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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006657
Report Date: 09/14/2026
Date Signed: 09/14/2026 11:42:26 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
09/10/2026 and conducted by Evaluator Jenifer Tirre
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20260910142716
FACILITY NAME:CK COMMUNITY CAREFACILITY NUMBER:
306006657
ADMINISTRATOR:TRAN, EVANFACILITY TYPE:
740
ADDRESS:21322 ANTIGUA LANETELEPHONE:
(714) 819-0629
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92646
CAPACITY:6CENSUS: 6DATE:
09/14/2026
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Administrator Evan TranTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff did not maintain a comfortable temperature for residents in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jenifer Tirre, met with Administrator Evan Tran for the purpose of delivering findings for the above allegations. The investigation consisted of observations and interviews. On September 10, 2024, the department received allegations that Staff did not maintain a comfortable temperature for residents in care. The investigation was completed by the department and revealed the following:

Facility is a four bedroom two bathroom home with common area kitchen and living room. During investigation, the following were observed, all resident rooms, kitchen dining area and living room have fans as well as Air purifiers. Facility has windows in every room which were open and a steady flow of air which provided a light breeze throughout areas. Facility thermostat was 77 degrees Fahrenheit.
Interviews conducted with three of three staff stated that temperature of facility is comfortable but that during recent heatwave, stated at times would get warm but that facility provides fans for residents and mentioned that facility has air purifiers throughout facility. Interview with Staff 1 stated that facility has heater but wasn’t built with Air conditioning. CONTINUED ON 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jenifer Tirre
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2026
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-20260910142716
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: CK COMMUNITY CARE
FACILITY NUMBER: 306006657
VISIT DATE: 09/14/2026
NARRATIVE
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S1 stated that they are in process of getting an approved HVAC (Heating, Ventilation,& Air Conditioning) Company to put in unit at facility due to recent weather temperatures. Two staff stated that facility provides cold fluids to also help combat heat.

Interviews conducted with Four of Six residents stated that Facility temperatures are okay, that they are comfortable and residents stated they had fans to help with heat. Residents interviewed stated they had no concerns regarding temperature inside facility.

Based on observations and interviews the allegation Staff did not maintain a comfortable temperature for residents in care, the Department is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the allegation is deemed UNSUBSTANTIATED.

An exit interview was conducted with Administrator Evan Tran and a copy of the report was provided.

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jenifer Tirre
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2