079201085-5-17-2023-15-AS-YFLS-CS4SN6-20230523140100

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 079201085
Report Date: 05/17/2023
Date Signed: 05/17/2023 11:23:52 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
E BAY DELTA AC/SC, 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
04/26/2023 and conducted by Evaluator Paris Watson

PUBLIC

COMPLAINT CONTROL NUMBER: 15-AS-20230426093020

FACILITY NAME:	OAKMONT OF CONCORD		FACILITY NUMBER:	079201085
ADMINISTRATOR:	NGUYEN, AVON		FACILITY TYPE:	740
ADDRESS:	1401 CIVIC COURT		TELEPHONE:	(925) 798-4004
CITY:	CONCORD	STATE: CA	ZIP CODE:	94520
CAPACITY:	121	CENSUS: 87	DATE:	05/17/2023
		UNANNOUNCED	TIME BEGAN:	09:35 AM
MET WITH:	Avon Nguyen, Executive Director		TIME COMPLETED:	11:45 AM

ALLEGATION(S):

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Facility did not have proper provisions for residents during a power outage
Staff do not respond to residents' call buttons in timely manner

INVESTIGATION FINDINGS:

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On 5/17/2023 at 9:35 AM, Licensing Program Analyst (LPA) P. Watson arrived unannounced to deliver findings for the above allegations. LPA met with Executive Director, Avon Nguyen, and explained the purpose of the visit.

During the course of the investigation, LPA P. Watson obtained information, reviewed records, collected documents, and interviewed staff, residents and family members. It was alleged that facility did not have proper provisions for residents during a power outage. Based on record review, the facility outlines their procedures for power outages and PG&E blackouts. On March 21, 2023, facility held a Resident Council meeting to discuss the power outage and make changes if needed to the procedures based on residents’ questions and concerns.

Report continues on 9099 C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Yvonne Flores-Larios	TELEPHONE: (510) 725-7926
LICENSING EVALUATOR NAME: Paris Watson	TELEPHONE: (510) 622-2625
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023

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-20230426093020

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
E BAY DELTA AC/SC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: OAKMONT OF CONCORD	FACILITY NUMBER: 079201085
	VISIT DATE: 05/17/2023

NARRATIVE

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Based on interviews with staff (Resident Care Coordinator, S1 and S2), residents that were downstairs were helped to their apartments after dinner time, there were two residents that were unable to go back to their apartments due to being wheelchair bound. Resident 1 (R1) and R3 were given accommodations downstairs since they were unable to return to their apartments. R2 was able to return to their apartment but chose to stay downstairs to not leave R1 alone. R1 and R2 were placed in the Massage room for privacy, staff brought them mattresses, linen and lanterns. R3 was placed in an available bed in the Memory Care unit. Staff checked on residents throughout the facility every 30-45 minutes. Based on interviews with residents (R1, R4 and R5), the power outage was not ideal but residents felt that the facility did the best they could with assisting everyone.

It was alleged that staff do not respond to residents’ call buttons in timely manner. Based on interviews with staff (S1 and S2), call button response time depends on if staff is busy assisting another resident, if resident receiving care needed a two person assist, time of day such as dinner rush and if one staff is currently on a break. S1 and S2 stated that they still can assist residents within 15 minutes if one of the above examples happens. Based on interviews with residents (R1, R4 and R5), call button response times varies. Staff respond time is between "right away" and 15 minutes depending on if they are busy or not.

Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview conducted and a copy of this report provided.

SUPERVISOR'S NAME: Yvonne Flores-Larios	TELEPHONE: (510) 725-7926
LICENSING EVALUATOR NAME: Paris Watson	TELEPHONE: (510) 622-2625
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023

LIC9099 (FAS) - (06/04)

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