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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306002428
Report Date: 04/28/2025
Date Signed: 04/28/2025 11:33:18 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/03/2025 and conducted by Evaluator Kevin Saborit-Guasch
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250203084934
FACILITY NAME:FAMILY CARE - EL MAR HOMEFACILITY NUMBER:
306002428
ADMINISTRATOR:VENANZI, RUSSELLFACILITY TYPE:
740
ADDRESS:26542 EL MAR DRIVETELEPHONE:
(949) 589-0145
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY:6CENSUS: 4DATE:
04/28/2025
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Russell Venanzi, administrator (via telephone)
Alfonso Amper, caregiver		TIME COMPLETED:
11:35 AM
ALLEGATION(S):
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9
Facility staff restricted resident from having visitors
INVESTIGATION FINDINGS:
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13
On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of the allegation listed above and delivering findings. LPA was greeted and granted entry by the facility's caregiving staff after introducing himself and stating the purpose of the visit. Administrator Russell Venanzi was notified via telephone and was unable to assist with the visit in person. Findings were explained and administrator agreed to have caregiving staff sign on his behalf.

The initial investigation visit was conducted on February 3, 2025. During the visit, LPA conducted multiple staff interviews and reviewed residents records for the four residents currently admitted at the facility along with an additional resident who has recently passed away.

During the investigation, five additional witness interviews were attempted and/or conducted.
CONTINUED ON FORM LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2025
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 22-AS-20250203084934
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: FAMILY CARE - EL MAR HOME
FACILITY NUMBER: 306002428
VISIT DATE: 04/28/2025
NARRATIVE
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CONTINUED FROM FORM LIC9099
During the present visit, LPA accompanied by staff conducted a tour of the physical plant and reviewed additional resident records. Interviews with the four currently admitted residents were also conducted or attempted.

Regarding the allegation that Facility staff restricted resident from having visitors, the following has been concluded: A review of the facility's visit log conducted on February 3, 2025 confirmed that multiple family visits had occurred with resident R1 prior to their passing. A wide majority of witnesses interviewed denied any issues with visiting their relatives or loved ones at the facility, with or without giving advance notice to facility staff. Residents interviewed also stated that they could receive visitors in accordance to the facility house rules and visitation policy included in their respective admission agreements.

As a result, the allegation is found to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted and a copy of this report was provided to a facility representative.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2