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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306004676
Report Date: 02/17/2026
Date Signed: 02/17/2026 12:06:48 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
02/18/2025 and conducted by Evaluator Andrea Mendivil
COMPLAINT CONTROL NUMBER: 22-AS-20250218161612
FACILITY NAME:SHERCON GUEST HOMESFACILITY NUMBER:
306004676
ADMINISTRATOR:CONSOLACION LUMAUIGFACILITY TYPE:
740
ADDRESS:13432 GALWAY STREETTELEPHONE:
(714) 815-9214
CITY:GARDEN GROVESTATE: CAZIP CODE:
92844
CAPACITY:6CENSUS: 6DATE:
02/17/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Connie Lumauig - Licensee/Administrator TIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Facility staff not dispensing medications as prescribed
INVESTIGATION FINDINGS:
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On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to deliver complaint findings. LPA was greeted and granted entry into the facility and explained the reason for the visit.

The Department received a complaint on 02/18/2025 and LPA Mendivil conducted the initial 10 day visit on 02/25/2025. LPA Mendivil obtained copies of admission agreements, physicians reports, hospice documentation, and staff training documentation. LPA Mendivil interviewed staff and residents. Regarding the allegation, facility staff not dispensing medication as prescribed, the investigation revealed the following:

It was alleged that the facility is not dispensing medication as prescribed for Resident 1 (R1). R1 was admitted to the facility on or around November 2024. Per review of R1’s physician report R1 was diagnosed with major neurocognitive disorder due to Alzheimer’s and R1 was able to communicate needs and is able to follow directions.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2026
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 5
Control Number 22-AS-20250218161612
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: SHERCON GUEST HOMES
FACILITY NUMBER: 306004676
VISIT DATE: 02/17/2026
NARRATIVE
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 During the visit on 02/25/2025 LPA Mendivil witnessed a conversation between Licensee/Administrator Connie Lumauig asking R1’s family about a medication that the Licensee was no longer giving R1. Per LPA’s observation R1's family denied stating that R1’s medication was discontinued. LPA Mendivil questioned Licensee regarding the discontinuation of medication and asked if a physician discontinued, Licensee stated “no”

Therefore based on the preponderance of evidence through observations the allegation that the facility is not dispensing medication as prescribed is determined to be SUBSTANTIATED , meaning the complaint allegation as valid and that a violation has occurred.

Based on above findings deficiencies are being cited per California Code of Regulations Title 22 Divison 6 chapter 8,

An exit interview was conducted and a copy of this report was provided.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
02/18/2025 and conducted by Evaluator Andrea Mendivil
COMPLAINT CONTROL NUMBER: 22-AS-20250218161612

FACILITY NAME:SHERCON GUEST HOMESFACILITY NUMBER:
306004676
ADMINISTRATOR:CONSOLACION LUMAUIGFACILITY TYPE:
740
ADDRESS:13432 GALWAY STREETTELEPHONE:
(714) 815-9214
CITY:GARDEN GROVESTATE: CAZIP CODE:
92844
CAPACITY:6CENSUS: DATE:
02/17/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:TIME COMPLETED:
11:30 AM
ALLEGATION(S):
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9
Facility staff not following resident's hospice plan
INVESTIGATION FINDINGS:
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n this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to deliver complaint findings. LPA was greeted and granted entry into the facility and explained the reason for the visit.

The Department received a complaint on 02/18/2025 and LPA Mendivil conducted the initial 10 day visit on 02/25/2025. LPA Mendivil obtained copies of admission agreements, physicians reports, hospice documentation, and staff training documentation. LPA Mendivil interviewed staff and residents. Regarding the allegation, facility staff not following resident's hospice plan, the investigation revealed the following:

It was alleged that the facility is not dispensing medication as prescribed for Resident 1 (R1). R1 was admitted to the facility on or around November 2024. Per review of R1’s physician report R1 was diagnosed with major neurocognitive disorder due to Alzheimer’s and R1 was able to communicate needs and is able to follow directions.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 22-AS-20250218161612
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: SHERCON GUEST HOMES
FACILITY NUMBER: 306004676
VISIT DATE: 02/17/2026
NARRATIVE
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Interviews with 3 out of 3 staff stated they follow all care plans and they are able to meet residents needs. Based on interviews with 2 out of 6 current residents stated their needs are being met. LPA Mendivil was unable to interview 4 residents are they were not oriented to time and space. LPA reviewed hospice records provided for R1's needed assistance with wound care, medication administration, bathing, and restroom assistance. Licensee stated they met all of R1's needs.

Therefore based on the preponderance of evidence through interviews and records reviewed the allegation that facility staff not following resident's hospice plan is determined to be UNSUBSTANTIATED, meaning although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred.

No deficiencies noted. An exit interview was conducted and a copy of this report was provided.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 22-AS-20250218161612
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: SHERCON GUEST HOMES
FACILITY NUMBER: 306004676
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/17/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/18/2026
Section Cited
CCR
87465(a)(4)
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(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:
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Licensee to conduct inservice regarding reviewing physicians orders and provide proof to LPA by POC due date.
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(4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidence by staff discontinued R1's medication without physician's orders. This poses an immediate health and safety risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5