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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005513
Report Date: 08/18/2026
Date Signed: 08/18/2026 11:01:30 AM

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
08/13/2026 and conducted by Evaluator Joseph Alejandre
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20260813155504
FACILITY NAME:CARMEL VILLAGE RETIREMENT COMMUNITYFACILITY NUMBER:
306005513
ADMINISTRATOR:MANDY TAYLORFACILITY TYPE:
740
ADDRESS:17077 SAN MATEOTELEPHONE:
(714) 962-6667
CITY:FOUNTAIN VALLEYSTATE: CAZIP CODE:
92708
CAPACITY:220CENSUS: 184DATE:
08/18/2026
UNANNOUNCEDTIME BEGAN:
08:28 AM
MET WITH:Mandy TaylorTIME COMPLETED:
11:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident is not provided with a comfortable living accommodation
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegation listed above. LPA met with Executive Director Mandy Taylor and explained the reason for the visit. The investigation into the allegation, Resident is not provided with a comfortable living accommodation, revealed the following. It was reported that Resident 1 (R1) did not have a comfortable living environment because of neighbors making loud noises which made it difficult for R1 to sleep. LPA interviewed the Executive Director who reported no complaints have been made regarding any resident not having a comfortable living accommodation or any unauthorized visitors harassing residents. LPA interviewed 3 neighbors of R1 who denied making any loud noises. LPA interviewed 3 staff members who reported no one has complained to them about loud noises or visitors. R1 declined to be interviewed. There is no evidence to support the allegation. Based on the evidence gathered the allegation is unsubstantiated, meaning that although the alleged violation may have happened or is valid there is not a preponderance of evidence to prove the alleged violation occurred. An exit interview was conducted and a copy of the report provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2026
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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