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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006370
Report Date: 03/27/2026
Date Signed: 03/27/2026 03:45:59 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
02/21/2025 and conducted by Evaluator Alvaro Ramirez Jr.
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250221100457

FACILITY NAME:SEIFERT HOMES INC. - IMPERIALFACILITY NUMBER:
306006370
ADMINISTRATOR:SEIFERT, DEBORAHFACILITY TYPE:
735
ADDRESS:9292 IMPERIAL AVE.TELEPHONE:
(714) 741-4933
CITY:GARDEN GROVESTATE: CAZIP CODE:
92844
CAPACITY:6CENSUS: 5DATE:
03/27/2026
UNANNOUNCEDTIME BEGAN:
01:51 PM
MET WITH:Adriana Flores-Caregiver, Deborah Seifert-AdministratorTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Unlawful eviction
Facility staff did not allow client visitors
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on the above allegations received on February 21, 2025. LPA was greeted and granted entry into the facility and met with Caregiver Adriana Flores. LPA explained the reason for the visit. Administrator (AD) Deborah Seifert arrived shortly after.

This Department has investigated the complaint alleging that client received an unlawful eviction. Regarding the allegation the following was revealed: During the investigation LPA reviewed the Seifert Homes Inc 30-Day Eviction dated February 6, 2025, for Client 1 (C1). Per Eviction notice, C1 was given the Eviction Notice because the client's needs cannot be met by the facility. During the interviews with clients, Client 1 (C1) reported that he is not sure if he received an unlawful eviction. During the interviews with witnesses, Witness 1 (W1) reported that C1 was not given an unlawful eviction and stated that the Licensee did not want C1 to move but she knew that he had to be moved to an Assisted Living. During the interviews AD reported that C1 did not receive an unlawful eviction. Per AD, C1 needs a higher level of care.
CONTINUED ON LIC9099-C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 22-AS-20250221100457
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: SEIFERT HOMES INC. - IMPERIAL
FACILITY NUMBER: 306006370
VISIT DATE: 03/27/2026
NARRATIVE
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Regarding the allegation that facility staff did not allow client visitors, the following was revealed: LPA reviewed documents including the Seifert Homes Inc Admission Agreement dated January 3, 2025. Per Admission Agreement, under visiting hours it states we are flexible regarding visiting hours, but please be aware of the time of day/night and roommates. During the interviews with clients, C1 reported that his mother and friends are allowed to visit. During the interviews with staff, Staff 1 (S1) reported that C1's mother was allowed to visit C1. During the interviews AD reported that C1 is able to have visitors.

Based on the information gathered during the investigation and review of documents obtained, 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.

For today’s visit, there were no citations issued per Title 22, Division 6 of the California Code of Regulations.

LPA conducted an exit interview with AD Seifert, and a copy of this report was provided to the facility.

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2026
LIC9099 (FAS) - (06/04)
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