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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306002962
Report Date: 04/24/2024
Date Signed: 04/24/2024 02:54:48 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
04/16/2024 and conducted by Evaluator Jessica Cho
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20240416110404
FACILITY NAME:BROOKDALE BROOKHURSTFACILITY NUMBER:
306002962
ADMINISTRATOR:JOHN GOODWINFACILITY TYPE:
740
ADDRESS:15302 BROOKHURST STTELEPHONE:
(714) 775-6775
CITY:WESTMINSTERSTATE: CAZIP CODE:
92683
CAPACITY:164CENSUS: 92DATE:
04/24/2024
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Danielle Chairez- Business Office ManagerTIME COMPLETED:
03:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Financial abuse
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose to initate the complaint investigation into the above allegation. LPA was allowed entry by Business Office Manager (BOM) Danielle Chairez and was introduced to Executive Director II (ED) John Goodwin. During the course of the investigation, LPA conducted interviews with the resident/staff and obtained copies of pertinent resident documentations. The investigation revealed the following: Regarding the allegation of financial abuse, it was determined based on the records reviewed, and three out of the three staff interviews, one resident interview, that the alleged individual in question is not a staff employed under this facility. Therefore, this agency has investigated the complaint and based on the interviews conducted and the records that were reviewed, the above allegation is deemed UNFOUNDED. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. The Executive Director II John Goodwin authorized the exit interview to be conducted with Business Office Manager Danielle Chairez, and a copy of this report was provided at the end of the visit.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Lourdes MontoyaTELEPHONE: (714) -70-2870
LICENSING EVALUATOR NAME: Jessica ChoTELEPHONE: 714-703-2853
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2024
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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