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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306002915
Report Date: 11/06/2025
Date Signed: 11/06/2025 01:22:31 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
08/02/2021 and conducted by Evaluator Celine Rodriguez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20210802145339
FACILITY NAME:BROOKDALE ANAHEIMFACILITY NUMBER:
306002915
ADMINISTRATOR:TROY BYINGTONFACILITY TYPE:
740
ADDRESS:200 N DALE STTELEPHONE:
(714) 761-5771
CITY:ANAHEIMSTATE: CAZIP CODE:
92801
CAPACITY:140CENSUS: 108DATE:
11/06/2025
UNANNOUNCEDTIME BEGAN:
11:46 AM
MET WITH:Executive Director - Troy ByingtonTIME COMPLETED:
01:40 PM
ALLEGATION(S):
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Staff severely neglected resident resulted in hospitalization.
Staff left resident in dirty diapers for extended periods of time.
Illegal eviction.
Staff failed to meet resident's needs.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Celine Rodriguez conducted an unannounced continuation visit to the facility and to deliver the findings. LPA Rodriguez explained the purpose of today's visit, was greeted, by Executive Director (ED) Troy Byington.

It was alleged that staff severely neglected resident resulted in hospitalization. 8 out of 8 resident interviews did not corroborate with the allegation by stating that facility staff are the care being provided are “great”. 4 resident interviews specified that facility will contact 911 if necessary, and if hospitalized, it was not due to staff neglect. 2 out of 2 staff interviews did not corroborate with the allegation. Per record review, there were no records of residents hospitalized due to staff neglect. Per observations, LPA observed that residents were taken care of, happy and engaging in their preferred activities. LPA was unable to obtain copies of records relevant to the allegation due to LPA Rodriguez making multiple attempts to contact reporting party, to gather additional information, however calls were not returned, therefore, further information was not provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Celine Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
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-20210802145339
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 ANAHEIM
FACILITY NUMBER: 306002915
VISIT DATE: 11/06/2025
NARRATIVE
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It was alleged that staff left resident in dirty diapers for extended periods of time.
8 out of 8 resident interviews did not corroborate with the allegation by stating that facility staff assist with ensuring that residents are cleaned. 2 out of 2 staff interviews did not corroborate with the allegation. LPA observed that residents were clean, not soiled, and there were no odors in the facility that indicated that a resident was left in dirty diapers for an extended period of time. LPA was unable to obtain copies of records relevant to the allegation due to LPA Rodriguez making multiple attempts to contact reporting party, to gather additional information, however calls were not returned, therefore, further information was not provided.

It was alleged that an illegal eviction was issued.
8 out of 8 resident interviews did not corroborate with the allegation by stating that facility staff assist with ensuring that residents are cleaned. 2 out of 2 staff interviews did not corroborate with the allegation. LPA observed that there was an eviction notice that was issued to resident 1 (R1) due to non-payment, to which the Department was notified and approved the eviction for R1. LPA was unable to obtain copies of records relevant to the allegation due to LPA Rodriguez making multiple attempts to contact reporting party, to gather additional information, however calls were not returned, therefore, further information was not provided.

It was alleged that failed to meet resident's needs.
8 out of 8 resident interviews did not corroborate with the allegation by verifying that staff do meet the resident’s needs by specifying that staff assist with feeding, dressing, bathing, cleaning, medication management, medical and dental care, and also stated that in addition, staff will assist with leisure needs (regarding activities – such as obtaining supplies, or assisting with technology inquires).2 out of 2 staff interviews did not corroborate with the allegation. During the tour of the facility, LPA observed residents to be happy, and taken care of.

Based on LPA’s interviews which were conducted, review of documents obtained, and observations, LPA is unable to ascertain if the 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 with ED Byington. A copy of this report was explained and provided.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Celine Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
LIC9099 (FAS) - (06/04)
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