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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006153
Report Date: 07/07/2023
Date Signed: 07/07/2023 04:21:05 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/30/2023 and conducted by Evaluator Jessica Cho
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20230630115900
FACILITY NAME:CARE JANELLAFACILITY NUMBER:
306006153
ADMINISTRATOR:CALANGI, KARMIANFACILITY TYPE:
740
ADDRESS:17072 SAGA DRIVETELEPHONE:
(714) 683-4617
CITY:YORBA LINDASTATE: CAZIP CODE:
92886
CAPACITY:6CENSUS: 6DATE:
07/07/2023
UNANNOUNCEDTIME BEGAN:
10:49 AM
MET WITH:Karmian Calangi- AdministratorTIME COMPLETED:
04:25 PM
ALLEGATION(S):
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Facility staff abuses residents.
Staff is not providing an adequate amount of food to residents.
Staff are unable to communicate with the residents due to language barrier.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jessica Cho made an unannounced complaint visit for the purpose to investigate into the above allegations. LPA was greeted by Caregiver Rolly Trio and was granted entry after explaining the reason for the visit. LPA initially observed Caregivers #1, #4 (C1 & C4), and Visitor #1 (V1) supervising the residents while Caregiver #3 (C3) was at the market. Two other caregivers, Caregiver #2 (C2) and C3 arrived shortly thereafter to assist with the investigation. Administrator (Admin) Karmian Calangi arrived at the facility approximately 3:35pm. During the course of the investigation, LPA obtained copies of pertinent resident/staff records, and conducted interviews with residents and staff. The following was determined based on observations, record review, and interviews:

It was alleged that the facility staff abuses residents. Five out of the six residents stated that they are treated well and feel safe living in the facility. One out of the six residents could not be interviewed due to resident being non-responsive, and five out of the five staff stated that they have not abused nor witnessed the abuse to a resident.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2023
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-20230630115900
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: CARE JANELLA
FACILITY NUMBER: 306006153
VISIT DATE: 07/07/2023
NARRATIVE
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It was alleged that the staff is not providing an adequate amount of food to residents. LPA observed the residents were served soup and sandwich for lunch and crackers as snack. Five out of the six residents stated that they receive three meals per day and felt that the meals are in good portion. Five out of the five staff also confirmed the residents having three meals daily and their meals being sufficient in quantity.

It was alleged that the staff are unable to communicate with the residents due to a language barrier. Although LPA observed during the interview that two out of the five staff spoke minimal English, fIve out of the six residents stated that they did not have any issue communicating and understanding the caregivers. Three out of the five staff aknowledged that two out of the four caregivers are not fluent in English however stated that they are able to converse using key words and body languages to relay their message. Due to the residents not having any concerns with communication, LPA is unable to corroborate the allegation.

Therefore, based on the observations made, interviews which were conducted, and the records that were reviewed, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are deemed UNSUBSTANTIATED.

An exit interview was conducted with Administrator Karmian Calangi, and a copy of this report including the LIC9099C, and the LIC811 were provided during this visit.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2