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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005350
Report Date: 09/22/2025
Date Signed: 09/22/2025 03:26:52 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
05/17/2022 and conducted by Evaluator Ruth Martinez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20220517113628
FACILITY NAME:REGENCY, THEFACILITY NUMBER:
306005350
ADMINISTRATOR:JENNIFER TURGEONFACILITY TYPE:
740
ADDRESS:24441 CALLE SONORATELEPHONE:
(949) 830-8057
CITY:LAGUNA WOODSSTATE: CAZIP CODE:
92637
CAPACITY:0CENSUS: 0DATE:
09/22/2025
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Zehra SyedTIME COMPLETED:
02:40 PM
ALLEGATION(S):
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Staff injured resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced visit to the facility to conclude the investigation into the above identified complaint allegation. LPA arrived at the facility and was greeted at the door and granted entry. LPA spoke with Zehra Syed, Executive Director, and explained the purpose of the visit.

Findings are based upon this investigation which included facility file review, facility tour, and interviews conducted.
It is alleged that staff injured a resident, specifically to have hematoma to left leg. Interview with 2 of 2 staff resident (R1) was sent to the hospital on May 12, 2022, and returned May 13, 2022, with a wound to left leg. R1 was sent to the hospital due to weakness and inability to swallow. Interview with staff from Saddleback hospital R1 had a blood blister noted at the time of visit and the hospital treated it by
Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Ruth Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2025
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 2
Control Number 22-AS-20220517113628
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: REGENCY, THE
FACILITY NUMBER: 306005350
VISIT DATE: 09/22/2025
NARRATIVE
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removing it which caused it to have an open wound and hematoma. It wasn’t noticed that residents came in with hematoma. The resident was admitted due to weakness and inability to swallow no hematoma was noted. LPA visit the facility on May 17, 2022, and entered R1’s apartment upon visit the LPA noted 2 caregivers helping with transferring R1 from wheelchair to bed. LPA noted that one caregiver had their pager in the pant pocket in the lower leg side and the other caregiver had a pager secured to clip on the waist. Neither pager was noted to be dangling from the body of staff, upon observations LPA did not note pagers coming in contact with R1’s left leg. It was observed R1 had a left lower leg wrapped in bandages and R1 explained that they had a blood blister and hospital removed it. It was noted R1 had a bit of bruising around the open wound but did not observe a hematoma or larger scale bruising.

Based on the information mentioned above, the Department is unable to ascertain if the allegation occurred as reported. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated.

An exit interview was conducted with the Executive Director and a copy of this LIC9099 report was left at facility.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Ruth Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2025
LIC9099 (FAS) - (06/04)
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