306004520-7-22-2024-22-AS-SSAS-D7JVMT-20240726163401

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004520
Report Date: 07/22/2024
Date Signed: 07/22/2024 08:56:09 AM

Unfounded

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
07/10/2024 and conducted by Evaluator Ruth Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20240710171640

FACILITY NAME:	MERIDIAN AT LAGUNA HILLS		FACILITY NUMBER:	306004520
ADMINISTRATOR:	MARIA ROSSI		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: 73	DATE:	07/22/2024
		UNANNOUNCED	TIME BEGAN:	07:40 AM
MET WITH:	Cheryle Clark		TIME COMPLETED:	09:00 AM

ALLEGATION(S):

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Residents are exposed to hazardous material.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ruth Martinez visited the facility to deliver findings for the investigation into the above identified complaint allegation. LPA arrive at facility was greeted by receptionist and granted entry. LPA spoke with Cheryl Clark, Business Office Manager and explained the purpose of the visit.

Findings are based upon this investigation which included interview conducted, tour of physical plant of facility and review of records.

It is alleged that residents are exposed to hazardous material. Records review received from P.G. & J. Environmental, Inc. certificate of completion dated July 19, 2024, revealed that the abatement project involving asbestos remediation of materials point counted to less than 1 % was successfully completed

Continued on LIC9099-C

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Armando J Lucero	TELEPHONE: (949) 430-1222
LICENSING EVALUATOR NAME: Ruth Martinez	TELEPHONE: (657) 285-1397
LICENSING EVALUATOR SIGNATURE:	DATE: 07/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2024

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-20240710171640

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: 07/22/2024

NARRATIVE

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after quality control and inspection by our AHERA certified contractor supervisor personnel. We hereby declare that our scope of work was completed according to the contract and local, state, federal law, and contract specifications as contracted for the project conducted to the lobby of that facility indicating there was no concern with room having asbestos as a concern. Interview with staff (S1) indicates that the room adjacent to the lobby is under construction to be remodeled as a theater room and there is no resident access to the room. LPA toured the physical plant of the facility and observed the room adjacent to the lobby to have one side of the wall on the top by the ceiling to be taped up as if reflecting working being done. LPA toured the room adjacent to the lobby and observed a locked door to the room which was the only entry way and was inaccessible to anyone who did not have a key for the door. Upon entrance of the room reflected an empty room with a layout of the room taped to the wall reflecting estimated changes to the room. There were no observations of access to the room other than locked entry way door.

We have found the complaint allegation is unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint.

An exit interview was conducted with facility representative 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: 07/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2024

LIC9099 (FAS) - (06/04)

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