Oakhorne Manor

Type of visit: Required - 1 Year

On 04/09/2026 at 11:30 AM, Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced annual inspection visit at the Oakhorne Manor Facility. LPA Calderon was allowed entry into the facility by Administrator Evangeline Agatep. The facility is licensed to serve six (6) non-ambulatories of which one (1) may be bedridden in bedroom #4. Adults ages 60 and over and have a hospice waiver for two (2). Currently, there are four (4) clients residing in the facility with behavioral issues. LPA Calderon explained to Administrator Evangeline Agatep, the purpose of the one-year Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: Four (4) client service records, four (4) client medication records, two (2) staff records, and inspected the inside facility and outside grounds. The facility’s last fire drill was conducted on 03/06/2026. The one-story residential home consists of four (4) client bedrooms, two (2) client bathrooms, living room, dining room, kitchen, staff room, office area, attached garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored on the premises. Kitchen was inspected and observed to be clean and operational. A two-day supply perishable and seven-day supply of non-perishable foods are present in the facility. Emergency Water Storage is in the garage and kitchen area. LPA Calderon observed that all facility rooms are clean and in good repair. A comfortable temperature was observed, and the facility has central air and heating. LPA Calderon observed the following during inspection of client’s rooms: mattresses are in good condition, adequate lighting present, plenty of dresser/closet space is present, and all bed linens present. All bedrooms contain furniture, lighting fixtures and personal storage space as required, all beds have the required amount of linen and mattress covers, LPA Calderon observed fully stocked closet with bedding, towels, and toiletries supplies. Bathroom fixtures are clean, in good repair, and working properly and contain the required nonskid mats and grab bars. LPA Calderon observed bathrooms were found to be within Title 22 regulation. Bathroom #1 hot water temperature is properly measured at 108 degrees Fahrenheit, and bathroom #2 hot water temperature is properly measured at 107 degrees Fahrenheit. Kitchen hot water temperature properly measured at 112 degrees Fahrenheit. Facility (2) Carbon Monoxide and (9) Smoke Detectors hard wired and connected were tested and are working properly. The facility two (2) Fire Extinguishers were checked and found to be fully charged and accessible. All exit doors in the facility have alarm systems. All toxins and knives are locked/secured and inaccessible to clients. Medications are centrally stored and in a locked storage cabinet. Facility first aid kit is fully stocked with manual was checked and in order. Outside grounds were toured and no bodies of water were observed. All Exits/ Walkways around the home were free of debris and hazards. Outside patio accessible to clients. Four (4) client files were reviewed and found to be complete. LPA Calderon reviewed four (4) resident medications, and they were all found to be administered according to doctor's orders. Two (2) staff files were checked and have the required documents. LPA Calderon noted the Administrator Evangeline Agatep Certification # 7006550740 expiration date of 11/08/2026 was valid at time of visit. The facility does NOT handle clients’ money/cash resources, and a NO Surety bond is needed. Commercial General Liability Policy #001455602 policy period from 07/05/2025 to 07/05/2026 underwritten by James River Insurance Company, coverage 1,000,000/3,000,000 is valid at time of inspection. Administrator Evangeline Agatep to email LPA Calderon a full copy of the commercial insurance policy including all endorsements no later than 05/10/2026. All the required documents are posted in the facility in a clearly visible area. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA Calderon did not observe deficiencies therefore no citations were issued at this time. Annual Licensing Fee is CURRENT. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Administrator Evangeline Agatep.the state’s words, verbatim · CDSS document, Apr 9, 2026

