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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006146
Report Date: 06/18/2025
Date Signed: 06/18/2025 01:11:37 PM

Unsubstantiated


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
05/01/2025 and conducted by Evaluator Kevin Saborit-Guasch
COMPLAINT CONTROL NUMBER: 22-AS-20250501152827
FACILITY NAME:SEA CLIFF ASSISTED LIVINGFACILITY NUMBER:
306006146
ADMINISTRATOR:CLARK, TAYLORFACILITY TYPE:
740
ADDRESS:18851 FLORIDA STREETTELEPHONE:
(714) 847-3999
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92648
CAPACITY:84CENSUS: 64DATE:
06/18/2025
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Taylor Clark, AdministratorTIME COMPLETED:
01:25 PM
ALLEGATION(S):
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Staff handle resident in a rough manner
INVESTIGATION FINDINGS:
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On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of the allegation listed above and to deliver findings in the investigation.

An initial investigation visit took place on May 5, 2025. During the visit, LPA requested the facility resident census, employee roster as well as the staff schedule for the day of the visit. Records were requested for a total of five residents and reviewed. LPA accompanied by staff toured the two levels of the facility. LPA additionally conducted five resident interviews and two staff interviews during the visit. Four additional witness interviews were conducted or attempted over the course of the investigation.

During the follow-up visit, LPA conducted five additional staff interviews and toured the premises accompanied by staff.
CONTINUED ON FORM LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2025
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-20250501152827
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: SEA CLIFF ASSISTED LIVING
FACILITY NUMBER: 306006146
VISIT DATE: 06/18/2025
NARRATIVE
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CONTINUED FROM FORM LIC9099
Regarding the allegation that Staff handle resident in a rough manner, the following has been concluded: Observations conducted during both facility visits did not evidence any instance of rough handling by staff during transfers. Seven out of seven staff interviewed denied ever witnessing inappropriate handling during their shifts or having complaints of that nature brought to their attention by facility residents. Two out of five residents interviewed reported hearing complaints from some of their fellow residents, however none of the statements gathered corroborated those statements. All staff present and interviewed confirmed having received adequate training on transfers from the facility's Wellness Director who confirmed in her own statement. No specific instances of rough handling could be identified as a result of observations and statements gathered.

Based on the evidence gathered during the investigation, the allegation is found to be Unsubstantiated, meaning that although the allegation mentioned above may have happened, or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred.

An exit interview was conducted and a copy of this report was provided to a facility representative.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2