OAK TREE LODGE

6360 OLD REDWOOD HWY., Santa Rosa CA 95403

Facility 496801362 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Sep 30, 2025Licensed

Additional info

Telephone: (707) 836-7777
Licensee: PAMELA JOHNSON
Administrator: SANDRA AMBRECHT
Contact: SANDRA AMBRECHT
License first date: Oct 17, 2003
License effective date: Oct 17, 2003
District office: SANTA ROSA RO · (707) 588-5026
Regional office: 21
Clients served: 935 - ELDERLY

Summary

The available records show 2 Type A and 7 Type B deficiencies for this facility.

Most recent inspection: Sep 30, 2025
Most recent deficiency: Sep 30, 2025

No later report is available, so the records do not show what happened afterward.

What Type A and Type B mean

Type A: Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
Type B: Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.

At a glance

Counts cover the five-year public record. Typical figures are the median for the 111 Sonoma County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 6 reports for this facility: 6 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 2 Type A and 7 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections: 6
Recorded deficiencies: 9
Type A deficiencies: 2
Type B deficiencies: 7
Substantiated complaints: 0
Repeated topics: 0

Repeated topics

Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.

No topic repeats in the last 36 months

No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Sep 30, 2025Inspection

Background checksType B

Official classification: Type B
Official code: 87355(c)
Regulation authority: CCR

What the official deficiency says

87355(c) Criminal Record Clearance- A licensee or applicant for a license may request a transfer of a criminal record clearance from one state licensed facility to another, or from Trust Line to a state licensed facility by providing the documents to the Department. This requirement is not met as evidenced by: Deficient Practice Statement Based on facility record review, and LPA’s review in the Guardian system, it was found that staff, S4, was not associated to the facility, Oak Tree Lodge. The licensee did not comply with the section cited above in [1] out of [4l count] which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/03/2025 Plan of Correction Licensee/Administrator to ensure that staff S4 is associated to the facility; Licensee/Administrator to access their Guardian account and complete a transfer of S4’s DOJ clearance or submit the required documents to the Department to associate S4 to Oak Tree Lodge. POC due 10/3/25.

Plan of correction recorded

Correction not verified in available records

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Oct 16, 2024Inspection

Health conditions and treatmentsType B

Official classification: Type B
Official code: 87625(b)(3)
Regulation authority: CCR

What the official deficiency says

87625(b)(3) Managed Incontinence-In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement is not met as evidenced by: Deficient Practice Statement Based onLPA observed resident's (R1) room, #5,to have a very strong smell of urine, in resident's room and bathroom; The resident is incontinent per file review, and interview with staff S1. S1 stated that they are aware the room smells of urine, and has cleaned the room and bathroom daily, but can't get rid of the urine smell. S1 doesn't know if it's the resident's bathroom, toilet, flooring and/or room, such as the resident's rug, the licensee did not comply with the section cited above which poses/posed a potential health, safety and a personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/28/2024 Plan of Correction Licensee/Administrator to ensure that the resident's R1's room, and bathroom, is inspected to find where and why the resident's room and bathroom smell of strong urine odors, ensuring the resident's room, bathroom, and the facility are free from incontinent odors/urine odors. Submit how the resident's room was cleaned, if anything was repaired and/or replaced, and also submit a mainteenance plan to keep this resident's room and bathroom free of incontinent odors. POC due 10/28/24.

Plan of correction recorded

Correction not verified in available records

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Facility condition and maintenanceType B

Official classification: Type B
Official code: 87303(a)
Regulation authority: CCR

What the official deficiency says

87303(a) Maintenance and Operation 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. This requirement is not met as evidenced by: Deficient Practice Statement LPA observed there is a outlet with a coveplate missing in resident room #1's bathroom. There is a large dirty, grease spot above the stove range on the kitchen ceiling that needs to be cleaned really well. There is a door in the kitchen where at the top of this door looks to be sheetrock (drywall) crumbling and falling apart. LPA obtained pictures, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/31/2024 Plan of Correction Licensee/Administrator to ensure that the kitchen ceiling is cleaned welll and any dirt and/or grease is removed. Ensure the outlet coverplate resident's bathroom is put on. Ensure that the kitchen wall around the door is repaired and/or replaced as needed and required. Submit photos, and include how each item was cleaned and/or repaired per corrections. POC due 10/31/24.

