306006014-11-6-2025-22-AS-AORZ-DNHL3Z-20251117072444

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006014
Report Date: 11/06/2025
Date Signed: 11/06/2025 02:51:31 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/16/2025 and conducted by Evaluator Kimberly Lyman

COMPLAINT CONTROL NUMBER: 22-AS-20250616105004

FACILITY NAME:	RAYA'S PARADISE OF SAN CLEMENTE		FACILITY NUMBER:	306006014
ADMINISTRATOR:	WESTPHALN, MONICA		FACILITY TYPE:	740
ADDRESS:	101 AVENIDA CALAFIA		TELEPHONE:	(949) 420-9898
CITY:	SAN CLEMENTE	STATE: CA	ZIP CODE:	92672
CAPACITY:	80	CENSUS: 34	DATE:	11/06/2025
		UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Monica Westphaln		TIME COMPLETED:	02:20 PM

ALLEGATION(S):

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Sexual abuse

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit.
During the course of the investigation, the Department interviewed staff, resident and witnesses as well as reviewed and obtained documentation including physician report. Regarding the allegation of sexual abuse, the investigation revealed the following:
On June 06, 2025, Resident 1 (R1) was admitted to Kaiser Permanente for an unexplained fracture. Per physician report dated August 03, 2023, resident is diagnosed with Dementia with confusion. Per the hospital Social Worker, R1 is oriented to self only. On June 15, 2025, while hospitalized, R1 reported that a male caregiver had touched them; slept with them; and inserted something into their buttocks. No other details or descriptions were provided. R1 did not report the incident upon admission to the hospital but rather 10 days later during a family visit. CONTINUED ON LIC 9099C DATED 11/06/2025

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025

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-20250616105004

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: RAYA'S PARADISE OF SAN CLEMENTE	FACILITY NUMBER: 306006014
	VISIT DATE: 11/06/2025

NARRATIVE

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Prior to R1’s surgery for the fracture, doctors had difficulty inserting a catheter due to swelling in the vaginal area which could be due to incontinence. Per the hospital medical records, a large hematoma formed in R1’s groin area and was suspected to be caused by the fracture or possible sexual abuse. R1’s family filed a police report on the evening of June 15, 2025. Due to the delay in reporting the incident and the resident’s condition, R1’s family declined to consent to a sexual abuse exam. Interview with R1’s family indicated a family member was usually at the facility during incontinence care to supervise. The department attempted to interview R1 but was unsuccessful due to cognitive decline. One out of one memory care residents denied any abuse occurring at the facility. On June 15, 2025, Orange County Sheriff’s office conducted a visit to the facility to investigate the allegation. Through interviews, records and video surveillance, the detective determined that a sexual assault had not occurred, and the resident’s family concurred with the detective. The case was closed OC Sheriff’s office. The Department interviewed facility staff as well as obtained written statements from staff at the facility. Four out of four staff interviewed and eight out of eight statements by staff deny any sexual abuse occurring at the facility.

Based on interviews conducted, the Department is unable to corroborate the allegation. Therefore, the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Administrator Westphaln and a copy of this report was provided to facility.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025

LIC9099 (FAS) - (06/04)

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