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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306004637
Report Date: 10/22/2026
Date Signed: 10/22/2026 04:54:24 PM

Unsubstantiated


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
10/19/2026 and conducted by Evaluator Andrea Mendivil
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20261019153436
FACILITY NAME:SOLEIL SENIOR LIVINGFACILITY NUMBER:
306004637
ADMINISTRATOR:LISA GAITANFACILITY TYPE:
740
ADDRESS:23741 SINGAPORE STREETTELEPHONE:
(949) 716-7614
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY:6CENSUS: 5DATE:
10/22/2026
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Lisa Gaitan - Administrator TIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff hits resident in care
INVESTIGATION FINDINGS:
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On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to conduct a complaint invesitgation. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit.

The Department received a complaint on October 19, 2026. LPA Mendivil viewed and obtained copies of the following: LIC 602 Physician's Report, Admission agreement and needs and services and staff traning records. Regarding the allegation staff hits resident in care, the investigation revealed the following:

It was reported that staff hits residents in care. Per interiviews with Administrator Lisa Gaitan all staff is trained in personal rights through videos and regulation reviews. Lisa denies any staff hitting any resident. Interviews with staff present, staff denies hitting any resident and confirms received personal rights training. Interviews with 3 out of 5 residents provided conflicting information regarding staff abuse. The remaining residents were not available for interviews as they were with family.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 22-AS-20261019153436
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: SOLEIL SENIOR LIVING
FACILITY NUMBER: 306004637
VISIT DATE: 10/22/2026
NARRATIVE
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Therefore based on the preponderance of evidence through records reviewed and interviews the allegation that staff hits in care is determined to be UNSUBSTANTIATED, meaning although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred.

An exit interview was conducted and a copy of this report was provided to the Administrator.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2