306006591-3-9-2026-22-AS-APAO-DSP597-20260330194504

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006591
Report Date: 03/09/2026
Date Signed: 03/09/2026 05:14:28 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
02/27/2026 and conducted by Evaluator Jenifer Tirre

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20260227085942

FACILITY NAME:	KATELLA SENIOR LIVING COMMUNITY		FACILITY NUMBER:	306006591
ADMINISTRATOR:	PERALEZ, JON		FACILITY TYPE:	740
ADDRESS:	3952 KATELLA AVE		TELEPHONE:	(562) 596-2773
CITY:	LOS ALAMITOS	STATE: CA	ZIP CODE:	90720
CAPACITY:	140	CENSUS: 54	DATE:	03/09/2026
		UNANNOUNCED	TIME BEGAN:	07:30 AM
MET WITH:	Operations Manager Jaleesa Chavez		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

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Staff do not keep the facility free from infestation
Staff do not follow proper food handling techniques

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced inspection visit to initiate complaint investigation into the above allegations. LPA explained the reason for the visit with Administrator Jaleesa Chavez.
During investigation LPA toured facility, made observations, conducted interviews and requested documents.

On February 27, 2026, Department received allegations that Staff do not keep the facility free from infestation and Staff do not follow proper food handling techniques.
Regarding allegation Staff do not keep the facility free from infestation, the department did not observe any pests or rodents during investigation LPA toured physical plant indoors and outdoors including dumpster. Department did observe facility had pest bait traps surrounding perimeter outside areas. Department observed kitchen area had three pest crates inside kitchen.
Interviews with staff revealed that twelve of twelve staff interviewed confirmed facility has Pest control company that visits facility monthly.
continued on 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jenifer Tirre
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2026

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-20260227085942

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: KATELLA SENIOR LIVING COMMUNITY	FACILITY NUMBER: 306006591
	VISIT DATE: 03/09/2026

NARRATIVE

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Five of twelve staff stated they have visually experienced rats outside near dumpster area during the night. Twelve of twelve staff interviewed stated they have never seen rodents inside facility.

Documents reviewed revealed Facility has had a contract with Orkin since April 1, 2025 and is current until void. Orkin contract notates monthly visits are being conducted. Recent documentation from 2/19/2026 shows that three rats were caught in trap next to dumpster area.

Regarding allegation Staff do not follow proper food handling techniques, investigation revealed the following:

Twelve of twelve staff state that kitchen staff clean kitchen area in between meals and after meals. Interviews revealed that kitchen staff have training on cross contamination, labeling, cleanliness and food handling. Interviews revealed that only kitchen staff maintain kitchen area. Interviews revealed that staff from different departments have witnessed kitchen staff properly cleaning kitchen area.

Documents revealed that kitchen staff have a daily cleaning log which revealed that prep stations and steam tables are being cleaned five to six days weekly.

Based on information gathered from complaint, the allegations Staff do not keep the facility free from infestation and Staff do not follow proper food handling techniques are deemed unsubstantiated meaning that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violation occurred as reported.

An exit interview was conducted with Administrator and a copy of this report was provided.

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jenifer Tirre
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2026

LIC9099 (FAS) - (06/04)

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