306000734-9-9-2025-22-AS-AORZ-DLRT5J-20250922142534

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306000734
Report Date: 09/09/2025
Date Signed: 09/09/2025 09:11:53 AM

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
11/15/2023 and conducted by Evaluator Andrea Mendivil

COMPLAINT CONTROL NUMBER: 22-AS-20231115115641

FACILITY NAME:	CAMEO HOMES - LIGHTHOUSE		FACILITY NUMBER:	306000734
ADMINISTRATOR:	LISE BRICK		FACILITY TYPE:	740
ADDRESS:	2512 LIGHTHOUSE LANE		TELEPHONE:	(949) 644-2740
CITY:	CORONA DEL MAR	STATE: CA	ZIP CODE:	92625
CAPACITY:	6	CENSUS:	DATE:	09/09/2025
		UNANNOUNCED	TIME BEGAN:	08:53 AM
MET WITH:			TIME COMPLETED:	09:30 AM

ALLEGATION(S):

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Staff handled resident in a rough manner
Staff spoke to resident in an inappropriate manner.
Staff denied resident water.
Staff did not respond to resident's call button.

INVESTIGATION FINDINGS:

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On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to deliver complaint findings. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit.

The Department received a complaint on 11/15/2023 and the initial 10-day visit was conducted on 11/20/2023. During the initial visit LPA Mendivil interviewed staff and residents. LPA Mendivil obtained copies of pertinent documents such as resident's physician report, emergency contact information and staff training records. Regarding the allegations Staff handled resident in a rough manner, Staff spoke to resident in an inappropriate manner, Staff denied resident water and Staff did not respond to resident's call button, the investigation revealed the following:

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2025

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-20231115115641

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: CAMEO HOMES - LIGHTHOUSE	FACILITY NUMBER: 306000734
	VISIT DATE: 09/09/2025

NARRATIVE

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Based on interviews with 3 out of 3 staff they deny the allegation that they handled residents in a rough manner. Per interview with 1 out of 3 residents, resident denied staff handled them in a rough manner. LPA Mendivil was unable to interview 2 out of 3 residents due to 2 resident being unavailable.

Based on interviews with 3 out of 3 staff deny the allegation that staff spoke to resident in an inappropriate manner, interviews with staff indicate they have to speak loudly with residents as 2 are hard of hearing. 3 out of 3 staff deny the allegation that they have denied water. Per LPA Mendivil’s observation LPA Mendivil observed 3 out of 3 residents had their own water cups and they were filled up on 11/20/2023.

Per interviews with 3 out of 3 staff stated they answer all calls even at nighttime as the staff sleeps in a room near all residents. Based on interviews with 1 out of 3 residents stated staff answers their call buttons within 2 minutes.

Due to the lack of corroboration of the allegations by staff and residents the allegations Staff handled resident in a rough manner, Staff spoke to resident in an inappropriate manner, Staff denied resident water and Staff did not respond to resident's call button are determined to be UNSUBSTANTIATED, meaning that although the allegation may have happened or are valid there is not a preponderance of evidence to prove the alleged violations did or did not occur.

No deficiencies cited.

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

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2025

LIC9099 (FAS) - (06/04)

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