Colony of Thousand Oaks at Sidlee East

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 1:40 p.m. Upon arrival, LPA Mosley was greeted by staff and Designee Elenor Jimenez who called the Administrator to inform them of the visit. The Licensee Representative, Dr. Rashita Aggarwal and administrative staff Manju Natarajan arrived shortly after and the reason for the visit was explained. Entrance interview. The LPA and staff / Administrator 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: This includes the living room, and dining room. 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 2:36 p.m., hardwire combination of smoke / carbon monoxide detectors were tested and operational at the time of the visit. The fire extinguisher was observed and fully charged on 03/15/2026. The emergency exiting plans/sketch are posted in every room. The emergency telephone numbers are posted in the 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 and noted to be non-functional. There is a functioning telephone on the premises. LPA observed surveillance cameras installed in the common areas of the facility. The staff presented the live monitoring screen to the LPA, confirming that all cameras were functioning properly and that none of them were equipped with audio capability. INTERVIEWS: Starting at 1:45 p.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. Report Continued on LIC 809-C PAGE 2... (PAGE 2) Report Continued from LIC 809-C... KITCHEN: The LPA inspected the kitchen/food service area. Knives and sharps were observed in a locked pantry. 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 109.9 degrees Fahrenheit. Cleaning supplies and other chemicals are kept locked under the sink inaccessible to residents in care. BEDROOMS: There are six (6) total bedrooms in the facility; all six (6) bedrooms are designated as private, single occupancy, resident rooms. Three (3) out of six (6) resident rooms have exits to the exterior. All passageways were observed to be clear of obstructions. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. RESTROOMS: There are three (3) total restrooms. Two (2) are designated as a shared / common resident restroom, One (1) is designated as a private resident restroom. Resident restrooms were observed to be equipped with a slip resistant surface / mat. 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 117.0-119.1 degrees Fahrenheit, all within the required range. LPA observed storage space closets in hallway containing extra clean linens and towels for resident use. LAUNDRY/GARAGE: The laundry area / attached garage is accessible through the kitchen adjacent to bedroom #1 and is kept locked at all times. LPA observed a washer and dryer along with laundry detergent and other chemicals that are stored inaccessible. LPA observed two staff lounge areas designated for staff use. BACKYARD: The entire property is fenced. The backyard has a covered patio area with shade, patio furniture including a table and chairs for resident use. LPA observed one (1) self-latching gate. There were no bodies of water noted at the time of the visit. Only one (1) pathway is used as an emergency exit which was free of obstructions at the time of the visit. LPA observed a storage shed that that was locked at the time of the of the visit and contained extra furniture equipment. Report Continued on LIC 809-C PAGE 3... (PAGE 3) Report Continued from LIC 809-C PAGE 2... RECORDS: Resident Records Five (5) 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, PRN authorization letters and current needs and services plan. All records were in order. Personnel Records Five (5) 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 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 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 6/19/26 and are conducted quarterly. MEDICATIONS: LPA observed the first aid supplies to be complete, including sterile first aid dressings, bandages, tweezer, a thermometer and a current version of a first aid manual. Medication review began at approximately 3:11 p.m. Medications are centrally stored and locked in a cabinet located in the kitchen. Medications for three (3) 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: Documents obtained during the visit include: LIC 500 facility roster, LIC 9020A Resident roster, copy of the Limited Liability insurance, LIC 610E Emergency disaster plan. No citations issued. Exit interview conducted. Copy of report reviewed and provided.the state’s words, verbatim · CDSS document, Sep 15, 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 10 a.m. Upon arrival, LPA Mosley was greeted by staff and Designee Elenor Jimenez who called the Administrator to inform them of the visit. The Licensee Representative, Dr. Rashita Aggarwal arrived shortly after and the reason for the visit was explained. Entrance interview. The LPA and staff / Administrator 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: This includes the living room, and dining room. 