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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604197
Report Date: 11/17/2020
Date Signed: 11/17/2020 02:50:49 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/02/2020 and conducted by Evaluator Evangelica Torres
COMPLAINT CONTROL NUMBER: 08-AS-20200302101412
FACILITY NAME:OAKMONT OF ESCONDIDO HILLSFACILITY NUMBER:
374604197
ADMINISTRATOR:DRESSLER, MELISSAFACILITY TYPE:
740
ADDRESS:3012 BEAR VALLEY PARKWAYTELEPHONE:
(760) 735-8084
CITY:ESCONDIDO HILLSSTATE: CAZIP CODE:
92025
CAPACITY:160CENSUS: 124DATE:
11/17/2020
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Associate Executive Director, Caroline SentenoTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Licensee failed to meet Resident #1's care needs
Licensee failed to follow reporting requirements
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Eva Torres conducted a virtual visit via FaceTime to deliver findings on the above allegation(s) due to COVID-19. LPA identified herself, spoke with Associate Executive Director, Caroline Senteno, and disclosed the purpose of the phone call. The investigation included a review of records and interviews conducted.

It was alleged that during a power outage the licensee did not meet Resident’s #1 (R1) (See LIC 811- Confidential Names List for R1) care needs, as well as neglected to notify the resident’s responsible parties of the incident.

On or about February 21, 2020, a power outage occurred at the facility between the hours of 01:30 AM and 05:30 AM. LPA interviewed staff, residents, and their responsible parties and found that welfares checks were conducted, as well as staff immediately notified management of the incident in question. Though the responsible parties were unable to provide the time frame of when they were notified of the power outage, their interviews were consistent that the facility notified them of the power outage incident.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rebecca HedgecockTELEPHONE: (619) 767-2329
LICENSING EVALUATOR NAME: Evangelica TorresTELEPHONE: (619) 990-1407
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2020
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 08-AS-20200302101412
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: OAKMONT OF ESCONDIDO HILLS
FACILITY NUMBER: 374604197
VISIT DATE: 11/17/2020
NARRATIVE
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Moreover, LPA conducted a random sampling of resident’s interviews and their interviews confirmed that their care needs are met and that welfare checks were conducted by staff. In addition, the residents that were identified as requiring electricity to power their equipment for medical use, also confirmed that staff checked on them during the incident and that there were other means of powering their equipment. LPA interviewed R1 and they denied both allegations, as they confirmed that staff meet their care needs, as well as checked on them during the outage. Furthermore, R1 showed the LPA their backup power supply for their medical equipment, and demonstrated their ability to independently operate the equipment.

In addition, R1's records were reviewed and it showed that R1 can manage their medical equipment without assistance. Also, R1's physician report dated 03/12/20 reflects that the resident only requires assistance with bathing.

Based on interviews conducted and a review of documents, there is insufficient evidence to prove or disprove that the allegation(s) occurred; therefore, the complaint investigation findings is found to be Unsubstantiated.

An exit interview was conducted with Associate Executive Director, Caroline Senteno, and the Licensee’s Rights (LIC9058 01/16) along with a copy of this report was provided to the Associate Executive Director via email. A reply email or return receipt from the Associate Executive Director will confirm receipt of documents.
SUPERVISOR'S NAME: Denise PowellTELEPHONE: (619) 301-9770
LICENSING EVALUATOR NAME: Evangelica TorresTELEPHONE: (619) 900-1407
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2020
LIC9099 (FAS) - (06/04)
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