306005850-7-2-2026-22-AS-AORZ-DVUS28-20260710132904

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005850
Report Date: 07/02/2026
Date Signed: 07/02/2026 12:16:07 PM

Unsubstantiated

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
06/23/2026 and conducted by Evaluator Andrea Mendivil

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20260623161344

FACILITY NAME:	COASTAL STAR CRISIS RESIDENTIAL CENTRAL		FACILITY NUMBER:	306005850
ADMINISTRATOR:	TORRES, DIANE		FACILITY TYPE:	772
ADDRESS:	401 S. TUSTIN ST., BUILDING D		TELEPHONE:	(714) 289-3936
CITY:	ORANGE	STATE: CA	ZIP CODE:	92866
CAPACITY:	15	CENSUS: 13	DATE:	07/02/2026
		UNANNOUNCED	TIME BEGAN:	08:35 AM
MET WITH:	Diane Torres - Director		TIME COMPLETED:	12:35 PM

ALLEGATION(S):

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Facility staff are not ensuring client's dietary needs are met
Facility staff are not assisting client with obtaining health related services

INVESTIGATION FINDINGS:

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On this day, Licesning Program Analysts (LPAs) Andrea Mendivil and Nancy Guillen made an unannounced visit to conduct a complaint investigation. LPAs were greeted and granted entry into the facility by staff and explained the reason for the visit.

The Department received a complaint on June 23, 2026. During the visit LPAs gathered documents and interviewed staff and clients. Regarding the allegations facility staff are not ensuring client's dietary needs are met and facility staff are not assisting client with obtaining health related services, the investigaiton revealed the following:

It was alleged that the staff are not meeting client's dietary needs. Per review of Client 1's (C1s) Nutrition Progress Note, it stated "no nurtrition-focused physical concerns identified at this time. Stated no specific food allergies... ". Per interivew with Director Diane Torres it is reported that if a client has a medical diet or a dietary restriction the faciltiy will accommodate the client's diet.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2026

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-20260623161344

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: COASTAL STAR CRISIS RESIDENTIAL CENTRAL	FACILITY NUMBER: 306005850
	VISIT DATE: 07/02/2026

NARRATIVE

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Director reported that preferences and request will be accommodated within reason. Interviews with 5 out of 5 clients stated the food is good and that they do not have any dietary issues.

It was alleged that Facility staff are not assisting client with obtaining health related services. Per interview with Director, it was stated they will assist with setting up appointments for outside providers. Based on interview with the Director it was stated that client's see their assigned therapist once per week for session and then there are daily quick check ins by staff. It was reported by 5 out of 5 clients, that they are seen a minimum once per week by their therapist and psychiatrist is seen once very other Wednesday. All 5 clients reported their health needs are being met.

Therefore based on the preponderance of evidence and records reviewed the allegations that Facility staff are not ensuring client's dietary needs are met and Facility staff are not assisting client with obtaining health related services are determined to be UNSUBSTANTIATED, meaning that although the allegations 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.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2026

LIC9099 (FAS) - (06/04)

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