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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197803389
Report Date: 06/19/2025
Date Signed: 06/19/2025 03:51:03 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
06/10/2025 and conducted by Evaluator Lizeth Villegas
COMPLAINT CONTROL NUMBER: 11-AS-20250610155048
FACILITY NAME:ORANGE COMMUNITY CAREFACILITY NUMBER:
197803389
ADMINISTRATOR:SAAFIR, AHMEDFACILITY TYPE:
735
ADDRESS:2103 ORANGE AVENUETELEPHONE:
(562) 599-0856
CITY:LONG BEACHSTATE: CAZIP CODE:
90806
CAPACITY:36CENSUS: 23DATE:
06/19/2025
UNANNOUNCEDTIME BEGAN:
09:12 AM
MET WITH:Administrator Ahmed SaafirTIME COMPLETED:
03:29 PM
ALLEGATION(S):
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Staff did not address resident drug use in the facility.
INVESTIGATION FINDINGS:
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On 06/19/25 Licensing Program Analyst (LPA) Villegas conducted an initial complaint visit regarding the allegation(s) above. LPA met with (S1) Administrator Ahmed Saafir as the purpose of today’s visit was explained.

The investigation consisted of the following: On 06/19/25 LPA Villegas obtained copies of the staff roster, client roster, and house rules, and requested the following documents for client #1 (C1): Face sheet, admission agreement dated: 1/24/25, physicians orders dated: 01/24/25, functional capability assessment dated: 01/24/25, and needs and service plan dated: 05/13/25. On 06/19/25 from 10:00 am-11:05 am LPA conducted Interviews with Client #1-6 (C1-C6). On 06/19/25 from 11:20 am LPA conducted tour of the facility grounds with Administrator. On 06/19/25 from 1pm-1:45 LPA conducted interviews with staff# 1-3 (S1-S3).
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025
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 11-AS-20250610155048
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: 06/19/2025
NARRATIVE
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The investigation revealed the following:
Allegation: Staff did not address resident drug use in the facility.
It is being alleged that there is ongoing drug related activity occurring within the facility, there was no specific indication on what drug nor what client was observed.

On 06/19/25 from 10:00 am-11:05 am LPA conducted Interviews with C1-C6 regarding the allegation above, 3 of 6 clients interviewed denied the allegation above, 2 of 6 clients confirmed the allegation above but could not provide further details on what client was observed using drugs at the facility, and 1 of 6 clients interviewed reporting they have not observed clients using drugs at the facility but indicated clients smell like meth. On 06/19/25 from 1pm-1:20pm LPA conducted interview with S1 regarding the allegation above, S1 denied the allegation above however, S1 reported that glass pipes have been found, confiscated, and disposed right away. Per S1, illegal drugs have not been found at the facility. On 06/19/25 from 1:25 pm-1:45 pm LPA conducted interviews with S2-S3 regarding the allegation above, 2 of 2 staff denied the allegation above and reported clients have got caught smoking cigarettes in their bedrooms not illegal drugs. Per 2 of 2 staff interviewed clients who are caught smoking in their bedrooms are redirected to the smoking patio and are reminded of the facility rules. On 06/19/25 LPA conducted a tour of the facility grounds and observed clients utilizing the the smoking area.

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.

Exit interview conducted, and a copy of this report was provided to Administrator Ahmed Saafir.
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2