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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306001086
Report Date: 09/03/2025
Date Signed: 09/03/2025 03:41:16 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
08/28/2025 and conducted by Evaluator Alvaro Ramirez Jr.
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250828153131
FACILITY NAME:DOWNIE HOMEFACILITY NUMBER:
306001086
ADMINISTRATOR:PLACIDA DELA CRUZFACILITY TYPE:
735
ADDRESS:12832 DOWNIE PLACETELEPHONE:
(714) 539-6601
CITY:GARDEN GROVESTATE: CAZIP CODE:
92843
CAPACITY:6CENSUS: 4DATE:
09/03/2025
UNANNOUNCEDTIME BEGAN:
11:19 AM
MET WITH:Victor Capada-Lead staffTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Facility staff do not keep the facility clean, sanitary and/or in good repair.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced initial 10-Day complaint visit to initiate the investigation into the above allegation and to deliver the findings of the investigation. LPA was greeted and granted entry into the facility and met with Lead staff Victor Capada. LPA explained the reason for the visit.

This agency has investigated the complaint alleging that facility staff do not keep the facility clean, sanitary and/or in good repair. Regarding the allegation, the following was revealed: During the initial visit on September 3, 2025, LPA tour the facility and did not notice an unpleasant smell, did not observed exposed wires, and observed that the bedrooms and bathrooms were clean, safe, and sanitary. LPA tour four of four bedrooms and did not observed chipped paint. In three of four bedrooms LPA observed discoloration on a few small spots which were the size of a quarter and/or smaller. During the course of the interviews with individuals five of six individuals interviewed denied the allegation.
CONTINUED ON LIC9099-C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2025
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-20250828153131
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: DOWNIE HOME
FACILITY NUMBER: 306001086
VISIT DATE: 09/03/2025
NARRATIVE
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During the course of the interviews with staff, Staff 1 (S1) reported that the facility is clean, sanitary and in good repair. S1 reported that there is never an unpleasant smell at the facility and stated that there are no exposed wires in the facility. Per S2, the bathrooms and bedrooms get cleaned daily. S2 reported that they disinfect the common areas everyday and stated that she has not seen chipped paint in the bedrooms. S3 stated that staff keep the facility clean, sanitize and in good repair. S3 reported that there are no exposed wires and stated that there is no chipped paint in the client bedrooms. During the course of the interviews with clients, Client 1 (C1) reported that the bedrooms and restrooms are clean, that the paint in his bedrooms is good, that he has not seen exposed wires and stated that he feels safe at the facility.

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

For today’s visit, there were no citations issued per Title 22, Division 6 of the California Code of Regulations.


LPA conducted an exit interview with facility representative, and a copy of this report was provided to the facility.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2