415601114-12-14-2023-14-AS-KHOS-CZ4QUH-20240102112846

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 415601114
Report Date: 12/14/2023
Date Signed: 12/14/2023 03:14:58 PM

Unsubstantiated

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
09/19/2023 and conducted by Evaluator Jaime Vado

PUBLIC

COMPLAINT CONTROL NUMBER: 14-AS-20230919091925

FACILITY NAME:	OAKMONT OF REDWOOD CITY		FACILITY NUMBER:	415601114
ADMINISTRATOR:	LAYANA SANTOS		FACILITY TYPE:	740
ADDRESS:	1 EAST SELBY LANE		TELEPHONE:	(650) 885-7992
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94063
CAPACITY:	127	CENSUS: 43	DATE:	12/14/2023
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Business Office Director Ana Gobeleza		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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- Staff did not assist resident to and from restroom

INVESTIGATION FINDINGS:

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On this day, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit in order to deliver findings regarding the allegation received. LPA met with business office director Ana Gobaleza and explained the purpose of today's visit.

During the course of the investigation, LPA conducted interviews, made facility observations, and reviewed documents. Per interviews with staff, they did not witness the situation described per details received. Staff recall being present but did not see the situation. Staff indicated that the resident did not ask for assistance. The location of the bathroom where this took place was not in sight of the staff who was providing an activity with other residents in the memory care's living room area. The bathroom is around the corner out of the line of sight from the nearest staff person at the time this took place. The resident's room is also located across the hall from where the bathroom is. The resident does require assistance to the bathroom but according to staff they were not alerted to assist the resident to the restroom, but instead the resident went to the restsroom on their own without assistance being called for. This allegation is unsubstantiated.

Based on these observations, the above allegations are UNSUBSTANTIATED.
Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated at this time.

Report is reviewed with Ana Gobeleza.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: April Cowan	TELEPHONE: (650) 266-8865
LICENSING EVALUATOR NAME: Jaime Vado	TELEPHONE: (559) 476-9353
LICENSING EVALUATOR SIGNATURE:	DATE: 12/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2023

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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