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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 496803998
Report Date: 03/01/2024
Date Signed: 03/01/2024 10:53:09 AM


Document Has Been Signed on 03/01/2024 10:53 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405



FACILITY NAME:OAKMONT GARDENSFACILITY NUMBER:
496803998
ADMINISTRATOR:SORIANO, MARIELEFACILITY TYPE:
740
ADDRESS:301 WHITE OAK DRIVETELEPHONE:
(707) 921-1861
CITY:SANTA ROSASTATE: CAZIP CODE:
95409
CAPACITY:79CENSUS: DATE:
03/01/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Ryan Exline, Director of Operations
Morgan Holien, Executive Director		TIME COMPLETED:
10:52 AM
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Regional Manager Carla Nuti-Martinez, Licensing Program Manager Victoria Bertozzi, and Licensing Program Analyst Christi Coppo met with Director of Operations, Ryan Excline and Executive Director, Morgan Holien, Joel Goldman Attorney in the Santa Rosa Regional office for the purpose of an informal office meeting to discuss facility's on-going lack of Administrator. Greg Williams joined via Microsoft Teams.

Licensing staff discussed with facility the requirement of having a qualified administrator in the facility. Based on discussion, the current Executive Director will be completing the Administrator Certification in the next week and agrees to submit proof of items sent to LPA. Facility has provided documents to change the Administrator until the Executive Director has an active Administrator Certificate. Facility will submit a written plan outlining the duties of the Executive Director and the Acting Administrator along with other referenced items to LPA.

No deficiencies cited.
SUPERVISOR'S NAME: Victoria BertozziTELEPHONE: (707) 588-5059
LICENSING EVALUATOR NAME: Christi CoppoTELEPHONE: (707) 588-5054
LICENSING EVALUATOR SIGNATURE:
DATE: 03/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/01/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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