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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306000831
Report Date: 05/05/2026
Date Signed: 05/05/2026 12:26:11 PM

Unsubstantiated


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
06/25/2024 and conducted by Evaluator Pang Lee
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20240625165436
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: 115DATE:
05/05/2026
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Brisseth ArrellanoTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff did not maintain a comfortable room temperature for residents.
Staff does not treat resident with respect.
INVESTIGATION FINDINGS:
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On 05/05/2026, Licensing Program Analyst (LPA) Pang Lee conducted a Microsoft Teams meeting with Facility Designated Administrator (FDA) Brisseth Arrellano, for the purpose of delivering complaint findings for the allegations above. A brief interview with FDA Arrellano.

It was alleged that staff did not maintain a comfortable room temperature for residents. During the investigation, the Department conducted interviews with facility staff, residents in care, the assigned LPA Sean Haddad, a resident’s responsible party, and an outside agency representative. Based on interviews, it was learned that each resident has an individual thermostat in their room, allowing them to adjust the temperature to their preference. Five out of five residents interviewed reported no concerns regarding the facility’s temperature and stated they were able to regulate their room temperature to their liking.

CONTINUED LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Pang Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2026
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-20240625165436
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: 05/05/2026
NARRATIVE
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Additionally, LPA Haddad, a resident’s responsible party and the outside agency representative reported no concerns and indicated that during their visits, they did not observe any uncomfortable temperatures within the facility. A review of records, including LPA Haddad’s complaint investigation report dated 04/22/2025, indicated that temperatures and thermostats in 12 resident rooms were inspected. The air conditioning and heating systems were observed to be functioning properly, and all rooms were maintained at comfortable temperatures as selected by the residents. Furthermore, during the investigation on 04/22/2025, it was reported that although the air conditioning system has been properly maintained, it began intermittently shutting off a few months prior, with increasing frequency over time. However, maintenance staff reported that the issue did not impact residents or result in uncomfortable temperatures, as the system was promptly restarted each time and was never off for more than one hour. It was also noted that the facility engaged third-party air conditioning technicians immediately upon identifying the issue and has been actively working to diagnose and resolve the problem. A review of the facility’s maintenance records confirmed ongoing efforts to address and repair the air conditioning system. Based on interviews and records reviewed during the investigation, LPA Lee was unable to corroborate the allegation.

It was alleged that staff do not treat residents with respect. During the investigation, the Department conducted interviews with facility staff, residents in care, the assigned LPA Sean Haddad, a resident’s responsible party, facility staff and an outside agency representative. Five out of five residents interviewed reported no concerns regarding staff not treating them with respect. Additionally, residents stated that they feel safe living in the facility and that staff treat them well. One resident stated, “I love it here, staff have been wonderful and respectful.” Interviews with two facility staff who denied the allegations.
Furthermore, LPA Haddad, a resident’s responsible party, and the outside agency representative all reported no concerns and indicated they have not observed facility staff mistreating residents and not respecting residents in care. Moreover, the outside agency representative reported witnessing Resident 1 (R1) on multiple occasions not treating other residents with respect during resident council meetings. Based on interviews and records reviewed during the investigation, LPA Lee was unable to corroborate the allegation.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did nor did not occur, therefore, the allegation is unsubstantiated. An Exit Interview was conducted with (FDA) Arrellano and a copy of this report was provided to the facility via email. A certified copy will be sent to the facility mailing address.
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Pang Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2026
LIC9099 (FAS) - (06/04)
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