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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 347005517
Report Date: 02/05/2026
Date Signed: 02/05/2026 02:49:12 PM

Unsubstantiated


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
01/09/2026 and conducted by Evaluator Talwinder Bains
COMPLAINT CONTROL NUMBER: 59-AS-20260109162956
FACILITY NAME:ELIM RANCHFACILITY NUMBER:
347005517
ADMINISTRATOR:EDWARD LEEFACILITY TYPE:
740
ADDRESS:8149 SANTA JUANITA AVENUETELEPHONE:
(916) 759-9019
CITY:ORANGEVALESTATE: CAZIP CODE:
95662
CAPACITY:6CENSUS: 6DATE:
02/05/2026
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Administrator, Farah CucciaTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident was assaulted by another adult while in care of the facility.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 02/05/26, Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced and met with Administrator, Farah Cuccia to deliver complaint findings for allegations listed above. LPA explained the purpose of the visit upon arrival.

The department conducted record review, interviewed residents, witnesses and staff to investigate this allegation. Three (3) staff interviews indicated that they do not have any knowledge of such incidents related to residents. Three (3) resident interviews were conducted but there was no information regarding an assault to a resident. Witness interviews were conducted but there was no specific information regarding any adult who assaulted resident while in care around 12/31/25. It was also noted that resident, R1 was at their baseline during the investigation and there were no reportable concerns regarding R1’s health related to this issue. Based on the information gathered, department does not have enough information to follow up with this matter as there was no additional information regarding this incident , therefore, this allegation was UNSUBSTANIATED.

A finding that the complaint allegations is UNSUBSTANTIATED means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. Exit meeting conducted. A copy of this report has been provided to facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
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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