Inspection Reports for Oakmont of Camarillo

An unannounced annual inspection was conducted to evaluate the facility's compliance with Title 22 regulations and ensure there are no health and safety hazards.

The facility was found to be in compliance with health and safety regulations, including resident room conditions, kitchen food storage, common areas, outdoor spaces, record keeping, medication management, infection control, and emergency disaster planning. No deficiencies or concerns were noted during interviews or record reviews.

The visit was conducted as a Case Management - Deficiencies inspection in conjunction with a complaint investigation (Complaint Control # 29-AS-20250822191726) to issue citations for deficiencies observed during the initial complaint investigation.

The facility failed to provide a current, written record of care for Resident #1's colostomy bag, including verification of the qualifications of the individual providing ostomy care, who was not affiliated with a Home Health Agency. This posed a potential health and safety risk to persons in care.

The visit was complaint-related, triggered by Complaint Control # 29-AS-20250822191726. The complaint involved concerns about Resident #1's ostomy care being provided by an individual not affiliated with a Home Health Agency, with no verification of qualifications. The complaint was substantiated by the findings.

The visit was conducted to follow up on a self-reported incident report and Suspected Dependent Adult/Elder Abuse report received on 2025-08-05 regarding possible sexual abuse of Resident #1 by unknown staff.

During the unannounced visit, no immediate health and safety concerns were observed. A referral was made to the Community Care Licensing Division's Investigation Branch for further investigation, and an additional report may follow.

The visit was complaint-related, triggered by a self-reported incident and Suspected Dependent Adult/Elder Abuse report concerning possible sexual abuse of a resident. Further investigation is pending.

The inspection was conducted as an unannounced complaint investigation following a complaint received on 2024-07-19 alleging that facility staff spoke inappropriately to residents.

Interviews with residents revealed that staff were friendly, pleasant, and respectful, with no evidence supporting the allegation of inappropriate speech. The complaint was deemed unsubstantiated.

The complaint alleged that facility staff bullied residents by intimidation, foul language, and threats, creating an unsafe environment. After interviews with residents and staff, there was insufficient evidence to substantiate the allegation.

The inspection was an unannounced required annual visit to evaluate the facility's compliance with Title 22 Regulations and ensure health and safety standards.

The facility was found to be in compliance with regulations, with no health or safety hazards observed. Resident bedrooms, restrooms, medication storage, infection control policies, and emergency plans were all in order. No citations were issued during this visit.

The inspection was an unannounced complaint investigation triggered by multiple allegations concerning resident care, supervision, medication assistance, food service, facility conditions, and reporting requirements at Oakmont of Camarillo.

The investigation found insufficient evidence to substantiate most allegations including falls, supervision, medication assistance, care plan adherence, assessments, food service, facility sanitation, safeguarding belongings, and reporting. However, the allegation that staff refused to accept a resident back to the facility after hospitalization was substantiated, constituting a violation of resident rights.

The complaint included multiple allegations such as resident sustaining multiple falls and injuries, inadequate supervision, improper medication assistance, failure to follow care plans and doctor's orders, improper food service, unsafe and unsanitary conditions, failure to safeguard belongings, and failure to follow proper reporting requirements. The complaint was received on 2023-07-12 and investigated with visits on 2023-07-20, 2024-05-22, and 2024-07-22. Most allegations were deemed unsubstantiated except for the refusal to accept a resident back to the facility, which was substantiated.

The inspection was conducted as a complaint investigation following allegations including resident injury, untimely staff response to call buttons, delayed medical attention, facility disrepair, and inadequate staff training.

The investigation found insufficient evidence to support any of the allegations. All complaints were deemed unsubstantiated after interviews, observations, record reviews, and facility tours.

The complaint investigation was unsubstantiated. Allegations included resident injury due to lack of care, untimely staff response to call buttons, delayed medical attention, facility disrepair, and inadequate staff training. Each allegation was reviewed through interviews, record reviews, and observations, resulting in no violations found.

The inspection was an unannounced complaint investigation triggered by allegations received on 2022-04-22 regarding medication administration and refill issues, as well as staff competency and conduct concerns at Oakmont of Camarillo.

The investigation substantiated allegations that medications were not administered as prescribed and were not refilled timely, posing potential health risks to residents. Other allegations related to staff giving medications prescribed to other residents, staff training, sleeping during overnight shifts, and staff competency were found to be unsubstantiated.

The complaint investigation was substantiated for allegations that medications were not administered as prescribed and not refilled timely. Other allegations including staff giving medications prescribed to other residents, inadequate staff training, staff sleeping during overnight shifts, and staff incompetency were unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-06-16 regarding medication administration, medication refills, and response times to resident requests for assistance.

