state: CA

facility_name: MANUCH, INC.

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On this date, Licensing Program Analyst (LPA) Lourey Bartolome conducted a Complaint Inspection and spoke with Administrator Garnett Fountain to deliver findings of this investigation. Investigator Rippe conducted the interview with the client and reviewed documentation. LPA conducted interview with staff. Due to a lack of evidence a preponderance of the evidence could not be found the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. No deficiencies observed or cited during this inspection. Copy of this report was emailed to the Administrator for signature and a signed copy was requested back. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Melanie Krage LICENSING EVALUATOR NAME: Lourey Bartolome LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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

report_type: Complaint Investigation

met_with: Garnett Fountain

complaint_status: unsubstantiated


raw_content:
Investigation Findings:
13On this date, Licensing Program Analyst (LPA) Lourey Bartolome contacted Manuch Inc. and met with Administrator Garnett Fountain to discuss the findings on this investigation. Licensing Program Analyst conducted the investigation that included review of documentation and interviews. Based on the information obtained, the above mentioned allegations could not be proven with a preponderance of the evidence. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Melanie Krage LICENSING EVALUATOR NAME: Lourey Bartolome LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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


investigation_findings: 13On this date, Licensing Program Analyst (LPA) Lourey Bartolome contacted Manuch Inc. and met with Administrator Garnett Fountain to discuss the findings on this investigation. Licensing Program Analyst conducted the investigation that included review of documentation and interviews. Based on the information obtained, the above mentioned allegations could not be proven with a preponderance of the evidence. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Melanie Krage LICENSING EVALUATOR NAME: Lourey Bartolome LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13On this date, Licensing Program Analyst (LPA) Lourey Bartolome conducted a complaint inspection for the purpose of delivering the findings for the above complaint allegations. LPA met with Administrator Garnett Fountain. During the course of the investigation, Community Care Licensing (CCL) conducted interviews, review of records and review of video camera footage. The information obtained during the interviews and video footage indicated that the STRTP did not provide adquate supervision to the clients in the home. Type A: This poses an Imediate health and safety risk to clients in care. Based on the LPA's interviews, records review and camera footage, the preponderance of evidence standard has been met, therefore, the above allegations are found to be substantiated. The Agency is being cited for violations of Section 80078(a) Responsibility for Providing Care and Supervision. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Melanie Krage LICENSING EVALUATOR NAME: Lourey Bartolome LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 04/02/2021 and conducted by Evaluator Lourey Bartolome PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:MANUCH, INC.Facility Number: Administrator:fountain, Garnettfacility Type: Address: W. DONNERTELEPHONE: (559) 271- CITY:FRESNOSTATE: CAZIP CODE: CAPACITY:6CENSUS: 5DATE: 05/17/ UNANNOUNCEDTIME BEGAN: 03: PM MET WITH:Garnett FountainTIME COMPLETED:04: PM 9Staff engaged in a physical altercation with minor Facility window is in disrepair INVESTIGATION FINDINGS: 13On this date, Licensing Program Analyst (LPA) Lourey Bartolome contacted Manuch Inc. and met with Administrator Garnett Fountain to discuss the findings on this investigation. Licensing Program Analyst conducted the investigation that included review of documentation and interviews. Based on the information obtained, the above mentioned allegations could not be proven with a preponderance of the evidence. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Melanie Krage LICENSING EVALUATOR NAME: Lourey Bartolome LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: MANUCH, INC.FACILITY NUMBER: 107202620

Allegations:
- SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Priscilla Zamudio conducted a complaint inspection to the STRTP and met with Jhustin Granados, Facility Manager. The purpose of the inspection was to deliver the findings for the above complaint allegation. LPA observed the television in the client's bedroom unsecured and unstable on top of a small cardboard box, placed on the chest of drawers. It was immediately removed by staff. Based on observation and interviews, there is a preponderance of the evidence to prove the above allegation is substantiated. The agency is being cited for a violation of the California Code of Regulations, Title 22, Division 6, Section 80087(a), Buildings and Grounds. An exit interview was conducted with Jhustin Granados, Facility Manager and a copy of this report, and appeal rights were provided. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Priscilla Zamudio LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: MANUCH, INC.FACILITY NUMBER: 107202620

met_with: Jhustin Granados


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Daiquiri Boyd conducted a follow-up complaint inspection with the Short Term Residential Theraputic Program (STRTP) and met with Jhustin Granados. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, LPA Boyd conducted interviews with clients, stafff and complainant. The interviews revealed that there is no consistent consensus as to whether the allegations listed above happened or didn't happen. Although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove the above allegation; therefore, the allegation is unsubstantiated. LPA provided a copy of the report to the STRTP. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Daiquiri Boyd LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On July 28, Licensing Program Analyst (LPA) Wayne Aoki conducted a follow-up complaint inspection at the facility. LPA was met by Assistant Manager, Rochelle Lupio. The purpose of the inspection is to deliver the findings for the above complaint allegation. Based on confidential interviews and information obtained during the investigation, there is a preponderance of the evidence to prove the above allegation is substantiated. The facility is being cited for a violation of the California Code of Regulations, Title 22, Division 6, Section 80078(a), Responsibility for Providing Care and Supervision. An exit interview was conducted with Rochelle Lupio, Assistant Manager and a copy of this report, and appeal rights were provided. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: MANUCH, INC.FACILITY NUMBER: 107202620

met_with: Rochelle Lupio

complaint_status: SUBSTANTIATED


raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to Manuch Inc, Aspen House and met with Facility Manager Elena Yrigollen to deliver findings of investigation. CS and Investigator Lomeli conducted investigation that included review of documentation and confidential interviews. Based on inconsistencies in the information obtained a preponderance of the evidence could not be found that the allegations occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Copy of this report and Appeal Rights left at the facility at conclusion of inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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

met_with: Elena Yrigollen


raw_content:
Investigation Findings:
13On April 25, 2023, Licensing Program Analyst traveled to Manuch Inc. - Aspen House to conclude the investigation with regards to above allegation. LPA was met by facility representative .Elena Yrigollen During the course of the investigation, LPA conducted confidential interviews with staff and minors in care. Based on these interviews, the allegation may have happened or is valid, there is not a preponderance of the evidence, therefore, the above allegation is unsubstantiated. Based on the above, the complaint is Unsubstantiated. There were no deficiencies cited during this inspection. A copy of this report and appeals rights were left with Ms. Yrigollen UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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


raw_content:
Investigation Findings:
13On June 6, 2023, Licensing Program Analyst (LPA) Wayne Aoki traveled to Manuch Inc. - Aspen House to conclude the investigation with regards to above allegation. LPA was met by facility representative Larry Thao During the course of the investigation, LPA conducted confidential interviews with staff and minors and obtained other documents. Based on these interviews and documents. Although the allegation may have happened or is valid, there is not a preponderance of the evidence. Therefore, based on the above, the complaint is Unsubstantiated. There were no deficiencies cited during this inspection. A copy of this report and appeals rights were left with Mr. Thao UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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

met_with: Larry Thao


raw_content:
Investigation Findings:
13On December 20, 2023, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Manuch Aspen House and met with Irving Hermosillo. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or is valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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

