306005301-1-8-2025-22-AS-SSAS-DFZ3SD-20250422183011

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005301
Report Date: 01/08/2025
Date Signed: 01/08/2025 03:58:49 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
10/10/2024 and conducted by Evaluator Kevin Saborit-Guasch

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20241010131307

FACILITY NAME:	AMHS TELECARE TREEHOUSE CRISIS RESIDENTIAL-SOUTH		FACILITY NUMBER:	306005301
ADMINISTRATOR:	ANTONIO RESENDIZ		FACILITY TYPE:	772
ADDRESS:	25402 PACIFICA AVENUE		TELEPHONE:	(949) 238-2400
CITY:	MISSION VIEJO	STATE: CA	ZIP CODE:	92691
CAPACITY:	6	CENSUS: 2	DATE:	01/08/2025
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Jaqueline Lara, Program Administrator (via telephone)		TIME COMPLETED:	04:10 PM

ALLEGATION(S):

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Staff are not providing client a safe environment while in care.

Staff are not meeting client's care plan.

INVESTIGATION FINDINGS:

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On this day, Licensing Program Analysts (LPAs) Kevin Saborit-Guasch and Nancy Guillen made an unannounced visit to the facility for the purpose of following up on the investigation of the two allegations listed above. LPAs were greeted and granted entry by facility staff after introducing themselves and stating the purpose of the visit. Program Administrator Jaqueline Lara was notified of the visit via telephone and assisted remotely from the AMHS TELECARE TREEHOUSE CRISIS RESIDENTIAL NORTH - 306005412 location.

An initial complaint investigation visit was conducted on October 14, 2024. At the time of the visit, there were three clients admitted to the program, with three discharges having occurred within the past 24 hours. The client records for the three current clients and the the clients recently discharged were requested and reviewed during the visit.

CONTINUED ON FORM LIC9099

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2025

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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Control Number 22-AS-20241010131307

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: AMHS TELECARE TREEHOUSE CRISIS RESIDENTIAL-SOUTH	FACILITY NUMBER: 306005301
	VISIT DATE: 01/08/2025

NARRATIVE

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CONTINUED FROM FORM LIC9099
Regarding the allegation that Staff are not providing client a safe environment while in care, the following has been concluded: Based on records reviewed, interviews conducted and observations made in the facility, LPAs found that the majority of clients interviewed denied having concerns about their safety that would be the result of staff negligence or failure to provide adequate care and supervision. While occasional incidents generating anxiety or discomfort were brought up, clients interviewed also indicated that they believed staff were adequately addressing their respective concerns. Due to the short term nature of placement at the facility, the Department was unable to interview all parties involved in the reported circumstances. As a result, the allegation is found to be Unsubstantiated, meaning that although the allegation may have happened or is valid; there is not a preponderance of evidence to prove that the alleged violation did or did not occur.

Regarding the allegation that Staff are not meeting client's care plan, the following has been concluded: Care plans reviewed and interviews conducted confirmed that clients are able to be receive one-on-one attention as needed, as well as regular appointments with clinician staff and skilled health professionals in addition to group activities provided at the home. Regular hourly checks are also performed and documented, as are clinician interactions, group activities etc. The allegation is therefore also found to be Unsubstantiated, meaning that although the allegation may have happened or is valid; there is not a preponderance of evidence to prove that the alleged violation did or did not occur.

An exit interview was conducted and a copy of this report was provided to a facility representative.

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2025

LIC9099 (FAS) - (06/04)

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