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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006149
Report Date: 07/24/2025
Date Signed: 10/21/2025 01:54:13 PM

Unfounded


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
07/16/2025 and conducted by Evaluator Jenifer Tirre
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250716111635
FACILITY NAME:CARE CONNECTIONFACILITY NUMBER:
306006149
ADMINISTRATOR:GILBERT, ERICFACILITY TYPE:
740
ADDRESS:416 S JENNIFER LANETELEPHONE:
(714) 289-2273
CITY:ORANGESTATE: CAZIP CODE:
92869
CAPACITY:6CENSUS: 6DATE:
07/24/2025
UNANNOUNCEDTIME BEGAN:
07:05 AM
MET WITH:Licensee Eric GilbertTIME COMPLETED:
04:40 PM
ALLEGATION(S):
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Facility staff is not following physicians orders
Facility staff are forcing residents to sleep in the living room
Facility staff are violating residents personal rights
INVESTIGATION FINDINGS:
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***THIS IS AN AMENDED REPORT***
Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced inspection visit to deliver findings for complaint investigation into the above allegations. LPA Tirre explained the reason for the visit with Licensee Eric Gilbert.
During the course of the investigation LPA toured facility, reviewed records, conducted interviews, made visual observations and requested pertinent documentation such as Resident Roster, Physician’s reports, Resident Needs And Appraisal, Staff training and Family testimonials.

During investigation LPA reviewed facility records such as Physician's reports, needs & service Appraisal for Residents in care. LPA Tirre also reviewed staff training. Record review revealed that facility currently has six residents in care all of which have a form of Dementia or Mild Cognitive Impairment. Six of six residents physicians reports state that each resident is able to communicate their needs. Five of six residents are Non Ambulatory and one is Ambulatory with Assist based off Residents Physicians Reports.

CONTINUED ON 9099C
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jenifer Tirre
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2025
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-20250716111635
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: CARE CONNECTION
FACILITY NUMBER: 306006149
VISIT DATE: 07/24/2025
NARRATIVE
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During visit LPA Tirre conducted interviews with staff members. Three of three staff members interviewed stated that they follow Physician orders and provide care accordingly. Staff members stated that as part of their facility activities they encourage residents to do daily exercises such as chair exercises where residents are rotating their arms in circular motions and lifting light 1 pound weights for those residents who choose to lift weights. Staff Members stated that they do not force residents to use weights if they choose not to. Staff stated that residents who don’t use weights still do same arm movements and gestures like those with weights. Three of three staff members interviewed stated that residents sleep inside their bedrooms. Staff stated that sometimes when residents are sitting in their recliner chairs inside living room, residents may dose off for naps. All staff interviews stated that no residents are being forced to sleep in living room. Three of three staff members stated that they respect the personal rights of residents in care.

During Visit, LPA Tirre conducted interviews with residents. Two of Two residents interviewed stated that facility staff give them medications accordingly and provide meals. Residents interviewed stated that staff have never forced them to do something against their will. Residents interviewed stated they sleep inside their bedrooms and have never been forced to sleep in the living room or witnessed other residents sleeping in living room. Residents interviewed stated that their personal rights have not been violated. Residents interviewed confirmed they have no concerns regarding care being provided to them at facility.

During visit LPA Tirre interviewed family witnesses, and two of two witnesses confirmed they have no issues with facility or the level of care being provided to residents. Witnesses confirmed they sent over testimonials to Licensee earlier today in regards to facility complaint and stated they are pleased with quality of care that is being provided to residents. Witness testimonials state that five of six families have no complaints regarding facility care.

Based on records reviewed and interviews conducted, this agency has investigated the complaint alleging facility staff is not following physician’s orders, facility staff are forcing residents to sleep in the living room and facility staff are violating resident’s personal rights. We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and / or is without reasonable basis.


An exit interview was conducted with Licensee Eric Gilbert and a copy of this report was reviewed and provided at the time of this visit.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jenifer Tirre
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2