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 12:40 p.m., hardwire combination of smoke / carbon monoxide detectors were tested and operational at the time of the visit. The fire extinguisher was observed and fully charged on 11/04/2024. The emergency exiting plans/sketch are posted in every room. The emergency telephone numbers are posted in the common hallway. The LPA observed required postings throughout the common space. The last emergency disaster drill took place on 07/28/2025 and are conducted quarterly. Activities were observed in the common areas. The fireplace in the living room was adequately screened and non functional. There is a functioning telephone on the premises. INTERVIEWS: Starting at 10:10 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. Report Continued on LIC 809-C PAGE 2... (PAGE 2) Report Continued from LIC 809-C... KITCHEN: The LPA inspected the kitchen/food service area at 10:20 a.m. Knives and sharps were observed in a locked pantry. 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 110.1 degrees Fahrenheit at 10:21 a.m. Cleaning supplies and other chemicals are kept locked under the sink inaccessible to residents in care. BEDROOMS: There are six (6) total bedrooms in the facility; all six (6) bedrooms are designated as private, single occupancy, resident rooms. Three (3) out of six (6) resident rooms have exits to the exterior. All passageways were observed to be clear of obstructions. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. RESTROOMS: There are three (3) total restrooms. Two (2) are designated as a shared / common resident restroom, One (1) is designated as a private resident restroom. Resident restrooms were observed to be equipped with a slip resistant surface / mat. 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 105.6-119.1 degrees Fahrenheit, all within the required range. LPA made Licensee representative aware that the regulatory standard is 105-120 degrees Fahrenheit. LPA observed storage space closets in hallway containing extra clean linens and towels for resident use. LAUNDRY/GARAGE: The laundry area / attached garage is accessible through the kitchen adjacent to bedroom #1 and is kept locked at all times. LPA observed a washer and dryer along with laundry detergent and other chemicals that are stored inaccessible. LPA observed two staff lounge areas designated for staff use. BACKYARD: The entire property is fenced. The backyard has a covered patio area with shade, patio furniture including a table and chairs for resident use. LPA observed one (1) self-latching gate. There were no bodies of water noted at the time of the visit. Only 1 (one) pathway is used as an emergency exit which was free of obstructions at the time of the visit. Report Continued on LIC 809-C PAGE 3... (PAGE 3) Report Continued from LIC 809-C PAGE 2... RECORDS: Resident Records were reviewed beginning at 10:49 a.m. Five (5) 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, PRN authorization letters and current needs and services plan. All records were in order. Personnel Records were reviewed beginning at 11:35 a.m. five (5) 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 the LPA reviewed the facility’s infection control practices and the facilities emergency disaster plan. The facilities policies and procedures, as they pertain to infection control and emergency planning, meet the regulatory standard. MEDICATIONS: Medication review began at approximately 12:10 p.m. Medications are centrally stored and locked in a cabinet located in the kitchen. 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: Documents obtained during the visit include: LIC 500 facility roster, LIC 9020A Resident roster and copy of the Limited Liability insurance. During today's inspection, the facility is in compliance with Title 22 regulations. No citations issued. Exit interview conducted. Copy of report reviewed and provided.the state’s words, verbatim · CDSS document, Sep 18, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced at 09:49AM to conduct an annual inspection. LPA initially met with facility staff. Administrator & Facility Designee were contacted via telephone. Designee Connie Roush arrived at 10:00AM, Administrator arrived shortly thereafter. Entrance interview conducted. Beginning at 10:06AM, the LPA 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 following was observed: Fire extinguisher was observed to be fully charged and purchased 01/19/2024. Hardwired combination smoke and carbon monoxide detectors and fire door were tested at 01:02PM. Fire door did not close properly during test. LPA advised that the fire door shall remain closed at all times until the latch is repaired. All other systems were functional at the time of the visit. KITCHEN: Kitchen knives are stored locked and inaccessible to residents in care. The supply of perishable and nonperishable food and emergency food and water supply is adequate. Appliances in the kitchen were clean and appeared functional. BEDROOMS: There are (6) six bedrooms in the facility; the facility has 6 (six) private bedrooms for resident use. Lighting in the rooms appeared adequate. All resident rooms contained the appropriate furnishings and linens. BATHROOMS: There are (2) two full bathrooms in the hallways. There are (1) private bathroom for resident use. The showers are equipped with nonskid surfaces and available nonskid mats. Grab bars were observed in the bathrooms. Hot water temperature measured at 139.4 degrees Fahrenheit at 10:14AM in the bathroom near bedroom #1. Hot water temperature measured at 135.3 degrees Fahrenheit at 10:23AM in the hallway bathroom. Hot