306005891-6-2-2026-22-AS-APAO-DUQ6CY-20260603204220

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005891
Report Date: 06/02/2026
Date Signed: 06/02/2026 01:25:46 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
07/09/2024 and conducted by Evaluator Cassandra Mikkelson

COMPLAINT CONTROL NUMBER: 22-AS-20240709154039

FACILITY NAME:	NANTUCKET HOME		FACILITY NUMBER:	306005891
ADMINISTRATOR:	CANDIAS, JACOB		FACILITY TYPE:	737
ADDRESS:	1051 NANTUCKET ST.		TELEPHONE:	(562) 267-0102
CITY:	LA HABRA	STATE: CA	ZIP CODE:	90631
CAPACITY:	3	CENSUS:	DATE:	06/02/2026
		UNANNOUNCED	TIME BEGAN:	01:20 PM
MET WITH:			TIME COMPLETED:	01:40 PM

ALLEGATION(S):

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Facility failed to ensure clients were given the same rights, protections, and responsibilities as all other persons.

Facility failed to report the use of physical restraints, and other incidents.

Facility failed to ensure staff completed training and testing requirements.

INVESTIGATION FINDINGS:

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On 06/02/2026, Licensing Program Analyst (LPA) contacted the licensee via phone and email to deliver final findings regarding a complaint that was received on 07/09/2024.

**Continued on 9099-C page

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cassandra Mikkelson
LICENSING EVALUATOR SIGNATURE:	DATE: 06/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2026

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-20240709154039

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: NANTUCKET HOME	FACILITY NUMBER: 306005891
	VISIT DATE: 06/02/2026

NARRATIVE

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Facility failed to ensure clients were given the same rights, protections, and responsibilities as all other persons.

Based on the information obtained during the course of the investigation, the Department is unable to determine the validity of the allegation listed above. Therefore, the allegation listed is unsubstantiated.

Facility failed to report the use of physical restraints, and other incidents.

Facility failed to ensure staff completed training and testing requirements.

Based on the records reviewed, it indicated that training was completed by staff. Staff also had completed direct support professional training as part of their hiring. The Department is unable to determine the validity of the allegation based on the information obtained. Therefore, the allegation listed is unsubstantiated.

A finding that a complaint allegation is unsubstantiated means that, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Licensee was advised a copy of this report will be sent via certified mail. Two copies of this report will be sent. The Licensee is to sign and return a copy to the Orange County Regional office.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cassandra Mikkelson
LICENSING EVALUATOR SIGNATURE:	DATE: 06/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2026

LIC9099 (FAS) - (06/04)

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