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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 317000237
Report Date: 12/29/2021
Date Signed: 12/29/2021 03:59:30 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/20/2021 and conducted by Evaluator Todd Tryon
PUBLIC
COMPLAINT CONTROL NUMBER: 25-AS-20211020143030
FACILITY NAME:OAKWOOD VILLAGE, INC.FACILITY NUMBER:
317000237
ADMINISTRATOR:BROOKE LAWFACILITY TYPE:
740
ADDRESS:3388 BELL ROADTELEPHONE:
(530) 889-8122
CITY:AUBURNSTATE: CAZIP CODE:
95603
CAPACITY:124CENSUS: 57DATE:
12/29/2021
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Arend Verweij., AdministratorTIME COMPLETED:
04:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not observe food service sanitation practices.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
LPA Tryon visited the facility on 12/29/2021 to continue working on the complaint. LPA met with Administrator Arend Verweij.
LPA has spoken with Administrator, met with kitchen staff, toured the dining room and kitchen, and interviewed 7 residents.
LPA found the dishes/glasses/cups, silverware, etc. in the cabinets/dispensing areas to be clean and sanitary LPA did find that there were still dirty dishes on the dining tables from lunch; but there were no residents present. Staff had not had a chance to bus the tables and complete the dishwashing, as LPA was in the facility right after lunch. Residents who LPA spoke with generally had no issues with the cleanliness of the diningroom or kitchen; or the facility in general.
LPA has inspected the facilty kitchen/dining area, dishes, spoken with residents and staff. LPA finds no evidence that the staff do not observe food service sanitation practices. 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 OrdonezTELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Todd TryonTELEPHONE: (916) 208-7709
LICENSING EVALUATOR SIGNATURE:

DATE: 12/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2021
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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