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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006200
Report Date: 04/10/2026
Date Signed: 04/10/2026 12:16:22 PM

Substantiated


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
01/26/2026 and conducted by Evaluator Garlli Tat
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20260126094448
FACILITY NAME:SOUTHERN CALIFORNIA SUNRISE RECOVERY CENTER LLCFACILITY NUMBER:
306006200
ADMINISTRATOR:VILLARREAL, MICHAELFACILITY TYPE:
772
ADDRESS:25681 SABINA AVETELEPHONE:
(949) 533-4025
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY:6CENSUS: 5DATE:
04/10/2026
UNANNOUNCEDTIME BEGAN:
11:19 AM
MET WITH:Gabrielle HilgerTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Licensee does not ensure a resident's headboard is free from sharp, exposed staples.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Garlli Tat made an unannounced visit to the facility to deliver the findings on the above allegation. LPA met with the Director of Operations Gabrielle Hilger and explained the purpose of the visit.
During the investigation, LPA inspected the facility, interviewed staff and residents, and collected pertinent documents including staff and client roster.
The investigation revealed the following:

It was alleged that the Licensee does not ensure a resident’s headboard is free from sharp, exposed staples.
During the visit on January 29, 2026, LPA observed exposed staples on the headboard in room #3. LPA observed that one of the beds in room #3 had five exposed staples on the top portion of the headboard. During a subsequent visit on April 3, 2026, the headboard has since been removed. LPA conducted six client interviews on April 3, 2026.
Continued on LIC9099-C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Garlli Tat
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2026
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 5
Control Number 22-AS-20260126094448
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: SOUTHERN CALIFORNIA SUNRISE RECOVERY CENTER LLC
FACILITY NUMBER: 306006200
VISIT DATE: 04/10/2026
NARRATIVE
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Six out of six clients denied any issues with the headboard in their respective bedrooms. LPA conducted four staff interviews. Four out of four staff denied the allegations, however, one out of four staff reported that the Administrator removed the headboard in room #3 on January 29, 2026.

Based on evidence gathered through interviews and observation, the preponderance of evidence has been met, therefore, the above allegation is found to be Substantiated. Violation is being cited per Title 22 of California Code of Regulations. See LIC 9099-D for cited deficiency per Title 22 Division 6 of the California Code of Regulations.

An exit interview was conducted with Director of Operations and a copy of this LIC9099 and LIC9099-D, along with a copy of the Appeal Rights were left at the facility.

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Garlli Tat
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 22-AS-20260126094448
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: SOUTHERN CALIFORNIA SUNRISE RECOVERY CENTER LLC
FACILITY NUMBER: 306006200
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/10/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/17/2026
Section Cited
CCR
81087(a)
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81087 Buildings and Grounds
(a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.
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Licensee repaired the headboard on the day of the visit. Deficiency was cleared. Licensee agrees to always maintain good repair of furniture to ensure the health and safety of clients by conducting an all-staff training emphasizing Title 22 Regulation 81087 Buildings and Grounds.
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This requirement was not met as evidenced by: Based on observation and interviews, the licensee did not ensure all headboards are safe and free from sharp items, which poses an potential health and safety risk to persons in care.
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Licensee will provide proof of the training by POC due date.
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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: Sheila Santos
LICENSING EVALUATOR NAME: Garlli Tat
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
01/26/2026 and conducted by Evaluator Garlli Tat
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20260126094448

FACILITY NAME:SOUTHERN CALIFORNIA SUNRISE RECOVERY CENTER LLCFACILITY NUMBER:
306006200
ADMINISTRATOR:VILLARREAL, MICHAELFACILITY TYPE:
772
ADDRESS:25681 SABINA AVETELEPHONE:
(949) 533-4025
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY:6CENSUS: 5DATE:
04/10/2026
UNANNOUNCEDTIME BEGAN:
11:19 AM
MET WITH:Gabrielle HilgerTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Licensee does not ensure residents' rooms have adequate lighting.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Garlli Tat made an unannounced visit to the facility to deliver the findings on the above allegation. LPA met with the Director of Operations Gabrielle Hilger and explained the purpose of the visit.
During the investigation, LPA inspected the facility, interviewed staff and residents, and collected pertinent documents including staff and client roster.
The investigation revelealed the following:

It was alleged that the Licensee does not ensure residents’ rooms have adequate lighting.
During the visit on January 29, 2026, LPA observed that rooms #1, #2, #3 did not have ceiling light fixtures. Room #4 had overhead light near the bathroom. LPA observed that all bedrooms had lamps on bedside tables next to the beds. LPA tested the lamps to make sure they were operational. All lamps were operational when plugged in.
Continued on LIC-9099C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Garlli Tat
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 22-AS-20260126094448
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: SOUTHERN CALIFORNIA SUNRISE RECOVERY CENTER LLC
FACILITY NUMBER: 306006200
VISIT DATE: 04/10/2026
NARRATIVE
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LPA conducted six client interviews. Six out of six clients denied the allegation that the rooms have insufficient lighting. LPA interviewed four staff. Four out of four staff reported that clients have not brought it to their attention regarding inadequate lighting.

Based on the evidence gathered during the investigation, the Department is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the allegation is Unsubstantiated. An exit interview was conducted with Director of Operations and a copy of the report was provided.

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Garlli Tat
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5