Oakmont of Redwood City

87205(a)(b) Accountability of Licensee:The licensee, whether an individual or other entity, shall exercise general supervision…and establish policies concerning its operation in conformance with these regulations…to assure accountability.This requirement is not met as evidenced by: Based upon the administrator and facility staff interviews there is no definitive policy or documentation requirements for conducting resident checks as to date, time, observations or who conducted the resident checks for R1 or a means to ensure facility accountability which poses an immediate health and safety risk to residents in care.

Report specified resident events within seven days

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 regulation is not met as evidenced by: Based on records reviewed and staff interviewed, there were no incident reports submitted to CCLD regarding the alleged abuse incident that occurred on 10/3/25. The facility was unable to provide any documentation to show that an incident report or an SOC341 was submitted to CCLD which poses an immediate health and safety risk to residents in care.

Conformance with applicable laws and regulations

87405 Administrator - Qualifications and Duties: (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply. (2) Knowledge of and ability to conform to the applicable laws, rules and regulations.This requirement is not met as evidenced by: Based on interviews and record review, the administrator failed to notify CCLD of a alleged abuse incident that occurred on 7/9/25 and was made aware on 7/12/25, however did not notify CCLD for 5 days after being aware of the incident. Administrator did not submit an incident report to CCLD until 7/21/25 which poses and immediate health and safety risk to residents in care.

Care and supervision as defined by statute and rules

87464 Basic Services: (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Codesection 1569.2(c).This requirement is not met as evidenced by: Based on interviews and medical records, on 10/16/24 a CT scan was conducted for R1 on his/her left hip for a possible fall. Medical documentation indicated that the CT scan showed that R1 had an acute non-displaced fracture through the base of the left superior pubic ramus and through the mid left inferior pubic ramus which poses an immediate health and safety risk for residents in care.

Care and supervision as defined by statute and rules

87464 Basic Services: (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety CodeSection 1569.2(c).This regulation is not met as evidenced by: Based on interviews, observations and record reviews, R1 has dementia and left the unit/facility unattended and was found a block away from the facility which poses an immediate health and safety risks to residents in care.

Safe, healthful, comfortable accommodations

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: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This regulations has not been met as evidenced by: Per interviews conducted the facility did not have enough COVID test kits to test residents with symptoms of COVID in memory care. isolation procedures, social distancing, appropriate signs, hand sanitizer, gowns, and masking requirements were not being fully adhered to during the outbreak. The facility did not provide a safe and healthful accomodation for residents.