306004761-8-16-2023-22-AS-AORZ-CYFN64-20231212091025

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004761
Report Date: 08/16/2023
Date Signed: 08/16/2023 03:22:55 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
08/08/2023 and conducted by Evaluator Rosie Quiroz

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20230808165111

FACILITY NAME:	CAMBRIDGE COURT		FACILITY NUMBER:	306004761
ADMINISTRATOR:	LAUREN CHON		FACILITY TYPE:	740
ADDRESS:	1621 COMMONWEALTH AVENUE, EAST		TELEPHONE:	(714) 992-1750
CITY:	FULLERTON	STATE: CA	ZIP CODE:	92831
CAPACITY:	99	CENSUS: 69	DATE:	08/16/2023
		UNANNOUNCED	TIME BEGAN:	09:07 AM
MET WITH:	Lupe Jaime, Purchasing Director/Housekeeping Supervisor and Lauren Chon, Administrator		TIME COMPLETED:	11:09 AM

ALLEGATION(S):

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-Residents do not have access to the bathroom.

INVESTIGATION FINDINGS:

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On today's date, Licensing Program Analyst (LPA) Rosie Quiroz made an unannounced visit for the purpose to conduct 10 day inspection visit for the allegation listed above. LPA Quiroz was greeted and met with Lupe Jaime, Purchasing Director/House Keeping Supervisor (PD/HS) and discussed purpose of today's visit. Administrator (AD) Lauren Chon arrived during today's visit.
Regarding the allegation "Residents do not have access to the bathroom," the investigation revealed the following: During today's visit while conducting the 10 day inspection visit, LPA Quiroz along with (PD/HS) Lupe Jaime conducted tour of facility premises including common bathroom areas.
During today's visit, LPA Quiroz interviewed twelve interviewees consisting of staff and residents. Six of twelve interviewees indicated facility staff were locking bathroom downstairs near living room area due to former resident who recently moved out was smearing feces in common bathroom downstairs. Six of twelve interviewees indicated having their own bathroom inside their bedroom area and not using the common bathroom by personal choice. (AD) Lauren Chon indicated staff will be reminded to keep common bathrooms unlocked at all times and be readily available for residents, staff and visitors. CONTINUED...

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alisa Ortiz	TELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Rosie Quiroz	TELEPHONE: (559) 753-4610
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2023

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-20230808165111

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: CAMBRIDGE COURT	FACILITY NUMBER: 306004761
	VISIT DATE: 08/16/2023

NARRATIVE

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CONTINUED...Therefore based on the preponderance of evidence gathered through interviews and observations conducted by LPA Quiroz on today's date, the allegation that the "Residents do not have access to the bathroom," was found to be UNSUBSTANTIATED, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

No deficiencies cited during today's visit.

An exit interview was conducted with Administrator Lauren Chon and a copy of today's report was provided.

SUPERVISOR'S NAME: Alisa Ortiz	TELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Rosie Quiroz	TELEPHONE: (559) 753-4610
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2023

LIC9099 (FAS) - (06/04)

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