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Inspection visit

Follow-up on corrections

OAKMONT OF SAN JOSELicense 4352028182 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPAs) Christine Dolores and Grace Donato arrived unannounced to conduct case management deficiencies visit due to violations observed during a complaint investigation for control number: 26-AS-20231227155220. LPAs met with Interim Executive Director, Christopher Schuster. On 12/26/2023 resident (R1) began to develop flu-like symptoms and was transferred to the hospital on 12/27/2023. Based on staff interviews, staff stated the observation of R1's change of condition on 12/26/2023. On 12/26/2023, the facility did not notify R1’s physician immediately regarding the change of condition. On 12/26/2023 R1’s responsible party contacted the facility around 6:00PM requesting to administer R1 a PRN medication due to verbalized pain and illness. R1’s responsible party spoke with a staff who stated the medtech on duty was currently on lunch and would relay the request when the medtech returns from lunch. Based on interview, the medtech was notified via voicemail, however, the medtechs are not good at listening to their voicemail right away. Based on record review, R1’s PRN medication was not administered until around 8:00PM, about 2 hours after the PRN medication was verbally requested. Deficiencies were cited per California Code of Regulations, Title 22. See LIC809-D. A civil penalty for repeat violation within a 12-month period is being assessed for the mount of $250. See LIC421FC. This report was reviewed with Interim Executive Director, Christopher Schuster and a copy of the report and appeal rights were provided.

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.

  • 87466Type A

    Regular observation and documentation of resident changes

    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. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. Based on interview, record review and observation the licensee did not ensure to immediately inform resident (R1)'s physician of R1's change of condition on 12/26/2023 which poses an immediate health, safety, and personal rights risk to persons in care.

  • Right to sufficient care and qualified staff

    (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 interview, record review, and observation the licensee did not ensure resident (R1) was provided a PRN medication within a timely manner and waited about 2 hours before it was dispensed which poses an immediate health, safety, and personal rights risk to persons in care

  • 87411(a)Type A

    Facility personnel sufficiency and competence

    87411 Personnel Requirements – General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care... This requirement is not met as evidenced by: Based on interviews, R1 needed more assistance with incontinence and there was not enough staff to be able to cater for the needs of R1 which poses an immediate health, safety or personal rights risk to persons in care.

  • 87457(a)(2)Type A

    87457 Pre-Admission Appraisal – General (a)Prior to admission, the prospective resident and his/her responsible person, if any, shall be interviewed by the licensee or the employee responsible for facility admissions. (2) The prospective resident's desires regarding admission, and his/her background, including any specific service needs, medical background and functional limitations shall be discussed. This requirement is not met as evidenced by:Based on interview, the licensee did not comply with the section cited above due to staff wasn't able to conduct skin check to determine if there is pressure injury on R1 prior to admission which poses an immediate health, safety or personal rights risk to persons in care.

  • 87463(a)(3)Type A

    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...Significant changes shall include but not be limited to: (3) Any illness, injury, trauma, or change in the health care needs of the resident that results in a circumstance or condition... This requirement is not met as evidenced by: Based on interview and records review, facility did not do a reappraisal based on the need of R1 for toileting due to a medication that causes her to urinate a large amount which poses an immediate health, safety or personal rights risk to persons in care.

  • Give PRN medication by physician order

    87465 Incidental Medical and Dental Care (c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly (2)Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Based on interview and records review, the instructions of the PRN medication prescribed by the physician was not followed. Medication was only applied on random days, not every change in diaper or bowel movement which poses an immediate health, safety or personal rights risk to persons in care.

  • Arrange appropriate medical and dental care

    (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement is not met as evidenced by: Based on interview, record review, and observation the licensee did not ensure to seek timely medication attention for resident (R1) resulting in hospitalization which poses an immediate health, safety, and personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 10, 2024 inspection of OAKMONT OF SAN JOSE?

This was an other inspection of OAKMONT OF SAN JOSE on May 10, 2024. 2 citations were issued: 2 Type A (serious).

Were any citations issued to OAKMONT OF SAN JOSE on May 10, 2024?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social fu..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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