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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306000059
Report Date: 07/13/2026
Date Signed: 07/13/2026 04:40:22 PM

Unfounded


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
04/11/2024 and conducted by Evaluator Brandon Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20240411142922
FACILITY NAME:PARK REGENCY RETIREMENT CENTERFACILITY NUMBER:
306000059
ADMINISTRATOR:DENNIS ROBENIOLFACILITY TYPE:
740
ADDRESS:1750 W. LA HABRA BLVD.TELEPHONE:
(714) 441-1164
CITY:LA HABRASTATE: CAZIP CODE:
90631
CAPACITY:168CENSUS: 91DATE:
07/13/2026
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Executive Director Sabina NaybergTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Facility failed to provide a refund.
INVESTIGATION FINDINGS:
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On July 13, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to deliver the complaint findings. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Executive Director Sabina Nayberg was present and assisted on today's visit.

During the course of the investigation, the Department interviewed staff, reviewed and obtained pertinent documents to the complaint such as resident records. Regarding the allegation, facility failed to provide a refund, the following has been concluded: It was alleged that the facility failed to provide a refund for Resident #1 (R1). The Department conducted a file review for R1 and observed that R1 moved into the facility on April 3, 2024. The Department observed that R1 moved out of the facility on May 7, 2024. The Department reviewed R1's admission agreement dated April 1, 2024. On page nine of R1's admission agreement, is states that the admission agreement may be terminated by the resident at any given time by giving the Executive/Operations Director thirty days' prior written notice. CONTINUED ON LIC9099-C
Unfounded
Estimated Days of Completion: 90
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2026
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 4
Control Number 22-AS-20240411142922
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: 07/13/2026
NARRATIVE
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It also states that the resident will continue to be responsible for the monthly fee until the thirty day period has expired. On page six of the admission agreement, it also states that the resident is entitled to a portion of their community fee, based on the length of their stay at the facility. The Department observed R1's admission agreement to be signed by both R1's Responsible Party, Witness #1 (W1), and a facility representative, indicating that both parties agreed to the terms of the contract. The Department reviewed emails between Witness #1 (W1), and the Executive Director at the time, Staff #1 (S1). The Department observed that W1 provided S1 with a written notice on April 7, 2024, that they intended to move R1 out of the facility. Therefore, R1 would continue to be responsible for the monthly fee until May 7, 2024, when the thirty day period expired. The Department reviewed R1's billing statements and observed the facility charged R1 his monthly fees until May 7, 2024, in accordance to the admission agreement. The Department also observed that the facility refunded R1 a portion of his community fee, in accordance to their admission agreement. Based on the records reviewed, the facility satisfied their obligations under the admission agreement and provided the necessary refunds to R1. The Department observed that R1 was not entitled to any additional refunds and were charged appropriately during their stay at the facility.

Based on the evidence gathered during this investigation, the complaint is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without reasonable basis. An exit interview was conducted with Executive Director Sabina Nayberg and a copy of the report was provided at time of visit.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 22-AS-20240411142922
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: 07/13/2026
NARRATIVE
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It states that staff observed R1 run down the hallway and slam his body against a door, in order to exit the memory care portion of the facility. It states that staff immediately began to pursue R1 as he was leaving the facility and that staff immediately called 9-1-1. It states that R1 was able to leave the facility property, but was being followed and observed by staff while he was doing so. It then states that R1 was then transferred to the hospital after the incident. The Department was unable to conduct an interview with R1 for this complaint, due to R1 moving out of the facility on May 7, 2024. The Department conducted a total of six staff interviews. Three staff were unable to provide any information for the allegation due to them not working at the facility at the time, or not recalling the incident in question. However, the Department was able to conduct interviews with three staff who had knowledge of the allegation. The three staff interviewed confirmed the information on the UIIR was accurate and the three staff denied the allegation. The three staff confirmed that R1 was immediately being followed and observed by staff as he was attempting to leave the facility. The three staff confirmed that 9-1-1 was called as a result of the incident and the staff reported that they believed staff responded appropriately to the incident.

Based on the evidence gathered during the investigation, the Department is unable to ascertain if the allegation occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the allegation above is deemed UNSUBSTANTIATED. An exit interview was conducted with Executive Director Sabina Nayberg and a copy of the report was provided at time of visit.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4
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
04/11/2024 and conducted by Evaluator Brandon Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20240411142922

FACILITY NAME:PARK REGENCY RETIREMENT CENTERFACILITY NUMBER:
306000059
ADMINISTRATOR:DENNIS ROBENIOLFACILITY TYPE:
740
ADDRESS:1750 W. LA HABRA BLVD.TELEPHONE:
(714) 441-1164
CITY:LA HABRASTATE:CAZIP CODE:
90631
CAPACITY:168CENSUS: 91DATE:
07/13/2026
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Executive Director Sabina NaybergTIME COMPLETED:
05:00 PM
ALLEGATION(S):
1
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3
4
5
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9
Resident was able to leave the facility unassisted.
INVESTIGATION FINDINGS:
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On July 13, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to deliver the complaint findings. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Executive Director Sabina Nayberg was present and assisted on today's visit.

During the course of the investigation, the Department conducted a tour of the physical plant of the facility, reviewed and obtained pertinent documents for this complaint, conducted staff interviews. Regarding the allegation, resident was able to leave the facility unassisted, the following was been concluded: It was alleged that Resident #1 (R1) was able to leave the facility unassisted. The Department conducted a file review for R1, including R1's medical assessment dated April 2, 2024. Per R1's medical assessment, R1 was diagnosed with dementia and was unable to the facility on his own. The Department reviewed an Unusual Incident/Injury Report (UIIR) that was submitted to the Orange County Regional Office by the facility. The UIIR states that R1 left the facility on April 6, 2024. CONTINUED ON LIC9099-C
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4