Inspection Reports for
Oakmont of San Antonio Heights

CA, 91784

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Citations (last 6 years)

Citations (over 6 years) 0.2 citations/year

Citations are regulatory findings recorded during state inspections.

95% better than California average
California average: 4 citations/year

Citations per year

4 3 2 1 0
2021
2022
2023
2024
2025
2026

Occupancy

Latest occupancy rate 59% occupied

Based on a February 2026 inspection.

Occupancy rate over time

40% 60% 80% 100% Jul 2021 Nov 2022 Mar 2023 Feb 2024 Oct 2025 Feb 2026

Inspection Report

Complaint Investigation
Census: 82 Capacity: 140 Citations: 1 Date: Feb 20, 2026

Visit Reason
This case management visit was conducted in response to complaint number 56-AS-20251107091354 to deliver findings related to the complaint.

Complaint Details
The visit was triggered by complaint number 56-AS-20251107091354. The deficiency issued relates to failure to report all falls involving Resident #2, which is a violation of reporting requirements.
Findings
The Licensing Program Analyst found that the facility failed to report multiple falls involving Resident #2 to the Community Care Licensing agency, despite Resident #2 being a fall risk and sustaining multiple falls. Only one fall involving Resident #1 and Resident #2 was reported, which resulted in an elbow fracture for Resident #1. The facility did not report other falls because Resident #2 did not require medical attention.

Citations (1)
Failure to follow reporting requirements for incidents involving Resident #1 and Resident #2, specifically not reporting all falls to the licensing agency as required.
Report Facts
Census: 82 Total Capacity: 140 Plan of Correction Due Date: Mar 6, 2026

Employees mentioned
NameTitleContext
Brandy HerreraHealth Services DirectorMet with Licensing Program Analyst during inspection and discussed reporting deficiencies
Paola GuerreroLicensing Program AnalystConducted the inspection and issued the deficiency
Efren MalagonLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Census: 85 Capacity: 140 Citations: 0 Date: Jan 30, 2026

Visit Reason
Licensing Program Analyst Paola Guerrero made an unannounced case management visit to follow up on possible financial abuse at the facility.

Complaint Details
The visit was complaint-related to possible financial abuse of Resident #1. The facility took disciplinary action against Staff #2, who resigned during suspension pending investigation. The local Sheriff Department found no crime or theft occurred as the money was given as a gift.
Findings
No deficiencies were cited during this visit. The investigation found that the alleged financial abuse was not substantiated as the resident indicated the money was given as a gift, and the local Sheriff Department confirmed no crime or theft occurred.

Report Facts
Capacity: 140 Census: 85 Date of Staff #2 resignation: Jan 5, 2026

Employees mentioned
NameTitleContext
Paola GuerreroLicensing Program AnalystConducted the unannounced case management visit and investigation
Cheryl StevensonFacility AdministratorMet with Licensing Program Analyst during the visit and was provided the report

Inspection Report

Annual Inspection
Census: 86 Capacity: 140 Citations: 0 Date: Oct 20, 2025

Visit Reason
The visit was an unannounced required comprehensive annual inspection of the Residential Care Facility for Elderly (RCFE) to assess compliance with licensing requirements.

Findings
The facility was found to be operating within its approved capacity, clean, in good repair, and safe for residents. No deficiencies were cited during the inspection based on observations and record reviews.

Report Facts
Resident files reviewed: 5 Staff files reviewed: 5

Employees mentioned
NameTitleContext
Cheryl StevensonFacility AdministratorMet with Licensing Program Analyst during inspection and received the report.
Paola GuerreroLicensing Program AnalystConducted the unannounced annual inspection visit.
Efren MalagonLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Annual Inspection
Census: 81 Capacity: 140 Citations: 0 Date: Sep 18, 2024

Visit Reason
The visit was an unannounced required comprehensive annual inspection of the Residential Care Facility for Elderly (RCFE) to assess compliance with licensing regulations.

