PLEASANT HILL OASIS

Official classification

Type A

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1...elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidence by: Based on interviews and record review, the licensee failed to ensure a safe environment for R1, who was assessed as unable to leave the facility unassisted and requiring " complete supervision " per the LIC 602A dated 02/20/2025. On 05/06/2026, R1 was discovered missing from the facility during the night shift and was subsequently located by law enforcement outside the facility after sustaining a fall. This posed an immediate risk to R1's health, safety, and personal rights.

Official plan of correction

Administrator agreed to conduct an in-service training with all staff on all shifts regarding resident supervision, monitoring, and elopement prevention procedures. The Administrator shall submit a copy of the training materials and participant sign-in sheets to CCLD by the POC due date. The in-service training document shall include a detailed synopsis of the topics discussed, including staff responsibilities for conducting resident checks, responding to missing residents, and ensuring residents requiring supervision do not leave the facility unassisted. In addition, Administrator will update R1's Appraisal Needs and Services and sign with R1 and/or R1's responsible parties. Immediate Civil Penalty for $500.00 is being assessed today.

Deadline recorded: Jun 30, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. Based on observation, the licensee did not comply with the section cited above in by not having the medication room door locked, unopened and left unattended by staff which poses an immediate health and safety risk to persons in care.

Official plan of correction

Administrator will conduct In-Service training with Med Techs/Staff on keeping medications safe/locked and inaccessible to residents. Submit participant sign-in sheet with topic summary to CCLD by POC due date.

Deadline recorded: Nov 19, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

87309 Storage Space and Access (a) Except...(b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, ...and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. Based on observation, the licensee did not comply with the section cited above in by not having Clorox Bleach and other cleaning disinfectants inaccessible to residents and unattended by staff which poses an immediate health and safety risk to persons in care.

Official plan of correction

Administrator will conduct In-Service training with Staff/Housekeeping Staff on keeping disinfectants, cleaning solutions, poisonous substances inaccessible to residents and left unattended by staff. Submit participant sign-in sheet with topic summary to CCLD by POC due date.

Deadline recorded: Nov 19, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)(1)

Regulation authority

CCR

What the official deficiency says

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. (1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in by not having the residents' bathrooms clean including but not limited to the floors, toilets, sinks, bedroom floors, the kitchen, the hallway carpets deep cleaned with dirt spots, floor molding cleaned outside with cigarette butts laying on the grounds (front/side/back yards), garbage, bicycles, ladder, wood, cyclinder objects which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator will create a detail plan and schedule on cleaning, keeping the grounds clean, maintenance and ensuring that repairs are maintained and completed. Submit photos of areas cleaned and detail plan to CCLD by POC due date. Repeat Violation civil penalty $250.00

Deadline recorded: Nov 25, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)(1)

Regulation authority

CCR

What the official deficiency says

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. (1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in by not having the residents' bathrooms clean including but not limited to the floors, toilets, sinks, bedroom floors, the kitchen, the hallway carpets deep cleaned with dirt spots, floor molding cleanedoutside with cigarette butts laying on the grounds (front/side/back yards), garbage on the grounds, plastic gloves, old boxes, shrubbery/branches which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator agreed to clean, sanitized all areas and maintain all areas with a daily/weekly/monthly schedules of all areas and discuss/meet with all maintenance and housekeepers on complying and maintaining the cleaniliness, sanitazion and repairs of the facility. Administrator will submit photos to CCLD by POC due date. Repeat violation $250.00

Deadline recorded: Oct 16, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(f)

Regulation authority

CCR

What the official deficiency says

(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in by not having a health screening for S3 and S8 on file which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/11/2025 Plan of Correction Administrator agreed to submit health screening for S3 and S8 to CCLD by POC due date.

Official classification

Type B

Official code

87303(a)(1)

Regulation authority

CCR

What the official deficiency says

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. (1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in by not having the residents' bathroom clean including but not limited to the floors and toilets, the kitchen, the hallway carpets which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/12/2025 Plan of Correction Administrator will send picture of areas clean to CCLD by POC due date.

