Oakmont of Folsom.

Allegation: Staff are not providing adequate food services. On February 12, 2026, LPA toured the kitchen area for the ability to prepare and store food. The kitchen appeared to be in good repair, and the care home had the required 2-day perishable and 7-day nonperishable food supply on hand. The meal menu for the months of January-February indicated a variety of food offered to the residents in care. LPA was also provided the winter everyday menu and everyday breakfast menu with daily specials. Interviews with R4, R5, R6, S1, S2, and S3 indicated that the facility provides adequate food services. Allegation: Staff do not provide records to resident's responsible party in a timely manner. Interviews with R4, R5, R6, and resident (R7) indicated that facility will provide records to the resident and/or their responsible party when requested. Interviews with S1, S2, and S3 indicated that the facility staff provide records to a resident's responsible party in a timely manner. The complaint did not specify a particular resident or responsible party. Allegation: Staff do no accord resident privacy. Interviews with R4, R5, R6, and R7 indicated that the facility staff provide them privacy. Interviews with S1, S2, and S3 indicated that staff give residents their privacy. S1, S2, and S3 indicated that they have never witnessed or heard of any staff wearing meta glasses to records residents. S1, S2, and S3 also stated that they would inform the ED or any supervisor as it would be a violation of the residents' privacy. On February 12, 2026 and February 19, 2026, LPA observed several staff in the care home and did not observe anyone wearing meta glasses used to record. Interview with ED indicated that they have never witnessed any staff wearing meta glasses and have not heard any complaints of staff wearing meta glasses. Based on interviews conducted, medication count, observations made, and documentation obtained, 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. Therefore, the allegations are UNSUBSTANTIATED. No deficiencies are being cited. Exit interview conducted. A copy of the report was provided.

Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the Executive Director (ED), Anyssa Hill, to conduct a case management visit in relation to a separate inspection conducted on today’s date, December 23, 2025. According to resident (R1's) visit summary, dated November 7, 2025, R1 was seen by a physician and was prescribed medication to treat scabies. Interviews with ED, Memory Care Director (MCD), and Health Services Director (HSD) indicated that R1's responsible party contacted Sacramento County Public Health (SCPH). SCPH contacted the facility on November 21, 2025 and provided the facility with scabies prevention and control guidance. Interview with SCPH indicated that management of a single case of scabies is the same as an outbreak as it can spread quickly. SCPH indicated that the difficult part about scabies is that sometimes the skin scrapping can come back negative, however, does not necessarily mean that the individual did not have scabies. SCPH indicated that physician's will typically treat scabies based on appearance and symptoms. SCPH indicated that facilities should notify them even if their is a single case of scabies to ensure the facility is following the appropriate prevention and control guidance. CCLD follows SCPH guidance regarding infection prevention and control. LPA obtained a copy of the SCPH scabies guidance, which indicated that management of a single case is essentially the same as for an outbreak. Also, that an outbreak cannot be conclusively excluded for at least 6 weeks following the last unprotected exposure to the case. On November 21, 2025, the facility contacted CCLD, however, no Unusual Incident/Injury Report LIC624 was received regarding R1's treatment for scabies on November 7, 2025. As a result of today's inspection, a deficiency is being cited pursuant to California Code of Regulations, Title 22, Division 6, Chapter 8. Deficiency is listed on 809-D pages. Exit interview was conducted. A copy of this report and appeal rights were provided.

