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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850168
Report Date: 12/23/2024
Date Signed: 12/31/2024 04:20:46 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 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
11/21/2023 and conducted by Evaluator Erica Mosley
COMPLAINT CONTROL NUMBER: 29-AS-20231121093226
FACILITY NAME:OAKMONT OF RIVERPARKFACILITY NUMBER:
565850168
ADMINISTRATOR:CHRISTOPHER ANDERSENFACILITY TYPE:
740
ADDRESS:901 TOWN CENTER DRIVETELEPHONE:
(805) 940-0390
CITY:OXNARDSTATE: CAZIP CODE:
93036
CAPACITY:140CENSUS: 85DATE:
12/23/2024
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:KAILEY VANDERWALL- Executive Director TIME COMPLETED:
12:55 PM
ALLEGATION(S):
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Facility staff spoke inappropriately to resident.
Facility staff refused to assist resident with mobility.
Facility staff refused to assist resident with dressing.
INVESTIGATION FINDINGS:
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Report has been amended. Amended report emailed for signature. Signature is on file.
At 10:30 a.m., Licensing Program Analyst (LPA) Erica Mosley conducted a subsequent complaint investigation visit to deliver findings for the above allegations. The LPA met with Executive Director (ED) Kailey Vanderwall and explained the reason for the visit. On todays visit LPA Mosley conducted a physical plant tour at 10:35 a.m. to ensure there are no immediate health and safety hazards and facility is in compliance with Title 22 Regulations.

On 11/29/2023, the LPA received pertinent documents and conducted interviews with three (3) residents and two (2) staff from 03:18 pm to 4:15 pm. On 12/17/2024, the LPA interviewed the ED, MC Director, conducted six (6) staff interviews, four (4) resident interviews and obtained resident records and copies of pertinent documents relevant to the investigation. On 12/19/2024, between 08:30 a.m. and 3:30 p.m., the LPA conducted a file review, and three (3) staff interviews.
Report continued on LIC9099-C....
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2024
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 29-AS-20231121093226
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: OAKMONT OF RIVERPARK
FACILITY NUMBER: 565850168
VISIT DATE: 12/23/2024
NARRATIVE
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Report continued from LIC9099....
On the allegations, “Facility staff spoke inappropriately to resident, Facility staff refused to assist resident with mobility, Facility staff refused to assist resident with dressing”; it was alleged that two (2) staff (S1, S2) called Resident 1 (R1) “fat”, “heavy”, and “disgusting,” refused to help R1 with mobility issues such as getting out of bed and refused to help change their clothes. Date was not provided. Interview conducted with R1 on 11/29/2023 revealed that they were confronted by a couple of workers in a mean way, staff told R1 to get ready and get dressed, however R1 is not able to do it by themselves. R1 further revealed that they have a problem with their memory and could not remember their names. Interviews conducted with staff revealed that S1 is no longer at the community and there is no staff with the name provided for S2 currently working at the community or during the time the complaint was submitted in November of 2023. All care staff denied speaking to any resident inappropriately and denied they have refused to assist residents. Three (3) out of thirteen (13) staff interviewed revealed that R1 voiced concerns to them about the above allegations, and have observed similar behavior from staff, however, all thirteen (13) staff revealed that they did not witness the noted allegations. Six (6) residents interviewed revealed that they have never been denied assistance or talked to inappropriately by any staff.

On the allegations, “Facility staff spoke inappropriately to resident, Facility staff refused to assist resident with mobility, Facility staff refused to assist resident with dressing”; information gathered from interviews revealed that all care staff denied allegations, there is no staff by the name provided for S2, R1 could not remember the names of the staff when interviewed by the LPA, there were no witnesses, and six (6) other residents interviewed revealed they had no concerns. Based on interviews, although the allegation may be valid, at this time, there is insufficient evidence to support the allegation or that a violation occurred, therefore, the allegations above are deemed UNSUBSTANTIATED at this time.

Exit interview conducted. Today's report was reviewed and emailed to the Executive Director.
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Erica Mosley
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2