306005804-6-4-2025-22-AS-SSAS-DJ8NC5-20250703102008

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005804
Report Date: 06/04/2025
Date Signed: 06/04/2025 12:08:50 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
05/27/2025 and conducted by Evaluator Ruth Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20250527143553

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: 70	DATE:	06/04/2025
		UNANNOUNCED	TIME BEGAN:	10:05 AM
MET WITH:	Eric Jensen		TIME COMPLETED:	12:40 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility is in disrepair

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Ruth Martinez visited the facility visit to investigation the above identified complaint allegation. LPA arrive at facility was greeted and granted entry by receptionist. LPA spoke with Eric Jensen, Executive Director and explained the purpose of the visit.

Findings are based upon this investigation which included facility file review, tour of the physical plant of the facility and interviews conducted.
It is alleged facility is in disrepair, more specifically to pendent/pull cord are not working since April. LPA toured the facility and observed residents in common areas as well as in their bedrooms. LPA observed several residents to have a pendent around their neck and observed pull cords in bedrooms as well as in common areas of the facility. LPA with the assistance of staff tested the pendent system and observed

Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Ruth Martinez
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2025

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-20250527143553

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: 06/04/2025

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

when pressed that a notification is sent to a computer located in the resident aid office where notification is sent to staff for resident checks. LPA observed care staff getting notification in their pager with room and resident to do answer to a pedant call. Record review revealed that facility has in addition to pendants a resident safety check for all assisted living residents. Interview with 3 of 3 staff stated that they are currently looking to upgrade the call system, but the current system has been working. Residents have called the front desk when they need assistance as well as them pressing their pendant. To further assist residents’ facility has place a safety check for all residents with half hour to an hour increment. Staff stated that in April to current pendants have been working, however in May facility decided to install a new system for pendants which has a locater as well. This will allow the staff to know the exact location or resident when pressing for assistance. The new system will be installed next week. Interview with 5 of 5 residents stated they have never had an issue with their pendants not working or getting the help that they need. Residents stated that they get more help than they need or ask for at times.

Based on the information mentioned above, the Department is unable to ascertain if the allegation occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated.

An exit interview was conducted with Executive Director and a copy of this LIC9099 report was left at the facility.

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Ruth Martinez
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 2