Senior Care Records.

Complaint Investigation Report

Oakmont Gardens, Santa Rosa02/19/2026Licence 496803998

Census49
Date signed02/19/2026 04:43:48 PM
The inspector’s account

30 minutes or greater: 130 times; one occurrence of a smoke detector for 32 minutes.

The longest wait times were single occurrences of:

Of the approximate 1541 times a resident pushed their pendant 1172 of those times their wait was longer than 10 minutes, which is approximately 76% of the time.

During investigation, LPA interviewed five [5] residents with wait times longer than 50 minutes. Five [5] out of five [5] residents interviewed confirmed they waited at least 50 minutes before anyone arrived to answer their call for assistance. One resident (R1) reported that a care staff arrived to answer the pendant call but then reset the pendant and immediately walked out, without asking them if they needed assistance or providing any help. Two residents (R2 and R3) reported that, at times, no care staff show up at all. Based on LPA’s interviews and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 Chapter 8, are being cited on the attached 9099D.

Exit interview conducted with BOM. Appeal rights and a copy of this report given.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction