Autumn Oaks

Licensing Program Analyst (LPA) L. Xiong conducted the subsequent complaint investigation visit to the facility. LPA met with Licensee Lisa Ong and informed her the purpose of the visit. During the course of this complaint investigation LPA interviewed staff on duty and obtained and/or reviewed facility records. It was determined based on the interviews and records review that the above allegations are SUBSTANTIATED. There were a wall in the shower/bathroom across from the laundry room that were not completely repaired and the toilet wasn't flush. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D.”) SubstantiatedRead the full finding— CDSS inspection report, April 12, 2024 · control 24-AS-20240119160237

Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. During the course of this investigation LPA reviewed facility files relevant to the complaint investigation. It was determined that the above allegation: Staff did not keep facility free from insects, and Facility owner placed a pad lock on the freezer are UNFOUNDED. The evidence from the investigation indicated the facility has monthly contract with Sierra Vista Exterminator to treat facility for all pests and the pad lock is for the additional freezer and the freeze use daily by the facility cook was not locked. In addition, the cook has the key for the pad lock. This agency has investigated the complaint alleging (Staff did not keep facility free from insects, and Facility owner placed a pad lock on the freezer). We have found that the complaint was unfounded, therefore we have dismissed the complaint. UnfoundedRead the full finding— CDSS inspection report, April 12, 2024 · control 24-AS-20240322111022

Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. During this visit LPA delivered investigation findings regarding the above allegations. The Department has investigated the complaint alleging: Staff did not dispense medication as prescribed. The resident’s room is malodorous. Based on the interviews conducted and/or records review the above allegations are UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. UnsubstantiatedRead the full finding— CDSS inspection report, February 28, 2024 · control 24-AS-20231113120634

Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. I met with staff Matilde Garcia and informed her the purpose of the visit. During this visit LPA delivered investigation findings regarding the above allegations. The Department has investigated the complaint alleging: Staff interacted inappropriately with a resident. Based on the interviews conducted and/or records review the above allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. UnsubstantiatedRead the full finding— CDSS inspection report, February 28, 2024 · control 24-AS-20231129120850

Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. During this visit LPA delivered investigation findings regarding the above allegations.The Department has investigated the complaint alleging: Staff are not communicating with resident's responsible party and Staff are financially abusing resident in care. Based on the interviews conducted and/or records review the above allegations are UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. UnsubstantiatedRead the full finding— CDSS inspection report, February 28, 2024 · control 24-AS-20231129160758

Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. LPA met with licensee, Lisa Ong and informed her the purpose of the visit. During this visit LPA delivered investigation findings regarding the above allegation. The Department has investigated the complaint alleging: Staff did not prevent an altercation between residents that resulted in a residents injury. Based on the interviews conducted and/or records review the above allegation is UNSUBSTANTIATED. The investigation indicated contradicting and/or insufficient evidence, and although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. UnsubstantiatedRead the full finding— CDSS inspection report, August 24, 2023 · control 24-AS-20230605143923

Licensing Program Analyst (LPA) L. Xiong conducted the subsequent complaint investigation visit to the facility. I met with Administrator Antonio Ong and Vice President Lisa Ong and informed them the purpose of the visit. During the course of this complaint investigation LPA interviewed staff on duty and obtained and/or reviewed facility records. It was determined based on the interviews and records review that the above allegation is SUBSTANTIATED. The evidence from the investigation indicated that air conditioning (a/c) units at the north/northeast part of the facility stopped working on or about July 18th. The a/c at the south/southwest part of the facility stopped working on or about July 10th. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited onRead the full finding— CDSS inspection report, July 24, 2023 · control 24-AS-20230720134908

During the course of this complaint investigation LPA interviewed staff and reviewed relevant records. It was determined based on the interviews and records review that the above allegation is SUBSTANTIATED. R1 went to the hospital for 5150. Facility was refusing to accept R1 from the hospital when hospital discharging R1, even if R1 is stable. Facility didn't have an approve 3-day eviction notice, and it's the facility's responsibility to bring R1 back to the facility. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D.”) SubstantiatedRead the full finding— CDSS inspection report, June 7, 2023 · control 24-AS-20230525144800

Licensing Program Analyst (LPA) L. Xiong conducted the subsequent complaint investigation visit to the facility. I met with Administrator, Tony Ong and informed him the purpose of the visit. During the course of this complaint investigation LPA interviewed staff on duty and obtained facility records. It was determined based on the interviews and records review that the above allegation is SUBSTANTIATED. Facility was refusing to pickup R1 from the hospital when hospital was discharging R1. R1 went to the hospital for a medical condition and is still resident of the facility. When R1 is discharge from the hospital, it's the facility's responsibility to bring R1 back to the facility. Based on LPAs observations and interviews and records, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D.”) SubstantiatedRead the full finding— CDSS inspection report, May 3, 2023 · control 24-AS-20230502101036

Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. I met with Antonio Ony, Administrator and informed him the purpose of the visit. During this visit LPA delivered investigation findings regarding the above allegation. The Department has investigated the complaint alleging: Staff left residents unattended. Based on the interviews conducted the above allegation is UNSUBSTANTIATED. The evidence from the investigation were observed to be inconsistent and although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. UnsubstantiatedRead the full finding— CDSS inspection report, April 4, 2023 · control 24-AS-20230328140818

Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. I met with Elizabeth Sanchez, Med. Tech and spoke Antonio Ong, Administrator on the phone informing them the purpose of the visit. During the course of this investigation LPA interview staff/resident relevant to the complaint investigation. It was determined that the above allegation: Drugs are being used at the facility is UNFOUNDED. The investigation indicated there are no illegal drugs dropped off or being used at the facility. This agency has investigated the complaint alleging (Drugs are being used at the facility). We have found that the complaint was unfounded, therefore we have dismissed the complaint. UnfoundedRead the full finding— CDSS inspection report, March 24, 2023 · control 24-AS-20230209130051

Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. I met with licensee, Lisa Ong and informed her the purpose of the visit. During this visit LPA delivered investigation findings regarding the above allegation.The Department has investigated the complaint alleging: Resident's are left unsupervised at the facility. Based on the interviews conducted and/or records review the above allegation is UNSUBSTANTIATED. There were conflicting evidence observed during the investigation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. UnsubstantiatedRead the full finding— CDSS inspection report, December 16, 2022 · control 24-AS-20221213081901

During the investigation, the Department reviewed R1’s records and interviewed staff. Based on interviews and records review, R1 had several ground level falls on 4/9/22 however staff did not seek medical attention until the last fall when R1 fell face first into the nightstand and was observed to be wedged between the nightstand and the bed. Staff called emergency medical services and R1 was transferred to the hospital where R1 was admitted and diagnosed in part with a left proximal humeral fracture. R1 remained in the hospital until discharged on 4/15/22. The preponderance of evidence standard has been met therefore the allegation that resident was neglected while in care resulting in resident falling and sustaining a fracture is substantiated. Deficiency for violation of Title 22, Section 87468.2(a)(4) cited in the attached 9099D. An immediate civil penalty of $500 is assessed and the issuance of additional civil penalties is currently under review. The details of the additional civRead the full finding— CDSS inspection report, July 26, 2022 · control 24-AS-20220414095227