Official classification

Type B

Official code

87303(c)

Regulation authority

CCR

What the official deficiency says

(c) All window screens shall be clean and maintained in good repair. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in by not having the windows/window blinds/shades cleaned and sanitized which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/12/2025 Plan of Correction Administrator will send photo of windows and window blinds/shades/covering clean and sanitized to CCLD by POC due date.

Official classification

Type B

Official code

87303(i)(1)(A)

Regulation authority

CCR

What the official deficiency says

(i) Facilities shall have signal systems which shall meet the following criteria: (1) All facilities licensed for 16 or more and all residential facilities having separate floors or buildings shall have a signal system which shall: (A) Operate from each resident's living unit. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in by not having a signa; system for all residents which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/29/2025 Plan of Correction Administrator will submit a receipt and video of the system installed and working to CCLD by POC due date.

Official classification

Type B

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in by not having a complete file for R8 including but not limited to admission agreement, consent form, appraisal needs and services which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/10/2025 Plan of Correction Administrator agreed to submit copies of missing documents for R8 to CCLD by POC due date.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in by not having current Appraisal Needs and Services (ANS) for R4, R5, R6, R8, R9 and R11 which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/19/2025 Plan of Correction Administrator agreed to submit copies of updated ANS for R4, R5, R6, R8, R9 and R11 to CCLD by POC due date. Repeat Violation Civil Penalty assesed $250.00

Official classification

Type B

Official code

87463(h)(1)

Regulation authority

CCR

What the official deficiency says

(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. (1) Documentation of the annual routine visit, such as a visit summary, shall be added to the resident's record. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in by not having updated medical assessments for R4, R5, R8 and R9 which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/25/2025 Plan of Correction Administrator will submit copies of updated LIC602-A for R4, R5, R8 and R9 to CCLD by POC due date.

Official classification

Type B

Official code

87458(c)

Regulation authority

CCR

What the official deficiency says

(c) The licensee shall obtain an updated medical assessment when required by the Department. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in by having Physician's Reports that were over a year old and not updated for R1-R2 which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator agreed to submit updated Physician's Reports (LIC602A) for R1 and R2 to CCLD by POC due date. Immediate Civil Penalty for $250.00 is being assessed today for repeat violation.

Deadline recorded: Feb 6, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition. Significant changes shall include but not be limited to: This requirement is not met as evidenced by: Based on file review, the licensee did not comply with the section cited above in by not having updated Appraisal Needs and Services (ANS) for R2-R9 which poses a potential health and safety risk to persons in care.

Official plan of correction

Administrator will submit self-certification that ANS was updated for R2-R9 and placed in their files to CCLD by POC date.

Deadline recorded: Oct 25, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87623(b)(2)(B)

Regulation authority

CCR

What the official deficiency says

87623 Indwelling Urinary Catheter (b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (2) Ensuring that the bag and tubing are changed by an appropriately skilled professional should the resident require assistance. Based on observation, interview and file review, the licensee did not comply with the section cited above in by not having documentation of the foley catheter for R7 and R9 in their files including but not limited with a home health care plan, updated Appraisal Needs and Services (ANS) Plan, In-Training staff roster if applicable for whom is caring for the catheter bag which poses a potential health and safety risk to persons in care.

Official plan of correction

Administrator will submit an exception letter for R7 and R9 with supporting documents that includes but not limited to a Physician's Report (LIC602A), Home Health Care Plan, ANS, and staff that was trained by an appropriate licensed health professional to CCLD by POC date.

Deadline recorded: Oct 31, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. Based on record review and interview with staff, the licensee did not comply with the section cited above by not sending notification (LIC624) to Licensing when R6 was hospitailzed which poses an immediate health and safety risk to persons in care.

Official plan of correction

Administrator will read the regulation and self certify that they understand this regulation moving forward.

Deadline recorded: Oct 25, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87458(c)

Regulation authority

CCR

What the official deficiency says

(c) The licensee shall obtain an updated medical assessment when required by the Department. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in by having Physician's Reports that were over a year old and not updated for R2, R3, R4, R6, R7 and R9 which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator agreed to schedule doctor's appointments and submit copies of updated LIC602A to CCLD by POC date.

Deadline recorded: Oct 31, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.618(c)(3)

Regulation authority

HSC

What the official deficiency says

(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in by not having First Aid and CPR training certificates updated for S3-S9 which poses a potential health and safety risk to persons in care.

