019200873-1-15-2025-15-AS-KHOS-DD5L8P-20250121073217

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 019200873
Report Date: 11/12/2024
Date Signed: 01/15/2025 04:31:06 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 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
11/06/2024 and conducted by Evaluator James Sampair

PUBLIC

COMPLAINT CONTROL NUMBER: 15-AS-20241106155241

FACILITY NAME:	POINT AT ROCKRIDGE, THE		FACILITY NUMBER:	019200873
ADMINISTRATOR:	BRICE, STEPHANIE		FACILITY TYPE:	740
ADDRESS:	4500 GILBERT STREET		TELEPHONE:	(510) 658-9266
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94611
CAPACITY:	186	CENSUS: 125	DATE:	11/12/2024
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Generations Program Director Ebony Foy		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Staff did not promptly answer communications from resident's representative.
Staff did not prevent a resident from inappropriately grabbing another resident.

INVESTIGATION FINDINGS:

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On 11/12/2024 12:00 PM, Licensing Program Analysts (LPAs) James Sampair and David Doidge arrived unannounced at the facility to investigate the allegation above. Upon entry, the LPAs explained the purpose of the visit to Generations Program Director Ebony Foy.

The complaint alleges that staff did not promptly answer communications from resident's representative.
The LPAs interviewed Witness W1 and Director Foy. The LPAs reviewed email messages concerning the incident between Residents R1 and R2 as well as facility records and health records for Resident R2. The Director’s statement and the data reviewed did not support the allegation.

Continued on LIC 9099-C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Harpreet Humpal	TELEPHONE: (510) 529-9416
LICENSING EVALUATOR NAME: James Sampair	TELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:	DATE: 11/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2024

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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Control Number 15-AS-20241106155241

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: POINT AT ROCKRIDGE, THE	FACILITY NUMBER: 019200873
	VISIT DATE: 11/12/2024

NARRATIVE

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...Continued from LIC 9099

The complaint alleges that staff did not prevent a resident from inappropriately grabbing another resident.
The LPAs interviewed Witness W1 and Director Foy. The LPAs reviewed email messages concerning the incident between Residents R1 and R2 as well as facility records and health records for Resident R2. The data reviewed did not support the allegation.

Although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove them; therefore, the allegation is UNSUBSTANTIATED.

Exit interview conducted and a copy of this report was provided.

SUPERVISOR'S NAME: Harpreet Humpal	TELEPHONE: (510) 529-9416
LICENSING EVALUATOR NAME: James Sampair	TELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:	DATE: 11/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2024

LIC9099 (FAS) - (06/04)

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