092700750-1-12-2022-27-AS-LMUZ-CARNAJ-20220117091737

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 092700750
Report Date: 01/12/2022
Date Signed: 01/12/2022 01:02:01 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/09/2020 and conducted by Evaluator Michael Smith

COMPLAINT CONTROL NUMBER: 27-AS-20201209131234

FACILITY NAME:	OAKMONT OF EL DORADO HILLS		FACILITY NUMBER:	092700750
ADMINISTRATOR:	YOUNAN, HEATHER		FACILITY TYPE:	740
ADDRESS:	2020 TOWN CENTER WEST WAY		TELEPHONE:	(916) 467-8330
CITY:	EL DORADO HILLS	STATE: CA	ZIP CODE:	95762
CAPACITY:	129	CENSUS:	DATE:	01/12/2022
		UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Stephen MacDonald		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Staff not responding to resident's call light in a timely manner.
Resident's are not fed in a timely manner.
Resident is served food that is not of quality.
Resident's hygiene needs are not being met.

INVESTIGATION FINDINGS:

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Prior to entering the facility, LPA Smith spoke with staff to pre-screen that the facility is currently not COVID free. Therefore, this visit was performed outside of the facility. LPA Smith conducted an unannounced complaint visit and met with Stephen MacDonald.

Complainants / witnesses were unable to be located nor were they able to provide any statements to these allegations. Because of this, there are no witnesses to confirm or deny these allegations. Based on this, these allegations are UNSUBSTANTIATED.

As a result of this investigation, LPA finds the allegations that staff not responding to resident's call light in a timely manner, resident's are not fed in a timely manner, resident is served food that is not of quality and resident's hygiene needs are not being met to be UNSUBSTANTIATED. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Laura Munoz	TELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Michael Smith	TELEPHONE: (916) 208-7807
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2022

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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