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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006345
Report Date: 03/18/2025
Date Signed: 03/18/2025 02:17:21 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
03/13/2025 and conducted by Evaluator Jerome Haley
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250313145658
FACILITY NAME:SEA BLUFFS, THEFACILITY NUMBER:
306006345
ADMINISTRATOR:BRENT BROADHURSTFACILITY TYPE:
740
ADDRESS:25421 AND 25401 SEA BLUFFS DRTELEPHONE:
(949) 234-3000
CITY:DANA POINTSTATE: CAZIP CODE:
92629
CAPACITY:88CENSUS: 91DATE:
03/18/2025
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Brent Broadhurst - Executive Director
Haley Gmach - Assistant Executive Director		TIME COMPLETED:
02:35 PM
ALLEGATION(S):
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Staff inappropriately touched resident
Staff handled resident in a rough manner
Staff made inappropriate comments towards resident
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Jerome Haley made an unannounced visit to begin the investigation into the complaint allegations above. LPA Haley was greeted by staff and explained the reason for the visit upon entry. The complaint investigation consisted of interviews with staff, residents, a witness, and document review.

Regarding the complaint allegation: Staff inappropriately touched resident

During interviews 8 of 9 individuals denied the allegation. During an interview with resident 1 (R1), the resident said, I love it here! All the caregivers are very nice. Two additional residents were interviewed and neither resident had any complaints about the caregivers. Resident 2 (R2) says, the caregivers are okay and they come to assist R2 when needed. When the interview was over, R2 said, everyone here is very nice, including you.

Continued on LIC9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025
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-20250313145658
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: SEA BLUFFS, THE
FACILITY NUMBER: 306006345
VISIT DATE: 03/18/2025
NARRATIVE
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Regarding the complaint allegation: Staff handled resident in a rough manner

During interviews 8 of 9 individuals denied the allegation. R1 completely denied the allegation until later on in the interview. When the interview with R1 was wrapping up, R1 revealed they apologized to one of the caregivers and said everyone has bad days. R1 was asked why they apologized and R1 explained that the caregiver is very popular, everyone likes the caregiver, and the caregiver is a very organized person. R1 explained the caregiver still comes and assist the resident during breakfast and there are no concerns.

Regarding the complaint allegation: Staff made inappropriate comments towards resident

During interviews 8 of 9 individuals denied the allegation. R1 completely denied the allegation. S3 denied the allegation and explained R1 coming up to them and apologizing to them. S3 also spoke to the family member of R1 and after speaking to the family of R1 and receiving an apology from R1, S3 says everything is fine now. According to S1, after receiving information on the alleged incident/situation involving R1 and S3, the family of R1 was contacted and informed of everything that allegedly happened. According to S1, the family of R1 has no concerns about R1 or the care being provided.

Based on the information gathered during the investigation through interviews and document review, the Department is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred; therefore, the allegations are deemed Unsubstantiated.

An exit interview was conducted, and a copy of this report was provided.

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2