Oakhurst Board and Care

Type of visit: Case Management - Annual Continuation

On 9/25/2024 Licensing Program Analyst (LPA) Sarah Hurt arrived unannounced at the facility listed above to conduct a continuance of the Annual Inspection which was originally started on 09/30/2025. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility. LPA met with staff Kathy Mckinney, and Caregiver Tiffany Standley. Facility staff present notified facility Administrator Mistie Rose of Annual continuation inspection. LPA reviewed a sample of facility staff files, and a sample of resident files. LPA reviewed resident Centrally stored medication records along with medications. Facility Resident 1 does not have required annually updated assessment. Resident 2's Appraisal does not document recent frequent falls, and is more than 12 months old. The following Deficiencies are being cited Per Title 22 Regulations. Exit interview conducted with facility staff Tiffany Standley, and a copy of this report provided.the state’s words, verbatim · CDSS document, Oct 20, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87463(a) · Plan of correction due date: Nov 4, 2025

87463 Reappraisals (a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. The following requirement has not been met as evidenced by: Resident 1 and Resident 2 need current updated assessments, which poses a potential, health, safety, or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Oct 20, 2025

Plan of correction: Administrator will submit updated appraisals for Resident and Resident to LPA by POC date of 11/04/2025.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced visit today for the facility’s annual inspection. LPA met with facility staff Janna Suglian Continual Administrator's Certification for Shana Thrasher expires 08/19/2027. There are currently 5 residents who reside at this home and there is 0 residents on hospice at this time. LPA inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, activity rooms, medication storage, kitchen, and outdoor areas. There is a locked storage for medications. Food supply is adequate for 2-day perishable and 7-day nonperishable. Fire extinguisher is within the safety regulation period. Water temperature was tested at 113 degrees. Toxins and cleaning supplies are locked and inaccessible. LPA observed two facility resident bedrooms smell strongly of urine. LPA observed facility front room carpet to be stained. LPA observed downstairs bedroom labeled on facility sketch as resident bedroom is full of mattresses and clutter. LPA observed rotten molded cabbage in the facility refrigerator. LPA observed back porch slider window screen has tear near the door handle. The following deficiencies observed or cited during today's inspection per California Code of Regulations, Title 22. LPA will return at a later date to review records and complete this inspection. LPA requested the following documents: LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610-E the Emergency Disaster Plan and copy of current Administrator’s Certificate to update the facility file. Listed documents shall be sent to Licensing. Exit interview conducted with Facility staff, Janna Suglian, and copy of report left at facilitythe state’s words, verbatim · CDSS document, Sep 30, 2025

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Case Management - Annual Continuation

On 9/25/2024 Licensing Program Analyst (LPA) B. Miranda arrived unannounced at the facility listed above to conduct a continuance of the Annual Inspection which was originally started on 9/20/24. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility. LPA met with staff Muang Saechao who stated they are in the process of becoming Administrator. Caregiver Heidy Campos was at the facility and the annual inspection was completed with her. LPA has been to the facility multiple times and current administrator Lucy Leang has not been at the facility. Interviews were conducted and some interviewees stated they did not know nor have they met the listed Administrator. Administrator was also not listed on the schedule Staff Maung Saechao provided. Current and valid administrator’s certificate was not provided. LPA did not observe documentation for emergency drills that were conducted at the facility. LPA observed medication to not be stored in original containers and to be stored in weekly pill planners. LPA reviewed a sample of files and R2’s file did not have current PRN form with correct medications. Residents with a DX of dementia should have a medical assessment and reappraisal completed annually, LPA reviewed sample files and found R1 to have their last medical assessment 9/21/2020. On 9/20/2024 LPA observed a cabinet in the dining area to be unlocked with medication accessible to residents. On 9/20/2024 & 9/25/2024 LPA observed exit auditory alarms to be turned off or not in working conditions. LPA reviewed a sample of resident’s centrally stored medication log which was not completed correctly for R1. LPA was not able to review liability insurance due to not being provided. LPA was not able to review staff file on 9/20/2024 due to not being at the facility. LPA reviewed staff files which did not have current training, some of the older training did not have the completed amount of time of training. Facility has residents with DX of dementia, LPA observed box cutter/razor in unlocked kitchen drawer, shed in the back of the facility unlocked with tools and other hazardous items, gardening items & cigarette butts left outside and accessible. LPA observed soiled toilet paper to be on the floor of the bathroom, trash can with no fitted lid, and brown markings on the back of the bathroom door. LPA observed one caregiver at the facility answering medication questions from family members, trying to conduct a tour, playing bingo with residents, give water to resident, make dinner, and tend to other resident needs. Caregiver was the only one on staff at the facility. Muang also stated the facility is short staffed. Exit interview was conducted and a copy of this report LIC809, LIC809C, LIC809Ds, and appeal rights were provided to Caregiver Heidy Camposthe state’s words, verbatim · CDSS document, Sep 25, 2024

