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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006496
Report Date: 03/13/2026
Date Signed: 03/13/2026 03:55:03 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
12/30/2025 and conducted by Evaluator Garlli Tat
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20251230151122
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: 5DATE:
03/13/2026
UNANNOUNCEDTIME BEGAN:
02:33 PM
MET WITH:Jeannie DaoTIME COMPLETED:
04:10 PM
ALLEGATION(S):
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Facility was refusing to have visitors.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Garlli Tat made an unannounced visit to the facility to deliver the findings on the above allegation. LPA met with staff on duty and explained the reason for the visit. Staff notified Administrator (AD) Jeannie Dao via telephone. During the course of the investigation, LPA inspected the facility, interviewed staff and residents, obtained and reviewed resident records. The investigation revealed the following:

It was alleged that the facility was refusing residents to have visitors. Four out of five witnesses confirmed that the visitor was disruptive when visiting the facility. The Department received two incident reports dated December 24, 2025, that on December 22 and 23, 2025, visitors went to the facility screaming, yelling, drunk, disrupting residents, bullying and arguing with the caregiver. One out of five witnesses reported that RP damaged the printer at the facility. On December 24, 2025, visitor attempted to enter the facility.

Continued on LIC 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Garlli Tat
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026
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
Control Number 22-AS-20251230151122
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: HOME AT CASCADE LANE, INC.
FACILITY NUMBER: 306006496
VISIT DATE: 03/13/2026
NARRATIVE
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Staff called the Huntington Beach police for assistance, and the visitor was sent home by the Huntington Beach PD. During the investigation LPA confirmed that the facility allows all residents to have visitors. Based on interviews conducted with four out of four staff, it was revealed that administrator filed a restraining order against the visitor on January 27, 2026. Per records obtained the restraining order for civil harassment is scheduled for a hearing on February 19, 2026.

Based on the evidence gathered during this investigation, 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, Jeannie Dao, and a copy of the report was reviewed and provided during the visit.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Garlli Tat
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
12/30/2025 and conducted by Evaluator Garlli Tat
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20251230151122

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: 5DATE:
03/13/2026
UNANNOUNCEDTIME BEGAN:
02:33 PM
MET WITH:Jeannie DaoTIME COMPLETED:
04:10 PM
ALLEGATION(S):
1
2
3
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5
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9
Financial abuse.
INVESTIGATION FINDINGS:
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3
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5
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9
10
11
12
13
Licensing Program Analyst (LPA) Garlli Tat made an unannounced visit to the facility to deliver the findings on the above allegation. LPA met with staff on duty and explained the reason for the visit. Staff notified Administrator (AD) Jeannie Dao via telephone. During the course of the investigation, LPA inspected the facility, interviewed staff and residents, obtained and reviewed resident records. The investigation revealed the following:

It was alleged that the facility is participating in financial abuse. It was confirmed that R1 has a court appointed conservator per records obtained dated November 5, 2024. On January 7, 2026, conservator confirmed that there is no evidence of financial abuse from the facility. LPA conducted random interviews for four residents to verify if they are experiencing financial abuse, and all four residents denied any financial abuse from the facility. Four out of four staff interviewed denied the facility is engaging in financial abuse.

Continued on LIC 9099-C.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Garlli Tat
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 22-AS-20251230151122
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: HOME AT CASCADE LANE, INC.
FACILITY NUMBER: 306006496
VISIT DATE: 03/13/2026
NARRATIVE
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LPA obtained correspondence that revealed the resident’s sole property has been sold in a foreclosure sale on August 7, 2025, and the sale of the property was recorded that there were no proceeds from the sale as more was owed than obtained from the foreclosure sale therefore there is no financial abuse.

Based on the evidence gathered during this investigation, the allegation is deemed Unfounded, meaning the allegations are false, could not have happened and/or are without a reasonable basis.

An exit interview was conducted with Administrator, Jeannie Dao, and a copy of the report was reviewed and provided during the visit.

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Garlli Tat
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4