317000237-5-25-2023-25-AS-KHOS-CSQPMX-20230612112706

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 317000237
Report Date: 05/25/2023
Date Signed: 05/25/2023 01:34:54 PM

Unfounded

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
10/21/2022 and conducted by Evaluator Todd Tryon

PUBLIC

COMPLAINT CONTROL NUMBER: 25-AS-20221021111633

FACILITY NAME:	OAKWOOD VILLAGE, INC.		FACILITY NUMBER:	317000237
ADMINISTRATOR:	JOHN O'BRIEN		FACILITY TYPE:	740
ADDRESS:	3388 BELL ROAD		TELEPHONE:	(530) 889-8122
CITY:	AUBURN	STATE: CA	ZIP CODE:	95603
CAPACITY:	124	CENSUS: 47	DATE:	05/25/2023
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Cathy Dustin and Mary Roberts		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Staff failed to provide adequate food service.
Facility is unsanitary.
Residents are not receiving adequate care and supervision.
Staff being sexually inappropriate towards residents.

INVESTIGATION FINDINGS:

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LPA Tryon visited the facility on 5/25/2023 to complete the complaint. LPA met with Cathy Dustin and Mary Roberts.
LPA has spoken with staff and witnesses, toured the facility on at least 2 occasions including dining room, kitchen, resident rooms, hallways, bathrooms, common areas and reviewed documentation.
Regarding the allegation that staff failed to provide adequate food service, LPA has viewed meals on at least 2 occasions (plus muliple other times while at the facility in the past), visited the kitchen, reviewed menus. The food has always appeared to look appetizing and nutritious, sanitation in the kitchen appeared appropriate, clients spoken with briefly said food was good, and portions appeared plentiful. Food supplies in facility were adequate. At this time, there is no evidence to suggest that staff have failed to provide adequate food service. Allegation is UNFOUNDED.
Regarding the allegation that the facility is unsanitary, LPA has toured the facility on several occasions along with multiple visits on various occasions over the past 4 years. LPA has always found the facility to be clean in in adequate condition. Kitchen has been found to be clean and appropriate. Allegation is unfounded.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Troy Ordonez	TELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Todd Tryon	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023

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 25-AS-20221021111633

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: OAKWOOD VILLAGE, INC.	FACILITY NUMBER: 317000237
	VISIT DATE: 05/25/2023

NARRATIVE

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Regarding the allegation that residents are not receiving adequate care and supervision, LPA has visited the facility and toured on several occasions, spoken with staff and residents, visited residents in rooms/toured rooms, reviewed care plans. LPA finds no evidence that residents are not getting adequate care. Allegation is unfounded.

Regarding the allegation that staff are being sexually inappropriate towards residents: LPA has spoken with staff and management. The allegation stated that a RESIDENT had made advances with a staff member, who refused. Resident then made the statement that "other" staff do it. In speaking with staff, it was stated that there had been a resident quite some time ago that would approach staff with propositions. No one was aware of anyone following through with these requests. The resident may have made a statement about other staff, but there is no evidence to show that anything actually happened at any time. When management was made aware of the situation, the resident was relocated out of the facility. It would appear that the company took appropriate action at the time. Allegation is unfounded.

Exit interview conducted.

SUPERVISOR'S NAME: Troy Ordonez	TELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Todd Tryon	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023

LIC9099 (FAS) - (06/04)

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