Oakmont of Chino Hills

Allegation investigated: Staff pushed resident resulting in injury. Staff handled residents in a rough manner.

Licensing Program Analyst (LPA) Paola Guerrero conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with Facility Administrator Janeth Medrano and explained the purpose of the visit. The investigation consisted of interviews and a review of records. First allegation, Staff pushed resident resulting in injury. LPA conducted interviews with Resident #1, Resident #2, Resident #3, and Resident #4, all stated that they are not treated in an inappropriate manner or pushed by staff. Residents #1-4 stated that they have not witnessed staff push residents or treat residents in an inappropriate manner. LPA conducted interviews with Staff #1, Staff #2, Staff #3 and Staff #4, all staff denied pushing residents and deny treating residents in an inappropriate manner. Second allegation, Staff handled residents in a rough manner. LPA conducted interviews with Resident #1, Resident #2, Resident #3, and Resident #4, all stated that they are not being handled in a rough manner by staff. Residents #1-4 stated that they have not witnessed staff handle residents in a rough manner. Unsubstantiated LPA conducted interviews with Staff #1, Staff #2, Staff #3 and Staff #4, all staff denied handling residents in a rough manner. Based on the evidence obtained during the course of the investigation, LPA has determined that the above allegation is Unsubstantiated. Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Facility Administrator Janeth Medrano at the end of the visit.the state’s words, verbatim · CDSS document, Sep 15, 2023 · control 56-AS-20230717101455

Allegation investigated: Staff disclosed resident's confidential information to another resident. Staff did not adequately supervise residents resulting in resident being sexually harassed by another resident.

Licensing Program Analyst (LPA) Paola Guerrero conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with Facility Administrator Janeth Medrano and explained the purpose of the visit. The investigation consisted of interviews and a review of records. First allegation, Staff disclosed resident's confidential information to another resident. During interviews with Resident #2, Resident #3, and Resident #4, residents stated that they feel comfortable going to staff and know that confidential information will not be disclosed to other residents. During interviews with staff, staff denied disclosing Resident #5 confidential information to Resident #1. Staff #1 stated that because of the nature of the situation in which Resident #1 sexually harassed Resident #5 Via Phone; staff intervened and addressed the concern to Resident #1 and suggested to Resident #1 to no longer contact Resident #5 via cellphone. Second allegation, Staff did not adequately supervise residents resulting in resident being sexually harassed by another resident. Unsubstantiated During interviews with Resident #2, Resident #3, and Resident #4, residents stated that they feel safe at the facility and have no concerns with the supervision at the facility. During the interview with Staff #1, staff stated that Resident #1 and Resident #5 live in the assisted living side and live independently on their own. Staff stated that they could not prevent Resident #1 from calling Resident #5 as incident (sexual harassment), occurred through residents own cellphones. Staff stated that residents own their own cell phone and because of that matter staff could not prevent that incident from occurring. Staff #1 stated that Resident #1 and Resident #5 are both independent and do not require supervision unless assistance is needed by the own request of the resident. Based on the evidence obtained during the course of the investigation, LPA has determined that the above allegation is Unsubstantiated. Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Facility Administrator Janeth Medrano at the end of the visit.the state’s words, verbatim · CDSS document, Sep 15, 2023 · control 56-AS-20230716160901

Allegation investigated: Residents developed pressure injuries while in care. Staff do not meet residents' incontinence care needs. Staff speaks inappropriately to residents. Staff handles residents in a rough manner. Staff provide care to residents while under the influence of a substance.

