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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005316
Report Date: 08/22/2025
Date Signed: 08/22/2025 01:38:14 PM

Substantiated


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
07/01/2024 and conducted by Evaluator Joseph Alejandre
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20240701161612
FACILITY NAME:ANAHEIM CROWN PLAZAFACILITY NUMBER:
306005316
ADMINISTRATOR:JOHNSON, CAMMYFACILITY TYPE:
740
ADDRESS:641 SOUTH BEACH BLVDTELEPHONE:
(714) 827-7007
CITY:ANAHEIMSTATE: CAZIP CODE:
92804
CAPACITY:200CENSUS: 138DATE:
08/22/2025
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Jerry RodriguezTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Staff engaged in sexual favors with resident
Staff financially abused resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Joseph Alejandre conducted an unannounced visit to deliver the findings of the complaint investigation into the allegations listed above. LPA was greeted and granted entry into the facility. LPA met with Administrator Jerry Rodriguez and explained the reason for the visit. During the course of the investigation, the department interviewed staff, residents, and witnesses as well as reviewed and obtained pertinent documentation such as Police records, Resident records and facility policy documents. It was alleged that staff engaged in sexual favors with resident. The investigation revealed the following. Staff 1 (S1) reported that in June 2024, Resident 1 (R1) informed them that they had paid Staff 2 (S2) to let them see and touch their breasts. Anaheim Police Department was contacted and visited the facility on July 1, 2024, and interviewed R1. Anaheim Police Department did not believe a crime had been committed and no report was written. According to Anaheim Police Department dispatch records the call was cleared with a visit and alleged victim (R1) reported no financial or sexual abuse and R1 reported they did not need assistance.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2025
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 5
Control Number 22-AS-20240701161612
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: 08/22/2025
NARRATIVE
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During the investigation the Department interviewed R1. R1 denied the allegation. R1 reported they have never engaged in any type of sexual activity with any staff member. S2 was interviewed and admitted to taking off their blouse and bra and allowing R1 to touch their breasts for $100.00. S2 reported that it only happened one time and they did not touch R1. S2 denied having any other sexual relations with any other residents. S2 could not recall the exact date and time of the incident. Based on the evidence gathered, the preponderance of evidence standard has been met, therefore the allegation, staff engaged in sexual favors with resident, is substantiated.

The investigation into the allegation, staff financially abused resident, revealed the following. It was alleged that staff was taking money from a resident to pay for their expenses. Staff 1 (S1) reported that Resident 1 (R1) informed them that they had given $600.00 to Staff 2 (S2). Staff 3 (S3) reported that S2 informed them they had received a gift card from R1, but they did not actually see it. Three residents interviewed reported no staff members have ever asked them for money. The Administrator reported that they have not received any reports of staff asking for money from residents. The Administrator reported that accepting gifts or asking for money from residents is against company policy. R1 reported that they gave S2 $40.00 for a parking ticket and told S2 to pay it back and they also gave S2 $50.00 for a manicure. S2 reported that R1 had given them $35.00 for a parking ticket and $50.00 for a manicure. S2 denied taking any other money from R1. S2 would not explain if the money was a gift or a loan. 4 out of 4 residents interviewed reported staff have never asked for money and they have never given money to staff. Based on the evidence gathered, the preponderance of evidence standard has been met, therefore the allegation is substantiated.

Deficiencies are being cited per Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was provided to the facility representative along with appeal rights.

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 22-AS-20240701161612
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/25/2025
Section Cited
CCR
87468.1(a)(1)
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To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not being met as evidenced by,
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Licensee will retrain all staff on resident rights (CCR 87468.1) and sign a statement of understanding for CCR 87468.1. Licensee to forward proof to LPA by the POC due date.
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Staff 2 (S2) admitted to letting Resident 1 (R1) see and touch their breasts for money. This poses an immediate, health, safety and personal rights risk to residents in care.
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Type A
08/25/2025
Section Cited
CCR
87468.1(a)(3)
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To be free from punishment, humiliation, abuse or other actions of a punitive nature… This requirement is not being met was evidenced by,
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Licensee will retrain all staff on resident rights (CCR 87468.1) and sign a statement of understanding for CCR 87468.1. Licensee to forward proof to LPA by the POC due date.
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Staff 2 (S2) admitted to accepting and keeping money from Resident 1 (R1) which poses an immediate personal rights risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
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
07/01/2024 and conducted by Evaluator Joseph Alejandre
COMPLAINT CONTROL NUMBER: 22-AS-20240701161612

FACILITY NAME:ANAHEIM CROWN PLAZAFACILITY NUMBER:
306005316
ADMINISTRATOR:JOHNSON, CAMMYFACILITY TYPE:
740
ADDRESS:641 SOUTH BEACH BLVDTELEPHONE:
(714) 827-7007
CITY:ANAHEIMSTATE: CAZIP CODE:
92804
CAPACITY:200CENSUS: 140DATE:
08/22/2025
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Jerry Rodriguez TIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Staff did not prevent residents from financial abuse by unknown perpetrator
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Joseph Alejandre conducted an unannounced visit to deliver the findings of the complaint investigation into the allegation listed above. LPA was greeted and granted entry into the facility. LPA met with Administrator Jerry Rodriguez and explained the reason for the visit. The investigation into the allegation, staff did not prevent residents from financial abuse by unknown perpetrator, revealed the following. Resident 4 (R4) reported that $300.00 had been taken from them when they first moved in while they were at the hospital and they left their purse in their room. R4 could not recall the date and did not report it to anyone. R4 stated that on June 9, 2024, they noticed $100.00 missing. R4 reported that it could have been one of the staff because they have access to all the residents’ rooms. R4 stated that they reported it to the Administrator, but nothing happened. Resident 5 (R5) reported that $40.00 was stolen from them that they kept in their room. R5 reported that it was one of the caregivers but could not provide any names or details. R5 stated they did not know exactly when the money was taken from their room. 5 out of 5 staff interviewed reported they have never taken any money or belongings from residents.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2025
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 5
Control Number 22-AS-20240701161612
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: 08/22/2025
NARRATIVE
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The Administrator reported that all the staff interviewed denied taking anyone’s money or belongings. The Administrator reported that R4’s report was investigated but there was no evidence to prove anyone at the facility took their money. The Administrator reported that R5 never reported any type of theft, so it was not investigated. No witnesses were identified who had firsthand knowledge of the incidents where money was taken from residents. Based on the evidence gathered, LPA is unable to ascertain if the allegation, staff did not prevent residents from financial abuse by unknown perpetrator, occurred as reported due to insufficient evidence. Therefore, the allegation has been deemed to be unsubstantiated, meaning there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted and a copy of the report provided.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5