Type of visit: Required - 1 Year

On 04/24/2025 at 8 AM, Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced annual inspection visit at the Oakhorne Manor Facility. LPA Calderon was allowed entry into the facility by Administrator Evangeline Agatep. Administrator Evangeline Agatep asked infection control questions and took LPA Calderon temperature prior to entrance into the facility. The facility is licensed to serve six (6) non-ambulatories of which one (1) may be bedridden in bedroom #4. Adults ages 60 and over and have a hospice waiver for two (2). Currently, there are five (5) clients residing in the facility with behavioral issues. LPA Calderon explained to Administrator Evangeline Agatep, the purpose of the one-year Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: Five (5) client service records, five (5) client medication records, two (2) staff records, and inspected the inside facility and outside grounds. The facilities’ last fire drill was conducted on 09/24/2024. The one-story residential home consists of four (4) client bedrooms, two (2) client bathrooms, living room, dining room, kitchen, staff room, office area, attached garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored in the premises. Kitchen was inspected and observed to be clean and operational. A two-day supply perishable and seven-day supply of non-perishable foods are present in the facility. Emergency Water Storage is in the garage and kitchen area. LPA Calderon observed that all facility rooms are clean and in good repair. A comfortable temperature was observed, and the facility has central air and heating. LPA Calderon observed the following during inspection of client’s rooms: mattresses are in good condition, adequate lighting present, plenty of dresser/closet space is present, and all bed linens present. All bedrooms contain furniture, lighting fixtures and personal storage space as required, all beds have the required amount of linen and mattress covers, LPA Calderon observed fully stocked closet with bedding, towels, and toiletries supplies. Bathroom fixtures are clean, in good repair, and working properly and contain the required nonskid mats and grab bars. LPA Calderon observed bathrooms were found to be within Title 22 regulation. Bathroom #1 hot water temperature properly measured at 110 degrees Fahrenheit, and bathroom #2 hot water temperature properly measured at 109 degrees Fahrenheit. Kitchen hot water temperature properly measured at 112 degrees Fahrenheit. Facility (2) Carbon Monoxide and (9) Smoke Detectors hard wired and connected were tested and are working properly. The facility two (2) Fire Extinguishers was checked and found to be fully charged and accessible. All exit doors in the facility have alarm systems. All toxins and knifes are locked/secured and inaccessible to clients. Medications are centrally stored and in a locked storage cabinet. Facility first aid kit is fully stocked with manual was checked and in order. Outside grounds were toured and no bodies of water were observed. All Exits/ Walkways around the home were free of debris and hazards. Outside patio accessible to clients. Five (5) client files were reviewed and found to be complete. LPA Calderon reviewed five (5) resident medications, and they were all found to be administered according to doctor's orders. Two (2) staff files were checked and have the required documents. LPA Calderon noted the Administrator Evangeline Agatep Certification # 7006550740 expiration date of 11/08/2025 was valid at time of visit. The facility does NOT handle client's money/cash resources, and a NO Surety bond is needed. Commercial General Liability Policy #001456601 policy period from 07/05/2024 to 07/05/2025 underwritten by James River Insurance Company, coverage 1,000,000/3,000,000 is valid at time of inspection. Administrator Evangeline Agatep to email LPA Calderon a full copy of the commercial insurance policy including all endorsements no later than 05/10/2025. All the required documents are posted in the facility in a clearly visible area. During the visit, LPA observed the facility infection control practices. LPA observed screening protocols for visitors, staff, and clients, sanitizing stations (Located in common areas and restrooms). LPA observed staff and clients were NOT wearing face coverings. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). LPA Calderon advised the Administrator Evangeline Agatep continuously to monitor the Centers for Disease Control (CDC) website and Community Care Licensing Provider Informational Notices (PIN) for any updates relating to COVID-19 guidance. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA Calderon did not observe deficiencies therefore no citations were issued at this time. Annual Licensing Fee is CURRENT. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Administrator Evangeline Agatep.the state’s words, verbatim · CDSS document, Apr 24, 2025

