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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850169
Report Date: 05/06/2024
Date Signed: 05/06/2024 05:11:18 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
02/28/2024 and conducted by Evaluator Kelly Dulek
PUBLIC
COMPLAINT CONTROL NUMBER: 29-AS-20240228120312
FACILITY NAME:OAKMONT OF CAMARILLOFACILITY NUMBER:
565850169
ADMINISTRATOR:FOERSCHNER, BRADLEEFACILITY TYPE:
740
ADDRESS:305 DAVENPORT STREETTELEPHONE:
(805) 738-3600
CITY:CAMARILLOSTATE: CAZIP CODE:
93012
CAPACITY:150CENSUS: 71DATE:
05/06/2024
UNANNOUNCEDTIME BEGAN:
09:24 AM
MET WITH:Bradlee FoerschnerTIME COMPLETED:
05:15 PM
ALLEGATION(S):
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Staff do not provide residents with adequate beverages
Staff do not treat residents with dignity
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kelly Dulek conducted subsequent complaint investigation with the purpose of delivering findings for the allegations listed above. LPA arrived at the facility at 09:24AM and met with Executive Director (ED) Bradlee Foerschner. Entrance interview conducted.

During today’s visit, LPA interviewed various residents and staff from 01:50PM to 02:48PM. During the initial complaint visit conducted on 03/06/2024, LPA interviewed ED at 01:47PM, toured the facility at 02:25PM, and interviewed Resident #1 (R1) at 03:03PM. LPA also attempted to interview R1’s family member via telephone during the course of the investigation and other relevant parties. The following was then determined:

Allegation: “Staff do not provide residents with adequate beverages:”
The complaint alleges that beverages were withheld from R1, while residing in the facility’s Assisted Living Report Continued on LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Kristin HeffernanTELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Kelly DulekTELEPHONE: (951) 836-3170
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2024
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 29-AS-20240228120312
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: 05/06/2024
NARRATIVE
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unit. During both the initial complaint visit and the subsequent complaint visit, upon arrival at the facility, LPA observed beverage options in the facility’s Bistro, including ice water, lemon water, coffee, decaf coffee, and hot water for various tea choices. The facility also contains a lounge/bar area, which is open daily during designated hours and contains both alcoholic and non-alcoholic drink options. In the dining room, which is available throughout the day and evening, there are multiple choices for beverages, including but not limited to sodas, juices, coffee, hot and iced tea, as well as milk. Water is also available in the activity room and on each medication cart, as well as available bottled water. Residents throughout Assisted Living have access to water in their rooms, in both their bathroom sink, as well as kitchenette (if the unit is so supplied.) R1’s room was observed to contain bottles of Arrowhead water in a cabinet above their sink. R1 also had a mug available for use in their room. R1’s refrigerator, which is stocked by either the resident or their family, was observed to be empty at the time of the initial visit. Interview with R1 revealed they do have access to beverages at meals as well as between meals. Interview with staff revealed that although R1 is not observed utilizing the Bistro often, they are aware beverages are available throughout the facility. Other residents interviewed indicated the facility provides beverages to meet their needs. Based on interview and observation, there is insufficient evidence to support the allegation, therefore the allegation that “staff do not provide residents with adequate beverages” is deemed UNSUBSTANTIATED at this time.

Allegation: “Staff do not treat residents with dignity:”

The complaint alleges that R1 indicated that “people are mean” at the facility. During the initial complaint investigation, LPA interviewed R1 for additional details. R1 indicated staff are nice to her and the other residents and does not recall anyone being mean to her. Other residents interviewed indicated the staff are all kind, courteous and helpful. No residents have observed any instances where residents were not treated with dignity. Staff interviews also revealed that residents are treated well, there have been no reports to their knowledge of any residents being mistreated and they have not witnessed any incidents related to residents’ dignity. Staff did indicate that occasionally there are incidents where residents have been unkind to one another, but they encourage the residents to speak amongst themselves with respect and work through any concerns they may have. Staff do intervene when necessary. Based on interview and observation, there is insufficient evidence to support the allegation, therefore the allegation that “staff do not treat residents with dignity” is deemed UNSUBSTANTIATED at this time.

No citations issued. Exit interview conducted. A copy of today’s report was provided via email.

SUPERVISOR'S NAME: Kristin HeffernanTELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Kelly DulekTELEPHONE: (951) 836-3170
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2024
LIC9099 (FAS) - (06/04)
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