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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 317000237
Report Date: 10/10/2024
Date Signed: 10/10/2024 03:41:48 PM

Unsubstantiated


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
07/10/2024 and conducted by Evaluator Kerry Hiratsuka
COMPLAINT CONTROL NUMBER: 59-AS-20240710112435
FACILITY NAME:OAKWOOD VILLAGE, INC.FACILITY NUMBER:
317000237
ADMINISTRATOR:CATHY DUSTINFACILITY TYPE:
740
ADDRESS:3388 BELL ROADTELEPHONE:
(530) 889-8122
CITY:AUBURNSTATE: CAZIP CODE:
95603
CAPACITY:124CENSUS: 39DATE:
10/10/2024
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Patty UclcrayTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Staff are not assisting residents with hygiene needs
INVESTIGATION FINDINGS:
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LPA Hiratsuka conducted the investigation into the allegation above.
LPA Hiratsuka interviewed staff and reviewed resident records. This allegation was focused on residents who are not receiving showers as per their assigned schedule. Interviews with staff showed some staff have no issues giving showers to residents and some do. The staff have noted the residents who may be difficult to bathe are identified. Executive Director (ED) Patty Uclcray and Resident Care Director Jay James (RCD), both stated they are implementing new training techniques for the staff to have more consistency to be able to talk residents into taking showers instead of refusing. Shower logs show the residents who require assistance with showering sometimes refuse and sometimes accept but the residents do get showered. LPA unable to interview residents in question due to mental capacity
Based on the above, LPA cannot prove or disprove because each side has their own version of events.
Due to the information gathered, LPA cannot determine the allegations: Staff are not assisting residents with hygiene needs. LPA finds allegation to be 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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Troy OrdonezTELEPHONE: (916) 263-4700
LICENSING EVALUATOR NAME: Kerry HiratsukaTELEPHONE: (916) 591-0210
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2024
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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