306006508-8-11-2025-22-AS-SSAS-DKT2PS-20250822173450

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006508
Report Date: 08/11/2025
Date Signed: 08/11/2025 02:35:31 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
08/08/2025 and conducted by Evaluator Ruth Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20250808121154

FACILITY NAME:	MENTAL HEALTH HOUSE, LLC		FACILITY NUMBER:	306006508
ADMINISTRATOR:	DYAR, COLE		FACILITY TYPE:	772
ADDRESS:	11621 LAS LUCES		TELEPHONE:	(559) 303-8854
CITY:	NORTH TUSTIN	STATE: CA	ZIP CODE:	92705
CAPACITY:	6	CENSUS: 5	DATE:	08/11/2025
		UNANNOUNCED	TIME BEGAN:	12:10 PM
MET WITH:	Mary Lawrence, Clinical Director Amber Ontiveros, Program Director		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Clients are not accorded dignity in their personal relationships with staff.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced visit to the facility to investigate the above identified complaint allegation. LPA arrived at the facility and was greeted and granted entry by staff. LPA Martinez spoke with Mary Lawrence, Clinical Director, and explained the purpose of the visit. Amber Ontiveros, Program Director arrived shortly after and met with LPA.

During the course of the investigation, interviews were conducted, a review of resident records was completed and copies of pertinent documents were obtained.
It is alleged that clients are not accorded dignity in their personal relationships with staff. Interview with 3 of 3 staff stated that the staff in question has not worked at the facility in about 6 weeks. Staff were transferred to a sister facility in early July. Staff have not had any internal complaints From the clients

Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion: 1

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Ruth Martinez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/11/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2025

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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Control Number 22-AS-20250808121154

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 HOUSE, LLC	FACILITY NUMBER: 306006508
	VISIT DATE: 08/11/2025

NARRATIVE

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or a filed grievance about staff. Record reviews revealed that staff in question is listed on the schedule until July 5, 2025 for the AM shift. Due to the conflicting information received during interviews conducted, LPA is unable to determine allegation occurred as reported.

Based on the information gathered during the investigation, interviews and review of all documents obtained, the Department is unable to ascertain if the allegation occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated.

An exit interview was conducted with facility representatives and a copy of this LIC9099 report was left at facility.

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Ruth Martinez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/11/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2025

LIC9099 (FAS) - (06/04)

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