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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006242
Report Date: 09/16/2026
Date Signed: 09/16/2026 04:54:01 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
08/26/2024 and conducted by Evaluator Claudia Gutierrez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20240826113701
FACILITY NAME:CAPRIANAFACILITY NUMBER:
306006242
ADMINISTRATOR:REYNOLDS, TONYAFACILITY TYPE:
741
ADDRESS:460 LA FLORESTA DRIVETELEPHONE:
(714) 985-5500
CITY:BREASTATE: CAZIP CODE:
92821
CAPACITY:200CENSUS: 131DATE:
09/16/2026
UNANNOUNCEDTIME BEGAN:
03:50 PM
MET WITH:Ashley LeeTIME COMPLETED:
05:10 PM
ALLEGATION(S):
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Staff abused resident in care
INVESTIGATION FINDINGS:
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An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez regarding the allegation mentioned above. LPA met with Business Office Director (BOD) Ashley Lee and explained the purpose of the inspection.

Complaint alleges an unknown female staff abused Resident 1 (R1) by shoving them onto the toilet when R1 attempted to stand.

Interviews were conducted with R1 and four facility staff. One of four staff interviewed stated they witnessed Staff 1 (S1) shoving R1 onto the toilet and when R1 attempted to stand, S1 pushed them back onto the toilet. Two of four staff interviewed stated they received a report indicating S1 had shoved R1 onto the toilet, however, denied witnessing the incident and stated they were unable to confirm or deny if the incident in fact took place. During interview, S1 denied shoving R1 onto the toilet and stated they were assisting R1 in the restroom and only guided R1 onto the toilet. (Cont. LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2026
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-20240826113701
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: 09/16/2026
NARRATIVE
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S1 denied handling R1 or any other resident in a rough manner. During interview, R1 was unable to confirm or deny allegation.

Based on information gathered, the Department did not find sufficient evidence to support the allegation, “Staff abused resident in care”. 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 above allegation is Unsubstantiated.

An exit interview was conducted and copy of this report was provided at the end of the inspection.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2