Senior Care Records.

Complaint Investigation Report

Willow View Gardens Memory Care & Assisted Living, Santa Ana05/07/2024Licence 306006204

Census82
Date signed05/07/2024 09:52:38 AM
The inspector’s account

306006204-5-7-2024-22-AS-AORZ-D5CKC3-20240517074625

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 770 THE CITY DR., SUITE 7100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

05/02/2024 and conducted by Evaluator Kimberly Lyman

COMPLAINT CONTROL NUMBER: 22-AS-20240502094405

WILLOW VIEW GARDENS MEMORY CARE & ASSISTED LIVING

Licensing Program Analyst (LPA) Kimberly Lyman made an unannounced complaint visit to initiate an investigation into 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 interviewed staff and resident. Regarding the allegation of Illegal eviction, the investigation revealed the following: Resident 1 (R1) was served an eviction notice on 04/17/2024 for violation of house rules, alcohol usage. The department approved the eviction notice as legal. The resident as well as two out of two staff confirm alcohol usage in the resident's room. Resident 1 initially denied receipt of eviction notice but openly discussed the terms of the notice and the violation with LPA. Based on interviews conducted and record review, the allegation is deemed unfounded, meaning the allegation was 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.

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