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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306000295
Report Date: 11/06/2025
Date Signed: 11/06/2025 03:44:05 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
10/07/2024 and conducted by Evaluator Ruth Martinez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20241007132932
FACILITY NAME:KARLTON RESIDENTIAL CARE CENTERFACILITY NUMBER:
306000295
ADMINISTRATOR:ELENA WEINERFACILITY TYPE:
740
ADDRESS:3615 WEST BALL RD.TELEPHONE:
(714) 236-1170
CITY:ANAHEIMSTATE: CAZIP CODE:
92804
CAPACITY:76CENSUS: 49DATE:
11/06/2025
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Elena WeinerTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Resident sustained pressure injuries while in care.
Staff leaves resident in wheel chair for extended periods of time.
Staff does not ensure resident's podiatry needs are being met.
Staff does not ensure resident's hygiene needs are being met.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced visit to the facility to conclude investigation into the above identified complaint allegation. LPA arrived at the facility and was greeted at the door and granted entry. LPA spoke with Elena Weiner, Administrator and explained the purpose of the visit.

Findings are based upon this investigation which included tour of the facility, resident file review, and interviews conducted.

It is alleged that resident sustained pressure injury while in care. Interview with staff stated that resident (R1) was sent out to the hospital on August 31, 2024, and returned the same day with home health referral. Record review revealed that R1 was sent to hospital on August 31, 2024, for left foot pain and

Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Ruth Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
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 2
Control Number 22-AS-20241007132932
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: KARLTON RESIDENTIAL CARE CENTER
FACILITY NUMBER: 306000295
VISIT DATE: 11/06/2025
NARRATIVE
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swelling. Discharge paperwork indicates R1 with cellulitis. The appraisal needs and services plan indicated that R1 had skin break down and a home health was ordered for her care. Continuous care was provided by home health as well as a physical therapy evaluation.

It is alleged that staff leaves resident in wheelchair for extended periods of time. Interview with staff stated that R1 gets transferred out to their bed after lunch per R1’s request and was moved often. Staff stated that R1 gets physical therapy at the facility by an outside vendor. Records review revealed that progress notes from September and October 2024 reflect that R1 received physical therapy treatments. Resident monitoring logs for R1 reflect that R1 is moved out of the wheelchair often throughout the day.

It is alleged that staff does not ensure resident's podiatry needs are being met. Interview with staff stated that R1 and residents from the facility received podiatry services at the facility by an outside vendor that would come and provide services. Interview with 5 of 5 residents indicated that a person comes and does their nails and looks at their feet at the facility.

It is alleged that staff does not ensure resident's hygiene needs are being met, specifically to not being showered. Records review revealed that facility maintained a shower list for R1 and reflects that R1 received showers various times throughout the week. Interview with 5 of 5 residents stated that the staff make sure they shower at all times.

Based on the information mentioned above, the Department is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred; therefore, these allegations are deemed Unsubstantiated.

An exit interview was conducted with the Administrator and a copy of this LIC9099 report was left at facility.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Ruth Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
LIC9099 (FAS) - (06/04)
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