Plan of correction recorded

Correction not verified in available records

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Aug 15, 2023Inspection

Health conditions and treatmentsType B

Official classification: Type B
Official code: 87625(b)(3)
Regulation authority: CCR

What the official deficiency says

(b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation, resident room four(4) has a very strong urine odor. The room is rugged, and the resident is incontinent. LPA discussed with the staff regulations on incontinent care, and ensuring the facility is free of urine odors. the licensee did not comply with the section cited above in [one] out of [six] resident rooms, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/29/2023 Plan of Correction Licensee/Administrator to ensure the facility is kept free of urine odors. Ensure resident room 4 is cleaned and free of urine odors. Submit plan of correction and self certification that this has been completed. Include a maintenance plan to maintain the facility and resident room 4 free of urine odors. POC due 8/29/23.

Plan of correction recorded

Correction not verified in available records

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Aug 17, 2022Inspection

Dementia careType A

Official classification: Type A
Official code: 87705(d)(2)
Regulation authority: CCR

What the official deficiency says

Administrator Qualifications and Duties- 87405(d)(2) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply: (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation the licensee did not comply with the section cited above, the LPA was not screened as required which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/18/2022 Plan of Correction Licensee to ensure that all Visitors & Staff are screened as required before entering and/or being allowed in the facility. Submit how the facility will be in compliance and ensure that all visitors and staff are screened as required, helping ensure health and safety of residents in care and being in compliance with regulation requirements. POC due 8/18/22

Plan of correction recorded

Correction not verified in available records

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Dementia careType A

Official classification: Type A
Official code: 87705(F)(1)
Regulation authority: CCR

What the official deficiency says

Care of Persons with Dementia 87705(f)(1) The following shall be stored inaccessible to residents with dementia:(1)Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation the licensee did not comply with the section cited above as the LPA observed a resident's room(R1) to have a large pair of scissors, and another resident's room (R2) to have three small scissors and a sharp metal letter opener which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/18/2022 Plan of Correction Licensee to ensure that the facility secures any items that maypose a risk to the health and safety of residents in care are locked up/inaccessible to residents in care as required by regulation. Submit how the facility will ensure compliance with this regulation, and inservice with all staff regarding the plan of correction and compliance with regulation. POC due 8/18/22.

Plan of correction recorded

Correction not verified in available records

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Fire safety and emergency preparednessType B

Official classification: Type B
Official code: 87203
Regulation authority: CCR

What the official deficiency says

87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation the licensee did not comply with the section cited above as the LPA observed the fire extinguisher to not have been serviced and tagged as required, the tag was expired as of 8/9/22. which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/26/2022 Plan of Correction Licensee to ensure that all fire extinguishers are annually serviced as required. Licensee will sibmit proof of extinguishers having been serviced and brought into compliance and/or receipt showing purchased fire extinguisher(s) that are current/charged to bring the facility into compliance regarding this regulation. Submit plan on what was done to correct the deficiency and plan on ensuring future compliance with this regulation. POC due 8/26/22,

Plan of correction recorded

Correction not verified in available records

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Health conditions and treatmentsType B

Official classification: Type B
Official code: 87625(b)(3)
Regulation authority: CCR

What the official deficiency says

Managed Incontinence 87625(b)(3) (b)In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement is not met as evidenced by:Managed Incontinence Deficient Practice Statement Based on LPA's observation during tour with the staff Sam during the inspection; Resident room smelled strongly of urine, the resident's rug in the front of their bed was stained and in need of cleaning, and the bathroom also smelled strongly of urine odor, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/26/2022 Plan of Correction Licensee to submit how the resident's room was cleaned, including the rug and bathroom, and submit plan on how the facility will ensure the resident is receiving all incontinent needs met, including keeping the resident room free of strong urine odor as required by regulations. POC due 8/26/22.

Plan of correction recorded

Correction not verified in available records

View official report

Facility condition and maintenanceType B

Official classification: Type B
Official code: 87303(a)
Regulation authority: CCR

What the official deficiency says

87303 Maintenance and Operation (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. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation, the licensee did not comply with the section cited above as the LPA observed two fans that were on were found to be dirty with lots of dust accumallated on the fans outside protecrive cover and all on the inside on the fan's spinning blades and parts. which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/26/2022 Plan of Correction Licensee to ensure the two fans are cleaned before using them in the facility and/or replace the fans if needed. Please submit plan of correction in how the facility ensured the fans used in the home are clean for use to cool the air when needed, as the residents are breathing in the air in the facility. Plan to ensure compliance with regulation. POC due 8/26/22.

Plan of correction recorded

Correction not verified in available records

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Dec 6, 2021Inspection

No deficiencies recorded in this report

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Aug 27, 2021Inspection

No deficiencies recorded in this report

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Source and limits

California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.

Read the data methodology