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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006153
Report Date: 08/31/2023
Date Signed: 08/31/2023 11:06:59 AM

Unfounded


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
07/14/2023 and conducted by Evaluator Jessica Cho
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20230714131828
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: 5DATE:
08/31/2023
UNANNOUNCEDTIME BEGAN:
09:13 AM
MET WITH:Leonora Amorsolo- AdministratorTIME COMPLETED:
11:11 AM
ALLEGATION(S):
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9
Facility failed to provide a safe & comfortable environment for the residents due to construction.
New Staff does not treat residents in care with respect.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jessica Cho arrived unannounced to continue the investigation and deliver the findings. LPA explained the nature of the visit and reviewed the allegations with Administrator Leonora Amorsolo.

On July 21, 2023, LPA initiated the complaint investigation visit consisting of resident and staff interviews. Pertinent records were previously obtained during the complaint investigation into Complaint Control #: 22-AS-20230630115900. On today’s date, LPA attempted to interview two remaining residents, however could not be interviewed as one individual was asleep and other recently passed away. The following was revealed during the course of the investigation:

It is alleged that the facility failed to provide a safe environment for the resident due to construction. The construction to build a staff bedroom began on June 27, 2023 and was completed on July 10, 2023.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023
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 4
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
07/14/2023 and conducted by Evaluator Jessica Cho
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20230714131828

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: 5DATE:
08/31/2023
UNANNOUNCEDTIME BEGAN:
09:13 AM
MET WITH:Leonora Amorsolo- AdministratorTIME COMPLETED:
11:11 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Residents are not provided proper food services.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Jessica Cho arrived unannounced to continue the investigation and deliver the findings. LPA explained the nature of the visit and reviewed the above allegation with Administrator Leonora Amorsolo.

On July 21, 2023, LPA initiated the complaint investigation visit consisting of resident and staff interviews. LPA did not obtain pertinent records during the initial visit as they were previously collected during the complaint investigation into Complaint Control #: 22-AS-20230630115900. On today’s date, LPA attempted to interview two remaining residents, however could not be interviewed as one individual was asleep and other recently passed away. The following was revealed during the course of the investigation:

It is alleged that the residents are not provided proper food service. One out of the six residents stated that they were not provided snacks while two out of the six residents could not be interviewed.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 22-AS-20230714131828
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: 08/31/2023
NARRATIVE
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Four out of the four staff interviewed indicated that three meals and snacks are offered to the residents daily. Due to conflicting details, LPA is unable to corroborate with 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 allegation: Residents are not provided proper food services is deemed UNSUBSTANTIATED.

An exit interview was conducted with Administrator Leonora Amorsolo, and a copy of the complete report was emailed to the administrator at the end of the visit.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 22-AS-20230714131828
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: 08/31/2023
NARRATIVE
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Four out of the six residents indicated that they were not affected by the construction noise and felt safe and comfortable. Two out of the six residents could not be interviewed during the two subsequent visits. Two out of the four staff indicated that there were no concerns expressed by the residents. One out of the two staff indicated that they were employed after the room was built, and the last remaining staff indicated that they were employed the last few days when the final touches were being completed and did not hear loud noise that could be disruptive at the time.

It is alleged that the new staff does not treat resident in care with respect. Four out of the six residents stated that they had no concerns with the treatment by all staff, and two remaining residents could not be interviewed. Four out of the four staff indicated that the residents are treated with dignity and respect.

This agency has investigated the complaint and based on the observations made, interviews which were conducted, and the records that were reviewed, the following allegations: Facility failed to provide a safe & comfortable environment for the residents due to construction, New Staff does not treat residents in care with respect are deemed UNFOUNDED. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint.

An exit interview was conducted with Administrator Leonora Amorsolo, and a copy of the complete report was emailed to the administrator at the end of the visit.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4