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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320078
Report Date: 07/07/2022
Date Signed: 07/07/2022 06:16:23 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, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/18/2021 and conducted by Evaluator Don Senaha
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20211018112836
FACILITY NAME:OAKMONT OF TORRANCEFACILITY NUMBER:
198320078
ADMINISTRATOR:FERNANDEZ, TAMARAFACILITY TYPE:
740
ADDRESS:3620 LOMITA BLVDTELEPHONE:
(424) 338-4457
CITY:TORRANCESTATE: CAZIP CODE:
90505
CAPACITY:0CENSUS: 86DATE:
07/07/2022
UNANNOUNCEDTIME BEGAN:
09:51 AM
MET WITH:Myla Belson - AdministratorTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff are not meeting residents hygiene needs
Staff did not obtain authorization from residents authorized representative for medical services
Residents room smells like urine
Staff did not provide resident with toiletries
Staff did not safeguard residents personal belongings
Staff are not providing adequate food service
Staff are not providing activities for residents
Staff did not prevent resident from ingesting a hazardous substance
Staff are not vacuuming residents room
INVESTIGATION FINDINGS:
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On 07/07/2022, Licensing Program Analyst (LPA) Don Senaha initiated a subsequent complaint investigation for the allegations listed above. LPA was met by Administrator Myla Belson and LPA explained the purpose of this visit was to deliver the findings of the allegations listed above.


On 10/20/2021 Licensing Program Analyst (LPA) Don Senaha initiated a complaint investigation for the allegations listed above. Today’s complaint investigation was conducted with Ken Garnett/Vice President of Operations and Courtney Clark/Regional Health Services Specialist.


On 04/12/2022, Licensing Program Analyst (LPA) Don Senaha initiated a complaint investigation for the allegations listed above. Today’s complaint investigation was conducted with Memory Care Director Elizabeth Cheruto and Administrator Myla Belson.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Eva M AlvarezTELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Don SenahaTELEPHONE: (323) 629-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2022
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 6
Control Number 11-AS-20211018112836
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: OAKMONT OF TORRANCE
FACILITY NUMBER: 198320078
VISIT DATE: 07/07/2022
NARRATIVE
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The investigation consisted of the following: LPA requested service documents. LPA interviewed residents (R1-R9), staff (S1-S5), and witness (W1). A plant inspection of the facility was conducted and no deficiencies were found at the time of the visits.

Investigation revealed:

Allegation: Staff are not meeting residents hygiene needs.
During the course of the investigation, LPA did not observe any odors, soiled clothing or linens.

LPA conducted interviews with the residents (R1-R9) and they did not express any concerns with their hygiene needs being met. Residents (R1-R9) stated they have no issues regarding bathing, using the bathroom or any type of odor in the facility.

LPA conducted interviews with staff (S1-S5) and staff (S1-S5) did not express any concerns that resident’s hygiene needs are not being met. Staff (S1-S4) stated incontinence needs are address at least 2-3 times a day or as needed and shower logs are kept for each residents’ bathing needs.

Based on LPA’s observation, interviews conducted and records reviews, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated.

Allegation: Staff did not obtain authorization from residents authorized representative for medical services.


During the course of the investigation, LPA was unable to find documentation or evidence supporting the allegation above.

LPA interviewed Administrator Myla Belson and Health Services Director (HSD) Jennifer Flores and they both stated some resident’s primary care services are provided through Geiss Med (W1). The agreement of primary care services is between the family and Geiss Med (W1).

LPA reviewed and obtained documents providing a summary of primary care services for resident (R1) at Oakmont of Torrance from Geiss Med (W1).

SUPERVISOR'S NAME: Eva M AlvarezTELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Don SenahaTELEPHONE: (323) 629-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 11-AS-20211018112836
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: OAKMONT OF TORRANCE
FACILITY NUMBER: 198320078
VISIT DATE: 07/07/2022
NARRATIVE
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Based on LPA’s observation, interviews conducted and records reviews, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated.

Allegation: Room smells like urine.


During the course of the investigation, LPA did not observe any odors, soiled clothing or linens.

LPA conducted interviews with the residents (R1-R9) and they did not express any concerns with their room smelling like urine. Residents (R1-R9) stated they have no issues regarding odor in the facility.

LPA conducted interviews with staff (S1-S5) and staff (S1-S5) did not express any concerns resident room smelling like urine. Staff (S1-S4) stated incontinence needs are address at least 2-3 times a day or as needed.

Based on LPA’s observation, interviews conducted and records reviews, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated.

Allegation: Staff did not provide resident with toiletries.


During the course of the investigation, LPA was unable to find documentation or evidence supporting the allegation above. LPA observed toiletries available in rooms and common restrooms during visits.

During the interviews with residents (R1-R9), they did not express any concerns with staff not providing resident with toiletries.

LPA conducted interviews with staff (S2-S5) and staff (S2-S5) stated they do provide the basic toiletries to residents. Staff (S1, S3) stated some families provide their loved one toiletries. Staff (S3) stated housekeeping will provide toiletries.

