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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005730
Report Date: 11/16/2022
Date Signed: 01/26/2023 12:30:40 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
05/28/2021 and conducted by Evaluator Michelle Reed
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20210528114738
FACILITY NAME:MERIDIAN AT ANAHEIM HILLS, THEFACILITY NUMBER:
306005730
ADMINISTRATOR:BOTTINELLI, SHEILAFACILITY TYPE:
740
ADDRESS:525 S ANAHEIM HILLS ROADTELEPHONE:
(714) 974-2226
CITY:ANAHEIMSTATE: CAZIP CODE:
92807
CAPACITY:120CENSUS: 73DATE:
11/16/2022
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Sheila BottinelliTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Alcohol is accessible to resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst Michelle Reed arrived at the facility to deilver the findings of this complaint investigation. Upon arrival LPA met with Concierge George Roman. Administrator Sheila Bottinelli arrived at approximately 9:30am.

Resident #1(R1) was admitted into the Assisted Living side of the facility on 4/17/21. R1 had lived in the Independent living side of the facility prior. R1 was nonambulatory and needed assistance with some of her ADL's. R1 could not leave the facility unassisted and used a walker/wheelchair for ambulating. On 5/26/21 R1 was found in her room by staff with an altered level of conciousness and slurred speech. 911 was called.

R1 admitted to hospital staff that she had drank alcohol earlier in the day. Family admitted that R1 did have a sealed box of wine in her room and was not aware that R1 had drank alcohol. Administrator and staff interviewed stated that the faciity does not provide alcohol to residents.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sheila SantosTELEPHONE: (714) 703-2857
LICENSING EVALUATOR NAME: Michelle ReedTELEPHONE: (714) 743-4958
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
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-20210528114738
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: MERIDIAN AT ANAHEIM HILLS, THE
FACILITY NUMBER: 306005730
VISIT DATE: 11/16/2022
NARRATIVE
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Based upon interviews and a review of records this allegation is unsubstantiated, meaning that although alcohol was accessible to R1, there is not a preponderance of the evidence to prove that alcohol was provided by facility staff.

An exit interview was conducted and a copy of this report was provided to Sheila Bottinelli.
SUPERVISOR'S NAME: Sheila SantosTELEPHONE: (714) 703-2857
LICENSING EVALUATOR NAME: Michelle ReedTELEPHONE: (714) 743-4958
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2