306006771-1-16-2026-22-AS-APAO-DQHT2Q-20260120132104

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006771
Report Date: 01/16/2026
Date Signed: 01/16/2026 03:59:10 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
01/05/2026 and conducted by Evaluator Kevin Saborit-Guasch

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20260105112040

FACILITY NAME:	MAXIMUS COTTAGE		FACILITY NUMBER:	306006771
ADMINISTRATOR:	MANIAGO, MARIE JOYCE		FACILITY TYPE:	740
ADDRESS:	25332 MAXIMUS STREET		TELEPHONE:	(917) 386-5767
CITY:	MISSION VIEJO	STATE: CA	ZIP CODE:	92691
CAPACITY:	6	CENSUS: 5	DATE:	01/16/2026
		UNANNOUNCED	TIME BEGAN:	02:05 PM
MET WITH:	Marie Maniago, administrator		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff are not meeting resident's needs

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of the four allegations listed as well as to deliver findings to the licensee. LPA was greeted and granted entry by caregiving staff after stating the purpose of the visit. Administrator Marie Maniago was also present on the premises to assist.

The initial complaint investigation visit was conducted on January 7, 2026. During the visit, LPA conducted a tour of the facility's physical plant. Five resident interviews and one staff interview were attempted or conducted. Records maintained at the facility for all five residents were requested and reviewed, along with the facility emergency and disaster plan, staff schedule, staff training records and visitation logs for December 2025 and January 2026. Additional witness interviews were conducted via telephone during the investigation.

CONTINUED ON FORM LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2026

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 4

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
01/05/2026 and conducted by Evaluator Kevin Saborit-Guasch

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20260105112040

FACILITY NAME:	MAXIMUS COTTAGE		FACILITY NUMBER:	306006771
ADMINISTRATOR:	MANIAGO, MARIE JOYCE		FACILITY TYPE:	740
ADDRESS:	25332 MAXIMUS STREET		TELEPHONE:	(917) 386-5767
CITY:	MISSION VIEJO	STATE: CA	ZIP CODE:	92691
CAPACITY:	6	CENSUS: 5	DATE:	01/16/2026
		UNANNOUNCED	TIME BEGAN:	02:05 PM
MET WITH:	Marie Maniago, administrator		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff do not have emergency procedures for residents

Staff did not safeguard resident's personal belongings

Staff are not allowing resident to have visitors

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of the four allegations listed as well as to deliver findings to the licensee. LPA was greeted and granted entry by caregiving staff after stating the purpose of the visit. Administrator Marie Maniago was notified of the visit via telephone and arrived later to assist.

The initial complaint investigation visit was conducted on January 7, 2026. During the visit, LPA conducted a tour of the facility's physical plant. Five resident interviews and one staff interview were attempted or conducted. Records maintained at the facility for all five residents were requested and reviewed, along with the facility emergency and disaster plan, staff schedule, staff training records and visitation logs for December 2025 and January 2026. Additional witness interviews were conducted via telephone during the investigation.

CONTINUED ON FORM LIC9099-C

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2026

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

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 22-AS-20260105112040

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: MAXIMUS COTTAGE	FACILITY NUMBER: 306006771
	VISIT DATE: 01/16/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

CONTINUED FROM FORM LIC9099-A
During the present visit, LPA conducted additional interviews with facility staff.

Regarding the allegation that Staff do not have emergency procedures for residents, the following has been concluded: Based on staff interviews and records reviewed after the initial visit, all staff members scheduled are receiving training on emergency response. It was also clarified that staff is under the instruction to call 911 in case of medical emergencies with the exception of some hospice residents for whom the initial triage and assessment of the relevance of a hospital transfer is first referred to the hospice nurse on 24-hour duty.

Regarding the allegation that Staff did not safeguard resident's personal belongings, the following has been concluded: it had initially been alleged that R1's hearing aids had been misplaced, however they were confirmed prior to the visit to have been kept alongside the medication central storage while being charged. The presence of the hearing aids was confirmed during the initial visit. Additionally, a review of R1's records showed that the resident's responsible party had declined to inventory valuable items upon admission.

Regarding the allegation that Staff are not allowing resident to have visitors, the following has been concluded: Interviews with witnesses confirmed that regular visits from R1's friends and family had effectively occurred, as confirmed by a review of the facility's visit log conducted during the initial visit. Additional resident interviews also evidenced that residents were free to receive their loved ones with no restrictions.

As a result, all three allegations are determined to be Unfounded, meaning that the allegations are false, could not have happened and/or are without reasonable basis.

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

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 22-AS-20260105112040

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: MAXIMUS COTTAGE	FACILITY NUMBER: 306006771
	VISIT DATE: 01/16/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

CONTINUED FROM FORM LIC9099
During the present visit, LPA conducted additional interviews with facility staff.

Regarding the allegation that Staff are not meeting resident's needs, the following has been concluded: Resident R1 was admitted to the facility on December 14, 2025 with a primary diagnosis of Senile degeneration of the brain. Prior to being admitted, R1 was living at home with hospice services already in place. Hospice services have been provided at the facility since R1's admission. During the investigation, both the hospice plan of care and individual needs and services assessments for R1 were reviewed and appear to evidence adequate assessment of care needs. R1 was interviewed during the visit, however R1 appears to only be partially alert and oriented to time, place and person and is unable to respond to simple verbal prompts. No signs of distress or pain visible during the investigation. Per a review of R1's records, power of attorney has been given to R1's spouse who was interviewed via telephone and denied any concerns regarding the adequacy of care being provided at the facility. Other residents interviewed confirmed being satisfied with the care received at the facility as well.

As a result, the allegation is determined to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred.

An exit interview was conducted and a copy of this report was provided to a facility representative.

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2026

LIC9099 (FAS) - (06/04)

Page: 4 of 4