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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079201085
Report Date: 03/19/2025
Date Signed: 03/19/2025 10:55:53 AM

Document Has Been Signed on 03/19/2025 10:55 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:OAKMONT OF CONCORDFACILITY NUMBER:
079201085
ADMINISTRATOR/
DIRECTOR:		SOR, KIM SFACILITY TYPE:
740
ADDRESS:1401 CIVIC COURTTELEPHONE:
(925) 798-4004
CITY:CONCORDSTATE: CAZIP CODE:
94520
CAPACITY: 121CENSUS: 93DATE:
03/19/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Kim Sor, Executive DirectorTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On 03/19/25 around 10:00 AM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to deliver the finding for complaint #15-AS-20250115085215 on 01/15/25. In addition, LPA conducted a case management and met with Kim Sor, Executive Director (ED) and explained the purpose of the visit.

On 01/15/25, S4 conducted counseling with S3 that included Care Provider Job Description, Fall Management Protocol, and Residents Rights - Employee Version. Per the interviews conducted for the above complaint with S1, S2, S4 and S5, LPA recommends the above trainings, in addition to Diversity, Equity, and Inclusion (DEI) training for S2.

No citations issued, exit interview conducted and a copy of this report provided to ED.

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Lisha Holmes
LICENSING EVALUATOR SIGNATURE: DATE: 03/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/19/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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