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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 315002955
Report Date: 02/19/2026
Date Signed: 02/19/2026 12:24:42 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, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/12/2025 and conducted by Evaluator Bethany Mirlohi
COMPLAINT CONTROL NUMBER: 59-AS-20251212104918
FACILITY NAME:OAKMONT OF WESTPARKFACILITY NUMBER:
315002955
ADMINISTRATOR:FLECK, BARBARAFACILITY TYPE:
740
ADDRESS:2400 PLEASANT GROVE BLVD.TELEPHONE:
(916) 545-8904
CITY:ROSEVILLESTATE: CAZIP CODE:
95747
CAPACITY:142CENSUS: 93DATE:
02/19/2026
UNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Barbara Fleck, AdministratorTIME COMPLETED:
12:40 PM
ALLEGATION(S):
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Staff did not issue an appropriate refund to resident’s authorized representative
Staff do not respond to resident's call for assistance in a timely manner
Staff did not clean resident’s room
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to deliver complaint investigation findings. LPA met with Administrator Barbara Fleck during today’s inspection.

LPA investigated allegation, “Staff did not issue an appropriate refund to resident’s authorized representative.” LPA conducted interviews with relevant parties and staff and reviewed resident documentation. LPA interviewed relevant party in which they stated that R1 paid in advance for care, and so when R1 passed on the 5th and all personal belongings were removed on the 7th of the month last year, R1 was due for a refund. R1’s estate was issued a refund, but money was taken out for carpet replacement and tray services. Relevant party stated R1 lived at the facility for 4 years and that they could not understand why R1 was expected to replace the carpet.

Continuation on 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Bethany Mirlohi
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026
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 3
Control Number 59-AS-20251212104918
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833
FACILITY NAME: OAKMONT OF WESTPARK
FACILITY NUMBER: 315002955
VISIT DATE: 02/19/2026
NARRATIVE
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Relevant party stated that the facility eventually refunded R1’s estate the proper amount. LPA interviewed Administrator in December 2025, and she stated she did charge R1 for carpet replacement, but they were looking into it. Due to the information gathered, LPA finds allegation to be UNSUBSTANTIATED.

LPA investigated allegation, “Staff do not respond to resident's call for assistance in a timely manner”. LPA interviewed relevant parties and staff and reviewed resident documentation. LPA interviewed relevant party in which she stated there were several times that R1 pushed their pendant for help, and it took from 28 minutes to 40 minutes for staff to respond. Relevant party stated R1 didn’t use their pendant much and only used it an emergency and staff were slow to respond. LPA interviewed 5 care staff in which they stated they usually respond within 5-10 minutes of when a pendant is pushed. At times if they are helping other residents, it may take longer. Of the 5 care staff interviewed, no one remembered a time that R1 was waiting for a long period of time for help. LPA interviewed administrator in which she stated there is a call button log, but it only stores information for the past 30 days. LPA was unable to review call lights pushed for R1 during their time at the facility. Due to the information gathered, LPA finds allegation to be UNSUBSTANTIATED.

LPA investigated allegation, “Staff did not clean resident’s room”. LPA interviewed relevant parties and staff and reviewed resident documentation. LPA interviewed relevant party in which they stated R1’s room was lightly cleaned weekly by housekeeping, however of the 4 years R1 lived at the facility, the carpets were never cleaned, and a deep cleaning never occurred. Relevant party stated R1 was informed prior to move in that they would be receiving a carpet cleaning and deep cleaning annually. LPA reviewed R1’s admission agreement, and found that weekly housekeeping would be provided, however LPA did not observe anything about a deep cleaning and carpets being cleaned annually. LPA interviewed maintenance director in which staff provide weekly housekeeping which includes vacuuming, dusting, and bathroom cleaning. In addition, annually they provide deep cleaning which can include carpet cleaning and as needed cleaning. Maintenance Director provided LPA several dates in which spot carpet cleaning was provided but had no further documentation about annual deep cleanings. Due to the information provided, LPA finds allegation to be UNSUBSTANTIATED.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are unsubstantiated. Exit interview was conducted.

SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Bethany Mirlohi
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/12/2025 and conducted by Evaluator Bethany Mirlohi
COMPLAINT CONTROL NUMBER: 59-AS-20251212104918

FACILITY NAME:OAKMONT OF WESTPARKFACILITY NUMBER:
315002955
ADMINISTRATOR:FLECK, BARBARAFACILITY TYPE:
740
ADDRESS:2400 PLEASANT GROVE BLVD.TELEPHONE:
(916) 545-8904
CITY:ROSEVILLESTATE: CAZIP CODE:
95747
CAPACITY:142CENSUS: 93DATE:
02/19/2026
UNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Barbara Fleck, AdministratorTIME COMPLETED:
12:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff overcharged resident in care for services not listed in the contract
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to deliver complaint investigation findings. LPA met with Administrator Barbara Fleck during today’s inspection.
LPA investigated the allegation, “Staff overcharged resident in care for services not listed in the contract”. LPA conducted interviews with relevant party and staff, and reviewed resident documentation. LPA interviewed relevant party in which they stated facility charged R1 for food being delivered to R1’s room (tray service) once resident was placed on hospice care. Relevant party stated before R1 was placed on hospice services facility staff informed R1 that there would be no charge for tray service however Relevant party had nothing in writing. Relevant party stated that facility eventually did refund R1’s estate for the tray service charges. LPA did review R1’s admission agreement, in which it stated tray service cost $10 per service. Due to the information gathered, LPA finds allegation to be UNFOUNDED.
A finding that the allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Exit interview conducted.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Bethany Mirlohi
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3