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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005740
Report Date: 06/04/2026
Date Signed: 06/04/2026 02:05:27 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/14/2026 and conducted by Evaluator Claudia Gutierrez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20260114075555
FACILITY NAME:OAKMONT OF ORANGEFACILITY NUMBER:
306005740
ADMINISTRATOR:ANNA PASTORESFACILITY TYPE:
740
ADDRESS:630 THE CITY DRIVE SOUTHTELEPHONE:
(714) 880-8624
CITY:ORANGESTATE: CAZIP CODE:
92868
CAPACITY:155CENSUS: 92DATE:
06/04/2026
UNANNOUNCEDTIME BEGAN:
07:32 AM
MET WITH:Dennis RobeniolTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Facility did not respond to a resident's call light in a timely manner
Facility did not call medical services in a timely manner
INVESTIGATION FINDINGS:
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An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez for the purpose of delivering findings. LPA met with Executive Director (ED) Dennis Robeniol and explained the purpose of the inspection.

Regarding allegations, Facility did not respond to a resident's call light in a timely manner and Facility did not call medical services in a timely manner, the following was revealed: It is alleged facility staff did not respond to Resident 1’s (R1’s) call light in a timely manner or call medical services for R1 in a timely manner. During the course of the investigation, LPA obtained a copy of Charting Notes for R1 signed by Staff 1 (S1) which indicated that on October 16, 2025 at 4:00 a.m., R1 had an unwitnessed fall while walking to the restroom and hit their head. Per Charting Notes, R1 pressed their bathroom alarm but cleared themselves while they kept pressing on it. Charting Notes do not specify the time lapse between R1’s fall and staff response time. Charting Notes for R1 signed by Staff 2 (S2) also indicated that on October 19, 2025, R1 had another fall at approximately 5:45 p.m. (Cont. LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026
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 3
Control Number 22-AS-20260114075555
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: OAKMONT OF ORANGE
FACILITY NUMBER: 306005740
VISIT DATE: 06/04/2026
NARRATIVE
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R1 was using their walker to walk over to the dining room for dinner with their daughter when they fell back and hit their head. Charting Notes do not indicate if R1’s pendant was pressed at that time or how staff was alerted of R1’s fall.

Interviews were conducted with one witness, two staff, and six residents. During their interview, R1’s daughter, Witness 1 (W1) stated that on October 16, 2025 at 4:00 a.m., R1 called them crying and stated they had pressed the call button in their bathroom due to having fallen and had waited for staff to arrive. Per W1, R1 informed them they got back in bed because no one came and had fallen asleep. W1 stated R1 woke up again because their head was hurting. Per W1, they told R1 to call 911 and stated it was R1 who had called 911 “as far as” they knew. W1 stated they then called the front desk to inform them of R1’s fall and questioned why staff had not gone to check on R1. W1 stated staff apologized and stated they thought it was a “false alarm” because R1 had never pressed their call button before. W1, however, was unable to identify staff alleged to have stated they thought it was a “false alarm.” Per W1, on October 19, 2025, they had been present at the time of R1’s fall and had pressed R1’s pendant, but no one came, so they pressed it again and no one came until they called the front desk and were subsequently informed staff were tending to another resident emergency, and paramedics were already on-site. R1 is no longer a resident at the facility. Three separate attempts were made to reach R1 by phone, however, R1 could not be reached to confirm or deny allegation. During their interview, S1 stated that on October 16, 2025 at approximately 4:00 a.m., they received a call from W1 notifying them that R1 had an unwitnessed fall in their bedroom and had been pressing their call button. S1 stated they did not know how long it had been since R1’s fall or how many times R1 had pressed their call button. Per S1, if a resident keeps pressing their pendant and staff go to clear another resident’s call, the call system will inevitably clear their call as well. S1 stated that upon responding to R1’s room they found R1 sitting on the edge of their bed. Per S1, R1 informed them they had gotten up to go use the restroom and had fallen and hit their head on the television stand and that is when paramedics were called. S1 stated they could not recall ever personally telling W1 they had not checked on R1 due to R1 never pressing their pendent nor did they recall any other staff making that statement. S1 stated they had called the paramedics as soon as R1 informed them that they had hit their head and paramedics arrived between “five to six minutes” later. During their interview, S2 stated on October 19, 2025, R1 was walking with their walker with the assistance of W1, when they fell back and hit their head. Per S2, W1 reported pressing R1’s pendant, however, S2 was tending to another resident emergency at the time and stated they were unsure how long it had taken for them to respond but estimated "it could have been ten to fifteen minutes." (Cont. LIC9099-C)
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 22-AS-20260114075555
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: OAKMONT OF ORANGE
FACILITY NUMBER: 306005740
VISIT DATE: 06/04/2026
NARRATIVE
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Per S2, once they were informed R1 had hit their head, paramedics on-site were called to assess R1 and transported them to the hospital.

During interview, Resident 2 (R2) and Resident 3 (R3) stated that in the event they need assistance they are able to alert staff using their pendant, and staff respond within minutes. Per R2 and R3, emergency services have been called for them personally on at least one occasion and stated they were contacted immediately and an ambulance arrived without delay. During their interview, Resident 4 (R4) stated their pendant has been tested by staff and they were informed it tested operational; however, they believe it often malfunctions and therefore, they use their personal cell phone to call for assistance and staff "come right away." R4 denied having any knowledge of any delays in staff seeking medical care for residents. During their interview, Resident 5 (R5) and Resident 6 (R6) stated they have not personally required emergency services be called. Per R5, they do not need staff assistance and in the event they accidentally press the pendant around their neck, staff "come right away" and if they are not in their room, staff will find them walking around the facility and ask if they need assistance. Per R6, in the event they need assistance, they call the front desk using their personal cell phone or use the pendant around their neck and staff arrive immediately.

Based on record review of R1's Charting Notes and due to allegation being uncorroborated during interviews conducted, the Department is unable to determine if Facility did not respond to a resident's call light in a timely manner or if Facility did not call medical services in a timely manner. Although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore at this time the above allegations are unsubstantiated.

An exit interview was conducted and copy of this report was provided at the end of the inspection.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3