445294156-4-20-2026-26-AS-CKAI-DUFU6P-20260526151839

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 445294156
Report Date: 04/20/2026
Date Signed: 04/20/2026 04:02:45 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/09/2026 and conducted by Evaluator Marcella Tarin

COMPLAINT CONTROL NUMBER: 26-AS-20260209105606

FACILITY NAME:	BROOKDALE SCOTTS VALLEY		FACILITY NUMBER:	445294156
ADMINISTRATOR:	KUMAR, BEENA		FACILITY TYPE:	740
ADDRESS:	100 LOCKEWOOD LN		TELEPHONE:	(831) 438-7533
CITY:	SCOTTS VALLEY	STATE: CA	ZIP CODE:	95066
CAPACITY:	220	CENSUS: 162	DATE:	04/20/2026
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Executive Director (ED) Alex Baiasu		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Unlawful eviction

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Marcella Tarin arrived unannounced to deliver complaint findings. LPA met with Executive Director (ED) Alex Baiasu. LPA stated the purpose of the visit.

On 2/9/2026 the Department received a complaint with the above allegation.

On 2/11/2026 the Department interviewed the Reporting Party (RP). RP states a resident, referred to as R1, is being unlawfully evicted from the facility. RP states R1 is being evicted due to behaviors of stalking of staff on 1/28/2026. RP did not provide additional information regarding these behaviors.

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Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: Marcella Tarin
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2026

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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Control Number 26-AS-20260209105606

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131

FACILITY NAME: BROOKDALE SCOTTS VALLEY	FACILITY NUMBER: 445294156
	VISIT DATE: 04/20/2026

NARRATIVE

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On 2/18/2026 the Department conducted the initial investigation visit, and interviewed 2 Staff (S1 to S2), and 1 Resident (R1). 2 Out of 2 staff state he/she is aware of an incident between R1 and a staff but did not remember the date of the incident. S2 stated he/she heard R1 make an inappropriate comment about a staff during a resident and staff meeting. S2 did not remember the date of this incident.

On 2/18/2026 the Department interviewed R1. R1 states after a recent staff and resident meeting in January 2026, the Executive Director (ED) told him/her that his/hers behavior and statements during this meeting violated facility policies. R1 states he/she 'only smiled' when facility staff were acknowledged during the meeting. R1 states later in the same day, his/her pants fell while in the dinner hall. R1 states his/her pants did not fit correctly. R1 stated three staff were present during this incident and observed R1 with his/her pants down.

On 2/19/2026 the Department interviewed 2 Witnesses (W1 to W2). 2 Out of 2 witnesses state he/she is aware of R1 having behaviors and making inappropriate comments to facility staff. W1 states he/she was informed by the ED in late January 2026 about R1’s behaviors. W1 states ED requested W1 to inform R1’s physician. W1 states he/she received an eviction notice for R1 on 2/17/2026. W2 states he/she was informed about R1’s behaviors in February 2026. W2 states that the facility followed proper protocol regarding facility policies and R1 behaviors violated the facility's heath and safety policies.

Review of R1’s eviction notice is dated 2/2/2026, and states R1 is being evicted due to ‘failure to comply with the general policies of the Community.” The effective date of termination is 3/3/2026.” R1 is noted to have behaviors on 1/23/2026 and 1/26/2026. The eviction notice states “R1 has failed to follow many of the Community’s policies and procedures which is now disrupting the peaceful lodging of other residents and putting other’s health and safety at risk.”

On 4/20/2026 the Department interviewed ED. ED states R1 is still residing at the facility.

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SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: Marcella Tarin
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2026

LIC9099 (FAS) - (06/04)

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Control Number 26-AS-20260209105606

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131

FACILITY NAME: BROOKDALE SCOTTS VALLEY	FACILITY NUMBER: 445294156
	VISIT DATE: 04/20/2026

NARRATIVE

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This Department has investigated the above allegation. Based on the investigation, documents reviewed, and interviews conducted, the Department found that the above allegation is UNFOUNDED, meaning that the allegation is false, could not have happened and/or is without a reasonable basis.

No deficiencies cited during today’s complaint investigation visit, per California Code of Regulations Title 22. An exit interview was conducted with ED and a copy of the report was provided to ED.

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END OF REPORT

SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: Marcella Tarin
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2026

LIC9099 (FAS) - (06/04)

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