raw_content:
Investigation Findings:
13On May 5 2026, Licensing Program Analyst (LPA), Olivia Medrano traveled to Healthy Youth and Families GH located in Fresno, CA to conduct an unannounced complaint inspection and met with Julia Sanchez, Administrator. The purpose of the inspection was to deliver the finding for the above complaint allegations. The Department has investigated the complaint alleging Staff does not prevent minors from engaging in physical altercations, Staff do not ensure other staff are adequately trained, Staff does not ensure supply room is locked, Staff does not ensure restroom plumbing is in good repair, Staff does not ensure facility is free of mold, Licensee does not ensure facility has a substitute administrator, and Staff falsifies incident reports. During the course of the investigation, LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. It was determined that although the allegations may have happened, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted and a copy of this report and appeal rights were provided to the GH at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Olivia Medrano 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


state: CA

facility_name: HEALTHY YOUTH AND FAMILIES HOME

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On May 5, 2026, Licensing Program Analyst (LPA), Olivia Medrano traveled to Healthy Youth and Families GH located in Fresno, CA to conduct an unannounced complaint inspection and met with Julia Sanchez, Administrator. The purpose of the inspection was to deliver the finding for the above complaint allegations. The Department has investigated the complaint alleging Staff do not ensure minors' toileting needs are being met, Staff do not ensure minors' bedding is clean and sanitary, Staff do not ensure sharp objects are inaccessible to minors, and Staff falsify minors' medication administration records. During the course of the investigation, LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. It was determined that although the allegations may have happened, 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 and appeal rights were provided to the GH at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Olivia Medrano 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 04/14/2026 and conducted by Evaluator Olivia Medrano COMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:HEALTHY YOUTH AND FAMILIES HOMEFACILITY NUMBER: ADMINISTRATOR:SANCHEZ, JULIAFACILITY TYPE: ADDRESS: N. TISHA AVETELEPHONE: (559) 903- CITY:FRESNOSTATE: CAZIP CODE: CAPACITY:4CENSUS: 3DATE: 05/05/ UNANNOUNCEDTIME BEGAN: 02: PM MET WITH:Julia SanchezTIME COMPLETED:03: PM 9Staff pinched a minor in care Staff do not follow reporting requirements INVESTIGATION FINDINGS: 13On May 5, 2026, Licensing Program Analyst (LPA), Olivia Medrano traveled to Healthy Youth and Families GH located in Fresno, CA to conduct an unannounced complaint inspection and met with Julia Sanchez, Administrator. The purpose of the inspection was to deliver the finding for the above complaint allegations. The Department has investigated the complaint alleging Staff pinched a minor in care and Staff do not follow reporting requirements. During the course of the investigation, LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. Based on information obtained and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. The agency is being cited for Title 22, Division 6, Chapter Article 06. Continuing Requirements Reporting Requirements and Personal Rights. See Attached LIC 9099D for further information. An exit interview was conducted and a copy of this report and appeal rights were provided to Julia Sanchez at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Olivia Medrano 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: HEALTHY YOUTH AND FAMILIES HOMEFACILITY NUMBER: 107207240

report_type: Complaint Investigation

met_with: Julia Sanchez

complaint_status: unsubstantiated


facility_name: HEALTHY YOUTH AND FAMILIES HOME,INC,BARSTOW PLACE

summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program analyst, (LPA) Les Inouye spoke with Healthy Youth and Families Home representative Rylee Gonzalez. Last week LPA asked for status of the clearance associations for the Barstow Facility. Rylee responded asking if new Applications needed to be created. LPA was able to give instruction on the step by step process to associate clearances to the HYFH-Barstow facility. LPA ensured, Rylee would be able ask further questions if needed in the future.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Rylee Gonzalez


summary: Facility Evaluation

raw_content:
Narrative:
On this date Licensing Program Analyst (LPA) Les Inouye scheduled an online tele-visit to discuss the current program submission with licensee Allen Azizian. The issues discussed were formatting of the program including page breaks. Added comments and how to respond including adding information of where the added information can be located. The format of regulations numbers need to be narrated. Also discussed was the physical plant inspection including items that need to be completed for the fire inspection. A list or check list of physical plant items to be addressed prior to a pre licensing visit. The pre licensing visit will be scheduled for mid to late August. Once scheduled the date can be adjusted as needed. Allen stated the program statement should be returned in a couple of weeks from this date. LPA offered that assistance will be available if needed during the review of the updates. LPA asked Allen to follow up on the Guardian System for the facility with Rylee to ensure all clearances are associated to Barstow facility.

met_with: Allen Azizian


summary: Facility Evaluation

raw_content:
Narrative:
On this date a Case Management Inspection was conducted to review the physical property and identify any issues that might need to be addressed and to review the Program Statement (PS) and the list of corrections. The physical plant was toured the issues identified are as follow: Delayed Egress to be completed and a possible second Delayed Egress door to be added on the west side yard. Also, a booster pump was installed to increase water pressure as specified by initial fire inspection. Delayed egress will be evaluated by fire inspection to determine if approved. The yard has a secured pool, propane and well area a secured yard area to be later applied as a possible animal area for clients use. The house was toured and all major construction has been completed. Interior to be furnished, toiletries, linens and non perishables items to be obtained. A complete pre licensing inspection is tentatively scheduled for Monday 8/8 at 8:00. The current submission of the PS which was submitted on 08/04/25 was reviewed. The review of corrections was discussed and each regulation to be addressed was reviewed. The format of the review and the expectations of meeting regulations was addressed. On todays visit we worked off of paper copies, electronic copies will be provided by email. If any questions about the review arises Allen has been asked to contact LPA for clarification.


summary: Facility Evaluation

raw_content:
Narrative:
On this date a Case Management Inspection was conducted by Licensing Progrm Anaylsts Les Inouye and Olivia Medrano, to review the physical property and identify any issues that might need to be addressed. LPA's were met by Administrator Maria Acosta. The physical plant was toured the issues identified are as follow: Delayed Egress was reviewed by fire after the previous physical plant inspection on 8/27/25. Fire Inspection to be completed when second exit point is approved by Fire Inspection on the west side yard. Delayed egress and exit points will be evaluated by fire inspection to determine if approved. The yard is secured but self closing mechanism is to be installed on pool gate, pool equipment and animal area for clients use. Electrical boxes including, main electrical panel, delayed egress and all other hazards shall be secured not access able to clients. The house was toured and all major construction has been completed. Interior to be furnished, toiletries, linens and non perishables items to be obtained. Electrical switch boxes to be secured inside and out side of the facility. Vent cover in bedroom at the front of the house to be secured. LPA's previously discussed cameras in the facility which is not a substitute for supervision. Also, the facility shall have a designated area for private meetings for clients. A complete pre licensing inspection is to be scheduled once all physical plant issues are completed and meets regulations. If any questions about the review arises Allen has been asked to contact LPA for clarification.

visit_type: Prelicensing

met_with: Maria Acosta


summary: Facility Evaluation

raw_content:
Narrative:
On October 9, 2025, Licensing Program Analysts (LPAs) Olivia Medrano and Les Inouye traveled to Healthy Youth And Families Home, Barstow in Fresno CA to conduct a pre-licensing inspection and met with Allen Azizian, Licensee and Maria Acosta, Administrator. A physical plant inspection was completed inside and outside of the facility. The home has four bedrooms, an office, separate medication storage closet, entertainment room, kitchen, dining room, arts and crafts room, and a self care room with open door self care storage closets. The home has an enclosed court yard and furnishings meet regulation. Facility has been approved by fire inspection authorities and includes fire sprinklers, delayed egress, an area of refuge, and approved emergency exit gate. The medication closet has four separate locking safes and a mini refrigerator. Sharps are kept in a locked drawer and cleaning solutions are locked the storage area next to the entertainment room. The home has two fire extinguishers serviced in August 2025 and working smoke/carbon detectors. Kitchen water temperature read 117 degrees and self care room bathroom water temperature read 105 degrees. The pool area has a self closing gate that is secured with a padlock. Pool pump equipment is also secured. There is a secured shed/garage area on the property. Administrator has ordered window covering for two of the bedrooms windows. LPAs discussed removing a camera from one space for privacy for client visits. Staff files will be added as staff are hired. A exit interview was conducted and a copy of this report was left with Allen Azizian.


