Embark at San Martin

Substantiated (one of several allegations) : 84072(d)(1), 84087(b)(1), 84072(d)(19), 84087(b)(4), 84072(d)(18), 84072(d)(13)

Based on interviews and record review, there was at least one incident in which staff did not provide a safe environment for clients in care. Staff did not provide a safe environment during an incident where a client physically attacked another client. Shift notes documented that there had been threats made to harm a client on multiple occasions prior to the incident. Statements from interviews showed that staff did not prevent or immediately respond to the situation. The preponderance of evidence standard has been met, therefore the allegation, "Staff are not providing a safe environment for clients in care" is substantiated. One Type A deficiency was cited under California Code of Regulations (CCR) 84072(d)(1). Based on interviews, three clients were sharing a bedroom. The preponderance of evidence standard has been met, therefore the allegation, "More than two children share a bedroom" is substantiated. One Type B deficiency was cited under CCR 84087(b)(1). Based on interviews and record review, at least three out of six clients faced interference with their daily living functions including not having access to their own room, not having access to their designated bathroom, and having their personal belongings destroyed. The preponderance of evidence standard has been met, therefore the allegation, "Clients face interference with daily living functions" is substantiated. One Type B deficiency was cited under CCR 84072(d)(19). Based on interviews and record review, at ...

Deficiency cited at inspection

IRFU: 2957-FN On July 30th, 2026 at 1:30PM Licensing Program Analyst (LPA) Hanako Primer conducted a case management - incident inspection at the above licensed facility to follow up on an incident report received on April 28th, 2026. An initial inspection was made on May 5th, 2026. LPA met with Micki Hankes, Administrator, and explained the purpose of the visit. At the time of the inspection, there were five clients at the facility. Confidential interviews and record review could not confirm or dispute the allegation of a former staff member's inappropriate conduct. The staff member is no longer employed at the facility. Based on LPA's interviews, observations, and record review, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove a violation did or did not occur. No deficiencies were issued at this time. An exit interview was conducted, and a copy of this report was left with Micki Hankes, Administrator, whose signature on this form confirms receipt.

Deficiency cited at inspection

On July 14, 2026, at 9:45am, Licensing Program Analyst (LPA) Mona Lam conducted a required annual inspection at Embark at San Martin - New Avenue Campus. The facility is a Group Home, for a capacity of 6 ambulatory children, ages 12-17. At the time of the inspection, there were three clients on site. This inspection was conducted with Executive Director, Micki Hankes, of the following: The facility is a one story home. The home includes three client bedrooms; three and a half client bathrooms; kitchen and living room; area set up for school; a private space to meet with clients; and a staff office. The facility and grounds are in good repair, and free of obstructions; chemicals and sharps are stored and locked away; locked and centrally stored medication room/cabinet observed; first aid kit complete; individual beds are in good repair; food storage space observed; emergency foods observed; sufficient perishable foods and nonperishable foods were observed; dining room equipped with tables and chairs accommodating all clients. Freezer temperature was observed as -5 degrees F; refrigerator temperature was observed as 35 degrees F. Room temperature was observed as 77 degrees F. Tap water temperature was observed as 115 degrees F. The following documents were inspected: registrar of clients, board of directors' meetings minutes, clients' complaint procedures, disaster/mass casualty plan, photos of valve shut offs, fire clearance, past licensing reports, quarterly emergency ...

Deficiency cited at inspection

On June 26th, 2026 at 11:00AM, Licensing Program Analyst (LPA) Hanako Primer made an unannounced inspection to the above licensed facility. LPA met with Micki Hankes, Executive Director. At the time of the inspection, there were five clients in care. Based on interview, LPA found that a staff member has cursed at clients on at least one occasion. This is a violation of California Code of Regulations 84072(d)(18) Personal Rights. LPA issued one type A violation. See attached LIC9099-D. On September 30th 2025 the licensee was issued a deficiency under 84072(d)(18) Personal Rights for speaking in a sarcastic tone to a youth regarding their phasing up. Due to this repeat violation, LPA issued a civil penalty of $250. If the deficiency is not corrected within 24 hours, an additional penalty of $100 per day will continue to accrue until the deficiency is corrected. LPA conducted one staff interview in relation to an Incident Report received on April 28th, 2026 (2957-FN). An exit interview was conducted, appeal rights discussed, and a copy of this report was left with Micki Hankes, Executive Director whose signature on this form confirms receipt.

