Santianna Oakmont Signature Living

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.

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 failed to report the elopement incident Staff have not had the required fire and earthquake drills Registry staff untrained Neglect of personal care Staff are unaware of the census for safety Service plans not updated for the resident with changes in conditions

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced visit to deliver a finding regarding the above prior complaint allegations. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Executive Director Tammie Sampedro. CCLD’s investigation involved unannounced facility visits, welfare checks, and review of facility care and medical records. The Department also interviewed relevant staff, clients, and outside sources. On 10/19/23, it was alleged that the Staff failed to report the elopement incident. LPA Domingo interviewed staff at the facility, and there has not been any elopement incident to report. LPA Domingo reviewed facility records, and there have not been any recent elopements at the facility. Interviews with outside sources revealed no knowledge of any elopements of residents at the facility. Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 30, 2025 · control 08-AS-20231019091938

Allegation investigated: Staff did not ensure that resident's food was free of hazardous material.

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Memory Care Director Justine Hernandez. On 12/20/2024 it was alleged that staff did not ensure a resident's food was free of a hazardous material due to metal pieces being found in Resident 1's (R1) puree. The Department’s investigation consisted of unannounced facility visits, review of facility and outside source records, interviews with facility staff, residents, outside sources, and LPA direct observations. Staff interviews were consistent regarding metal pieces being found in R1's puree. Staff informed that an internal investigation was conducted, however it was inconclusive how the metal got into R1's food, as no metal was found among the cooking equipment that matched what was in R1's food. Staff informed that three (3) other residents received the same batch of puree, howthe state’s words, verbatim · CDSS document, Apr 2, 2025 · control 08-AS-20241220125818

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: Licensee did not prevent a resident from eloping from the facility Licensee did not arrage psychiatric medical care for residents

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to initiate an investigation in the above-mentioned allegations. LPA identified herself and discussed the purpose of the visit with Executive Director Sam El-Rabaa. On October 16, 2024, Community Care Licensing (CCL) received a complaint alleging licensee did not prevent Resident 1 (R1) from eloping from the facility and licensee did not arrange psychiatric medical care for R1. According to R1’s Physician Report signed October 3, 2024, R1 is diagnosed with a major neurocognitive disorder that affects communication, cannot leave facility unassisted and does not have aggressive or wandering behaviors. Additionally, R1 records collected revealed that R1 did not have history of exit seeking or aggressive behaviors. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 21, 2024 · control 08-AS-20241016001550

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.

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 slept on duty resulting in lack of supervision. Licensee did not follow resident's care plan. Licensee did not ensure resident rooms were kept clean.

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to Executive Director Sam El Rabaa. On 12/20/23 it was alleged that staff slept on duty resulting in lack of supervision, Licensee did not follow resident's care plan, and Licensee did not ensure resident rooms were kept clean. The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, residents, outside sources, records review, and LPA direct observations. Staff interview revealed that an internal investigation was conducted by the Memory Care Director regarding nocturnal (NOC) shift staff sleeping during their shift, and no evidence was found that staff were sleeping during their scheduled work time. (Continued on LIC9099-C p.2) Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 26, 2024 · control 08-AS-20231220081633

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: Licensee did not maintain resident’s hygiene. Licensee did not assist resident with medical care for a pressure sore.

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced themselves and disclosed the purpose of the visit to Executive Director Sam El Rabaa. On 12/12/23 it was alleged that Licensee did not maintain resident’s (R1) hygiene, and did not assist resident (R1) with medical care for a pressure sore. The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, residents, outside sources, and records review. Staff interview revealed that R1 frequently refused to be showered by staff. Regarding hygiene, staff interview revealed that the Licensee was in communication with the family regarding the refusals, and made scheduling adjustments to increase R1's consent to specific staff for showers. Due to no longer living at the facility and their baseline memory loss, R1 was unable to participate as a reliable historian/interviewee about the incident. (Cothe state’s words, verbatim · CDSS document, Mar 18, 2024 · control 08-AS-20231212084105

Allegation investigated: Licensee did not address concerns regarding door egress, resulting in injury.

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to initiate a complaint allegation and deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Executive Director Sam El Rabaa. On 3/13/24 it was alleged that the Licensee did not address concerns regarding door egress, resulting in injury. The Department’s investigation consisted of unannounced facility visit, interviews with facility staff, residents, outside sources, records review, and LPA observations. Staff interview revealed that the Executive Director (ED) and Maintenance Director (MD) had been in ongoing contact with residents and contractors regarding the adjustment of the doors. Staff interviews revealed that the doors were considered "fire rated" and weighted, which resulted in them closing quickly after opening. Staff interviews further revealed that outside contractors came to the facility to adjust the pounds per square inthe state’s words, verbatim · CDSS document, Mar 18, 2024 · control 08-AS-20240313163516

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: Neglect resulted in unexplained bruising.

