene assistance, and medication administration was appropriate.

The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred. Allegations included neglect resulting in injury, overmedication, unsanitary conditions, failure to provide meals, unmet hygiene needs, and fraudulent signing of documents. Interviews with staff, residents, and witnesses all denied these allegations.

An unannounced complaint investigation visit was conducted in response to allegations received on 12/28/2021 regarding rough handling of residents and unclean facility conditions.

The investigation included observations, interviews, and records review. Allegations of rough handling of residents and unclean conditions were found to be unsubstantiated due to lack of evidence. The facility demonstrated ongoing pest control measures and cooperation with an extermination company.

The complaint investigation was unsubstantiated. Allegations included staff handling residents roughly and the facility being unclean. Interviews with residents and staff denied rough handling, and pest control records showed ongoing treatment. No evidence supported the allegations.

The inspection was an unannounced required annual inspection with an emphasis on infection control due to the COVID-19 pandemic.

The facility was found to be in compliance with regulatory requirements, with no deficiencies cited. Infection control measures were in place and staff were trained, PPE was available, and the facility was clean and in good repair with no apparent health and safety risks.

The inspection was an unannounced complaint investigation triggered by an allegation of staff neglect resulting in a resident's death.

The investigation substantiated that staff neglect led to the death of resident R1, who sustained an unwitnessed fall and lay outside for hours, resulting in hyperthermia due to environmental heat exposure. The facility failed to properly supervise the resident, posing an immediate health and safety risk.

The complaint was substantiated. The allegation that staff neglect resulted in a resident's death was supported by evidence including staff interviews, medical records, law enforcement reports, and environmental data. An Immediate Civil Penalty of $500 was assessed.

An unannounced complaint investigation was conducted in response to allegations received on 2021-11-08 regarding dietary needs, facility cleanliness, insect presence, diapering care, and staffing sufficiency at Caloaks Senior Living Facility.

The investigation found all allegations to be unsubstantiated. Staff and residents confirmed that special dietary needs were met, the facility was clean and free of insects, diapering needs were addressed appropriately, and staffing levels were sufficient to meet resident needs.

The complaint investigation was unsubstantiated. Allegations included failure to meet residents' special dietary needs, failure to keep the facility free of insects, failure to keep the facility clean, failure to ensure residents' diapering needs were met, and insufficient staffing. Interviews, observations, and record reviews did not support these allegations.

An unannounced visit was conducted to investigate a complaint alleging staff mismanaged a resident's money.

The investigation found that after Resident #1's death, the facility notified the Social Security Administration (SSA), which continued payments until May 2021. All funds received were returned to SSA, and the allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged staff mismanaged a resident's money. The investigation was unsubstantiated, meaning there was insufficient evidence to prove the alleged violation occurred.

The inspection was an unannounced complaint investigation visit triggered by an allegation received on 2021-04-12 that staff did not keep the facility free from pests.

The investigation found at least thirteen cockroaches at different growth stages throughout the facility and inside resident furniture, corroborated by resident interviews and observations. The allegation was substantiated and a citation will be issued for failure to maintain a clean, safe, and sanitary environment.

The complaint was substantiated based on the preponderance of evidence including resident interviews, observations of cockroaches, and records review. The facility had not arranged for interior fumigation in five or more months.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2020-06-17 regarding allegations of inadequate resident care and medication administration at Caloaks Senior Living Facility.

The investigation found no evidence to substantiate the allegations that facility staff failed to notice changes in resident condition, seek medical attention, safeguard resident property, or administer medications as prescribed. All allegations were determined to be unsubstantiated.

The complaint involved four allegations: failure to notice a change in resident's condition, failure to seek medical attention, failure to safeguard resident's property, and failure to dispense medications as prescribed. All allegations were investigated through staff interviews and records review and were found unsubstantiated.