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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610183
Report Date: 05/05/2026
Date Signed: 05/05/2026 01:15:15 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/01/2026 and conducted by Evaluator Tuesday Cabiness
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20260501161300
FACILITY NAME:OAKMONT OF VALENCIAFACILITY NUMBER:
197610183
ADMINISTRATOR:ASSAAD ZEIDFACILITY TYPE:
740
ADDRESS:24070 COPPER HILL DRIVETELEPHONE:
(661) 568-6080
CITY:VALENCIASTATE: CAZIP CODE:
91354
CAPACITY:144CENSUS: 103DATE:
05/05/2026
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Assaad ZeidTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Facility staff do not ensure copies of resident records are provided to the residents authorized representative
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tuesday Cabiness met with Executive Director Assaad Zeid and informed him the reason of the visit.

Concerns were expressed that facility staff do not ensure copies of resident records are provided to the resident’s authorized representative. To investigate the allegation, prior to the facility visit on 04/28/2026, between the hours of 9:00 a.m. and 2:30 p.m., (LPA) conducted interviews with the reporting party (RP), facility staff, and other relevant witnesses. The LPA also obtained and reviewed pertinent facility and resident records.

During the course of the investigation, it was determined that Resident #1 (R1) has a designated Power of Attorney (POA), identified as R1’s daughter. LPA reviewed the POA documentation to verify its validity and scope of authority. (Con'td LIC9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2026
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 2
Control Number 31-AS-20260501161300
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: OAKMONT OF VALENCIA
FACILITY NUMBER: 197610183
VISIT DATE: 05/05/2026
NARRATIVE
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It was alleged that the facility failed to provide both verbal and written medical information from R1’s primary care physician to the authorized representative. However, based on a review of the legal documentation, including the POA, as well as information obtained through interviews, LPA determined that the facility is acting in accordance with the authority and limitations outlined in the POA.

Based on the evidence obtained, and interviews, the allegation is deemed Unsubstantiated.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2