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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496803998
Report Date: 02/19/2026
Date Signed: 02/19/2026 04:43:48 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
01/09/2026 and conducted by Evaluator Christi Coppo
COMPLAINT CONTROL NUMBER: 21-AS-20260109140715
FACILITY NAME:OAKMONT GARDENSFACILITY NUMBER:
496803998
ADMINISTRATOR:KABADI, SANJAYFACILITY TYPE:
740
ADDRESS:301 WHITE OAK DRIVETELEPHONE:
(707) 538-1914
CITY:SANTA ROSASTATE: CAZIP CODE:
95409
CAPACITY:79CENSUS: 49DATE:
02/19/2026
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Raymond Rodarte, Business Office ManagerTIME COMPLETED:
04:58 PM
ALLEGATION(S):
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Facility does not meet resident needs
Facility is not responding to call buttons
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Christi Coppo arrived at this facility unannounced, to deliver findings for the above allegations. Administrator (Admin) Sanjay Kabadi was not available to come to the facility but was available by phone. LPA spoke to Admin and let him know the purpose of LPA's visit and let him know the findings. LPA met with Raymond Rodarte, Business Office Manager (BOM).

Complaint alleges facility does not meet resident needs and facility is not responding to call buttons. During investigation, LPA reviewed pendant call logs. LPA reviewed logs for the time period of 12/14/25 through 1/15/26. Within these dates residents pressed their call button/pendant approximately 1541 times. Of the approximate 1541 times the wait time until someone responded was:

10 minutes or greater: 717 times
20 minutes or greater: 170 times

Continued on 9099C...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Christi Coppo
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 21-AS-20260109140715
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: 02/19/2026
NARRATIVE
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Continued from 9099...

30 minutes or greater: 130 times; one occurrence of a smoke detector for 32 minutes.
40 minutes or greater: 40 times
50 minutes or greater: 24 times
60 minutes or greater: 20 times
70 minutes or greater: 15 times
80 minutes or greater: 18 times
90 minutes or greater: 12 times
100 minutes or greater: 15 times
150 minutes or greater: 3 times
The longest wait times were single occurrences of:
• 165 minutes,
• 193 minutes,
• 225 minutes,
• 309 minutes,
• 334 minutes,
• 390 minutes,
• 429 minutes.
Of the approximate 1541 times a resident pushed their pendant 1172 of those times their wait was longer than 10 minutes, which is approximately 76% of the time.

During investigation, LPA interviewed five [5] residents with wait times longer than 50 minutes. Five [5] out of five [5] residents interviewed confirmed they waited at least 50 minutes before anyone arrived to answer their call for assistance. One resident (R1) reported that a care staff arrived to answer the pendant call but then reset the pendant and immediately walked out, without asking them if they needed assistance or providing any help. Two residents (R2 and R3) reported that, at times, no care staff show up at all. 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.

Exit interview conducted with BOM. Appeal rights and a copy of this report given.
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Christi Coppo
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
Control Number 21-AS-20260109140715
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: 02/19/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/05/2026
Section Cited
HSC
1569.269
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§1569.269 Enumerated rights... a)Residents...shall have all of the following rights:(6) To care, supervision, and services that meet their individual needs...delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs...This requirement not met by licensee
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Facility to submit plan identifying why response times are delayed and the method of correction facility will implement in order to correct the delays in call button/pendant response time, by plan of correction due date. Additionally, facility to ensure that pendant/call button system is in good repair,
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as evidenced by: Based on LPA record review of facility's pendant/call button system log, the licensee did not comply with the section cited above in that between 12/14/25 and 1/15/26 residents pushed their pendant call button at least 1541 times. Of those 1541 times, residents waited over 50 minutes at least 114 times, which poses a potential health, safety or personal rights risk to persons in care.
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fully operational, and staff is sufficient to timely answer pendant/call button calls, by plan of correction due date. Facility to submit paperwork of pendant/call button system implemetation and log showing that pendant/call button system is in good repair and fully operational, 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: 02/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026
LIC9099 (FAS) - (06/04)
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