summary: Facility Evaluation

raw_content:
Narrative:
On this date a meeting was held with Licensee Allen Azizian and Administrator Maria Acosta. Licensing Program Analyst Les Inouye and Olivia Medrano met to discuss the current status of the program statement resubmission. During the meeting it was determined that the physical plant issues have been resolved the next licensing issue to focus on is the Program Design. Licensee stated the PD will be submitted to CCL by 10/17/25. In addition to items listed in the last review PD is to include camera policy in including a non-monitored private area for clients to meet with family and case workers.

met_with: Allen Azizian and Maria Acosta


facility_name: HELPING HANDS HOME FOR CHILDREN

summary: Complaint Investigation - Substantiated - 1 deficiency - 4 allegations

raw_content:
Investigation Findings:
13On 10/7/2024 at 9: AM, Licensing Program Analyst (LPA) Vaishali Singh-Sood conducted an unannounced visit to the listed licensed agency. The purpose of this visit was to deliver the findings for the above allegation. LPA met with O'Neal Garcia , RBT who assisted with the inspection. This complaint involves a staff member that was employed at the faciltity. During the course of the investigation, LPA Singh-Sood conducted confidential interviews which determined the alleged staff had flung a rubberband at a client. LPA also reviewed notes from an internal investigation, daily logs for all clients, alleged victim's Needs and Services Plan, and incident reports. Based on confidential interviews. LPA delivered a citation for STRTP Interim Licensing Standards Version (see LIC9099D). LPA delivered appeal rights and devised a Plan of Correction with Roweena Nguyen, Administrator. LPA conducted an exit interview at 10: AM, with Mr. Oneal, whose signature confirms the receipt of this document. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Vaishali Singh-Sood 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 26-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, N. First Street, Ste. FACILITY NAME: HELPING HANDS HOME FOR CHILDRENFACILITY NUMBER: 435390001

Allegations:
- SubstantiatedEstimated Days of Completion:
- Estimated Days of Completion:
- Based on record review and confidential interviews, staff member flung a rubberband at a client in care, and did not treat the client with respect by doing so. This poses a potential health and safety risk to clients in care. Administrator will also be placing Staff
- on probation supervision for an additional

Deficiencies:
87065.2(b): Direct care staff shall...  Supervision, protection, and care of children at all times... duties that may be necessary to ensure the health and safety of children in the facility.

met_with: Oneal Garcia

complaint_status: SUBSTANTIATED

title: Personnel Duties


summary: Facility Evaluation

raw_content:
Narrative:
On February 28, 2022, at 10: AM Licensing Program Analyst (LPA) Vaishali Singh-Sood conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA Singh-Sood met with Administrator, Rowena Caling Nguyen, of Helping Hands Home For Children and both toured the facility, inside and out. The Group Home is licensed to serve four clients, ages 13-16 years. Currently in placement are four clients. During the inspection only two of the clients were present, and both were non-verbal. This facility is a one story house, consists of 4 client bedrooms and 2.5 client bath. LPA Singh-Sood observed at the time of this inspection, the facility to be clean, safe, and sanitary. All fire alarms, and carbon monoxide detectors were in good working condition, and the fire extinguisher is current. This LPA reviewed the staff and client files, medication logs, and they had the necessary forms. The files are kept locked to ensure confidentiality. Food supply, linens and fire extinguisher were observed. There is sufficient perishable food for over two days and nonperishable food for over seven days. Toxins and sharps are properly stored. Medication storage and procedures were also reviewed. The following documents are posted in the facility: facility license, emergency disaster plan, facility sketch, menu, activity calendar and personal rights. The hot water temperature was at (Hall Bathroom 117 degrees). According to the Administrator, there are no weapons, and/or bodies of water at the facility which meets title 22 regulations. There are currently no exceptions on file, and there have not been any deficiencies cited in the past year. A review of Licensing Information System on February 28, 2022 indicates that all facility staff are associated to the facility had DOJ, FBI, and child abuse index check clearances. Due to COVID 19, this LPA asked about the facility having enough supplies, and proper PPE equipment. This LPA also made sure the facility is following proper hand washing etiquettes, posting signs, and proper protocols regarding anyone going in and out of the facility. The facility advised they have been following all protocols, and have not had any positive cases in the past month. LPA discussed with administrator Caling-Nguyen that some of the clients forms were not signed by authorized representatives. Administrator Caling-Nguyen states there is a plan in place to replace to ensure all paperwork is signed by authorized representatives as soon as possible. There were no Title 22 deficiencies observed at today's inspection. However, an Advisory Note was given for the paperwork that is missing signatures. As such, an exit interview conducted with Ms. Caling-Nguyen and a copy of this report was emailed at 3: PM.

visit_type: Annual

met_with: Rowena Caling-Nguyen


summary: Facility Evaluation

raw_content:
Narrative:
On January 30, 2023, at 8: AM Licensing Program Analyst (LPA) Vaishali Singh-Sood conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA Singh-Sood met with Lead Staff, Christian Torres, and Oneal Garcia, of Helping Hands Home For Children and both toured the facility, inside and out. The Group Home is licensed to serve four clients, ages 13-16 years. Currently in placement are four clients. During the inspection, there was only one client in the home who is non-verbal. The client was sleeping, and in her room most of the time with staff. This facility is a one story house, consists of 4 client bedrooms and 2.5 client and staff bath. LPA Singh-Sood observed at the time of this inspection, the facility to be clean, safe, and sanitary. All fire alarms, and carbon monoxide detectors were in good working condition, and the fire extinguisher is current. This LPA reviewed the staff and client files, medication logs, and they had the necessary forms. The files are kept locked to ensure confidentiality. Food supply, linens and fire extinguisher were observed. There is sufficient perishable food for over two days and nonperishable food for over seven days. Toxins and sharps are properly stored. Medication storage and procedures were also reviewed. The following documents are posted in the facility: facility license, emergency disaster plan, facility sketch, menu, activity calendar and personal rights. The hot water temperature was at (Hall Bathroom 116 degrees). According to the Administrator, there are no weapons, and/or bodies of water at the facility which meets title 22 regulations. There are currently no exceptions on file, and there have not been any deficiencies cited in the past year. A review of Licensing Information System on January 30, 2023 indicates that all facility staff are associated to the facility had DOJ, FBI, and child abuse index check clearances.

met_with: Christian Torres


summary: Facility Evaluation

raw_content:
Narrative:
On January 22, 2024, at 10: AM Licensing Program Analyst (LPA) Vaishali Singh-Sood conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA Singh-Sood met with Lead Staff, Oneal Garcia, of Helping Hands Home For Children and both toured the facility, inside and out. The Group Home is licensed to serve four clients, ages 13-16 years. Currently in placement are four clients. During the inspection, there was only one client in the home who is non-verbal, and the other three were at school. The non-verbal client was unable to communicate so this LPA was unable to interview the client in the facility. This facility is a one story house, consists of 4 client bedrooms and 2.5 client and staff bath. LPA Singh-Sood observed at the time of this inspection, the facility to be clean, safe, and sanitary. All fire alarms, and carbon monoxide detectors were in good working condition, and the fire extinguisher is current. This LPA reviewed the staff and client files, medication logs, and they had the necessary forms. The files are kept locked to ensure confidentiality. Food supply, linens and fire extinguisher were observed. There is sufficient perishable food for over two days and nonperishable food for over seven days. Toxins and sharps are properly stored. Medication storage and procedures were also reviewed. The following documents are posted in the facility: facility license, emergency disaster plan, facility sketch, menu, activity calendar and personal rights. The hot water temperature was at (Hall Bathroom 114 degrees). According to the Administrator, there are no weapons, and/or bodies of water at the facility which meets title 22 regulations. There are currently one exception on file, and there have not been any deficiencies cited in the past year. A review of Licensing Information System on January 22, 2024, indicates that all facility staff are associated to the facility had DOJ, FBI, and child abuse index check clearances. There were no Title 22 deficiencies observed at today's inspection. As such, an exit interview conducted with Mr. Garcia, and a copy of this report was emailed at 4: PM.


