374604042-10-26-2022-18-AS-DMUN-CL233P-20221109165352

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604042
Report Date: 10/24/2022
Date Signed: 10/26/2022 08:06:48 AM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
10/21/2022 and conducted by Evaluator Tricia Danielson

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20221021112003

FACILITY NAME:	OAK HILL RESIDENTIAL CARE		FACILITY NUMBER:	374604042
ADMINISTRATOR:	LOFVENDAHL, BRIGITTA M		FACILITY TYPE:	740
ADDRESS:	612 TRANQUILITY GLEN		TELEPHONE:	(760) 743-8843
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92027
CAPACITY:	15	CENSUS: 12	DATE:	10/24/2022
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Bree Lofvendahl, Executive Director		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Staff did not perform an accurate assessment of a resident
Staff lock a resident's personal belonging while in care
Resident is not being provided activities while in care
Staff mishandle a resident's medication
Staff mishandled a resident while in care
Staff forced a resident to shower while in care
Resident was hit while in care
Staff did not properly report an incident involving a resident
Resident is being over medicated
Resident is not consuming an appropriate amount of food while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to initiate an investigation into the allegations list above. LPA met with Executive Director Bree Lofendahl and explained the purpose of today's visit.
The allegations of this complaint concern Resident #1 (R1). During today's visit, it was discovered that R1 does not reside at this facility but rather, resides at Oak Hill Residential Care V.
Therefore, the allegations listed above are UNFOUNDED. This agency has investigated the complaint alleging "Staff did not perform an accurate assessment of a resident", "Staff lock a resident's personal belonging while in care", "Resident is not being provided activities while in care", "Staff mishandle a resident's medication", "Staff mishandled a resident while in care", "Staff forced a resident to shower while in care", "Resident was hit while in care", "Staff did not properly report an incident involving a resident", "Resident is being over medicated", and "Resident is not consuming an appropriate amount of food while in care". We have found that the complaint was unfounded, meaning that the allegations were false, could not have happened and/or are without a reasonable basis. An exit interview was conducted and a copy of this report was provided along with LIC811- Confidential Names List.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Tricia Danielson
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2022

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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