<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005527
Report Date: 05/01/2026
Date Signed: 05/01/2026 03:15:43 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
02/05/2026 and conducted by Evaluator Brandon Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20260205171850
FACILITY NAME:AGAPE SENIOR HOMES LLCFACILITY NUMBER:
306005527
ADMINISTRATOR:FISCHER, LONNIEFACILITY TYPE:
740
ADDRESS:11442 NEWPORT AVETELEPHONE:
(714) 393-2308
CITY:SANTA ANASTATE: CAZIP CODE:
92705
CAPACITY:6CENSUS: 4DATE:
05/01/2026
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Licensee Lonnie FischerTIME COMPLETED:
03:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee did not complete an individual written admission agreement with each resident or their resident's representative, upon admission
Licensee did not provide resident or resident's authorized representative a comprehensive description of billing and payment procedures
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On May 1, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to deliver the complaint findings. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Licensee Lonnie Fischer was notified via telephone and later arrived to assist with the inspection.

During the course of the investigation, LPA conducted staff interviews, a witness interview, reviewed and obtained pertinent documents for this complaint. Regarding the allegation, Licensee did not complete an individual written admission agreement with each resident or their resident's representative, upon admission, the following has been concluded: It was alleged that the Licensee did not complete an individual written admission agreement with Resident #1 (R1) upon admission. Per Title 22 Division 6 Section 87507(c), it states: "Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident’s representative, if any, and the licensee or the licensee’s designated representative no later than seven days following admission.
CONTINUED ON LIC9099-C

Substantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2026
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 5
Control Number 22-AS-20260205171850
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: AGAPE SENIOR HOMES LLC
FACILITY NUMBER: 306005527
VISIT DATE: 05/01/2026
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
Attachments to the agreement may be utilized as long as they are also signed and dated as prescribed above." LPA conducted a file review for R1 and observed that R1 was admitted to the facility on October 25, 2025. LPA observed that there was an admission agreement on file for R1, however, it was not signed by R1’s power of attorney, Witness #1 (W1), until January 9, 2026. LPA observed that the admission agreement was not signed by the Licensee until January 16, 2026. Based on a review of the admission agreement on file for R1, LPA observed that the admission agreement was not signed by either party within the seven day period following R1’s admission into the facility as required by regulations. LPA conducted an interview with W1. W1 confirmed that she was not provided with an admission agreement upon R1’s admission into the facility, and that she did not sign an admission agreement until January 9, 2026. LPA conducted an interview with the Licensee. The Licensee denied the allegation and stated that he provided W1 with an admission agreement upon R1’s admission into the facility. However, the Licensee was unable to provide any documents to support that he provided W1 with an admission agreement and was unable to provide any documents to support that follow up attempts were made to have W1 sign the admission agreement.

Regarding the allegation, Licensee did not provide resident or resident's authorized representative a comprehensive description of billing and payment procedures, the following has been concluded: It was alleged that the Licensee did not provide R1 or R1's authorized representative with a comprehensive description of billing and payment procedures. LPA reviewed the admission agreement on file for R1. LPA observed that the admission agreement did not specify the basic services to be provided to R1, or the payment provisions of the contract. Additionally, LPA observed that the admission agreement did not specify a comprehensive description of any items or services that would be provided to R1. Furthermore, the Licensee was also unable to provide any documents during the investigation to support that he provided R1, or R1’s authorized representative a comprehensive description of billing and payment procedures during R1’s stay at the facility.

