306005813-4-7-2026-22-AS-SSAS-DT526A-20260413170647

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005813
Report Date: 04/07/2026
Date Signed: 04/07/2026 01:51:11 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
04/09/2025 and conducted by Evaluator Brandon Lopez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20250409140757

FACILITY NAME:	A MISSION FOR MICHAEL		FACILITY NUMBER:	306005813
ADMINISTRATOR:	WILLIAM MARA		FACILITY TYPE:	772
ADDRESS:	26972 VIA BANDERAS		TELEPHONE:	(949) 313-7444
CITY:	SAN JUAN CAPISTRANO	STATE: CA	ZIP CODE:	92675
CAPACITY:	6	CENSUS: 6	DATE:	04/07/2026
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Clinical Director Eric Schlothan Program Director Axel Vargas		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Staff did not dispense client’s medications as prescribed.
Staff did not keep client’s personal information confidential.
Staff did not ensure client’s dietary needs were met.
Staff did not ensure the safety of food provided to clients.
Staff did not allow client access to their personal cell phone.

INVESTIGATION FINDINGS:

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On April 7, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to continue the investigation into the allegations listed above and to deliver the complaint findings. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Clinical Director Eric Schlothan and Program Director Axel Vargas were notified via telephone and later arrived to assist with the inspection.

During the course of the investigation, the Department interviewed clients, interviewed staff, reviewed and obtained pertinent documents for this complaint. Regarding the allegation, staff did not dispense client’s medications as prescribed, the following has been concluded: It was alleged that staff did not dispense Client #1 (C1) medication as prescribed. The Department was unable to conduct an interview with C1, due to C1 moving out of the facility on April 9, 2025. The Department reviewed C1's medication administration records. The Department observed that the facility consistently provided C1 his prescribed medications as per regulations. CONTINUED ON LIC9099-C

Unsubstantiated

Estimated Days of Completion: 90

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2026

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-20250409140757

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: A MISSION FOR MICHAEL	FACILITY NUMBER: 306005813
	VISIT DATE: 04/07/2026

NARRATIVE

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The Department observed that the only disruption with C1's medication was on April 8, and April 9, 2025. LPA observed that the facility was unable to provide C1 his prescribed Auvelity medication due to C1's pharmacy not delivering the medication to the facility. The Department conducted four staff interviews. Four of out of the four staff interviewed denied the allegation. The Department attempted to conduct six clients interviews. Three out of the six clients declined to be interviewed. The remaining three clients denied the allegation and reported no issues with their medication.

Regarding the allegation, staff did not keep client’s personal information confidential, the following has been concluded: It was alleged that staff did not keep C1's personal information confidential. The Department was unable to conduct an interview with C1, due to C1 moving out of the facility on April 9, 2025. The Department conducted four staff interviews. Four of out of the four staff interviewed denied the allegation. The Department attempted to conduct six clients interviews. Three out of the six clients declined to be interviewed. The remaining three clients denied the allegation and reported no issues with the confidentiality of their personal information.

Regarding the allegation, staff did not ensure client’s dietary needs were met, the following has been concluded: It was alleged that staff did not ensure C1's dietary needs were met. The Department reviewed C1's initial assessment dated March 19, 2025, which stated that C1 required a gluten free diet. The Department was unable to conduct an interview with C1, due to C1 moving out of the facility on April 9, 2025. The Department reviewed the facility's pass down notes for C1. The Department observed that the pass down notes for C1 consistently describe the facility proving gluten free food options to C1 on different days during his stay at the facility. The Department conducted four staff interviews. Four of out of the four staff interviewed denied the allegation. The Department attempted to conduct six clients interviews. Three out of the six clients declined to be interviewed. The remaining three clients denied the allegation and reported no issues with their dietary needs.

Regarding the allegation, staff did not ensure the safety of food provided to clients, the following has been concluded: During the investigation, the Department inspected the facility's food supply which were located in the kitchen area and in the garage. The Department observed the facility's food to be of good quality and to be free of any mold. The Department conducted four staff interviews. Four of out of the four staff interviewed denied the allegation. CONTINUED ON LIC9099-C

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2026

LIC9099 (FAS) - (06/04)

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Control Number 22-AS-20250409140757

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: A MISSION FOR MICHAEL	FACILITY NUMBER: 306005813
	VISIT DATE: 04/07/2026

NARRATIVE

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The Department attempted to conduct six clients interviews. Three out of the six clients declined to be interviewed. The remaining three clients denied the allegation and reported no issues with the facility's food.

Regarding the allegation, staff did not allow client access to their personal cell phone, the following has been concluded: It was alleged that staff did not allow C1 access to his personal cell phone. The Department was unable to conduct an interview with C1, due to C1 moving out of the facility on April 9, 2025. The Department conducted four staff interviews. Four of out of the four staff interviewed denied the allegation. The Department attempted to conduct six clients interviews. Three out of the six clients declined to be interviewed. The remaining three clients denied the allegation and reported no issues with having access to their personal cell phones.

Based on the information gathered during the investigation, the Department is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred; therefore, the five allegations are deemed Unsubstantiated. An exit interview was conducted with Clinical Director Eric Schlothan and Program Director Axel Vargas. A copy of the report was provided at time of visit.

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2026

LIC9099 (FAS) - (06/04)

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