306005316-1-15-2026-22-AS-APAO-DQR637-20260127192638

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005316
Report Date: 01/15/2026
Date Signed: 01/15/2026 03:00:49 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
01/09/2026 and conducted by Evaluator Hanna Gough

COMPLAINT CONTROL NUMBER: 22-AS-20260109133915

FACILITY NAME:	ANAHEIM CROWN PLAZA		FACILITY NUMBER:	306005316
ADMINISTRATOR:	GERARDO RODRIGUEZ		FACILITY TYPE:	740
ADDRESS:	641 SOUTH BEACH BLVD		TELEPHONE:	(714) 827-7007
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92804
CAPACITY:	200	CENSUS: 147	DATE:	01/15/2026
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Gerardo Rodriguez		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Staff withheld resident P&I monies

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct an investigation into the above mentioned complaint allegation. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Gerardo Rodriguez and discussed the purpose of the visit.

The investigation into the allegation of Staff withheld resident P&I monies revealed the following: LPA observed an admission agreement for Resident #1(R1) that was signed by R1 on April 14, 2023. R1 moved out from the facility on December 3, 2025. LPA observed an identification and emergency information form for R1 stating that ROG services and OASIS is the responsible party for R1s financial affairs. LPA observed a letter from OASIS to ROG services stating how they will split R1s financials. LPA observed an email correspondence from R1s payee representative from ROG services with facility staff that confirms the identification of R1s payee. LPA observed a pre-placement appraisal for R1 dated April 11, 2023, stating that R1 is independent with all activities of daily living. LPA also observed that help in managing own cash resources was marked as yes and noted that R1 has a payee. Continue on LIC9099C

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Hanna Gough
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026

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-20260109133915

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: ANAHEIM CROWN PLAZA	FACILITY NUMBER: 306005316
	VISIT DATE: 01/15/2026

NARRATIVE

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This document was signed by facility staff and R1. LPA observed a physicians report for R1 dated February 20, 2023, stating that R1 can manage their own cash resources.

Upon interviews it was revealed by R1 that the facility never handled their money. It was revealed by R1 that they had a payee and the payee handled their cash resources. R1 revealed to LPA that the facility never owed them money, but the payee did.

Upon interviews with two of two staff it was revealed that the facility does not manage resident cash resources, including R1. Two of two staff informed LPA that R1 had a payee that handled their cash resources. One of two staff informed LPA that the payee would pay the rent and then give R1 their left over allowance.

Based on the evidence gathered and interviews conducted, the Department finds that the allegation is unfounded. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

An exit interview was conducted and a copy of this report was left at the facility.

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Hanna Gough
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026

LIC9099 (FAS) - (06/04)

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