306006195-5-19-2026-22-AS-AORZ-DUNPZB-20260602114515

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006195
Report Date: 05/19/2026
Date Signed: 05/19/2026 05:12:17 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
03/18/2026 and conducted by Evaluator Michael Tea

COMPLAINT CONTROL NUMBER: 22-AS-20260318143002

FACILITY NAME:	WESTMINSTER TERRACE		FACILITY NUMBER:	306006195
ADMINISTRATOR:	CARMEN GALICIA		FACILITY TYPE:	740
ADDRESS:	7571 WESTMINSTER BLVD		TELEPHONE:	(714) 891-6608
CITY:	WESTMINSTER	STATE: CA	ZIP CODE:	92683
CAPACITY:	152	CENSUS: 117	DATE:	05/19/2026
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Carmen Galicia		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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- Staff do not follow resident's special diet
- Staff do not ensure residents room is clean

INVESTIGATION FINDINGS:

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On this day, Licensing Program Analyst (LPA) Michael Tea made an unannounced visit to conclude and deliver findings for a complaint investigation. LPA Tea was greeted and granted entry by Executive Director (ED) Carmen Galicia and explained the reason for the visit.

The Department received a complaint on March 18, 2026. LPA Tea spoke to residents, witnesses and facility staff and reviewed and collected pertinent documents and information.

Regarding the allegation that staff do not follow Resident 1’s (R1) special diet, the Department reviewed R1’s records, including the Physician’s Report dated June 25, 2025, which indicated a special diet of “pureed PRN,” as well as the facility’s Diet Clarification form listing a regular diet with chopped food. Additionally, kitchen documentation identified R1 as requiring a vegetarian/mechanical soft diet and included specific food preferences. These records demonstrate that dietary needs were identified and communicated to staff.
(Complaint report continued on LIC9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Michael Tea
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026

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-20260318143002

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: WESTMINSTER TERRACE	FACILITY NUMBER: 306006195
	VISIT DATE: 05/19/2026

NARRATIVE

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Interviews with staff confirmed awareness of R1’s dietary preferences, including vegetarian choices and preferred snacks such as bananas and warm milk. Staff reported that R1 was offered appropriate meal options and had the ability to choose foods consistent with their preferences. While one witness reported that R1 was occasionally offered food items inconsistent with a vegetarian diet, this information was not corroborated by other sources. Interviews showed that R1 had memory issues and often chose to eat only a few preferred foods, even when other meal options were available.

Interviews with residents showed that three out of five felt the facility meets their dietary needs. While food choices may sometimes be limited, other options are available. The Culinary Services Director (CSD) Freddie Harbor stated that residents can request changes to meals based on their preferences and that the facility is working to offer more food choices for those with diabetic restrictions.

Regarding the allegation that staff do not ensure residents’ rooms are clean, LPA conducted observations of R1’s room and bathroom, which were found to be clean and well-maintained at the time of the visit. Although the complaint indicated concerns about bathroom cleanliness, the observed condition appeared related to the toilet not being flushed rather than a lack of cleaning.

Interviews with residents indicated that four out of five residents were satisfied with the cleanliness of their rooms. Staff, including the Maintenance Director (MD) Daniel Guerrero, reported that rooms are cleaned on a scheduled basis and additionally as needed. Staff also indicated that some residents may refuse cleaning services, which can impact room conditions.

Based on the evidence obtained, there is insufficient information to conclude that the facility failed to follow R1’s special diet. Also there is insufficient evidence to support the allegation that the facility failed to maintain resident room cleanliness. Therefore, the allegations mentioned above has been determined to be UNSUBSTANTIATED meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

No deficiencies cited at this time and an exit interview was conducted with the facility. A copy of the report and list of confidential names were provided to the facility.

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Michael Tea
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026

LIC9099 (FAS) - (06/04)

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