361881162-9-15-2023-56-AS-EMAN-CW3QJU-20230927121315

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361881162
Report Date: 09/15/2023
Date Signed: 09/15/2023 11:25:06 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
07/17/2023 and conducted by Evaluator Paola Guerrero

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20230717101455

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:	10:45 AM

ALLEGATION(S):

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Staff pushed resident resulting in injury.
Staff handled residents in a rough manner.

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 pushed resident resulting in injury. LPA conducted interviews with Resident #1, Resident #2, Resident #3, and Resident #4, all stated that they are not treated in an inappropriate manner or pushed by staff. Residents #1-4 stated that they have not witnessed staff push residents or treat residents in an inappropriate manner. LPA conducted interviews with Staff #1, Staff #2, Staff #3 and Staff #4, all staff denied pushing residents and deny treating residents in an inappropriate manner.

Second allegation, Staff handled residents in a rough manner. LPA conducted interviews with Resident #1, Resident #2, Resident #3, and Resident #4, all stated that they are not being handled in a rough manner by staff. Residents #1-4 stated that they have not witnessed staff handle residents in a rough manner.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 202-6356
LICENSING EVALUATOR NAME: Paola Guerrero	TELEPHONE: (951) 473-7024
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-20230717101455

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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LPA conducted interviews with Staff #1, Staff #2, Staff #3 and Staff #4, all staff denied handling residents in a rough manner. 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.

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 202-6356
LICENSING EVALUATOR NAME: Paola Guerrero	TELEPHONE: (951) 473-7024
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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