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Facility Evaluation Report

Garden Grove Guest Home LLC, Garden Grove12/12/2025Licence 306005991

Capacity47
Census40
Date signed12/12/2025 01:25:09 PM
Name of licensing program analystHanna Gough
Name of licensing program managerArmando J Lucero
The inspector’s account

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct a case management visit. LPA was greeted and granted entry by staff. LPA met with Assistant Administrator (AA) Paige Rohrer and discussed the purpose of the visit.

During the complaint investigation 22-AS-20240430125543 LPA did not observe incident reports for Resident #1(R1) regarding an incident on April 25, 2024 that lead to a hospital visit on April 28, 2024. LPA did not observe an incident report in the Regional Office database or in R1s file.

Based on today’s observations a deficiency is being noted per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report along with LIC 809D and appeal rights were left at the facility.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction