Regency Park Oak Knoll

Licensing Program Analyst (LPA) Galarza conducted an initial 10-day complaint investigation visit regarding the above allegations. LPA discussed the purpose of the visit with Business Services Director. Executive Director arrived shortly after and assisted with the physical plant inspection. The investigation consisted of: A physical plant tour was conducted, with special focus on all common areas and inspection of 18 resident rooms. Records pertaining to resident (R1) were reviewed and collected. Staff (S1-S7), family (F1), and residents (R1-R6) were interviewed. *Narrative continues next page. UnsubstantiatedRead the full finding— CDSS inspection report, April 15, 2025 · control 28-AS-20250409144507

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced subsequent complaint investigation visit regarding the above allegation. LPA met with and explained the reason for the visit. The investigation consisted of the following: On 3/25/25 LPA Flores conducted a health and safety check at the facility and requested physician’s report, needs and care plan, pre-appraisal, and facility notes for Resident #1(R1). On 3/28/25 LPA received documents requested for R1. On 4/9/25 LPA conducted interviews over the phone with staff and requested the following documents for Resident #2(R2) physician’s report, needs and care plan, pre-appraisal. On 4/10/25 LPA conducted interviews with residents and delivered findings. The investigation revealed the following: Regarding allegation: Staff failed to protect a resident from being sexually abused. It is alleged there was a resident who was harassing another resident and responsible party suspects resident was sexual abuse by that resident. (Read the full finding— CDSS inspection report, April 10, 2025 · control 28-AS-20250324111638

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced complaint investigation visit regarding the above allegations. LPA met with Jacqueline Hernandez and explained the reason for the visit. The investigation consisted of the following: LPA requested a copy of resident and staff roster. LPA conducted a tour resident #1’s room. LPA conducted interviews with 4 residents and 6 staff. LPA requested the following copies for resident #1 (R1); admission’s agreement, physician’s report, personal property and valuables, identification and emergency information sheet, incident report, notice to physician, preplacement appraisal information, and work orders. Copies of in-service training provided on 6/13/24 were obtained. The investigation revealed the following: Regarding allegation: Staff did not arrange medial care for a resident. It is alleged R1 fell and sustained injuries however, staff did not call 911 for the resident. Per incident report, on 6/3/24 R1 was found in R1’s rooRead the full finding— CDSS inspection report, June 17, 2024 · control 28-AS-20240612113615

Licensing Program Analyst(s) (LPA) Mary Flores conducted an unannounced complaint investigation visit regarding the above allegation. LPA met with Jacqueline Hernandez Business Manager and explained the reason for the visit. Administrator arrived 45 minutes later. The investigation consisted of the following: LPA Flores requested a copy of staff/resident rosters. LPA interviewed administrator and requested copies of staff physician's notes for staff #1, #2, and resident #1. The investigation revealed the following: Regarding allegation: Facility staff did not follow reporting requirements in a timely manner. It is alleged facility failed to report scabies breakout to proper agencies. Documents review revealed, on 5/11/23 staff #1(S1) provided a physician's note with a diagnosis of scabies and was placed on leave. On 5/22/23 staff #2 provided a physician's note that rule out scabies. On 5/25/23 facility's administrator contacted Pasadena Department of Public Health (PDPH) via phone callRead the full finding— CDSS inspection report, June 2, 2023 · control 28-AS-20230526091805

* This report supersedes report created on 4/17/23 and provides corrected information on LIC 9099C.* Licensing Program Analyst(s) (LPA) Mary Flores conducted an unannounced complaint investigation visit regarding the above allegation(s). LPA Flores met with Anabelle Argenal and explained the reason for the visit. The investigation consisted of the following: LPA Flores requested a copy of resident, staff roster and death reports within the last month. LPA conducted interview with Administrator and with staff,#2(S2),#3(S3),#4(S4),#5(S5),#6(S6). LPA reviewed last 6 months of billing statements. During the review of resident roster, death reports, and interview with administrator it was found that resident in question did not reside at the facility. Interviews with 5 additional staff and reviewed of billing statements verified resident in question has not reside at the facility. (CONTINUED ON LIC 9099C) UnfoundedRead the full finding— CDSS inspection report, May 19, 2023 · control 28-AS-20230410112236

Licensing Program Analyst(s) (LPA) Mary Flores conducted an unannounced complaint investigation visit regarding the above allegation(s). LPA Flores met with Anabelle Argenal and explained the reason for the visit. The investigation consisted of the following: LPA Flores requested a copy of resident, staff roster and death reports within the last month. LPA conducted interview with Administrator and with staff,#2(S2),#3(S3),#4(S4),#5(S5),#6(S6). LPA reviewed last 6 months of billing statements. During the review of resident roster, death reports, and interview with administrator it was found that resident in question did not reside at the facility. Interviews with 5 additional staff and reviewed of billing statements verified resident in question has not reside at the facility. Based on the information gathered during this visit, the allegation(s) are deemed UNFOUNDED. A finding of UNFOUNDED means that the allegations are either false, could not have happened, and/or are without a reasoRead the full finding— CDSS inspection report, April 17, 2023 · control 28-AS-20230410112236