met_with: Irving Hermosillo


raw_content:
Investigation Findings:
13On April 8, Licensing Program Analyst (LPA) Miriam Flores conducted a complaint inspection and met with Facility Manager, Willie Williford. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the complaint alleging staff are not providing minors with mental health therapy services. LPA conducted interviews and reviewed supportive documentation. There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with Facility Manager. A copy of this report and appeal of rights were left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Miriam Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 1

met_with: Willie Williford


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On June 10, Licensing Program Analyst (LPA) Miriam Flores conducted a complaint inspection at Manuch-Aspen House STRTP and met with Facility Manager, Marie Fierro and Levon Manucharyan participated via phone. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted confidential interviews and reviewed supportive documentation which revealed that staff refused to transport youth in placement. Based on the information obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099D. An exit interview was conducted with facility staff. A copy of this report and appeal rights were left at the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Miriam Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: MANUCH INC- ASPEN HOUSEFACILITY NUMBER: 107202620

met_with: Marie Fierro


raw_content:
Investigation Findings:
13On October 17, Licensing Program Analyst (LPA) Miriam Flores conducted a complaint inspection in order to deliver the findings of the above allegations and met with Facility Manager, Marie Ramirez. The Department has investigated the complaint alleging lack of supervision resulting in minors engaging in inappropriate behavior. LPA conducted interviews and reviewed supportive documentation. There were inconsistencies during file review and interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with Facility Manager. A copy of this report and appeal of rights were left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Miriam Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 1

met_with: Marie Ramirez


summary: Facility Evaluation

raw_content:
Narrative:
On July 28, Licensing Program Analyst (LPA) conducted a Case Management inspection regarding excessive calls of service for Fresno Police Department. LPA was met by Administrator Garnett Fountain and a discussion with regards to this issue was conducted. Mr. Fountain indicated that this has been a problem with certain minors in care. Mr. Fountain stated to rectify this situation they have implemented an additional swing shift so that there is adequate staff to follow minors that leave without authorization. He also indicated that staff is now instructed to follow the minors in vehicles until they lose sight of the minor. Mr. Fountain will contact Detective Hodge to start conversations with the Police Department so that this issue can be handled in a timely manner and explain what measures that the facility has instituted. There were no deficiencies cited during this Case Management Inspection.

report_type: Facility Evaluation

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On this date, March 21, 2023, Licensing Program Analyst (LPA) Wayne Aoki was met by Facility Manager, Elena Yrigollen. The purpose for this inspection is to conduct a Plan of Correction (POC) to repair the backyard fence that the facility was cited for a deficiency on March 8, 2023 with a POC date of March 15, 2023. Facility provided a picture on March 15, 2023 with the fence being repaired. LPA inspected the fence on this date and the deficiency has been corrected. LPA left a POC letter with the Facility Manager. No deficiencies were cited during today's inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On April 12, 2023, Licensing Program Analyst (LPA) Wayne Aoki was met by Facility Manager, Elena Yrigollen. The purpose for the inspection is for a Case Management regarding and incident that occurred on March 7, 2023. LPA informed Ms. Yrigollen that the LPA needed clarification with regards to the two Law Enforcement Contact Reports that was sent to Community Care Licensing. LPA explained that it was unclear in both reports that the second minor involved in the incident was not identified. Ms. Yrigollen stated that due to confidentiality, she will only use the primary minor's name and usually uses initials for other minors involved. This insures that when anyone that is reviewing the primary minor's report, it does not disclose the other minors involved. Ms. Yrigollen will use minor's initials for secondary subjects to give more clarification of parties involved. There were no deficiencies cited during this inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On May 3, 2023, Licensing Program Analyst (LPA) was met by facility manager Elena Yrigollen to conduct Case Management regarding Law Enforcement Contact Report. LPA discussed and informed Ms. Yrigollen when it is appropriate to complete the follow up report. There were no deficiencies cited during this inspection.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program(LPA) Corina Carrillo and Licensing Program Manager Angela King(LPM) conducted a case management inspection June 22, 2023 at 11: AM, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 5 out of Direct Care Staff and 3 out of 3 youth files were reviewed. 2 out of Direct Care Staff and 0 out of 3 youth were interviewed. (See the Confidential Names List, LIC 811, June 22, 2023.) The Plan of Operation including policies and procedures were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments and crisis intervention plans, the licensee uses trauma- informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Carrillo and LPM King observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Levon Manucharyan.

met_with: Levon Manucharyan, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On August 2, 2023, Licensing Program Analyst (LPA) conducted a Case Management inspection with regards to a incident on 4/23/2023 (Law Enforcement Contact Report). The purpose for the inspection is to seek clarification and gain additional information with regards to that incident. The report stated that staff had to redirect client throughout the whole morning but failed to give specifics as to what type of redirection was given. Ms. Yrigollen stated that she has already instructed staff to be more specific on reports. This was addressed with the facility earlier when a Case Management Inspection for Law Enforcement Contacts was conducted on June 22, 2023 by LPA C. Carrillo and LPM, A. King. There were no deficiencies cited during this Case Management Inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On this date, September 21, 2023, an unannounced random annual inspection was conducted by Licensing Program Analyst (LPA) Wayne Aoki. LPA was met by facility Manager, Elena Yrigollen. LPA inspected the facility, inside and out. Centrally stored medications and sharps are maintained in a locked closet in a locked cabinet. LPA inspected the medications for the minors in care. The facility has a written emergency disaster plan. All facility smoke and carbon monoxide detectors were tested and appear to be in appropriate working order, fire extinguisher is properly charged and was last serviced July 18, 2023. Individual beds were observed with appropriate clean linens and are in good repair. There is at least one week supply of nonperishable and a two day supply of perishable foods. The facility is maintained at 75 degrees. Hot water temperature measured 117 degrees. There are no pets in the facility. Mental Health Program Approval was approved by Fresno County on September 18, 2022. They are currently in the MHPA audit for recertification. Facility is currently waiting for an on site inspection for approval. There was 1 staff and 1 minor present during this inspection. Both staff and minor's files reviewed. Interviews with staff and minor were conducted. LPA reviewed the facility's disaster plan, sampled medication and reviewed facility logs. LPAs requested the following updated documents be sent to Community Care Licensing by October 31, 2023. LIC 308, LIC 309, LIC 400, LIC 500 and LIC 610C There were no deficiencies cited during this inspection. A copy of this report was left at the facility at the conclusion of the inspection

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Tamara Melikian and Reyna Martinez on February 7, 2024 at 9:30AM. This case management inspection is conducted pursuant to Health and Safety Code 1538.9(a)(2). During the inspection, LPAs met with Levon Manucharyan, Administrator and inspected the facility inside and out. LPAs reviewed 0 child's records and 2 staff personnel files on site at the facility as the facility did not have any dependents in placement at this time. LPAs reviewed 0 child's psychotropic medications and medication records as the facility did not have any dependents in placement at this time. LPAs interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPAs provided a copy of the licensing report to Levon Manucharyan, Administrator. No deficiencies are being cited at this time. LPAs conducted exit interview with Levon Manucharyan, Administrator.

