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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320250
Report Date: 02/14/2024
Date Signed: 02/14/2024 03:02:15 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, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/06/2024 and conducted by Evaluator Antonine Richard
COMPLAINT CONTROL NUMBER: 11-AS-20240206153313
FACILITY NAME:OAKMONT OF TORRANCEFACILITY NUMBER:
198320250
ADMINISTRATOR:MATTHEW RYANFACILITY TYPE:
740
ADDRESS:3620 LOMITA BLVDTELEPHONE:
(424) 376-3300
CITY:TORRANCESTATE: CAZIP CODE:
90505
CAPACITY:126CENSUS: 87DATE:
02/14/2024
UNANNOUNCEDTIME BEGAN:
08:10 AM
MET WITH:Angelie PasaTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Facility staff do not assist resident with grooming as needed.
Facility staff donot ensure resident wears clean clothing.
Facility staff do not ensure resident has clean bed linens.
Facility staff do not assist resident with bathing as needed.
INVESTIGATION FINDINGS:
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On 02/14/2024, Licensing Program Analyst (LPA) Antonine Richard conducted a complaint visit to deliver findings. LPA met with Resident Care Coordinator Charisma lepue and Health Services Director Angelie Pasa and the purpose of today’s visit was explained. Later LPA Richard met with Executive Director Matthew Ryan and obtained documents.

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, residency agreement, Individualized Service Plan, housekeeping cleaning schedule, resident shower schedule and care giver schedule.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Ulysses CoronelTELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Antonine RichardTELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2024
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 4
Control Number 11-AS-20240206153313
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: OAKMONT OF TORRANCE
FACILITY NUMBER: 198320250
VISIT DATE: 02/14/2024
NARRATIVE
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The investigation revealed the following:

Allegation: Staff do not assist resident with grooming as needed.

It is alleged that residents are not being groomed as needed. LPA reviewed weekly grooming schedule for residents, which show that most of the residents get one to two showers a week. LPA interviewed staff (S1-S3) regarding the allegation. All the staff interviewed three out three staff stated that majority of the residents receive assistance with their grooming. (R1-R3) have their own one on one private companion (care givers), who help with their daily grooming. The Oakmont care giver assisted them with the grooming when they requested assistance. LPA interviewed (R4-R5) regarding the allegation. They all stated that the staff is great at taking care of them. Especially with the toilet needs. LPA interviewed the three one on one private companion (care givers) all stated that residents received grooming every day. LPA Richard attempted to interview R1 but was unsuccessful and was unable to answer the questions. R1 have her own one on one private companion.

Based on interviews, observation, and records reviewed there was not enough sufficient evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation, did or did not occur, therefore the allegation is Unsubstantiated.

SUPERVISOR'S NAME: Ulysses CoronelTELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Antonine RichardTELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 11-AS-20240206153313
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: OAKMONT OF TORRANCE
FACILITY NUMBER: 198320250
VISIT DATE: 02/14/2024
NARRATIVE
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Allegation: Facility do not ensure resident wears clean clothing.

Allegedly, the staff do not assist residents wear clean clothing. During the visit LPA observed that all the residents wear clean clothing at the dinning room. LPA interviewed staff (S1-S6) regarding the allegation. All the staff stated that residents wear clean clothes every day, some of the residents don’t like to change their clothes, if the clothes aren’t soiled or dirty. LPA interviewed resident (R4-R5) residents stated that the staff change their clothes every day unless they don’t want their clothes to be changed.

Based on interviews, observation, and records reviewed there was not enough sufficient evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation, did or did not occur, therefore the allegation is Unsubstantiated.

Allegation: Facility staff do not ensure resident has clean bed linens.

Allegedly, the staff do not ensure resident has clean bed linens. During the visit LPA observed that all the residents room have clean bed linens and comforter. LPA interviewed staff (S1-S6) regarding the allegation. All the staff stated that residents beds are changed every day with clean linens, pillowcases, and blankets. If the residents have an accident in bed staff will remove their linens. If the bed linens are soiled and dirty the staff will remove their linens. LPA interviewed resident (R4-R5) residents stated that the staff cleaned their beds every day.

SUPERVISOR'S NAME: Ulysses CoronelTELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Antonine RichardTELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 11-AS-20240206153313
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: OAKMONT OF TORRANCE
FACILITY NUMBER: 198320250
VISIT DATE: 02/14/2024
NARRATIVE
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Based on interviews, observation, and records reviewed there was not enough sufficient evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation, did or did not occur, therefore the allegation is Unsubstantiated.

Allegation: Facility staff do not assist resident with bathing as needed.

Allegedly, the staff do not assist resident with bathing as needed. During the visit LPA interviewed staff (S1-S6) regarding the allegation. All the staff stated that residents are showering two or three times a week. Some of the residents have their own schedule for showering. If the residents have an accident the staff will bath them. If the residents are going out in the outing the resident might want to shower before leaving. LPA interviewed residents (R4-R5) residents stated that the staff do bath them according to their schedule unless they have an accident or refuse to take a bath that day.

Based on interviews, observation, and records reviewed there was not enough sufficient evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation, did or did not occur, therefore the allegation is Unsubstantiated.

A copy of the complaint investigation Report LIC9099 and LIC9099-C was provided to the facility. There were no deficiencies cited. An exit interview was conducted.

SUPERVISOR'S NAME: Ulysses CoronelTELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Antonine RichardTELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4