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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006358
Report Date: 03/18/2026
Date Signed: 03/18/2026 11:31:54 AM

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
01/14/2025 and conducted by Evaluator Alvaro Ramirez Jr.
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250114150224
FACILITY NAME:STERLING SENIOR COMMUNITY 12FACILITY NUMBER:
306006358
ADMINISTRATOR:FILIO, JEREMIASFACILITY TYPE:
740
ADDRESS:10111 KAMUELA DRIVETELEPHONE:
(714) 357-1377
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92646
CAPACITY:6CENSUS: 5DATE:
03/18/2026
UNANNOUNCEDTIME BEGAN:
08:39 AM
MET WITH:Arnold Mendoza-Administrator AssistantTIME COMPLETED:
11:46 AM
ALLEGATION(S):
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Resident developed an unstageable wound in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on the above allegation received on January 14, 2025. LPA was greeted and granted entry into the facility and met with Administrator Assistant Arnold Mendoza. LPA explained the reason for the visit.

This Department has investigated the complaint alleging that Resident developed an unstageable wound in care. Regarding the allegation the following was revealed: During the investigation LPA reviewed the MemorialCare Orange Coast Medical Center admission facesheet dated January 11, 2025, for Resident 1 (R1). Per admission facesheet R1 was admitted to MemorialCare Orange Coast Medical Center for Renal Failure. Per the mayoclinic.org, Renal Failure occurs when chronic kidney disease, the gradual loss of kidney function reaches an advanced state. LPA reviewed documents including the MemorialCare Hospice and Palliative Care Services Physician's orders dated January 19, 2025, for R1. Per Physician's orders, R1 was admitted to Hospice for Renal Failure. During the course of the interviews with residents, R1 reported CONTINUED ON LIC9099-C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2026
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-20250114150224
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: STERLING SENIOR COMMUNITY 12
FACILITY NUMBER: 306006358
VISIT DATE: 03/18/2026
NARRATIVE
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that she has not develop wounds while living here. R2 stated that he has not develop an unstable wound. Per R3, she has not developed wounds since moving into this house. During the interviews the Administrator Assistant reported that R1 did not developed an unstable wound while in care.

Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegation occurred as reported due to conflicting information. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed UNSUBSTANTIATED.

For today’s visit, there were no citations issued per Title 22, Division 6 of the California Code of Regulations.

LPA conducted an exit interview with Administrator Assistant Mendoza, and a copy of this report was provided to the facility.

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2