306000059-12-1-2025-22-AS-APAO-DP8QZ9-20251210113620

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306000059
Report Date: 12/01/2025
Date Signed: 12/01/2025 04:41:18 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
11/25/2025 and conducted by Evaluator Kevin Saborit-Guasch

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20251125140757

FACILITY NAME:	PARK REGENCY RETIREMENT CENTER		FACILITY NUMBER:	306000059
ADMINISTRATOR:	ASHLEY WILLETT		FACILITY TYPE:	740
ADDRESS:	1750 W. LA HABRA BLVD.		TELEPHONE:	(714) 441-1164
CITY:	LA HABRA	STATE: CA	ZIP CODE:	90631
CAPACITY:	168	CENSUS: 105	DATE:	12/01/2025
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Miles Mouradian, administrator		TIME COMPLETED:	04:55 PM

ALLEGATION(S):

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Residents are sleeping in common areas.

INVESTIGATION FINDINGS:

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On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting an investigation into the allegation listed above. LPA was greeted and granted entry by front desk staff after introducing himself, stating the purpose of the visit and listing the allegation under review.

LPA requested the facility's resident census and employee roster before conducting a tour of the physical plant accompanied by staff. Four resident interviews, five staff interviews and three witness interviews were conducted during the visit. Client records and correspondance were provided and reviewed during the visit.

CONTINUED ON FORM LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:	DATE: 12/01/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2025

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-20251125140757

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: PARK REGENCY RETIREMENT CENTER	FACILITY NUMBER: 306000059
	VISIT DATE: 12/01/2025

NARRATIVE

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CONTINUED FROM FORM LIC9099
Regarding the allegation that Residents are sleeping in common areas, the following has been concluded: During a weather event occurring on or around November 20, 2025, significant leakage and flooding of three resident units happened, as corroborated by resident, staff and witness interviews. The three residents involved were identified during the visit and found to have been relocated pending repairs. Damage to the units involved was observed and confirmed none of the three units were fit for habitation at the time of the visit. Other units reviewed did not display any signs of current leaks or flooding. Resident R1 was relocated from unit #169 to shared unit #133. Resident R2 was relocated from unit 167 to single unit 150. Upon family wishes, resident R3 was relocated to a room that was repurposed from being used as an office by the facility administrator. The room was confirmed to include all necessary items of furnishings and had access to shared bathrooms and a shower room in proximity to the room. It was also confirmed to no longer being used as an office, the administrator currently sharing the office typically occupied by the Business Office Manager. No residents, staff or witnesses interviewed provided any evidence corroborating that any residents had to temporary occupy any of the facility's common areas. Administrator clarified in an interview that the possibility of using the living room designated as the "piano room" had been hypothesized as identified as a triage room in the facility's emergency and disaster plan, however no residents were moved there per the statements gathered.

As a result, the allegation is found to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove or refute the alleged violation occurred.

An exit interview was conducted and a copy of this report was provided to a facility representative.

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:	DATE: 12/01/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2025

LIC9099 (FAS) - (06/04)

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