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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006539
Report Date: 01/17/2025
Date Signed: 01/17/2025 11:12:28 AM

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
01/14/2025 and conducted by Evaluator Jessica Cho
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250114091626
FACILITY NAME:CONNECTIONS MENTAL HEALTHFACILITY NUMBER:
306006539
ADMINISTRATOR:ALCALA, PABLOFACILITY TYPE:
772
ADDRESS:17841 LINCOLN STREETTELEPHONE:
(949) 742-0172
CITY:VILLA PARKSTATE: CAZIP CODE:
92861
CAPACITY:6CENSUS: 6DATE:
01/17/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Pablo Alcala- AdministratorTIME COMPLETED:
11:35 AM
ALLEGATION(S):
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Facility did not maintain a clean and sanitary environment.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced on a complaint investigation visit for the purpose of investigating into the above allegation. LPA was granted entry by Behavioral Health Technician (BHT) Kya Holmes after explaining the purpose of the visit. During the course of the investigation, LPA toured the physical plant, interivewed two staff, and obtained pertinent records such as the Client/Staff Rosters, Staff Shift Itinerary, and payment records.

The following was determined: Regarding the allegation, facility did not maintain a clean and sanitary environment, it was reported that there was trash accumulating in the backyard. LPA toured the intererior and exterior of the facility and observed the bedrooms, bathrooms, kitchen, and all common areas appeared clean, sanitary, and tidy. The exit passageways were clear of obstruction and the waste containers were closed. There were no evidence of trash bags overflowing and piled in the walkway. Two out of the two staff interviews confirmed that the waste management service came by and did not service the facility on January 7, 2025 due to overflowing bins.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2025
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-20250114091626
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: CONNECTIONS MENTAL HEALTH
FACILITY NUMBER: 306006539
VISIT DATE: 01/17/2025
NARRATIVE
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The trash was picked up on Tuesday, January 14, 2025 after properly sorting the trash. It was determined that the facility had at least 7 days of trash overflowing. Based on the review of the payments made, payments have been made timely.

Therefore, based on the interviews which were conducted, the preponderance of evidence standard has been met, therefore the following allegation, Facility did not maintain a clean and sanitary environment, is deemed SUBSTANTIATED. A deficiency is being cited on the attached LIC9099-D.

An exit interview was conducted with Administrator Pablo Alcala, and a copy of this report including the appeal rights were provided at the end of the visit.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 22-AS-20250114091626
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: CONNECTIONS MENTAL HEALTH
FACILITY NUMBER: 306006539
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/17/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/22/2025
Section Cited
CCR
81087(a)
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81087 BUILDINGS AND GROUNDS (a) The facility shall be clean,..., sanitary... at all times for the safety and well-being of clients, employees and visitors.

This requirement was not met as evidenced by:
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Waste bins were observed labeled. Administrator stated that they will submit an Acknowledgement of Understanding for the said deficiency to LPA via email by POC due date.
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Based on interviews, two out of the two staff confirmed that the trash was overflowing for at least a week which poses a poential health risk to persons in care.
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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: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3