306001407-7-10-2025-22-AS-APAO-DQJR8Q-20260121114816

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306001407
Report Date: 07/10/2025
Date Signed: 07/10/2025 05:36:09 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
12/16/2021 and conducted by Evaluator Joseph Alejandre

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20211216130921

FACILITY NAME:	EMERALD COURT		FACILITY NUMBER:	306001407
ADMINISTRATOR:	DAIZEL C GASPERIAN		FACILITY TYPE:	740
ADDRESS:	1731 MEDICAL CENTER		TELEPHONE:	(714) 778-5100
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92801
CAPACITY:	299	CENSUS: 257	DATE:	07/10/2025
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Dillion Cagulada		TIME COMPLETED:	05:30 PM

ALLEGATION(S):

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Food service is inadequate.
Staff are not able to communicate with the residents.
Staff are not trained.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to deliver the findings of the complaint investigation into the allegations listed above. LPA met with Executive Director Dillion Cagulada and explained the reason for the visit. The investigation into the allegation revealed the following. It was alleged that food is not properly prepared and served cold. No details were provided as to when the meals were served cold. LPA interviewed 7 residents who reported that they had no issues with the temperature of the food being served. LPA interviewed 5 staff members that reported that all food is served after it is prepared and is served hot. LPA interviewed the Dining Services Director that all food is prepared using normal restaurant practices and cooked safely in compliance with all applicable rules and regulations. It was reported that the facility did not fully cook the baked potatoes. 7 out of 7 residents interviewed reported the baked potatoes were fully cooked. 5 kitchen staff members reported that the baked potatoes are fully cooked for at least 45 minutes. LPA observed dinner service during the visit. LPA did not observe any deficiencies during the visit.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:	DATE: 07/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2025

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-20211216130921

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: EMERALD COURT	FACILITY NUMBER: 306001407
	VISIT DATE: 07/10/2025

NARRATIVE

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There is no evidence to support the allegation, therefore the allegation is 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.

The investigation into the allegation, staff are not able to communicate with the residents, revealed the following. It was alleged that facility kitchen staff and servers could not communicate with residents because of a language barrier. No details were provided. LPA interviewed 7 staff members who reported they have no issues communicating with residents. LPA interviewed 7 residents. 5 out of 7 residents reported they had no issues communicating with staff members. 2 out of 7 residents reported they have issues communicating with staff because of hearing impairment issues. There is no evidence to support the allegation, therefore the allegation is 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.

The investigation into the allegation, staff are not trained, revealed the following. It was alleged that kitchen staff are not trained. California Code of Regulations (CCR) Tile 22, Division 6, 87411(c) states, "All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69.". Kitchen staff and servers do not assist residents with their activities of daily living. There is no regulatory requirement for Kitchen staff or servers to be trained. A review of facility records shows all kitchen staff and servers are trained in topics relevant to food preparation and safety. LPA reviewed 2 server training records, each server completed at least 10 hours of training after being hired. The Dining Services Director reported that all kitchen staff receive at least 10 hours of training when they are hired. Based on the evidence gathered the allegation is 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: 07/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2025

LIC9099 (FAS) - (06/04)

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