306006242-12-17-2025-22-AS-APAO-DPN6W8-20251223200954

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006242
Report Date: 12/17/2025
Date Signed: 12/17/2025 04:51:06 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
11/13/2025 and conducted by Evaluator RoseMarie Ruppert

COMPLAINT CONTROL NUMBER: 22-AS-20251113103336

FACILITY NAME:	CAPRIANA		FACILITY NUMBER:	306006242
ADMINISTRATOR:	REYNOLDS, TONYA		FACILITY TYPE:	741
ADDRESS:	460 LA FLORESTA DRIVE		TELEPHONE:	(714) 985-5500
CITY:	BREA	STATE: CA	ZIP CODE:	92821
CAPACITY:	200	CENSUS: 142	DATE:	12/17/2025
		UNANNOUNCED	TIME BEGAN:	03:06 PM
MET WITH:	Tonya Reynolds, Executive Director		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff engaged in inappropriate interactions with resident in care
Staff mismanaged resident's medication
Staff accessed resident's cellphone without proper authorization
Staff did not report resident incidents to appropriate parties

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to deliver findings for a complaint received in the Regional Office. LPA was greeted and granted entry by the Concierge. LPA met with Executive Director (ED) Tonya Reynolds and explained the purpose of the visit.

LPA conducted a visit on November 18, 2025 to investigate the allegations that Staff engaged in inappropriate interactions with resident in care, Staff mismanaged resident's medication,
Staff accessed resident's cellphone without proper authorization and Staff did not report resident incidents to appropriate parties.

LPA reviewed Resident #1 (R1)'s records which include the Identification and Emergency Information form, Physician's Report, Medication Administration Records for October and November 2025, and R1's Residency Agreement. LPA also reviewed the Employee phone and camera policy in the Employee Handbook.
(Continued on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2025

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-20251113103336

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: CAPRIANA	FACILITY NUMBER: 306006242
	VISIT DATE: 12/17/2025

NARRATIVE

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(Continued from LIC 9099)
Staff members are not allowed to take photos or videos while working and all residents have photo consents included in their Residency agreements.

It was alleged that Staff engaged in inappropriate interactions with resident in care. It was reported that a former employee was texting inappropriate photos to a resident. LPA interviewed six of six residents who all denied this allegation. Two of six residents indicated they like to take photos with staff members and did not know there was a policy where staff were not allowed to take photos or videos while working. Six of six residents denied receiving inappropriate content on their cell phones. Thus this allegation is Unsubstantiated.

It was alleged that Staff mismanaged resident's medication. LPA reviewed R1's October and November electronic Medication Administration Records (MAR) but no discrepancies were found on the eMAR. R1's medications are in bottles. Two of six staff members stated medications are occasionally mismanaged by staff, such as when medication needs to be refilled or that staff do not watch if residents take the medications. Four of six staff members denied this allegation. Thus this allegation is Unsubstantiated.

It was also alleged that, Staff accessed resident's cellphone without proper authorization. LPA asked six of six residents if staff members access their cell phones without resident's permission. Six of six residents denied this allegation. LPA interviewed six of six staff members if they accessed residents' cell phones without their permission. Six of six staff members denied this allegation. LPA interviewed five of five witnesses if Staff accessed resident's cellphone without proper authorization. Two of five witnesses confirmed this allegation; stating staff members obtain a resident's cell phone to delete content without permission. Three of five witnesses could not confirm or deny this allegation.

Lastly, it was alleged that Staff did not report resident incidents to appropriate parties, Two of five witnesses were not informed or included in meetings with Resident #1(R1) regarding mental evaluations or medications. LPA reviewed email communications between witnesses and facility. Mismanaged medications for R1 were not reported to licensing. LPA reviewed eMAR reports and did not find any discrepancies in documentation, thus it was not reported to licensing. . Staff members interviewed understood they were mandated reporters for resident incidents, including medication errors but did not feel R1's medications were

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2025

LIC9099 (FAS) - (06/04)

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Control Number 22-AS-20251113103336

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: CAPRIANA	FACILITY NUMBER: 306006242
	VISIT DATE: 12/17/2025

NARRATIVE

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(Continued from LIC 9099-C)

mismanaged. LPA obtained documentation that staff were in-serviced on May 29, 2025 regarding resident rights, cell phone policies and phone etiquette. Three of five witnesses denied the allegation that Staff did not report resident incidents to appropriate parties. (Continued on LIC 9099-C1)

Based on LPA's observations, record review and interviews, the allegations that: Staff engaged in inappropriate interactions with resident in care, Staff mismanaged resident's medication, Staff accessed resident's cellphone without proper authorization and Staff did not report resident incidents to appropriate parties are Unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of evidence to prove the alleged violations occurred. An exit interview was conducted with Executive Director, Tonya Reynolds, and a copy of this report was provided to the facility.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2025

LIC9099 (FAS) - (06/04)

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