306005765-2-27-2024-22-AS-SSAS-D2X9KS-20240229222650

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005765
Report Date: 02/27/2024
Date Signed: 02/27/2024 05:11:00 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
02/14/2024 and conducted by Evaluator Kevin Saborit-Guasch

COMPLAINT CONTROL NUMBER: 22-AS-20240214122109

FACILITY NAME:	NORA'S PLACE 1		FACILITY NUMBER:	306005765
ADMINISTRATOR:	AVENDANO, REINER		FACILITY TYPE:	740
ADDRESS:	25612 ADRIANA STREET		TELEPHONE:	(949) 273-9951
CITY:	MISSION VIEJO	STATE: CA	ZIP CODE:	92691
CAPACITY:	6	CENSUS: 6	DATE:	02/27/2024
		UNANNOUNCED	TIME BEGAN:	04:00 PM
MET WITH:	Reiner Avendano, Licensee		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Staff do not maintain facility in good repair.

INVESTIGATION FINDINGS:

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On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of delivering findings into the investigation of the allegation listed above. LPA was greeted and granted entry by facility staff after stating the purpose of the visit.

An initial complaint investigation took place on February 21, 2024. LPA accompanied by administrator conducted a tour of the facility's physical plant and observed the presence of Caution tape around the outdoor patio structure as well as wear and tear and rot on the patio structure. Administrator states that access has been restricted pending repairs.

Following the visit, facility staff provided LPA with a copy of email and text messages between the licensee and the landlord for the property the facility is licensed at demonstrating that damage to the structure had been flagged on December 14, 2022.
CONTINUED ON FORM LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Sheila Santos	TELEPHONE: (714) 334-2062
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch	TELEPHONE: (714) 497-8754
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2024

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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Control Number 22-AS-20240214122109

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: NORA'S PLACE 1	FACILITY NUMBER: 306005765
	VISIT DATE: 02/27/2024

NARRATIVE

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CONTINUED FROM FORM LIC9099
Regarding the allegation that Staff do not maintain facility in good repair, the following has been concluded: Based on observation, interviews and a review of records, it was established that there is currently extensive damage to parts of the backyard patio structure and roof carpentry. It appears however that facility staff did their due diligence by informing the landlord of the situation as early as December 12, 2022 and followed up when an extensive weather event worsened the damage in early February 2024. A review of the current lease agreement did not evidence clearly the chain of liability for the damage. As a result, the allegation is found to be Unsubstantiated, meaning that although the allegation listed may have happened or is valid, there is not sufficient evidence to demonstrate that the alleged violation occurred.

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

SUPERVISOR'S NAME: Sheila Santos	TELEPHONE: (714) 334-2062
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch	TELEPHONE: (714) 497-8754
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2024

LIC9099 (FAS) - (06/04)

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