374604852-7-9-2025-08-AS-SMAZ-DN5PQN-20251105103125

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604852
Report Date: 07/09/2025
Date Signed: 07/09/2025 11:47:14 AM

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
07/01/2025 and conducted by Evaluator Renita Hall

COMPLAINT CONTROL NUMBER: 08-AS-20250701165359

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: 41	DATE:	07/09/2025
		UNANNOUNCED	TIME BEGAN:	09:48 AM
MET WITH:	Syed Majid, Administrator		TIME COMPLETED:	11:45 AM

ALLEGATION(S):

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Staff did not prevent a resident's sleep from being disturbed.
Staff made an inappropriate comment to a resident in care.
Staff yells at a resident in care.
Staff did not ensure that a resident's needs are being met.
Staff do not prevent resident from smoking in the facility
Staff went through resident's personal belongings without concent

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 visit and elements of the complaint to the Administrator.

During the visit, LPA conducted a tour of the facility and collected resident records and personnel records. On July 1, 2025, it was alleged that facility staff searched a resident's belongings without consent. Resident 1 (R1) acknowledged that staff searched their belongings but stated they were okay with the search and understood it was due to the facility's policy prohibiting drugs and alcohol. R1 reported that after relapsing with alcohol, staff discovered a bottle in their room and allegedly referred to R1 as an "alcoholic." Record review confirmed R1 has a history of alcohol use, which has resulted in aggressive behavior toward others.

Continued on 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2025

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-20250701165359

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: 07/09/2025

NARRATIVE

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Interviews with Resident 2 (R2) revealed that R1 verbally attacked them about smoking. R2 stated they had a cigarette in hand and were exiting the facility when the incident occurred. R2 further stated they exchanged words with R1 before walking away. R2 stated that R1 has a history of aggressive behavior toward them and others. R2 also reported observing R1 drinking across the street from the facility.

It was also reported that facility doors squeak. Staff interviews and observation revealed all doors had been repaired and no longer produced a squeaky sound. An additional allegation involved staff making inappropriate remarks to a resident. However, no specific details were provided. Interviews with staff and residents did not reveal any concerns or evidence to support this allegation. It was alleged that staff raised their voices at residents. Interviews with multiple residents and staff did not confirm this behavior. LPA observations showed staff interacting respectfully with residents.

Concerns were raised regarding the Administrator working extended days. While the Administrator confirmed working longer hours due staffing shortages, residents interviews did not indicate this impacted staff behavior or caused stress leading to inappropriate conduct. An allegation regarding unmet resident needs lacked specific examples. Other residents interviewed stated that staff are responsive and provide assistance as needed.

Concerns were also noted regarding smoking practices. Observations showed that residents were smoking outside the building, including in the front of the facility and on the patio. Signs are posted indicating "No Smoking" inside the building, including signage at the front door before entry. Concerns regarding restroom use by gender were also reviewed. The facility does not have a mandated gender-specific bathroom policy. Some signage is present, but staff allow residents to use any available restroom. No resident rights violations were noted related to bathroom use.

Based on interviews, observations, and record reviews, all allegations are unsubstantiated. There is not enough evidence to support that the alleged violations occurred as reported. This means that although the allegations may have occurred or are valid concerns, there is not a preponderance of evidence to prove that the alleged violations 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 his signature on this report confirms receipt of the Licensee Rights.

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2025

LIC9099 (FAS) - (06/04)

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