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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006472
Report Date: 07/16/2026
Date Signed: 07/16/2026 11:44:03 AM

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
01/30/2025 and conducted by Evaluator Jerome Haley
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250130104434
FACILITY NAME:SAN CLEMENTE VILLAS BY THE SEAFACILITY NUMBER:
306006472
ADMINISTRATOR:PAOLI, FREDFACILITY TYPE:
740
ADDRESS:660 CAMINO DE LOS MARESTELEPHONE:
(949) 489-3400
CITY:SAN CLEMENTESTATE: CAZIP CODE:
92673
CAPACITY:190CENSUS: 88DATE:
07/16/2026
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Kimberly MalaspinaTIME COMPLETED:
11:55 AM
ALLEGATION(S):
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Facility is not kept at a comfortable temperature.
Areas of the facility are in disrepair with exposed wires.
INVESTIGATION FINDINGS:
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Regarding the allegation: Facility is not kept at a comfortable temperature

During the investigation 0 of 7 individuals were able to provide any corroborating information or evidence to support the complaint allegation as reported. Multiple individuals denied the allegation. One individual claims the temperature in the facility is not too cold and not too hot.

Regarding the allegation: Areas of the facility are in disrepair with exposed wires.

During the investigation 0 of 7 individuals were able to provide any corroborating information or evidence to support the complaint allegation as reported. Multiple individuals acknowledged the facility is making some renovations to different areas of the building. Multiple individuals denied the elevator is in disrepair. One individual stated although there's some construction taking place, the facility is in good repair.

Continued on LIC9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026
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-20250130104434
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: SAN CLEMENTE VILLAS BY THE SEA
FACILITY NUMBER: 306006472
VISIT DATE: 07/16/2026
NARRATIVE
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Another individual who denied the elevator was in disrepair claims the facility is in good repair and the facility has a good maintenance team. One individual did confirm a button for a service elevator was not working properly;however, the service elevator was still operational. The individual explained the button was fixed in a day or two. The residents were not affected as the two resident elevators were still operational.

Based on the information gathered during the investigation through interviews and observation, the Department is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred; therefore, the allegations are deemed unsubstantiated.
SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2