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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850342
Report Date: 09/15/2023
Date Signed: 09/15/2023 02:44:06 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 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
09/13/2023 and conducted by Evaluator Teresa Camara
COMPLAINT CONTROL NUMBER: 29-AS-20230913082131
FACILITY NAME:AMYLEW MANOR 2FACILITY NUMBER:
565850342
ADMINISTRATOR:SORATORIO, EMMANUELFACILITY TYPE:
735
ADDRESS:1138 MELITO DRTELEPHONE:
(805) 890-0597
CITY:OXNARDSTATE: CAZIP CODE:
93030
CAPACITY:6CENSUS: 6DATE:
09/15/2023
UNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Amalia SoratorioTIME COMPLETED:
02:24 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Uncleared staff working at the facility.
Facility staff are untrained.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Teresa Camara conducted an initial complaint investigation visit. LPA met with co-administrator Amalia Soratorio and explained the reason for the visit.

LPA reviewed the staff schedule and staff training records starting at 1:09 p.m. All staff on schedule have criminal background clearances and are associated with this facility. LPA spoke with staff 1 (S1) at 1:39 p.m. and staff 2 (S2) at 1:42 p.m. Both S1 and S2 confirmed there are no other staff who work at the facility other than those on the staff schedule. LPA reviewed the training records and found the training for all staff was sufficient.

No deficiencies were observed. Exit interview conducted and report issued.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Teresa Camara
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023
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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