<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006421
Report Date: 06/24/2026
Date Signed: 06/24/2026 02:45:01 PM

Unfounded


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
06/15/2026 and conducted by Evaluator RoseMarie Ruppert
COMPLAINT CONTROL NUMBER: 22-AS-20260615094947
FACILITY NAME:BAYSHIRE YORBA LINDAFACILITY NUMBER:
306006421
ADMINISTRATOR:MORRIS,AUSTINFACILITY TYPE:
741
ADDRESS:17803 IMPERIAL HWYTELEPHONE:
(714) 777-9666
CITY:YORBA LINDASTATE: CAZIP CODE:
92886
CAPACITY:114CENSUS: 104DATE:
06/24/2026
UNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Austin Morris, Executive DirectorTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident developed pressure injuries while in care
Staff do not assist resident with ambulation
Staff do not observe resident for change in condition
Staff do not ensure that resident's care needs are met
Staff do not ensure that the facility has an auditory system for residents in care
Staff handles resident in a rough manner
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Rose Ruppert made an unannonced visit to investigate a complaint received in the Regional Office. LPA was greeted and granted entry by the receptionist at 1:20pm. LPA met with Executive Director (ED) Austin Morris and explained the purpose of the visit.

LPA requested a current resident and staff roster for Assisted Living (AL) and Memory Care (MC). Per review of the resident roster, the resident for this complaint does not reside in the AL or MC and resides in the Post Acute facility; which is not licensed under Community Care Licensing. Addtional paperwork obtained include the Clinical Resident Profile, Post Acute Face Sheet and Post Acute roster to confirm the resident resides in Post Acute. The resident has never resided in the AL or MC areas of the facility.

Based on LPA document review and interviews, the allegations above are Unfounded. LPA will cross-report the complaint to the California Department of Public Health (CDPH). An exit interview was conducted with Executive Director (ED) Austin Morris and a copy of this report was provided to the facility.

Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2026
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 1