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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005361
Report Date: 04/27/2026
Date Signed: 04/27/2026 02:38:54 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
04/20/2026 and conducted by Evaluator Kimberly Lyman
COMPLAINT CONTROL NUMBER: 22-AS-20260420144134
FACILITY NAME:SPRINGWELL HAVEN, LLCFACILITY NUMBER:
306005361
ADMINISTRATOR:RAMIL DE LOS SANTOSFACILITY TYPE:
740
ADDRESS:2424 FRANCISCO DRIVETELEPHONE:
(949) 524-3484
CITY:NEWPORT BEACHSTATE: CAZIP CODE:
92660
CAPACITY:6CENSUS: DATE:
04/27/2026
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Nenita HernandezTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Staff live in the garage
Staff unpermitted partition/dwelling in the garage
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit.
During the course of the investigation, LPA toured the facility and interviewed staff. Regarding the allegations that staff live in the garage and staff unpermitted partition/dwelling in the garage, the investigation revealed the following: LPA observed a room created in the garage with a bed and furniture separated from the rest of a garage by a makeshift partition of items such as a large door (photos). Staff confirmed that staff reside in the makeshift room. Upon review of facility floor plan on file with the department, the floor plan does not match the physical plant of garage. LPA observed alterations made that are not depicted on floor plan. Based on observation and interviews conducted, the preponderance of evidence standard has been met. Therefore the above allegations are found to be SUBSTANTIATED as per the Title 22, Division 6, Chapter 8 of the California Code of Regulations. Deficiencies are being cited on the attached LIC-9099D.
An exit interview was conducted and a copy of this report as well as the appeal rights were provided at exit.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:

DATE: 04/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2026
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-20260420144134
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: SPRINGWELL HAVEN, LLC
FACILITY NUMBER: 306005361
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/27/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/28/2026
Section Cited
CCR
87307(a)(2)(B)
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Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide... living accommodations.. for the residents, staff.. who may reside in the facility...No room commonly used for other purposes shall be used as a sleeping room...This req is not met as evidenced by:
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Licensee to remove the sleeping area in garage and forward proof to LPA by POC due date.
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Based on observation and interviews conducted, Licensee failed to ensure there is no sleeping/ residing in garage by resident or staff. This poses an immediate health and safety risk to residents in care.
*Resident refers to anyone residing at the facility.
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Type A
04/28/2026
Section Cited
CCR
87305(a)
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Prior to construction or alterations, all facilities shall obtain a building permit. This req is not met as evidenced by:
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Licensee to initiate process for building permit and forward proof to LPA by POC due date.
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Based on observation, Licensee failed to obtain a building permit for changes made to the garage floor plan which poses an immediate health and safety risk to residents 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: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:

DATE: 04/27/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2