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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005316
Report Date: 04/29/2026
Date Signed: 04/29/2026 04:13:24 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
04/21/2026 and conducted by Evaluator Fred Arias
COMPLAINT CONTROL NUMBER: 22-AS-20260421135811
FACILITY NAME:ANAHEIM CROWN PLAZAFACILITY NUMBER:
306005316
ADMINISTRATOR:GERARDO RODRIGUEZFACILITY TYPE:
740
ADDRESS:641 SOUTH BEACH BLVDTELEPHONE:
(714) 827-7007
CITY:ANAHEIMSTATE: CAZIP CODE:
92804
CAPACITY:200CENSUS: 153DATE:
04/29/2026
UNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Jerry PerezTIME COMPLETED:
04:27 PM
ALLEGATION(S):
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9
Staff do not ensure that residents receive medical services as necessary.
Staff falsify documents regarding residents.
Staff do not ensure that residents are accorded privacy.
INVESTIGATION FINDINGS:
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13
Licensing Program Analyst (LPA) Fred Arias conducted an unannounced complaint visit to finalize an investigation into the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit.

It was alleged staff do not ensure that residents receive medical services as necessary, staff falsify documents regarding residents, and staff do not ensure that residents are accorded privacy. LPA conducted interviews with staff and residents. LPA reviewed records obtained.

The investigation determined as follows: Regarding the allegation staff do not ensure that residents receive medical services as necessary, it was reported staff refuses to transport residents a few miles to physician appointments. Interviews with three out of nine residents stated they have taken the facility van for medical appointments or outings. Four out of the remaining six residents stated the facility has assisted in arranging transportation for medical appointments.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Fred Arias
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2026
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
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
04/21/2026 and conducted by Evaluator Fred Arias
COMPLAINT CONTROL NUMBER: 22-AS-20260421135811

FACILITY NAME:ANAHEIM CROWN PLAZAFACILITY NUMBER:
306005316
ADMINISTRATOR:GERARDO RODRIGUEZFACILITY TYPE:
740
ADDRESS:641 SOUTH BEACH BLVDTELEPHONE:
(714) 827-7007
CITY:ANAHEIMSTATE: CAZIP CODE:
92804
CAPACITY:200CENSUS: 153DATE:
04/29/2026
UNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Jerry PerezTIME COMPLETED:
04:27 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff force residents to use a physician not of their own choosing.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Fred Arias conducted an unannounced complaint visit to finalize an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit.

It was alleged staff force residents to use a physician not of their own choosing. LPA conducted interviews with staff and residents.

The investigation determined as follows: Regarding the allegation staff force residents to use a physician not of their own choosing, it was reported staff forces residents to switch from their current physician to a specific physician. Interviews with two out of nine residents stated they were not provided a choice of physicians and was assigned a physician upon their previous physician being no longer available. Three out of the remaining seven residents stated they have a physician they see outside of the facility. The remaining four residents stated they chose their own physician and were not obligated by anyone to choose a specific physician.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Fred Arias
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 22-AS-20260421135811
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: 04/29/2026
NARRATIVE
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Interviews with four out of four staff stated residents can select the physician of their choice and are not obligated to choose a specific one. Two out of the four staff added the facility does not recommend any particular physician to residents.

Based on resident and staff interviews, the 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: Alisa Ortiz
LICENSING EVALUATOR NAME: Fred Arias
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4
Control Number 22-AS-20260421135811
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: 04/29/2026
NARRATIVE
1
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3
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5
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 One out of remaining two residents stated they are aware of the transportation services but has not asked to use it. The remaining resident stated they drive themselves to appointments. Interviews with four out of four staff stated the facility staff will assist in arranging transportation for residents. Record review revealed six sign up sheets from March 6, 2026 through April 28, 2026 for dinner and shopping outings listing multiple residents. In addition, LPA reviewed five daily appointment calendars for medical appointments for several residents dated April 23, 2026 through April 29, 2026. The facility admission agreement, plan of operation, and resident handbook state the facility will provide transportation for medical and non-medical appointments up to a five mile radius.

Regarding the allegation staff falsify documents regarding residents, it was reported the in house home health staff documents resident therapies that do not take place. Interviews with three out four staff stated the home health nurse that is at the facility often is not an employee. Two out of the three staff added the home health nurse works for a separate entity not related to the facility or licensee. The remaining staff did not add anything relevant to the allegation. Interview with witness 1 (W1) stated they are not an employee of the facility and is employed by Healthy Life Home Care. W1 added although they spend a significant amount of time at the facility due to the number of residents they attend to, they also support residents at another facility through the home health agency. LPA reviewed the LIC500 facility staff roster form and did not see W1 listed as a staff member. LPA conducted a business search on the California Secretary of State website and did not find any relation between Anaheim Crown Plaza and Healthy Life Home Care.

Regarding the allegation staff do not ensure that residents are accorded privacy, it was reported staff members are present during physician consults with residents. Nine out of nine residents stated they have never had facility staff present when meeting with their physician. Three out of four staff stated physicians may be escorted to resident rooms to assist in locating residents or opening resident doors. Those three staff stated they leave the room before the physician begins the consultation. The remaining staff stated staff is not present in the rooms during a physician consultation.

Based on interviews and record review, LPA is unable to corroborate the allegations. Therefore, the allegations are deemed to be UNFOUNDED, meaning that the allegations were false, could not have happened and/or is without a reasonable basis.

An exit interview was conducted and a copy of the report was left with the facility.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Fred Arias
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4