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)
DescriptionSeverity
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
NameTitleContext
Ellen LindstromLicensing Program AnalystConducted the inspection and authored the report
Lisa RiosLicensing Program ManagerNamed as Licensing Program Manager on the report
Aileen Poquiz GrimeseyAdministrator/DirectorFacility administrator mentioned in relation to the inspection
Merlene AvenaDesignated Facility RepresentativeMet 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
NameTitleContext
Renee CampbellLicensing Program AnalystConducted the complaint investigation and authored the report
Aileen Poquiz GrimeseyAdministratorFacility administrator named in the report
Jamila BrodnaxHouse ManagerMet with the investigator during the inspection
Lisa RiosLicensing Program ManagerNamed 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)
DescriptionSeverity
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
NameTitleContext
Renee CampbellLicensing Program AnalystConducted the complaint investigation and inspection
Aileen Poquiz GrimeseyAdministrator/DirectorFacility administrator named in the report
Chyl-c AnavisoCaregiverMet with Licensing Program Analyst during inspection
Emilie CarnoCaregiverMet with Licensing Program Analyst during inspection
Lisa RiosLicensing Program ManagerNamed 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)
DescriptionSeverity
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
NameTitleContext
Renee CampbellLicensing Program AnalystConducted the inspection and authored the report
Aileen Poquiz GrimeseyAdministratorFacility administrator named in the report
Alex Vincent PopanesCaregiverMet with Licensing Program Analyst during inspection
Lisa RiosLicensing Program ManagerSupervisor 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
NameTitleContext
Maja JensenLicensing Program AnalystConducted the pre-licensing inspection and documented findings.
Aileen GrimeseyAdministrator/DirectorApplicant and met with Licensing Program Analyst during inspection.

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