306006200-1-30-2025-22-AS-AORZ-DDNQ8M-20250207105655

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006200
Report Date: 01/30/2025
Date Signed: 01/30/2025 09:54:21 AM

Unsubstantiated

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
01/13/2025 and conducted by Evaluator Kimberly Lyman

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20250113135622

FACILITY NAME:	SOUTHERN CALIFORNIA SUNRISE RECOVERY CENTER LLC		FACILITY NUMBER:	306006200
ADMINISTRATOR:	VILLARREAL, MICHAEL		FACILITY TYPE:	772
ADDRESS:	25681 SABINA AVE		TELEPHONE:	(949) 533-4025
CITY:	MISSION VIEJO	STATE: CA	ZIP CODE:	92691
CAPACITY:	6	CENSUS: 5	DATE:	01/30/2025
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Andrew Crawford		TIME COMPLETED:	10:15 AM

ALLEGATION(S):

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Licensee does not provide adequate food service for clients.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Kimberly Lyman and Fred Arias conducted an unannounced complaint visit to deliver findings on the above allegations. LPAs were greeted and granted entry into the facility and explained the reason for the visit.
During the course of the investigation, LPA toured the facility and interviewed staff and residents. Regarding the allegation that licensee does not provide adequate food service for clients, the investigation revealed the following: LPA observed the food supply on two different occasions. LPA observed an ample food supply including 2 day perishables and 7 day non-perishables. Four out of four clients state satisfaction with the food served. LPA observed grocery orders and invoices for food purchases. LPA is unable to corroborate the allegation. Therefore, the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted and a copy of this report was provided to facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2025

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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