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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 216803904
Report Date: 02/11/2022
Date Signed: 02/11/2022 03:06:04 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:OAKMONT OF NOVATOFACILITY NUMBER:
216803904
ADMINISTRATOR:DOMIZIO, ANNEMARIEFACILITY TYPE:
740
ADDRESS:1465 S NOVATO BLVDTELEPHONE:
(628) 215-1200
CITY:NOVATOSTATE: CAZIP CODE:
94947
CAPACITY:118CENSUS: 79DATE:
02/11/2022
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Annemarie Domizio - Executive DirectorTIME COMPLETED:
11:00 AM
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Regional Manager Carla Martinez, Licensing Program Manager Bethany Moellers, Licensing Program Analyst Carla Fernandes-Goes met with Mark Maclaine - Vice President of Operations for Novato, Scott Carlson - Senior VP of Operations, Joel Goldman - Regulatory Counsel, Sue McPherson - VP of Regulatory, Kim Kooy - Regional Health Services Consultant, and Annemarie Domizio - Executive Director. This meeting was conducted virtually due to COVID-19.

This follow up conference which is being conducted to discuss concerns identified by the Licensing Agency in regard to the operation of this facility including but not limited to concerns prior indicated in a Non-Compliance meeting that was held on July 2, 2021. ***Since non-compliance meeting there has been 10 complaints w/ a total of 13 complaints since facility was licensed on 10/14/2020. (5 complaints came in from 12/16/2021 & 1/20/2022) There are 4 complaints substantiated, 1 unsubstantiated, and 6 pending completion. ***

Areas of concerns in our office meeting today are not limited to adequate staff, staff training, resident's care needs being met, continue active communication with residents their responsible parties to productively address identify concerns in the building.

Oakmont team has requested a follow up meeting in July 2022 to address concerns of today's meeting and progress made.

Reference non-compliance plan held on July 2, 2021.



There were no deficiencies cited at this time.
SUPERVISOR'S NAME: Bethany MoellersTELEPHONE: (707) 588-5040
LICENSING EVALUATOR NAME: Carla Fernandes-GoesTELEPHONE: 707-588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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