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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306000059
Report Date: 01/08/2026
Date Signed: 01/08/2026 04:45:19 PM

Unsubstantiated


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
01/06/2026 and conducted by Evaluator Sean Haddad
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20260106082030
FACILITY NAME:PARK REGENCY RETIREMENT CENTERFACILITY NUMBER:
306000059
ADMINISTRATOR:MILES MOURADIANFACILITY TYPE:
740
ADDRESS:1750 W. LA HABRA BLVD.TELEPHONE:
(714) 441-1164
CITY:LA HABRASTATE: CAZIP CODE:
90631
CAPACITY:168CENSUS: 105DATE:
01/08/2026
UNANNOUNCEDTIME BEGAN:
07:32 AM
MET WITH:Alex GutierrezTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Resident did not receive medications timely
INVESTIGATION FINDINGS:
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This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of investigating the above-mentioned complaint allegation. LPA met with Wellness Director (WD) Alex Gutierrez, discussed the purpose of the inspection, and explained the allegation.

The investigation into the allegation that a resident did not receive medications timely revealed the following: During the course of the investigation, LPA inspected the facility, interviewed WD, staff, and residents, and obtained and reviewed copies of the resident roster, staff roster, Resident #1’s (R1) facility care notes, and R1’s Medication Administration Records (MAR).

CONTINUED
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Sean Haddad
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2026
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-20260106082030
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: PARK REGENCY RETIREMENT CENTER
FACILITY NUMBER: 306000059
VISIT DATE: 01/08/2026
NARRATIVE
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It was alleged that on January 3, 2026, R1 was sick, did not receive their medications timely, and R1’s illness and delayed medications were not reported to R1’s doctor. LPA inspected the facility, conducted health and safety checks on residents, including R1, and observed no health and safety issues. LPA reviewed R1’s MAR, which did not corroborate that any medications were missed or late. LPA inspected the medications for R1 and four other residents and observed no medication errors. LPA interviewed WD and two staff who denied the allegation. WD stated that on January 3, 2026, they personally gave R1 their morning medications and checked on R1 because it was reported that R1 was sick. LPA interviewed R1 who did not report any issues with missed or delayed medications, but stated that on January 3, 2026, they were having cough and headache symptoms, WD was covering as the medication technician in the memory care unit but left without R1’s knowledge, and R1 did not know who to ask for their as-needed medications. When interviewed, WD confirmed that they, along with a trainee, left the facility after the morning and noon medication passes leaving no medication technician in the memory care unit, but stated that all medications had been passed, the assisted living medication technician was present and available for residents, and all care staff have walkie talkies so residents do not need to request anything directly from the medication technicians, as they can request assistance from the caregivers who will call it in to the medication technician. LPA interviewed four other residents who did not report any medication issues. Although R1 was unable to directly request medications from a medication technician, R1 was able to request assistance from caregivers who would have forwarded the request to the medication technician, and R1 confirmed that staff checked on their cough and communicated with their doctor to address their symptoms. LPA reviewed R1’s MAR and facility care notes which show the facility was aware of R1’s symptoms as of January 2, 2026, provided medications as needed, and properly notified R1’s doctor of R1’s symptoms and R1’s doctor provided additional assessment and treatment.

Based on the information gathered during the investigation and review of all documents obtained, the Department is unable to ascertain if the above allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Sean Haddad
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2