Oakmont Of San Jose

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 inappropriately touched a resident while in care Staff pushed a client while in care Staff inappropriately restrained a resident Staff allow a resident to be soiled while in care Staff do not ensure the resident's toilet is being flushed

Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to deliver the finding for the above allegation. LPA met with Executive Director, Kippie Castronovo. On 01/23/2025, the Department received the complaint. On 01/24/2025, the initial complaint investigation was conducted. The following documents were obtained for this allegation to include resident (R1)’s physicians report, shower schedule, resident assessment, physician order routine medications, charting notes, police report, and correspondences. It was alleged that staff (S1) had inappropriately touched resident (R1) in various places, pushed R1, and inappropriately restrained R1 by pinning R1 down to his/her bed and getting on top of him/her. It was stated that another staff (S2) witnessed the incident and did nothing to help. Page 1 of 4. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 29, 2025 · control 26-AS-20250123100945

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 increased resident's fees without proper notice.

On 9/13/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced complaint investigation visit. LPA met with Executive Director, Kippie Castronovo and explained the purpose of today's visit. Regarding the allegation that facility increased resident's fees without proper notice, RP alleges that the facility did not adhere to the Admission's Agreement and engaged in a "bait and switch" scheme by increasing R1s fees right after R1 entered the facility, increased the fees without proper notice. Based on records review, facility did an initial assessment after R1 has moved in. However, there was no written notice given to the responsible party regarding this increase in rate, within 2 business days from this assessment. Therefore, based on interviews and records review and information collected, the above allegation is determined to be SUBSTANTIATED. Deficiency of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiency may resthe state’s words, verbatim · CDSS document, Sep 13, 2024 · control 26-AS-20220915105128

Allegation investigated: Staff are not following Covid-19 protocols Staff administered unsanitary medication to resident

On 9/6/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced complaint investigation visit. LPA met with Memory Care Director Sherry Theam and explained the purpose of today's visit. Regarding the allegation of staff are not following Covid-19 protocols, Reporting Party (RP) stated that staff member (S5) did not follow protocol by dressing in PPE and entering a room, which has PPE located in stacked containers, outside the room. S5, along with an "Agency Caregiver," stood outside the room, engaging in a conversation while the sick resident (R2) stood in the doorway. R2 was not wearing mask. Another instance mentioned was, Care Provider (S2) delivering the dinner tray to Room and did not dress in the PPE, located outside the room, prior to entering. S2 sounded raspy and sick too, and was wearing only a surgical mask, not a N95 mask to protect the Residents. S2 did not use the hand sanitizer, located outside the room, after exiting. page 1 of 2 Substantiatedthe state’s words, verbatim · CDSS document, Sep 6, 2024 · control 26-AS-20220518114814

Allegation investigated: Staff did not accord resident dignity and respect. Staff did not respect resident's personal privacy

On 8/26/2024, Licensing Program Analysts (LPAs) Grace Donato & Christine Dolores conducted an unannounced complaint investigation visit. LPA met with Executive Director Kippie Castronovo and explained the purpose of today's visit. Regarding the allegation of staff did not accord resident dignity and respect & staff did not respect resident's personal privacy, Reporting Party (RP) stated that RP sent staff member S1 and S3 requests that only essential care visits would be allowed. On 05/13/2022 at 10:00 a.m., there was knocking at the resident's (R1) apartment and RP looked through the peephole and saw S1. RP told S1 if they can please call and discuss the needs over the phone because S1 blurts things out and there's no privacy. RP did not give permission for S1 to enter and just instantly put the master key in the lock. page 1 of 3 Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 26, 2024 · control 26-AS-20220523155841

Allegation investigated: Staff engaged in a verbal altercation in the presence of resident's.

On 8/26/2024, Licensing Program Analysts (LPAs) Grace Donato & Christine Dolores conducted an unannounced complaint investigation visit. LPA met with Executive Director Kippie Castronovo and explained the purpose of today's visit. Regarding the allegation of staff engaged in a verbal altercation in the presence of residents, Reporting party (RP) stated that during the incident, a staff (S1) was with another staff (S6) and had entered in the apartment when handing the medication to the RP for discharge. RP placed his/her hand on the door of the apartment and asked S1 if they can discuss this. S6 said RP was not listening to S1. RP states to have placed his/her hand on the door which can prohibit staff from exiting the room, so they can talk about the situation. RP states S1 opened the door and started screaming at her more in the hallway. A resident (R1) was a witness and RP states R1’s jaw dropped. page 1 of 2 Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 26, 2024 · control 26-AS-20220712170531

Allegation investigated: Staff did not maintain accurate resident records Staff disclosed resident confidential records with unauthorized person

