306005206-6-22-2026-22-AS-CMAZ-DVAQ3D-20260622114835

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005206
Report Date: 06/19/2026
Date Signed: 06/22/2026 10:40:40 AM

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
12/30/2024 and conducted by Evaluator Kimberley Mota

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20241230100737

FACILITY NAME:	SOCAL ASSISTED LIVING		FACILITY NUMBER:	306005206
ADMINISTRATOR:	CHENG, CHIN-WEN		FACILITY TYPE:	740
ADDRESS:	8132 STERLING DRIVE		TELEPHONE:	(714) 267-4105
CITY:	HUNTINGTON BEACH	STATE: CA	ZIP CODE:	92646
CAPACITY:	6	CENSUS: 6	DATE:	06/19/2026
		UNANNOUNCED	TIME BEGAN:	03:45 PM
MET WITH:	Megan Cheng, Administrator		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Licensee did not ensure proper infection control practices were followed

INVESTIGATION FINDINGS:

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Licensing Program Manager (LPM) Mota spoke with Megan Cheng, Administrator via telephone visit to discuss and deliver the findings for the above allegation.

Complaint alleges that Licensee did not ensure proper infection control practices were followed. During the course of the investigation, the Department conducted interviews, reviewed records, and toured the facility.

It is alleged that staff are "practicing inadequate techniques to prevent disease transmission within the facility" On 11/12/2024 the department was notified by the facility that a resident tested positive for COVID on 11/10/2024 and that surveillance testing would be conducted. A second resident was found to be positive on 11/12/2024. At the time, there had been 5 residents in care who were quarantined, and the facilities infection control protocols were put in place which consisted of masking, additional surface cleaning, hand hygiene. No additional residents tested positive during the outbreak. Local Department of Public Health was notified.
**Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Carla Martinez
LICENSING EVALUATOR NAME: Kimberley Mota
LICENSING EVALUATOR SIGNATURE:	DATE: 06/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026

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

LIC9099 (FAS) - (06/04)

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Control Number 22-AS-20241230100737

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: SOCAL ASSISTED LIVING	FACILITY NUMBER: 306005206
	VISIT DATE: 06/19/2026

NARRATIVE

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Continued from LIC9099

On 12/27/2024 a resident who had previously tested positive for COVID was sent to the hospital and found to test positive for COVID. It is unknown if the positive diagnosis was a result of the first diagnosis or if it was a new diagnosis as COVID a person can test positive for up to 90 days and reinfections can occur within 90 days, which can make it hard to know if a positive test indicates a new infection. (CDC – COVID guidelines dated March 10, 2025). It was reported that 2 residents passed away due to Covid-19. No evidence was provided by any witnesses to corroborate this report. A review of the reports submitted by the facility shows (LIC 624, special/unusual incident reports) 2 resident deaths were reported from 11/11/2024 to 11/192024 , but Covid-19 was not the cause of death

Based on LPAs observations, record review and interviews, there is insufficient information to prove or disprove the above allegation. A finding that the complaint allegation of Licensee did not ensure proper infection control practices were followed is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.
No deficiencies cited.
A copy of the report was emailed to Licensee for signature.

SUPERVISORS NAME: Carla Martinez
LICENSING EVALUATOR NAME: Kimberley Mota
LICENSING EVALUATOR SIGNATURE:	DATE: 06/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026

LIC9099 (FAS) - (06/04)

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