Oakmont Of Novato

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a complaint investigation and delivered findings regarding the allegation listed above and met with Scott Davis, Executive Director. There is an allegation regarding the facility did not provide the party responsible with a refund. Per Reporting Party, resident (R1) resided at the facility from May 23, 2025, until July 21, 2025, and the facility owes R1 part of the $8,000.00 community fee that R1 paid for services. However, it is their understanding that there is a refund amount owed to R1 that is unknown at this time due to lack of communication between R1’s responsible party and the facility staff. Based on LPA's interviews conducted with R1’s responsible party, they are aware that there is an outstanding amount of $8707 that R1 may owe to the facility for facility fees. On 10/21/25 LPA conducted a 10-day visit to the facility conducted interviews and reviewed records. Based on records review, it was corroborated wRead the full finding— CDSS inspection report, October 21, 2025 · control 21-AS-20251017113717

Licensing Program Analyst (LPA) Leibert arrived unannounced for the purpose of delivering findings on this complaint. During the course of this investigations statements were taken, unannounced site visits were made and food supplies inspected, documents obtained and reviewed as well as photographs taken. It has been alleged that facility has run out of food such as ice cream, milk, beef, and snacks and that staff eat food intended for residents. Complainant and Co-Complainant are Anonymous without contact information and have not been available for interview. LPA has made three unannounced visits to facility and found the kitchen to be well stocked with a variety of food that meets or exceeds the requirements of Title twenty-Two Regulations. Fresh fruit and other snacks were observed in plentiful supply and available to the residents. Administration has stated that staff are permitted to eat facility prepared food but only food considered "left over" when residents are finished and whRead the full finding— CDSS inspection report, December 5, 2024 · control 21-AS-20241007152252

Licensing Program Analyst (LPA) Helena Rummonds arrived unannounced at approximately 1:35PM to deliver findings regarding the above allegations. LPA and Executive Director discussed the purpose of the visit. Complaint alleges that residents needs are not being met by not providing adequate food, and the food not being of good quality. Throughout the course of the investigation, LPA conducted interviews and made observations. LPA toured the facility kitchen on visits dated 6/20/24 and 7/19/24. LPA found food to be stored as per regulation and found quality perishable foods. During tour of kitchen on visit dated 6/20, LPA spoke with Regional Chef Specialist who confirmed that the facility was onboarding a new chef to implement positive changes within the facility kitchen. 6 of 6 staff and residents interviewed confirmed that food quality has improved since the onboarding of the new chef. Continued on LIC9099C UnsubstantiatedRead the full finding— CDSS inspection report, July 23, 2024 · control 21-AS-20240611090420

At approximately 1:50PM, Licensing Program Analysts (LPAs) Helena Rummonds and Jacky Macias arrived unannounced to deliver findings regarding the above allegation and met with Executive Director, Ric Pielstick. Complaint alleges that staff abused resident in care. Per interviews and review of documentation, multiple facility staff reported to facility management on 4/12/2024 that they had witnessed Staff 1 (S1) physically abuse multiple residents in care over the previous two weeks. Abuse included, but not limited to, physically striking resident(s), with their hand or an object, grabbing a resident by the wrists and shaking them, holding a resident down by their neck and transferring a resident roughly. S1 was arrested and the Department issued an immediate exclusion order for S1 on April 23, 2024. Based on information obtained during the investigation, facility staff did not fulfill their mandated reporting requirements. Continued on 9099(C) SubstantiatedRead the full finding— CDSS inspection report, June 20, 2024 · control 21-AS-20240415153642

Licensing Program Analyst (LPA) Helena Rummonds arrived unannounced at approximately 9:15AM to deliver findings regarding the above complaint allegations. LPA met with Executive Director, Ric Pielstick. Complaint alleges that staff are not following terms of admission agreement, and that staff did not provide resident's responsible party with proper rate increase notice. Review of documentation revealed that residents responsible party and facility came to the agreement of $3,095/month for standard rent. Review of documentation revealed that resident was assessed before move in on 08/24/2023 with 25 billable points leaving their cost of care at $855 a month, in addition to their base rate of $3,095 leaving their total monthly payment including rent and cost of care at $3,950. Continued on LIC9099C SubstantiatedRead the full finding— CDSS inspection report, March 28, 2024 · control 21-AS-20240105103001

