Wonder's Years

Allegation investigated: Resident sustained a severe pressure injury due to staff neglect

On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to deliver complaint findings. LPA was greeted and granted entry by staff and explained the reason for the visit. The Department received a complaint on March 17, 2026, and the initial visit was conducted on March 18, 2026. The Department obtained copies of the following documents: Resident 1(R1) emergency contact information, R1’s medical assessment, and R1’s admission agreement. Regarding the allegation resident sustained a severe pressure injury due to staff neglect the investigation revealed the following: R1 was admitted to the facility on January 17, 2026. Based on medical assessment dated January 14, 2026, R1 had a diagnosis of spinal stenosis and did not have a history of skin breakdown. Substantiated Per interview with Licensee/Administrator Juan Garcia Trujillo when R1 was admitted to the facility there was no pressure injuries noted. R1 experienced heart failure and was admitted to hospice on February 11, 2026. When R1 was admitted to hospice there was a stage 1 pressure injury on their back. Per page four of Hospice IDG Comprehensive Assessment and Plan of Care Update Report it is stated “Skilled nursing to educate on skin breakdown prevention measures including: changing position at least every 2-3hrs..” It was noted on a hospice physician order dated February 26, 2026, R1 had both left buttock stage 2 pressure ulcer and left upper back stage 2 pressure injury as well as directions for cleaning and dressing both wounds. Subsequent visits on March 3, 2026, and March 6, 2026, note the pressure ulcers to be a stage 2 wound and hospice noted to increase their visits to three times per week due to coccyx wound infection. On March 10th 2026, it was noted that an unstageable pressure ulcer was on the coccyx. On March 13, 2026, hospice noted they need to evaluate and treat stage IV pressure injury to coccyx and mid back. On March 16, 2026, hospice notes indicated that R1 was found lying on dirty and soiled linens and appeared unclean as well as disheveled. Per interviews with hospice it was reported that R1’s hospice care plan was discussed with both the Licensee and caregiving staff and staff told the hospice nurse they were able to provide the care for R1. Per interviews with staff and residents there was one caregiver in addition to the Licensee/Administrator, around February 23,2026 the only other available staff was unable to perform their duties. Per interviews with Licensee, Licensee stated that R1 would complain of pain during repositioning and incontinence checks. Licensee stated that they would change R1’s patches that covered the wounds but due to urine output the patches and wounds were wet. R1 had a foley catheter placed while on hospice. Licensee stated when he would try to reposition R1, R1 would cry and refuse to be repositioned. Licensee stated that he did not want to violate R1’s personal rights of refusal of medication treatment. Per hospice notes and review of hospice medication orders, R1 was prescribed the following for pain: tramadol to be given three times per day and morphine for the breakthrough pain. Per review of hospice Client Coordination Note Report dated March 17, 2026, R1’s wound has progressed rapidly. It was also noted on Client Coordination Note Report that Licensee Juan Trullijo was consulted on multiple occasions to reposition R1 to prevent further issues with pressure ulcers. R1 passed away at the facility while on hospice on March 20, 2026. Therefore, based on the preponderance of evidence through records reviewed and interviews the allegation that resident sustained a severe pressure injury due to staff neglect determined to be Substantiated, meaning the complaint allegation is valid and that a violation has occurred. A Civil Penalty is pending determination by Community Care Licensing Division as per Health & Safety Code 1569.49 (f) See LIC9099-D for cited deficiencies and immediate civil penalty as per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with. A copy of this report, along with LIC9099-D, Appeal Rights, Civil Penalty Assessment-LIC 421 IM and the LIC 811, identifying confidential names were provided and explainedthe state’s words, verbatim · CDSS document, Aug 28, 2026 · control 22-AS-20260317142945

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87464(f)(1) · Plan of correction due date: Aug 29, 2026

Basic Services. Basic services shall at a minimum include: Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evident by licensee did not follow hospice care plan of repositioning R1 resulting in unstageable wounds. This poses an immediate health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Aug 28, 2026

Plan of correction: Licensee stated will review all hospice care plans and adhere. Licensee stated will create care note document to document change of conditions/exceptions to baseline of residents. Licensee to provide LPA with proof by POC due date.

