306005391-7-31-2024-22-AS-MSTC-D7PTHF-20240731144438

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005391
Report Date: 07/31/2024
Date Signed: 07/31/2024 02:30:24 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
07/16/2024 and conducted by Evaluator Kevin Saborit-Guasch

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20240716165332

FACILITY NAME:	NSIGHT PSYCHOLOGY & ADDICTION		FACILITY NUMBER:	306005391
ADMINISTRATOR:	BEATIFICATO, MARY HELEN		FACILITY TYPE:	772
ADDRESS:	206 W.SIERRA DRIVE		TELEPHONE:	(949) 629-3722
CITY:	SANTA ANA	STATE: CA	ZIP CODE:	92707
CAPACITY:	6	CENSUS: 5	DATE:	07/31/2024
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Denita Trowel, Program Director		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Clients are not receiving mental health services as needed.

INVESTIGATION FINDINGS:

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On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of delivering findings into the investigation of the allegation listed above. LPA was greeted and granted entry by facility staff after stating the purpose of the visit.

An initial complaint investigation visit was conducted on July 23, 2024 with four clients admitted at the facility but only one of them present. LPA requested and reviewed the client census as well as client records for all four currently admitted individuals in addition to the ten most recent discharges. LPA reviewed five individual plans of care and the corresponding encounter reports. The single client present was interviewed along with two staff members. Additional witness interviews were conducted or attempted via telephone at a later time.

CONTINUED ON FORM LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:	DATE: 07/31/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2024

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-20240716165332

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: NSIGHT PSYCHOLOGY & ADDICTION	FACILITY NUMBER: 306005391
	VISIT DATE: 07/31/2024

NARRATIVE

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CONTINUED FROM FROM LIC9099

Regarding the allegation that Clients are not receiving mental health services as needed, the following has been concluded: Based on records reviewed and interviews conducted, it was confirmed that all current and recently discharged clients had been assessed by a licensed professional within 72 hours of their admission into the program as mandated by regulations. The credentials for all professionals documented in the electronic client records as providing mental health services were verified to be current and up-to-date with the Board of Behavioral Sciences. From those initial assessments, the individual plans of care reviewed indicated a default frequency of two individual therapy sessions weekly for each client. A review of the documented encounters logged into the electronic records confirmed that bi-weekly appointments had indeed taken place for each client whose file was reviewed during the investigation. This was additionally corroborated by statements made by clients and staff interviewed. Staff interviews also informed LPA that the facility had conducted an organization change, going from a single mental health provider to multiple, so that more customized approaches could be provided to individual clients.

As a result, the allegation is therefore found to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred. 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: 07/31/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2024

LIC9099 (FAS) - (06/04)

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