Based on the evidence gathered during this investigation, the Department obtained sufficient evidence to substantiate the allegations, Licensee did not complete an individual written admission agreement with each resident or their resident's representative, upon admission, and Licensee did not provide resident or resident's authorized representative a comprehensive description of billing and payment procedures. The preponderance of evidence standards has been met; therefore, the above allegations are deemed SUBSTANTIATED. Deficiencies are being cited on the attached LIC9099-D page. An exit interview was conducted with Licensee Lonnie Fischer. A copy of the report and appeal rights were provided at time of visit.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 22-AS-20260205171850
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: AGAPE SENIOR HOMES LLC
FACILITY NUMBER: 306005527
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/01/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/11/2026
Section Cited
CCR
87507(c)
1
2
3
4
5
6
7
87507 Admission Agreements: (c) Admission agreements shall be signed and dated.. by the resident or the resident’s representative, if any, and the licensee or the licensee’s designated representative no later than seven days following admission...
This requirement was not evidenced by:
1
2
3
4
5
6
7
The Licensee stated that he will complete a statement of understanding regarding the regulation. The Licensee agreed to provide LPA the statement via email or fax by POC date.
8
9
10
11
12
13
14
Based on interviews and records reveiwed, the Licensee did not ensure that an admission agreement was signed for Resident #1 within the same day period following admission per regulations. This poses a potential health, safety, and personal rights risk to persons in care.
8
9
10
11
12
13
14
Type B
05/11/2026
Section Cited
CCR
87507(g)
1
2
3
4
5
6
7
87507 Admission Agreements: (g) Admission agreements shall specify the following:

This requirement is not evidenced by:
1
2
3
4
5
6
7
The Licensee stated that he will complete a statement of understanding regarding the regulation. The Licensee also stated that he will used his approved admission agreement moving forward. The Licensee agreed to provide LPA the statement via email or fax by POC date.
8
9
10
11
12
13
14
Based on interviews conducted and records reviewed, the Licensee did not ensure that the admission agreement for Resident #1 contained all the required components such as basic services, payment provisions, etc..
This poses a potential health, safety, and personal rights risk to persons in care.
8
9
10
11
12
13
14
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: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2026
LIC9099 (FAS) - (06/04)
Page: 3 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
02/05/2026 and conducted by Evaluator Brandon Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20260205171850

FACILITY NAME:AGAPE SENIOR HOMES LLCFACILITY NUMBER:
306005527
ADMINISTRATOR:FISCHER, LONNIEFACILITY TYPE:
740
ADDRESS:11442 NEWPORT AVETELEPHONE:
(714) 393-2308
CITY:SANTA ANASTATE: CAZIP CODE:
92705
CAPACITY:6CENSUS: 4DATE:
05/01/2026
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Licensee Lonnie FischerTIME COMPLETED:
03:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee did not provide or give resident access to review all of their records including written appraisals
Licensee is falsifying resident records
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On May 1, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to deliver the complaint findings. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Licensee Lonnie Fischer was notified via telephone and later arrived to assist with the inspection.

During the course of the investigation, LPA conducted staff interviews, a witness interview, reviewed and obtained pertinent documents for this complaint. Regarding the allegation, Licensee did not provide or give resident access to review all of their records including written appraisals, the following has been concluded: It was alleged that the Licensee did not provide or give Resident #1 (R1) access to review all of their records. Per Title 22 Division 6 Section 87468.2 (a)(19), it states: "(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: CONTINUED ON LIC9099-C
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 22-AS-20260205171850
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: AGAPE SENIOR HOMES LLC
FACILITY NUMBER: 306005527
VISIT DATE: 05/01/2026
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
(19) To have prompt access to review all of their records and to purchase photocopies of their records. Photocopied records shall be provided within two (2) business days and at a cost that does not exceed the community standard for photocopies.” LPA conducted an interview with R1, however, LPA was unable to qualify R1 for an interview. LPA conducted an interview with R1’s power of attorney, Witness #1 (W1). W1 stated that she made request to the Licensee for records for R1. However, W1 was unable to provide any documents to LPA to support that these requests were made to the Licensee. LPA conducted an interview with the Licensee who denied the allegation and stated that he did not receive any request from W1 for records for R1.

Regarding the allegation, Licensee is falsifying resident records, the following has been concluded: LPA reviewed the files for the five residents that were in care at the time the complaint was received by the Department. LPA did not observe any discrepancies or indication of resident files being falsified. Additionally, LPA was unable to gather any documents during the investigation to corroborate the allegation. LPA conducted three staff interviews. Three out of the three staff interviewed denied the allegation.

Based on the evidence gathered during the investigation, the Department is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the two allegations are deemed UNSUBSTANTIATED. An exit interview was conducted with Licensee Lonnie Fischer and a copy of the report was provided at time of visit.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5