Findings
The facility was found to be operating within approved capacity and in good repair with no obstructions, sufficient furniture, clean bathrooms, and proper safety equipment. Medications were properly stored and dispensed, and staff had required clearances and certifications. No deficiencies were cited during the inspection.

Report Facts
Resident files reviewed: 6 Staff files reviewed: 7

Employees mentioned
NameTitleContext
Cheryl StevensonFacility AdministratorMet with Licensing Program Analysts during inspection and received report
Paola GuerreroLicensing EvaluatorConducted inspection and signed report
Efren MalagonSupervisorSupervisor overseeing the inspection

Inspection Report

Complaint Investigation
Census: 80 Capacity: 140 Citations: 0 Date: Feb 2, 2024

Visit Reason
The visit was an unannounced complaint investigation triggered by a complaint received on 2023-09-26 regarding allegations of inadequate staffing, unmet resident showering and restroom needs, and overcharging residents for services not received.

Complaint Details
The complaint included allegations that staff did not answer call buttons timely due to inadequate staffing, did not ensure residents' showering and restroom needs were met, and overcharged residents. The investigation concluded these allegations were unsubstantiated.
Findings
The investigation found all allegations to be unsubstantiated after interviews, record reviews, and observations showed that staffing was adequate, residents' showering and restroom needs were met, and residents were not overcharged for services.

Report Facts
Capacity: 140 Census: 80

Employees mentioned
NameTitleContext
Paola GuerreroLicensing EvaluatorConducted the complaint investigation
Cheryl StevensonFacility AdministratorMet with evaluator during investigation

Inspection Report

Complaint Investigation
Census: 81 Capacity: 140 Citations: 0 Date: Jul 27, 2023

Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff did not ensure the facility had electricity and did not follow safe food handling practices.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to ensure electricity and unsafe food handling practices. Evidence showed the power outage was caused by Southern California Edison and food handling practices met regulatory standards.
Findings
The investigation found that the allegation regarding electricity was unsubstantiated as the power outage was due to an external utility issue. The allegation regarding safe food handling was also unsubstantiated based on kitchen inspection and resident interviews indicating compliance with regulations and no food-related illnesses.

Report Facts
Capacity: 140 Census: 81

Employees mentioned
NameTitleContext
Paola GuerreroLicensing Program AnalystConducted the complaint investigation
Brandy HerreraFacility Health Service DirectorMet with Licensing Program Analyst during investigation

Inspection Report

Census: 86 Capacity: 140 Citations: 0 Date: Mar 8, 2023

Visit Reason
An unannounced case management visit was conducted to follow up on a resident's death that occurred on 2023-03-05.

Findings
No deficiencies were cited during this visit. Staff interviews and documentation related to the resident's death were collected and reviewed.

Report Facts
Resident death date: Mar 5, 2023

Employees mentioned
NameTitleContext
Cheryl StevensonAdministratorMet with Licensing Program Analyst during the visit and advised regarding death certificate submission
Paola GuerreroLicensing Program AnalystConducted the unannounced case management visit and interviews
Efren MalagonLicensing Program ManagerNamed in report header

Inspection Report

Complaint Investigation
Census: 82 Capacity: 140 Citations: 0 Date: Feb 2, 2023

Visit Reason
This unannounced visit was conducted to investigate a complaint alleging that a resident fell multiple times due to staff neglect and that staff did not notify the resident's authorized representative of the incidents in a timely manner.

Complaint Details
Complaint allegations included resident falls due to staff neglect and failure to notify the resident's authorized representative timely. The complaint was found to be unfounded after review and investigation.
Findings
The investigation reviewed multiple incident reports, resident care notes, assessments, and interviews, finding that the resident's responsible party was notified after each fall. The evidence did not support the allegations, and the complaint was found to be unfounded and dismissed.

Report Facts
Incident reports reviewed: 7 Resident falls documented: 4

Employees mentioned
NameTitleContext
Amy GoldenbergLicensing Program AnalystConducted the complaint investigation visit and authored the report.
Samuel De GuzmanAdministratorFacility administrator met with the investigator during the visit.
Nedra BrownLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation.

