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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306001178
Report Date: 11/13/2025
Date Signed: 11/13/2025 02:27:27 PM

Unfounded


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
06/16/2021 and conducted by Evaluator RoseMarie Ruppert
COMPLAINT CONTROL NUMBER: 22-AS-20210616131357
FACILITY NAME:EUROPEAN LOVING CARE IIFACILITY NUMBER:
306001178
ADMINISTRATOR:DAHABREH, COTILIAFACILITY TYPE:
740
ADDRESS:17101 MALTA CIRCLETELEPHONE:
(714) 840-8000
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92649
CAPACITY:6CENSUS: 6DATE:
11/13/2025
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Cotilia Dahabreh, AdministratorTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Facility staff overmedicated resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to conduct a complaint investigation received in the Regional Office. LPA met with Administrator (AD) Cotilia Dahabreh and explained the purpose of the visit.

It was alleged that the facility staff overmedicated a resident. Resident #1 (R1) arrived at the facility on February 1, 2020 at 2pm. At time of arrival, resident was agitated and AD called the Power of Attorney (POA) to request the resident for reassessment due to the resident's behaviors. The POA requested physician recommendations and a physician arrived at the facility to re-assess the resident at 5pm on February 1, 2020. The doctor prescribed medications and suggested hospice. A day later, the POA agreed to put resident on hospice. The hospice agency provided the medication and continuous care for the last three days until the resident passed away on February 6, 2020 at 9:45am.

(Continued on LIC 9099-C)
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
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-20210616131357
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: EUROPEAN LOVING CARE II
FACILITY NUMBER: 306001178
VISIT DATE: 11/13/2025
NARRATIVE
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(Continued from LIC 9099)

LPA requested the following resident records from 2020: Identification and Emergency Information Form, Physician's Report, Pre-appraisal, Needs and Services Plan, Centrally Stored Medication and Destruction Record and Admissions Agreement.

Per Physician's Report dated 1/28/2020, the resident's primary diagnosis was Pneumonia, Congestive Heart Failure and Dementia. The paperwork for the resident was provided to the facility at time of admission. The report checked the yes and no boxes for inappropriate and wandering behavior; which was unclear. The hospice agency updated AD with resident prognosis and provided the medication and care needs for the resident until the resident passed away on February 6, 2020.

LPA interviewed three of three staff members, three of three residents and the hospice agency for any further information on this incident. Three of three staff and three of three residents denied overmedicating residents. The hospice agency administrator also denied overmedicating the resident.

Based on record review and interviews the allegation that Facility staff overmedicated resident is UnfoundedThe allegation is false, could not have happened, and/or is without a reasonable basis. An exit interview was conducted with Cotilia Dahabreh, Administrator and a copy of this report and LIC 811, was provided to the facility.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2