Enduring Oaks Assisted Living Thousand Oaks

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit and entered the facility at 10 a.m. Upon arrival, LPA Mosley was greeted by Mary "Joy" Bernardo, House Manager who called the Administrator to inform them of the visit. The Administrator, Mirvat Yacoub arrived shortly after and the reason for the visit was explained. Entrance interview. LPA and staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The facility is a single story house located in a residential neighborhood. COMMON AREAS: At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. At 11:43 a.m., hardwire combination of smoke / carbon monoxide detector and fire doors were tested and operational at the time of the visit. The fire extinguisher was observed and fully charged on 04/15/2026. The emergency telephone numbers are posted in common hallway. The LPA observed required postings throughout the common space. Activities were observed in the common areas. The fireplace in the living room was adequately screened. There is a functioning telephone on the premises. There is a laundry room where cleaning supplies and disinfectants are kept locked in cabinets. The garage (converted into office space) is attached to the home and kept locked/inaccessible to others. Emergency food supplies, water and Personal Protection Equipment is stored in the garage/office space. Auditory alarms on all doors were functional at the time of the visit. Entry/exits were free of obstruction. Report Continued on LIC 809-C PAGE 2... (PAGE 2) Report Continued from LIC 809... INTERVIEWS: Starting at 10:05 a.m. and throughout the visit one (1) staff and one (1) resident interview were conducted. Staff interview revealed that staff are knowledgeable in Resident rights, different forms of abuse, and reporting procedures. Resident interview revealed that no concerns were noted or voiced at the time of the visit. LPA attempted additional interviews however residents were observed to be sleeping. BEDROOMS: There are seven (7) total bedrooms in the facility; four (4) bedrooms are designated as private, single occupancy, resident rooms, one (1) is designated as a shared, double occupancy, resident room and two (2) are designated as staff rooms. The staff rooms are kept locked at all times. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. RESTROOMS: There are six (6) total restrooms. Four (4) are designated as private resident restrooms, one (1) is designated as shared / common restrooms and one (1) is designated as a staff restroom. Resident restrooms were observed to be equipped with slip-resistant flooring. Grab bars were observed in the restrooms. The restrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured in all resident restrooms and ranged between 106.2 - 110.5 degrees Fahrenheit, all within the required range. KITCHEN: The LPA inspected the kitchen/food service area, Knives and sharps were observed in a locked drawer. Kitchen appliances were in operable condition. The facility has a sufficient supply of two (2) day perishable and seven (7) day non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. The kitchen faucet was measured for hot water temperature, and it measured 110.5 degrees Fahrenheit at 10:24 a.m. Cleaning supplies and other chemicals are kept in a locked cabinet under the sink inaccessible to residents in care. BACKYARD: The entire property is fenced. The backyard has a portable umbrella for shade with patio furniture including a table and chairs for resident use. All passageways were observed to be clear. LPA observed two (2) self-latching gates. There were no bodies of water noted at the time of the visit. There are three (3) locked storage shed in the back yard inaccessible to residents. Report Continued on LIC 809-C PAGE 3... (PAGE 3) Report Continued from LIC 809-C PAGE 2... RECORDS: Two (2) Resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, Pre- admission appraisal, LIC627(c) Consent for Treatment form, Home Health records, Hospice records, PRN authorization letters, and current needs and services plan. All records were in order. Three (3) Personnel files including the Administrator’s file were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were in order. At the time of the visit LPA conducted a business search to ensure the Business / LLC is in good standing. LLC is active and in good standing. INFECTION CONTROL/ EMERGENCY DISASTER PLANNING: During today’s visit the LPA reviewed the facility’s infection control practices and the facilities emergency disaster plan. Both documents were observed to be complete and updated annually as required. The emergency disaster drill was reviewed on 06/04/2026 and the infection control plan was reviewed on 05/01/2026. The facilities policies and procedures, as they pertain to infection control and emergency planning meet the regulatory standard. The last emergency disaster drill took place on 06/04/2026 and are conducted quarterly. MEDICATIONS: Medications review began at approximately 11:15 a.m. The medications are stored adjacent to the kitchen, in the dining room, in locked cabinets. Medications for two (2) residents were reviewed. Medications are labeled and checked for expiration dates. All medications including PRNs were labeled, stored, and locked inaccessible to residents in care. Medications reviewed were found to be self-administered as prescribed and documented on the centrally stored medication and destruction records. No errors observed during review. DOCUMENTS: LPA obtained the following documents during the visit: LIC 500 Facility roster, LIC 9020A Resident Roster, Current Liability Insurance and LIC 610E Emergency and Disaster Plan. At the time if the visit the LPA reviewed the facilities contact information on file including phone numbers, email and annual fees. Administrator confirmed that all information is accurate. No citations issued. Exit interview conducted. Copy of report reviewed and provided.the state’s words, verbatim · CDSS document, Jul 31, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit and entered the facility at 9:35 a.m. Upon arrival, LPA Mosley was greeted by Mary Bernardo, House Manager who called the Administrator to inform them of the visit. The Administrator, Mirvat Yacoub arrived shortly after and the reason for the visit was explained. Entrance interview. LPA and staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. COMMON AREAS: At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. At 10:20 a.m., hardwire combination of smoke / carbon monoxide detector and fire doors were tested and operational at the time of the visit. The fire extinguisher was observed and fully charged on 04/15/2025. The emergency telephone numbers are posted in common hallway. The LPA observed required postings throughout the common space. The last emergency disaster drill took place on 06/14/2025 and are conducted quarterly. Activities were observed in the common areas. The fireplace in the living room was adequately screened. There is a functioning telephone