Deficiencies (last 5 years)

Deficiencies (over 5 years) 3.2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

20% better than California average
California average: 4 deficiencies/year

Deficiencies per year

8 6 4 2 0
2021
2022
2023
2024
2025

Census

Latest occupancy rate 136% occupied

Based on a October 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy over time

60 80 100 120 140 Aug 2021 Jul 2023 Feb 2024 Dec 2024 Aug 2025 Oct 2025 Oct 2025

Inspection Report

Annual Inspection
Census: 67 Capacity: 97 Deficiencies: 0 Date: Oct 18, 2025

Visit Reason
The inspection was an unannounced subsequent annual inspection visit conducted to evaluate compliance with licensing requirements and operational standards at the facility.

Findings
The facility met operational requirements including fire clearance and staffing certifications. Resident and personnel records were reviewed and found compliant. No deficiencies were observed during this visit, and the facility's emergency preparedness and health-related services were verified.

Report Facts
Hospice residents: 8 Personnel records reviewed: 6 Resident records reviewed: 6 Emergency drills date: Sep 27, 2025

Employees mentioned
NameTitleContext
Adriane RungeAdministratorFacility Administrator present during inspection and named in staffing and certification
Kimberly RamirezLicensing Program AnalystConducted the inspection visit
Gina AlvarezBusiness Office DirectorGreeted the Licensing Program Analyst and discussed the purpose of the visit
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 65 Capacity: 97 Deficiencies: 0 Date: Oct 18, 2025

Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff did not prevent a resident from being sexually abused while in care and did not safeguard the resident's personal belongings.

Complaint Details
The complaint involved allegations that staff failed to prevent sexual abuse of a resident and failed to safeguard the resident's personal belongings. Interviews with eight staff members and four residents did not corroborate the allegations. Attempts to contact the resident and responsible party were unsuccessful. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found no corroboration for the allegations after interviews with staff and residents and review of relevant documents. Despite attempts to contact the resident and responsible party, there was insufficient evidence to substantiate the allegations, resulting in an unsubstantiated finding. No deficiencies were cited.

Report Facts
Capacity: 97 Census: 65 Staff interviews: 8 Resident interviews: 4

Employees mentioned
NameTitleContext
Kimberly RamirezLicensing Program AnalystConducted the complaint investigation visit and delivered findings
Adriane RungeAdministratorFacility administrator met with the investigator during the visit

Inspection Report

Annual Inspection
Census: 67 Capacity: 97 Deficiencies: 0 Date: Oct 2, 2025

Visit Reason
The inspection was an unannounced required annual inspection to evaluate compliance with licensing requirements at the facility.

Findings
The Licensing Program Analyst observed compliance with safety, food service, resident rights, and special needs requirements. No deficiencies were cited at the time of the inspection.

Report Facts
Hospice residents: 8 Bedridden residents allowed: 7 Hospice residents allowed: 15 Rooms inspected: 6 Water temperature range: 105-120 Freezer temperature: 0 Refrigerator maximum temperature: 40

Employees mentioned
NameTitleContext
Adriane RungeAdministratorMet with Licensing Program Analyst during inspection and assisted with tour
Kimberly RamirezLicensing Program AnalystConducted the annual inspection
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager on the report
Gina AlvarezBusiness Office DirectorMet with Licensing Program Analyst to discuss purpose of visit

Inspection Report

Annual Inspection
Census: 67 Capacity: 97 Deficiencies: 0 Date: Oct 2, 2025

Visit Reason
The inspection was a required unannounced annual inspection to evaluate compliance with licensing requirements and facility standards.

Findings
No deficiencies were cited during the inspection. The facility met all safety, environmental, food service, and residents' rights requirements as observed by the Licensing Program Analyst.

Report Facts
Hospice residents: 8 Rooms inspected: 6 Water temperature range: 105 Water temperature range: 120 Freezer temperature: 0 Refrigerator maximum temperature: 40

Employees mentioned
NameTitleContext
Adriane RungeAdministratorMet with Licensing Program Analyst during inspection and exit interview
Kimberly RamirezLicensing Program AnalystConducted the annual inspection
Gina AlvarezBusiness Office DirectorMet with Licensing Program Analyst to discuss purpose of visit
Fernando FierrosSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Complaint Investigation
Census: 68 Capacity: 97 Deficiencies: 1 Date: Sep 3, 2025

Visit Reason
An unannounced complaint investigation visit was conducted due to an allegation that facility staff caused injuries to a resident during a transfer.

Complaint Details
The complaint was substantiated. Resident #1 sustained a head laceration and a large scalp hematoma during a transfer on 11/11/2024. Staff interviews confirmed the incident, and it was found that some staff had not received proper training on the Hoyer Lift. Immediate civil penalties of $500 were issued, with an enhanced civil penalty determination pending.
Findings
The investigation substantiated the allegation that Resident #1 sustained head injuries during a transfer using a Hoyer Lift, assisted by staff members. Interviews and record reviews confirmed the incident, and deficiencies related to staff training on the Hoyer Lift were identified.

