342700751-1-15-2025-59-AS-MSEY-DDBQ5F-20250127105149

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700751
Report Date: 01/15/2025
Date Signed: 01/15/2025 04:45:34 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
09/26/2024 and conducted by Evaluator Kevin Mknelly

PUBLIC

COMPLAINT CONTROL NUMBER: 59-AS-20240926163237

FACILITY NAME:	OAKMONT OF CARMICHAEL		FACILITY NUMBER:	342700751
ADMINISTRATOR:	LUIS OLIVAS		FACILITY TYPE:	740
ADDRESS:	4717 ENGLE ROAD		TELEPHONE:	(916) 483-3800
CITY:	CARMICHAEL	STATE: CA	ZIP CODE:	95608
CAPACITY:	101	CENSUS: 86	DATE:	01/15/2025
		UNANNOUNCED	TIME BEGAN:	02:55 PM
MET WITH:	Caroline Frangieh, Executive Director		TIME COMPLETED:	04:50 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

-Staff did not assist residents with care needs in a timely manner.
-Staff did not ensure a comfortable environment was provided for residents.
-Staff spoke to residents in an inappropriate manner.
-Licensee did not ensure faucets for personal care delivered hot water.
-Staff did not ensure facility cleanliness was maintained.
-Staff were not adequately trained to care for residents with dementia.
-Staff did not adequately assist resident with repositioning.
-Staff did not provide quality food service to residents.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 1/15/25, Licensing Program Analyst (LPA) Kevin Mknelly conducted an unannounced complaint investigation visit to deliver the findings for the above allegations and met with Executive Director.

LPAs conducted 3 inspections of the facility, facility and resident records were reviewed and interviews conducted of resident families, caregivers and managers.
LPA is unable to find and or meet the preponderance, per policy.

Evidence available did not reveal unmet needs of residents in memeory care in a timely manor. The department conducted a review of memory care residents' service plans and care records and found care provided for identified needs.
Regulation requires room temperatures be maintained by heating rooms that residents occupy to a minimum of 68 degree F, (20 degrees C) and cool rooms to a comfortable range, between 78 degrees F (26 degrees C) and 85 degrees F (30 degrees C). Inspections found that temperatures were maintained within required ranges when LPAs were present.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Maribeth Senty	TELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Kevin Mknelly	TELEPHONE: (209) 814-1925
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025

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-20240926163237

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: OAKMONT OF CARMICHAEL	FACILITY NUMBER: 342700751
	VISIT DATE: 01/15/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

The allegation that staff spoke to residents in an inappropriate manner lacked specific identification of individuals or time period. Interviews conducted failed to reveal evidence to support this allegation.
Facility records and interviews found that a section of the building, far from the water heater, could at times take time reach the required temperature range of 105-120' F. Records showed that a repair was conducted to the water system within a reasonable time from when identified to when repaired.
Inspections of the facility by LPAs found areas inspected to be clean and odor free. The allegation of a specific resident bathroom not cleaned between scheduled housekeeping was not able to be substantiated as there were not supported observations or statements.
As a specific staff was not identified, a sample of staff training records were reviewed and found to meet regulation training requirements. While training requirements also include demonstrated competency, LPA referred to interview statements which did not reveal additional evidence.
That staff did not adequately assist resident with repositioning was reported based on an overheard conversation. Without a specific resident or family member to interview, this allegation is unsubstantiated.
Food supplies, menus and food safety were reviewed by inspection and found to meet requirements. Interviews found that resident food preferences are acknowledged and that residents with food intake issues are offered foods that which they are likely to eat and be assisted with intake as needed.

As a result of this investigation, LPA finds allegation to be (US)Unsubstantiated - A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview with administrator and report provided.

SUPERVISOR'S NAME: Maribeth Senty	TELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Kevin Mknelly	TELEPHONE: (209) 814-1925
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 2