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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306001028
Report Date: 09/10/2026
Date Signed: 09/10/2026 11:07:55 AM

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
09/01/2026 and conducted by Evaluator Joseph Alejandre
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20260901111847
FACILITY NAME:GOOD SAMARITAN IIFACILITY NUMBER:
306001028
ADMINISTRATOR:CAMBIO, SUSAN & LEOFACILITY TYPE:
740
ADDRESS:26852 LA SIERRATELEPHONE:
(949) 367-1228
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY:6CENSUS: 5DATE:
09/10/2026
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Leonardo Cambio, Susan CambioTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Staff prevented resident from having visitors
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegation listed above. LPA met with Administrators/Licensees, Susan Cambio and Leonardo Cambio and explained the reason for the visit. It was reported that Resident 1 (R1) was not allowed to have visitors and his family was only allowed to visit at certain days and time. R1 moved to the facility on July 23, 2026, and moved out of the facility on August 9, 2026. LPA interviewed Administrators/Licensees Leonardo Cambio and Susan Cambio. Both Administrators reported that no one was told they couldn't visit and no visitors were ever restricted. LPA observed text messages from the Administrator and a family member, provided by Leonardo Cambio, that show visiting R1 was encouraged. LPA interviewed 2 staff members who reported that visitors were never restricted and R1 had visitors everyday. Both staff members and both Administrators reported that no one was ever prevented from visiting R1. LPA interviewed Witness 1 (W1) who reported that they were always allowed to visit R1 and saw them almost everyday.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2026
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 2
Control Number 22-AS-20260901111847
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: GOOD SAMARITAN II
FACILITY NUMBER: 306001028
VISIT DATE: 09/10/2026
NARRATIVE
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 LPA attempted to contact R1's responsible party put was unsuccessful. R1 passed away on August 15, 2026. None of the evidence gathered supports the allegation, therefore the allegation is deemed unsubstantiated, 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. An exit interview was conducted and a copy of the report provided.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2