Based on LPA’s observation, interviews conducted and records reviews, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated.

SUPERVISOR'S NAME: Eva M AlvarezTELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Don SenahaTELEPHONE: (323) 629-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 11-AS-20211018112836
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: OAKMONT OF TORRANCE
FACILITY NUMBER: 198320078
VISIT DATE: 07/07/2022
NARRATIVE
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Allegation: Staff did not safeguard residents personal belongings.
During the course of the investigation, LPA was unable to find documentation or evidence supporting the allegation above.

During the interviews with residents (R1-R9) and they did not express any concerns with staff not safeguarding their personal belongings.

LPA conducted interviews with staff (S1-S4) and staff (S1-S4) have not had any recent activity regarding personal belongings for residents missing. Staff (S1-S4) stated they would follow the protocol if a resident reported missing personal belongings from their room.

Based on LPA’s observation, interviews conducted and records reviews, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated.

Allegation: Staff are not providing adequate food service.


During the course of the investigation, LPA did observed menu’s posted. LPA obtained copies of the menu, including the alternate menu which is the “everyday menu”. LPA observed sufficient amount of food maintained in the kitchen. LPA observed cart to keep food warm when served to the residents’ rooms with tin cover to keep food warm. LPA observed microwave available should resident request a “quick warm up” of food.

LPA conducted interviews with the residents (R1-R9) and they did not express any concerns with staff not providing adequate food service. Residents (R1-R9) stated they receive three meals a day and snacks.

LPA conducted interviews with staff (S1-S5) and staff (S1-S5) did not express any issues reported by residents about residents not being provided adequate food service. Staff (S1-S5) stated they do serve three meals a day and snacks. Staff (S1-S5) stated there are no issues with the food staying warm as kitchen supplies the warm cart container. Staff (S3) stated if the resident wishes to have food ‘hotter’ staff can always take it back to the kitchen for fresh food or heat up in the microwave.

Based on LPA’s observation, interviews conducted and records reviews, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated

SUPERVISOR'S NAME: Eva M AlvarezTELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Don SenahaTELEPHONE: (323) 629-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 11-AS-20211018112836
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: OAKMONT OF TORRANCE
FACILITY NUMBER: 198320078
VISIT DATE: 07/07/2022
NARRATIVE
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Allegation: Staff are not providing activities for residents.
During the course of the investigation, LPA observed activities calendars posted. LPA observed activities being conducted. LPA obtained hard copies of activity calendars.

LPA conducted interviews with the residents (R1-R9) and they did not express any concerns with activities not being provided by the staff. The majority of the residents’ stated there is always staff present during activities. The majority of the residents’ stated they do take part in the activities daily.

LPA conducted interviews with staff (S1-S5) and staff (S1-S5) stated there are activities daily. Staff (S1-S5) stated the activities calendar is posted. Staff (S1-S5) stated the facility has an activities director to coordinate all the activities. Staff (S1-S5) stated all activities are monitored by care staff and the activities coordinator.

Based on LPA’s observation, interviews conducted and records reviews, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated.


Allegation: Staff did not prevent resident from ingesting a hazardous substance.
During the course of the investigation, LPA was unable to find documentation or evidence supporting the allegation above.

LPA conducted interviews with the residents (R1-R9) and 8 of 9 stated there is always staff present during activities. LPA conducted interviews with the residents (R1-R9) and 8 of 9 stated they have never seen another resident digesting a foreign substance while doing an activity.

LPA conducted interviews with staff (S1-S5) stated the activities are monitored by care staff and the activities coordinator. Staff (S1-S5) stated they have not had any issues with residents’ ingesting a hazardous substance during activities.

Based on LPA’s observation, interviews conducted and records reviews, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated.

SUPERVISOR'S NAME: Eva M AlvarezTELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Don SenahaTELEPHONE: (323) 629-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 11-AS-20211018112836
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: OAKMONT OF TORRANCE
FACILITY NUMBER: 198320078
VISIT DATE: 07/07/2022
NARRATIVE
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Allegation: Staff are not vacuuming residents room.
During the course of the investigation, LPA was unable to find documentation or evidence supporting the allegation above.

LPA obtained a copy of the housekeeping cleaning schedule. LPA observed the facility to be clean, safe, sanitary and in good repair according to title 22 regulations, including residents’ rooms during the course of investigation. LPA observed housekeeping cleaning rooms during visits.

LPA interviewed residents (R1-R9) and they did not express any concerns with their rooms not being cleaned by staff.

LPA conducted interviews with staff (S1-S5) and staff (S1-S5) stated they have no concerns about housekeeping keeping the residents’ room clean. Staff (S2-S3) stated housekeeping does a “deep” cleaning once per week or as necessary.

Based on LPA’s observation, interviews conducted and records reviews, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated.

SUPERVISOR'S NAME: Eva M AlvarezTELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Don SenahaTELEPHONE: (323) 629-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2022
LIC9099 (FAS) - (06/04)
Page: 6 of 6