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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850168
Report Date: 01/26/2026
Date Signed: 01/26/2026 01:07:24 PM

Substantiated


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
12/18/2025 and conducted by Evaluator Erica Mosley
COMPLAINT CONTROL NUMBER: 29-AS-20251218080708
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: 96DATE:
01/26/2026
UNANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Ketmany "Kim" Nantavong - Health Servies Director
Kailey Vanderwall- Executive Director (ED)
TIME COMPLETED:
01:20 PM
ALLEGATION(S):
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Staff did not issue a refund to the resident's authorized representative in a timely manner
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Erica Mosley conducted an unannounced subsequent complaint visit to investigate the above listed allegation. The purpose of this visit is to deliver findings for the above listed allegation. Upon arrival at approx. 10:25 a.m. LPA was greeted by front door receptionist and explained the reason for the visit. The LPA met with Kailey Vanderwall, Executive Director (ED) and Ketmany Nantavong Health Servies Director and the reason for the visit was explained. Entrance interview conducted.
On 12/18/2025, the Department received a complaint regarding the following allegation, Staff did not issue a refund to the resident's authorized representative in a timely manner. On 12/22/2025 starting at 10:55 a.m. LPA conducted three (3) in-person staff interviews, a file and record review for Resident #1 (R1), conducted a telephonic interview with the Authorized Representative (AR) for R1 and obtained copies of pertinent documents relevant to the investigation. On 01/13/2026 at 1:33 p.m., 01/20/2026 at 1:18 p.m. and 01/20/2026 at 3:06 p.m. attempted to conduct a telephonic interview with AR. On 01/20/2026 at 11:33 a.m. conducted a telephonic interview with the ED and at 2:14 p.m. conducted a telephonic interview with AR. Report continued on LIC 9099-C PAGE 2...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Erica Mosley
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026
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 4
Control Number 29-AS-20251218080708
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: 01/26/2026
NARRATIVE
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(PAGE 2) Report continued from LIC 9099...

During today's visit LPA and ED briefly toured the physical plant areas inside and outside to ensure there are no immediate health and safety hazards, and facility is in compliance with Title 22 Regulations.

On the allegation, Staff did not issue a refund to the resident's authorized representative in a timely manner, it is the concern of the Reporting Party (RP) that R1’s AR did not receive the refund check within the required 15 days after the room was vacated. To investigate this complaint, LPA conducted in person interviews, telephonic interviews, file and record review and obtained copies of pertinent documentation relevant to the investigation.

Interviews with AR revealed that R1’s belongings were fully vacated on 10/17/2025. As of 12/22/2025, AR reported that they had not received the refund check. It was noted that AR and the ED corresponded via email regarding the status of the refund; however, AR stated that they received the same explanation for the past month without resolution. AR expressed dissatisfaction with the length of time taken to resolve the matter. Additionally, AR noted that the facility handbook states refunds will be issued within 30 days, while the Health and Safety Code requires refunds to be issued within 15 days. Neither timeline was met. On 01/20/2026 at 2:14 p.m. AR stated they received the refund check on 12/27/2025.

Interviews with the ED revealed that R1 passed away on 10/07/2025 and the room was fully vacated on 10/17/2025. During the move-out walk through, extensive damage beyond normal wear and tear was discovered. The repairs included damage to the pony wall, refrigerator, walls throughout the apartment, and counter tops, which the AR acknowledged and confirmed awareness of. The ED explained that the repairs required a third-party vendor, contributing to the delay in issuing the refund. They stated that they did not want to issue a refund prematurely and risk additional charges surfacing later. An estimated time frame of 30–60 days was provided to AR. The ED clarified that families are responsible for costs associated with damages beyond normal wear and tear, and refunds are only issued once all charges are finalized. Additionally, the ED noted that checks are not processed in-house, which further contributed to the delay. On 12/15/2025, the ED emailed AR confirming that all repairs had been completed and they were waiting for the refund check. The ED acknowledged the delay and noted the “gray area” between facility contractual refund timelines and regulatory requirements, emphasizing the importance of consulting their legal department to ensure compliance moving forward. Report continued on LIC 9099-C PAGE 3...

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Erica Mosley
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 29-AS-20251218080708
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: 01/26/2026
NARRATIVE
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(PAGE 3) Report continued from LIC 9099-C page 2...

On 01/20/2026, the ED stated that the refund was mailed and delivered to AR on 12/27/2025. They added that this was a very specific case and confirmed that they have consulted with their legal department to ensure compliance with refund timelines in the future.

Records review revealed that R1 moved into the facility on 04/04/2021 and passed away on 10/07/2025. Email correspondence between the Executive Director (ED) and AR indicated that on 10/16/2025, AR confirmed the apartment would be vacated on 10/17/2025. On 10/27/2025, ED noted that repairs and cleaning were ongoing and that AR would be informed once completed. On 12/15/2025, ED communicated that they wanted to ensure everything was accurate and completed before following up, and confirmed that all damage had been repaired. AR responded expressing dissatisfaction with the timeframe, citing the facility handbook policy of 30 days and the regulatory standard of 15 days. On 12/18/2025, ED stated they were awaiting the refund check, as checks are not processed in-house, and assured AR they would provide updates accordingly.

Based on information gathered during the course of the investigation, and interviews there is sufficient evidence to support the allegation occurred. Therefore, the allegation of Staff did not issue a refund to the resident's authorized representative in a timely manner is deemed SUBSTANTIATED at this time.

Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiency was cited (refer to LIC 9099-D.) Administrator was informed that failure to correct the deficiency may result in civil penalties.

Exit interview conducted, appeal rights discussed, and a copy of this report and appeal rights were provided.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Erica Mosley
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 29-AS-20251218080708
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: 01/26/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/30/2026
Section Cited
HSC
1569.652(c)
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§1569.652 Termination of admission agreement upon death of resident... and refunds (c) A refund of any fees paid in advance...shall be issued...to the resident’s estate, within 15 days after the personal property is removed.This requirement is not met as evidenced by
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On 1/20/26, AR of R1 confirmed they had received the refund from the facility and the ED also agreed to review section cited and submit a statement of understanding and plan to ensure future compliance and send to LPA by 01/30/2026.
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Based on interviews and record review, the facility did not comply with the above cited section, as R1 passed away on 10/07/25, belongings were removed on 10/17/25 and check was received on 12/27/25, which poses a potential personal rights risk to persons in care.
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Additionally, the ED stated they have informed their legal department to ensure future compliance.
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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: Erica Mosley
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4