summary: Facility Evaluation

raw_content:
Narrative:
On January 6, 2025, at 10: AM Licensing Program Analyst (LPA) Vaishali Singh-Sood conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA Singh-Sood met with Lead Staff, Oneal Garcia, and both toured the facility, inside and out. The Group Home is licensed to serve four clients, ages 13-16 years. Currently in placement are four clients. During the inspection, there were two clients in the home, both who are non-verbal, and the other two were at school. The non-verbal clients were unable to communicate so this LPA was unable to interview the client in the facility. San Andreas Regional Center was last year in November 14, 2024. This facility is a one story house, consists of 4 client bedrooms and 2.5 client and staff bath. LPA Singh-Sood observed at the time of this inspection, the facility to be clean, safe, and sanitary. All fire alarms, and carbon monoxide detectors were in good working condition, and the fire extinguisher is current. This LPA reviewed the staff and client files, medication logs, and they had the necessary forms. The files are kept locked to ensure confidentiality. Food supply, linens and fire extinguisher were observed. There is sufficient perishable food for over two days and nonperishable food for over seven days. Toxins and sharps are properly stored. Medication storage and procedures were also reviewed. The following documents are posted in the facility: facility license, emergency disaster plan, facility sketch, menu, activity calendar and personal rights. The hot water temperature was at (Hall Bathroom 117 degrees). According to the Administrator, there are no weapons, and/or bodies of water at the facility which meets title 22 regulations. There are currently two exceptions on file, and there have not been any deficiencies cited in the past year. There were no Title 22 deficiencies observed at today's inspection. As such, an exit interview conducted with Mr. Garcia, and a copy of this report was provided at 2: PM.


summary: Facility Evaluation

raw_content:
Narrative:
On 03/27/2026 at 9: AM, Licensing Program Analyst (LPA) Amee Li and Licensing Program Manager (LPM) Kristin Cardiel conducted an unannounced Annual/Required inspection at the above listed facility. LPA and LPM met with Administrator Rowena Caling Ngyuen and explained the purpose of the inspection. At the time of the inspection, there are four clients in care and one client present. Three clients were at school. There are currently three age exceptions on file and two clients are nonverbal. LPA conducted a physical plant inspection of the facility. LPA observed facility license, client rights, facility sketch, and complaint procedures posted on the wall in the facility. Facility thermostat read at 74 degrees F, which is within range. Smoke and carbon monoxide detectors were operable. LPA observed two days of perishable foods and seven days non-perishable foods in the kitchen. The refrigerator temperature was found to be within range. The temperature of the kitchen freezer measured at 20 degrees F, which is above the required minimum of 0 degrees F. Staff addressed this immediately. One Technical Violation was issued under California Code of Regulations (CCR) 84076(c)(2). Sharps, medications, and cleaning solutions containing chemicals are locked and stored where inaccessible to clients. Trash cans are covered. LPA found the facility to be clean and in good repair. The faucet in the client bathroom delivered water at a temperature of 105.4 degrees F, which is within range. LPA observed clean linens and towels. Client bedrooms had adequate storage space and were in good repair. Continued on LIC 809C. LPA inspected the backyard and found it to be in good repair. There are no firearms or open bodies of water at the facility. LPA inspected four client files and five staff files. LPA found staff criminal record clearances and staff trainings to be in compliance. LPA reviewed medication logs and found them to be complete. One out of five staff files did not contain TB test results. One Technical Violation was issued under CCR 80066(a)(11). One out of three nonminor dependent needs and services plans did not have the client and placing agency signatures. One Technical Violation was issued under Interim Licensing Standards (ILS) 84468.3(f). Cash records for one minor and one nonminor dependent were not up to date. Administrator immediately updated the records. One Technical Assistance was issued. LPA inspected emergency procedures and drill logs and found them to be complete. Facility stores client records for emergency access digitally. LPA observed facility meal menu, activity calendar, staff schedule, and emergency disaster plan. LPA was unable to observe Board of Directors' meeting minutes. Administrator will send meeting minutes to LPA by end of day. One Technical Assistance was issued. LPA conducted two staff interviews and no client interviews. Two of two verbal clients were not present. At this time, no deficiencies were cited, and three Technical Violations and two Technical Assistances were issued. See LIC 9102s. An exit interview was conducted, appeal rights discussed, and a copy of this report was left with Rowena Caling Ngyuen, Administrator whose signature below confirms receipt.

met_with: Christian


facility_name: MARYJO HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
On June 11, 2021 at 8:30am, Licensing Program Analysts, (LPA) Gilbert Gutierrez and Janeth Chavez conducted an annual required inspection at the facility and met Registered Behavior Technician (RBT) Lead Elsa Montes who gave the LPAs the tour of the facility inside and out. Administrator Mary Watson arrive shortly. The facility is a one-story home with 4 bedrooms and 2 bathrooms. Currently, there are 3 placements in the home. The facility tour inspection started at around 8:45am. LPAs observed the following: The perishable foods enough for at least 2 days consumption and non-perishable foods enough for at least 7 days consumption of the clients stored in the kitchen cabinets and refrigerator and in the garage cabinets and freezer; the facility license, staff schedule, Emergency Disaster Plan and Foster Youth Rights posted in the dining area. There is also a Client Personal Rights posted in the patio area. Each bedroom has one bed with clean beddings, linens, drawers and closet space for the clients' use. There were extra linens and towels stored inside the hallway cabinet. One of the rooms is being used as study room of the clients. There were smoke/carbon monoxide detectors that blinks green in the dining area, living room, hallway and in each bedroom. There were fire alarms and automatic sprinklers also observed in the aforementioned areas in the facility. The water temperature was checked using a digital thermometer and registered 111 degrees Fahrenheit in the first bathroom and 112 degrees Fahrenheit in the second bathroom; within the temperature allowed under Title Regulations. The thermostat control of the centralized heating and air conditioning shows 68 degrees inside the facility. All cleaning solutions were observed locked inside the under-sink cabinet and in the garage and all sharp objects were locked in a drawer in the kitchen. All medications including the First aid kit were stored in a locked cabinet in the living room. The client files were stored in a locked cabinet under the medication cabinet. The LPAs observed the delayed egress doors were working; RBT entered the codes on the keypads and going out through the door on the side of the home and entering through the front door of the home. There were no obstructions observed in the hallways and passageways. The inspection of the building and grounds ended at around 10:30am. Continued to next page... LPAs reviewed a total of 10 staff and 3 client records. The file review started at 10:45pm and ended at 12:30pm. Out of 10 staff files reviewed, only one staff has no RBT certification and still in the process of getting the RBT certification. The client records were complete with the required authorizations/signatures. An exit interview was conducted and copy of the report was provided to the administrator. No deficiency citations issued at this time.

