306004760-7-9-2026-22-AS-AORZ-DW3UJN-20260717153749

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004760
Report Date: 07/09/2026
Date Signed: 07/09/2026 04:42:12 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
07/06/2026 and conducted by Evaluator RoseMarie Ruppert

COMPLAINT CONTROL NUMBER: 22-AS-20260706141036

FACILITY NAME:	HILDA COURT		FACILITY NUMBER:	306004760
ADMINISTRATOR:	DANTE D. BENEDICTO		FACILITY TYPE:	735
ADDRESS:	517 S. HILDA COURT		TELEPHONE:	(714) 215-4337
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92806
CAPACITY:	6	CENSUS: 3	DATE:	07/09/2026
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Dante Benedicto, Administrator		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Client's medications were not given as prescribed

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to investigate a complaint received in the Regional Office. LPA was greeted and granted entry by staff at 1pm and explained the purpose of the visit. LPA met with Administrators Dante Benedicto and Marevic Painter.

The following documents were obtained for Client #3 (C3): Face sheet, Regional Center Admissions Agreement, Medical Assessment dated May 7, 2025 and monthly physical and psychologist assessments for June 2026, Medication Administration Record and Physician's Orders for July 2026, Individualized Program Plan (IPP) and Client Development and Evaluation Report (CDER) dated October 9, 2025.

It was alleged Client's medications were not given as prescribed. LPA reviewed three of three client medications. Per medication audit, three of three client medications are being given as prescribed. LPA reviewed the Medical Assessment from May 7, 2025 and current monthly medical assessments on June 2 and June 3, 2026. Medications are reviewed by the Primary Care Provider (PCP) with staff and client.
(Continued on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026

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-20260706141036

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: HILDA COURT	FACILITY NUMBER: 306004760
	VISIT DATE: 07/09/2026

NARRATIVE

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(Continued on LIC 9099)

LPA reviewed Medication Administration Records (MAR) for all clients. On July 1 2026 It was observed that the medications for Client #3 (C3) were initialed for 9pm by signed by staff prior to 5pm. Interviews of three of three staff revealed that the staff member on this date did initial on the MAR early but did not give the medication until the designated times of 7pm and 9pm. Medications remained in the medication bubble pack and are not pre-poured. Staff recall being questioned about this but did not explain that the medications were still in the bubble pack and confirmed they initialled the MAR early.

Three of three staff shared that C3 asks to receive medication early daily. Staff stated medications are only given with meals at 5pm and on the times notated on the MAR. Medication training was provided for staff in January 2026. Administrator Benedicto will email LPA medication training documentation. A refresher course will be conducted for staff to not sign the MAR until medications are actually given.

LPA interviewed two of three clients regarding medications. Two of three clients reported they are given medications and that they do not have any issues with medication administration. Client interviews confirmed that one of the clients will always ask for medication early to go to bed; but stated staff do not provide the medications until the designated time.

Based on LPA's document review, interviews and observations, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Thus the allegation that Client's medications were not given as prescribed is Unsubstantiated. An exit interview was conducted with Administrators Dante Benedicto and Marevic Painter and a copy of this report and LIC 811 were provided to the facility.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026

LIC9099 (FAS) - (06/04)

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