306000347-5-12-2026-22-AS-SSAS-DU4NU9-20260515104557

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306000347
Report Date: 04/22/2026
Date Signed: 05/12/2026 01:50:26 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
04/14/2026 and conducted by Evaluator Joseph Alejandre

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20260414154752

FACILITY NAME:	ATRIA SAN JUAN		FACILITY NUMBER:	306000347
ADMINISTRATOR:	JAMES CRADDOCK		FACILITY TYPE:	740
ADDRESS:	32353 SAN JUAN CREEK RD		TELEPHONE:	(949) 661-1220
CITY:	SAN JUAN CAPISTRANO	STATE: CA	ZIP CODE:	92675
CAPACITY:	140	CENSUS: 95	DATE:	04/22/2026
		UNANNOUNCED	TIME BEGAN:	04:45 PM
MET WITH:	James Craddock		TIME COMPLETED:	06:30 PM

ALLEGATION(S):

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Staff refused to provide lift assistance to residents in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegation listed above. LPA met with Executive Director James Craddock and explained the reason for the visit.
The investigation into the allegation, staff refused to provide lift assistance to residents in care, revealed the following. It was reported that residents fell on March 30, 2026, and April 11, 2026, there were no injuries and 911 was called only to provide lift services for both residents. A review records show, on March 30, 2026, Resident 1 (R1) fell and 911 was called by staff. The special incident report (SIR) dated March 30, 2026, shows R1 fell at around 5:15 am and staff called 911. Staff reported it was unknown if the resident hit their head so 911 was called. The SIR states that the family was notified and refused transport of R1 to the hospital. R1's responsible party verified this report. The paramedics assisted the resident off the floor and because transport to the hospital was refused, left the facility. The SIR dated April 11, 2026, reported that Resident 2 (R2) fell around 4:00 am and 911 was called and R2 reported they were in pain. R2 was transported to the hospital.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2026

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-20260414154752

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: ATRIA SAN JUAN	FACILITY NUMBER: 306000347
	VISIT DATE: 04/22/2026

NARRATIVE

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4 out of 4 staff interviewed reported they call 911 if required and 911 is not called for lift assistance. LPA contacted the Orange County Fire Authority but the First responders who responded to the calls were not available for interview. The Administrator reported that in memory care 911 is called in case of head injury that the resident may not be able to report. Both incidents listed above took place in memory care. 4 out of 4 staff interviewed reported that they would assist residents off the floor after a fall if there are no injuries and no signs of head injury and the resident is not in pain. Based on the evidence gathered the allegation is deemed unsubstantiated, although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted and a copy of the report provided.

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2026

LIC9099 (FAS) - (06/04)

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