met_with: Mary Watson


summary: Facility Evaluation

raw_content:
Narrative:
On June 9, 2022 at 9:00am, Licensing Program Analyst (LPA) Gilbert Gutierrez, conducted an annual/required inspection to the facility and met Dorothy Gonzalez, Administrator. The facility is a one-story home with four bedrooms and three and a half bathrooms, a staff office and attached garage. Currently there are four clients placed in the facility. At the time of LPA's arrival, no client is present. During the inspection, the administrator provided to LPA the roster of clients, Personnel Report, Emergency Disaster Plan, Emergency Drill log and Board Meeting Minutes. Physical Plant LPA started the inspection at about 9:15am. LPA together with staff Jessica Sanchez toured the facility inside and out. LPA observed the following: the posted license, emergency disaster plan, personnel schedule, client personal rights, and grievance procedure. The disinfectants, cleaning solutions, sharp objects are locked and inaccessible to clients. The facility maintains supplies of non-perishable foods for at least a week and fresh perishable foods for at least two days. Each bedroom has a single bed in good repair with clean sheets and linens three drawers and closet space. There are extra linens, adequate towels and hygiene supplies. Only one client sleeps in a room. No room commonly used for other purposes is being used as a bedroom. The window screens are in good repair and free of dirt. There are lights in all the rooms and throughout the facility. The faucets for client's use deliver hot water (114 degrees Fahrenheit). The fireplace has cover for client's safety. All medications are stored locked in a cabinet. There is a working telephone for clients to use. The first aid kit was complete and readily available. There are working smoke/carbon monoxide detectors in the facility. The delayed egress doors are working. All indoor and outdoor passageways are unobstructed. Staff Records At 10:15am, LPA reviewed six staff records. The staff records are available to LPA to inspect, audit upon request. All staff subject to criminal records review have been fingerprinted and cleared. There is documentation of the required education and experience requirements and training in the personnel file. One Direct Care Staff (DCS) who has a long experience working with children with developmental disability has not gotten the Registered Behavioral Technician (RBT) certification since hired for this facility but still trying to pass the exam. Licensee is providing support to the staff and also actively trying to hire qualified individuals. Client Record At around 1:00pm, LPA reviewed four client records. All client records are available to LPA to inspect upon request. The client records contain the required information including, but not limited to, consent forms, Individual Program Plan (IPP), medical assessment, safeguards for cash resources, personal property and valuables, personal rights forms, and medication administration records. : LPA interviewed 2 staff. During the time of inspection, only one client was interviewed. The other client was non-verbal. A technical advisory was issued at the time of the inspection. A copy of the LIC 809, LIC 809C LIC 811s were provided to the administrator.

met_with: Dorothy Gonzalez


summary: Facility Evaluation

raw_content:
Narrative:
On May 11, 2023, at 8: AM, Licensing Program Analyst (LPA) Gilbert Gutierrez, conducted an annual/required inspection to the facility and met Lead Registered Behavioral Technician (RBT) Jessica Flores -Sanchez who let LPA inside the facility. Administrator, Dorothy Gonzalez, arrived shortly. The facility is a one-story home with four bedrooms and three and a half bathrooms, a staff office and attached garage. Currently there are four clients placed in the facility. At the time of LPA's arrival, all the clients were at school. LPA was provided the roster of clients, Personnel Report (LIC 500), Emergency Disaster Plan, Emergency Drill log and Board Meeting Minutes. Physical Plant LPA started the inspection at about 9: AM. LPA together with Lead RBT, Jessica Flores- Sanchez toured the facility inside and out. LPA observed the following: the posted license, emergency disaster plan, client personal rights, and grievance procedure. The disinfectants, cleaning solutions, sharp objects are locked and inaccessible to clients. The facility maintains supplies of non-perishable foods for at least a week and fresh perishable foods for at least two days. Each bedroom has a single bed in good repair with clean sheets and linens three drawers and closet space. There are extra linens, adequate towels and hygiene supplies in cabinets. Only one client sleeps in a room. No room commonly used for other purposes is being used as a bedroom. The window screens are in good repair and free of dirt. There are lights in all the rooms and throughout the facility. The faucets for client's use deliver hot water (111 degrees Fahrenheit). The fireplace has cover for client's safety. All medications are stored locked in a cabinet. There is a working telephone for clients to use. The first aid kit was complete and readily available. There are working smoke/carbon monoxide detectors in the facility. The delayed egress doors are working. The facility maintains a comfortable temperature . All indoor and outdoor passageways are unobstructed. Client Record LPA started reviewing four client records at 9: AM. All client records are available to LPA to inspect upon request. The client records contain the required information including, but not limited to, consent forms, Individual Program Plan (IPP), medical assessment, safeguards for cash resources, personal property and valuables, personal rights forms, and medication administration records Staff Records At 11:00 am, LPA reviewed six staff records. The staff records are available to LPA to inspect, audit upon request. All staff subject to criminal records review have been fingerprinted and cleared. There is documentation of the required education and experience requirements and training in the personnel file. One Direct Care Staff (DCS) has not gotten the Registered Behavioral Technician (RBT) certification since hired for this facility but still trying to pass the exam. Licensee is providing support to the staff and also actively trying to hire qualified individuals. LPA interviewed 2 staff. During the time of inspection, only one client was available for interview. A copy of the LIC 809, LIC 809C LIC 9102, LIC 811s were provided to the administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On June 19, 2024, at 9: AM, Licensing Program Analyst (LPA) Gilbert Gutierrez, conducted an annual/required inspection to the facility and met Administrator, Dorothy Gonzalez. There are four (4) clients placed in the facility. During the inspection, LPA requested for the Personnel Report, Client Roster, Emergency Disaster Plan and Board Meeting Minutes. Physical Plant LPA together with Lead Registered Behavior Technician (RBT) Sanchez toured the facility at around 9: AM. LPA observed the following: the posted license, emergency disaster plan, personnel schedule, client personal rights, and grievance procedure. The disinfectants, cleaning solutions, sharp objects were locked and inaccessible to the clients. The facility has non-perishable foods for at least seven (7) days and perishable foods for at least two (2) days. Each bedroom has a single bed in good repair with clean sheets and linens and three (3) drawers and closet space for the client's clothing. Only one client sleeps in a room. There were extra linens, towels, and hygiene supplies in the cabinet(s). No room commonly used for other purposes was being used as a bedroom. The window screens were in good repair and free of dirt. There were lights in all the rooms and throughout the facility. The faucets for the children's use deliver hot water. All medications were stored locked in the cabinet. There was a working telephone. The first aid kit was complete. The smoke/carbon monoxide detectors and delayed egress doors were tested and in working order. All indoor and outdoor passageways were unobstructed. Client Record LPA reviewed four (4) client records. All client records were available upon request. The files contain the required information including, but not limited to, consent forms, Individual Program Plan (IPP), medical assessment, safeguards for cash resources, personal property and valuables, personal rights forms, and medication administration records. Staff Records LPA reviewed six (6) staff records. All staff subject to criminal records review have been fingerprinted and cleared. There is documentation of the required education and experience requirements and training in the personnel file. The staff meet the required qualification and/or experience requirements. LPA interviewed two (2) staff and one (1) client. A copy of the LIC 809, LIC 809C LIC 811s were provided to the administrator. No deficiency citation issued at the time of the inspection.

