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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306004295
Report Date: 08/03/2023
Date Signed: 08/03/2023 05:02:34 PM

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
05/24/2023 and conducted by Evaluator Jessica Cho
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20230524163541

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: 5DATE:
08/03/2023
UNANNOUNCEDTIME BEGAN:
04:30 PM
MET WITH:Jon Castro- AdminstratorTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff does not provide a safe environment for all clients in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jessica Cho arrived unannounced to deliver the findings into the above allegation and for Complaint Control #’s: 22-AS-20230525121713 and 22-AS-20230523133515. LPA met with Administrator Jon Castro after stating the purpose of the visit. On May 30, 2023, LPA initiated the 10-day visit for the complaint received on May 25, 2023. During the course of the investigation, LPA interviewed clients and staff and obtained pertinent client and staff records. The following are the findings of the investigation:

It was alleged that the staff does not provide a safe environment for all clients in care. It was revealed during the investigation that three out of five clients stated that the staff does not dispose their food to discipline clients. One out of five clients corroborated that Staff #1 (S1) throws food when Client #1 (C1) does not listen. The last remaining client refused to be interviewed. Five out of the five staff stated that clients are rewarded a “money day” to incentivize clients to be on their best behavior. LPA is unable to corroborate the allegation due to conflicting statements.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 22-AS-20230524163541
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: NELDYS ADULT RESIDENTIAL CARE HOME
FACILITY NUMBER: 306004295
VISIT DATE: 08/03/2023
NARRATIVE
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Therefore, based on the interviews which were conducted and the records that were reviewed, although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the above allegation is deemed UNSUBSTANTIATED.

An exit interview was conducted with Administrator Jon Castro, and a copy of this report along with the LIC9099-C and LIC811 were provided during today’s visit.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 6