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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006496
Report Date: 01/21/2026
Date Signed: 01/21/2026 05:51:30 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
12/22/2025 and conducted by Evaluator Eboni Bentley
COMPLAINT CONTROL NUMBER: 22-AS-20251222133927
FACILITY NAME:HOME AT CASCADE LANE, INC.FACILITY NUMBER:
306006496
ADMINISTRATOR:AVILA, MARIA JASMINFACILITY TYPE:
740
ADDRESS:15311 CASCADE LANETELEPHONE:
(714) 515-0459
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92647
CAPACITY:6CENSUS: 6DATE:
01/21/2026
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Jeannie Dao - AdministratoTIME COMPLETED:
05:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not giving residents their mail.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Regarding the allegation, Staff are not giving residents their mail, it is alleged that staff are not giving residents their mail. During interview conducted, four out of four residents confirmed receiving mail promptly if any and three of the residents confirmed that mail is still delivered to their previous address managed by their families. R1 stated all mail and legal documents are sent to R1’s family member. Three out of three staff denied the allegation stating residents are given their mail when it is delivered. Three out of four witnesses denied the allegation stating that the mail is received directly by the representatives at their respective locations and that the staff are forwarding the mail in a timely manner. A record review of R1’s Physician Report indicated R1 has a Dementia diagnosis. During visits to the facility, LPA did not observe any undelivered mail for R1.

Based on observations, interviews, and records reviewed, although the allegation may have happened or are vaild, there not a proponderance of evidence to provie the alleged vionlations did or did not occur, therefore the above allegation is deemed UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Eboni Bentley
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026
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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