306000106-7-14-2026-22-AS-KSGH-DW222V-20260715170121

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306000106
Report Date: 07/14/2026
Date Signed: 07/14/2026 03:34:02 PM

Unsubstantiated

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
01/24/2022 and conducted by Evaluator Ruth Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20220124141033

FACILITY NAME:	PROMISES GUEST VILLAGE		FACILITY NUMBER:	306000106
ADMINISTRATOR:	DANTE ENCARNACION		FACILITY TYPE:	735
ADDRESS:	1315-1321 ANAHEIM BLVD.		TELEPHONE:	(714) 774-1544
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92805
CAPACITY:	40	CENSUS: 40	DATE:	07/14/2026
		UNANNOUNCED	TIME BEGAN:	02:20 PM
MET WITH:	Maria Engreso		TIME COMPLETED:	03:20 PM

ALLEGATION(S):

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Staff not calling for medical intervention for clients.
Facility is operating over capacity.
Staff does not have adequate medication training.
Facility is dirty with pest infestation.
Facility does not properly store or dispose of food.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced visit to the facility to conclude investigation into the above identified complaint allegations. LPA spoke with Maria Engreso, office staff and explained the purpose of the visit.

Findings are based upon this investigation which included tour of the facility, facility file review, resident file review, interviews conducted, and copies of pertinent records.

It is alleged Staff not calling for medical intervention for clients. Interview with 2 of 2 staff stated that when there is an incident in the facility they treat it with the most importance. There are times when clients are upset or have a behavior issue but it doesn’t mean they need medical intervention. When there is a client

Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Ruth Martinez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026

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 22-AS-20220124141033

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: PROMISES GUEST VILLAGE	FACILITY NUMBER: 306000106
	VISIT DATE: 07/14/2026

NARRATIVE

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that needs medical intervention we call the necessary intervention. Interviews with 6 of 6 clients stated that they always get the help they need from staff, they have observed medical teams come to the facility and assist when a client needs it.

It is alleged facility is operating over capacity. Review of facility records on three separate visits revealed that facilities capacity is 40 clients at any given time and in all three visits it was verified that census for the facility was at capacity. Tour of the physical plant of the facility it was observed there were a total of 40 beds in the facility and no indications that there were clients outside of census of 40.

It is alleged that staff do not have adequate medication training. Records review revealed that facility roster reflects five medication technicians. Training records reflect that all five medication technicians on board have medication training on record as completed. Facility roster does reflect that all five staff are cross trained for multiple roles.

It is alleged that facility is dirty with pest infestation. LPA Alejandre toured the facility on February 2, 2022, and did not observe any pest, dropping or the facility to be dirty. LPA Martinez conducted a tour of the facility on June 22, 2026, and did not observe any pest issues or concerns with the facility being dirty. Facility was observed to be cleaned as well as kitchen. Interview with staff indicated that facility did not have a pest issue when the complaint visit was originally conducted. The facility did have a pest control vendor of October 2023 but not prior because there were no issues to be concerned about. Record review revealed facility had a pest control contract generated on October 11, 2023, for monthly services.

It is alleged that facility does not properly store or dispose of food. LPA Alejandre toured the facility on February 2, 2022, and LPA Martinez toured the facility on June 22, 2026, and both observed food being

Continued on LIC9099-C

SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Ruth Martinez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 22-AS-20220124141033

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: PROMISES GUEST VILLAGE	FACILITY NUMBER: 306000106
	VISIT DATE: 07/14/2026

NARRATIVE

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prepared, being disposed of, and being stored. No concerns were observed with the process of such. LPAs observed several refrigerators with stored food and no spoiled food. Food that was stores had the date that it was packaged by staff. LPA Martinez observed dry storage good to be in good condition and did not observed any expired food.

Based on the information mentioned above, the Department is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the allegations are deemed Unsubstantiated.

An exit interview was conducted with the facility representative and a copy of this LIC9099 report was left at facility.

SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Ruth Martinez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 3