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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005603
Report Date: 10/01/2025
Date Signed: 10/01/2025 12:20:20 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
03/28/2025 and conducted by Evaluator Alvaro Ramirez Jr.
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250328123833
FACILITY NAME:CITRUS HILLS ASSISTED LIVINGFACILITY NUMBER:
306005603
ADMINISTRATOR:ITZAYANA BARBA AGUIRREFACILITY TYPE:
740
ADDRESS:142 S PROSPECT STTELEPHONE:
(714) 639-3590
CITY:ORANGESTATE: CAZIP CODE:
92869
CAPACITY:95CENSUS: 87DATE:
10/01/2025
UNANNOUNCEDTIME BEGAN:
10:31 AM
MET WITH:Charles Marinko-Executive DirectorTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
3
4
5
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7
8
9
Staff handled resident in a rough manner
Staff did not respond to resident’s call in a timely manner
Staff refused to shower resident
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on the above allegations received on March 28, 2025. 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 staff handled resident in a rough manner. Regarding the allegation the following was revealed: During the course of the interviews seven of nine individuals interviewed denied the allegation. During the course of the interviews with residents, Resident 1 (R1) reported that staff dragged him into the bathroom using his wheelchair. Per R2, staff have never grabbed her in a rough manner and stated that she has not heard residents complained about staff handling them in a rough manner. R3 reported that staff have never handled him in a rough manner and stated that staff treat him nice. Per R4, staff have never handled her in a rough manner and stated that staff are very good people. During the course of the interviews with staff, Staff 1 (S1) reported that she push the wheelchair and wheeled R1 into the bathroom and stated that nothing was forceful.
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)
Page: 1 of 4
Control Number 22-AS-20250328123833
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 S2, she did not witness the caregiver handling the resident in a rough manner. During the interviews with witnesses, Witness 1 (W1) stated that it is hard to know if the incident happened since she was not there during incident.

Regarding the allegation that staff did not respond to resident’s call in a timely manner, the following was revealed: During the initial visit on April 3, 2025, LPA pull the call light for R1 and R3. Staff responded to the call light between one minute and 21 seconds to two minutes and 57 seconds. During the course of the investigation LPA reviewed documents including the Citrus Hills Assisted Living call light dated March 27, 2025, for R1. Per call light log R1 used the call light two times and was assisted between four minutes and 26 seconds to 30 minutes and 49 seconds. During the course of the interviews with residents, R3 reported that staff respond to the resident's call within 10-20 minutes. Per R4, she does not use the call bell and stated that staff respond within 25 minutes because staff are busy. R5 reported that staff respond to the residents’ calls in a timely manner. During the course of the interviews with staff, S1 reported that the resident's call bell was answer within five minutes. S2 stated that the resident waited approximately 30 minutes.

Regarding the allegation that staff refused to shower resident, the following was revealed: During the course of the investigation LPA reviewed documents including the Unusual Incident/Injury Report (UIIR) dated April 3, 2025, for R1. Per UIIR on March 27, 2025, R1 refused to shower. LPA reviewed documents including the Citrus Hills Assisted Living shower schedule. Per shower schedule R1 is schedule for a shower on Mondays and Fridays. During the course of the interviews with residents, R2-R4 reported that staff have never refuse to shower them and/or stated that staff always help when taking a shower. During the course of the interviews with staff, S1 reported that resident refused to shower. Per S2, resident refused to shower.

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)
Page: 2 of 4
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
03/28/2025 and conducted by Evaluator Alvaro Ramirez Jr.
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250328123833

FACILITY NAME:CITRUS HILLS ASSISTED LIVINGFACILITY NUMBER:
306005603
ADMINISTRATOR:ITZAYANA BARBA AGUIRREFACILITY TYPE:
740
ADDRESS:142 S PROSPECT STTELEPHONE:
(714) 639-3590
CITY:ORANGESTATE: CAZIP CODE:
92869
CAPACITY:95CENSUS: 87DATE:
10/01/2025
UNANNOUNCEDTIME BEGAN:
10:31 AM
MET WITH:Charles Marinko-Executive DirectorTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not inform resident's authorized representative of incident involving resident
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on the above allegation received on March 28, 2025. 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 staff did not inform resident's authorized representative of incident involving resident. Regarding the allegation the following was revealed: During the course of the investigation LPA reviewed documents including the Citrus Hills Assisted Living Resident Admission Agreement dated December 18, 2024, for Resident 1 (R1). Per Resident Admission Agreement, R1 is self responsible and R1 signed their Resident Admission Agreement. During the course of the interviews with residents, R2 reported that she is self responsible and stated that staff are good at communicating with her. Per R5, the manager informs his authorized representative of incidents involving himself.
CONTINUED ON LIC9099-C...
Unfounded
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)
Page: 3 of 4
Control Number 22-AS-20250328123833
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
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
During the course of the interviews with witnesses, Witness 1 (W1) reported that her father is pretty self sufficient. Per W1, the facility did notified her of the incident.

Therefore, the allegation is deemed UNFOUNDED, meaning the allegation is false, could not have happened and/or is without a reasonable basis.

For today’s visit, there were no citations issued per Title 22, Division 6 of the California Code of Regulations.
LPA Ramirez 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)
Page: 4 of 4