met_with: Levon Manucharyan


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program(LPA) Corina Carrillo conducted a case management inspection June 13, 2024 at 10: AM, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 5 out of Direct Care Staff and 3 out of 3 youth files were reviewed. 2 out of Direct Care Staff and 1 out of 3 youth were interviewed. (See the Confidential Names List, LIC 811, June 13, 2024.) The Plan of Operation including policies and procedures were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments and crisis intervention plans, the licensee uses trauma- informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Carrillo observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Levon Manucharyan.


summary: Facility Evaluation

raw_content:
Narrative:
On July 30, Licensing Program Analysts (LPAs) Miriam Flores and Briana Placensia conducted a case management inspection at Manuch Aspen and met with Assistant Manager, Irvin Hermosillo. The purpose of the inspection was to discuss concerns with an incident report sent to Community Care Licensing (CCL) dated 07/24/2024 (0000850-FN), regarding a foster child #1 (see 811- Ref #1) reporting that AC was not cooling the house down fast enough. At arrival, temperature measured 72 degrees F. Foster child#1, declined to interviewed by LPAs. LPAs determined this to not be an immediate risk to health and safety at this time. No deficiencies are being cited. LPAs conducted exit interview with Assistant Manager, Irvin Hermosillo.

met_with: Irvin Hermosillo


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On April 24, Licensing Program Analysts (LPAs) Miriam Flores and Sonia Chavez travelled to Manuch Inc Aspen House to conduct an Annual inspection. LPAs met with Facility Manager, Willie Williford and Administrator, Levon Manucharyan At 8:30AM, LPAs reviewed client's files and reviewed emergency intervention plan. There are two clients that require medications, facility has the ability to keep Medications locked and centrally stored. At 10:40AM, LPAs conducted an inspection of the physical plant and included the following checks. Facility grounds are clean and free of debris. Adequate indoor and outdoor activity space and materials were observed. Food supply, adequate bedding, storage space, activity space, hot water that measured 120 degrees F. Facility is maintained at 73 degrees. At 11:00AM, LPAs completed interviews with staff and made attempts to complete interviews with youth in placement. At 12:00PM, LPAs reviewed staff files. Youth in placement were present at the facility. Mental Health Program Approval expires on September 17, 2025. CARF accreditation expires on August 31,2025. Violations were cited on under ILS 87065.1(d)(6)(A) and CCR 80019(e). This facility was assessed for a civil penalty. See the attached LIC809D and LIC421BG. At 1:30PM, the exit interview was conducted with the Administrator and a copy of this report and appeal rights were provided.

Deficiencies:
80019(e): Criminal Record Clearance

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1522 shall prior to working, residing or volunteering in a licensed facility

met_with: Levon Manucharyan & Willie Williford


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Briana Placencia on July 17, 2025 at 9:15am. This case management inspection is conducted pursuant to Health and Safety Code 1538.9(a)(2). During the inspection, LPA met with Levon Manucharyan, Administrator and inspected the facility inside and out. LPA reviewed 1 child's records and 2 staff personnel files on site at the facility. LPA reviewed 1 child's psychotropic medications and medication records. LPA interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 1 child currently psychotropic medication. LPA provided a copy of the licensing report to Administrator, Levon Manucharyan.. No deficiencies are being cited at this time. LPA conducted exit interview with Levon Manucharyan, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On June 10, 2025, Licensing Program Analyst (LPA) Miriam Flores conducted a case management visit at Manuch Aspen House STRTP and met with Facility Manager, Marie Fierro and Levon Manucharyan participated via phone. While conducting an investigation, it was determined that staff (see attached LIC811) was using inappropriate language towards youth in placement. The STRTP received a Technical Advisory Note and is being cited on LIC 87072(c)(1) Personal Rights, attached LIC 809D. An exit interview was conducted, and a copy of this report and appeal rights were left at the STRTP


summary: Facility Evaluation

raw_content:
Narrative:
On September 16, Licensing Program Analyst (LPA) Miriam Flores met with Facility Manager, Marie Fierro at Manuch Aspen for the purpose of conducting a Case Management. The purpose of the inspection is to discuss incidents dated 8/31/25, that indicated a medication error made by staff. LPA discussed with Facility Manager details of the incident. LPA highlighted the importance of administering medications appropriately. On 9/16/25, Facility Manager reported that S1 was terminated from Manuch Aspen STRTP. On 9/09/25, Manuch conducted an all staff training on Medication distribution. On 10/08/25, the facility will also be providing a second all staff training, conducted by Shouapa Thao on Psychotropic Medication Monitoring & Oversight. The Department determined this to be a potential risk to health and safety of the children in care at this time, therefore California Code of Regulations are being cited on the attached LIC809D. The Agency is being cited for the Interim Licensing Standards Section 87075(c) Health Related Services. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On November 5, Licensing Program Analyst (LPA) Miriam Flores met with Facility Manager, Marie Fierro at Manuch Aspen for the purpose of conducting a Case Management inspection. The purpose of the inspection is to follow up on an incident report dated 10/09/25. LPA discussed with Facility Manager details of the incident, which indicated the use of an electric metal detector upon youth in placement (C1) returning to the facility from an AWOL incident. The Department determined this to be a potential risk to health and safety of the children in care at this time, therefore California Code of Regulations are being cited on the attached LIC809D. The STRTP is being cited for the Interim Licensing Standards Section 87072(c)(10) Personal Rights. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On January 21, Licensing Program Analyst (LPA) Miriam Flores met with Facility Manager, Marie Fierro at Manuch Aspen for the purpose of obtaining documentation. An exit interview was conducted, and a copy of the report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On February 23, 2026 an unannounced annual inspection was conducted by Licensing Program Analyst (LPA), Miriam Flores at Manuch Inc Aspen STRTP. LPA met with Facility Manager, Marie Ramirez and Administrator, Levon Manucharyan. At 9:05AM, LPA arrived at the facility and met with facility staff. LPA informed staff the purpose of this visit to conduct an annual inspection of the facility and record reviews. The facility has capacity for six boys ages, 12-18 years of age and will remain with capacity of three. Currently the facility has two youth in placement. The home has three bedrooms and two bathrooms accessible to clients. There is a dining room, a living room, and a kitchen. All smoke detectors were tested and were in working order. The following was observed during the facility inspection: At 9:10AM, LPA completed an interview for youth in placement. At 9:30AM, LPA completed two file reviews for youth in placement. At 10:30AM, LPA completed five staff file reviews. Personnel files are kept off-site in their main office. Continues on page Continuation At 12:00PM, The inspection began in the kitchen area of the home, LPA Flores observed that the thermostat is maintained at 72 degrees Fahrenheit. The living room was clean and well lit. Postings were easily accessible to clients near the entrance area, kitchen area and hallway. Sharps and toxic chemicals are kept locked. Perishable and nonperishable foods were observed. Food menus were posted in the refrigerator. According to Facility Manager the menus are posted monthly. LPA measured the water temperature from bathroom faucet and measured at 116 degrees Fahrenheit. There is a sliding door in the kitchen which gives youth access to the backyard. LPA observed cameras in shared living areas, living room and kitchen area. There are cameras in the front entrance and side gate. There is another camera facing the backyard right outside the sliding back door. There are no cameras in client's bedrooms. At 12:30PM, the facility vehicle was inspected. Their vehicle is in working condition. At 1:10PM, LPA completed staff interviews and made attempt to conduct a client interview. Youth in placement were present at the facility. Mental Health Program Approval expires on 9/16/26. CARF accreditation expires on 8/31/28. On 6/26/25, the facility had their annual fire clearance inspection completed. There were no deficiencies to be cited on this date. At 1:40PM, an exit interview was conducted with the facility manager and a copy of this report was left at this facility.


