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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306000560
Report Date: 06/17/2026
Date Signed: 06/17/2026 03:12:07 PM

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
02/25/2026 and conducted by Evaluator Andrea Mendivil
COMPLAINT CONTROL NUMBER: 22-AS-20260225130847
FACILITY NAME:GARDEN VILLAFACILITY NUMBER:
306000560
ADMINISTRATOR:MARILES BORJAFACILITY TYPE:
735
ADDRESS:13031-13061 WILSON STREETTELEPHONE:
(714) 537-1545
CITY:GARDEN GROVESTATE: CAZIP CODE:
92844
CAPACITY:32CENSUS: 28DATE:
06/17/2026
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH: Dennis Mendoza - Assistant Administrator TIME COMPLETED:
03:30 PM
ALLEGATION(S):
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2 Facility did not ensure client was provided food of good quality
INVESTIGATION FINDINGS:
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On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to deliver complaint findings. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit.

The Department recieved the complaint on Feburary 25, 2026 and the initial 10 day visit was conducted on March 5, 2026. LPA Mendivil interviewed staff and clients as well as observed food supply. Regarding the allegation Facility did not ensure client was provided food of good quality, the investigation revealed the following:

It was alleged that Facility did not ensure client was provided food of good quality. Interviews with 3 out of 3 staff stated the food provided is of good quality, not expired and cook througoughly. Interviews with 3 out of 4 clients stated the food is good and have not had issues with meals. The remaining client was not able to communicate with LPA Mendivil.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026
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 22-AS-20260225130847
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: 06/17/2026
NARRATIVE
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 LPA Mendivil observed the food storage and did not observe any expired or spoiled food.
Per staff, staff stated that grocery shopping occurs twice per month, where they stock a large room of supplies. Based on LPA observation the facility retains a minimum of 2 day perishables and 7 day non-perishables.

Therefore based on the preponderance of evidence through observations and interviews the allegation Facility did not ensure client was provided food of good quality 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: 06/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2