198320250-7-28-2023-11-AS-MVAO-CWXQ36-20231025114813

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320250
Report Date: 07/28/2023
Date Signed: 07/28/2023 05:24:12 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 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
07/12/2023 and conducted by Evaluator Jeremiah Randle

COMPLAINT CONTROL NUMBER: 11-AS-20230712113410

FACILITY NAME:	OAKMONT OF TORRANCE		FACILITY NUMBER:	198320250
ADMINISTRATOR:	JULIUS OSORIO		FACILITY TYPE:	740
ADDRESS:	3620 LOMITA BLVD		TELEPHONE:	(424) 376-3300
CITY:	TORRANCE	STATE: CA	ZIP CODE:	90505
CAPACITY:	126	CENSUS: 126	DATE:	07/28/2023
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Matt Ryan		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff do not afford resident dignity in their relationship
Staff do not respond timely to resident's call pendent
Staff do not wake resident's for breakfast
Resident did not receive copy of care plan

INVESTIGATION FINDINGS:

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The investigation consisted of the following:
LPA observed facility, as well as common areas of the facility. A comfortable temperature is maintained throughout the facility. LPA observed the facility to be operational and in good repair, LPA reviewed pertinent documents pertaining to the investigation. The following documents were gathered: Staff and Client Rosters, file for resident (R1) and any other pertinent documentation needs and service, physician report, residency agreement, medication records for R1. On 07/21/2023 LPA Randle interviewed (S1) on 7/28/2023 LPA interviewed resident (R1). LPA requested, received, and reviewed the following information: file of R1, Staff roster, Resident roster, and other documents relevant to the investigation. LPA received the following pertinent documents pertaining to the investigation: Resident Roster, Staff Roster, Admissions Agreement, Needs and Services Plan, LPA reviewed Staff schedule, resident generated CALL ALERT signal times LPA interviewed staff (S2-S8) and residents (R1-R7). regarding allegations listed above.

-Continued

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Jeremiah Randle	TELEPHONE: 323-213-1116
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2023

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 5

Control Number 11-AS-20230712113410

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: OAKMONT OF TORRANCE	FACILITY NUMBER: 198320250
	VISIT DATE: 07/28/2023

NARRATIVE

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The investigation revealed the following:

Allegation: Staff do not afford resident dignity in their relationship.

LPA interviewed staff (S1-S8) and residents (R1-R7). regarding allegation listed above. All interviewed denied the allegation including R1. During the course of the investigation, LPA was unable to find any documents or witnesses supporting the allegation above. LPA reviewed a copy of the admissions agreement including general policies and guidelines, communications – information services and member code of conduct among other topics given to each resident upon admission to the facility.

All staff of the and residents denied the allegation and stated there were no issues or concerns about the facility staff not affording residents dignity.

Based on information gathered, the department did not find sufficient evidence to support the allegation. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations, did or did not occur, therefore the allegation is Unsubstantiated.

Cont

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Jeremiah Randle	TELEPHONE: 323-213-1116
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 5

Control Number 11-AS-20230712113410

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: OAKMONT OF TORRANCE	FACILITY NUMBER: 198320250
	VISIT DATE: 07/28/2023

NARRATIVE

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Allegation: Staff do not respond timely to resident's call pendent

S1 stated that resident R1 does indeed activate R1’s call device often for assistance for care and staff responds to the calls for assistance. S1 stated to LPA that S1 was unaware of any complaints from R1 regarding delayed assistance and denies the allegation. LPA reviewed call logs and found that multiple calls had occurred at or around the same time. R1 was however provided assistance. LPA interviewed Staff stated to LPA all the staff responds timely to every call for assistance from all the residents. LPA interviewed staff (S2-S7) and staff confirmed they respond quickly to the call alerts from residents promptly as trained. LPA interviewed residents (R2-R7). regarding allegations listed above -Staff did not answer resident's call button in a timely manner, of residents interviewed the residents reported they had not encountered a problem with staff not responding timely.

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Jeremiah Randle	TELEPHONE: 323-213-1116
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2023

LIC9099 (FAS) - (06/04)

Page: 3 of 5

Control Number 11-AS-20230712113410

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: OAKMONT OF TORRANCE	FACILITY NUMBER: 198320250
	VISIT DATE: 07/28/2023

NARRATIVE

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Allegation: Staff do not wake residents for breakfast

LPA interviewed morning shift staff inclusive of (S1-S7) all staff confirmed all residents are offered breakfast every morning. Staff informed LPA if a resident wakes up late the resident can still have breakfast at their request. LPA interviewed residents (R2-R7). regarding allegations listed above, all residents reported they had not encountered a problem with staff not waking residents for breakfast. R1 informed LPA he had not missed breakfast since residing at the facility. R1 informed LPA that he is independent and usually sets an alarm to wake in the mornings.

Cont

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Jeremiah Randle	TELEPHONE: 323-213-1116
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2023

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 11-AS-20230712113410

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: OAKMONT OF TORRANCE	FACILITY NUMBER: 198320250
	VISIT DATE: 07/28/2023

NARRATIVE

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Allegation: Resident did not receive copy of care plan.

LPA interviewed S1, S1 denied the allegation. S1 stated all residents, or their responsible party are required sign admission agreement and care plans incorporated into their agreement and a provided a copy at the time of admission or shortly thereafter. S1 also stated that a copy of the plan is available upon request by resident or responsible. S1 was asked if R1 made any document request R1 stated “no”.LPA reviewed resident file and required documents were in the file and signed. LPA interviewed R1, R1 was asked if he received a copy of his care plan R1 stated to LPA ‘I don’t not remember but I am sure my daughter has a copy of my paperwork’. R1 was asked was he denied a copy of his paperwork? Answer no “I have not asked for it”. LPA interviewed residents (R2-R7) all stated that they have had no issues receiving documents or copies of signed agreements.

Findings Based on information gathered, the department did not find sufficient evidence to support the allegations listed above. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations, did or did not occur, therefore the allegations are Unsubstantiated.

An exit interview was conducted and a copy of the LIC 9099 was provided to Matt Ryan Executive Director

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Jeremiah Randle	TELEPHONE: 323-213-1116
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2023

LIC9099 (FAS) - (06/04)

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