Complaint Investigation Report

306006146-6-16-2026-22-AS-KSGH-DVHRF8-20260629125839

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

06/01/2026 and conducted by Evaluator Eboni Bentley

COMPLAINT CONTROL NUMBER: 22-AS-20260601085030

Neglect/lack of supervision resulted in resident developing a stage three pressure injury.

On June 16, 2026, Licensing Program Analyst (LPA) Eboni Bentley arrived at the facility unannounced for a subsequent complaint investigation visit into the above allegation. The Administrator Taylor Clark and Wellness Director Parinaz Safari were present and assisted with the investigation. LPA reviewed facility documents including: Resident Roster, Staff Roster, Staff Schedule, Staff Contacts, and six resident files. Interviews were conducted with a witness and staff.

Based on a facility record review and interview with Administrator, the investigation revealed that Resident (R1) is a resident at Sea Cliff Healthcare Center Skilled Nursing and not Sea Cliff Assisted Living. Sea Cliff Healthcare Skilled Nursing is an entity of California Department of Public Health. This agency has investigated the complaint alleging neglect/lack of supervision resulted in resident developing a stage three pressure injury. We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without reasonable basis. An exit interview was conducted with Administrator Taylor Clark and a copy of report was provided to facility.