The investigation substantiated three allegations: facility staff not assisting with self-administration of medications as prescribed, medications not being refilled timely, and staff not responding timely to resident's requests for assistance. One allegation regarding improper assistance with resident transfers was unsubstantiated.

The complaint investigation was substantiated for allegations related to medication administration, medication refills, and response times to resident calls. The allegation regarding improper assistance with transfers was unsubstantiated. Citations for substantiated allegations were previously issued under related complaint controls; no new citations were issued during this visit.

The inspection was an unannounced complaint investigation visit triggered by allegations including facility staff not meeting resident's basic care needs and illegal eviction.

The investigation substantiated that facility staff failed to meet Resident #1's basic care needs, as the resident eloped multiple times due to a faulty door strike that did not trigger alarms. The facility also illegally evicted the resident by requiring a private companion for return, which was not a viable option. Other allegations such as insufficient staffing, lack of supervision, and failure to engage the resident in activities were unsubstantiated.

The complaint investigation was substantiated for allegations that facility staff were not meeting Resident #1's basic care needs and that an illegal eviction occurred. The resident eloped multiple times due to a door malfunction and was subsequently asked to leave without proper written notice. Other allegations including insufficient staffing, lack of supervision, and failure to engage the resident in activities were unsubstantiated.

The inspection was conducted as a complaint investigation following allegations that staff did not provide residents with adequate beverages and did not treat residents with dignity.

The investigation found insufficient evidence to support the allegations. Observations and interviews indicated that beverages were adequately available throughout the facility and residents were treated with dignity. Both allegations were deemed unsubstantiated.

The complaint alleged that beverages were withheld from Resident #1 and that staff were mean to residents. Interviews with Resident #1, other residents, and staff, as well as observations, did not substantiate these claims. No citations were issued.

The visit was an unannounced Case Management – Incident inspection to follow up on a self-reported incident that occurred on 2024-03-03 involving an altercation between two residents.

The Licensing Program Analyst interviewed the Executive Director and toured the facility, finding no immediate health and safety hazards. The investigation is ongoing with no citations issued at this time.

The incident involved an altercation between Resident #1 and Resident #2, resulting in injury to Resident #2 who was sent to the hospital and subsequently moved out of the facility. The visit was to follow up on this self-reported incident.

The inspection was an unannounced complaint investigation triggered by allegations that the facility did not provide safe, comfortable accommodations, neglected a resident, and failed to respond timely to the resident's requests for assistance during an overnight shift incident on 03/21/2022 to 03/22/2022.

The investigation substantiated the allegations that the resident was left in unsafe and uncomfortable conditions, including being left on a commode unattended, with wet bedding and no access to their phone, posing immediate health and safety risks. Staff failed to respond to multiple calls for assistance, resulting in termination of the involved staff member.

The complaint involved an incident during the overnight shift from 03/21/2022 to 03/22/2022 where Resident #1 called for assistance multiple times using their pendant but staff did not respond timely. Resident called 9-1-1 for help. Staff member S1 responded initially but left resident unattended on commode. Resident's phone was found with batteries removed, and resident was found in a urine-soaked bed. Staff S1 was terminated. Allegations were substantiated.

An unannounced annual inspection was conducted to ensure the facility's compliance with Title 22 regulations and to evaluate health and safety conditions.

The facility was found to be in compliance with regulations, with no safety concerns noted. Common areas, kitchen, resident rooms, and emergency plans were all observed to be adequate and well maintained. No citations were issued during the inspection.

The visit was an unannounced Case Management - Incident follow-up to investigate three self-reported incidents where residents left the facility unsupervised on 09/18/2023, 10/01/2023, and 10/11/2023.

The licensee failed to comply with care and supervision requirements as two residents with dementia left the facility unassisted multiple times, posing immediate health and safety risks. A deficiency was cited related to this failure.

The inspection was an unannounced complaint investigation visit conducted to address allegations including improper assistance with resident transfers resulting in a fall, understaffing, and failure to provide necessary hygiene items for residents.

All allegations were investigated through interviews, record reviews, and observations. Despite some concerns raised, there was insufficient evidence to substantiate any of the allegations, and all were deemed unsubstantiated at this time.

The complaint included allegations that facility staff did not properly assist a resident with transfers resulting in a fall, the facility was understaffed during certain shifts, and the licensee failed to provide necessary hygiene items. After investigation, all allegations were found unsubstantiated due to insufficient evidence.

The visit was an unannounced Case Management – Incident follow-up to investigate a self-reported incident on 2023-10-01 involving a resident found outside the facility unassisted.

The Licensing Program Analyst interviewed the Executive Director, toured the facility, tested delayed egress points, and reviewed documents. One delayed egress point had malfunctioned but was being monitored until repaired. No citations were issued during this visit.

