Complaint Investigation Report

Carver Senior Homes 1, Placentia07/12/2025Licence 306005756

Census6
Date signed07/12/2025 12:40:41 PM
The inspector’s account

306005756-7-12-2025-22-AS-LMUZ-DK52BM-20250731171522

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

01/09/2023 and conducted by Evaluator Kerry Hiratsuka

COMPLAINT CONTROL NUMBER: 22-AS-20230109131855

Facility did not accord resident privacy.

Resident was admitted without required admission documentation.

Licensing Program Analysts (LPA) Kerry Hiratsuka and Cheyenne Ratajczak, conducted this unannounced complaint visit to deliver the results of the allegations above.

The Department conducted an investigation into allegations above. The allegation was made in January 2023.

A review of the resident's file today showed the file is complete and all required paperwork upon admission were signed prior to the resident moving in.

Interviews conducted showed one resident had a camera with the responsible party's consent and the responsible party was the only one who had access to the camera feed. Otherwise, no one else has cameras in their rooms. A tour of the rooms showed no cameras in resident rooms.

Based on information above, the department concluded that the allegations are Unfounded. A finding that an allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

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