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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306002455
Report Date: 02/06/2026
Date Signed: 02/06/2026 03:17:57 PM

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
12/31/2021 and conducted by Evaluator Fred Arias
COMPLAINT CONTROL NUMBER: 22-AS-20211231110757
FACILITY NAME:INDEPENDENT OPTIONS INC/ANACAPA HOUSEFACILITY NUMBER:
306002455
ADMINISTRATOR:BUTCH MALLILLINFACILITY TYPE:
735
ADDRESS:2538 ANACAPA DRIVE #105TELEPHONE:
(714) 556-2591
CITY:COSTA MESASTATE: CAZIP CODE:
92626
CAPACITY:4CENSUS: 4DATE:
02/06/2026
UNANNOUNCEDTIME BEGAN:
02:25 PM
MET WITH:Anna LiangTIME COMPLETED:
03:32 PM
ALLEGATION(S):
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Residents are not provided clothing.
Residents are not provided personal care items as needed.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Fred Arias conducted an unannounced complaint visit to finalize an investigation into the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit.

It was alleged clients are not provided clothing and clients are not provided personal care items as needed. During the investigation, LPA conducted interviews with staff and client in care. The investigation determined as follows: Regarding the allegation residents are not provided clothing, it was reported clients are in need of new clothing. LPA interviews with two out of two staff stated clients have enough clothing and either the facility or family will assist with purchasing more clothing as needed. LPA interviews with one out of three clients stated they have enough clothing and family will provide more clothing if needed. LPA could not qualify the remaining clients for interviews. LPA observed sufficient clothing in four out of four client bedrooms including clothing stored in dressers and walk in closets.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Fred Arias
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2026
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 5
Control Number 22-AS-20211231110757
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: INDEPENDENT OPTIONS INC/ANACAPA HOUSE
FACILITY NUMBER: 306002455
VISIT DATE: 02/06/2026
NARRATIVE
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Regarding the allegation residents are not provided personal care items as needed, it was reported clients are in need of personal items. LPA interviews with two out of two staff stated the facility provides personal care products such as shampoo, toothpaste, and soap. One out of two staff added personal care products are ordered every three weeks. LPA interviews with one out of three clients stated they are provided with personal care items by the facility. LPA could not qualify the remaining clients for interviews. LPA observed a closet full of personal care items such as soap, shampoo, toothpaste, and toothbrushes for client use.

Based on interviews and observations, the allegations are therefore deemed unsubstantiated meaning 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.

An exit interview was conducted and a copy of the report was left with the facility representative.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Fred Arias
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
12/31/2021 and conducted by Evaluator Fred Arias
COMPLAINT CONTROL NUMBER: 22-AS-20211231110757

FACILITY NAME:INDEPENDENT OPTIONS INC/ANACAPA HOUSEFACILITY NUMBER:
306002455
ADMINISTRATOR:BUTCH MALLILLINFACILITY TYPE:
735
ADDRESS:2538 ANACAPA DRIVE #105TELEPHONE:
(714) 556-2591
CITY:COSTA MESASTATE: CAZIP CODE:
92626
CAPACITY:4CENSUS: 4DATE:
02/06/2026
UNANNOUNCEDTIME BEGAN:
02:25 PM
MET WITH:Anna LiangTIME COMPLETED:
03:32 PM
ALLEGATION(S):
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Staff are mishandling resident's personal funds.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Fred Arias conducted an unannounced complaint visit to finalize an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit.

It was alleged staff is mishandling resident’s personal funds. During the investigation, LPA conducted interviews with staff and client in care. LPA reviewed records received. The investigation determined as follows: Regarding the allegation staff is mishandling residents’ personal funds, it was reported facility is not dispersing funds correctly. LPA interviews with one out of four staff stated the Administrator (AD) normally provides cash to clients when they request it. The staff added petty cash is not kept at the facility. One out of the remaining three staff stated they’re not aware of any issues with providing money to clients. Two out of the remaining two staff stated clients funds are comingled into one bank account for the clients.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Fred Arias
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 22-AS-20211231110757
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: INDEPENDENT OPTIONS INC/ANACAPA HOUSE
FACILITY NUMBER: 306002455
VISIT DATE: 02/06/2026
NARRATIVE
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One out of the two staff added Client 1 (C1)’s family member was provided $500 dollars cash on December 1, 2025 from the facility for use during an outing as C1’s family member is part of C1’s conservatorship. No records on how the cash was spent are available. LPA interviews with one out of three clients stated they receive money when they ask for it. The remaining two clients could not be qualified for interviews.

Record review revealed the facility has one trust account set up for the clients’ funds. LPA reviewed ledgers for four out of four clients for November 28, 2025 as it matched the date of the trust bank statement provided. The amount stated in the bank statement on this day did not match the total amounts of the ledgers. LPA reviewed a client receipt of cash written to and signed by C1’s conservator issued on December 1, 2025. C1’s conservatorship is a limited conservatorship filed on October 26, 2006 stating C1’s family member conservatorship powers include access to confidential records and papers of the limited conservatee, the power of the limited conservatee to contract, the power of the limited conservatee to give or withhold medical consent, and decisions concerning the education of the limited conservatee. There is no mention of the power over financial accounts.

Based on interviews conducted and record review, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED.


California Code of Regulations, (Title 22, Division 6), are being cited on the attached LIC 9099D.

An exit interview was conducted and a copy of the report was left with the facility representative along with appeal rights.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Fred Arias
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Citations on this Visit Report are Under Appeal!

Control Number 22-AS-20211231110757
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: INDEPENDENT OPTIONS INC/ANACAPA HOUSE
FACILITY NUMBER: 306002455
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/06/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal

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Type B
02/27/2026
Section Cited
CCR
80026(b)
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80026(b) Safeguards for Cash Resources, Personal Property, and Valuable of Residents
...cash resources, personal property, and valuables...shall be handled by the licensee or facility staff, and shall be safeguarded...
This requirement is not met as evidenced by:
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AD stated C1 will be reimbursed $500 by POC due date. AD to provide proof to LPA
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C1's funds were provided to an unauthorized individual with poses a potential personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Fred Arias
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5