197610183-11-22-2022-31-AS-NGID-D39M6N-20240311092010

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610183
Report Date: 11/22/2022
Date Signed: 11/22/2022 07:06:43 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
11/18/2022 and conducted by Evaluator Angela Panushkina

COMPLAINT CONTROL NUMBER: 31-AS-20221118124324

FACILITY NAME:	OAKMONT OF VALENCIA		FACILITY NUMBER:	197610183
ADMINISTRATOR:	CYNTIA DRACHENBERG		FACILITY TYPE:	740
ADDRESS:	24070 COPPER HILL DRIVE		TELEPHONE:	(661) 568-6080
CITY:	VALENCIA	STATE: CA	ZIP CODE:	91354
CAPACITY:	144	CENSUS: 101	DATE:	11/22/2022
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Julius Osorio, Regional Operations Specialist.		TIME COMPLETED:	07:00 PM

ALLEGATION(S):

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Staff do not assist residents with incontinence needs
Staff are not following resident admission agreement
Staff not trained before caring for residents
Staff do not ensure resident is wearing hearing aide support
Staff are not showering residents
Staff are feeding residents meals late
Facility does not have a full time employee for food service
Facility is not following menu plan
Facility does not purchase enough food

INVESTIGATION FINDINGS:

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At approximately, 9:00am Licensing Program Analysts (LPAs), Angela Panushkina and Michael Cava arrived to Oakmont of Valencia in response to the above mentioned allegations. LPAs met with the Regional Operations Specialist and explained the reason for the visit.

LPAs conducted a physical plant walk through, at approximately 10:30am, to ensure that the facility is in compliance with rules and regulations under California Code of Regulations, Title 22, Division 6. LPAs did not observe any immediate health and safety issues during the visit.

LPAs conducted interview with the Regional Operations Specialist, five (5) out of five (5) staff members, three (3) MedTechs, Chef, one (1) cook, ten (10) out of ten (10) residents and reviewed facility records from 12:00pm to 4:00pm. 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: 11/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 4

Control Number 31-AS-20221118124324

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: 11/22/2022

NARRATIVE

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Allegation: Staff do not assist residents with incontinence needs

Interviews with five (5) out of five (5) staff members revealed that all incontinent residents are being changed every 2 hours or as needed. During the interview LPAs observed all Memory Care Unit residents were appropriately dressed and well taken care of. LPAs did not smell any odor while interviews were taking place. Based on information obtained through interviews and LPAs observation this allegation is deemed Unsubstantiated.

Allegation: Staff are not following resident admission agreement

Although, the Reporting party made an identification, the person they identified was not a resident in a Memory Care Unit. Therefore, LPAs were not able to interview the resident nor had enough evidence to prove that the facility staff was not following the Admission Agreement. Based on information obtained through document review this allegation is deemed Unsubstantiated.

Allegation: Staff not trained before caring for residents

Interviews with five (5) out of five (5) staff members and three (3) out of three (3) MedTechs revealed that prior to an actual schedule being released the employees take forty (40) hours of online training and five (5) days of shadowing. Interviews also revealed that if the staff member is not ready to start work on their own, they can request for an additional training. Interview with the Regional Operations Specialist revealed that all staff members have to feel comfortable working independently. In addition, five (5) out of ten (10) residents, who were able to communicate, also informed LPAs that the facility staff members provide a good care and know what they are doing. Based on information obtained through interviews this allegation is deemed Unsubstantiated.

Allegation: Staff do not ensure resident is wearing hearing aide support

Although, the Reporting party made an identification, the person they identified was not a resident in a Memory Care Unit. Therefore, LPAs were not able to interview the resident nor had enough evidence to prove that the staff do not ensure resident is wearing hearing aid support. LPAs interviewed five (5) out of five (5) staff members, who denied this allegation stating that they do assist residents with their hearing aid. One (1) out of five (5) staff members stated: “When a resident refuses to wear a hearing aid in the morning, we try to approach them to wear it later in the day.” Based on information obtained through interviews this allegation is deemed Unsubstantiated. Continue on LIC9099-C

SUPERVISOR'S NAME: Nichelle Gillyard	TELEPHONE: (818) 596-4341
LICENSING EVALUATOR NAME: Angela Panushkina	TELEPHONE: 747-230-3364
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022

LIC9099 (FAS) - (06/04)

Page: 4 of 4

Control Number 31-AS-20221118124324

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: 11/22/2022

NARRATIVE

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Allegation: Staff are not showering residents

Interviews with five (5) out of ten (10) residents, who were able to communicate, revealed that they receive showers twice weekly or as needed. LPAs reviewed shower schedule for a Memory care unit and observed that when a resident refuses to shower, it is documented and a second attempt to encourage the resident to take a shower is made later on that day. Based on information obtained through interviews and document review this allegation is deemed Unsubstantiated.

Allegation: Staff are feeding residents meals late

Interviews with the kitchen Chef, one (1) cook, five (5) out of five (5) staff members and five (5) out of ten (10) residents, who were able to communicate, revealed that usually the facility meals are ready on time. However, due to COVID there was a slight delay of 5-10 minutes, but the residents did not complain. Based on information obtained through interviews and document review this allegation is deemed Unsubstantiated.

Allegation: Facility does not have a full time employee for food service

Interviews with a Chef and a cook revealed that the facility is working on hiring more employees, but whoever gets hired, immediately resigns on a following day or on that same week. Interview with an Regional Operations Specialist revealed that the facility is actively looking to hire more people and provided LPAs with a list of an employment from Indeed.com, Facebook, etc. Based on information obtained through interviews and document review this allegation is deemed Unsubstantiated.

Allegation: Facility is not following menu plan

Interviews with five (5) out of ten (10) residents, who were able to communicate, revealed that the facility always follows the daily menu. Interview with the Chef and a cook revealed that very rarely that they do a menu change. But, when they do, it is for the reasons of shortage of ingredients or shortage of staff due to some meal preparations can be time consuming. Based on information obtained through interviews and document review this allegation is deemed Unsubstantiated.

Continue on LIC9099-C

SUPERVISOR'S NAME: Nichelle Gillyard	TELEPHONE: (818) 596-4341
LICENSING EVALUATOR NAME: Angela Panushkina	TELEPHONE: 747-230-3364
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 31-AS-20221118124324

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: 11/22/2022

NARRATIVE

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Allegation: Facility does not purchase enough food

At 11:00am, LPA made a visit to the kitchen and observed it is fully stocked with perishable and non-perishable foods. Interview with the Chef and a cook revealed that the food is restocked regularly at least 2 times a week, on Wednesday and Saturday. LPAs also observed the residents with special dietary needs are posted in the kitchen prep area with pictures of the resident and their food choices or required preparation. Based on information obtained through interviews and document review this allegation is deemed Unsubstantiated.

Exit interview conducted and copy of report was provided to the Executive Director.

SUPERVISOR'S NAME: Nichelle Gillyard	TELEPHONE: (818) 596-4341
LICENSING EVALUATOR NAME: Angela Panushkina	TELEPHONE: 747-230-3364
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022

LIC9099 (FAS) - (06/04)

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