306006729-3-20-2026-22-AS-APAO-DSJ8XL-20260325225432

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006729
Report Date: 03/20/2026
Date Signed: 03/20/2026 04:58:43 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
01/15/2026 and conducted by Evaluator Edward Kim

COMPLAINT CONTROL NUMBER: 22-AS-20260115164019

FACILITY NAME:	LOVELAND SENIOR LIVING		FACILITY NUMBER:	306006729
ADMINISTRATOR:	ABDALLA, SUHA		FACILITY TYPE:	740
ADDRESS:	2443 E POWHATAN AVE		TELEPHONE:	(657) 201-3637
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92806
CAPACITY:	6	CENSUS: 2	DATE:	03/20/2026
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Administrator Suha Abdalla		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff does not maintain adequate food supply at facility.
Staff does not provide nutritious meals.
Staff did not provide an accurate dosage of medication to resident.

INVESTIGATION FINDINGS:

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On March 20, 2026, at 9:00 AM, Licensing Program Analyst (LPA) Edward Kim conducted a subsequent complaint visit to deliver complaint investigation findings. LPA was greeted and granted entry by staff. LPA met with Administrator (ADMIN) Suha Abdalla.

The investigation consisted of the following. LPA Kim toured the facility. LPA requested and obtained copies of the resident roster and staff roster. LPA requested a copy of three (3) resident service records which include Physician’s Report, Appraisal/Needs and Services Plan, admission agreement, and other document records. LPA requested and obtained copies of five (5) staff records. LPA conducted interviews with three staff, three residents, and one witness.

The investigation revealed the following:

Continued on LIC9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2026

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 7

Control Number 22-AS-20260115164019

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: LOVELAND SENIOR LIVING	FACILITY NUMBER: 306006729
	VISIT DATE: 03/20/2026

NARRATIVE

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Allegation: Staff does not maintain adequate food supply at facility.
It is alleged the facility does not supply healthy foods and not enough food. It is alleged the facility would buy a rotisserie chicken for the week and tell staff to “figure it out”. It is alleged stated residents “constantly” have leftovers.

Based on interviews conducted, three out of three staff and one out of three residents denied the allegation. One out of three residents confirmed the allegation. One witness confirmed the allegation. One out of three residents could not confirm or deny the allegation. All staff stated the facility provides enough food. No staff recalls a time where the Licensee or Administrator notified the staff to figure out the food to prepare to the residents by only providing a Costco rotisserie chicken. S1 and S2 stated they prefer to cook fresh food for the residents, but the residents request frozen meals and fast food. When they cook they have enough food supplies and provide according to the wants and needs for the residents.

Based on observations, on January 22, 2026, LPA observed and took photos of the freezer and the refrigerator. The freezer had a chicken, ground beef, pizza rolls, Stouffers frozen meal, hot pockets, frozen meal pasta, frozen vegetables, and ice cream. The refrigerator contained eggs, tomatoes, lettuce, cabbage, cucumbers, bananas, onions, string cheese, ensure drinks, Vita coco water, pasta, yogurt, and tortillas. The pantry contained canned vegetables, pasta, bread, condiments, spam, beans, and other canned goods. On March 20, 2026, LPA observed the freezer contained a box of tilapia, bags of ground beef portioned out, frozen vegetables, sausages, chicken, and other frozen items. The refrigerator contained eggs, orange juice, mango, bananas, cabbage, lettuce, carrots, soups, tortilla, container of cream cheese, and other items. The pantry contained canned vegetables, canned soups, pasta, bread, and other condiments.

Based on the information gathered, there is no sufficient evidence gathered to confirm the above allegation. It is determined that three out of three staff and one out of three residents denied the allegation.

Continued on LIC9099C

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 7

Control Number 22-AS-20260115164019

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: LOVELAND SENIOR LIVING	FACILITY NUMBER: 306006729
	VISIT DATE: 03/20/2026

NARRATIVE

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Allegation: Staff does not provide nutritious meals.
It is alleged the facility does not supply healthy foods.

Based on interviews conducted, three out of three staff denied the allegation. Two out of three residents confirmed the allegation. One witness confirmed the allegation. One out of three residents could not confirm or deny the allegation. S1, S2, and S3 stated that the facility has enough fresh and healthy fruits, vegetables, and protein. S1 and S2 stated all caregivers are ready to cook protein, provide fresh fruit and vegetables, and healthy alternatives, but residents always request ensure, microwave food, and fast food. They provide based on what the residents want, and always have fresh fruit, vegetable, and nutritious options available.

Based on observations, on January 22, 2026, LPA observed and took photos of the freezer and the refrigerator. The freezer had a chicken, ground beef, pizza rolls, Stouffers microwave meals, frozen vegetables, hot pockets, frozen meal pasta, and ice cream. The refrigerator contained eggs, tomatoes, cabbage, cucumbers, brocoli, mangos, bananas, onions, string cheese, leftover McDonalds, ensure drinks, Vita coco water, pasta, yogurt, boxes of pasta, and tortillas. The pantry contained canned vegetables, pasta, bread, condiments, spam, beans, and other canned goods. There are healthy and variety of fresh fruits. vegetables, food, and ingredients. On March 20, 2026, LPA observed and took photos of the freezer and the refrigerator. LPA observed the freezer contained a box of tilapia, bags of ground beef portioned out, sausages, chicken, frozen vegetables, and other frozen items. The refrigerator contained eggs, orange juice, leftover food in Tupperware, soups, tortilla, container of cream cheese, mangos, carrots, cabbage, lettuce, and broccoli. The pantry contained canned vegetables, canned soups, pasta, bread, and other condiments. There is a variety of fresh fruits, vegetables, food, and ingredients.

