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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006082
Report Date: 07/29/2025
Date Signed: 07/29/2025 11:37:33 AM

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
07/25/2025 and conducted by Evaluator Andrea Mendivil
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250725095415
FACILITY NAME:WAYMAKERS TRANSITIONAL AGE YOUTH CRISIS RES PRGRMFACILITY NUMBER:
306006082
ADMINISTRATOR:SAMAAN, LISAFACILITY TYPE:
772
ADDRESS:17332 AMAGANSET WAYTELEPHONE:
(949) 410-0467
CITY:TUSTINSTATE: CAZIP CODE:
92780
CAPACITY:6CENSUS: 0DATE:
07/29/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Lindsay Wilson - House Manager TIME COMPLETED:
11:55 AM
ALLEGATION(S):
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Facility staff are not background cleared and associated
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 recieved a complaint on 07/25/2025, during the visit LPA Mendivil interviewed staff and reviewed staff documents. The facilty has closed and no longer has client's in care. Regarding the allegation that Facility staff are not background cleared and associated, the investigation revealed the following:

It was alleged Program Director Lisa Samaan and former Staff 1 (S1) were not background cleared and associated to the faciltiy. LPA Mendivil reviewed Guardian for facility associations and per review on 07/29/2025 Lisa Samaan was background cleared and associated to the faciltiy on 12/04/2021. Per review S1 had obtained a background clearance and was associated to a licensed facility, but was not associated to Waymakers.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2025
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-20250725095415
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: WAYMAKERS TRANSITIONAL AGE YOUTH CRISIS RES PRGRM
FACILITY NUMBER: 306006082
VISIT DATE: 07/29/2025
NARRATIVE
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Per interviews with House Supervisor Lindsay Wilson the faciltiy saved copies of Facility Roster Information mailed to the Department on 11/05/2022 stating that S1 was not on the roster list. The facility did not include LIC 9182 Criminal Background Clearance Transfer Request for S1 to be added to the list. On 02/19/2025 the Department was notified S1 was no longer working at the facility.


Therefore based on the preponderance of evidence through records reviewed and interviews the allegation facility staff are not background cleared and associated is determined to be SUBSTANTIATED, meaning the complaint allegation is valid and that a violation has occurred.

Deficiency is not cited based on Department was made aware S1 was not associated instead a Technical Violation was issued.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2