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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005730
Report Date: 10/30/2025
Date Signed: 10/30/2025 04:01:02 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
10/22/2025 and conducted by Evaluator RoseMarie Ruppert
COMPLAINT CONTROL NUMBER: 22-AS-20251022163250
FACILITY NAME:MERIDIAN AT ANAHEIM HILLS, THEFACILITY NUMBER:
306005730
ADMINISTRATOR:PELLICER, RAYFACILITY TYPE:
740
ADDRESS:525 S ANAHEIM HILLS ROADTELEPHONE:
(714) 974-2226
CITY:ANAHEIMSTATE: CAZIP CODE:
92807
CAPACITY:120CENSUS: 78DATE:
10/30/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Raymond Pellicer, Executive DirectorTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Facility staff is falsifying their medical license.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to conduct an investigation for a complaint received in the Regional Office. LPA was greeted and granted entry and met with Raymond Pellicer, Executive Director (ED).

LPA requested the following: Business cards for eight of eight managers, staff and resident rosters. LPA also obtained a marketing folder given to prospective residents and their families.

LPA interviewed four of four managers regarding their job duties and asked each manager what the selling points for the community are for prospective clients and their families. LPA confirmed that medical licenses or certifications are not falsely advertised as selling points for the community.

(Continued on LIC 9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2025
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-20251022163250
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: MERIDIAN AT ANAHEIM HILLS, THE
FACILITY NUMBER: 306005730
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/30/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/28/2025
Section Cited
CCR
87207
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87207 False Claims. No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility. This requirement is not met as evidenced by:
(continued)
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Licensee (LE) shall update the business cards for Staff #2 to reflect the current medical license by the Plan of Correction date.
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LPA record review and interview revealed one of one staff members stating they have a Registered Nurse (RN) license on facility business card. Staff #2 (S2) has a current Licensed Vocational Nurse (LVN) license but there is no RN license associated to S2.
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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: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 22-AS-20251022163250
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: MERIDIAN AT ANAHEIM HILLS, THE
FACILITY NUMBER: 306005730
VISIT DATE: 10/30/2025
NARRATIVE
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(Continued from LIC 9099)

LPA reviewed four of four manager files. LPA reviewed licenses and certifications for four of four staff and observed Staff #2 (S2)'s business card states a different medical license than what is current from the licensing board. LPA conducted a board registry search and found the license stated on the business card could not be found. Staff #2 is certified with a different medical license but it is not the one advertised on the business card.

Based on LPA's record review, interview and Registry Board search, the preponderance of evidence standard has been met and a deficiency will be given. The allegation that: Facility staff is falsifying their medical license is Substantiated.

An exit interview was conducted with Executive Director (ED) Raymond Pellicer and a copy of this report, LIC 9099-D, LIC 811 and Appeal Rights were provided to the facility.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3