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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600477
Report Date: 01/23/2026
Date Signed: 01/23/2026 04:35:42 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
01/15/2026 and conducted by Evaluator Felisa Shirley
COMPLAINT CONTROL NUMBER: 11-AS-20260115123113
FACILITY NAME:CAREMORE AID & BOARD FACILITYFACILITY NUMBER:
198600477
ADMINISTRATOR:RONALD F ZABLOCKIFACILITY TYPE:
735
ADDRESS:14807 LEMOLI AVENUETELEPHONE:
(424) 269-1632
CITY:GARDENASTATE: CAZIP CODE:
90249
CAPACITY:8CENSUS: 8DATE:
01/23/2026
UNANNOUNCEDTIME BEGAN:
08:57 AM
MET WITH:Lorna Zablocki, AdministratorTIME COMPLETED:
04:40 PM
ALLEGATION(S):
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Staff inappropriately speaks to resident
Staff does not assist resident with obtaining care
Staff forces residents to attend day program
Staff does not serve residents food of good quality
INVESTIGATION FINDINGS:
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On 1/23/26, Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced visit to this facility. LPA was met by the Administrator, Lorna Zablocki and explained the purpose of the visit is to investigate and deliver findings for the allegations mentioned above. LPA was granted access to the facility.

The investigation consisted of the following:
On 1/23/26 LPA Shirley reviewed copies of the following records: Resident Roster, Physicians Report, Information and Emergency Contact, Functional Capability Assessment, Appraisal Needs and Services, Meals and Medication schedule, Program of Activities, Adult Program Schedules, and House Rules. LPA Felisa Shirley conducted a tour of the facility. LPA Shirley interviewed Staff 1 – Staff-4 (S1 – S4), and Client -1 – Client -8 (C1-C8).

Con'd on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
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 6
Control Number 11-AS-20260115123113
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: CAREMORE AID & BOARD FACILITY
FACILITY NUMBER: 198600477
VISIT DATE: 01/23/2026
NARRATIVE
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Allegation: Staff inappropriately speaks to resident

It is being reported that the administrator yells at C1 and tells them that they don’t belong in this facility. Per interview with the Service Coordinator of C1 on 1/23/26, there are expectations from the C1 that aren’t realistic as he has a roommate. Per interview with the Administrator on 1/23/26, they feel that this facility may not meet the needs of C1 and maybe another facility may be better equipped to address his specific requirements, comfort and well-being.

LPA interviewed staff 1 – staff 4 (S1 – S4). Of those interviewed 4 out of 4 denied the allegation. LPA interviewed client 1 – Client 8 (C1 – C8). Of those who interviewed 7 out of 8 denied the allegation. One client confirmed the allegation.

Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff inappropriately speaks to resident,” therefore, the allegation is unsubstantiated.

Allegation: Staff does not assist resident with obtaining care

It is being reported that staff does not help to get C-1’s medication. Per interview with the Administrator on 1/23/26, the facility utilizes Westlake Pharmacy that delivers to the facility. Clients are advised to transfer all medications to this facility in order to receive their medications regularly and on a timely basis. After explaining the medication process, the administrator ask the client for the medication information and was advised that C1 would get the medication on their own.

LPA interviewed staff 1 – staff 4 (S1 – S4). Of those interviewed 4 out of 4 denied the allegation. LPA interviewed client 1 – client 8 (C1 – C8). Of those who interviewed 6 out of 8 denied the allegation, 1 confirmed the allegation and 1 does not seek medical assistance from the staff.

Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff does not assist resident with obtaining care,” therefore, the allegation is unsubstantiated.

Con'd on 9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 11-AS-20260115123113
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: CAREMORE AID & BOARD FACILITY
FACILITY NUMBER: 198600477
VISIT DATE: 01/23/2026
NARRATIVE
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Allegation: Staff forces residents to attend day program

It is being reported that the clients are forced to attend a day program. Per interview with the Administrator on 1/23/26, she encourages the clients to attend available day programs, go to school or get a job to avoid trouble in the community. Per interview with the Administrator and review of the Adult Program Schedule on 1/23/26, C2 and C4 do not attend day program.

LPA interviewed staff 1 – staff 4(S1 – S4). Of those interviewed 4 out of 4 denied the allegation. LPA interviewed client 1 – client 8 (C1 – C8). Of those who interviewed 6 out of 8 denied the allegation. One client confirmed the allegation and 1 answered other than yes or no.

Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff forces residents to attend day program,” therefore, the allegation is unsubstantiated.

Allegation: Staff does not serve residents food of good quality

It is being reported that facility staff serves expired food and not enough vegetables and fruit. LPA Shirley observed staff cooking lunch and noted that they were not using expired food items. LPA Shirley observed C-4 eating lunch, which consisted of rice, pork, potato and a vegetable mix. LPA also observed orange slices on C-4’s plate.

