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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006204
Report Date: 05/27/2025
Date Signed: 05/27/2025 01:49:35 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
05/08/2024 and conducted by Evaluator Kimberley Mota
COMPLAINT CONTROL NUMBER: 22-AS-20240508154100
FACILITY NAME:WILLOW VIEW GARDENS MEMORY CARE & ASSISTED LIVINGFACILITY NUMBER:
306006204
ADMINISTRATOR:ESPINAL, ALMAFACILITY TYPE:
740
ADDRESS:2025 N BUSH STTELEPHONE:
(714) 541-3357
CITY:SANTA ANASTATE: CAZIP CODE:
92706
CAPACITY:130CENSUS: 69DATE:
05/27/2025
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Alma Espinal, Administrator via TelephoneTIME COMPLETED:
01:50 PM
ALLEGATION(S):
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Staff did not safeguard resident’s personal belongings.
INVESTIGATION FINDINGS:
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Licensing Program Manager (LPM) Mota spoke with Alma Espinal, Administrator via telephone visit to discuss the findings for the above allegation. The investigation consisted of interviews with staff, residents, reporting party, and Resident (R1). The investigation also consisted of obtaining Police Records, facility, photographs, and medical records. The investigation revealed the following:
An inspection of R1’s room on 5/16/2024 revealed the room to be cluttered with large amounts of clothing and jewelry.

Interviews conducted with six (6) out of seven (7) residents stated that they have not had any items missing or stolen from the facility. One (1) resident stated that three (3) items of clothing were missing, but did not feel that they had been stolen, but misplaced. R1 stated during an interview on 5/16/2024 that their entire wardrobe is missing, although photos that same day show many items of clothing on hangars along with shoes, stockings, gold jewelry, and a belt in the room. R1 was observed wearing gold jewelry when interviewed.
Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carla Martinez
LICENSING EVALUATOR NAME: Kimberley Mota
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2025
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-20240508154100
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: WILLOW VIEW GARDENS MEMORY CARE & ASSISTED LIVING
FACILITY NUMBER: 306006204
VISIT DATE: 05/27/2025
NARRATIVE
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Continued from LIC9099-A

A review of Santa Ana Police records shows that R1 stated to police on 5/8/2024 that “R1 has not had any thefts. R1 was allowed to change locks to prevent anyone from coming into R1’s room and was confused as to why an officer was there”

Based on interviews, photographs, room inspection, and police reports, due to conflicting information, LPM is unable to corroborate the allegation. Therefore, the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of the report was sent to Alma Espinal via email for signature.
SUPERVISORS NAME: Carla Martinez
LICENSING EVALUATOR NAME: Kimberley Mota
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2