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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306006224
Report Date: 02/12/2025
Date Signed: 02/12/2025 05:17:25 PM

Document Has Been Signed on 02/12/2025 05:17 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:OAKMONT OF FULLERTONFACILITY NUMBER:
306006224
ADMINISTRATOR/
DIRECTOR:		SCHROEDER, LINDSAYFACILITY TYPE:
740
ADDRESS:433 W. BASTENCHURY ROADTELEPHONE:
(714) 869-1940
CITY:FULLERTONSTATE: CAZIP CODE:
92835
CAPACITY: 152CENSUS: DATE:
02/12/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:31 PM
MET WITH:Maria Kautem, Executive DirectorTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of four complaints filed regarding the previous licensed entity at this present location, prior to the initial licensing of the present facility.

Complaints are referenced as follows:
- 22-AS-20210818113839, filed on August 18, 2021
- 22-AS-20210917092143, filed on September 17, 2021
- 22-AS-20220822143206, filed on August 22, 2022
- 22-AS-20220906140344, filed on September 6, 2022.

All four complaints have been filed against licensed facility Oakmont of Fullerton - 306005795 which is a distinct entity from the present facility.

During the investigation, LPA requested multiple resident records and conducted or attempted to conduct staff and resident interviews.

An exit interview was conducted and a copy of this report was provided to a facility representative.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE: DATE: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/12/2025
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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