Inspection Report

Complaint Investigation
Census: 80 Capacity: 140 Citations: 0 Date: Nov 4, 2022

Visit Reason
Unannounced complaint investigation visit conducted due to multiple allegations including resident deaths after medication administration, resident fracture, dirty vents, overflowing garbage, and unmet resident needs.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included residents dying after medication administration, a resident sustaining a fracture, dirty vents, overflowing garbage, and residents not having their needs met. Interviews and record reviews did not support these allegations.
Findings
The investigation found all allegations to be unsubstantiated after interviews with staff and residents, review of records, and facility inspection. No evidence supported the claims of resident deaths due to medication, dirty vents, overflowing garbage, or unmet resident needs. One resident's fracture was determined to be from a car accident, not a fall at the facility.

Report Facts
Capacity: 140 Census: 80 Complaint Control Number: 18-AS-20210112114309

Employees mentioned
NameTitleContext
Samuel De GuzmanExecutive DirectorMet with Licensing Program Analysts during investigation
Natalie IbarraLicensing Program AnalystConducted complaint investigation
Efren MalagonLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Capacity: 140 Citations: 0 Date: Sep 16, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff do not ensure that residents' special dietary needs are met.

Complaint Details
The complaint alleged that staff do not ensure that residents' special dietary needs are met. The investigation included interviews with staff and residents and records review. The allegation was determined to be unsubstantiated.
Findings
Based on interviews with staff and residents, and review of facility menus and records, the allegation was found to be unsubstantiated as there was no preponderance of evidence to prove the alleged violation occurred.

Report Facts
Facility capacity: 140

Employees mentioned
NameTitleContext
Natalie IbarraLicensing Program AnalystConducted the complaint investigation visit
Samuel de GuzmanFacility representative met during the investigation and exit interview
Efren MalagonLicensing Program ManagerNamed in report signature

Inspection Report

Annual Inspection
Capacity: 140 Citations: 0 Date: Sep 6, 2022

Visit Reason
The visit was conducted as a required annual inspection with an emphasis on infection control due to the COVID-19 pandemic.

Findings
The facility was found to have sufficient infection control measures including hand hygiene supplies, cleaning provisions, and a limited supply of PPE. No deficiencies were cited during this inspection.

Employees mentioned
NameTitleContext
Amy GoldenbergLicensing Program AnalystConducted the inspection visit and made observations.
Samuel De GuzmanExecutive DirectorFacility representative met during the inspection.
Hollie ShulerHealth Service DirectorFacility representative met during the inspection.

Inspection Report

Annual Inspection
Census: 87 Capacity: 140 Citations: 0 Date: Sep 6, 2022

Visit Reason
The visit was conducted as a required annual inspection with an emphasis on infection control due to the COVID-19 pandemic.

Findings
The facility was found to have sufficient hand hygiene supplies, cleaning and disinfecting provisions, and a limited supply of PPE. No deficiencies were cited during the inspection.

Employees mentioned
NameTitleContext
Samuel De GuzmanExecutive DirectorMet with during the inspection.
Hollie ShulerHealth Service DirectorMet with during the inspection.
Amy GoldenbergLicensing Program AnalystConducted the inspection.
Nedra BrownLicensing Program ManagerNamed in the report.

Inspection Report

Annual Inspection
Census: 93 Capacity: 140 Citations: 0 Date: Jul 14, 2021

Visit Reason
An unannounced annual inspection was conducted with emphasis on infection control measures at the facility.

Findings
The inspection found that the facility had adequate infection control measures in place, including sufficient PPE supplies, trained staff, and proper COVID-19 protocols. No deficiencies were cited during the visit.

Employees mentioned
NameTitleContext
Erika LemonAdministratorMet with Licensing Program Analyst during inspection and accompanied the tour.
Natalie GayosoLicensing Program AnalystConducted the unannounced annual inspection.
Karen ClemonsLicensing Program ManagerNamed in the report as Licensing Program Manager.

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