455002743-3-11-2025-59-AS-APEZ-DEUP2T-20250317105629

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 455002743
Report Date: 03/11/2025
Date Signed: 03/11/2025 12:42:09 PM

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
12/30/2024 and conducted by Evaluator Ivan Avila

COMPLAINT CONTROL NUMBER: 59-AS-20241230135019

FACILITY NAME:	OAKMONT OF REDDING		FACILITY NUMBER:	455002743
ADMINISTRATOR:	SLINKARD, KAREN		FACILITY TYPE:	740
ADDRESS:	2150 BECHELLI LANE		TELEPHONE:	(530) 395-5900
CITY:	REDDING	STATE: CA	ZIP CODE:	96002
CAPACITY:	140	CENSUS: 88	DATE:	03/11/2025
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Karen Slinkard		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff did not safeguard a resident's personal belonging
Resident sustained multiple unexplained injuries while in care
Staff did not meet a resident's incontinence needs
Staff did not meet a resident's hygiene needs

INVESTIGATION FINDINGS:

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On 03/11/2025, Licensing Program Analyst (LPA) Ivan Avila conducted an unannounced complaint investigation visit regarding the above allegations directed by the Department. LPA Avila met with Executive Director Karen Slinkard and explained the purpose of the visit.

During the investigation process, interviews and a records review were initiated.

LPA investigated the allegation, “Staff did not safeguard a resident’s personal belongings.” Based on interviews and record review, residents have stated there has not been any concerns about missing any personal belongings. LPA observed documentation of R1’s wife signature declining to inventory R1’s personal belongings upon admission to the facility. Interviews stated facility staff looked for R1’s missing ring and signs were posted throughout the facility, and it was not found.

----- Continued on LIC9099-C ----

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Ivan Avila
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2025

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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Control Number 59-AS-20241230135019

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 REDDING	FACILITY NUMBER: 455002743
	VISIT DATE: 03/11/2025

NARRATIVE

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LPA investigated the allegation, “Resident sustained multiple unexplained injuries while in care.” Based on interviews and record review, it was observed that R1 had a diagnosis of dementia. R1 was resistant to care and tended to be combative towards staff. R1 had pushed and hit staff while they were provided care. R1 had staff in a choke hold forcing staff to pry R1’s arms away to get lose from the choke hold. R1 had marks on his arms due to staff trying to free themselves from the choke hold while staff stepped in to calm R1 so he could release the staff member. LPA found that R1’s care plan was followed as directed by resident appraisal.

LPA investigated the allegation, “Staff did not meet resident’s incontinence needs.” Based on interviews conducted, residents stated that staff were providing care in a professional manner and did not express any concerns. Staff stated that they were assisting R1 with toileting needs before and after meals. Staff had difficulty at times with R1 due to resident being combative. Resident interviews indicated their satisfaction with their care needs.

LPA investigated the allegation, “Staff did not meet resident’s hygiene needs.” Based on interviews conducted, resident and staff indicated that the residents receive sufficient care with bathing, grooming, and hygiene. LPA observed records documented showing R1 receiving showers and being combative with staff. During showers there were two staff bathing R1 at time of showers to help resident with their hygiene needs.

Based on interviews conducted and observations, the preponderance of evidence standards have not been met. Therefore, the above allegations are found to be UNSUBSTANTIATED. Findings that the complaint 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.

An exit interview was conducted, and a copy of the report was provided.

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Ivan Avila
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2025

LIC9099 (FAS) - (06/04)

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