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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 315002955
Report Date: 07/01/2025
Date Signed: 07/01/2025 09:26:37 AM

Unsubstantiated


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
05/23/2025 and conducted by Evaluator Cassandra Mikkelson
COMPLAINT CONTROL NUMBER: 59-AS-20250523090115
FACILITY NAME:OAKMONT OF WESTPARKFACILITY NUMBER:
315002955
ADMINISTRATOR:FLECK, BARBARAFACILITY TYPE:
740
ADDRESS:2400 PLEASANT GROVE BLVD.TELEPHONE:
(916) 545-8904
CITY:ROSEVILLESTATE: CAZIP CODE:
95747
CAPACITY:142CENSUS: 101DATE:
07/01/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Barbara Fleck, Executive DirectorTIME COMPLETED:
09:35 AM
ALLEGATION(S):
1
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3
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5
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9
Staff verbally abusive towards resident
Staff not ensuring resident's safety with wheelchair
INVESTIGATION FINDINGS:
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3
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5
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13
Licensed Program Analyst (LPA) Cassandra Mikkelson arrived at the facility unannounced and met with Administrator Barbara Fleck to deliver findings for the above complaint allegation.

During the investigation, LPA conducted interviews, conducted a tour of the facility, and reviewed documentation pertinent to the investigation.

The results of the investigation are as follows:

*** Report continued on 9099-C***
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cassandra Mikkelson
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2025
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 59-AS-20250523090115
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: OAKMONT OF WESTPARK
FACILITY NUMBER: 315002955
VISIT DATE: 07/01/2025
NARRATIVE
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Staff verbally abusive towards resident

Interviews conducted with staff members S1, S2, S3, S4 and S5 indicated that staff members haven’t been heard being verbally abusive towards residents in care. Each staff member indicated that there are times where they have to elevate their voices due to residents not being able to hear (due to hearing loss) or understand the staff correctly. Interviews with residents R3, R4, R5 and R6 indicated that staff are helpful at all times and have not heard any staff verbally abusing residents in care.

Staff not ensuring resident's safety with wheelchair

Interviews conducted with staff members S1, S2, S3, S4 and S5 indicated that staff members are trained to lock the wheelchair while transferring a resident to or from their wheelchair. All staff interviewed indicated that some residents prefer to lock their own wheelchairs. Interviews with residents R3, R4, R5 and R6 indicated that staff assist with wheelchair transfers as needed but they lock their own wheelchair wheels. R3, R4, R5, and R6 did not have any complaints or concerns with staff assisting during transfers.

Based on interviews conducted, observations, and records reviewed, the preponderance of evidence standards have not been met. Therefore, the above allegations are found to be UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means that, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview was conducted with Administrator. A copy of this report was provided. Signature on these forms acknowledges receipt of these documents.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cassandra Mikkelson
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2025
LIC9099 (FAS) - (06/04)
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