Type of visit: Required - 1 Year

On 02/28/2024 at 12 noon, Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced annual inspection visit at the Oakhorne Manor Facility. LPA Calderon was allowed entry into the facility by Staff Arceli Villanueva. Staff Arceli Villanueva asked infection control questions and took LPA Calderon temperature prior to entrance into the facility. The facility is licensed to serve six (6) non-ambulatories of which one (1) may be bedridden in bedroom #4. Adults ages 60 and over and have a hospice waiver for two (2). Currently, there are four (4) clients residing in the facility with behavioral issues. LPA Calderon explained to Staff Arceli Villanueva, the purpose of the one-year Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: Four (4) client service records, four (4) client medication records, two (2) staff records, and inspected the inside facility and outside grounds. LPA Calderon interviewed four (4) clients and two (2) staff members for visit. The facilities’ last fire drill was conducted on 02/06/2024. The one-story residential home consists of four (4) client bedrooms, two (2) client bathrooms, living room, dining room, kitchen, staff room, office area, attached garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored in the premises. Kitchen was inspected and observed to be clean and operational. A two-day supply perishable and seven-day supply of non-perishable foods are present in the facility. Emergency Water Storage is in the garage and kitchen area. LPA Calderon observed that all facility rooms are clean and in good repair. A comfortable temperature was observed, and the facility has central air and heating. LPA Calderon observed the following during inspection of client’s rooms: mattresses are in good condition, adequate lighting present, plenty of dresser/closet space is present, and all bed linens present. All bedrooms contain furniture, lighting fixtures and personal storage space as required, all beds have the required amount of linen and mattress covers, LPA Calderon observed fully stocked closet with bedding, towels, and toiletries supplies. Bathroom fixtures are clean, in good repair, and working properly and contain the required nonskid mats and grab bars. LPA Calderon observed bathrooms were found to be within Title 22 regulation. Bathroom #1 hot water temperature properly measured at 110 degrees Fahrenheit, and bathroom #2 hot water temperature properly measured at 109 degrees Fahrenheit. Kitchen hot water temperature properly measured at 112 degrees Fahrenheit. Facility (2) Carbon Monoxide and (9) Smoke Detectors hard wired and connected were tested and are working properly. The facility one (2) Fire Extinguishers was checked and found to be fully charged and accessible. All exit doors in the facility have alarm systems. All toxins and knifes are locked/secured and inaccessible to clients. Medications are centrally stored and in a locked storage cabinet. Facility first aid kit is fully stocked with manual was checked and in order. Outside grounds were toured and no bodies of water were observed. All Exits/ Walkways around the home were free of debris and hazards. Outside patio accessible to clients. Four (4) client files were reviewed and found to be complete. LPA Calderon reviewed four (4) resident medications and they were all found to be administered according to doctor's orders. Two (2) staff files were checked and have the required documents. LPA Calderon noted the Administrator Evangeline Agatep Certification # 6021587740 expiration date of 11/08/2024 was valid at time of visit. The facility does NOT handle client's money/cash resources and a NO Surety bond is needed. Commercial General Liability Policy #001456600 policy period from 07/05/2023 to 07/05/2024 underwritten by James River Insurance Company, coverage 1,000,000/3,000,000 is valid at time of inspection. Administrator Evangeline Agatep to email LPA Calderon a full copy of the commercial insurance policy including all endorsements no later than 03/10/2024. All the required documents are posted in the facility in a clearly visible area. During the visit, LPA observed the facility infection control practices. LPA observed screening protocols for visitors, staff, and clients, sanitizing stations (Located in common areas and restrooms). LPA observed staff and clients were NOT wearing face coverings. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). LPA Calderon advised the Staff Arceli Villanueva to continuously monitor the Centers for Disease Control (CDC) website and Community Care Likening Provider Informational Notices (PIN) for any updates relating to COVID-19 guidance. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA Calderon did not observe deficiencies therefore no citations were issued at this time. Annual Licensing Fee is NOT CURRENT. On 3/07/2024 fee of $1979.00 will be due. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Staff Arceli Villanueva.the state’s words, verbatim · CDSS document, Feb 28, 2024