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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005974
Report Date: 08/07/2026
Date Signed: 08/07/2026 11:34:45 AM

Substantiated


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
07/31/2026 and conducted by Evaluator RoseMarie Ruppert
COMPLAINT CONTROL NUMBER: 22-AS-20260731160501
FACILITY NAME:LA HABRA PLAZAFACILITY NUMBER:
306005974
ADMINISTRATOR:DIA, GERALDFACILITY TYPE:
740
ADDRESS:2630 RAINIER WAYTELEPHONE:
(562) 905-0034
CITY:LA HABRASTATE: CAZIP CODE:
90631
CAPACITY:6CENSUS: 4DATE:
08/07/2026
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Gerald Dia, AdministratorTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Facility bathrooms are in disrepair
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to investigate a complaint received in the Regional Office. LPA was greeted and granted entry by staff at 8am. LPA met with Administrator (AD) Gerald Dia and explained the purpose of the visit.

During the visit, LPA toured two of two resident bathrooms. Per LPA's observations, one bathroom had a grab bar, located near the toilet, attached to the wall with duct tape. LPA interviewed four of four residents, four of four staff members and one witness. Three of four residents confirmed the bathroom has had duct tape, one resident does not use the bathroom. Four of four staff members acknowledged the grab bar was affixed to the wall with the duct tape and that the owner of the property had not attached the grab bar to the studs in the wall.

Based on LPA's observations and interviews, the preponderance of the evidence standard has been met. The allegation that the facility bathrooms are in disrepair is Substantiated. An exit interview was conducted with AD Gerald Dia and a copy of this report, LIC 9099-D and Appeal Rights were provided to the facility.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2026
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-20260731160501
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: LA HABRA PLAZA
FACILITY NUMBER: 306005974
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/07/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/08/2026
Section Cited
CCR
87303(e)(4)
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Maintenance and Operation (e) Water supplies and plumbing fixtures shall be maintained as follows: (4) Grab bars shall be maintained for each toilet; bathtub and shower used by residents. This requirement is not met as evidenced by: Based on LPA's observations and

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AD stated this will be repaired today. LPA requested AD email photos of repaired grab bars.
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interviews, grab bars in one of two bathrooms is secured next to the toilet with duct tape. This poses an immediate health and safety risk for all residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2