Oakwood Meadows Assisted Living

87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidenced by: Based on documentation reviewed and interviews conducted, the Licensee did not ensure that all emergency exit doors remained free of any blockages on March 16, 2026 (9:45 am approx) when an inspection was conducted by a related agency, which posed an immediate health and safety risk to residents in care.

§1569.37 Whistle blowers; retaliationNo licensee, or officer or employee of the licensee, shall discriminate or retaliate in any manner, including, but not limited to, eviction or threat of eviction, against any person receiving the services of the licensee’s residential care facility for the elderly, or against any employee of the licensee’s facility, on the basis, or for the reason that, the person or employee or any other person has initiated or participated in the filing of a complaint, grievance, or a request for inspection with the department pursuant to this chapter, or has initiated or participated in the filing of a complaint, grievance, or request for investigation with the appropriate local ombudsman, or with the state ombudsman recognized pursuant to Chapter 11 (commencing with Section 9700) of Division 8.5 of the Welfare and Institutions Code. This requirement is not met as evidenced by: Based on documentation reviewed and interviews conducted, the Licensee did not ensure that (S1) was not terminated, in part, due to speaking with the LPA, which posed a potential health and safety risk to residents in care.

87465 Incidental Medical and Dental Care(h) The following requirements shall apply to medications which are centrally stored:(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Based on interviews conducted, the Licensee did not ensure that all Med-Tech staff follow medication administration protcols, including ensuring residents take their medications when given to them, which poses an immediate risk to residents in care.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by: Based on staff interviews, the Licensee did not ensure that shift change meetings and communications were occurring daily between staff, on/around October 2025, which posed a potential health and safety risk to residents in care.

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement is not met as evidenced by: Based on interviews conducted and documentation reviewed, the Licensee did not ensure that the alleged incident reported to management, between (R1) and (S1) , on September 1, 2025, was timely reported to the Ombudsman's office and to CCLD,

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement is not met as evidenced by: Based on interviews conducted and documentation reviewed, the Licensee did not ensure that (R1) was not subjected to verbal and physical abuse by staff (S1), on September 1, 2025 (at approximately 6:15 am), which posed an immediate health and safety risk to residents in care.

87555 General Food Service Requirements (b) The following food service requirements shall apply:(5) Meals shall consist of an appropriate variety of foods and shall be planned with consideration for cultural and religious background and food habits of residents. This requirement is not met as evidenced by: Based on interviews and documentation reviewed, the Licensee did not ensure that resident (R1) was served a vegetarian and healthy meal on January 17, 2025, per their personal preference, which posed a potential health and safety risk to residents in care. (R1) was served deep fried chicken strips, French fries, and cole slaw for lunch.

87309 Storage Space and Access (a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.This requirement is not met as evidenced by: Based on documentation reviewed and interviews conducted, the Licensee did not ensure that resident (R1) did not have access to a small paring knife, on/around May 13, 2025, which posed an immediate health and safety risk to residents in care.