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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006630
Report Date: 10/24/2025
Date Signed: 10/24/2025 04:24:50 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
09/25/2025 and conducted by Evaluator Michael Tea
COMPLAINT CONTROL NUMBER: 22-AS-20250925110451
FACILITY NAME:A PLACE LIKE HOME 2FACILITY NUMBER:
306006630
ADMINISTRATOR:BEN, SHEILAFACILITY TYPE:
740
ADDRESS:14702 KATHY STTELEPHONE:
(714) 609-2303
CITY:WESTMINSTERSTATE: CAZIP CODE:
92683
CAPACITY:6CENSUS: 6DATE:
10/24/2025
UNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Maria AvilaTIME COMPLETED:
04:35 PM
ALLEGATION(S):
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- Staff do not ensure resident receives toileting assistance
- Staff allow resident to be left in soiled clothing for extended periods of time
- Staff are using medication as a form of restraint on resident in care
- Staff do not ensure resident is spoken to in an appropriate manner
- Staff do not ensure resident is accorded privacy during personal phone conversations
- Staff pushed resident in care
- Staff do not ensure resident is provided feeding assistance
- Staff does not ensure resident receives bathing assistance
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 Administrator (AD) Maria Avila and explained the reason for the visit.

The Department received a complaint on September 25, 2025. During the investigation, LPA Tea spoke to facility staff, residents, resident family members and other witnesses and reviewed and collected pertinent documents and information.

It was alleged that staff do not ensure resident receives toileting assistance. Per interviews with family members of residents, three out of four have agreed that residents receive the toileting assistance they need. One family member interviewed said they at least check on the resident every three hours. Many of them agree that when they visit their loved ones at the facility, they do not have any odors or smell and
(Complaint Investigation report continued on LIC9099C)
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Michael Tea
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2025
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 4
Control Number 22-AS-20250925110451
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: A PLACE LIKE HOME 2
FACILITY NUMBER: 306006630
VISIT DATE: 10/24/2025
NARRATIVE
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notice no bed sores of any kind on the residents. One family member understands that despite they wish their family member to use the bathroom independently, unfortunately the resident has to wear diapers, but they commend the staff for doing a wonderful job with the incontinence care and toileting assistance. One of the staff interviewed said they have a schedule they follow with the toileting and incontinence care. They assist, change and check residents for the toileting assistance and incontinence care in the morning, before lunch and before dinner. Nighttime shift staff check them before the daytime shift staff leaves. Sheila Ben, one of the administrators interviewed, said her staff are very hands on with the residents in toileting assistance. From her nursing background perspective, Administrator Ben said that patients would have wounds, and they would smell. For her and her other administrator Maria Avila it is unacceptable for the residents to have bad hygiene.

It was alleged that staff allow resident to be left in soiled clothing for extended periods of time. From LPA Tea’s observation during the initial investigation, residents were in clean clothes. Their beds and rooms were clean and odor free and there are no signs or evidence of residents in soiled clothing. Both residents that the LPA have spoken to said they never had soiled clothing or sat in soiled clothing. Four out four family members of residents interviewed have agreed that their family has always been presentable and dressed in clean clothing and never in soiled clothing. Two out of two staff interviewed have similarly stated that residents are clean and checked every so often. They change them every day. One staff member stated that they reposition their bed bound residents and apply lotions. Both ADs Ben and Avila stated their staff go above and beyond for the residents. AD Ben mentioned the hospice staff that come to the facility advocates for hygiene and gives them reminders.

