Regency Park Oak Knoll.

Licensing Program Analyst (LPA) Tao conducted an unannounced annual visit at the facility. LPA met with Business Services Director Jacqueline Hernandez and Administrator Annabelle Argenal. The purpose of the visit was explained to them. Annual fees are current. The facility is licensed to serve 206 elderly residents who are ambulatory and non-ambulatory, age 60 and above. Non-ambulatory rooms are rooms #101-#140 (excludes room # 110) and rooms #201-#267 (excludes room# 221, 222, 243). The facility is a two-story building located in a residential neighborhood. It consist of several resident bedrooms in both floors, a lobby seating area, offices, a dining room, a coffee bar, a studio dining room, a commercial kitchen, a medication room, a common shower, an activity room, a family room, a parlor, a courtyard in the first floor, a conference room, a TV room, a library, a laundry room, and patio in the second floor. Today’s inspection consisted of applying CARE tool, conducting physical plant tour, reviewing staff/residents records, checking residents’ food supply/medication, and interviewing staff/residents. Infection Control: The facility maintains current infection control plan, dated 4/1/26. Hand sanitizer and proper sanitation were observed during the visit throughout the facility. There is a responsible person and emergency training was provided to staff. Personal protective equipment was observed. Staff have TB test clearances on file. (CONTINUED ON 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 Operational Requirements: A plan of operation is maintained. Facility has a current liability insurance policy which covers from 08/01/2025 to 08/01/2026. Facility is operating within the license. Physical Plant/Environmental Safety: Physical plant was conducted with Jacqueline Hernandez and observed the following: Facility was observed clean and in good repair indoors and outdoors. First Floor: Main entrance, lobby, family room, TV room, dining room, coffee bar, beauty parlor, outdoor areas were clean and in good repair. Fireplaces were adequately screened. Carbon monoxide detectors were tested and operable. Fire extinguishers were mounted on the wall in the kitchen and last checked was on 07/08/2025. Smoke detectors were monitored by ADR Security System, which was a fire prevention company and the recent service was done today 04/06/26. Ramps, exit doors, and passageways are free of debris and obstructions. Kitchen was observed clean. Storage rooms, Med room, laundry room and maintenance office were inaccessible to residents. Common shower across from the elevator has skid flooring. Five (5) resident rooms were randomly selected for a physical plant tour. Call system was tested and the response time was in a range of 5 – 10 minutes. Resident bedrooms were observed clean, tidy and in compliance. The residents’ bathrooms were clean and in working condition with grab bars, and skid mats. Hot water temperatures were measured in a range from 108.1 degree F to 111.6 degree F, which was in compliance within the required 105-120 degrees F. The courtyard or outdoor area had a small bodily of water which was secured with fence and inaccessible to the residents. Shaded seating area was provided to residents. Delay egress exits and auditory devices were operable. Second Floor: Library's fireplace is adequately screened. Library, conference room, and sensory room were observed clean and in good repair. Five (5) resident rooms were randomly selected for a physical plant tour. Call system was tested and the response time was in a range of 5 – 10 minutes. Resident bedrooms were observed clean, tidy and in compliance. (CONTINUED ON 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 residents’ bathrooms were in compliance. Hot water temperatures were measured in a range from 106.5 degree F to 116.6 degree F, which was in compliance. Delay egress exits were operable. Staffing: Current CPR/First Aid training were on file. There were four (4) available night staff, whom have been provided emergency training. Sufficient staff were observed. Personnel Records/Staff Training: Administrator certificate for Annabelle Argenal is current and the expiration date is 04/21/2027. Staff records were available for review. Six (6) staff files were reviewed. Staff records and in service training were current. Resident Rights/Information: Adequate signage including Personal Rights, Let Us No poster (PUB 475), and Local Ombudsman posters were observed in the lobby. Planned Activities: LPA observed residents were doing activities/exercises after breakfast. Activity materials were observed. The facility has a library and a sensory area to stimulate neurological skills. Food Service: Sufficient food supplies were observed of perishables for at least two (2) days and non-perishables for at least seven (7) days. Residents’ dietary list was posted in the kitchen near the food tray preparation area. Pest was not observed. Staff were observed using hygiene and contamination prevention methods. Incidental Medical and Dental: Wellness room and medication carts were locked. Wellness room / med room stored in house medications, refrigerated medications, and surplus medications. Medication carts were located in the studio dining room. Medications were kept in their original containers. (CONTINUED ON 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 Resident Records/Incident Reports: Residents records were available for review. Six (6) resident files were reviewed which contained medical assessment, TB clearance, admission agreement, an appraisal, a needs and care plan. Disaster Preparedness: Emergency Disaster plan (LIC 610E 3/19), it has been reviewed within a year. The last emergency drill was conducted on 03/20/26 which was done quarterly. Emergency evacuation chairs were observed at the top of each exit door. Residents with Special Health Needs: Postural support/bed rails were observed and physician's requests were observed in residents files who are under hospice. Facility followed dementia regulations. All delay egress exit doors were tested and operable. Facility keeps hospice plan on file. Exit: No deficiencies were noted during this visit per California Code of Regulations, Title 22, Division 6. Exit interview was conducted with Administrator and LIC 809s were provided.

