197609904-9-17-2022-31-AS-NMAN-CPZSW8-20230317141354

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609904
Report Date: 09/17/2022
Date Signed: 09/17/2022 03:01:33 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
08/02/2021 and conducted by Evaluator Jose Gary Tan

COMPLAINT CONTROL NUMBER: 31-AS-20210802115045

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: 103	DATE:	09/17/2022
		UNANNOUNCED	TIME BEGAN:	09:06 AM
MET WITH:	Cynthia Drachenberg - ED		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff not maintaining residents hygiene

Residents diapers not changed in a timely manner

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Gary Tan conducted an unannounced subsequent complaint visit at this facility to further investigate the above allegations. LPA met Executive Director Cynthia Drachenberg and explained the reason for the visit.

LPA conducted physical plant tour at around 9:20 AM, requested facility documents relevant to the investigation at 10:00 AM, interviewed staff and residents between 10:30 AM to 1:00 PM and reviewed records between 1:00 PM to 2:30 PM.

Regarding the allegation Staff not maintaining residents hygiene, it was alleged that residents are not being cared properly and hygiene (bathing and shaving) are not well kept. LPA's observation today at 9:30 AM revealed that all of the residents observed at Memory Care Unit (Traditions 2) were well kept and tidy during visit. LPA's interview with four (4) Memory Care staff today between 10:45 AM to 1:00 PM revealed that all four (4) of them always clean their assigned residents every morning and do the shower of residents per schedule.

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: 09/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2022

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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Control Number 31-AS-20210802115045

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: OAKMONT OF VALENCIA	FACILITY NUMBER: 197609904
	VISIT DATE: 09/17/2022

NARRATIVE

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(continued from LIC 9099)

All staff also mentioned that some of the residents refused shower once in a while.

Regarding the allegation that Residents diapers not changed in a timely manner, it was alleged that a resident was observed a dried feces on a resident's diaper. LPA's interview with four (4) Memory Care staff today between 10:45 AM to 1:00 PM revealed that all four (4) of them check their incontinent residents every two (2) hours at a minimum and change diapers at an average of three (3) times a day. LPA's interview with ten (10) residents or 10% of the current census also revealed that the staff always check on them every two (2) hours and changed them when needed.

Based on the information gathered during this and prior visit, the allegation is deemed unsubstantiated at this time.

Exit interview conducted. Copy of this report issued.

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Jose Gary Tan	TELEPHONE: (323) 213-1149
LICENSING EVALUATOR SIGNATURE:	DATE: 09/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2022

LIC9099 (FAS) - (06/04)

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