197610183-6-30-2026-31-AS-NGID-DWALKP-20260724084949

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610183
Report Date: 06/30/2026
Date Signed: 06/30/2026 12:51:42 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
08/18/2025 and conducted by Evaluator Tuesday Cabiness

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20250818155018

FACILITY NAME:	OAKMONT OF VALENCIA		FACILITY NUMBER:	197610183
ADMINISTRATOR:	MYLA BELSON		FACILITY TYPE:	740
ADDRESS:	24070 COPPER HILL DRIVE		TELEPHONE:	(661) 568-6080
CITY:	VALENCIA	STATE: CA	ZIP CODE:	91354
CAPACITY:	144	CENSUS: 100	DATE:	06/30/2026
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Assaad Zied		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Facility charged a resident for unauthorized services.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tuesday Cabiness conducted a subsequent visit and met with Executive Director Assaaid Zaid and informed him the purpose of the visit was to deliver the final findings of the investigation. The following information was determined:

Concerns were expressed that the facility charged Resident #1 (R1) for unauthorized services. To investigate the allegation, on 08/26/2025, from 9:30 a.m. to 2:00 p.m., (LPA) conducted interviews with staff, and (R1’s) responsible party (RP) involved with R1's care. LPA also obtained and reviewed facility and resident records. LPA made several attempts to contact the reporting party but was unsuccessful in obtaining additional information regarding the allegation. According to records reviewed and interviews conducted, R1 had a series of falls, cognitive decline, and aggressive behaviors. The complaint alleged that R1's family did not consent to one-to-one caregiver services and was charged for those services without authorization. (Cont'd LIC9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026

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 31-AS-20250818155018

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: 06/30/2026

NARRATIVE

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The investigation revealed that R1 was receiving home health services prior to admission, and continued those services one month later, after being admitted to the facility in January 2025. The home health nurse confirmed to LPA that R1 continued to experience falls and increasingly aggressive behaviors. In May 2025, the Executive Director and administrative staff communicated with R1's responsible party and primary care physician regarding R1's declining condition and safety concerns. As a result, R1's insurance provider authorized and funded a treatment plan that included physical therapy, and medication adjustments. Eventually, temporary one-to-one caregiver services was provided for R1. After the authorized services ended, R1's aggressive behaviors and medical decline continued to increase. Facility staff remained in communication with the insurance provider and the (RP) regarding additional caregiver services and discussed alternative placement options that would better meet R1's increasing care needs. The request for additional insurance coverage for caregiver services was denied.

Due to the health and safety risks presented by R1's medical decline, the facility initiated private one-to-one caregiver services to protect R1 and other residents. The admission agreement, signed by R1's (RP), authorizes the facility to implement additional services when necessary to address a resident's health and safety needs.

Based on interviews, and records review, LPA determined the facility acted appropriately to address R1's health and safety needs in accordance with the terms of the admission agreement. There was insufficient evidence to support the allegation that the facility improperly charged R1 for unauthorized services. It was later revealed to LPA, by the ED, the additional charges for (R1) was subsequently absorbed by the facility. Therefore, the allegation is Unsubstantiated at this time.

Exit interview conducted and copy of report provided to ED.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026

LIC9099 (FAS) - (06/04)

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