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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306003971
Report Date: 06/10/2026
Date Signed: 06/10/2026 12:05:08 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
06/03/2026 and conducted by Evaluator Jessica Cho
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20260603141501
FACILITY NAME:NANCITA HOMEFACILITY NUMBER:
306003971
ADMINISTRATOR:AARON RESURRECCIONFACILITY TYPE:
735
ADDRESS:713 N. NANCITA STREETTELEPHONE:
(714) 220-2657
CITY:ANAHEIMSTATE: CAZIP CODE:
92801
CAPACITY:6CENSUS: 4DATE:
06/10/2026
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Louise Igisaiar- AdministratorTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff hit client.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) made an unannounced subsequent visit for the purpose of delivering the findings into the above allegation. LPA met with Administrator Louise Igisaiar and explained the reason for the visit. During the course of the investigation, LPA successully interviewed two of four clients and four of four staff and attempted interviews with the remaining two clients. However, LPA was unable to obtain statements from the two clients due to their medical condition. LPA obtained copies of records for review: Client Roster, Personnel Report Summary, Face Sheets, Physician's Reports, Personal Rights, and email correspondence with the client's representative regarding Client #1 (C1).

The investigation is as follows: Regarding the allegation, Staff hit client, it is alleged that an overnight staff hit C1 on the side of their face in August 2021. Per review of the email records with C1's representative, C1 was discharged from the facility approximately August 2021. LPA was unable to verify the discharge date on the facility records as C1's records are no longer available at the facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2026
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-20260603141501
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: NANCITA HOME
FACILITY NUMBER: 306003971
VISIT DATE: 06/10/2026
NARRATIVE
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Per regulation, the licensee is required to only maintain records for a minimum of three years. Based on observation during the visit, clients were relaxing in the living area to attend their respective day programs. Based on the interviews, two of four clients and four of four staff denied the allegation. Two of four clients indicated that they feel safe living at the facility. C1 did not corroborate with the allegation.

Based on interviews and record review, although the 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 the following allegation: Staff hit client is deemed UNSUBSTANTIATED.

An exit interview was conducted with Administrator Louise Igisaiar, and a copy of this report was provided at exit.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2