331881415-3-30-2026-18-AS-CTUA-DTFUZM-20260424160144

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331881415
Report Date: 03/30/2026
Date Signed: 03/30/2026 02:27:59 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/27/2026 and conducted by Evaluator Janette Romero

COMPLAINT CONTROL NUMBER: 18-AS-20260327125652

FACILITY NAME:	ANGELICA'S HOME, INC.		FACILITY NUMBER:	331881415
ADMINISTRATOR:	OOSTING, ANGELICA		FACILITY TYPE:	740
ADDRESS:	31916 CORTE POSITAS		TELEPHONE:	(321) 432-8883
CITY:	TEMECULA	STATE: CA	ZIP CODE:	92592
CAPACITY:	6	CENSUS: 6	DATE:	03/30/2026
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Administrator Angelica Oosting		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Due to lack of supervision, a resident was sexually assaulted

INVESTIGATION FINDINGS:

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On 03/30/2026, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility to investigate the allegation listed above. LPA met with Chief Executive Officer Kenneth Oosting, Administrator Angelica Oosting and Administrative Assistant Adrian "AJ" Ooosting who were informed of the purpose of the visit. During today's visit, LPA observed six (6) residents and two (2) care staff present along with the administrator.

LPA toured the facility with administrator, conducted interviews, and obtained copies of pertinent documentation. Regarding the allegation, “Due to lack of supervision, a resident was sexually assaulted” it was alleged that facility staff have been required to pull an unclothed resident off an unwilling resident more than once. The incident dates/times and identities of the involved residents were unknown.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Carolyn Tuba
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:	DATE: 03/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2026

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 18-AS-20260327125652

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: ANGELICA'S HOME, INC.	FACILITY NUMBER: 331881415
	VISIT DATE: 03/30/2026

NARRATIVE

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Administrator Oosting was interviewed and reported the following information. In December of 2023, Resident 1 (R1) resided in the facility and experienced behavioral challenges due to the progression of their dementia diagnosis. On two occasions, R1 was provided with dress assistance and later removed their own clothing. R1 then attempted to walk towards the beds of Resident 2 (R2) and Resident 3 (R3) while unclothed. However, Administrator Oosting and another caregiver were present during both incidents and successfully redirected R1 back to their room to put on clothing. Staff gently and physically redirected R1 by their arms guiding them towards their bedroom. R1 was never “pulled off” any resident in the facility and never made physical contact with the residents or their beds. Administrator Oosting later learned R1 enjoyed walking around their personal home unclothed and believes the incidents were a result of R1’s increased confusion. R1 was subsequently relocated to a different facility and their contact information is unknown. LPA conducted a collateral visit and interviewed R2. R2 reported that on one occasion, a disoriented resident walked into their room thinking it was their own room and were immediately redirected by staff. However, R2 was unable to identify the resident or recall whether they were clothed. LPA was informed R3 moved out of the facility years ago and has since passed away.

CEO Oosting was interviewed and reported in December of 2023, the administrator was unaware the above incidents were required to be reported to Community Care Licensing. On 03/27/2026, the facility was cited for not meeting the reporting requirements regarding R1 and a plan of correction was put in place. Therefore, an additional case management deficiency is not warranted during today's visit.

Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report and Confidential Names list (LIC 811) was reviewed and provided to Administrator Oosting.

SUPERVISORS NAME: Carolyn Tuba
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:	DATE: 03/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2026

LIC9099 (FAS) - (06/04)

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