019201084-11-21-2023-15-AS-KHOS-CYFMW4-20231212085744

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 019201084
Report Date: 11/21/2023
Date Signed: 11/21/2023 01:35:46 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/18/2023 and conducted by Evaluator Gregory Clark

COMPLAINT CONTROL NUMBER: 15-AS-20230718134653

FACILITY NAME:	OAKMONT OF MARINER POINT		FACILITY NUMBER:	019201084
ADMINISTRATOR:	HAN, MINDY M		FACILITY TYPE:	740
ADDRESS:	2400 MARINER SQUARE DRIVE		TELEPHONE:	(510) 347-5959
CITY:	ALAMEDA	STATE: CA	ZIP CODE:	94502
CAPACITY:	80	CENSUS: 47	DATE:	11/21/2023
		UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Caroline Frangieh, Interim Administrator		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Facility air conditioning is in disrepair
Facility staff not meeting Residents incontinent care.
Facility not meeting Residents needs due to insufficient staffing

INVESTIGATION FINDINGS:

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On 11/21/23 at 12:45 p.m., Licensing Program Analyst (LPA) Greg Clark arrived unannounced to deliver findings on the above allegations. LPA met with Caroline Frangieh, Interim Administrator and explained the purpose of the visit.

Facility air conditioning is in disrepair

The air conditioning in the common area of the memory care unit was reported by staff to be in disrepair on 7/18/23. LPA reviewed a repair invoice from J.R. Heating and Cooling dated 7/19/23 stating that the needed repairs to the A/C unit were completed by close of business on 7/19/23.

***report conintues on LIC9099C***

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Yvonne Flores-Larios	TELEPHONE: (510) 286-0517
LICENSING EVALUATOR NAME: Gregory Clark	TELEPHONE: 510-285-3927
LICENSING EVALUATOR SIGNATURE:	DATE: 11/21/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 15-AS-20230718134653

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: OAKMONT OF MARINER POINT	FACILITY NUMBER: 019201084
	VISIT DATE: 11/21/2023

NARRATIVE

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***report continues from LIC9099***

Facility staff not meeting Residents incontinent care, Facility not meeting Residents needs due to insufficient staffing

LPA reviewed facility’s Urinary Incontinence policy. The policy states that residents with urinary incontinence will receive appropriate care by facility staff. LPA reviewed the staff schedule for Sunday 7/16/2023. On 7/16/23 there was 1 med tech and 1 care staff assigned to work in memory care and 2 other care staff were transferred from assisted living to memory care to provide additional support. The Memory Care Director was also on site. The memory care census on this weekend was 22. Facility does not document incontinence care however there were sufficient staff in the memory care unit on 7/16/23 to provide appropriate care.

This agency has investigated the complaints alleging facility air conditioning is in disrepair, facility staff not meeting residents incontinent care and facility not meeting residents needs due to insufficient staffing. We have found that the complaints were unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview conducted, a copy of this report provided.

SUPERVISOR'S NAME: Yvonne Flores-Larios	TELEPHONE: (510) 286-0517
LICENSING EVALUATOR NAME: Gregory Clark	TELEPHONE: 510-285-3927
LICENSING EVALUATOR SIGNATURE:	DATE: 11/21/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2023

LIC9099 (FAS) - (06/04)

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