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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006071
Report Date: 04/21/2026
Date Signed: 04/21/2026 10:47:36 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
11/03/2025 and conducted by Evaluator Hanna Gough
COMPLAINT CONTROL NUMBER: 22-AS-20251103152234
FACILITY NAME:PALMS RETIREMENT CENTERFACILITY NUMBER:
306006071
ADMINISTRATOR:BAHADORY, KHATERAFACILITY TYPE:
740
ADDRESS:312 N ROOSEVELT AVETELEPHONE:
(626) 353-4710
CITY:FULLERTONSTATE: CAZIP CODE:
92832
CAPACITY:144CENSUS: 106DATE:
04/21/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Kathleen TamondongTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Resident was sexually assaulted by another resident.
Staff not administering resident’s medication as prescribed.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct an investigation into the above mentioned complaint allegations. LPA was greeted and granted entry by staff. LPA met with Assistant Administrator (AA) Kathleen Tamondong and discussed the purpose of the visit.

The investigation into the two allegations listed above revealed the following: It was alleged that an unidentified resident (R1) was sexually assaulted by another resident, (R2), in the facility cafeteria. The incident was reported to have happened in February and April of 2025. LPA contacted ten former employees of which six former employees informed LPA that they did not observe a resident sexually assault another resident at the facility. LPA was unable to speak to four of the ten former employees. LPA interviewed five current staff of which all staff informed LPA that they have not seen a resident sexually assaulting another resident at the facility. LPA interviewed ten residents in care, and seven of ten residents informed LPA that they have not experienced or seen any sexual assaults at the facility. Seven of ten residents informed LPA that they feel safe living at the community. Continue on LIC9099C
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Hanna Gough
LICENSING EVALUATOR SIGNATURE:

DATE: 04/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2026
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-20251103152234
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: PALMS RETIREMENT CENTER
FACILITY NUMBER: 306006071
VISIT DATE: 04/21/2026
NARRATIVE
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Three of ten residents could not confirm or deny the allegation. LPA reviewed two resident files to try and identify R2. Upon review, LPA did not observe any incidents pertaining to sexual assault or a history of sexual abuse. It remains unclear as to R2’s identity.

LPA reviewed staff files and 3 of 5 staff have updated training regarding resident abuse. 5 of 5 staff have signed abuse acknowledgement forms dated March 16, 2026.

LPA contacted Fullerton Police Department to request potential police reports that could match the allegation under review. No reports provided were found to be pertaining to the complaint allegation.

Regarding the facility allegation of staff not administering resident medications as prescribed revealed the following: LPA interviewed five current staff members of which four staff informed LPA that all medications are given as prescribed. The remaining staff interviewed does not handle the medications. In addition, two of ten former staff interviewed confirmed they gave all medications as prescribed. The remaining eight staff did not confirm or deny due to their position or not speaking to LPA. LPA interviewed residents in care regarding their medications, and seven of ten residents informed LPA that they get assistance with their medications and have no complaints. The remaining three residents were unable to confirm or deny the allegation. LPA reviewed eight resident medications and medication administration records and observed that all were being given as prescribed at the time of the investigation. LPA reviewed 5 staff training records on resident personal rights and observed them to be current. LPA reviewed three of five staff having medication technician certifications from Pharmacy vendors. The two remaining staff were observed to have medication training provided by the facility but do not perform medication technician duties.

Based on the evidence gathered, the Department finds the allegation is unfounded. A finding that the complaint is unfounded means that the allegations are false, could not have happened, and/or is without a reasonable basis.

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

SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Hanna Gough
LICENSING EVALUATOR SIGNATURE:

DATE: 04/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2