when necessary, to prevent the spread of scabies. Interviews indicated that memory care residents do not have shared items in their bedrooms, if in a shared room, and that residents utilize locked cabinets to keep their personal belongings. Interview with ED indicated that R1 did not have a roommate until 7-days after the treatment for scabies. Interviews with ED, MCD, and HSC indicated that the facility has been conducting skin checks of all residents in memory care. Interviews with S1 and S2 indicated that, if any observations of skin concerns were made by care staff, they would notify the Med Tech on duty. S1 and S2 indicated that memory care staff have not observed any additional residents exhibiting signs or symptoms of scabies. There have also not been any staff exhibiting signs or symptoms of scabies in the care home. Interview with ED, MCD, and HSC indicated that R1's responsible party contacted Sacramento County Public Health regarding R1's scabies. Sacramento County Public Health contacted the facility on November 21, 2025 and provided the facility guidance information regarding scabies. The facility also contacted CCLD on November 21, 2025. Interview with Sacramento County Public Health indicated that they provided the facility with scabies prevention and control information. Sacramento County Public Health provided LPA a copy of the information. Sacramento County Public Health did not express any concerns regarding the steps the facility took to ensure infection control in the facility. However, Sacramento County Public Health indicated that the facility should contact them even if there is one (1) resident that is being treated for suspected scabies to ensure the facility is following the appropriate prevention and control guidance. According to visit summary, R1 was seen by a physician, on November 19, 2025, and was instructed to continue scabies medication treatment. The physician also performed skin scrapping on R1's left wrist to rule out scabies and fungal infection. The results indicated that there was no fungal infection to date and that the culture will be examined weekly for a total of 28 days incubation. A change in status will result in an updated culture report. To date the facility does not have any additional suspected cases of scabies. The facility utilized their scabies management policy to maintain infection control in the care home. Based on interviews conducted and documentation obtained, 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. Therefore, the allegation is UNSUBSTANTIATED. No deficiencies are being cited. Exit interview conducted. A copy of the report was provided.

the facility with a written 30-day notice when it was determined that R1 did not want to move into the facility. The facility utilized a text message from R1's responsible party indicating that R1 would not be moving in as the official 30-day notice, beginning October 1, 2025. According to R1's Admission Agreement signed September 2, 2025, a resident "may terminate this Agreement at any time, with or without cause, by giving the Executive Director of the Community or his/her designee thirty (30) days' prior written notice of termination. You need not cite a specific reason for the termination. If You move out without providing thirty (30) days notice, You will be responsible for the amount of your Monthly Fee through the date You move plus one full month's fees". ED indicated that, although they didn't receive a formal written notice, they used the text message as notice and informed the responsible party that they will only be responsible for the rent through the 30-days, October 1, 2025- October 30, 2025, and will not be charged an additional months rent. ED indicated that the facility was able to find a new tenant for the apartment to move in October 19, 2025, so offered to prorate what the responsible party owed in rent for October 1, 2025-October 16, 2025. According to ledger, the facility needs to edit their prorating of rent. The facility did not charge R1 care fees and care fees were credited to the account as R1 never received care at the facility. Facility did not charge $500 pet fee as the pet fee of $500 was credited as well. According to the Admission Agreement, "If you leave Oakmont during the first (1st) month, You will receive a refund of 80% of the Community Fee (minus $500 for the assessment). If you leave Oakmont during the second (2nd) month, You will receive a refund of 60% of the Community Fee (minus the $500 for the assessment)". ED indicated that the facility was going to refund R1 and their responsible party 80% even though R1's move out date was during the second (2nd) month. R1 did not pay rent during the second (2nd) month so had a balance due of $3,852.42. R1 is due 60% of their Community Fee in the amount of $5,397. Originally, the facility applied the 80% fee towards R1's remaining rent balance due. However, the Community Fee is a separate charge than a resident's rent. The facility agrees to refund R1 the Community Fee. The facility sent R1's responsible party payment of $1,366.60 on November 3, 2025. Text correspondence between facility and responsible party indicated that the check for $1,366.60 was received on November 8, 2025. The facility owes R1 and their responsible party an additional $4,030.40. Based on records reviewed and interviews conducted, the preponderance of evidence standards have been met. Therefore, the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D page. Exit interview conducted. A copy of report and appeal rights were provided.

Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived unannounced to conduct the annual inspection. LPA met with Executive Director (ED) Anyssa Hill and explained the purpose of the visit. Currently there are seventy-one (71) residents of which six (6) residents are receiving hospice services. LPA toured facility with ED to ensure health and safety of residents in care. LPA toured eight (8) resident rooms, medication room, bathrooms, kitchen, common living spaces, outdoor spaces, and activity areas. In the areas toured no immediate health, safety, or personal rights violations were observed. Hot water was measured at 105.6 degrees. LPA toured the assisted living side of the facility and the memory care unit with a delayed egress. There is a locked storage for medications and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable. LPA reviewed ten (10) resident files. LPA reviewed two (2) resident medications comparing with current physician orders. LPA reviewed ten (10) staff files. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. No deficiencies are being cited as a result of todays inspection. Exit interview conducted and copy of the report and LIC809G was left at the facility.

