306003735-1-13-2026-22-AS-AORZ-DQC3Q9-20260114172645

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306003735
Report Date: 01/13/2026
Date Signed: 01/13/2026 08:51:30 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
11/04/2025 and conducted by Evaluator Samer Haddadin

COMPLAINT CONTROL NUMBER: 22-AS-20251104123722

FACILITY NAME:	JAIRE HOME II		FACILITY NUMBER:	306003735
ADMINISTRATOR:	ANA BIEN DEVERA		FACILITY TYPE:	735
ADDRESS:	1242 ALAMO STREET		TELEPHONE:	(714) 635-3788
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92801
CAPACITY:	6	CENSUS: 4	DATE:	01/13/2026
		UNANNOUNCED	TIME BEGAN:	08:11 AM
MET WITH:	Louise Igisaiar		TIME COMPLETED:	09:33 AM

ALLEGATION(S):

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Staff did not accord respect by hitting and intimidating clients

INVESTIGATION FINDINGS:

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{***THIS IS AN AMENDED REPORT***}
Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced visit to the facility to investigate and deliver findings regarding the above-mentioned allegation. Upon arrival, LPA Haddadin was granted entry and met with Administrator (AD) Louise Igisaiar, to whom the purpose of the visit was explained.
During the course of the investigation, LPA Haddadin conducted an immediate walk-through focused on client safety and supervision and did not observe any violations.
LPA Haddadin reviewed facility records, including the Physician’s Report and progress notes for Client 1 (C1). {***CONTINUE 9099C***}

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Samer Haddadin
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2026

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-20251104123722

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: JAIRE HOME II	FACILITY NUMBER: 306003735
	VISIT DATE: 01/13/2026

NARRATIVE

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C1 has a diagnosis of schizophrenia and mild intellectual disability. Based on review of C1’s progress notes, LPA noted that on September 4, 2025, September 5, 2025, September 7, 2025, and September 11, 2025, there were documented incidents involving false accusations made by C1 as well as aggression towards staff and other clients.
In addition, facility records reflected staff completion of the mandated annual Personal Rights training for clients, with certification dates of February 27, 2025, and an overall Personal Rights training course dated February 22, 2024.
LPA Haddadin conducted five interviews, consisting of three staff interviews and two resident interviews. All individuals interviewed denied the allegation. The individuals interviewed stated they felt safe living at the facility and reported they had not experienced or observed intimidation or physical aggression by staff.
Based on record review, observations, and interviews, the preponderance of evidence standard has not been met; therefore, the allegation, “Staff did not accord respect by hitting and intimidating clients,” is unsubstantiated.
An exit interview was conducted, and a copy of this report was provided to Administrator (AD) Louise Igisaiar.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Samer Haddadin
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2026

LIC9099 (FAS) - (06/04)

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