312700863-3-16-2022-25-AS-KHOS-CCYMZH-20220329100309

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 312700863
Report Date: 03/16/2022
Date Signed: 03/16/2022 04:06:40 PM

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
12/24/2021 and conducted by Evaluator Kerry Hiratsuka

COMPLAINT CONTROL NUMBER: 25-AS-20211224144009

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: 85	DATE:	03/16/2022
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Antonette Edwards, Executive Director; Shayan Gheisar, Business Office Director		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Facility failed to follow proper protocol for COVID-19

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Kerry Hiratsuka arrived at the facility unannounced on 03/16/2022, to conduct a Complaint Investigation Visit. LPA conducted COVID-19 Precautionary prescreening, and wore a surgical mask while at facility. LPA was screened by Front Desk.

LPA Hiratsuka, investigated the allegation “Facility failed to follow proper protocol for COVID-19.” LPA interviewed staff. The issue is visitors refusing to follow the mandates issued by California Department of Public Health (CDPH) regarding mask mandates and how the facility is supposed to enforce it. Interviews indicate the facility is doing the best they can to enforce the mask mandates, but every once in awhile will have issues with visitors taking off masks when no staff around in the common areas or wait until no staff around and take the masks off. The administration team schedule meetings with the visitors to discuss the mask mandates and it appears to work.
Based on the above, LPA cannot prove or disprove the facility is not enforcing the mask mandates from CDPH, the allegation is unsubstantiated.

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: 03/16/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2022

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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