306004520-8-5-2024-22-AS-AJLO-D87QCD-20240816120257

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004520
Report Date: 08/05/2024
Date Signed: 08/05/2024 03:09:25 PM

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
07/29/2024 and conducted by Evaluator Ruth Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20240729133028

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:	DATE:	08/05/2024
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Maria Rossi		TIME COMPLETED:	03:40 PM

ALLEGATION(S):

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-Staff did not notify visitors of a covid outbreak at facility.
-Staff are overcharging residents of meal services.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ruth Martinez made an unannounced visit to conduct the initial visit to begin the investigation into the allegations listed above. LPA met with Maria Rossi, Executive Director and explained the nature of the visit.

Based on the information obtained during this investigation the department has concluded the investigation into the above mentioned allegations. Findings are based upon this investigation which included interview conducted, tour of the physical plant of the facility and copies of pertinent documents obtained.

It is alleged that facility staff did not notify visitors of a COVID outbreak at the facility. Based on resident roster and file review resident R1 resides in building B. Interview conducted with staff (S1) indicated that there was two resident with covid, however residents reside in building B. Based on the information on file for
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: 08/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2024

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-20240729133028

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: 08/05/2024

NARRATIVE

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the facility CCLD licensure covers building A, floors 1-5. Building B is independent living and not covered under CCLD licensure for this facility. R1 resides in building B on the independent side of the facility, which is not covered by CCLD licensure.

It is alleged that staff are overcharging residents of meal services. Based on the information obtained during this investigation it was determined that resident R1 resides in building B. Interview conducted with S1 indicated that when there is a resident that has covid no matter if it is building A or B tray services is provided to resident at no cost until resident has been cleared. Based on the information on file for the facility CCLD licensure covers building A, floors 1-5. Building B is independent living and not covered under CCLD licensure for this facility. R1 resides in building B on the independent side of the facility, which is not covered by CCLD licensure.

Therefore, the Department determined the complaint to be unfounded, meaning that the allegations was false, could not have happened and/or is without a reasonable basis. The Department has therefore dismissed the complaint.

A copy of this report is being reviewed with Executive Director and a copy of this LIC9099 furnished to the facility.

SUPERVISOR'S NAME: Armando J Lucero	TELEPHONE: (949) 430-1222
LICENSING EVALUATOR NAME: Ruth Martinez	TELEPHONE: (657) 285-1397
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2024

LIC9099 (FAS) - (06/04)

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