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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005301
Report Date: 01/26/2026
Date Signed: 01/26/2026 01:34:31 PM

Substantiated


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
06/10/2024 and conducted by Evaluator RoseMarie Ruppert
COMPLAINT CONTROL NUMBER: 22-AS-20240610135855
FACILITY NAME:AMHS TELECARE TREEHOUSE CRISIS RESIDENTIAL-SOUTHFACILITY NUMBER:
306005301
ADMINISTRATOR:ANTONIO RESENDIZFACILITY TYPE:
772
ADDRESS:25402 PACIFICA AVENUETELEPHONE:
(949) 238-2400
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY:6CENSUS: 5DATE:
01/26/2026
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Antonio "Tony" Resendiz, Clinical Director (CD)TIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Facility has staff that are not qualified to work at the facility
Staff are not properly trained
Facility did not have proper medical assessments for clients in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to investigate a complaint received in the Regional Office. LPA was greeted and granted entry by Clinical Director (CD) Tony Resendiz and LPA explained the purpose of the visit. The facility is a Short Term Residential Treatment Program (STRTP) and currently has five clients in care.

Licensing Program Analyst (LPA) obtained a client roster, and reviewed five of five staff personnel files from May 30, 2024. LPA investigated the allegation that Facility has staff that are not qualified to work at the facility. Per DHCS report dated May 30, 2024 one staff member did not have evidence of having one year of full-time experience, or its part time equivalent, serving persons with mental disabilities. LPA reviewed five of five staff resumes and applications. Per review of resumes and applications, one of five staff, Staff #3 (S3) did not meet the one year full-time requirement of serving persons with mental disabilities.

(Continued on LIC 9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026
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-20240610135855
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: 01/26/2026
NARRATIVE
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(Continued from LIC 9099)

LPA investigated the allegation that staff are not properly trained. Per DHCS report dated May 30, 2024, one staff member did not have documentation of having the twenty hours of in-service training. LPA reviewed five of five staff Relias Training records. One of five Relias staff records show Staff #1 (S1) had 19.3 training hours. Thus the twenty hour requirement was not met.

A Plan of Correction was submitted to DHCS and a Staff Plan of Supervision, Training, In-Service training form is now being utilized by the facility. The facility will address the requirement of not having one year experience as follows. One week prior to on boarding, Clinical Director will implement a Plan of Supervision for employees who do not meet the year requirement and fill in the gap with weekly training. The Program Administrator will also audit the Plan of Supervision on a quarterly basis. LPA reviewed S1's training for 2025 and S1 had 49.8 hours of documented training.

The Plan of Correction for staff are not properly trained will be addressed by the Office Coordinator reviewing employee Relias training monthly and the Clinical Director will fill in any training gaps to meet the twenty hour in-service requirement. The Program Director will work with staff who do not meet this requirement with disciplinary action, as needed.

LPA obtained the following documents: Client rosters from May 30. 2024 and June 12, 2024. LPA obtained and reviewed six of six client files from June 2024. LPA also obtained five of five current client medical assessments for review. Per DHCS report dated May 30, 2024, two of six client Medical Assessments were not signed within thirty days of admission by a licensed clinician. The facility submitted a Plan of Correction from June 29, 2024 that the physician will meet with the client within twenty-four hours of intake and would submit the medical assessment within the thirty days required.

LPA reviewed the six client files from June 2024 and noted all signatures and information were corrected. LPA also reviewed five of five current client files and clinician signatures were noted and all assessmenst were complete at this time.

(Continued on LIC 9099-C1)
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 22-AS-20240610135855
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/26/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/26/2026
Section Cited
CCR
81065(n)
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81065 Personnel Requirements (n) All direct care staff shall meet the minimum qualifications as set forth in California Code of Regulations, Title 9, Division 1, Chapter 3, Article 3.5, Sections 532.6(n) and (i).This requirement was not met as evidenced by: Based on LPA file review



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A Plan of Correction was submitted to DHCS on June 29. 2024. One week prior to on boarding, the Clinical Director will review any experience or training gaps and will provide weekly training. A Program Administrator will audit quarterly.
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one of five staff, Staff #3, did not meet the one year experience requirement. This poses a potential risk for clients in care.
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Type B
01/26/2026
Section Cited
CCR
81065(r)
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81065 Personnel Requirements (r) All direct care staff shall receive a minimum of 20-clock-hours of continuing education per year, which shall provide the staff with the knowledge and skills as appropriate to their job assignment. This requirement was not met as evidenced by:
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A Plan of Correction was submitted to DHCS on June 29. 2024. The Office Coordinator will review monthly Relias reports to ensure staff are meeting their training hour requirement. The Clinical Director will work with staff for compliance and disciplinary action will be given, as needed.
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Based on LPA file review, one of five staff, Staff #1, had 19.3 hours of training. This poses a potential risk for clients 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: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 22-AS-20240610135855
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: 01/26/2026
NARRATIVE
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(Continued from LIC 9099-C)

Based on LPA record review and interview, the preponderance of evidence standard has been met, therefore the allegations that: Facility has staff that are not qualified to work at the facility, Staff are not properly trained and Facility did not have proper medical assessments for clients in care are Substantiated. The following deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Antonio "Tony" Resendiz, Clinical Director and a copy of this report , LIC 811, LIC 9099-D and Appeal Rights were provided to the facility.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 22-AS-20240610135855
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/26/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/26/2026
Section Cited
CCR
81069(a)(1)
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81069 Client Medical Assessments a) Prior to admitting a client into care or within 72 hours of admission, the licensee shall obtain...documentation of the client's medical assessment.
(1) Such assessment shall be performed by a licensed physician, or a designee, who is also a licensed professional, and the assessment shall not be more than one year old when obtained.
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A Plan of Correction was submitted to DHCS on June 29. 2024. A licensed medical professional will meet with client within 24 hours of intake and the LVN will provide feedback to the Clinical Director on a weekly basis.
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who is also a licensed professional. This requirement was not met as evidenced by: Based on DHCS review and Plan of Correction submitted by the facility, this requirement was not met for two of six clients. This poses a potential health and safety risk to clients 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: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5