496803998-7-19-2022-21-AS-KMOA-CGKMUX-20220722095553

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 496803998
Report Date: 07/19/2022
Date Signed: 07/19/2022 09:51:26 AM

Unfounded

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
06/29/2022 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20220629120919

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: 116	DATE:	07/19/2022
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Morgan Holien		TIME COMPLETED:	10:15 AM

ALLEGATION(S):

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Staff do not assist residents timely
Residents room does not meet the needs of the resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst Leibert returns this date for the purpose of delivering findings on this complaint. LPA met with Administrator Morgan Holien and discussed the findings. Complainant has alleged that pendant calls are not answered timely by staff and that Complainant cannot access the bathroom with a wheelchair as the chair does not fit through doorway and that toilet is too low. This Department has investigated this complaint by conducting interviews, obtaining and reviewing records, and by making site visits to the facility. The following determinations are made: Pendant call logs indicate an average response time of 5 minutes, 11 seconds; LPA successfully maneuvered Complainant's wheelchair through the bathroom doors; The accommodations provided in Complainant's apartment comply with Title Twenty-Two regulations. Based upon the interviews and records, in addition to LPA's inspection and demonstration, this department finds that the allegations are without a reasonable basis and, therefore, are deemed to be UNFOUNDED. The allegations are DISMISSED.

No citations issued today. Report left at facility.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Carla Martinez	TELEPHONE: (707) 588-5059
LICENSING EVALUATOR NAME: David Leibert	TELEPHONE: (707) 588-5086
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2022

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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