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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006287
Report Date: 03/26/2026
Date Signed: 03/26/2026 02:56:25 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
01/08/2025 and conducted by Evaluator Brandon Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250108151915
FACILITY NAME:MENTAL HEALTH COLLECTIVE, THEFACILITY NUMBER:
306006287
ADMINISTRATOR:ROSENBAUM, GREGORYFACILITY TYPE:
772
ADDRESS:2072 TUSTIN AVETELEPHONE:
(949) 490-4069
CITY:NEWPORT BEACHSTATE: CAZIP CODE:
92660
CAPACITY:6CENSUS: 5DATE:
03/26/2026
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Administrator Gregory Rosenbaum
Director of Quality & Compliance Catherine Mann		TIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Facility staff do not meet the minimum qualifications required
INVESTIGATION FINDINGS:
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On March 26, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to deliver the complaint findings. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Administrator Gregory Rosenbaum and Director of Quality & Compliance Catherine Mann were notified via telephone and later arrived to assist with the inspection.

During the course of the investigation, the Department interviewed staff, reviewed and collected pertinent documents for this complaint. Regarding the allegation, facility staff do not meet the minimum qualifications required, the following has been concluded: It was alleged that Staff #1 (S1) and Staff #2 (S2) did not meet the minimum qualifications required. Per California Code of Regulation under Personnel Requirements 81065 (n), it states that all direct care staff shall meet the minimum qualifications as set forth in California Code of Regulations, Title 9, Division 1, Chapter 3, Article 3.5, Sections 532.6(h) and (i).
CONTINUED ON LIC9099-C
Substantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2026
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 3
Control Number 22-AS-20250108151915
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: MENTAL HEALTH COLLECTIVE, THE
FACILITY NUMBER: 306006287
VISIT DATE: 03/26/2026
NARRATIVE
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These requirements include that all direct care staff shall have graduated from high school or possess a GED and have a minimum of one year of full-time experience, or its part-time equivalent, working in a program serving persons with mental disabilities. Such experience shall be in direct services to clients. If the employee does not have the required experience, the program shall document a specific plan of supervision and in-service training for the employee which will guarantee the ongoing qualification of the employee to perform the job. The Department reviewed the resumes for both S1 and S2. The Department observed that S1 did not have experience serving persons with mental disabilities. The Department observed that S2 only had three months of experience serving persons with mental disabilities. Since S1 and S2 do not have the required one year of full-time experience, a plan of supervision is required to ensure the ongoing qualifications of both staff to perform the job. However, the Department observed that there were no plans of supervision on file for either employee. The Department conducted two staff interviews. Two out of the two staff interviewed confirmed that S1 and S2 did not have a plan of supervision.

Based on the evidence gathered during this investigation, the Department obtained sufficient evidence to substantiate the allegation that, facility staff do not meet the minimum qualifications required. The preponderance of evidence standards has been met; therefore, the above allegation is SUBSTANTIATED. A deficiency is being cited on the attached LIC9099-D page. An exit interview was conducted with Administrator Gregory Rosenbaum and Director of Quality & Compliance Catherine Mann. A copy of the report and Appeal Rights were provided.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 22-AS-20250108151915
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: MENTAL HEALTH COLLECTIVE, THE
FACILITY NUMBER: 306006287
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/26/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/03/2026
Section Cited
CCR
81065(n)
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81065 Personnel Requirements: (n) All direct care staff shall meet the minimum qualifications as set forth in California Code of Regulations, Title 9, Division 1, Chapter 3, Article 3.5, Sections 532.6(h) and (i).
This requirement is not evidenced by:
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The Administrator informed LPA that S1 and S2 are not longer employed at the facility. The Administrator stated that he will complete a statement of understanding regarding the regulation and agreed to provide LPA the statement via email or fax by POC date.
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Based on records reviewed, the Department observed that S1 and S2 did not have the required experience, thus requiring a plan of supervision. However, S1 and S2 did not have plans of supervision. This poses a potential health, safety, and personal rights risk.
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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: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3