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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 317000237
Report Date: 06/19/2025
Date Signed: 06/19/2025 04:19:45 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, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/04/2025 and conducted by Evaluator Todd Tryon
COMPLAINT CONTROL NUMBER: 59-AS-20250604145853
FACILITY NAME:OAKWOOD VILLAGE, INC.FACILITY NUMBER:
317000237
ADMINISTRATOR:UCLARAY, PATTYFACILITY TYPE:
740
ADDRESS:3388 BELL ROADTELEPHONE:
(530) 889-8122
CITY:AUBURNSTATE: CAZIP CODE:
95603
CAPACITY:124CENSUS: 60DATE:
06/19/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Patty Uclaray, Executive DirectorTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Staff are not properly addressing pest infestation in the facility
Staff are not practicing proper hand washing procedures
Staff do not ensure kitchen appliances are in proper working order
Staff are not meeting residents dietary needs
Facility kitchen is in disrepair
INVESTIGATION FINDINGS:
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LPA Tryon visited the facility on 6/19/2025 to continue work on the complaint. LPA met with ED Patty Uclaray. LPA toured the assisted living dining room and memory care dining room, viewed the noon meal, watched servers working, observed residents eating and spoke briefly with several residents, LPA also interviewed 3 kitchen staff.
Over the course of visits. LPA has toured the dining areas, kitchen, dishwashing area, food storage, cooler/freezer, separate Ice cream freezer, staff dining area, outside hose area where rubber mats are washed down, spoken with ED, Director of Dining Services, 3 kitchen staff, and resdidents, reviewed documents.
Regarding the allegation that staff are not properly addressing pest infestation, LPA spoke with ED, Dining Director and 3 kitchen staff. No one has witnessed bugs, rodents or pests in kitchen/food storage or dining areas. LPA toured these areas and did not see any pests, no "droppings" or other evidence of pests. The facility contracts with a pest control service who treat the grounds/facility. LPA also obtained Invoices for twice a month service from the pest control company. The facility is clearly addressing the issue, and staff have not noted pests present. Allegation is unfounded.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Todd Tryon
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025
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 2
Control Number 59-AS-20250604145853
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: OAKWOOD VILLAGE, INC.
FACILITY NUMBER: 317000237
VISIT DATE: 06/19/2025
NARRATIVE
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Regarding allegation that Staff are not practicing proper hand washing procedures, in interviewing kitchen staff and Director of Dining Services. It appears that staff are diligent about hand washing at appropriate times. Allegation is unfounded.

Regarding the allegation that Staff do not ensure kitchen appliances are in proper working order, LPA has toured the kitchen, interviewed staff, ED and Director of Dining Services. LPA learned there are currently no broken or non-working appliances. LPA learned that in general if something breaks or stops working, staff take appropriate action to have it repaired or replaced. LPA learned that a freezer was broken a few weeks ago, but staff quickly moved the frozen food to a freezer in another building, then quickly had it repaired. Food did not have an opportunity to thaw. No thawed or spoiled food has been served. Allegation is unfounded,

Regarding allegation that Staff are not meeting residents dietary needs, LPA interviewed ED, Director of Dining Services, staff, observed meals and checked in briefly with residents. The facility has lists of residents with special dietary needs/requirements in the kitchen so that needs are met. Meals appear appetizing and nutritious. Residents appear to enjoy the food overall. Allegation is unfounded.

Regarding the allegation that Facility kitchen is in disrepair, LPA toured the kitchen, spoke with staff and Director of Dining Services. LPA saw no evidence of any kind of leaks or large amounts of water in any area of the kitchen or dining areas, no stains to indicate leaks etc There was a small amount of water near dishwasher from a little spilled water off dishes, but there were rubber mats for safety. LPA questioned staff regarding method for cleaning rubber mats, and they all stated this is done by taking them outside and using a hose provided for that purpose; no one saw mats washed in the dishwasher as alleged; and stated they would not fit into the dishwasher as the mats are too large. Allegation is unfounded.

A finding that an allegation is UNFOUNDED means that the allegation is false, could not have happened, and/or is without a reasonable basis.

No deficiencies were cited at this visit. Exit interview was conducted.
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Todd Tryon
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2