496803998-7-31-2023-21-AS-HDBI-CUCNLF-20230803103329

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 496803998
Report Date: 07/31/2023
Date Signed: 07/31/2023 02:42:10 PM

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
05/19/2023 and conducted by Evaluator Farhaan Sarangi

COMPLAINT CONTROL NUMBER: 21-AS-20230519161049

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:	07/31/2023
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Administrator, Morgan Holien		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility staff left resident in soiled clothing for a prolonged period of time
Facility staff do not properly assist resident with toileting needs
Facility staff did not ensure the resident's call buttons were within reach of the resident
Facility staff did not reposition resident in a timely manner

INVESTIGATION FINDINGS:

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

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

During the course of the investigation, LPA reviewed resident(s) records, facility records, interviewed staff, residents and outside agency staff.

Complaint alleges Facility staff left resident in soiled clothing for a prolonged period of time and Facility staff do not properly assist resident with toileting needs. Based on interviews that were conducted, LPA could not prove or disprove the allegations. Furthermore, while interviewing a random sample of residents in care, LPA learned of no concerns with the care that the facility provides. On July 26, 2023 and July 27, 2023, LPA interviewed an outside agency which yielded inconsistent statements as it relates to the allegations in question. (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: 07/31/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2023

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 21-AS-20230519161049

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: 07/31/2023

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

Complaint alleges that facility staff did not ensure the resident’s call buttons were within reach of the resident. Based on interviews that were conducted, LPA could not prove or disprove that the facility staff do not ensure the resident’s call buttons were within reach of the resident due to inconsistent statements made. LPA reviewed facility records on July 27, 2023, and learned through observation that the resident was being responded to in a timely and appropriate manner.

Complaint alleges that Facility staff did not reposition resident in a timely manner. Based on interviews that were conducted, LPA received inconsistent statements throughout the course of the investigation. Furthermore, no additional witnesses were identified to corroborate the allegation. On July 31, 2023, LPA attempted to review the LIC 602 for Resident #1 during the delivery of the complaint findings. However, the Administrator disclosed to the LPA that the LIC 602 was unavailable for viewing due to the facility not retaining an updated LIC 602 (See LIC 809 dated for July 31, 2023).

A finding that the complaint allegations of Facility staff left resident in soiled clothing for a prolonged period of time, Facility staff do not properly assist resident with toileting needs, Facility staff did not ensure the resident's call buttons were within reach of the resident, Facility staff did not reposition resident in a timely manner 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 are 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: 07/31/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 2