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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006248
Report Date: 07/08/2026
Date Signed: 07/08/2026 03:29:39 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
07/02/2026 and conducted by Evaluator Joseph Alejandre
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20260702131813
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: 140DATE:
07/08/2026
UNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Danny Vera, Melinda MandviwalaTIME COMPLETED:
03:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not reporting incidents to resident’s representative
Staff did not obtain medical care for resident
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 allegations listed above. LPA mew with Executive Director Danny Vera and Wellness Director Melinda Mandviwala and explained the reason for the visit.

The investigation into the allegation, staff are not reporting incidents to resident’s representative, revealed the following. It was reported that Resident 1 (R1) has fallen numerous times and the facility has not notified the responsible party. A review of incidents reports submitted to the Agency (Community Care Licensing) shows that 2 incident reports for R1 have been submitted. One for a fall on June 7, 2026, and one on June 23, 2026, for blood in R1’s urine. In both cases 911 was called and R1 was transported to the hospital and treated. R1’s responsible party verified that they were notified of both incidents. There are no other reports of any incidents involving R1. The Wellness Director reported that those are the only 2 incidents involving R1.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
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 4
Control Number 22-AS-20260702131813
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: MORNINGSTAR SENIOR LIVING OF MISSION VIEJO
FACILITY NUMBER: 306006248
VISIT DATE: 07/08/2026
NARRATIVE
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5
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7
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9
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R1’s responsible party reported that the facility regularly communicated with them concerning R1 and they were not aware of any other incidents involving R1. R1 has been moved out of the facility on June 29, 2026. 3 out of 3 staff interviewed reported that they were unaware of any other incidents involving R1. Based on the evidence gathered the allegation is deemed unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

The investigation into the allegation, staff did not obtain medical care for resident, revealed the following. It was reported that on June 24, 2026, R1 had blood in their urine, and the facility waited hours to call 911. A review of incident reports shows that on June 23, 2026, R1 was noted to have blood in their urine and 911 was called. Staff 1 reported that blood was not noticed in R1’s catheter until around 9:00pm at night and 911 was called immediately. R1’s responsible party was present during the incident and reported that because of this it was decided that 911 should be called. R1’s responsible party reported they don’t know when the blood was first noticed. Staff 1 and the Wellness Director both reported that R1 returned the same day with no new orders. R1’s responsible party reported that R1 was treated and released back to the facility with no new orders. No other witnesses were reported to have been present during the incident. No incident took place on June 24, 2026, involving R1. There is no evidence to support the allegation. The evidence gathered refutes the allegation. Therefore, based on the evidence gathered the allegation is deemed unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted and a copy of the report provided.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
07/02/2026 and conducted by Evaluator Joseph Alejandre
COMPLAINT CONTROL NUMBER: 22-AS-20260702131813

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: DATE:
07/08/2026
UNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Danny VeraTIME COMPLETED:
03:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not meeting resident’s needs
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 mew with Executive Director Danny Vera and explained the reason for the visit.

The investigation, into the allegation, staff are not meeting resident’s needs, revealed the following. It was reported that the facility is not meeting R1’s needs because they are sustaining multiple falls and the facility informed the responsible party that R1 requires a one-on-one care provider. A review of records, shows that R1 had one fall on June 7, 2026, no other falls were reported. 3 staff interviewed and the responsible party verified this information. The Wellness Director reported that because of the concerns of the responsible party they recommended a one-on-one caregiver because R1’s responsible party wanted a caregiver to always be with R1. The Wellness Director reported that R1’s needs were being met and there weren’t any issues but R1’s responsible party moved R1 out of the facility on June 29, 2026.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 22-AS-20260702131813
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: MORNINGSTAR SENIOR LIVING OF MISSION VIEJO
FACILITY NUMBER: 306006248
VISIT DATE: 07/08/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
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19
20
21
22
23
24
25
26
27
28
29
30
31
32
R1’s responsible party reported they moved R1 out of the facility because they wanted R1 to have more individualized care. R1’s responsible party reported that they didn’t feel comfortable with R1 at the facility and felt it was better to leave the facility. The incidents involving R1 cannot be attributed to staff not meeting R1’s needs. There were only 2 incidents and after each incident the facility called 911 and made sure R1 received the required medical assistance. The Wellness Director and 3 out of 3 staff reported that R1 received proper care and supervision and any issues were reported to the responsible party and R1’s physician. Based on the evidence gathered, the allegation is 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.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4