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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005453
Report Date: 10/15/2025
Date Signed: 10/15/2025 12:05:55 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
07/19/2022 and conducted by Evaluator Joseph Alejandre
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20220719100645
FACILITY NAME:SILVER LINING RESIDENTIAL CAREFACILITY NUMBER:
306005453
ADMINISTRATOR:FADDOUL, LACYFACILITY TYPE:
740
ADDRESS:1243 N. BROOKHURST STREETTELEPHONE:
(661) 810-7293
CITY:ANAHEIMSTATE: CAZIP CODE:
92801
CAPACITY:14CENSUS: 11DATE:
10/15/2025
UNANNOUNCEDTIME BEGAN:
08:01 AM
MET WITH:Lacy FaddoulTIME COMPLETED:
12:02 PM
ALLEGATION(S):
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Facility staff is verbally abusing residents by telling them to shut up and that they are crazy
Facility staff is failing to provide care and supervision to residents after 5pm
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to deliver the findings of the complaint investigation into the allegations listed above. LPA met with Administrator Lacy Faddoul and explained the reason for the visit. During the course of the investigation LPA interviewed staff and residents and reviewed resident records.

The investigation into the allegation, facility staff is verbally abusing residents by telling them to shut up and that they are crazy, revealed the following. The Administrator denied the allegation. 5 out of 5 staff interviewed denied the allegation. At the time the complaint was filed 9 residents resided at the facility. 4 out of 9 residents were interviewed. 2 residents refused to be interviewed and 2 residents (diagnosed with Dementia) did not respond to the LPAs questions. 1 resident responded by making random statements. 4 out of 4 residents reported they have never verbally abused in any way. LPA did not observe any evidence to support the allegation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2025
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-20220719100645
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: SILVER LINING RESIDENTIAL CARE
FACILITY NUMBER: 306005453
VISIT DATE: 10/15/2025
NARRATIVE
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Based on the evidence gathered the allegation is deemed unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation did or did not occur.

The investigation into the allegation, facility staff is failing to provide care and supervision to residents after 5pm, revealed the following. 4 out of 9 residents interviewed reported they receive care after 5:00pm. The Administrator denied the report. 5 out of 5 staff interviewed denied the allegation. On August 22, 2023 LPA made a subsequent visit as part of the investigation into to complaint # 22-AS-20230320142719 (same facility) at 8:00pm. During the visit LPA observed staff at the facility providing care and supervision to the residents. Based on the evidence gathered the allegation is deemed unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation did or did not occur. An exit interview was conducted and a copy of the report provided.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2