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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005879
Report Date: 02/12/2026
Date Signed: 02/12/2026 05:00:42 PM

Substantiated


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
06/28/2022 and conducted by Evaluator Jessica Cho
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20220628083754
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: 3DATE:
02/12/2026
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Andrew Crawford- Program DirectorTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff yelled at client.
Client was not provided medication as prescribed.

INVESTIGATION FINDINGS:
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On February 12, 2026, Licensing Program Analyst (LPA) Jessica Cho made an unannounced visit for the purpose of continuing the investigation into the above allegations. LPA was greeted and granted entry after stating the reason for the visit to Care Staff Afshin Zarindast. Program Director Andrew Crawford arrived on site to assist with the investigation. During the course of the investigation, LPA interviewed two clients, thirteen staff, and obtained the following documentation for review: Client Rosters, Staff Rosters, Staff Schedule, Clients' Face Sheets, Admisison Agreement, Medication List, Medication Log, and Program Design.

The investigation is as follows: Regarding the allegation, Staff yelled at client, it is alleged that on June 27, 2022 approximately 3pm, Staff #1 (S1) screamed at Client #1 (C1) in the medication room regarding a medication error. One invididual witnessed S1 yelling at C1 indicated that the yelling caused C1 to feel uncomfortable resulting in C1 crying hysterically, feeling unsafe, and requested to be discharged.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
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 7
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
06/28/2022 and conducted by Evaluator Jessica Cho
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20220628083754

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: 3DATE:
02/12/2026
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Andrew Crawford- Program DirectorTIME COMPLETED:
05:00 PM
ALLEGATION(S):
1
2
3
4
5
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7
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9
Facility did not provide client medication prior to leaving.
Client was not provided medical attention in a timely manner.
Lack of staff to meet the client's needs.
INVESTIGATION FINDINGS:
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On February 12, 2026, Licensing Program Analyst (LPA) Jessica Cho made an unannounced visit for the purpose of continuing the investigation into the above allegations. LPA was greeted and granted entry after stating the reason for the visit to Care Staff Afshin Zarindast. Program Director Andrew Crawford arrived on site to assist with the investigation. During the course of the investigation, LPA interviewed two clients, thirteen staff, and obtained the following documentation for review: Client Rosters, Staff Rosters, Staff Schedule, Clients' Face Sheets, Admisison Agreement, Medication List, Medication Log, and Program Design.

Regarding the allegation, Facility did not provide client medication prior to leaving, it is alleged that C1 did not receive their medications upon discharge due to leaving Against Medical Advice (AMA). Two of thirteen staff interviewed who were employed at the time C1 resided at facility, indicated that medications were not released to clients who were leaving against medical advice.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 22-AS-20220628083754
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: 02/12/2026
NARRATIVE
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The plan of operation notes that physician oversight and approval is required to release medications to clients that voluntarily leave treatment prior to clinical recommendations. There was no documentation confirming that the medication was or was not released per charting notes. None out of the thirteen staff was able to confirm if the medication was or was not released to C1 at discharge.

Regarding the allegation, Client was not provided medical attention in a timely manner, it was alleged that a staff had been informed about their swollen eye "days before" going to the clinic on June 24, 2022. LPA attempted to interview the staff in question, however the call was not returned. Based on the review of the chart summary, there were no records noted regarding C1's swollen eye.

Regarding the allegation, Lack of staff to meet the client's needs, it is alleged that there were insufficient staff resulting with little to no group therapies due to the group facilitators being terminated. Based on the review of case manager discharge summary dated June 28, 2022, C1 received a minimum of 36 hours of group therapy sessions per 7 days and two individual therapy sessions a week. Based on the review of C1's charting, C1 was admitted Wednesday, June 15, 2022. C1 received their first 1:1 session on Tuesday, June 21, 2022. The following 1:1 session was on June 24th with a total of 14 group therapy sessions between June 22nd to June 27th. Based on the review of the resident roster, when C1 was admitted to the facility on June 15, 2022, six clients were registered to the facility. Based on the review of the staff schedule, there were two staff for the morning and afternoon shifts with one staff in the evening shifts.

Due to conflicting information obtained, the following allegations: Facility did not provide client medication prior to leaving, Client was not provided medical attention in a timely manner, and Lack of staff to meet the client's needs are deemed UNSUBSTANTIATED as there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted with Program Director Andrew Crawford and Administrator Michael Villareal by telephone, and a copy of this report was provided at exit.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 22-AS-20220628083754
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/12/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/19/2026
Section Cited
CCR
81072(a)(1)
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81072 Personal Rights 81072
(a) Each client shall have personal rights which include, but are not limited to, the following: (1) To be accorded dignity...

This requirement was not met as evidenced by:
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Program Director stated that they will forward proof of an in-service training regarding personal rights as well as an Acknowledgement of Understanding of the said regulation to LPA by POC due date.
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Based on interviews and record review, one individual witnessed S1 yelling at C1 which poses a potential Personal Rights risk to persons in care.
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Type B
02/19/2026
Section Cited
CCR
81075(a)
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81075 Health-Related Services (a) The licensee shall ensure that each client receives necessary first aid and other needed medical... services... This requirement was not met as evidenced by:
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Program Director stated that they will forward proof of an in-service training regarding medications as well as an Acknowledgement of Understanding of the said regulation to LPA by POC due date.
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Based on interviews and record review, C1 received Doxycycline 2 days after it was delivered which posed a potential Health, Safety, and/or Personal Rights risk to persons in care.
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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: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 22-AS-20220628083754
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: 02/12/2026
NARRATIVE
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One of two clients interviewed who resided at the facility with C1 resided also witnessed S1 yelling at other clients and staff for different reasons.

Regarding the allegation, Client was not provided medication as prescribed, it is alleged that C1 was not given their eye medication. C1 was seen by the doctor at a walk-in clinic on June 24, 2022 at 11am for a swollen left eye. The left eye was treated for conjunctivitis per discharge summary also dated June 24th, and C1 was prescribed with two new medication orders: Doxycycline Hyclate 100 MG oral tablet taken daily for 7 days and Erythromycin 5 MG Ophthalmic ointment applied to the lower conjuctival sac of affected eye 4 times per day for 7 days. Per interviews, two of two staff who were present when C1 resided at the facility, confirmed Erythromycin was not administered for 4 days due to the ointment not being available from Friday, June 24, 2022 to Monday, June 27, 2022. Per review of the medication log, C1 received the ointment on Monday, June 27, 2022 at 5:00pm, the day C1 requested to leave the facility. The email correspondence from the medical clinic dated June 27, 2022 at 4:17pm indicated that C1 requested the medications to be sent to the pharmacy next door in lieu of the pharmacy that the facility regularly does business with. The medication order was rerouted and sent to the correct pharmacy on Friday, June 24th. The investigation revealed that the although C1 received the ointment 3 days after the medical appointment, it appears that the delay was a result of the pharmacy. However in regards to Doxycycline, the medication label indicates that the order was filled on June 24th and the oral medication was delivered on Saturday, June 25, 2022 at 2pm. The medication log indicates that C1 received the first dose on June 27th at 9am, two days after the medication was delivered.

Therefore, based on interviews which were conducted and the records that were reviewed, the preponderance of evidence standard has been met, therefore the following allegations: Staff yelled at client and Client was not provided medication as prescribed are deemed SUBSTANTIATED. A deficiency is being cited on the attached LIC9099-D.

An exit interview was conducted with Program Director Andrew Crawford and Administrator Michael Villareal, and a copy of this report including the LIC811, and the appeal rights were provided at exit.




SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
LIC9099 (FAS) - (06/04)
Page: 7 of 7