306002955-9-18-2026-22-AS-AORZ-DYEU5D-20260930151631

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306002955
Report Date: 09/18/2026
Date Signed: 09/18/2026 01:08:45 PM

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
06/08/2026 and conducted by Evaluator Andrea Mendivil

COMPLAINT CONTROL NUMBER: 22-AS-20260608110809

FACILITY NAME:	BROOKDALE NOHL RANCH		FACILITY NUMBER:	306002955
ADMINISTRATOR:	SARAH DEVORE		FACILITY TYPE:	740
ADDRESS:	380 S ANAHEIM HILLS RD		TELEPHONE:	(714) 974-1616
CITY:	ANAHEIM HILLS	STATE: CA	ZIP CODE:	92807
CAPACITY:	266	CENSUS: 111	DATE:	09/18/2026
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Sarah Devore - Executive Director		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Staff are not following the residency agreement
Staff are not preventing cigarette smoke from entering the building
Staff speak disrespectfully to residents

INVESTIGATION FINDINGS:

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On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to deliver complaint findings. LPA was greeted and granted entry into the faciltiy and explained the reason for the visit.

The Department received the complaint on June 8th, 2026. During the initial visit conducted on June 11th, 2026 the Department walked through the facility and interviewed staff and residents. Regarding the allegation staff are not folloiwng the residency agreement, staff are not preventing cigarette smoke from entering the building, and staff speak disrespectully to residents, the investigation revealed the following:

It was alleged that staff are not following the residency agreement regarding smoking in the community. Per admission agreement, no smoking is allowed in the community. LPA Mendivil toured three floors of the building and did not observe any odor of smoke or cigarettes. Per interviews with 3 out of 3 staff, staff stated they have not witnessed or smelled any residents smoking in the facility. Per interview with Executive Director Sarah DeVore, Sarah stated no smoking is allowed within the community.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2026

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-20260608110809

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 NOHL RANCH	FACILITY NUMBER: 306002955
	VISIT DATE: 09/18/2026

NARRATIVE

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Sarah stated there is a smoking area that is outside of the facility. Sarah stated that a smoking area was designated due to having multiple residents that were smokers. Sarah stated smoking in building would not be tolerated and could lead to warnings and evictions.

Sarah explained that someone that smokes may retain the scent of the cigarettes, but denies anyone smoking in the building or right in front of the doors. Sarah stated the designated smoking area is off to left of the community.

It was alleged that staff speak disrespectfully to residents, 3 out of 3 staff deny speaking disrespectfully to residents. Sarah reported that during a resident council meeting when the issue of smoking was brought up, Sarah asked that residents provide a date/time of the incident so it can be investigated right away. Sarah stated at no point did she speak disrespectfully to residents. 2 out of 2 residents interviewed stated no one has spoken to them disrespectfully.

Therefore based on the preponderance of evidence through records reviewed, observation and interviews the allegations staff are not following the residency agreement, staff are not preventing cigarette smoke from entering the building, and staff speak disrespectfully to residents, are determined to be UNSUBSTANTIATED, meaning that although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violations did or did not occur as reported.

An exit interview was conducted and a copy of this report was provided.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2026

LIC9099 (FAS) - (06/04)

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