317000237-9-30-2022-25-AS-TORZ-CKD2UF-20221019174217

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 317000237
Report Date: 09/30/2022
Date Signed: 09/30/2022 04:16:54 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO - RESIDENTIAL, 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
06/27/2022 and conducted by Evaluator Todd Tryon

PUBLIC

COMPLAINT CONTROL NUMBER: 25-AS-20220627160707

FACILITY NAME:	OAKWOOD VILLAGE, INC.		FACILITY NUMBER:	317000237
ADMINISTRATOR:	AREND VERWEIJ		FACILITY TYPE:	740
ADDRESS:	3388 BELL ROAD		TELEPHONE:	(530) 889-8122
CITY:	AUBURN	STATE: CA	ZIP CODE:	95603
CAPACITY:	124	CENSUS: 54	DATE:	09/30/2022
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	John O'Brien, Executive Director		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Staff are not meeting the residents' needs.
Facility does not have the appropriate amount of staff.
Staff do not provide incontinence care to residents in need.
Residents may not receive adequate nutrtion.
Staff do not provide transfer assistance to residents in need.
Staff do not ensure facility is clean and sanitary.

INVESTIGATION FINDINGS:

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On 9/30/2022 LPA Tryon visited the facility to continue working on the complaint. LPA met with ED John O'Brien. LPA interviewed the Director and 6 of 45 staff; and 5 of 54 residents. LPA also toured the facility and viewed the meal and dining area at lunch time. LPA has reviewed facility records including charting notes,menus, activity schedule, staff schedule, and weight charts.
At this time, LPA finds that allegation that staff are not meeting residents' needs to be unfounded. In general residents and staff believe their needs and the needs of others are met. Regarding the allegation that the facility does not have the appropriate amount of staff, LPA learned that the facility was having a difficult time hiring staff over the past months partly related to the COVID pandemic, but despite this, it appear that in general needs have been met. The facility is now up to full staff and things appear to be running smoothly. Allegation is unfounded. Regarding the allegation that staff do not provide incontinence care, LPA learned from residents and staff that this need has generally been pretty well met. Although there might have been particular times that were more challenging than others, overall needs are met. Allegation is unfounded.
Regarding residents not receiving adequate nutrition, LPA learned that meals at the facility have actually

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: 09/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2022

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-20220627160707

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO - RESIDENTIAL, 520 COHASSET RD., STE. 170
CHICO, CA 95926

FACILITY NAME: OAKWOOD VILLAGE, INC.	FACILITY NUMBER: 317000237
	VISIT DATE: 09/30/2022

NARRATIVE

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been very good overall. Food is appetizing and tastes good, and there is plenty. There are always snacks available 24 hours; and residents can eat items on the menu or make a special request, which the kitchen will try hard to fill. Again, LPA understands that there have been times when it has been challenging to find staff for the kitchen/dining room, but the other staff has always assisted when necessary to make sure residents received adequate meals. Allegation is unfounded.
Regarding the allegation that staff do not provide transfer assistance to residents in needs, in speaking with both staff and residents, LPA found that staff has been good about assisting those who needed it, are quick to respond when called for help. LPA finds no evidence to support the allegation. Therefore, the allegation is Unfounded.
Regarding the allegation that Staff do not ensure facility is clean and sanitary, LPA interviewed staff and residents, and LPA has toured the facility on multiple occasions over the past several months and years. The allegation stated that there were dirty dishes left in some residents rooms; the person assumed the dishes were from the previous day. LPA found no proof of this; and there is nothing to say that a few dishes left out for a short time would necessarily cause any harm to anyone. LPA has generally found the facility to always appear adequately clean and sanitary.

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

No deficiencies were cited as a result of this complaint. 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: 09/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2022

LIC9099 (FAS) - (06/04)

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