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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 216804022
Report Date: 12/05/2024
Date Signed: 12/05/2024 10:16:51 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/07/2024 and conducted by Evaluator David Leibert
COMPLAINT CONTROL NUMBER: 21-AS-20241007152252
FACILITY NAME:OAKMONT OF NOVATOFACILITY NUMBER:
216804022
ADMINISTRATOR:RIC PIELSTICKFACILITY TYPE:
740
ADDRESS:1465 S. NOVATO BLVD.TELEPHONE:
(628) 215-1200
CITY:NOVATOSTATE: CAZIP CODE:
94947
CAPACITY:118CENSUS: 86DATE:
12/05/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Scott DavisTIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Facility does not have adequate food service.
Staff eat residents' food.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Leibert arrived unannounced for the purpose of delivering findings on this complaint. During the course of this investigations statements were taken, unannounced site visits were made and food supplies inspected, documents obtained and reviewed as well as photographs taken. It has been alleged that facility has run out of food such as ice cream, milk, beef, and snacks and that staff eat food intended for residents. Complainant and Co-Complainant are Anonymous without contact information and have not been available for interview. LPA has made three unannounced visits to facility and found the kitchen to be well stocked with a variety of food that meets or exceeds the requirements of Title twenty-Two Regulations. Fresh fruit and other snacks were observed in plentiful supply and available to the residents. Administration has stated that staff are permitted to eat facility prepared food but only food considered "left over" when residents are finished and which would otherwise be thrown away. Although the allegations may be true, or valid, based upon the statements and observations, there is not a preponderance of evidence to prove, or disprove, the allegations. Therefore, the allegations are UNSUBSTANTIATED.
No citations issued today. Report left.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carla Martinez
LICENSING EVALUATOR NAME: David Leibert
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024
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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