361881162-9-15-2023-56-AS-EMAN-CW3QS4-20230927122456

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361881162
Report Date: 09/15/2023
Date Signed: 09/15/2023 11:26:55 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/16/2023 and conducted by Evaluator Paola Guerrero

COMPLAINT CONTROL NUMBER: 56-AS-20230716160901

FACILITY NAME:	OAKMONT OF CHINO HILLS		FACILITY NUMBER:	361881162
ADMINISTRATOR:	MEDRANO, JANETH		FACILITY TYPE:	740
ADDRESS:	14837 PEYTON DRIVE		TELEPHONE:	(909) 606-3010
CITY:	CHINO HILLS	STATE: CA	ZIP CODE:	91709
CAPACITY:	170	CENSUS: 144	DATE:	09/15/2023
		UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Janeth Medrano		TIME COMPLETED:	11:40 AM

ALLEGATION(S):

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Staff disclosed resident's confidential information to another resident.
Staff did not adequately supervise residents resulting in resident being sexually harassed by another resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Paola Guerrero conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with Facility Administrator Janeth Medrano and explained the purpose of the visit. The investigation consisted of interviews and a review of records.

First allegation, Staff disclosed resident's confidential information to another resident. During interviews with Resident #2, Resident #3, and Resident #4, residents stated that they feel comfortable going to staff and know that confidential information will not be disclosed to other residents. During interviews with staff, staff denied disclosing Resident #5 confidential information to Resident #1. Staff #1 stated that because of the nature of the situation in which Resident #1 sexually harassed Resident #5 Via Phone; staff intervened and addressed the concern to Resident #1 and suggested to Resident #1 to no longer contact Resident #5 via cellphone.

Second allegation, Staff did not adequately supervise residents resulting in resident being sexually harassed by another resident.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023

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 56-AS-20230716160901

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: OAKMONT OF CHINO HILLS	FACILITY NUMBER: 361881162
	VISIT DATE: 09/15/2023

NARRATIVE

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During interviews with Resident #2, Resident #3, and Resident #4, residents stated that they feel safe at the facility and have no concerns with the supervision at the facility. During the interview with Staff #1, staff stated that Resident #1 and Resident #5 live in the assisted living side and live independently on their own. Staff stated that they could not prevent Resident #1 from calling Resident #5 as incident (sexual harassment), occurred through residents own cellphones. Staff stated that residents own their own cell phone and because of that matter staff could not prevent that incident from occurring. Staff #1 stated that Resident #1 and Resident #5 are both independent and do not require supervision unless assistance is needed by the own request of the resident. Based on the evidence obtained during the course of the investigation, LPA has determined that the above allegation is Unsubstantiated.

Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Facility Administrator Janeth Medrano at the end of the visit.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023

LIC9099 (FAS) - (06/04)

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