water was not measured in the private resident restroom. Continued on LIC 809-C LAUNDRY/GARAGE: The laundry area is locked and located in the attached garage to the right of the facility. Laundry detergent and chemicals are stored inaccessible. EXTERIOR: The exterior passageways were clean and clear of any obstructions. There is a covered patio area in the backyard with tables and chairs for resident use. There are no bodies of water noted on the premises. The back and sides of the house are separated from the front yard by gates at the north and south side passageways the gate has a functioning self-latching mechanism for exit. COMMON AREAS: The common areas were appropriately furnished, and the lighting was adequate. There is a television and other entertainment equipment in the living room area. There is a functioning telephone on the premises. Emergency exiting plans/sketch are posted. Emergency telephone numbers are posted at the entrance area wall. Other required postings are also posted in the entrance area wall and dining room wall. FILES: Beginning at 10:35AM, LPA observed 4 (four) resident files for items including but not limited to physician's report, physician's orders, needs and service appraisals, and personal rights. All resident files were in order. LPA observed 4 (four) staff files for items including but not limited to health screening, TB test, criminal record clearance, and training records. Staff #1 (S1) was observed to be employed since April 2024 and did not have a valid fingerprint background clearance. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: The facility has an infection control plan and emergency disaster plan; both of which were observed to be complete and updated annually as required. Emergency disaster drills are conducted quarterly, with the last drill documented on 08/02/2024. MEDICATIONS: Medications are stored in a locked cabinet in the facility kitchen. The first aid supplies were complete, including a first aid manual. At 12:40PM, medications for 2 (two) residents were observed. Medications for both residents were observed to be properly stored and documented per regulation. INTERVIEWS: During today's visit, LPA conducted interviews with both staff and residents. No concerns were noted during interviews. Pursuant to Title 22, California Code of Regulations (CCR) and/or California Health and Safety Code, the following deficiencies were cited (refer to LIC 809-D). Civil penalty issued in the amount of $500. Exit interview was conducted. A copy of the report and Appeal Rights were reviewed and provided.the state’s words, verbatim · CDSS document, Sep 19, 2024

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Allegation investigated: Facility staff was unable to hear residents calls for assistance

Licensing Program Analyst (LPA) Elsie Campos conducted an unannounced initial 10-day complaint visit. The LPA met with staff and Administrator Connie Roush and explained the reason for the visit. During today’s visit, the LPA, conducted a physical plant tour at 10:20 a.m., interviewed staff at 10:30 a.m. and 10:48 a.m. and 11:45 a.m., interviewed administrator at 10:44 a.m., and interviewed residents at 10:38 a.m., 11:15 a.m. and 11:25 a.m. Regarding the allegation: Facility staff was unable to hear residents calls for assistance. It was alleged that facility staff was unable to hear residents calls for assistance. A credible witness noted that at the time of the visit there a was only one caregiver in the living room area which is not centrally located in the home and would not have allowed staff to hear verbal calls from residents on opposite side of home should they have a care need or emergency. ** Continued on LIC 9099-C** Unsubstantiated Upon the LPA’s observation of the living room, kitchen and dining area it was observed that the areas are in the middle of the home, upon entry into the facility you enter the living room right away and directly adjacent to the living room is the kitchen and dining room. LPA observed that there is one main hallway to the left of the living room with resident rooms and one resident room located in a smaller hallway next to the kitchen. Staff interviews confirmed that both hallways are frequented by staff throughout the day and that staff can hear residents calls as the common areas are centrally located. Furthermore, staff confirmed that those residents that have call buttons can use them and those that do not are checked on continuously throughout the day and night. Staff did not reveal any concerns with hearing residents. At the time of the visit the LPA was able to hear the call button notification in the living room and common areas when pressed. Resident interviews did not reveal concerns with staffing or staff meeting their care needs as they are able to call staff for assistance or staff will come around and check on them throughout the day. Resident interviews confirmed that staff are attentive to their needs and calls for assistance are met in a timely manner. Based on the evidence obtained, there is insufficient evidence to support the claim that facility staff was unable to hear residents calls for assistance. This allegation is deemed Unsubstantiated at this time. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Dec 13, 2023 · control 29-AS-20231211170326