Montecito Oakmont Senior Living

Type of visit: Required - 1 Year

On 04/03/2026 at 8:30AM, Licensing Program Analyst (LPA) Andrew Christy arrived unannounced to conduct the 1-Year Annual Required inspection. LPA met with Business Office Manager, Claudia Redditt, and explained the purpose of the visit. Executive Director Richard Peilstick arrived at 10:00AM. The facility currently houses 174 residents with a max capacity of 230 residents. LPA toured facility including but not limited to apartments, bathrooms, kitchen, common area and courtyard. All outdoor and indoor passageways are kept free of obstruction. A pool was observed to be properly fenced off from access. A comfortable indoor temperature is maintained at 70.0 degrees Fahrenheit. The hot water temperature in the residents’ shared bathroom was measured at 106.4 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 09/08/2025. At 11:00AM, LPA reviewed five (5) resident files and five (5) staff files, all found to be complete. The emergency disaster plan was last reviewed 04/02/2026. Quarterly emergency drills were last conducted 03/26/2026. A review of resident medications and the Medication Administration Record (MAR) found no outstanding errors. No deficiencies cited during visit. Exit interview conducted and a copy of this report was provided to the Executive Director.the state’s words, verbatim · CDSS document, Apr 3, 2026

Type of visit: Case Management - Incident

On 10/31/2025 at 9:30AM, Licensing Program Analysts (LPAs) Andrew Christy and Grace Luk arrived unannounced to conduct a Case Management visit regarding an Unusual Incident Report (LIC624) received on 10/11/2025. Incident involved the wrong AM medications being given to a resident, with resident not being transferred to a hospital and had continued monitoring for any change of condition. LPAs met with Business Office Manager Claudia Redditt and Marketing Director Molly Gleason-Kodama, and explained the purpose of the visit. Facility is currently at 186 residents with a max capacity of 230 residents. During the visit, LPAs collected the following documents: resident roster, employee roster, R1's Medical Assessment (LIC602), R1's Appraisal Needs And Services, and R1's medication list. LPAs spoke to staff, S3, to discuss what happened when the incident occurred and what steps have been taken to ensure that it does not happen again. Staff stated that, at the time of the incident, S1 had medications for another resident, R2, in the medication cup, but was rushing to get meds passed. As a result, the medication was given to R1, and S1 immediately reported the incident to S2 and S3. R1 was monitored continuously for 48 hours and had no problems. To prevent occurrences in the future, licensee will implement changes in how medications are dispensed. Instead of preparing medications for all residents at once and passing them out, medtechs will prepare medications at each individual apartment, bring the medication cart with them versus the small box of prepared medications currently being done. In addition, S1 is no longer on medtech duty and is performing caregiver duties. Continued on LIC809C..... Continued from LIC809..... During the visit, a citation was issued for the reported incident. On 10/11/2025 at 7:50AM, medtech gave the wrong medications to a resident. Deficiency is cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted and a copy of this report, along with appeal rights, was provided to the Business Office Director.the state’s words, verbatim · CDSS document, Oct 31, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(4) · Plan of correction due date: Nov 3, 2025

(a) A plan for incidental medical and dental care shall be developed...provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on interview, licensee did not comply with the section cited above as medtech provided incorrect medication to a resident, which poses a immediate health, safety, or personal rights risk to persons in carethe state’s words, verbatim · CDSS document, Oct 31, 2025

Plan of correction: Licensee will implement new method of dispensing medications to help reduce errors. An overview of this plan will be submitted to LPA on or before plan of correction date.

Type of visit: Case Management - Incident

On 10/31/2025 at 9:30AM, Licensing Program Analysts (LPAs) G. Luk and A. Christy arrived unannounced to conduct Case Management Inspection in regards to incident report. LPA met with Business Office Director, Claudia Redditt and explained the reason for the visit. Based on the incident report, staff (S1) that was heading to work observed resident (R1) was walking down the street from the facility. S1 redirected R1 and escorted R1 back to the facility. R1 did not sustain any injuries. R1's doctor and family was notified. During visit, LPA reviewed R1's file including physician's report, care plan, and incident report. R1's physician's report dated 1/6/2025 stated that R1 is unable to leave the facility unassisted. Interview with staff revealed that R1 was wearing a roam alert bracelet and doors would alarm when R1 walks through the doors. S2 stated at the time of incident, the front door and the door to courtyard was alarmed one after another. When S3 cleared the alarm for the front door, R1 had already left the community. S1 escorted R1 back to the facility. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, Oct 31, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.2(a)(4) · Plan of correction due date: Nov 10, 2025

Additional Personal Rights of Residents in Privately Operated Facilities. To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency... This requirement is not met as evidence by: Based on interview and record review, licensee did not comply with the section cited above by R1 eloping the facility which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Oct 31, 2025

Plan of correction: Facility has agreed to create a plan to address R1's elopement behavior and submit plan to CCLD by POC date.

