197803389-6-18-2026-11-AS-SCIS-DVKU69-20260701151756

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197803389
Report Date: 06/18/2026
Date Signed: 06/18/2026 04:58:32 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/04/2025 and conducted by Evaluator Troy Watson

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20251104080549

FACILITY NAME:	ORANGE COMMUNITY CARE		FACILITY NUMBER:	197803389
ADMINISTRATOR:	SAAFIR, AHMED		FACILITY TYPE:	735
ADDRESS:	2103 ORANGE AVENUE		TELEPHONE:	(562) 599-0856
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90806
CAPACITY:	36; 36	CENSUS: 25	DATE:	06/18/2026
		UNANNOUNCED	TIME BEGAN:	04:36 PM
MET WITH:	ASSISTANT ADMINISTRATOR - NATHANIEL STOCKARD		TIME COMPLETED:	04:45 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff does not prevent clients from having illegal drugs in the facility.
Staff does not allow clients to have private visits with clients visitors.
Staff allows uncleared adults in to stay in the home.
Staff do not ensure clients room is kept in clean sanitary conditions.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

*This report does not supersede the previous report dated 02/12/26 but is used to clarify findings*
On 06/18/2026 at approximately 11:25AM Licensing Program Analyst (LPA) Troy Watson made a subsequent unannounced visit to the facility listed above. LPA met with the Assistant Administrator Nathaniel Stockard, and the purpose of the visit was explained. LPA was granted entry into the facility.

Investigation consisted of the following:

On 11/05/2025, the department requested, and obtained copies of the Unusual Incident Reports (Dated:10/24/25, 02/09/26) Personnel Report (Dated:09/25/25), Resident Roster, Transfer / Discharge Report (Dated:09/22/25), Admission Agreement (09/22/25), College Medical Center Patient Information (Dated:10/04/25-10/05/25),

CONTINUED ON LIC9099 - C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 06/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2026

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 4

Control Number 11-AS-20251104080549

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: ORANGE COMMUNITY CARE	FACILITY NUMBER: 197803389
	VISIT DATE: 06/18/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Psychiatric and Medical Evaluation Report (09/19/2024), Psychiatric Evaluation (Dated: 07/15/25), and Department of Mental Health Conservatorship (07/22/25).
Investigation revealed the following:

Allegation: Staff does not prevent clients from having illegal drugs in the facility.

It is being alleged that facility staff do not prohibit clients from bringing in and using illegal drugs at the facility. On 02/11/2026 LPA Watson interviewed Administrator Ahmed Saafir (A1). During the interview conducted on 02/12/2026, A1 said that they observe and request that clients don’t bring drugs of any kind into the facility and that they inspect their rooms, and drawers on a regular basis to ensure no drugs enter the facility. A1 also said that they do not know of any client using drugs in the facility. On 02/12/2026 LPA Watson conducted interviews with Staff#1- #3 (S1-S3). Out of those interviewed 3 out of 3 staff members denied the allegation. On 02/12/2026 LPA Watson conducted interviews with Clients#1- #4 (C1-C4). Out of those interviewed 3 out of 4 denied the allegation. The Department obtained and reviewed an incident report for R1 dated 10/24/25 and it did not show any incident of drugs being used at the facility. Based on information gathered and records reviewed there is insufficient evidence to support the stated allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. No deficiencies were cited.
Allegation: Staff does not allow clients to have private visits with clients’ visitors.

It is being alleged that facility staff prevent R1 from having private visits with his relatives in his bedroom.
On 02/11/2026 LPA Watson interviewed Administrator Ahmed Saafir (A1). On 02/11/2026 LPA Watson interviewed Administrator Ahmed Saafir (A1). During the interview conducted on 02/12/2026, A1 said non-residents aren’t allowed to go into the clients’ rooms inside the facility, because they are shared rooms and it would be a privacy and liability issue. On 02/12/2026 LPA Watson conducted interviews with Staff#1- #3 (S1-S3). Out of those interviewed 3 out of 3 staff members denied the allegation. On 02/12/2026 the department conducted interviews with Clients#1- #4 (C1-C4). Out of those interviewed 4 out of 4 denied the allegation.

CONTINUED ON LIC9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 06/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 11-AS-20251104080549

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: ORANGE COMMUNITY CARE	FACILITY NUMBER: 197803389
	VISIT DATE: 06/18/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Based on information gathered and records reviewed there is insufficient evidence to support the stated allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. No deficiencies were cited.

Allegation: Staff allow uncleared adults to stay in the home.

It is being alleged that facility staff allow unauthorized people to come into the facility and sleep at the facility overnight. On 02/11/2026 LPA Watson interviewed Administrator Ahmed Saafir (A1). On 02/11/2026 LPA Watson interviewed Administrator Ahmed Saafir (A1). During the interview conducted on 02/12/2026, A1 stated that everyone living here comes from behavioral units, congregate living and the Department of Mental Health and I interview them at the hospital as in patients before admitting them into the facility. On 02/12/2026 LPA Watson conducted interviews with Staff#1- #3 (S1-S3). Out of those interviewed 3 out of 3 staff members denied the allegation. On 02/12/2026 LPA Watson conducted interviews with Clients#1- #4 (C1-C4). Out of those interviewed 3 out of 4 denied the allegation. LPA Watson requested and obtained the facility roster and toured the facility and did not observe any unauthorized people residing in the facility. Based on information gathered and records reviewed there is insufficient evidence to support the stated allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. No deficiencies were cited.

Allegation: Staff do not ensure clients’ rooms are kept in clean sanitary conditions.

It is being alleged that one of the bedrooms in the facility is very unsanitary because facility staff do not clean it. On 02/11/2026 LPA Watson interviewed Administrator Ahmed Saafir (A1). On 02/11/2026 LPA Watson interviewed Administrator Ahmed Saafir (A1). During the interview conducted on 02/12/2026, A1 said the clients’ rooms are cleaned three times a week. On 02/12/2026 LPA Watson conducted interviews with Staff#1- #3 (S1-S3). Out of those interviewed 3 out of 3 staff members denied the allegation. On 02/12/2026 LPA Watson conducted interviews with Clients#1- #4 (C1-C4).

CONTINUE ON LIC9099 - C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 06/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 11-AS-20251104080549

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: ORANGE COMMUNITY CARE	FACILITY NUMBER: 197803389
	VISIT DATE: 06/18/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Out of those interviewed, 4 out of 4 denied the allegation. LPA Watson toured the facility with the Administrator and found the facility clean and in good repair.

Based on information gathered and records reviewed there is insufficient evidence to support the stated allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. No deficiencies were cited.

An exit interview was conducted with the Administrative Assistant Ahmed Saafir and a copy of this report was provided.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 06/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2026

LIC9099 (FAS) - (06/04)

Page: 4 of 4