312700863-10-20-2022-25-AS-TORZ-CKHQLA-20221024121533

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 312700863
Report Date: 10/20/2022
Date Signed: 10/20/2022 12:59:40 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO - RESIDENTIAL, 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
02/15/2022 and conducted by Evaluator Kerry Hiratsuka

COMPLAINT CONTROL NUMBER: 25-AS-20220215100304

FACILITY NAME:	OAKMONT OF WESTPARK		FACILITY NUMBER:	312700863
ADMINISTRATOR:	CASSIANA BUSH		FACILITY TYPE:	740
ADDRESS:	2400 PLEASANT GROVE BLVD		TELEPHONE:	(916) 789-2000
CITY:	ROSEVILLE	STATE: CA	ZIP CODE:	95747
CAPACITY:	142	CENSUS: 88	DATE:	10/20/2022
		UNANNOUNCED	TIME BEGAN:	11:10 AM
MET WITH:	Jeff Sumabat, Regional Ops Specialist		TIME COMPLETED:	01:10 PM

ALLEGATION(S):

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Staff do not properly secure resident's medication
Staff do not respond to resident's call pendent
Staff speak inappropriately to a resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Kerry Hiratsuka arrived at the facility unannounced to deliver the findings of the allegations above. LPA wore a surgical mask during visit. This complaint came in February 2022.

LPA investigated the allegation “1. Staff do not properly secure resident's medication;
2. Staff do not respond to resident's call pendant; and 3. Staff speak inappropriately to a resident.” LPA interviewed facility staff and reviewed facility documentation. LPA also interviewed residents.

1. Interviews with staff all stated they have not seen any unsecured medications in rooms where residents cannot manage their own medications. LPA did not observe any medications in any of the rooms or common areas where residents cannot manage their own medications. Complainant stated it has happened multiple times. LPA attempted to interview the resident in question a couple of times and the resident refused each time. LPA cannot confirm or deny based on each version of events.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Troy Ordonez	TELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Kerry Hiratsuka	TELEPHONE: (916) 591-0210
LICENSING EVALUATOR SIGNATURE:	DATE: 10/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2022

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-20220215100304

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO - RESIDENTIAL, 520 COHASSET RD., STE. 170
CHICO, CA 95926

FACILITY NAME: OAKMONT OF WESTPARK	FACILITY NUMBER: 312700863
	VISIT DATE: 10/20/2022

NARRATIVE

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2. Staff also stated they answer all call pendants and LPA was unable to interview the resident in question because the resident refused to be interviewed during LPA’s attempts. LPA reviewed the call log and observed that several stated the calls went unanswered on both the assisted living side and memory care side. The residents interviewed on the assisted living side state the calls are answered. LPA was informed the caregivers wear a pendant that clears the call requests from the residents and that the building was down to only a couple for the memory care and assisted living side for awhile and management was not made aware of the issue until August 2022. LPA was told that sometimes the caregivers don’t turn off the call pendant because they focus on the resident first when responding to the call pendant and forget to turn off the call pendant. More pendants for the caregivers have been ordered and are ordered on a regular basis. Other interviews stated the staff ignore the call button for a particular resident which staff deny, and LPA was unable to interview that resident. Because each side has their own version of events LPA cannot prove or disprove.

3. Interviews with staff stated they have not witnessed any issues between staff and residents. Interviews with most of the residents indicate no issues between staff and residents. One interview stated there was an issue with one caregiver. LPA was unable to interview the resident in question because the resident refused to be interviewed. Because each side has their own version of events LPA cannot prove or disprove.

Based on interviews with staff and residents, as well as a review of facility call logs, LPA cannot prove or disprove any of the allegations above. The allegations are unsubstantiated.

SUPERVISOR'S NAME: Troy Ordonez	TELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Kerry Hiratsuka	TELEPHONE: (916) 591-0210
LICENSING EVALUATOR SIGNATURE:	DATE: 10/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2022

LIC9099 (FAS) - (06/04)

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