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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850169
Report Date: 01/29/2026
Date Signed: 01/29/2026 12:37:34 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
08/07/2025 and conducted by Evaluator Martha Arroyo
COMPLAINT CONTROL NUMBER: 29-AS-20250807144942
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: 93DATE:
01/29/2026
UNANNOUNCEDTIME BEGAN:
12:02 PM
MET WITH:Mark CortesTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff sexually abused resident in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Martha Arroyo conducted a subsequent complaint visit to deliver findings for the above allegation. The LPA met with Executive Director (ED), Mark Cortes and explained the reason for the visit. Entrance interview.

On 08/07/2025, the Department received a complaint alleging that a staff member sexually abused a resident in care. It was reported that Resident #1 (R1) stated they had been sexually abused twice within the past month. The complaint was referred to the Community Care Licensing Investigations Branch (IB) and assigned to Investigator Jonny Canto to interview R1 and obtain relevant documentation.

Report Continued on LIC 9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Martha Arroyo
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2026
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 29-AS-20250807144942
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: 01/29/2026
NARRATIVE
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Report Continued from LIC 9099...

A case management visit addressing the same allegation was conducted on 08/06/2025 by LPA E. Peraldi. During the visit, LPA Peraldi interviewed the ED at 11:30 a.m., requested and obtained copies of pertinent documents at 12:00 p.m., and conducted a physical plant tour at 12:15 p.m.

During an initial visit on 08/08/2025, between approximately 1:00 p.m. and 2:15 p.m., LPA Chochian conducted a physical plant tour with the Marketing Director (MD), Emilia Ruiz, met with random residents, and interviewed five (5) residents in the assisted living unit and three (3) residents in the memory care unit.

Investigator Canto reviewed police records and conducted interviews with residents on 08/21/2025 at approximately 3:38 p.m. and 4:15 p.m.

The investigation revealed that on 08/03/2025, R1’s responsible party informed facility staff that R1 had reported being sexually abused twice within the past month. Further statements indicated this was not the first time R1 had made such an allegation. On 05/08/2023, R1 made a similar allegation of being sexually abused by a staff member. An investigation completed on 09/22/2023 found insufficient evidence to support that allegation.

A review of R1’s Physician’s Report dated 06/18/2025 listed R1’s primary diagnosis as Alzheimer’s dementia. The report indicated that R1 lacks the capacity for self-care and requires assistance with all Activities of Daily Living (ADLs), including but not limited to bathing, dressing/grooming, feeding, toileting, medication administration, and managing own cash resources. The report also noted that R1 is unable to effectively communicate needs or follow instructions or directions. Per the hospice care plan effective 07/11/2025, R1 was recertified for routine level of care with a primary diagnosis of Alzheimer’s disease. The care plan also documented a medical history that includes hypothyroidism, dementia with psychosis, urinary tract infections (UTIs), and agitation.

Interviews further revealed that following the allegation made by R1 on 08/03/2025, R1 was assigned female caregivers only. Staff stated that law enforcement, R1’s Primary Care Physician (PCP), and the hospice agency servicing R1 were notified of the incident.

Report Continued on LIC 9099C...

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

DATE: 01/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 29-AS-20250807144942
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: 01/29/2026
NARRATIVE
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Report Continued from LIC 9099C...

Additional records reviewed and interviews conducted indicated that the Ventura County Sheriff’s Office (VCSO) responded to the facility on 08/05/2025. According to the report, attempts to interview R1 were unsuccessful, as R1 demonstrated cognitive impairment and difficulty providing relevant responses despite repeated redirection efforts. During an interview with R1’s responsible party, they confirmed that R1 had made similar allegations in the past that were determined to be unfounded. R1’s responsible party also stated that they stopped questioning R1 after the report to avoid influencing or any fabricated responses from R1. Furthermore, VCSO was unable to identify a suspect or establish that a crime had occurred.

Based on the information obtained and reviewed during the course of the investigation, the Department has insufficient evidence to support the allegation of “staff sexually abused resident in care”. 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: 01/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3