496803998-7-25-2023-21-AS-BMOS-CUBNBA-20230802101849

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 496803998
Report Date: 07/06/2023
Date Signed: 07/25/2023 09:17:36 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/14/2023 and conducted by Evaluator Farhaan Sarangi

COMPLAINT CONTROL NUMBER: 21-AS-20230614163014

FACILITY NAME:	OAKMONT GARDENS		FACILITY NUMBER:	496803998
ADMINISTRATOR:	SORIANO, MARIELE		FACILITY TYPE:	740
ADDRESS:	301 WHITE OAK DRIVE		TELEPHONE:	(707) 921-1861
CITY:	SANTA ROSA	STATE: CA	ZIP CODE:	95409
CAPACITY:	79	CENSUS: 46	DATE:	07/06/2023
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Administrator, Morgan Holien		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Staff does not ensure residents are accorded dignity in their personal relationships
Resident are left in soiled clothing for extended periods of time
Staff refuses to provide assistance to resident in care

INVESTIGATION FINDINGS:

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"AMENDED" This is an amended version of the original report created on July 6, 2023-SEE BELOW.

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Oakmont Gardens for the purpose of touring the facility and delivering complaint findings. LPA was greeted at the door by Administrator, Morgan Holien and was granted access into the facility.

During the course of the investigation, LPA conducted a tour of the facility on July 6, 2023, made observations, interviewed staff and residents.

Complaint alleges that Staff do not ensure residents are accorded dignity in their personal relationships. Based on interviews that were conducted with residents and staff, LPA could not prove or disprove the allegation. Furthermore, LPA was not made aware of any concerns during interviewing additional residents in care. During a tour of the facility conducted on July 6, 2023, LPA observed residents performing activities with one another. (Report continued on LIC 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Hope DeBenedetti	TELEPHONE: (707) 588-5029
LICENSING EVALUATOR NAME: Farhaan Sarangi	TELEPHONE: 707-588-5034
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023

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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Control Number 21-AS-20230614163014

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: OAKMONT GARDENS	FACILITY NUMBER: 496803998
	VISIT DATE: 07/06/2023

NARRATIVE

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"AMENDED" This is an amended version of the original report created on July 6, 2023-SEE BELOW.

Complaint alleges that Resident are left in soiled clothing for extend periods of time. Based on interviews that were conducted, LPA could not prove or disprove the allegation. Furthermore, LPA could not confirm which residents were left in soiled clothing for extended periods of time. LPA learned via interviews that there were no concerns regarding the care of the residents in placement. LPA toured the facility on July 6, 2023 and made observations, and found no evidence of residents being left in soiled clothing for an extended period of time.

Complaint alleges that Staff refuses to provide assistance to residence in care. Based off of interviews, LPA could not prove or disprove that the alleged staff member refused to provide care to a resident. Furthermore, during interviewing, LPA learned of no concerns regarding the care of residents in placement.

A finding that the complaint allegations of Staff does not ensure residents are accorded dignity in their personal relationships, Resident are left in soiled clothing for extended periods of time and Staff refuses to provide assistance to resident in care are unsubstantiated meaning that 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 allegation is UNSUBSTANTIATED. Exit interview was conducted and a copy of this was report was signed and given to the Administrator.

SUPERVISOR'S NAME: Hope DeBenedetti	TELEPHONE: (707) 588-5029
LICENSING EVALUATOR NAME: Farhaan Sarangi	TELEPHONE: 707-588-5034
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023

LIC9099 (FAS) - (06/04)

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