Oakmont of Camarillo

The licensee shall complete and maintain a current, written record of care for each resident that includes...the names, address and telephone number of vendors, if any, and all appropriately skilled professionals providing services. This requirement was not met as evidenced by: Based on record review and interviews, the licensee did not comply with the section cited above as the facility stated that an outside person provides care for R1’s colostomy bag but do not have any contact information or verified that they are a skilled professional, which poses a potential health and safety risk to persons in care.

Ensure that facility staff complete training provided by a licensed professional…training shall be completed prior to the staff providing services to the resident. This requirement was not met as evidenced by: Based on record review and interviews, the licensee did not comply with the section cited above as staff was assisting resident with colostomy care prior to getting training by a skilled professional, which poses a potential health and safety risk to persons in care.

87211(a)(1)(D) Each licensee shall furnish to the licensing agency such reports as the Department may require, including: Any incident which threatens the welfare, safety or health of any resident… This requirement has not been met as evidenced by: Based on record review and interviews, the licensee did not comply with the section cited above as Licensee did not submit an incident report to the Department within seven (7) days of occurrence on medication errors, which poses a potential health and safety risk to residents in care.

87465(c)(2) Incidental and Medical Care: .... Once ordered by the physician the medication is given according to the physician's directions.This requirement has not been met as evidenced by: Based on record review, the licensee did not comply with the section cited above as R1 was given the wrong dosage of medication after a new order was sent by their doctor, which poses an immediate health and safety risk to residents in care.

87468.2 (a) (20) To be protected from involuntary transfers, discharges, and evictions... for residents. For purposes of this paragraph, "involuntary" means a transfer, discharge, or eviction that is initiated by the licensee, not by the resident. This requirement is not met as evidenced by: Based on interview and record review, the facility did not comply with the above cited section, as R1 was sent to the hospital on 06/16/2022 and the facility refused to accept R1 back to the facility following hospital discharge, which poses a potential personal rights risk to persons in care.

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility... by compliance with the following:(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the above cited section, as residents' medications were not refilled timely and not avaiable, as well as other medications not documented as administered as prescribed, which posed a potential health risk to residents in care.

87464 Basic services (f)(1)(c) "Care and supervision" means the facility assumes responsibility for...ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered.This requirement is not met as evidenced by: Based on interview, observation and record review, the facility did not comply with the above cited section as R1 was able to leave the facility unassisted multiple times and management stated they could not meet R1's care needs, which posed an immediate risk to residents' safety.

87468.2 (a) (20) To be protected from involuntary transfers, discharges, and evictions...protections for residents. For purposes of this paragraph, "involuntary" means a transfer, discharge, or eviction that is initiated by the licensee, not by the resident.This requirement is not met as evidenced by: Based on interview and record review, the facility did not comply with the above cited section, as R1 was asked to leave the facility following their 4th elopement and was not permitted to return to the facility without a 1:1 which had proven unsucessful, which posed a potential personal rights risk to R1.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) (8)To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse.This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the above cited section, as on the night of 03/21/2022, S1 left R1 on their commode and did not respond to R1's calls for assistance, which posed an immediate safety and personal rights risk to residents in care.

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 requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the above cited section, as on the night of 03/21/2022, R1 was left with their bed and bedding wet with urine and no access to their phone, which posed an immediate health and safety risk to residents in care.

87464 Basic services (f)(1)(c) "Care and supervision" means the facility assumes responsibility for...ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered.This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above as R1 left the facility unassisted and R2 left the facility unassisted twice, which poses an immediate health and safety risk to persons in care.

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement is not met as evidenced by: Based on observation, the Wanderguard system did not function properly, as auditory alarm did not sound nor did the electronic roam alert record when tested with a resident's Wanderguard bracelet on the door by room 135, which poses an immediate safety risk to residents in care.

87465 (a)A plan for incidental medical and dental care shall be developed by each facility....by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed.This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the above cited section, as medications for 2 of 2 residents reviewed contained an inaccurate amount of doses, which poses an immediate health and safety risk to residents in care.

87411(a) 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...provision of adequate services.This requirement is not met as evidenced by: Based on interview, there was only one caregiver staff working the NOC shift on 01/06/2023 – 01/07/2023 and did not check on all the residents in all care runs, which poses an immediate health and safety and personal rights risk to residents in care.

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility...compliance with the following:(4) The licensee shall assist residents with self-administered medications as neededThis requirement is not met as evidenced by: Based on interview and record review, the facility staff gave another resident’s medications to R1 and when R1's physician changed R1's medication orders but the facility continued to administer the former dosage, which poses an immediate health risk to residents in care.

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 interview and record review, R1 has a known behavior of waking up at night and wandering and facility staff did not check on R1 during the overnight shift at all, and R1 sustained an injury of unknown origin, which poses an immediate health and safety risk to residents in care.

87555 General Food Service Requirements (b) The following food service requirements shall apply: (8) All food shall be of good quality...Food in damaged containers shall not be accepted, used or retained.This requirement is not met as evidenced by: Based on observation and interview, numerous food items were observed in the kitchen refrigerator and freezer to be expired and/or beyond the best by date, including Horseradish, Buffalo Sandwich Sauce and Blood Orange concentrate, which poses a potential health risk to residents in care.

87464 Basic services (f)(1)(c) "Care and supervision" means the facility assumes responsibility for...ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered.This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above as R1 left the facility unassisted, which poses an immediate health and safety risk to persons in care.

87464 Basic services (f)(1)(c) "Care and supervision" means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered.This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above as R1 left the facility unassisted twice, which poses an immediate health and safety risk to persons in care.

87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal...fire protection services, or the State Fire Marshal.This requirement is not met as evidenced by: Based on observation and interview, fire clearance incicates delayed egress is approved, however, an outdoor gate with delayed egress was non-functional and was subesquently bolted shut, which poses an immediate safety risk to residents in care.

87211 (a) Each licensee shall furnish to the licensing agency such reports as the Department may require...(2) Occurrences, such as epidemic outbreaks...shall be reported within 24 hours...to the licensing agency and to the local health officer when appropriate.This requirement is not met as evidenced by: Based on record review, the facility did not comply with the above cited section, since 5 incident reports indicating COVID positive cases have been received in the Regional Office past the 24 hour time frame, which poses an immediate health and safety risk to residents in care.