met_with: Dorothy Gonzalez, Jessica Sanchez


summary: Facility Evaluation

raw_content:
Narrative:
On April 30, 2025, at 9:00am, Licensing Program Analyst (LPA) Gilbert Gutierrez, conducted an annual/required inspection to the facility and met Dorothy Gonzalez, Administrator. The facility is a one-story home with four bedrooms and three and a half bathrooms, a staff office and attached garage. Currently there are three (3) clients placed in the facility. At the time of the inspection, no client was present. LPA received a copy of the client roster, LIC 500 (Personnel Report), and Emergency Disaster Plan and reviewed the Emergency Drill log and Board Meeting Minutes. Physical Plant LPA together with the Lead Registered Behavioral Technician (RBT), Jessica Sanchez toured the facility inside and out. LPA observed the following: the posted license, emergency disaster plan, client personal rights, and grievance procedure. The disinfectants, cleaning solutions, sharp objects were locked and inaccessible to clients. There were supplies of non-perishable foods for at least a week and fresh perishable foods for at least two days. Each bedroom has a single bed in good repair with clean sheets and linens and three drawers and closet space. Only one client sleeps in a room. No room commonly used for other purposes is being used as a bedroom. There was extra linens, adequate towels and hygiene supplies in cabinets. The window screens were in good repair and free of dirt. There were lights in all the rooms and throughout the facility. The faucets in clients' bathroom deliver hot water (116 degrees Fahrenheit). The fireplace has cover for client's safety. All medications are stored locked in a cabinet. There is a working telephone for clients to use. The first aid kit was complete and readily available. The smoke/carbon monoxide detectors and delayed egress doors were in working order. A back-up emergency generator was observed in the backyard, available in case of power failure. All indoor and outdoor passageways were unobstructed.. Client Record LPA reviewed three (3) client records. All client records were available upon request. The files contain the required information including, but not limited to, consent forms, Individual Program Plan (IPP), medical assessment, safeguards for cash resources, personal property and valuables, personal rights forms, and medication administration records. Staff Records LPA reviewed five (5) staff records. All staff subject to criminal records review have been fingerprinted and cleared. There was documentation of the required education and experience requirements and training in the personnel file. The staff meet the required qualification and/or experience requirements. LPA interviewed two (2) staff. A copy of the LIC 809, LIC 809C LIC 811s were provided to the administrator. No deficiency citation issued at the time of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On April 3, 2024, at 1: PM, Licensing Program Analysts (LPA) Gilbert Gutierrez conducted an unannounced case management inspection to the facility and met Assistant Executive Director, Mary Watson. The inspection was a follow-up to the report received by the Department that the facility has staff not yet certified as Registered Behavioral Technician (RBT). The Department received a report that there were five staff of the facility that are not yet RBT certified. Three out of the five staff not yet certified were within their initial 12-month employment. The remaining two were employed for over 12 months and already outside of the regulatory compliance. Section 89965 (b)(2) Personnel Requirement- The licensee shall ensure that each direct care staff person meets the following qualifications: Become a Registered Behavior Technician within twelve (12) months of initial employment. An exit interview was conducted and a copy of the LIC 809, LIC 809D and LIC 811 were provided to the Assistant Executive Director. A deficiency citation was issued at the time of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On January 7, 2026, at 9: AM, Licensing Program Analyst (LPA) Gilbert Gutierrez conducted an unannounced case management inspection to the facility and met Administrator, Dorothy Gonzalez. The inspection was a follow-up to the incident received by the Department on 12/05/25. The Department received a Special Incident Report (SIR) from the Administrator regarding a missing medication. Per the SIR, during a medication audit on 12/04/25, it was discovered that there was a missing pill for client C1's bedtime medication. C1's medication popped out for the 4th day of the medication cycle. Staff S1 was the med passer the night before and does not recall popping out an extra pill for C1. The facility contacted the doctor and pharmacy regarding the missing pill. C1 is aware of his medications and does not recall receiving an extra bedtime pill. A single pill was delivered to the facility as replacement for the missing pill. Per the Administrator, C1 is cognitive of his medication(s) reason the doctor was confident that he did not have the second dose of medication. The pill seemed to have popped out of the bubble pack. C1 was observed with no adverse reaction noted. As a precaution, all medication passers were provided retraining on Medication Review. Also, the staff will thoroughly check the medication received from the pharmacy. LPA interviewed two staff who indicated that they did not observe a missing pill in the bubble pack at that time. Based on the information, the reason why there was a missing pill was not determined. The facility took proper action by contacting the doctor and pharmacy regarding the incident. C1 did not miss medication. To prevent the incident from happening in the future, all staff who pass medications were retrained. Proof of training was provided to LPA by the administrator. The incident needs no further follow up currently. An exit interview was conducted, and a copy of the LIC 809 and LIC 811 were provided to the Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 03/20/26, Licensing Program Analyst (LPA) Joe Martinez conducted an unannounced annual review inspection and met Administrator, Dorothy Gonzalez. LPA Martinez, together with Administrator Dorothy Gonzalez, toured the facility inside and outside. During the inspection, the facility license was observed posted in a prominent, publicly accessible location. Complaint procedures were posted in a location accessible to children and their authorized representatives, and weekly written menus were posted in an area accessible to staff and children. Disinfectants, cleaning solutions, sharp objects, and medications were stored in locked areas and were inaccessible to clients. The facility was observed to be clean, safe, sanitary, and in good repair. Indoor and outdoor passageways were free of obstruction, and supplies and equipment were stored appropriately. Adequate supplies of nonperishable foods for at least one week and fresh perishable foods for at least two days were observed on site. The smoke and carbon monoxide detectors were operational, and the delayed egress doors were functioning at the time of inspection. Each client was observed to have a private bedroom. Each bedroom contained a single bed in good repair with clean linens, as well as drawer and closet space for personal belongings. No room commonly used for other purposes was being used as a bedroom. Extra linens, adequate towels, and hygiene supplies were observed for the clients. The water temperature in the clients' bathroom measured within required limits. A working telephone was also available for client use. LPA interviewed four (4) staff during the annual review inspection. LPA Martinez reviewed four client records. All requested records were available for review. The records contained required service and support documentation, including behavior support information, incident documentation, and other required client record materials. Due to limited time constraints, the annual review was not completed in full on this date. A follow-up visit will be conducted at a later time. No deficiency citation issued at the time of the inspection. Exit interview was completed by LPA Martinez and a copy of the LIC 809, LIC 809C were provided to the administrator.


facility_name: MERAKEY-AMANDA

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews revealed C1 exited the facility through the delayed egress door while being supervised by staff and C1 was followed by two staff on foot and one staff in a vehicle. Confidential interviews stated staff verbally attempted to re-directed C1 to return to the facility however C1 refused. Confidential interviews stated that in emergency situations it is the least restrictive technique that will be effective and should be employed for safety. Confidential interviews stated staff followed the emergency intervention procedures in maintaining supervision and safety of C1 however, it was reported that it was unforeseen if the facility staff could have done more to supervise C1 and prevent C1 from trespassing. Based on confidential interviews, although the allegations that Client #1 (C1) exited the facility without supervision and staff are not adhering to the emergency intervention plan to address C1's behaviors, may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, and a copy of this signed report was provided to Facility Representative.

Investigation Findings:
13On 10/21/2022, at 11:00 a.m. Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Program Representative Nicole Massie, of Merakey-Amanda to discuss the investigative findings for the allegations noted above. On 01/26/2022, at 11:00 a.m., Licensing Program Analyst (LPA) Marisol Lopez conducted an unannounced complaint investigation at the above facility and met with Facility Representative Cesar Argueta. LPA conducted a safety inspection, and no deficiencies were observed at that time. The investigation consisted of confidential interviews with one program director, one facility administrator, one service coordinator, five facility staff, one of one client (C1), five of seven adults (N1-N7), and review of incident reports. On 01/20/2022, the Department received an allegation that Client #1 (C1) exited the facility without supervision and that staff are not adhering to the emergency intervention plan to address C1's behaviors. It was reported that C1 exited the facility unsupervised, and trespassed into a neighbor's yard, hitting a neighbor on the shoulder. (see continuation form LIC9099-C dated 10/21/22) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez 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 08-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, METROPOLITAN DR. # FACILITY NAME: MERAKEY-AMANDAFACILITY NUMBER: VISIT DATE: 10/21/2022

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

met_with: Nicole Massie


raw_content:
Narrative:
Confidential interviews stated that during an AWOL, staff follow the emergency intervention procedures in maintaining supervision of the client, re-direct client, and contact law enforcement as needed however, it was reported that the facility could have done more to supervise clients. Based on confidential interviews, although the allegation that staff are not providing adequate supervision, may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, and a copy of this signed report was provided to Facility Representative.

