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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005470
Report Date: 04/23/2026
Date Signed: 04/23/2026 04:00:39 PM

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
02/10/2026 and conducted by Evaluator William Vanegas
COMPLAINT CONTROL NUMBER: 22-AS-20260210150244
FACILITY NAME:GRACES HOMEFACILITY NUMBER:
306005470
ADMINISTRATOR:MAI, NGOCFACILITY TYPE:
740
ADDRESS:2152 S JETTY DRTELEPHONE:
(714) 553-1166
CITY:ANAHEIMSTATE: CAZIP CODE:
92802
CAPACITY:6CENSUS: 5DATE:
04/23/2026
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Quy Mai (Caregiver)TIME COMPLETED:
04:00 PM
ALLEGATION(S):
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-Staff financially abused resident
INVESTIGATION FINDINGS:
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On this day Licensing Program Analyst (LPA) William Vanegas made an unannounced visit to the facility for the purpose of delivering the findings of the above-mentioned allegation. LPA was greeted and granted entry into the facility by caregiving staff after introducing himself and stating the purpose for the visit. LPA began to explain the detailed information of the findings. LPA Vanegas explained the following. Regarding the allegation that Staff Financially Abused Resident The following has been concluded: Based on the evidence gathered and interviews conducted R1 invested a total of $72,500 at their own discretion. Based on Interview with R1 they stated that they invested money at their own discretion however they feel that they were talked into investing. Based on interview with Potential Witness 1 (PW1) They advised R1 not to invest their money as this was the only type of income they have at the moment. PW1 states that they were not the designated P.O.A at the time of the investment and could not detour R1 from investing their money.
CONTINUED ON LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: William Vanegas
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2026
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 2
Control Number 22-AS-20260210150244
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: GRACES HOME
FACILITY NUMBER: 306005470
VISIT DATE: 04/23/2026
NARRATIVE
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Continuation from LIC9099

Interview with S2 revealed that they never witnessed any offer to R1 to invest in a company, and they have never witnessed any exchange of funds from any residents to S1. S1 states that R1 learned about the company on their own and they never offered an opportunity to invest in the company. S1 provided a receipt of where the invested money went directly to the stem cell company.

As a result of the documents collected and interviews conducted the allegation is found to be unsubstantiated, meaning that based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove or refute the alleged violation occurred.

SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: William Vanegas
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2