306000560-7-9-2026-22-AS-AORZ-DWHP77-20260731110326

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306000560
Report Date: 07/09/2026
Date Signed: 07/09/2026 11:34:55 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
07/08/2026 and conducted by Evaluator Andrea Mendivil

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20260708131035

FACILITY NAME:	GARDEN VILLA		FACILITY NUMBER:	306000560
ADMINISTRATOR:	MARILES BORJA		FACILITY TYPE:	735
ADDRESS:	13031-13061 WILSON STREET		TELEPHONE:	(714) 537-1545
CITY:	GARDEN GROVE	STATE: CA	ZIP CODE:	92844
CAPACITY:	32	CENSUS: 29	DATE:	07/09/2026
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Dennis Mendoza - Assistant Administrator		TIME COMPLETED:	11:50 AM

ALLEGATION(S):

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Faciltiy did not provide P&I funds to client

INVESTIGATION FINDINGS:

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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 by staff and explained the reason for the visit.

The Department received the complaint regarding the allegation facility did not provide P&I (Personal & Incidentals) funds to client. LPA Mendivil interviewed staff and clients as well as reviewed P&I funds. Regarding the allegation Faciltiy did not provide P&I funds to client, the investigation revealed the following:

It was alleged that the facility did not provide P&I founds to a client on or around December 2025. Per review of Client 1 (C1) P&I fund ledger for December 2025, C1 ended with a balance of $175.42 as of December 31st 2025. Per review of C1's current P&I funds for July 2026 the current balance is $362.57 which was counted out in front of LPA Mendivil by Staff 1 (S1).

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026

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-20260708131035

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: GARDEN VILLA	FACILITY NUMBER: 306000560
	VISIT DATE: 07/09/2026

NARRATIVE

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Per review of C1's Individual Program Plan (IPP) dated November 20, 2025 it was stated that C1 relies heavily on the assistance of facility staff to manage fiances. Per IPP "C1's financial management plan is structured to promote independence while ensuring stability". Based on IPP C1 is allowed $10 for snacks weekly and an additional $10 for weekend personal purchases.

Per interviews with S1, S1 stated there are two main people that handle P&I for the clients, when those two staff are not available the task is delegated to other staff. S1 stated that there is always someone on site that will have access to the records and P&I funds. Per interviews with 2 out of 2 staff they could not remember a time when C1 was denied funds. Per interviews with 2 out of 2 staff, staff stated no one has been denied their funds available to them. Staff indicated they follow IPP for all clients. Interviews with 4 out of 5 client's stated they have access to their P&I funds, the 5th client has their own bank account and manages their own funds. LPA Mendivil was unable to interview C1 as C1 is unable to communicate with LPA Mendivil.

Therefore based on the preponderance of evidence through records reviewed and observations the allegation facility did not provide P&I funds to client is determined to be UNSUBSTANTIATED, meaning that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violation occurred.

No deficiencies cited. An exit interview was conducted and a copy of this report this report was left at the facility.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026

LIC9099 (FAS) - (06/04)

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