Inspection Reports for Oakmont of Fullerton

Unannounced complaint investigation visit conducted due to multiple allegations received on 03/28/2023 regarding neglect and resident care issues at Oakmont of Fullerton facility.

All allegations including severe dehydration, severe malnutrition, untimely resident changing, and fracture due to neglect were found to be unsubstantiated after interviews with staff, review of medical records, and resident interviews. Evidence did not support that neglect occurred.

The complaint included allegations that a resident was severely dehydrated, severely malnourished, not changed timely, and suffered a fracture due to neglect. The investigation found all allegations unsubstantiated based on staff interviews, medical record reviews, and resident feedback.

The visit was an unannounced follow-up to investigate a complaint filed regarding the previous licensed entity at this location prior to the initial licensing of the present facility.

The Licensing Program Analyst attempted to conduct an additional interview with a resident who declined. An exit interview was conducted and a copy of the report was provided to a facility representative.

The complaint referenced is 22-AS-20210818113839, filed on August 18, 2021, related to the previous licensed facility Oakmont of Fullerton - 306005795, which is distinct from the present facility.

The visit was an unannounced follow-up to investigate four complaints filed against the previous licensed entity at this location prior to the initial licensing of the present facility.

The Licensing Program Analyst requested multiple resident records and conducted or attempted to conduct staff and resident interviews. An exit interview was conducted and a copy of the report was provided to a facility representative.

The visit followed up on four complaints filed on August 18, 2021; September 17, 2021; August 22, 2022; and September 6, 2022, all against the previous licensed facility at this location, which is a distinct entity from the present facility.

The inspection visit was a Case Management visit following up on an email self-reporting an incident involving a fire caused by the dishwasher's electric motor melting and burning inside the dishwasher unit.

The fire was contained with no injuries to staff or residents and no hospitalizations. Based on observations and interviews, there were no health and safety concerns identified at the facility during the visit.

The inspection was an unannounced required 1-Year annual visit conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations.

The facility was found to be sanitary, appropriately furnished, and compliant with regulations. No deficiencies were cited during the visit. Infection control practices, emergency supplies, and safety equipment were all in order.

The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility was charging a deceased resident's family after belongings were retrieved.

The investigation found that the facility had accidentally charged the deceased resident's family for a period after the resident's death and reimbursed the family. However, there was insufficient evidence to substantiate the allegation, and it was deemed unsubstantiated.

The complaint alleged that the facility charged a deceased resident's family after belongings were retrieved. The allegation was unsubstantiated due to lack of preponderance of evidence despite the facility's admission of accidental charges and reimbursement.

The visit was an unannounced case management visit conducted by Licensing Program Analyst Jessica Cho and Investigator Hector Quintanar to the facility.

The Licensing Program Analyst and Investigator conducted interviews and an exit interview with the Executive Director. The visit was related to a complaint control number unrelated to this facility, and no deficiencies or violations were noted in the report.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-05-08 regarding staff treatment of residents, transportation, aggressive repositioning, laundry service, and facility furniture condition.

The investigation found no corroboration for any of the allegations after interviews with 13 individuals, observations, and record reviews. The facility was clean, well-maintained, and residents were appropriately transported. All allegations were deemed unsubstantiated.

The complaint included allegations that staff did not treat residents with dignity and respect, did not transport residents appropriately in wheelchairs, repositioned residents aggressively, failed to provide basic laundry service, and did not ensure facility furniture was in good condition. After investigation, all allegations were found unsubstantiated due to lack of evidence.

An unannounced case management visit was conducted in conjunction with complaint number 22-AS-20230328105245 to investigate compliance with regulatory requirements.

The facility was found not to have the required PUB 475 (See Something, Say Something) poster posted in the main entryway as mandated by Title 22 regulations. A technical assistance advisory note was issued, and the Executive Director was advised to post the required poster by 04/07/2023.

The visit was conducted in conjunction with complaint number 22-AS-20230328105245. A technical assistance advisory note was issued regarding the missing poster. No substantiation status was stated.

This announced inspection was conducted for the purpose of a pre-licensing inspection as part of a change of ownership with persons in care for a Residential Care Facility for the Elderly.

The facility was toured and observed to be a large, well-equipped 3-story building with 101 units, including a memory care unit. All safety equipment, resident bedrooms, bathrooms, food supplies, and emergency systems were inspected and found operational. The facility was deemed ready for licensure pending final approval.

The visit was conducted as a Component II (COMP II) evaluation via telephone call to verify the applicant/administrator's understanding of Title 22 and various regulatory requirements as part of the licensing process.

The applicant/administrator successfully completed COMP II, confirming understanding of facility operation, staff qualifications, program policies, grievance procedures, physical plant, and application document requirements. No deficiencies or violations were noted in the report.