306001093-10-9-2025-22-AS-APAO-DNMVEZ-20251121152310

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306001093
Report Date: 10/09/2025
Date Signed: 10/09/2025 03:34:25 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
08/19/2022 and conducted by Evaluator Alvaro Ramirez Jr.

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20220819152809

FACILITY NAME:	ROCHELLE MANOR		FACILITY NUMBER:	306001093
ADMINISTRATOR:	ALFREDO RINGOR		FACILITY TYPE:	740
ADDRESS:	12841 ADELLE ST		TELEPHONE:	(714) 537-3188
CITY:	GARDEN GROVE	STATE: CA	ZIP CODE:	92841
CAPACITY:	20	CENSUS: 10	DATE:	10/09/2025
		UNANNOUNCED	TIME BEGAN:	12:06 PM
MET WITH:	Foster Ringor-Administrator		TIME COMPLETED:	03:50 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility did not meet resident's needs.
Facility did not maintain accurate facility records for resident in care.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on the above allegations received on August 19, 2022. LPA was greeted and granted entry into the facility and met with Administrator (AD) Foster Ringor. LPA explained the reason for the visit.

This Department has investigated the complaint alleging that facility did not meet resident's needs. Regarding the allegation the following was revealed: During the course of the interviews Resident 1 (R1) reported that the facility assists him when making appointments for his medical needs and stated that he would rate the facility 9 out of 10. Per R2, he is setting up his own medical appointments and picking up his own medications from the pharmacy. R4 stated that staff are pretty good and reported that the staff are meeting his needs. Per R4, staff give him what he needs. During the course of the interviews AD reported that he had been following up with the podiatrist for R6; however, he was unreachable. Per AD, facility did try to get referral for a new podiatrist.
CONTINUED ON LIC9099-C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:	DATE: 10/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2025

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-20220819152809

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: ROCHELLE MANOR	FACILITY NUMBER: 306001093
	VISIT DATE: 10/09/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Regarding the allegation that facility did not maintain accurate facility records for resident in care, the following was revealed: During the course of the interviews four of six residents interviewed denied the allegation. LPA was not able to qualify and/or interview two of six residents. During the course of the interviews with residents, R1 reported that he had no concerns about his medical records. Per R2, he has no concerns with facility maintaining his records. R4 stated that management keep the resident records in order. During the subsequent visit on September 17, 2025, Licensee did not have records for R6. Per California Code of Regulation, under Resident Records 87506 (a)(e) it states original records or photographic reproductions shall be retained for a minimum of three (3) years following termination of service to the resident.

Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegations occurred as reported due to conflicting information. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove or refute the alleged violations occurred; therefore, these allegations are 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 AD Ringor, 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: 10/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 2