306006005-7-11-2023-22-AS-AORZ-CTPKRG-20230713080756

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006005
Report Date: 07/11/2023
Date Signed: 07/11/2023 03:04:03 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE & INLAND A/SC, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/20/2022 and conducted by Evaluator Jenifer Tirre

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20220620144309

FACILITY NAME:	OAKMONT OF HUNTINGTON BEACH		FACILITY NUMBER:	306006005
ADMINISTRATOR:	ACOSTA-LOUER, SANDRA		FACILITY TYPE:	740
ADDRESS:	18922 DELAWARE STREET		TELEPHONE:	(657) 204-4600
CITY:	HUNTINGTON BEACH	STATE: CA	ZIP CODE:	92648
CAPACITY:	111	CENSUS: 77	DATE:	07/11/2023
		UNANNOUNCED	TIME BEGAN:	02:32 PM
MET WITH:	Administrator, Sandra Acosta Louer Health Services Director Edith Ramirez		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Facility failed to provide records to family/attorney.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jenifer Tirre and Licensing Program Manager (LPM) Alisa Ortiz made an unannounced visit on this day for the purpose of delivering findings for the above-mentioned allegation. LPA & LPM was greeted by staff and met with Administrator Sandra Acosta Louer and Health Services Director Edith Ramirez.

The investigation consisted of obtained records and interviews with Oakmont Staff. On 6/20/2022 the department received allegations that facility failed to provide records to family attorney. The Investigation was completed by the department and revealed the following:

Based off interviews with staff, Facility received a resident records request from Law Firm on 6/16/22 with a two-day due date. Facility staff interviews confirm that Facility had contacted Law Firm requesting time to produce documents. Facility interviews confirm that on 6/28/22 records were sent to Law Firm by Oakmont Representative.
CONTINUED ON 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Luz Adams	TELEPHONE: (714) 222-3812
LICENSING EVALUATOR NAME: Jenifer Tirre	TELEPHONE: (714) 401-6844
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2023

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 22-AS-20220620144309

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE & INLAND A/SC, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: OAKMONT OF HUNTINGTON BEACH	FACILITY NUMBER: 306006005
	VISIT DATE: 07/11/2023

NARRATIVE

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On 7/10/23 department contacted representative at Law Firm to verify documents received. Law Firm Representative stated due to the time period of case being older, Representative stated that case was settled but was not confirmed or denied that documents from facility were received. 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 above allegation is deemed UNSUBSTANTIATED.

An exit interview was conducted with Administrator, and copy of this report was left at facility.

SUPERVISOR'S NAME: Luz Adams	TELEPHONE: (714) 222-3812
LICENSING EVALUATOR NAME: Jenifer Tirre	TELEPHONE: (714) 401-6844
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2023

LIC9099 (FAS) - (06/04)

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