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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005798
Report Date: 02/24/2025
Date Signed: 02/24/2025 02:12:18 PM

Unsubstantiated


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
12/05/2022 and conducted by Evaluator RoseMarie Ruppert
COMPLAINT CONTROL NUMBER: 22-AS-20221205140654
FACILITY NAME:PARK VIEW ESTATESFACILITY NUMBER:
306005798
ADMINISTRATOR:HEATHER MYERSFACILITY TYPE:
740
ADDRESS:11360 WARNER AVE.TELEPHONE:
(949) 333-3486
CITY:FOUNTAIN VALLEYSTATE: CAZIP CODE:
92708
CAPACITY:150CENSUS: 137DATE:
02/24/2025
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Peggy Ulland, Executive Director (ED) and Cauleen Ritchie, Clinical SpecialistTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff hits residents in care
Staff pushes residents in care
Staff does not treat residents with dignity and respect
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to deliver findings from a complaint received in our Regional Office on December 5, 2022. LPA was greeted and granted entry into the facility by the concierge and met with Peggy Ulland, Executive Director (ED) and stated the purpose of the visit.

In December 2022 LPAs Rosie Quiroz and Alvaro Ramirez conducted six of six staff interviews, one outside vendor interview and interviewed the employee in question for a total of eight interviews. LPAs asked the eight people interviewed if: a staff member hits and pushes residents in care and does not treat residents with dignity and respect. Of the eight interviews, seven denied the allegations. One staff member confirmed the allegations and gave names of staff members to corroborate the report. LPA Ruppert interviewed two of two staff members who worked with the employee in question. Two of two staff members denied the allegations and had no problems with the employee in question.
(Continued on LIC 9099-C) *****This is an amended report*****
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 22-AS-20221205140654
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: PARK VIEW ESTATES
FACILITY NUMBER: 306005798
VISIT DATE: 02/24/2025
NARRATIVE
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(Continued from LIC 9099)

On February 13, 2025 LPA toured the Memory Care Unit and conducted four of four resident interviews. Two of the residents resided in Memory Care (MC) and two of the residents resided in Assisted Living (AL) and lived at the facility at the time of the incident. Four of four resident interviews denied the allegations.

LPA reviewed the staff record of the employee in question and there were no disciplinary actions in their file. The employee no longer works at the facility and chose a different career opportunity in 2023.

Based on LPA's record review and interviews conducted, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted with Peggy Ulland, Executive Director and Cauleen Ritchie, Clincial Specialist and a copy of this report was provided to the facility.

*****This is an amended report.*****
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2