306004459-5-7-2026-22-AS-AORZ-DU9UEE-20260520153101

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004459
Report Date: 05/07/2026
Date Signed: 05/07/2026 09:30:58 AM

Unfounded

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
05/01/2026 and conducted by Evaluator Fred Arias

COMPLAINT CONTROL NUMBER: 22-AS-20260501123842

FACILITY NAME:	JOHN VILLA'S HOMECARE 2		FACILITY NUMBER:	306004459
ADMINISTRATOR:	VILLA DIAZ		FACILITY TYPE:	740
ADDRESS:	811 ST. CLAIR		TELEPHONE:	(714) 760-4693
CITY:	COSTA MESA	STATE: CA	ZIP CODE:	92626
CAPACITY:	6	CENSUS: 5	DATE:	05/07/2026
		UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	John Diaz		TIME COMPLETED:	09:40 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff is financially abusing resident
Staff did not allow resident to meet privately with a visitor

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Fred Arias conducted an unannounced complaint visit to initiate the investigation into the above allegations. LPA was allowed entry into the facility by staff and explained the purpose of the visit.

During the visit, it was discovered the resident 1 (R1) does not live at the facility and is located at another facility owned by the licensee. LPA reviewed resident roster and confirmed the resident does not live here. House Manager John Diaz verified R1 is located at John Villa's Home Care I.

Based on the information gathered during the pre-investigation and document review, the following allegations above, are deemed Unfounded, meaning the allegations are false and could not have happened.
An exit interview was conducted, and a copy of this report was provided.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Fred Arias
LICENSING EVALUATOR SIGNATURE:	DATE: 05/07/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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