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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006149
Report Date: 07/22/2026
Date Signed: 07/22/2026 01:46:49 PM

Unfounded


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
07/14/2026 and conducted by Evaluator Jerome Haley
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20260714081727
FACILITY NAME:CARE CONNECTIONFACILITY NUMBER:
306006149
ADMINISTRATOR:GILBERT, ERICFACILITY TYPE:
740
ADDRESS:416 S JENNIFER LANETELEPHONE:
(714) 289-2273
CITY:ORANGESTATE: CAZIP CODE:
92869
CAPACITY:6CENSUS: 5DATE:
07/22/2026
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Eric GilbertTIME COMPLETED:
01:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not respond to authorized representatives request for residents records
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Jerome Haley made an unannounced visit regarding the complaint allegation above. LPA was greeted by staff and explained the reason for the visit upon entry.

Regarding the allegation above, 4 of 4 individuals could not provide any evidence or supporting information to corroborate the complaint allegation. During the pre-investigation, it was discovered there’s no information regarding what was requested from the facility or when information was requested from the facility.

Based on the information gathered during through interviews, the allegation is deemed Unfounded, meaning the allegation is false, could not have happened and/or is without a reasonable basis.
An exit interview was conducted, and a copy of this report was provided.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2026
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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