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Inspection visit

Complaint

OAKMONT OF TORRANCELicense 1983202501 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

(Dated: 12/31/2024 to 03/23/2025), Staff In-Service Log (Dated: 03/23/2025), Torrance Police Department Case Information/Supplemental (Dated: 03/23/2025), and Forensic Nurse Specialist, INC discharge documents (Dated:03/23/2025) from the facility. The complaint was referred to the California Department of Social Services Investigation Bureau for investigation and was assigned to Investigation Bureau Investigator, Sonia Torre. As a part of the investigation, Investigator Torre obtained Torrance Police Department records (911 audio, Interrogation footage, Evidence receipts,) and subpoenaed Sexual Assault Response Team (SART) exam records for suspect and victim. The investigator obtained other related documents pertinent to the investigation. Additionally, the investigator conducted interviews with staff (S1-S9), witness (W1), and residents (R1-R3). The investigation revealed the following: Allegation- Staff sexually abused resident in care. It is alleged that a staff member (S1) sexually abused a resident (R1) while in care at the residential facility. It was reported that the staff (S1) was found in the residents (R1) room by a staff member with their pants down while the resident was lying in bed. On 04/15/25, from 10:33am-12:55pm, the department interviewed staff (S2-S6) and residents (R1-R3); On 5/27/25, at 03:00pm, the department interviewed witness (W1), On 6/18/25 from 9:54am-12:30pm, the department interviewed staff (S7-S9), and on 6/26/25 at 11:56am, the department interviewed former staff (S1) about the complaint allegation. During the course of the investigation, records were reviewed, and interviews were conducted with staff, residents, and former staff. The review of the facility records Disciplinary Action Notice (Dated: 02/10/2025), revealed staff (S1) had been disciplined for being in a resident’s room (unoccupied) for a prolong period of time during their shift. The review of Torrance Police Department records revealed staff (S2) stated that, at approximately 11:20am, they were attempting to contact staff (S1) via the radio with no success, which was not uncommon. Approximately ten minutes later, (S2) decided to search for (S1) and noticed the door to (R1s) room was locked. (S2) unlocked the door and when they walked in (S2) observed (S1) standing beside the bed with their pants and underwear pulled down just below their buttocks exposing their entire buttocks with resident (R1) who was wearing a diaper and shirt laying on the bed on their right side facing away from (S1). (S2) immediately walked out, reported the incident to staff, management and Torrance PD. S1 denied the allegation that staff sexually abused resident in care but was ultimately arrested by the Torrance Police department. Based on interviews conducted, and records reviewed, the preponderance of evidence standard has been met. Therefore, the above allegation Staff sexually abused resident in care, is found to be Substantiated . California code of Regulation, (Tittle 22, Division 6 & Chapter 8), are being cited on the attached LIC 9099D. Deficiencies are issued and plans of corrections were discussed. An exit interview was conducted, appeal rights explained, and a copy of this Report was provided to Executive Director, Judy Uy.

Citations

1 citation recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • Protection from punishment and intimidation

    87468.1 Personal Rights of Residents in All Facilities: Residents in all residential care facilities for the elderly shall have all of the following personal rights:To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding...this requirement is not met as evidenced by: Based on interviews and records reviewed facility S1 sexually abused R1 while resident was in care. S1 exposed themselves in R1’s room and was found by facility staff. This poses an immediate health & safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 16, 2025 inspection of OAKMONT OF TORRANCE?

This was a complaint inspection of OAKMONT OF TORRANCE on October 16, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to OAKMONT OF TORRANCE on October 16, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87468.1 Personal Rights of Residents in All Facilities: Residents in all residential care facilities for the elderly sha..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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