Oakmont of Novato.

04/02/2026, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility. There are currently 85 residents in care, of which 36 are in memory care. Facility has an approved fire clearance for 118 non-ambulatory, of which 8 can be bedridden. Facility has a hospice waiver for 15. LPA was greeted by Business Office Director, Deborah Smith. LPA and Maintenance Director toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. Refrigerated food was found to be stored in a safe manner being labeled and dated. Facility has a dietary poster in the kitchens that states dietary restrictions for residents. Facility has multiple common areas such as activity rooms, reading room, a salon, theater room, and a gym. All rooms were furnished and in good repair. LPA observed a monthly activities calendar. Extra hygiene products and linens were available. Water temperature in sinks accessible to residents in care were measured at 116.2, 115.8, 110.3, and 106.2 which is within the range of 105 to 120 degrees F. Fire extinguishers were last inspected September 2025. Facility has combination smoke and carbon monoxide detectors as well as a sprinkler system that is serviced by an outside vendor. LPA observed evacuation chairs located at each of the two stairwells. Medications were found to be centrally stored. LPA is unable to finish inspection. Inspection will be continued at a later date. Exit interview conducted and copy of report was provided.

LPA Loera conducted a case management visit to amend complaint 21-AS-20251104102911 to be findings of unsubstantiated and to issue a citation under personal rights. On 10/17/2025 Community Care Licensing (CCL) received an incident report regarding resident (R1) and resident (R2). Incident report states R1 was involved in an altercation with R2 on 10/11/2025. On 10/11/2025 around 4:15am, R1 was found yelling in the hallway for help and said R2 came into their room and “slapped them in the face”. Staff (S1) went into R1s room and found R2 still in the room and was still agitated and was not re-directable. Police were called to take a report and helped escort R2 back into their own room. No injuries were noted or visible. (Deficiency cited; 87468.1(a)(1)) Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted. Copy of report, LIC811(confidential names), LIC809D, Plan of Corrections, and Appeal Rights discussed and provided to Executive Director.

Continued from LIC9099... Although it is unclear if there is a lack of verbal communication between pertinent parties, the facility have been sending account statement letters dated 7/18/25, 8/6/25 and 9/8/25, which it was confirmed with R1’s responsible party that such statement letters were received, but when they attempted to discuss with the facility staff the details of the statements there was no answer received from the facility leading to confusion. During today’s visit the facility provided LPA with detailed payment ledger dated 10/21/25, the report generated by the facility specifies the following: balance dated 7/22/25 in the amount of $11,907.35, then 40% of community fee and assessment fee of $500 was waived resulting in community fee credit moved to deposit ledger in the amount of ($3,200), which applied to community fee deposit to charges due resulted in the amount of $8,707.35. Amounts detailed are in compliance with R1’s admission agreement regarding the length of stay and determining the amount of the refund as follow: “If you leave Oakmont during the third (3rd) month, you will receive a refund of 40% of the community fee (minus the $500 for the assessment ) ” . A finding that the complaint allegation of facility did not provide responsible party with a refund is 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, therefore the allegation is UNSUBSTANTIATED.

At approximately 10:00 am, Licensing Program Analysts (LPAs) Loera and Leibert arrived unannounced to conduct a Case Management - Incident Visit and met with Administrator Kimari Pinkney. The purpose of the visit was to follow up on self-reported incident that were submitted to Community Care Licensing (CCL). Incident Report: CCL received an incident report on 10/17/2024. Report states on 10/11/2024, R1 had eloped. R1 went out for a walk with a companion and was dropped off back to the community inside the lobby around 2:00 pm but was not checked in. Around 2:15 pm, R1 was unable to be located by staff. Staff were alerted and began searching the property and beyond. At 2:28 pm R1 was located behind in the community at a neighborhood park where R1's companion typically walks R1. There were no injuries and R1 was transported back to the community. (Deficiency Cited) See LIC809-D for Deficiency. Exit interview conducted with Administrator and a copy of this report was provided .

