306004520-6-29-2023-22-AS-AORZ-CTHKU8-20230707081218

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004520
Report Date: 06/29/2023
Date Signed: 06/29/2023 02:44:25 PM

Unfounded

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
06/26/2023 and conducted by Evaluator Kimberly Lyman

COMPLAINT CONTROL NUMBER: 22-AS-20230626132046

FACILITY NAME:	MERIDIAN AT LAGUNA HILLS		FACILITY NUMBER:	306004520
ADMINISTRATOR:	FREDERICK M PAOLI		FACILITY TYPE:	740
ADDRESS:	24552 PASEO DE VALENCIA BLDG A		TELEPHONE:	(949) 581-6111
CITY:	LAGUNA HILLS	STATE: CA	ZIP CODE:	92653
CAPACITY:	150	CENSUS: 81	DATE:	06/29/2023
		UNANNOUNCED	TIME BEGAN:	12:05 PM
MET WITH:	Tierre Thornton and Scott Gardner		TIME COMPLETED:	03:05 PM

ALLEGATION(S):

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Staff do not ensure there is proper fire safety in the facility
Facility is in disrepair

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegations. LPA was greeted and granted entry into the facility by Executive Director Tierre Thornton and explained the reason for the visit. Maintenance Director Scott Gardner was present as well.
During the course of the investigation, LPA toured the facility, interviewed staff and witness as well as reviewed and obtained pertinent documentation such as staff schedule, fire drill paperwork and fire watch documentation. Regarding the allegations that staff do not ensure there is proper fire safety in the facility and facility is in disrepair, the investigation revealed the following: Facility fire panels were experiencing concerns in the fall of 2022. Facility was addressing concerns with new parts and as of April 2023, facility has replaced both fire panels. Facility provided documentation of contract with Johnson Controls for purchase and installation of fire panels. Facility is working with Johnson Controls to get the panels operating at 100 percent. Maintenance Director indicates the panels are performing at about 95 percent with error codes still being addressed. Facility states fire alarms are operational. CONT ON LIC 9099C DATED 06/29/2023

Unfounded

Estimated Days of Completion: 30

SUPERVISOR'S NAME: Alisa Ortiz	TELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Kimberly Lyman	TELEPHONE: (714) 795-1497
LICENSING EVALUATOR SIGNATURE:	DATE: 06/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023

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-20230626132046

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: MERIDIAN AT LAGUNA HILLS	FACILITY NUMBER: 306004520
	VISIT DATE: 06/29/2023

NARRATIVE

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and the alarms go off when triggered. Facility contracted with TruGuard for fire watch services October 2022. The agreement with TruGuard was terminated and facility staff started conducting the fire watch on 06/20/2023. Facility provided documentation of fire watch and staff interviewed indicated the fire watch was being conducted hourly on each floor in building A. Building B is cleared and operational. During the visit, LPA toured the facility and observed the fire panels as well as physical plant of the facility. Fire panels appear new and physical plant appears clean and operational. LPA observed no hazards or disarray in the facility.
Therefore, the Department has determined the complaint to be unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

Exit interview conducted and a copy of this report was left at the facility.

SUPERVISOR'S NAME: Alisa Ortiz	TELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Kimberly Lyman	TELEPHONE: (714) 795-1497
LICENSING EVALUATOR SIGNATURE:	DATE: 06/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023

LIC9099 (FAS) - (06/04)

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