summary: Facility Evaluation

raw_content:
Narrative:
On April 14, Licensing Program Analyst (LPA) Miriam Flores met with Facility Manager, Marie Fierro and Administrator, Levon Manucharyan at Manuch Aspen. The purpose of the inspection is to follow up on incident reports dated 02/09/26, 3/18/26. and 4/4/26. LPA discussed with Facility Manager and Administrator details of the incident reported dated 2/09/26, confidential interviews indicated that direct care staff contacted law enforcement as soon as there was an AWOL with C1. Incident report dated 3/19/26, indicated that the facility updated the Needs and Services on 4/03/26 for C2. Incident reported dated 4/04/26, indicates that the incident occurred outside the facility while, C1, C2 and C3 were on AWOL status. Copies of incident reports were provided. No deficiencies were cited on this date. An exit interview was conducted and a copy of the report was provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On April 15, Licensing Program Analysts (LPAs) Miriam Flores and Olivia Medrano met with Facility Manager, Marie Fierro at Manuch Aspen. The purpose of the inspection is to follow up on incident reports dated 04/12/26. LPA discussed with Facility Manager and Administrator, Levon Manucharyan details of the incident reported 04/12/26; LPA discussed their safety plan for all the youth in placement. The smoke detector located in the staff office will complete maintenance service on 4/15/26. No deficiencies were cited on this date. An exit interview was conducted and a copy of the report was provided to the facility.


facility_name: MANUCH INC- INSPIRATION PEAK

summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On November 20, 2023, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Manuch-Inspiration Peak and met with Jessica Villalba. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted confidential interviews which revealed that staff did not provide adequate supervision to the minors in care, in that a youth absconded attempting to obtain the Wi-Fi password from neighbors. Staff on shift could not leave due to begin only staff at the time. Confidential interviews, documentation and video footage reveal that staff did not prevent minors from causing harm to minor in care. Based on the information obtained, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: MANUCH INC- INSPIRATION PEAKFACILITY NUMBER: 107207213

met_with: Jessica Villalba


raw_content:
Investigation Findings:
13On May 9, Licensing Program Analyst (LPAs) Miriam Flores and Reyna Martinez conducted a complaint inspection at Manuch-Inspiration Peak and met with Jessica Villalba. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPAs conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Miriam Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 1


investigation_findings: 13On May 9, Licensing Program Analyst (LPAs) Miriam Flores and Reyna Martinez conducted a complaint inspection at Manuch-Inspiration Peak and met with Jessica Villalba. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPAs conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Miriam Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 1


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst's (LPAs) Reyna Martinez and Miriam Flores conducted a complaint inspection and met with Jessica Villalba, Facility Manager. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the complaint alleging Staff did not ensure minor's medical needs were met in a timely manner; Staff do not ensure minor's diet needs are met. LPA conducted interviews and obtained documentation.There were inconsistencies in the confidential interviews. Although the allegations may have happened or is valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Reyna Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 1


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst's (LPAs) Reyna Martinez and Miriam Flores conducted a complaint inspection and met with Jessica Villalba, Facility Manager. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging Staff allow a youth to smoke marijuana in their room at the facility. LPA conducted interviews and obtained documentation.There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Reyna Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 1


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Reyna Martinez conducted a complaint inspection and met with Adrian Pena, Facility Manager. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging facility staff did not pick up client from work. LPA conducted interviews and obtained documentation.There were inconsistencies in the confidential interviews. Although the allegations may have happened or is valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Reyna Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 1

met_with: Adrian Pena


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Reyna Martinez conducted a complaint inspection and met with Adrian Pena, Facility Manager. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the complaint alleging staff did not ensure faciltiy was free from mold; Staff did not ensure there was the required amount of food for minors in care. LPA conducted interviews and obtained documentation.There were inconsistencies in the confidential interviews. Although the allegations may have happened or is valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Reyna Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 1


raw_content:
Investigation Findings:
13On November 7, Licensing Program Analyst (LPA) Miriam Flores conducted a complaint inspection and met with Facility Manager, Adrian Pena. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the complaint alleging staff hit a minor in care, staff engaged in a verbal alteraction with minors, staff did not store an adequate amount of food for minors in care. LPA conducted interviews and obtained documentation. There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Miriam Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 1


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analysts (LPAs) Brinae Pointer & Miriam Flores conducted a complaint inspection and met with Facility Manager, Adrian Pena. The purpose of the inspection was to deliver the findings for the above complaint allegation. Based on interviews it was determined that staff did transport youth to a unapproved location where the minor has access to drugs and alcohol. Based on the LPA's observations, confidential interviews and records review which were conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be substantiated. A deficiency is being cited for Interim Licensing Standards ILS 87068.2(b)(6). A copy of the report and Appeal Rights was provided to the STRTP. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Brinae Pointer LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: MANUCH INC- INSPIRATION PEAKFACILITY NUMBER: 107207213

met_with: Adrian Pena, Facility Manager


summary: Complaint Investigation - Unsubstantiated - 1 deficiency

raw_content:
Investigation Findings:
13On March 24, Licensing Program Analyst (LPA) Miriam Flores conducted a complaint inspection and met with Facility Manager, Adrian Pena. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the complaint alleging facility staff hit client(s). LPA conducted interviews and reviewed supportive documentation. There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with Adrian Pena. A copy of this report and appeal of rights was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Miriam Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 12/30/2024 and conducted by Evaluator Miriam Flores COMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:MANUCH INC- INSPIRATION PEAKFACILITY NUMBER: ADMINISTRATOR:LEVON MANUCHARYANFACILITY TYPE: ADDRESS: N SANTA FETELEPHONE: (559) 352- CITY:FRESNOSTATE: CAZIP CODE: CAPACITY:6CENSUS: 3DATE: 03/24/ UNANNOUNCEDTIME BEGAN: 01: PM MET WITH:Adrian PenaTIME COMPLETED:01: PM 9Facility staff left client(s) alone at facility without supervision. INVESTIGATION FINDINGS: 13On March 24, Licensing Program Analyst (LPA) Miriam Flores conducted a complaint inspection at Manuch-Inspiration Peak and met with Adrian Pena. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted confidential interviews which revealed that facility staff left client(s) alone at the facility without supervision. Based on the information obtained, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099D. An exit interview was conducted with Adrian Pena. A copy of this report and appeal rights were left at the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Miriam Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: MANUCH INC- INSPIRATION PEAKFACILITY NUMBER: 107207213

Deficiencies:
87065.2: (1) Supervision, protection, and care of children at all times, individually and in groups.

