Emerald Oaks

Allegation investigated: Staff leave resident in bed for an extended period of time Staff do not ensure resident's privacy from other residents

Licensing Program Analyst Hiratsuka conducted this unannounced complaint to deliver the results of the allegations above. LPA interviewed the resident in question and staff. The resident in question stated they are the one who refuses to get out of bed. The resident also stated there is no issue with privacy. Staff stated there are no issues with the resident. Based on the interview about the allegation is unfounded. A finding that an allegation is UNFOUNDED means that the allegation is false, could not have happened, and/or is without a reasonable basis. Unfoundedthe state’s words, verbatim · CDSS document, Jul 1, 2026 · control 59-AS-20260622182511

Type of visit: Case Management - Other

Licensing Program Analyst Hiratsuka conducted this visit to pick up a copy of the application the licensee submitted to Community Care Licensing Division in 2020. No deficiencies cited.the state’s words, verbatim · CDSS document, Jun 4, 2026

Type of visit: Case Management - Other

Licensing Program Analyst Hiratsuka, conducted this unannounced case management visit. The beginning of May 2026, LPA called and requested a copy of the facility's initial application that they submitted in June 2020. LPA emailed the request to Ms. Mireles several times who stated she was informed each time the paperwork was found and going to be sent over. As of today LPA has not received the paperwork.. The licensee has until June 5, 2026, to submit the paperwork to Community Care Licensing Division. Failure to do so shall result in a deficiency being cited. No deficiencies cited today.the state’s words, verbatim · CDSS document, May 28, 2026

Allegation investigated: Resident sexually abused another resident

Licensing Program Analyst (LPA) Hiratsuka, conducted this visit to deliver the results of the allegation above. Community Care Licensing Division (CCLD) conducted the investigation into the allegations above. The allegation was denied to have happened by those involved and they said they would report abuse if anything did occur. Based on information above, the department concluded that the allegations are Unfounded. A finding that an allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Nothe state’s words, verbatim · CDSS document, Jan 6, 2026 · control 59-AS-20251120140556

Type of visit: Required - 1 Year

LPA Hiratsuka, conducted this unannounced annual visit. LPA toured with Administrator in Training Gurpreet Kaur. The main entrance opens to the main hallway. The administration offices are to the right of the main entrance. This facility has a hallway on the left that leads to the kitchen, main dining room, and leads back to another hallway. There are two hallways on the right that are not connected to each other. The second hallway in the back that goes to the right leads to the activity area. There are three short hallways that lead off from the very back hallways with the ends leading to the outside. There are two outdoor areas and they are both enclosed. This facility has 59 resident rooms; three have full private bathrooms and the rest have half private bathrooms. There is a medication room to the right past the administration offices. Multiple topics discussed. Several resident records were reviewed Several staff files were reviewed. The following shall be updated and submitted to licensing within 30 days; LIC 500- facility personnel or staff schedule LIC 308- designation of administrative responsibility LIC 610- emergency disaster plan LPA did not observe any issues of concern during tour and review of resident files. The annual fees are due by December 09, 2025. No deficiencies cited.the state’s words, verbatim · CDSS document, Nov 19, 2025

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Hiratsuka conducted this unannounced case management visit in response to a death report submitted by the facility. LPA obtained some documentation from the facility. The above requires further investigation. No deficiencies cited.the state’s words, verbatim · CDSS document, Aug 19, 2025

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Hiratsuka conducted this visit as a follow-up for complaint #59-AS-20250428114131. LPA interviewed staff regarding a resident. No deficiencies cited.the state’s words, verbatim · CDSS document, Jul 22, 2025

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Hiratsuka, conducted this unannounced case management visit in response to a resident who left the facility without being noticed on July 19, 2025, and not noticed gone until the early morning of July 20, 2025. Assistant Administrator (AA) stated they were able to determine the resident left out the front doors around 7:30pm on July 19, 2025, and the staff didn't notice until about 1:30am. The local sheriff's office was contacted and a search was conducted and the resident was found a couple of blocks away. The resident was sent to the hospital and has returned without ill effects. AA stated the staff did not conduct the checks they are assigned to do for residents. AA stated there are now elopement drills for the staff over the next thirty days, the staff are to monitor and document they have checked on residents, and there are going to be further instructions based on resident needs to be given to staff. Based on the above, the following citation was issued today from the California Health and Safety Code. Deficiencies cited from Title 22 Regulations and or the California Health and Safety Code. Failure to correct shall result in civil penalties. appeal rights left.the state’s words, verbatim · CDSS document, Jul 22, 2025

From the deficiency page — Deficiency type: Type A · Section cited: HSC 1569.312(e) · Plan of correction due date: Jul 23, 2025

Basic services requirements. Every facility required to be licensed under this chapter shall provide at least the following basic services:Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, safety, and well-being. Licensee failed this by a resident leaving the facility through the front door and was not found for multiple hours. This is an immedate health and safety risk to residentsthe state’s words, verbatim · CDSS document, Jul 22, 2025

Plan of correction: Corrected during visit. Assistant Administrator gave Licensing Program Analyst a statement of what has been done to try to prevent another resident leaving without being noticed by staff.