Licensing Program Analyst Leibert arrives unannounced for the purpose of delivering findings on this complaint. Facility ran out of a medication for Resident (R1) resulting in missed administration of the medication on 10/29/2023 and 10/30/2023. Through statements and review of documents it has been determined that: Facility requested the medication refill 6 or 7 days before needed from the Medical Clinic; Facility Health Services Director states that the Medical Clinic delayed the refilling of the medication due to an internal communications issue and apologized for the delay but refused to put a statement in writing; Staff were unable to administer the medication on 10/29 and 10/30 due to the delay in obtaining the refill; Based upon statements and review of documents, it appears the facility made a reasonable attempt to obtain the medication before it was depleted; Although the allegations may be true or valid, there is not a preponderance of evidence to prove or disprove the allegaRead the full finding— CDSS inspection report, January 11, 2024 · control 21-AS-20231120081148

At approximately 10:30AM, Licensing Program Analyst (LPA) Helena Rummonds and Licensing Program Manager (LPM) Victoria Bertozzi arrived unannounced to continue a Complaint Investigation regarding the above allegations and met with Executive Director, Liza Hix and Health Service Director, Kimari Pinkney. Complaint alleges a resident was vomiting and not feeling well but there was a delay in sending them to the hospital resulting in them passing away at the hospital. Per interviews conducted, resident did not show signs of illness preceding the vomiting episode. Interview revealed that following vomiting episode, the resident continued to be monitored until their symptoms escalated, requiring them to be sent to the hospital. Continued on LIC9099C UnsubstantiatedRead the full finding— CDSS inspection report, December 27, 2023 · control 21-AS-20231109142722

Licensing Program Analysts (LPAs) Cuadra and Rummonds arrived unannounced at the facility and met with Executive Director, Liza Hix to deliver findings regarding the complaint allegation above. It was alleged that Staff violated residents’ personal rights. Per Reporting party, Staff (S1) held up two fists like they were going to punch resident (R1). LPA was provided with facility internal communication records of various incidents including the incident dated 8/31/23, LPA obtained statements of incident staff (S1 and S2). S1 detailed in a daily summary report an incident that occurred on 8/31/23 around 8:05am. Per email from S1, R1 came into the lobby approached S1 to request their name. Per the statement responded, they were wearing their name badge. However, S1 inquired about the reason for R1 requesting their name, when R1 became very aggressive and S1 informed that they walked away, since R1 was making accusations about S1 that did not apply to them. Continued on LIC9099C... UnsubsRead the full finding— CDSS inspection report, October 13, 2023 · control 21-AS-20230901102047

Licensing Program Analysts (LPAs) Cuadra and Coppo arrived unannounced to conduct a complaint investigation and deliver findings regarding the above allegations and met with Business Office Director Tristan Amari. Regarding the allegation of Facility staff failed to seek medical attention. On 5/24/23 resident (R1) concerns were raised by outside party regarding R1's right leg position and felt that R1 was in pain, where staff was advised to take R1 to Kaiser Hospital for evaluation. Per Reporting Party, Facility med-technician was shown R1's right leg position and informed that the resident appeared to be in pain-eyes closed with intermittent groaning. On 5/24/23 R1 was diagnosed with a right distal femur periprosthetic fracture. LPA contacted Reporting Party on 5/26/23 to gather any additional information regarding incident reports or any medical issues where the facility failed to seek medical attention for residents in a timely manner. Based on interviews conducted on 7/21/23 and 7/Read the full finding— CDSS inspection report, August 17, 2023 · control 21-AS-20230524142125

Licensing Program Analyst Leibert arrived unannounced for the purpose of delivering findings on this complaint. LPA met with Marketing Director and discussed the allegations. During the course of this investigation, this Department has interviewed witnesses and staff, reviewed and obtained documents, and made site visits to the facility. The following determinations are made: Personal belongings of R1, including glasses and hearing aides, were lost, stolen or misplaced while R1 was in care; Although the Licensee did not follow the required investigative and documentation requirements, it remains unknown how the belongings were removed from R1's possession; Statements made by current and former staff, as well as care note entries for R1, illustrate that when R1's spouse was not present at the facility, R1 often refused bathing and changing attempts by staff and could become agitated and aggressive; Facility care notes are kept for 30 days and not all notes were available for review. AltRead the full finding— CDSS inspection report, June 1, 2023 · control 21-AS-20230317123457

