<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197803389
Report Date: 03/11/2026
Date Signed: 03/11/2026 12:35:24 PM

Substantiated


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
03/02/2026 and conducted by Evaluator Lizeth Villegas
COMPLAINT CONTROL NUMBER: 11-AS-20260302152752
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:36; 36CENSUS: 25DATE:
03/11/2026
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Administrator Ahmed SaafirTIME COMPLETED:
12:35 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
The facility is operating beyond the conditions of their license.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 03/11/26 at 9:20 am Licensing Program Analyst (LPA) Villegas conducted a initial complaint visit regarding the allegation(s) above. LPA met with Ahmed Saafir (staff #1/ S1) as the purpose of today’s visit was explained.

The investigation consisted of the following: On 03/11/26 LPA Villegas obtained copies of the staff and client roster. On 03/11/26 from 9:45am- 10:11am LPA conducted interviews with clients #1-7 (C1-C7), and from 10:25am- 11:00am LPA conducted interviews with staff #1-3 (S1-S3).

The investigation revealed the following:
Allegation: The facility is operating beyond the conditions of their license.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2026
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 3
Control Number 11-AS-20260302152752
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: 03/11/2026
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
It is alleged that individuals who do not live at the facility are allowed to come into the facility to receive services such as laundry, meals, medication administration, transportation, and are assisted with activities of daily living. On 03/11/26 from 9:45am- 10:11am LPA conducted interviews with C1-C7 regarding the allegation above. 1 of the 7 clients interviewed could not answer any of the questioned asked by LPA. 4 of the 7 clients interviewed confirmed the allegation above and reported that individuals who do not live at the facility are obtaining services at the facility such as: laundry services, receiving meals, assistance with medication administration, are showering at the facility, and are obtaining services from medical professionals when medical professionals are conducting visits at the facility. 2 of the 7 clients interviewed did not have any knowledge regarding the allegation above. On 03/11/26 from 10:25am- 11:00am LPA conducted interviews with S1-S3 regarding the allegation above. 3 of the 3 staff interviewed confirmed the allegation and indicated that individual who do not live at the facility are coming to the facility and are picking up to go plates. Additionally, 3 of 3 staff interviewed denied that individuals that do not live at the facility are receiving services such as: laundry services, assistance with medication administration, are showering at the facility, and/or obtaining services from medical professionals when medical professionals are conducting visits at the facility.

Based on LPAs observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be substantiated. California Code of Regulations, Title 22, Division (6) and Chapter (1) are being cited on the attached LIC 9099D.

Exit interview conducted, appeal rights explained, and a copy of this report was provided.
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20260302152752
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/11/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/25/2026
Section Cited
HSC
80022(a)
1
2
3
4
5
6
7
80022 Plan of Operation (a) Each licensee shall have and maintain on file a current, written, definitive plan of operation.Bases on interviews conducted the licensee prepares meals for individuals that do
1
2
3
4
5
6
7
Licensee to submit a written plan to LPA detailing how food supply for clients living at the facility will remain seperate from the food supply being provided to individuals who do not reside at the facility. Licensee will
8
9
10
11
12
13
14
not reside at the facility and allows those individuals to enter the facility to pick up those meals, this was not approved by the Dept. and is not a part of the facilities approved plan of operation. This poses a potential health and safty risk for clients in care.
8
9
10
11
12
13
14
 include in the plan, how meals will be prepared for the individuals who do not live at the facility and how will those meals will be obtained without having to enter the facility for meal pick ups.
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3