O'Connor Woods Assisted Living

Type of visit: Required - 1 Year

Licensing Program Analysts's (LPA'a) Melina Oropeza and Kesha Lewis arrived at this facility unannounced to conduct a Required 1 Year Annual Inspection Visit. LPA was met by staff and administrator, Dawn Shimel joined 5 minutes later. LPA explained the purpose of the visit to Administrator and staff. LPA and administrator inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry area, living area and other common areas, as well as outside of the facility to ensure compliance with Title 22 regulations. Facility is a 499 bed facility. Assisted Living has a current census of 80. Memory Care has a current census of 26. Chemicals and medications noted to be locked to residents in care. A pond is located on the property on the independent living side. LPA also conducted the care tool. Hot water temperature was measured at 112 F degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees Fahrenheit. LPA observed the following posted on the facility wall: Facility license, sketch, See Something Say Something poster, Ombudsman poster, Theft and Loss Policy, Resident Bill of Rights, Rights of Resident/Family Councils. LPA observed the facility to have adequate food supply of 7 days non-perishables and 2 days perishables in place. Resident rooms were sanitary and had the required furniture and furnishings. LPA observed, fire extinguishers/ancel system inspected on 04/16/2026 and current, smoke and carbon monoxide detectors, central heating and air in the facility. Ice machine was inspected on 07/26/2026. Elevator permit is valid until 10/28/2026. The first aid kit was found in compliance. LPA reviewed fifteen (15) staff. All staff is fingerprint cleared and associated to the facility and staff have current First Aid or CPR certifications on file. Facility is conducting initial and continuing training as required. LPA reviewed ten (10) resident facility files from Assisted Living, COVID-19 Plan, and survey binder. All necessary documents were in place. LPA reviewed ten (10) resident facility files from Memory Care, COVID-19 Plan, and survey binder. All necessary documents were in place. Exit interview held with staff and copies of reports left at conclusion of visit.the state’s words, verbatim · CDSS document, Aug 12, 2026

Allegation investigated: Staff did not properly report incidents involving a resident to an authorized representative. Staff are not providing access to a resident's records.

Licensing Program Analyst (LPA) Kesha Lewis arrived at the facility unannounced to open an complaint for the above allegations. LPA was greeted by Executive Director and explained the reason for the visit. LPA Lewis found that R1 is cared for in skilled nursing which is under Public Health tnot the department od social services. Therfore this complaint is unfounded. A finding of unfounded means the allegation is false, could not have happened, or is without a reasonable basis. Exit interview conducted. copy of report given. Unfoundedthe state’s words, verbatim · CDSS document, Sep 12, 2025 · control 27-AS-20250911132141

Allegation investigated: Licensee does not ensure that skilled professional provides injections to residents

Licensing Program Analyst (LPA) Kesha Lewis contacted Administrator Dawn Shimel on this day to conclude a complaint investigation. LPA explained the purpose of the visit. Based on interviews and documentation with the Human resources Manager and the Human recourses generalist and administrator the allegation Licensee does not ensure that skilled professional provides injections to residents is Unsubstantiated. The administrator was able to provide documentation that the facility has on staff an RN and two (2) LVN'S. A finding that the complaint allegation(s) is UNSUBSTANTIATED means that although the allegation(s) may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred. An exit interview was conducted and a copy of the report provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 27, 2025 · control 27-AS-20250610162605

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kesha Lewis arrived at this facility unannounced to conduct a Required 1 Year Annual Inspection Visit. LPA was met by administrator. LPA explained the purpose of the visit to Administrator. LPA and administrator inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry area, living area and other common areas, as well as outside of the facility to ensure compliance with Title 22 regulations. Facility is a 499 bed facility with a current census of 96. Chemicals and medications noted to be locked to residents in care. LPA also conducted the care tool. A pond is located on the property on the independent living side. Hot water temperature was measured at 113 F degrees Fahrenheit in resident kitchen sink, which is within the required range of 105 to 120 degrees Fahrenheit. All necessary documents were in place. LPA observed the following posted on the facility wall: Facility license, sketch, See Something Say Something poster, Ombudsman poster, Theft and Loss Policy, Resident Bill of Rights, Rights of Resident/Family Councils. The facility submitted a LIC 808 mitigation plan, which was approved. The facility has central entry point. LPA observed the facility to have adequate food supply of 7 days non-perishables and 2 days perishables in place. Resident rooms were sanitary and had the required furniture and furnishings. LPA observed, fire extinguishers inspected on 03/23/2025 and current, smoke and carbon monoxide detectors, central heating and air in the facility. The first aid kit was found in compliance. LPA reviewed ten (10) staff files. All staff is fingerprint cleared and associated to the facility and staff have current First Aid or CPR certifications on file. Facility is conducting initial and continuing training as required. LPA reviewed nine (9) resident facility files five of witch were memory care and five were assisted living, COVID-19 Plan, and survey binder. All necessary documents were in place. Exit interview held with administrator and copies of reports left at conclusion of visit.the state’s words, verbatim · CDSS document, Aug 27, 2025

