496803998-7-6-2023-21-AS-HDBI-CTVJAY-20230719065332

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 496803998
Report Date: 07/06/2023
Date Signed: 07/06/2023 02:41:22 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
05/25/2023 and conducted by Evaluator Farhaan Sarangi

COMPLAINT CONTROL NUMBER: 21-AS-20230525101426

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 Director of Health and Wellness, Jody Livingston		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Facility staff did not ensure that passageways are kept free of obstruction

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Oakmont Gardens for the purpose of touring Resident #1's room 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 Resident #1 and Administrator.

Complaint alleges that facility staff did not ensure that passageways are kept free from obstruction. Based on interviews that were conducted, LPA was made aware that a new ramp was on order and was installed recently. During the tour of Resident #1's room conducted on July 6, 2023, LPA observed a ramp for entrance and exit to the patio. LPA learned that Resident #1 was content with the ramp and the placement of the ramp. (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-20230525101426

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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A finding that the complaint allegation Facility staff did not ensure that passageways are kept free of obstruction is unsubstantiated meaning that although the allegation 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 Director of Health and Wellness, Jody Livingston.

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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