306005870-3-18-2026-22-AS-APAO-DT8PTJ-20260417113602

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005870
Report Date: 03/18/2026
Date Signed: 03/18/2026 04:48:26 PM

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
03/16/2026 and conducted by Evaluator Eboni Bentley

COMPLAINT CONTROL NUMBER: 22-AS-20260316110957

FACILITY NAME:	ANGELIC DWELLING CARE HOME		FACILITY NUMBER:	306005870
ADMINISTRATOR:	FAJARDO, RHOENA		FACILITY TYPE:	740
ADDRESS:	17709 BEECH STREET		TELEPHONE:	(949) 413-3049
CITY:	FOUNTAIN VALLEY	STATE: CA	ZIP CODE:	92708
CAPACITY:	6	CENSUS: 5	DATE:	03/18/2026
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Rhoena Fajard, Administrator		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Facility did not provide proper eviction notices for residents in care.

INVESTIGATION FINDINGS:

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On March 18, 2026, Licensing Program Analyst (LPA) Eboni Bentley arrived at the facility unannounced for the purpose of conducting an initial complaint investigation into the above allegation and delivering findings. LPA was greeted, introduced self, and was granted entry into the facility after stating the purpose of the visit to staff. Administrator (Admin) Rhoena Fajard, was present and assisted with the visit.

LPA reviewed and obtained copies of facility documents including: Resident Roster, Staff Roster, Facility Lease Agreement, Residents' Emergency Info & Contact Sheets, Physician's Reports, Admissions Agreements, and Power of Attorney documents. Interviews were successfully conducted with three staff and six witnesses.

Continue to LIC9099-C....

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Eboni Bentley
LICENSING EVALUATOR SIGNATURE:	DATE: 03/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2026

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 22-AS-20260316110957

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: ANGELIC DWELLING CARE HOME	FACILITY NUMBER: 306005870
	VISIT DATE: 03/18/2026

NARRATIVE

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The investigation revealed the following:

Regarding the allegation, Facility did not provide proper eviction notices for residents in care, it is alleged that the facility told residents’ families that, as of March 20, 2026, residents will need to find alternate placement. During the course of the investigation, interviews were conducted with three staff and six witnesses. Three out of three staff denied the allegation, stating families were not told they need to find alternative placement and move residents out of the facility by March 20, 2026. Admin stated that in December 2025, residents’ families were informed that the Admin is looking for an alternative location, while continuing to work with the property owner to ensure residents do not need to vacate the current facility. On March 13, 2026, a meeting was held with Admin and all residents’ families, where five out of five residents’ families were informed that the Admin will remain at the current facility location for a minimum of six months, until the new/prospective property owner acquires a licensee with CCLD. Admin stated they are still looking for an alternative location and will submit a Change of Location application with CCLD, when a new location is acquired and prior to the new/prospective facility owner obtaining a license with CCLD.

Admin stated families were informed that the facility lease agreement ended at the current facility location and although they are now on a month-to-month lease, residents do not need to vacate until provided with written notice. Admin stated they were also informed that written notice would be provided 60 days in advance, per admissions agreement, should residents need to vacate. Witness 1 (W1), corroborate this by stating they are working with Admin to ensure the best outcome for residents in care. W1 stated residents will not need to vacate at this time, and added that when a specific vacate date is established, the Admin will be provided with more that 60 days notice, so they will have ample time to notify residents’ families, if/when alternative placement is required.

Based on LPAs observations, interviews which were conducted, and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

An exit interview was conducted with Administrator Rhoena Fajard, a copy of this report, was provided at the end of the visit.

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Eboni Bentley
LICENSING EVALUATOR SIGNATURE:	DATE: 03/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2026

LIC9099 (FAS) - (06/04)

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