It was alleged staff are using medication as a form of restraint on resident in care. LPA reviewed the physician’s orders for resident medications, and the facility has been following the doctor’s order. It is well documented in the MAR record and used in the recommended dosage. Staff would check with the administrator and the hospice for medications such as Lorazepam to calm the residents with dementia who have agitated behavior. One family member interviewed does have a family member who is a licensed pharmacist and goes over the medication dosage of the resident. Another family member interviewed regarding medication said they have a discussion with the doctors and the facility about the right dosage of medication given to their family member at the facility. They work and communicate with them and confirm they are not over medicating the resident, it is very transparent.
(Complaint Investigation report continued on LIC9099C)
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Michael Tea
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 22-AS-20250925110451
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: A PLACE LIKE HOME 2
FACILITY NUMBER: 306006630
VISIT DATE: 10/24/2025
NARRATIVE
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It was alleged staff do not ensure resident is spoken to in an appropriate manner. Three out four family members of residents have confirmed that the staff are nice and talk respectfully to the residents. One staff member said some residents are hard of hearing and they must maximize their voice, in which AD Ben agrees that some residents are hard of hearing. Both residents that were interviewed confirmed as well that staff talk to them nicely.

It was alleged that staff do not ensure resident is accorded privacy during personal phone conversations. Three out of four residents confirm that their family members who reside at the facility are given privacy and space. At the time of the visit, LPA observed visiting family members are accorded privacy and given the space to talk and interact with them privately. Staff even close the doors of the residents’ rooms to give them privacy. Regarding personal phone conversations, one resident is not cognitive to hold the phone, both staff interview confirmed they would have to hold the phone for the resident. Sometimes the resident would just press buttons and hang up on the person who is on the other line. A family member confirmed the resident does not have the capacity to physically hold a phone, cognitively the resident does not even know who they are or the relations to the family member.

It was alleged that staff pushed resident in care. Three out of four family members confirmed that they have never seen or heard any residents being pushed. One family member thought it was nonsense that the great staff would do such a thing. All staff interviewed confirmed that they would never push residents. One staff mentioned that if they were physical with residents, family members would see marks or bruises on the residents. AD Ben said there has never been a fall incident that has been reported and not only that there is zero tolerance for that kind of behavior at their facilities. A witness said a resident observed another resident being pushed. LPA interviewed the resident who had allegedly witnessed another resident pushed and LPA observed that the resident was cognitively impaired to remember and speak due their progressive health condition.

It was alleged that staff do not ensure resident is provided feeding assistance. Per interviews with family members of residents, three out of four confirmed that residents are provided assistance with feeding. A couple of them mention that staff go above and beyond, doing 1:1 feeding with the residents and are amazed with the care from the staff. Another family member mentioned that the staff makes sure the resident is fed, and since they have been at the facility the resident has never developed a UTI, like the previous
(Complaint Investigation report continued on LIC9099C)
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Michael Tea
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 22-AS-20250925110451
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: A PLACE LIKE HOME 2
FACILITY NUMBER: 306006630
VISIT DATE: 10/24/2025
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facilities they were at. AD Avila said the allegation was completely not true because most of the staff assist the residents with feeding, even if the ones who are very independent, the staff helps them during meals.

It was alleged that staff does not ensure resident receives bathing assistance. Four out four family members interviewed confirm that their loved ones at the facility receive bathing assistance. One family member even mentioned that they even help shave the resident. They all said the residents are clean, in which from LPA’s observation during the investigation concludes that residents are clean. One family member said the staff go above and beyond with their loved ones. One resident confirms they assist them in the shower. Four out four staff interviewed confirmed that they give bathing assistance more than they should. One staff member said they give extra baths to the residents, especially when the family comes to see the residents. The staff wants to have the residents look presentable, and the family to enjoy their time with the residents and show how well taken care of the residents are. They do not wait for hospice assistance with baths. AD Ben said her staff does a good job cleaning their residents, even their toes and feet are so clean, which she is proud of.

Therefore, based on LPA's observations, interviews conducted, and records reviewed the allegations mentioned above have been determined UNFOUNDED, meaning the allegations are false, could not have happened and/or is without a reasonable basis.

No deficiencies cited at this time and an exit interview was conducted with Administrator Maria Avila. A copy of the report was provided to the facility.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Michael Tea
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4