317000237-12-12-2024-59-AS-KHOS-DCFQEV-20241230110659

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 317000237
Report Date: 12/12/2024
Date Signed: 12/12/2024 03:40:22 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
12/06/2024 and conducted by Evaluator Todd Tryon

PUBLIC

COMPLAINT CONTROL NUMBER: 59-AS-20241206144513

FACILITY NAME:	OAKWOOD VILLAGE, INC.		FACILITY NUMBER:	317000237
ADMINISTRATOR:	CATHY DUSTIN		FACILITY TYPE:	740
ADDRESS:	3388 BELL ROAD		TELEPHONE:	(530) 889-8122
CITY:	AUBURN	STATE: CA	ZIP CODE:	95603
CAPACITY:	124	CENSUS: 56	DATE:	12/12/2024
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Patty Uclaray, Executive Director		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Resident in care had access to centrally stored medications

INVESTIGATION FINDINGS:

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On 12/12/2024 LPA Tryon visited the facility to complete the complaint. On this date LPA met and spoke with resident involved.
LPA has spoken with resident, Executive Director and staff.
LPA learned that recently Resident R1 was discovered to have a bottle of Tylenol in room. LPA learned that R1 had purchased the medication, not being aware that any medications must be centrally logged, stored and locked in the medication room by staff, and that a doctor prescription is needed. When R1 became aware of this, the medication was given to staff, stored and locked, and a precription was obtained for the medication from the physician. Staff are now handling the medication and R1 receives it as needed.
Since the facility was not previously made aware of the medication being present; it was turned over immediately, staff cannot violate resident rights by randomly searching through resident apartment or belongings without resident permission; and staff had no reason to suspect anything was there or to even ask permission to look, the allegation is unfounded. A finding of 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: Todd Tryon	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2024

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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