306000831-4-22-2025-22-AS-AJLO-DG7SY9-20250429141710

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306000831
Report Date: 04/22/2025
Date Signed: 04/22/2025 11:48:20 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
04/15/2025 and conducted by Evaluator Sean Haddad

COMPLAINT CONTROL NUMBER: 22-AS-20250415140543

FACILITY NAME:	BROOKDALE GARDEN GROVE		FACILITY NUMBER:	306000831
ADMINISTRATOR:	JERI MILES		FACILITY TYPE:	740
ADDRESS:	10200 CHAPMAN AVE		TELEPHONE:	(714) 636-6453
CITY:	GARDEN GROVE	STATE: CA	ZIP CODE:	92840
CAPACITY:	140	CENSUS: 109	DATE:	04/22/2025
		UNANNOUNCED	TIME BEGAN:	07:45 AM
MET WITH:	Francisco Sarabia		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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AC units in disrepair

INVESTIGATION FINDINGS:

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This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of investigating the above-mentioned complaint allegation. LPA met with Staff #1 (S1) Francisco Sarabia, discussed the purpose of the inspection, and explained the allegation.

The investigation into the allegation of AC units in disrepair revealed the following: During the course of the investigation, LPA inspected the facility, conducted health and safety checks on residents, interviewed S1 and residents, and obtained and reviewed copies of the resident roster, staff roster, and the facility’s maintenance records.

CONTINUED

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Armando J Lucero	TELEPHONE: (714) 703-2840
LICENSING EVALUATOR NAME: Sean Haddad	TELEPHONE: (714) 335-7094
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2025

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-20250415140543

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: BROOKDALE GARDEN GROVE	FACILITY NUMBER: 306000831
	VISIT DATE: 04/22/2025

NARRATIVE

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It was alleged that the facility’s AC system is not being properly maintained resulting in poor performance, outages, and uncomfortable temperatures. LPA inspected the facility and observed no health and safety issues. LPA interviewed 11 residents and did not obtain information corroborating the allegation. LPA inspected the temperatures and thermostats in 12 residents rooms, observed the air conditioning and heating working properly, and observed that all rooms were at comfortable temperatures that the residents had chosen using their thermostats. LPA interviewed S1, the facility’s maintenance supervisor, who stated that the air conditioning system is properly maintained, but began shutting itself off a few months ago and the frequency at which it shuts itself off has increased over time. S1 denied that this issue has impacted residents or created uncomfortable temperatures within the facility, stating they always restart the system immediately, the system was never off for more than one hour, and there have not been many hot days in the last few months. Per S1, as soon as the problem began, S1 and third-party air conditioning technicians have been working to diagnose and fix the problem. LPA reviewed the facility’s maintenance records which corroborate that the facility has been diligently working to diagnose and fix the issue with the air conditioning system. Although the air conditioning system has been having problems recently, the investigation revealed that the facility has been diligently working to fix the problem and that residents have not been impacted with uncomfortable temperatures.

Based on the information gathered during the investigation and review of all documents obtained, the Department is unable to ascertain if the above allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.

SUPERVISOR'S NAME: Armando J Lucero	TELEPHONE: (714) 703-2840
LICENSING EVALUATOR NAME: Sean Haddad	TELEPHONE: (714) 335-7094
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2025

LIC9099 (FAS) - (06/04)

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