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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371742
Report Date: 08/19/2026
Date Signed: 08/19/2026 03:47:26 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/09/2026 and conducted by Evaluator Karen Navar
COMPLAINT CONTROL NUMBER: 06-CC-20260609161922
FACILITY NAME:SALVATION ARMY, THEFACILITY NUMBER:
304371742
ADMINISTRATOR:ARMENDAREZ, NEVEENFACILITY TYPE:
860
ADDRESS:10200 PIONEER ROADTELEPHONE:
(714) 210-6050
CITY:TUSTINSTATE: CAZIP CODE:
92782
CAPACITY:237CENSUS: DATE:
08/19/2026
UNANNOUNCEDTIME BEGAN:
02:36 PM
MET WITH:TIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Facility is operating out of ratio.
Staff do not provided adequate supervision to the children in care.
INVESTIGATION FINDINGS:
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On 08/19/2026, Licensing Program Analyst (LPA), K. Navar conducted an unannounced complaint inspection for the purpose of delivering findings. This is a continuation of a complaint inspection initiated on 06/15/2026. Upon arrival the LPA met with Director Neveen Armendarez and was led on a tour of the facility both inside and outside. LPA observed a total of 45 school age children along with 5 staff.

A review of the Facility Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During today’s inspection the facility was operating within its licensed capacity and within compliance of staffing ratios.
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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2026
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 4
Control Number 06-CC-20260609161922
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: SALVATION ARMY, THE
FACILITY NUMBER: 304371742
VISIT DATE: 08/19/2026
NARRATIVE
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On 06/09/2026, the Orange County Child Care Office received a complaint. During the investigation, the LPA conducted two unannounced inspections on 06/15/2026 and 07/27/2026, conducted 8 staff (S1-S8) interviews, 3 children interviews, and collected the children's sign in/out sheet dated June 9, 2026, the staff schedule dated June 9, 2026, and the Salvation Army Henley Summer Camp 2026 Enrollment Packet and Salvation Army Youth Programs Staff Handbook.

During the visit on 06/15/2026, the LPA observed staff supervising children who were arriving back from a field trip. During the visit on 07/27/2026, the LPA observed 6 (six) staff supervising 44 school age children in the gym engaged in various activities and found the facility to be in compliance with the staff to child ratio requirements for school age children as outlined in Title 22, California Code of Regulations, Section 101216.3.

Regarding the allegation ‘Facility is operating out of ratio’: Eight (8) out of eight (8) staff interviewed stated that the required staff-to-child ratio for school-age children is one staff to fourteen children. Staff reported being aware of the Title 22 ratio requirements and stated they have never observed a staff member operating out of ratio, nor have they themselves been out of ratio. Staff explained that ratio is maintained by counting children regularly, updating one another on the number of children present, and documenting the count on a whiteboard posted on the wall. On Monday, July 27, 2026, at approximately 4:28 PM, the LPA observed the whiteboard next to the sign-in/out sheets displaying ‘27 children.’ During the records review of children’s sign-in/out sheets dated June 9, 2026, the LPA observed that 38 children had signed in and out. Records review of staff schedules showed that seven (7) staff were scheduled between 7:30 AM and 6:00 PM. Staff reported that if they anticipate becoming out of ratio, they notify support staff via cell phone, who will either step in or send additional staff as needed. Staff interviewed stated they have not heard of any concerns regarding ratio or the summer program.

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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 06-CC-20260609161922
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: SALVATION ARMY, THE
FACILITY NUMBER: 304371742
VISIT DATE: 08/19/2026
NARRATIVE
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Regarding the allegation ‘Staff do not provide adequate supervision to the children in care’: All eight (8) staff interviewed stated they provide adequate supervision by planning and engaging children in activities, walking throughout the area to maintain visual observation of all children, and positioning themselves close enough to offer assistance when needed. During the records review, the LPA was provided with a calendar of summer events for the children in care. Staff interviewed explained the process when leaving on field trips and that children’s names are documented on a roster and assigned to a specific staff member. Staff further stated that children are divided into their designated groups prior to leaving the gym, and supervision is maintained throughout the field trip and upon returning to the facility. During the records review, it was noted that the facility’s “Salvation Army Youth Programs Staff Handbook” (page 7) includes a cell phone policy stating that TSW cell phones are designated for business purposes only. The policy further specifies that personal cell phone use is limited to break and lunch periods and may only occur outside those times in emergency or necessary situations. Staff are required to keep personal phones turned off or set to voicemail with ringers silenced while on duty. The policy provides one exception, allowing staff to carry a working cell phone when off-campus with children, such as during walking field trips, for safety and communication purposes.

LPA called 3 (three) parents to interview, 1 (one) of 3 (three) parents called did not divulge any information pertaining to the allegations.

LPA attempted to interview 3 (three) children. 3 children qualified to be interviewed stated the names of staff who supervise and support them when needed and did not disclose any information pertaining to the allegation of ratio.

Based on the LPA’s observations, interviews, and records review; the preponderance of evidence standard has not been met. Although the allegations may have happened or may be valid, there is not sufficient evidence to prove the alleged violations. Therefore, the allegations that (1) the facility is operating out of ratio and (2) staff do not provide adequate supervision to the children in care are UNSUBSTANTIATED.

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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 06-CC-20260609161922
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: SALVATION ARMY, THE
FACILITY NUMBER: 304371742
VISIT DATE: 08/19/2026
NARRATIVE
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An exit interview was conducted, and the report was reviewed with Director Neveen Armendarez. The Director was informed that the 'Notice of Site Visit' must be posted on or adjacent to the facility entrance for 30 days. Failure to post the notice will result in a civil penalty of $100.00.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4