Substantiated : 80022(k)

LPA found that on one instance, there was one staff on shift while there was four clients total with one client on one-to-one supervision. The preponderance of evidence standard has been met, and therefore the above allegations are found to be substantiated. LPA issued one Technical Violation under California Code of Regulations 80022(k) Plan of Operation. See LIC9102TV. LPA issued one Type B violation under 84065.5(c) Staff/Child Ratio. See LIC9099-D. An exit interview was conducted, appeal rights discussed and a copy of this report was left with Micki Hankes, Executive Director whose signature on this form confirms receipt.

Deficiency cited at inspection

On 06/01/2026 at 9: AM, Licensing Program Analyst (LPA) Amee Li conducted a Plan of Correction (POC) visit at the above facility. LPA met with Micki Hankes, Administrator and explained the purpose of the visit. At the time of the visit, there are five clients in care and five clients present. LPA's visit regarded two citations issued on 05/22/2026. POCs were developed and due on 05/23/2026 and 05/29/2026. LPA has not received POCs for the following deficiencies: California Code of Regulations (CCR) Title Chapter Section 80076(a)(1) California Code of Regulations (CCR) Title Chapter Section 84076(c)(1) LPA discussed the corrections needed with Administrator. Administrator stated that the corrections had been implemented, but proof for the first POC had not been sent and proof for the second POC had been sent to the incident reporting email instead of to LPA. Administrator forwarded email regarding the second POC to LPA. LPA inspected the proof of correction and determined that POC had been completed within timeframe. LPA conducted a physical plant inspection. LPA inspected facility menu, refrigerators, freezers, and daily food safety checklist. LPA observed fruit basket in the kitchen and labeled and properly stored food in the fridges. Facility had disposed of expired and contaminated items. Administrator stated that facility receives weekly shipments of food and that facility chef prepares food at one house then staff brings it to the other houses. LPA inspected proof of ...

Deficiency cited at inspection

On 05/22/2026 at 9: AM, Licensing Program Analyst (LPA) Amee Li made an unannounced visit to the above facility regarding observed deficiencies and to amend a report. LPA met with Luis Martinez, Facility Manager and explained the purpose of the visit. At the time of the visit, there are six clients in care and five clients present. Based on confidential interviews, reportable incidents were found to have occurred, but were unreported to the Department. Facility has been referred to TSP, but has not yet participated. One Type B Deficiency was issued under California Code of Regulations (CCR) 80061(b)(1)(E) Reporting Requirements. In addition, one civil penalty was assessed for repeat violation. A plan of correction was developed requiring facility to send all incident reports for 2026 to the Department. LPA observed that food was not stored properly in three refrigerators. Milk, butter, deli meat, and cheese were left in open containers. Staff and LPA identified items that needed to be immediately discarded. One Type B Deficiency was issued under CCR 80076 (a)(14) Food Service. A plan of correction was created requiring facility to dispose of the uncovered food items, ensure to store food in covered containers, and train staff on safe food practices. LPA observed that multiple food items stored in the refrigerators and freezers were expired and available to clients. One item had visible mold growth. Herbs were found to be wilted and rotting. One Type A Deficiency was issued ...