Allegation: Staff are not mitigating the spread of infectious outbreaks in the facility. The complaint alleges resident (R1) has a skin rash that is spreading throughout the body. According to interviews conducted, the resident developed a rash late December 2024, and on March 24, 2025 staff reported the rash to R1's Nurse Practioner whom orderded permethrin medication. The resident began treatment on March 26, 2025. On March 28, 2025, medication Ivermectin was initiated because Permethrin irritated the resident's skin. Both medications are used to confirmed scabies, and in some instances as a precautionary plan to mitigate contagion to others. However, medical professionals never ordered a skin scrape to confirm scabies in R1. All staff interviewed denied there was a recent outbreak in the building, but did acknowledge R1's room was cleaned as if there was scabies and the resident was isolated and treated. Based on record review, none of the documents state R1 had confirmed scabies. Family reported that the resident has been experiencing rashes since late December, but the rashes have not been officially diagnosed. Therefore, there is insufficient evidence to corroborate the allegation. Allegation: Staff are not keeping the facility clean and orderly. It is alleged the facility is not clean. A total of 6 residents were interviewed. None reported the facility is not clean. A total of seven (7) staff were interviewed. All staff denied the allegation. Housekeeping staff stated the building and rooms are cleaned daily and resident rooms are thoroughly cleaned once a week and/or as needed. Staff stated that some residents tell housekeepers they do not like they way their room is cleaned. Executive Director stated that housekeeping staff clean daily, and deep cleaning of resident rooms is done once a week and/or as needed. Incontinent residents get their linens washed daily or every other day, common area sofas are power washed once a month, and all areas of the facility are disinfected everyday. A total of 18 rooms and all common areas were inspected. All rooms and common areas were observed to be very clean. During the visit, plenty of housekeeping staff was observed cleaning rooms and common areas. Therefore, there is insufficient evidence to corroborate the allegation. Allegation: Staff are not meeting residents' personal hygiene needs. It is alleged that facility staff are not providing proper hygiene care for resident (R1) because the resident developed rashes throughout their body. All staff and residents interviewed denied the allegation. Staff stated residents receive daily hygiene assistance and/or several times a day if needed. The facility specializes in caring for cognitively impaired residents that require extensive hygiene assistance. Based on observation, all residents looked well groomed and clean during the visit. Therefore, the allegation cannot be supported. Based on interviews conducted and document review, 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 . Exit interview was conducted with Anabelle Argenal. A copy of the report was issued.

Licensing Program Analyst(s) (LPA)s Mary Flores and Blanca Gonzalez conducted an unannounced annual visit at the facility using the CARE inspection tool. LPA met with Jacqueline Hernandez Business Services Director and explained the reason for the visit. Facility is licensed to served 206 elderly residents age 60 and over, ambulatory and non-ambulatory. Rooms excluded from non-ambulatory status are #110, 221, 222, 243. The facility is a two story building located in a residential neighborhood. It consist of several resident bedrooms in both floors, a lobby seating area, offices, a dining room, a coffee bar, a studio dining room, a commercial kitchen, a medication room, a common shower, an activity room, a family room, a parlor, a courtyard in the first floor, a conference room, a TV room, a library, a laundry room, and patio in the second floor. LPA reviewed the following CARE inspection tool domains during this visit: Infection Control: Infection control plan was reviewed which meets current regulations and was last revised on 5/12/24. Hand sanitizer and proper sanitation were observed during the visit throughout the facility. There is a responsible person and emergency training was provided to staff. Personal protective equipment was observed. Staff have a TB test clearance on file. Operational Requirements: Facility maintains a plan of operation. Facility has a current liability insurance. Facility is operating within the license. Physical Plant/Environmental Safety: LPAs conducted a tour of the facility with Jacqueline Hernandez and observed the following: Facility was observed clean and in good repair indoors and outdoors. (CONTINUED ON 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 First Floor: Lobby, family room, TV room, dining room, coffee bar, beauty parlor are clean and in good repair. Fireplace was observed in the lobby and it was adequately screened. Kitchen was observed clean, with hot water temperature warning sign. Emergency food supplies were observed in a closet by the kitchen. Wellness room was observed inaccessible to the residents. Common shower across from the elevator has skid flooring. Four resident bedrooms were observed in the first floor, each with sufficient lighting, required furniture and bedding supplies. The residents bathrooms were clean and in working