198603479-11-18-2022-28-AS-MVAO-CLMRB8-20221129115219

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603479
Report Date: 11/18/2022
Date Signed: 11/18/2022 10:42:03 AM

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 CNTR DR. ST 500
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/19/2022 and conducted by Evaluator Angelica Rea

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20220919123353

FACILITY NAME:	OAKMONT OF WHITTIER		FACILITY NUMBER:	198603479
ADMINISTRATOR:	JAKINI, ROBERT		FACILITY TYPE:	740
ADDRESS:	13617 WHITTIER BLVD.		TELEPHONE:	(562) 693-8222
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90605
CAPACITY:	97	CENSUS: 75	DATE:	11/18/2022
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Janette Hill		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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Facility staff are not providing assistance to resident according to resident's care plan.
Resident is being illegally evicted.

INVESTIGATION FINDINGS:

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This is an addendum to report dated 10/28/22 providing additional information.

Licensing Program Analyst (LPA) Angelica Rea conducted another visit in response to the above allegations. On today's visit, LPA met with Administrator Janette Hill, who assisted with the visit.

The investigation consisted of the following: Interview(s) Administrator, Staff #1 -Staff #4, Resident #2- Resident #6, review of Resident #1's file, review of Resident #1's eviction notice, and review of photographs provided by facility.

Regarding the allegation that facility staff are not providing assistance to resident according to resident #1's care plan, Administrator and staff interviewed denied the allegation. Administrator stated that resident #1 has lived at the facility since July 2021 and was reassessed in July 2022. LPA obtained a copy of resident #1's care plan. LPA observed that resident #1's care plan states that resident #1 will receive assistance with toileting and will receive status checks during each shift.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Lisa Hicks	TELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Angelica Rea	TELEPHONE: (323) 980-4929
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20220919123353

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 CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: OAKMONT OF WHITTIER	FACILITY NUMBER: 198603479
	VISIT DATE: 11/18/2022

NARRATIVE

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Administrator and staff stated that they are providing resident #1 with care according to her care plan, and extra assistance that is not on her care plan. Staff stated that they are providing status checks during each shift, and they assist resident #1 with toileting. Staff interviewed indicated that resident #1's family specifically requested that resident #1 is assisted with toileting between 6:00am-7:00am, and they are providing resident #1 with that assistance. Staff interviewed stated that resident #1 refuses assistance at times, and does not use her pendant. Staff interviewed stated that staff maintain a "daily task sheet", where they document the care that resident #1 receives. Residents interviewed were unable to corroborate the allegation. They stated that facility staff do provide them with assistance according to their care plan(s) and when needed.

Regarding the allegation that Resident #1 is being illegally evicted. The investigation consisted of interviews with Administrator and Staff #1 - Staff #4, review of Resident #1's admission agreement, including house rules, review of Resident #1's eviction notice dated 9/14/22, and review of photographs provided by facility.

Administrator stated that a hidden audio and video recording device was found in resident #1's room by a caregiver on 9/12/22. Administrator stated that the device was placed in the room without the consent of the facility, and that it violates the admission agreement and house rules. Administrator provided photos of the device including model name and number. LPA reviewed information provided and confirmed that the device is used for surveillance, and is a audio and video device.

Administrator stated that resident #1's family member was provided with an eviction noticed dated 9/14/22 for violating the admission agreement. LPA reviewed facility file, and confirmed that placing a recording device in a resident's room is a violation of the admission agreement, which was signed by resident #1's family member. Facility provided a copy of the eviction notice to Community Care Licensing as required.

Based on LPA's observations and interviews, investigation revealed: 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.

No Deficiencies cited under California Code of Regulations Title 22. Exit interview conducted, and a copy of report was provided to Administrator, Janette Hill.

SUPERVISOR'S NAME: Lisa Hicks	TELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Angelica Rea	TELEPHONE: (323) 980-4929
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2022

LIC9099 (FAS) - (06/04)

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