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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603479
Report Date: 06/15/2026
Date Signed: 06/15/2026 10:40:49 AM

Document Has Been Signed on 06/15/2026 10:40 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
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:OAKMONT OF WHITTIERFACILITY NUMBER:
198603479
ADMINISTRATOR/
DIRECTOR:		RUNGE, ADRIANEFACILITY TYPE:
740
ADDRESS:13617 WHITTIER BLVD.TELEPHONE:
(562) 693-8222
CITY:WHITTIERSTATE: CAZIP CODE:
90605
CAPACITY: 97CENSUS: 58DATE:
06/15/2026
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:42 AM
MET WITH:Administrator Blasia Lee-LoleTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
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An informal conference was held at the Monterey Park Adult and Senior Care Program Regional Office on 06/15/2026.

Attendees included:

· Tony Vasallo, Regional Manager


· David Sicairos, Licensing Program Manager
· Kimberly Ramirez, Licensing Program Analyst
· Jen Sato, Senior Vice President of Health Services
· Scott Carlson, Senior Vice President of Operations
· Sepoora Ahmed, Vice President of Memory Care & Program
· Blasia Lee-Lole, Administrator

Purpose:

The conference was held to review the deficiency issued under Complaint Control# 28-AS-20241113164508,concerning a resident injury sustained during a transfer.

Background:

The Department completed its investigation on 09/03/2025. A deficiency was cited for noncompliance with California Code of Regulations, Title 22, Division 6, Chapter 8, Personal Rights of Residents in All Facilities- 87468.1(a)(2). An immediate civil penalty of $500 was assessed. On 08/28/2025, the licensee was notified that an additional civil penalty per Health and Safety Code 1569.49(f) may be warranted based on findings that staff failed to properly assist Resident#1 (R1) while operating a Hoyer lift, resulting in a head injury to R1. During today’s conference it was discussed with the licensee that the Regional Office will assess civil penalties at a later date and time. SEE 809-C

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Kimberly Ramirez
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/15/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: OAKMONT OF WHITTIER
FACILITY NUMBER: 198603479
VISIT DATE: 06/15/2026
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Conference Discussion:

During the conference, facility representatives stated that since November 2024, six (6) trainings on how to operate a Hoyer lift and specific use of Hoyer lift for specific resident use have been conducted. The facility is continuing ongoing training on the use of the Hoyer lift as part of their annual training. Facility staff conduct weekly meetings and updating care plans according to resident needs. Facility staff have been reminded of observation of changes of conditions and ensuring all staff are updated on resident changes of conditions. Facility staff stated their expressed dedication to providing the best care and supervision to their residents and willingness to remain in compliance. Facility representatives stated this incident was an opportunity to discuss Hoyer lift safety and personnel training with their sister communities.

Health and Safety Code section 1569.49 was provided to facility representatives during this conference. An exit interview was conducted and a copy of this report was provided.

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Kimberly Ramirez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2026
LIC809 (FAS) - (06/04)
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