On 8/26/2024, Licensing Program Analysts (LPAs) Grace Donato & Christine Dolores conducted an unannounced complaint investigation visit. LPA met with Executive Director Kippie Castronovo and explained the purpose of today's visit. Regarding the allegation of staff did not maintain accurate resident records, Reporting Party (RP) stated that facility failed to keep a complete and current record for resident (R1). Per the RP, the listed Primary Physician PCP and Pharmacy were in error, Facility has not updated "Diagnoses" on records to include R1s diagnosis of Acute Low Salt Syndrome. page 1 of 2 Substantiatedthe state’s words, verbatim · CDSS document, Aug 26, 2024 · control 26-AS-20220517124344

Allegation investigated: Facility did not adhere to the residents admission agreement

On 8/26/2024, Licensing Program Analysts (LPAs) Grace Donato & Christine Dolores conducted an unannounced complaint investigation visit. LPA met with Executive Director Kippie Castronovo and explained the purpose of today's visit. Regarding the allegation of facility did not adhere to the residents admission agreement, Reporting Party (RP) stated that facility proposed a certain fee and once they paid for all the moving they gave a revised assessment that increased the fees. Based on records review, the resident (R1s) moved in the facility on 1/24/2019, based on the admission agreement. On 1/28/2019, R1 was given an intitial assessment and was charged a new rate. The assessment rate has changed and is different from what was agreed upon move in. The fee for care services is at $3,179, however on the assessment on 1/28/2019 it changed to $4,148, which had become effective on 2/1/2019. Therefore, based on interviews and records review and information collected, the above allegation is dethe state’s words, verbatim · CDSS document, Aug 26, 2024 · control 26-AS-20220923105257

Allegation investigated: Resident sustained an unexplained bruise while in care Staff handled resident in a rough manner Staff spoke and yelled at resident in an inappropriate manner Staff is unable to meet residents needs with a sprained arm

Licensing Program Analysts (LPAs) Christine Dolores and Grace Donato arrived unannounced to deliver the finding regarding the above allegations. LPA met with Executive Director, Kippie Castronovo. On 12/05/2023, the Department received the complaint regarding the above allegations. On 12/14/2023, the initial complaint investigation was conducted. The following documents were obtained to include resident (R1)'s physician's report, appraisal/needs and services plan, medication administration record, progress notes, third party communication forms, resident roster, staff roster, staff schedule from November - December 2023, staff members contact information, S1’s physician's note regarding injury, email correspondences, incident report, and police reports. PAGE 1 OF 5. Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 26, 2024 · control 26-AS-20231205162429

Allegation investigated: Staff do not respond timely to the residents alerts

Licensing Program Analysts (LPAs) Christine Dolores and Grace Donato arrived unannounced to deliver the findings for the above allegation. LPA met with Executive Director, Kippie Castronovo. On 12/11/2023, the Department received the complaint. On 12/14/2023, the initial complaint investigation was conducted. The following documents were obtained to include the call alert records in assisted living and memory care from November – December 2023 and staff schedule. PAGE 1 OF 2. Substantiatedthe state’s words, verbatim · CDSS document, Aug 26, 2024 · control 26-AS-20231211103328

Allegation investigated: Resident was unlawfully evicted while in care

On 7/18/24, Licensing Program Analysts (LPAs) Grace Donato, Christine Dolores & Kiran Jain conducted an unannounced complaint investigation visit. LPA met with Executive Director Kippie Castronovo and explained the purpose of today's visit. Regarding the allegation of resident was unlawfully evicted while in care, reporting party (RP) stated that an unlawful 30-Day Notice of Termination of Residence Agreement was served on May 13, 2022. Based on interviews, LPA Dolores spoke with Health Service Director (HSD) regarding the Eviction on June 6, 2022. LPA informed HSD to resubmit this Eviction Letter to include more details of dates/times of specific events leading to the eviction. LPA informed HSD that once the eviction letter is re-written the 30 days would start over. page 1 of 2 Substantiatedthe state’s words, verbatim · CDSS document, Jul 18, 2024 · control 26-AS-20220602091807

Allegation investigated: Staff do not attend to resident in care in a timely manner Staff did not report resident’s incident to resident’s representative Facility is not treating a resident’s visitor with dignity Facility financially retaliated against resident

Licensing Program Analyst (LPA) Christine Dolores, Grace Donato, and Kiran Jain arrived unannounced to deliver the finding for the above allegations. LPA met with Executive Director Kippie Castronovo. On 11/06/2023, the Department received the complaint regarding the above allegations. On 11/16/2023, the initial complaint investigation was conducted. The following documents were obtained for this investigation to include the staff schedule from October 21, 2023 to October 26, 2023, call button report from November 1, 2023 to November 30, 2023, resident (R1)’s admission agreement, physician’s report, cares assessments, charting notes for November 2023, third party communication notes, special care instructions, and other correspondences. PAGE 1 OF 5 Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 18, 2024 · control 26-AS-20231106161659