Deficiencies (1)
Failure to provide safe, healthful, and comfortable accommodations as evidenced by Resident #1 sustaining head injuries during a transfer using a Hoyer Lift.
Report Facts
Civil penalty amount: 500 Capacity: 97 Census: 68 In-service training dates: Training held on 11/27/2024 and 12/4/2024; additional training scheduled for 12/20/2024 and 1/17/2025.

Employees mentioned
NameTitleContext
Adriane RungeExecutive DirectorMet with Licensing Program Analyst during investigation and received report and civil penalty assessment.
Tena HerreraLicensing Program AnalystConducted the complaint investigation and authored the report.
David SicairosLicensing Program ManagerOversaw the complaint investigation report.

Inspection Report

Complaint Investigation
Census: 68 Capacity: 97 Deficiencies: 1 Date: Sep 3, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that facility staff caused injuries to a resident during a transfer.

Complaint Details
The complaint alleged that facility staff caused injuries to a resident during a transfer. The allegation was substantiated based on interviews with staff and residents, review of incident reports, and observations. Immediate civil penalties of $500 were issued, with an enhanced civil penalty determination pending.
Findings
The investigation substantiated the allegation that Resident #1 sustained injuries to their head during a transfer using a Hoyer Lift assisted by staff. Interviews with staff and residents, record reviews, and observations confirmed the incident and deficiencies in staff training on the Hoyer Lift. Immediate civil penalties were issued due to staff-caused serious injury.

Deficiencies (1)
Failure to accord safe, healthful and comfortable accommodations, furnishings and equipment as evidenced by Resident #1 sustaining head injuries during staff-assisted transfer using a Hoyer Lift.
Report Facts
Civil penalty amount: 500 Capacity: 97 Census: 68 In-service training dates: Two in-service trainings held on 11/27/2024 and 12/4/2024; additional trainings scheduled for 12/20/2024 and 1/17/2025.

Employees mentioned
NameTitleContext
Tena HerreraLicensing Program AnalystConducted the complaint investigation and authored the report.
David SicairosLicensing Program ManagerNamed in the report as Licensing Program Manager overseeing the investigation.
Adriane RungeExecutive DirectorFacility administrator met during the investigation and recipient of report and civil penalty notification.

Inspection Report

Complaint Investigation
Census: 68 Capacity: 97 Deficiencies: 1 Date: Aug 28, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that facility staff caused injuries to a resident during a transfer using a Hoyer Lift.

Complaint Details
The complaint alleged that facility staff caused injuries to a resident during a transfer. The allegation was substantiated based on interviews with staff and residents, observations, and record reviews. Immediate civil penalties of $500 were issued due to staff causing serious injury to the resident. An Enhanced Civil Penalty determination is pending.
Findings
The investigation substantiated the allegation that Resident #1 sustained injuries to their head during a transfer with a Hoyer Lift due to staff error. Interviews with staff and residents, record reviews, and observations confirmed the incident and lack of prior training documentation. Immediate civil penalties were issued.

Deficiencies (1)
Failure to accord safe, healthful and comfortable accommodations, furnishings and equipment as evidenced by Resident #1 sustaining injuries to their head during staff assistance with a transfer using a Hoyer Lift.
Report Facts
Capacity: 97 Census: 68 Civil Penalty Amount: 500 In-service Training Dates: Two in-service training sessions held on 11/27/2024 and 12/4/2024

Employees mentioned
NameTitleContext
Tena HerreraLicensing Program AnalystConducted the complaint investigation and authored the report
David SicairosLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation
Adriane RungeExecutive DirectorFacility representative met during the investigation and exit interview
S1Staff who explained lack of prior training documentation and participated in interviews
S2Staff involved in the transfer incident causing injury to Resident #1
S3Staff involved in the transfer incident causing injury to Resident #1
S6Staff who had not received training for the Hoyer Lift but used it to assist residents

Inspection Report

Complaint Investigation
Census: 68 Capacity: 97 Deficiencies: 1 Date: Aug 28, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that facility staff caused injuries to a resident during a transfer.

Complaint Details
The complaint alleged that facility staff caused injuries to a resident during a transfer. The allegation was substantiated based on interviews with staff and residents, observations, and record review. Immediate civil penalties of $500 were issued due to staff causing serious injury to the resident. An enhanced civil penalty determination is pending.
Findings
The investigation substantiated the allegation that Resident #1 sustained injuries to their head during a transfer using a Hoyer Lift, assisted by staff members S2 and S3. Interviews and record reviews confirmed the incident, and deficiencies related to staff training on the Hoyer Lift were identified.

Deficiencies (1)
Failure to accord safe, healthful and comfortable accommodations, furnishings and equipment, resulting in Resident #1 sustaining head injuries during a transfer using a Hoyer Lift.
Report Facts
Capacity: 97 Census: 68 Civil Penalty Amount: 500 In-service Training Dates: Two in-service trainings held on 11/27/2024 and 12/4/2024

Employees mentioned
NameTitleContext
Adriane RungeExecutive DirectorMet with Licensing Program Analyst during the investigation and received report and appeal rights
Tena HerreraLicensing Program AnalystConducted the complaint investigation visit
David SicairosLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 70 Capacity: 97 Deficiencies: 1 Date: Aug 8, 2025

Visit Reason
The visit was conducted as a Case Management visit during the course of a complaint investigation related to complaint #28-AS-20241113164508, focusing on staff training deficiencies regarding the proper use of a hoyer lift.

