342700796-4-28-2022-27-AS-KHOS-CEAHCU-20220510060517

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700796
Report Date: 04/28/2022
Date Signed: 04/28/2022 01:58:35 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/08/2022 and conducted by Evaluator Christopher Hopkins-Clarke

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20220308164457

FACILITY NAME:	OAKMONT OF EAST SACRAMENTO		FACILITY NUMBER:	342700796
ADMINISTRATOR:	ERVIN, TERENCE		FACILITY TYPE:	740
ADDRESS:	5301 F STREET		TELEPHONE:	(916) 905-2400
CITY:	EAST SACRAMENTO	STATE: CA	ZIP CODE:	95819
CAPACITY:	0	CENSUS: 0	DATE:	04/28/2022
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Luis Olivas		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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--Staff did not assist resident with incontinence needs

INVESTIGATION FINDINGS:

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On April 28, 2022 at 1:30PM Licensing Program Analyst (LPA) Chris Hopkins arrived at this facility unannounced to conduct a complaint investigation regarding the above allegations. LPA met with Executive Director Luis Olivas and explained the purpose of the visit.

Regarding the allegation of Staff did not assist resident with incontinence needs, the Department found the following; based on interview, it was determined that caregivers did assist with changing Resident 1 (R1) if he/she did not refuse. Caregivers did change of face, tried coming back at a different time, and did methods of trying to calm down R1 before changing him/her. Staff called R1's responsible party to come and assist with changing after the mentioned methods were unsuccessful. LPA has deemed the allegation mentioned above as UNSUBSTANTIATED. Although the allegations may have happened and/or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.
Exit interview was conducted and a copy of this report was given to Executive Director.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Czarrina A Camilon-Lee	TELEPHONE: (916) 263-4723
LICENSING EVALUATOR NAME: Christopher Hopkins-Clarke	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2022

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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