306002482-3-18-2026-22-AS-APAO-DSK9NC-20260326233055

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306002482
Report Date: 03/18/2026
Date Signed: 03/18/2026 03:33:38 PM

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
02/06/2026 and conducted by Evaluator Hanna Gough

COMPLAINT CONTROL NUMBER: 22-AS-20260206123901

FACILITY NAME:	CAREWELL MANOR		FACILITY NUMBER:	306002482
ADMINISTRATOR:	CAROL WILSON		FACILITY TYPE:	740
ADDRESS:	3330 W. STONYBROOK DRIVE		TELEPHONE:	(714) 827-8520
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92804
CAPACITY:	6	CENSUS: 5	DATE:	03/18/2026
		UNANNOUNCED	TIME BEGAN:	02:07 PM
MET WITH:	Carol Wilson		TIME COMPLETED:	03:50 PM

ALLEGATION(S):

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Staff did not provide adequate meals to resident in care
Staff did not provide toileting assistance to resident in care
Staff attempted to terminate resident’s conservatorship

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct a complaint investigation into the above mentioned allegations. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Carol Wilson and discussed the purpose of the visit.

The investigation into the above allegations revealed the following: it was alleged that staff are providing meals to R1 that go against their diet restrictions, that R1 was not being assisted with their toileting needs and that staff at the facility attempted to terminate the resident’s conservatorship with R1s doctor. LPA observed an admission agreement for Resident #1 (R1) stating that they were admitted to the facility on October 11, 2024, and was signed by R1. LPA observed a physicians report for R1 dated August 11, 2025, stating that R1 does not have a special diet, does not have motor impairment and does not require assistance when transferring and repositioning. R1 was marked on their physicians report as being able to bathe, dress and care for their toileting needs. R1 is marked as ambulatory and the report was signed by a physician. Continue on LIC9099C

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Hanna Gough
LICENSING EVALUATOR SIGNATURE:	DATE: 03/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2026

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-20260206123901

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: CAREWELL MANOR	FACILITY NUMBER: 306002482
	VISIT DATE: 03/18/2026

NARRATIVE

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LPA observed a needs and services plan dated November 9, 2024, stating that R1 did not have any physical or functional issues and was signed and dated by facility staff only. LPA observed a preplacement appraisal for R1 dated November 4, 2024, stating that R1 had no physical disabilities, was able to walk without assistance, does not have a special diet and does not need assistance with toileting. This was signed by R1s Public Guardian at the time on November 4, 2024 only. LPA did not observe conservator paperwork for R1 in their facility file.

Interviews with 2 of 2 staff revealed that R1 did not have a special diet that needed to be followed. 2 of 2 staff informed LPA that they make all residents in care fresh meals. 2 of 2 staff informed LPA that R1 uses the commode in their room only at night. 2 of 2 staff informed LPA that R1 wants to have the commode in their room for nighttime convenience. 2 of 2 staff informed LPA that R1 does not require assistance with their toileting needs. 1 of 2 staff informed LPA that R1 has a new conservator and their paperwork has not been provided to the facility. 1 of 2 staff informed LPA that they did not try to terminate R1s conservator, but R1 is trying to terminate the conservator themselves.

LPA interviewed R1 and it was revealed that they can eat whatever they want and are not on a special diet. R1 informed LPA that facility staff will take them to the store so they can purchase things they like and this has included items such as ramen. R1 informed LPA that they do not need assistance with toileting, but they like having the commode in their room due to getting up to use the restroom multiple times during the night. R1 informed LPA that it is entirely their choice to have the commode in their room and staff will assist them if needed. R1 informed LPA that the staff at the facility has not tried to terminate their conservator, but R1 is trying to terminate their need for a conservator themselves.

Based on the evidence gathered, the Department finds that the facility allegations of staff did not provide adequate meals to residents in care, staff did not provide toileting assistance to resident in care and staff attempted to terminate residents conservatorship has been deemed UNFOUNDED. This means that the allegations are false, could not have happened or is without a reasonable basis.

An exit interview was conducted and a copy of this report was left at the facility.

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Hanna Gough
LICENSING EVALUATOR SIGNATURE:	DATE: 03/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2026

LIC9099 (FAS) - (06/04)

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