306004520-6-12-2024-22-AS-AJLO-D6KUK6-20240625153837

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004520
Report Date: 06/12/2024
Date Signed: 06/12/2024 04:34:50 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
06/04/2024 and conducted by Evaluator Ruth Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20240604144055

FACILITY NAME:	MERIDIAN AT LAGUNA HILLS		FACILITY NUMBER:	306004520
ADMINISTRATOR:	KAREN ENCISO		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: 225	DATE:	06/12/2024
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Maria Rossi, Executive Director		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Facility staff did not provide resident reappraisal upon change in condition

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ruth Martinez made an unannounced visit to conduct the required 10 day visit to begin the investigation into the allegation listed above. LPA met with Maria Rossi, Executive Director, and explained the reason for the visit.

Based on the information obtained during this investigation the department has concluded the investigation into the above mentioned allegation. Findings are based upon this investigation which included interviews conducted, tour of the physical plant of the facility and copies of pertinent documents obtained. It is alleged that facility staff did not provide resident reappraisal upon change of condition. Records reveled that resident 1 and 2 (R1, R2) moved into the facility on April 24, 2024, and resident appraisal assessment for R1 was done on April 20, 2024, Resident assessment for R2 was completed on April 24, 2024.

Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion: 1

SUPERVISOR'S NAME: Armando J Lucero	TELEPHONE: (949) 430-1222
LICENSING EVALUATOR NAME: Ruth Martinez	TELEPHONE: (657) 285-1397
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2024

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-20240604144055

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: MERIDIAN AT LAGUNA HILLS	FACILITY NUMBER: 306004520
	VISIT DATE: 06/12/2024

NARRATIVE

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Furthermore, R1 and R2 received a reappraisal assessment on May 22, 2024, once it was communicated to staff that resident may have had a change in condition. Interviews conducted with 2 of 2 residents indicated that they had received a reassessment once they communicated to facility staff that their level of care may have change dues to their health improving. Due to this communication and reassessment facility staff determined that the level of care change from level 3 to level 0 for both R2 and R1 from level 3 to level 2. Interview with Executive Director revealed that since resident had moved in, they had no unusual incident or had to go out to hospital and therefore there was no indication that they required to be reassessed. There was no indicator that residents had a change of condition and staff was providing the care for level 3 with no objections. Executive Director indicates that once it was informed to staff that resident believed they may not need a level 3 services because they believe their condition had improved, then facility staff conducted a reassessment and adjusted their care plan.

Based on the information gathered during the investigation, review of all documents obtained, the Department is unable to ascertain if the allegation occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated.

An exit interview was conducted with Executive Director, and a copy of this LIC9099 report was left at facility.

SUPERVISOR'S NAME: Armando J Lucero	TELEPHONE: (949) 430-1222
LICENSING EVALUATOR NAME: Ruth Martinez	TELEPHONE: (657) 285-1397
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2024

LIC9099 (FAS) - (06/04)

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