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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 405850480
Report Date: 10/01/2025
Date Signed: 10/01/2025 03:49:34 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
06/30/2025 and conducted by Evaluator Garrett Haner-Tomasko
COMPLAINT CONTROL NUMBER: 29-AS-20250630114830
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: DATE:
10/01/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Administrator - Carl MeyerTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff do not ensure resident is provided clean linens
Staff do not ensure resident is provided assistance with personal grooming and dressing
INVESTIGATION FINDINGS:
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On 10/1/2025 at 1:00pm Licensing Program Analyst (LPA) Haner-Tomasko arrived unannounced at the facility to deliver final findings to this complaint. LPA met with Administrator Carl Meyer and explained the purpose of the visit.

On 07/08/2025, Licensing Program Analyst (LPA) Haner-Tomasko conducted an unannounced initial complaint investigation visit to the facility. During the visit, the LPA requested and received facility documentation relevant to the investigation. LPA interviewed residents, staff, and the Administrator. The LPA determined further investigation was needed prior to issuing findings.

On allegations: Staff do not ensure resident is provided clean linens and staff do not ensure resident is provided assistance with personal grooming and dressing. It was alleged that Person #1 (P1) found Resident #1 (R1) left in soiled bed sheets one day in June 2025 and R1’s hair was not brushed.
(Conintued on 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Garrett Haner-Tomasko
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025
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-20250630114830
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: 10/01/2025
NARRATIVE
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LPA reviewed R1’s file which reveals R1 resides in the assisted living portion of the facility. R1’s admission agreement states the facility will provide weekly housekeeping services including laundering sheets and towels. Additional housekeeping, bed making and laundry services are available for an additional fee. Interviews and record review of R1’s care plan dated 7/1/2025 reveal the facility is washing R1’s linens up to three times per week at no additional cost. Record review of R1’s care plan indicates R1 is incontinent of bladder and requires hands on assistance from staff with their toileting needs but is able to participate in much of the task. LPA interviewed R1 and R1 stated the staff have never left them soiled in bed. Their towels and sheets are washed by staff at least once per week or more often. LPA observed R1’s linens on 7/8/2025 and 7/23/2025 noting no stained or soiled linens.

Record review of R1’s care plan indicates R1 requires standby assistance from staff when dressing and grooming in the morning. LPA interview with R1 revealed R1 likes to sleep in and would sleep past noon if they could every day. R1 said the staff come in to try to get them up but R1 tells the staff they want to stay in bed longer. R1 stated the care at the facility is good and when the staff help R1 get ready they help them with their dressing and grooming needs. Staff interviews reveal that staff attempt to encourage R1 to get up in the morning, R1 often refuses and wants to sleep in. Interviews reveal R1 really likes one particular staff member so the facility has asked that employee to assist R1 each morning when they can and when they cannot other staff assist R1.

Based on observation, all interviews conducted and documents obtained, 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.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Garrett Haner-Tomasko
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2