Inspection Reports for Safe Haven – Oakdale
2912 Westport Circle, Oakdale, CA 95361 , CA, 95361
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Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 1
Aug 13, 2025
Visit Reason
The inspection was an unannounced required annual inspection conducted to assess compliance with licensing requirements for the facility.
Findings
The facility was generally clean, odor-free, and well-maintained with proper safety equipment and documentation. One deficiency was cited related to unlocked chemical disinfectants posing an immediate health and safety risk.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Chemical disinfectants were left in storage cabinets with broken locks in the kitchen and garage, posing an immediate health, safety, or personal rights risk to residents. | Type A |
Report Facts
Deficiencies cited: 1
Facility capacity: 6
Resident census: 4
Fire clearance date: Apr 10, 2024
Fire extinguisher last serviced: Mar 28, 2025
Water temperature: 113
Plan of Correction due date: Aug 15, 2025
Administrator certificate expiration: Feb 14, 2027
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ellen Lindstrom | Licensing Program Analyst | Conducted the inspection and authored the report |
| Lisa Rios | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Aileen Poquiz Grimesey | Administrator/Director | Facility administrator mentioned in relation to the inspection |
| Merlene Avena | Designated Facility Representative | Met with the Licensing Program Analyst during the inspection |
Inspection Report
Complaint Investigation
Census: 4
Capacity: 6
Deficiencies: 0
Jul 10, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2025-03-05 alleging that facility staff mismanaged residents' medications.
Findings
The investigation found no evidence to substantiate the allegation of medication mismanagement. Based on review of the MAR report and interviews, the allegation was unsubstantiated and no deficiencies were cited.
Complaint Details
The complaint alleged that facility staff mismanaged residents' medications. The allegation was unsubstantiated due to lack of evidence, and no deficiencies were noted or cited.
Report Facts
Facility capacity: 6
Census: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Renee Campbell | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Aileen Poquiz Grimesey | Administrator | Facility administrator named in the report |
| Jamila Brodnax | House Manager | Met with the investigator during the inspection |
| Lisa Rios | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 1
Mar 11, 2025
Visit Reason
The visit was an unannounced complaint investigation initiated by Licensing Program Analyst Renee Campbell, who also identified additional deficiencies unrelated to the complaint during the investigation.
Findings
The inspection found that Staff 1 failed to initial medication administration records for five consecutive days, violating the facility's plan for incidental medical and dental care, posing an immediate risk to residents' health and safety.
Complaint Details
The investigation was opened due to a complaint. During the investigation, additional deficiencies unrelated to the complaint were found and cited.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to complete medication administration records with required staff initials for five consecutive days, posing an immediate risk to residents' health and safety. | Type A |
Report Facts
Deficiencies cited: 1
Plan of Correction Due Date: Due date is 03/21/2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Renee Campbell | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Aileen Poquiz Grimesey | Administrator/Director | Facility administrator named in the report |
| Chyl-c Anaviso | Caregiver | Met with Licensing Program Analyst during inspection |
| Emilie Carno | Caregiver | Met with Licensing Program Analyst during inspection |
| Lisa Rios | Licensing Program Manager | Named as Licensing Program Manager and Supervisor |
Inspection Report
Original Licensing
Census: 6
Capacity: 6
Deficiencies: 2
Jan 17, 2025
Visit Reason
The inspection was an unannounced post-licensing visit conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was generally well-maintained with appropriate furnishings and safety measures; however, deficiencies were cited related to incomplete staff files and failure to obtain criminal record clearance for one staff member.
Severity Breakdown
Type A: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Criminal record clearance was not obtained for 1 of 2 staff members present in the facility, posing an immediate health, safety, or personal rights risk. | Type A |
| All personnel records were not maintained at the facility and were unavailable for review; the one file found was incomplete. | Type A |
Report Facts
Residents present: 6
Licensed capacity: 6
Deficiencies cited: 2
Plan of Correction due date: Jan 27, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Renee Campbell | Licensing Program Analyst | Conducted the inspection and authored the report |
| Aileen Poquiz Grimesey | Administrator | Facility administrator named in the report |
| Alex Vincent Popanes | Caregiver | Met with Licensing Program Analyst during inspection |
| Lisa Rios | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Original Licensing
Census: 4
Capacity: 6
Deficiencies: 0
Jul 18, 2024
Visit Reason
The inspection was a pre-licensing visit related to a change in ownership of the facility.
Findings
The applicant passed the pre-licensing inspection with photographic evidence of compliance regarding door locking mechanisms and an updated Plan of Operation. The applicant agreed to restrictions on surveillance cameras, and the transfer of ownership notice was found compliant.
Report Facts
Waiting period: 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maja Jensen | Licensing Program Analyst | Conducted the pre-licensing inspection and documented findings. |
| Aileen Grimesey | Administrator/Director | Applicant and met with Licensing Program Analyst during inspection. |
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