565850168-7-22-2025-29-AS-KLOZ-DR9UYZ-20260213150043

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565850168
Report Date: 07/21/2025
Date Signed: 07/22/2025 07:36:47 AM

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
03/24/2025 and conducted by Evaluator Esther Cortez

COMPLAINT CONTROL NUMBER: 29-AS-20250324085112

FACILITY NAME:	OAKMONT OF RIVERPARK		FACILITY NUMBER:	565850168
ADMINISTRATOR:	KAILEY VANDERWALL		FACILITY TYPE:	740
ADDRESS:	901 TOWN CENTER DRIVE		TELEPHONE:	(805) 940-0390
CITY:	OXNARD	STATE: CA	ZIP CODE:	93036
CAPACITY:	140	CENSUS: 91	DATE:	07/21/2025
		UNANNOUNCED	TIME BEGAN:	09:35 AM
MET WITH:	Kailey Vanderwall		TIME COMPLETED:	04:45 PM

ALLEGATION(S):

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Staff does not ensure resident's medical needs are being met.
Staff does not ensure resident's medications are refilled in a timely manner.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Esther Cortez conducted a subsequent complaint visit for the above allegations. Upon arrival, LPA met with staff and explained the reason for the visit. Executive Director Kailey Vanderwall arrived shortly thereafter and was explained the reason for the visit.

On 04/01/25, the LPA conducted a physical plant tour to ensure there are no immediate health and safety hazards and facility is in compliance with Title 22 Regulations, conducted three (3) staff, four (4) residents interviews, a file review and and obtained copies of resident records and other pertinent documents relevant to the investigation. On 07/16/25, the LPA conducted a file review, conducted interviews with the ED, two (2) staff, and two (2) residents, and toured the Kitchen. On 07/17/25, the LPA conducted a file review, conducted interviews with the ED, and three (3) staff.During today's visit the LPA conducted a file review,collected pertinent documents relevant to the investigation, conducted interviews with the ED, Health Service Director, one (1) staff and four (4) residents. Report will continue on LIC9099-C, 2nd page.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2025

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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Control Number 29-AS-20250324085112

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: 07/21/2025

NARRATIVE

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Regarding the allegation, “Staff does not ensure resident's medical needs are being met”; it is the concern of the Reporting Party (RP) that Resident 1 (R1) has been diagnosed with lymphedema and has peripheral neuropath prior to admission to the facility and was scheduled for two appointments with the Physician from the facility but the Physician cancelled both appointments. It was further alleged that R1 does not need to go to the hospital but needs more hands-on care from facility staff, R1 sustained a fall and their lymphedema was triggered and R1 has asked for more help but staff does not help. The LPA reviewed records which indicated R1 was receiving medical care with physicians. R1 received home health services at the facility. R1 received assistance from care staff as well. Interviews with staff and charting notes confirmed R1 was receiving care, however oftentimes R1 would refuse care or refuse to go to scheduled appointments. Interviews with other residents confirmed they receive the care they need from staff and stated all of their care and medical needs were met. Based on interviews and records reviewed this allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation, “Staff does not ensure resident's medications are refilled in a timely manner”; it is the concern of the Reporting Party (RP) that on 03/23/25, Resident 1 (R1) needed their topical medication for their hands and toes but the Med Tech didn’t have any to give to them because the staff did not refill R1’s medication on time. Staff interviews revealed that they submitted refills on time, denied R1 was ever without medication due to the community not refilling them on time. However, R1 has orders for topical medications that can be self administered and remain at bedside with R1 and R1 will not notify MedTechs that their medications will be running out soon and often notify MedTechs they need a refill once the medications are already done. Additionally, file review revealed that R1 has a history of being non-compliant with medications and has a history of refusal of medication. There was no indication that mediations were not refilled on time by staff during file review. Lastly, all interviews with residents revealed that they have no concerns regarding medications not being refilled on time. Based on interviews and records reviewed this allegation is deemed UNSUBSTANTIATED at this time.

Exit interview conducted. Report provided.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2025

LIC9099 (FAS) - (06/04)

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