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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005362
Report Date: 08/29/2025
Date Signed: 08/29/2025 05:50:45 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
09/03/2021 and conducted by Evaluator Michael Tea
COMPLAINT CONTROL NUMBER: 22-AS-20210903132128
FACILITY NAME:LP CARE HOMEFACILITY NUMBER:
306005362
ADMINISTRATOR:TRAN, LINDAFACILITY TYPE:
735
ADDRESS:8791 MONTEREY CIRCLETELEPHONE:
(714) 622-5764
CITY:WESTMINSTERSTATE: CAZIP CODE:
92683
CAPACITY:6CENSUS: 5DATE:
08/29/2025
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Phil TranTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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- Patients rights are being violated
- Reporting requirements are not being met
- Facility is not following Covid precautionary measures
- Medication is not being given to client as prescribed
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 (AD) Phil Tran arrived later to assist with the visit.

The Department received a complaint on September 3, 2021. LPA Tea spoke to clients and facility staff and reviewed and collected pertinent documents and information.

It was alleged that patient rights are being violated. LPA interviewed a witness who stated that former client, Client 1 (C1) was told not to get the Covid-19 vaccine by Staff 1(S1). C1 was not allowed to make any of their own medical decisions. They said S1 controls C1 and the clients at the facility. It makes C1 become paranoid. LPA interviewed S1 and they said that the clients did not want to take the Covid
(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-20210903132128
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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vaccine and it was their choice. There were girls that take it because they were conserved by their family. S1 said the clients are not influenced or force to do anything and that goes not with just medical stuff but with everything. AD Tran who has a nurse background says he heavily advocates for their rights. At the time, most of the clients said no to the vaccine. He stated that a family member of C1 wanted her to take the vaccine. Per interviews with current clients at the facility, four out four have similarly stated that they make their own individual medical choices. None of the staff at the facility has ever influence or force to make decisions about their health. One client did complain that a representative from Orange County Regional Center was adamant about having them get the Covid vaccine. Another client address they are aware of their rights and that they read about their rights on the sign of Personal Rights downstairs in the living room.

It was alleged that reporting requirements are not being met. A witness stated that the facility never reported Covid infections to licensing or Orange County Public Health at the time. When C1 came to visit, they tested positive. Clients were infected with Covid and the facility did not follow proper Covid protocol. AD Tran said the facility absolutely followed the reporting requirements with Covid. They reported Covid cases to Licensing, Regional Center and Public Health. S1 also stated they reported to the proper agencies or authorities when someone was infected with Covid. Three out of four clients stated that the staff did report when someone was sick with Covid. The other client does not remember.

It was alleged that facility is not following Covid precautionary measures. 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 when they did not have one. There are hand sanitizers. Clients mention there are signs posted in the bathroom in how to wash their 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 medication is not being given to client as prescribed. LPA spoke to a witness that stated C1 had a bad seizure because the facility had changed pharmacy, and the new pharmacy gave C1 a generic (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-20210903132128
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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version of their prescription medication. C1 had adverse reactions. AD Tran said at the time, insurance did not cover anymore the brand name medication and provided a generic version. The facility did tell the doctor about the issue and address it. For the most part they were following doctor’s order with medication. S1 stated they are following the doctor’s order with all medication, they felt it was doctor was at fault regarding giving a generic version of the medication. The doctor told C1 should not consume alcohol because of the medication, but alcohol was given by a relative while C1 was offsite. C1 stated that they received their medication. They had switch medication but C1 does not use that medication anymore. All four current clients at the facility interviewed regarding about medication agreed that the facility do a good job of giving them their medication as prescribed. One client gets woken up on time in the morning to take their morning medication because they have to take it at the correct time.

Therefore, based on LPA Tea's observations and interviews conducted and records reviewed the allegations that patient rights are being violated, reporting requirements are not being met, facility is not following Covid precautionary measures, and medication is not being given to client as prescribed has been determined to be UNSUBSTANTIATED meaning that although the 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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