197610183-12-3-2024-31-AS-TAGD-DEMMPZ-20250310094756

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610183
Report Date: 12/03/2024
Date Signed: 12/03/2024 04:01:01 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 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
07/13/2023 and conducted by Evaluator Tuesday Cabiness

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20230713112552

FACILITY NAME:	OAKMONT OF VALENCIA		FACILITY NUMBER:	197610183
ADMINISTRATOR:	MYLA BELSON		FACILITY TYPE:	740
ADDRESS:	24070 COPPER HILL DRIVE		TELEPHONE:	(661) 568-6080
CITY:	VALENCIA	STATE: CA	ZIP CODE:	91354
CAPACITY:	144	CENSUS: 104	DATE:	12/03/2024
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Myla Belson		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

1. Staff do not ensure residents are provided feeding assistance
2. Staff do not ensure residents are served food of good quality
3. Staff do not ensure residents are provided bathing assistance in a timely manner

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Tuesday Cabiness conducted a subsequent visit and met with Executive Director Myla Belson, and informed her the reason of the visit, which was to deliver the final findings of the allegations mentioned above. The following was determined.

Allegation #1: Staff do not ensure residents are provided with feeding assistance. To investigate the complaint, on July 23, 2023, between 10:45 a.m. and 11:45 a.m., (LPA) conducted staff interviews and reviewed documents relevant to the allegation. Today, 12/03/2024, during a follow-up visit from 10:00 a.m. to 4:00 p.m., LPA conducted a physical plant inspection, additional interviews with residents and staff and reviewed resident records. According to the records and information reviewed, Resident #1 (R1) did not require feeding assistance but needed occasional reminders to eat the food presented to (R1). Interviews revealed that (R1) had a private caregiver who often provided reminders, along with staff, to eat but did not need assistance with feeding directly. During today’s observation, LPA witnessed staff providing feeding assistance to residents during mealtimes. This observation further supports the fact that staff are assisting residents as needed.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024

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 3

Control Number 31-AS-20230713112552

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: OAKMONT OF VALENCIA	FACILITY NUMBER: 197610183
	VISIT DATE: 12/03/2024

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Based on interviews, observations, and records reviewed, there is insufficient evidence to support the allegation. Therefore, the allegation is determined to be Unsubstantiated at this time.

Allegation # 2: Staff do not ensure residents are served food of good quality. To investigate this allegation, on July 23, 2023, from 10:45 a.m. to 11:45 a.m., (LPA) conducted staff interviews and reviewed documents relevant to the complaint. On December 3, 2024, during a follow-up visit from 10:00 a.m. 4:00 p.m., LPA conducted additional interviews with residents and staff, reviewed resident records, and performed a physical plant inspection. Information gathered through interviews, and a review of the facility’s daily menu, and observations of food served during the visit indicated that the facility provides residents with fresh, quality hot and cold food daily. The resident menu displayed a variety of meal options, with additional choices available. Residents interviewed stated that the food quality is overall good and that they can provide input and suggestions to the chef during monthly Town Hall meetings. Therefore, based on the evidence collected during interviews, and observations, the allegation is Unsubstantiated at this time.

Allegation # 3:Staff do not ensure residents are provided with bathing assistance in a timely manner. To investigate this allegation, on July 23, 2023, from 10:45 a.m. to 11:45 a.m., (LPA) conducted staff interviews and reviewed documents relevant to the complaint. On December 3, 2024, during a follow-up visit from 10:00 a.m. to 4:00 p.m., the LPA conducted additional interviews with residents and staff and reviewed resident records. Information obtained during the investigation revealed that Resident #1 (R1) required assistance with showering and dressing. Interviews indicated that (R1) needed the support of two people for these tasks. Additionally, (R1) had a private caregiver who worked (8) to (12) hours daily and frequently assisted facility staff with (R1's) care. The facility maintains a shower schedule, and residents interviewed stated that staff provide assistance as needed. Other residents, who were independent, reported that staff are available when called for help. Based on interviews and documentation reviewed, there is insufficient evidence to prove the allegation, Therefore, the allegation is Unsubstantiated at this time.

Exit interview and copy of report provided.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 3