Complaint Details
The visit was complaint-related for complaint #28-AS-20241113164508. The deficiency related to lack of staff training on hoyer lift use was substantiated during the investigation.
Findings
It was found that the administrator at the time of the complaint investigation did not ensure staff were properly trained on how to operate a hoyer lift, resulting in injuries to a resident. Staff files lacked any training documentation on proper hoyer lift use.

Deficiencies (1)
Failure to ensure staff were properly trained on the use of a hoyer lift, violating CCR 87405(h)(4) regarding administrator responsibilities.
Report Facts
Capacity: 97 Census: 70 Plan of Correction Due Date: Aug 15, 2025

Employees mentioned
NameTitleContext
Angela BoydHealth Services DirectorMet with during inspection and discussed visit purpose
David SicairosLicensing Program ManagerNamed in report as Licensing Program Manager
Tena HerreraLicensing Program AnalystConducted the inspection and authored the report
Adriane RungeAdministrator/DirectorFacility Administrator at time of inspection

Inspection Report

Complaint Investigation
Census: 70 Capacity: 97 Deficiencies: 1 Date: Aug 8, 2025

Visit Reason
The visit was conducted as a Case Management visit during the course of a complaint investigation (#28-AS-20241113164508) related to staff training on operating a hoyer lift, which resulted in injuries to a resident.

Complaint Details
Complaint #28-AS-20241113164508 involved injuries to a resident due to improper use of a hoyer lift and lack of staff training. The deficiency for lack of training was not addressed in a prior complaint investigation dated 12/18/2024 but is now being issued.
Findings
The investigation found that the administrator at the time did not ensure staff were properly trained on how to operate a hoyer lift, with no training records observed in staff files. A deficiency for lack of training was issued.

Deficiencies (1)
Failure to recruit, employ, and train qualified staff on proper use of a hoyer lift, resulting in injuries to a resident.
Report Facts
Census: 70 Total Capacity: 97 Plan of Correction Due Date: Aug 15, 2025

Employees mentioned
NameTitleContext
Angela BoydHealth Services DirectorMet with Licensing Program Analyst during inspection
Tena HerreraLicensing Program AnalystConducted the Case Management visit and issued the deficiency
David SicairosLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Census: 74 Capacity: 97 Deficiencies: 0 Date: Aug 1, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-05-12 regarding medication security, falsification of medication records, inadequate supervision during medication administration, and residents being left in soiled diapers for extended periods.

Complaint Details
The complaint included allegations that staff did not ensure centrally stored medication was locked and inaccessible, falsified medication records, failed to provide adequate supervision resulting in missed medication doses, and left residents in soiled diapers for extended periods. The investigation concluded these allegations were unsubstantiated.
Findings
The investigation found no corroborating evidence to support the allegations. Staff interviews and resident statements confirmed that medications were securely stored, medication records were accurate, adequate supervision was provided during medication administration, and residents were not left in soiled diapers for extended periods. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

Report Facts
Facility capacity: 97 Census: 74

Employees mentioned
NameTitleContext
Elizabeth IrraLicensing Program AnalystConducted the complaint investigation visit
Adriane RungeExecutive DirectorFacility administrator and participant in exit interview
Gina AlvarezBusiness Office DirectorMet with Licensing Program Analyst during investigation
Angela BoydHealth Services DirectorArrived during investigation visit and participated

Inspection Report

Complaint Investigation
Census: 74 Capacity: 97 Deficiencies: 1 Date: Aug 1, 2025

Visit Reason
The visit was a Case Management inspection conducted as part of a complaint investigation regarding allegations that staff falsified medication records for a resident.

Complaint Details
Complaint investigation triggered by allegation that staff falsified medication records related to Oxycodone; investigation revealed falsification related to Metamucil medication for resident R-1.
Findings
The investigation found that staff member S-1 falsified medication administration records for resident R-1 by documenting administration of Metamucil on 05/03/25 when the medication was not provided. S-1 was terminated and had previously received disciplinary action for medication documentation errors.

Deficiencies (1)
Failure to provide Metamucil medication to resident R-1 on 05/03/25 while documenting it as administered.
Report Facts
Capacity: 97 Census: 74 Plan of Correction Due Date: Aug 2, 2025

Employees mentioned
NameTitleContext
Adriane RungeExecutive DirectorMet during inspection and received exit interview
Elizabeth IrraLicensing Program AnalystConducted the Case Management visit and complaint investigation
Wei Siew HoLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 74 Capacity: 97 Deficiencies: 1 Date: Aug 1, 2025

Visit Reason
The visit was a Case Management inspection conducted during a complaint investigation regarding allegations that staff falsified medication records for a resident.

Complaint Details
The complaint alleged staff falsified medication records for another resident pertaining to Oxycodone. During investigation, falsification of medication records for Metamucil for resident R-1 by staff S-1 was discovered and substantiated.
Findings
The investigation found that staff member S-1 falsified medication administration records by documenting administration of Metamucil to resident R-1 on 05/03/25 when the medication was not provided. S-1 was terminated and had previously received disciplinary action for medication documentation errors.

