198320078-4-19-2022-11-AS-JHAD-CEXVKS-20220531163047

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320078
Report Date: 04/19/2022
Date Signed: 04/19/2022 09:56:38 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
03/03/2022 and conducted by Evaluator Martessa Brown

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20220303153605

FACILITY NAME:	OAKMONT OF TORRANCE		FACILITY NUMBER:	198320078
ADMINISTRATOR:	MYLA BELSON		FACILITY TYPE:	740
ADDRESS:	3620 LOMITA BLVD		TELEPHONE:	(424) 338-4457
CITY:	TORRANCE	STATE: CA	ZIP CODE:	90505
CAPACITY:	126	CENSUS: 88	DATE:	04/19/2022
		UNANNOUNCED	TIME BEGAN:	04:30 PM
MET WITH:	Myla Belson		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Facility staff are not providing residents with food of good quality.
Facility staff did not properly store food.
Staff not meeting residents dietary needs.

INVESTIGATION FINDINGS:

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On 4/14/22, Licensing Program Analyst (LPA) Martessa Brown conducted a subsequent complaint visit in order to render investigation findings. During today’s visit LPA met with Myla Belson, and the purpose of the visit was explained.

The investigation consisted of the following: On 3/11/21 LPA Brown toured the physical plant along with the Business director. LPA was later met by administrator Myla Belson and the purpose of today’s visit was explained. During today’s visit LPA conducted interviews with administrator, staff members #1-5 and residents #1-8. LPA obtained the following documents: Staff and Resident Roster, Residents #1-2 Admission Agreements, physician reports, need & service/Appraisal. Administrator will provide Staff #1-2 training records and certificates by 3/15/22.

The investigation revealed the following:
Regarding allegation: Facility staff are not providing residents with food of good quality.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Martessa Brown	TELEPHONE: (714) 743-4597
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2022

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 3

Control Number 11-AS-20220303153605

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: 04/19/2022

NARRATIVE

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On 3/11/22 LPA Conducted an interview with the Administrator regarding the allegation. She stated they have trained and qualified chefs to prepare food. She stated residents have the options to pick what’s on the facility menu for the day or they can pick a separate option. She stated residents are mostly happy with the food. LPA interviewed staff #1-5, regarding allegation, staff stated residents are happy with the different food selections and have not heard any complaints. LPA interviewed residents #R1, regarding the allegation. R1 stated sometimes have food that is season with too much salt. LPA interviewed residents #2-8, they stated the quality of food is good and have no complaints. On 4/4/22 LPA interviewed staff #6, staff stated chefs are well trained and the facility has quarterly menus that are provided to residents.

Regarding allegation: Facility staff did not properly store food.

On 3/11/22 LPA conducted an interview with the Administrator regarding the above allegation. She stated the chefs have been trained and had no concerns on how food was being stored. She stated had no other incident reports of residents being sick. She had mentioned there was one incident alleging that R1 was sick after eating salmon. LPA interviewed staff #1-5, regarding allegation, staff stated they had no concerns with how food is being store and was not aware of any residents being sick. LPA interviewed residents #R1, regarding the allegation. R1 stated was sick but had a change of medication so was not sure if it was food that was the cause of being sick. LPA interviewed residents #2-8, they stated have not been sick or heard of any other resident being sick after they ate their food.

Regarding allegation: Staff not meeting residents dietary needs.

On 3/11/22 LPA conducted an interview with the Administrator regarding the above allegation. She stated the chefs have a board with a picture of all resident’s dietary needs. She stated Chefs and kitchen staff check the board before meals are prepared. She stated they also have a Culinary Director and 3^rd party nutritionist to overlook menus. LPA interviewed staff #1-5, regarding allegation, staff stated they follow residents’ dietary needs and they have a board inside of the kitchen area that is reviewed before preparing meals. Staff stated they have not heard concerns that residents dietary need are not being met. LPA interviewed residents #R1, regarding the allegation.

LIC 9099-C is on the next page

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Martessa Brown	TELEPHONE: (714) 743-4597
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20220303153605

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: 04/19/2022

NARRATIVE

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R1 stated sometimes have food that is season with too much salt and cannot have any onions. LPA interviewed residents #2-8, they stated they stated their food needs are being met and had no concerns. On 4/4/22 LPA interviewed staff #6, staff stated they have a dietary company that reviews the dietary plans and menu quarterly. They also have a manual to address the needs of residents with special diets.

LPA reviewed the following documents: R1 physician reports, incident report, dietician reports and food handler certificates. LPA also reviewed the residents with special needs board located in the kitchen that has a picture of all residents and their special diet needs. LPA observed the kitchen area and how food was stored. Based on information LPA obtained the above allegations is unsubstantiated.

Based on interviews conducted and records review, 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.

An exit interview was conducted with Administrator, and a hard copy was provided.

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Martessa Brown	TELEPHONE: (714) 743-4597
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2022

LIC9099 (FAS) - (06/04)

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