Substantiated : 80087(a), 80076(a)(17)

On March 16, 2026 at 12: PM, Licensing Program Analysts (LPAs) Mona Lam and Amee Li made an unannounced inspection to the above listed facility. The purpose of this inspection is to open a complaint. LPAs discussed with Shanice Reeds, Assistant Program Director who assisted with the inspection. LPAs conducted a physical plant inspection. LPAs inspected the kitchen cabinets, drawers, main refrigerator, and the garage's refrigerator (extra food storage for clients). Based on physical evidence observed on 03/16/26, it was determined that the facility is in disrepair and in need of deep cleaning. On today's date, LPAs observed the facility's bottom cabinets in the kitchen area have excrement of mice. These cabinets contain baking supplies and art supplies. LPAs observed additional mice excrement in the drawers by the sink, in the back of the shelves in the food pantry, and on the floor of the pantry. In addition, LPAs observed that cabinets underneath the kitchen sinks require deep cleaning, as they were observed to have a buildup of humidity, resulting in mold and water stains on the corresponding walls of the cabinets. LPAs observed liquid spills in the garage refrigerator. The garage refrigerator was partially taped up at the bottom drawers. LPA Lam was able to use their state issued iphone to capture photos of the items listed above. Based on observation and photographic evidence obtained, the "preponderance of the evidence" standard has been met. Therefore, the above ...

Deficiency cited at inspection

On February 3, at 11: AM, Licensing Program Analyst (LPA) Mona Lam conducted a required annual inspection. At the time of the inspection, there are four clients and three staff on site. Micki Hankes, Administrator, and Chad Oldenburg, Assistant Program Director assisted LPA with the inspection. The facility is a two story home. The home includes 3 client bedrooms, 2 client bathrooms, kitchen, dining room, a staff office, and nurse's office. The facility is in good repair. Facility provided rugs, but were slightly non-slip. The facility is free of obstructions. The facility have enclosed fireplace areas. Chemicals are stored and locked in the closet; hygiene products and clean linens were located, locked and centrally stored medication room/cabinet observed; observed medication logs; first aid kit complete; individual beds are in good repair; food storage space observed; emergency foods observed; perishable foods and nonperishable foods were identified. Carbon monoxide detectors were located at different wall outlets. The backyard includes three patio areas, and two separate lawns; two seating areas, fireplace area, an outdoor BBQ area; and a garden area. LPA inspected emergency disaster plan and manual restraint log, which were in compliance. LPA inspected four client records. Chris Van Nuland, Academic Coordinator, provided current client's education records, which is in compliance. Bedroom compatibility assessment was identified, however there was a lack of content ...

Deficiency cited at inspection

On January 6, 2026 at 12:10PM, an unannounced annual inspection was conducted by Licensing Program Analysts (LPA's), Kaitlyn Wong and Mona Lam at the above licensed facility. LPAs met with Micki Hankes, Executive Director, who assisted with the inspection. LPAs explained the purpose of the inspection and were granted access to the facility. The facility has a capacity of six clients, ages twelve through seventeen and is currently holding a census of three. The home has three client bedrooms, each bedroom has two beds, and the home has one full client bathroom and one half client bathroom for all the youth. At the time of the inspection there were three clients in care and six staff members present. There is a dining room, a living room, classroom, and a kitchen. LPAs recorded the facility thermostat to read 69 degrees Fahrenheit. LPAs inspected refrigerator and non-perishable food storage spaces to have available food supply to meet the dietary needs of above clients and are free from contamination. LPA Wong measured the refrigerator temperature to be 40 degrees Fahrenheit, and freezer temperature to be -18 degrees Celsius. LPAs observed menu posted in Living Room with listed breakfast, lunch, and dinner plans. A written activity calendar was posted next to the menu. LPAs performed an inspection of the facility grounds and inspected storage areas of clients' personal property. LPAs observed a house phone in the classroom to be plugged in and made available for client use. ...

