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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005798
Report Date: 10/17/2025
Date Signed: 10/17/2025 03:06:42 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
04/11/2022 and conducted by Evaluator RoseMarie Ruppert
COMPLAINT CONTROL NUMBER: 22-AS-20220411112556
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:170CENSUS: 150DATE:
10/17/2025
UNANNOUNCEDTIME BEGAN:
03:01 PM
MET WITH:Peggy Ulland, Executive DirectorTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Unlawful eviction
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to investigate a complaint received in our Regional Office. LPA was greeted and granted entry by Concierge. LPA met with Executive Director (ED) Peggy Ulland and explained the purpose of the visit.

It was alleged that Resident #1 (R1) received an unlawful eviction. LPA reviewed Admissions Agreement and R1 was admitted on 1/18/2022. An email from the accountant documented R1 moved out on 4/06/2022. Per interview with the Health Services Director (HSD), when Power of Attorney (POA) took R1 to the hospital for assessment, they did not provide any updates. HSD stated the facility reached out to the hospital but was not given any information due to the Health Insurance Portability and Accountability Act (HIPAA). On 4/15/22 HSD received a call from a case manager regarding R1 returning to the facility. HSD stated to case manager that R1 could return as long as it was safe and R1 was not a danger to themself or others. Case Manager understood.
(Continued on LIC 9099-C)
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2025
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-20220411112556
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: 10/17/2025
NARRATIVE
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(Continued from LIC 9099)

HSD stated that at no time did the facility tell the resident or family that R1 would be evicted. There is no eviction notice that was served to R1 or responsible party. The facility requested a personal companion while awaiting R1 to get a psychiatric evaluation for safety reasons only.

Based on LPA's record review, observations and interviews, the allegation that Resident #1 was given an unlawful eviction is Unfounded. The allegation is false, could not have happened, and/or is without a reasonable basis. An exit interview was conducted with Peggy Ulland, Executive Director and a copy of this report and LIC 811 were provided to the facility.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2