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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006059
Report Date: 10/09/2025
Date Signed: 10/09/2025 02:52:27 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
10/01/2025 and conducted by Evaluator Claudia Gutierrez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20251001114341
FACILITY NAME:NEWPORT INSTITUTE - CERRO VISTAFACILITY NUMBER:
306006059
ADMINISTRATOR:APOSTU, DIANAFACILITY TYPE:
772
ADDRESS:160 S. CERRO VISTA WAYTELEPHONE:
(714) 393-3523
CITY:ANAHEIMSTATE: CAZIP CODE:
92807
CAPACITY:6CENSUS: 5DATE:
10/09/2025
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Alexa Le
Amber Wofford		TIME COMPLETED:
03:10 PM
ALLEGATION(S):
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Facility did not provide written assessments for clients upon admission
Facility did not complete client treatment plan within 72 hours of admission
INVESTIGATION FINDINGS:
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An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez regarding the allegations mentioned above. LPA met with Program Manager and discussed the purpose of the inspection. Residential Supervisor (RS) Amber Wofford arrived at approximately 1:30 p.m.

It is alleged Client 1 (C1) was not provided a written assessment upon admission and that the facility did not complete C1’s treatment plan within 72 hours of admission. Upon record review of C1’s facility file, LPA observed C1’s assessment was not provided upon admission on September 11, 2025, and was C1’s initial treatment plan was not completed until September 15, 2025.

Based on C1’s record review, the preponderance of evidence standard has been met; therefore, the above allegations are found to be substantiated. Deficiencies are being cited per Title 22 Division 6 of the California Code of regulations. (See LIC9099-D). An exit interview interview was conducted and a copy of this report, and appeal rights were left at the facility.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2025
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-20251001114341
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: 10/09/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/07/2025
Section Cited
CCR
81068.1(b)
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ADMISSION PROCEDURE (b) No client shall be admitted prior to a determination of the facility's ability to meet the needs of the client...

This requirement is not met as evidenced by:
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PD stated a written plan of action ensuring clients are properly assessed prior to admission will be provided to LPA via email by POC date.
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Based on record review, the Licensee did not comply with the section cited above as an assessment was not provided to C1 upon admission, which posed a potential health, safety, and personal rights risk to persons in care.
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Type B
11/07/2025
Section Cited
CCR
81068.2(b)
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(b) For each client admitted, the licensee shall ensure that a written Needs and Services Plan is started prior to admission, and completed prior to or within 72 hours of admission..

This requirement is not met as evidenced by:
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PD stated a written plan of action ensuring a written Needs and Services Plan is completed within 72 hours of admission will be provided to LPA via email by POC date.
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Based on record review, the Licensee did not comply wit the section cited above as C1's Needs and Services Plan was not completed within 72 hours of admission, which posed a potential health, safety, and 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: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2