Investigation Findings:
13On 10/21/2022, at 11:55 a.m. Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Program Representative Nicole Massie, of Merakey-Amanda to discuss the investigative findings for the allegation noted above. On 3/7/2022 at 1: PM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint investigation at the above facility and met with Program Administrator (PA) AnnMarie Stanton. LPA Meza- Gonzalez conducted a safety inspection, and no deficiencies were observed at that time. The investigation consisted of confidential interviews with one facility administrator, one service coordinator, three facility staff, one of one client (C1), five of seven adults (N1-N7), and review of incident reports. On 03/03/2022, the Department received an allegation that staff are not providing adequate supervision. Confidential interviews stated clients are never left unattended, and staff supervise all clients in and out of the facility. Confidential interviews stated that in an emergency situation, it is the least restrictive technique that will be effective and should be employed to maintain the clients and staff safety. (see continuation form LIC9099-C dated 10/21/22) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez 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 08-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, METROPOLITAN DR. # FACILITY NAME: MERAKEY-AMANDAFACILITY NUMBER: VISIT DATE: 10/21/2022

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:


raw_content:
Narrative:
Confidential interviews stated each client is transported wearing a seat belt and staff follow traffic guidelines. Confidential interviews stated there were no witnesses to the incident however it was alleged the incident occurred . Based on confidential interviews, although the allegation that facility staff endangered clients in a vehicle, may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, and a copy of this signed report was provided to Facility Representative.

Investigation Findings:
13On 10/21/2022, at 12:25 p.m. Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Program Administrator Nicole Massie, of Merakey-Amanda to discuss the investigative findings for the allegation noted above. On July 15, 2022, at 10:35 a.m., LPA Lopez conducted an unannounced complaint investigation at the above facility and met with Program Representative Nicole Massie. LPA conducted a safety inspection, and no deficiencies were observed at that time. The investigation consisted of confidential interviews with one facility administrator, one service coordinator, three facility staff, one of two clients (C1-C2), one adult (N1), and review of incident reports. On 07/15/2022, the Department received an allegation that facility staff endangered clients in a vehicle. It was reported that staff did not stop and almost hit a vehicle while there were clients in the facility vehicle. Confidential interviews contradicted the information and stated the clients are transported individually, only having one client in the vehicle per transport, and each client was transported safely. (see continuation form LIC9099-C dated 10/21/22) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez 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 08-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, METROPOLITAN DR. # FACILITY NAME: MERAKEY-AMANDAFACILITY NUMBER: VISIT DATE: 10/21/2022

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:


raw_content:
Narrative:
Confidential interviews stated C1 feels safe with all staff, C1 has never been handled in a rough manner by any staff and C1's personal rights have not been violated. Confidential interviews denied the allegation occurred however there were no other witnesses. Based on confidential interviews, although the allegation that Staff handled Client #1 (C1) in a rough manner while in care, may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, and a copy of this signed report was provided to Facility Representative.

Investigation Findings:
13On 10/21/2022, at 2:00 p.m. Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Program Representative Nicole Massie, of Merakey-Amanda to discuss the investigative findings for the allegation noted above. On 08/19/2022 at 10:15 a.m., LPA Lopez conducted an unannounced complaint investigation at the above facility and met with Program Representative Nicole Massie. LPA conducted a safety inspection, and no deficiencies were observed at that time. The investigation consisted of confidential interviews with one facility administrator, one service coordinator, three facility staff, one of two clients (C1-C2), and review of incident reports. On 08/11/2022, the Department received an allegation that Staff handled Client #1 (C1) in a rough manner while in care. It was reported that staff pushed C1 which led to C1 eloping, however it was later stated that staff was annoying C1. Confidential interviews stated the incident was reported due to the possibility of a staff violating C1's personal rights. (see continuation form LIC9099-C dated 10/21/22) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez 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 08-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, METROPOLITAN DR. # FACILITY NAME: MERAKEY-AMANDAFACILITY NUMBER: VISIT DATE: 10/21/2022

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:


raw_content:
Narrative:
Confidential interviews also stated C1 enjoys swinging on the swing set for long periods of time and C1 hugs the chains when swinging, potentially leaving marks on C1's arms at times. Confidential interviews stated staff use the least restrictive techniques when working with C1 in order to avoid injuries by clients or staff. Confidential interviews stated all injuries have been reported however it was alleged C1 sustained an unexplained bruise. Based on confidential interviews, although the allegation that Client #1(C1) sustained unexplained injuries while in care, may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, and a copy of this signed report was provided to Facility Administrator.

Investigation Findings:
13On November 03, 2022, at 2:35 p.m. Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Program Administrator Samantha Chavez, of Merakey Amanda to discuss the investigative findings for the allegation noted above. On July 15, 2022 at 09:10 a.m., Licensing Program Analyst (LPA) Marisol Lopez conducted an unannounced complaint investigation at the above facility and met with Program Representative Nicole Massie. LPA conducted a safety inspection, and no deficiencies were observed at that time. The investigation consisted of confidential interviews with one facility administrator, one service coordinator, three facility staff, one of two clients (C1-C2), and review of incident reports. On 07/08/2022, the Department received an allegation that Client #1(C1) sustained unexplained injuries while in care. It was reported that C1 does not communicate, and it was observed C1 had bruising to C1's upper and lower arms. Confidential interviews stated C1 has a tendency of destructive behaviors causing slight bruising to C1's arms. (see continuation form LIC9099-C dated 11/03/2022) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez 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 08-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, METROPOLITAN DR. # FACILITY NAME: MERAKEY-AMANDAFACILITY NUMBER: VISIT DATE: 11/03/2022

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

met_with: Samantha Chavez


summary: Complaint Investigation - Substantiated - 3 allegations

raw_content:
Narrative:
Documents reviewed indicated that the work orders have taken months to fulfill. Confidential interviews and observations revealed there are cabinets with no doors in the kitchen, broken windows and holes in the wall covered with plywood. Based on confidential interviews, the allegations that facility is in disrepair and facility is unkempt are SUBSTANTIATED because the preponderance of evidence has been met. This posed an immediate Health, Safety, or Personal Rights risk to children in care, the facility will be cited for violating Title 22, Division 6, Chapter 1, Article 07. Physical Environment, Buildings and Grounds 80087 (a)The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. An exit interview was conducted, and plan of corrections was developed with Nicole Massie, Administrator. A copy of this report and appeal rights were provided to Nicole Massie, Administrator.

Investigation Findings:
13On May 25, 2023, at 8: AM, Licensing Program Analyst (LPA) Lucero Jauregui conducted an unannounced complaint inspection. The purpose of the inspection is to deliver the findings for the above allegation. LPA Jauregui met with Nicole Massie, Administrator. LPA Marisol Lopez conducted an inspection of the facility on March 3, 2023, and no deficiencies were noted. During the investigation, LPA Lopez obtained list of work orders and conducted five staff interviews (S1-S5). LPA Adrian Mendez conducted one staff interview and one client interview (S1, C1) and LPA Jauregui conducted record review of Amanda Lane Work Orders. On March 15, 2023, Community Care Licensing (CCL) received the allegations that facility is in disrepair and facility is unkempt. Confidential interviews revealed C1 has behaviors and engages in property destruction daily where it has become difficult to keep up with repairs. Confidential interviews revealed there is only staff conducting maintenance at the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: LUCERO JAUREGUI 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SO. Cal Sc/res, Metropolitan Dr. # FACILITY NAME: MERAKEY-AMANDAFACILITY NUMBER: VISIT DATE: 05/25/2023

Allegations:
- SubstantiatedEstimated Days of Completion:
- Estimated Days of Completion:
- Estimated Days of Completion: 0

met_with: Nicole Massie, Administrator


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
It was stated that C2 was not provided dental care. Confidential interviews revealed C2 was taken to the dentist by biological mother on 9/27/22, however, there was no follow up appointment for wisdom teeth removal. Confidential interviews and documents reviewed revealed that staff took C2 to an appointment to receive a wisdom teeth consultation till 2/09/23; It was unclear to the delay of the appointment. Based on confidential interviews, the allegation that staff are not competent to provide the services necessary to meet C2's needs while in care may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted and a copy of this report and appeal rights were provided to Nicole Massie, Administrator.