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: Resident sustained a pressure injury due to staff neglect Staff did not administer resident's medication Staff left resident in soiled diapers for an extended period of time Staff are not meeting residents needs Facility does not have adequate staff is memory care to meet the residents needs

On 5/10/24, Licensing Program Analysts (LPAs) Grace Donato & Christine Dolores conducted an unannounced complaint investigation visit. LPAs met with Interim Executive Director, Christopher Schuster and LPA explained the purpose of today's visit. Regarding the allegation of resident sustained a pressure injury due to staff neglect, Reporting Party (RP) stated that stated that resident (R1) has a pressure sore on the butt (doesn’t know how big) and the home health nurse comes three times per week to clean the wound. RP stated that R1 has never had pressure sores before. RP stated that the staff are just leaving R1 in the wheelchair all day which is causing the sores. On 12/16/23, RP noticed a blister on the heel of R1, it was then reported to the Physician and RP made the staff aware of it. ...PAGE 1 of 4 Substantiatedthe state’s words, verbatim · CDSS document, May 10, 2024 · control 26-AS-20231027084308

Allegation investigated: Facility failed to seek timely medical attention which resulted in resident hospitalization

Licensing Program Analysts (LPAs) Christine Dolores and Grace Donato arrived unannounced to deliver the complaint investigating finding regarding the above allegations. LPA met with Interim Executive Director, Christopher Schuster. On 12/27/2023, the Department received a complaint alleging facility staff failed to seek timely medication attention which resulted in resident hospitalization. On 01/05/2024, the initial complaint investigation was conducted. The following documents were obtained to include resident (R1 – R5’s) records: physician’s report, individualized service plan, resident assessment, charting notes, medication administration record (MAR), resident roster, traditions shower schedule, and medical records. PAGE 1 OF 3. Substantiatedthe state’s words, verbatim · CDSS document, May 10, 2024 · control 26-AS-20231227155220

Allegation investigated: Facility staff disclosed confidential information about other residents to a visitor

THIS IS AN AMENDED REPORT FROM 05/10/2024. Licensing Program Analysts (LPAs) Christine Dolores and Grace Donato arrived unannounced to deliver the finding for the above allegation. LPA met with Business Office Director, Francisco Sudiacal. On 01/24/2024, the Department received a complaint alleging staff had disclosed confidential information about other residents to a visitor at the facility. On 02/02/2024, the initial complaint investigation was conducted. The following documents were obtained for this investigation to include resident roster, staff schedule for this week for Memory Care and Assisted Living, R1 – R5’s emergency contact information, physician’s report, individualized service plan, and progress notes from October 2023 – January 2024. SEE LIC9099-C. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 10, 2024 · control 26-AS-20240124171324

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 did not administer resident's medication as prescribed. Staff did not notice resident's change of condition.

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to deliver the finding for the above allegations. LPA met with Executive Director (ED) Paula Spanek. On 12/07/2023, the Department received a complaint alleging staff did not administer resident’s PRN medication as prescribed and staff did not notice resident’s change of condition. On 12/14/2023, the initial complaint investigation was conducted. The following documents were obtained to include resident (R1)'s physician's report, appraisal/needs and services plan, progress notes, medication list, MAR from November - December 2023, home health progress notes from October 2023 – November 2023, and correspondence. PAGE 1 OF 3. Substantiatedthe state’s words, verbatim · CDSS document, Feb 21, 2024 · control 26-AS-20231207102825

Allegation investigated: Facility did not report suspected abuse to appropriate agencies within reporting requirements

Licensing Program Analyst (LPA) Christine Dolores arrived to the facility unannounced to open the initial complaint investigation. LPA met with Executive Director (ED), Paula Spanek. On 01/09/2024, the Department received a complaint alleging that the facility did not report suspected abuse within 24 hours to the Department and appropriate agencies. On 01/17/2024, the initial complaint investigation was conducted. The following documents were obtained from the facility to include SOC341s (Report of Suspected Dependent Adult/Elder Abuse) that was sent to the Department from November 2023 – January 2024 and email correspondences. Based on record review, the Department received SOC341s from the facility on 11/27/2023, 12/07/2023, and 12/14/2023. SEE LIC9099-C. Substantiatedthe state’s words, verbatim · CDSS document, Jan 17, 2024 · control 26-AS-20240109114455

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.