331881656-4-21-2026-18-AS-APEZ-DV6L9B-20260618083314

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331881656
Report Date: 04/21/2026
Date Signed: 04/21/2026 02:58:05 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/15/2026 and conducted by Evaluator Tremayne Barra

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20260415092224

FACILITY NAME:	WOODCREST GARDEN HOME CARE INC		FACILITY NUMBER:	331881656
ADMINISTRATOR:	NOZAWA, MINGCHIN		FACILITY TYPE:	740
ADDRESS:	15600 CHICAGO AVE		TELEPHONE:	(626) 227-5299
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92508
CAPACITY:	6	CENSUS: 0	DATE:	04/21/2026
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Administrator, Mingchin Nozawa		TIME COMPLETED:	02:50 PM

ALLEGATION(S):

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Staff is utilizing an inappropriate lock on facility gate.
Staff did not respond to Ombudsman visitation.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Tremayne Barra, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegations. LPA Barra met with Licensee Mingchin Nozawa, where LPA explained the purpose of the visit and the elements of the allegation. The investigation consisted of interviews with staff, witnesses and record reviews.

On April 15, 2026, Community Care Licensing Division (CCLD), received a complaint alleging facility staff is utilizing an inappropriate lock on facility gate and staff did not respond to Ombudsman visitation.

For the allegation that facility staff utilized an inappropriate lock on the facility gate, it was reported that during an unannounced visit, Witness 1 (W1) observed a lock on the front gate. Additional Witness 1 (AW1) stated that W1 did not have proper access to the front door and chose to squeeze through a narrow gap in the gate. (9099 Continued .........)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Tremayne Barra
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2026

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 18-AS-20260415092224

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: WOODCREST GARDEN HOME CARE INC	FACILITY NUMBER: 331881656
	VISIT DATE: 04/21/2026

NARRATIVE

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AW1 reported that W1 attempted to contact the facility representative by telephone and left a business card at the door. AW1 acknowledged that W1 was unable to make contact with the licensee. Interview, with Licensee stated the facility has not had any clients and that the lock was used as an additional measure to protect the property. The Licensee reported being aware that the facility cannot have any secured gates and stated they will be in full compliance once clients are admitted. A review of facility records corroborated the Licensee’s statements, confirming that licensure was completed on August 21, 2025. On April 21, 2026, LPA Barra toured the facility and confirmed a census of zero; LPA Barra also noted that facility rooms did not contain client property.

For the allegation that staff did not respond to an Ombudsman visitation, it was reported that W1 conducted an unannounced visit and did not receive a response at the door from a facility representative. AW1 stated W1 attempted to contact the Licensee and left a business card requesting a callback. AW1 reported they were unable to communicate with the Licensee. Interview with Licensee stated that the facility completed licensure in August 2025 and has not admitted any clients due to delays in obtaining proper insurance. The Licensee reported that they attempted to call the number listed on the business card left by W1, but the operator did not recognize the name on the card and was unable to provide a voicemail message. The Licensee stated they anticipate admitting clients within the next 30–60 days and will have appropriate staffing available during the day as required. A review of facility records corroborated the Licensee’s statements, confirming that licensure was completed on August 21, 2025. On April 21, 2026, LPA Barra toured the facility and confirmed a census of zero; LPA Barra also noted that facility rooms did not contain client property.

Based on interviews, observations, and record reviews, the allegation that facility staff is utilizing an inappropriate lock on facility gate and staff did not respond to Ombudsman visitation has been deemed UNSUBSTANTIATED. A finding that the allegation is unsubstantiated, means 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.

An exit interview was conducted. A copy of this report was provided to facility representative.

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Tremayne Barra
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2026

LIC9099 (FAS) - (06/04)

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