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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700157
Report Date: 09/23/2025
Date Signed: 09/23/2025 10:26:34 AM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/19/2025 and conducted by Evaluator Talwinder Bains
COMPLAINT CONTROL NUMBER: 59-AS-20250919083512
FACILITY NAME:CHALET, THEFACILITY NUMBER:
342700157
ADMINISTRATOR:SUSIE DIZONFACILITY TYPE:
740
ADDRESS:6487 MAIN STREETTELEPHONE:
(925) 787-2740
CITY:ORANGEVALESTATE: CAZIP CODE:
95662
CAPACITY:41CENSUS: 25DATE:
09/23/2025
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Staff, Flerida Manarang TIME COMPLETED:
10:40 AM
ALLEGATION(S):
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Staff did not ensure that residents have toiletries.
Staff provide residents with inadequate meal service.
Staff inappropriately restrain residents.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 09/23/25 to do complaint investigation for the above allegations. LPA met with Staff, Flerida Manarang and explained the purpose of the visit.

Throughout the course of the investigation the department did facility observations and conducted interviews with residents and staff relevant to the complaint allegation.



Report continued on LIC 9099-C....
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2025
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 2
Control Number 59-AS-20250919083512
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: CHALET, THE
FACILITY NUMBER: 342700157
VISIT DATE: 09/23/2025
NARRATIVE
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***Report continued from 9099.....
Allegation- Staff did not ensure that residents have toiletries. UNFOUNDED

During the course of this visit LPA toured the facility bathrooms and conducted interviews with four residents and four staff. LPA observed resident’s bathrooms were furnished with paper towels and other toiletries items. LPA observed a sufficient supply of hygiene supplies, soap, toilet paper, shampoo and toothpaste. Residents’ interviews indicated that there were no short supplies of any toiletries at the facility. Staff interviews indicated that the facility provided adequate supplies of all personal care items for residents and there were no issues to report. Based on the information gathered, this allegation is UNFOUNDED.

Allegation- Staff provide residents with inadequate meal service. UNFOUNDED

Based on four staff interviews (4) and four resident’s interviews (4 ) and department observation of the kitchen and meal service by the department found that there was an adequate amount of food for the residents. The food appeared to look appetizing and nutritious, sanitation in the kitchen appeared appropriate, residents said the food was good, and portions appeared plentiful. Food supplies in the facility were adequate by per requirement. Currently, there is no evidence to suggest that staff have failed to provide adequate food service. Therefore, the allegation is UNFOUNDED.

Allegation- Staff inappropriately restrain residents. UNFOUNDED

Based on observation, record review, and staff and resident’s interviews , the department determined that there was no evidence that the facility was inappropriately restraining residents. During the department visit, there were no observations of any residents being restrained by staff in any manner. Based on four (4) staff interviews, four (4) resident interviews, and department observation, residents and staff stated that residents can move freely, and that staff help residents that need assistance who would like to move around the facility; therefore, the allegation is UNFOUNDED.

This agency has investigated this complaint. We have found the complaint was UNFOUNDED, meaning that the allegation is false, could not have happened, and/or is without a reasonable basis.

Exit interview was conducted and a copy of this report was provided to the facility.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2