The investigation was triggered by a self-reported incident where Resident #1, diagnosed with dementia and unable to leave unassisted, was found about a block away from the facility. The facility reported the incident and is cooperating with the investigation.

The visit was conducted as a case management incident follow-up to investigate a self-reported allegation of sexual abuse by a resident against a staff member that occurred on 05/08/2023.

The investigation included interviews with involved parties and review of medical and police reports. The evidence was insufficient to substantiate the allegation of sexual abuse, and the allegation was deemed unsubstantiated at this time.

The complaint involved an allegation by Resident #1 that Staff #1 inappropriately touched them. The investigation included interviews with the resident, staff, and facility personnel, review of medical and police reports, and assessment of the resident's cognitive status. The allegation was found to be unsubstantiated due to lack of sufficient evidence.

The visit was an unannounced Case Management – Incident follow-up to investigate a self-reported incident on 09/18/2023 where a resident with dementia left the facility unsupervised and was found a block away.

The Wanderguard system at the exit door next to Room 135 did not function properly during testing, as neither the auditory alarm nor the electronic alert activated, posing an immediate safety risk to residents.

An unannounced complaint investigation was conducted in response to an allegation that the licensee did not provide a resident's records as requested.

The investigation found that the facility provided the requested resident's records in a timely manner, including prior provision to the resident's family and subsequent release to the requesting party. Therefore, the allegation was deemed unsubstantiated and no citations were issued.

The complaint alleged that the licensee did not provide resident's records as requested. The allegation was investigated and found to be unsubstantiated based on interviews and document review.

The inspection was an unannounced complaint investigation conducted in response to an allegation that the facility Administrator is not properly qualified.

The investigation included interviews with residents, staff, and review of the Administrator's qualifications and records. The Administrator was found to be positively regarded by staff and residents, with no evidence supporting the allegation. The complaint was deemed unsubstantiated and no citations were issued.

Complaint alleged that the facility Administrator is not properly qualified. The allegation was investigated and found to be unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by an allegation that staff locked a resident in their facility bedroom.

The investigation found that the door to the resident's bedroom could be locked from the outside with a key, but residents could always exit their rooms safely by unlocking the door from the inside. There was insufficient evidence to support the allegation, and it was deemed unsubstantiated.

The complaint alleged that staff locked a resident in their facility bedroom. The allegation was investigated and found to be unsubstantiated based on observations and interviews.

The visit was an unannounced Case Management – Incident follow-up to a self-reported incident of alleged abuse by a resident against staff that occurred on 2023-05-08.

No immediate health and safety hazards were identified during the visit. The Licensing Program Analyst toured the facility, interviewed the Executive Director, and obtained pertinent documents. The incident was referred to the Investigations Branch for follow-up.

The complaint involved an allegation of abuse by Resident #1 against Staff #1. Notifications were made to the resident's responsible party, primary care physician, local police, and Long Term Care Ombudsman. The complaint is under investigation by CCLD's Investigations Branch.

The visit was an unannounced complaint investigation conducted in response to an allegation that the facility overcharged a resident.

The investigation found that although the resident's care level increased due to a fall and hospitalization, the facility issued a credit to the resident's account reflecting a lower care level and backdated the credit. Based on interviews and record review, there was insufficient evidence to substantiate the allegation of overcharging, and the complaint was deemed unsubstantiated.

The complaint alleged that the facility overcharged Resident #1 for care services. The allegation was investigated and found unsubstantiated due to insufficient evidence.

The inspection was conducted as a complaint investigation following an allegation that the facility was in financial distress due to staff not being paid for their total number of hours worked.

The investigation found that staff receive paychecks biweekly as scheduled, but some staff failed to submit missed punch sheets and paid time off requests timely, resulting in delayed payments. Corrective actions were taken with staff violating time card policies, and expedited checks are issued when errors are discovered. The allegation of financial distress was deemed unsubstantiated.

The complaint alleged that the facility was in financial distress because staff had not been paid for all hours worked. The complaint was investigated and found to be unsubstantiated.

An unannounced complaint investigation was conducted in response to an allegation of illegal eviction of a resident at the facility.

The investigation found that the facility served a proper '30-Day Notice to Pay or Quit' to the resident due to unpaid balance, with all required regulatory language and procedures followed. The resident was still present at the facility and had issued payment, so the allegation of illegal eviction was deemed unsubstantiated.

The complaint alleged illegal eviction of Resident #1. The allegation was investigated and found unsubstantiated based on interviews, document review, and observation.

The inspection visit was conducted as a case management - incident visit to address an incident involving alleged unauthorized entry to a resident's private room that occurred overnight on 08/30/2022-08/31/2022.

The Licensing Program Analyst was made aware of the incident during an unrelated visit and observed law enforcement arriving to take a report. At the time of the visit, no written report of the incident had been received, and the investigation was to be continued at a later date.