Deficiency cited at inspection

On November 14, at 10: AM, Licensing Program Analysts (LPA) Mona Lam and Amee Li conducted a continuation of the post-licensing inspection. At the time of the inspection, there are three clients at the facility and two staff members. Micki Hankes, Administrator, assisted LPAs with the inspection. LPAs conducted three client interviews and two staff interviews. LPAs inspected the remaining three client files. LPAs were not able to identify one of the three client's immunization records. LPAs inspected five staff files. The following items were missing from staff files: facility manager training, one staff file is missing on mandated reporting/incident reporting. LPAs issued technical violations under 84070(c)(3) Children Records, 84065(d)(3) Personnel Requirements, and 84065(i)(3)(C) Personnel Requirements. No deficiencies were cited at this time. An exit interview was conducted with Micki Hankes, Administrator and a copy of this report was printed and left with Micki Hankes, Administrator.

Deficiency cited at inspection

On November 14, at 10: AM, Licensing Program Analysts (LPA) Mona Lam and Amee Li conducted a continuation of the post-licensing inspection. At the time of the inspection, there are three clients at the facility and two staff members. Micki Hankes, Administrator, assisted LPAs with the inspection. LPAs conducted three client interviews and two staff interviews. LPAs inspected the remaining three client files. LPAs were not able to identify one of the three client's immunization records. LPAs inspected five staff files. The following items were missing from staff files: facility manager training, one staff file is missing on mandated reporting/incident reporting. LPAs issued technical violations under 84070(c)(3) Children Records, 84065(d)(3) Personnel Requirements, and 84065(i)(3)(C) Personnel Requirements. No deficiencies were cited at this time. An exit interview was conducted with Micki Hankes, Administrator and a copy of this report was printed and left with Micki Hankes, Administrator.

Deficiency cited at inspection

On November 10, at 10: AM, Licensing Program Analysts (LPA) Mona Lam and Amee Li conducted a post-licensing inspection. At the time of the inspection, there are three clients at the facility and three staff members. Micki Hankes, Administrator, assisted LPAs with the inspection. The facility is a two story home. The home includes 3 client bedrooms, 2 client bathrooms, kitchen, dining room, a staff office, and nurse's office. Two of the client bedrooms have holes in the walls, including broken doors. However, the facility shows signs of repair. Facility provided rugs, but were slightly non-slip. LPAs advised in taping rugs down if non-slip were not provided and issued a technical assistance under 80087(b)(1) Buildings and Grounds. The facility is free of obstructions. The facility have enclosed fireplace areas. Rights were posted on board, however it showed one page of the rights and did not include all the rights. LPAs advised in ensuring all rights were visibly posted and issued a technical assistance under 84072(a) Personal Rights. Chemicals are stored and locked in the closet; hygiene products and clean linens were located, locked and centrally stored medication room/cabinet observed; observed medication logs; first aid kit complete; individual beds are in good repair; food storage space observed; emergency foods observed; perishable foods and nonperishable foods were identified. (Continued on LIC 809-C). Carbon monoxide detectors were located at different wall outlets. ...

Deficiency cited at inspection

On November 10, at 10: AM, Licensing Program Analysts (LPA) Mona Lam and Amee Li conducted a post-licensing inspection. At the time of the inspection, there are three clients at the facility and three staff members. Micki Hankes, Administrator, assisted LPAs with the inspection. The facility is a two story home. The home includes 3 client bedrooms, 2 client bathrooms, kitchen, dining room, a staff office, and nurse's office. Two of the client bedrooms have holes in the walls, including broken doors. However, the facility shows signs of repair. Facility provided rugs, but were slightly non-slip. LPAs advised in taping rugs down if non-slip were not provided and issued a technical assistance under 80087(b)(1) Buildings and Grounds. The facility is free of obstructions. The facility have enclosed fireplace areas. Rights were posted on board, however it showed one page of the rights and did not include all the rights. LPAs advised in ensuring all rights were visibly posted and issued a technical assistance under 84072(a) Personal Rights. Chemicals are stored and locked in the closet; hygiene products and clean linens were located, locked and centrally stored medication room/cabinet observed; observed medication logs; first aid kit complete; individual beds are in good repair; food storage space observed; emergency foods observed; perishable foods and nonperishable foods were identified. (Continued on LIC 809-C). Carbon monoxide detectors were located at different wall outlets. ...