Deficiencies (1)
Failure to provide Metamucil to resident R-1 on 05/03/25 while documenting it as administered, violating medication administration policies.
Report Facts
Capacity: 97 Census: 74 Plan of Correction Due Date: Aug 2, 2025

Employees mentioned
NameTitleContext
Adriane RungeExecutive DirectorMet during inspection and received exit interview and report
Elizabeth IrraLicensing Program AnalystConducted the Case Management visit and complaint investigation
Wei Siew HoLicensing Program ManagerNamed in licensing program management and signature

Inspection Report

Complaint Investigation
Census: 69 Capacity: 97 Deficiencies: 0 Date: May 20, 2025

Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2025-05-14 regarding medication dispensing, resident handling, food service sanitation, and safeguarding of personal belongings at the facility.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included medication not dispensed as prescribed, rough handling and yelling at residents, improper food service sanitation, and failure to safeguard personal belongings. Interviews and document reviews did not support these allegations, and the facility addressed concerns appropriately.
Findings
The investigation found no preponderance of evidence to substantiate any of the allegations, including improper medication dispensing, rough handling or yelling at residents, improper food service sanitation practices, and failure to safeguard residents' personal belongings. Staff interviews, resident interviews, document reviews, and observations supported that the facility was providing care as prescribed and maintaining proper practices.

Report Facts
Residents interviewed: 7 Staff interviewed: 7 Residents medication reviewed: 4 Medication clarification orders: 2 Training dates: 2

Employees mentioned
NameTitleContext
Mary G FloresLicensing Program AnalystConducted the complaint investigation visit
Adriane RungeExecutive DirectorFacility administrator met during investigation and exit interview
Wei Siew HoLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Census: 69 Capacity: 97 Deficiencies: 0 Date: May 20, 2025

Visit Reason
An unannounced complaint investigation visit was conducted in response to multiple allegations received on 2025-05-14 regarding medication administration, resident handling, food service sanitation, and safeguarding of personal belongings at Oakmont of Whittier facility.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included medication not dispensed as prescribed, rough handling and yelling at residents, improper food service sanitation, and missing personal belongings. Interviews and document reviews did not support these allegations.
Findings
The investigation found no preponderance of evidence to substantiate any of the allegations, including improper medication dispensing, rough handling or yelling at residents, improper food service sanitation practices, and failure to safeguard residents' personal belongings. Interviews with residents and staff, document reviews, and observations supported that the facility staff acted appropriately.

Report Facts
Residents interviewed: 7 Staff interviewed: 7 Medication orders reviewed: 4 Training dates: Apr 22, 2024 Training dates: Jun 8, 2024 Training dates: Jun 10, 2024

Employees mentioned
NameTitleContext
Mary G FloresLicensing Program AnalystConducted the complaint investigation visit
Adriane RungeExecutive DirectorFacility administrator met during investigation and exit interview
Wei Siew HoLicensing Program ManagerNamed in report header and signature section

Inspection Report

Complaint Investigation
Census: 72 Capacity: 97 Deficiencies: 2 Date: Dec 18, 2024

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that facility staff caused injuries to a resident during a transfer.

Complaint Details
The complaint was substantiated. The allegation was that facility staff caused injuries to a resident during a transfer. Staff interviews confirmed the incident, and the resident sustained a head injury. Immediate civil penalties of $500 were issued, with an enhanced civil penalty determination pending.
Findings
The investigation substantiated the allegation that staff caused injuries to Resident #1 during a transfer using a Hoyer Lift. Interviews with staff and residents, record reviews, and observations confirmed the incident and revealed training deficiencies related to the use of the Hoyer Lift. Immediate civil penalties were issued.

Deficiencies (2)
Failure to ensure all staff who provide assistance with transfers were trained in proper usage of the Hoyer Lift.
Resident #1 sustained injuries to their head during staff assistance with a transfer using a Hoyer Lift, including a head laceration and a large scalp hematoma.
Report Facts
Capacity: 97 Census: 72 Civil Penalty Amount: 500 In-service training dates: Two in-service trainings held on 2024-11-27 and 2024-12-04 after the incident

Employees mentioned
NameTitleContext
Tena HerreraLicensing Program AnalystConducted the complaint investigation and authored the report
David SicairosLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation
Adriane RungeExecutive DirectorFacility representative met during the investigation and named in the report
S1Staff who explained lack of prior training documentation for Hoyer Lift
S2Staff involved in the transfer incident causing injury to Resident #1
S3Staff involved in the transfer incident causing injury to Resident #1
S4Staff who demonstrated the use of each Hoyer Lift during the investigation
S6Staff who had not received training for the Hoyer Lift but used it to assist residents

Inspection Report

Complaint Investigation
Census: 72 Capacity: 97 Deficiencies: 2 Date: Dec 18, 2024

Visit Reason
This was an unannounced complaint investigation visit triggered by an allegation that facility staff caused injuries to a resident during a transfer.

