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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 392701057
Report Date: 04/13/2026
Date Signed: 04/13/2026 08:18:41 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/08/2026 and conducted by Evaluator Albert Johnson
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20260108162141
FACILITY NAME:OAKMONT OF BROOKSIDEFACILITY NUMBER:
392701057
ADMINISTRATOR:TRACY BURKEFACILITY TYPE:
740
ADDRESS:3318 BROOKSIDE ROADTELEPHONE:
(209) 473-1300
CITY:STOCKTONSTATE: CAZIP CODE:
95219
CAPACITY:81CENSUS: 77DATE:
04/13/2026
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Tracy BurkeTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff is not allowing resident to receive visitations.
INVESTIGATION FINDINGS:
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 Licensing Program Analyst (LPA) Albert Johnson conducted an unannounced facility visit in regards to a complaint investigation with the above allegation. LPA met with Administrator and explained the purpose of today's visit.

During this investigation, LPA conducted interviews, inspected the facility and reviewed facility documents. Throughout the investigation, it was learned the facility documents visitors entering the facility. The facility received information regarding a questionable representation of a potential visitor and denied entry. The potential visitor was a former employee.

Continued
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2026
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 2
Control Number 27-AS-20260108162141
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: OAKMONT OF BROOKSIDE
FACILITY NUMBER: 392701057
VISIT DATE: 04/13/2026
NARRATIVE
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Records and interviews confirmed that the former employee resigned from the facility, and the resignation was accepted due to a potential conflict of interest. Facility leadership instructed the former employee not to conduct business with residents following their departure.

Interview with R1 confirmed that they agreed with the facility’s determination regarding a potential conflict of interest and independently decided not to utilize services from the former employee.

As a result of this investigation, the Department finds this allegation to be unsubstantiated.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2