Licensing Program Analyst (LPA) Ryan Gardner made an unannounced visit to the facility to investigate and issue findings for the allegations listed above. LPA stated the purpose of the visit and was granted entry and met with Administrator Janeth Medrano. The visit today consisted of interviews with residents and staff, and document review. For allegation, Residents developed pressure injuries while in care: During document review, LPA discovered that the facility has four (4) residents that have pressure injuries. The four (4) residents are being provided wound care by either home health or hospice. During interviews staff, the staff informed LPA that four (4) residents receive wound care from either home health or hospice. The staff stated that the facility does not treat the pressure injuries. The staff follows instructions from home health and or hospice and will contact the outside providers if there is notice in the resident’s care needs. Unsubstantiated For allegation, Staff do not meet residents' incontinence care needs: During interviews with residents, the residents stated that the staff changes their diapers often and there have been no issues with being left in soiled diapers for extended periods of time. Resident’s have not had any issues with developing rashes and or sores from diapers not being changed. During interviews staff, the staff stated that the resident’s diapers are checked before and after mealtimes. The resident’s diapers are also checked at minimum every two (2) hours during resident room checks. Staff have not seen any issues with residents developing rashes and or sores from diapers not being changed. For allegation, Staff speaks inappropriately to residents: During interviews with residents, the residents stated that they are talked to in a respectful manner by the staff. The residents have not had any instances where they felt they were being spoken to inappropriately. During interviews staff, the staff denied yelling at the residents and speaking to the residents in a disrespectful or inappropriate manner. For allegation, Staff handles residents in a rough manner: During interviews with residents, the residents stated that they have never been pushed, pulled, or harmed in a physical manner by the staff. During interviews staff, the staff denied physically harming the residents. The staff stated that they ensure the residents are handled gently and with care. For allegation, Staff provide care to residents while under the influence of a substance: During interviews with residents, the residents stated that they have never smelled alcohol and or drugs on the staff. The residents have never seen the staff act in a way that would alert them that a staff was under the influence of alcohol and or drugs. During interviews staff, the staff denied coming to work under the influence of alcohol and or drugs and or using alcohol and or drugs while at work. If a staff were to come to work under the influence of alcohol and or drugs, the management would take the staff to be tested, and if positive disciplinary action would take place with the staff. Overall, there was not enough evidence to collaborate the allegations listed above. Based on evidence obtained during the investigation, the allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to Administrator Janeth Medrano, along with a copy of the appeal rights.the state’s words, verbatim · CDSS document, Jul 6, 2023 · control 56-AS-20230628121056

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Natalie Ibarra made an unannounced visit to conduct an annual inspection, with emphasis on infection control. LPA met with Administrator Janeth Medrano and explained the purpose of today’s visit. Administrator accompanied LPA on a tour of the facility. LPA Ibarra toured the facility and made observations pertaining to the facility’s infection control measures. The facility has a plan in place which follows Community Care Licensing Division guidelines for COVID-19 testing, isolating/quarantining residents and properly caring for residents with COVID-19 positive results and/or exposures. The facility has a designated infection control lead person who has been tasked with tracking all COVID-19 cases and/or suspected cases, ensuring PPE supplies are maintained, cleaning and disinfection provisions are in adequate quantities, and that staff are trained in the proper use and disposal of PPEs. The entrance of the facility has a check in process for visitors that includes a vaccination verification/negative COVID test check, a temperature check, and a symptom check. The residents have hand sanitizer available throughout the facility, and the bathrooms were stocked with hand soap and paper towels. LPA Ibarra inspected the facility's Personal Protective Equipment (PPE) supply and observed facility has a thirty (30) day supply of PPE such as gloves, face shields, gowns, surgical masks, N95 masks, disinfectant, and hand sanitizer. All residents and staff are practicing all other COVID-19 precautions, which minimize the risk of them contracting COVID-19. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was discussed and provided to the Administrator.the state’s words, verbatim · CDSS document, Sep 14, 2022

