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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 365530074
Report Date: 01/30/2026
Date Signed: 01/30/2026 02:56:18 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/28/2026 and conducted by Evaluator Magda Malcore
COMPLAINT CONTROL NUMBER: 56-AS-20260128125356
FACILITY NAME:ALOHA SENIOR LIVING LLCFACILITY NUMBER:
365530074
ADMINISTRATOR:HAMILTON, CAROL KANANIFACILITY TYPE:
740
ADDRESS:8880 TANGERINE AVENUETELEPHONE:
(714) 323-8445
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY:4CENSUS: 4DATE:
01/30/2026
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Carol Kanani HamiltonTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Licensee does not ensure that staff are adequately trained
Licensee is operating beyond the scope of their license
Staff are mismanaging residents' medications
Staff are restraining residents in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a complaint investigation on the above allegations. LPA met with Licensee, Carol Kanani Hamilton who was informed of today’s visit. The investigation consisted of LPA observations, reviewing pertinent records, and interviews with relevant parties.

Regarding the allegation, Licensee does not ensure that staff are adequately trained, there is not enough evidence to corroborate this allegation. Review of staff training records, interviews with the Licensee and four (4) staff indicate that staff have received adequate training in their job duties.

Regarding the allegation, Licensee is operating beyond the scope of their license, it was alleged that the facility did not have proper insurance and staff are administering suppositories, enemas, and injection medications to residents in care. LPA observed that the licensee maintains a current and proper liability insurance.
**continued on LIC9099C***
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2026
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 56-AS-20260128125356
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: ALOHA SENIOR LIVING LLC
FACILITY NUMBER: 365530074
VISIT DATE: 01/30/2026
NARRATIVE
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LPA’s record review, interviews with the Licensee, four (4) staff, resident, and outside parties indicate not enough evidence to corroborate that staff are administering suppositories, enemas, and injection medications to residents in care.

Regarding the allegation, staff are mismanaging residents’ medications, LPA’s review of resident medications and records do not indicate that staff are mismanaging resident’s medications. Interviews with the Licensee and four (4) staff indicate that they are not mismanaging resident’s medications. One resident (1) interview indicates that staff are not mismanaging their medications. LPA was not able to corroborate this allegation with three (3) other residents due to their cognitive condition.

Regarding the allegation, staff are restraining residents in care, interviews with the Licensee and four (4) staff indicate that they do not restrain residents in care. One resident (1) interview indicates that they are not restrained by staff. LPA was not able to corroborate this allegation with three (3) other residents due to their cognitive condition.

Based on the Departments investigation, the above allegations mentioned in this complaint are Unsubstantiated. A finding of Unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted where this report was discussed and a copy with appeal rights was provided to Licensee Hamilton at the conclusion of the visit.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2026
LIC9099 (FAS) - (06/04)
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