Complaint Details
The complaint was substantiated. The allegation was that facility staff caused injuries to a resident during a transfer. Interviews with staff and residents, review of training records, and observations supported the finding. Immediate civil penalties of $500 were issued due to staff-caused serious injury. An enhanced civil penalty determination is pending.
Findings
The investigation substantiated that a resident sustained head injuries during a transfer using a Hoyer Lift due to staff error and equipment malfunction. Interviews and record reviews confirmed the allegation, and deficiencies in staff training on the Hoyer Lift were identified.

Deficiencies (2)
Failure to provide safe, healthful and comfortable accommodations, furnishings and equipment to meet resident needs, specifically related to staff training and safe use of the Hoyer Lift.
Resident #1 sustained injuries to their head on 11/11/2024 during staff assistance with a transfer using a Hoyer Lift, including a head laceration and large scalp hematoma.
Report Facts
Civil Penalty Amount: 500 Capacity: 97 Census: 72 In-service training dates: Two in-service trainings held on 11/27/2024 and 12/4/2024 for Hoyer Lift usage.

Employees mentioned
NameTitleContext
Adriane RungeExecutive DirectorMet with Licensing Program Analyst during investigation and received report and civil penalty assessment.
Tena HerreraLicensing Program AnalystConducted the complaint investigation and authored the report.
David SicairosLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation.

Inspection Report

Annual Inspection
Census: 72 Capacity: 97 Deficiencies: 0 Date: Sep 26, 2024

Visit Reason
Licensing Program Analysts conducted an annual inspection visit to evaluate the facility's compliance with regulatory requirements.

Findings
The facility was found to be adhering to operational requirements including infection control, staffing, physical plant safety, food service, resident records, and disaster preparedness. No deficiencies or violations were explicitly noted in the report.

Report Facts
Non-ambulatory residents approved: 97 Bedridden residents approved: 7 Residents under hospice approved: 15 Residents in assisted living: 47 Residents in memory care: 25 Food supplies - perishable: 2 Food supplies - non-perishable: 7 Fire extinguisher last service date: Mar 27, 2024 Last emergency drill date: Aug 29, 2024 Hot water temperature range: 106.5-110.0

Employees mentioned
NameTitleContext
Janette HillAdministrator/DirectorFacility Administrator/Director
Elizabeth IrraLicensing Program AnalystConducted the annual inspection visit
Adriane RungeFacility representative met during inspection and exit interview
Tony VasalloSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Annual Inspection
Census: 72 Capacity: 97 Deficiencies: 0 Date: Sep 26, 2024

Visit Reason
The inspection was an unannounced required annual inspection visit to evaluate the facility's compliance with regulatory requirements.

Findings
The facility was found to be adhering to operational, staffing, infection control, and safety requirements. The physical plant and environment were inspected with no deficiencies noted. Resident records, personnel training, food service, and disaster preparedness were reviewed and found compliant.

Report Facts
Licensed capacity: 97 Current census: 72 Fire extinguisher last service date: Mar 27, 2024 Emergency drill date: Aug 29, 2024 Hot water temperature range: 106.5 to 110.0 Food supplies: 2 Food supplies: 7 Resident files reviewed: 7 Staff files reviewed: 5

Employees mentioned
NameTitleContext
Elizabeth IrraLicensing Program AnalystConducted the annual inspection visit
Adriane RungeFacility representative met during inspection and received report
Tony VasalloSupervisorSupervisor overseeing the inspection
Janette HillAdministrator/DirectorFacility Administrator/Director

Inspection Report

Complaint Investigation
Census: 72 Capacity: 97 Deficiencies: 0 Date: Jul 30, 2024

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-04-03 regarding staff not preventing a resident from falling and leaving a resident on the floor for an extended period after a fall.

Complaint Details
The complaint involved allegations that staff did not prevent a resident from falling on multiple occasions and left the resident on the floor for an extended period after falling. The investigation included interviews with staff, residents, and review of hospital documents. The allegations were found unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found that resident #1 experienced two falls resulting in minor injuries and hospitalization. Staff and residents stated that residents are checked frequently and assessed after falls. There was insufficient evidence to substantiate the allegations, and the complaint was determined to be unsubstantiated.

Report Facts
Capacity: 97 Census: 72 Hospitalization duration: 5

Employees mentioned
NameTitleContext
Angelica ReaLicensing Program AnalystConducted the complaint investigation and issued the report
Janette HillAdministratorNamed in investigation interviews
Adriane RungeExecutive DirectorMet with Licensing Program Analyst during the investigation
Lisa HicksLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 72 Capacity: 97 Deficiencies: 0 Date: Jul 30, 2024

Visit Reason
This was an unannounced complaint investigation visit triggered by allegations received on 2024-04-03 regarding staff not preventing a resident from falling and leaving a resident on the floor for an extended period after falling.

Complaint Details
The complaint involved allegations that staff did not prevent a resident from falling on multiple occasions resulting in injuries and that staff left a resident on the floor for an extended period after falling. The investigation included interviews and document reviews and concluded the allegations were unsubstantiated.
Findings
The investigation found that resident #1 experienced two falls resulting in minor injuries and hospitalization. Interviews with staff, residents, and administrators indicated that residents are checked frequently and staff responded appropriately to falls. The allegations were unsubstantiated due to lack of preponderance of evidence.