Allegation investigated: Facility does not have emergency plan.

On 07/08/2025 around 10:00 AM, L. Holmes, Licensing Program Analyst (LPA), arrived unannounced to deliver the complaint findings for the above allegation. LPA met with Richard Pielstick, Executive Director and explained the purpose of the visit. LPA interviewed staff and conducted a facility tour with Staff (S2 and S3), interviewed S1, S2 and S3 and Resident #1 (R1). LPA requested LIC602s, ID/Emergency contact information, and Death Reports for all residents that were oxygen dependent, emails and other communications to residents and responsible parties regarding power outage around 04/20/25, and the following documents: Current Personnel Report (LIC 500), LIC 500 dated 04/2025, Resident roster report, Emergency Disaster Plan, and/or invoices from vendors/PGE; April - May 2025 Resident Council notes, Emergency Disaster Plan, and Safety Drills. Continued on LIC9099C... Substantiated ...continued from LIC9099C... The allegation refers to a power outage that occurred on 04/20/25. R1 stated that a Care staff did in fact come to check on him/her once or twice, but residents did not have any flashlights available in their rooms that were provided by the facility, and that the halls were dark. S3 stated that there were 30 existing lanterns and about 20 more were purchased; however, the facility’s census during that time was 161. Interviews with S1 and S3 confirmed that only lanterns were provided in the hallways, and all corridor lights stayed on for 90 minutes which included the flood lights and every other ceiling light on each floor. The residents' apartments are not equipped with back-up lighting. LPA reviewed the facility's Emergency Disaster Plan (EDP) on file and it states that flashlights would be provided to residents. Based on LPA’s interviews, observations, and records reviewed, the preponderance of evidence standard has been met; therefore, the above allegation is SUBSTANTIATED. Deficiency is cited from Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of correction by plan of correction due date, and any repeat violations within a 12-month period may result in civil penalties. Exit interview conducted, appeal rights and a copy of this report provided to Richard Pielstick, Executive Director.the state’s words, verbatim · CDSS document, Jul 8, 2025 · control 15-AS-20250508114135

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(h) · Plan of correction due date: Jul 22, 2025

87303 Maintenance and Operation (h) Emergency lighting shall be maintained. At a minimum this shall include flashlights, or other battery powered lighting, readily available in appropriate areas accessible to residents and staff. Open-flame lights shall not be used. -This requirement is not met as evidenced by: Based on interviews and review of inventory, the licensee did not comply with the section cited above by not having flashlights or battery powered lighting for residents in their rooms/apartments which posed a potential health, safety and/or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jul 8, 2025

Plan of correction: Licensee/ED to review regulation, EDP and/or provide flashlights/battery powered lighting to all resdents. Provide proof to CCLD by POC date.

Type of visit: Case Management - Other

On 07/08/2025 around 11:00 AM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to deliver the complaint finding for #15-AS-20250508114135 dated 05/08/25. As a result, LPA conducted a case management and met with Richard Pielstick, Executive Director. On 05/30/25, LPA and S1 conversed about the facility tour conducted on 05/16/2025, and the power outage that occurred on 04/20/25. R1 stated that he/she and other residents were not informed of what was going on at the facility and/or when the power would be back up and running. On 05/16/25, LPA requested emails and other forms of communications to residents and responsible parties (RP) regarding the power outage. S1 stated that the power has never been off very long and therefore the families were not notified. LPA expressed concern of the approximate time frame of the outage from the early AM hours until that evening should have warranted some form of notification to residents and RP's. Based on LPA’s interviews and records reviewed, the preponderance of evidence standard has been met; therefore, the above allegation is SUBSTANTIATED. Deficiency is cited from Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of correction by plan of correction due date, and any repeat violations within a 12-month period may result in civil penalties. Exit interview conducted, appeal rights and a copy of this report provided to Richard Pielstick, Executive Director.the state’s words, verbatim · CDSS document, Jul 8, 2025

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.695(C) · Plan of correction due date: Jul 22, 2025

Emergency Plans (C) Process for communicating with residents, families, hospice providers, and others, as appropriate, that might include landline telephones, cellular telephones, or walkie-talkies. A backup process shall also be established. Residents and their responsible parties shall be informed of the process for communicating during an emergency. -This requirement is not met as evidenced by: Based on interviews and review od EDP, the licensee did not comply with the section cited above by not providing notification of the power outage to resident's and RP's which posed a potential health, safety and/or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jul 8, 2025

Plan of correction: Licensee/ED to review regulation, update EDP with a process for communicating and provide proof to CCLD by POC date.

