565850169-7-20-2023-29-AS-KHEN-D8CR9L-20240821124938

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565850169
Report Date: 07/20/2023
Date Signed: 07/20/2023 03:35:10 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
07/12/2023 and conducted by Evaluator Kelly Dulek

COMPLAINT CONTROL NUMBER: 29-AS-20230712142031

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: 79	DATE:	07/20/2023
		UNANNOUNCED	TIME BEGAN:	01:58 PM
MET WITH:	Bradlee Foerschner		TIME COMPLETED:	03:43 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff locked resident in their facility bedroom

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Kelly Dulek conducted an initial complaint investigation for the allegation listed above. LPA arrived at the facility at 01:58PM and met with Executive Director (ED) Bradlee Foerschner. Entrance interview conducted.

During today's visit, LPA interviewed ED at 02:05PM, toured the facility with Business Office Director Kailey Vanderwall at 02:11PM, and LPA reviewed and obtained copies of pertinent documents.

LPA observed Resident #1 (R1)'s bedroom, bedroom door, and the locking mechanism on the door. LPA observed that there is a door handle with lock on the outside of the door and on the inside, there is a handle and separate deadbolt. When the lock is engaged using a key on the outside, the door locks from the outside. From the inside, the door can be deadbolted and no one can enter the room from the outside without a key. However, when the lock is engaged, whether the door is locked from the inside or the
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: 07/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2023

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 3

Control Number 29-AS-20230712142031

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: 07/20/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

outside, LPA observed that when turning the door handle from inside R1's room, the lock disengages and the door can be opened. LPA took photos and video of the door opening from the inside, even when the door was locked. Interview with ED revealed that the doors can be locked to ensure resident privacy and to secure a resident's personal belongings. Residents can exit their rooms safely at any time of their own choosing, regardless of the door lock. Therefore, based on interview and observation, there is insufficient evidence to support the allegation or that a violation occurred; as thus the allegation that "Staff locked resident in their facility bedroom" is deemed UNSUBSTANTIATED at this time.

No citations issued. Exit interview was conducted with Executive Director. 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: 07/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2023

LIC9099 (FAS) - (06/04)

Page: 3 of 3