197609904-10-8-2022-31-AS-NMAN-CNDP3H-20230124095733

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609904
Report Date: 10/08/2022
Date Signed: 10/08/2022 02:32:25 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
08/03/2021 and conducted by Evaluator Jose Gary Tan

COMPLAINT CONTROL NUMBER: 31-AS-20210803091544

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: 106	DATE:	10/08/2022
		UNANNOUNCED	TIME BEGAN:	09:01 AM
MET WITH:	Rhonda Bunnin - Memory Care Director		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Facility is not doing activities as advertised

Facility is not maintaining safe environment for residents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Gary Tan conducted an unannounced subsequent visit to 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 9:42 AM, requested copy of facility documents relevant to the investigation at 10:00 AM and interviewed staff between 10:00 AM to 12:15 PM.

Regarding the allegation that the facility is not doing activities as advertised, it was alleged that the residents were not taken the residents out on an outing in over a month. LPA's interview with the former Memory Care director on 08/04/21 at 2:28 PM, revealed that the Activity Director for Memory Care was on medical leave since 07/07/21 but their activities for memory residents continued even without the director. Further interview also revealed that their facility driver was also on leave but only for two (2) weeks but their outing continued as their sister facility (Oakmont Santa Clarita) lent their driver to do the outing. (continued on LIC 9099-C)

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: 10/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2022

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-20210803091544

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: 10/08/2022

NARRATIVE

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(continued from LIC 9099)

LPA's interview with the Activity staff on 08/04/21 at 2:45 PM confirmed that the activity was continuous in memory care despite the absences as the Executive Director and other Activity staff stepped in to assist the residents in memory care. LPA's observation during the initial visit on 08/04/21 at around 1:30 PM also revealed that some of the memory care residents were doing Videoke and others watching movie via internet based TV system in the memory care area.

Regarding the allegation that the facility is not maintaining safe environment for residents, it was alleged that a resident of memory care unit has a large dog which is unsafe for the other residents. LPA investigated a similar allegation (please see report dated 08/21/22) on complaint control no. 31-AS-20210728163608 and was unsubstantiated. The dog of the resident was documented as an emotional support dog and did not bother anyone at the facility as it stays on it's owner's room most of the time. LPA's interview with the Memory Care director today at around 12:00 PM, revealed that the dog is still in the facility and had not bothered any staff or resident of the facility nor she received any report about the dog misbehaving at anytime.

Based on the information gathered during this and prior visit, the allegations are 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: 10/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2022

LIC9099 (FAS) - (06/04)

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