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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 317000237
Report Date: 12/03/2024
Date Signed: 12/03/2024 03:24:31 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
10/02/2024 and conducted by Evaluator Todd Tryon
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20241002115441
FACILITY NAME:OAKWOOD VILLAGE, INC.FACILITY NUMBER:
317000237
ADMINISTRATOR:CATHY DUSTINFACILITY TYPE:
740
ADDRESS:3388 BELL ROADTELEPHONE:
(530) 889-8122
CITY:AUBURNSTATE: CAZIP CODE:
95603
CAPACITY:124CENSUS: DATE:
12/03/2024
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Patty Uclaray, AdministratorTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Staff does not ensure sufficient activities are planned for memory care residents
Staff does not ensure adequate quantity and quality of food is provided to memory care residents
INVESTIGATION FINDINGS:
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On 12/3/2024 LPA Tryon visited the facility to complete the complaint. LPA met with Administrator Patty Uclaray.
During the course of the complaint LPA has Toured the facility including Memory Care unit, main dining room and kitchen, Memory Care dining room, snack areas in both Assisted Living and Memory Care, spoke with Admiistrator, Culinary Director, interviewed 5 staff and 2 residents from the memory care unit, observed an activity in Memory Care which included an art activity and snacks with 10 residents; observed activity in the assisted living side.
Regarding the allegation that staff does not ensure sufficient activities are planned for memory care residents, LPA has observed activities, spoken with Administrator, Activity Director, 5 staff and 2 residents. and reviewed printed activity schedules. LPA found ongoing mulitple activities are scheduled. Staff and residents state that activities are offered. They also state that some residents choose to not participate, or may participate for a time, then walk off to other areas, etc. Staff noted they cannot force people to participate in activities, but do offer the activities and try to encourage participation. LPA finds the allegation to be UNFOUNDED.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Todd Tryon
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024
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 59-AS-20241002115441
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: OAKWOOD VILLAGE, INC.
FACILITY NUMBER: 317000237
VISIT DATE: 12/03/2024
NARRATIVE
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Regarding the allegation that Staff does not ensure adequate quantity and quality of food is provided to memory care residents:
LPA interviewed the Administrator, Culinary Director, 5 staff and 2 residents, viewed meals and snacks stocked in "snack" areas; visited the kitchen and viewed food on hand, menus, etc. Staff related that they believe there is plenty of food for meals; in fact, there are often complaints that there is too much food for memory care residents and food may get wasted. There are always choices of food available, if a resident doesn't like the menu for a meal, they can ask for alternatives such as sandwiches, burgers, etc. There are always snacks available. Staff overall said they eat the food themselves and it is good. Residents interviewed said there is plenty of food, variety and choices, and the food is good.
When asked what happens if someone would like a particular snack or food item that is not stocked in the memory care area, such as a particular kind of cereal, for example, the Culinary Director said the staff can always ask the kitchen for that item and it will be sent over if available; and can be ordered. Staff interviewed were all aware that they can ask the kitchen for particular foods if not available.
LPA finds the allegation to be 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.
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Todd Tryon
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2