Complaint Investigation Report

306005513-5-23-2026-22-AS-APAO-DUVVWJ-20260609164758

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

ORANGE COUNTY RO , 770 THE CITY DR., SUITE 7100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

11/28/2022 and conducted by Evaluator Arielle Pascua

COMPLAINT CONTROL NUMBER: 22-AS-20221128152508

Failure to provide supervision resulting in inappropriate behaviors.

Residents are wandering into other residents' rooms.

Staff ignores resident's request for help.

Facility is billing for an additional month.

Facility staff is insufficient to meet the resident's needs.

On 05/23/2026, Licensing Program Analyst (LPA) Arielle Pascua conducted a complaint visit via telephone call regarding the complaint allegations above. Current census was 187. A brief interview with FDA Taylor was conducted.

It was alleged that the facility failed to meet the residents needs, provide supervision resulting in inappropriate behaviors, residents wander into other resident's rooms, fail to follow COVID protocols, facility staff ignore resident's request for help, facility is billing for an additional month, and is unsufficient to meet the resident's needs. LPA Pascua attempted to contact former staff from this facility to obtain additional information, however, LPA Pascua was unable to reach staff as they were no longer employed by this facility. In addition, contact with current staff deny or have not been employed by the facility during the time of the complaint. A review of the facility records were also conducted. Based on interviews conducted and observation, the allegations are found to be UNSUBSTANTIATED, meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted and a copy of this report was provided via email for signature.