306004520-2-25-2025-22-AS-AJLO-DERSGU-20250314135232

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004520
Report Date: 02/25/2025
Date Signed: 02/25/2025 01:10:22 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
02/07/2022 and conducted by Evaluator Ruth Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20220207095442

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:	0	CENSUS: 0	DATE:	02/25/2025
		UNANNOUNCED	TIME BEGAN:	07:30 AM
MET WITH:	Eric Jensen, Executive Directo		TIME COMPLETED:	08:30 AM

ALLEGATION(S):

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-Facility is in disrepair
-Facility failed to provide a comfortable temperature for residents in care

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 allegations. LPA arrive at facility was greeted and granted entry by receptionist. LPA spoke with Eric Jensen, Executive Director and explained the purpose of the visit.

Findings are based upon this investigation which included facility file review, tour of the physical plant of the facility and interviews conducted.

It is alleged that facility is in disrepair and facility failed to provide a comfortable temperature for residents in care. Interview with Executive Director revealed that on February 3, 2022, a boiler was not working properly which affected building A floors 6-7 and affected building B. Over the weekend of February 5, 2022,

Continued on LIC9099-C

Unsubstantiated

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: 02/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025

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-20220207095442

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: 02/25/2025

NARRATIVE

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a second boiler was affected that was tied to some of the assisted living in building A. Executive Director immediately scheduled a plumber to do maintenance repairs and sent out a notice to all residents. On February 04, 2022, Executive Director sent out a notice to all assisted living resident for the heaters not working properly. A second notice was sent out to all residents independent and assisted living resident indicated the following: Dear residents, we are experiencing intermittent issues with our hot water in the building A. If you find that your water isn’t hot enough to shower, we are offering a private shower in the spa in the B building by appointment only. For details and to make an appointment please reach out to our wellness department. Upon scheduled maintenance it was discovered that the boilers, chillers, and cooling towers needed work and systems were working at 50% and apartments were online and not being affected with the help of the other components of the system that allow it to work. On February 15, 2022, Helix Mechanical, Inc. provided a proposal of repairs to be completed. Tour of the physical plant of the facility room temperature measured at 82.4 Fahrenheit degrees and on visit conducted on March 02, 2022, room temperature measured between 72.9 – 82.4 Fahrenheit degrees. Title 22 regulation 87303(b)(1) Maintenance and operation a comfortable temperature for residents shall be maintained at all times. The facility shall heat rooms that residents occupy to a minimum of 68 degree F, (20 degree C). Interview with 5 of 5 residents indicated that rooms were warm but not hot and that the facility provides alternatives for residents like blankets if needed. Residents indicated that the facility wasn’t entirely cool but that it isn’t scorching hot either. The facility has maintained the residents up to date with the repairs of the facility and with providing alternatives.

Based on the information mentioned above, 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: 02/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025

LIC9099 (FAS) - (06/04)

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