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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006273
Report Date: 10/24/2024
Date Signed: 10/24/2024 09:34:54 AM

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
07/29/2024 and conducted by Evaluator Jerome Haley
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20240729112457
FACILITY NAME:EPIC ASSISTANCE CARE HOME #2FACILITY NUMBER:
306006273
ADMINISTRATOR:MESDJIAN, LIZAFACILITY TYPE:
740
ADDRESS:25464 VIA ESTUDIOTELEPHONE:
(949) 218-7268
CITY:LAGUNA NIGUELSTATE: CAZIP CODE:
92677
CAPACITY:6CENSUS: 5DATE:
10/24/2024
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Cesar De Runda & Liza MesdjianTIME COMPLETED:
09:45 AM
ALLEGATION(S):
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Resident is being financially abused
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jerome Haley made an unannounced visit to complete and close the investigation regarding the complaint allegation above. LPA was greeted by staff and explained the reason for the visit upon entry. The complaint investigation consisted of interviews with facility staff, residents, family of residents, and document review.

Regarding the complaint allegation: Resident is being financially abused

7 of 7 individuals interviewed denied the complaint allegation or were unable to provide any information to support the allegation. During an interview with Resident 1 (R1), it was discovered R1 manages their own finances with help from their brother. R1 denied that any of the facility staff have access to their finances. Witness 1 (W1) was interviewed and said, “Nothing has gone out that I’m not aware of.” W1 confirmed statements provided by R1.
Continued on LIC9099C
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
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-20240729112457
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: EPIC ASSISTANCE CARE HOME #2
FACILITY NUMBER: 306006273
VISIT DATE: 10/24/2024
NARRATIVE
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W1 stated they have a Power of Attorney (POA) and they keep a close eye on everything that is spent. Two staff members were also interviewed. Both staff denied having access to resident’s money and additional information provided by staff, was consistent with other details revealed during the complaint investigation.

Based on the information gathered through interviews and document review, the following allegation: Resident is being financially abused is deemed Unfounded, meaning the allegation is false, could not have happened and/or is without a reasonable basis.

An exit interview was conducted with staff and Licensee/Administrator Liza Mesdjian who was present via telephone. A copy of this report was left at the facility with staff.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2