Report Facts
Capacity: 97 Census: 72 Hospitalization duration: 5

Employees mentioned
NameTitleContext
Angelica ReaLicensing Program AnalystConducted the complaint investigation and issued the report
Janette HillAdministratorFacility administrator interviewed during investigation
Adriane RungeExecutive DirectorMet with Licensing Program Analyst during investigation
Lisa HicksLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Capacity: 97 Deficiencies: 0 Date: Feb 12, 2024

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 09/22/2022 concerning resident safety, supervision, feeding, hydration, and sensor alert device functionality at Oakmont of Whittier facility.

Complaint Details
The complaint involved multiple allegations including unwitnessed falls, unsafe environment, inadequate assistance and supervision, inadequate feeding and hydration, and malfunctioning sensor alert devices. The investigation found no substantiation for these allegations.
Findings
The investigation included interviews with staff, residents, and review of records. All allegations were found to be unsubstantiated due to lack of preponderance of evidence, with staff and residents confirming adequate care, supervision, feeding, hydration, and functioning sensor alert devices.

Report Facts
Facility capacity: 97

Employees mentioned
NameTitleContext
Angelica ReaLicensing Program AnalystConducted the complaint investigation and final visit
Lisa HicksLicensing Program ManagerOversaw the complaint investigation
Robert JakiniAdministratorFacility administrator interviewed during investigation
Janette HillMet with Licensing Program Analyst during final visit

Inspection Report

Complaint Investigation
Census: 97 Capacity: 97 Deficiencies: 0 Date: Feb 12, 2024

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 09/22/2022 concerning resident safety, supervision, feeding, hydration, and sensor alert device functionality at Oakmont of Whittier facility.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included multiple unwitnessed falls, unsafe environment, inadequate assistance and supervision, inadequate feeding and hydration, and malfunctioning sensor alert devices. The facility staff and residents denied these allegations, and the Licensing Program Analyst observed proper functioning of sensor devices.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Interviews with staff, residents, and the administrator indicated that the facility provides a safe environment, adequate assistance and supervision, proper feeding and hydration, and functioning sensor alert devices. The allegations were therefore unsubstantiated.

Report Facts
Facility capacity: 97 Census: 97 Number of allegations: 6 Number of residents interviewed: 5 Number of staff interviewed: 4 Number of falls experienced by resident #6: 2

Employees mentioned
NameTitleContext
Angelica ReaLicensing Program AnalystConducted the complaint investigation and final visit
Janette HillFacility representative who assisted with the visit
Robert JakiniAdministratorFacility administrator interviewed during investigation
Lisa HicksLicensing Program ManagerNamed in report header and signature section

Inspection Report

Complaint Investigation
Census: 70 Capacity: 97 Deficiencies: 1 Date: Nov 21, 2023

Visit Reason
The inspection visit was conducted in response to a complaint alleging that facility staff did not dispense medications to a resident as prescribed.

Complaint Details
The complaint was substantiated based on review of medication lists, hospital discharge documents, special incident reports, and interviews with facility staff. The facility acknowledged the error and has taken corrective actions including discontinuing the medications and planning medication error prevention training.
Findings
The investigation found that resident #1's medication list was not updated upon return from the hospital, resulting in the resident being administered medications that should have been discontinued. The allegation was substantiated and deficiencies were cited according to California regulations.

Deficiencies (1)
Failure to administer medications according to physician's directions; resident #1 was still being administered Losartan Potassium 25 mg and Melatonin 3 mg, which should have been discontinued upon hospital discharge.
Report Facts
Capacity: 97 Census: 70 Deficiency Type: 1 Plan of Correction Due Date: Dec 21, 2023

Employees mentioned
NameTitleContext
Angelica ReaLicensing Program AnalystConducted the complaint investigation visit
Janette HillFacility representative met during the visit and exit interview
Leslie LopezHealth Services DirectorInterviewed during the investigation regarding medication administration
Lisa HicksLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 70 Capacity: 97 Deficiencies: 1 Date: Nov 21, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to an allegation that facility staff did not dispense medications to a resident as prescribed.

Complaint Details
The complaint was substantiated based on review of medication lists, hospital discharge documents, special incident report, and interviews with facility staff. The allegation was that facility staff did not dispense medications to resident #1 as prescribed.
Findings
The investigation substantiated that resident #1's medication list was changed upon hospital discharge but was not updated upon return to the facility, resulting in the resident being administered discontinued medications. The facility has since discontinued those medications and corrected the medication list.

Deficiencies (1)
Failure to administer medications according to physician's directions as resident #1 was still being given medications discontinued upon hospital discharge, posing a health and safety risk.
Report Facts
Capacity: 97 Census: 70 Deficiencies cited: 1 Plan of Correction Due Date: Dec 21, 2023

Employees mentioned
NameTitleContext
Angelica ReaLicensing Program AnalystConducted the complaint investigation visit
Janette HillAdministratorMet with investigator and assisted with the visit
Leslie LopezHealth Services DirectorInterviewed during investigation regarding medication issue
Lisa HicksLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Annual Inspection
Census: 71 Capacity: 97 Deficiencies: 0 Date: Oct 27, 2023

Visit Reason
Licensing Program Analyst Angelica Rea conducted an unannounced annual visit using the Inspection Tool to evaluate the facility's compliance with regulatory requirements.

