425801376-3-13-2026-29-AS-KBUY-DSK4MX-20260326191417

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 425801376
Report Date: 03/13/2026
Date Signed: 03/13/2026 03:37:19 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/06/2026 and conducted by Evaluator Mark Jeffries

COMPLAINT CONTROL NUMBER: 29-AS-20260206152931

FACILITY NAME:	LE-NA' RESIDENTIAL #4		FACILITY NUMBER:	425801376
ADMINISTRATOR:	ESTELLA USHER		FACILITY TYPE:	735
ADDRESS:	151 PATTERSON ROAD		TELEPHONE:	(805) 934-2167
CITY:	ORCUTT	STATE: CA	ZIP CODE:	93455
CAPACITY:	4	CENSUS: 4	DATE:	03/13/2026
		UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Assistant Administrator, Esther Vaccaro		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff do not treat resident equally to other residents in care.
Staff yell at resident in care.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

At 11:15am on 03/13/2026 Licensing Program Analyst (LPA) Jeffries arrived to the facility unannounced to deliver the final findings to both of the allegations to this complaint. LPA met with Assistant Administrator, Esther Vaccaro announced who he is and the reason for the visit. LPA contacted Administrator Estella Usher for authorization over the phone.

As to the allegation of, “Staff do not treat resident equally to other residents in care.” And “Staff yell at resident in care.” It was alleged that on 02/06/2026, Administrator yelled at Client 1 (C1) in care and then took 2 of 3 clients in care to dinner leaving C1 all alone. It was discovered through interviews, documentation, and admission on 02/12/2026, LPA Jeffries conducted an interview with Administrator Estella Usher, who stated that on 02/06/2026 Administrator told C1 that the cake mix that C1 was attempting to maek was for the facility Super Bowl party that was going to take place during the Super Bowl on 02/08/2026, two days later.
CONTINUED on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Mark Jeffries
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 2

Control Number 29-AS-20260206152931

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: LE-NA' RESIDENTIAL #4	FACILITY NUMBER: 425801376
	VISIT DATE: 03/13/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Administrator stated that C1 got upset and began arguing with Administrator and eventually ended up going to the C1’s room. Administrator denied yelling at C1 during the incident. Administrator stated that clients can refuse to go on outings and C1 has refused to go with specific staff when taking clients on outings but did not recall any specific outing for dinner that C1 did not go on or refuse to go. On 02/12/2026, LPA conducted an interview with Staff 1 (S1) who was working on 02/06/2026, S1 stated that C1 was upset about the lack of attention C1 was getting from a male staff prior to the cake mix incident. S1 stated that Administrator did not raise voice with C1 and only told C1 that the cake mix was for the facility’s Super Bowl party and provided C1 with alternative food choices. S1 stated that C1 got further upset and went to C1’s room. S1 stated that C1 refused to go on the outing often because of specific staff not working during the outings. S1 stated that C1 has never been refused to go on outing by staff. S1 stated that C1 chooses to refuse to go on outings depending on which staff are working. S1 stated that staff will remain at the house when C1 refused to go on outing. On 02/12/2026, LPA attempted to interview C1, C1 shook head in side to side in the negative when asked if staff or administrator has ever yelled at C1, C1 was reluctant to answer additional questions and refused to answer any other questions during the interview. On 02/12/2026, LPA conducted an interview with S2, S2 stated that they have never heard or seen the Administrator yell as clients in care. S2 stated that staff do not prevent any clients from going on outings. S2 stated that C1 has refused to go on outings in the past. On 02/12/2026, LPA interviewed C2, C2 stated that Administrator does not yell at C2 or other clients. C2 stated that they go on outings when they (Clients) want to go. On 02/12/2026, LPA collected staff training documentation and noted that all staff are up to date on regulated training hours. At this time there is not enough evidence to support the allegations of, “Staff do not treat resident equally to other residents in care.” And “Staff yell at resident in care.” And both are unsubstantiated at this time.

Exit interview, report read, and report provided.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Mark Jeffries
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 2