306006677-1-8-2026-22-AS-APAO-DQDU8H-20260116142133

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006677
Report Date: 01/08/2026
Date Signed: 01/08/2026 04:47:01 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
08/14/2025 and conducted by Evaluator Edward Kim

COMPLAINT CONTROL NUMBER: 22-AS-20250814095006

FACILITY NAME:	SOLAIRE HOME		FACILITY NUMBER:	306006677
ADMINISTRATOR:	TUASON, LIEZL		FACILITY TYPE:	734
ADDRESS:	17777 BUENA VISTA		TELEPHONE:	(909) 841-6315
CITY:	YORBA LINDA	STATE: CA	ZIP CODE:	92886
CAPACITY:	5	CENSUS:	DATE:	01/08/2026
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Administrator- Liezl Tuason		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff handled residents in a physically inappropriate manner.
Staff neglect resulted in resident falling.

INVESTIGATION FINDINGS:

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On January 8, 2026, at 12:30 PM, Licensing Program Analyst (LPA) Edward Kim conducted a subsequent complaint visit to deliver complaint investigation findings. LPA met with Administrator Liezl Tuason and explained the purpose of the visit.

The investigation consisted of the following. LPA Kim toured the facility. LPA requested and obtained copies of the resident roster and staff roster. LPA requested copies of four resident service records which include Physician’s Report, Appraisal/Needs and Services Plan, incident reports, admission agreements, facility progress notes, and other document records. LPA requested copies of twelve staff records which included LIC501 and training records. LPA conducted interviews with twelve staff.

The investigation revealed the following:

Continued on LIC9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2026

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 4

Control Number 22-AS-20250814095006

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: SOLAIRE HOME	FACILITY NUMBER: 306006677
	VISIT DATE: 01/08/2026

NARRATIVE

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Allegation: Staff handled residents in a physically inappropriate manner.
It is alleged that a Staff (S1) would clean and wipe residents with more force than normal that would lead to redness and some bleeding. It is alleged that S1 would turn a resident in a rough manner which led the resident hit the side rails with their face.

Based on interviews conducted, eleven out of twelve staff and one witness denied the allegation. One of twelve staff and four out of four residents could not confirm or deny the allegation. Staff stated they have not observed or heard of any staff being physically inappropriate. To the staff’s knowledge, S1 has not handled any resident that would lead to bleeding and redness or turn any resident that would led the resident to hit the side rails with their face. S3-S12 stated that S1 is a caring and hard worker, and if S1 did any of this, this would be reflected on body checks and the facility would have submitted reports to appropriate authorities. S1 stated they have never handled a resident in a physically inappropriate manner and would not clean and wipe any resident to the point of redness and bleeding. S1 also stated they have never turned a resident which resulted in the resident hitting the side rail with their face.

Based on record review, Incident reports submitted from May 2024 to the present do not reveal any residents having redness or bleeding due to staff cleaning or wiping residents. These same reports do not reveal any residents hitting the side rails with their face. There are no records from the facility that there were any staff receiving disciplinary actions for handling a resident in a physically inappropriate manner such as wiping or cleaning too rough that would lead to redness or bleeding or hitting the side rails with their face.

Based on observations on August 21, 2025, and January 8, 2026, LPA Kim did not observe any staff handling a resident in a physically inappropriate manner. LPA Kim observed residents were transferred and taken care of which did not lead to any redness and bleeding or turning residents that hit their face onto the side rail.

Based on the information gathered, there is no sufficient evidence gathered to confirm the above allegation. It is determined that eleven out of twelve staff denied that the staff handled residents in a rough manner. There are no records to indicate such an event occurred.

Continued on LIC9099C

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 22-AS-20250814095006

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: SOLAIRE HOME	FACILITY NUMBER: 306006677
	VISIT DATE: 01/08/2026

NARRATIVE

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Allegation: Staff neglect resulted in resident falling.
It is alleged there was an incident where a resident fell from the shower bed that resulted with a bump on their forehead.

Based on record review, the incident report dated March 28, 2025, stated there was an incident from March 27, 2025, at 2:40 PM, where R1 had a witnessed fall that led to a laceration on their forehead and the bridge of their nose with minimal bleeding. CT and X-rays were performed and resulted with no injuries. Resident returned to the facility the same day around 6:30 PM. R1’s discharge hospital record dated March 27, 2025, shows that CT scans and X-rays were performed, and that resident was discharged back home for their normal diet and normal home activity.

Based on interviews, eleven out of twelve staff and one witness denied the allegation. One out of twelve staff and four out of four residents could not confirm or deny the allegation. S1 and S3-S12 stated there was an incident that occurred on March 27, 2025, where R1 had a fall from the shower bed. S3 stated that they were at the medication cart at the time of the event. They heard their name called and immediately responded to the shower room. S3 stated they saw R1 on the floor lying on their side. Upon fall protocol, S3 observed R1 had an abrasion on their forehead and their nose with a little bleeding. They called 911 and had R1 transported to the hospital. The facility notified the responsible party and primary care physician. Upon discussion with S1 and S2, S3 determined this was an unfortunate accident. S3 stated S1 and S2 are good and caring staff that care for the residents and do not suspect foul play. S3-S12 stated that S1 and S2 were good and caring workers and did not have a reputation of being careless.

Based on the information gathered, there is no sufficient evidence gathered to confirm the above allegation. It is determined that record review and eleven out of twelve staff and one witness denied that staff neglect led to the resident falling. The incident is an accident which the facility promptly responded to call emergency services and notify all necessary people.

Continued on LIC9099C

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 22-AS-20250814095006

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: SOLAIRE HOME	FACILITY NUMBER: 306006677
	VISIT DATE: 01/08/2026

NARRATIVE

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Based on observations, interviews, and records review, LPA did not find sufficient evidence to support the above allegations that staff handled residents in a physically inappropriate manner and staff neglect resulted in resident falling. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.

Exit interview was conducted and a copy of the report was provided to Administrator Liezl Tuason.

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2026

LIC9099 (FAS) - (06/04)

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