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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005412
Report Date: 01/22/2026
Date Signed: 01/22/2026 12:34:30 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
04/02/2021 and conducted by Evaluator Claudia Gutierrez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20210402124149
FACILITY NAME:AMHS TELECARE TREEHOUSE CRISIS RESIDENTIAL NORTHFACILITY NUMBER:
306005412
ADMINISTRATOR:BRYAN SAWLSVILLEFACILITY TYPE:
772
ADDRESS:2026 W.BEACON AVENUETELEPHONE:
(657) 276-7030
CITY:ANAHEIMSTATE: CAZIP CODE:
92804
CAPACITY:6CENSUS: 5DATE:
01/22/2026
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Jaqueline LaraTIME COMPLETED:
12:50 PM
ALLEGATION(S):
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Facility failed to provide care and supervision
INVESTIGATION FINDINGS:
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An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez regarding the allegation mentioned above. LPA met with Administrator Jaqueline Lara and discussed the purpose of the inspection.

It is alleged former Client 1 (C1) did not return to the facility following an appointment and relapsed on alcohol. LPA attempted to contact C1 by phone to confirm or deny allegation, however, last known phone number for C1 is no longer in service. Interviews were conducted with three facility staff. One of three staff was unable to confirm or deny whether C1 had left the facility unassisted. Two of three staff corroborated the allegation and stated that on March 15, 2021, C1 was transported via a ride share to tour a transitional living facility as part of their discharge planning, however, C1 did not return to the facility and relapsed on alcohol. C1 was subsequently discharged from the facility on the same date. A physician report for C1 from 2021 was not available for review due the length of time since C1 was originally discharged. (Cont. LIC9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2026
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-20210402124149
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: AMHS TELECARE TREEHOUSE CRISIS RESIDENTIAL NORTH
FACILITY NUMBER: 306005412
VISIT DATE: 01/22/2026
NARRATIVE
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During the course of the investigation, a history of episode discharge for C1 was obtained and an interview was conducted with the Medical Doctor (MD), Witness 1 (W1), who was the discharge practitioner for C1 on March 15, 2021. Per W1, C1 would not have been able to leave the facility unassisted at that time due to the high probability of relapse and possibility of illegal substances being brought back into the facility.

Based on staff interviews, the preponderance of evidence standard has been met; therefore, the above allegation is found to be substantiated. Deficiencies are being cited per Title 22 Division 6 of the California Code of regulations. (See LIC9099-D). An exit interview interview was conducted and a copy of this report, and appeal rights were left at the facility.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2026
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
CCLD Regional Office, 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
04/02/2021 and conducted by Evaluator Claudia Gutierrez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20210402124149

FACILITY NAME:AMHS TELECARE TREEHOUSE CRISIS RESIDENTIAL NORTHFACILITY NUMBER:
306005412
ADMINISTRATOR:BRYAN SAWLSVILLEFACILITY TYPE:
772
ADDRESS:2026 W.BEACON AVENUETELEPHONE:
(657) 276-7030
CITY:ANAHEIMSTATE: CAZIP CODE:
92804
CAPACITY:6CENSUS: 5DATE:
01/22/2026
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Jaqueline LaraTIME COMPLETED:
12:50 PM
ALLEGATION(S):
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9
Facility failed to report incident
INVESTIGATION FINDINGS:
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An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez. LPA met with Administrator Jaqueline Lara and explained the purpose of the inspection.

Complaint alleges Facility did not report an incident involving former Client 1 (C1) which took place on March 15, 2021.

During the course of the investigation, the Department obtained a copy of incident report in question on May 24, 2022, and interviews were conducted with three facility staff. One of three staff was unable to confirm or deny the allegation and stated they were unsure how the incident was reported. Two of three staff stated the incident had been reported and incident report sent to Community Care Licensing (CCL) via fax, however, due to length of time, they would be unable to provide a confirmation from the fax machine. (Cont. LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2026
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-20210402124149
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: AMHS TELECARE TREEHOUSE CRISIS RESIDENTIAL NORTH
FACILITY NUMBER: 306005412
VISIT DATE: 01/22/2026
NARRATIVE
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Due to allegation being uncorroborated during interviews conducted, the Department is unable to determine if Facility failed to report incident. Although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore at this time the above allegation is unsubstantiated.

An exit interview was conducted and copy of this report was provided at the end of the inspection.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 22-AS-20210402124149
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: AMHS TELECARE TREEHOUSE CRISIS RESIDENTIAL NORTH
FACILITY NUMBER: 306005412
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/22/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/23/2026
Section Cited
CCR
81078(a)
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(a) The licensee shall provide care and supervision as necessary to meet the client's needs

This requirement is not met as evidenced by:
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AD stated a written plan of action ensuring care and supervision is provided as necessary to meet clients' needs will be submitted to LPA via email by POC date.
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Based on staff interviews, the Licensee did not comply with the section cited above as C1 was allowed to leave the facility unassisted, did not return, and relapsed on alcohol.
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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: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5