306006494-4-9-2026-22-AS-APAO-DTHSZD-20260426141854

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006494
Report Date: 04/09/2026
Date Signed: 04/09/2026 11:30:13 AM

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
12/20/2024 and conducted by Evaluator Michael Tea

COMPLAINT CONTROL NUMBER: 22-AS-20241220125642

FACILITY NAME:	SIERRA VISTA SENIOR LIVING		FACILITY NUMBER:	306006494
ADMINISTRATOR:	ARIAS, ALEXANDER		FACILITY TYPE:	740
ADDRESS:	1763 S CARNELIAN ST		TELEPHONE:	(832) 386-9747
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92802
CAPACITY:	6	CENSUS: 5	DATE:	04/09/2026
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	April Jose, Martin Jose		TIME COMPLETED:	11:45 AM

ALLEGATION(S):

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- Staff handled resident in a rough manner

INVESTIGATION FINDINGS:

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On this day, Licensing Program Analyst (LPA) Michael Tea made an unannounced visit to conclude and deliver findings for a complaint investigation. LPA Tea was greeted and granted entry by facility staff and explained the reason for the visit. Administrator (AD) Alexander Arias was not present at the facility but was able to assist from the phone.

The Department received a complaint on December 20, 2024. During the investigation, Licensing Program Analyst (LPA) Tea interviewed facility staff, residents and witnesses, and reviewed facility records and other pertinent information.

The department received a report that Resident 1 (R1) was handled in a rough manner by staff. During the investigation, a witness stated they heard R1 say they were abused. However, the witness also stated they never saw any abuse and had no proof that it occurred. It was also reported that R1 later took back
(Complaint Investigation continued on LIC9099)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Michael Tea
LICENSING EVALUATOR SIGNATURE:	DATE: 04/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026

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-20241220125642

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: SIERRA VISTA SENIOR LIVING	FACILITY NUMBER: 306006494
	VISIT DATE: 04/09/2026

NARRATIVE

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their statement and said they were handled in a rough manner.

LPA Tea interviewed Administrator Alexander Arias, who shared that R1 had dementia, was on hospice care, and their health was declining. The Administrator explained that R1 often had mood swings, became irritable, and had emotional outbursts toward staff. LPA also interviewed another resident who recalled that R1 would become very emotional when they did not get what they wanted. The resident described R1 as being incapacitated.

During the investigation, LPAs interviewed a total of six residents. Five out of six residents stated they have never been abused and have never seen staff handle residents in a rough manner. These residents also shared that they feel safe living at the facility and are satisfied with the care they receive. One resident mentioned that a resident had difficulty adjusting to the facility due to it being a new environment.

LPAs also interviewed four staff members. All staff denied the allegation and stated they do not handle residents roughly. Staff shared that they treat residents with care and respect, like family. They stated they assist residents gently, ask for permission before providing care, and check for any pain or discomfort.
A review of staff records confirmed that all staff completed required initial and annual training, including training on elder abuse. Training materials reviewed also included information on preventing and recognizing abuse.

Based on interviews, record reviews, and lack of evidence, there is not enough information to prove that staff handled R1 in a rough manner. Therefore, the allegation is UNSUBSTANTIATED meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

No deficiencies cited at this time and an exit interview was conducted with the facility. A copy of the report was provided to the facility.

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Michael Tea
LICENSING EVALUATOR SIGNATURE:	DATE: 04/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026

LIC9099 (FAS) - (06/04)

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