306005740-5-21-2026-22-AS-LMOA-DUUN4G-20260608100755

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005740
Report Date: 05/21/2026
Date Signed: 05/21/2026 03:26:50 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
05/15/2026 and conducted by Evaluator Claudia Gutierrez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20260515103726

FACILITY NAME:	OAKMONT OF ORANGE		FACILITY NUMBER:	306005740
ADMINISTRATOR:	ANNA PASTORES		FACILITY TYPE:	740
ADDRESS:	630 THE CITY DRIVE SOUTH		TELEPHONE:	(714) 880-8624
CITY:	ORANGE	STATE: CA	ZIP CODE:	92868
CAPACITY:	155	CENSUS: 96	DATE:	05/21/2026
		UNANNOUNCED	TIME BEGAN:	01:01 PM
MET WITH:	Dennis Robeniol		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Staff did not prevent resident from smoking in the facility

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.

Complaint alleges Staff did not prevent Resident 1 (R1) from smoking in the facility.

During the course of the investigation, interviews were conducted with ten facility residents, including R1, and four staff. During their interview, R1 stated that upon their admission to the facility on March 31, 2026, they had smoked a cigarette in their bedroom on two occasions. Per R1, they were immediately informed by Staff 1 (S1) they could not smoke in their room and that a designated smoking area was available outside. R1 denied smoking inside the facility since being informed they could not smoke inside and stated they have since quit smoking. During their interview, S1 stated they had not personally witnessed R1 smoking inside, however, they had informed R1 they could not smoke in their room. (Cont. LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2026

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 22-AS-20260515103726

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: 05/21/2026

NARRATIVE

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Per S1, R1 agreed to give their cigarettes to staff and request them at their own leisure to ensure they are not smoking in their room and instead using the designated smoking area outside. S1 stated to their knowledge R1 has been using the designated area outside to smoke, however, stated R1’s clothing does become pungent with cigarette smoke, and the smell may linger in the hallway. During their interview, Staff 2 (S2) denied ever witnessing R1 or any other resident smoking inside the facility and stated they personally escort R1 to the designated smoking area outside to smoke. Interviews were conducted with two housekeeping staff, Staff 3 (S3) and Staff 4 (S4), who denied smelling smoke or witnessing R1 or any other resident smoking in their room. During their interview, Resident 2 (R2) stated they had not personally witnessed R1 smoking inside the facility, however, stated R1 had been continuously smoking cigarettes in their room because they could smell the smoke. During their interview, R3 stated they had smelled smoke in the facility hallway, however, stated they had not personally witnessed R1 smoking inside the facility. Per R3, the smell was coming from the windows in the hallway, which are facing the street. During their respective interviews, Resident 4 (R4) and Resident (R5), whose bedrooms are next door to R1’s bedroom, denied smelling smoke or having any knowledge of R1 or any other resident smoking in their bedroom. Five of five additional residents interviewed denied smelling smoke or witnessing any resident smoking inside the facility.

Due to the allegation being uncorroborated during interviews conducted, the Department is unable to determine if Staff did not prevent resident from smoking in the facility. Although the above 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 at this time the above allegation is 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: 05/21/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2026

LIC9099 (FAS) - (06/04)

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