Type of visit: Annual/Random

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to the facility for a required annual inspection, with an emphasis on the infection control domain. LPA met with Janeth Medrano who confirmed there are no active and/or suspected Covid-19 cases in the facility. The facility submitted a mitigation plan to Community Care Licensing (CCL) to mitigate the spread of COVID-19 in the facility. Single entry point to the main lobby has a sign-in policy for universal entry screening. The facility also documents daily temperature and COVID-19 symptom checks for all visitors while residents are subject to routine symptom screening and regular observations for any change in condition. LPA observed all staff are properly fitted with face coverings. Continued weekly routine testing for staff is still observed. LPA Bueno and Administrator Medrano toured the facility inside and out. Medrano verified that the smoke and carbon monoxide detectors were last tested on 10/22/21 and another test is scheduled on 11/23/21. Fire alarms and fire extinguishers are maintained and monitored by an outside vendor. LPA and Administrator viewed a fire extinguisher tag showing that last inspection date of 12/3/20. Hand sanitizer dispensers were observed throughout the facility, mostly situated by the elevators and door to common areas. Medrano confirmed the facility has an adequate supply of cleaning and disinfectant provisions. Based on observations made during today’s inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where this report was discussed, and a copy of this report was also provided to the Administrator at the conclusion of the inspection.the state’s words, verbatim · CDSS document, Nov 22, 2021

Type of visit: Prelicensing

Licensing Program Analysts (LPA) Elecia Weathersby conducted an announced visit to the facility for purpose of a Pre-Licensing evaluation (CHOW). At approximately 9:15AM, LPA Weathersby met with Administrator Janeth Medrano. An initial application to operate an Residential Care for the Elderly facility (RCFE) was submitted to the Central Applications Bureau (CAB) in April 2021 for a total capacity of (170) which includes (155) non-ambulatory and up to (15) bedridden residents. Fire clearance was granted on 06/11/21. LPA Elecia Weathersby observed the following: Structure: Facility was a split four (4) story building with nine (9) common area public bathrooms and (129) personal apartment units, which include (26) memory care units. Heating/Cooling System: Central heating and air conditioning system installed throughout the facility. Temperatures were consistently comfortable throughout the facility between 73-77 degrees Fahrenheit (F), due to extreme outdoor temperatures. Apartments: LPA observed adequate furnishing in occupied apartments consistent with beds, chairs, closets, appropriate linens, adequate lighting, and dining tables. Each accessed apartment equipped with standard appliances such as stove, refrigerator, microwave, dishwasher. Bathrooms: Each residents unit has personal bathrooms, toilet, sink, and shower. Kitchen/Laundry: An adequate supply of dishes, glasses, utensils, pots and pans were observed. Knives/sharp instruments were secured in a locked drawer located in the kitchen. There was adequate room for food storage. LPA observed the stove to be operational. Refrigerator/freezer were in working condition (CONTINUED ON LIC 812C) (CONTINUED FROM LIC 812) and had sufficient storage for perishable food. There was adequate seating for meals for all clients. Laundry rooms with washer and dryer was located on each floor. Living/Family room: There were open seating areas throughout the facility with safe and adequate seating for residents in care. Yards/Outside: LPA observed adequate patio shade coverage and sufficient outdoor seating for residents and guest. Fencing secured the entire back building area. All outdoor pathways were free of obstructions. LPA observed an outdoor fenced pool which was locked and requiring repairs related to quality of water, fencing, and electrical hazards (per County of San Bernardino as of 7/22/2021). Emergency Phone Numbers, and Exit Plan: Facility sketch, Ombudsman poster observed, emergency phone numbers were observed posted in the main 2nd floor area. General items: Facility equipped with more than (200) hardwired, working smoke detectors and (36) fire extinguishers. LPA observed all to be charged and serviced within the past year (verification obtained) and located throughout the facility. Client medications and records will be stored in locked medication rooms. First Aid kit with required components, and locked area for medication storage was observed. LPA observed a facility phone and it was verified to be operational as evidenced by LPA dialing the number to trigger a ring. Component III: LPA conducted the component III training with the Administrator on this date. Pre-Licensing is incomplete and the following deficiencies to be resolved by 8/5/2021: Water Quality Electrical Hazards - Lighting See something say something poster and Ombudsman poster, posted in obscure areas (Should be visible to staff, residents, and guest). A follow up Pre-Licensure LIC809 will be generated upon resolution of deficiencies on 8/5/2021..the state’s words, verbatim · CDSS document, Jul 29, 2021