The Groves of Tustin

Allegation investigated: Staff yelled at resident Staff do not provide resident with protein drink. Staff does not follow food menu for residents.

On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to conduct a complaint investigation. LPA was greeted and granted entry into the facility and explained the reason for the visit. The Department received a complaint on July 20, 2026 and the Department conducted an initial 10 day visit. LPA Mendivil obtained copies of facility menus, resident physician's orders, physician's report and care plan as well as interviewed staff and residents. Regarding the allegations staff yelled at resident, staff do not provide resident with protein drink and staff does not follow food menu for residents, the investigation revealed the following: Per review of Resident 1 (R1) physician's report dated October 15, 2025 reported that R1 has a diagnosis hypertension, hypothyriod, chronic low back pain, and chronic kidney disease. It was alleged that staff yelled at R1. Per interviews with 4 out of 4 residnets stated staff has not yelled at them. Unsubstantiated Per interviews with 5 out of 5 staff interviewed, staff denies ever yelling at R1 or any resident. It was alleged that staff do not provide a resident protein drink. Per review of R1's physician's orders there is no order for protein shakes or nutritional supplements. Per interview with Memory Care Director (MCD) Alma Gomez, it was stated the nutritional shakes are stored in the facility kitchen and available upon request. It was alleged that staff does not follow food menu for residents. Per interview with MCD staff follows menu unless an item was not available through Sysco which then the menu would be updated. MCD stated the front desk has a copy of daily menus available. Per MCD the facility is currently in the process of hiring a new Culinary Services Director . MCD stated core kitchen staff is the same and trained. MCD stated she is doing the ordering and logistics of the kitchen. MCD stated that there is an "always available" menu for residents. Interviews with 4 out of 4 residents, the residents stated the food was good and they did not have any complaints. Therefore based on the preponderance of evidence through records reviewed and interviews the allegations the allegations Staff yelled at resident , Staff do not provide resident with protein drink, Staff does not follow food menu for residents are determined to be UNSUBSTANTIATED, meaning that although the allegations 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.the state’s words, verbatim · CDSS document, Jul 24, 2026 · control 22-AS-20260720095305

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Andrea Mendivil made an announced visit to conduct a pre-licensing inspection. LPA identified themselves and discussed the purpose of the visit with Executive Director Susan Ruiz Hidalgo an initial application to operate a Residential Care Facility for the Elderly application was received by CCL on 01/28/2025 for a capacity of 70 non-ambulatory and 30 bedridden residents for a total of 100 resident capacity. LPA Mendivil along with Health and Wellness Director Robin Aquino, Executive Director Susan Ruiz Hildago and Memory Care Director Alma Gomez toured the facility at 10:00AM and observed the following: Structure: Facility is a three story building with , 82 rooms, 6 public restrooms. The exit gates on first floor are secured delayed egress. Living Room/ Dining Room: Adequate seating is available in the dining room and living room. Bedrooms Residents: First floor is Assisted Living with 25 single occupancy rooms all of which contain their own bathrooms. Second floor is a secured Memory Care with 26 rooms of which 10 rooms are shared occupancy. Third floor is Assisted Living with 31 rooms all of which are single occupancy. Bathrooms: Resident bathrooms have a working toilet/ wash basin .Linens & Hygiene Supplies: Facility supplies basic care items such as toilet paper and paper towels. Emergency Phone Numbers and Exit Plan: Posted behind receptionist desk in entry of facility. . Food Service: Licensee has 2 day perishable and 7-day nonperishable foods kept in facility kicthen. Smoke Detectors: Smoke detectors/ carbon monoxide detectors were tested by Fire Service Corp on 10/20/2025. Appliances: Faciltiy kitchen's appliances such as oven, stove top and refrigeration were operational. Toxins/ Sharps: LPA observed a secure area for sharps in secured kitchen. CONTINUED ON LIC 809C DATED 12/30/2025. Water Temperature: LPA tested hot water and it read as following 106.7 to 110.3 degrees fahrenheit. Emergency Supplies: LPA observed supply of emergency water and food in staff break room and dry storage area in dining room. Medications, First-Aid Kit & Book: First aid kit observed contained all required items. Medication is stored in a secured medication cart which are housed in secured medication rooms on the first and second floors. Resident & Staff File: Resident records such as admission agreements and intake documents are stored in secured Executive Director's office and medical documents such physicians report and orders are stored in secured medication rooms. Reading Material, Games, and Equipment: . LPA observed games and coloring books in facility in facility palor. Backyard: LPA observed a shaded area for residents. Fire Clearance: Approved for 70 non-ambulatory and 30 bedridden residents on 09/08/2025. Facility is ready to be licensed. Component III completed. Exit interview conducted and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Dec 30, 2025

Type of visit: Office

Component II completion: Successful Facility Type: Residential Care Facility for the Elderly (RCFE) Application Type: Change in Ownership (CHOW) Capacity: 100 Census (if any clients in care): 69 COMP II Participants: Charlene Lee, Applicant Wendy Cruz, Administrator Interview Method: Virtual interview (Microsoft Teams) On October 29, 2025, Applicant and Administrator participated in COMP II. Identification of the Applicant and Administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, Applicant and Administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant and Administrator’s understanding of following areas: 1. Facility Operation: License Type, Client/Resident populations, and Program. 2. Admission Policies 3. Staffing Requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General Provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing Readinessthe state’s words, verbatim · CDSS document, Oct 29, 2025