Oakmont Of Whittier

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff stole resident's funds.

Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced compliant visit LPA met with Executive Director Janeth Medrano and Memory Care Director George Cruz and explained the purpose for todays visit. The investigation consisted of the following: On 2/5/26 LPA Herrera conducted the initial 10-day visit, obtained copies of Staff and Resident Roster, information for police report, and conducted 2 Staff interviews (S1-S2). On 3/17/26 LPA obtained and reviewed a copy of Police Report. On 3/19/26 LPA obtained copies of the Staff and Resident rosters, toured memory care and R1's shared room, conducted interviews with 5 Staff (S1-S6) and 6 Residents (R1-R6). (Continued on LIC9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 19, 2026 · control 28-AS-20260204140858

Allegation investigated: Staff did not prevent a resident from being sexually abused while in care. Staff did not safeguard resident's personal belongings.

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced subsequent complaint investigation visit on 10/18/2025 to deliver findings regarding the above allegations. LPA Herrera conducted an initial complaint visit on 08/08/2025 and a need for further investigation was documented. During today’s visit, LPA Ramirez was greeted by Administrator Runge and explained the purpose of the visit. The investigation consisted of the following: LPA Ramirez requested and obtained copies of Resident/Client Roster, Staff Roster, Staff#1 - 8 interviews (S1 – S8), Interviews conducted by Community Care Licensing Investigation Branch, Resident#2 – 4 interviews (R2- R4), Attempted Interview of Resident#1, 5 (R1, R5), Copies of the following documents for resident#1 (R1): Medical Assessment (LIC 602A), Preplacement Appraisal Information (LIC 603), Client/Resident Personal Property and Valuables (LIC 921), Admission Agreement and physical plant tour. SEE 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 18, 2025 · control 28-AS-20250807161503

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility staff caused injuries to resident during a transfer.

**This Report Supersedes the previous superseaded report dated 8/28/25 as LPA did not assess civil penalties on the report and a copy of the 421IM will be provided during todays visit, additionally, deficiencies issued on 12/18/24 and 8/28/25 are being dismissed, no additional changes have been made to the report and findings remain the same** Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced subsequent compliant visit LPA met with Adriane Runge and explained the purpose for todays visit. The investigation consisted of the following: During initial visit dated 11/14/24 LPA obtained copies of Staff and Resident Roster, and obtained copies of medical documents and current incident report from Resident #1's file, due to time constraints the allegation needed further investigation. On 12/28/24 LPA obtained copies of Staff and Resident Roster, interviewed 6 Staff (S1-S6) and 10 Residents (R1-R10), Reviewed Training and Participants for proper use of Hoyer Lift, toured R1the state’s words, verbatim · CDSS document, Sep 3, 2025 · control 28-AS-20241113164508

Allegation investigated: Facility staff caused injuries to resident during a transfer.

**This Report Supersedes report dated 12/18/24 as the wrong regulation was cited during visit, citation was issued for regulation, 80072(a)(2) Personal Rights and is being corrected to 87468.1(a)(2) Personal Rights no additional changes have been made to the report and findings remain the same** Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced subsequent compliant visit LPA met with Adriane Runge and explained the purpose for todays visit. The investigation consisted of the following: During initial visit dated 11/14/24 LPA obtained copies of Staff and Resident Roster, and obtained copies of medical documents and current incident report from Resident #1's file, due to time constraints the allegation needed further investigation. On 12/28/24 LPA obtained copies of Staff and Resident Roster, interviewed 6 Staff (S1-S6) and 10 Residents (R1-R10), Reviewed Training and Participants for proper use of Hoyer Lift, toured R1-R4's rooms and S4 demonstrated each Hoyer Lift.the state’s words, verbatim · CDSS document, Aug 28, 2025 · control 28-AS-20241113164508

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not ensure centrally stored medication was locked and inaccessible to residents. Staff falsified medication records. Staff did not provide adequate supervision resulting in resident missing their medication dosage. Staff left residents in soiled diapers for extended periods of time.

Licensing Program Analyst (LPA) Elizabeth Irra conducted a subsequent visit to investigate the above allegations. LPA met with Gina Alvarez (Business Office Director) and discussed the purpose of today’s visit. Angela Boyd (Health Services Director) arrived at approximately 9:10 A.M.. LPA Irra conducted the initial visit on 05/19/25. During this visit, LPA obtained copies of the staff and resident rosters, interviewed Staff #2 (S-2), Staff #3 (S-3), Staff #5 (S-5) and Staff #6 (S-6), reviewed files for Resident #1 (R-1) through Resident #7 (R-7) and obtained relevant documentation. During the course of this investigation, LPA also interviewed Staff #1 (S-1) and Staff #4 (S-4) and interviewed Resident #1 (R-1) through Resident #6 (R-6). LPA was unable to interview R-7 as R-7 was not available during this visit. Refer to LIC 9099C for the continuation of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 1, 2025 · control 28-AS-20250512155944

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility staff did not dispense resident's medications as prescribed Facility staff handled resident(s) in a rough manner Facility staff yelled at resident(s) Facility staff did not observe proper food service sanitation practices Facility staff did not safeguard resident's personal belongings

