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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850169
Report Date: 12/10/2025
Date Signed: 12/10/2025 11:16:17 AM

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
11/14/2025 and conducted by Evaluator Martha Arroyo
COMPLAINT CONTROL NUMBER: 29-AS-20251114180314
FACILITY NAME:OAKMONT OF CAMARILLOFACILITY NUMBER:
565850169
ADMINISTRATOR:FOERSCHNER, BRADLEEFACILITY TYPE:
740
ADDRESS:305 DAVENPORT STREETTELEPHONE:
(805) 738-3600
CITY:CAMARILLOSTATE: CAZIP CODE:
93012
CAPACITY:150CENSUS: 86DATE:
12/10/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Mark CortesTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff did not ensure resident took medication as prescribed.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Martha Arroyo conducted a subsequent complaint visit to the above facility. The purpose of the visit is to deliver findings for the above allegation. The initial complaint visit was conducted on 11/20/2025 by LPA M. Arroyo. On today's visit, the LPA met with Executive Director (ED), Mark Cortes. Entrance interview.

During the initial visit, LPA Arroyo conducted interviews with five staff, conducted a medication review of three randomly selected residents, and obtained copies of pertinent documents relevant to 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: 12/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2025
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 2
Control Number 29-AS-20251114180314
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: 12/10/2025
NARRATIVE
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Report Continued from LIC 9099...

It was alleged that staff did not ensure resident took medication as prescribed. It was reported that Resident #1 (R1) did not take their medications for several weeks, which resulted in R1 being hospitalized. Additionally, when R1 moved out of the facility, medications were found scattered throughout their apartment. The LPA conducted a medication review on 11/20/2025 and observed three (3) randomly selected residents centrally stored medications. Medication review revealed that medications were being properly documented on the Centrally Stored Medications and Destruction Record (CSMDR). The LPA and staff conducted a pill count, and the quantities matched the documentation. Staff also noted when residents did not take their medications as prescribed due to being away from the facility or refusing to take them. Interviews with staff revealed that they had not experienced any problems with R1 refusing medications or administering their prescribed medications. Staff stated that R1 understood the importance of taking their medications as prescribed. Staff explained that during medication administration, they provide residents with a cup of water and wait for the resident to take the medication and return the empty cup. Staff also stated that they have not had issues with residents hiding medications instead of taking them. Further interviews revealed that staff are familiar with residents who refuse medications or have difficulty taking them, and they stated that R1 was not one of those residents. Staff added that R1 was adamant about receiving their medications on time and that they had no concerns regarding R1’s medications. Staff also reported that R1’s family had never expressed any concerns. Based on the information obtained and reviewed, the Department has insufficient evidence to support the allegation of “staff did not ensure resident took medication as prescribed”. Therefore, this allegation is deemed Unsubstantiated at this time.

Exit interview conducted. A copy of the report was provided.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Martha Arroyo
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2