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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604281
Report Date: 07/08/2025
Date Signed: 07/08/2025 05:10:43 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/02/2025 and conducted by Evaluator Natasha Persaud
COMPLAINT CONTROL NUMBER: 08-AS-20250702091127
FACILITY NAME:OAKMONT OF PACIFIC BEACHFACILITY NUMBER:
374604281
ADMINISTRATOR:CAROLINE SENTENOFACILITY TYPE:
740
ADDRESS:955 GRAND AVETELEPHONE:
(858) 373-9300
CITY:SAN DIEGOSTATE: CAZIP CODE:
92109
CAPACITY:92CENSUS: 74DATE:
07/08/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Executive Director, Emily TurnerTIME COMPLETED:
05:20 PM
ALLEGATION(S):
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9
Staff did not ensure facility is kept free of pests for residents in care
INVESTIGATION FINDINGS:
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10
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13
Licensing Program Analyst (LPA), Natasha Persaud conducted an unannounced visit regarding the above-mentioned allegation. LPA met with the Executive Director, Emily Turner.

During the investigation, the facility was briefly toured, records reviewed, and interviews conducted with staff and outside sources. It was alleged that staff did not ensure the facility is kept free of pests for residents in care. An outside source reported the facility had bed bugs in a resident’s apartment and the facility was not taking care of the infestation. Today, LPA observed the apartment, there were no residents, furniture, or belongings present. The resident couple that resided in that apartment are no longer at the facility. Staff interviews revealed bed bugs were not observed in the residents’ room, when they would enter daily to collect the trash and check on the residents. Staff explained they did not provide care for the residents, as they were independent of their activities of daily living, only medication management was provided. An outside source interview revealed that the resident couple also had private companions daily. Continued on an LIC 9099C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2025
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 4
Control Number 08-AS-20250702091127
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: OAKMONT OF PACIFIC BEACH
FACILITY NUMBER: 374604281
VISIT DATE: 07/08/2025
NARRATIVE
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On 06/14/25, staff went to the resident’s room to dispense medications, the resident was lying in bed. The staff observed smears on the bedroom wall and inquired with the residents. The residents reported they had bugs in their apartment and had smashed them the night prior. The staff immediately reported the issue to management. The Maintenance Director inspected the room and contacted their contracted pest control company to inspect. The Pest control company came on the same day, 06/14/25 to inspect, and confirmed there were bed bugs. The Maintenance Director explained as soon as they were made aware, the residents’ bodies were checked for bites, residents were showered, relocated, clothes washed, items disposed, and inspected by pest control. They also had a dog groomer come in to treat the resident couple’s dog to ensure safety. As of 06/16/25 the apartment had one full chemical treatment completed by the pest control company. The Executive Director reported the bed bug treatment was completed, no visible sign of bed bugs post treatment, follow up treatment to be completed out of precaution, and the neighboring rooms inspected with no signs of bed bugs in any other area. It was discovered the contracted company was unable to treat with heat, which was needed. Therefore, the facility contacted another pest control company that was able to assist. LPA spoke with a representative of the newly obtained pest control company that verified the resident couple’s apartment had a bed bug infestation but was being treated. The representative also stated they felt the issue would be resolved and confirmed this was a new bed bug infestation. The representative also stated the facility was following necessary precautions.

The facility’s housekeeper was assigned to change the linens once a week. The housekeeper did not report any bed bugs or signs of bed bugs. Staff that are assigned to wash the residents’ clothing did not observe any bugs on the residents’ clothing. It is unknown when the bed bug infestation began. The Executive Director confirmed 06/14/25 was the first observation of bed bugs and prior to that it was not reported by staff, residents, or the private companions. The facility acted appropriately to rid the facility of pests/bed bugs by contacting the contracted pest control company and relocating the residents. When it was discovered, the contracted company could not treat with heat, the facility hired another pest control company, relocated the residents and followed guidelines for bed bug infestation.

During the course of the investigation, interviews were conducted, and records were reviewed. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegation. The allegation was deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Executive Director, Emily Turner whose signature below confirms receipt of these rights.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/02/2025 and conducted by Evaluator Natasha Persaud
COMPLAINT CONTROL NUMBER: 08-AS-20250702091127

FACILITY NAME:OAKMONT OF PACIFIC BEACHFACILITY NUMBER:
374604281
ADMINISTRATOR:CAROLINE SENTENOFACILITY TYPE:
740
ADDRESS:955 GRAND AVETELEPHONE:
(858) 373-9300
CITY:SAN DIEGOSTATE: CAZIP CODE:
92109
CAPACITY:92CENSUS: 74DATE:
07/08/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Executive Director, Emily TurnerTIME COMPLETED:
05:20 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not ensure reporting requirements were followed
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), Natasha Persaud conducted an unannounced visit regarding the above-mentioned allegation. LPA met with the Executive Director, Emily Turner.

During the investigation, the facility was briefly toured, records reviewed, and interviews conducted with staff and outside sources. It was alleged staff did not ensure reporting requirements were followed. An outside source reported the facility had bed bugs and it wasn’t reported to the licensing agency, the residents or their responsible party. Title 22 Regulations state that a written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence. The residents were made aware immediately and relocated the same day to another apartment. The residents’ responsible party confirmed it was reported to them the same day, 06/14/25. LPA confirmed the licensing agency was provided with a written report the same day of occurrence. Continued on an LIC 9099C.

Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2025
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 4
Control Number 08-AS-20250702091127
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: OAKMONT OF PACIFIC BEACH
FACILITY NUMBER: 374604281
VISIT DATE: 07/08/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
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This agency has investigated the complaint, alleging staff did not ensure reporting requirements were followed. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Executive Director, Emily Turner whose signature below confirms receipt of these rights. LPA was absent from the facility from 12:45pm-1:45pm.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4