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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 565850168
Report Date: 12/23/2024
Date Signed: 12/23/2024 12:52:09 PM

Document Has Been Signed on 12/23/2024 12:52 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:OAKMONT OF RIVERPARKFACILITY NUMBER:
565850168
ADMINISTRATOR/
DIRECTOR:
KAILEY VANDERWALLFACILITY TYPE:
740
ADDRESS:901 TOWN CENTER DRIVETELEPHONE:
(805) 940-0390
CITY:OXNARDSTATE: CAZIP CODE:
93036
CAPACITY: 140TOTAL ENROLLED CHILDREN: 0CENSUS: 85DATE:
12/23/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:KAILEY VANDERWALL- Executive DirectorTIME VISIT/
INSPECTION COMPLETED:
12:55 PM
NARRATIVE
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Licensing Program Analyst (LPA) Erica Mosley conducted a case management - deficiencies visit due to deficiencies discovered over the course of the investigation of complaint control number 29-AS-20231121093226. LPA met with Executive Director Kailey Vanderwall and explained the reason for the visit. On todays visit LPA Mosley conducted a physical plant tour at 10:35 a.m. to ensure there are no immediate health and safety hazards and facility is in compliance with Title 22 Regulations.

During the investigation, interviews conducted with staff revealed that six (6) out of ten (10) staff that work in the community’s Traditions Memory care unit had concerns regarding the treatment of the residents by staff. All six (6) staff revealed that even though they did not witness the alleged incident between Resident 1 and Staff 1, they have observed similar behavior from staff including S1. Staff revealed they have observed staff tell residents, “Oh, I’m busy, I’ll come later” when asked for assistance, or have heard staff including S1, yelling at R1, “You need to stand up, we are not picking you up,” in passing. Other staff revealed that various residents are ignored, staff pretends to not hear residents when asked for assistance, one resident is heard yelling for help and staff does not check on them because it is a behavior of the resident. It was also revealed that staff have been observed arguing with the residents. Additionally, staff revealed that concerns have been voiced to management, however nothing gets done.

Pursuant to Title 22, California Code of Regulations, the following deficiency is cited (refer to LIC 809-D).

Exit interview conducted, appeal rights discussed, and a copy of this report issued.
Kasandra LopezTELEPHONE: (818) 596-4343
Erica MosleyTELEPHONE: (747) 230-3909
DATE: 12/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/23/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/23/2024 12:52 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364


FACILITY NAME: OAKMONT OF RIVERPARK

FACILITY NUMBER: 565850168

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 12/23/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
Personal Rights. Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded dignity in their personal relationships with staff,. This requirement was not met as evidenced by:
Deficient Practice Statement
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POC Due Date: 01/03/2025
Plan of Correction
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ED agreed to ensure all memory care staff attend a training focused on Resident Personal Rights. Facility will provide CCL with copy of training agenda as well as a sign in sheet for all staff who attended the training by 01/03/2025.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Kasandra LopezTELEPHONE: (818) 596-4343
Erica MosleyTELEPHONE: (747) 230-3909

DATE: 12/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/23/2024

LIC809 (FAS) - (06/04)
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