306006403-3-10-2026-22-AS-AORZ-DSP23H-20260330170222

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006403
Report Date: 03/10/2026
Date Signed: 03/10/2026 03:30:28 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
01/12/2026 and conducted by Evaluator RoseMarie Ruppert

COMPLAINT CONTROL NUMBER: 22-AS-20260112153914

FACILITY NAME:	ENDOR CARE HOME		FACILITY NUMBER:	306006403
ADMINISTRATOR:	DIXON, MITRA		FACILITY TYPE:	735
ADDRESS:	760 S. FAIRWAY LANE		TELEPHONE:	(714) 300-9512
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92807
CAPACITY:	6	CENSUS: 3	DATE:	03/10/2026
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Staff #1 (S1) for Mitra Dixon		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Staff did not prevent resident from physically abusing another resident.
Staff threatened resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to investigate a complaint received in the Regional Office. LPA was greeted and granted entry by Staff #1 (S1) at 1:30pm. At time of visit, two of the three clients were at Adult Day Program and one client was relaxing in the bedroom.

It was alleged that Staff did not prevent resident from physically abusing another resident. LPA interviewed three of three clients. Two of three clients stated the statement was not true. An incident occurred between Client #1 (C1) and Client #2 (C2) in December 2025. In the middle of the night, C1 went into C2's room and scratched C2. Staff were not told about this until the next morning when C2 told staff. LPA asked C1 and C2 about the incident and C1 did not wish to speak about it and C2 did not remember. Staff encouraged C2 to speak up when an incident occurs so staff can assist. LPA also interviewed two of two staff members who stated that staff were not aware of the incident until after the fact and denied the statement that staff did not prevent resident from physically abusing another resident. Thus the allegation is Unsubstantiated. (Continued on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026

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-20260112153914

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: 03/10/2026

NARRATIVE

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(Continued from LIC 9099)

It was alleged that Staff threatened resident. LPA interviewed three of three clients. One of three clients stated there used to be a male staff member who was not nice, but that person no longer works at the facility. Two of three clients denied that staff threatened them. Two of two staff members also were asked if Staff threatened resident. Two of two staff denied this allegation.

LPA also confirmed that an incident between Client #1 and a former staff member occurred in January. The staff member no longer works at the facility

Based on LPA record review and interviews, the allegations that Staff did not prevent resident from physically abusing another resident and Staff threatened resident are Unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026

LIC9099 (FAS) - (06/04)

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