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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006473
Report Date: 10/09/2024
Date Signed: 10/09/2024 04:14:44 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
09/23/2024 and conducted by Evaluator Kevin Saborit-Guasch
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20240923104800
FACILITY NAME:CRESCENDO SENIOR LIVINGFACILITY NUMBER:
306006473
ADMINISTRATOR:GALAL, LAURELFACILITY TYPE:
740
ADDRESS:351 EAST PALM DRIVETELEPHONE:
(714) 528-4990
CITY:PLACENTIASTATE: CAZIP CODE:
92870
CAPACITY:210CENSUS: DATE:
10/09/2024
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Laurel Galal, Executive DirectorTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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rDue to lack of supervision, resident had an unwitnessed fall
INVESTIGATION FINDINGS:
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On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of delivering findings into the investigation of the allegation listed above. LPA was greeted and granted entry by Executive Director Laurel Galal after explaining the purpose of the visit.

An initial investigation visit was held on October 1, 2024. During this visit, LPA requested and obtained the facility's census for the assisted living and memory care buildings. Resident records including physician report, individual needs and services plan, resident assessments as well as hospital visit reports for 2023 and 2024 were provided for resident R1. An interview with R1 was conducted along with two memory care staff interviews.

Additional witness interviews were conducted via telephone.
CONTINUED ON FORM LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 22-AS-20240923104800
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: CRESCENDO SENIOR LIVING
FACILITY NUMBER: 306006473
VISIT DATE: 10/09/2024
NARRATIVE
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CONTINUED FROM FORM LIC9099

Regarding the allegation that Due to lack of supervision, resident had an unwitnessed fall, the following has been concluded: On September 20, 2024, resident R1 experienced a fall incident while attempting to use their unit's restroom/bathroom and was found shortly thereafter by a facility caregiver who heard calls for help. The bathroom was confirmed to be equipped with grab bars and slip mats. R1 was verified to have been assessed to receive stand-by assistance for toileting care but was stated by multiple parties to be believed to have attempted to shower unassisted. R1 was taken to the hospital for evaluation after paramedics were called, and returned to the facility the same day with no major injuries assessed per the hospital visit reports obtained during the investigation. Based on the evidence gathered, the fall incident reported does not appear to have resulted from negligence and/or lack of care and supervision from the facility's staff.

As a result, the allegation is found to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove or refute the alleged violation occurred.

An exit interview was conducted and a copy of this report was provided to a facility representative.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024
LIC9099 (FAS) - (06/04)
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