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to initiate a complaint investigation and deliver findings regarding the above complaint allegation. LPA introduced herself and disclosed the purpose of the visit to Executive Director Sam El Rabaa and Memory Care Director Jason Bottom. On 12/27/23 it was alleged that staff neglect resulted in a resident's unexplained bruising after Resident 1 (R1) made claims that someone hurt them. The Department’s investigation consisted of unannounced facility visits, review of facility and outside source records, interviews with facility staff, residents, and outside sources. Staff interview revealed that the resident in question (R1) resided in the Memory Care section of the facility and had regular episodes of agitated behaviors. Staff interview further revealed that R1 regularly made paranoid statements similar to the statement made involving the allegation. Staff interview further revealed that the bruising in questhe state’s words, verbatim · CDSS document, Dec 28, 2023 · control 08-AS-20231227113142

Allegation investigated: Licensee did not follow physician's orders. Licensee obtained a Home Health service provider without consent. Licensee did not allow Home Health agency to visit resident.

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to Executive Director Sam El Rabaa. On 11/29/23 it was alleged that Licensee did not follow physician's orders, Licensee obtained a Home Health service provider without consent, and Licensee did not allow a Home Health agency to visit a resident. The Department’s investigation consisted of unannounced facility visits, review of facility and outside source records, interviews with facility staff, and outside sources. Regarding the allegation, "Licensee did not follow physician's orders", it was alleged that the Licensee did not provide the care instructed by a physician to a resident for a healing wound. (Continued on LIC9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 7, 2023 · control 08-AS-20231129120604

Allegation investigated: Lack of supervision resulted in resident AWOL.

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced herself and disclosed the purpose of the visit to Executive Director Sam El Rabaa. On 6/1/23 it was alleged that lack of supervision resulted in a resident AWOL. The Department’s investigation consisted of unannounced facility visits, review of facility records, interviews with facility staff, and LPA direct observations. Staff interview and records review revealed that the resident in question exited the building through a door that did not completely latch after a staff member exited through it. Interview and records review revealed that in this instance, the door alarm did not sound due to it being deactivated by a staff member who was assisting an outside individual with a resident. Direct LPA observations revealed that all delayed egress doors in the Memory Care building maintained working order and the alarm activated each tithe state’s words, verbatim · CDSS document, Dec 5, 2023 · control 08-AS-20230601102931

Allegation investigated: Staff did not allow residents to have access to their rooms.

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced herself and disclosed the purpose of the visit to Executive Director Sam El Rabaa. On 3/13/23 it was alleged that staff did not allow residents access to their rooms in the Memory Care unit. The Department’s investigation consisted of unannounced facility visits, review of facility and outside source records, interviews with facility staff, residents, outside sources, and LPA direct observations. Staff interview revealed that residents were allowed access to their rooms upon request, as the first floor rooms were sometimes locked due to a high concentration of wandering residents entering open rooms. Staff interview further revealed that staff would walk around and assist residents with room entry when needed and upon request. Outside source interviews did not corroborate the allegation, informing that while certain resident roomsthe state’s words, verbatim · CDSS document, Dec 5, 2023 · control 08-AS-20230313085404

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 a family council was generated for a resident Staff denied an authorized representative access to the facility

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to Sam El-Rabaa, Executive Director. On 8/7/23 it was alleged that staff did not ensure a family council was generated for a resident, and staff denied an authorized representative access to the facility. The Department’s investigation consisted of three unannounced facility visits, review of facility and outside source records, interviews with facility staff, residents, and outside sources. Regarding the allegation, "Staff did not ensure a family council was generated for a resident", it was alleged that the Licensee did not assist with the creation of a Family Council upon request. Staff members interviewed denied receiving notice that a Family Council had been formed, in order to provide the required assistance. (Continued on LIC9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 26, 2023 · control 08-AS-20230807090556

Allegation investigated: Unlawful eviction.

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced herself and disclosed the purpose of the visit to Executive Director Sam El-Rabaa. On 5/25/23 it was alleged that the facility unlawfully evicted resident 1 (R1) due to ongoing disruptive behaviors by R1's visitor. The Department’s investigation consisted of unannounced facility visits, review of facility and outside source records, and interviews with facility staff, residents, and outside sources. Interview with the Executive Director (ED) confirmed that the eviction letter was sent to R1 and their responsible party on 5/1/2023, supported by two official letters of concern that were sent to R1 and their responsible party on 12/28/2022 and 3/31/23 regarding the disruptive behavior of R1's visitor. Interview with R1 and outside sources confirmed that R1 received the eviction notice. (Continued on LIC9099-C) Substantiatedthe state’s words, verbatim · CDSS document, Sep 26, 2023 · control 08-AS-20230525132810

Allegation investigated: Staff left resident unsupervised for extended period Facility gate was in disrepair

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to Sam El Rabaa, Executive Director. On 8/7/23 it was alleged that staff left a resident unsupervised for extended periods, and a facility gate was in disrepair. The Department’s investigation consisted of two unannounced facility visits, review of pertinent records, interviews with facility staff, residents, outside sources, and LPA direct observations. Regarding the allegation, "Staff left resident unsupervised for extended periods", it was alleged that a resident wandered away from the facility and was found in the parking lot. Staff interview revealed that the resident in question (R1) lived in the Assisted Living section of the facility and was independent outside of medication management. Interview with R1 revealed that they did not need staff assistance with bathing,dressing, Athe state’s words, verbatim · CDSS document, Sep 14, 2023 · control 08-AS-20230807150425