306006403-7-22-2026-22-AS-KSGH-DWAVND-20260724163455

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006403
Report Date: 07/22/2026
Date Signed: 07/22/2026 03:04:13 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
02/05/2025 and conducted by Evaluator Hanna Gough

COMPLAINT CONTROL NUMBER: 22-AS-20250205110830

FACILITY NAME:	ENDOR CARE HOME		FACILITY NUMBER:	306006403
ADMINISTRATOR:	GARCIA, CRYSTAL		FACILITY TYPE:	735
ADDRESS:	760 S. FAIRWAY LANE		TELEPHONE:	(714) 300-9512
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92807
CAPACITY:	6	CENSUS: 3	DATE:	07/22/2026
		UNANNOUNCED	TIME BEGAN:	01:28 PM
MET WITH:	Darrell Tormis		TIME COMPLETED:	03:05 PM

ALLEGATION(S):

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Facility is locking client in the bedroom

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct an investigation for the above mentioned complaint allegation. LPA was greeted and granted entry by staff. LPA met with Direct Support Professional (DSP) Darrell Tormis. DSP called Administrator (AD) Mitra Dixon and discussed the purpose of the visit. AD informed LPA that they are out of town and DSP can assist with the visit.
The investigation into the facility allegation of Facility is locking client in the bedroom revealed the following: It was alleged that Client #1 (C1) was being locked inside their bedroom due to their behaviors by facility staff. The Department did not observe a completed file at the facility for C1. LPA reviewed an Individual Program Plan (IPP) dated November 6, 2024, stating that C1 has aggressive behaviors with property destruction and emotional outbursts. LPA reviewed facility notes starting January 11, 2025, through January 21, 2025, that did not give any indication that C1 was locked in their room.

Continue on LIC9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Hanna Gough
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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Control Number 22-AS-20250205110830

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: ENDOR CARE HOME	FACILITY NUMBER: 306006403
	VISIT DATE: 07/22/2026

NARRATIVE

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The Department interviewed 4 staff. 2 of 4 staff denied the allegations. 2 of 4 staff did not confirm or deny the allegations. 1 of 4 staff informed LPA that C1 was at the facility from January 11, 2025, until February 2, 2025.

Interviews with Witness #1 (W1) revealed that they went to the facility multiple times and noted there were locks on 3 of 4 bedrooms doors. W1 informed the Department that they verified that 3 of 4 clients could unlock the doors themselves if they were locked.

The Department interviewed 3 of 3 clients in care and 2 of 3 denied the allegation. 1 of 3 did not confirm or deny the allegation.

LPA was unable to interview C1 due to no longer residing at the facility.

LPA reviewed 2 of 4 staff have updated training on behaviors. 1 of 4 staff has an active administrators certificate.

Based on information gathered and interviews conducted, the Department is unable to ascertain if the above allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the allegation is deemed UNSUBSTANTIATED. An exit interview was conducted and a copy of this report was left at the facility.

SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Hanna Gough
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

LIC9099 (FAS) - (06/04)

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