Oak Park Manor

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) De Leon arrived at 11:00am to conducted a 1 year annual visit to the facility above. LPA met with Back up Administrator Shelley Jackson and explained the purpose of the visit. A tour of the inside and outside of the facility was conducted with Administrator. The following was inspected and noted during the annual visit: Infection Control: The facility has a current Infection Control Plan. The facility has a sign in and out clipboard for visitors at entry with hand sanitizer. The bathrooms have toilet paper, paper towels, and hand soap. The facility has EPA approved disinfectants spray and cleaners. The facility has a 30 day supply of PPE. Quarantined or isolated individuals will have meals and medication delivered to rooms. Staff are trained on infection control and the use of Personal Protective Equipment (PPE). Physical Plant & Environment Safety: The facility has 19 bedrooms and 17 total bathrooms currently occupying 19 residents and employs 20 staff, 1 Administrator and 4 back up Administrators. LPA toured 10 bedrooms and 7 bathrooms. The facility is clean, safe and sanitary. LPA was authorized to enter and inspect facility. The facility has dual smoke and carbon monoxide detectors. The lighting and lamps are sufficient for the use of the facility and for resident comfort. The facility kitchen is clean, safe and sanitary. The showers have non-skid mats. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectant, cleaning solutions and poisons are inaccessible to residents in care locked in hallway closets. The facility has sufficient space inside and outside for activities and visiting. The facility has an enclosed courtyard for client use with plenty of shade. The facility has telephone and internet service for resident use. The facility has video surveillance in the common areas and it does not have voice capabilities. Continued 809-C Operational Requirements: The facility has a current plan of operation on file with the department. The Facility is operating in compliance with the granted fire clearance. The facility has current liability insurance and expires on 08/15/2026. The facility is approved for a capacity of 32 with 22 Non-Ambulatory of which 10 may be bedridden. Hospice approved for 6. Staffing: The facility employes 20 staff, 1 Administrator and 4 back up Administrators. Staff records are kept confidential. Five files reviewed had current 1st Aid/CPR, Personnel Records/Application, Health screening with TB results, Criminal Record statements, and Finger print clearance/Associations/exemptions. Administrator file was reviewed for Continuing Education requirements and current Administrator Certificate expired 05/17/2026 and is currently on the pending list for renewal. All back up Administrator certificates are valid. Food Service: The facility handles and prepares food safely. The facility has 2 day perishables and 7 day non-perishables to meet the food service requirement. The freezer is kept at 0 degrees and the refrigeration is kept at 40 degrees or lower. All food is covered, stored and marked appropriately. Food, snacks and drinks are available when the residents want them. Emergency supply of food and water is available. Cleaning solutions and equipment are stored separately from food supplies. Kitchen areas are kept clean and free from litter, rodents, vermin and insects. Kitchen staff are observed for personal hygiene and food sanitation practices. Incidental Medical Services: Facility provides or assist in providing transportation to medical and dental appointments when needed. The facility uses the Medication Administration Record (MAR) along with the Centrally Stored Medication and Destruct Records (CSMDR). All residents medications were checked for expiration dates, no labels were altered and medication is stored in the original containers. Facility has First Aid kit and manual. Disaster Preparedness: The current emergency disaster forms were posted. The facility conducts quarterly disaster drills. Fire Extinguisher were charged and last inspected on 06/10/2026. Emergency exits and telephone numbers were posted. A set of keys is available for staff on all shifts to access full facility in an emergency. Continued 809-C Personnel Records & Training: The facility keeps confidential files for each staff member. LPA reviewed 5 staff training records for Initial and/or Annual Training Requirements of 20 plus hours meeting 8 hours of dementia training with all subjects covered over a 3 year period, 4 hours of hospice care, postural supports and restricted health condition, and 8 hours of other training to include ADL's, resident characteristics, emergency preparedness policy and procedures, infection control requirements and Quarterly Disaster Drills. Staff handling medications had annual training of 8 hours of medication