Inspection Reports for The Reserve at Thousand Oaks

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

The facility was found to be in compliance with health and safety regulations, including proper food storage, clean and appropriately furnished resident rooms, adequate emergency equipment, and proper medication management. No citations were issued during this inspection.

The visit was an unannounced complaint investigation triggered by allegations that staff were not safeguarding the facility grounds, not providing a safe environment for residents, and not safeguarding residents' personal belongings.

The investigation found no sufficient evidence to corroborate the allegations. Residents and staff interviewed reported no safety or security concerns, and the facility's policies and procedures regarding apartment entry and safeguarding personal belongings were reviewed and found compliant. Therefore, all allegations were deemed unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included staff not safeguarding facility grounds, not providing a safe environment, and not safeguarding residents' personal belongings. Interviews with residents and staff, document reviews, and physical tours did not provide sufficient evidence to prove the allegations.

The inspection was an unannounced required annual visit to evaluate compliance with Title 22 Regulations and ensure the facility is free of health and safety hazards.

The inspection found several deficiencies including excessively high hot water temperatures in resident rooms, a leaking ceiling in a common area, presence of fruit/drain flies in the kitchen area, and unsecured hazardous items in the fitness room. The facility was otherwise clean and well-maintained with appropriate resident activities and documentation.

The visit was an unannounced Case Management – Incident follow-up to a self-reported incident that occurred on 2024-04-08 involving a resident who fell and was hospitalized.

No immediate health and safety hazards were identified during the visit. The Licensing Program Analyst interviewed staff, reviewed pertinent documents, and toured the facility. No citations were issued.

The visit was conducted to investigate a complaint alleging that facility staff were not communicating with residents or their representatives regarding outbreak updates during a norovirus outbreak in November 2023.

The investigation found that the Executive Director and staff did provide continuous updates to residents and families regarding the outbreak through letters, phone calls, and in-person communication. Twelve residents interviewed confirmed receiving updates and reported no concerns with how the outbreak was handled. Therefore, the allegation was deemed unsubstantiated.

The complaint alleged that the facility staff failed to communicate outbreak updates to residents and their representatives during a norovirus outbreak starting around 11/17/2023. The allegation was investigated through interviews and record reviews and was found to be unsubstantiated.

The inspection was conducted as an unannounced Case Management - Incident visit following a Report of Suspected Dependent Adult/Elder Abuse alleging a sexual relationship between a resident and staff member.

No immediate health and safety concerns were observed during the inspection. Further investigation is needed.

The complaint involved an allegation that Resident #1 engaged in a sexual relationship with Staff #1. The allegation was reported on 08/23/2023 and an interview was conducted with the Executive Director during the inspection.

The visit was an unannounced complaint investigation triggered by allegations that staff do not ensure the safety of food served to residents and do not maintain food service equipment.

The investigation found no evidence to support the allegations. Food safety and equipment maintenance were observed to be adequate, with no resident complaints or issues noted. Both allegations were deemed unsubstantiated.

The complaint alleged that staff do not ensure the safety of food served to residents and do not maintain food service equipment. After inspection, interviews, and document review, the allegations were found unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 02/22/2023 concerning staff response times, verbal and psychological abuse, and rate increases without valid reasons at the facility.

The investigation found insufficient evidence to substantiate claims of verbal and psychological abuse and untimely staff response to resident calls. The allegation of an unjustified rate increase was also unsubstantiated. However, the claim that the resident did not receive timely medical care was substantiated due to staff failing to call 9-1-1 during a medical emergency and instead contacting the resident's responsible party.

The complaint investigation addressed allegations that staff did not respond timely to resident calls, verbally and psychologically abused the resident, increased rates without valid reasons, and failed to provide timely medical care. The first three allegations were unsubstantiated, while the failure to provide timely medical care was substantiated.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-01-27 regarding insufficient staffing, resident injuries from a fall, residents left unattended, and untimely staff response to resident alerts.

The investigation found insufficient evidence to substantiate any of the allegations. Staffing was generally adequate with occasional use of agency or management staff to cover absences. Resident #1's fall and injuries were documented, but evidence did not prove neglect. Pendant response times were generally within 4-8 minutes with some sporadic delays. Residents reported timely staff responses and denied being left unattended or soiled for extended periods. No deficiencies were cited.

The complaint investigation was unsubstantiated. Allegations included insufficient staffing, resident injuries from a fall, residents left unattended, and staff not responding timely to resident alerts. Interviews, record reviews, and pendant log analysis did not support these claims.

The inspection was an unannounced required annual visit to evaluate the facility's compliance with health and safety regulations.

The facility was generally found to be clean, safe, and in good repair with appropriate supplies and activities. However, deficiencies were cited related to medication administration discrepancies and incomplete staff first aid certifications.

The visit was an unannounced complaint investigation triggered by an allegation that facility staff were not replacing or reimbursing residents for lost items.

The investigation found that the facility has Theft and Loss policies included in the resident handbook and admission agreement, and makes reasonable efforts to safeguard residents' property. Interviews and record reviews did not provide sufficient evidence to substantiate the allegation, resulting in an unsubstantiated finding.

The complaint alleged that the facility does not follow regulations regarding Theft & Loss by not replacing or reimbursing residents for lost items. The allegation was unsubstantiated due to lack of sufficient evidence.

The visit was an unannounced Case Management - Incident visit to conclude findings from an investigation that began on 2022-05-26 regarding an allegation that Resident #1 had engaged in a sexual relationship with Staff #1.

The investigation found insufficient evidence to support the allegation of sexual abuse but sufficient evidence that Staff #1 had inappropriate contact with residents (hugging and kissing on the forehead) and accepted gifts from residents. Staff #1 was placed on administrative leave and subsequently resigned.

The complaint investigation was triggered by a Report of Suspected Dependent Adult/Elder Abuse alleging a sexual relationship between Resident #1 and Staff #1. The allegation was not substantiated as sexual abuse, but inappropriate contact and acceptance of gifts by Staff #1 was substantiated.

The visit was a required unannounced annual inspection with an emphasis on infection control practices and procedures.

The facility was found to be in compliance with Title 22 Regulations with no health or safety hazards observed. Infection control practices were adequate, PPE supplies were sufficient, and the facility had managed COVID-19 cases in compliance with local health department requirements. No deficiencies were observed during the visit.

The inspection was conducted due to complaints alleging neglect resulting in a resident's pressure injury progressing to a stage 3 injury and failure to safeguard a resident's personal belongings, specifically an air mattress.

The investigation found insufficient evidence to substantiate neglect regarding the progression of the pressure injury, which was regularly monitored by home health professionals. However, the allegation that staff failed to safeguard the resident's personal belongings was substantiated, as the air mattress was lost for several days due to staff oversight.

The complaint investigation was triggered by allegations that neglect caused a resident's pressure injury to worsen from stage 2 to stage 3 and that the facility failed to safeguard the resident's personal belongings, specifically an air mattress. The pressure injury neglect allegation was unsubstantiated, while the failure to safeguard belongings was substantiated.

The visit was an unannounced Case Management - Incident visit triggered by a Report of Suspected Dependent Adult/Elder Abuse and a Special Incident Report regarding an alleged violation of personal rights against Resident #1.

No health and safety hazards were noted at the time of the visit, and no citations were issued. The incident was referred to the Community Care Licensing Investigation's Branch for further investigation before findings are delivered.

The complaint involved an alleged violation of personal rights against Resident #1. The incident was cross reported to the local ombudsman office and the local police department. The investigation is ongoing and assigned to Investigator Edward Hector.