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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496803998
Report Date: 06/10/2025
Date Signed: 06/10/2025 12:19:58 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/04/2025 and conducted by Evaluator Christi Coppo
COMPLAINT CONTROL NUMBER: 21-AS-20250604125611
FACILITY NAME:OAKMONT GARDENSFACILITY NUMBER:
496803998
ADMINISTRATOR:TRISTAN AMARIFACILITY TYPE:
740
ADDRESS:301 WHITE OAK DRIVETELEPHONE:
(707) 538-1914
CITY:SANTA ROSASTATE: CAZIP CODE:
95409
CAPACITY:79CENSUS: DATE:
06/10/2025
UNANNOUNCEDTIME BEGAN:
09:14 AM
MET WITH:Tristan Amari, Business Office ManagerTIME COMPLETED:
12:34 PM
ALLEGATION(S):
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Facility water turned off, resulting in residents not provided drinking water or water for toilets and bathing
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Christi Coppo arrived at this facility unannounced, to open an investigation into the above allegations.

Complaint alleges facility water was turned off, resulting in residents not provided drinking water or water for toilets and bathing. On 5/12/25 LPA was notified that a water pipe at the facility had broken and the water was shut off as of Sunday 5/11/25 from 11:00am onward and was attempted to be repaired. Facility turned the water back on Monday 5/12/25 at 10:30am, but the repair fix did not work and the repair burst. So, the water was again shut off for the entire facility. Facility did not notify CCL of water being shut off. On 5/12/25, upon learning of the incident, LPA immediately contacted facility Administrator Mark Strohschein to inquire as to status of water at facility and if they had engaged their Emergency Disaster Plan. On 5/12/25 at 2:38pm Admin responded to LPA, confirming the water had been turned off due to a

Continued on 9099C...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Christi Coppo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2025
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 3
Control Number 21-AS-20250604125611
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: OAKMONT GARDENS
FACILITY NUMBER: 496803998
VISIT DATE: 06/10/2025
NARRATIVE
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Continued from 9099...

pipe bursting and had yet to be repaired; Admin indicated to LPA that the water had not yet been turned back on, but facility had made an initial delivery of bottled water to residents’ rooms and residents would have access to restrooms across the street at Oakmont Village Community Center. Admin email to LPA also indicated staff were going to begin taking buckets of water to each apartment to flush toilets. Additionally, Admin reported to LPA pipe repair was still in process. Email to LPA from Tristan Amari, Business Office Manager (BOM) indicated Port-a-Potties whad been ordered earlier in the day and arrived around 6:00pm to the facility. Later in the evening on 5/12/25, BOM email to CCL reported facility water was fully functional and turned back on in full capacity for all residents at 8:30pm.

Based on LPA’s interviews and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 Chapter 8, are being cited on the attached 9099D.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with BOM. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.

Exit interview conducted with BOM and a copy of this report was given.

**On 5/13/25 LPA conducted a Health and Wellness check at facility regarding the incident that is the subject of this complaint. LPA found water to be fully operational. LPA stressed to facility that facility must report to CCL any incident which is a health and safety risk for residents. Per regulation 87211(a)(2) Occurrences, such as epidemic outbreaks, poisonings, catastrophes or major accidents which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriate.

SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Christi Coppo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 21-AS-20250604125611
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: OAKMONT GARDENS
FACILITY NUMBER: 496803998
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/10/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/11/2025
Section Cited
CCR
87468.1(a)(2)
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87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.
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Facility to self-certify that in all cases of major occurances which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriate. Additionally, facility
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This requirement was not met by licensee as evidenced by: facility water shut off for more than 24hrs without immediately providing for residents needs that require access to running water like bathing and flushing toilets, which poses an immediate health, safety or personal rights risk to persons in care.
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to self-certify that in such occurances facility will engage in their emergency disater plan ensuring that all residents are afforded their personal rights as outlined in regulation. Facility to submit self-certification on LIC9098 to CCL by plan of correction due date.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Christi Coppo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2025
LIC9099 (FAS) - (06/04)
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