Licensing Program Analyst Leibert arrived unannounced for the purpose of amending the complaint report of 6/20/2024 and for the purpose of issuing a deficiency stemming from that investigation. Information developed during the course of the investigation of the complaint received on 4/15/2024, revealed that facility staff reported abuse of residents by a staff person to facility management on 4/12/2024 that had been occurring over the prior two weeks. A written report required to be made to this agency within 24 hours of observing, obtaining knowledge of, or suspecting, abuse was received on 4/15/2024 and, hence, was not timely. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided.

Continued from LIC9099 Resident 1 (R1) confirmed that there is a food forum which contains a large number of residents. R1 explained that residents in the food forum come together to brainstorm ideas for the upcoming menus, and that their suggestions are usually found on the menu in the coming weeks. Based on interviews conducted, documents reviewed and observations made, and while the allegations may be valid, there is not a preponderance of evidence to prove the alleged violations did, or did not, occur. Therefore, the allegations are UNSUBSTANTIATED.

Licensing Program Analyst (LPA) Helena Rummonds arrived unannounced at approximately 10:00AM to conduct a non-compliance inspection. LPA followed up on the following areas which were initially addressed during a non-compliance meeting dated 07/21/2021. LPA met with Executive Director, Ric Pielstick. Medications: Facility had residents with unlocked medications in their possession who were not allowed to store and/or dispense medications according to physician's reports on file. During tour of Assisted Living tour, LPAs observed an unlocked cabinet in R1s apartment, which contained PRN medications. LPAs confirmed that R1 was allowed to dispense their own medications per their physicians report. Prohibited Conditions: Facility retained a resident with a prohibited condition. 10 of 10 files reviewed did not have evidence of any residents being retained with a prohibited condition. Timely Medical Attention: Facility failed to seek timely medical attention. LPA reviewed incident reports and confirmed that facility has been seeking timely medical attention. Medical Assessments: Facility failed to ensure that resident's medical assessments/physician's report is complete as required. LPAs reviewed 10 resident files that had all required documents. Resident Records: Facility wasn't able to provide CCLD with pre-appraisals for resident's files that were reviewed. LPAs reviewed 10 resident files that had all required documents. Continued on LIC809C 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 Continued from LIC809 Staffing: Facility memory care didn't have adequate number of direct care staff to support each resident's physical, social, emotional, safety and health care needs. LPAs reviewed staffing schedules for both Memory Care and Assisted Living. LPAs reviewed staff training records which indicated staff are receiving 20 hours of annual training as required per regulation. Facility Food Services: Facility kitchen area was toured by LPAs and Chef. LPA found that perishable foods were stored in covered containers, and the refrigerator and freezer were at a temperature within regulation. LPAs observed dry goods in boxes on the floor in walk in closet. Chef confirmed that staff was in the middle of reorganizing since their previous chef was terminated. Reporting Requirements: Facility failed to report refusal of medications, 911 calls, suspected abuse, etc. Incident reports reviewed revealed that facility has been reporting timely. No deficiencies cited during inspection.

Licensing Program Analyst (LPA) Helena Rummonds arrived unannounced at approximately 10:45AM to conduct a non-compliance inspection. LPA followed up on the following areas which were initially addressed during a non-compliance meeting dated 07/21/2021. LPA met with Executive Director, Ric Pielstick. Medications: Facility had residents with unlocked medications in their possession who were not allowed to store and/or dispense medications according to physician's reports on file. LPA observed medications to be double locked in medication room. LPA and Health Services Director (HSD) toured the Memory Care unit and conducted an inspection of 3 residents apartments. 3 of 3 apartments did not contain any unlocked medications. Prohibited Conditions: Facility retained a resident with a prohibited condition. LPA reviewed a sample of 3 Memory Care and 3 Assisted Living files. 0 of 6 resident files reviewed contained evidence of a resident being retained with a prohibited health condition. Timely Medical Attention: Facility failed to seek timely medical attention. LPA reviewed incident reports and confirmed that facility has been seeking timely medical attention. Medical Assessments: Facility failed to ensure that resident's medical assessments/physician's report is complete as required. LPA reviewed a sample of 3 Memory Care and 3 Assisted Living files. 6 of 6 files had medical assessments completed as required per regulation. Continued on LIC809C 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 Continued from LIC809 Resident Records: Facility wasn't able to provide CCLD with pre-appraisals for resident's files that were reviewed. LPA reviewed a sample of 3 Memory Care and 3 Assisted Living files. 1 of 6 files reviewed did not have a pre-admission appraisal. Staffing: Facility memory care didn't have adequate number of direct care staff to support each resident's physical, social, emotional, safety and health care needs. LPA reviewed LIC500 Personnel Report as well as facilities employee roster which indicates which department each individual works in. LPA confirmed with Memory Care Director that there are 4-5 Caregivers on shift during AM and PM shifts, as well as 2 Medication Technicians, and at least 4 NOC shift throughout the facility. Facility Food Services: Facility kitchen area was toured by LPA and Business Office Director. LPA found that perishable foods were stored in covered containers, and the refrigerator and freezer were at a temperature within regulation. Reporting Requirements: Facility failed to report refusal of medications, 911 calls, suspected abuse, etc. LPA reviewed regulation 87211 with HSD and discussed the importance of reporting accurately and within seven days as required per regulation. LPA reviewed incident reports and confirmed that there were four incident reports received since October of 2023 that were received by CCL past the required seven day limit. No deficiencies cited during inspection.

