306003934-2-4-2026-22-AS-APAO-DR27F6-20260205203700

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306003934
Report Date: 02/04/2026
Date Signed: 02/04/2026 09:37:29 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
12/01/2022 and conducted by Evaluator Claudia Gutierrez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20221201101219

FACILITY NAME:	CHATEAU ST. MARK HOMES 3		FACILITY NUMBER:	306003934
ADMINISTRATOR:	ANICIA LOPEZ		FACILITY TYPE:	735
ADDRESS:	1621 S. IVANHOE STREET		TELEPHONE:	(714) 758-3655
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92804
CAPACITY:	6	CENSUS: 6	DATE:	02/04/2026
		UNANNOUNCED	TIME BEGAN:	08:25 AM
MET WITH:	Teresa Real		TIME COMPLETED:	09:55 AM

ALLEGATION(S):

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Staff kicked resident in care.

INVESTIGATION FINDINGS:

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An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez for the purpose of delivering findings. LPA met with Staff Teresa Real and Staff Merlinda Maglaya and explained the purpose of the inspection.

Complaint alleges Staff 1 (S1) kicked Client 1 (C1).

During the course of the investigation, documentation review was conducted to include C1’s Individual Program Plan (IPP) and interviews were conducted with C1 and facility staff, including S1.

Per IPP dated July 26, 2023, C1 has a tendency of fabricating stories. (Cont. LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2026

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-20221201101219

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: CHATEAU ST. MARK HOMES 3	FACILITY NUMBER: 306003934
	VISIT DATE: 02/04/2026

NARRATIVE

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During their interview, C1 stated staff had kicked them, however, was unable to identify the staff member alleged to have kicked them. During their interview, S1 stated that on a particular day in November of 2022, they were cooking when C1 entered the kitchen and got too close to the stove. S1 stated they asked C1 to step away from the stove and C1 responded by punching them in the face. S1 denied hitting or kicking C1 in return and denied ever hitting or kicking C1 or any other client on any other occasion. During their interview, Staff 4 (S4) stated C1 tends to be aggressive, however, denied personally hitting or witnessing staff hit C1. Per S4, they overheard the incident involving S1 and C1 taking place while they were in their private bedroom at the facility but stated they had not witnessed it. S4 stated C1 had later stated S1 had “hit [them] in the pee" and identified Staff 2 (S2) and Staff 3 (S3) as witnesses to the incident. Per S4, this was first time they had heard of staff being physical with a client at the facility and stated they had never witnessed S1 hit C1 or any other client. LPA attempted to contact S2 and S3 by phone on three separate occasions, however, they could not be reached to confirm or deny allegation. During their interview, S5 denied witnessing staff being aggressive with any client and denied having any knowledge of any incident involving staff being aggressive towards clients.

Due to allegation being uncorroborated during interviews conducted, the Department is unable to determine if Staff kicked resident in care. Although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore at this time the above allegation is unsubstantiated.

An exit interview was conducted and copy of this report was provided at the end of the inspection.

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2026

LIC9099 (FAS) - (06/04)

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