300613273-6-5-2023-22-AS-SSAS-DD93DF-20250124170927

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 300613273
Report Date: 06/05/2023
Date Signed: 06/05/2023 01:20:02 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/02/2023 and conducted by Evaluator Celine DePerio

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20230602154246

FACILITY NAME:	MORNINGSIDE OF FULLERTON		FACILITY NUMBER:	300613273
ADMINISTRATOR:	RICHARD ALLEN NORDSIEK		FACILITY TYPE:	741
ADDRESS:	800 MORNINGSIDE DR.		TELEPHONE:	(714) 256-8000
CITY:	FULLERTON	STATE: CA	ZIP CODE:	92835
CAPACITY:	712	CENSUS: 400	DATE:	06/05/2023
		UNANNOUNCED	TIME BEGAN:	08:41 AM
MET WITH:	Executive Director - Christopher Oakeson Resident Health Services Director - Nicki Hulquist		TIME COMPLETED:	01:40 PM

ALLEGATION(S):

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Facility did not safeguard resident's cash resources

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Celine De Perio made an unannounced visit to the facility to initiate the 10-day visit for the complaint received on 6/2/23 and to deliver the findings. LPA De Perio arrived at the facility, explained reason for visit, and was greeted by Executive Director (ED) Christopher Oakeson, and Resident Health Services Director (S1) Nicki Hulquist.

For today's visit, LPA De Perio toured the physical plant of the facility, conducted interviews and requested copies of pertinent records reviewed.

It was alleged that facility did not safeguard resident's cash resources. LPA De Perio conducted a total of 10 interviews which consisted of staff, residents and external parties. 10 out of the 10 interviews conducted did not corroborate with the allegation. 9 out of the 10 interviews conducted specified that the facility does not assist with a residents any financial means, and that every resident is either financially responsible themselves, or there is a responsible party. 3 of the interviews specified that the family of resident (R1) hired an outside caregiver agency for R1 to receive 24-hour care.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Luz Adams	TELEPHONE: (714) 222-3812
LICENSING EVALUATOR NAME: Celine DePerio	TELEPHONE: 714-703-2854
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 22-AS-20230602154246

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: MORNINGSIDE OF FULLERTON	FACILITY NUMBER: 300613273
	VISIT DATE: 06/05/2023

NARRATIVE

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LPA De Perio observed that three of R1's cards were used and that the bank transactions occurred during the time frame that the caregiver was present with R1, which was on 5/26/23. LPA De Perio was also informed that the facility conducted an internal investigation, and concluded that during the times the transactions occurred, there were no facility staff that entered R1's room.

Based on LPA’s interviews which were conducted, review of documents obtained, and observations, this allegation was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

An exit interview was conducted with ED Oakeson and S1 Hulquist. A copy of this report was provided and explained.

SUPERVISOR'S NAME: Luz Adams	TELEPHONE: (714) 222-3812
LICENSING EVALUATOR NAME: Celine DePerio	TELEPHONE: 714-703-2854
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2023

LIC9099 (FAS) - (06/04)

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