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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006265
Report Date: 03/24/2026
Date Signed: 03/24/2026 10:24:55 AM

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
01/27/2026 and conducted by Evaluator Andrea Mendivil
COMPLAINT CONTROL NUMBER: 22-AS-20260127093150
FACILITY NAME:GRANNY'S PLACE #8FACILITY NUMBER:
306006265
ADMINISTRATOR:NESBITT, MICHELLEFACILITY TYPE:
740
ADDRESS:24172 VIA LUISATELEPHONE:
(949) 533-5938
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY:6CENSUS: 6DATE:
03/24/2026
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Michelle Nesbitt - Administrator TIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Staff physically abused resident in care.
Staff emotonally abused resident in care.
Staff member did not prevent other staff member from physically abusing resident in care.
Staff did not provide assistance to resident in care in a timely manner
Staff do not safeguard resident's possessions while in care
INVESTIGATION FINDINGS:
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On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to deliver complaint findings. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit.
The Department received the complaint on 01/27/2026 and LPA Mendivil conducted the initial visit on 02/05/2026. LPA Mendivil obtained copies of pertinent documents and interviewed staff and residents. Regarding the allegations staff physically abused resident in care, staff emotionally abused resident in care, staff member did not prevent another staff member from physically abusing resident in care , staff did not provide assistance to resident in care in a timely manner and staff do not safeguard resident’s possession while in care the investigation revealed the following:
The Department received an Unusual Incident/Injury Report on 01/23/2026 regarding an incident that occurred on 01/19/2026 involving Resident 1 (R1) and Staff 1 (S1). It was reported by the facility that R1 approached S1 regarding a missing shrub.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
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-20260127093150
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: GRANNY'S PLACE #8
FACILITY NUMBER: 306006265
VISIT DATE: 03/24/2026
NARRATIVE
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It was reported that R1 opened a closed door to another resident’s room to speak to S1 regarding the issue. S1 advised R1 that the gardener had disposed of the shrub. It was then reported that R1 continued to follow S1 throughout the kitchen, it was then reported S1 was at the kitchen sink and R1 was at their right side in their immediate space. It was then reported that S1 put their arms out to provide distance after R1 slipped and fell on the floor. Per the report, Former Executive Administrator Jozeff Springer was called and advised of R1’s fall. Jozeff then called Staff 2 (S2) to evaluate R1 and assist R1 up. Per report and interviews R1 was able to stand up and walk back to their room. Per report, Orange County Sheriff arrived on 01/21/2026 regarding the incident.

Regarding the allegation that staff physically abuse resident in care, based on interviews with 4 out of 4 staff denied witnessing physical abuse. 1 out of 6 residents denied physical abuse and the other 4 residents were not oriented to time and space and unable to answer LPA’s questions. Per sheriff's office report they viewed surveillance video taken on 01/19/2026 and concluded that no assault and battery occurred, LPA was unable to view video as facility denied having a copy. Per interviews with 4 out of 4 staff denied emotional abuse towards residents. 1 out of 6 residents denied emotional abuse from staff.

Per interviews 4 out of 4 staff denied allowing another staff member to physically abuse residents in care. Per interviews with 4 out of 4 staff denied not assisting resident timely manner. Per interviews 4 out of 4 staff denied not safeguarding residents possessions.

Therefore based on the preponderance of evidence through records reviewed and interviews the allegations staff physically abused resident in care, staff emotionally abused resident in care, staff member did not prevent another staff member from physically abusing resident in care , staff did not provide assistance to resident in care in a timely manner and staff do not safeguard resident’s possession while in care are determined to be UNSUBSTANTIATED, meaning that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violation occurred.



No deficiencies cited.
An exit interview was conducted, and a copy of this report was provided.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2