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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342701121
Report Date: 01/14/2025
Date Signed: 01/14/2025 10:47:54 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH 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
10/29/2024 and conducted by Evaluator Arielle Pascua
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20241029092509
FACILITY NAME:OAKMONT OF EAST SACRAMENTOFACILITY NUMBER:
342701121
ADMINISTRATOR:KATHLEEN GILBEYFACILITY TYPE:
740
ADDRESS:5301 F STREETTELEPHONE:
(916) 905-2400
CITY:EAST SACRAMENTOSTATE: CAZIP CODE:
95819
CAPACITY:214CENSUS: 140DATE:
01/14/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Kathleen Gilbey TIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Staff did not keep the facility free from bug infestation.
Staff did not ensure a resident had sufficient clothing .
INVESTIGATION FINDINGS:
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On 1/14/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct a complaint visit. LPA met with Facility Designated Administrator (FDA), Kathleen Gibley and explained the purpose of the visit. The purpose of this visit was to deliver complaint findings for the allegations above.

Current census was 140. A brief interview with FDA Gibley was conducted.
Allegation: Staff did not keep the facility free from bug infestation
It was alleged that facility staff did not keep the facility free from bug infestation. During the course of this investigation, LPA reviewed facility records and conducted interviews. Based on interviews conducted, it was learned that in August 2024 the facility noticed that there was a bed bug in a room on the second floor. Immediately facility staff called Eco Lab to treat the affected apartment. It was stated that Eco Lab also inspected the apartments on both sides of the affected apartment as well as apartment above the apartment and across the hall.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Lisa RiosTELEPHONE: (916) 969-9685
LICENSING EVALUATOR NAME: Arielle PascuaTELEPHONE: (916) 862-5907
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025
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 27-AS-20241029092509
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: OAKMONT OF EAST SACRAMENTO
FACILITY NUMBER: 342701121
VISIT DATE: 01/14/2025
NARRATIVE
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It was stated that after inspection there was no evidence to show that there were presence of bed bugs in those apartments other than the affected unit. In addition, the facility ensured to bag up any clothing and went through high heat washing and drying as directed by Eco Lab. About 3 weeks later, the facility stated that the apartment across the hall had bed bugs. Facility management decided that it was best to call in another company to inspect the apartment. That company then conducted a heat treatment and inspected the apartments next to the affected apartment and did not have indications of bed bugs present. A review of the facility records of invoice records of both Eco Lab and Premier Pentacle that show that the facility went through bed bug treatment immediately after the notification of bed bugs. In addition, LPAs observed bed bug canine servicing that was conducted during the visit conducted on 10/30/2024. Based on the information gathered, it is unclear if the facility did not keep the facility free from bug infestation.

Allegation: Staff did not ensure a resident had sufficient clothing

It was alleged that staff did not ensure a resident had sufficient clothing. During the course of this investigation, LPA reviewed facility records and conducted interviews. Based on interviews conducted, it was learned that the facility hired a second bed bug company Premier Pentacle who advised that all belongings were to be left in the apartment unit to ensure that all items were treated with high heat. As a response, the facility moved two residents over to another unit and contacted their responsible parties to inform them that they would not have their belongings for several days. However, due to unforeseen circumstances, the responsible parties were unable to gather clothing or hygiene items for these residents. In response, the facility went out to local department stores and bought items such as pillows, t-shirts, pants and hygiene items. A review of the facility invoices and copies of these receipts were reviewed and confirmed that the facility had bought these items for the residents affected by the bed bugs. In addition, an interview with 2 residents confirmed that they had clothing at the time of transfer. Based on the information gathered, it is unclear if the staff did not ensure a resident had sufficient clothing.

As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred.



An exit interview was conducted and a copy of this report was provided to the facility at the end of this visit.
SUPERVISOR'S NAME: Lisa RiosTELEPHONE: (916) 969-9685
LICENSING EVALUATOR NAME: Arielle PascuaTELEPHONE: (916) 862-5907
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2