306006130-4-30-2026-22-AS-KSGH-DTUQT7-20260507122640

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006130
Report Date: 04/30/2026
Date Signed: 04/30/2026 08:59:51 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
09/09/2025 and conducted by Evaluator Jerome Haley

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20250909092058

FACILITY NAME:	CK HOMES / NEPTUNE DRIVE		FACILITY NUMBER:	306006130
ADMINISTRATOR:	FESTIN, ALEXANDER		FACILITY TYPE:	740
ADDRESS:	8455 NEPTUNE DRIVE		TELEPHONE:	(714) 723-0115
CITY:	BUENA PARK	STATE: CA	ZIP CODE:	90620
CAPACITY:	6	CENSUS:	DATE:	04/30/2026
		UNANNOUNCED	TIME BEGAN:	08:10 AM
MET WITH:	Maxine Kniazeff		TIME COMPLETED:	09:10 AM

ALLEGATION(S):

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Facility did not maintain complete resident records.
Facility did not immediately seek medical treatment.

INVESTIGATION FINDINGS:

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Regarding the allegation: Facility did not maintain complete resident records

During the initial complaint investigation visit conducted September 9, 2025, all documents were provided to LPA Jerome Haley upon request. During the September 9, 2025, visit, the following documents were provided:

Facility personnel report, Register of Facility Residents, R1’s Emergency contact plan, R1’s Identification and Emergency Identification form, R1’s plan of care, psychiatry progress notes for R1, Physicians progress notes, formal letter to a physician/doctor, weekly nursing assessments, R1’s individual service plan, R1’s individual program plan, R1’s Client development and Evaluation Report (CDER), R1’s Psychologist 30-day Individual Service Plan, R1’s physician’s report, Regional Center Face sheet for R1, R1’s preplacement packet, Physician orders for x-rays, facility progress notes, and more.
Continued on LIC9099C

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026

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-20250909092058

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: CK HOMES / NEPTUNE DRIVE	FACILITY NUMBER: 306006130
	VISIT DATE: 04/30/2026

NARRATIVE

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Upon review of the records provided, the department was able to verify complete and adequate records were present for all residents admitted to the facility at the time the complaint allegation was filed.

Regarding the allegation: Facility did not seek immediate medical treatment

During the investigation 9 of 9 individuals provided information that contradicts the complaint allegation. According to an interview with facility Administrator Maxine Kniazeff, resident 1’s (R1) primary care physician was contacted on July 31, 2025, due to a swollen right ankle and x-rays were completed. On August 13, 2025, after going to their day program, R1 was taken to see their physician for results of the ankle X-ray.

A review of facility progress notes reveal R1 continued to have difficulty walking and additional x-rays were ordered for R1’s right and left hips and femurs on August 13, 2025. The facility continued to conduct daily body assessments and check R1’s vitals. Facility staff documented R1’s status daily on facility progress notes, and included notes about R1’s status, like participation in the day program and R1’s ambulatory status (or lack thereof). Additionally, licensed nurse Brian Miller conducted weekly assessments and documented his observation on the Body Systems Review and Physicians Examination sheet. Document review reveal nurse Miller examined R1 August 1, 2026, August 7, 2026, August 15, 2026, August 21, 2026, and August 29, 2026. Nurse Miller’s September 4, 2026 examination reveal R1 was sent to the emergency room as a result of the x-rays that were returned.

On September 4, 2025, R1’s x-ray results came back positive, revealing R1 has multiple fractures. R1’s primary physician Dr. Lee instructed facility staff to have R1 transported to the hospital. Administrator Maxine Knizeff decided to call 911 to transport R1 to the hospital rather than have facility staff drive R1 to prevent additional injuries. R1 was picked up the same day and transported to West Anaheim Medical Center.

During the investigation it was discovered there was no indication of any injuries until results of the x-rays taken on August 13,2026, returned. When it was reported that R1 sustained multiple fractures, Administrator Kniazeff, sought immediate medical attention. 911 was called and R1 was transported to the hospital the same day.

Based on the information gathered through interviews, document review, and observation the allegations are deemed unfounded, meaning 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 provided.

SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026

LIC9099 (FAS) - (06/04)

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