Type of visit: Required - 1 Year

On 04/10/2025 at 09:50 AM, Licensing Program Analysts (LPAs) Ardalan Gharachorloo and David Doidge arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Executive Director Ric Pielstick and explained the purpose of the visit. LPAs toured the facility including but not limited to 5 residents’ apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. LPAs observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 71 degrees F. The hot water temperature was measured at 115 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxins are locked and inaccessible to residents in care. The following reports were reviewed: LIC 500 Personnel Report, LIC 610E Emergency Disaster Plan, Liability Insurance, and Current Administrator’s Certificate. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 09/25/2024. Emergency Disaster Plan was last posted on 12/26/2024. Emergency disaster drill was last conducted on 02/19/2025. First aid kit was observed to be complete. LPAs reviewed 5 residents records and 5 staff records, and all were complete. Nurses and MedTech are all CPR/AED/1st Aid certified, with at least 5 on duty per shift. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Apr 10, 2025

Type of visit: Case Management - Incident

On 10/3/2024 at 11:15AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit in regards to incident report received on 9/19/2024. LPA met with Executive Director, Ric Pielstick and informed him the reason for the visit. LPA later met with Health Service Director, Maria Tejano. Based on the incident report received on 9/19/2024, resident (R1) was given the incorrect medications. Facility staff immediately monitored R1 for any adverse drug reactions and vital signs were obtained. R1's family and doctor was immediately notified. During visit, LPA interview 3 staff and reviewed R1's file including physician's report, medication list, care notes, incident report, and training information. Care notes stated that R1 did not have adverse drug interaction during incident. LPA observed staff (S3) had online medication training. However, facility was not able to provide hands on shadowing training documents during visit. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulation, Title 22 and Health & Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted with Maria Tejano. A copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, Oct 3, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(4) · Plan of correction due date: Oct 4, 2024

Incidental Medical and Dental Care. The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidence by: Based on interview and record review, licensee did not comply with the section cited above by not administering the correct medications to R1 which poses an immediate health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Oct 3, 2024

Plan of correction: Facility has conducted additional training for staff (S3) and provided documents to LPA during visit. 10/9/2024, facility will conduct a med pass audit and will be conducted by pharmacy nurse. Additionally, facility provided medication error prevention training document during visit. Deficiency cleared.

From the deficiency page — Deficiency type: Type B · Section cited: HSC1569.69(a)(1) · Plan of correction due date: Oct 18, 2024

Employees assisting residents with self-administration of medication; training requirements...This training shall consist of 16 hours of hands-on shadowing... This requirement is not met as evidence by: Based on interview and record review, licensee did not comply with the section cited above by staff not completing hands on shadowing training which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Oct 3, 2024

Plan of correction: Facility has provided medication training documents during visit. Deficiency cleared.

Type of visit: Case Management - Health Checks

On 7/17/2024 at 2:25pm, Licensing Program Analyst (LPA), L. Hall arrived unannounced to conduct a health and safety check combined with Contra Costa County Public Health (CCC PH) as a result of the facility having an outbreak. LPA met Agustin Samiego, Executive Director, Maria Tejon, Health Services Director, Jennifer Alexander, RN for CCC PH, and Charlene Newsome, RN for CCC PH. During the visit CCCPH went over the checklist that gives recommendations to guide the facility during the outbreak. All toured the facility including but not limited to the pool, hot tub, dining rooms, kitchen, common areas, and checked disinfectants, cleaning products, and PPE. LPA observed apartments with signage and PPE carts outside of the apartments of affected residents. Facility staff was wearing mask during visit. There is a minimum of 7-day non-perishables and 2-day perishables foods. There are no imminent health/safety concerns on today's date. No deficiencies were cited today. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jul 17, 2024

Type of visit: Required - 1 Year

On 4/11/24 at 11:00 a.m., Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Executive Director, Agustine Samaniego and explained the purpose of the visit. The facility’s fire clearance was approved for 224 non-ambulatory and 6 Bedridden. LPA toured the facility including but not limited to residents’ apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 70 degrees F. The hot water temperature in a residents’ shared bathroom was measured at 106.8 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. Outdoor pool was observed to be properly fenced and secured. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 9/7/23. Emergency Disaster Plan was last posted on 11/01/23. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 3/23/24. LPA reviewed 5 residents records and 5 staff records, and all were complete. LPA also reviewed a sample of resident’s medications. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Apr 11, 2024

The state marks this report as 2 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.