condition with grab bars, and skid mats. Water temperature was tested between 108.8-112.4 degrees F. Second Floor: Library's fireplace is adequately screened. Library, conference room, and sensory room were observed clean and in good repair. Five resident bedrooms were observed in the second floor, each with sufficient lighting, required furniture and bedding supplies. The residents bathrooms were clean and in working condition with grab bars, and skid mats. Water temperature was tested between 105.0 - 113.5 degrees F., which is within the required 105-120 degrees F. Passageways were clear of obstructions. Courtyard has shaded seating area for residents. Staffing: Administrator Anabelle Argenal arrived at the facility shortly after. At least one person on shift has current CPR/First Aid training on file. There are 4 available night staff, whom have been provided emergency training. Sufficient staff were observed. Personnel Records/Staff Training: Administrator certificate for Anabelle Argenal #6034626740 was observed exp. date: 4/21/25. All staff records were available for review. LPA reviewed a total of 4 staff files which included medical assessment, TB clearance, background clearance, and training. Staff training files were reviewed, training has been provided on Hospice, Restricted Health Conditions, and Postural. As well as dementia, emergency, and activities of daily living. Resident Rights/Information: Personal Rights, Let Us No poster (PUB 475), and Local Ombudsman posters were observed in the lobby. Planned Activities: Activity materials were observed, for activities such as religious, clubs, exercises, and gardening. Outdoor area has a seating area to promote outdoor activities. The facility has a library and a sensory area to stimulate neurological skills. Food Service: Sufficient food supplies were observed of perishables for at least 2 days and non-perishables for at least 7 days. Commercial food supplies were observed. The list of residents with special diets was posted in the kitchen. Pest was not observed. Staff were observed using hygiene and contamination prevention methods. (CONTINUED ON 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 Incidental Medical and Dental: Wellness room is used to stored in house medications, refrigerated medications, and surplus medications. Medication carts are located in the studio dining room and were observed locked. Medications are label and in their original containers. LPAs reviewed medications for 5 residents. Resident Records/Incident Reports: Residents records were available for review. LPA reviewed a total of 5 resident files which contained medical assessment, TB clearance, admission agreement, an appraisal, a needs and care plan. Disaster Preparedness: Emergency Disaster plan (LIC 610E 3/19), it has been reviewed within a year. Last Emergency drill was conducted on 3/5/25, quarterly emergency drills are being conducted. Emergency evacuation chairs were observed at the top of each exit door. Residents with Special Health Needs: Postural support/bed rails were observed and physician's request were observed in residents files who are under hospice. Facility is following dementia regulations. Facility has a fenced pond/water feature in the courtyard. Medical assessments for residents with dementia were observed within the last 12 months. All egress exit doors were tested and are in working condition. Facility keeps hospice plan on file. No deficiencies were noted during this visit. Exit interview was conducted with Administrator and a copy of this report was provided.

Interviews with residents revealed residents do not have concerns regarding other residents. Per residents’ staff ensure that they are providing care and supervision. Interview with Administrator revealed that due to the cognitive condition of many of the residents at the facility, situations in which residents seek to have a romantic relationship have come about. However, in the case of R1 there was no observations of R1 being engaged by other residents. Administrator remembers a resident that had tendency to initiate intimate relationships with residents. However, R1 was not approach in that sense by that resident. Interviews with staff revealed R1 was most of the time in the common areas, was never found alone in room with any residents or exiting other resident’s rooms. Caregivers who provided care do not recall R1 showing fear when providing showers or care. Documents reviewed revealed the following: per physician’s report dated: 4/5/24 R1 has dementia, is ambulatory, and can be confused and disoriented. Documents reviewed do not note concerns or behaviors noticed by staff. Communication log with R1's responsible party between 4/7/24 to 6/4/24 notes communication between staff and responsible party regarding behaviors not related to the allegation. Physician Report dated: 12/22/24 for R2, notes R2 has dementia and that R2 may have inappropriate behaviors. Physician’s report does not detail what type of inappropriate behaviors R2 has. Needs and care plan dated: 3/11/24 does not note inappropriate behaviors with other residents. Per interviews and documents reviewed there is no evidence that inappropriate behaviors or sexual abuse took place among the residents. Therefore, this allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview was conducted with Anabelle Argenal Administrator and a copy of this report was provided.