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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306004295
Report Date: 12/04/2025
Date Signed: 12/05/2025 09:04:30 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
06/06/2023 and conducted by Evaluator Fred Arias
COMPLAINT CONTROL NUMBER: 22-AS-20230606101424
FACILITY NAME:NELDYS ADULT RESIDENTIAL CARE HOMEFACILITY NUMBER:
306004295
ADMINISTRATOR:JON NEIL CASTROFACILITY TYPE:
735
ADDRESS:11411 STANFORD AVENUETELEPHONE:
(714) 539-5151
CITY:GARDEN GROVESTATE: CAZIP CODE:
92840
CAPACITY:6CENSUS: 3DATE:
12/04/2025
UNANNOUNCEDTIME BEGAN:
03:56 PM
MET WITH:Jon CastroTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Staff hits clients
INVESTIGATION FINDINGS:
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On this day, Licensing Program Analyst (LPA) Fred Arias made an unannounced visit to the facility for the purpose of finalizing the investigation of the allegation listed above. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit.

An initial investigation visit was conducted on June 12, 2023. During the visit, the Department interviewed staff and clients. The Department requested documents.

The investigation determined as follows: Regarding the allegation staff hit resident, it was reported staff 1 (S1) hits clients. LPA interviews with six out of seven staff stated they have not witnessed any staff member hitting any client. The remaining staff stated they witnessed S1 hit a client in the past and reported it to a supervisor. Seven out of seven staff stated they are aware of mandated reporting requirements. LPA interviews with four out of four clients stated they have never been hit by staff members. Three out of the four clients added they've been hit by other clients. Continued on LIC9099-C dated 12/4/2025.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Fred Arias
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2025
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 4
Control Number 22-AS-20230606101424
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: NELDYS ADULT RESIDENTIAL CARE HOME
FACILITY NUMBER: 306004295
VISIT DATE: 12/04/2025
NARRATIVE
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LPA record review revealed six staff members have signed mandated reporting documents in their files.

Based on interviews and record review, the allegation staff hit resident is therefore deemed unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted and a copy of the report was left with the facility representative.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Fred Arias
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4