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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005804
Report Date: 01/22/2026
Date Signed: 01/22/2026 09:58:59 AM

Unfounded


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
12/05/2025 and conducted by Evaluator Ruth Martinez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20251205104055
FACILITY NAME:MERIDIAN AT LAGUNA HILLS, THEFACILITY NUMBER:
306005804
ADMINISTRATOR:JENSEN, ERICFACILITY TYPE:
740
ADDRESS:24552 PASEO DE VALENCIA BLDG ATELEPHONE:
(949) 581-6111
CITY:LAGUNA HILLSSTATE: CAZIP CODE:
92653
CAPACITY:200CENSUS: 81DATE:
01/22/2026
UNANNOUNCEDTIME BEGAN:
07:40 AM
MET WITH:Eric JensenTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Staff left resident soiled for an extended period of time.
Due to lack of supervision, resident fell and was on the ground for an extended period of time.
Due to lack of supervision, resident was stuck between the wall and the mattress for an extended period of time resulting in hospitalization.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced visit to the facility to conclude investigation into the above identified complaint allegations. LPA met with Eric Jensen, Executive Director/Administrator and explained the purpose of the visit.

Findings are based upon this investigation which included tour of the facility, facility file review, resident file review, interviews conducted, and copies of pertinent records.

It is alleged that staff left resident soiled for an extended period of time. Record review revealed that resident (R1) was independent with toileting and did not wear diapers. Needs and services plan indicates R1 needs redirection with correctly placing underpants and was placed on dressing assistance. Interview

Continued on LIC9099-C
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Ruth Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2026
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 2
Control Number 22-AS-20251205104055
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: 01/22/2026
NARRATIVE
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with staff stated that R1 does not wear diapers and there is no reason why resident would be left soiled when they are independent with toileting. Interview with witness stated that they never indicated that R1 was left soiled for 6 hours or for extended period of time.

It is alleged that due to lack of supervision, resident fell and was on the ground for an extended period of time, specifically when R1 was showering. Interview with staff stated that R1 is on shower schedule and outside of that they do not shower on their own. If R1 had a fall staff would have known or been present due to being on shower assistance. Record review revealed that R1 is reflected on shower schedule. Resident assessment reflects that R1 requires standby assistance with showers 2x per week. Need and services plan reflects R1 is on shower standby assistance. Interview with witness stated that they did not indicate that R1 had been on the ground for an extended period of time or for 8 hours.

It is alleged that due to lack of supervision, resident was stuck between the wall and the mattress for an extended period of time resulting in hospitalization. Record review did not reflect any unusual incident with R1 recently. The last incident reported to the department was on August 16, 2024. Interview with staff stated that the last incident R1 had was for an unwitnessed fall back about 18 months ago, but nothing recent. Due to that incident R1 was reassessed and needs and services plan were updated and was also reassessed for any changes in condition. Interview with witness stated that they did not indicate R1 was stuck between the wall and the mattress for extended period of time, but R1 had gotten their arm stuck between the recliner and the wall, but it was in an instant with no injuries. There was no fall and/or the bed and it wasn’t for an extended period.

Therefore, the Department has determined the complaint to be unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. The Department has therefore dismissed the complaint.

An exit interview was conducted with the Executive Director and a copy of this LIC9099 report was left at facility.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Ruth Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2