306003965-10-28-2024-22-AS-AORZ-DAKNP3-20241031103736

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306003965
Report Date: 10/28/2024
Date Signed: 10/28/2024 12:55:14 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
03/08/2021 and conducted by Evaluator Kimberly Lyman

COMPLAINT CONTROL NUMBER: 22-AS-20210308163137

FACILITY NAME:	LENDING HANDS ELDERLY CARE		FACILITY NUMBER:	306003965
ADMINISTRATOR:	AMELIA ACEVEDO		FACILITY TYPE:	740
ADDRESS:	25391 CLASSIC DRIVE		TELEPHONE:	(949) 837-4348
CITY:	MISSION VIEJO	STATE: CA	ZIP CODE:	92691
CAPACITY:	6	CENSUS: 4	DATE:	10/28/2024
		UNANNOUNCED	TIME BEGAN:	10:50 AM
MET WITH:	Amelia Acevedo		TIME COMPLETED:	01:20 PM

ALLEGATION(S):

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Facility staff speak inappropriately to residents
Facility staff do not allow resident's to go outside of the facility
Facility staff confiscated resident's phone
Facility staff are not providing adequate care to residents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to continue the investigation into the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit.
During the course of the investigation, LPA toured the facility and interviewed staff and residents as well as reviewed and obtained pertinent documentation such as physician report. Regarding the allegations that, facility staff are not providing adequate care to residents, Facility staff confiscated resident's phone, facility staff do not allow resident's to go outside of the facility and facility staff speak inappropriately to residents, the investigation revealed the following: Two out of two staff and three out of three residents deny staff speak inappropriately to residents. All residents interviewed confirm receiving adequate care at the facility and being able to hold onto their own property as well as go outside. Three out of three residents state going in the backyard often and the front yard when accompanied by staff or family. Incident report dated 01/20/2021-03/05/2021 indicated incidents where Resident 1 (R1) attempted to leave the facility with purse and phone in hand. CONT ON LIC 9099C DATED 10/28/2024.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alisa Ortiz	TELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Kimberly Lyman	TELEPHONE: (714) 795-1497
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2024

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-20210308163137

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: LENDING HANDS ELDERLY CARE	FACILITY NUMBER: 306003965
	VISIT DATE: 10/28/2024

NARRATIVE

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The resident was stopped by staff and brought back inside. Resident was transferred to the hospital on 03/05/2021 due to restlessness and medication refusal. Physician report dated 01/07/2021 indicated the resident is diagnosed with Mild Cognitive Impairment and is confused/ disoriented. Based on record review and interviews conducted, LPA is unable to corroborate the allegations. Therefore, the allegations are deemed unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted and a copy of this report was provided to facility.

SUPERVISOR'S NAME: Alisa Ortiz	TELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Kimberly Lyman	TELEPHONE: (714) 795-1497
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2024

LIC9099 (FAS) - (06/04)

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