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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603545
Report Date: 09/27/2025
Date Signed: 09/27/2025 12:52:25 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/11/2025 and conducted by Evaluator Alberto Lopez
COMPLAINT CONTROL NUMBER: 28-AS-20250711162059
FACILITY NAME:PARK VIEW PLACEFACILITY NUMBER:
198603545
ADMINISTRATOR:LEEANN HEFNERFACILITY TYPE:
740
ADDRESS:1054 PARK VIEW DRIVETELEPHONE:
(626) 885-1800
CITY:COVINASTATE: CAZIP CODE:
91724
CAPACITY:142CENSUS: 102DATE:
09/27/2025
UNANNOUNCEDTIME BEGAN:
11:27 AM
MET WITH:Melodie Misaikone, Move-in Coordinator and Alicia Aragon, Health Service DirectorTIME COMPLETED:
12:59 PM
ALLEGATION(S):
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Licensee did not abide by the terms and conditions of resident's admission agreement.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alberto Lopez made a subsequent complaint investigation visit. LPA met with Melodie Misaikone, Move-in Coordinator and Alicia Aragon, Health Service Director and discussed the purpose of the visit.

On 09/26/2025 LPA interviewed one (1) resident (R#1) and one (1) staff member (S#1) via phone.

On 07/15/2025 Licensing Program Analyst (LPA) Nicol Wesley conducted an unannounced 10-day complaint visit at the facility and met with Executive Director LeeAnn Hefner to discuss the purpose for today’s visit.

Investigation consisted of: Resident roster, staff roster, a copy of the admissions agreement, interview with the administrator, and interviewed 2 residents.
Investigation revealed: Due to insufficient information available at this time, the above allegation(s) need(s) further investigation. (continued on 9099C)

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Alberto Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2025
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 2
Control Number 28-AS-20250711162059
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: PARK VIEW PLACE
FACILITY NUMBER: 198603545
VISIT DATE: 09/27/2025
NARRATIVE
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(continued from 9099)

09/26/2025 During this visit LPA obtained copy of staff and resident roster, and R1 admission agreement. On 09/27/2025 LPA obtained copy of R1 v=care plan.

The investigation revealed regarding allegation: Licensee did not abide by the terms and conditions of resident's admission agreement. It is alleged that the facility is charging R1 an extra fee to walk R1 dog even though R1 is able and still walks R1 dog.

LPA interviewed four (4) staff S#1 – S#4 and all four (4) staff denied the allegation. LPA interviewed ten (10) residents, and all ten (10) residents could not corroborate the allegation. Administrator, S1 stated that when R1 returns from grocery shopping, R1 struggles to carry grocery bags and hold resident’s pet dog’s leash and that R1 lets go of the leash and then the dog roams around and bothers other residents who have complaint to Administrator about it. The administrator told R1 that she may have to charge R1 extra to have staff assist R1 to make sure R1 does not let R1’s dog loose in the facility. Administrator stated that R1 never paid for this service and is not currently being charged for this service. LPA interviewed R1 and R1 stated that this is old news and that the Administrator is not charging R1 and R1 never paid a cent for this service. R1 stated R1 does not need this service and refused it. R1 stated resident is happy with this arrangement. There is insufficient evidence to support this allegation.

Based on records reviewed, interviews conducted, and observations indicate that, although the allegation may have happened is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Exit interview was conducted and copy of this report was given to Alicia Aragon, Health Service Director

SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Alberto Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2