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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005892
Report Date: 05/14/2025
Date Signed: 05/14/2025 10:16:12 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
05/24/2023 and conducted by Evaluator Victoria Bertozzi
COMPLAINT CONTROL NUMBER: 22-AS-20230524133635
FACILITY NAME:FIRST LIGHT RECOVERY LLCFACILITY NUMBER:
306005892
ADMINISTRATOR:DEVORE, JENNIFERFACILITY TYPE:
772
ADDRESS:31211 CASA GRANDE DRIVETELEPHONE:
(407) 616-8872
CITY:SAN JUAN CAPISTRANOSTATE: CAZIP CODE:
92675
CAPACITY:6CENSUS: DATE:
05/14/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Administrator, Jennifer DevoreTIME COMPLETED:
10:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility Staff member lacks required training.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Manager Victoria Bertocontacted facility to deliver findings regarding the above mentioned complaint allegation and spoke with Jennifer Devore.

Facility Staff member lacks required training - Complaint alleges that facility was found to be out of compliance with Title 9 regulatory requirements in which one (1) employee was found to lack 20 hours of in-service training. Complaint did not identify the individual who is lacking the training. Title 22 regulations does not identify a specific amount of in-service training hours required. Annual inspection conducted 10/31/2024 included staff file review and indicated that all staff had required training.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies cited.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carla Martinez
LICENSING EVALUATOR NAME: Victoria Bertozzi
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2025
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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