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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005447
Report Date: 08/29/2025
Date Signed: 08/29/2025 01:54:27 PM

Substantiated


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
07/11/2022 and conducted by Evaluator Celine Rodriguez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20220711084817
FACILITY NAME:LAMBERT HOME CAREFACILITY NUMBER:
306005447
ADMINISTRATOR:ASAWADILO, YANINEEFACILITY TYPE:
740
ADDRESS:8191 LAMBERT DRIVETELEPHONE:
(714) 848-1982
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92647
CAPACITY:6CENSUS: 3DATE:
08/29/2025
UNANNOUNCEDTIME BEGAN:
07:00 AM
MET WITH:Facility Administrator - Yaniee Asawadilo TIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff are mismanaging resident's medication
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Celine Rodriguez conducted an unannounced 10-day visit to the facility for the complaint and to deliver the findings. LPA Rodriguez explained the purpose of today's visit, was greeted, and granted entry by staff on duty, who informed facility administrator (AD) Yaniee Asawadilo about visit.

During the investigation, LPA Rodriguez toured the physical plant of the facility, conducted interviews, and requested copies of pertinent records reviewed.

It was alleged that staff are mismanaging resident's medication. LPA conducted 1 out of 1 resident interview, of which did not corroborate with the allegation, and the remaining 2 residents declined in wanting to be interviewed. 1 out of 1 staff interview did not corroborate with the allegation by stating that the facility documents medications given to each resident, and that the pharmacy will provide extra medications for residents.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Celine Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2025
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 6
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
07/11/2022 and conducted by Evaluator Celine Rodriguez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20220711084817

FACILITY NAME:LAMBERT HOME CAREFACILITY NUMBER:
306005447
ADMINISTRATOR:ASAWADILO, YANINEEFACILITY TYPE:
740
ADDRESS:8191 LAMBERT DRIVETELEPHONE:
(714) 848-1982
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92647
CAPACITY:6CENSUS: 3DATE:
08/29/2025
UNANNOUNCEDTIME BEGAN:
07:00 AM
MET WITH:Facility Administrator - Yaniee Asawadilo TIME COMPLETED:
12:00 PM
ALLEGATION(S):
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9
Staff are not meeting resident's dietary needs
Staff left resident in soiled diapers for extended periods of time
Staff are not showering resident in a timely manner
Staff made inappropriate comments towards resident
Staff failed to intervene when resident was being verbally abused
Facility is over capacity
Staff left residents unattended
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Celine Rodriguez conducted an unannounced 10-day visit to the facility for the complaint and to deliver the findings. LPA Rodriguez explained the purpose of today's visit, was greeted, and granted entry by staff on duty, who informed facility administrator (AD) Yaniee Asawadilo about visit.

During the investigation, LPA Rodriguez toured the physical plant of the facility, conducted interviews, and requested copies of pertinent records reviewed.

It was alleged that staff are not meeting resident's dietary needs. LPA conducted 1 out of 1 resident interview, of which did not corroborate with the allegation, and the remaining 2 residents declined in wanting to be interviewed. The 1 resident interview stated that the facility cooks “good food” and reported no complaints. 1 out of 1 staff interview did not corroborate with the allegation by stating that the facility will cook for the residents, however, depending on the physician report, the facility will adhere to the dietary orders as stated by the physician.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Celine Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2025
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 6
Control Number 22-AS-20220711084817
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: LAMBERT HOME CARE
FACILITY NUMBER: 306005447
VISIT DATE: 08/29/2025
NARRATIVE
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LPA observed that the facility had a 2-day supply of perishable foods and 7-day supply of non-perishable foods, of which included fruits, vegetables, dairy, proteins and carbs.

It was alleged that staff left resident in soiled diapers for extended periods of time. LPA conducted 1 out of 1 resident interview, of which did not corroborate with the allegation, and the remaining 2 residents declined in wanting to be interviewed. 1 out of 1 staff interview did not corroborate with the allegation by stating that 2 out of the 3 current residents are able to go to the bathroom unassisted, of which this was confirmed by both their physician reports. Upon entering the facility, LPA observed staff on duty changing resident 1 (R1) diapers. LPA observed R1 to be clean and changed.

It was alleged that staff are not showering resident in a timely manner. LPA conducted 1 out of 1 resident interview, of which did not corroborate with the allegation, and the remaining 2 residents declined in wanting to be interviewed. 1 out of 1 staff interview did not corroborate with the allegation by stating that 2 out of the 3 current residents are able to shower unassisted, of which this was confirmed by both their physician reports. It was also confirmed by staff that R3 will get a bath two to three times a week due to being bedridden, while the other 2 residents shower on their own. During LPAs visit to the facility, LPA observed staff on duty giving R3 a bed bath.

