565850169-9-15-2023-29-AS-KHEN-CW3SBY-20230927134442

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565850169
Report Date: 09/15/2023
Date Signed: 09/15/2023 05:19:53 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, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/18/2023 and conducted by Evaluator Kelly Dulek

PUBLIC

COMPLAINT CONTROL NUMBER: 29-AS-20230818164442

FACILITY NAME:	OAKMONT OF CAMARILLO		FACILITY NUMBER:	565850169
ADMINISTRATOR:	FOERSCHNER, BRADLEE		FACILITY TYPE:	740
ADDRESS:	305 DAVENPORT STREET		TELEPHONE:	(805) 738-3600
CITY:	CAMARILLO	STATE: CA	ZIP CODE:	93012
CAPACITY:	150	CENSUS: 82	DATE:	09/15/2023
		UNANNOUNCED	TIME BEGAN:	04:10 PM
MET WITH:	Bradlee Foerschner		TIME COMPLETED:	05:20 PM

ALLEGATION(S):

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Facility Administrator is not properly qualified

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Kelly Dulek conducted a subsequent complaint investigation for the allegation listed above. LPA arrived at the facility at 04:10PM and met with Executive Director (ED) Bradlee Foerschner. Entrance interview conducted.

During today's visit, LPA interviewed residents from 04:38PM to 04:55PM. During an initial complaint visit conducted on 08/23/2023, LPA interviewed ED at 09:50AM, toured the facility with ED at 10:11AM. LPA also interviewed staff between 10:48AM and 02:05PM and LPA obtained copies of documents pertinent to the investigation. Throughout the investigation, LPA also conducted interviews with various current and former employees, as well as other professional associates and LPA reviewed pertinent documents. The following was then determined:

Complaint alleges that the facility Administrator is not properly qualified. LPA reviewed Administrator’s
REPORT CONTINUED ON LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kristin Heffernan	TELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Kelly Dulek	TELEPHONE: (951) 836-3170
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023

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 29-AS-20230818164442

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: OAKMONT OF CAMARILLO	FACILITY NUMBER: 565850169
	VISIT DATE: 09/15/2023

NARRATIVE

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qualifications, including current Administrator Certificate and resume. Additionally, LPA reviewed a video and article posted to the CALA (California Assisted Living Association) website. Administrator was named Outstanding Executive Director in Fall 2021, as nominated by peers in the Assisted Living community. Interviews with both former and current staff revealed that Administrator is positive, supportive, a great role model and leader in her field, professional, and handles every situation professionally and with respect. Other staff indicated she is “the biggest advocate for the residents, she will bend over backwards for the building, residents, and staff.” Yet another staff stated they “haven’t seen that level of transparency and honesty” from management at other places of employment. Resident interviews revealed the Administrator is nice, approachable, easy to talk to, and fixes any problems that arise. All parties interviewed had positive feedback on their interactions and observations of the Administrator. Based on interview and record review, there is insufficient evidence to support the allegation, therefore, the allegation that “facility Administrator is not properly qualified” is deemed UNSUBSTANTIATED at this time.

No citations issued. Exit interview conducted. A copy of the report was provided.

SUPERVISOR'S NAME: Kristin Heffernan	TELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Kelly Dulek	TELEPHONE: (951) 836-3170
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023

LIC9099 (FAS) - (06/04)

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