306004795-1-7-2026-22-AS-APAO-DQDQWL-20260116113205

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004795
Report Date: 01/07/2026
Date Signed: 01/07/2026 03:30:36 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
06/27/2023 and conducted by Evaluator Claudia Gutierrez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20230627084653

FACILITY NAME:	WESTMINSTER VILLA		FACILITY NUMBER:	306004795
ADMINISTRATOR:	PATTY OSUNA		FACILITY TYPE:	740
ADDRESS:	13881 DAWSON STREET		TELEPHONE:	(714) 534-7880
CITY:	GARDEN GROVE	STATE: CA	ZIP CODE:	92843
CAPACITY:	200	CENSUS: 107	DATE:	01/07/2026
		UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Ana Kunz		TIME COMPLETED:	12:34 PM

ALLEGATION(S):

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Staff do not intervene when a resident cusses at another resident

INVESTIGATION FINDINGS:

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An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez. LPA met with Licensee Representative Ana Kunz.

Complaint alleges Staff did not intervene when a Resident 2 (R2) cusses at Resident 1 (R1).

During the course of the investigation interviews were conducted with four facility staff, R1, and R2. Four of four staff denied witnessing or having any knowledge of any cussing or arguing between R1 and R2. One of four staff interviewed added that they spoke to R1, who informed them that R2 cusses at them and they would like to change rooms, which was a surprise because R1 and R2 had shared a room for about a year. R1 was ultimately switched to a vacant room and no further issues were reported. During their interview, R2 stated that they do not yell or scream at R1, however, stated that they have argued with R1 due to R1 becoming upset when R2 watches TV or talks on the phone. R2 stated they informed the Administrator it would be best if they were moved to a different room. (Cont. LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2026

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-20230627084653

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: WESTMINSTER VILLA	FACILITY NUMBER: 306004795
	VISIT DATE: 01/07/2026

NARRATIVE

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During their interview, R1 stated R2 would “put the TV on entirely too loud” and they would tell R2 to turn the volume down and this would lead to R2 yelling at them. Per R1, once facility staff became aware of the incident, they were moved to a vacant room.

Due to the allegation being uncorroborated during interviews conducted, the Department is unable to determine if Staff do not intervene when a resident cusses at another resident. Although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore at this time the above allegation is unsubstantiated.

An exit interview was conducted and copy of this report was provided at the end of the inspection.

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2026

LIC9099 (FAS) - (06/04)

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