306006403-3-25-2026-22-AS-APAO-DSZ3LL-20260409182055

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006403
Report Date: 03/25/2026
Date Signed: 03/25/2026 04:12:50 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
03/19/2026 and conducted by Evaluator Hanna Gough

COMPLAINT CONTROL NUMBER: 22-AS-20260319083445

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:	03/25/2026
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Mitra Dixon		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff do not provide a safe environment for resident in care

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct an investigation into the above mentioned complaint allegations. LPA was greeted and granted entry by staff. LPA met with facility Manager Darin Peterson and discussed the purpose of the visit.

The investigation into the facility allegation of Staff do not provide a safe environment for resident in care revealed the following: It was alleged that there is a potential ongoing safety concern at the facility regarding clients in care. LPA reviewed client files and observed Client #1 (C1) has a physicians report dated November 26, 2024, that states C1 is able to communicate their needs and is able to follow simple instructions. LPA reviewed Client #2(C2) physicians report dated June 11 2025, that states C2 has no problem communicating their needs and is able to follow instructions. LPA reviewed Client #3 (C3) physicians report dated September 18, 2025, stating that C3 has no problem communicating their needs and is able to follow instructions.
Continue on LIC9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Hanna Gough
LICENSING EVALUATOR SIGNATURE:	DATE: 03/25/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 2

Control Number 22-AS-20260319083445

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: 03/25/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

During interviews it was revealed by 3 of 3 clients that they are not concerned for their safety at the facility. 2 of 3 clients informed LPA that they have no complaints or concerns. 2 of 2 staff informed LPA that they have not been told by clients that they fear for their safety at the facility. 1 of 2 staff informed LPA that they are confident the clients in care would express their issues of concern if they had any with facility staff.

LPA reviewed staff training and 1 of 2 staff have updated client rights training dated January 9, 2026. 1 of 2 staff have their Administrators certificate with an expiration date of June 29, 2027.

Based on interviews and record review, the Department is unable to ascertain if the above allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the allegations are deemed UNSUBSTANTIATED.

An exit interview was conducted and a copy of this report was left at the facility.

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Hanna Gough
LICENSING EVALUATOR SIGNATURE:	DATE: 03/25/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 2