197609904-9-15-2021-31-AS-MVAO-D47T7Z-20240410142933

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609904
Report Date: 09/15/2021
Date Signed: 09/15/2021 03:49:50 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
09/08/2021 and conducted by Evaluator Angela Panushkina

COMPLAINT CONTROL NUMBER: 31-AS-20210908153256

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:	144	CENSUS: 85	DATE:	09/15/2021
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Stephanie Funderburg, Executive Director		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Resident has access to toxic materials
Staff does not attend to resident's toileting needs in a timely manner

INVESTIGATION FINDINGS:

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At 10:00 am Licensing Program Analysts (LPAs) Angela Panushkina and Melissa Ruiz conducted an unannounced initial complaint visit to this facility to investigate the allegations mentioned above. LPAs met with Executive Director Stephanie Funderburg and explained the reason for the visit. LPAs conducted physical plant tour at 10:45am and conducted interviews with eight (8) residents. At 1:00pm, LPAs requested copies of facility documents relevant to the investigation. At 1:30pm, LPA interviewed staff designated for the Memory Care Unit.

Allegation: Resident has access to toxic materials.
At approximately 2:00pm, LPAs toured residents room #115B, and observeved all toxic materials being locked and inaccessible to resident in care. In addition, upon interviewing the Director, LPAs were informed that all toxic materials are being kept locked at all times and if there, for any reason, a problem with a lock it's being addressed and taking care of promptly. Therefore the above allegation is Unsubstantiated.
(Continue on LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Nichelle Gillyard	TELEPHONE: (818) 596-4341
LICENSING EVALUATOR NAME: Angela Panushkina	TELEPHONE: 747-230-3364
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2021

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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Control Number 31-AS-20210908153256

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: 09/15/2021

NARRATIVE

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Allegation: Staff does not attend to resident's toileting needs in a timely manner.

Interviews with Memory Care Unit two (2) staff and the Facility Director revealed that the facility has 3 shifts: morning (6am-2pm), afternoon (2pm-10pm) and evening/night (10pm-6am) and that all three (3) shifts have five (5) to six (6) staff at all time. LPAs were informed that all residents are being assisted with their toileting needs on a timely manner. LPAs also observed 6 staff on duty during the visit and all residents being well taking care of. In addition, the resident interviews revealed that there daily toielting needs are met in a timely manner. No resident express concerns regarding this allegation. Therefore, the above allegation is Unsubstantiated.

SUPERVISOR'S NAME: Nichelle Gillyard	TELEPHONE: (818) 596-4341
LICENSING EVALUATOR NAME: Angela Panushkina	TELEPHONE: 747-230-3364
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2021

LIC9099 (FAS) - (06/04)

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