415600990-7-3-2024-14-AS-AMEN-D79SGM-20240717135210

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 415600990
Report Date: 07/03/2024
Date Signed: 07/03/2024 11:48:54 AM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/26/2024 and conducted by Evaluator Grace Donato

PUBLIC

COMPLAINT CONTROL NUMBER: 14-AS-20240626093636

FACILITY NAME:	OAKMONT OF BURLINGAME		FACILITY NUMBER:	415600990
ADMINISTRATOR:	OREISHA MORGAN		FACILITY TYPE:	740
ADDRESS:	1818 TROUSDALE DR		TELEPHONE:	(650) 692-2805
CITY:	BURLINGAME	STATE: CA	ZIP CODE:	94010
CAPACITY:	97	CENSUS: 71	DATE:	07/03/2024
		UNANNOUNCED	TIME BEGAN:	09:01 AM
MET WITH:	Oreisha Morgan		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff is not following infectious disease protocols when it comes to disinfecting
Staff are not following safe food handling practices

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 7/3/2024, LPA Grace Donato conducted an unannounced complaint investigation visit. LPA met with Executive Director (ED), Oreisha Morgan and explained the purpose of today's visit.

Regarding the allegation of staff is not following infectious disease protocols when it comes to disinfecting & staff are not following safe food handling practices. RP stated the facility has had two outbreaks of infectious diseases in about a month. RP feels the staff must not be cleaning properly and the kitchen staff are not handling food safely since this continues to happen at this facility.

LPA interviewed the ED and stated that the facility followed its infection protocol. All incidents were reported to Licensing in a timely manner. A letter has been sent out to family mmebers/responible parties recommending limiting visitations for everyones safety. A company was also contracted to do deep cleaning all through out the facility. Residents have been isolated and some were sent out to hospitals. PPEs were placed outside of the rooms for each resident. Disposable food utensils were also used during this time. Additional staff were also hired from an agency.

Page 1 of 2

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Andrea Medlin	TELEPHONE: (650) 266-8811
LICENSING EVALUATOR NAME: Grace Donato	TELEPHONE: (714) 293-8294
LICENSING EVALUATOR SIGNATURE:	DATE: 07/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2024

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 14-AS-20240626093636

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: OAKMONT OF BURLINGAME	FACILITY NUMBER: 415600990
	VISIT DATE: 07/03/2024

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

ED provided an in-service training with regards to information about the infectious disease and hand washing protocols. All culinary staff are also subject to training with regards to food safety.

LPA did a walk through with the Executive Chef (EC) on the food handling process in the Kitchen. Stations are often cleaned after use. Staff are always working with gloves on. Expiry dates are always checked on all refrigerators in the facility. No personal food from staff are stored in the refrigerators that the facility use to store residents food. Food that are served in memory care are brought up using a hot box. Food for special diets are also separated with food covers to distinguish from other residents food. Used food utensils like plates go through a process of scraping excess food, to soaking and rinsing and then go through a steamer where it goes through another round of washing an rinsing. Snacks that are sent on each floor are also served on time and covered appropriately.

LPA observed that there is no food thawing in the kitchen, all food supply in the refrigerators are covered and dated. LPA also observed the hot box used to transport food. The facility also has a good amount of emergency PPE supply. And hand sanitizing stations are placed in different areas of the facility.

Based on interviews, observations and records review, the department has determined that that the allegations were false, could not have happened and/or is without a reasonable basis, therefore the allegations are UNFOUNDED.

Report is reviewed and copy is provided.

Page 2 of 2.

SUPERVISOR'S NAME: Andrea Medlin	TELEPHONE: (650) 266-8811
LICENSING EVALUATOR NAME: Grace Donato	TELEPHONE: (714) 293-8294
LICENSING EVALUATOR SIGNATURE:	DATE: 07/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 2