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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005879
Report Date: 02/25/2025
Date Signed: 02/25/2025 11:38:34 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
06/21/2021 and conducted by Evaluator Alvaro Ramirez Jr.
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20210621072750
FACILITY NAME:SOUTHERN CALIFORNIA SUNRISE RECOVERY CENTER, LLCFACILITY NUMBER:
306005879
ADMINISTRATOR:VILLARREAL, MICHAELFACILITY TYPE:
772
ADDRESS:24372 AUGUSTIN STTELEPHONE:
(949) 533-3046
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY:6CENSUS: 2DATE:
02/25/2025
UNANNOUNCEDTIME BEGAN:
08:58 AM
MET WITH:Andrew Crawford-Program AdministratorTIME COMPLETED:
11:59 AM
ALLEGATION(S):
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Facility staff did not meet the medical needs of the client
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on the above allegation received on June 21, 2021. LPA was greeted and granted entry into the facility and met with Mental Health Technician (MHT) Sofia Navarrete. LPA explained the reason for the visit. Program Director (PD) Andrew Crawford arrived shortly after.

This Department has investigated the complaint alleging facility staff did not meet the medical needs of the client. Regarding the allegation the following was revealed: During the course of the interviews with Clients, Client 1 (C1) reported that a couple of days ago she went to the Emergency Room for a minor infection. C1 reported that staff drove her to the Emergency Room. Per C2, she has not require medical assistance and stated that if she needed medical assistance that staff would call 911. During the investigation LPA reviewed documents including the Medication Administration Record (MAR) dated January 31, 2025, to February 25, 2025 for C1. Per MAR for C1 the medications are being given as prescribed.
CONTINUED ON LIC9099-C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
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-20210621072750
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, LLC
FACILITY NUMBER: 306005879
VISIT DATE: 02/25/2025
NARRATIVE
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Per MAR dated February 20, 2025, to February 25, 2025, C2's medications are being given as prescribed. During the course of the interviews with Staff, Staff 1 (S1) reported that staff are very observant and stated that if a client needs medical assistance that staff would call 911. S2 reported that if a client needs medical assistance that staff would take the client to Urgent Care or the Hospital.

Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegation occurred as reported due to conflicting information. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed UNSUBSTANTIATED.

For today’s visit, there were no citations issued per Title 22, Division 6 of the California Code of Regulations.


LPA conducted an exit interview with facility representative, and a copy of this report was provided to the facility.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2