training. Kitchen staff had training on facility policy and procedures for food handling and preparation as well as infection control requirements, some staff had food handler certificates. Trainers met the requirements to train staff with required information on file. Hospice and Home Health provide training to staff for residents under those services and facility keeps records on file. Resident Rights Information: All require postings were posted in the common area of the facility. Personal rights, Rights to Resident Council, Theft and Loss policy, and Non-discrimination notice. CCL Complaint poster and LTCO poster were posted in the common areas of facility. The current license along with CCL reports and PIN's were posted. Visitation policy is posted at entry. Internet and a device for residents use is provided to resident with confidentiality and privacy. Resident Records & Incident Reports: The facility keeps separate files on each resident confidentially. Five files were reviewed for signed Admission Agreements, Medical Assessments, LIC. 602A Physicians Report, ID and Emergency contact forms, Appraisal Needs and Services plans (ANS), TB results, Personal Rights, and Safeguard for personal property and valuables. Pre-Placement Appraisals and Functional Capabilities are conducted on perspective residents before accepting them into care. The Facility does not handle cash resources on residents in care. Facility does submit incident reports to the department when required. Residents with Special Health Needs: The facility does accept dementia residents in care. All items that could pose a danger, sharps, cleaners were locked or in accessible to residents in care. The facility does currently have residents with oxygen and signs are posted. The facility has hospice residents in care. Hospice care plans are kept on file and up to date. The facility currently has residents receiving Home Health services. Home Health services records are kept on file. The facility is fully fenced with a courtyard and 3 self latching, self closing gates with alarms. The facility does not have delayed egress or secured perimeters. LPA conducted interviews. Exit interview conducted, no deficiencies observed and copy of report printed for Administratorthe state’s words, verbatim · CDSS document, Jul 10, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) De Leon arrived at 10:000am to conducted a 1 year annual visit to the facility above. LPA met with Administrator Astrid Meffert and explained the purpose of the visit. A tour of the inside and outside of the facility was conducted with Administrator. The following was inspected and noted during the annual visit: Infection Control: The facility has a current Infection Control Plan. The facility has a sign in and out clipboard for visitors at entry with hand sanitizer. The bathrooms have toilet paper, paper towels, and hand soap. The facility has EPA approved disinfectants spray and cleaners. The facility has a 30 day supply of PPE. Quarantined or isolated individuals will have meals and medication delivered to rooms. Staff are trained on infection control and the use of Personal Protective Equipment (PPE). Physical Plant & Environment Safety: The facility has 19 bedrooms and 17 total Bathrooms Currently occupying 18 residents and employs 21 staff. LPA toured 10 bedrooms and 7 bathrooms. The facility is clean, safe and sanitary. LPA was authorized to enter and inspect facility. The facility has dual smoke and carbon monoxide detectors. The lighting and lamps are sufficient for the use of the facility and for resident comfort. The facility kitchen is clean, safe and sanitary. The showers have non-skid mats. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectant, cleaning solutions and poisons are inaccessible to residents in care locked in hallway closets. The facility has sufficient space inside and outside for activities and visiting. The facility has an enclosed courtyard for client use with plenty of shade. The facility has telephone and internet service for resident use. The facility has video surveillance in the common areas and it does not have voice capabilities. Continued 809-C Operational Requirements: The facility has a current plan of operation and infection control plan on file with the department. The Facility is operating in compliance with the granted fire clearance. The facility has current liability insurance and expires on 08/15/2025. The facility is approved for a capacity of 32 with 22 Non-Ambulatory of which 10 may be bedridden. Hospice approved for 6. Staffing: The facility employes 20 staff, 1 Administrator and 3 back up Administrators. Staff records are kept confidential. Five files reviewed had current 1st Aid/CPR, Personnel Records/Application, Health screening with TB results, Criminal Record statements, and Finger print clearance/Associations/exemptions. Administrator