on the premises. There is a laundry room where cleaning supplies and disinfectants are kept locked in cabinets. The garage (converted into office space) is attached to the home and kept locked/inaccessible to others. Emergency food supplies, water and Personal Protection Equipment is stored in the garage/office space. Auditory alarms on all doors were functional at the time of the visit. Entry/exits were free of obstruction. Report Continued on LIC 809-C PAGE 2... (PAGE 2) Report Continued from LIC 809... INTERVIEWS: Throughout the visit starting at 9:49 a.m. one (1) staff and two (2) resident interviews were conducted. Staff interview revealed that staff are knowledgeable in Resident rights, different forms of abuse, and reporting procedures. Resident interview revealed that no concerns were noted or voiced at the time of the visit. BEDROOMS: There are seven (7) total bedrooms in the facility; four (4) bedrooms are designated as private, single occupancy, resident rooms, one (1) is designated as a shared, double occupancy, resident room and two (2) are designated as staff rooms. The staff rooms are kept locked at all times. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. RESTROOMS: There are six (6) total restrooms. Four (4) are designated as private resident restrooms, one (1) is designated as shared / common restrooms and one (1) is designated as a staff restroom. Resident restrooms were observed to be equipped with slip-resistant flooring. Grab bars were observed in the restrooms. The restrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured in all resident restrooms and ranged between 108.0 - 109.8 degrees Fahrenheit, all within the required range. KITCHEN: The LPA inspected the kitchen/food service area at 9:57 a.m. Knives and sharps were observed in a locked drawer. Kitchen appliances were in operable condition. The facility has a sufficient supply of two (2) day perishable and seven (7) day non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. The kitchen faucet was measured for hot water temperature, and it measured 108.1 degrees Fahrenheit at 9:58 a.m. Cleaning supplies and other chemicals are kept in a locked cabinet under the sink inaccessible to residents in care. BACKYARD: The entire property is fenced. The backyard has a portable umbrella for shade with patio furniture including a table and chairs for resident use. All passageways were observed to be clear. LPA observed two (2) self-latching gates. There were no bodies of water noted at the time of the visit. There are three (3) locked storage shed in the back yard inaccessible to residents. Report Continued on LIC 809-C PAGE 3... (PAGE 3) Report Continued from LIC 809-C PAGE 2... RECORDS: Record review began at approx. 10:06 a.m. Resident Records were reviewed beginning at 10:08 a.m. and Personnel Records at 10:53 a.m. Four (4) Resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, LIC627(c) Consent for Treatment form, and current needs and services plan. All records were in order. Six (6) Personnel files including the Administrator’s file were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were in order INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit LPA Mosley reviewed the facility’s infection control practices and emergency disaster plan. The facilities policies and procedures as they pertain to infection control and emergency preparedness are satisfactory. MEDICATIONS: Medications review began at approximately 12:06 p.m. The medications are stored adjacent to the kitchen, in the dining room, in locked cabinets. Medications for four (4) residents were reviewed. Medications are labeled and checked for expiration dates. All medications including PRNs were labeled, stored, and locked inaccessible to residents in care. Medications reviewed were found to be self-administered as prescribed and documented on the centrally stored medication and destruction records. No errors observed during review. DOCUMENTS: LPA obtained the following documents during the visit: LIC 500 Facility roster, LIC 9020A Resident Roster, Current Liability Insurance, LIC 610E Emergency and Disaster Plan, and Food Menu. During today's inspection, the facility is in compliance with Title 22 regulations. No citations issued. Exit interview conducted. Copy of the report provided.the state’s words, verbatim · CDSS document, Jul 11, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Zabel Chochian arrived at the facility to conduct a required annual visit. The LPA met with staff and reason for visit was stated. Assistant Administrator arrived shortly after. At approximately 11:15 a.m., the LPA, staff and Assistant Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that the facility is in compliance with Title 22 Regulations. COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. There is a fireplace in the living room, which is screened and inaccessible. The facility maintained a comfortable temperature of 74 degrees. Smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The LPA observed fire extinguishers throughout the facility which were last serviced 04/15/2024. LPA observed required postings throughout the common space. There is a laundry room where cleaning supplies and disinfectants are kept locked in cabinets. The garage (converted into office space) is attached to the home and therefore kept locked/inaccessible to others. Emergency food supplies, water and Personal Protection Equipment is stored in the garage/office space. BEDROOMS: Bedrooms observed furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are five (5) designated resident bedrooms and two (2) staff rooms. RESTROOMS: There are five (5) resident restrooms. Restrooms observed clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with soap and paper towels. The hot water temperature in bathrooms measured between 115-117 degrees Fahrenheit. KITCHEN: The kitchen was observed to be clean and sanitary. Knives and cleaning supplies are stored inaccessible. Kitchen appliances were in operable condition. The facility had a sufficient supply of two-day perishable and seven-day nonperishable food. OUTDOOR AREA: The backyard has a covered outdoor area equipped with furniture for client use. There is a side gate for client use and is single latched. No bodies of water noted and exits are free of obstructions. RECORD REVIEW: Residents’ records review began at 12p.m., records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. All records were in order. At approximately 12;45p.m., Staff records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were in order. MEDICATIONS: Medications review began at 1:30p.m.; medications are centrally stored and locked in a mediation cabinet in the dining room; medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. The LPA requested following documents to be faxed to the Regional Office: - LIC500 Personnel Report - Liability Insurance No deficiencies cited at this time. Exit interview conducted. A copy of the report provided.the state’s words, verbatim · CDSS document, Jul 23, 2024