Oakley Assisted Living Ii , Llc

On 4/19/2023 at around 9:35AM, Licensing Program Analyst (LPA) Leslie Ibo arrived unannounced to conduct annual required inspection and greeted by staff (S2), after couple of minutes Administrator Nicollete Lake, arrived at the facility. LPA explained the purpose visit to S2 and to Administrator. LPA toured the entire premises with Administrator Nicollete, including but not limited to indoors and outdoors. The facility has 6 bedrooms, 4 bathrooms including 1 staff bathroom, 3 residents’ bathrooms, single story house per facility sketch. Six (6) bedrooms are designated for residents. Smoke detectors and carbon monoxide detectors were observed operational. The facility received a fire clearance dated 03/02/2021 with an approval for a total capacity of 6 residents , approved for 4 non-ambulatory & 2 bedridden for room number 5 & 2 only. LPA inspected 6 rooms. The facility was observed to be clean and odor free. LPA observed fire extinguisher located at the kitchen area with service date of September 6, 2022. There was sufficient supply of perishable and non perishable foods observed. Freezer temperature was observed at zero (0) degrees Fahrenheit. Refrigerator temperature measured at 40 degrees Fahrenheit. First aid kit was complete. Vehicle insurance and registration were verified as current. LPA reviewed medication and Medication Administration Record (MAR) with facility Administrator. ...Continues to 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 LPA interviewed 2 staff and 3 out of 5 residents. At around 11am, LPA reviewed 4 resident files and 3 staff files. The following deficiencies were observed: At around 9:46AM, LPA observed pair of scissors inside unlocked drawer. At around 10:15AM, LPA observed unopened cleaning products stores with some food supplies. Deficiencies are cited from Title 22 California Code of Regulations (see 809D). Failure to submit proof of corrections by plan of correction due dates, and any repeat violations within 12-month period may result in civil penalties. Exit interview was conducted with Administrator and Appeal Rights was provided.

On 4/6/2022 at 12:50PM , Licensing Program Analyst (LPA) Leslie Ibo conducted an infection control annual inspection and explained the purpose of the visit with Shirley Virden, staff. Administrator Nicolette Lake arrived at the facility after 20 mins. Facility has a completed mitigation plan. LPA inspected the facility inside and outside. LPA observed COVID-19 signage posted in common areas to promote hand washing, cough/sneeze etiquette and physical distancing. Pathways were observed to be free of obstruction and fire hazards. Infection control designated leader is the Administrator. There was at least 7 days of nonperishable and 2 days of perishable foods. Facility room temperature was maintained at 72 degrees Fahrenheit. A certified administrator is on site a minimum of 20 hours a week to oversee proper business operation. Smoke and Carbon monoxide detectors were operational. Continued on next page LIC 809-C 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 following was observed and deficiency was cited: · V1 is not fingerprint cleared, staff an Administrator stated that V1 has been coming to the facility couple of times a week and interact with residents in care. · S4 was not associated at the facility. · Soap pods was unlocked and accessible to residents in care · Medications was observed prepared at least 5 days in advance and was not in the original container. Deficiencies are cited from Title 22 California Code of Regulations (see 809D). Failure to submit proof of corrections by plan of correction due dates, and any repeat violations within 12-month period may result in civil penalties. A $500.00 civil penalty was assessed during today's visit. Deficiencies and plan and proof of corrections were discussed with Nicolette Lake. Exit interview conducted and a copy and appeal rights of this report provided.