Senior Care Records.

Facility Evaluation Report

Queens Home 3, Tustin09/03/2025Licence 306006363

Capacity15
Census9
Date signed09/03/2025 03:29:37 PM
Name of licensing program analystJerome Haley
Name of licensing program managerLourdes Montoya
The inspector’s account

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced case management regarding information discovered during a complaint investigation.

While investigating complaint control number 22-AS-20240416145514, it was discovered Licensee Kathy Maghbouleh, and two caregivers all made false statements during the complaint investigation into the complaint control number mentioned above.

During the investigation, three staff members including Licensee Kathy Maghbouleh admitted to making false statements during the complaint investigation.

As a result of today’s case management visit, a deficiency will be cited.

An exit interview was conducted, and a copy of this report and appeal rights were provided.

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