Elk Ridge Oaks

Allegation investigated: Staff neglect led to resident's hospitalization.

On May 20, 2026, Licensing Program Analyst, Arvin Villanueva (LPA), arrived at this facility unannounced to conduct a follow-up complaint investigation visit and to deliver findings regarding the allegation noted above. LPA initially met with staff on duty and stated the purpose of the visit. The administrator, Monalisa Silapan (AD) was notified and arrived shortly after. Present during this visit were six residents in care with two staff on duty. The investigation into the above allegation consisted of interviews with relevant individuals and reviews of relevant records pertaining to Resident-1, (R1). Interviews with staff members revealed that on January 23, 2026, R1 was seen between 8:30am and 9:00am and later returned to the bedroom to nap. Staff stated R1 did not require supervision while sleeping in the bedroom. Staff reported hearing R1 yell and later found R1 on the floor at about 10:00am. {1 of 2} Unsubstantiated Interviews with residents in care who stated they did not have concerns about the care provided at this facility. Review of relevant records showed that R1 was transported to the emergency hospital on January 23, 2026, after an unwitnessed fall that occurred while at this facility. Medical records documented that R1 suffered facial injuries, swelling, and traumatic subdural hematoma. Records also showed that R1 had a history of dizziness, weakness, cognitive impairment and was considered a fall risk. Facility records documented that R1 used walkers and wheelchairs and required assistance with mobility. Additionally, records did not indicate R1 requires one-to-one care or supervision while sleeping in their room. Although R1 suffered a serious injury after the fall, interviews and record reviews did not show that facility staff neglected or failed to provide the required supervision and care. Records showed staff were aware of R1’s care needs and that R1 was ambulatory and able to rest/sleep in their bedroom without continuous supervision. Based on the information gathered throughout this investigation, there was insufficient evidence to prove the allegation that neglect/lack of care and supervision resulted in R1 being hospitalized. Therefore, the allegation was unsubstantiated. Note that aA finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Monalisa, and a copy of this report and appeal rights were provided. {2 of 2}the state’s words, verbatim · CDSS document, May 20, 2026 · control 27-AS-20260206125137

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sommer arrived unannounced to conduct a Required - 1 Year visit on 8/21/25 at 11:30am. LPA met with Designated Facility Administrator, Nina Menez and stated the purpose of today’s visit. The facility is licensed for a capacity of 6 non-ambulatory residents of which 1 may be bedridden in room 6 only. Hospice approved for 4 residents. LPA toured and inspected the physical plant inside and outside to ensure there are no safety hazards to residents. LPA observed 2-day perishables and 7-day non-perishables. The most recent emergency drill was conducted on 07/1/25 at 5pm. The temperature inside the facility was observed to be at 76*F which is within the required range of 68-85*F. The hot water temperature was measured at 106.5*F which is within the required range of 105-120*F. LPA observed fire extinguisher(s), smoke and carbon monoxide detectors, and central heating and air in the facility. LPA observed the centrally stored medications area to be locked and inaccessible to residents. Staff were observed assisting residents with activities of daily living (ADLs), cleaning and engaging with residents in care. Residents were observed eating, sleeping, watching television, and in their bedrooms. One resident was observed sleeping in the common area. The first aid kit contained the required items such as sterile dressings, bandages, adhesive tape, scissors, tweezers, thermometers, antiseptic solution and guide. LPA reviewed 2 staff and 2 resident files during this visit. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies are being cited during this visit. Exit interview held. A copy of today’s report provided.the state’s words, verbatim · CDSS document, Aug 21, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Victoria Brown arrived unannounced to conduct a Required - 1 Year visit on 8/15/24 at 12:00pm. Administrator certificate expires 3/23/2025 for Monalisa Silapan. LPA met with Monalisa Silapan and stated the purpose of todays visit. The facility is licensed for a capacity of 6 non-ambulatory residents of which 1 maybe bedridden in room 6 only. Hospice approved for 4 residents. LPA toured and inspected the physical plant inside and outside to ensure there are no safety hazards to residents. There is 1 resident receiving hospice care services and 0 bedridden at this time. LPA observed 2-day perishables and 7-day non-perishables. The most recent emergency drill was conducted on 6/1/24. The temperature inside the facility was observed to be at 75*F which is within the required range of 68-85*F. The hot water temperature was measured at 110.3*F which is within the required range of 105-120*F. LPA observed fire extinguisher(s), smoke and carbon monoxide detectors, and central heating and air in the facility. LPA observed the centrally stored medications area to be locked and inaccessible to residents. The first aid kit contained the required items such as sterile dressings, bandages, adhesive tape, scissors, tweezers, thermometers, antiseptic solution and guide. LPA reviewed 2 staff and 5 resident files during this visit. Upon a file review the following items were discussed to be submitted with any changes annually: Licensing fees-Current Criminal Record Clearances LIS536-Current Administrative Organization LIC309-Current Designation of Administrative Responsibility LIC308-Submit Personnel Report LIC500-Submit Affidavit Regarding Client/Resident Cash Resources LIC400-NA Surety Bond LIC402-NA Facility Floor Plan/Plot Plan LIC999-Current Fire Clearance (consistent with terms and limitations of license)-NA Qualifications of Administrator/Facility Manager-Submit Articles of Incorporation/Organization, Constitution and bylaws-NA Partnership Agreement-NA Control of Property-Submit Emergency Disaster Plan LIC610-Submit Plan of Operation (Restricted Health Care Plan)-NA Admission Policies and Procedures-NA Health Screening Report-Facility Personnel LIC503-NA Bacteriological Analysis of Private Water Supply-NA In-service Training Program-NA Medication Procedures-NA Transportation Procedures-NA Job Description/Personnel Policies-NA Exemptions/Waivers and Exceptions-Current First aid/CPR certificates-Current Liability Insurance-(if applicable)Submit Infection Control Plan-Submit Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies are being cited during this visit. Exit interview held. A copy of todays’ report provided.the state’s words, verbatim · CDSS document, Aug 15, 2024