216804022-10-21-2025-21-AS-KMOA-DMQQG4-20251023120851

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 216804022
Report Date: 10/21/2025
Date Signed: 10/21/2025 11:10:54 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/17/2025 and conducted by Evaluator Marisol Cuadra

PUBLIC

COMPLAINT CONTROL NUMBER: 21-AS-20251017113717

FACILITY NAME:	OAKMONT OF NOVATO		FACILITY NUMBER:	216804022
ADMINISTRATOR:	DAVIS, SCOTT		FACILITY TYPE:	740
ADDRESS:	1465 S. NOVATO BLVD.		TELEPHONE:	(628) 215-1200
CITY:	NOVATO	STATE: CA	ZIP CODE:	94947
CAPACITY:	118	CENSUS: 85	DATE:	10/21/2025
		UNANNOUNCED	TIME BEGAN:	09:12 AM
MET WITH:	Scott Davis (Administrator/Executive Director)		TIME COMPLETED:	11:31 AM

ALLEGATION(S):

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-Facility did not provide responsible party with refund.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a complaint investigation and delivered findings regarding the allegation listed above and met with Scott Davis, Executive Director.

There is an allegation regarding the facility did not provide the party responsible with a refund. Per Reporting Party, resident (R1) resided at the facility from May 23, 2025, until July 21, 2025, and the facility owes R1 part of the $8,000.00 community fee that R1 paid for services. However, it is their understanding that there is a refund amount owed to R1 that is unknown at this time due to lack of communication between R1’s responsible party and the facility staff. Based on LPA's interviews conducted with R1’s responsible party, they are aware that there is an outstanding amount of $8707 that R1 may owe to the facility for facility fees. On 10/21/25 LPA conducted a 10-day visit to the facility conducted interviews and reviewed records. Based on records review, it was corroborated with payment ledgers and R1’s admission agreement the dates and amounts mentioned above are accurate.
Continue on LIC9099C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:	DATE: 10/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2025

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 21-AS-20251017113717

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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 NOVATO	FACILITY NUMBER: 216804022
	VISIT DATE: 10/21/2025

NARRATIVE

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Continued from LIC9099...

Although it is unclear if there is a lack of verbal communication between pertinent parties, the facility have been sending account statement letters dated 7/18/25, 8/6/25 and 9/8/25, which it was confirmed with R1’s responsible party that such statement letters were received, but when they attempted to discuss with the facility staff the details of the statements there was no answer received from the facility leading to confusion. During today’s visit the facility provided LPA with detailed payment ledger dated 10/21/25, the report generated by the facility specifies the following: balance dated 7/22/25 in the amount of $11,907.35, then 40% of community fee and assessment fee of $500 was waived resulting in community fee credit moved to deposit ledger in the amount of ($3,200), which applied to community fee deposit to charges due resulted in the amount of $8,707.35. Amounts detailed are in compliance with R1’s admission agreement regarding the length of stay and determining the amount of the refund as follow: “If you leave Oakmont during the third (3rd) month, you will receive a refund of 40% of the community fee (minus the $500 for the assessment)”. A finding that the complaint allegation of facility did not provide responsible party with a refund is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:	DATE: 10/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2025

LIC9099 (FAS) - (06/04)

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