306005362-8-29-2025-22-AS-AORZ-DLVT6Q-20250926142729

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005362
Report Date: 08/29/2025
Date Signed: 08/29/2025 05:48:35 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
02/24/2022 and conducted by Evaluator Michael Tea

COMPLAINT CONTROL NUMBER: 22-AS-20220224141940

FACILITY NAME:	LP CARE HOME		FACILITY NUMBER:	306005362
ADMINISTRATOR:	TRAN, LINDA		FACILITY TYPE:	735
ADDRESS:	8791 MONTEREY CIRCLE		TELEPHONE:	(714) 622-5764
CITY:	WESTMINSTER	STATE: CA	ZIP CODE:	92683
CAPACITY:	6	CENSUS: 5	DATE:	08/29/2025
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Phil Tran		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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- Client not provided privacy in facility
- Facility not conducting proper covid screening procedures
- Staff not present on-site at facility

INVESTIGATION FINDINGS:

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On this day, Licensing Program Analyst (LPA) Michael Tea made an unannounced visit to conclude and deliver findings for a complaint investigation. LPA Tea was greeted and granted entry by facility staff and explained the reason for the visit. Administrator (ED) Phil Tran arrived later to assist with the visit.

The Department received a complaint on February 24, 2022. LPA Tea spoke to clients and facility staff and reviewed and collected pertinent documents and information.

It was alleged that the client was not provided privacy in facility. LPA interviewed four current clients at the facility and one former client, Client 1 (C1). Per interviews with current clients at the facility, all have agreed that the facility affords them privacy. No one is listening to their conversations or eavesdropping. Clients who shared rooms said there are no problems with privacy, and they feel they can talk freely about anything at home. However, the former client C1 said they felt there was a little bit but not a lot of privacy. C1 felt uncomfortable that there were other people standing in the other rooms listening. It made C1
(Complaint Report continued on LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Michael Tea
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2025

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-20220224141940

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: LP CARE HOME	FACILITY NUMBER: 306005362
	VISIT DATE: 08/29/2025

NARRATIVE

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uncomfortable and felt there was a lot of eavesdropping when they were on the phone. AD Tran helps to facilitate privacy with clients who share rooms. He would ask clients if the other clients can have some space when they are unhappy. C1 was not happy receiving phone calls from their mother. Both AD Tran and Staff 1 (S1) redirected C1 to talk to their mom in private.

It was alleged that facility not conducting proper Covid screening procedures. LPA spoke to a witness who visited the facility during Covid. The witness said they were visiting and noticing staff at the facility not wearing masks properly. None of the staff check their temperature. Clients did not have masks on. Current clients and staff at the facility interviewed believed the facility was following the proper covid screening procedures at the time. Clients and staff said that there was someone taking visitors temperature. They gave masks to people who were visiting and did not have one. There are hand sanitizers. Clients mention there are signs posted in the bathroom in how to wash hands and for twenty seconds. LPA noticed the facility has a box of masks and hand sanitizers by the front door. Former client C1 said sometimes the staff wear masks and would take temperatures. C1 also said that when someone was coughing the staff would ask them to wear a mask.

It was alleged that staff not present on-site at facility. A witness stated when they came to visit, C1 was there by themselves when they opened the door. However, C1 stated that there is one staff present, usually S1 would be at the facility. C1 mentioned that if S1 was not there they would wait at the park. All the current clients interviewed have mentioned when S1 was busy taking other clients to their appointments, they would be running late. It depends on the circumstances because they would arrive back from their day program or work early. The clients similarly said they did not wait long for S1 to return. They would wait in front of the house or near the park and S1 would pick them up as well. The facility is a level 2 home and most of them are mainly independent. AD Tran said that they can leave and go as they please, they just need to let the staff know where they are going. AD Tran also mentions the side gate is open and they can wait inside in the yard. LPA did look at clients Physician’s Reports for residents at the time of the complaint and all clients are able to leave the facility unassisted.

Therefore, based on LPA Tea's observations and interviews conducted and records reviewed the allegations client not provided privacy in facility, facility not conducting proper Covid screening procedures, and staff not present on-site at facility has been determined to be UNSUBSTANTIATED meaning that although the
(Complaint Report continued on LIC9099-C)

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Michael Tea
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 5

Control Number 22-AS-20220224141940

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: LP CARE HOME	FACILITY NUMBER: 306005362
	VISIT DATE: 08/29/2025

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32	allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. No deficiencies cited at this time and an exit interview was conducted with Administrator Phil Tran. A copy of the report and confidential names list were provided to the facility.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Michael Tea
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2025

LIC9099 (FAS) - (06/04)

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