306002275-2-13-2025-22-AS-AORZ-DEJUB6-20250307142547

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306002275
Report Date: 02/13/2025
Date Signed: 02/13/2025 04:55:06 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
01/07/2025 and conducted by Evaluator Michael Tea

COMPLAINT CONTROL NUMBER: 22-AS-20250107155006

FACILITY NAME:	ANGELS HOME		FACILITY NUMBER:	306002275
ADMINISTRATOR:	RAFAEL A. TORRES		FACILITY TYPE:	735
ADDRESS:	12061 LORALEEN STREET		TELEPHONE:	(714) 537-3413
CITY:	GARDEN GROVE	STATE: CA	ZIP CODE:	92841
CAPACITY:	6	CENSUS: 3	DATE:	02/13/2025
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Leah Sarian		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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- Staff engaged in inappropriate activity

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Michael Tea made an unannounced complaint visit on this day to conclude the investigation and to deliver findings for the allegation mentioned above. LPA met with Direct Service Personnel (DSP) Leah Sarian and spoke with Administrator (AD) Rafael Torres over the phone.

It was alleged that staff engaged in inappropriate behavior. During the investigation LPA interviewed residents and staff, checked and reviewed resident and staff files. The investigation determined the following:

Staff 1’s (S1) spouse visits the facility to deliver and drop off food for S1. Administrator Torres stated that the facility does not allow overnight visitors. AD Torres said that S1’s spouse is considered a guest who just drops off food. S1 says their spouse never spends the night. Upon interview with clients, Client’s (C1) and Client 2 (C2) out of three clients interviewed and that live in the facility said that S1’s staff comes to the house and leaves and does not spend the night. S1 said they never done anything inappropriate

(Continued on LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Michael Tea
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 22-AS-20250107155006

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: ANGELS HOME	FACILITY NUMBER: 306002275
	VISIT DATE: 02/13/2025

NARRATIVE

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with their spouse. AD Torres said that he has never heard any inappropriate noises or behaviors when S1’s spouse is around. C1 and C2 also stated that they have never heard or seen inappropriate noises, behavior, or activities when S1’s spouse was visiting the facility.

Client 3 (C3) said that when S1’s spouse visits the facility they have seen S1 and their spouse hold hands and kiss in front of them. C3 said they have never met S1’s spouse formally or know them at all. C3 said they don’t trust a visitor that does not have a background check, it raises a red flag for them. C3 said they go to S1’s room and they hear them kissing and heard them doing “S-E-X.” C3 said they can hear everything because their room is close by S1’s room. C3 admits that S1’s spouse does not stay that long or spend the night.

Therefore based on LPA Tea's observation and interviews conducted and records review the allegation that staff engaged in inappropriate behavior has been determined to be unsubstantiated meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

No deficiencies cited at this time and an exit interview was conducted with Administrator Rafael Torres over the phone and a copy of the report and confidential names list was provided to the facility.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Michael Tea
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2025

LIC9099 (FAS) - (06/04)

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