LPA interviewed staff 1 – staff 4 (S1 – S4). Of those interviewed 4 out of 4 denied the allegation. LPA interviewed client 1 – client 8 (C1 – C8). Of those who interviewed 4 out of 8 denied the allegation. One client confirmed the allegation and 3 answered something other than yes or no.

Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff does not serve residents food of good quality,” therefore, the allegation is unsubstantiated.

No deficiencies were cited for these allegations.

An exit interview was conducted and a copy of this report was provided to the Administrator, Lorna Zablocki.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 6
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
01/15/2026 and conducted by Evaluator Felisa Shirley
COMPLAINT CONTROL NUMBER: 11-AS-20260115123113

FACILITY NAME:CAREMORE AID & BOARD FACILITYFACILITY NUMBER:
198600477
ADMINISTRATOR:RONALD F ZABLOCKIFACILITY TYPE:
735
ADDRESS:14807 LEMOLI AVENUETELEPHONE:
(424) 269-1632
CITY:GARDENASTATE: CAZIP CODE:
90249
CAPACITY:8CENSUS: 8DATE:
01/23/2026
UNANNOUNCEDTIME BEGAN:
08:57 AM
MET WITH:Lorna Zablocki, AdministratorTIME COMPLETED:
04:40 PM
ALLEGATION(S):
1
2
3
4
5
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7
8
9
Staff does not maintain facility at a comfortable temperature for residents
INVESTIGATION FINDINGS:
1
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3
4
5
6
7
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10
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12
13
On 1/23/26, Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced visit to this facility. LPA was met by the Administrator, Lorna Zablocki and explained the purpose of the visit is to investigate and deliver findings for the allegations mentioned above. LPA was granted access to the facility.

The investigation consisted of the following:
On 1/23/26 LPA Shirley reviewed copies of the following records: Resident Roster, Physicians Report, Information and Emergency Contact, Functional Capability Assessment, Appraisal Needs and Services, Meals and Medication schedule, Program of Activities, Adult Program Schedules, and House Rules. LPA Felisa Shirley conducted a tour of the facility. LPA Shirley interviewed Staff 1 – Staff-4 (S1 – S4), and Client -1 – Client -8 (C1-C8).

Con'd on 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 11-AS-20260115123113
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: CAREMORE AID & BOARD FACILITY
FACILITY NUMBER: 198600477
VISIT DATE: 01/23/2026
NARRATIVE
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Allegation: Staff does not maintain facility at a comfortable temperature for residents

It is being reported that this facility is always cold. Per LPA Shirley’s experience upon arrival, the thermometer in the facility displayed that the temperature was 64 F. LPA Shirley observed, C1, C3 and C4 wearing warm clothing. LPA Shirley observed that the windows and both doors were open. LPA Shirley felt that it was cold in the facility. LPA Shirley toured the facility and ask the Administrator if the heater was working and requested to turn the heater on. The Administrator complied.

LPA interviewed staff 1 – staff 4(S1 – S4). Of those interviewed 4 out of 4 denied the allegation. LPA interviewed client 1 – client 8 (C1 – C8). Of those who interviewed 5 out of 8 denied the allegation, 3 confirmed the allegation.

Based on LPA’s observations and interviews the preponderance of evidence standard has been met regarding the allegation “Staff does not maintain facility at a comfortable temperature for residents,” therefore, the above allegation is to be substantiated. California Code of Regulations, Title 22, division 6, - Deficiency is being cited on the attached LIC 9099-D.

An exit interview was conducted and a copy of this report was provided to the Administrator, Lorna Zablocki.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 11-AS-20260115123113
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: CAREMORE AID & BOARD FACILITY
FACILITY NUMBER: 198600477
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/23/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/06/2026
Section Cited
CCR
80088(a)(1)
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80088 Furniture, Fixtures, Equipment, and Supplies


(a) A comfortable temperature for clients shall be maintained at all areas.
(1) The licensee shall maintain the temperature in rooms that clients occupy between a minimum of 68 degrees F (20 degrees C) and a maximum of 85 degrees F (30 degrees C).

This requirement is not met as evidenced by:
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The Executive Director shall turn the heater on and provide an in-service training with all staff reminding them to keep temperatures in the faciity within the required heat min and max. Please forward copies of training to LPA Felisa Shirley at felisa.shirley@dss.ca.gov or fax to 424-544-1016 by POC due date of 2/6/26.
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Based on observation, interviews and experience, the Licensee failed to comply with the heat requirement for this facility as the temperature was 64 F. This violation poses a potential health and safety risk to all clients in care.
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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: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 6