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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006247
Report Date: 10/22/2025
Date Signed: 10/22/2025 05:15:05 PM

Substantiated


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
01/02/2024 and conducted by Evaluator Jerome Haley
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20240102114201
FACILITY NAME:FAMILY CHOICE SENIOR LIVINGFACILITY NUMBER:
306006247
ADMINISTRATOR:JUNGE, PAMELAFACILITY TYPE:
740
ADDRESS:3105 W. ORANGE AVENUETELEPHONE:
(714) 229-0069
CITY:ANAHEIMSTATE: CAZIP CODE:
92804
CAPACITY:30CENSUS: 23DATE:
10/22/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Pamela Junge - Executive Director TIME COMPLETED:
01:59 PM
ALLEGATION(S):
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Staff are not treating residents with dignity and respect
INVESTIGATION FINDINGS:
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Regarding the allegation: Staff are not treating residents with dignity and respect

During the investigation 12 interviews were conducted with facility residents and staff. 5 of 12 individuals, of which four were staff members, provided information that supports the complaint allegation. According to S4, residents are treated with respect, but Resident 7 (R7) is disrespectful to staff and according to S4, staff have been disrespectful back to R7. According to Staff 3 (S3), R7 is always fighting (verbally) with Staff 5 (S5) and Staff 1 (S1). S3 says, S5 is responding to R7, and they should not be. According to S3, when S5 was hired, R7 became more aggressive. According to S2, S1 is always yelling at everybody. S2 says S5 is also yelling at everybody and saying a lot of bad words. According to S2, one day R7 was asking S5 what was for lunch and S5 was ignoring the R7. According to R7, S5 hollers at the resident and S1 has an attitude. R7 says, S1 tell the resident to go to their room and doesn’t want to hear what the resident has to say.
Continued on LIC9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2025
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 3
Control Number 22-AS-20240102114201
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: FAMILY CHOICE SENIOR LIVING
FACILITY NUMBER: 306006247
VISIT DATE: 10/22/2025
NARRATIVE
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S7 claims, S1 told the resident to sit down or go to their room the day before the January 4, 2024 visit.

Based on the evidence gathered through staff and resident interviews, the preponderance of evidence standard has been met, therefore, the above allegation is SUBSTANTIATED. Violations are being cited per California Code of Regulations Title 22.

An exit interview was conducted, and a copy of this report and appeal right were provided.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 22-AS-20240102114201
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: FAMILY CHOICE SENIOR LIVING
FACILITY NUMBER: 306006247
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/22/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/23/2025
Section Cited
CCR
87468.1(a)(1)
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87468.1 Personal Rights of Residents in All Facilities
(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:
(1) To be accorded dignity in their personal relationships with staff, residents, and other persons.
This requirement was not met as evidenced by:
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Executive Director Junge will conduct an in-service training on Personal Rights for Residents in All Facilities for all staff.
Provide a sign in sheet and a summary of the topics covered during the training and the duration of the in service training to LPA Haley by 4:00pm on the POC due date.
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Facility staff witnessing Staff 5 ignoring questions from Resident 7, Staff members have witnessed S5 respond to R7 when other staff felt there should have been no response to the resident from S5. Staff 1 and Staff 5 have both been accused of yelling at R7.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3