Official plan of correction

Administrator agreed to submit First Aid and CPR training certificates for S3-S9 to CCLD by POC date.

Deadline recorded: Nov 15, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(f)

Regulation authority

CCR

What the official deficiency says

(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health. Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above by not having health screening and TB test for S3 and S9 and TB test for S7 which poses a potential health and safety risk to persons in care.

Official plan of correction

Administrator agreed to obtain health screenings and negative TB test results for S3 and S9 and a negative TB test for S7 and submit copies to CCLD by POC date.

Deadline recorded: Nov 15, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Based on file review, the licensee did not comply with the section cited above in by not having annual trainings on file and completed for S2-S9 which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator agreed to send a detailed plan to CCLD on how they will complete the trainings and send the transcripts/certificates of the completed trainings for S2-S9 to CCLD by POC date.

Deadline recorded: Nov 15, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87458(b)(1)

Regulation authority

CCR

What the official deficiency says

(b) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious diseases or other medical conditions which would preclude care of the person by the facility. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in by not having on file an negative TB result for R5 which poses a potential health and safety risk to persons in care.

Official plan of correction

Administrator agreed to submit an negative TB result for R5 to CCLD by POC date.

Deadline recorded: Oct 24, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87506(a)(b)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. (b) Each resident’s record shall contain at least the following information: This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in by not having on file a complete resident file for R6 including but not limited to Admission's Agreement, Physician's Report, consent form, Personal Rights, appraisal, Emergency/ID info. and medication list which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator agreed to complete the resident file for R6 and submit a copy of all documents to CCLD by POC date.

Deadline recorded: Oct 31, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)(1)(c)

Regulation authority

CCR

What the official deficiency says

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. (1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition. (c) All window screens shall be clean and maintained in good repair. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in by having chest drawer furniture, chairs, ladders, wood, washing machine, recliner, wood loctaed in the front/side/back yards. Flooring in common areas including but not limited to the main hallway was not clean and in disrepair where there are cracks and edges missing/cracked. The floors in the kitchen, bathrooms, resident rooms were not clean and windows/window screens were not clean which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator agree to submit a detailed plan on how the repairs will be done and submit photos to CCLD by POC date.

Deadline recorded: Nov 8, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87555(b)(16)

Regulation authority

CCR

What the official deficiency says

87555 General Food Service Requirements (b) The following food service requirements shall apply: (16) In facilities licensed for sixteen (16) to forty-nine (49) residents, one person shall be designated who has primary responsibility for food planning, preparation and service. This person shall be provided with appropriate training. This requirement was not met as evidenced by: Based on file review, Licensee did not comply with the section cited above in by having an updated Food Service certification on file for S4, the certificate expired in 2021 which poses a potential health and safety risk to persons in care.

Official plan of correction

Administrator agreed to submit an updated Food Safety certificate for S4 to CCLD by POC due date.

Deadline recorded: Oct 31, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

(f) The following shall be stored inaccessible to... (2)... toxic substances such ...cleaning supplies and disinfectants. This requirement was not met by evidenced by: Based on LPAs observation the Licensee did not comply with the section cited above by having: Microban Spray,disinfectant spray bottle under sink in shower room accessible to residents in care.

Official plan of correction

Administrator had maintenance lock the chemicals. Deficiency cleared during visit .

Deadline recorded: Apr 29, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(d)(2)

Regulation authority

CCR

What the official deficiency says

(d) ...safety provisions shall apply...(2) The premises...in a state of good repair...This requirement was not met as evidenced by: Based on observation the Licensee did not comply with section cited above by not having the facility in a state of good repair...

Official plan of correction

Administrator agreed to purchase locks for sheds, replace wheathered doors. door knobs and locks, remove items stored in back and side yards. Administrator will send photo copies of all repairs to CCLD no later than POC due date.

Deadline recorded: May 12, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Based on observation and records review Administrator failed to have storgae room cleared as a living space prior to R1 residing there which poses a potential health and safety risk to residents in care.

Official plan of correction

Administrator agreed to have R1 vacate the room and submit a LIC 200 along with an updated facility sketch to request for a new fire clearance.

Deadline recorded: May 5, 2023. A deadline is not proof that correction was completed.