<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006305
Report Date: 10/02/2024
Date Signed: 10/02/2024 01:52:55 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
10/02/2024 and conducted by Evaluator Jenifer Tirre
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20241002110156
FACILITY NAME:ACERA HEALTH, LLCFACILITY NUMBER:
306006305
ADMINISTRATOR:GOUGER, MAIFACILITY TYPE:
772
ADDRESS:1585 MIRAMAR DRIVETELEPHONE:
(949) 378-7982
CITY:NEWPORT BEACHSTATE: CAZIP CODE:
92661
CAPACITY:6CENSUS: 0DATE:
10/02/2024
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Chief Execuitve Officer Marlon RollinsTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee failed to include facility license number in advertisement
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Jenifer Tirre met with Acera Health LLC, Chief Executive Officer (CEO) Marlon rollins to initiate complaint investigation into the following allegations.

LPMs and LPA reviewed Acera Health’s website and observed facility license numbers for two of four licensed Social Rehabilitation Facilities are not being advertised on website. Licensee’s website shows the facility numbers on two of the four facilities mentioned above in Corona Del Mar and Costa Mesa (facility numbers 306006131 & 306006072). The two other facility numbers are not displayed on their website.

Therefore, based on interviews conducted, observations and records reviewed, the allegation that Licensee failed to include facility license number in advertisement is SUBSTANTIATED.
The following is being cited per California Code of Regulations Title 22
An exit interview was conducted with CEO Rollins. A copy of this report, 809-D Page and appeal rights was provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jenifer Tirre
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2024
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 2
Control Number 22-AS-20241002110156
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: ACERA HEALTH, LLC
FACILITY NUMBER: 306006305
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/02/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/16/2024
Section Cited
CCR
81011(a)
1
2
3
4
5
6
7
811011 Advertisements and license numbers (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 licensee failure to advertise
1
2
3
4
5
6
7
Licensee reported they have added licensee numbers for 306006305 & 306006255 to website. Licensee to ensure license numbers are added to all advertisements by POC date.
8
9
10
11
12
13
14
This poses a potential health & safety threat to clients in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Lourdes Montoya
LICENSING EVALUATOR NAME: Jenifer Tirre
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2