306004750-4-16-2026-22-AS-APAO-DT8R35-20260417123921

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004750
Report Date: 04/16/2026
Date Signed: 04/16/2026 03:51:47 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
01/15/2026 and conducted by Evaluator Hanna Gough

COMPLAINT CONTROL NUMBER: 22-AS-20260115105309

FACILITY NAME:	EASTWOOD CARE HOME		FACILITY NUMBER:	306004750
ADMINISTRATOR:	ANNA MALLARI		FACILITY TYPE:	740
ADDRESS:	8426 CHOPIN DRIVE		TELEPHONE:	(714) 735-9004
CITY:	BUENA PARK	STATE: CA	ZIP CODE:	90621
CAPACITY:	6	CENSUS: 6	DATE:	04/16/2026
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Anna Mallari		TIME COMPLETED:	04:10 PM

ALLEGATION(S):

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Staff spoke to resident in an inappropriate manner.
Staff did not provide resident's money when requested.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct an investigation into the above mentioned complaint allegations. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Anna Mallari and discussed the purpose of the visit.

The investigation into staff spoke to resident in an inappropriate manner and staff did not provide residents money when requested revealed the following: It was alleged that on January 7, 2026, staff spoke inappropriately to Resident #1 (R1) when they were requesting their money before getting on the bus and did not receive their requested amount of $20.

LPA reviewed a physicians report for R1 dated March 10, 2025, stating that R1 is able to follow instructions and can communicate their needs. R1 is not able to manage their own cash resources.
Continue on LIC9099C

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Hanna Gough
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2026

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 22-AS-20260115105309

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: EASTWOOD CARE HOME	FACILITY NUMBER: 306004750
	VISIT DATE: 04/16/2026

NARRATIVE

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LPA reviewed a cash resources log (LIC405) for R1 stating that they used $11.30 of their money on January 7, 2026. This transaction was signed by facility staff only. LPA reviewed an Individual Program Plan for R1 dated October 28, 2025, stating that facility staff will assist R1 with their money.

LPA interviewed 4 of 4 staff and it was revealed that the incident reported never occurred at the facility. 4 of 4 staff informed LPA that when residents inquire about money, it is provided to them upon request. 4 of 4 staff denied speaking to residents in an inappropriate manner.

LPA interviewed 6 of 6 residents in care and 5 of 6 residents denied the allegations. 1 of 6 residents was unable to confirm or deny the allegations.

LPA reviewed 3 of 4 staff having updated training on topics such as behavioral issues, recognizing and reporting abuse and resident rights. 1 of 4 staff have an active Administrators certificate as well as updated resident rights training.

Based on the evidence gathered, the Department finds that the allegation is unfounded. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. An exit interview was conducted and a copy of this report was left at the facility.

SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Hanna Gough
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2026

LIC9099 (FAS) - (06/04)

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