Type of visit: POC

On this day Licensing Program Analysts (LPA) Alvaro Ramirez, Jr. made an unannounced Plan of Correction (POC) visit in conjunction with the Case Management and citation issued on April 22, 2026. LPA was greeted and granted entry into the facility by caregiver Maria Trujillo. LPA explained the reason for the visit. Administrator (AD) Juan Garcia Trujillo arrived shortly after. As of May 13, 2026, Deficiency cited under Title 22 Regulation 87507(5)(c) pertaining to Admission Agreements (5) Refund conditions has not been CLEARED. During today's visit AD agreed to refund the $1,100 to Resident 1 (R1) by close of business today, May 13, 2026. AD agreed to mail the check via certified mail. AD agreed for the check to be payable today. AD agreed to email LPA screenshots of the written check to R1 and the Post Office certified mail receipt. AD to email LPA the POC proof by close of business today. Based on the observations made during today's visit, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. AD was reminded that if the POC is not clear by today that Civil Penalties for Failure to Correct can be issued. An exit interview was conducted with facility representative and a copy of this report was provided at the time of this visit.the state’s words, verbatim · CDSS document, May 13, 2026

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. made an unannounced visit in conjunction with complaint 22-AS-20230503123146. LPA Ramirez was allowed entry into the facility and met with Administrator (AD) Juan Garcia Trujillo. LPA explained the purpose of the visit. It was alleged that Resident 1 (R1) was not provided a refund after being discharged from Wonder's Years on April 30, 2023. R1 was admitted to the facility on April 22, 2026. R1 resided at Wonder's Years for nine days. During the investigation LPA reviewed documents including a $3,000 dollar checked pay to the order of Wonder's Years. The $3,000 dollar check was cleared on April 25, 2023. During the interviews in conjunction with complaint 22-AS-20230503123146 AD verified and confirmed that the check was deposited into the business account on April 25, 2023. Regarding the allegation that R1 did not received a refund, the following was determined: R1 paid $3,000 for a months worth of rent; however R1 only resided at the facility for nine days. Therefore, Licensee to refund R1 a total of $2,100. On April 17, 2026, LPA received an email from R1's Responsible Party confirming that she did received a $1,000 refund in December 2023. LIC809-C... LPA reviewed the Wonder's Years Chase Bank Statement dated December 1, 2023, through December 29, 2023. Per Chase Bank Statement on December 15, 2023, Licensee refunded $1,000 to R1's Responsible Party. Licensee to refund the remaining $1,100 to R1 by close of business on Wednesday April 29, 2026. Licensee agreed to mail the check via certified mail. Based on LPA’s interviews which were conducted, review of documents obtained, and observations, the preponderance of evidence standard has been met, therefore the allegation is SUBSTANTIATED. An exit interview was conducted with AD Garcia. A copy of this report and Appeal Rights were provided to ADthe state’s words, verbatim · CDSS document, Apr 22, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87507(5)(c) · Plan of correction due date: Apr 27, 2026

Admission Agreements (5)Refund conditions.(c)A refund of any fees paid in advance covering the time after the resident’s personal property has been removed from the facility shall be issued... This requirement is not met as evidence by: After discharged Licensee needed to refund $2,100 to R1; however on 12/15/26 Licensee only refunded $1000. This poses a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Apr 22, 2026

Plan of correction: Licensee to refund the remaining $1,100 to R1 by close of business on 4/29/26. Licensee to email LPA POC/proof of the received certified check by R1.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. made an unannounced visit in conjunction with complaint 22-AS-20230503123146. LPA Ramirez was allowed entry into the facility and met with Administrator (AD) Juan Garcia Trujillo. LPA explained the purpose of the visit. On today's visit LPA Ramirez toured the facility and interviewed the AD. During today's visit the AD reported that on December 14, 2023, the facility issued a refund to Resident 1 (R1). During today's visit AD was unable to show how much rent R1 paid since the bank account has been closed. AD agreed to request a copy of the April 2023 bank statement and will provide a copy to LPA by close of business on April 8,2026. AD also agreed to email the communication records between him and R1's daughter. Due to insufficient information available at this time, LPA to return at a later date. An exit interview was conducted with AD Garcia and a copy of this report was provided at the time of exit.the state’s words, verbatim · CDSS document, Apr 7, 2026

Allegation investigated: Uncleared individuals are providing care and supervision Staff left the residents unattended

