312700863-10-3-2022-25-AS-LMUZ-CK7TVU-20221014150431

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 312700863
Report Date: 10/03/2022
Date Signed: 10/03/2022 11:18:24 AM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/23/2022 and conducted by Evaluator Talwinder Bains

COMPLAINT CONTROL NUMBER: 25-AS-20220823114054

FACILITY NAME:	OAKMONT OF WESTPARK		FACILITY NUMBER:	312700863
ADMINISTRATOR:	ATONETTE EDWARDS		FACILITY TYPE:	740
ADDRESS:	2400 PLEASANT GROVE BLVD		TELEPHONE:	(916) 789-2000
CITY:	ROSEVILLE	STATE: CA	ZIP CODE:	95747
CAPACITY:	142	CENSUS: 105	DATE:	10/03/2022
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Jessica Pryor		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Facility staff fail to deliver food timely, as requested nor in a healthful manor.
Transportation is not provided reliably as agreed in resident's admission agreement.
Facility reports by Community Care Licensing are not available to residents in a prominent location for public view.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 10/03/22 to deliver findings of the complaint investigation for above allegations. LPA met with administrator Jessica Pryor and explained the purpose of the visit. Prior to the visit , LPA completed required COVID-19 testing protocols and the daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA wore the following Personal Protective Equipment (PPE) during today's visit-surgical mask. LPA was screened by facility staff upon entry.

The department conducted records review ,facility observations and interviews to investigate the complaint.

**Report continued on LIC9099-C**

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Laura Munoz	TELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Talwinder Bains	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2022

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 25-AS-20220823114054

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926

FACILITY NAME: OAKMONT OF WESTPARK	FACILITY NUMBER: 312700863
	VISIT DATE: 10/03/2022

NARRATIVE

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**report continued from 9099-----

Allegation-Facility staff fail to deliver food timely, as requested nor in a healthful manor.

The department conducted interviews, facility observation and record review to investigate above allegation. Department conducted interviews with facility staff and residents to investigate this allegation. Based on interviews conducted, staff indicated meals are served timely to resident’s during all meals. There is a lack of information to determine a specific incident occurred when residents meals were not served timely. Department also observed lunch service during facility visit and observed that facility is following required food temperature while serving food to all residents; therefore, this allegation is UNFOUNDED.

Allegation- Transportation is not provided reliably as agreed in resident's admission.
The department conducted interviews and record review to investigate above allegation. Department conducted interviews with facility staff and residents to investigate this allegation. The facility provides transportation for residents four times a week for medical appointments and other outing to meet resident’s needs. The facility transportation bus is in good working order. Based on interviews conducted, the facility transportation scheduled is kept as scheduled. Transportation agreement is notated in all resident’s admissions agreements, therefore, this allegation is UNFOUNDED.

Allegation- Facility reports by Community Care Licensing are not available to residents in a prominent location for public view.
The department conducted interviews, facility observation and record review to investigate above allegation. Department conducted interviews with facility staff and residents to investigate this allegation. Based on interviews conducted, the facility is following Health and Safety §1569.38 Posting of licensing reports as the facility has made all reports available for public view for 3 years. During facility visit on 09/07/22, department verified that facility reports by Community Care Licensing are available to residents in a prominent location for public view, therefore, this allegation is UNFOUNDED.
Based on information above, department concluded that all these allegations are UNFOUNDED, A finding that the allegations are unfounded means that the allegations are false, could not have happened, and/or is without a reasonable basis.

No citations were issued today. Exit interview was conducted with Administrator and a copy of this report was provided to the facility. The signature of the Administrator on these forms acknowledges receipt of these documents.

SUPERVISOR'S NAME: Laura Munoz	TELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Talwinder Bains	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2022

LIC9099 (FAS) - (06/04)

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