Findings
The facility was toured, including common areas and resident rooms. Inspections of physical plant, medications, staff and resident files, food supply, and interviews were conducted. No deficiencies were observed during the visit.

Report Facts
Water temperature range: 112.4-118.8 Facility capacity: 97 Resident census: 71

Employees mentioned
NameTitleContext
Angelica ReaLicensing Program AnalystConducted the unannounced annual inspection visit
Janette HillExecutive DirectorMet with Licensing Program Analyst during the inspection

Inspection Report

Annual Inspection
Census: 71 Capacity: 97 Deficiencies: 0 Date: Oct 27, 2023

Visit Reason
An unannounced annual inspection visit was conducted to evaluate the facility's compliance with regulatory requirements.

Findings
The inspection found no deficiencies. The facility was toured, medications and files reviewed, food supply inspected, and staff and residents interviewed. Safety features and cleanliness were verified, and an earthquake/fire drill was confirmed to have been conducted.

Employees mentioned
NameTitleContext
Angelica ReaLicensing Program AnalystConducted the inspection and authored the report.
Janette HillExecutive DirectorMet with the Licensing Program Analyst during the inspection and received the report.

Inspection Report

Complaint Investigation
Census: 68 Capacity: 97 Deficiencies: 1 Date: Jul 25, 2023

Visit Reason
The inspection was conducted as an unannounced complaint investigation in response to an allegation that staff unlawfully evicted a resident while in care.

Complaint Details
The complaint alleged that staff unlawfully evicted a resident while in care. The allegation was substantiated based on review of resident records and interviews with family and facility staff.
Findings
The investigation found that resident #1 was not given the required 30 days written eviction notice due to a change in the resident's condition making it difficult to meet their needs. The allegation was substantiated and deficiencies were cited according to California Code of Regulations, Title 22 and Health and Safety Code.

Deficiencies (1)
Failure to provide 30 days written eviction notice to resident #1 as required by eviction procedures.
Report Facts
Capacity: 97 Census: 68 Deficiency count: 1 Plan of Correction Due Date: Aug 1, 2023

Employees mentioned
NameTitleContext
Angelica ReaLicensing Program AnalystConducted the complaint investigation
Janette HillAdministrator met during investigation and exit interview
Leslie LopezHealth Services DirectorInterviewed during investigation regarding resident care
Lisa HicksLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 68 Capacity: 97 Deficiencies: 1 Date: Jul 25, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to an allegation that staff unlawfully evicted a resident while in care.

Complaint Details
The complaint alleged that staff unlawfully evicted a resident while in care. The allegation was substantiated after investigation.
Findings
The investigation found that resident #1 was discharged to a skilled nursing facility and was not accepted back by the facility upon discharge due to a change in the resident's condition. The allegation of unlawful eviction was substantiated based on interviews and record review.

Deficiencies (1)
Failure to provide 30 days written eviction notice to resident #1 as required by Title 22 eviction procedures.
Report Facts
Capacity: 97 Census: 68 Plan of Correction Due Date: Aug 1, 2023

Employees mentioned
NameTitleContext
Angelica ReaLicensing Program AnalystConducted the complaint investigation
Janette HillAdministrator met during investigation and exit interview
Leslie LopezHealth Services DirectorInterviewed during investigation regarding the allegation
Lisa HicksLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Annual Inspection
Census: 75 Capacity: 97 Deficiencies: 0 Date: Nov 18, 2022

Visit Reason
An unannounced annual visit was conducted using the Infection Control Evaluation Tool to evaluate compliance with regulations and assess the facility's physical plant, medication management, and food supply.

Findings
The facility was found to be in compliance with all applicable regulations with no deficiencies observed. The physical plant, medication storage and administration, food supply, and infection control measures were all satisfactory.

Report Facts
Resident medications reviewed: 7 Water temperature range (F): 108.5-116.5 Food supply duration (days): 2 Food supply duration (days): 7

Employees mentioned
NameTitleContext
Angelica ReaLicensing Program AnalystConducted the unannounced annual visit
Janette HillExecutive DirectorMet with Licensing Program Analyst during the visit

Inspection Report

Complaint Investigation
Census: 75 Capacity: 97 Deficiencies: 0 Date: Nov 18, 2022

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that facility staff were not providing assistance to a resident according to the resident's care plan and that a resident was being illegally evicted.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to provide assistance per care plan and illegal eviction. The investigation included interviews, file reviews, and evidence examination. No deficiencies were cited.
Findings
The investigation found that staff and administration denied the allegation of inadequate assistance and provided evidence that care was given according to the care plan. Regarding the eviction allegation, the facility provided evidence that the eviction was due to a violation of the admission agreement involving a hidden audio and video recording device. The allegations were unsubstantiated due to lack of preponderance of evidence.

