374604852-10-28-2025-08-AS-RCLK-DNSQHQ-20251126111130

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604852
Report Date: 10/28/2025
Date Signed: 10/28/2025 04:50:43 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
09/04/2025 and conducted by Evaluator Arian Golbakhsh

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20250904163416

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: 42	DATE:	10/28/2025
		UNANNOUNCED	TIME BEGAN:	03:40 PM
MET WITH:	Administrator Deborah Alvarado		TIME COMPLETED:	04:50 PM

ALLEGATION(S):

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Facility staff threatened to evict residents unlawfully.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced visit to conduct a complaint investigation and delivered findings regarding the above mentioned allegation. LPA was welcomed by, identified themselves to, and discussed the purpose of their visit to Administrator Deborah Alvarado.

On 09/04/2025, the Department received a complaint where it was alleged that several residents at the facility were being threatened with eviction if they did not switch over to the facility's in-house medical providers. The Department’s investigation consisted of unannounced facility visits, records review, and interviews with staff, residents, and outside sources.

[Continued on LIC 9099-C]

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Arian Golbakhsh
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025

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-20250904163416

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: 10/28/2025

NARRATIVE

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[Continued from LIC 9099]

Based on staff interviews, instruction of threatening residents with eviction was communicated to staff, however the actual threat of eviction was never actually passed along to the residents. Staff interviews corroborated that eviction notices were not issued. During LPA's initial visit to the facility, LPA observed the "Active Evictions" list in the office, and the names on that list did not match any of those listed in the complaint. Interviews with the residents named in the complaint revealed that they had not been issued any instructions to change their medical providers and most were able to name their primary care physician and psychiatrist. One (1) resident did state they had seen the facility's psychiatrist once at the request of staff, but afterwards indicated they did not like the provider and wanted to continue seeing their established provider. An additional staff interview revealed that the medical providers are not contracted with the facility, but rather simply have established rapport with the facility and population of residents, which makes for ease of obtaining medication refills and scheduling visits. Per the interview, residents always have to the choice to see an outside provider, and that the in-house providers are an option should a resident wish to be seen sooner.

File review of resident records revealed that four (4) residents had inconsistencies of who they stated they see for appointments and who was listed on their record as their provider. File review of the appointment sheet documented that several residents refused appointments with the doctor, including three (3) of the four (4) who had that provider listed as their doctor on their records. The fourth resident was not included on the appointment list at all. Outside sources interviewed corroborated that residents normally see the facility in-house doctors. One (1) however did raise concerns about not being notified of resident medical appointments and billing inconsistencies, but had no concerns about resident care.

Based on interviews and records review, while the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred – therefore the allegation has been determined to be UNSUBSTANTIATED. An exit interview was conducted with Administrator Alvarado to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Arian Golbakhsh
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025

LIC9099 (FAS) - (06/04)

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