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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006248
Report Date: 10/27/2025
Date Signed: 10/27/2025 03:03:33 PM

Unfounded


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
09/19/2025 and conducted by Evaluator Kimberly Lyman
COMPLAINT CONTROL NUMBER: 22-AS-20250919130858
FACILITY NAME:MORNINGSTAR SENIOR LIVING OF MISSION VIEJOFACILITY NUMBER:
306006248
ADMINISTRATOR:MANDVIWAL, MELINDAFACILITY TYPE:
740
ADDRESS:28570 MARGUERITE PARKWAYTELEPHONE:
(949) 649-4855
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92692
CAPACITY:198CENSUS: 142DATE:
10/27/2025
UNANNOUNCEDTIME BEGAN:
01:51 PM
MET WITH:Cara Deiro and Carlos EspinoTIME COMPLETED:
03:20 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Unqualified staff administering medication to residents in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit.

During the visit, LPA toured the facility and interviewed staff as well as reviewed and obtained pertinent documentation such as training records. Regarding the allegation that unqualified staff are administering medication to residents in care, the investigation revealed the following: LPA reviewed Medication Technician training records. Five out of five records reviewed show staff have received training. All staff interviewed stated receiving required training. Based on record review and interviews conducted, the allegation is deemed UNFOUNDED, meaning the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted and a copy of this report was provided to facility representative.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2025
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
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
09/19/2025 and conducted by Evaluator Kimberly Lyman
COMPLAINT CONTROL NUMBER: 22-AS-20250919130858

FACILITY NAME:MORNINGSTAR SENIOR LIVING OF MISSION VIEJOFACILITY NUMBER:
306006248
ADMINISTRATOR:MANDVIWAL, MELINDAFACILITY TYPE:
740
ADDRESS:28570 MARGUERITE PARKWAYTELEPHONE:
(949) 649-4855
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92692
CAPACITY:198CENSUS: 142DATE:
10/27/2025
UNANNOUNCEDTIME BEGAN:
01:51 PM
MET WITH:Cara DeiroTIME COMPLETED:
03:20 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff do not provide residents with their medications as prescribed
Facility staff did not properly transfer resident.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit.
During the course of the investigation, LPA toured the memory care unit and interviewed staff. Regarding the allegations that facility staff do not provide residents with their medications as prescribed and facility staff did not properly transfer resident, the investigation revealed the following: Eight out of eight staff deny finding medications lying around. One staff stated finding a pill one time on the floor in memory care but cannot confirm if it belonged to a resident or a visitor. All staff interviewed deny medication errors happening. Facility management indicates Staff 1 (S1) was terminated for putting medications in resident's food and walking away. Eight out of eight staff deny any issues with the Hoyer lift for Resident 1 (R1) other than the resident being uncomfortable with its usage. Based on interviews conducted, LPA is unable to corroborate the allegations. Therefore, the allegations are deemed unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. Exit interview conducted and a copy of this report was provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 2