It was alleged that staff made inappropriate comments towards resident. LPA conducted 1 out of 1 resident interview, of which did not corroborate with the allegation, and the remaining 2 residents declined in wanting to be interviewed. 1 out of 1 staff interview did not corroborate with the allegation, however disclosed that there was a previous resident who would make inappropriate comments but denied of staff making inappropriate comments to residents. Per record review, facility submitted incident reports regarding a previous resident, reporting about inappropriate comments and behaviors. LPA also observed that staff completed trainings on resident personal rights and caring for residents.

Continued on LIC9099-C...
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Celine Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 22-AS-20220711084817
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: LAMBERT HOME CARE
FACILITY NUMBER: 306005447
VISIT DATE: 08/29/2025
NARRATIVE
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It was alleged that staff failed to intervene when resident was being verbally abused. LPA conducted 1 out of 1 resident interview, of which did not corroborate with the allegation, and the remaining 2 residents declined in wanting to be interviewed. The 1 resident interview reported satisfaction with the facility and with the staff, and denied of being a victim of, or observing verbal abuse. 1 out of 1 staff interview did not corroborate with the allegation. Per record review, staff are trained on mandated reporting and on the varying forms of abuse.

It was alleged that facility is over capacity. LPA conducted 1 out of 1 resident interview, of which did not corroborate with the allegation, and the remaining 2 residents declined in wanting to be interviewed. 1 out of 1 staff interview did not corroborate with the allegation by providing confirmation of the licensed capacity of the facility. LPA conducted a record review and did not observe that the facility had requested for any increase to the capacity. For this visit, LPA observed 3 residents in care, of which the facility is licensed for 6. Per record review, the facility stayed within their license capacity of only having 6 or less residents.

It was alleged that staff left residents unattended. LPA conducted 1 out of 1 resident interview, of which did not corroborate with the allegation, and the remaining 2 residents declined in wanting to be interviewed. The 1 resident interview provided confirmation that there is always a staff on duty. Per record review, facility has a staff member scheduled every day. During the tour of the facility, LPA observed that the facility is a two-level structure and observed that there is a live-in caregiver residing on the second floor at tall times.


Based on LPA’s interviews which were conducted, review of documents obtained, and observations, LPA is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, these allegations are deemed UNSUBSTANTIATED.


An exit interview was conducted with AD Asawadilo, A copy of this report was provided and explained.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Celine Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 22-AS-20220711084817
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: LAMBERT HOME CARE
FACILITY NUMBER: 306005447
VISIT DATE: 08/29/2025
NARRATIVE
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Per documentation review, it was observed that there were 2 residents who had a medication distribution record of which some days were documented, and other days were not, therefore, making it incomplete, and AD Asawadilo was unable to confirm if the medications were given or not. LPA observed the facility medication cabinet, and observed multiple medications for the current residents were expired. LPA also observed multiple oral and topical medications that were expired, and labeled for previous residents, such as Nystatin ointment. LPA also observed that the extra medications for the current and previous residents were all mixed together on a shelf, and disorganized.

Based on LPA’s interviews which were conducted, review of documents obtained, and observations, the preponderance of evidence standard has been met, therefore the allegation is SUBSTANTIATED.

An exit interview was conducted with AD Asawadilo.

A copy of this report and appeal rights were provided and explained.

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Celine Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 22-AS-20220711084817
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: LAMBERT HOME CARE
FACILITY NUMBER: 306005447
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/29/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/29/2025
Section Cited
CCR
87465(a)(6)
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87465 Incidental Medical and Dental Care
(a) A plan for incidental medical...care shall be... in... compliance with the following:
(6) When requested by the... Department, a record...shall be maintained by the facility.
This requirement is not met as evidence by:
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As a plan of correction (POC), facility administrator will provide an in-service training to all staff on how to document medications, and provide proof of POC to assigned LPA on or by 9/1/25.
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Based on LPAs interviews, review of documents obtained and observations, facility had incomplete documentaion of medications given to each resident. Facility adminsitrator was unable to provide confirmation whther or not medications were given. This poses an immediate health and safety risk to residents in care.
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Type A
08/29/2025
Section Cited
CCR
87465(h)(4)
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87465Incidental Medical and Dental Care
(h) The following requirements shall apply...
(4) All centrally stored medications shall be labeled and maintained in compliance with state and federal laws.
This requirement is not met as evidence by:
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Based on LPAs interviews, review of documents obtained and observations, facility had multiple oral and topical medications that were expired. It was also observed that on two shelves in the medication pantry, the facility mixed both the current and past residents medications. Facility administrator provided confirmation that the expired ointment, is stilll being used on resident. This poses an immediate health and safety risk to residnets in care.
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As a plan of correction (POC), facility administrator will organize medication cabinet, and discard all expired medications, Facility is to ensure that all the medications present at the facility, are only for the current residents. Facility is to provide proof of POA to assigned LPA by 5pm on 8/29/2025.
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: Sheila Santos
LICENSING EVALUATOR NAME: Celine Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2025
LIC9099 (FAS) - (06/04)
Page: 6 of 6