Investigation Findings:
13On June 13 2023, at 11: AM, Licensing Program Analyst (LPA) Lucero Jauregui conducted an unannounced complaint inspection. The purpose of the inspection is to deliver the findings for the above allegation. LPA Jauregui met with Nicole Massie, Administrator. LPA Marisol Lopez conducted an inspection of the facility on November 3, 2022, and no deficiencies were noted. During the investigation, LPA Lopez obtained incident reports, current client roster and staff roster with contact information, conducted one staff interview (P1) and one client interview (C1). LPA Adrian Mendez conducted one staff interview and one client interview (S2, C1) and LPA Jauregui conducted one client interview (C2), one staff interview (S2), and document review of C1 and C2s dental records. On October 31 ,2022, Community Care Licensing (CCL) received the allegation that staff are unable to meet the needs of minor(s) in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: LUCERO JAUREGUI 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SO. Cal Sc/res, Metropolitan Dr. # FACILITY NAME: MERAKEY-AMANDAFACILITY NUMBER: VISIT DATE: 06/13/2023

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 0


raw_content:
Narrative:
Confidential interviews indicated C1 needs assistance wiping, getting dressed, and to shower. Confidential interviews indicated when C1 is done using the bathroom, staff wipe until C1 no longer allows them to. Confidential interview indicated C1 allows staff to wipe as much as C1 can tolerate. Confidential interviews indicated C1 walks away and that means that C1 no longer wants to be wiped. Confidential interviews indicated staff would try again with wiping until C1 allows them to. Confidential interviews indicated staff wipe until the wipe is no longer dirty. Confidential interview indicated showers are offered by turning on the shower and guiding C1 to it. According to confidential interviews, sometimes staff's attempt works, and other times it does not. Confidential interviews indicated rashes and redness are common on C1. Confidential interview indicated C1 gets a rash on the inside of their thighs. Confidential interview indicated they have observed C1 get a rash after sprinting. Confidential interviews indicated staff apply ointment the best they can to address the skin irritation. Confidential interview indicated it can get difficult for staff to apply ointment in that area due to C1 not following direction, walking around while staff make attempts, and C1 bending over for only a few seconds. Confidential interview indicated C1 sometimes allows staff or sometimes pushes them away. Confidential interview indicated the facility asked to use moisture barrier cream for rashes, however, according to confidential interview, staff were denied by C1's authorized representative. Based on confidential interviews, the allegations that facility staff did not ensure minor's hygiene needs were met may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this signed report and appeal rights were provided to Elizabeth Gauci.

Investigation Findings:
13On March 24, 2025 at 10: AM Licensing Program Analyst (LPA) Lucero Jauregui arrived at the facility unannounced and met with Elizabeth Gauci to discuss the investigative finding for the allegation noted above. LPA Jauregui and LPA Abby Saeteurn conducted an inspection of the facility on August 14, 2024, and no deficiencies were noted. During the investigation, LPA Jauregui interviewed six staff (S1-S4, S8-S9), one witness and two San Diego Regional Center Representatives. C1 was unable to be interviewed due to their limited verbal abilities. Pertinent documents were obtained. On August 12, 2024, Community Care Licensing (CCL) received allegation that facility staff did not ensure minor's hygiene needs were met. It was reported that during a visit, C1's relative noticed C1 had feces stuck to their groin area. It was reported that C1 was not properly wiped and that C1's skin appeared irritated and red. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: LUCERO JAUREGUI 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: MERAKEY-AMANDAFACILITY NUMBER: VISIT DATE: 03/24/2025

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

met_with: Elizabeth Gauci, Backup Administrator


facility_name: MERAKEY - JUSTAMERE

raw_content:
Narrative:
Of the three clients interviewed, one reported snack was not provided consistently, one reported snacks were provided too often, and the third reported that snacks were accessible, but another client would eat all the snacks. While the kitchen fridge was temporarily broken, clients needed staff assistance to access the spare fridge in the locked garage. During the facility inspection, LPA observed sufficient food and large boxes of snacks accessible to the clients. Regarding the allegation of: Staff did not ensure that facility refrigerator is repaired,18 confidential interviews reported that the refrigerator in the kitchen broke, but the facility had an extra refrigerator in the garage where all the perishable food was stored. The new refrigerator was ordered, and it was shipped in 3 days. All 18 interviews reported that although the clients didn't have access to a refrigerator in the facility, they had access to the refrigerator in the garage. LPA observed the newly replaced kitchen fridge, as well as the back-up fridge in the garage. Regarding the allegation of: Facility does not follow the required ratio for minors in care, consistent statements were made during interviews that when the facility is out of ratio, a staff is asked to stay late or come in early. Staff leads are the floaters and are to assist with supervision when short staffed to maintain ratio. Leads will report to the Administrator and the Administrator will make calls to staff from other facilities and upper management to ensure ratio is maintained. LPA reviewed the staff schedule and observed ratio to have been maintained. Based on LPA's observations, interviews, and record reviews, although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove the violations did, or did not, occur. Therefore, the allegations are UNSUBSTANTIATED. A signed copy of this LIC-9099 report and LIC-9099C were provided to the facility. An exit interview was conducted. Appeal rights were provided.

Investigation Findings:
13Licensing Program Analyst (LPA) Sara Luman-Gonzalez arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Malia Iulio, Shift Lead. LPA Vue conducted the complaint investigation. LPA Vue opened the investigation with the facility on 04/30/2024 and conducted a Health and Safety Inspection. During the course of the investigation, LPAs Vue and Thorn conducted eighteen (18) confidential interviews, including 13 current and former staff, and 3 clients. LPA Vue reviewed records from the facility including most current Needs and Service Treatment Plan or IPP, prior complaint history, and Serious Incident Reports. LPA also reviewed additional records such as Staff Schedule, Staff Contact Information, Client Safeguarded Cash Resources Records, and LIC 500. During interviews conducted and records reviewed regarding the allegation of: Facility does not allow minors to have access to food, statements provided were inconsistent. There was no concern reported of the provision of meals. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Sara Luman-Gonzalez 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: MERAKEY - JUSTAMEREFACILITY NUMBER: VISIT DATE: 07/26/2024

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

met_with: Malia Iulio, Shift Lead


raw_content:
Narrative:
One client out of three interviewed, alleged they were restrained ten times and the restraints were not warranted. Upon review of the Serious Incident Report submitted about the three restraints, LPA found the restraints were properly documented and reported, and followed regulatory procedures, to maintain the safety of the client and other clients present. Based on LPA's interviews which were conducted and records reviewed, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. A signed copy of this LIC-9099 report, the LIC-9099C, and appeal rights were provided to the facility. An exit interview was conducted.

Investigation Findings:
13Licensing Program Analyst (LPA) Sara Luman-Gonzalez arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Malia Iulio, Shift Lead. LPA Aleza Ruiz conducted the complaint investigation. LPA Ruiz and LPM Hillary Hall opened the investigation with the facility on 6/14/2024 and met with Teja Ordonez-Phillips, Administrator. During the course of the investigation, LPA and LPM interviewed three current staff. LPA reviewed records including: Placement Roster, Training logs, Serious Incident Reports, and Needs and Service Plans/Individualized placement plans for clients. LPA also reviewed prior complaint history including 13 current and former staff interviews and three client interviews. Interviews with staff were inconsistent regarding the details of an incident where a client was restrained three times in one day. Record review indicated a total of three restraints were documented for one client, and zero for the other three clients, which was corroborated by staff interviews. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Sara Luman-Gonzalez 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: MERAKEY - JUSTAMEREFACILITY NUMBER: VISIT DATE: 07/26/2024


raw_content:
Narrative:
On the matter of lack of intervention to mitigate self-harming (including accessibility to a metal backscratcher), sufficient records of a client's medical condition were found, along with statements from staff, that should've reasonably informed the appropriate care and supervision that staff should have provided to the client- the client's wounds worsening could reasonably be attributed to having given access to a potentially harmful object. As for staff not following a minor's care plan, records indicate that there was insufficient compliance to the plans nor was there enough follow-up done by healthcare professionals that the facility has on staff. Based on LPA's review of records and interviews, the preponderance of evidence standard has been met; therefore the above allegations are found to be Substantiated. CCR (California Code of Regulations) Title 22, Division 6, Chapter 1, Article Section 80078(a) and Chapter 5, Article Section 84078(b) are being cited on the attached LIC 9099D. A copy of this report is being provided to the facility along with the Appeal Rights; exit interview conducted. LPA confirmed the receipt of, and reviewed, an incident report submitted by the facility regarding the client in question-in the report, a date as early as 03/30/2025 was referenced in which the client was taken to a medical facility for assessment of a wound. The report indicated that the authorized representative was notified of events having to do with the seeking of medical care from that date up to the date of hospitalization. However, due to the nature of the wound's progress, earlier communication could have been made by the facility with the authorized representative and/or individuals attached to the case. Not enough corroborating evidence was found to support the allegation that the facility did not ensure a minor attended school; the interviewed client, themselves, stated that there was "never a problem going to school," and that a bus picked the youth up regularly. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are Unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility

