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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306000831
Report Date: 10/14/2025
Date Signed: 10/22/2025 09:42:27 AM

Unfounded


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
05/30/2025 and conducted by Evaluator Fred Arias
COMPLAINT CONTROL NUMBER: 22-AS-20250530152109
FACILITY NAME:BROOKDALE GARDEN GROVEFACILITY NUMBER:
306000831
ADMINISTRATOR:JERI MILESFACILITY TYPE:
740
ADDRESS:10200 CHAPMAN AVETELEPHONE:
(714) 636-6453
CITY:GARDEN GROVESTATE: CAZIP CODE:
92840
CAPACITY:140CENSUS: 121DATE:
10/14/2025
UNANNOUNCEDTIME BEGAN:
10:17 AM
MET WITH:Brisseth ArrellanoTIME COMPLETED:
03:44 PM
ALLEGATION(S):
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Staff stole money from resident
Staff are going through residents personal belongings without consent
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Fred Arias conducted an unannounced complaint visit to finalize an investigation into the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit. An initial investigation visit was conducted on June 06, 2025 by the Department.

It was alleged staff stole money from resident and staff are going through resident's personal belongings without consent. During the investigation, the Department conducted interviews with residents in care and staff. LPA Arias reviewed records obtained.

The investigation determined as follows: Regarding the allegation staff stole money from resident , it was reported staff stole $70 from resident 1 (R1). LPA interview with R1 stated $70 went missing from their money bag which was kept on their person in May 2025. R1 stated they found the money in their wallet located in the room later on and must have been misplaced. R1 stated they have more items than they need and is in process of decluttering their room.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Fred Arias
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2025
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 22-AS-20250530152109
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: BROOKDALE GARDEN GROVE
FACILITY NUMBER: 306000831
VISIT DATE: 10/14/2025
NARRATIVE
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LPA interviews with three out of five staff stated R1 has hoarding tendencies. Two out of five staff added R1 has had help to declutter R1's room. Physician's report for R1 stated diagnosis of compulsive hoarding.

Regarding the allegation staff are going through residents personal belongings without consent, it was reported personal items have been moved in R1's room including hearing aids. LPA interview with R1 stated R1 had one of their two hearing aids missing for about 3 weeks. R1 stated they later found the second hearing aid on the floor next to the bed. R1 stated they did not witness a staff member move their hearing aids or other personal items. LPA interviews with two out of two additional residents stated they have not had any staff move their personal belongings without their consent.

Based on Department interviews and record review, LPA is unable to corroborate the allegations. Therefore, the allegations are deemed to be UNFOUNDED, meaning that the allegations were false, could not have happened and/or are without a reasonable basis.

Exit interview was conducted and a copy of this report was left at the facility.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Fred Arias
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2