306005603-10-1-2025-22-AS-APAO-DMB58U-20251009194431

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005603
Report Date: 10/01/2025
Date Signed: 10/01/2025 11:50:18 AM

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
04/04/2024 and conducted by Evaluator Alvaro Ramirez Jr.

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20240404151704

FACILITY NAME:	CITRUS HILLS ASSISTED LIVING		FACILITY NUMBER:	306005603
ADMINISTRATOR:	ITZAYANA BARBA AGUIRRE		FACILITY TYPE:	740
ADDRESS:	142 S PROSPECT ST		TELEPHONE:	(714) 639-3590
CITY:	ORANGE	STATE: CA	ZIP CODE:	92869
CAPACITY:	95	CENSUS: 87	DATE:	10/01/2025
		UNANNOUNCED	TIME BEGAN:	09:31 AM
MET WITH:	Charles Marinko-Executive Director		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Facility did not meet the resident's needs
Facility did not meet the resident's incontinence needs resulting in urine odor
Staff did not maintain the facility in clean and sanitary conditions

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on the above allegations received on April 4, 2024. LPA was greeted and granted entry into the facility and met with Executive Director (ED) Charles Marinko. LPA explained the reason for the visit.

This Department has investigated the complaint alleging that facility did not meet the resident's needs. Regarding the allegation the following was revealed: During the course of the investigation LPA reviewed documents including the Citrus Hills Assisted Living Service Plan Report dated April 11, 2024, for Resident 1 (R1). Per Service Plan Report, R1 was provided with three meals daily and snacks. Per Service Plan, R1 was assisted to be transferred from bed to their wheelchair for meals. Per Service Plan, R1 was assisted with bathing/showering on Tuesday and Thursday. Per Service Plan, resident’s toileting needs will be met or will receive assistance as needed. During the course of the interviews with residents, R3 reported that the facility staff meet her needs.
CONTINUED ON LIC9099-C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 22-AS-20240404151704

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: CITRUS HILLS ASSISTED LIVING	FACILITY NUMBER: 306005603
	VISIT DATE: 10/01/2025

NARRATIVE

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Per R5, the facility meets his needs and reported that he gets fed and always gets clean bedsheets. During the course of the interviews with staff, Staff 1 (S1) reported that the facility was meeting the resident’s needs. Per S1, staff change the bedsheets as needed.

Regarding the allegation that facility did not meet the resident's incontinence needs resulting in urine odor, the following was revealed: During the investigation LPA reviewed the Citrus Hills Assisted Living Routine Changes for R1. Per Routine Changes, R1 should be changed every two hours. During the course of the interviews with residents, R3 reported that she has not heard that staff do not meet the resident’s incontinence care. Per R3, she has not smell a strong odor of urine. R5 reported that the facility does not smell like urine. During the course of the interviews with staff, S1 reported that staff check on the residents’ diapers every two hours and stated that every shift does rounds at the beginning of their shift. During the interviews the AD reported that staff always check on the residents’ at the beginning of their shift and stated that staff check on the residents’ diapers every two hours. Per AD, she has never smell a strong urine odor.

Regarding the allegation that staff did not maintain the facility in clean and sanitary conditions, the following was revealed: During the initial visit on April 11, 2024, and subsequent visits on September 24, 2025, and October 1, 2025, LPA tour the facility and observed staff cleaning the residents bedrooms and bathrooms, common areas and washing the residents bedding. During the course of the interviews with residents, R3 reported that the facility is clean and sanitary and stated that staff clean right away. Per R5, facility is kept clean and sanitary and reported that his bedroom gets clean every other day. During the course of the interviews with staff, S1 reported that all staff contribute to keep the facility clean. Per S1, lately R1’s bedroom is clean daily and stated that the trash is taken out daily. During the interviews the AD reported that R1’s trash gets taken out each shift.

Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegations occurred as reported due to conflicting information. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove or refute the alleged violations occurred; therefore, these allegations are deemed UNSUBSTANTIATED.

For today’s visit, there were no citations issued per Title 22, Division 6 of the California Code of Regulations.
LPA conducted an exit interview with ED Marinko, and a copy of this report was provided to the facility.

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025

LIC9099 (FAS) - (06/04)

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