197609904-10-29-2021-31-AS-EMIR-CE6LZ9-20220506091131

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609904
Report Date: 10/28/2021
Date Signed: 10/29/2021 11:03:39 AM

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
06/25/2020 and conducted by Evaluator Angelica Arambulo

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20200625123434

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:	01:00 PM
MET WITH:	Patrice O Grady , Stephanie Funderberg		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Staff failed to provide access to resident's records while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Angelica Arambulo conducted a subsequent visit to facility to deliver findings on the above allegation, LPA met with Memory care Director Patrice O GRady.

It was alleged that the facility had failed to provide resident records while in their care. LPA conducted investigation on the allegation and discovered that resident was at the Oakmont Valencia location fo ra short period. Resident eventually returned to her Oakmont Santa Clarita location immediately and there were no documents sent over to the Valencia location.

LPA conducted interviews with the complainant who confirmed the facility did follow through in informing the correct location about the records request and they did already receive the records prior to this investigation. The allegation is therefore unsubstantiated.
No citations issued.

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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