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced visit to the facility to deliver findings regarding the allegations. Upon arrival, LPA Haddadin was greeted and granted entry by Administrator (AD) Juan Garcia Trujillo. During the investigation, LPA obtained and reviewed facility records and text message records, conducted staff interviews, and attempted to interview the residents in care. It was alleged that uncleared individuals were providing care and supervision and that residents were left unattended. The complaint received stated that, on December 10, 2025, the Orange County Fire Authority (OCFA) and Orange County Sherrif Department ( OCSD) responded to a medical emergency at the facility from Resident (R1). OCFA was unable to gain entry because no staff were present. OCFA contacted AD Juan Garcia Trujillo, who arrived at the facility and informed OCFA that a caregiver should have been working and that he did not know what occurred. {***CONTINUE 9099C***} Substantiated LPA Haddadin interviewed the AD, who corroborated the allegations. AD stated that Caregiver (C1) was expected to be on site on the date OCFA responded; however, C1 was not present and was not cleared to work at the facility. The Administrator admitted that he did not obtain a criminal background clearance for C1 because C1 was expected to work only that one day to assist while the Administrator addressed a personal emergency. LPA also checked the Guardian System and was unable to find C1 on the cleared list. LPA was unable to interview C1 because C1 could not be located using the information provided by the Administrator. LPA attempted to interview the two residents in care; however, due to the residents’ cognitive and mental condition, LPA was unable to obtain reliable statements. Based on interviews conducted, and review of documents obtained, , the preponderance of evidence standard has been met, therefore the allegations are SUBSTANTIATED. The facility is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report along with appeal rights were provided to AD LPA conducted an interview with R1’s POA, who also denied the allegation and stated the facility made efforts to offer meals and fluids; however, R1 refused, which the POA reported had occurred at a prior facility as well. LPA conducted a walk-through of the facility and observed the facility maintained at least two days of perishable food and seven days of nonperishable food. LPA attempted to interview the two residents in care; however, due to the residents’ cognitive and mental condition, LPA was unable to obtain reliable statements. Based on observations, interviews, and record review, there is not a preponderance of evidence to determine whether the alleged violation occurred. Therefore, the allegation is determined to be unsubstantiated. An exit interview was conducted, and a copy of this report was provided to the Administrator.the state’s words, verbatim · CDSS document, Feb 12, 2026 · control 22-AS-20251219121144

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e) · Plan of correction due date: Feb 13, 2026

87355(e)All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility.This requirement is not met as evidence by: Based on LPA's, interviews and record reviews, Licensee failed to obtain criminal background clearance for caregiver. This posed an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Feb 12, 2026

Plan of correction: Licensee will review, and read title 22 section 87355(e) to refresh self on obtaining background clearance. Also LPA educated AD on the secion .

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87464(f)(1) · Plan of correction due date: Feb 13, 2026

87464(f)(1)Basic services shall at a minimum include:Care and supervision. This requirement is not met as evidence by: Based on LPA's, interviews and record reviews, Licensee did not provide care and left resident without supervision which prompted R1 to call 911. This posed an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Feb 12, 2026

Plan of correction: Licensee will conduct a review of this section and provide a written statement showing his understanding and provide proof via E mail to LPA by POC due date

Allegation investigated: Staff do not provide adequate food service for a resident Staff does not meet a resident's grooming needs Staff did not meet a resident's bathing needs

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced visit to the facility to deliver findings regarding the above-mentioned allegations. Upon arrival, LPA was greeted and granted entry by Administrator (AD) Juan Garcia Trujillo. Regarding the allegation that staff do not provide adequate food service for a resident, LPA conducted a walk-through of the facility and observed the facility maintained at least two (2) days of perishable food and seven (7) days of non-perishable food, consistent with Title 22 requirements. LPA also observed two residents eating breakfast at the time of the visit. Regarding the allegations that staff do not meet a resident’s grooming needs and staff did not meet a resident’s bathing needs, LPA interviewed two staff members. Both staff members denied the allegations. LPA attempted to interview the two residents in care; however, due to the residents’ cognitive and mental condition, LPA was unable to obtain reliable statements. During the attempted interviews, LPA did not observe or detect any incontinence odor, and the residents appeared clean and appropriately groomed. Based on information obtained through observation, interviews, and record review, there is not a preponderance of evidence to determine whether the alleged violations occurred. Therefore, the allegations are determined to be unsubstantiated. An exit interview was conducted, and a copy of this report was provided to AD. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 16, 2026 · control 22-AS-20251219121144

