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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 405850480
Report Date: 07/23/2025
Date Signed: 07/23/2025 05:37:21 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/18/2025 and conducted by Evaluator Garrett Haner-Tomasko
COMPLAINT CONTROL NUMBER: 29-AS-20250718110005
FACILITY NAME:OAKS AT PASO ROBLES, THEFACILITY NUMBER:
405850480
ADMINISTRATOR:CARL MEYERFACILITY TYPE:
740
ADDRESS:526 S RIVER ROADTELEPHONE:
(805) 239-5851
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY:120CENSUS: 85DATE:
07/23/2025
UNANNOUNCEDTIME BEGAN:
10:14 AM
MET WITH:Administrator - Carl MeyerTIME COMPLETED:
06:00 PM
ALLEGATION(S):
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Staff did not treat resident with dignity.
INVESTIGATION FINDINGS:
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On 07/23/2025 at 10:14am Licensing Program Analyst (LPA) Haner-Tomasko arrived unannounced at the facility to investigate the allegation to this complaint. LPA met with Administrator Carl Meyer and explained the purpose of the visit.

On allegation: Staff did not treat resident with dignity. It was alleged the facility Executive Director Carl Meyer did not treat Resident #1 (R1) with dignity and has referred to the resident in a derogatory way when speaking to staff. LPA interview with R1 revealed they recently had an issue they brought to Carl's attention and R1 stated they were happy with how Carl resolved the issue. LPA staff interviews revealed that staff are not aware of any facility staff treating residents in an undignified way or referring to residents in a derogatory way. LPA interview with Administrator Carl Meyer, revealed he followed up with R1 on their issue and needed provide R1 with reminders on house rules.

(Continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Garrett Haner-Tomasko
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025
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 29-AS-20250718110005
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: OAKS AT PASO ROBLES, THE
FACILITY NUMBER: 405850480
VISIT DATE: 07/23/2025
NARRATIVE
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Based on all interviews conducted and record review, at this time the above allegation was found to be unsubstantiated, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview conducted, report signed, and report
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Garrett Haner-Tomasko
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2