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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 03:49:17 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
11/13/2024 and conducted by Evaluator Ruth Martinez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20241113114841
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:
03:30 PM
MET WITH:Elena WeinerTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Facility did not ensure that resident was kept clean and dry
Facility did not ensure that resident was accorded dignity.
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 facility did not ensure that resident was kept clean and dry. Interview with staff stated that resident (R1) was never left in soiled diapers and when R1 calls for a diaper change they change them even if it’s every five minutes. Interview with R1 stated that staff change their diaper as needed.

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-20241113114841
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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R1 stated that they have never had a problem by being left in a soiled diaper. R1 stated that they wake up in a dry bed and they don’t recall being in soiled pants for over 4 hours. Record review monitoring logs from October 1, 2024, to November 20, 2024, reflected that R1 was changed every 2 hours or as needed for soiled diaper.

It is alleged that facility did not ensure that resident was accorded dignity, specifically to hitting R1. Interview with resident stated that facility staff treat them good and treat them with respect and dignity. Record review shift notes revealed that on November 11, 2024, R1 was sent out to the hospital due to R1 being aggressive and agitated, R1 pushing care staff and refusing to get help, unable to control. Monitoring logs from October 1, 2024, to November 20, 2024, reflect that R1 when agitated they hit and push staff and refused to get help.

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)
Page: 2 of 2