306004796-6-15-2026-22-AS-KSGH-DVLTEF-20260702143953

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004796
Report Date: 06/15/2026
Date Signed: 06/15/2026 04:57:56 PM

Unfounded

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
06/05/2026 and conducted by Evaluator Nancy Guillen

COMPLAINT CONTROL NUMBER: 22-AS-20260605140511

FACILITY NAME:	HUNTINGTON TERRACE		FACILITY NUMBER:	306004796
ADMINISTRATOR:	EMILY TURNER		FACILITY TYPE:	740
ADDRESS:	18800 FLORIDA ST		TELEPHONE:	(714) 848-8811
CITY:	HUNTINGTON BEACH	STATE: CA	ZIP CODE:	92648
CAPACITY:	185	CENSUS: 170	DATE:	06/15/2026
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Emily Turner		TIME COMPLETED:	05:12 PM

ALLEGATION(S):

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Facility staff did not ensure residents received assistance with PRN medications.
Facility staff did not ensure residents were charge in accordance with the admission agreement.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Nancy Guillen and Fred Arias conducted an unannounced complaint visit to finalize an investigation into the above allegations. LPAs were greeted and granted entry into the facility and explained the reason for the visit.

It was alleged the facility did not assist resident with PRN medications and facility did not charge resident in accordance with the admission agreement.

The investigation determined as follows: Regarding the allegation that facility did not provide assistance with PRN medications, it was reported staff denied assistance with application of ointment at the request of the resident who was unable to reach the affected area and is part of their care plan.

Continued on LIC 9099C

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Nancy Guillen
LICENSING EVALUATOR SIGNATURE:	DATE: 06/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2026

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 4

Control Number 22-AS-20260605140511

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: 06/15/2026

NARRATIVE

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Interviews with two out of four residents stated that they administer their own medication and have no issues. Both residents interviewed believe if they were to need additional help they would receive it from the staff. The two remaining residents interviewed receive medication assistance and do not report any problems or concerns. Three out of six staff stated they have not spoken to Resident 1(R1) regarding assistance with their medications and are unaware that they may require assistance. One of the three staff stated residents are assessed at least once a year or upon change of condition. The remaining three staff did not add anything relevant to the allegation.

Record review revealed that R1's "Assessment for Medication Self Management" dated February 19, 2025 determined the resident is able to self manage their medications and states the resident can physically take/apply medications. R1's Physician Report dated August 25, 2025 indicated the resident is able to manage their own medications without any assistance. Care Plan completed on November 18, 2025 for R1 states resident is able to self administer medications. R1's billing statement for June 2026 does not indicate any additional fees for medication management.

Regarding the allegation that facility did not charge in accordance with the admission agreement, it was reported residents are being charged for amenities they cannot use. Interview with four of the four residents stated that they are not charged a separate fee for the amenities such as the pool, putting green area or the club house. Per record review residents were notified on February 6, 2026 of the closed amenities with the most recent notice dated May 13, 2026 updating residents of continuing construction. Admission agreement for R1 dated January 18, 2025 and facility program do not have a separate charge for the amenities addressed above. R1's billing statement for June 2026 does not indicate any additional fees for amenities.

Based on interviews and record review, the following allegations above, are deemed Unfounded, meaning the allegations are false, could not have happened and/or are without a reasonable basis.

An exit interview was conducted and a copy of the report was left with the facility representative.

SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Nancy Guillen
LICENSING EVALUATOR SIGNATURE:	DATE: 06/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2026

LIC9099 (FAS) - (06/04)

Page: 4 of 4

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
06/05/2026 and conducted by Evaluator Nancy Guillen

COMPLAINT CONTROL NUMBER: 22-AS-20260605140511

FACILITY NAME:	HUNTINGTON TERRACE		FACILITY NUMBER:	306004796
ADMINISTRATOR:	EMILY TURNER		FACILITY TYPE:	740
ADDRESS:	18800 FLORIDA ST		TELEPHONE:	(714) 848-8811
CITY:	HUNTINGTON BEACH	STATE: CA	ZIP CODE:	92648
CAPACITY:	185	CENSUS:	DATE:	06/15/2026
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Emily Turner		TIME COMPLETED:	05:12 PM

ALLEGATION(S):

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Facility staff did not ensure courtyard was maintained in a safe condition.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Nancy Guillen and Fred Arias conducted an unannounced complaint visit to finalize an investigation into the above allegations. LPAs were greeted and granted entry into the facility and explained the reason for the visit.

It was alleged the facility is not maintained in a safe condition.

The investigation determined as follows: Regarding the allegation the facility is not maintained in a safe condition, it was reported that the berry trees drop fruit and debris onto the walkway and standing water creates moss causing slippery walking surfaces. Interviews for four of four residents stated that there are no issues with debris in common passageways. Three of the four residents added they have not witnessed any puddles at the facility. The remaining resident stated they have witnessed puddles after it rains. Two of the four residents added there has been a change in landscaping company who do a good job of keeping the outdoor area clean.
Continued of LIC 9099

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Nancy Guillen
LICENSING EVALUATOR SIGNATURE:	DATE: 06/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 22-AS-20260605140511

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: 06/15/2026

NARRATIVE

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Six out of six staff stated the outside areas of the facility are cleaned every day including walkways. Four out of six staff stated that during heavy rains, if there are puddles, those are drained immediately by opening drain pipes or using a pump. Per record review, landscaping contract was signed May 14, 2026 and are required to provide services 24 times per year. LPAs observed the outside areas are clean and clear of hazards.

Based on interviews and record review, the above allegation is therefore deemed unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted and a copy of the report was left with the facility representative.

SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Nancy Guillen
LICENSING EVALUATOR SIGNATURE:	DATE: 06/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2026

LIC9099 (FAS) - (06/04)

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