306005804-4-30-2025-22-AS-APAO-DHSMFD-20250619093411

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005804
Report Date: 04/30/2025
Date Signed: 04/30/2025 03:41:02 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
04/22/2025 and conducted by Evaluator Alvaro Ramirez Jr.

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20250422091003

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: 68	DATE:	04/30/2025
		UNANNOUNCED	TIME BEGAN:	11:23 AM
MET WITH:	Eric Jensen-Administrator		TIME COMPLETED:	03:56 PM

ALLEGATION(S):

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Resident needs are not being met
Facility is in disrepair
Facility failed to address safety hazards resulting in resident falling

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced initial 10-Day complaint visit to initiate the investigation into the above allegations and to deliver the findings of the investigation. LPA was greeted and granted entry into the facility and met with Administrator (AD) Eric Jensen. LPA explained the purpose of the visit.

This agency has investigated the complaint alleging that Resident needs are not being met. Regarding the allegations, the following was revealed: During the course of the interviews two of seven individuals interviewed confirm the allegations. During the course of the investigation LPA reviewed documents including the Physician Report (LIC602A) dated March 12, 2025, for Resident 1 (R1). Per Physician report R1 is able to shower self, able to groom/dress self, able to feed self, able to care for own toileting needs and is able to manage and store own medications. LPA also reviewed The Meridian at Laguna Hills Resident Assessment dated March 27, 2025, for R1. Per Resident assessment R1's level of care is Level 1 and only needs
CONTINUED ON LIC9099-C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025

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-20250422091003

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: 04/30/2025

NARRATIVE

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assistance with their laundry. During the course of the interviews with Residents, R1 reported that staff assist her with her laundry. Per R2 his needs are being met and stated that staff are always on-time and courteous. During the course of the interviews with staff, Staff 1 (S1) reported that all needs for R1 are being met.

Regarding the allegation that facility is in disrepair, the following was revealed: During the initial visit on April 30, 2025, LPA tour the facility as well as bedrooms #108 and #530 and observed that the facility is in good repair. During the investigation LPA reviewed documents including The Meridian at Laguna Hills work orders dated March 29, 2025, through April 20, 2025. Per work orders the shower is clogged, the heater not working and/or A/C not working. Per work orders under technician notes it states fixed by vendor and/or done. During the course of the interviews with staff, S2 reported that before a resident moves in, maintenance will renovate the apartment. S2 reported that the heater and plumbing were not broken. Per R2 stuff breaks from time to time, it is common sense. R2 reported that maintenance usually gets work orders completed within 24 hours or less.

Regarding the allegation that facility failed to address safety hazards resulting in resident falling, the following was revealed: During the initial visit LPA tour the bedroom on the first floor for R1 and observed the bedroom to be empty. During the initial visit LPA tour the current bedroom on the fifth floor for R1 and observed that the bedroom hallways are kept free of obstruction. During the course of the interviews with residents, R2 reported that there are never safety hazards resulting in residents falling. R2 reported that staff are always cleaning and picking up trash. Per R3 he has not seen safety hazards and reported that he can navigate his wheelchair fine. During the course of the interviews with staff, S1 reported that facility did not failed to address safety hazards. S1 reported that the bedrooms get cleaned weekly.

Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegations occurred as reported due to conflicting information. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove or refute the alleged violations occurred; therefore, these allegations are deemed UNSUBSTANTIATED.

For today’s visit, there were no citations issued per Title 22, Division 6 of the California Code of Regulations.

LPA conducted an exit interview with AD Jensen, and a copy of this report was provided to the facility.

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025

LIC9099 (FAS) - (06/04)

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