306006157-5-30-2025-22-AS-APAO-DHRRS4-20250618131606

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006157
Report Date: 05/30/2025
Date Signed: 05/30/2025 04:46:35 PM

Unsubstantiated

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
05/09/2024 and conducted by Evaluator Fred Arias

COMPLAINT CONTROL NUMBER: 22-AS-20240509082539

FACILITY NAME:	NEWPORT INSTITUTE - PERIWINKLE		FACILITY NUMBER:	306006157
ADMINISTRATOR:	CONNOR, ANNE		FACILITY TYPE:	772
ADDRESS:	12822 PERIWINKLE DRIVE		TELEPHONE:	(714) 393-3523
CITY:	NORTH TUSTIN	STATE: CA	ZIP CODE:	92705
CAPACITY:	6	CENSUS: 5	DATE:	05/30/2025
		UNANNOUNCED	TIME BEGAN:	04:26 PM
MET WITH:	Brianna Graham		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff did not provide client with their mail in a timely manner
Staff did not treat client with dignity and respect

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Fred Arias conducted an unannounced complaint visit to continue an investigation into the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit. An initial investigation visit was conducted on May 16, 2024 by LPA Jenifer Tirre. During the visit, LPA Tirre accompanied by staff conducted a tour of the physical plant. LPA Tirre conducted interviews with clients and staff, reviewed files, and requested pertinent documents.

It was alleged staff did not provide client with their mail in a timely manner and staff did not treat client with dignity and respect. During the investigation, LPA Arias conducted interviews with clients in care and staff. LPA Arias reviewed records obtained.

The investigation determined as follows: Regarding the allegation staff did not provide client with their mail in a timely manner, it was reported staff held mail a day or two after the mail was delivered to the facility.
Continued on LIC9099-C dated 05/30/2025

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Fred Arias
LICENSING EVALUATOR SIGNATURE:	DATE: 05/30/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 22-AS-20240509082539

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: NEWPORT INSTITUTE - PERIWINKLE	FACILITY NUMBER: 306006157
	VISIT DATE: 05/30/2025

NARRATIVE

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LPA interviews with six out of eight clients stated they had no issues with mail delivery. One out of the remaining two clients stated their mail was held and not given timely, sometimes delayed by a day or two. The remaining client did not add anything relevant to the allegation investigated. LPA interviews with five out of five staff stated mail and packages are provided to clients shorty after it arrives, usually during break time the same day. Packages are checked for contraband with the client present.

Regarding the allegation staff did not treat client with dignity and respect, it was reported staff member 1 (S1) engaged in conversations revolving dark humor, ridicule, and blame with a client.
LPA interviews with six out of eight clients stated they were treated well and did not have issues with staff. Two out of eight clients stated S1 was unprofessional and made them feel worse during their time at the facility. LPA interviews with two out of five staff stated clients are treated well and have not witnessed any abuse from staff towards clients. One out of the remaining three staff stated clients have the option of changing staff members they directly work with if the client is not happy. One out of the remaining two staff stated staff are very empathetic to client needs. The remaining staff member did not add anything relevant to the allegation investigated. LPA record review for two staff present revealed they received mandatory reporting requirements training.

Therefore based on client interviews, staff interviews, records observed, and LPA observations, the allegations of staff did not provide client with their mail in a timely manner and allegation staff did not treat client with dignity and respect are therefore deemed 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.

An exit interview was conducted and a copy of the report was left with the facility representative.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Fred Arias
LICENSING EVALUATOR SIGNATURE:	DATE: 05/30/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2025

LIC9099 (FAS) - (06/04)

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