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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005946
Report Date: 06/30/2025
Date Signed: 06/30/2025 03:59:36 PM

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
06/23/2025 and conducted by Evaluator Joseph Alejandre
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250623133915
FACILITY NAME:SERRA SOLFACILITY NUMBER:
306005946
ADMINISTRATOR:LINDSAY SCHROEDERFACILITY TYPE:
740
ADDRESS:31451 AVENIDA LOS CERRITOSTELEPHONE:
(949) 485-2022
CITY:SAN JUAN CAPISTRANOSTATE: CAZIP CODE:
92675
CAPACITY:70CENSUS: 60DATE:
06/30/2025
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Lindsay SchroederTIME COMPLETED:
04:15 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Staff did not provide adequate supervision, resulting in resident sustaining a fall
INVESTIGATION FINDINGS:
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2
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5
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9
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13
Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegation listed above. LPA met with Executive Director Lindsay Schroeder and explained the reason for the visit. The investigation into the allegation revealed the following. It was reported that Resident 1 (R1) fell June 22, 2025 and was found on the floor by Witness 1 (W1) and Staff 1 (S1). It was reported that a lack of staff led to R1's fall. Only the first name of R1 was provided. A review of records shows 2 residents (Resident 2 and Resident 3) have the same first name as the resident who was reported to have fallen (R1). LPA reviewed the staff schedule and 13 staff members worked on Sunday June 22, 2025. LPA reviewed the facility progress notes of Resident 2 and Resident 3, neither resident suffered a fall in June 2025. Only one fall was reported for June 2025 and it was for a different resident and is oocurred on June 9, 2025. No other falls were reported. There is one staff member (Staff 2) who has the same first name as the resident who was reported to have fallen. Staff 2 reported that on June 22, 2025 they fell and Staff 1 assisted them. Staff 1 verified this report. Witness 1 reported that they did not get a good look at the person who fell and did not know if it was a resident or staff member.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2025
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-20250623133915
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: SERRA SOL
FACILITY NUMBER: 306005946
VISIT DATE: 06/30/2025
NARRATIVE
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LPA attempted to interview Resident 2 and Resident 3 but neither resident responded to questions from the LPA. Based on the evidence gathered the allegation is deemed unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted with the Administrator and a copy of the report was provided.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2