425850140-9-10-2025-29-AS-KBUY-DLUL87-20250925083127

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 425850140
Report Date: 09/10/2025
Date Signed: 09/10/2025 12:49:45 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/04/2025 and conducted by Evaluator Garrett Haner-Tomasko

COMPLAINT CONTROL NUMBER: 29-AS-20250904140440

FACILITY NAME:	MERRILL GARDENS AT SANTA MARIA		FACILITY NUMBER:	425850140
ADMINISTRATOR:	MICHAEL EASBEY		FACILITY TYPE:	740
ADDRESS:	1220 SUEY ROAD		TELEPHONE:	(805) 928-2662
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93454
CAPACITY:	330	CENSUS: 193	DATE:	09/10/2025
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Health Services Director - Debra Gonzales		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff threatened resident with eviction.

INVESTIGATION FINDINGS:

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At 9:00am, on 9/10/2025, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to investigate the allegation of this complaint. LPA met with Health Services Director Debra Gonzales, announced who he was and the reason for the visit.

During the visit from 9:50am to 12:08pm LPA interviewed resident, staff, administrator, and collected documentation.

On allegation, staff threatened resident with eviction. It was alleged that Resident #1 (R1) and the Administrator Michael Easbey had a conversation on 9/3/2025 and later that day the administrator came to R1’s apartment and told R1 “I want you outta here”. R1 understood this as an eviction notice, R1 did not receive a written eviction notice.

(Continued on LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Garrett Haner-Tomasko
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2025

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 29-AS-20250904140440

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: MERRILL GARDENS AT SANTA MARIA	FACILITY NUMBER: 425850140
	VISIT DATE: 09/10/2025

NARRATIVE

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Record review of R1's file reveals R1 resides in assisted living but is independent of needing staff assistance. LPA interview with R1 revealed they like the facility and it's a nice place. R1 stated the Administrator is a very nice man and does not think they have ever had an issue with him. R1 stated they visited some friends last week and think they may want to move closer to the friends. R1 is not moving and no one has issued them an eviction notice. R1 has the feeling the Administrator wants them to move out, but is not sure why. During the interview R1 repeatedly asked the LPA why they were there and the LPA explained the reason each time.

Staff interviews reveal no residents have been issued an eviction notice in the last two months. Staff state they have not heard of the Administrator stating he wants a resident out of the facility or threatening a resident with eviction. LPA interview with the Administrator revealed he has not issued any eviction notices to residents and has not said he wanted any residents out of the facility. The Administrator stated R1 had a change in condition recently and the facility has been working with them and their physician. Record review confirmed documentation of communication with the physician.

Based on all interviews conducted and documents obtained, at this time the above allegation was found to be unsubstantiated, meaning that the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview conducted, report signed, and report provided to the Health Services Director.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Garrett Haner-Tomasko
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2025

LIC9099 (FAS) - (06/04)

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