361881162-7-6-2023-56-AS-EMAN-CU3TUC-20230725150207

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361881162
Report Date: 07/06/2023
Date Signed: 07/06/2023 12:26:24 PM

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
06/28/2023 and conducted by Evaluator Ryan Gardner

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20230628121056

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: 113	DATE:	07/06/2023
		UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Janeth Medrano- Administrator		TIME COMPLETED:	12:35 PM

ALLEGATION(S):

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Residents developed pressure injuries while in care.
Staff do not meet residents' incontinence care needs.
Staff speaks inappropriately to residents.
Staff handles residents in a rough manner.
Staff provide care to residents while under the influence of a substance.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ryan Gardner made an unannounced visit to the facility to investigate and issue findings for the allegations listed above. LPA stated the purpose of the visit and was granted entry and met with Administrator Janeth Medrano. The visit today consisted of interviews with residents and staff, and document review.

For allegation, Residents developed pressure injuries while in care:

During document review, LPA discovered that the facility has four (4) residents that have pressure injuries. The four (4) residents are being provided wound care by either home health or hospice. During interviews staff, the staff informed LPA that four (4) residents receive wound care from either home health or hospice. The staff stated that the facility does not treat the pressure injuries. The staff follows instructions from home health and or hospice and will contact the outside providers if there is notice in the resident’s care needs.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 248-8222
LICENSING EVALUATOR NAME: Ryan Gardner	TELEPHONE: (951) 836-3180
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023

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-20230628121056

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: 07/06/2023

NARRATIVE

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For allegation, Staff do not meet residents' incontinence care needs:

During interviews with residents, the residents stated that the staff changes their diapers often and there have been no issues with being left in soiled diapers for extended periods of time. Resident’s have not had any issues with developing rashes and or sores from diapers not being changed. During interviews staff, the staff stated that the resident’s diapers are checked before and after mealtimes. The resident’s diapers are also checked at minimum every two (2) hours during resident room checks. Staff have not seen any issues with residents developing rashes and or sores from diapers not being changed.

For allegation, Staff speaks inappropriately to residents:

During interviews with residents, the residents stated that they are talked to in a respectful manner by the staff. The residents have not had any instances where they felt they were being spoken to inappropriately. During interviews staff, the staff denied yelling at the residents and speaking to the residents in a disrespectful or inappropriate manner.

For allegation, Staff handles residents in a rough manner:

During interviews with residents, the residents stated that they have never been pushed, pulled, or harmed in a physical manner by the staff. During interviews staff, the staff denied physically harming the residents. The staff stated that they ensure the residents are handled gently and with care.

For allegation, Staff provide care to residents while under the influence of a substance:

During interviews with residents, the residents stated that they have never smelled alcohol and or drugs on the staff. The residents have never seen the staff act in a way that would alert them that a staff was under the influence of alcohol and or drugs. During interviews staff, the staff denied coming to work under the influence of alcohol and or drugs and or using alcohol and or drugs while at work. If a staff were to come to work under the influence of alcohol and or drugs, the management would take the staff to be tested, and if positive disciplinary action would take place with the staff.

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 248-8222
LICENSING EVALUATOR NAME: Ryan Gardner	TELEPHONE: (951) 836-3180
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023

LIC9099 (FAS) - (06/04)

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Control Number 56-AS-20230628121056

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: 07/06/2023

NARRATIVE

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Overall, there was not enough evidence to collaborate the allegations listed above.

Based on evidence obtained during the investigation, the allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted, and this report (LIC9099) was discussed and provided to Administrator Janeth Medrano, along with a copy of the appeal rights.

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 248-8222
LICENSING EVALUATOR NAME: Ryan Gardner	TELEPHONE: (951) 836-3180
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023

LIC9099 (FAS) - (06/04)

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