306001354-1-28-2026-22-AS-AORZ-DRG44K-20260219174628

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306001354
Report Date: 01/28/2026
Date Signed: 01/28/2026 02:28:19 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
09/02/2021 and conducted by Evaluator Jessica Cho

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20210902153234

FACILITY NAME:	DIAMOND MANOR		FACILITY NUMBER:	306001354
ADMINISTRATOR:	LOPEZ, CORAZON		FACILITY TYPE:	740
ADDRESS:	15460 MARLBOROUGH CIRCLE		TELEPHONE:	(714) 486-2737
CITY:	WESTMINSTER	STATE: CA	ZIP CODE:	92683
CAPACITY:	6	CENSUS: 6	DATE:	01/28/2026
		UNANNOUNCED	TIME BEGAN:	12:05 PM
MET WITH:	Corazon Lopez- Adminstrator		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Resident sustained unexplained injury while in care.

INVESTIGATION FINDINGS:

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On January 28, 2026, Licensing Program Analyst (LPA) Jessica Cho made an unannounced subsequent visit for the purpose of continuing the investigation into the above allegation. LPA met with Administrator Corazon Lopez and explained the reason for the visit. The investigation is as follows: On September 2, 2021, the Department received the complaint. The complaint investigation was initiated by LPA Lydia Martinez via a tele-visit call on September 13, 2021 at 8:10am. A subsequent visit was conducted by LPA Sean Haddad on October 18, 2022 and five resident and three staff interviews were obtained. On today's date, LPA Cho conducted two staff interviews.

Regarding the allegation, Resident sustained unexplained injury while in care, it is alleged that Staff #1 (S1) hit Resident #1 (R1) causing bruising to the right side of R1's face. Interviews revealed that three out of five residents reported that they were not hit by S1 and did not receive care from the administrator's family member. Interviews with the two remaining residents were not obtained due to their medical condition and resident sleeping at the time of interview.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026

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-20210902153234

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: DIAMOND MANOR	FACILITY NUMBER: 306001354
	VISIT DATE: 01/28/2026

NARRATIVE

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Two out of three staff denied the allegation reporting R1 had fallen from the bed in August 2021. After hearing the fall via the bed alarm, R1 was immediately assisted and assessed, however no visible injuries were observed. R1 also did not complain of pain at the time per Admin. A bruise was observed the following day with no other complaints of pain by R1. First aid was administered and R1's representative was contacted was notified of the bruise which R1's representative had refused medical treatment. Admin stated that R1 was moved out the same day. Based on the investigation, LPA is unable to determine if S1 had hit R1. Additionally, facility had responded to the injury and notified R1's representative timely, and there were no other concerns.

Therefore, based on the interviews which were conducted, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the following allegation: Resident sustained unexplained injury while in care is deemed UNSUBSTANTIATED.

An exit interview was conducted with Corazon Lopez, and a copy of this report including the LIC811 were provided at exit.

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026

LIC9099 (FAS) - (06/04)

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