Continued from LIC9099 Complaint alleges that medications have gone missing due to staff members stealing residents medications. Facility staff explained their destruction policy and provided LPAs with destruction record. LPAs observed receptacle that destroyed medications are in. Based on interviews conducted and review of destruction record, LPAs were unable to find evidence to support the allegation. Complaint alleges that a resident had a pressure injury that was not receiving medical attention and that staff are expected to assist with self administration of medication without training. Based on document review, resident had a blister on their foot that is not identified as a pressure injury. Document review showed that resident's doctor and responsible party were notified of the blister. Review of training does not support allegation that staff are not trained. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are unsubstantiated . No deficiencies cited during this inspection.

Licensing Program Analyst (LPA) Helena Rummonds arrived unannounced at approximately 2PM and met with Executive Director (ED), Liza Hix to conduct a Case Management on Incident Reports received by CCL on 11/03/2023 and 11/08/2023. ED had to step away at end of visit due to a schedule conflict, Business Office Director, Tristan Amari went over report and signed. Incident Report dated 11/03/2023 Resident 1 (R1) was found by staff on floor face down stating that Resident 2 (R2) hit them. R1 sustained an injury on their left elbow and was taken to the hospital for an evaluation. Both residents reside in Memory Care. Per conversation with ED, R2 walks swiftly through facility to get exercise, and it is believed that R2 bumped into R1 causing R1 to fall down. R2 does not have a history of violent behavior and there have not been any altercations between the residents since this incident. Incident Report dated 11/08/2023 Resident 3 (R3) reported to staff that they were missing a watch valued at $200 and $50 in cash. Facility made a police report and helped R3 look for their missing items. The room was searched and missing items were not found. A phone call was made to R3s daughter who said that R3 loses things regularly and is known to find missing items in their pockets. LPA requested R3s Physicians Report that shows neither Mild Cognitive Impairment or a Dementia diagnosis. Per conversation with ED, R3 has plans to move out of facility. Should R3 decide to stay residing at facility, facility to arrange for R3 to receive an updated physicians report. No deficiencies cited during visit. Exit interview conducted, copy of report and confidential names (811) provided.

Continued from LIC9099... Per email from S2, R1 approached S2 stating that S1 came up to R1 with two fists in their face saying, “you better not and go tell anything to Liza”. S2 responded that they will notify their supervisor. LPA also obtained Novato Police Department service call records dated 9/1/23 at 12:45pm, there was a service call ADV – Advice to Citizen due to a possible assault from staff with a final disposition of Unfounded. However, LPA reviewed incident report logs for this facility, and it was determined that incident reports were not submitted to CCL. Administrator could not provide proof that incidents were reported to CCL. LPA will address reporting requirements on a case management inspection. Based on confidential interviews with staff and residents, LPA obtained contradictory information from the parties involved that confirmed that there was an incident that violated personal rights. Although, during LPA’s interviews with S1, LPA observed that S1 speaks in a loud tone of voice that could be interpreted as intimating for others. However, there was no supporting evidence that staff violated residents’ personal rights. A finding that the complaint allegation “Staff violated residents’ personal rights” is 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, therefore the allegation is UNSUBSTANTIATED.