White Oaks Senior Living

Licensing Program Analyst (LPA) Maria (Mita) Partoza, conducted an unannounced required 1-year inspection visit, met with designated administrator (DADM) Azarel James Equing and Licensee (LIC) Irish Ladwig who arrived at 2:10 p.m. The facility is licensed to serve adults 60 and over 6 ambulatory, 3 may be non-ambulatory, and 2 may be bedridden and hospice waiver for 3. At 1:10 p.m. LPA was accompanied by DADM during inspection of the facility's interior and exterior area. LPA inspected the kitchen, dining, living room 5 resident bedroom, laundry area and back deck patio. LPA observed that the deck and ramp addressed from prior annual visit was addressed and repaired. LPA observed that the exterior and interior walkways are free from obstructions. LPA inspected 5 residents rooms and observed rooms have sufficient storage to store residents personal belongings. The bathrooms are equipped with the grab bars, and anti skid mats. 1 Out of 5 resident room is shared, and 4 out of 5 bedroom are single occupancy. Emergency exit are free from obstruction and debris. Knives, sharps and medications are locked and not easily accessible to residents in care. Chemicals, cleaning supplies and laundry products are locked and not accessible to residents in care. The facility is equipped with audible alarms. See LIC 809C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 The facility temperature is at 74 degree F, the refrigerator temperature is at 32 degree F, freezer temperature is at 0 degree F, hot water temperature in the resident bathroom and kitchen measured at 105 degree F. LPA observed food supply for 2 days of perishable and 7 days of non-perishable food items. The facility is equipped with smoke and carbon monoxide alarm system, a fire extinguisher that was last inspected on 03/11/2025. LPA verified the first aid kit is complete with instruction manual. LPA reviewed the facility file and able to verify quarterly fire and earthquake drill preparedness training. The training was administered on the following dates 01/19/25, 04/16/25 and 07/02/25. LPA reviewed 4 resident records including but not limited to the Centrally Stored Medication Record (CSMDR), physician's report, appraisal needs and services plan. LPA reviewed 4 staff record including but not limited to background clearance, certificates, and training. Resident and staff records are complete and up to date. LPA requested copies of updated LIC 500, LIC 308, dementia care plan and liability insurance. No deficiencies were cited during today's visit based on California Code of Regulation (CCR) Title 22. An exit interview was conducted with Designated Administrator (DADM) Azarel James Equing and Licensee (LIC) Irish Ladwig. A copy of the report was provided. End of Report

Licensing Program Analysts (LPAs) Marcella Tarin and David Marrufo conducted an unannounced required 1 year annual inspection. LPAs met with Administrator Irish Ladwig. LPAs toured the facility inside and out. LPAs toured the kitchen. LPAs observed a supply of 7 days of nonperishable food and 2 days of perishable food. LPAs observed the refrigerator temperature at 30 degrees F and freezer temperature at 0 degrees F. LPAs observed sharps locked in a drawer. LPAs toured 2 out of 2 hallway resident bathrooms. The water temperature in resident bathrooms were recorded at 118 degrees F and 110 degrees F. All bathrooms had soap, paper towels and functioning lights. LPAs observed the smoke detectors to be functioning properly. LPAs observed service tags on the fire extinguisher with a service date of 3/8/2024. LPAs toured 4 out of 4 resident rooms. 4 out of 4 resident rooms had functioning lights, and storage space for resident belongings. LPAs reviewed 6 Centrally Stored Medication and Destruction Records and found to be complete. 6 out of 6 resident records were reviewed and found to be complete. LPAs reviewed 4 staff records. 4 out 4 reviewed staff records were complete. 4 out 4 staff members obtained background and fingerprint clearance. LPAs observed a fire drill log, last fire drill recorded 7/22/2024. LPAs toured the outside of the facility. LPAs observed one section of the floor of the back patio to be fragile and became depressed when LPAs stepped on it. An Advisory Note was issue. See LIC9102 for more information. No deficiencies were cited as per California Code of Regulations Title 22. This report was reviewed with Administrator Irish Ladwig. A copy of this report was provided.

Licensing Program Analyst Ryker Heberle (LPA) conducted an unannounced annual inspection on 09/08/2022 at 1:47pm. LPA met with facility Administrator Irish Ladwig (Admin). LPA toured the facility, including living room/dining room, kitchen, laundry room, 2 staff bedrooms, 5 resident bedrooms, 3 bathrooms, back yard, and garage. Staff members were not observed to be wearing masks upon LPA arrival. Admin confirmed that all staff and residents have been vaccinated. Facility observed to have designated entry point. Staff took LPA's temperature and screened for symptoms. 30 day supply of PPE observed. Restrooms were not stoked with paper towels. Hand washing signs observed to be in all bathrooms. Social distancing signs observed to be posted in all public areas. Facility infectious control plan has already been submitted. No prohibited items noted in resident rooms. All emergency exits noted to be clear of obstruction. All rooms in facility noted to be clean and well maintained. Hand sanitizers, soap, and paper supplies were observed to be available. At least 2 days' supply of perishable food and at least 1 week's supply of non-perishable food was observed on the premises. Fire extinguishers observed to have been inspected in March of 2022. Facility carbon monoxide detector tested and observed to be in working order. Facility water temperature observed to be at 119.7 *F. No deficiencies cited during today's visit. Advisory notes issued. This report was reviewed with Administrator Irish Ladwig and a copy of the signed report was provided.

Licensing Program Analyst (LPA) Ryker Heberle conducted an unannounced pre-licensing inspection today. LPA met with Administrators (ADMs) Irish & Justin Ladwig. At around 2:01pm, LPA toured the facility inside and out. Including living room, dining room, kitchen, family room, 5 bedrooms, 3 bathrooms, utility/laundry room, and garage. A screening station was observed by the entry door for anyone coming in the facility. Facility staff properly screened LPA before entering the facility. The facility is equipped with connected smoke detectors. The smoke detector located in the dining room was tested and observed working. All fire/carbon monoxide detectors observed to be connected. Fire extinguisher was observed in the dining room and had been last serviced in August of 2021. The kitchen, dining, living room, and family room were observed in good repair. Resident and personnel files observed to contain all necessary documentation, including Appraisal Needs and Services Plans, Physician's Reports, first aid certifications, and criminal background clearances. Resident bedrooms were observed in good repair, furnished, with clean linens and adequate lighting. Screen door in bedroom #5 noted to be damaged. LPA advised ADMs to fix screen door. Bathrooms were observed clean and equipped with grab bars and non-skid mats. The water temperature was measured at 116 degrees F in facility bathroom. Centrally stored medication cabinet was observed. 2 days supply of perishable and 1 weeks supply of nonperishable food observed. A complete first aid kit was inspected. All outdoor and indoor passageways were observed clear and free of obstruction. No bodies of water observed. Component III orientation was waived due to licensee's prior experience. Based on today's inspection, the physical plant is recommended for licensure pending the completion of all application documents with the Central Applications Bureau (CAB). Exit interview conducted with and copy of report provided to Administrator Irish & Justin Ladwig.

COMP II by CAB successfully completed Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): 3 Method: Telephone call with CAB COMP II Participants: Irish Ladwig , Administrator/Owner; Shannon Betker, analyst. Applicant/administrator participated in COMP II at CAB via telephone call with analyst at CAB. Identification of the applicant and administrator was verified by confirming driver’s license number. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Staff qualifications and responsibilities 3. Staff training 4. Applicant and Administrator qualifications 5. Grievances, Complaints, Community resources 6. Food service 7. Medication management 8. Application document review and technical assistance: Pre-licensing inspection, COVID19 Mitigation Plan Report