<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603479
Report Date: 10/27/2023
Date Signed: 10/30/2023 08:17:27 AM


Document Has Been Signed on 10/30/2023 08:17 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
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 WHITTIERFACILITY NUMBER:
198603479
ADMINISTRATOR:JAKINI, ROBERTFACILITY TYPE:
740
ADDRESS:13617 WHITTIER BLVD.TELEPHONE:
(562) 693-8222
CITY:WHITTIERSTATE: CAZIP CODE:
90605
CAPACITY:97CENSUS: 71DATE:
10/27/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Janette Hill TIME COMPLETED:
03:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Angelica Rea conducted an unannounced annual visit using the Inspection Tool. LPA met with Executive Director Janette Hill and explained the reason for the visit. Physical Plant was toured, medications, staff and resident files, were reviewed, food supply was inspected, and a sample of staff and residents were interviewed.

LPA Rea and Ms. Hill toured the facility including common areas and a random sample of resident rooms. There are multiple shaded seating areas for the residents throughout the facility patio area. Passageways and exits are free of obstruction. The water temperature was tested in a random selection of resident bedrooms and measured between 112.4 F - 118.8 F which is within the required 105 F - 120 F degrees. Grab bars and non-skid mats were observed in resident bathrooms. Resident bedrooms have the required furniture such as bed frames, dressers, lamps and chairs. Bedrooms also have sufficient closet space. Resident beds have the required linen and the linen is in good condition. Smoke detectors and carbon monoxide detectors were observed in resident rooms and were tested and operable during the visit. There are multiple fire extinguishers located throughout the facility. Kitchen appliances are clean and were operating at the time of the visit. Sharps are locked and are inaccessible to residents. Cleaning supplies and disinfectants are locked and are inaccessible to the residents. LPA observed a sufficient amount of perishable and non-perishable food supply. Medications were reviewed and appeared to be administered as prescribed. Resident and Staff files have all the required documentation. Ms. Hill stated that the facility conducted an earthquake/fire drill on 8/2/23.

There were no deficiencies observed on today's visit. Exit interview conducted and report was given to Ms. Hill.
SUPERVISOR'S NAME: Lisa HicksTELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Angelica ReaTELEPHONE: (323) 980-4929
LICENSING EVALUATOR SIGNATURE:
DATE: 10/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/27/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1