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Inspection visit

Follow-up on corrections

REGENCY PALMS OXNARDLicense 5658501122 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced Case Management Deficiency visit in conjunction with a subsequent complaint visit (CC #29-AS-20240417093431). LPA met with Sales Director Ty Henson and explained the reason of the visit. The purpose of this visit is to issue citations for deficiencies observed during the complaint investigation which were not related to the complaint allegations. On 05/12/2025 at approximately 11:30 a.m., the LPA observed a resident in the outside courtyard of the Memory Care Unit that is attached to the dinning area of the residents. The doors to the courtyard were open. As staff and residents were getting ready for lunch, several residents began to complain about being cold and a resident went to close the glass door leading to the court yard. After a few minutes the resident that was outside attempted to open the door, and was not able to as the door was locked. The resident became agitated and started pounding on the door, a guest who was visiting went to open the door for the resident and opened the door with a fob. The resident was noticeably upset and yelling at the guest that they had locked them outside. The guest attempted to calm the resident down. The LPA informed staff the courtyards doors cannot be locked as residents can get locked outside. Staff stated that the doors are usually locked from the outside and can be opened with a fob, however residents do not have a fob. After being notified of the incident the Administrator had maintenance fix the door and unlock it from the outside in. Report will continue on LIC809-C, 2ND PAGE.. On 05/12/25, the LPA observed a bulletin board in the Medication Room with a list of residents who are on either hourly or two hour checks. The bulletin board and staff interviews indicated that R1 needs to be check/changed every two hours. The LPA did not observed any staff checking on R1 to see if they needed to be changed from 2:00 p.m. to 4:40 p.m. At approximately 4:40 p.m. as staff were serving dinner to the residents the LPA asked all four (4) staff working if they had checked on R1 to see if they needed to be changed. All four staff denied checking on R1, with the exception of one staff stating that they just "popped their head in R1's room to say hi and see if they were okay," however they did not check if they needed their diaper to be changed. Staff also revealed that there was confusion on which staff was responsible to care for R1 on that day. MedTech stated that R1 was assigned to staff 1 (S1) and S1 stated R1 was assigned to the MedTech. Citations issued, exit interview, report and appeal rights given.

Citations

6 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.

  • 87468.1(a)(6)Type B

    87468.1 (a)Residents in all residential care facilities for the elderly shall have all of the following personal rights:(6)To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night.... This requirement is not met as evidenced by: Based on observations, the Licensee did not comply with the section cited above when a resident was locked out in the memory care courtyard which posed a potential personal rights risk to residents in care.

  • 87507(f)Type B

    87507 Admission Agreements(f) The licensee shall comply with all applicable terms and conditions set forth in the admission agreement, including all modifications and attachments.This requirement is not met as evidenced by: Based on interviews, and file review the licensee did not comply with the section cited above when staff did not provide stand by assist showers to R1 as per the admission agreement, which posed a potential health and safety risk to residents in care.

  • 87216(a)(1)Type B

    87216 (a)(1) Bonding (a)Each licensee..., who is entrusted to safeguard resident cash resources, shall file or have on file with the licensing agency a copy of a bond issued by a surety company... (1) The amount of the bond shall be… This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above as the facility did not obtained a surety bond in order to safeguard R1’s cash resources which poses a potential health, safety or personal rights risk to persons in care.

  • 87405(d)(2)Type B

    87405 (d)(2) Administrator -Qualifications and Duties (d) The administrator shall have the qualifications specified...(2) Knowledge of and ability to conform to the applicable laws, rules and regulations.This requirement is not met as evidenced by: Based on records review and interviews, the licensee did not comply with the section cited above as the ED/ Administrator did not demonstrate knowledge nor comply with Title 22 Regulations which posed a potential health and safety risk to residents in care.

  • 1569.153Type B

    1569.153 Theft and loss program; standards, property inventories... A theft and loss program shall be implemented by the residential care facilities for the elderly within 90 days...The program shall include all of the following: This requirement is not met as evidenced by: Based on interview, and file review the licensee failed to make reasonable efforts to safeguard R1’s cash resources and did not follow Theft and Loss Policy, which posed a potential personal rights risk to residents in care.

  • 87625(b)(2)Type B

    87625 Managed Incontinence (b) In addition to Section 87611, ... the licensee shall be responsible for ... (2) Ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, ...This requirement is not met as evidenced by: Based on observations and staff interviews, the Licensee did not comply with the section cited above when R1 who is an incontince resident was not checked/changed for over two hours.which posed a potential health risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 21, 2025 inspection of REGENCY PALMS OXNARD?

This was a other inspection of REGENCY PALMS OXNARD on May 21, 2025. 2 citations were issued: 2 Type B.

Were any citations issued to REGENCY PALMS OXNARD on May 21, 2025?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87468.1 (a)Residents in all residential care facilities for the elderly shall have all of the following personal rights:..."

What type of inspection was this?

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

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.