374604852-6-19-2025-08-AS-APAO-DKW6CK-20250825204139

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604852
Report Date: 06/19/2025
Date Signed: 06/19/2025 01:44:41 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/17/2025 and conducted by Evaluator Renita Hall

COMPLAINT CONTROL NUMBER: 08-AS-20250617084353

FACILITY NAME:	ORANGE WOOD MANOR		FACILITY NUMBER:	374604852
ADMINISTRATOR:	ALVARADO, DEBORAH		FACILITY TYPE:	735
ADDRESS:	1202 SOUTH ORANGE		TELEPHONE:	(619) 440-0121
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92020
CAPACITY:	56	CENSUS: 40	DATE:	06/19/2025
		UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Debbie Alvarado, Administrator		TIME COMPLETED:	01:50 PM

ALLEGATION(S):

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Staff does not ensure to provide a safe environment for residents in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Renita Hall conducted an unannounced visit to initiate a complaint investigation regarding the above-mentioned allegation and deliver findings. The Administrator allowed LPA entry. LPA identified herself and disclosed the purpose of the visit and elements of the complaint to the Administrator.

On June 17, 2025, the Department received a complaint alleging that staff do not ensure a safe environment for residents in care. The investigation consisted of a tour of the facility, interviews, review of records. When LPA contacted the Reporting Party (RP) for additional information regarding the complaint, the RP stated that they wished to cancel the complaint, as the individual had not returned and the yelling was no longer occurring. LPA informed the RP that, per Department policy, the investigation would still be conducted. The RP acknowledged and understood.

Continued on 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 06/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025

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 08-AS-20250617084353

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: ORANGE WOOD MANOR	FACILITY NUMBER: 374604852
	VISIT DATE: 06/19/2025

NARRATIVE

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Resident 1 (R1) reported that Resident 2 (R2) has an individual who yells outside the window at different times of the day, which R1 finds disturbing. The facility responded to the concern and addressed the behavior with R2. Staff confirmed that the individual yelling at R2 to come outside has not entered the facility premises nor made any verbal threats.

Interviews were conducted with other residents some heard the disturbance but have not heard it in a few days and no safety concerns or similar disturbances were reported. Staff have taken appropriate action, and there have been no further incidents.

LPA interviewed Resident 2 (R2) regarding concerns of an individual yelling outside the facility. R2 stated that the person yelling over the fence is their boyfriend. R2 shared that they have asked the individual to stop yelling for them to come outside, as Resident 1 (R1) mentioned they were considering filing a restraining order due to the disruption and annoyance caused by the yelling. R2 confirmed that the individual does not enter the facility property and does not wish to do so. R2 further stated that they now meet with the individual off-site at a nearby park at 5:30 p.m. to avoid further issues.

Based on interviews and record review, the allegation is unsubstantiated. A finding that is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred.

An exit interview was conducted with the Administrator. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided to the Administrator, and her signature on this report confirms receipt of the Licensee Rights.

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 06/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025

LIC9099 (FAS) - (06/04)

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