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced compliant visit regarding the above allegations. LPA met with Adriane Runge Administrator and explained the reason for the visit. The investigation consisted of the following: LPA requested a staff/resident roster. LPA interviewed 7 residents and 7 staff. LPA conducted a tour of the dementia unit and observed the dining room area and medication room. LPA reviewed medication for 4 residents. LPA reviewed file for resident #1(R1) and requested a copy of admission agreement, medical assessment, individual care plan, medication sheet, physician’s orders, resident personal property and valuables, preplacement assessments, behavioral expression appraisal, charting notes, and incident report. The investigation revealed the following: Regarding allegation: Facility staff did not dispense R1’s medications as prescribed. (CONTINUED ON LIC 9099C) Unsubstantiatedthe state’s words, verbatim · CDSS document, May 20, 2025 · control 28-AS-20250514152656

Allegation investigated: Facility staff caused injuries to resident during a transfer.

Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced subsequent compliant visit LPA met with Adriane Runge and explained the purpose for todays visit. The investigation consisted of the following: During initial visit dated 11/14/24 LPA obtained copies of Staff and Resident Roster, and obtained copies of medical documents and current incident report from Resident #1's file, due to time constraints the allegation needed further investigation. During todays visit LPA obtained copies of Staff and Resident Roster, interviewed 6 Staff (S1-S6) and 10 Residents (R1-R10), Reviewed Training and Participants for proper use of Hoyer Lift and toured R1-R4's rooms and S4 demonstrated each Hoyer Lift. (continued on LIC9099-C) Substantiatedthe state’s words, verbatim · CDSS document, Dec 18, 2024 · control 28-AS-20241113164508

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not prevent a resident from falling on more than one occasion resulting in injuries. Staff left a resident on the floor for an extended period of time after falling

Licensing Program Analyst (LPA) Angelica Rea made another visit to issue the final results of the investigation. LPA met with Executive Director, Adriane Runge who assisted with today's visit. Regarding the allegation that : Staff did not prevent a resident from falling on more than one occasion resulting in injuries. The investigation consisted of interviews with Administrator, Staff #1- Staff #4, and Resident #1 - Resident #5. The investigation revealed that resident #1 experienced a fall on 4/1/24, and on 4/2/24. Resident #1 was sent to the hospital, and was hospitalized from 4/2/24 -4/7/24. Review of hospital documents indicate that resident #1 sustained minor injuries due to fall(s). Administrator and staff interviewed stated that all residents are checked on every two hours, or more frequently according to their care needs. Administrator and staff stated that if a resident falls, staff will assess the resident. Staff will call 911, if the resident needs to be sent to the hospitalthe state’s words, verbatim · CDSS document, Jul 30, 2024 · control 28-AS-20240403151031

Allegation investigated: Resident has sustained multiple unwitnessed falls while in care. Facility does not provide a safe environment for resident. Facility staff are not adequately providing resident assistance and supervision while in care. Facility staff are not ensuring that resident is adequately fed while in care. Facility staff are not ensuring that resident is adequately hydrated while in care. Resident's sensor alert device was not working properly.

Licensing Program Analyst (LPA) Angelica Rea conducted another visit to deliver the final results of the investigation. LPA met with Administrator, Janette Hill, who assisted with today's visit. An initial visit was conducted on 9/26/22. The investigation consisted of interview(s) with Administrator, Staff #1 - Staff #4, and Resident #1 - Resident #5, and tour of memory care unit. LPA also reviewed resident #6's file, and obtained copies of speciific documents. Resident #6 was not interviewed due to residents' cognitive level. Regarding the allegation that : Resident #6 has sustained multiple unwitnessed falls while in care. Administrator and staff interviewed stated that if a resident falls, the facility staff are trained to assess the resident, and determine if 911 needs to be called. Administrator and staff interviewed stated that resident #6 experienced two falls, and was properly assessed by staff. Resident #6 fell on 9/22/22, was assessed, was sent to hospital, and returned to fathe state’s words, verbatim · CDSS document, Feb 12, 2024 · control 28-AS-20220922154642

Allegation investigated: Facility staff did not dispense medications to resident as prescribed.

Licensing Program Analyst (LPA) Angelica Rea conducted a visit in response to the above allegation. On today's visit, LPA met with Administrator, Janette Hill, who assisted with the visit. Regarding the allegation that facility staff did not dispense medications to resident #1 as prescribed, the investigation consisted of review of of resident #1 medication list, hospital discharge documents, special incident report dated 11/17/23, and interviews with Administrator, and Health Services Director, Leslie Lopez. The investigation revealed the following: Resident #1 was hospitalized during the period of March 2023 through August 2023. Resident #1 returned to the facility on 8/10/23, and transferred to the Memory Care Unit. It was recently brought to the facility's attention that resident #1's medication list was changed upon discharge from the hospital, but it was not updated upon resident #1's return to the facility. Substantiatedthe state’s words, verbatim · CDSS document, Nov 21, 2023 · control 28-AS-20231113141817

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.