565850169-10-21-2025-29-AS-DPEA-DMXU92-20251030152226

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565850169
Report Date: 10/21/2025
Date Signed: 10/21/2025 02:41:53 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
07/24/2025 and conducted by Evaluator Martha Arroyo

COMPLAINT CONTROL NUMBER: 29-AS-20250724114217

FACILITY NAME:	OAKMONT OF CAMARILLO		FACILITY NUMBER:	565850169
ADMINISTRATOR:	FOERSCHNER, BRADLEE		FACILITY TYPE:	740
ADDRESS:	305 DAVENPORT STREET		TELEPHONE:	(805) 738-3600
CITY:	CAMARILLO	STATE: CA	ZIP CODE:	93012
CAPACITY:	150	CENSUS: 100	DATE:	10/21/2025
		UNANNOUNCED	TIME BEGAN:	10:13 AM
MET WITH:	Mark Cortes		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff are not meeting resident's oral hygiene needs
Staff are not meeting resident's grooming needs

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Martha Arroyo and Brian Balisi conducted a subsequent complaint visit to the above facility. The purpose of the visit is to deliver findings for the above allegations. The initial complaint visit was conducted on 07/29/2025 by LPA M. Arroyo. On today's visit, LPAs met with Executive Director (ED) Mark Cortes. Entrance interview.

During the initial visit on 07/29/2025, the LPA along with the ED conducted a plant tour, interviewed four staff and one family member, and conducted a resident file review and obtained copies of pertinent documents. Hospice records were also requested and obtained during the course of the investigation.

Report Continued on LIC 9099C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Martha Arroyo
LICENSING EVALUATOR SIGNATURE:	DATE: 10/21/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20250724114217

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: OAKMONT OF CAMARILLO	FACILITY NUMBER: 565850169
	VISIT DATE: 10/21/2025

NARRATIVE

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Report Continued from LIC 9099...

Records review and interviews conducted revealed Resident #1 (R1) was admitted to the facility on 08/31/2024. Per R1’s physician’s report dated 06/19/2025, R1’s primary diagnosis include dementia and a recurrent sacral pressure ulcer, with a noted lack of capacity for self-care. Per updated Resident Assessment dated 01/28/2025, it indicates that R1 requires hands-on assistance with all grooming and hygiene tasks. This includes assistance with showering or bathing 1–2 times per week, dressing and undressing twice daily, as well as toileting needs.

It was alleged that staff are not meeting resident’s oral hygiene needs and staff are not meeting resident’s grooming needs. It was reported that R1 had significant buildup on their tongue and their skin appeared extremely dirty. Records review and staff interviews revealed that R1 was receiving services from Buena Vista Hospice. According to staff interviews, hospice staff provided R1 with showers twice a week, while facility staff gave sponge baths on the other days. Staff also stated that R1’s teeth were brushed daily and that R1 did not refuse oral hygiene care. They also added that any refusals of care are typically documented and communicated between staff; however, there were no refusals reported during the visit. Additional interviews revealed that R1 had specific preferences regarding which staff members assisted with their oral hygiene and grooming. Furthermore, an interview with R1’s family indicated that they visited R1 frequently—several times a week—and consistently observed that R1 was clean and well cared for and reported no concerns regarding R1’s care while residing at the facility. Based on the information obtained and reviewed, the Department has insufficient evidence to support the allegations of “staff are not meeting resident’s oral hygiene needs” and “staff are not meeting resident’s grooming needs”. Therefore, these allegations are deemed Unsubstantiated at this time.

Exit interview conducted. Report was reviewed and a copy was issued.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Martha Arroyo
LICENSING EVALUATOR SIGNATURE:	DATE: 10/21/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2025

LIC9099 (FAS) - (06/04)

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