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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320078
Report Date: 05/11/2021
Date Signed: 05/24/2021 02:12:26 PM



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
01/07/2021 and conducted by Evaluator Don Senaha
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20210107122549
FACILITY NAME:OAKMONT OF TORRANCEFACILITY NUMBER:
198320078
ADMINISTRATOR:LEMON, ERIKAFACILITY TYPE:
740
ADDRESS:3620 LOMITA BLVDTELEPHONE:
(424) 338-4457
CITY:TORRANCESTATE: CAZIP CODE:
90505
CAPACITY:126CENSUS: 68DATE:
05/11/2021
UNANNOUNCEDTIME BEGAN:
11:38 AM
MET WITH:Stacie SheridanTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Residents are not getting showers due to insufficient staffing
Residents trash is not being taken out due to insufficient staffing
Residents needs are not being met due to insufficient staffing
Residents food is cold.
Residents are not receiving meals timely
INVESTIGATION FINDINGS:
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On 05/11/2021 Licensing Program Analyst (LPA) Don Senaha and Licensing Program Manager (LPM) Eva Alvarez conducted a subsequent visit to deliver complaint findings. LPA met with Administrator Stacie Sheridan and Health Services Director Dollie Bedolla and explained the purpose of the visit.

On 01/15/2021 Licensing Program Analyst (LPA) Don Senaha initiated a complaint investigation for the allegations listed above. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures, today’s complaint investigation was conducted via facetime with Jill Libhart/Administrator.

The investigation consisted of the following: Interviews conducted with Jill Libhart (Administrator), Dollie Bedolla (Health Services Director), residents (R1-R12) and staff (S1-S6). Residents (R5-R6) declined to be interviewed. LPA requested and obtained resident roster, staff roster, house rules, weekly menu and bathing logs pertaining to the allegations. A plant inspection of the facility was conducted.
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: 05/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2021
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 11-AS-20210107122549
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: 05/11/2021
NARRATIVE
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Allegation: Residents are not getting showers due to insufficient staffing

LPA conducted interviews with residents (R1-R4, R7-R12). Residents (R3, R7, R10-R11) all shower on their own. Residents (R1, R2, R4, R8-R9, R12) confirmed they have no issues regarding getting showers from the staff. Staff (S1, S3-S6) stated they shower residents who are scheduled to be showered each shift and log it in progress notes. LPA reviewed bathing logs for month of March 2021 and found no issues. LPA found no evidence that residents are not getting showers due to insufficient staffing.



Allegation: Residents trash is not being taken out due to insufficient staffing

LPA conducted interviews with residents (R1-R4, R7-R12). Residents (R1-R4, R7-R12) confirmed trash is taken out by caregivers. Resident (R1) stated should trash be “smelly”, residents can leave it in the hallway for the caregivers to pick up. Residents (R4, R7 R10-R12) stated the caregivers take out the trash multiple times per day. Residents (R1-R4, R7-R12) confirmed they do not have any issues with the trash not being taken out. Staff (S1-S6) stated they take out the trash during their shift and most said they take out the trash multiple times per shift. LPA did not observe any trash in the residents’ room during the plant inspection on 01/15/2021. LPA found the residents’ room to be clean, safe, sanitary and in good repair. LPA found no evidence that residents’ trash is not being taken out due to insufficient staffing.

Allegation: Residents needs are not being met due to insufficient staffing

LPA conducted an interview with Jill Libhart/Administrator. Administrator stated there is 3-5 staff during the day shift, 3-4 staff during the afternoon shift and 2-3 staff during the overnight shift. Administrator stated if a staff calls in sick she will find a coverage by calling a replacement worker or ask staff on current shift to stay until they find coverage. LPA conducted interviews with residents (R1-R4, R7-R12). Resident (R1-R4, R7-R12) stated she pushes the call button or uses the telephone if needs any assistance and has always been able to get help. Residents (R2-R4, R7-R12) stated they wear pendants around their neck to push button if they need help. Residents (R2-R4, R7-R12) stated they received help when calling for help. Residents (R1-R4, R7-R12) stated their rooms are cleaned weekly and the majority stated it is done by the cleaning service. Residents (R1-R4, R7-R12) confirmed they receive timely meals each day which are breakfast, lunch and dinner. Staff (S1-S2, S4-S6) stated they are able to care for all the residents on their shift in a sufficient manner at this time. Based on the interviews, LPA found the facility personnel to be sufficient in numbers and competent to provide the services necessary to meet the residents needs. LPA found no evidence that residents needs are not being met due to insufficient staffing.

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

DATE: 05/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20210107122549
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: 05/11/2021
NARRATIVE
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Allegation: Residents food is cold

LPA conducted interviews with residents (R1-R4, R7-R12). Residents (R1-R4, R7-R12) stated they have not had any concerns with the temperature of the food served. LPA found residents (R1-R4, R7-R12) had microwave ovens in their room and residents (R1-R4, R7-R12) can use these microwave ovens if they want to heat up food. Staff (S1, S3-S6) stated the hot food is kept hot in a container to keep it warm when served. Staff (S1, S4-S6) stated if resident would like food heated up, staff can heat up in the microwave oven for them or staff can go back to the kitchen and get a fresh meal. LPA did not find sufficient evidence that the residents’ food is cold.

Allegation: Residents are not receiving meals timely

LPA conducted interviews with residents (R1-R4, R7-R12). Residents (R1-R4, R7-R12) confirmed they receive timely meals each day which are breakfast, lunch and dinner. Residents (R1-R4, R7-R12) had no concerns with the service time of each meal per day. Staff (S1-S6) confirmed the residents are served three (3) timely meals per day which are breakfast, lunch and dinner. LPA obtained a weekly menu showing breakfast, lunch and dinner options available daily. LPA found no evidence that the residents are not receiving meals timely.

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

An exit interview was conducted with Administrator Stacie Sheridan and Health Services Director Dollie Bedolla and a hard copy was provided for signature.

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

DATE: 05/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3