306004796-11-18-2025-22-AS-APAO-DNRSC8-20251125124505

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004796
Report Date: 11/18/2025
Date Signed: 11/18/2025 04:16:12 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
01/15/2021 and conducted by Evaluator Jenifer Tirre

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20210115083303

FACILITY NAME:	HUNTINGTON TERRACE		FACILITY NUMBER:	306004796
ADMINISTRATOR:	HILES, LINDA		FACILITY TYPE:	740
ADDRESS:	18800 FLORIDA ST		TELEPHONE:	(714) 848-8811
CITY:	HUNTING BEACH	STATE: CA	ZIP CODE:	92648
CAPACITY:	185	CENSUS: 173	DATE:	11/18/2025
		UNANNOUNCED	TIME BEGAN:	07:15 AM
MET WITH:	Executive Director Mike Marion		TIME COMPLETED:	11:44 AM

ALLEGATION(S):

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Resdent requires a higher level of care
Responsible party placed a camera in residents room
Administrator is rude to residents and staff

INVESTIGATION FINDINGS:

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On this day Licensing Program Analyst (LPA) Jenifer Tirre made an unannounced subsequent visit to deliver complaint investigation findings. LPA was granted entry by staff. LPA Tirre discussed purpose of the visit and allegations with Executive Director Mike Marion.
The investigation consisted of interviews and review of Residents (R1) records such as Physician’s report, incident reports, Assessments and Needs and service plan.
The Investigation was completed by department and revealed the following:
On January 15, 2021, the department received allegations that resident requires a higher level of care, responsible party placed a camera in residents room and Administrator is rude to residents and staff.
Regarding allegation Resident requires a higher level of care, the following resident records were reviewed: Physician’s report dated 7/1/2019, Appraisal dated 4/1/2020 stated R1’s primary diagnosis as Parkinson’s Disease with a secondary diagnosis of Mild cognitive impairment and is able to follow directions. R1’s records list R1 as non ambulatory with required full assist in bathing, toileting, grooming and medication management. CONTINUED ON 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jenifer Tirre
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025

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 3

Control Number 22-AS-20210115083303

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: HUNTINGTON TERRACE	FACILITY NUMBER: 306004796
	VISIT DATE: 11/18/2025

NARRATIVE

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R1’s Needs and service plan dated 8/30/2020 states R1 needs full assist with bathing, dressing and transferring. Care plan states R1 is a potential fall risk and requires two person assist. Care plan states R1 needs to be reminded to use walker and wheelchair. Facility incident reports dated 7/10/20, 7/11/20 and 1/12/21 state that resident had witnessed falls while being assisted by staff and family during transferring. Resident had two assessments conducted, one on 9/28/20 and 11/1/20. Resident Assessment Level of care remained at level 5 for both assessments.

Based on staff interviews, Five staff members were interviewed regarding complaint allegations. one of five staff members (Staff 2) recalled that R1 was bed bound, difficult to transfer and needed total assist. S2 stated R1 used a wheelchair for support.

Four of five staff members interviewed do not recall R1 and their level of care needed. Two of five staff interviewed (S4 & S6) stated that if a resident required a higher level of care, an assessment would be done especially if Resident needed a two person assist. Interview with witness 1 (W1) states that R1 is paralyzed and needs full assist.

Based on conflicting information gathered the preponderance evidence has not been met deeming allegation resident requires a higher level of care to be UNSUBSTANTIATED meaning although the allegations may have happened or is valid, there is no preponderance of evidence to prove the alleged violations did or did not occur as reported.

Regarding allegation responsible party placed a camera in residents room, LPA Tirre reviewed resident 1’s (R1) file and did not observe any photo waivers or camera release in facility records. One of five staff members (S2) interviewed stated they were aware of R1 but not aware of R1 having a camera inside facility apartment. Staff interviews stated that facility policy if resident has a camera in room, resident is to have a sign posted on door indicating camera and sign a waiver/ camera release which is placed inside residents file. Staff 2 did not recall a posted sign on R1’s door. Resident 1 lived at facility between 4/1/2020 and moved out 1/16/2021. Resident is no longer residing at facility. Based on information provided, allegation responsible party placed a camera in residents room, although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violations did or did not occur as reported, therefore the allegation is deemed UNSUBSTANTIATED.

CONTINUED ON 9099C

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jenifer Tirre
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 22-AS-20210115083303

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: HUNTINGTON TERRACE	FACILITY NUMBER: 306004796
	VISIT DATE: 11/18/2025

NARRATIVE

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Regarding the allegation Administrator is rude to residents and staff, Investigation revealed the following: Interview with Witness 1, stated that staff 1 (S1) was acting Administrator at time complaint was received and is very unprofessional and rude towards people. Per interviews with five staff members, five of five staff members do not recall S1. LPA Tirre reviewed S1’s employee records and did not observe any notes or write up’s for misconduct. According to Staff 4, S1 worked out of corporate office and assisted inside facility for temporary period of time till a new Administrator came on board. Based on information provided, allegation Administrator is rude to residents and staff, although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violations did or did not occur as reported, therefore the allegation is deemed UNSUBSTANTIATED

An exit interview was conducted with Administrator Mike Marion and a copy of report was provided

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jenifer Tirre
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025

LIC9099 (FAS) - (06/04)

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