306005796-3-12-2026-22-AS-APAO-DS55UX-20260312201638

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005796
Report Date: 03/10/2026
Date Signed: 03/12/2026 11:06:52 AM

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
07/25/2024 and conducted by Evaluator Alvaro Ramirez Jr.

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20240725092418

FACILITY NAME:	ACTIVCARE ORANGE		FACILITY NUMBER:	306005796
ADMINISTRATOR:	VANESSA VALENCIA		FACILITY TYPE:	740
ADDRESS:	2629 E. CHAPMAN AVENUE		TELEPHONE:	(714) 215-9944
CITY:	ORANGE	STATE: CA	ZIP CODE:	92869
CAPACITY:	0	CENSUS: 0	DATE:	03/10/2026
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Facility closed		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Staff leave residents unattended for extended periods.
Staff leave residents soiled for extended periods.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. attempted to contact Licensee Representative: Todd Shetter, via telephone on March 10, 2026; March 11, 2026; and March 12, 2026, due to the facility being closed effective May 16, 2025. LPA Ramirez left three voicemails for Licensee Representative; however, no call was returned to LPA. The purpose of the call was to deliver findings on the above allegations.

This agency has investigated the complaint alleging that staff leave residents unattended for extended periods. During the interviews with staff, Staff 1 (S1) reported that staff do not leave the residents unattended for extended periods. S2 and S3 stated that they have not seen staff leave the residents unattended for extended periods. During the investigation LPA reviewed documents including the Activcare Orange employee handbook. Per employee handbook, under Personal Telephone calls it states while on duty you are expected to perform your job assignment…personal cellphones must remain turned off while on duty. During the interviews the AD stated that staff have never left the residents unattended for extended periods. Per AD, cellphones are not allowed on the floor.
CONTINUED ON LIC9099-C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026

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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Control Number 22-AS-20240725092418

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: ACTIVCARE ORANGE	FACILITY NUMBER: 306005796
	VISIT DATE: 03/10/2026

NARRATIVE

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Regarding the allegation that staff leave residents soiled for extended periods, the following was revealed: During the interviews with staff, S1 reported that staff do not leave residents soiled for extended periods. S1 stated that staff check on the residents’ diapers every 15 minutes or as needed. S2 reported that staff check on the residents’ diapers every one to two hours. Per S3, staff have never left the residents soiled for six hours or more. S3 reported that no residents have developed infections since staff check on the residents often. During the interviews the AD stated that staff have not left the residents soiled for extended periods. Per AD, no resident has developed an infection or rash.

Based on the information gathered during the investigation, LPA is unable to ascertain if the allegations occurred as reported due to conflicting information. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove or refute the alleged violations occurred; therefore, these allegations are deemed UNSUBSTANTIATED.

The facility has been closed effective May 16, 2025. Attempts to reach Licensee Representative Todd Shetter to conduct an exit interview were unsuccessful. A copy of this report will be mailed via certified mail to the Licensee’s last known address.

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2026

LIC9099 (FAS) - (06/04)

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