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Inspection visit

Complaint

OAKMONT OF CONCORDLicense 0792010852 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On the allegation " Staff are not reporting incidents to proper agencies." LPA reviewed charting notes and available unusual incident reports for R1. Based on a review of charting notes LPA identified over 35 incidents between March 2025 and November 2025 that required submitting an unusual incident report and/or SOC341 report of suspected abuse to the required parties and agencies. LPA observed that the facility submitted 1 unusual incident reports and 5 SOC341 report of suspected abuse during this time period. LPA observed that all required incidents where not reported as required by Title 22 therefore the allegation "Staff are not reporting incidents to proper agencies." is Substantiated. On the allegation "Staff are mismanaging resident's medications." LPA reviewed R1's MAR, charting notes, and correspondences with R1's physician and responsible party. LPA identified 9 occasions where R1 was administered their as needed PRN for agitation. R1 was a memory care resident and was unable to determine their need for the PRN and unable to communicate their symptoms clearly. LPA observed that there was not a record of the Facility staff contacting the resident's physician prior to each dose, describing the resident's symptoms, and receiving direction to assist the resident in self-administration of that dose of medication as required by Title 22 therefore the allegation "Staff are mismanaging resident's medications." is Substantiated. Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. Exit interview conducted with Executive Director, San Sor. Appeal rights and copy of this report provided.

Citations

4 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87211(a)(1)(D)Type B

    (a) Each licensee shall furnish...but not limited to, the following:(1)A written report shall be submitted... within seven days of the occurrence of any of the events specified in (A) through (D) below...(D) Any incident which threatens the welfare, ...of any resident.This requirement was not met as evidence by: Based on record review of R1's charting notes and available UIR's the facility did not report all incidents as required. LPA identified over 35 reportable incidents and observed that the facility only had record of reporting 6 incidents which posed a potential safety and personal rights risk to residents in care.

  • 87465(d)Type B

    Assist PRN administration when symptoms unclear

    (d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration provided all of the following requirements are met: Based on record review of R1's charting notes and correspondenses with their physician LPA identified at least 9 times R1 was administered their PRN but was unable to identify any instances where the physician was contacted prior and all of the requirements were met for administering a PRN to a resident who can not determine their need or communicate their symptoms which posed a potential health and personal rights risk to residents in care

  • 87303(a)Type B

    Maintain facility in clean, safe, sanitary condition

    (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirment was not met as evidence by: Based on observation and interviews on 8/27/2025 the facility had a number of call buttons in disrepair which posed a potential safety and personal rights risk to residents in care

  • 87411(a)Type B

    Facility personnel sufficiency and competence

    (a) Facility personnel shall at all times be sufficient in numbers... The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services.This requirment was not met as evidence by: Based on record review and interviews the facility does not have suffient staffing for AL. Residents reported having long wait times and being told that they were short staffed by other staff members which poses a potential personal rights risk to residents in care

FAQ · About this visit

Common questions about this visit

What happened during the March 20, 2026 inspection of OAKMONT OF CONCORD?

This was a complaint inspection of OAKMONT OF CONCORD on March 20, 2026. 2 citations were issued: 2 Type B.

Were any citations issued to OAKMONT OF CONCORD on March 20, 2026?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "(a) Each licensee shall furnish...but not limited to, the following:(1)A written report shall be submitted... within sev..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.