On 04/02/2025, Licensing Program Analysts (LPA) Cheyenne Ratajczak and Cassandra Mikkelson arrived unannounced to conduct a case management visit. LPAs met with Executive Director (ED) Anyssa Hill and explained the purpose of the visit. During visit LPAs were informed Michael Clymo is no longer the ED of the facility. Anyssa Hill is the ED now and has been since March 17, 2025. ED stated that they did send in the paperwork to Community Care Licensing (CCL) to make the change. LPA requested for facility to resend the documents. Facility sent an incident report into CCL concerning an incident that occurred on 03/15/2025. LPAs interviewed ED and Memory Care Director concerning incident and obtained resident documents. No deficiencies cited at this time. Exit interview conducted and a copy of the report was left at the facility

During multiple visits conducted at the facility, LPAs observed resident’s medication MARs to be complete with no errors indicated. LPAs observed medication room to be clean and organized. Interviews conducted with staff members S1, S2, S3, S4, S5, and S6 indicated that they have not witnessed any mismanagement of resident medications. Interviews with thirteen (13) residents indicated that they have never received the wrong medication or not been given the correct dosage of their medications. Based on interviews conducted and observations, the preponderance of evidence standards have not been met. Therefore, the above allegation is found to be UNSUBSTANTIATED. Findings that the complaint is Unsubstantiated means that, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview was conducted with Michael Clymo. A copy of this report was provided. Signature on these forms acknowledges receipt of these documents.

LPA investigated the allegation, “Staff are not meeting residents’ hygiene needs”. LPA toured the memory care unit, and observed common living spaces, and resident rooms. LPA observed resident rooms appeared to be clean and free from odor. LPA observed residents in care engaged in an activity, and residents appeared to be clean, dressed well, and comfortable. LPA interviewed 5 staff members in which they stated they provide routine incontinence care to residents in need and change them frequently throughout the shift. Staff stated they have not observed any of the resident’s hygiene needs not being met. Staff stated they believe they have enough staff per shift to meet resident needs. Relevant party indicated some residents have a smell to them and there are not enough staff to meet their needs, however no specific information was provided. Due to observation and interviews, LPA finds allegation to be UNFOUNDED. LPA investigated allegation, “Facility is unkempt”. LPA toured the memory care unit which included resident rooms, common areas, kitchen and dining room area, and outdoor areas. LPA observed the memory care unit to be clean and free from odor. LPA observed the kitchen and dinning room area to be sanitary and clean. LPA interviewed 5 staff members in which they stated housekeeping and other staff keep the memory care clean and free from odor. Relevant party indicated there was standing water and dirty fans in the memory care unit, LPA did not observe any of these issues. Due to observation and interviews, LPA finds allegation to be unfounded. The allegation is UNFOUNDED. A finding that the allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Exit interview conducted.

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct a case management visit. LPA met with Health Services Director Kelly Kolodziej during today's inspection. LPA arrived to review a death report received from the facility. LPA requested copies of R1 resident file and documentation. LPA spoke to Health Services Director about the incident. During today's inspection no deficiencies were cited. Exit interview conducted and copy of report provided.

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct a case management visit. LPA met with Administrator Michael Clymo during today's inspection. LPA arrived to discuss two separate incident reports received from the facility. LPA interviewed administrator and staff concerning incident. It appears facility followed proper protocol and regulation on each incident that occurred. No deficiencies cited during today's inspection. Exit interview conducted.

On 8/24/2023 LPA Tryon visited the facility to conduct an annual visit using the CARE Tool. LPA was greeted by Executive Director Michael Clymo. LPA toured the facility with Mr. Clymo including common areas, resident apartments, bathrooms, hallways, dining room, kitchen, storage areas, courtyard/outside area. The facility was found to be clean, nicely decorated and furnished, very spacious with plenty of room for various activities. Food supplies were reviewed and appear to be more than adequate to meet the requirement of 2 days perishable and 7 days non-perishable. Food appears to be stored appropriately, to be of good quality and appearance. Cleaners and potentially harmful substances are stored away from food and secured. Medications are centrally stored, logged and locked. Hot water tested within range of 105 to 107 degrees F. at 110 degrees F. Staff files w LPA reviewed 7 resident files and required documentation appears to be present. Staff have criminal record clearance, health screenings/TB clearance, appropriate training. LPA reviewed the CARE tool with Mr. Clymo. LPA requested updated copies of Administrator Certificate, Liability Insurance policy. At this time, the facility appears to be in substantial compliance with the regulations. No deficiencies were cited at this visit. Exit interview conducted.