title:
Personnel Duties.
(b) Direct care staff shall perform the following duties


raw_content:
Investigation Findings:
13On April 3, Licensing Program Analyst (LPA) Miriam Flores conducted a complaint inspection and met with Facility Manager, Adrian Pena. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the complaint alleging facility does not have vehicle to transport clients and staff does not properly supervise minors. LPA conducted interviews and reviewed supportive documentation. There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with Adrian Pena. A copy of this report and appeal of rights was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Miriam Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 1


summary: Complaint Investigation - Substantiated - 1 deficiency

raw_content:
Investigation Findings:
13On April 14, Licensing Program Analyst (LPA) Miriam Flores conducted a complaint inspection at Manuch-Inspiration Peak and met with Direct Care Staff, Haley Jones and Facility Manager, Adrian Pena participated via phone. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted confidential interviews and reviewed supportive documentation which revelead that staff did not provide a safe environment for minor in care. Youth in placement sustained an injury. Based on the information obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099D. An exit interview was conducted with facility staff. A copy of this report and appeal rights were left at the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Miriam Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: MANUCH INC- INSPIRATION PEAKFACILITY NUMBER: 107207213

Deficiencies:
87065.2: (1) Supervision, protection, and care of children at all times, individually and in groups.

met_with: Haley Jones and Adrian Pena

title: PERSONNEL DUTIES (b) Direct care staff shall perform the following duties


raw_content:
Investigation Findings:
13On July 1, Licensing Program Analyst (LPA) Miriam Flores conducted a complaint inspection and met with Facility Manager, Adrian Pena. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the complaint alleging that, staff do not ensure adequate care and supervision is provided to clients in care. LPA conducted interviews and reviewed supportive documentation. There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with Adrian Pena. A copy of this report and appeal of rights was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Miriam Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 1


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, a virtual Meeting is held via Microsoft Teams to Discuss the pending STRTP application. Present at the Teams meeting were Mike Manucharyan, Elena Manucharyan, Hector Cabrera and Candis Bazely representing the Applicant. Present from Community Care Licensing (CCLD) were Lisa Slusher, Licensing Program Analyst, Melanie Krage and Lourey Bartolome, Licensing Program Managers. Discussed items outstanding in the application, of specific note: 1. According to the facility, the fire clearance has been completed by the City of Fresno Fire Department, but CCLD has not received the notice. 2. Applicant provided a letter from Fresno City Planning which will serve as an overconcentration clearance and allows applicant to proceed at the above location. Discussed letter sent to the applicant via email on 6/16/21 including all areas of the application, plan of operation and program statement that require revision based on CCLD review. A tentative due date for the revisions has been set for 6/21/21. LPA Slusher to provide applicant with a pre-licensing checklist to be completed prior to pre-licensing inspection. A copy of this report has been sent to the applicant for signature by email.

met_with: Mike Manucharyan, Elena Manucharyan


summary: Facility Evaluation

raw_content:
Narrative:
On June 23, 2021, Licensing Program Analyst (LPAs) Tamara Melikian, Eduardo Barragan and Licensing Program Manager (LPM) Melanie Krage travelled to the facility listed above to conduct a prelicensing inspection. Facility Inspection conducted. Met at the facility by Licensee Mike Manucharyan, Clinician Elena Manucharyan and House Manager Chris Kertzman. 1. Facility Grounds are clean and free of debris or observable hazard. 2. Adequate indoor activity space and materials observed, and outdoor activity space was observed. Licensee noted that outdoor activity items would be added. 3. Chemicals appropriately locked. 4. Locked and centrally stored medications observed. LPA's and LPM discussed procedures for psychotropic medications. 5. First aid kit complete with appropriate manual observed. 6. Adequate storage space observed. 7. Individual beds in good repair observed. 8. The house has 4 bedrooms, double occupancy, all located on one single level. Bedrooms are accommodating of all required furnishings. Only one bedroom will be in use and is furnished at this time. 9. Adequate food storage space observed. Supply of a week of nonperishable foods observed upon inspection. Facility will add appropriate supply of two days of perishable foods upon placement of youth in the home. 10. Weekly menu posted and accessible to clients. 11. Dining room equipped with large table and chairs accommodating of all clients. 12.Facility has two full restrooms, one for client use, one for staff use, both are operable. Facility is to ensure water measures between 105 and 120 degrees. 13. Licensee will forward updated insurance and registration card for facility vehicle. 14. Licensee will associate administrator and corporate board member to the facility. Licensure will be recommended upon approval from the department. Facility license will be valid for one male youth. Facility will be licensed on a provisional basis expiring one year from effective date. Mental Health program approval will be completed in 12 months or an extension will be requested.

visit_type: Prelicensing

met_with: Mike Manucharyan


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analysts (LPA) Lisa Slusher and travelled to the facility listed above to conduct an annual inspection. Met at the facility by Administrator Levon Manucharyan and Facility Manager Aaron Vargas. The facility listed above is accredited through CARF and is pursuing MHPA through Fresno County. Facility is to provide monthly MHPA updates. Arrived at the facility at 10:00 am. At the start of the inspection, LPAs discussed procedures for psychotropic medication, current census and other administrative questions. The following were observed upon inspection of the physical plant inspection conducted at 10:30 am : 1. Facility Grounds are clean and free of debris or observable hazard. 2. Adequate indoor and outdoor activity space and materials observed. 3. Chemicals appropriately locked. 4. Locked and centrally stored medications observed. Observed medication logs and discussed procedures for psychotropic medications. 5. First aid kit complete with appropriate manual observed. 6. Adequate storage space observed. 7. Individual beds in good repair observed. 8. The house has 4 bedrooms, all double occupancy. Bedrooms are accommodating of all required furnishings. only one room is utilized fot a client. Adequate food storage space observed. Supply of two days of perishable foods and a week of nonperishable foods observed upon inspection. 10. Weekly menu posted and accessible to clients. 11.Dining room equipped with large table and chairs accommodating of all clients. 12.Facility has two full restrooms in the house for client use. 13.Appropriate forms posted in view of facility clients. 14.No firearms or weapons are allowed in the facility. Staff Files to be reviewed at a later date. No deficiencies cited in areas observed.


summary: Facility Evaluation

raw_content:
Narrative:
On this date, LPA (Licensing Program Analyst) Lisa Slusher conducted a follow up case management inspection is conducted for the purpose of continuing the annual inspection by reviewing personnel files. 6 personnel files reviewed on this date. In areas observed, no deficiencies are noted.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, LPA Lisa Slusher conducted a scheduled case management for the purpose of evaluating a facility for a increase in capacity. The facility was licensed as an STRTP for 1 on 7/6/2021. The facility is increasing the capacity of the facility to 6. The facility plans to transfer youth from the licensed facility on Donner Ave. 1. Facility Grounds inspected and observed to be free from hazard with appropriate activity space observed. . 2. Facility has had a fire inspection for increased capacity and has verbally been told that a clearance is forthcoming- fire clearance has not yet been received by CCLD, 3. Chemicals stored in a locked cabinet 4. Observed locked cabinet inside locked closet for central storage of medications. Observed first aid kit and manual. 5. Individual bed in good repair observed, along with an appropriate amount of storage space. 6. The house has 3 bedrooms, sufficient for double occupancy, all located on one single level. Bedrooms are accommodating of all required furnishings. Only one bedroom will be in use and is furnished at this time. 7. Adequate food storage space observed. Perishable and non perishable foods were not observed at this time. 8. Dining room observed with appropriate table and chairs. Facility has 2 full restrooms, one for staff use and one for client use. There is also a half bath for client use . Facility is to ensure water temperature is maintained between 105 and 120 degrees. 9. Licensee has a vehicle for use at the facility with appropriate insurance and registration. Facility has met requirements for capacity increase, pending the receipt of the fire clearance. Facility is to follow up with LIC 500 and 9020, LIC 308 309 and change of Administrator. Facility will submit for MHPA at this facility upon license approval and transfer of youth from the Donner Facility. Facility will update the Admission Agreements.

