306005740-7-14-2025-22-AS-LMUZ-DK524B-20250731170337

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005740
Report Date: 07/14/2025
Date Signed: 07/14/2025 03:26:09 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
03/01/2023 and conducted by Evaluator Cheyenne Ratajczak

COMPLAINT CONTROL NUMBER: 22-AS-20230301143239

FACILITY NAME:	OAKMONT OF ORANGE		FACILITY NUMBER:	306005740
ADMINISTRATOR:	ALYSON CALUZA		FACILITY TYPE:	740
ADDRESS:	630 THE CITY DRIVE SOUTH		TELEPHONE:	(714) 880-8624
CITY:	ORANGE	STATE: CA	ZIP CODE:	92868
CAPACITY:	155	CENSUS: 105	DATE:	07/14/2025
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Alyson Womack		TIME COMPLETED:	03:35 PM

ALLEGATION(S):

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Facility staff refused to assist resident with toileting and changing

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced and met with Health Services Director (HSD) Alyson Womack to deliver findings for the above complaint allegations.
The department conducted interviews with facility staff and residents. Interviews with residents revealed they feel like staff come when they call for assistance but it can take a while. Interview with staff revelaed that staff will assist in changing the resident and cleaning up the area. LPA was unable to interview involved staff as this complaint was made in March of 2023.
Based upon the information obtained during investigation, the above allegation is unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.
Exit interview conducted a copy of the report and appeal rights were left at the facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cheyenne Ratajczak
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2025

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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