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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006159
Report Date: 01/29/2024
Date Signed: 01/29/2024 10:57:19 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
01/22/2024 and conducted by Evaluator Andrea Mendivil
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20240122114607
FACILITY NAME:NEWPORT INSTITUTE - DEERHAVENFACILITY NUMBER:
306006159
ADMINISTRATOR:CHAPMAN, KANANFACILITY TYPE:
772
ADDRESS:9881 DEERHAVEN DRIVETELEPHONE:
(714) 393-3523
CITY:NORTH TUSTINSTATE: CAZIP CODE:
92705
CAPACITY:6CENSUS: 6DATE:
01/29/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Ryan Reifsnyder- Residential Supervisor TIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Licensees is not revealing the facility license number in all advertisements.
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 by Ryan Reifsynder and explained the reason for the visit.

The department received a complaint on 01/22/2024 and the initial 10 day visit was conducted on 01/29/2024. During the visit LPA Mendivil interviewed staff. Regarding the allegation that Licensees is not revealing the facility license number in all advertisements, the investigation revealed the following:

LPA Mendivil observed an advertisement which contained a QR code which leads to the Newport Healthcare website. LPA Mendivil observed the advertisement to not contain license numbers for Newport Institute – Deerhaven.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2024
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-20240122114607
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 - DEERHAVEN
FACILITY NUMBER: 306006159
VISIT DATE: 01/29/2024
NARRATIVE
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Per interview with Crystal Goodwin Compliance Officer the advertisement is for all Newport Healthcare locations which span over 12 states and are throughout all of California. Crystal stated this advertisement is not region specific which is why they do not list their license numbers.

Therefore based on the preponderance of evidence through records reviewed the allegation Licensees is not revealing the facility license number in all advertisements is determined to be SUBSTANTIATED, meaning the complaint allegation is valid and that a violation has occurred.

The following is being cited per California Code of Regulations Title 22 Division 6 Chapter 8. A civil penalty for repeat violation is assessed based on violation cited on 04/17/2023.

An exit interview was conducted and a copy of this report and appeal rights was provided to the facility representative.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 22-AS-20240122114607
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 - DEERHAVEN
FACILITY NUMBER: 306006159
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/29/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/12/2024
Section Cited
CCR
81011(a)
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81011 ADVERTISEMENTS AND LICENSE NUMBER (a) Licensees shall reveal each facility license number in all advertisements in accordance with Health and Safety Code section 1514. This requirement was not met as evidence by advertisement did not contain license number.
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Licensee to include all license numbers for facilities in advertisements.
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This poses a potential risk to the health and safety of clients 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: 01/29/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3