met_with: Levon Manucharyan, Mike Manucharyan, Elena Manucharyan


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced annual inspection was conducted by LPA (Licensing Program Analyst) Reyna Martinez. LPA met with Jessica Villalba, Facility House Manager, and inspected the facility, inside and out. Facility Grounds are clean and free of debris or observable hazard. Adequate indoor and outdoor activity space and materials observed. Centrally stored medications are maintained in a locked closet in a locked cabinet. Sharps and Toxic chemicals are kept locked. The facility has a written emergency disaster plan. All facility smoke detectors were tested and appear to be in appropriate working order, fire extinguisher is properly charged and was last serviced July 2023. The facility is accredited through CARF valid to August 31, 2025 and MHPA through Fresno County valid to September 21, 2023. The house has 3 client bedrooms, all double occupancy. Individual beds were observed with appropriate clean linens. There is at least one-week supply of nonperishable and a two-day supply of perishable foods. The facility is maintained at 74 degrees. Hot water temperature measures 120 degrees. Facility has no cameras in common areas of the facility. No firearms or weapons are allowed in the facility. Facility has no pool on grounds. Appropriate staff/client ratios were verified during this inspection. The facility employs 1 facility manager, 1 assistant house manager, 13 direct care staff, 5 social worker's, 1 clinician, 1 behavior health head of service, and 1 mental health rehabilitation specialist. -Continued on LIC809-C. Personnel Files are maintained at the main office. 5 staff files were reviewed. 2 staff were available to be interviewed. 5 records of clients were reviewed and 1 client was available to be interviewed. 2 clients are currently on AWOL and 3 clients were asleep during time of inspection and did not want to speak with LPA. A review of Licensing Information System on July 18, 2023, indicates that all facility staff associated to the STRTP have DOJ, FBI, and child abuse index clearances. No deficiencies are being issued today. A copy of this report and appeal rights were discussed and left with the STRTP.


summary: Facility Evaluation

raw_content:
Narrative:
On November 20, 2023, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Manuch- Inspiration Peak and met with Facility Manager (FM) Jessica Villalba. The purpose of this inspection was to discuss concerns with two incident reports sent to CCL. The first with the incident date of 10/12/23, FM states that the facility uses a point system to determine how much allowance a youth gets but that no matter how much points the youth loses that youth will still receive their money for the week. The second incident report dated 10/14/23, FM stated there was several errors and the information was not shared thoroughly. FM will revise the incident report and resubmit the report to CCL. FM stated that during an upcoming training, FM will be re-training staff on the correct procedures for incident reporting. There are no findings or citations at this time, A copy of this report was left at the facility.


summary: Facility Evaluation

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Narrative:
On this date, Licensing Program Analyst (LPA) Reyna Martinez conducted a case management visit at the STRTP and met with Jessica Villalba, Facility Manager (FM). The purpose of the meeting was to discuss an incident report emailed to Community Care Licensing (CCL) on January 29, 2024. LPA confirmed the details and gathered additional information of the incident that occurred on January 28, 2024 involving Client (C1). LPA conducted interviews with FM, and Staff (S1), and attempted interview with C1, who declined to speak with LPA. Based on the information obtained, further investigation is needed. No deficiencies are being issued today. A copy of this report was left with the FFA


summary: Facility Evaluation

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Narrative:
On this date, Licensing Program Analyst (LPA), Miriam Flores conducted a case management visit at the STRTP and met with Jessica Villalba, Facility Manager (S1). The purpose of the meeting was to discuss incident report sent to Community Care Licensing (CCL). LPA confirmed the details and gathered additional information of the incident that occurred on 03/06/24 involving Client (C1) (See attached LIC811). S1 informed LPA that C1s medical attention was not ignored and offered C1 alternatives. Based on the information obtained. No deficiencies are being issued today. A copy of this report was left with the STRTP.


summary: Facility Evaluation

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Narrative:
On this date, Licensing Program Analyst (LPA) Reyna Martinez conducted a case management visit at the STRTP and met with Jessica Villalba, Facility Manager (S1). The purpose of the meeting was to discuss several incident reports emailed to Community Care Licensing (CCL). LPA confirmed the details and gathered additional information of the incident that occurred on October 14, 2023 involving Client (C1) (see LIC 811 attached). A deficiency is not being issued for the incident that occurred on October 14, 2023. LPA confirmed the details and gathered additional information of the incident that occurred on December 21, 2023 involving Client (C2) (see LIC 811 attached). A deficiency is not being issued for the incident that occurred on December 21, 2023. LPA confirmed the details and gathered additional information of the incident that occurred on January 1, 2024 involving Client (C3) (see LIC 811 attached). A deficiency is not being issued for the incident that occurred on January 1, 2024. LPA confirmed the details and gathered additional information of the incident that occurred on January 8, 2024. The Licensee did submit incident report within seven days of when the incident occurred. A deficiency is not being issued for the incident that occurred on January 8, 2024. Based on the information obtained, no deficiencies are being issued today. A copy of this report was left with the STRTP.


summary: Facility Evaluation

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Narrative:
On 07/10/2024, Licensing Program Analyst (LPA) Miriam Flores travelled to Manuch Inc - Inspiration Peak to conduct an Annual inspection. Met with House Manager, Elena Yrigollen. At 1:15PM, an inspection of the physical plant was conducted. LPA observed adequate food supply, adequate bedding, storage space, activity space, hot water measured at 117 degrees. Toiletries are accessible to clients, facility is safe and sanitary. At 1:35PM, an inspection of staff files was conducted. At 2:16PM, an inspection of client files was conducted. Centrally stored medications and allowances are pending for review. At 3:44PM, and interview of C1 was conducted. The exit interview was conducted at 4:40PM and a copy of this report given to the House Manager. It is requested that the licensee submit the following updated forms to CCL: LIC 308, 309, 500 and emergency disaster plan. In addition, the most recent minutes for the Board of Directors meeting. There are no deficiencies to be cited on this date. Annual inspection was not completed due to time restrain and will be completed at a later date.

