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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 300605585
Report Date: 05/16/2023
Date Signed: 05/16/2023 03:50:52 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/10/2023 and conducted by Evaluator Jerome Haley
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20230510125225
FACILITY NAME:LEARNING LIGHT FOUNDATION ADULT DEVEL. PROGRA, THEFACILITY NUMBER:
300605585
ADMINISTRATOR:PABLO GARAYFACILITY TYPE:
775
ADDRESS:1212 E. LINCOLN AVENUETELEPHONE:
(714) 533-2314
CITY:ANAHEIMSTATE: CAZIP CODE:
92805
CAPACITY:40CENSUS: 6DATE:
05/16/2023
UNANNOUNCEDTIME BEGAN:
02:56 PM
MET WITH:Executive Director Hannah TayfourTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Facility is not kept free of ants
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jerome Haley made an unannounced visit to initiate the investigation into the complaint received against this facility on May 10, 2023. LPA Haley was allowed into the facility and explained the reason for the visit upon entry. Staff notified Executive Director Hannah Tayfour of the visit via telephone. ED Tayfour and another staff member arrived after the visit began.

Upon entry LPA Haley was lead on a tour of the facility by Staff 1 (S1). LPA observed both levels of the day program during the visual inspection. During the tour, LPA Haley observed 6 program participants present for the day, and 4 staff members present during the visit. During the tour LPA observed the heater and A/C unit to be operational and observed a steam cleaner for the floors, a carpet cleaning machine, disinfectant spray, and cleaning solutions.

Continued on LIC9099C

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Luz Adams
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2023
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 22-AS-20230510125225
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: LEARNING LIGHT FOUNDATION ADULT DEVEL. PROGRA, THE
FACILITY NUMBER: 300605585
VISIT DATE: 05/16/2023
NARRATIVE
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Regarding the allegation, “Facility is not kept free of ants": The investigation revealed the following:

During the initial visit LPA Haley interviewed 6 facility staff members, including ED Tayfour. All staff members interviewed denied the allegation and could not recall seeing any ants present in the facility. Clients could not be interviewed and could not confirm or deny the complaint allegations listed above. LPA Haley toured the facility and was present for several hours and did not see any ants during the visit.

Relevant documentation was provided during the visit and ED Tayfour will be emailing LPA Haley a copy of the LIC500.

Based on the information gathered during the investigation, document review and interviews, the Department is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated.

An exit interview was conducted, and a copy of this report was provided.
SUPERVISORS NAME: Luz Adams
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2