file was reviewed for Continuing Education requirements and current Administrator Certificate expires 05/17/2026. Food Service: The facility handles and prepares food safely. The facility has 2 day perishables and 7 day non-perishables to meet the food service requirement. The freezer is kept at 0 degrees and the refrigeration is kept at 40 degrees or lower. All food is covered, stored and marked appropriately. Food, snacks and drinks are available when the residents want them. Emergency supply of food and water is available. Cleaning solutions and equipment are stored separately from food supplies. Kitchen areas are kept clean and free from litter, rodents, vermin and insects. Kitchen staff are observed for personal hygiene and food sanitation practices. Emergency food and water are stored for emergency use. Incidental Medical Services: Facility provides or assist in providing transportation to medical and dental appointments when needed. The facility uses the Medication Administration Record (MAR) along with the Centrally Stored Medication and Destruct Records (CSMDR). All residents medications were checked for expiration dates, no altered labels and medication is stored in it original containers. Facility has First Aid kit and manual. Disaster Preparedness: The current emergency disaster forms were posted. The facility conducts quarterly disaster drills. Fire Extinguisher were charged and last inspected on 07/13/2025. Emergency exits and telephone numbers were posted. A set of keys is available for staff on all shifts to access full facility in an emergency. Continued 809-C Personnel Records & Training: The facility keeps confidential files for each staff member. LPA reviewed 5 staff training records for Initial and/or Annual Training Requirements of 20 plus hours meeting 8 hours of dementia training with all subjects covered over a 3 year period, 4 hours of hospice care, postural supports and restricted health condition, and 8 hours of other training to include ADL's, resident characteristics, emergency preparedness policy and procedures, infection control requirements and Quarterly Disaster Drills. Staff handling medications had annual training of 8 hours of medication training. Kitchen staff had training on facility policy and procedures for food handling and preparation as well as infection control requirements, some staff had food handler certificates. Trainers met the requirements to train staff with required information on file. Hospice and Home Health provide training to staff for residents under those services and facility keeps records on file. Resident Rights Information: All require postings were posted in the common area of the facility. Personal rights, Rights to Resident Council, Theft and Loss policy, and Non-discrimination notice. CCL Complaint poster and LTCO poster were posted in the common areas of facility. The current license along with CCL reports and PIN's were posted. Visitation policy is posted at entry. Internet and a device for residents use is provided to resident with confidentiality and privacy. Resident Records & Incident Reports: The facility keeps separate files on each resident confidentially. Five files were reviewed for signed Admission Agreements, Medical Assessments, LIC. 602A Physicians Report, ID and Emergency contact forms, Appraisal Needs and Services plans (ANS), TB results, Personal Rights, and Safeguard for personal property and valuables. Pre-Placement Appraisals and Functional Capabilities are conducted on perspective residents before accepting them into care. The Facility does not handle cash resources on residents in care. Facility does submit incident reports to the department when required. Residents with Special Health Needs: The facility does accept dementia residents in care. All items that could pose a danger, sharps, cleaners were locked or in accessible to residents in care. The facility does currently have residents with oxygen and signs are posted. The facility has hospice residents in care. Hospice care plans are kept on file and up to date. The facility currently has residents receiving Home Health services. Home Health services records are kept on file. The facility is fully fenced with a courtyard and 3 self latching, self closing gates with alarms. The facility does not have delayed egress or secured perimeters. LPA conducted interviews with 3 residents and 3 staff. Exit interview conducted, no deficiencies observed and copy of report printed for Administratorthe state’s words, verbatim · CDSS document, Aug 4, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) De Leon arrived at 11:30am to conducted a 1 year annual visit to the facility above. LPA met with Administrator Astrid Meffert and explained the purpose of the visit. A tour of the inside and outside of the facility was conducted with Administrator. The following was inspected and noted