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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006224
Report Date: 05/14/2026
Date Signed: 05/14/2026 03:06:36 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
03/20/2026 and conducted by Evaluator Edward Kim
COMPLAINT CONTROL NUMBER: 22-AS-20260320131240
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: 105DATE:
05/14/2026
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Administrator- Maria KautenTIME COMPLETED:
03:20 PM
ALLEGATION(S):
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Due to lack of supervision, resident fell and sustained injuries.
INVESTIGATION FINDINGS:
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On May 14, 2026, at 12:15 PM, Licensing Program Analyst (LPA) Edward Kim conducted a subsequent complaint visit to deliver complaint investigation findings. LPA met with Administrator (ADMIN) Maria Kauten and explained the purpose of today’s visit.

The investigation consisted of the following: LPA Kim conducted a tour of the facility. LPA Kim obtained and reviewed copies of the resident and staff rosters, and resident records which include the Physician’s Reports, Appraisal/Needs and Services Plans, and other pertinent records. LPA conducted interviews with one resident, three staff, and two witnesses.

The investigation revealed the following:

Continued on LIC9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026
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 3
Control Number 22-AS-20260320131240
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: 05/14/2026
NARRATIVE
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Allegation: Due to lack of supervision, resident fell and sustained injuries
It is alleged resident was sent to the hospital due to a fall at the facility. It is alleged that the resident had multiple falls that led to bruising in multiple areas and will require a procedure.

Based on record review, resident #1’s (R1) physician report dated March 9, 2026, diagnosed R1 with Vertigo, Hypertension, nonambulatory, and recurrent falls. R1’s Preplacement Appraisal Form dated February 15, 2026, stated R1 uses a walker and can transfer themselves on and off by themselves. It also states the R1 needs help moving around the facility because they get tired quickly. An Incident report dated March 19, 2026, stated R1 was found on the floor on March 18, 2026, at 9:50 PM. R1 hit their head and was transported to the hospital. Primary Care Physician and Power of Attorney were notified.

The Facility charting notes for R1 stated on March 18, 2026, around 9:50 PM, R1 was found on the floor due to tripping and losing their balance. Staff observed R1 had an altered mental status and laceration on their forehead. R1 was transported to the hospital. Facility Charting Notes stated R1 returned to the facility on March 25, 2026, with a one-on-one caregiver present with them for 24 hours for three days.

Based on interviews, one resident, three out of three staff, and two witnesses denied the allegation. R1 stated that on March 18, 2026, at night, they were walking without their walker from their closet to their bed, which led to them falling that night. The fall occurred and R1 crawled to their bed for their pendant and pressed the button. R1 recalls the fall led to their hip pain and laceration on their forehead. R1 had an unwitnessed fall on December 17, 2025, which resulted with head pain. In both instances, R1 stated that they should have been using their walker. They know they should have used their walker to move around before they fell but chose not to use it in their unit. R1 stated the facility did nothing wrong and R1 needed to be more responsible. LPA observed R1’s unit, they had several signs posted up to remind R1 to always use their walker. R1 stated those were made by their son because of the fall on March 18, 2026.

Witness #1 (W1) and Witness #2 (W2) stated they do not suspect that the fall was due to negligence, lack of care, or lack of supervision. W1 stated that the facility does a good job in meeting R1’s activities of daily living. They stated the facility responded in a timely manner and provided the care and supervision based on
Continued on LIC9099C
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 22-AS-20260320131240
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: 05/14/2026
NARRATIVE
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R1’s needs. When the falls occurred on December and March, W1 stated they were informed in a timely manner. S1 and S2 stated that they are meeting and providing the care and supervision for R1’s daily needs. S3 stated on March 18, 2026, they responded to the pendant being pressed. S3 went to R1’s unit and found them on the floor with a laceration on their head. S3 called for assistance and 911 was called.

Based on the information gathered, there is no sufficient evidence to confirm the above allegation.

Based on observations, interviews, and records review, LPA did not find sufficient evidence to support the above allegation that due to lack of supervision, resident fell and sustained injuries. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are Unsubstantiated.

Exit interview was conducted and a copy of the report was provided to Administrator Maria Kauten.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3