306006728-6-17-2026-22-AS-PMAA-DVJLJU-20260630084832

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006728
Report Date: 06/17/2026
Date Signed: 06/17/2026 03:42:31 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
04/24/2026 and conducted by Evaluator Alvaro Ramirez Jr.

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20260424093154

FACILITY NAME:	VIOLET RESIDENTIAL CARE 2		FACILITY NUMBER:	306006728
ADMINISTRATOR:	AMURAO,VIOLETA		FACILITY TYPE:	740
ADDRESS:	2015 WEST SAINT ANNE PLACE		TELEPHONE:	(310) 972-0128
CITY:	SANTA ANA	STATE: CA	ZIP CODE:	92704
CAPACITY:	6	CENSUS: 5	DATE:	06/17/2026
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Rome Nabong-Caregiver, Violeta Amurao-Administrator		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff did not provide a safe environment for the resident.
Staff did not safeguard resident's personal belongings.
Staff did not report incident to resident's responsible party.

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 April 24, 2026. LPA was greeted and granted entry into the facility and met with Administrator (AD) Violeta Amurao. LPA explained the reason for the visit.

This Department has investigated the complaint alleging that staff did not provide a safe environment for the resident. Regarding the allegation the following was revealed: During the interviews with individuals four of six denied the allegations. During the investigation LPA reviewed the Unusual Incident/Injury Report (UIIR) dated April 23, 2026, for Resident 1 (R1). Per UIIR, on April 20, 2026, R1 claimed that R2 hit her on the left side on her face. Per UIIR, Staff 1 (S1) reported that he observed both residents standing apart and stated that he did not hear any yelling or disturbance. During the interviews with residents, R1 reported that she does not feel safe because R2 grabbed her walker and shoved her back while slapping her in the face. Per R2 and R3, they feel safe and/or reported that staff are attentive with the residents.
CONTINUED ON LIC9099-C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:	DATE: 06/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026

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-20260424093154

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: VIOLET RESIDENTIAL CARE 2	FACILITY NUMBER: 306006728
	VISIT DATE: 06/17/2026

NARRATIVE

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Regarding the allegation that staff did not safeguard resident's personal belongings, the following was revealed: During the interviews with residents, R1 reported that R2 tried to take her walker away. Per R2 and R3, staff always safeguard their personal belongings. During the interviews with staff, S1 reported that R2 did not take away R1's walker. Per AD, R2 did not take away the walker from R1. AD reported that if R2 had hit R1 that R1 would have bruises.

Regarding the allegation that staff did not report incident to resident's responsible party, the following was revealed: LPA reviewed the UIIR for R1. Per UIIR, the unwitnessed incident was reported to R1 and R2's daughters. During the interviews with residents, R1 reported that she is not aware if the AD notified her family. Per R2 and R3, staff report incidents to their family. During the interviews the AD reported that she talked to both residents' daughters.

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 Amurao, 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: 06/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026

LIC9099 (FAS) - (06/04)

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