Report Facts
Capacity: 97 Census: 75 Eviction notice date: Sep 14, 2022

Employees mentioned
NameTitleContext
Angelica ReaLicensing Program AnalystConducted the complaint investigation visit
Janette HillAdministratorMet with Licensing Program Analyst and assisted with the investigation

Inspection Report

Annual Inspection
Census: 75 Capacity: 97 Deficiencies: 0 Date: Nov 18, 2022

Visit Reason
The inspection was an unannounced annual visit conducted using the Infection Control Evaluation Tool to evaluate compliance with regulations.

Findings
The facility was toured including common areas and resident rooms. No deficiencies were observed. Safety features, infection control measures, medication storage, and food supplies were all found to be in compliance with regulations.

Report Facts
Water temperature range: 108.5 Water temperature range: 116.5 Resident medications reviewed: 7 Food supply duration: 2 Food supply duration: 7

Employees mentioned
NameTitleContext
Angelica ReaLicensing Program AnalystConducted the inspection and met with Executive Director
Janette HillExecutive DirectorMet with Licensing Program Analyst during the inspection

Inspection Report

Complaint Investigation
Census: 75 Capacity: 97 Deficiencies: 0 Date: Nov 18, 2022

Visit Reason
The inspection was conducted in response to a complaint alleging that facility staff were not providing assistance to a resident according to the resident's care plan and that a resident was being illegally evicted.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to provide care per resident's care plan and illegal eviction. The investigation included interviews, file reviews, and photographic evidence. No deficiencies were cited under California Code of Regulations Title 22.
Findings
The investigation found that staff and administrator denied the allegation of not providing assistance according to the care plan, and residents corroborated that assistance was provided as needed. Regarding the eviction allegation, the facility found a hidden audio and video recording device in the resident's room, which violated the admission agreement, leading to an eviction notice. The allegations were unsubstantiated due to lack of preponderance of evidence.

Report Facts
Facility capacity: 97 Census: 75 Eviction notice date: Sep 14, 2022 Complaint received date: Sep 19, 2022

Employees mentioned
NameTitleContext
Angelica ReaLicensing Program AnalystConducted the complaint investigation
Janette HillFacility representative who assisted with the visit and received the report
Lisa HicksLicensing Program ManagerOversaw the complaint investigation

Inspection Report

Original Licensing
Census: 68 Capacity: 97 Deficiencies: 0 Date: Aug 30, 2021

Visit Reason
The visit was conducted as a pre-licensing facility evaluation to check the water temperature and to conduct the Component III orientation.

Findings
The water temperature was observed to be between 105°F and 120°F during the visit. The pre-licensing evaluation was completed and the Component III orientation was conducted.

Employees mentioned
NameTitleContext
Angelica ReaLicensing Program AnalystConducted the pre-licensing facility evaluation visit and Component III orientation.
Patricia GustinAssociate Executive DirectorAssisted with the visit.

Inspection Report

Original Licensing
Census: 68 Capacity: 97 Deficiencies: 0 Date: Aug 30, 2021

Visit Reason
The visit was conducted as a pre-licensing facility evaluation to check the water temperature and to conduct the Component III orientation.

Findings
The water temperature was observed to be between 105°F and 120°F during the visit. The Component III orientation was completed and the visit was documented for licensing purposes.

Employees mentioned
NameTitleContext
Angelica ReaLicensing Program AnalystConducted the pre-licensing facility evaluation visit and observed water temperature.
Patricia GustinAssociate Executive DirectorAssisted with the pre-licensing facility evaluation visit.

Inspection Report

Original Licensing
Census: 68 Capacity: 97 Deficiencies: 0 Date: Aug 24, 2021

Visit Reason
An announced pre-licensing visit was conducted for Oakmont of Whittier following a Change of Ownership application submitted to the Community Care Licensing Division for a Residential Care Facility for the Elderly.

Findings
The facility was toured and inspected, including resident rooms, safety systems, kitchen, and emergency equipment. Several items were noted that must be corrected with proof of correction due by 08/30/2021. The facility was found to have adequate food supply, functioning safety systems, and appropriate resident accommodations.

Report Facts
Residents in assisted living: 41 Residents in memory care: 27 Units in facility: 74 Water temperature range: 120.2 Water temperature range: 125.6

Employees mentioned
NameTitleContext
Angelica ReaLicensing Program AnalystConducted the announced pre-licensing visit and evaluation
Patricia GustinAssociate Executive DirectorFacility representative who assisted with the tour and received the report
Lisa HicksSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Original Licensing
Census: 68 Capacity: 97 Deficiencies: 0 Date: Aug 24, 2021

Visit Reason
An announced Pre-Licensing visit was conducted for Oakmont of Whittier to evaluate the facility for a Change of Ownership application for a Residential Care Facility for the Elderly.

Findings
The facility was toured and inspected, including resident rooms, safety systems, food supply, and emergency equipment. Several items were noted that must be corrected with proof of correction due by 08/30/2021.

Report Facts
Residents in assisted living: 41 Residents in memory care: 27 Units in facility: 74 Water temperature range: 120.2 Water temperature range: 125.6

Employees mentioned
NameTitleContext
Angelica ReaLicensing Program AnalystConducted the announced Pre-Licensing visit and evaluation
Patricia GustinAssociate Executive DirectorFacility representative who assisted with the tour and received the report

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