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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 405850480
Report Date: 09/04/2025
Date Signed: 09/04/2025 05:10:38 PM

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
08/27/2025 and conducted by Evaluator Garrett Haner-Tomasko
COMPLAINT CONTROL NUMBER: 29-AS-20250827135624
FACILITY NAME:OAKS AT PASO ROBLES, THEFACILITY NUMBER:
405850480
ADMINISTRATOR:CARL MEYERFACILITY TYPE:
740
ADDRESS:526 S RIVER ROADTELEPHONE:
(805) 239-5851
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY:120CENSUS: 84DATE:
09/04/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Administrator - Carl MeyerTIME COMPLETED:
05:25 PM
ALLEGATION(S):
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Staff handled residents in a rough manner
Staff yelled at residents
INVESTIGATION FINDINGS:
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On 9/4/2025 at 10:00am Licensing Program Analyst (LPA) Haner-Tomasko arrived unannounced at the facility to investigate the allegations to this complaint. LPA met with Administrator Carl Meyer and explained the purpose of the visit.

During the visit, LPA interviewed staff, residents, the Administrator, and obtained relevant documents.

On allegations, staff handled residents in a rough manner and staff yelled at residents. It was alleged Staff #1 (S1) forcefully pulls and grabs residents from their wheelchairs, chair, and bed. It was alleged that S1 yells at the residents, telling them they have to wait even though they have already waited a while. Other staff have witnessed S1 yelling at residents.

Resident interviews revealed there are times S1 seems rushed to help residents depending on staffing and
(Continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Garrett Haner-Tomasko
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2025
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 2
Control Number 29-AS-20250827135624
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: OAKS AT PASO ROBLES, THE
FACILITY NUMBER: 405850480
VISIT DATE: 09/04/2025
NARRATIVE
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will rush them, but S1 has not yelled or raised their voice at them and has not treated them roughly. Residents feel like S1 is very helpful when they need assistance from them. Staff interviews revealed they are not aware of any staff yelling, raising their voice, or being rough with residents. The Administrator stated he has personally worked with S1 and has not witnessed S1 yell at or treat residents roughly. Administrator stated S1 has not been written-up or disciplined for how S1 treats residents. Interview with S1 revealed there are times they feel rushed to help the residents and has felt frustrated. S1 stated they have not been rough with residents or yelled at them to wait or hurry up. Based on all interviews conducted and LPA observation, at this time the above allegation was found to be unsubstantiated, meaning that the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview conducted, report signed, and report provided to Administrator.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Garrett Haner-Tomasko
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2