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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006350
Report Date: 05/28/2025
Date Signed: 05/28/2025 02:54:57 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
05/23/2025 and conducted by Evaluator Joseph Alejandre
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250523101610
FACILITY NAME:ARBOR ON THE GREENFACILITY NUMBER:
306006350
ADMINISTRATOR:FISK, RYANFACILITY TYPE:
740
ADDRESS:24182 PASEO DEL CAMPOTELEPHONE:
(949) 998-9191
CITY:LAGUNA NIGUELSTATE: CAZIP CODE:
92677
CAPACITY:6CENSUS: 6DATE:
05/28/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Mark FiskTIME COMPLETED:
03:40 PM
ALLEGATION(S):
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9
Financial abuse of residents.
Licensee did not follow the reporting requirements.
Licensee did not safeguard resident's resources.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegations listed above. LPA met with Administrator Mark Fisk and explained the reason for the visit. The investigation into the allegation, financial abuse of residents, revealed the following. It was alleged Staff 1 (S1) financially abused Resident 1 (R1). LPA interviewed R1 who reported none of the staff at the facility, has financially abused them. Resident 2 (R2) reported they have not been financially abused. The 4 remaining residents were not available for interview. LPA interviewed 2 staff present at the facility who denied the allegation. The Administrator reported that S1 has never worked at the facility. A review of facility records and of the Guardian Background Check System shows S1 has never worked at or been associated to the facility. Based on the evidence gathered the allegation is deemed unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.



Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025
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-20250523101610
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: ARBOR ON THE GREEN
FACILITY NUMBER: 306006350
VISIT DATE: 05/28/2025
NARRATIVE
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The investigation into the allegation, licensee did not follow the reporting requirements, revealed the following. It was alleged that the facility did not report the possible financial abuse of R1. The Administrator reported that no incidents have occurred in the last 30 days that are required to be reported. LPA interviewed 2 staff members who reported there hasn't been any incidents in the last 30 days. R1 reported that nothing has happened to them while they have lived at the facility that would need to be reported to anyone. Based on the evidence gathered the allegation is deemed unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

The investigation into the allegation, licensee did not safeguard resident's resources, revealed the following. It was reported that the licensee took no action to assist R1 with the protection of their financial resources and did not safeguard R1's credit card information which was taken by staff without permission. R1 reported none of the staff at the facility has accessed their credit card or bank information. R1 reported they handle their own finances and the staff have not taken advantage of them. The Administrator reported that none of the staff have taken any residents financial information. The Administrator reported that none of the residents have entrusted any items for the facility to safeguard. 2 staff interviewed reported they have not taken any residents credit card or financial information. Based on the evidence gathered the allegation is deemed unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

An exit interview was conducted with the Administrator and a copy of the report was provided.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2