Type of visit: Case Management - Incident

Licensing Program Analysts (LPA) Kesha Lewis arrived at the facility unannounced for the purpose of conducting a case management incident inspection regarding incident reports received dated 5/16/2025. LPA explained purpose of visit to the administrator. The incident reports were regarding a death of a resident (R1). LPA reviewed incidents reports Resident records facility had previously emailed LPA Lewis the documentation. The department requested a copy of R1'S death certificate. No further follow up is needed at this time regarding this incident, all reporting was done on time and to the required departments. Per California Code of Regulations, Title 22 NO deficiencies were observed and are being cited during today's case management inspection. An exit interview was conducted, and a copy of this report was given.the state’s words, verbatim · CDSS document, Jun 13, 2025

Type of visit: Case Management - Incident

Licensing Program Analysts (LPA") Kesha Lewis and Maja Jenson arrived at the facility unannounced for the purpose of conducting a case management incident inspection regarding incident reports received dated 7/8/2024 and 5/21//24 for two resident falls. LPA explained purpose of visit to the administrator. The incident reports were for two residents that were sent to the hospital. R1 was having pain then sent to hospital were a possible hair line fracture of the knee may be present incident occurred on 5/15/24 and needs and services plane was updated 5/17/24. R2 was sent to hospital on 7/8/24 for an unwitnessed fall needs and services plan was updated on 7/10/24. All RP notified in both incidents. Per California Code of Regulations, Title 22 no deficiencies were observed and are being cited during today's case management inspection. An exit interview was conducted and a copy of this report was given.the state’s words, verbatim · CDSS document, Jul 16, 2024

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA'S) Kesha Lewis and Maja Jenson arrived at this facility unannounced to conduct a Required 1 Year Annual Inspection Visit. LPA was met by administrator. LPA explained the purpose of the visit to Administrator. LPA and administrator inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry area, living area and other common areas, as well as outside of the facility to ensure compliance with Title 22 regulations. Facility is a 499 bed facility with a current census of 101. Chemicals and medications noted to be locked to residents in care. LPA also conducted the care tool. A pond is located on the property on the independent living side. Hot water temperature was measured at 117 F degrees Fahrenheit in resident kitchen sink, which is within the required range of 105 to 120 degrees Fahrenheit. All necessary documents were in place. LPA observed the following posted on the facility wall: Facility license, sketch, See Something Say Something poster, Ombudsman poster, Theft and Loss Policy, Resident Bill of Rights, Rights of Resident/Family Councils. The facility submitted a LIC 808 mitigation plan, which was approved. The facility has central entry point. LPA observed the facility to have adequate food supply of 7 days non-perishables and 2 days perishables in place. Resident rooms were sanitary and had the required furniture and furnishings. LPA observed, fire extinguishers inspected on 03/2024 and current, smoke and carbon monoxide detectors, central heating and air in the facility. The first aid kit was found in compliance containing at least the following: a current edition of a first aid manual approved by the American Red Cross, the American Medical Association or a state or federal health agency, sterile first aid dressings, bandages or roller bandages, adhesive tape, scissors, tweezers, thermometers, and Antiseptic solution. LPA reviewed ten (10) staff files. All staff is fingerprint cleared and associated to the facility and staff have current First Aid or CPR certifications on file. Facility is conducting initial and continuing training as required. LPA reviewed ten (10) resident facility files five of witch were memory care and five were assisted living, COVID-19 Plan, and survey binder. All necessary documents were in place. Exit interview held with administrator and copies of reports left at conclusion of visit.the state’s words, verbatim · CDSS document, Jul 16, 2024