306004637-3-4-2021-22-AS-SSAS-C3APNJ-20210523112759

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004637
Report Date: 03/04/2021
Date Signed: 03/04/2021 04:59:32 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
02/17/2021 and conducted by Evaluator Michael Barrett

COMPLAINT CONTROL NUMBER: 22-AS-20210217144627

FACILITY NAME:	SOLEIL SENIOR LIVING		FACILITY NUMBER:	306004637
ADMINISTRATOR:	LISA GAITAN		FACILITY TYPE:	740
ADDRESS:	23741 SINGAPORE STREET		TELEPHONE:	(949) 716-7614
CITY:	MISSION VIEJO	STATE: CA	ZIP CODE:	92691
CAPACITY:	6	CENSUS: 5	DATE:	03/04/2021
		UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Administrator (AD) Scott Branson		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Facility failed to provide resident records to resident's legal counsel

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Mike Barrett initiated a complaint investigation for the allegation listed above. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures, today’s complaint investigation was conducted virtually with Administrator (AD) Scott
Branson.
It was alleged that the facility failied to provide resident records to the resident's legal counsel. LPA contacted the Reporting Party (RP) who stated that they no longer wanted to pursue the complaint. It was determined that the request was sent in error. It was also revealed that the request for documents was fulfilled as requested by the facility therefore, the allegation is deemed to be UNFOUNDED, meaning that the allegation was false, could not have happened and/is without reasonable basis.

A telephonic exit interview was conducted with AD, Scott Branson, and a hard copy was provided via email for signature.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Sheila Santos	TELEPHONE: (714) 703-2840
LICENSING EVALUATOR NAME: Michael Barrett	TELEPHONE: (714) 703-2847
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2021

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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