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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306004010
Report Date: 07/20/2026
Date Signed: 07/20/2026 04:48:28 PM

Substantiated


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
07/06/2026 and conducted by Evaluator Brandon Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20260706091910
FACILITY NAME:LE-NA'RESIDENTAL CARE, INC.FACILITY NUMBER:
306004010
ADMINISTRATOR:LEONA SMITHFACILITY TYPE:
735
ADDRESS:5521 LOCKHAVEN DRIVETELEPHONE:
(714) 670-8397
CITY:BUENA PARKSTATE: CAZIP CODE:
90621
CAPACITY:6CENSUS: 6DATE:
07/20/2026
UNANNOUNCEDTIME BEGAN:
03:55 PM
MET WITH:Administrator Christopher Singleton via telephoneTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff tie up the front door to prevent elopement
INVESTIGATION FINDINGS:
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On July 20, 2026, Licensing Program Analysts (LPAs) Brandon Lopez and Tran Nguyen made an unannounced visit to the facility to deliver the complaint findings. LPAs were greeted and granted entry into the facility by staff after explaining the purpose for the visit. Administrator Christopher Singleton was notified via telephone but was unable to assist with today's inspection.

During the course of the investigation, the Department conducted a tour of the physical plant of the facility, conducted five client interviews, conducted four staff interviews, reviewed and obtained pertinent documents for this complaint. Regarding the allegation that, staff tie up the front door to prevent elopement, the following has been concluded: During the course of the investigation, the Department conducted two on site inspections. The inspections were conducted on July 13, and July 20, 2026. During the on-site inspections, the Department observed the front door to be free of any restraint. The Department conducted five client interviews. However, the five clients were unable to be qualified for an interview. The Department conducted four staff interviews. CONTINUED ON LIC9099-C
Substantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2026
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 5
Control Number 22-AS-20260706091910
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: LE-NA'RESIDENTAL CARE, INC.
FACILITY NUMBER: 306004010
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/20/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/31/2026
Section Cited
CCR
80072(a)(7)
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80072 Personal Rights: (a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following: (7) Not to be locked in any room, building, or facility premises by day or night.
This requirement was not evidenced by:
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The Administrator stated that he will conduct an in service training with all facility staff regarding the regulation cited. The Administrator agreed to provide LPA proof of the training via email or fax by POC due date.
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Based on evidence gathered, the Licensee did not ensure that each clients personal rights were applied. The Department obtained photographic evidence which displayed the front door being tied with a thin rope. This poses a potential health, safety, and personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5
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
07/06/2026 and conducted by Evaluator Brandon Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20260706091910

FACILITY NAME:LE-NA'RESIDENTAL CARE, INC.FACILITY NUMBER:
306004010
ADMINISTRATOR:LEONA SMITHFACILITY TYPE:
735
ADDRESS:5521 LOCKHAVEN DRIVETELEPHONE:
(714) 670-8397
CITY:BUENA PARKSTATE:CAZIP CODE:
90621
CAPACITY:6CENSUS: 6DATE:
07/20/2026
UNANNOUNCEDTIME BEGAN:
03:55 PM
MET WITH:Administrator Christopher Singleton via telephoneTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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9
Staff reuse disposable gloves on different clients
Staff tie up kitchen cabinets and refrigerator
Staff block passageways
INVESTIGATION FINDINGS:
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On July 20, 2026, Licensing Program Analysts (LPAs) Brandon Lopez and Tran Nguyen made an unannounced visit to the facility to deliver the complaint findings. LPAs were greeted and granted entry into the facility by staff after explaining the purpose for the visit. Administrator Christopher Singleton was notified via telephone but was unable to assist with today's inspection.

During the course of the investigation, the Department conducted a tour of the physical plant of the facility, conducted five client interviews, conducted four staff interviews, reviewed and obtained pertinent documents for this complaint. Regarding the allegation that, staff reuse disposable gloves on different clients, the following has been concluded: During the course of the investigation, the Department conducted two on site inspections. The inspections were conducted on July 13, and July 20, 2026. During the on-site inspections, the Department observed the facility to have a sufficient supply of clean disposable gloves. The Department conducted five client interviews. However, the five clients were unable to be qualified for an interview. The Department conducted four staff interviews. CONTINUED ON LIC9099-C
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 22-AS-20260706091910
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: LE-NA'RESIDENTAL CARE, INC.
FACILITY NUMBER: 306004010
VISIT DATE: 07/20/2026
NARRATIVE
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One out of the four staff corroborated the allegation and reported that staff have been instructed to reuse disposable gloves on clients. However, three out of the four staff denied the allegation. The Department was unable to obtain any additional evidence to support the allegation.

Regarding the allegation that, staff tie up kitchen cabinets and refrigerator, the following has been concluded: During the course of the investigation, the Department conducted two on site inspections. The inspections were conducted on July 13, and July 20, 2026. During the on-site inspections, the Department inspected the facility's kitchen area. The Department did not observed kitchen cabinets or the refrigerator to be tied up. The Department observed all kitchen cabinets and the refrigerator to be accessible to clients in care. The Department conducted five client interviews. However, the five clients were unable to be qualified for an interview. The Department conducted four staff interviews. One out of the four staff corroborated the allegations and reported that kitchen cabinets and the refrigerator to be tied up on previous occasions. However, three out of the four staff denied the allegation. The Department was unable to obtain any additional evidence to support the allegation.

Regarding the allegation, staff block passageways, the following has been concluded: During the course of the investigation, the Department conducted two on site inspections. The inspections were conducted on July 13, and July 20, 2026. During the on-site inspections, the Department conducted a tour of the physical plant of the facility, including the interior and exterior portions of the facility. During the visits, the Department observed passageways to be free of any obstructions or hazards. The Department conducted five client interviews. However, the five clients were unable to be qualified for an interview. The Department conducted four staff interviews. One out of the four staff corroborated the allegation and reported that passageways have been blocked on several occasions. However, three out of the four staff denied the allegation. The Department was unable to obtain any additional evidence to support the allegation.

Based on the evidence gathered during the investigation, the Department is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the three allegations are deemed UNSUBSTANTIATED. An exit interview was conducted with Administrator Christopher Singleton via telephone. A copy of the report was provided to an authorized facility representative at time of visit.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 22-AS-20260706091910
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: LE-NA'RESIDENTAL CARE, INC.
FACILITY NUMBER: 306004010
VISIT DATE: 07/20/2026
NARRATIVE
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Two out of the four staff denied the allegation. However, two staff corroborated the allegation and reported that they have observed other staff tie the front door to prevent certain clients from leaving the facility unassisted. During the investigation, the Department obtained photographic evidence which displayed the front door of the facility to be tied with a thin rope. During the on-site inspections, the Department also confirmed that the photographic evidence reflected the physical front door of the facility.

Based on the evidence gathered during this investigation, the Department obtained sufficient evidence to substantiate the allegation listed above. The preponderance of evidence standards has been met; therefore, the above allegation is SUBSTANTIATED. A deficiency is being cited on the attached LIC9099-D page. An exit interview was conducted with Administrator Christopher Singleton via telephone. A copy of the report and appeal rights were provided to an authorized facility representative at time of visit.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5