315002955-8-13-2024-59-AS-KHOS-D8BJF7-20240820070015

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 315002955
Report Date: 08/13/2024
Date Signed: 08/13/2024 10:39:16 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/08/2024 and conducted by Evaluator Bethany Mirlohi

COMPLAINT CONTROL NUMBER: 59-AS-20240708083743

FACILITY NAME:	OAKMONT OF WESTPARK		FACILITY NUMBER:	315002955
ADMINISTRATOR:	THOMAS, HALEY		FACILITY TYPE:	740
ADDRESS:	2400 PLEASANT GROVE BLVD.		TELEPHONE:	(916) 545-8904
CITY:	ROSEVILLE	STATE: CA	ZIP CODE:	95747
CAPACITY:	142	CENSUS: 84	DATE:	08/13/2024
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Haley Thomas, Administrator		TIME COMPLETED:	10:50 AM

ALLEGATION(S):

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Staff member did not treat residents with dignity and respect.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Bethany Mirlohi and Graham Gunby arrived unannounced to deliver complaint investigation findings. LPA met with administrator Haley Thomas during today’s inspection.
LPA investigated allegation, “Staff member did not treat residents with dignity and respect”. LPA conducted interviews with staff and residents and reviewed documentation. LPA interviewed staff, in which 11 of the 13 staff stated they have not observed S1 yell or speak inappropriately to clients in care. 1 caregiver stated they have witnessed S1 speak down to residents in care. LPA interviewed 1 witness in which they stated they have witnessed S1 speak to families inappropriately. LPA interviewed 1 family member in which they stated S1 was rude to them on several occasions.
Continuation on 9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Troy Ordonez	TELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Bethany Mirlohi	TELEPHONE: (916) 204-8288
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/08/2024 and conducted by Evaluator Bethany Mirlohi

COMPLAINT CONTROL NUMBER: 59-AS-20240708083743

FACILITY NAME:	OAKMONT OF WESTPARK		FACILITY NUMBER:	315002955
ADMINISTRATOR:	THOMAS, HALEY		FACILITY TYPE:	740
ADDRESS:	2400 PLEASANT GROVE BLVD.		TELEPHONE:	(916) 545-8904
CITY:	ROSEVILLE	STATE: CA	ZIP CODE:	95747
CAPACITY:	142	CENSUS: 84	DATE:	08/13/2024
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Haley Thomas, Administrator		TIME COMPLETED:	10:50 AM

ALLEGATION(S):

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Staff member handled resident in a rough manner

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Bethany Mirlohi and Graham Gunby arrived unannounced to deliver complaint investigation findings. LPA met with administrator Haley Thomas during today’s inspection.
LPA investigated allegation, “Staff member handled resident in a rough manner.” LPA conducted staff interviews, of which 13 of 13 staff members stated they have never observed S1 handling resident’s in a rough manner. LPA interviewed 5 residents in care, all stated S1 has never been rough or physically hurt them in anyway. LPA interviewed 1 family member in which they stated they have never observed S1 being rough with residents in care. Due to the information gathered LPA finds allegation to be UNFOUNDED. A finding that the allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Exit interview conducted.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Troy Ordonez	TELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Bethany Mirlohi	TELEPHONE: (916) 204-8288
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 59-AS-20240708083743

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833

FACILITY NAME: OAKMONT OF WESTPARK	FACILITY NUMBER: 315002955
	VISIT DATE: 08/13/2024

NARRATIVE

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LPA interviewed 5 residents in care in which 4 of 5 clients stated S1 has never yelled at them and they have never had an issue with S1 being unkind or inappropriate. Due to information gathered LPA finds allegation to UNSUBSTANTIATED.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are unsubstantiated.

Exit interview conducted.

SUPERVISOR'S NAME: Troy Ordonez	TELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Bethany Mirlohi	TELEPHONE: (916) 204-8288
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2024

LIC9099 (FAS) - (06/04)

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