567609936-1-31-2023-29-AS-DPEA-CP5PK5-20230217102233

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 567609936
Report Date: 01/31/2023
Date Signed: 01/31/2023 06:10:30 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
03/15/2021 and conducted by Evaluator Kelly Dulek

PUBLIC

COMPLAINT CONTROL NUMBER: 29-AS-20210315092835

FACILITY NAME:	OAKMONT OF RIVERPARK		FACILITY NUMBER:	567609936
ADMINISTRATOR:	TERRILL, ERIC		FACILITY TYPE:	740
ADDRESS:	901 TOWN CENTER DRIVE		TELEPHONE:	(805) 940-0390
CITY:	OXNARD	STATE: CA	ZIP CODE:	93036
CAPACITY:	0	CENSUS: 0	DATE:	01/31/2023
		UNANNOUNCED	TIME BEGAN:	10:47 AM
MET WITH:	Chris Andersen		TIME COMPLETED:	06:10 PM

ALLEGATION(S):

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Facility staff refused to pick up resident from the hospital
Facility staff did not ensure that resident was taking medications as prescribed

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Kelly Dulek conducted a subsequent complaint investigation for the allegations listed above. LPA met with facility Executive Director Chris Andersen and explained the reason for today's visit.

This report is being delivered to the current Executive Director, Chris Andersen, of Oakmont of Riverpark (LIC # 565850168) per prior approval of Susan McPherson, Senior Vice President of Regulatory Affairs for the management company.

During today's visit, LPA conducted an interview with ED at 10:50AM, staff interviews at 10:57AM and from 11:33AM to 01:20PM, tour of the facility along with Executive Director Chris Anderson at 11:22AM, medication review at 01:22PM and resident interviews from 01:41PM to 03:02PM. During an initial visit conducted on
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: 01/31/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2023

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-20210315092835

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 RIVERPARK	FACILITY NUMBER: 567609936
	VISIT DATE: 01/31/2023

NARRATIVE

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03/25/2021, LPA Dulek conducted a telephone interview with facility Designee/Administrator Jill Libhart at 11:13AM, a virtual facility tour at 11:30AM, a medication review was conducted via FaceTime at 02:47PM, and LPA received copies of pertinent documents for Resident #1 (R1). Throughout the course of the investigation, LPA reviewed pertinent documents. The following was then determined:

It was alleged that facility staff refused to pick up R1 from the hospital. Record review revealed that R1 had moved into the facility on 01/02/2021 and was living in Traditions. On 03/10/2021, R1 was sent to the hospital, per doctor's orders due to a neurologic change in condition. Interview revealed that R1 had a change of condition and required a psychiatric evaluation and medication stabilization prior to re-admit to the facility. R1 remained hospitalized and returned to the facility on 03/25/2021. R1 then resided in the facility until R1 moved out mid-year in 2022. Based on interview and record review, although the allegation may be valid, at this time there is insufficient evidence to support the claim or that a violation occurred, therefore, the allegation that "facility staff refused to pick up resident from the hospital" is deemed UNSUBSTANTIATED at this time.

It was also alleged that facility staff did not ensure R1 was taking medications as prescribed. During a virtual visit on 03/25/2021, LPA conducted a medication audit for R1. LPA reviewed R1's Medication Administration Record (MAR) and viewed R1's medications. MAR indicates R1 refused 4 (four) medications in the morning and 4 (four) medications in the evening on 03/06/2021, with a note indicating R1 stated "you can't make me take medication, it's against the law." MAR also indicates R1 refused 16 (sixteen) medications on the morning of 03/08/2021 and 5 (five) evening medications on 03/09/2021. Interview revealed that the resident's physician was notified via telephone of the resident's refusal. R1 was then hospitalized, per the direction of R1's physician on 03/10/2021. Staff interview revealed that R1 was refusing their medications and both R1's responsible party and primary care physician were made aware. Staff indicated that R1 was more likely to take medications when they were offered in the resident's room, rather than in the dining room. Staff interviews revealed that when giving medications, medication technicians talk to the resident and offer their medications, they cannot force a resident to take their medications and a resident always has the right to refuse to take their medications. Based on interview and record review, although the allegation may be valid, at this time there is insufficient evidence to support the claim or that a violation occurred, therefore, the allegation that "facility staff did not ensure R1 was taking medications as

Report Continued 9099-C

SUPERVISOR'S NAME: Kristin Heffernan	TELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Kelly Dulek	TELEPHONE: (951) 836-3170
LICENSING EVALUATOR SIGNATURE:	DATE: 01/31/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2023

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20210315092835

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 RIVERPARK	FACILITY NUMBER: 567609936
	VISIT DATE: 01/31/2023

NARRATIVE
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SUPERVISOR'S NAME: Kristin Heffernan	TELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Kelly Dulek	TELEPHONE: (951) 836-3170
LICENSING EVALUATOR SIGNATURE:	DATE: 01/31/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2023

LIC9099 (FAS) - (06/04)

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