306000502-9-3-2025-22-AS-APAO-DLE8NX-20250910224039

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306000502
Report Date: 09/03/2025
Date Signed: 09/03/2025 10:19:11 AM

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
05/26/2021 and conducted by Evaluator Alvaro Ramirez Jr.

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20210526123651

FACILITY NAME:	NEW HORIZON LODGE, INC.		FACILITY NUMBER:	306000502
ADMINISTRATOR:	GLEN E GOLDSMITH		FACILITY TYPE:	740
ADDRESS:	8541 CERRITOS AVENUE		TELEPHONE:	(714) 821-5781
CITY:	STANTON	STATE: CA	ZIP CODE:	90680
CAPACITY:	120	CENSUS: 77	DATE:	09/03/2025
		UNANNOUNCED	TIME BEGAN:	09:07 AM
MET WITH:	Jonathan Barrios-Administrator		TIME COMPLETED:	09:35 AM

ALLEGATION(S):

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Facility has pest issues.
Staff was rough with resident.
Staff speaks inappropriately to resident.
Facility shower room is not clean.
Facility has not enough staff to meet residents' needs.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on the above allegations received on May 26, 2021. LPA was greeted and granted entry into the facility and met with Administrator (AD) Jonathan Barrios. LPA explained the reason for the visit.

This Department has investigated the complaint alleging that facility has pests issues. Regarding the allegation the following was revealed: During the subsequent visits on August 22, 2025, and September 3, 2025, LPA toured the facility and did not observe pests in the facility. During the course of the interviews with residents, Resident 1 (R1) reported that she has never seen pests in the facility. Per R2, she has been living here for over two months and stated that she has not seen pests. R3 reported that she has never seen pests. Per R4, he has not seen pests. During the course of the interviews with staff, Staff 1 (S1) reported that she has never seen pests in the facility and reported that a pest control company does visits to the facility. S2 stated that she has never seen pests in the facility.
CONTINUED ON LIC9099-C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 22-AS-20210526123651

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: NEW HORIZON LODGE, INC.	FACILITY NUMBER: 306000502
	VISIT DATE: 09/03/2025

NARRATIVE

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Regarding the allegation that staff was rough with resident, the following was revealed: During the course of the interviews with residents, R1 reported that staff have never been rough with her. Per R1, staff are respectful. R2 stated that staff have not been rough when helping her. Per R3, staff have never been rough with her. R4 reported that staff have never grabbed him in a rough manner. During the course of the interviews with staff, S1 reported that she has never seen staff grabbed a resident in a rough manner. Per S1, she has never been rough with the residents. S2 stated that staff are never rough with the residents.

Regarding the allegation that staff speak inappropriately to resident, the following was revealed: During the course of the interviews with residents, R1 reported that staff have never spoken to her inappropriately. Per R2, staff do not speak to her inappropriately and stated that staff are respectful. R3 reported that staff have never spoken to her inappropriately. Per R4, staff have never spoke to him inappropriately. During the course of the interviews with staff, S1 reported that she has never spoken to the residents inappropriately. S2 stated that she has never witnessed staff speaking inappropriately to the residents.

Regarding the allegation that facility shower room is not clean, the following was revealed: During the subsequent visits on August 22, 2025, and September 3, 2025, LPA toured the facility and observed that the showers were clean. During the course of the interviews with residents, R1 reported that her bathroom is always clean. Per R2, her shower is clean and stated that her bathroom gets clean every other day. R3 reported that her shower room is clean and reported that her bathroom gets cleaned weekly. Per R4, his shower is clean and reported that his bathroom gets cleaned weekly or every other day. During the course of the interviews with staff, S1 reported that the shower rooms get cleaned daily. S2 stated that the shower rooms are always clean.

Regarding the allegation that facility does not have enough staff to meet the residents’ needs, the following was revealed: During the course of the investigation LPA reviewed documents including the New Horizon Lodge, Inc. staff schedule dated August 10, 2025, through August 23, 2025. Per staff schedule on average there are two caregivers and one Medication Technician (MT) for the morning shift from 6:00 a.m. to 2:30 p.m. and for the afternoon shift from 2:00 p.m. to 10:30 p.m. and there is one caregiver and one MT for night shift from 10:00 p.m. to 6:30 a.m.

CONTINUED ON LIC9099-C...

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2025

LIC9099 (FAS) - (06/04)

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Control Number 22-AS-20210526123651

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: NEW HORIZON LODGE, INC.	FACILITY NUMBER: 306000502
	VISIT DATE: 09/03/2025

NARRATIVE

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During the course of the interviews with residents, R1 reported that the facility has enough staff to meet the residents' needs. Per R2, the facility has enough staff and reported that staff are stable. R3 stated that the facility has enough staff to care for the residents. Per R4, there are enough staff to meet the residents' needs and stated that staff are nice and helpful.

Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegations occurred as reported due to conflicting information. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove or refute the alleged violations occurred; therefore, these allegations are deemed UNSUBSTANTIATED.

For today’s visit, there were no citations issued per Title 22, Division 6 of the California Code of Regulations.
LPA conducted an exit interview with AD Barrios, and a copy of this report was provided to the facility.

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2025

LIC9099 (FAS) - (06/04)

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