306003432-1-29-2026-22-AS-SSAS-DQTVVS-20260130154650

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306003432
Report Date: 01/29/2026
Date Signed: 01/29/2026 10:06:39 AM

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
01/28/2026 and conducted by Evaluator Joseph Alejandre

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20260128104414

FACILITY NAME:	EMBASSY RESIDENTAL CARE		FACILITY NUMBER:	306003432
ADMINISTRATOR:	CORA KON		FACILITY TYPE:	735
ADDRESS:	1809 W. EMBASSY AVENUE		TELEPHONE:	(714) 758-3677
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92804
CAPACITY:	6	CENSUS: 1	DATE:	01/29/2026
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Eduardo Eleazar		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Client has medications in their possession.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegation listed above. LPA met with staff member Eduardo Eleazar and explained the reason for the visit. The investigation into the allegation, Client has medications in their possession, revealed the following. LPA interviewed the Administrator Cora Kon via cellphone during the visit. It was reported that the client had syringes preloaded with steroids in their possession. A review of records shows that the client (C1) is not prescribed any steroids or any medication that is administered with a syringe. Facility staff and the Administrator reported that after C1's hospital visit, C1 has been counseled about obtaining medication that is not prescribed by his primary care physician (PCP) and how it is not allowed at the facility. C1 is allowed to leave the facility to go to school, work and the gym. C1 is not allowed to administer their own medication. LPA observed all medications in the facility are kept locked in a kitchen cabinet. C1 reported that they do not have any syringes with steroids or any medication in their possession. C1 did report that at the time of their hospital visit they did have syringes with steroids but the hospital kept them.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2026

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-20260128104414

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: EMBASSY RESIDENTAL CARE	FACILITY NUMBER: 306003432
	VISIT DATE: 01/29/2026

NARRATIVE

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C1 reported that he talked to the hospital staff and the Administrator and understands they are not suppose to have medication in their possession. It is unknown how C1 acquired the syringes, C1 would not say how they obtained it. C1 is allowed to leave the facility for their daily activities. The facility cannot be held responsible for activities outside of the facility when a client is allowed to leave the facility unassisted. There is no evidence to show the facility allows the client possess any medication. Based on the evidence gathered the allegation is deemed unsubstantiated, although the allegation may have happened or are valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted and a copy of the report provided.

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2026

LIC9099 (FAS) - (06/04)

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