306004520-2-25-2025-22-AS-AJLO-DERPT9-20250314113535

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004520
Report Date: 02/25/2025
Date Signed: 02/25/2025 01:11:38 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
02/28/2022 and conducted by Evaluator Ruth Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20220228104006

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:	08:30 AM
MET WITH:	Eric Jensen, Executive Director		TIME COMPLETED:	09:30 AM

ALLEGATION(S):

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-Facility faucets do not deliver hot water.

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 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 faucets do not deliver hot water. Interview conducted revealed that the Executive Director was made aware that at the end of the week on February 4, 2022, that a boiler wasn’t working properly that affected only building B. Over the weekend of February 5, 2022, a second boiler was

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-20220228104006

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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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. Notice 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. Tour of physical plant of the facility LPA measure water in building A floor 1-5 and the range was 105.3 – 110.9 Fahrenheit degrees and spa in building B 120.1 Fahrenheit degrees. Interview with 5 of 5 residents indicated that the water is not too hot, but warm, but not cold when showering. Residents indicated that the water is warm enough to shower and they have no issues with the temperature.

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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