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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306004761
Report Date: 07/10/2025
Date Signed: 07/10/2025 04:50:43 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
02/28/2022 and conducted by Evaluator Cheyenne Ratajczak
COMPLAINT CONTROL NUMBER: 22-AS-20220228122954
FACILITY NAME:CAMBRIDGE COURTFACILITY NUMBER:
306004761
ADMINISTRATOR:LAUREN CHONFACILITY TYPE:
740
ADDRESS:1621 COMMONWEALTH AVENUE, EASTTELEPHONE:
(714) 992-1750
CITY:FULLERTONSTATE: CAZIP CODE:
92831
CAPACITY:99CENSUS: 71DATE:
07/10/2025
UNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Lauren ChonTIME COMPLETED:
04:50 PM
ALLEGATION(S):
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Staff did not ensure resident uses designated smoking area to smoke
Staff did not prevent resident from making inappropriate comments towards other resident's
Staff did not clean up after resident's pet.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced and met with Executive Director (ED) Lauren Chon to deliver findings for the above complaint allegations.

During the investigation, the department conducted interviews and reviewed documentation pertinent to the investigation.

The results of the investigation are as follows:

***Report continued on 9099-C***
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cheyenne Ratajczak
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2025
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-20220228122954
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: CAMBRIDGE COURT
FACILITY NUMBER: 306004761
VISIT DATE: 07/10/2025
NARRATIVE
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Allegation: Staff did not ensure resident uses designated smoking area to smoke - Unsubstantiated
ED stated that facility does have a designated smoking area outside. Residents are good about smoking in that area. Resident interviews revealed they do not have issues with residents who utilize the smoking area.
Allegation: Staff did not prevent resident from making inappropriate comments towards other resident's - Unsubstantiated
Staff interviews revealed that have not heard of residents doing this. Staff did say that residents will make inappropriate comments to staff but not other residents. Staff interview further revealed that if they notice a resident becoming agitated they will intervene and redirect. Resident interviews revealed they could not recall anything like this happening.
Allegation: Staff did not clean up after resident's pet.- Unsubstantiated
Interview with ED revealed they only have two (2) pets in the facility now. Going forward the facility is no longer allowing pets in the facility due to issues in the past. Resident interviews revealed they have not had any issues with other residents pets. Staff interviews revealed that if they have seen poop on the floor they will clean it up immediately.

Based on interviews conducted by the Department and records review, the preponderance of evidence standards has not been met. Therefore, the above allegation is found to be UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

At this time no citations were issued.
Exit interview was conducted and a copy of this report was provided to the facility.
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cheyenne Ratajczak
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2