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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006059
Report Date: 05/08/2026
Date Signed: 05/08/2026 12:31:41 PM

Substantiated


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
04/28/2026 and conducted by Evaluator Andrea Mendivil
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20260428143605
FACILITY NAME:NEWPORT INSTITUTE - CERRO VISTAFACILITY NUMBER:
306006059
ADMINISTRATOR:ALYSSA LOPEZFACILITY TYPE:
772
ADDRESS:160 S. CERRO VISTA WAYTELEPHONE:
(714) 393-3523
CITY:ANAHEIMSTATE: CAZIP CODE:
92807
CAPACITY:6CENSUS: 6DATE:
05/08/2026
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Alyssa Lopez- Clinical Operations Manager TIME COMPLETED:
12:50 PM
ALLEGATION(S):
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Staff are not providing clients with their medications as prescribed.
Staff are not able to provide adequate care/supervision due to lack of staffing.
INVESTIGATION FINDINGS:
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On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to conduct a complaint investigation. LPA was greeted and granted entry into the facility and explained the reason for the visit.
The Department received the complaint on April 28th 2026. LPA Mendivil conducted interviews with staff and clients and obtained copies of Medication Administration Records for 3 clients and staff training documents. Regarding the allegations staff are not providing clients with their medication as prescribed and staff are not able to provide adequate care/supervision due to lack of staffing the investigation revealed the following:

It was alleged that the facility staff are not providing clients with their medications as prescribed. Per review of LIC 624 Unusual Incident/ Injury Report received on March 12th 2026 for an incident that occurred on March 10th, 2026 for Client 1 stating “Client completed medication intake. Staff 1 marked on Lighting Step System that Nicotine Patch, 7mg. 1 patch Transdermal at 21:00 (9pm) was removed, but patch was not physically collected. Morning Staff, Staff 2, noticed on 03/11/2026 at 92:43am, nicotine patch was still on client’s arm”
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026
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 5
Control Number 22-AS-20260428143605
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: NEWPORT INSTITUTE - CERRO VISTA
FACILITY NUMBER: 306006059
VISIT DATE: 05/08/2026
NARRATIVE
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 Per review of LIC 624 Unusual Incident/Injury Report received on May 01st, 2026 for an incident that occurred on April 26th 2026 it was reported that staff was passed incorrect medication during evening med pass at 9:03pm. Client 2 was supposed to receive half tablet of Remeron/Mirazapine (7.5mg) and instead received half tablet (1mg) of Rexult/Brexpiprazole. Per report nursing team was made aware of the issues and staff has been provided re-training for medication administration.

Therefore based on the preponderance of evidence through records reviewed the allegation that Staff are not providing clients with their medications as prescribed is determined to be SUBSTANTIATED, meaning the complaint allegations are valid and that a violation has occurred.

Based on above findings deficiencies are being cited per California Code of Regulations Title 22 Division 6 chapter 8.

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: 05/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 22-AS-20260428143605
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: NEWPORT INSTITUTE - CERRO VISTA
FACILITY NUMBER: 306006059
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/08/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/12/2026
Section Cited
CCR
80075(b)
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(b) Clients shall be assisted as needed with self-administration of prescription and nonprescription medications. This requirement was not met as evidence by staff not administering the correct medication for C1 on 03/10/2026 and C2 on 04/26/2026.
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Faciltiy agreed to provide training documents for staff 2 retraining of medication administration by POC due date.
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This poses an immediate health and safety risks 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: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5
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
04/28/2026 and conducted by Evaluator Andrea Mendivil
COMPLAINT CONTROL NUMBER: 22-AS-20260428143605

FACILITY NAME:NEWPORT INSTITUTE - CERRO VISTAFACILITY NUMBER:
306006059
ADMINISTRATOR:ALYSSA LOPEZFACILITY TYPE:
772
ADDRESS:160 S. CERRO VISTA WAYTELEPHONE:
(714) 393-3523
CITY:ANAHEIMSTATE: CAZIP CODE:
92807
CAPACITY:6CENSUS: 6DATE:
05/08/2026
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Alyssa Lopez - Clinical Operations Manager TIME COMPLETED:
12:50 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not able to provide adequate care/supervision due to lack of staffing.
INVESTIGATION FINDINGS:
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3
4
5
6
7
8
9
10
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12
13
On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to conduct a complaint investigation. LPA was greeted and granted entry into the facility and explained the reason for the visit.
The Department received the complaint on April 28th 2026. LPA Mendivil conducted interviews with staff and clients and obtained copies of Medication Administration Records for 3 clients and staff training documents. Regarding the allegations staff are not providing clients with their medication as prescribed and staff are not able to provide adequate care/supervision due to lack of staffing the investigation revealed the following:

It was alleged that staff are not able to provide adequate care/supervision. Based on interviews with 3 out of 3 staff, staff stated they have suffiicent staffing to provide care and supervision to clients. 3 out of 3 staff stated there are a minimum of 2-3 behavior health specialist on site per AM and PM shifts and a minimum 1 of staff overnight and 1 person on call. Interviews with 6 out 6 clients stated they have observed 2-3 behavior health specialist per shift.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 22-AS-20260428143605
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: NEWPORT INSTITUTE - CERRO VISTA
FACILITY NUMBER: 306006059
VISIT DATE: 05/08/2026
NARRATIVE
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Per interviews with staff and clients both indicate staff is providing adequate care and supervision.

Therefore based on the preponderance of evidence through records reviewed and interviews the allegation Staff are not able to provide adequate care/supervision due to lack of staffing is determined to be UNSUBSTANTIATED, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

No deficiencies are being cited in today's visit.

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: 05/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5