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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005301
Report Date: 03/04/2026
Date Signed: 03/04/2026 02:12:50 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
06/02/2023 and conducted by Evaluator Brandon Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20230602141447
FACILITY NAME:AMHS TELECARE TREEHOUSE CRISIS RESIDENTIAL-SOUTHFACILITY NUMBER:
306005301
ADMINISTRATOR:CINDY TAMAYOFACILITY TYPE:
772
ADDRESS:25402 PACIFICA AVENUETELEPHONE:
(949) 238-2400
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY:6CENSUS: 4DATE:
03/04/2026
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Program Director Antonio Resendiz via telephoneTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Clients treatment plans did not include evidence of progress towards reaching established goals.
Facility did not follow their plan of operation regarding client's discharge summary.
Staff do not meet the minimum qualifications.
INVESTIGATION FINDINGS:
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On March 4, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to deliver the complaint findings. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Program Director (PD) Antonio Resendiz was notified via telephone but was unable to assist with today's inspection.

During the course of the investigation, the Department interviewed staff, reviewed and obtained pertinent documents for this complaint. Regarding the allegation, clients treatment plans did not include evidence of progress towards reaching established goals, the following has been concluded: It was alleged that the treatment plans for Client #1 (C1) and Client #2 (C2) did not include evidence of progress towards reaching their established goals. The Department reviewed the treatment plans for C1 and C2. The Department observed the treatment plan for C1 was established on May 10, 2023. The Department observed that for C1's established goals, it listed decreasing feelings of depression and decrease anxiety from 10/10, to 5/10. The Department reviewed C1's progress notes. CONTINUED ON LIC9099-C
Substantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026
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 7
Control Number 22-AS-20230602141447
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: 03/04/2026
NARRATIVE
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The Department observed that C1's progress notes did not include evidence of progress towards reaching those established goals. The Department observed C2's treatment plan was established on May 5, 2023. The Department observed that for C2's established goals, it listed increasing client's socialization and communication by client attending 2-3 group activities on a daily basis, and decreasing depressed mood and anxiety by attending daily groups, meeting with clinician every other day, and demonstrating learned coping skills for one week. The Department reviewed C2's progress notes. The Department observed that C2's progress notes did not include evidence of progress towards reaching those established goals.

Regarding the allegation, facility did not follow their plan of operation regarding client's discharge summary, the following has been concluded: It was alleged that the facility did not follow their plan of operation regarding Client #3 (C3) discharge summary. The Department reviewed the facility's plan of operation regarding client's discharge summary. The Department observed that in the facility's plan of operation, it states, "Within the first 24-hours consideration will be given to the discharge plan in collaboration with each resident and community providers. Aftercare planning will include partnering with each consumer to develop short- and long-term goals for return to the community, including strengthening of each resident's natural supports (family, friends, and community groups)." The Department reviewed the discharge summary for C3. The Department observed that the discharge summary did not include document evidence of C3's involvement

Regarding the allegation, staff do not meet the minimum qualifications, the following has been concluded: It was alleged that Staff #3 (S3) did not meet the minimum qualifications. Per California Code of Regulation under Personnel Requirements 81065 (n), it states that 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(h) and (i). These requirements include that all direct care staff shall have graduated from high school or possess a GED and have a minimum of one year of full-time experience, or its part-time equivalent, working in a program serving persons with mental disabilities. Such experience shall be in direct services to clients. If the employee does not have the required experience, the program shall document a specific plan of supervision and in-service training for the employee which will guarantee the ongoing qualification of the employee to perform the job. The plan should include but not be limited to the frequency and number of hours of training, the subjects to be covered, and a description of the supervision to be provided. CONTINUED ON LIC9099-C
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 22-AS-20230602141447
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: 03/04/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/11/2026
Section Cited
CCR
81068.3(d)
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81068.3 Modifications to Needs and Services Plan (d)The program director or staff ... shall, with the client's participation, review the treatment/rehabilitation plan according to .. California Code of Regulations, Title 9, Division 1, Chapter 3, Article 3.5, Section 532.2(c).
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The Program Director has already implimented new procedures to ensure treatment plans include evidence of progress towards the clients goals. POC cleared at time of visit.
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This requirement is not evidenced by: Based on records reviewed, the Licensee did not ensure that Client #1 and Client #2 treatement plans included documented evidence of reaching established goals. This poses a potential health, safety, and personal rights risk to persons in care.
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Type B
03/11/2026
Section Cited
CCR
81022(j)
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81022 Plan of Operation: (j) The facility shall operate in accordance with the terms specified in the plan of operation and may be cited for not doing so.
This requirement was not evidenced by:
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The Program Director has already implimented new procedures to ensure the facility's plan of operation is following regarding client's discharge summary reports. POC cleared at time of visit.
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Based on records reviewed, the Licensee did not ensure the plan of operation was followed regarding Client #3 discharge summary report. This poses a potential health, safety, and personal rights risk to person's 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: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 22-AS-20230602141447
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: 03/04/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/11/2026
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(h) and (i).
This requirement is not evidenced by:
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The Program Director has already updated the facility's plans of supervision, for the staff who do not meet the minimum qualifications upon hire. POC cleared at time of visit.
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Based on records reviewed, LPA observed that Staff #3 (S3) did not meet the minimum qualifications upon hire, and the facility was unable to provide an appropriate plan of supervision for S3. This poses a potential health, safety, and personal rights risk.
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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: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 22-AS-20230602141447
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: 03/04/2026
NARRATIVE
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The Department reviewed S3's file. The Department observed that S3 did not meet the minimum experience requirement upon hire, thus requiring a plan of supervision which would guarantee their ongoing qualification to perform the job. However, the facility was unable to provide a plan of supervision for S3, therefore, not adhering to the regulations.

Based on the evidence gathered during this investigation, the Department obtained sufficient evidence to substantiate the allegations that, clients treatment plans did not include evidence of progress towards reaching established goals, facility did not follow their plan of operation regarding client's discharge summary, and staff do not meet the minimum qualifications. The preponderance of evidence standards has been met; therefore, the above allegations are SUBSTANTIATED. Deficiencies are being cited on the attached LIC9099-D pages. However, since the facility has already implemented procedures to correct these deficiencies, the citations will also be cleared on today's visit. An exit interview was conducted with Program Director Antonio Resendiz via telephone. A copy of the report and Appeal Rights were provided to an authorized facility representative.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026
LIC9099 (FAS) - (06/04)
Page: 7 of 7