Inspection Reports for Oakmont of San Antonio Heights

CA, 91784

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Inspection Report Annual Inspection Census: 86 Capacity: 140 Deficiencies: 0 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 Deficiencies: 0 Sep 18, 2024
Visit Reason
The visit was an unannounced required comprehensive annual inspection of the Residential Care Facility for Elderly (RCFE).
Findings
The facility was found to be operating within the approved capacity and in safe, clean, and good repair conditions. 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 participated in exit interview
Paola GuerreroLicensing Program AnalystConducted the inspection and signed the report
Beena SinghLicensing Program AnalystConducted the inspection
Efren MalagonLicensing Program ManagerNamed in the report as Licensing Program Manager
Inspection Report Complaint Investigation Census: 81 Capacity: 140 Deficiencies: 0 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.
Findings
The investigation found that the facility experienced a power outage due to an external utility issue, not staff negligence, and that food handling practices met regulatory standards with no complaints from residents. Both allegations were determined to be unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.
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
Efren MalagonLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Census: 86 Capacity: 140 Deficiencies: 0 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 Deficiencies: 0 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.
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.
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.
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 Deficiencies: 0 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.
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.
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.
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 Deficiencies: 0 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.
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.
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.
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 Census: 87 Capacity: 140 Deficiencies: 0 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 Deficiencies: 0 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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