565850342-8-28-2024-29-AS-DPEA-D8KNA6-20240828101702

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565850342
Report Date: 08/21/2024
Date Signed: 08/28/2024 10:04:18 AM

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
07/26/2024 and conducted by Evaluator Zabel Chochian

COMPLAINT CONTROL NUMBER: 29-AS-20240726172823

FACILITY NAME:	AMYLEW MANOR 2		FACILITY NUMBER:	565850342
ADMINISTRATOR:	SORATORIO, EMMANUEL		FACILITY TYPE:	735
ADDRESS:	1138 MELITO DR		TELEPHONE:	(805) 890-0597
CITY:	OXNARD	STATE: CA	ZIP CODE:	93030
CAPACITY:	6	CENSUS: 6	DATE:	08/21/2024
		UNANNOUNCED	TIME BEGAN:	02:45 PM
MET WITH:	Amalia Soratorio, Co-Administrator		TIME COMPLETED:	03:11 PM

ALLEGATION(S):

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Staff are not adequately trained
Staff falsified resident records
Residents are being financially abused by the licensee

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to the facility. The purpose of the visit is to deliver investigation finding. Upon arrival LPA met with Ms. Soratorio and LPA explained the reason for the visit.

On 07/26/2024, Community Care Licensing Division received the above complaint allegations. Information was provided that the staff are not trained adequately; staff falsified records and residents are being financially abused by licensee. Following is a summary of the investigation finding:

Initial complaint visit was conducted on 08/03/2024. At approximately 11:52p.m, LPA and staff toured facility upon arrival. Between 12:30 p.m. - 1p.m. LPA interviewed two (2) staff and reviewed staff files. From approximately 1p.m.-1:30p.m. LPA reviewed resident records. At 1:30 p.m. Assistant Administrator Amalia Soratorio was interviewed. LPA discussed allegations and reviewed resident P&I cash with administrator. Staff interviews and records reviewed confirmed training for staff was adequate. (Continue to LIC9099c)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:	DATE: 08/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2024

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 29-AS-20240726172823

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: AMYLEW MANOR 2	FACILITY NUMBER: 565850342
	VISIT DATE: 08/21/2024

NARRATIVE

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Staff 1 and 2 competed the required training and are receiving ongoing training.
Regarding allegation “staff falsified records” – Information provided lacked sufficient evidence to validate the allegation. Based on facility records reviewed and interview with staff and random resident there was lack of evidence to validate allegation at this time. Regarding allegation that “Residents are being financially abused by the licensee – LPA and administrator reviewed all P&I monies, records and interviewed random resident who were able to communicate. No discrepancies were found with residents P&I monies. Residents and other potential witnesses interviewed expressed no issues with the facility at this time. Licensee is not handling any other funds for residents.

Based on the above information gathered, although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the above allegations “Staff are not adequately trained, Staff falsified resident records, and Residents are being financially abused by the licensee” are deemed unsubstantiated at this time.

Exit interview conducted. A copy of the report was emailed.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:	DATE: 08/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2024

LIC9099 (FAS) - (06/04)

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