Type of visit: Required - 1 Year

On 9/20/2024 Licensing Program Analyst (LPA) B. Miranda arrived unannounced at the facility listed above to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility. Staff stated April Gaylord is the Administrator and was contacted. April asked if she needed to be at the facility and LPA informed it is not require and staff will be asked to sign the report. LPA toured the facility inside and out including entry, kitchen, dining, living room, bedrooms, bathrooms, and exterior. LPA observed the facility to be at a comfortable temperature, clean inside, and odor free. Inside the facility is free of debris and no passageway obstructions were observed. Common areas were properly furnished and well-lit throughout. LPA observed debris outside the facility and outside not being maintained. LPA observed storage shed to be open and accessible which has tools and other hazard items. LPA observed one medication cabinet to be unlocked and accessible to residents. One drawer in the kitchen has a razor/box cutter accessible to residents. Exits of the facility did not have auditory alarms and kitchen cabinets are dirty. Facility capacity is 11, with a current census of 7. Facility has 9 bedrooms and 4 bathrooms. At this time the current residents do not share bedrooms. Fire extinguishers were last serviced 5/2/23, there is still charge. Smoke detectors and carbon monoxide detectors were tested and 1 carbon monoxide detector is not working. Water temperature was checked in the kitchen and read at 107.9 degree Fahrenheit, one common resident's bathroom was checked and read at 116.8 degree Fahrenheit. Inspecting kitchen LPA observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables food items to be properly stored. Knives & cleaning supplies were observed to be locked and inaccessible to residents. LPA reviewed a sample of resident files and was not able to review staff files or listed Administrator's file Lucy Leang. LPA observed residents physician reports to be over a year old and not current. Facility did not have infection control plan, liability insurance, plan of operation, plan of operation with dementia, current resident roster available at the facility for LPA to review. LPA conducted multiple interviews with residents who stated they are happy at the facility, feel safe, and love the food. Follow-up visit will be conducted to complete annual inspection. Deficiencies will be cited during the follow-up visit. Exit interview was conducted and a copy of this report LIC809 was provided to Staff Heidy Campos.the state’s words, verbatim · CDSS document, Sep 20, 2024

Type of visit: Case Management - Other

On 1/5/23 Licensing Program Analyst (LPA) B. Miranda arrived to the facility unannounced to conduct a case management visit. LPA met with the two staff members at the facility. LPA spoke with Ester from Admin over the phone, staff member K. McKinny assisted LPA at the facility during the visit. LPA spoke with Ester regarding an incident report that was submitted 12/14/23 to LPA's email account regarding R1's incident that occurred 11/12/23. Ester stated it was a typo and the incident occurred 12/12/23, LPA informed Ester to submit a revised incident report for R1. Facility provided a revised incident report with the correct date and activity log for the date the incident occurred by 1/9/24. An incident report was submitted for R2 which resulted in a change of condition. Ester stated the incident report was originally sent to LPA on 12/21/23, and the follow-up incident report was sent 1/3/24. LPA was able to confirm. LPA was not able to locate S2's current LIC602A, reappraisal, health care plan and verification of staff training for R2. The facility will provide the information to LPA by 1/9/24. The resident actively log indicates R2 was discharged and back at the facility as of 1/2/24. At this time no deficiencies were cited Exit interview was conducted with Ester over the phone and a copy of this report LIC809 was provided to Caregiver K. McKinny who will be signing the report.the state’s words, verbatim · CDSS document, Jan 5, 2024