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Celine Rodriguez conducted an unannounced required visit to the facility for the purpose of conducting the required annual inspection. LPA Rodriguez explained reason for visit and was greeted and granted entry by staff on duty. During the visit, LPA met with facility administrator (AD) Juan Garcia Trujillo about visit. For this visit, there are 2 staff members on duty, of who are background cleared and associated. The PUB475 "See Something, Say Something" poster was observed to be located in the hallway LPA observed the Administrator's Certificate for Juan Garcia Trujillo which expired on 2/7/2023, however, AD provided proof to LPA of ongoing renewal classes and fees, to which LPA observed were active. LPA toured the interior and exterior portions of the facility with AD Trujillo The facility is a two-level structure and is licensed for 6 non-ambulatory residents, of which 0 may be bedridden and 2 may be on hospice. For this visit, there are a total of 3 residents in care, of which 1 is on hospice. On the first floor, there are a total of 3 resident bedrooms, of which all are shared rooms, and 1 bathroom. LPA toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. On the second floor, there are a total of 2 bedrooms and 1 bathroom, of which is only designated for staff use. LPA observed that there are no residents or resident belongings residing on the second floor. Water temperature in restrooms were measured to be at 110.1 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguisher was charged, mounted and located in the kitchen. Fire extinguishers were dated and tagged for the date of February 2025. LPA observed the emergency disaster and evacuation plan, which is posted at the entrance of the facility. Facility had back-up emergency food and water supply, located in the garage. LPA observed that First Aid Kit had all the required components. Medications and toxins were also observed to be locked and inaccessible to residents in care. For the exterior portion, LPA observed patio furniture under shading, and the grounds were free of any hazards. There are two gates in the backyard, which both are self-closing and self-latching. AD Trujillo currently has plans to demolish the pool and to have placement and compaction of backfill material (landscape concrete), to make the ground flat. AD provided LPA the inspection record and the active building city permit from Lake Forest, of which was issued on 9/4/2025. AD Trujillo provided understanding to LPA that the modified floor plans are to be sent to the Department. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. No citations were issued. An exit interview was conducted with AD Trujillo. A copy of this report was provided and explained.the state’s words, verbatim · CDSS document, Sep 5, 2025

Type of visit: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting the Required Annual Inspection. LPA was greeted and granted entry by facility administrator Juan Garcia Trujillo staff after introducing himself and stating the reason of the visit. During the inspection, LPA and staff conducted a tour of the physical plant and observed the following: The facility is a two-story home with two shared bedrooms and one private room in addition to the facility's common living areas and one attached garage. The second level of the house is for use by staff exclusively. There are two bathrooms including one en-suite bathroom. All bathrooms are observed to be equipped with grab bars and slip mats. All resident bedrooms have the required furnishings. LPA observed all beds have linen and blankets. One bed is observed to be equipped with full rails. Physician order and hospice plan of care reviewed.. There are currently four residents admitted to the facility, one of which is receiving hospice care. Bathrooms faucets and toilets are operational. Water temperature was measured to be approximately 110F. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed. Drills are conducted quarterly, they are however not documented. Consultation provided on Technical Assistance Advisory Note. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable. Smoke and carbon monoxide detectors tested operational. Fire extinguisher present is fully charged and has been maintained in 2024. There is adequately shaded outside space with outdoor furniture present. There are self-latching gates on both sides of the property. The routes of egress are free of obstructions. There is an adequately fenced empty swimming pool on the premises. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 Licensee plans to have the pool covered and is intending to obtain building permits from the city of Lake Forest. LPA informed licensee to provide modified floor plans and building permits to the Department. Medication, cleaning products and sharp items are confirmed to be inaccessible throughout the physical plant. The medication central storage was also observed to be secure and reviewed to be accurate and up to date with the resident's prescription orders. The record of centrally stored medication dosages is however found to be outdated for two out of four residents. A type B deficiency is cited on an attached form LIC809-D. LPA reviewed four resident files and two staff files. One staff and two resident interviews conducted. Resident records include all necessary components. All staff members are confirmed to be cleared and associated with this particular licensed location. Training records are however missing for 2024. One staff member does not meet the annual requirement of 20 hours of training. A type B deficiency is cited on an attached form LIC809-D. CPR training on file and up-to-date. The poster for reporting information is observed to be posted but smaller than the required size. Technical Assistance Advisory Note provided. Infection Control Plan is not using the Department-issued for. Technical Assistance and copy of form LIC 9252 provided. Based on the observations made during today’s inspection, two type B deficiency are being cited per Title 22 Division 6 of the California Code of Regulations. Three Technical Assistance Advisory Notes are also provided along with related consultations to the licensee. An exit interview was conducted, and a copy of this report along with appeal rights was left at the facility.the state’s words, verbatim · CDSS document, Sep 20, 2024

The state marks this report as 6 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.