197610183-1-6-2023-31-AS-NGID-CNCVUH-20230123154446

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610183
Report Date: 01/06/2023
Date Signed: 01/06/2023 03:30:59 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
12/30/2022 and conducted by Evaluator Angela Panushkina

COMPLAINT CONTROL NUMBER: 31-AS-20221230145902

FACILITY NAME:	OAKMONT OF VALENCIA		FACILITY NUMBER:	197610183
ADMINISTRATOR:	JULIUS C OSORIO		FACILITY TYPE:	740
ADDRESS:	24070 COPPER HILL DRIVE		TELEPHONE:	(661) 568-6080
CITY:	VALENCIA	STATE: CA	ZIP CODE:	91354
CAPACITY:	144	CENSUS: 95	DATE:	01/06/2023
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Mayla Belson, Executive Director		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff are not assisting resident in a timely manner
Staff do not answer the phone when residents call for assistance

INVESTIGATION FINDINGS:

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At approximately, 10:00am Licensing Program Analyst (LPA), Angela Panushkina arrived to Oakmont of Valencia in response to the above mentioned allegations. LPA met with the Executive Director and explained the reason for the visit.

LPA conducted a physical plant walk through, at approximately 10:45am, to ensure that the facility is in compliance with rules and regulations under California Code of Regulations, Title 22, Division 6. LPA did not observe any immediate health and safety issues during the visit.

LPA conducted interview with the Executive Director, four (4) staff members, one (1) MedTech, eight (8) out of thirteen (13) residents between 10:15am to 1:30pm and reviewed facility records from 1:35pm to 2:00pm. LPA also obtained copies of pertinent documents relevant to the investigation.

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: 01/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2023

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-20221230145902

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: 197610183
	VISIT DATE: 01/06/2023

NARRATIVE

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In addition, during todays visit, while interviewing a sample of eight (8) out of thirteen (13) residents, LPA randomly tested resident’s pendant and emergency pull cords in the bathrooms.

Allegation: Staff are not assisting resident in a timely manner

To investigate this allegation, LPA conducted a random inspection of seven (7) pendants and four (4) emergency pull cords in the bathrooms and staff responded within a reasonable time. The facility’s expectation for response time is 10 minutes.

Interview with the Executive Director revealed that during each shift (morning, afternoon and night) the facility has enough staff members scheduled to take care of the resident's needs. Interviews with eight (8) out of thirteen (13) residents, who were able to communicate, revealed that they are satisfied with the staff response time when they need assistance. Based on information obtained through interviews and document review this allegation is deemed Unsubstantiated.

Allegation: Staff do not answer the phone when residents call for assistance

Interviews with the Executive Director, one (1) concierge, one (1) MedTech revealed that at 8:00pm all facility phone calls are being forwarded to another phone that is being answered by the facility MedTech and all missed calls and voicemail are being checked and returned, immediately. Interviews with eight (8) out of thirteen (13) residents, who were able to communicate, revealed that they always use their pendants for an immediate assistance. In addition, LPA was informed by 4 residents that when they contacted the front desk (during the business hours), an immediate assistance was provided by the facility staff. Lastly, interviews with seven (7) residents revealed that they had no reason and or never had to contact the facility phone line after the business hours.

No deficiencies issued during todays visit.

Exit interview conducted and copy of this report issued.

SUPERVISOR'S NAME: Nichelle Gillyard	TELEPHONE: (818) 596-4341
LICENSING EVALUATOR NAME: Angela Panushkina	TELEPHONE: 747-230-3364
LICENSING EVALUATOR SIGNATURE:	DATE: 01/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2023

LIC9099 (FAS) - (06/04)

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