Complaint Investigation Report

306006143-11-6-2024-22-AS-SSAS-DAYQCD-20241113110259

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

ORANGE COUNTY RO , 770 THE CITY DR., SUITE 7100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

12/27/2023 and conducted by Evaluator Kevin Saborit-Guasch

COMPLAINT CONTROL NUMBER: 22-AS-20231227124524

Catherine Mann, Director of Quality and Compliance

Facility is not following approved plan of operation.

Licensing Program Analyst (LPA) Kevin Saborit-Guasch conducted an unannounced visit to the facility following up on the investigation and delivering findings on the above allegation. LPA was greeted and granted entry into the facility by facility staff and explained the reason for the visit.

During the course of the investigation, LPA toured the facility, interviewed the Director of Quality and Compliance and gathered client records for the individuals admitted at the time of the initial visit.

Regarding the allegation that facility is not following approved plan of operation, the following is concluded: During the initial visit, LPA observed no clients on-site at the facility. Clients from all Mental Health Collective facilities attend an offsite location daily for therapy, activities and meals under the supervision of facility staff and the facility is not providing Monday through Friday daytime services at the licensed location. Based on observations and interviews conducted, the preponderance of evidence standard has been met, therefore the allegation is deemed Substantiated. California Code of Regulations, Title 22, Division 6, Chapter 8 is being cited on the attached LIC 9099D. An exit interview conducted and a copy of this report along with appeal rights were provided to a facility representative.