198603479-2-12-2024-28-AS-RORN-D2MNHJ-20240220092845

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603479
Report Date: 02/12/2024
Date Signed: 02/12/2024 04:15:53 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 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
09/22/2022 and conducted by Evaluator Angelica Rea

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20220922154642

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:	DATE:	02/12/2024
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Janette Hill		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Resident has sustained multiple unwitnessed falls while in care.
Facility does not provide a safe environment for resident.
Facility staff are not adequately providing resident assistance and supervision while in care.
Facility staff are not ensuring that resident is adequately fed while in care.
Facility staff are not ensuring that resident is adequately hydrated while in care.
Resident's sensor alert device was not working properly.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Angelica Rea conducted another visit to deliver the final results of the investigation. LPA met with Administrator, Janette Hill, who assisted with today's visit.

An initial visit was conducted on 9/26/22. The investigation consisted of interview(s) with Administrator, Staff #1 - Staff #4, and Resident #1 - Resident #5, and tour of memory care unit. LPA also reviewed resident #6's file, and obtained copies of speciific documents. Resident #6 was not interviewed due to residents' cognitive level.

Regarding the allegation that : Resident #6 has sustained multiple unwitnessed falls while in care. Administrator and staff interviewed stated that if a resident falls, the facility staff are trained to assess the resident, and determine if 911 needs to be called. Administrator and staff interviewed stated that resident #6 experienced two falls, and was properly assessed by staff. Resident #6 fell on 9/22/22, was assessed, was sent to hospital, and returned to facility. Facility submitted special incident report as required.

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: 02/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2024

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-20220922154642

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: 02/12/2024

NARRATIVE

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Regarding the allegation that : Facility does not provide a safe environment for resident. The investigation consisted of interview(s) with Administrator, Staff #1 - Staff #4, and Resident #1 - Resident #5.
Administrator and staff interviewed stated that the facility does provide a safe environment for resident(s). Staff interviewed stated that resident(s) are assessed upon admission and are regularly observed for changes in condition. Residents interviewed were unable to corroborate the allegation. Five out of five residents interviewed stated that the facility does provide them with a safe environment.

Regarding the allegation that : Facility staff are not adequately providing resident assistance and supervision while in care. Administrator and staff interviewed stated that staff are providing adequate assistance and supervision. Staff interviewed stated that they check on residents frequently, and they assist residents according to the resident(s) care plan. Residents interviewed were unable to corroborate the allegation. Five out of five residents interviewed stated that staff are providing them with assistance and supervision.

Regarding the allegation that : Facility staff are not ensuring that resident is adequately fed while in care, and facility staff are not ensuring that resident is adequately hydrated while in care. Administrator and staff interviewed, stated that the staff do ensure that resident(s) are adequately fed and hydrated while in care. They said that the facility provides a sufficient amount of food and beverages to resident(s) and they assist resident(s) with eating and drinking, if they need assistance. Residents interviewed were unable to corroborate the allegation. Five out of five residents interviewed stated that staff do ensure that they are receiving enough food and hydration at the facility.

Regarding the allegation that : Resident's sensor alert device was not working properly. Administrator and staff interviewed stated that the sensor alert devices are in resident room(s) in memory care. Staff interviewed stated that the sensors detect motion, and alert the staff if a resident falls, or is moving around in the room. Staff interviewed stated that the devices are working properly. Residents interviewed were unable to corroborate the allegation. Five out of five residents interviewed stated that that the sensor alert devices are working properly. LPA observed that the sensor alert devices are working properly.

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.

Exit interview conducted, and a copy of the report was provided.

SUPERVISOR'S NAME: Lisa Hicks	TELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Angelica Rea	TELEPHONE: (323) 980-4929
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2024

LIC9099 (FAS) - (06/04)

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