306006195-7-13-2026-22-AS-APAO-DWE8FG-20260727222841

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006195
Report Date: 07/13/2026
Date Signed: 07/13/2026 01:01:23 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
03/18/2025 and conducted by Evaluator Edward Kim

COMPLAINT CONTROL NUMBER: 22-AS-20250318130722

FACILITY NAME:	WESTMINSTER TERRACE		FACILITY NUMBER:	306006195
ADMINISTRATOR:	CRISTINA MILLER		FACILITY TYPE:	740
ADDRESS:	7571 WESTMINSTER BLVD		TELEPHONE:	(714) 891-6608
CITY:	WESTMINSTER	STATE: CA	ZIP CODE:	92683
CAPACITY:	152	CENSUS: 120	DATE:	07/13/2026
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Administrator- Carmen Galicia		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Facility fail to obtain proper building permits for reported construction.
Resident was moved to another room without proper notice while facility is under going construction.

INVESTIGATION FINDINGS:

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On July 13, 2026, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced subsequent complaint visit and delivered findings at the facility for the above allegations. LPA Kim met with Administrator (ADMIN) Carmen Galicia and explained the purpose of the visit.

Investigation consisted of the following: LPA Kim conducted a physical tour of the facility. LPA Kim reviewed and obtained copies of the resident roster, staff roster, staff schedule, and eight (8) resident records which include: Identification and Emergency Information, Physician's Report, Needs and Services Plans/Reappraisal, and other pertinent records. LPA Kim conducted interviews with five (5) residents, five (5) staff, and one witness.

The investigation revealed the following:

Continued on LIC9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2026

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-20250318130722

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: 07/13/2026

NARRATIVE

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Based on interviews conducted, five out of five staff, one out of five residents, and one witness denied the allegation. Four out of five residents confirmed the allegation. All staff stated that R1 did not move to another room because of renovations. S2 stated that they met with R1 to discuss a move from their room to a new room because R1 requested a courtyard side room instead of the street side room. S2 also stated that R1 was not diagnosed with dementia, but showed other cognitive decline such as forgetfulness. R1 met with S2 and S4 about moving to a courtyard side room, but would forget the next day about it. S5 stated that R1’s room was not under renovation during the time they were residing at the facility. S5 also verified that R1 had some forgetfulness issues and moved for a courtyard side room instead of a street side room. S2 and S5 stated a notice was not provided for a move because R1 requested a move to another room.

Based on record review, charting notes dated March 11, 2025, state that R1 requested a room change and R1 agreed to move to their new room on March 19, 2025. Charting notes dated March 18, 2025, R1 requested to be moved to a courtyard side room and was moved to Room 228. S2 stated they followed up with R1 on March 18, 2025, to check in on them.

Based on information gathered, there is not sufficient evidence to corroborate the above allegation.

Based on records review, interviews, and observations, LPA did not find sufficient evidence to support the above allegations facility fail to obtain proper building permits for reported construction and resident was moved to another room without proper notice while facility is undergoing construction. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted a copy of the report was provided to Administrator Carmen Galicia.

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 3

Control Number 22-AS-20250318130722

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: 07/13/2026

NARRATIVE

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Allegation: Facility fail to obtain proper building permits for reported construction.
It is alleged that the facility failed to obtain proper building permits for reported construction.

Based on interviews, five out of five staff and one out of five residents denied the allegation. One witness could not confirm or deny the allegation. Four out of five residents confirmed allegation. S5 stated that there was no construction or permits required for the renovations in rooms 117, 118, 217, or 218 on March 2025. S5 stated that the only renovations would be to flooring throughout rooms 117, 118, 217, or 218, repainting the walls, and updating the flooring in each of the bathrooms. These were not done at that time because the facility was focused on other operational needs. S5 stated that there was an invoice from a third party about renovating room 218 which would require a building permit. The room was not converted with the scope of work described in the invoice because the facility was focusing their finances on other operational needs. Based on observations on March 20, 2025, and July 13, 2026, LPA did not observe construction or anything that would require a building permit for the renovations being done in rooms 117, 118, 227, or 228 at the facility.

Based on record review, a work order dated September 27, 2024, describes a scope of work that included converting a kitchen back to a bathroom, demo cabinets and flooring, install new toilet flange, and new toilet, and new shower stall and shower valve. When LPA entered room 218 on March 20, 2025, and July 13, 2026, none of these alterations took place. There was no evidence that the kitchen was converted to a bathroom, any demolition, or any new toilets or showers were installed. There are no building permits because there was no construction was done or pursued. LPA confirmed this.

Based on information gathered, there is not sufficient evidence to corroborate the above allegation.

Allegation: Resident was moved to another room without proper notice while facility is undergoing construction.
It is alleged resident#1 (R1) was told by Staff while walking in the hallway that R1 would have to leave their room either Saturday or Wednesday. It is alleged R1 is not well and cannot pack their own things. It is alleged that staff just packed R1’s belongings up and moved R1 to another room. It is alleged that R1 did not have a choice or asked for their consent for the move. It is alleged R1 does not know if this move is permanent.
Continued on LIC9099C

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2026

LIC9099 (FAS) - (06/04)

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