306004795-1-7-2026-22-AS-APAO-DQDRDM-20260116115610

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004795
Report Date: 01/07/2026
Date Signed: 01/07/2026 03:31:28 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
02/05/2025 and conducted by Evaluator Claudia Gutierrez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20250205153216

FACILITY NAME:	WESTMINSTER VILLA		FACILITY NUMBER:	306004795
ADMINISTRATOR:	PATTY OSUNA		FACILITY TYPE:	740
ADDRESS:	13881 DAWSON STREET		TELEPHONE:	(714) 534-7880
CITY:	GARDEN GROVE	STATE: CA	ZIP CODE:	92843
CAPACITY:	200	CENSUS: 107	DATE:	01/07/2026
		UNANNOUNCED	TIME BEGAN:	12:35 PM
MET WITH:	Ana Kunz		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Staff do not ensure that resident’s hygiene needs are met.
Staff did not ensure that the faucets used by residents for personal care are delivering hot water.

INVESTIGATION FINDINGS:

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An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez. LPA met with Licensee Representative Ana Kunz.

Regarding the allegation, Staff do not ensure that resident's hygiene needs are met, the following was revealed: It is alleged staff did not ensure Resident 1’s (R1’s) hygiene needs were met due to only being bathed once a month. During the course of the investigation, interviews were conducted with seven facility residents and two staff. Four of seven residents stated they do not require assistance with Activities of Daily Living (ADLs), including showering and they are able to shower as needed at their own discretion. Two of seven residents stated they require staff assistance with ADLs, including showering, and staff ensure their hygiene needs are met. One of seven residents was unable to confirm or deny the allegation. Two of two staff denied the allegation and stated all facility residents requiring assistance with showers are assisted with a shower two to three times a week and residents that are able to shower independently can do so at their own discretion. (Cont. LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2026

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-20250205153216

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: WESTMINSTER VILLA	FACILITY NUMBER: 306004795
	VISIT DATE: 01/07/2026

NARRATIVE

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R1 no longer resides at the facility. LPA attempted to reach R1 by phone on three separate occasions, however, R1 could not be reached to confirm or deny the allegation.

Regarding the allegation, Staff did not ensure that the faucets used by residents for personal care are delivering hot water, the following was revealed: It is alleged the faucet used by R1 for personal care was not delivering hot water. During the course of the investigation, interviews were conducted with seven facility residents and two staff. Six of seven residents denied the allegation and stated the faucets in the bathrooms located in their bedrooms have always delivered hot water and continue delivering hot water. One of seven residents was unable to confirm or deny allegation. Two of two staff denied the allegation and stated faucets used by residents for personal care have always delivered hot water and continue delivering hot water. R1 no longer resides at the facility. LPA attempted to reach R1 by phone on three separate occasions, however, R1 could not be reached to confirm or deny allegation. LPA tested the water temperature in select resident bathrooms and the water temperature tested between 106.3-120.2 degrees Fahrenheit.

Based on water temperature reading and due to the allegations being uncorroborated during interviews conducted, the Department is unable to determine if Staff do not ensure that resident’s hygiene needs are met or if Staff did not ensure that the faucets used by residents for personal care are delivering hot water. Although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore at this time the above allegations are unsubstantiated.

An exit interview was conducted and copy of this report was provided at the end of the inspection.

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2026

LIC9099 (FAS) - (06/04)

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