092700750-1-21-2025-59-AS-LMUZ-DDJPG3-20250203101736

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 092700750
Report Date: 01/21/2025
Date Signed: 01/21/2025 03:00:41 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/06/2024 and conducted by Evaluator Lavinia Muscan

COMPLAINT CONTROL NUMBER: 59-AS-20241206203700

FACILITY NAME:	OAKMONT OF EL DORADO HILLS		FACILITY NUMBER:	092700750
ADMINISTRATOR:	GRAVELYN, LYDIA		FACILITY TYPE:	740
ADDRESS:	2020 TOWN CENTER WEST WAY		TELEPHONE:	(916) 467-8330
CITY:	EL DORADO HILLS	STATE: CA	ZIP CODE:	95762
CAPACITY:	129	CENSUS: 85	DATE:	01/21/2025
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Administrator Chad Rogers		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Residents contracted illness of unknown origin while in care.

INVESTIGATION FINDINGS:

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On 1/21/25, Licensing Program Analyst (LPA) Lavinia Muscan arrived at the facility unannounced to deliver complaint findings into the allegation listed above and met with Administrator Chad Rogers. During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation.The results of the investigation are as follows: Based on documents obtained and interviews conducted with eight (8) staff and six (6) residents, the department determined that the facility had a stomach bug/flu outbreak that lasted 24-48 hours, not an unknown illness. The facility was following universal precautions. As a precaution, during any outbreak, an in-service to staff was done on proper handwashing and universal precautions. Facility encouraged residents to stay in their rooms during the stomach bug/flu outbreak. Any staff that experienced signs or symptoms were either sent home or told not to come into work until the symptoms subsided. It was observed facility had required posters posted throughout the facility regarding infection control guidelines and observed facilities supply of PPE, therefore, the allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted. Report left with facility.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Lavinia Muscan
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2025

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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