198320250-11-14-2025-11-AS-EMAZ-DPJ36B-20251219165805

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320250
Report Date: 11/13/2025
Date Signed: 11/14/2025 08:39:20 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/10/2025 and conducted by Evaluator Wendy Gibbs

COMPLAINT CONTROL NUMBER: 11-AS-20251010155228

FACILITY NAME:	OAKMONT OF TORRANCE		FACILITY NUMBER:	198320250
ADMINISTRATOR:	JUDITH UY-VILLARUZ		FACILITY TYPE:	740
ADDRESS:	3620 LOMITA BLVD		TELEPHONE:	(424) 376-3300
CITY:	TORRANCE	STATE: CA	ZIP CODE:	90505
CAPACITY:	126	CENSUS: 77	DATE:	11/13/2025
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Judith Uy-Villaruz		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Facility staff did not follow residents’ dietary restrictions.
Facility staff did not adequately prepare resident food.

INVESTIGATION FINDINGS:

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On 11/13/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced subsequent Complaint Visit to the facility listed above. LPA met with Executive Director, Judith Uy-Villaruz, and the purpose of the visit was explained. LPA was granted entry into the facility.
The investigation consisted of the following:
During today’s visit, LPA interviewed Residents R1-R8 and received and reviewed kitchen staff Relias Training, Nutricopia Consultant Dietitian Report Card for Assisted Living, and Food Handlers Certification.
During the initial visit conducted on 10/16/2025, LPA inspected the kitchen and facility, interviewed Staff S1-S6, and received documents pertinent to the investigation. The following documents were received and reviewed Staff Roster, Resident Roster, Resident Physician’s Report, Physician Orders, Dietary Orders, Individual Care Plan (dated 08/04/2025 and 07/16/2025), Resident Dietary Information, Diet Clarification Request (dated 08/08/2025), Menu for October 9, 2025, Dining Room Log, and statement from staff regarding the incident.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:	DATE: 11/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025

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 11-AS-20251010155228

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: OAKMONT OF TORRANCE	FACILITY NUMBER: 198320250
	VISIT DATE: 11/13/2025

NARRATIVE

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Allegation: Facility staff did not follow resident’s dietary restrictions
The allegation alleges that a resident has a prescribed diet of no-sodium, and staff provide them food containing salt, garlic, and other seasoning.
During the facility tour, LPA observed on the board a Resident Dietary Information form posted for R1 that states a Special Diet of No Added Salt and has a Food Dislike of spices. LPA observed in the kitchen a clip board hanging that has the Dining Room Log that lists the Residents and Modified Diet. LPA observed R1 listed and under Modified Diet has No Added Salt, No garlic, and No onion.
LPA reviewed a Medical Assessment dated 04/08/2025, that does not indicate R1 requires a special diet. Additionally, a Physician’s Report dated 03/19/2025, for R1 was reviewed and does not indicate R1 requires a special diet.
LPA received and reviewed a Diet Clarification Request dated 08/08/2025 that indicates R1 is to have a “No added salt” diet.
During interviews with Staff S1–S6, were asked if residents dietary orders and preferences are met, six (6) out of six (6) stated yes, resident dietary orders and preferences are met.
During interviews with Resident R1-R8, were asked if staff follow their dietary order or dietary preferences, eight (8) out of eight (8) stated yes their dietary orders and/or dietary preferences are met.

Allegation: Facility staff did not adequately prepare resident food

The allegation alleges a resident was provided with garlic shrimp and the shrimp was rinsed in water to remove seasoning.
LPA received and reviewed a photo of the order taken from Resident R1. The order is dated 10/09/2025 at 5:49pm. Resident R1 first initially ordered Special 1 at 5:40pm that was a chicken meal. During an interview with Staff S4 stated Staff S5 came down to change the order for R1 to Special 2 that consisted of Garlic Butter Shrimp with lemon parsley sauce. Staff S5 informed Resident R1 the shrimp was cooked in a garlic butter and was instructed to rinse the seasoning off the shrimp. On the order for Special 2 with the instructions to “rinse with water.”
LPA reviewed a copy of the Nutricopia Consultant Dietitian Repot Card for Assisted Living (dated 09/2025) that indicates staff have “adequate training/orientation of staff,” “in-service training monthly and informal education as needed,” and “Food Service staff have Food Handler’s cards.”
LPA received and reviewed the Relias Transcript for all kitchen staff. LPA observed all kitchen staff had completed the following training on Relias The Basics of Nutrition and Food Safety, Food Safety Fundamentals, and An Overview of Safe Eating and Drinking. LPA observed all kitchen staff have a current

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:	DATE: 11/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20251010155228

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: OAKMONT OF TORRANCE	FACILITY NUMBER: 198320250
	VISIT DATE: 11/13/2025

NARRATIVE

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Food Handlers Certificate.
During interviews with Staff S1-S6, were asked if residents special diet orders are followed, six (6) out of six (6) stated yes resident meals are prepared according to residents diets.
During interviews with Residents R1-R8, were asked if the staff adequately prepare resident food, eight (8) out of eight (8) stated yes staff adequately prepare residents food.

During the course of the investigation, LPA was unable to find evidence to support the allegations. Although the allegations may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

LPA did not observe or cite any deficiencies.

An exit interview was conducted with Executive Director, Judith Uy-Villaruz, and a copy of this report was provided.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:	DATE: 11/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025

LIC9099 (FAS) - (06/04)

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