Skip to main content
ReadyRule homepageReadyRule

Inspection visit

complaint

OAKMONT OF VALENCIALicense 1976101832 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Assigned Investigator, Laarni Santiago, subpoenaed R1’s Medical Records on 10/13/22 and reviewed on 12/23/22. The Investigator's final report was received by RO on 01/13/23. Allegation: Resident sustained multiple falls while in care The investigation findings, conducted by the Investigator, Laarni Santiago, revealed that R1 had been living at this facility, in a Memory Care Unit, since April 2021. Interview with R1’s family revealed that R1 continued to have multiple falls from 09/12/22 to 10/26/22 that resulted in bruising and skin tear. Review of medical records confirmed that on 09/12/22, the facility initiated emergency medical services and resident was later diagnosed with a nasal tip fracture after an unwitnessed fall that staff was unable to explain. In addition, on 10/08/2022, family brought R1 for a doctor’s visit due to unexplained bruising and confirmed that R1 sustained three rib fractures. Lastly, R1 continued to have multiple falls that resulted in bruising and skin tear until R1 moved out from Oakmont of Valencia on 10/26/2022, due to hospitalization from another fall. Although, the facility was aware of the R1's decline, yet records verified that there were no updated reappraisals or fall plans in place to reflect on managing the R1’s change of condition. Based on interviews and document review, during the course of the investigation, there is sufficient evidence to conclude that the above allegation is Substantiated. Exit interview conducted. Civil penalties assessed and appeal rights explained. Report reviewed, signed and delivered.

Citations

7 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.

  • 87705(4)Type A

    Care of Persons with Dementia(4) There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal.This requirement is not met as evidenced by: Based on the information obtained, by the Investigator, Licensee/Administrator did not comply with the section cited above by knowing that R1 needed 1:1 staffing and did not put into current appraisal as the appraisal was never updated, which poses/posed an immediate health and safety risk to residents is care.

  • 87705(c)(5)(A)Type A

    Care of Persons with Dementia(c) Licensees who accept and retain residents with dementia... (5) Each resident with dementia... A) When any medical assessment... ...corresponding changes shall be made...This requirement is not met as evidenced by: Based on the information obtained, by the Investigator, licensee did not comply with the section cited above by failing to provide an updated care plan to address R1's chronic falls, which poses/posed an immediate health and safety risk to residents in care.

  • 87405(b)Type A

    87405 Administrator - Qualifications and Duties(b) The administrator of a facility or facilities shall have the responsibility and authority to carry out the policies of the licensee. Based on the investigation, the Administrator/Executive Director did not comply with the section cited above, failing to follow and carry out medication policy, which poses/posed an immediate health and safety risk to residents in care.

  • 87411(d)(4)Type A

    87411 Personnel Requirements-General(d) All personnel shall be given on the job training... This training and/or related experience shall provide knowledge of and skill in the following... (4) Knowledge required to safely assist with prescribed medications...This requirement was not met as evidence by: Based on the investigation, the licensee did not comply with the section cited above, for Staff #1 (S1), which poses/posed an immediate health and safety risk to residents in care.

  • 87462(a)Type B

    87463 Reappraisals(a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. Based on review of documentation during investigation, the licensee did not comply with the section cited above by not completing a resident appraisal due to changes in R1’s medical condition that required the assistance with medications management, which poses/posed a potential health and safety risk to residents in care.

  • 87465(g)Type A

    87465(g) Incidental Medical and Dental Care. The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health....This requirement was not met as evidenced by: Based on the investigation, the licensee did not comply with the section cited above, as staff did not seek medical attention for R1 in a timely manner, which poses/posed an immediate health and safety risk to residents in care.

  • 87466Type A

    87466 Observation of the Resident. The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs.This requirement was not met as evidenced by: Based on the investigation, the licensee did not comply with the section cited above by not having a staff regularly check on or document any changes as agreed upon, which poses an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 29, 2023 inspection of OAKMONT OF VALENCIA?

This was a complaint inspection of OAKMONT OF VALENCIA on March 29, 2023. 2 citations were issued: 2 Type A (serious).

Were any citations issued to OAKMONT OF VALENCIA on March 29, 2023?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "Care of Persons with Dementia(4) There is an adequate number of direct care staff to support each resident’s physical, s..."

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

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

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