306005697-2-26-2024-22-AS-AORZ-D2VQM9-20240228111712

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005697
Report Date: 02/26/2024
Date Signed: 02/26/2024 12:37:22 PM

Unfounded

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
01/03/2024 and conducted by Evaluator Andrea Mendivil

COMPLAINT CONTROL NUMBER: 22-AS-20240103154358

FACILITY NAME:	DEL SOL IV RSL		FACILITY NUMBER:	306005697
ADMINISTRATOR:	MAYORGA, JONATHAN		FACILITY TYPE:	740
ADDRESS:	27041 MALLORCA LANE		TELEPHONE:	(949) 357-6255
CITY:	MISSION VIEJO	STATE: CA	ZIP CODE:	92691
CAPACITY:	6	CENSUS: 5	DATE:	02/26/2024
		UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Jahz Cuyson - House Manager		TIME COMPLETED:	11:45 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Licensee abandoned facility

INVESTIGATION FINDINGS:

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

On this Day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to deliver complaint findings. LPA was greeted and granted entry into the facility by House Manager Jahz Cuyson and explained the reason for the visit.

The Department received a complaint on 01/03/2024 and LPA Mendivil conducted the initial visit on 01/11/2024. LPA Mendivil interviewed staff and current Licensee. Regarding the allegation Licensee abandoned the facility, the investigation revealed the following:

It was alleged that the current Licensee DEL SOL RSL INC abandoned the facility. Based on interviews with, Licensee, Jonathan Mayorga, the facility is currently operated by the corporation The Hills as they are in the process of applying for their own license.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Alisa Ortiz	TELEPHONE: (714) 703-4084
LICENSING EVALUATOR NAME: Andrea Mendivil	TELEPHONE: 714-703-2738
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2024

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-20240103154358

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: DEL SOL IV RSL	FACILITY NUMBER: 306005697
	VISIT DATE: 02/26/2024

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

LPA Mendivil obtained copies of rental agreements dated 04/01/2023 which stipulates that the perspective licensee must apply for their own license. Per review Licensee Jonathan Mayorga is still currently licensee until The Hills corporation have their application approved. Current Licensee Mayorga stated he is in contact with the perspective Licensee and is updated on issues with the facility.

Therefore, based on a preponderance of evidence through interviews and records reviewed the allegation that licensee abandoned facility is determined to be UNFOUNDED, meaning that the allegations were false, could not have happened and/or is without a reasonable basis. This agency has investigated this complaint.

No deficiencies cited.

An exit interview was conducted, and a copy of this report was provided to facility staff.

SUPERVISOR'S NAME: Alisa Ortiz	TELEPHONE: (714) 703-4084
LICENSING EVALUATOR NAME: Andrea Mendivil	TELEPHONE: 714-703-2738
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 2