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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306001407
Report Date: 07/01/2025
Date Signed: 07/01/2025 04:45:04 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
06/25/2025 and conducted by Evaluator Jerome Haley
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250625105327
FACILITY NAME:EMERALD COURTFACILITY NUMBER:
306001407
ADMINISTRATOR:DAIZEL C GASPERIANFACILITY TYPE:
740
ADDRESS:1731 MEDICAL CENTERTELEPHONE:
(714) 778-5100
CITY:ANAHEIMSTATE: CAZIP CODE:
92801
CAPACITY:299CENSUS: 153DATE:
07/01/2025
UNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Dillon CaguladaTIME COMPLETED:
04:55 PM
ALLEGATION(S):
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Eating utensils and dishes are not properly cleaned and sanitized.
Facility is serving food that is unsafe.
INVESTIGATION FINDINGS:
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Regarding the complaint allegation: Eating utensils and dishes are not properly cleaned and sanitized.

During the initial visit, interviews were conducted with 10 individuals including facility residents and staff. 0 of 10 of the individuals interviewed could provide any evidence to corroborate the allegations above. During the visit, LPA Haley walked around the kitchen several times accompanied by three different facility staff members to make observations. During the final walk around of the kitchen with one of the staff members, the commercial dishwasher was observed and photographed. The dishwasher was just finished being used, and a container full of clean utensils was sitting on the other end of the dishwasher where dishes come out after being cleaned. Photos were taken of the container full of clean utensils.

Regarding the complaint allegation: Facility is serving food that is unsafe.

Continued on LIC9099C
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2025
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-20250625105327
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: EMERALD COURT
FACILITY NUMBER: 306001407
VISIT DATE: 07/01/2025
NARRATIVE
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During the investigation, all the residents that were interviewed provided information that contradicts the complaint allegation. One of the residents gestured with the hands that the food was so so. When asked to explain, the resident said maybe because I’m vegetarian. Another resident stated they like the food but wishes there were more variety. The resident said they like Mexican food and listed several Mexican dishes they like to eat. The same resident talked about how they order additional items off the menu in case something doesn’t taste right or isn’t cooked right they can eat the other item they ordered. Further, during the facility walk through, breakfast and lunch was observed. The food looked and smelled appropriate and food and drinks were both being handled with care. Food that was prepared was covered in plastic and placed on a cart, and the drinks that were sitting on the table were covered with a tablecloth. Photos were taken.

Based on the information gathered during through interview, and observation, and the following allegations: Eating utensils and dishes are not properly cleaned and sanitized, and Facility is serving food that is unsafe, are deemed Unfounded, meaning the allegations are false, could not have happened and/or are without a reasonable basis.

An exit interview was conducted, and a copy of this report was provided.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2