565850358-6-4-2025-29-AS-KHEN-DJ62AH-20250630171335

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565850358
Report Date: 06/04/2025
Date Signed: 06/04/2025 04:33:57 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
05/30/2025 and conducted by Evaluator Emily Peraldi

COMPLAINT CONTROL NUMBER: 29-AS-20250530125550

FACILITY NAME:	ROSE GARDEN MANOR		FACILITY NUMBER:	565850358
ADMINISTRATOR:	SORATORIO, AMALIA		FACILITY TYPE:	735
ADDRESS:	1731 S. VENTURA ROAD		TELEPHONE:	(805) 890-0607
CITY:	OXNARD	STATE: CA	ZIP CODE:	93033
CAPACITY:	6	CENSUS: 6	DATE:	06/04/2025
		UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Emmanuel Soratorio, Administrator		TIME COMPLETED:	04:35 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not ensure a designated administrator was present at the facility.
Facility has insufficient staff to meet the needs of residents in care.

INVESTIGATION FINDINGS:

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

Licensing Program Analyst (LPA) Emily Peraldi along with Quality Assurance Specialist (QAS) Tri-Counties Regional Center Katy Robison conducted an unannounced initial complaint visit to this facility at 10:45 a.m. At 11:00 a.m., the LPA and QAS met with Administrator, Emmanuel Soratorio and explained the reason for the visit.

Between 11:05 a.m. and 3:55 p.m., the LPA conducted interviews with the Administrator, four (4) staff and two (2) clients. At 12:12 p.m., the LPA requested and obtained copies of pertinent documents. At 2:10 p.m., the LPA, along with the Administrator conducted a physical plant tour.

Continued on LIC 9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2025

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-20250530125550

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: ROSE GARDEN MANOR	FACILITY NUMBER: 565850358
	VISIT DATE: 06/04/2025

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

Regarding the allegation: 1.) Staff did not ensure a designated administrator was present at the facility. It was alleged that the facility has been operating with no designated substitute while the Licensee/Administrator is on vacation. During today’s visit, the LPA conducted a record review and observed LIC 308, DESIGNATION OF FACILITY RESPONSIBILITY signed by the Licensee/ Administrator Amalia Soratorio designating Emmanuel Soratorio as the designee dated 11/01/2020. Per record review, administrator’s certificate for Emmanuel Soratorio is valid until 09/15/2026 and administrator’s certificate for Amalia Soratorio is valid until 10/21/2026. Interview with the Administrator, Emmanuel S. revealed that he is the backup/ designee for this location. He stated that he is an Administrator for two (2) other facilities. Emmanuel S. stated that while the Licensee/ Administrator is on vacation, that he is covering all management and administrative duties for this facility. Emmanuel S. stated that he has been working at this facility and is available anytime when staff call. Interviews with staff did not reveal any concerns regarding the Administrator being on vacation. Staff interviewed are aware of who is the substitute/ designee and have seen Emmanuel at the facility. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time.
Regarding the allegation: 2.) Facility has insufficient staff to meet the needs of residents in care. It was alleged that there is a shortage of staff for overnight shifts. During today’s visit, the LPA reviewed the LIC 500, Personnel Report and observed that there are three (3) main staff members scheduled for night supervision and an additional two (2) staff that are available for nights as needed. Per LIC 500 and interviews with staff the following was noted: Staff #1 (S1) works 8:00 p.m. to 7:30 a.m. on Fridays and Saturdays. Staff #2 (S2) works 8:00 p.m. to 7:30 a.m. on Sundays, Mondays, Tuesdays and Thursdays, Staff #3 (S3) works 8:00 p.m. to 7:30 a.m. on Wednesdays. Interview with Emmanuel S. revealed that there has not been staffing shortages or issues regarding the overnight shift. Emmanuel S. stated that if needed he can cover an overnight shift. Interviews with staff did not reveal any concerns regarding coverage of the overnight shift. Staff interviews reveal that clients for the most part sleep throughout the night and do not require much care and supervision at night. Interviews with clients did not express or voice any concerns regarding staff supervision. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time. Exit interview conducted. A copy of the report was provided.

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 2