during the annual visit: Infection Control: The facility has a current Infection Control Plan. The facility has a sign in and out clipboard for visitors at entry with hand sanitizer. The bathrooms have toilet paper, paper towels, and hand soap. The facility has EPA approved disinfectants spray and cleaners. The facility has a 30 day supply of PPE. Quarantined or isolated individuals will have meals and medication delivered to rooms. Staff are trained on infection control and the use of Personal Protective Equipment (PPE). All trash cans and waste baskets have tight fitting covers. Physical Plant & Environment Safety: The facility has 19 bedrooms and 17 total restrooms. Currently occupying 21 residents and employs 24 staff. LPA toured 10 bedrooms. The facility is clean, safe and sanitary. LPA was authorized to enter and inspect facility. The facility has dual smoke and carbon monoxide detectors. The lighting and lamps are sufficient for the use of the facility and for resident comfort. The facility kitchen is clean, safe and sanitary. The showers have non-skid mats. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectant, cleaning solutions and poisons are inaccessible to residents in care locked in hallway closets. The facility has sufficient space inside and outside for activities and visiting. The facility has an enclosed courtyard for client use with plenty of shade. The facility has telephone and internet service for resident use. The facility has video surveillance in the common areas and it does not have voice capabilities. Continued 809-C Operational Requirements: The facility has a current plan of operation and infection control plan on file with the department. The Facility is operating in compliance with the granted fire clearance. The facility has current liability insurance and expires on 08/15/2024. The facility is approved for a capacity of 32 with 22 Non-Ambulatory of which 10 may be bedridden. Hospice approved for 6. Staffing: The facility employes 24 staff, 1 Administrator and 3 back up Administrators. Staff records are kept confidential. Five files reviewed had current 1st Aid/CPR, Personnel Records/Application, Health screening with TB results, Criminal Record statements, and Finger print clearance/Associations/exemptions. Administrator file was reviewed for Continuing Education requirements and current Administrator Certificate. Administrator Certificate expired 05/17/2024. Administrator sent in renewal package on time. LPA verified Administrator renewal packet received and currently on the pending list with Community Care Licensing (CCL). CCL Administrator Certification unit is currently processing January 2024 renewals. Food Service: The facility handles and prepares food safely. The facility has 2 day perishables and 7 day non-perishables to meet the food service requirement. The freezer is kept at 0 degrees and the refrigeration is kept at 40 degrees or lower. All food is covered, stored and marked appropriately. Food, snacks and drinks are available when the residents want them. Emergency supply of food and water is available. Cleaning solutions and equipment are stored separately from food supplies. Kitchen areas are kept clean and free from litter, rodents, vermin and insects. Kitchen staff are observed for personal hygiene and food sanitation practices. Incidental Medical Services: Facility provides or assist in providing transportation to medical and dental appointments when needed. The facility uses the Medication Administration Record (MAR) along with the Centrally Stored Medication and Destruct Records (CSMDR). All residents medications were checked for expiration dates, altered labels and medication is stored in it original containers. Facility has First Aid kit and manual. Disaster Preparedness: The current emergency disaster forms were posted. The facility conducts quarterly disaster drills. Fire Extinguisher were charged and last inspected on 02/14/2024. Emergency exits and telephone numbers were posted. A set of keys is available for staff on all shifts to access full facility in an emergency. Continued 809-C Personnel Records & Training: The facility keeps confidential files for each staff member. LPA reviewed 5 staff training records for Initial and/or Annual Training Requirements of 20 plus hours meeting 8 hours of dementia training with all subjects covered over a 3 year period, 4 hours of hospice care, postural supports and restricted health condition, and 8 hours of other training to include ADL's, resident characteristics, emergency preparedness policy and procedures, infection control requirements and Quarterly Disaster Drills. Staff handling medications had annual training of 8 hours of medication training. Kitchen staff had training on facility policy and procedures for food handling and preparation as well as infection control requirements, some staff had food handler