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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 300607404
Report Date: 10/15/2024
Date Signed: 10/15/2024 02:07:49 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 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
10/07/2024 and conducted by Evaluator Jenifer Tirre
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20241007152032
FACILITY NAME:LAURENCE RESIDENTIAL CAREFACILITY NUMBER:
300607404
ADMINISTRATOR:LAURENCE, VERNELLFACILITY TYPE:
735
ADDRESS:3722 S. ROSS ST.TELEPHONE:
(714) 662-7771
CITY:SANTA ANASTATE: CAZIP CODE:
92707
CAPACITY:6CENSUS: 0DATE:
10/15/2024
UNANNOUNCEDTIME BEGAN:
07:13 AM
MET WITH:Licensee Vernell LaurenceTIME COMPLETED:
01:05 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is not clean and in good repair
Inside of facility is not free of obstructions
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced inspection visit to initiate complaint investigation into the above allegations. LPA met with Licensee/ Administrator Vernell Laurence and staff Patricia Ingram and stated the purpose of the visit.

During the visit, LPA conducted a tour of the facilities inside and outside physical plant. LPA made observations and conducted interviews with staff. During time of visit, facility had no clients in care and are looking to close.

On October 7, 2024 the department received a cross report from an Agency regarding visits that were conducted to facility back on May 16, 2024 and August 15, 2024. Citations were issued at the time of that visit.
Based off observations, interviews and record review, regarding allegation Facility is not clean and in good repair, upon inspection by department the following was observed
CONTINUED ON 809C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jenifer Tirre
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2024
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 7