met_with: Elena Yrigollen


summary: Facility Evaluation

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Narrative:
On October 17, 2024, 2024, Licensing Program Analyst (LPA), Miriam Flores traveled to Manuch Inc Inspiration Peak to conduct an unannounced visit. The purpose of the visit was to amend the civil penalty issued on 7/12/24. LPA met with Facility Manager, Adrian Pena. Based on further record review in the action to have staff associated, the civil penalty is rescinded. No further deficiencies observed during this inspection. Exit interview was completed with Adrian Pena and a copy of the amended LIC809 was left at the facility.


summary: Facility Evaluation

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Narrative:
On this date, Licensing Program Analyst (LPA) Reyna Martinez conducted a case management visit at the STRTP and met with Elena Yrigollen, Facility Manager (FM). Based on interviews, LPA discussed with FM the STRTP's Program Statement update to Version 5 and positive discipline policies and procedures specified in ILS, Version 5, Section 87078.2(b) through (f). Program statement is to be submitted to CCL by September 1, 2024. No deficiencies are being issue at today's visit. An exit interview was conducted, and a copy of the report was provided to the STRTP.


summary: Facility Evaluation

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Narrative:
On November 18, Licensing Program Analysts (LPA) Miriam Flores conducted a case management inspection at Manuch Inc Inspiration and met with Facility Manager, Adrian Pena. The purpose of the inspection was to discuss the incident report sent to Community Care Licensing (CCL) dated 11/14/24, referencing foster youth in placement (C1) (see 811- Ref #1). Law Enforcement was contacted by the facility as a follow up to the incident report dated 11/06/24 and submitted to the CCL. LPA determined this to not be an immediate risk to health and safety at this time. No deficiencies are being cited. LPA conducted an exit interview with Facility Manager and a copy of this report was left at the facility.


summary: Facility Evaluation

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Narrative:
On the above mentioned date, Licensing Program Analyst (LPA) Brinae Pointer traveled to the facility as an unannounced inspection to clear Plan Of Correction with DSP staff on site in person. Due to technical malfunction, LPA Pointer was not able to generate POC letter, because the system did not trigger to populate the clearance letter. LPA Pointer demonstrated in front of Staff the system issuing a disclaimer stating this LPA was not authorized to make corrections or final print the POC document. LPA Pointer advised staff that once matter was addressed in the system, this LPA would send the POC letter.

met_with: Marie Fierro, Direct Care Staff


summary: Facility Evaluation

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Narrative:
On April 23, Licensing Program Analysts (LPA) Miriam Flores conducted a case management inspection at Manuch Inc Inspiration Peak and met with Facility Manager, Adrian Pena. The purpose of the inspection was to discuss the incident report sent to Community Care Licensing (CCL) dated 3/22/25, referencing foster youth in placement (C1, C2, S1 and S2) (see LIC811- Ref #1). Copy of CPI training was provided for S2. Facility Manager will provide a copy of CPI training for S1 by 4/23/25. LPA determined this to not be an immediate risk to health and safety at this time. No deficiencies are being cited. LPA conducted an exit interview with Facility Manager and a copy of this report was left at the facility.


summary: Facility Evaluation

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Narrative:
On July 1, Licensing Program Analysts (LPA) Miriam Flores conducted a case management inspection at Manuch Inc Inspiration Peak and met with Facility Manager, Adrian Pena to discuss, Interim Licensing Standards (ILS) - Personal Rights. Facility has agreed to update their Program Statement, Sections Personal Rights by 7/31/2025 to reflect New ILS Version 5 for Facilities: Manuch Aspen, Manuch Inspiration Peak and Manuch Riverpine. Licensee will submit their updated sections to LPA by 7/31/2025. Exit interview was completed with the Facility Manager and a copy of this report was left at the facility.


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst Corina Carrillo conducted a case management inspection on August 27, 2025 based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 5 out of Direct Care Staff and 6 out of 6 youth files were reviewed. 3 out of Direct Care Staff and 3 out of 6 youth were interviewed. (See the Confidential Names List, LIC 811, August 27, 2025). The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, youth case plans, quarterly assessments, and crisis intervention plans, the licensee uses trauma informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Corina Carrillo observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Adrian Pena, Facility Manager.


summary: Facility Evaluation

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Narrative:
On this date, Licensing Program Analysts (LPAs) Brinae Pointer and Miriam Flores conducted a case management visit at the STRTP and met with Adrian Pena, Facility Manager (FM). LPAs confirmed that incident reports dated: 12/7/2024, 12/15/2024, 12/10/2024, 12/18/2024, 12/26/2024, 12/26/2024, 12/27/2024, 01/20/2025, 1/20/2025,1/21/2025 for (C1) were not submitted to CCL to meet reporting requirements. The STRTP is being cited on Reporting Requirements 80061(b) see attached LIC 809-D. Exit interview conducted and Appeal Rights discussed. A copy of this report and Appeal Rights were provided to the Facility Manager, Adrian Pena.

met_with: Adrian Pena, Facility Manger


summary: Facility Evaluation

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Narrative:
On September 30, 2021, Licensing Program Analyst (LPA) Lisa Slusher and Licensing Program Manager travelled to the facility listed above to conduct a prelicensing inspection. Facility Inspection conducted. Met at the facility by Administrator Levon Manucharyan and House Manager Aaron 1. Facility Grounds are clean and free of debris or observable hazard. 2. Adequate indoor activity space and materials observed, and outdoor activity space was observed. Licensee noted that outdoor activity items would be added. 3. Chemicals appropriately locked. 4. Locked and centrally stored medications observed. 5. First aid kit complete with appropriate manual observed. 6. Adequate storage space observed. 7. Individual beds in good repair observed. 8. The house has 4 bedrooms, double occupancy, all located on one single level. Bedrooms are accommodating of all required furnishings. Only one bedroom is in use at this time. 9. Adequate food storage space observed. Supply of a week of nonperishable foods observed upon inspection. Facility also maintains an appropriate supply of two days of perishable foods. 10. Weekly menu posted and accessible to clients. 11. Dining room equipped with large table and chairs accommodating of all clients. 12.Facility has two full restrooms, one for client use, one for staff use, both are operable and one half bath. Hot water measured 105 degrees on this date. 13. On this date, refrigerator was in the midst of repair. Perishabe foods temporarily stored appropriately in ice chests. Facility maintains appropriate staff to client ratios. Administrator Levon Manuchryan is present at the facility a minimum of 20 hours per week.


summary: Facility Evaluation

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Narrative:
On November 7, 2024, Licensing Program Analyst (LPA) Miriam Flores conducted a case management visit at the STRTP and met with Facility Manager, Adrian Pena. The purpose of the meeting was to discuss incident reports that were not sent to Community Care Licensing (CCL). LPA confirmed that incident reports dated, 07/19/24, 08/02/24, and 08/23/24 for (C1) were not submitted to CCL to meet reporting requirements. The STRTP is being cited on Reporting Requirements 80061(b). Facility Manager will provide retraining to staff and submit a plan of correction to CCL. A deficiency is being issued at this time on the attached LIC 809-D. An exit interview was conducted, and a copy of this report and appeal rights were left at the STRTP.


