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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006467
Report Date: 09/18/2025
Date Signed: 09/26/2025 09:21:53 AM

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
06/06/2025 and conducted by Evaluator Michael Tea
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250606085240
FACILITY NAME:ROCKVIEW RESIDENTIAL CAREFACILITY NUMBER:
306006467
ADMINISTRATOR:BUI, DENNISFACILITY TYPE:
740
ADDRESS:8156 ROCKVIEW CIRTELEPHONE:
(714) 300-4540
CITY:WESTMINSTERSTATE: CAZIP CODE:
92683
CAPACITY:6CENSUS: 3DATE:
09/18/2025
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Kevin DinhTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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- Staff is restraining a resident in care
INVESTIGATION FINDINGS:
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On this day, Licensing Program Analyst (LPA) Michael Tea made an unannounced visit to conclude and deliver findings for a complaint investigation. LPA Tea was greeted and granted entry by facility staff and explained the reason for the visit. Administrator (AD) Kevin Dinh arrived shortly to assist with the visit.

The Department received a complaint on June 6, 2025, and LPA Tea conducted the initial 10-day visit the following week on June 16, 2025. LPA Tea spoke to facility staff and residents and reviewed and collected pertinent documents and information.

It was alleged staff is restraining a resident in care. The investigation determined the following: A photograph was provided to the Department of Resident 1 (R1) being restrained using a fabric material. It appears to be a bathrobe belt tied at each side of R1’s bed rails above their waist. The witness said they were shocked and
(Complaint Investigation continued on LIC9099-C)
**THIS IS AN AMENDED REPORT**
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Michael Tea
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025
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-20250606085240
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: ROCKVIEW RESIDENTIAL CARE
FACILITY NUMBER: 306006467
VISIT DATE: 09/18/2025
NARRATIVE
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explained to the administrator that they could not do that to the resident even if the resident was a fall risk. The witness explained to the administrator that there were other ways to prevent falls and thought it was dangerous for them to put any kind of restraint on residents. They offered the facility a bed alarm but reminded them that they still need to keep a close eye on R1 especially since the resident was the only resident at the facility at the time.

Per another witness LPA interviewed, the witness saw the restraint placed on R1 when they were sitting on the lazy boy chair in the living room. The witness said it was just briefly that R1 had a restraint. The witness said it was not a rope or anything of a hard restraint. The witness thought the restraint was a reminder to prevent R1 from falling. The witness felt the facility cared about R1.

Per interview with Administrator Kevin Dinh, he admitted that a physical restraint was placed on R1 because he was a fall risk due to his health diagnosis and condition. He said they had placed the restraint around R1 but it was loose not tight at all. He said R1’s family was okay with it. He explained that the family thought it was a great idea with the restraint and appreciate it. At the time of initial visit, LPA observed the resident to have no physical restraints on them. The facility was provided a bed alarm for the resident by the hospice agency to detect any movements to prevent falls. A few days later after LPA's initial visit, R1 moved to another facility.

Therefore, based on LPA Tea's observations and interview conducted, the allegation that staff is restraining a resident in care is determined to be SUBSTANTIATED, meaning the complaint allegation is valid and that a violation has occurred.

The following are being cited per California Code of Regulations Title 22 Division 6 Chapter 8.

An exit interview was conducted with Administrator (AD) Kevin Dinh and a copy of this report and appeal rights was provided to the facility.

**THIS IS AN AMENDED REPORT**
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Michael Tea
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 22-AS-20250606085240
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: ROCKVIEW RESIDENTIAL CARE
FACILITY NUMBER: 306006467
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/18/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/19/2025
Section Cited
CCR
87468.1(a)(2)
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Personal Rights of Residents in All Facilities ... To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.

This requirement is not met as evidenced by:
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During the initial complaint investigation visit resident did not have the physical restraint anymore. Licensee to provide a written statement of understanding of the regulation and forward to LPA by POC due date. Also Licensee will conduct an in-service training with staff.
**THIS IS AN AMENDED REPORT**
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Resident was restrained by a physical restraint while on bed and chair to prevent from falling. This poses as an immediate health and safety risk to residents in care.
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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: Alisa Ortiz
LICENSING EVALUATOR NAME: Michael Tea
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3