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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006418
Report Date: 06/16/2025
Date Signed: 06/16/2025 10:42:15 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
06/06/2025 and conducted by Evaluator Samer Haddadin
COMPLAINT CONTROL NUMBER: 22-AS-20250606143253
FACILITY NAME:CHERISH SENIOR LIVINGFACILITY NUMBER:
306006418
ADMINISTRATOR:PAUL, VICTORIAFACILITY TYPE:
740
ADDRESS:907 N. CHIPPEWA AVENUETELEPHONE:
(657) 253-2396
CITY:ANAHEIMSTATE: CAZIP CODE:
92801
CAPACITY:6CENSUS: 5DATE:
06/16/2025
UNANNOUNCEDTIME BEGAN:
08:08 AM
MET WITH:Victoria PaulTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Staff stole residents storage bin
INVESTIGATION FINDINGS:
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On this date Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced 10-day complaint investigation at the facility. The purpose of the visit was to present findings regarding a reported allegation. Upon arrival, LPA Haddadin met with Administrator (AD) Victoria Paul, who provided full access to the facility. The investigation involved a tour of the premises, interviews with staff members, an interview with the responsible party for Resident 1 (R1), and a thorough review of all records pertaining to the alleged incident involving R1.
Allegation: The investigation addressed the following allegation received by Community Care Licensing (CCL) on June 6, 2025: "Staff stole a resident's storage bin."
Background: Resident 1 (R1) moved into the facility on May 6, 2025, with the assistance of their sibling. They brought personal belongings, including one black and yellow plastic storage bin.
Investigation and Findings: A review of R1's signed inventory intake sheet confirmed that all listed items are present and accounted for. {****CONTINUE ON 9099C***}
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Samer Haddadin
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2025
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-20250606143253
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: CHERISH SENIOR LIVING
FACILITY NUMBER: 306006418
VISIT DATE: 06/16/2025
NARRATIVE
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According to the Administrator and four staff members who were present during the move-in process, the item in question was a black plastic storage bin, approximately 60 inches long and 20 inches deep. They stated that this bin contained items that were not included on the facility's official inventory sheet. The LPA conducted interviews with four staff members; all four denied the allegation. Furthermore, the LPA reviewed security camera footage which showed a care staff member wheeling the storage bin out of the facility and placing it back into the sibling’s vehicle on the day of move-in.
Conclusion: Based on the preponderance of evidence gathered through staff interviews, a review of facility records, and security footage, the allegation that "Staff stole a resident's storage bin" is Unfounded.
An "Unfounded" determination means the allegation was determined to be false, could not have happened, or is without a reasonable basis.
Closing: No deficiencies were cited during this visit. An exit interview was conducted with the Administrator, and a copy of this report was provided.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Samer Haddadin
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2025
LIC9099 (FAS) - (06/04)
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