raw_content:
Investigation Findings:
13On February 12, Licensing Program Analyst (LPA) Miriam Flores conducted a complaint inspection and met with Facility Manager, Adrian Pena. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the complaint alleging that staff do not prevent youths from smoking marijuana on facility premises, staff do not prevent altercations between youths, staff locked youth out of the facility. LPA conducted interviews and reviewed supportive documentation. There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with Adrian Pena. A copy of this report and appeal of rights was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Miriam Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 1


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Investigation Findings:
13On April 4, Licensing Program Analyst (LPA) Miriam Flores conducted a complaint inspection and met with Direct Care Staff, Ryan Amaro. Facility Manager, Adrian Pena participated of this inspection via phone. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the complaint alleging that, staff did not ensure minor in care was accorded a safe environment. LPA conducted interviews and reviewed supportive documentation. There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with direct care staff. A copy of this report and appeal of rights was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Miriam Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 1

met_with: Ryan Amaro


summary: Facility Evaluation

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Narrative:
On April 22, 2026, Licensing Program Analyst (LPA) Olivia Medrano traveled to Manuch - Inspiration Peak located in Fresno, CA for the purpose of an unannounced case management inspection and met with Adrian Pena, Facility Manager. LPA conducted confidential interviews. No deficiencies were observed or cited on this date.


raw_content:
Investigation Findings:
13On April 15, Licensing Program Analyst (LPA) Miriam Flores conducted a complaint inspection and met with Facility Manager, Adrian Pena. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the complaint alleging that the facility is serving expired food. LPA conducted confidential interviews and reviewed supportive documentation. There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with Facility Manager. A copy of this report and appeal of rights was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Miriam Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 1


facility_name: MANUCH INC-RIVERPINE

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Investigation Findings:
13On January 8, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at and Manuch Riverpine met with Ana Soito. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 1

met_with: Ana Soito


summary: Facility Evaluation

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Narrative:
On 7/1/22, Licensing Program Analyst (LPAs) Lisa Slusher, Reyna Martinez, Briana Placencia travelled to the facility listed above to conduct a prelicensing inspection. Facility Inspection conducted. Met at the facility by Licensee Mike Manucharyan, Clinician Elena Manucharyan, Administrator Levon Manucharyan. 1. Facility Grounds contain unlocked chemicals and other items (charcoal grill, lighter fluid, pool chemicals). There is a pool on the property that is currently unfenced and also is green and in need of appropriate cleaning and chemical balance if it is to be used. 2. Outdoor space observed. There are items to be removed, and licensee is to provide outdoor activities. . 3. Chemicals were in unlocked areas upon inspection. . 4. Locked and centrally stored medications were discussed. There is not currently a locked space for medications... 5. First aid kit complete with appropriate manual was not present upon inspection. 6. Adequate storage space observed. 7. Individual beds in good repair observed in the garage, but were not yet set up in the house.. 8. The house has 3 bedrooms, double occupancy, all located on one single level. Bedrooms are accommodating of all required furnishings. Only one bedroom will be in use and is furnished at this time. 9. Adequate food storage space observed. Perishable and non perishable foods were not observed at this time. 10. Weekly menu not observed. 11. Dining room observed. Table and chairs for the STRTP were not observed during inspection. 12.Facility has two full restrooms, one for client use, one for staff use, both are operable. Facility is to ensure water temperature is maintained between 105 and 120 degrees 13. Licensee has a vehicle for use at the facility. When LPA returns, the vehicle including insurance and registration will be available for inspection. 14. Licensee provided transfer requests for board member, administrator, and therapist . Licensee will submit a transfer request for a corporate board member. Fire clearance request has been provided to the city of Fresno Fire Department. The facility requires fire clearance prior to licensure. The facility physical plant requires a deep cleaning. The previous tentant is still in the process of removing their belongings, so that the licensee can move in furniture. The physical plant also smells of cigarette smoke. The licensee provided verification from the City of Fresno Planning department of overconcentration clearance on this date. LPA will conduct a follow-up inspection to verify all the requirements on these two pages are met. LPA will also provide a pre-licensing certification to be submitted back to LPA prior to repeat inspection tentatively scheduled for 7/8/22.

met_with: Mike Manucharyan, Levon Manucharyan, Elena Manucharyan, Garnett Fountain


summary: Facility Evaluation

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Narrative:
On 7/1, Licensing Program Analyst (LPA) Lisa Slusher travelled to the facility listed above to conduct a follow up case management to the initial prelicensing inspection. Facility Inspection conducted. Met at the facility by Board Designee Mike Manucharyan and Administrator Levon Manucharyan. 1. Facility Grounds inspected and observed to be free from hazard with appropriate activity space observed. . 2. Facility pool was adequately fenced upon inspection. A lock was to be added by the licensee. outdoor activity space observed. 3. Chemicals stored in a locked cabinet 4. Observed locked cabinet inside locked closet for central storage of medications. Observed first aid kit and manual. 5. Individual bed in good repair observed, along with an appropriate amount of storage space. 6. The house has 3 bedrooms, sufficient for double occupancy, all located on one single level. Bedrooms are accommodating of all required furnishings. Only one bedroom will be in use and is furnished at this time. 7. Adequate food storage space observed. Perishable and non perishable foods were not observed at this time. 8. Dining room observed with appropriate table and chairs. 12.Facility has two full restrooms, one for client use, one for staff use, both are operable. Facility is to ensure water temperature is maintained between 105 and 120 degrees 9. Licensee has a vehicle for use at the facility with appropriate insurance and registration. 10. Licensee provided transfer requests for board member, administrator, and therapist and all have been completed. 11. Fire Clearance received for the facility Facility has met requirements for initial licensure. STRTP will be licensed for 1 ambulatory client.

met_with: Levon Manucharyan, Mike Manucharyan


summary: Facility Evaluation

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Narrative:
On the above date, LPA Lisa Slusher conducted a scheduled case management for the purpose of evaluating a facility for a increase in capacity. The facility was licensed as an STRTP for 1 on 7/20/22. The facility is increasing the capacity of the facility to 3. The facility will remain a specialized rate facility for higher level youth. The facility will not expand their census unless youth are found to be compatible with the current resident or the current resident is discharged. 1. Facility Grounds inspected and observed to be free from hazard with appropriate activity space observed. . 2. Facility has had a fire inspection for increased capacity and has verbally been told that a clearance is forthcoming- fire clearance has not yet been received by CCLD, 3. Chemicals stored in a locked cabinet 4. Observed locked cabinet inside locked closet for central storage of medications. Observed first aid kit and manual. 5. Individual bed in good repair observed, along with an appropriate amount of storage space. 6. The house has 3 bedrooms, sufficient for double occupancy, all located on one single level. Bedrooms are accommodating of all required furnishings. Only one bedroom will be in use and is furnished at this time. 7. Adequate food storage space observed. Perishable and non perishable foods were not observed at this time. 8. Dining room observed with appropriate table and chairs. Facility has 2 full restrooms, one for staff use and one for client use. Facility is to ensure water temperature is maintained between 105 and 120 degrees. 9. Licensee has a vehicle for use at the facility with appropriate insurance and registration. Facility has met requirements for capacity increase, pending the receipt of the fire clearance. Facility is to follow up with LIC 500 and 9020, LIC 308 309.

met_with: Mike Manucharyan, Elena Manucharyan, Levon Manucharyan