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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 345920436
Report Date: 07/21/2026
Date Signed: 07/21/2026 01:22:44 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/08/2026 and conducted by Evaluator Talwinder Bains
COMPLAINT CONTROL NUMBER: 59-AS-20260608115929
FACILITY NAME:D'VILLA NUEVA SENIOR LIVINGFACILITY NUMBER:
345920436
ADMINISTRATOR:DIZON, MARIA SUSIEFACILITY TYPE:
740
ADDRESS:6487 MAIN AVENUETELEPHONE:
(916) 817-1672
CITY:ORANGEVALESTATE: CAZIP CODE:
95662
CAPACITY:49CENSUS: 25DATE:
07/21/2026
UNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Nurse, LVN, Flerida Manarang TIME COMPLETED:
01:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff are not ensuring that residents’ needs are not being met.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 7/21/26, Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced and met with Nurse, LVN, Flerida Manarang to deliver complaint ifindings into allegations listed above. LPA spoke with administrator, Susie Dizon via phone regarding today's visit.

The Department conducted interviews with staff and residents and reviewed records to investigate the allegation. Department conducted interviews with Administrator, three staff, and three residents to investigate this allegation. Resident interviews reflected that staff were providing care per their needs and service plan and there were no issues. Record review reflected that facility has adequate staffing to meet all residents’ needs. Staff interviews indicated that they were providing care to residents per their needs and service plan without any issues and keeping documentation as needed. Regarding issue related to resident, R1 where it was alleged that staff were not assisting R1 with their care needs, it was learnt that per R1s therapy recommendations, staff should be using Hoyer lift with 2 person assist for R1s transfers and should not manually transfer R1. Interviews indicated R1 refused to use Hoyer and wanted staff to manually lift them while transferring. Staff could not accommodate R1s request for manual transfers to ensure the safety for everybody. During the investigation, it was learnt that R1 agreed with therapy recommendation and will use Hoyer lift with 2 person assist and this issue has been resolved. Based on this information, this allegation is Unsubstantiated. A finding that a complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview conducted. Copy of the report provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2026
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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