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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306003971
Report Date: 07/10/2025
Date Signed: 07/10/2025 01:03:52 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
09/16/2022 and conducted by Evaluator Celine Rodriguez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20220916114928
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: 5DATE:
07/10/2025
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Facility Administrator - Analouise "Louise" IgisaiarTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Staff does not have a criminal record clearance.
Staff not trained or qualified to meet the needs of the clients.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Celine Rodriguez conducted an unannounced continuation visit to the facility for the complaint and to deliver the findings. LPA Rodriguez explained the purpose of today's visit, was greeted, and granted entry by staff on duty, who contacted facility administrator (AD) Analouise "Louise" Igisaiar about visit. For this visit, LPA Rodriguez met with AD Igisaiar.

During the investigation, LPA De Perio toured the physical plant of the facility, conducted interviews, and requested copies of pertinent records reviewed.

It was alleged that staff does not have a criminal record clearance. LPA Rodriguez conducted a total of 5 interviews that consisted of clients and staff, of which all 5 interviews did not corroborate with the allegation. Per staff interviews, it was disclosed that prior to employment, all staff must undergo a background check and obtain clearance. Per record review and observations, staff 1 (S1) was hired on 8/3/2022, and completed a background check and received clearance on the same day.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Celine Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2025
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-20220916114928
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: 07/10/2025
NARRATIVE
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It was also observed that S1 did not begin working at the facility until clearance was received and until S1 was associated to the facility via Guardian.

It was alleged that staff are not trained or qualified to meet the needs of the clients. LPA Rodriguez conducted a total of 5 interviews that consisted of clients and staff, of which all 5 interviews did not corroborate with the allegation. Per record review, the staff members present at the facility have completed the required trainings. It was observed that staff are trained on Direct Support Professional, medications, crisis prevention interventions, food preparation, client supervision, reporting requirements and mandated reporting. LPA Rodriguez also observed that staff renew their trainings annually, and all are up to date.

Based on LPA’s interviews which were conducted, review of documents obtained, and observations, LPA is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed UNSUBSTANTIATED.

An exit interview was conducted with AD Igisaiar.

A copy of this report was provided and explained.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Celine Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2