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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006015
Report Date: 10/21/2025
Date Signed: 10/21/2025 11:38:37 AM

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
10/16/2025 and conducted by Evaluator Alvaro Ramirez Jr.
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20251016150404
FACILITY NAME:SOUTHERN CALIFORNIA SUNRISE RECOVERY CENTER, LLCFACILITY NUMBER:
306006015
ADMINISTRATOR:VILLARREAL, MICHAELFACILITY TYPE:
772
ADDRESS:24751 ARGUS DRTELEPHONE:
(949) 533-4025
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY:6CENSUS: 4DATE:
10/21/2025
UNANNOUNCEDTIME BEGAN:
08:56 AM
MET WITH:Andrew Crawford-Program Director, Alison Rau-Case ManagerTIME COMPLETED:
11:59 AM
ALLEGATION(S):
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Facility has insufficient staff on shift
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced initial 10-Day complaint visit to initiate the investigation into the above allegation and to deliver the findings of the investigation. LPA was greeted and granted entry into the facility and met with Case Manager Alison Rau. LPA explained the reason for the visit. Program Director (PD) Andrew Crawford arrived shortly after. Administrator (AD) Michael Villareal was notified by staff via telephone.

This agency has investigated the complaint alleging that facility has insufficient staff on shift. Regarding the allegation, the following was revealed: During the course of the investigation LPA reviewed documents including the Southern California Sunrise Recovery Center, LLC staff schedule dated September 1, 2025, through September 30, 2025. Per staff schedule from September 1, 2025, through September 6 2025, there was only one staff on duty for the shift from 12:00 a.m. to 8:30 a.m. Per staff schedule from September 7, 2025, through September 11, 2025, there was only one staff on duty for the shift from 4:00 p.m. to 12:30 a.m.
CONTINUED ON LIC9099-C...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2025
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 3
Control Number 22-AS-20251016150404
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: 306006015
VISIT DATE: 10/21/2025
NARRATIVE
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Per staff schedule from September 24 2025, through September 27 2025, there was only one staff on duty for the shift from 4:00 p.m. to 12:30 a.m. Per California Code of Regulations under Day Staff Client Ratio 81065.5 (a)(2) it states that Short Term Crisis Residential Programs shall have at least two direct care staff persons on duty, on the premises, any time clients are in the facility.

Based on observations and the interviews which were conducted, the preponderance of evidence standard has been met, therefore the following allegation: facility has insufficient staff on shift is deemed SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Chapter 8 is being cited on the attached LIC 9099D.

An exit interview was conducted with Program Director Crawford and AD. A copy of this report along with the Appeal Rights were provided at the time of this visit.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 22-AS-20251016150404
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: 306006015
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/21/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/22/2025
Section Cited
CCR
81065.5(a)(2)
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Day Staff Client Ratio 81065.5(a)A licensee shall ensure that sufficient direct care staff are at the facility whenever clients are present. (2)Short Term Crisis Residential Programs shall have at least two direct care staff persons on duty, on the premises, any time clients are in the facility.
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 Licensee to read regulation and sign a statement of understanding. Licensee to email LPA an updated staff schedule. Licensee to email LPA POC by POC due date.
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 This requirement was not met as evidence by: from 9/1/25 through 9/6/25 there was only one staff on duty for the shift from 12:00 a.m. to 8:30 a.m. and from 9/7/25 through 9/11/25 and 9/24/25 through 9/27/25 there was only one staff on duty for the shift from 4:00 p.m. to 12:30 a.m. This poses an immediate health, safety 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: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3