Type of visit: Case Management - Other

Licensing Program Analysts (LPAs) Hiratsuka and Mikkelson, conducted to deliver two amended complaint (LIC 9099) reports that were initially delivered on 05/01/2025, and 06/19/2025. No deficiencies cited.the state’s words, verbatim · CDSS document, Jul 2, 2025

Allegation investigated: Facility staff did not provide oral hygiene care to resident Facility staff did not safeguard resident's personal belongings Facility staff did not ensure resident had clean clothing

Licensing Program Analyst (LPA) K. Hiratsuka conducted this visit to complete the complaint. LPA met with Assistant Administrator Ivy Garner. LPA interviewed the resident in question, staff, and reviewed the resident's file. The item in question is a bottom set of dentures. LPA observed the resident wearing the top ones and moving it around with their tongue during an interview. The resident in question does have a diagnosis of dementia and it is difficult to determine if the resident is capable to know when they take out the dentures and where they put it. LPA also cannot determine how much the resident comprehends regarding keeping the dentures clean. Staff stated the resident is able to clean them with assistance and that the dentures are put in a solution when not in use per the instructions. LPA cannot determine how much cleaning the dentures require. Unsubstantiated Interview with staff also stated the resident had a tendency to put on dirty clothes before the staff were able to take the dirty clothes away. LPA observed clean clothes in the resident room. The resident has the right to wear what they want and the facility staff needs to try to work with the resident to ensure the resident wears clean clothes. Therefore, LPA finds the allegation to be "unsubstantiated." A finding of unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the violation occurred. No deficiencies cited.the state’s words, verbatim · CDSS document, Jun 19, 2025 · control 59-AS-20250428114131

Allegation investigated: Staff did not timely respond to a resident's alerts Staff did not provide adequate care and supervision to a resident

Licensing Program Analyst (LPA) K. Hiratsuka conducted this visit to complete the complaint. LPA met with Assistant Administrator Ivy Garner LPA has spoken with residents, staff, reviewed documentation. Title 22 regulations requires an alert system for residents to request assistance. The regulations do not state a specific time frame the calls for assistance have to be answered. LPA was unable to determine if the resident was able to articulate time. Staff stated there were times they were notified by a witness the resident used the call button and the resident did not. LPA interviewed a couple of residents and the response times varied. Staff stated they do frequent checks as well as respond to call lights within ten minutes. The facility is not required to have a call system log and this facility does not. LPA cannot determine whether staff responded to the resident alerts or not or in what time frame. Unsubstantiated Through interviews the resident did get up on their own instead of waiting for staff assistance without using the call button to request assistance. LPA cannot determine if the resident used the call button to request assistance or not. Staff stated they do frequent checks of the residents. LPA cannot prove or disprove because each side has their own version of events. Therefore, LPA finds the allegation to be "unsubstantiated." A finding of unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the violation occurred. No deficiencies cited.the state’s words, verbatim · CDSS document, May 1, 2025 · control 59-AS-20250224113051

Type of visit: Required - 1 Year

LPA Hiratsuka, conducted this unannounced annual visit. LPA toured with Resident Care Coordinator Gurpreet Kaur. The main entrance opens to the main hallway. The administration offices are to the right of the main entrance. This facility has a hallway on the left that leads to the kitchen, main dining room, and leads back to another hallway. There are two hallways on the right that are not connected to each other. The second hallway in the back that goes to the right leads to the activity area. There are three short hallways that lead off from the very back hallways with the ends leading to the outside. There are two outdoor areas and they are both enclosed. This facility has 59 resident rooms; three have full private bathrooms and the rest have half private bathrooms. There is a medication room to the right past the administration offices. Multiple topics discussed. Several resident records were reviewed Several staff files were reviewed. The following shall be updated and submitted to licensing within 30 days; LIC 500- facility personnel or staff schedule LIC 308- designation of administrative responsibility LIC 610- emergency disaster plan LPA did not observe any issues of concern during tour and review of resident files. No deficiencies cited.the state’s words, verbatim · CDSS document, Oct 16, 2024

Allegation investigated: Staff mistreating residents.

On 4/24/2024 LPA Tryon went to the facility to complete the complaint. LPA met with Assistant Administrator Ivy Garner LPA has spoken with residents, staff, reviewed documentation. Regarding the allegation that staff are mistreating residents, LPA has interviewed staff involved with the incident mentioned in the complaint, spoke with residents involved and briefly with other residents. At this time, there is no proof that the staff actually mistreated the residents involved. One resident did fall when staff tried to open the bedroom door, but it's not completely clear if staff pushed the door hard enough to push the resident; or if she just lost her balance and fell. Stories related by staff differ from story related by residents involved. LPA has spoken with other residents and they have not seen any staff mistreat other residents or themselves, and related that staff is helpful and respectful. At this time, since stories differ from one witness to another, LPA is not able to say with certainty that staff in any way "mistreated" residents. Therefore, LPA finds the allegation to be "unsubstantiated." A finding of unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the violation occurred. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 24, 2024 · control 59-AS-20240124122555

Type of visit: Required - 1 Year

LPA Hiratsuka, conducted this unannounced annual visit. LPA wore a surgical mask and observed all staff wearing surgical masks. LPA was also screened by the front desk. The main entrance opens to the main hallway. The administration offices are to the right of the main entrance. This facility has a hallway on the left that leads to the kitchen, main dining room, and leads back to another hallway. There are two hallways on the right that are not connected to each other. The second hallway in the back that goes to the right leads to the activity area. There are three short hallways that lead off from the very back hallways with the ends leading to the outside. There are two outdoor areas and they are both enclosed. This facility has 59 resident rooms; three have full private bathrooms and the rest have half private bathrooms. There is a medication room to the right past the administration offices. Multiple topics discussed. Several resident records were reviewed Several staff files were reviewed. The following shall be updated and submitted to licensing within 30 days; LIC 500- facility personnel or staff schedule LIC 308- designation of administrative responsibility LIC 610- emergency disaster plan No deficiencies cited.the state’s words, verbatim · CDSS document, Oct 19, 2023