197609904-8-27-2022-31-AS-RRAZ-CPSMM3-20230310084309

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609904
Report Date: 08/27/2022
Date Signed: 08/27/2022 02:59:33 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
07/30/2021 and conducted by Evaluator Jose Gary Tan

COMPLAINT CONTROL NUMBER: 31-AS-20210730115230

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: 98	DATE:	08/27/2022
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Rhonda Bunnin - Memory Care Director		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility did not maintain hot water

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Gary Tan conducted an unannounced subsequent complaint visit at this facility to further investigate the above allegations. LPA met with Memory Care Director Rhonda Bunnin and explained the reason for the visit.

LPA conducted physical plant tour at around 9:30 AM, requested facility documents relevant to the investigation at 10:00 AM and interviewed residents and between 10:15 AM to 1:30 PM. Regarding the allegation that the facility did not maintain hot water, it was alleged that the facility did not have hot water available for six (6) weeks at the facility. LPA's record review on 08/21/21 at 9:00 AM, revealed that this issue had been addressed and resolved on prior complaint (complaint control no.: 31-AS-20210505141954) dated 05/05/21, please see report dated 05/14/21. LPA's interview with the Maintenance Director on 08/04/21 at 11:00 revealed that the water heater had never been broken since it was repaired on 04/23/21. The allegation is therefore deemed unsubstantiated at this time. Exit interview conducted. Copy of this report issued.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Jose Gary Tan	TELEPHONE: (323) 213-1149
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 2