306004655-6-13-2024-22-AS-SSAS-D6KNW4-20240625104855

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004655
Report Date: 06/13/2024
Date Signed: 06/13/2024 11:11:45 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
06/05/2024 and conducted by Evaluator Joseph Alejandre

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20240605160556

FACILITY NAME:	LAS ESTANCIAS ASSISTED CARE		FACILITY NUMBER:	306004655
ADMINISTRATOR:	CELIA RODRIGUEZ		FACILITY TYPE:	740
ADDRESS:	1409 WHITTIER AVENUE		TELEPHONE:	(714) 488-9995
CITY:	BREA	STATE: CA	ZIP CODE:	92821
CAPACITY:	6	CENSUS: 6	DATE:	06/13/2024
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Celia Rodriguez		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Resident was unlawfully evicted from facility

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegation listed above. LPA met with Administrator Celia Rodriguez and explained the reason for the visit. The investigation revealed the following. LPA interviewed the Administrator and staff. It was alleged that Resident 1 (R1) was unlawfully evicted from the facility. Witness 1 (W1) reported that the Administrator told them, "they would be happier if they moved somewhere else". The Administrator denied this report. The Administrator reported that an eviction notice was never sent to R1 or their responsible party. This information was verified by W1. R1 moved out on May 29, 2024. All witnesses interviewed verified this report. R1's belongings were moved out of the facility by June 8, 2024. W1 verified that they decided to move R1 out of the facility and they were not forced to move. None of the evidence gathered supports the allegation. Based on the evidence gathered through interviews the allegation is deemed UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted and a copy the report provided.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Sheila Santos	TELEPHONE: (714) 334-2062
LICENSING EVALUATOR NAME: Joseph Alejandre	TELEPHONE: 714-705-6018
LICENSING EVALUATOR SIGNATURE:	DATE: 06/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2024

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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