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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850168
Report Date: 08/26/2025
Date Signed: 08/26/2025 02:14:21 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
03/24/2025 and conducted by Evaluator Esther Cortez
COMPLAINT CONTROL NUMBER: 29-AS-20250324085112
FACILITY NAME:OAKMONT OF RIVERPARKFACILITY NUMBER:
565850168
ADMINISTRATOR:KAILEY VANDERWALLFACILITY TYPE:
740
ADDRESS:901 TOWN CENTER DRIVETELEPHONE:
(805) 940-0390
CITY:OXNARDSTATE: CAZIP CODE:
93036
CAPACITY:140CENSUS: 88DATE:
08/26/2025
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Kailey VanderwallTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff do not ensure resident is provided adequate food service.
Staff does not ensure resident's food diet is being followed.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Esther Cortez conducted a subsequent complaint visit for the above allegations. Upon arrival, LPA met with Executive Director Kailey Vanderwall and was explained the reason for the visit

On 04/01/25, the LPA conducted a physical plant tour to ensure there are no immediate health and safety hazards and facility is in compliance with Title 22 Regulations, conducted three (3) staff, four (4) residents interviews, a file review and and obtained copies of resident records and other pertinent documents relevant to the investigation. On 07/16/25, the LPA conducted a file review, conducted interviews with the ED, two (2) staff, and two (2) residents, and toured the Kitchen. On 07/17/25, the LPA conducted a file review, conducted interviews with the ED, and three (3) staff. On 07/21/25, the LPA conducted a file review,collected pertinent documents relevant to the investigation, conducted interviews with the ED, Health Service Director, one (1) staff and four (4) residents. During today's visit the LPA conducted a file review. Report will continue on LIC9099-C, 2nd page.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025
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 5
Control Number 29-AS-20250324085112
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: OAKMONT OF RIVERPARK
FACILITY NUMBER: 565850168
VISIT DATE: 08/26/2025
NARRATIVE
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Regarding the allegations, “Staff do not ensure resident is provided adequate food service and Staff does not ensure resident's food diet is being followed” it is the concern of the Reporting Party (RP) that Resident 1 (R1) was placed on a diet by their Primary Physician and staff does not follow it. Additionally, when R1 requests a specific breakfast, R1’s meal will be cold when delivered. File review revealed that R1 has a doctor’s order for a strict anti-reflux diet, mechanical soft diet, no acid, no seasoning, no sauce, and no beef, does not drink thin liquids, drinks ensure and cream of wheat, signed and dated 01/31/25. Nine (9) out of ten (10) residents interviewed revealed that they have no concern regarding the food provided, they are provided with adequate food service, staff know what the residents can and cannot eat, and that the community provides balanced meals, follows their diet and provides alternate dishes if needed. An interview with R1, revealed that they only eat breakfast at the community and buy their own canned food to eat during lunch and dinner, however the community prepares it for them or they grind it. R1 states that the staff prepares their food and grinds it but it is not the right consistency. On 04/01/2025, the LPA observed R1 eating a plate of canned corn, green beans, peas, carrots, and roasted turkey that seemed to be in a smooshy consistency and covered with ensure, and on the side bread inside milk. An interview with the communities Chef, revealed that everyone in the kitchen knows R1 and are very aware of R1’s diet (mechanical soft) as R1 has a history of complaints regarding their food no matter what they do. Furthermore, staff interviews revealed that the community provides breakfast, lunch and dinner, as well as snacks, however R1 is very particular about their food and only eat breakfast provided by the facility and buy their own food but for lunch and dinner, the staff always follow all the residents’ diets and even accommodated to the residents’ preferences. Additionally, R1 repeatedly complains about the consistency and temperature of their food and staff will take it back to the kitchen and have them re do it. Although the allegation may have happened or is valid, there is not enough evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are unsubstantiated at this time.

Exit interview was conducted and report provided.


SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
03/24/2025 and conducted by Evaluator Esther Cortez
COMPLAINT CONTROL NUMBER: 29-AS-20250324085112

FACILITY NAME:OAKMONT OF RIVERPARKFACILITY NUMBER:
565850168
ADMINISTRATOR:KAILEY VANDERWALLFACILITY TYPE:
740
ADDRESS:901 TOWN CENTER DRIVETELEPHONE:
(805) 940-0390
CITY:OXNARDSTATE: CAZIP CODE:
93036
CAPACITY:140CENSUS: 88DATE:
08/26/2025
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Kailey VanderwallTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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9
Staff does not answer resident's call button.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Esther Cortez conducted a subsequent complaint visit for the above allegations. Upon arrival, LPA met with Executive Direcotr Kailey Vanderwall and was explained the reason for the visit

On 04/01/25, the LPA conducted a physical plant tour to ensure there are no immediate health and safety hazards and facility is in compliance with Title 22 Regulations, conducted three (3) staff, four (4) residents interviews, a file review and and obtained copies of resident records and other pertinent documents relevant to the investigation. On 07/16/25, the LPA conducted a file review, conducted interviews with the ED, two (2) staff, and two (2) residents, and toured the Kitchen. On 07/17/25, the LPA conducted a file review, conducted interviews with the ED, and three (3) staff. On 07/21/25, the LPA conducted a file review,collected pertinent documents relevant to the investigation, conducted interviews with the ED, Health Service Director, one (1) staff and four (4) residents. During today's visit the LPA conducted a file review. Report will continue on LIC9099-C, 2nd page.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025
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 5
Control Number 29-AS-20250324085112
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: OAKMONT OF RIVERPARK
FACILITY NUMBER: 565850168
VISIT DATE: 08/26/2025
NARRATIVE
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Regarding the allegation, “Staff does not answer resident's call button”; it is the concern of the Reporting Party (RP) that Resident 1 (R1) has been needing help getting in and out of bed, has pushed their call button on multiple occasions but staff never goes, and they will have to try to move in and out of bed on their own. No date(s) provided. LPA reviewed pendant records for R1 from 03/19/25, starting at 6:16 PM to 04/1/25 ending at 10:42 PM. R1’s pendant records revealed that ten (10) out of one hundred and twenty-five (125) pendant calls R1 made were never responded to. Oakmont’s PHB history indicated that on all 10 pendant calls made that were not responded to, the calls were announced 9 times. The LPA did not observe any charting notes from staff that indicated R1 had been helped but denied staff to reset their pendant during that date period. Based on the record review, there is sufficient evidence to support the allegation and that a violation occurred; therefore, this allegation is deemed SUBSTANTIATED.

The following deficiency was cited from the CA Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview held, appeal rights and report copy provided.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 29-AS-20250324085112
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: OAKMONT OF RIVERPARK
FACILITY NUMBER: 565850168
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/26/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/29/2025
Section Cited
CCR
87468.2(a)(4)
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87468.2(a)(4)residents…shall have all of the following personal rights: To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This requirement is not met as evidence by:
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ED agreed to have an in service with all staff regarding how to respond resident calls in a timely manner and charting if resident refuses staff to clear the call. Will submit proof of inservice to CCL by 08/29/25
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 Based on records review, the licensee did not comply with the section cited above as Staff did not respond to R1’s call for assistance in a timely manner, which posed a potential health and safety risk to residents in care.
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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: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5