306005701-4-21-2025-22-AS-AORZ-DGHTHN-20250509144456

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005701
Report Date: 04/21/2025
Date Signed: 04/21/2025 10:22:05 AM

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
04/16/2025 and conducted by Evaluator RoseMarie Ruppert

COMPLAINT CONTROL NUMBER: 22-AS-20250416151106

FACILITY NAME:	SOUTHERN CALIFORNIA SUNRISE RECOVERY CENTER		FACILITY NUMBER:	306005701
ADMINISTRATOR:	MICHAEL VILLARREAL		FACILITY TYPE:	772
ADDRESS:	25481 GLORIOSA DRIVE		TELEPHONE:	(949) 533-3046
CITY:	MISSION VIEJO	STATE: CA	ZIP CODE:	92691
CAPACITY:	6	CENSUS: 0	DATE:	04/21/2025
		UNANNOUNCED	TIME BEGAN:	09:46 AM
MET WITH:	Andrew Crawford, Program Director		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility did not have written assessment of clients' needs and services plan.
Facility did not have treatment plan to evaluate clients' achievement of goals.
Faciility did not follow their own discharge practices.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to conduct a complaint investigation. LPA was greeted, granted entry and met with Andrew Crawford, Program Director (PD) and explained the purpose of the visit.

LPA obtained copies of three of three client files which include: Client face sheets, Admissions Agreements, Needs and Services Plans, Treatment Plans and Discharge Documentation.

Upon file review three of three clients: Client #1 (C1), Client #2 (C2) and Client #3 (C3), Needs and Services plans provided documentation that meal planning, budgeting and shopping skills were assessed and were dated prior to three of three clients' admissions to the facility. C1 was admitted on March 1, 2025 and document was signed on March 1, 2025. C2 was admitted on February 24, 2025 and
document was signed prior to admission on February 13, 2025. C3 was admitted on February 11,
(Continued on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2025

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 2

Control Number 22-AS-20250416151106

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: SOUTHERN CALIFORNIA SUNRISE RECOVERY CENTER	FACILITY NUMBER: 306005701
	VISIT DATE: 04/21/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

(continued from LIC 9099)
2025 and document was signed prior to admission on February 10, 2025. The allegation that the facility did not have written assessment of clients' needs and services plan is unsubstantiated.

LPA and PD reviewed three of three client records (C1, C2 and C3). The Treatment Plan for C1, admitted on March 1, 2025, documented client's achievement of goals which was signed dated on March 3, 2025. The allegation that facility did not have treatment plan to evaluate clients' achievement of goals is unsubstantiated.

LPA and PD reviewed discharge plans for Client #4 (C4) and Client #5 (C5). Both clients were discharged to Partial Hospitalization Programs (PHP) which provide all follow-up services and are scheduled by the PHP program. The PHPs are identified on the discharge documentation and it was advised for facility to document that PHP provides these services for clarification. The allegation facility did not follow their own discharge practices is unsubstantiated.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. Based on the observations and file reviews made during today’s visit, the facility appears to be in compliance with Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Andrew Crawford, PD and a copy of the report was given at the time of the visit.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 2