306005730-12-1-2022-22-AS-SSAS-CQ52AM-20230320171345

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005730
Report Date: 12/01/2022
Date Signed: 12/01/2022 01:12:32 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
02/03/2022 and conducted by Evaluator Michelle Reed

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20220203165657

FACILITY NAME:	MERIDIAN AT ANAHEIM HILLS, THE		FACILITY NUMBER:	306005730
ADMINISTRATOR:	BOTTINELLI, SHEILA		FACILITY TYPE:	740
ADDRESS:	525 S ANAHEIM HILLS ROAD		TELEPHONE:	(714) 974-2226
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92807
CAPACITY:	120	CENSUS: 75	DATE:	12/01/2022
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Sheila Botinelli		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Staff left resident in soiled clothing for an extended period of time.
Resident used another residents personal belonging(s).
Residents personal belongings blocking heater system.
Staff are not wearing masks

INVESTIGATION FINDINGS:

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Licensing Program Analyst Michelle Reed arrived at the facility to deliver the findings of this complaint investigation. Upon arrival, LPA met with Administrator Sheila Botinelli. The investigation consisted of interviews and a review of R1's records. The memory care unit was also toured. Staff were all wearing masks and residents were having lunch.

Resident #1(R1) was admitted into the Memory Care unit on 11/30/21. R1 was admitted with Hospice services. R1 needed assistance with all her Activities of Daily Living. The Hospice nurse would visit 1 day a week and the shower aid 3x a week. Facility staff showered and changed R1 as needed.

On 2/9/22 LPA toured the Memory Care unit. Resident #1's room was also inspected. During the visit LPA did not note any personal belongings of R1 blocking the heater system. LPA did not notice any other resident belongings in R1's room. There was only 1 toothbrush present in the room. Staff were wearing masks during the visit but were reminded to pull mask over their nose. R1 was in the activity room during the time of visit and presented with good hygiene and clean clothing. R1 moved from the facility on 2/25/22.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Sheila Santos	TELEPHONE: (714) 703-2857
LICENSING EVALUATOR NAME: Michelle Reed	TELEPHONE: (714) 743-4958
LICENSING EVALUATOR SIGNATURE:	DATE: 12/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 22-AS-20220203165657

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: 12/01/2022

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	Based upon interviews with staff and a review of C1's records, these allegations are unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Administrator Sheila Botinelli and a copy of this report was provided.

SUPERVISOR'S NAME: Sheila Santos	TELEPHONE: (714) 703-2857
LICENSING EVALUATOR NAME: Michelle Reed	TELEPHONE: (714) 743-4958
LICENSING EVALUATOR SIGNATURE:	DATE: 12/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2022

LIC9099 (FAS) - (06/04)

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