079201085-3-20-2024-15-AS-KHOS-D3XHLL-20240402061742

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 079201085
Report Date: 03/20/2024
Date Signed: 03/20/2024 11:03:17 AM

Unfounded

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
03/15/2024 and conducted by Evaluator Jill Clancy-Czuleger

COMPLAINT CONTROL NUMBER: 15-AS-20240315140632

FACILITY NAME:	OAKMONT OF CONCORD		FACILITY NUMBER:	079201085
ADMINISTRATOR:	SOR, KIM S		FACILITY TYPE:	740
ADDRESS:	1401 CIVIC COURT		TELEPHONE:	(925) 798-4004
CITY:	CONCORD	STATE: CA	ZIP CODE:	94520
CAPACITY:	121	CENSUS: 89	DATE:	03/20/2024
		UNANNOUNCED	TIME BEGAN:	08:55 AM
MET WITH:	Sal Sor, Executive Director		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Staff are not enuring that residents' room phones are working properly

INVESTIGATION FINDINGS:

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On 03/20/2024 at approximately 8:55 am Licensing Program Analyst (LPA) J. Clancy-Czuleger arrived unannounced to conduct the initial 10-day complaint visit. LPA explained the purpose of the visit with Executive Director Sal Sor.

It was alleged that facility staff are not enuring that residents' room phones are working properly
During the course of the investigation, LPA J. Clancy-Czuleger interviewed staff, residents, and residents responsible parties. It was confirmed that the facility does not control the residents individual phone lines and has not blocked any numbers for any residents. Staff stated that when a resident is having trouble with their phones they will assist them with trying to fix it. Therefore the above allegation is unfounded. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and or is without a reasonable basis.

No deficiency observed or cited during this visit. Exit interview conducted and a copy of this report provided.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Harpreet Humpal	TELEPHONE: (510) 285-3928
LICENSING EVALUATOR NAME: Jill Clancy-Czuleger	TELEPHONE: 510-286-4201
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2024

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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