Licensing Program Analyst Leibert arrived unannounced for the purpose of delivering findings on this complaint. LPA met with the Administrator and discussed the allegations. During the course of this investigation, this Department has made site visits, intrerviewed staff and witnesses, obtained and reviewed documents. The following determinations are made: Complainant has not provided sufficient information regarding dates and medication names to fully investigate the medication allegation; the Department has shown that a medication for R1 was not administered as ordered on 12/1 and 12/2; There was a delay in obtaining the medication, however, which involved the Responsible Person's response in providing the medication; a review of resident falls during the approximate period of two months prior to the receipt of this complaint, does not substantiate the allegation that the falls resulted from a lack of staff supervision; High fall risk residents identified were on fall management progRead the full finding— CDSS inspection report, April 28, 2023 · control 21-AS-20230203120245

Licensing Program Analyst Leibert arrived unannounced for the purpose of delivering findings on the above captioned complaint allegations. LPA met with the Administrator and discussed the findings. This investigation included a thorough review of resident records and other documents; interviews with witnesses and staff; site visits to the facility. The following determinations are made: R1 and R2 were involved displayed aggressive behaviors with each other on many occasions while in care at the facility; Records show that the behaviors were addressed in the residents' care plans; Residents' care notes document reasonable steps taken by staff to deal with the aggressions; Most incidents were reported as required by 87211; Two incidents which were identified as not reported may not have rose to the level of requiring a report and sufficient information to make a determination of requirement to report was not found. Although the allegations may be true, or valid, based upon the documentsRead the full finding— CDSS inspection report, March 21, 2023 · control 21-AS-20221101155054

Licensing Program Analyst Leibert arrived unannounced for the purpose of delivering findings on the above captioned complaint allegations. LPA met with the Administrator and discussed the findings. This investigation included a thorough review of resident records and other documents; interviews with witnesses and staff; site visits to the facility. The following determinations are made: R1 has fallen and sustained injuries while in care; Facility incorporated fall prevention plan in R1's care plan; Record review indicateas that facility reported incidents per 87211 for R1 on a regular basis; Complainant could not provide sufficient details in order to investigatate a specific incident claimed to have gone unreported; Care notes suggest appropriate responses by care staff to R1's falls; Origins of some falls are unknown but sufficient evidence to link falls to lack of supervision was not found. Although the allegations may be true, based on statements; records and visits, there is not aRead the full finding— CDSS inspection report, March 21, 2023 · control 21-AS-20221116141751

***AMENDED - Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an investigation regarding the above allegation and met with Administrator Ric Pielstick. During the investigation, LPA reviewed/obtained records, made observations and conducted interviews. It is alleged that Staff are not preventing resident's television from interfering with another resident's sleep. Resident (R1) lives in an adjoining apartment to resident (R2) and resident (R3) who share an apartment together. R1 claims that the television volume increased when R3 recently started residing with R2. LPA reviewed Appendix C (Statement of residents personal rights) of the facility house rules which state in part “ We request that all residents monitor the volume of their televisions…” Interviews with staff (S1 & S2) found that they had been asked to check the television sound level by complaint of R1. R2 stated to staff they would turn down their TV, but failed to do so. S3 stated that they observed thRead the full finding— CDSS inspection report, March 1, 2023 · control 21-AS-20230223143406

Licensing Program Analyst Leibert arrived unannounced for the purpose of delivering findings on this complaint. LPA met with Ric Pielstick and discussed the findings. During the course of this investigation statement were taken, site visits made, and documents obtained and reviewed. The following determinations are made: R1 has a designated responsible person; On or about October 27,2022, facility provided flu shot clinic for residents conducted by outside vendor and on facility premises; R1 received a vaccine at the clinic on 10/27: Responsible person for R1 did not consent to the procedure and, in fact, declined the vaccine in preference to obtaining the vaccine for R1 at a later date due to a recent medical procedure undergone by R1. Based upon the records reviewed and statements taken, the preponderance of evidence standard has been met. Therefore, the allegation is SUBSTANTIATED. The following deficiencies were observed (see LIC 9099D) and cited from the California Code of RegulatRead the full finding— CDSS inspection report, January 12, 2023 · control 21-AS-20221130172055