Complaint Investigation Report

306005334-1-17-2026-22-AS-APAO-DRGP39-20260220095706

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

12/19/2025 and conducted by Evaluator Samer Haddadin

COMPLAINT CONTROL NUMBER: 22-AS-20251219121144

Staff do not provide adequate food service for a resident

Staff does not meet a resident's grooming needs

Staff did not meet a resident's bathing needs

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced visit to the facility to deliver findings regarding the above-mentioned allegations. Upon arrival, LPA was greeted and granted entry by Administrator (AD) Juan Garcia Trujillo. Regarding the allegation that staff do not provide adequate food service for a resident, LPA conducted a walk-through of the facility and observed the facility maintained at least two (2) days of perishable food and seven (7) days of non-perishable food, consistent with Title 22 requirements. LPA also observed two residents eating breakfast at the time of the visit. Regarding the allegations that staff do not meet a resident’s grooming needs and staff did not meet a resident’s bathing needs, LPA interviewed two staff members. Both staff members denied the allegations. LPA attempted to interview the two residents in care; however, due to the residents’ cognitive and mental condition, LPA was unable to obtain reliable statements. During the attempted interviews, LPA did not observe or detect any incontinence odor, and the residents appeared clean and appropriately groomed. Based on information obtained through observation, interviews, and record review, there is not a preponderance of evidence to determine whether the alleged violations occurred. Therefore, the allegations are determined to be unsubstantiated. An exit interview was conducted, and a copy of this report was provided to AD.