The visit was complaint-related due to an alleged unauthorized entry to Resident #1's private room. The substantiation status is not stated.

An unannounced complaint investigation was conducted due to an allegation that the facility failed to safeguard a resident's personal belongings following a report of missing items from a former resident's room.

The investigation found that although the allegation may be valid, there was insufficient evidence to support that a violation occurred. The resident had left belongings in an unlocked desk drawer, and the facility had followed proper procedures including reporting to law enforcement and Community Care Licensing. The allegation was deemed unsubstantiated.

The complaint was unsubstantiated. The allegation was that the facility failed to safeguard a resident's belongings after items were reported missing from a former resident's room between 08/02/2022 and 08/07/2022. The facility reported the incident to law enforcement and Community Care Licensing. The resident's admission agreement stated the facility was not responsible for loss unless caused by negligence. No documented inventory of the missing items existed. The investigation concluded insufficient evidence to support the allegation.

The inspection was an unannounced complaint investigation conducted in response to allegations that the facility was not serving good quality food to residents and did not have enough food to serve residents.

The investigation substantiated that the facility was serving expired and improperly labeled food items, posing a potential health risk to residents. However, the allegation that the facility did not have enough food to serve residents was unsubstantiated based on observations and interviews.

The complaint investigation was substantiated for the allegation that the facility was not serving good quality food to residents. The allegation that the facility did not have enough food to serve residents was unsubstantiated.

The visit was an unannounced Case Management – Incident follow-up conducted to investigate a self-reported incident on 06/29/2022 where a resident eloped from the facility’s secure memory care unit.

The facility was found to have deficiencies related to care and supervision as Resident #1 left the facility unassisted, posing an immediate health and safety risk. Civil penalties of $250 were assessed. The facility had taken corrective actions including changing door codes, providing a Wanderguard bracelet, testing exit points, and adjusting care plans and schedules.

An unannounced Plan of Correction (POC) visit was conducted to follow up on deficiencies cited during a Case Management visit on 2022-06-14.

The delayed egress in the Memory Care unit was tested and found functional. The Plan of Correction was cleared during this visit. A copy of Resident #1's reappraisal was received.

Unannounced Case Management – Incident visit to follow up on two self-reported incident reports involving Resident #1 eloping from the facility's secure Memory Care unit on 06/05/2022 and 06/07/2022.

The inspection found that all interior delayed egress alarms were functional, but one exterior gate with delayed egress was bolted shut due to prior malfunction, posing an immediate safety risk. Resident #1, known to be an elopement risk, left the facility unassisted twice, indicating noncompliance with care and supervision requirements.

The visit was an unannounced Case Management – Incident inspection conducted to follow up on a self-reported incident involving two facility residents that occurred on 2022-03-31, which was verbally reported on 2022-04-01 and followed by a written report on 2022-04-05.

During the visit, no immediate health and safety concerns were observed. The Licensing Program Analyst determined that further investigation is needed and will return at a later date to continue the investigation.

The visit was a case management-deficiencies inspection conducted due to deficiencies related to reporting COVID positive cases late.

The facility failed to submit five incident reports of COVID positive cases within the required 24-hour timeframe, posing an immediate health and safety risk to residents.

The visit was complaint-related due to late submission of COVID positive incident reports. The deficiency was substantiated as the facility submitted 5 incident reports past the 24-hour required timeframe.

The visit was a Case Management - Incident investigation triggered by two elopement incidents involving Resident #1, a Memory Care resident, who left the facility unsupervised on two occasions.

The facility identified and repaired a faulty door latch after the first elopement and implemented delayed egress and Wander Guard for the resident. After the second elopement through a window, the facility initiated a 1:1 private caregiver, retrained staff on elopement procedures, and enhanced window security and surveillance.

The complaint involved two elopement incidents by Resident #1 on 10/28/2021 and 11/02/2021. The facility took corrective actions including door repair, delayed egress testing, Wander Guard implementation, 1:1 caregiver assignment, staff retraining, and window security improvements. Further follow-up is needed.

The inspection was an announced pre-licensing visit for a change of ownership application, with the facility name remaining the same. The visit included inspection of fire safety, personal accommodations and services, medication procedures, and food service.

The facility was found to be generally clean and in good condition with no obstructions or tripping hazards. Fire safety systems were operational, though fire extinguishers last serviced in 12/2019 require servicing or replacement. Water temperature testing revealed temperatures outside the required range. Some faucets require repair or replacement. The facility has an approved Hospice Waiver and is limited to eight bedridden residents.

report_10_565850169_inx9_2023-10-05.pdf

report_9_565850169_inx8_2023-09-15.pdf

report_25_565850169_inx24_2022-06-14.pdf