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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 300602548
Report Date: 02/15/2026
Date Signed: 02/15/2026 02:55:24 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/07/2022 and conducted by Evaluator Samer Haddadin
COMPLAINT CONTROL NUMBER: 22-AS-20220907083335
FACILITY NAME:KATELLA SENIOR LIVING COMMUNITYFACILITY NUMBER:
300602548
ADMINISTRATOR:LINDSAY SCHROEDERFACILITY TYPE:
740
ADDRESS:3952 KATELLA AVENUETELEPHONE:
(562) 596-2773
CITY:LOS ALAMITOSSTATE: CAZIP CODE:
90720
CAPACITY:0CENSUS: 56DATE:
02/15/2026
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Melanese Prince, Med TechTIME COMPLETED:
11:55 AM
ALLEGATION(S):
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Resident is not accorded comfortable accommodations
Resident's bathroom sink water is malodorous
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced visit to the facility to deliver findings regarding the above-mentioned allegations. Upon arrival, LPA Haddadin explained the purpose of the visit and was greeted and granted entry by Med-Tech Melanese Prince. As part of the investigation, LPA Haddadin toured the facility’s physical plant, conducted interviews, and requested copies of pertinent records for review.
It was alleged that “Resident is not accorded comfortable accommodations” and “Resident's bathroom sink water is malodorous.” LPA Haddadin conducted four staff interviews and four resident interviews, and all interviewees denied the allegations. During today’s visit, LPA Haddadin also completed a walk-through of the facility, including common areas and the resident rooms associated with the interviews. The rooms observed appeared orderly and maintained, and the bathrooms and fixtures appeared operable at the time of observation. {***CONTINUE 9099C***}
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Samer Haddadin
LICENSING EVALUATOR SIGNATURE:

DATE: 02/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 22-AS-20220907083335
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: KATELLA SENIOR LIVING COMMUNITY
FACILITY NUMBER: 300602548
VISIT DATE: 02/15/2026
NARRATIVE
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 LPA Haddadin checked the bathroom sinks in the rooms visited and did not detect an unpleasant odor or malodorous smell from the sink water. No standing water, visible plumbing back-up, or other conditions suggestive of an ongoing plumbing issue were observed. The facility hallways and common areas appeared clean, adequately lit, and free of any distinct odor that would indicate a facility-wide plumbing concern. Based on these observations, the facility environment appeared consistent with providing residents functioning utilities and basic accommodations that support daily living. During record review, LPA Haddadin reviewed the facility’s current maintenance log and observed the facility documents maintenance issues and resident concerns and tracks corrective action. The log reflected repairs are generally addressed. LPA Haddadin also confirmed through resident interviews that residents are able to report concerns to staff and that issues are typically addressed after being reported. Additionally, on September 13, 2022, the Department conducted a visit to the facility regarding the above-mentioned allegations, and toured the interior areas to assess whether residents were provided comfortable accommodations, including appropriate indoor temperature during hot and cold weather conditions. During that visit, the Department observed the facility had a functioning centralized heating system available for cold weather, as well as centralized air conditioning and fans for use during hot weather. At the time of the Department’s visit, No standing water, visible plumbing back-up, or other conditions suggestive of an ongoing plumbing issue were observed. Also the air conditioning system was on and appeared operational. Based on those observations, the Department verified the facility maintained equipment and resources intended to support a comfortable daily living.
During the investigation, LPA Haddadin requested resident records, staff records, and maintenance documentation pertaining to the incident timeframe. However, pursuant to Title 22, California Code of Regulations, section 87506(e), Residential Care Facilities for the Elderly (RCFEs) are required to maintain resident records for a period of three years. In addition, the facility underwent a Change of Ownership on April 3, 2025. As a result, LPA Haddadin was unable to obtain certain records pertaining to the timeframe relevant to this investigation. Based on interviews, record review, and observations, the preponderance of evidence standard was not met; therefore, the allegations are deemed unsubstantiated. An exit interview was conducted, and a copy of this report, along with Confidential Names list LIC811 was provided to Med-Tech Melanese Prince.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Samer Haddadin
LICENSING EVALUATOR SIGNATURE:

DATE: 02/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2