565850342-9-26-2024-29-AS-DPEA-D9LR5J-20240930124309

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565850342
Report Date: 09/26/2024
Date Signed: 09/26/2024 11:50:10 AM

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
06/21/2024 and conducted by Evaluator Teresa Camara

COMPLAINT CONTROL NUMBER: 29-AS-20240621113639

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:	09/26/2024
		UNANNOUNCED	TIME BEGAN:	09:54 AM
MET WITH:	Emmanuel Soratorio		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Licensee does not ensure the administrator is on the premesis a sufficient number of hours
Licensee does not ensure staff are in good health physically and mentally to perform assigned tasks
Licensee has uncleared adults on the premises

INVESTIGATION FINDINGS:

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

Licensing Program Analyst (LPA) Teresa Camara conducted a subsequent complaint investigation visit. LPA was joined by Tri-Counties Regional Center (TCRC) Quality Assurance Specialist (QAS) Liz Aced-Arnett. There were no staff at the facility upon arrival. LPA called the licensee who first sent staff 1 (S1) to meet with LPA and QAS. Administrator Emmanuel Soratorio and back-up administrator Amalia Soratorio arrived at the facility at 10:10 a.m. LPA explained the reason for the visit.

On 6/26/2024, LPA Camara conducted brief interviews with three staff, administrator and obtained pertinent documents. During today's visit LPA interviewed staff and administrator starting at 9:55 a.m.

(continued on LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Teresa Camara
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024

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-20240621113639

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: AMYLEW MANOR 2	FACILITY NUMBER: 565850342
	VISIT DATE: 09/26/2024

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

(continued from LIC9099)

Regarding the allegation the administrator is not at the facility a sufficient number of hours. Administrator Emmanuel Soratorio indicated he is at the facility at least 20 hours per week. Administrator stated all of his hours are not reflected on the written staff schedule. Staff indicated either Emmanuel or back-up administrator Amalia Soratorio come to the facility daily. Administrator was counseled by QAS to make sure all of his hours are reflected on the schedule by the end of each week. Based on this information, this allegation is deemed Unsubstantiated at this time.

Regarding the allegation staff are not in good physical or mental health, this allegation was specifically regarding a staff who is related to the licensee. This staff had an accident at their personal home but did not sustain an injury. This staff actually worked at a different facility as the administrator but recently retired in August 2024. Based on this information, this allegation is deemed Unsubstantiated at this time.

Regarding the allegation Licensee has uncleared adults on the premises, this allegation was specifically regarding a staff who is related to the licensee. This staff works only on-call and does not live in the area. When this staff is needed this staff stays with their daughter at one of the licensees closed facilities. This staff is fingerprint cleared and associated to all of the licensee's facilities. This staff's spouse will also stay with their daughter at the closed facility but does not work at any of the licensee's facilities. Based on this information, this allegation is deemed Unsubstantiated at this time.

No deficiencies observed. Exit interview conducted and report issued.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Teresa Camara
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 2