306005804-2-25-2025-22-AS-SSAS-DEC3BS-20250228170649

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005804
Report Date: 02/25/2025
Date Signed: 02/25/2025 04:58:41 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
02/20/2025 and conducted by Evaluator Kevin Saborit-Guasch

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20250220110817

FACILITY NAME:	MERIDIAN AT LAGUNA HILLS, THE		FACILITY NUMBER:	306005804
ADMINISTRATOR:	JENSEN, ERIC		FACILITY TYPE:	740
ADDRESS:	24552 PASEO DE VALENCIA BLDG A		TELEPHONE:	(949) 581-6111
CITY:	LAGUNA HILLS	STATE: CA	ZIP CODE:	92653
CAPACITY:	200	CENSUS:	DATE:	02/25/2025
		UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Eric Jensen, Executive Director		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff are mismanaging residents' medications.

Staff are not ensuring that residents are administered their medications as prescribed.

INVESTIGATION FINDINGS:

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On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting the initial investigation into the two allegations listed above. LPA was greeted and granted entry by front desk staff after introducing himself and stating the purpose of the visit. Executive Director Eric Jensen was present and assisted with the visit.

During the visit, LPA requested the current facility resident census, staff roster along with the list of residents under medication management by facility staff. LPA toured the physical plant and reviewed the medication administration process as well as reviewed the administration records for five randomly selected residents. Resident records for eight residents were also requested and reviewed. Three staff were interviewed along with eight conducted or attempted resident interviews.

CONTINUED ON FORM LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025

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-20250220110817

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: MERIDIAN AT LAGUNA HILLS, THE	FACILITY NUMBER: 306005804
	VISIT DATE: 02/25/2025

NARRATIVE

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CONTINUED FROM FORM LIC9099
Regarding the allegations that Staff are mismanaging residents' medications and that Staff are not ensuring that resident's are administered their medications as prescribed, the following has been concluded: Based on a tour of the facility's medication room as well as review of the medication administration records and resident records for a selection of randomly selected residents as well as staff and resident interviews conducted, there have been no discrepancies observed between the prescriptions on file and the medication dispensed.

The five residents for whom the electronic medication administration records were reviewed showed consistently delivered medication for each of the prescribed doses. A majority of residents interviewed additionally reported no issues with their medications or concerns with their administration. Two residents however made statements indicating that on occasional instances they had advised facility staff that medication might be missing. There is however no additional evidence allowing the Department to indicate the dates of the stated incidents nor the medications involved. Doses were later found to have stuck to the bubble packs and were eventually dispensed correctly per the statements made. All resident records reviewed also found no inconsistencies between the assessed ability to managed medication and the reviewed residents' status on medication management. Additionally, medication was verified to be in its original packaging including a prescription label bearing the required information.

There is therefore insufficient evidence to corroborate the allegations. The allegations are thus found to be Unsubstantiated, meaning that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted and a copy of this report was provided to a facility representative.

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025

LIC9099 (FAS) - (06/04)

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