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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006288
Report Date: 12/24/2025
Date Signed: 12/24/2025 02:42:31 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
12/15/2025 and conducted by Evaluator Edward Kim
COMPLAINT CONTROL NUMBER: 22-AS-20251215101400
FACILITY NAME:WE CONQUER TOGETHER LLCFACILITY NUMBER:
306006288
ADMINISTRATOR:MENDEZ, ALBERTFACILITY TYPE:
772
ADDRESS:17367 ASPENGLOW LANETELEPHONE:
(626) 272-4246
CITY:YORBA LINDASTATE: CAZIP CODE:
92886
CAPACITY:6CENSUS: 3DATE:
12/24/2025
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Administrator Albert MendezTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff did not follow the client's needs and service plan
INVESTIGATION FINDINGS:
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On December 24, 2025, at 8:00 AM Licensing Program Analyst (LPA) Edward Kim conducted an unannounced initial complaint visit at the facility. LPA Kim met with and explained the purpose of the visit with Administrator (ADMIN) Albert Mendez

During today's visit, LPA Kim conducted a physical tour of the facility with ADMIN Mendez. LPA Kim reviewed and obtained copies of client roster, staff roster, and one client’s records, which include: Admission Agreement, Identification and Emergency Information, Physician's Report, Needs and Services Plans/Reappraisal, clinical progress notes, individual progress notes, and other pertinent records. LPA conducted interviews with four staff.

The investigation revealed the following:

Continued on LIC9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:

DATE: 12/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/24/2025
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-20251215101400
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: WE CONQUER TOGETHER LLC
FACILITY NUMBER: 306006288
VISIT DATE: 12/24/2025
NARRATIVE
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Allegation: Staff did not follow the client's needs and service plan.
It is alleged that the facility did not meet the client’s needs as outlined in their plan indicating they would assist the client with their therapy and fly them back home. It is alleged the facility would help the client acquire their Real ID. It is alleged that the facility did not provide the client with services from the plan because the therapist quit during their time at the facility.

Based on interviews, four out of four staff denied the allegation. S3 stated the client #1 (C1) was diagnosed with the mental health condition posttraumatic stress disorder (PTSD). S3 stated that C1 attended some sessions, but the last several sessions were refused. S1 stated they were working at the facility around May to June. S1 stated they worked at the facility with C1 and stated they would attempt to meet with the client every week for classes and therapy, but the client would refuse or would not stay the entire session. S1 stated that if any client refused their session, then they would make note of the client refusing to participate in their clinical progress notes. S2 stated they worked with C1 to fly them over to the facility for admission and agreed to send client back home by providing airfare. S2 stated after C1’s discharge to another facility for additional treatment, if they needed a flight home after that stay, S2 would provide a flight back home. S2 said that C1 texted them for help and they offered to purchase a ticket to fly back home, but C1 stated they already purchased their car to be shipped from their home location to where they were at. S2 stated C1 requested reimbursement to cover their car shipment, which S2 never agreed to do. S2 stated if C1 requested a flight back home, they would provide for them. If the flight was to any other location other than home, facility would discuss how that would fit in with discharge plans. All staff stated they did not recall C1 ever requesting a Real ID. S2 and S3 stated that if the client requested the Real ID and it was needed for their flight back home, they would help the client acquire it. Based on interviews, staff followed the client’s needs and service plan for their PTSD needs, facility would provide flight back home if it was requested, and would have provided the Real ID to the client if it was requested.

Based on record review, the admissions agreement dated May 20, 2025, indicated C1 was admitted to the facility on May 20, 2025. The facility discharge summary dated June 26, 2025, indicated the client left the facility on June 25, 2025 at 10:57 AM to another facility. The admission agreement states on page 1, arrangements for transportation to medical, dental, and/or other appointments coordinated in advance, subject to approval by facility staff. If any client makes a request for a fight home or alternate plans, they would need to speak to facility staff about that.
Continued on LIC9099C
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:

DATE: 12/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 22-AS-20251215101400
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: WE CONQUER TOGETHER LLC
FACILITY NUMBER: 306006288
VISIT DATE: 12/24/2025
NARRATIVE
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 On September 27, 2025, a text message shows C1 requested help from S2. S2 stated in the text conversation they would provide a flight back home but did not agree to reimburse for C1’s car to be shipped to California. Text messages dated November 17, 2025, and November 18, 2025, show C1 requested for a flight or train transportation. S2 stated they have not received any text messages after the September 27, 2025, conversation.

The physician’s report dated May 23, 2025, stated that C1 was diagnosed with PTSD. The needs and service plan dated May 21, 2025, on page 5, stated the plan orders for C1 was to be encouraged to attend group sessions, follow up with therapist as indicated, and follow up with medical/psychiatric weekly. The appraisal needs and service plan stated the following plan for PTSD diagnosis: establish rapport with the client toward building a therapeutic alliance and gently explore client’s recollection of the facts and their cognitive and emotional reactions at that time, and how PTSD symptoms impact how they function. The facility clinical progress notes stated S1 met with C1 on May 22, 2025, May 27, 2025, May 29, 2025, June 2, 2025, June 5, 2025, June 10, 2025, and June 15, 2025. Individual progress notes for each session documents what S1 and C1 covered during the sessions for their PTSD. The facility documentation shows S1 was working at the facility from April 28, 2025, to June 24, 2025. S1 was at the facility and providing care as needed for C1's condition. Based on record review, the facility met with C1 on a regular basis for their needs service plan. S1 was at the facility and provided therapy sessions with C1. Based on record review, the facility agreed to send the client home but did not come to agreement with reimbursing for the car being sent here. There is no written record that the facility would help C1 acquire the Real ID. Staff stated the facility would provide Real ID if it was requested.

Based on observations, interviews, and records review, LPA did not find sufficient evidence to support the above allegation that the staff did not follow the client’s need and service plan. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated.

An exit interview was conducted, and a copy of this report was provided to the Administrator Albert Mendez
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:

DATE: 12/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/24/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3