Based on the information gathered, there is not sufficient evidence gathered to confirm the above allegation. It is determined that three out of three staff denied the allegation. LPA observed there is a variety of fresh vegetables and fruits, and other health nutritious ingredients or items.

Continued on LIC9099C

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2026

LIC9099 (FAS) - (06/04)

Page: 6 of 7

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
01/15/2026 and conducted by Evaluator Edward Kim

COMPLAINT CONTROL NUMBER: 22-AS-20260115164019

FACILITY NAME:	LOVELAND SENIOR LIVING		FACILITY NUMBER:	306006729
ADMINISTRATOR:	ABDALLA, SUHA		FACILITY TYPE:	740
ADDRESS:	2443 E POWHATAN AVE		TELEPHONE:	(657) 201-3637
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92806
CAPACITY:	6	CENSUS: 2	DATE:	03/20/2026
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Administrator Suha Abdalla		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Facility does not post menu.

INVESTIGATION FINDINGS:

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Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 7

Control Number 22-AS-20260115164019

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: LOVELAND SENIOR LIVING	FACILITY NUMBER: 306006729
	VISIT DATE: 03/20/2026

NARRATIVE

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Allegation: Facility does not post menu.
It is alleged that the facility does not post a food menu.

Based on interviews conducted, three out of three staff and two out three residents confirmed the allegation. One witness and One out of three residents could not confirm or deny the allegation. S1, S2, S3, R1, and R2 confirmed there was no food menu posted during the visit. S1 and S2 stated that the facility removed the old menu so that S1 would replace it with a new one. S1 stated they did not make a new menu. Based on observations, on January 22, 2026, LPA observed there was no food menu posted when LPA arrived to the facility. During the visit, the staff printed and posted the old menu to the bulletin board.

Based on the information gathered, there is sufficient evidence gathered to corroborate the above allegation. It is determined that three out of three staff and two out of three residents corroborated the allegation. LPA observed there was no menu when LPA arrived, and the facility printed and posted the menu during the visit.

Therefore, based on the interviews which were conducted, LPA’s observations, and the records that were reviewed, the preponderance of evidence standard has been met, therefore the following allegation facility does not post menu deemed SUBSTANTIATED. A deficiency is being cited on the attached LIC9099-D as per the Title 22, Division 6, Chapter 8 of the California Code of Regulations. One deficiency is being cited on the attached LIC9099D.

Exit interview was conducted and a copy of the report, LIC90999D, appeal rights, and LIC811 were provided to Administrator Suha Abdalla.

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2026

LIC9099 (FAS) - (06/04)

Page: 4 of 7

Control Number 22-AS-20260115164019

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: LOVELAND SENIOR LIVING	FACILITY NUMBER: 306006729
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/20/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 04/03/2026 Section Cited CCR 87555(b)(6)	1 2 3 4 5 6 7	87555(b)(6)... Facilities licensed for less than sixteen (16) residents shall maintain a sample menu in their file. Menus shall be made available for review by the residents ... and the licensing agency upon request. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	POC cleard during March 20, 2026 visit. During the January 22, 2026, staff posted an old menu and stated they would provide the new updated menu and post it. During the March 20, 2026, LPA observed the new menu posted.
	8 9 10 11 12 13 14	Based upon observation and interview, the licensee did not comply with the section cited above. LPA did not observe the menu and S1-S3 and R1-R2 stated there was no food menu posted.This poses a potential health, safety or personal rights risk to persons in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2026

LIC9099 (FAS) - (06/04)

Page: 5 of 7

Control Number 22-AS-20260115164019

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: LOVELAND SENIOR LIVING	FACILITY NUMBER: 306006729
	VISIT DATE: 03/20/2026

NARRATIVE

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Allegation: Staff did not provide an accurate dosage of medication to resident.
It is alleged staff administered R1 the incorrect dosage of the medication (Synthroid). It is alleged that R1 is required 225mg, but was administered 200mg.

Based on record review, R1’s Medication Administration Record for December 2025 and February 2026, and vital signs for 2025 and 2026, do not indicate that an inaccurate dosage of any medication was administered. For January 2026 Medication Administration Record did not have January 27 and January 28 initialed that medication was administered. S2 stated they administered the medication but the document that was originally marked for those dates are when one of liquid medications spilled over that document. They stated they forgot to initial they administered for those days on the new document.

Based on interviews conducted, three out of three staff, two out of three residents, and witness denied the allegation. One resident out of three residents could not confirm the allegation. All staff, R1, R2. And witness stated there was no incident or situation where the staff provided an inaccurate dosage of medication to any resident. Based on observations, LPA has not observed any situation where a staff provided an inaccurate dosage of medication to a resident.

Based on observations, interviews, and records review, LPA did not find sufficient evidence to support the above allegations that the staff does not maintain adequate food supply at facility, Staff does not provide nutritious meals, and staff did not provide an accurate dosage of medication to resident. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.

Exit interview was conducted and a copy of the report was provided to Administrator Suha Abdalla.

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2026

LIC9099 (FAS) - (06/04)

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