392701014-7-31-2023-27-AS-MJEN-CU9L88-20230731083129

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 392701014
Report Date: 01/12/2023
Date Signed: 07/31/2023 08:33:46 AM

Document Has Been Signed on 07/31/2023 08:33 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833

FACILITY NAME:	OAKMONT OF LODI		FACILITY NUMBER:	392701014
ADMINISTRATOR:	SARA MACKEDSY		FACILITY TYPE:	740
ADDRESS:	2905 REYNOLDS RANCH PARKWAY		TELEPHONE:	(949) 744-5200
CITY:	LODI	STATE: CA	ZIP CODE:	95240
CAPACITY:	136	CENSUS: 90	DATE:	01/12/2023
TYPE OF VISIT:	Case Management - Other	ANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Sara Mackedsy		TIME COMPLETED:	04:00 PM

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An Informal Conference was conducted today at the Sacramento Regional Office via Microsoft Teams. Present for the meeting was Executive Director, Sara Mackedsy, Regional Health Services Director, Melissa Malek, Vice President of Operations, Terry Ervin, Senior Vice President of Regulatory Affairs, Sue McPherson, Licensing Program Manager, Liza King, Licensing Program Analyst, Michael Bilger, Licensing Program Analyst, Kesha Lewis , and the writer of this report, Licensing Program Analyst, Maja Jensen.

The purpose of the informal conference was to address the facility’s compliance issues. The Department has concerns stemming from site inspections on multiple dates during the previous year “2022”.

The following issues were discussed during the informal conference:

· Care and Supervision

· Staffing levels

· Staff competency

· Accountability

· Medication management

· Reporting Requirements

· Communication with responsible parties

· Incontinence Care

Continued on LIC 9099C...

SUPERVISOR'S NAME: Liza King	TELEPHONE: (916) 263-4752
LICENSING EVALUATOR NAME: Maja Jensen	TELEPHONE: 916-639-5584
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833

FACILITY NAME: OAKMONT OF LODI	FACILITY NUMBER: 392701014
	VISIT DATE: 01/12/2023

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The Licensees provided an update on the following:

· Change in ownership

· Diabetes Program

· Process Improvements implemented in 2022

· Upcoming process improvements

The Licensee agrees to do the following to achieve and maintain substantial compliance:

· Management to continue weekly unannounced NOC shift visits

· Establish a memory care family support group

· Update contact information for families and responsible parties to facilitate communications

· Continue town hall zoom meetings with families

No deficiencies were cited from the California Code of Regulations, Title 22, Division 6 as a result of today's meeting.

An exit interview was conducted and a copy of this report was sent to the Executive Director for electronic signature.

SUPERVISOR'S NAME: Liza King	TELEPHONE: (916) 263-4752
LICENSING EVALUATOR NAME: Maja Jensen	TELEPHONE: 916-639-5584
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2023

LIC809 (FAS) - (06/04)

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