197609904-11-9-2021-31-AS-EMIR-CE6N2J-20220506100450

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609904
Report Date: 10/28/2021
Date Signed: 11/09/2021 01:47:39 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, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/20/2021 and conducted by Evaluator Angelica Arambulo

COMPLAINT CONTROL NUMBER: 31-AS-20210120100103

FACILITY NAME:	OAKMONT OF VALENCIA		FACILITY NUMBER:	197609904
ADMINISTRATOR:	VEIS, MARGIE		FACILITY TYPE:	740
ADDRESS:	24070 COPPER HILL DRIVE		TELEPHONE:	(661) 568-6080
CITY:	VALENICA	STATE: CA	ZIP CODE:	91354
CAPACITY:	0	CENSUS: 107	DATE:	10/28/2021
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Stephanie Funderberg		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Staff are interfering with resident’s ability to communicate with family
Staff are isolating resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Angelica Arambulo conducted a subsequent visit to the facility to deliver findings on the above allegations. LPA met with Memory Care Director Patrice Ogrady.

It is alleged that staff are interfering with residents ability to communicate with family. LPA conducted interviews with family, staff, and administrator. The residents file review was observed and there are no restrictions on file for resident to receive visitors. Based on the information gathered the allegation is unsubstantiated.

It is alleged that staff are isolating resident. LPA conducted an interview with the staff, complainant and administrator. The complainant is making an assumption that they do not give the phone to the resident. The other family has not placed any restrictions on resident being able to accept calls or visitors. Based on the information received there is no evidence that concludes the staff is isolating resident from other family members. The allegation is therefore, unsubstantiated.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Eva Miller	TELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Angelica Arambulo	TELEPHONE: (818) 389-7921
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2021

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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