certificates. Trainers met the requirements to train staff with required information on file. Hospice and Home Health provide training to staff for residents under those services and facility keeps records on file. Resident Rights Information: All require postings were posted in the common area of the facility. Personal rights, Rights to Resident Council, Theft and Loss policy, and Non-discrimination notice. CCL Complaint poster and LTCO poster were posted in the common areas of facility. The current license along with CCL reports and PIN's were posted. Visitation policy is posted at entry. Internet and a device for residents use is provided to resident with confidentiality and privacy. Resident Records & Incident Reports: The facility keeps separate files on each resident confidentially. Five files were reviewed for signed Admission Agreements, Medical Assessments, LIC. 602A Physicians Report, ID and Emergency contact forms, Appraisal Needs and Services plans (ANS), TB results, Personal Rights, and Safeguard for personal property and valuables. Pre-Placement Appraisals and Functional Capabilities are conducted on perspective residents before accepting them into care. The Facility does not handle cash resources on residents in care. Facility does submit incident reports to the department when required. Residents with Special Health Needs: The facility does accept dementia residents in care. All items that could pose a danger, sharps, cleaners were locked or in accessible to residents in care. The facility does currently have residents with oxygen and signs are posted. The facility has hospice residents in care. Hospice care plans are kept on file and up to date. The facility currently has residents receiving Home Health services. Home Health services records are kept on file. The facility is fully fenced with a courtyard and 3 self latching, self closing gates with alarms. The facility does not have delayed egress or secured perimeters. LPA conducted interviews with 3 residents and 3 staff. Exit interview conducted, no deficiencies observed and copy of report printed for Administratorthe state’s words, verbatim · CDSS document, Aug 7, 2024

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) De Leon conducted a case management deficiency visit to the facility above. LPA met with Astrid Administrator and explained the purpose of the visit. LPA De Leon received a phone call on 11/02/2023 from the facility self-reporting that Resident 1 (R1) was able to AWOL from the facility and that R1 has been found with no injury and has been returned to the facility. Based on the incident report the facility had visitors and vendors coming in and out of the facility that morning and at some point R1 was able to get out the alarmed gate without being seen. At 9:30am R1 was observed by staff in the living room and at 10:00am R1 was walking in the courtyard. At 11:00am the facility got a call from a neighbor about a ¼ mile up the street that they had found R1 and wanted to know if R1 lived at the facility. The neighbor confirmed the name of R1 and told the facility they had called 911, the ambulance arrived and would transport R1 back to the facility. R1 arrived back at the facility without any injuries. The facility reported to all required parties. The facility immediately put the following safety measures in place for R1: R1's has a project live saver device for tracking and safety, facility implemented 30 minute checks on R1, when the facility has visitors or vendors coming in and out the staff will closely monitor R1 while alarms are off and doors are open, R1 agreed to move to a closer bedroom near the common areas of the facility, R1’s physician was contacted for discussion for managing R1’s wondering behaviors, a ring door bell cam was installed at the gate area where R1 was able to exit, a floor alarm was placed with permission in R1’s room so staff are notified when R1 is leaving R1’s room and staff are being trained on the new protocols for R1. Exit interview conducted, deficiency cited, copy of report and appeal rights printed for Administrator.the state’s words, verbatim · CDSS document, Nov 16, 2023

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87464(f)(1) · Plan of correction due date: Nov 16, 2023

(f) Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidenced by: Based on record review the licensee did not comply with the regulation above R1 was able to AWOL from the facility without anyone’s knowledge which poses an immediate health and safety risk to resident in care.the state’s words, verbatim · CDSS document, Nov 16, 2023

Plan of correction: The administrator agreed to hold an all-staff training for supervision of residents, duties, responsibilities, elopement procedures, and on audible alarm sounds and responses. Provide proof of training with all staff signatures and an up-to-date LIC 500 to CCL.