306005636-10-3-2025-22-AS-APAO-DMATGJ-20251009144312

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005636
Report Date: 10/03/2025
Date Signed: 10/03/2025 03:18:06 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
05/31/2024 and conducted by Evaluator Alvaro Ramirez Jr.

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20240531162520

FACILITY NAME:	MAINPLACE SENIOR LIVING		FACILITY NUMBER:	306005636
ADMINISTRATOR:	RHONWINN HIPOLITO		FACILITY TYPE:	740
ADDRESS:	1800 1832 W. CULVER AVENUE		TELEPHONE:	(714) 978-2534
CITY:	ORANGE	STATE: CA	ZIP CODE:	92868
CAPACITY:	153	CENSUS: 109	DATE:	10/03/2025
		UNANNOUNCED	TIME BEGAN:	08:25 AM
MET WITH:	Rhonwinn Hipolito-Executive Director		TIME COMPLETED:	12:59 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility management staff is never available
Food service is inadequate
Facility failed to safeguard resident’s property

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 May 31, 2024. LPA was greeted and granted entry into the facility and met with Executive Director (ED) Rhonwinn Hipolito. LPA explained the reason for the visit.

This Department has investigated the complaint alleging that facility management staff is never available. Regarding the allegation the following was revealed: During the course of the interviews with individuals one of seven individuals confirmed the allegation. During the initial visit on June 7, 2024, and subsequent visits on September 26, 2025, and October 3, 2025, LPA observed that the Administrator (AD), Business Office Manager and Wellness Director were on duty. During the course of the interviews with residents, Resident 1 (R1) reported that the AD is rarely at the facility and reported that there is no backup manager. Per R2, facility staff are always available and stated that she can always get a hold of staff. R3 reported that management is available when needed and stated that management helps her when needed.
CONTINUED ON LIC9099-C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2025

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 3

Control Number 22-AS-20240531162520

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: MAINPLACE SENIOR LIVING	FACILITY NUMBER: 306005636
	VISIT DATE: 10/03/2025

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

Per R4, facility management is always available and reported that he has no problems. R5 stated that management staff are available and reported that he can always get a manager to help him. Per R5, he gets helped within one hour. During the course of the interviews with staff, Staff 1 (S1) reported that facility management is always available to the residents and stated that the Medication Technician (MT) is backup when management is in their all-staff meeting. During the interviews AD reported that if he is not available it is usually after hours or at night. AD reported that the management backup is the Business Office Manager and Wellness Director. Per AD, if management is in a meeting the MT will help the residents.

Regarding the allegation that food service is inadequate, the following was revealed: During the course of the investigation LPA reviewed documents including the Mainplace Senior Living Menu dated June 3-9, 2024, and September 22-28, 2025. Per menu options the residents are offered a different meal for breakfast, lunch and dinner. During the course of the interviews with residents, R1 reported that the food is terrible. Per R2, the food is good and reported that she is able to get seconds. R4 reported that he has not experienced stomach issues or vomiting. Per R4, the food is great and reported that the food is nutritional. R5 stated that the food service is adequate and reported that he has not had food poisoning or vomiting due to bad food. During the course of the interviews with staff, S1 reported that the food service is adequate and stated that the meals are nutritional and include vegetables and fruit. Per S1, the food is not causing the residents to be ill. During the interviews AD reported that all meals include protein, vegetables and fruit. Per AD, no residents have complained about food poisoning or feeling ill because of the food. AD stated that the residents can order from the alternative menu.

Regarding the allegation that facility failed to safeguard resident’s property, the following was revealed: During the course of the interviews with individuals one of seven individuals confirmed the allegation. It was alleged that R1 had several break ins into their bedroom, and their Blood Pressure medication was stolen. During the course of the investigation LPA reviewed documents including the Physician Report (LIC602A) dated February 13, 2020, for R1. Per Physician Report R1 is able to administer and able to store own prescription medications. During the course of the interviews with residents, R1 reported that staff entered her bedroom and stole her personal property; however, R1 could not identify the perpetrator. Per R2, she has never had anything stolen and stated that the facility safeguards the residents' property properly. R3 stated that staff always safeguard the residents' property and reported that staff do a good job by not touching the residents' property valuables. Per R4, no staff member has entered his bedroom without his consent and reported that staff have not steal from him. R5 reported that staff have not entered his bedroom to steal and stated that staff are respectful, courteous and attentive.
CONTINUED ON LIC9099-C...

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 22-AS-20240531162520

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: MAINPLACE SENIOR LIVING	FACILITY NUMBER: 306005636
	VISIT DATE: 10/03/2025

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 staff, S1 reported that she has not heard that staff have been entering the residents' bedrooms and stealing. Per S1, each resident has a key to lock their bedroom and stated that staff carry a master key in case of an emergency and/or to do Wellness checks. During the interviews AD reported no staff have stolen property or valuables from the residents. Per AD, R1 manages her own medications and stated that staff are respectful and hard working.

Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegation occurred as reported due to conflicting information. Although the allegation 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 Hipolito, 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: 10/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 3