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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006224
Report Date: 05/16/2024
Date Signed: 05/16/2024 01:06:10 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
05/07/2024 and conducted by Evaluator Celine DePerio
COMPLAINT CONTROL NUMBER: 22-AS-20240507103000
FACILITY NAME:OAKMONT OF FULLERTONFACILITY NUMBER:
306006224
ADMINISTRATOR:SCHROEDER, LINDSAYFACILITY TYPE:
740
ADDRESS:433 W. BASTENCHURY ROADTELEPHONE:
(714) 869-1940
CITY:FULLERTONSTATE: CAZIP CODE:
92835
CAPACITY:152CENSUS: 112DATE:
05/16/2024
UNANNOUNCEDTIME BEGAN:
11:33 AM
MET WITH:Executive Director - Maria Kauten TIME COMPLETED:
01:25 PM
ALLEGATION(S):
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Facility is charging a deceased resident's family after belonging were retrieved
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Celine De Perio and Rose Ruppert conducted an unannounced 10-day visit to the facility for the complaint and to deliver the findings. LPAs explained the purpose of today's visit, and was greeted by Executive Director (ED) Maria Kauten.

During the investigation, LPAs toured the physical plant of the facility, conducted interviews, and requested copies of pertinent records reviewed.

It was alleged that facility is charging a deceased resident's family after belonging were retrieved.1 out of 1 staff interview conducted stated that resident (R1) passed away on January 28, 2024 and that the facility had accidentally charged the resident's family from February 1, 2024 to February 6, 2024. Upon the facility discovering that R1's family was getting charged, a reimbursement check to R1's family was issued on May 9, 2024 for the amount of $917.13 for the time frame of February 1, 2024 to February 6, 2024.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Celine DePerio
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2024
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 2
Control Number 22-AS-20240507103000
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 FULLERTON
FACILITY NUMBER: 306006224
VISIT DATE: 05/16/2024
NARRATIVE
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Based on LPA’s interviews which were conducted, review of documents obtained, and observations, LPAs are unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed UNSUBSTANTIATED.

LPAs conducted an interview with ED Kauten.

A copy of this report was provided and explained.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Celine DePerio
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2