Investigation Findings:
13On 08/15/2025, at 2: PM, Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this Group Home to deliver the findings of, and close, the complaint investigation. LPA met with Administrator Harrisha Willis and Lead DSP LaDonya Reed and the following report was discussed: On 04/21/ LPA initiated the complaint investigation into allegations that 1) Staff did not prevent minor from self harming, 2) Staff did not prevent minor from having access to a harmful object, and 3) Staff are not following minor's care plan. Multiple onsite inspections were conducted throughout the course of the investigation wherein interviews were conducted in-person with staff and youth. Additional interviews were conducted with clients' family members and other personnel attached to the clients' cases. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Connie Goldie LICENSING EVALUATOR NAME: Chad Cabigon 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: MERAKEY - JUSTAMEREFACILITY NUMBER: VISIT DATE: 08/15/2025

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

met_with: Harrisha Willis, LaDonya Reed


raw_content:
Narrative:
Statements independently obtained from multiple interviewees, along with documented reports from involved service providers, corroborate repeat instances of staff sleeping while on shift and in ratio for the provision of care and supervision to clients. Based on LPA's interviews and a records review, the preponderance of evidence standard has been met; therefore, the allegation is found to be Substantiated. California Code of Regulations (CCR) Title 22, Div. 6, Chapter 5, Article 6, Section 84065.2(b)(1) is being cited on the attached LIC 9099D. Exit interview conducted; a copy of this report is being provided to the facility along with the Appeal Rights. The referenced client had purportedly purchased a vehicle with their own money in a transaction that was done during an approved outing. Not enough evidence was found to reasonably hold the facility accountable for not being able to advise the client against engaging in such a transaction. Regarding a possible reporting requirement deficiency, not enough information was available to support there being a reporting non-compliance within the context of staffing decisions that the facility made. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are Unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility.

Investigation Findings:
13On 08/15/2025 at 3: PM Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this Group Home to deliver the findings of, and close, the complaint investigation. LPA met with Administrator Harrisha Willis and Lead DSP LaDonya Reed and the following report was discussed: On 04/21/ LPA initiated the complaint investigation into an allegation that Facility did not provide the appropriate level of care and/or supervision. Multiple onsite inspections were conducted throughout the course of the investigation wherein interviews were conducted in-person with staff and youth. Additional interviews were conducted with clients' family members and other personnel attached to the clients' cases. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Connie Goldie LICENSING EVALUATOR NAME: Chad Cabigon 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: MERAKEY - JUSTAMEREFACILITY NUMBER: VISIT DATE: 08/15/2025

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

met_with: Harrisha Willis, Ladonya Reed


summary: Facility Evaluation

raw_content:
Narrative:
A pre-licensing inspection was conducted by Licensing Program Analyst (LPA) Tana Kinder on 1/23/2023 with the facility Administrator. Criminal record clearances were reviewed, and the facility is in compliance. Community Care Licensing file, incident reports, facility roster, facility profile and complaint history were reviewed prior to visit at the agency. The licensing fees are current. The EBSH Facility has a capacity of four. There is 1 staff member associated to the Merakey-Justamere license and 44 associated to the Walk of Life-Justamere license. There are 2 clients residing at the facility under the Walk of Life-Justamere License. There were 5 staff working at the EBSH Facility at the time of the inspection. LPA reviewed 1 staff file, which was complete and up to date. The staff file reviewed had required training hours, education, administrator certification and fingerprint clearance. Personal rights, menu, Walk of Life-Justamere License and emergency exit plan were posted. The facility was inspected jointly with Teja Ordonez-Phillips, facility Administrator of the EBSH Facility. There are 4 bedrooms and 2 bathrooms. Each client's bedroom had a firm mattress, with a bed cover, sheets, blanket and pillows. Additionally, there is a sensory room for the clients to play in. The common area has couches and chairs to sit in, a TV and an in-door basketball hoop game for the clients. The facility is in good repair. There are cabinets in the laundry room with additional linen if needed for the bedrooms and the bathrooms. Additionally, each bedroom also has extra linen available. Client and staff files are in locked cabinets, in a locked office. The passageways from the front to the back of the facility are unobstructed. LPA observed 2 locked sheds in the backyard with facility supplies and client belongings and 1 locked shed with toys/equipment for the clients. LPA observed enough perishable/non-perishable food for 2 clients for 4 days/2 weeks. Smoke detectors are in working order. There is a carbon monoxide monitor and 2 fully charged and current fire extinguishers. continued... Disinfectants and cleaning solutions were in a locked cabinet in the laundry room. Sharps were kept locked in the office. The kitchen was stocked with plates, utensils and drinking cups sufficient for 4 clients. The water temperature from the bathroom faucet was 113.7 degrees. Medication disbursement is logged using the program, Quick MAR and is cross reconciled with the bubble packs and bottles medications are stored in. The client's hygiene kits were stocked and stored in a locked cabinet in the bathroom. A fully stocked first aid kit is kept in the staff office. The back fence between the garden and the shed was missing slats and will be replaced. The fertilizer and paintings in the shed for the clients to access their toys will be moved to the storage shed at the back of the grounds. A box or other system/location will be implemented to store extra monthly medications separately from the medications that are currently being used. Exit interview conducted and discussed with the facility Administrator. A copy of the pre-licensing inspection report was provided to the Administrator.

met_with: Facility Adminstrator


summary: Facility Evaluation

raw_content:
Narrative:
On September 20, 2023, at 1: PM, Licensing Program Analyst (LPA), Shalisa Stiger made an unannounced visit to conduct a case management regarding an incident report received by The Department on 09/15/2023 regarding medication error resulting from an on site visit from Department of Developmental Services. LPA met with the Administrator who assisted with the inspection. The facility consists of 4 bedrooms and 2 bathrooms. Each client's bedroom has a bed, dresser and closet space for belongings. The common area has couches and chairs to sit in, a TV and sensory rooms for crafts and activities. The facility is clean and in good repair. Client and staff files are in locked cabinets, in a locked office. The passageways from the front to the back of the facility are unobstructed. LPA observed perishable/non-perishable food for clients and the facility will do a grocery run today. Disinfectants and cleaning solutions were in a locked cabinet under kitchen sink. Sharps were kept locked in the office. Medication is stored and locked in the medication office. Lastly, LPA Stiger observed the backyard consisting of a basketball hoop, sitting areas, and musical sensory equipment. The backyard was clean and free from debris. LPA Stiger observed medication(s) and MAR documentation corrections. LPA observed the medication timeframe showing 8am-8pm on bubble packs and correction was made in log. The Administrator advised LPA Stiger the LVN will receive documentation training by Alta region. Additionally, lead staff is due to be re-trained in Medication passing and signing by 9/22/2023 and all staff will be re-trained in medication on 9/27/2023. The facility wrote an incident report and submitted it to the Department on 9/13/2023. LPA Stiger observed and obtained a copy of the SIR. An exit interview was conducted, and a copy of this report was emailed to the Administrator. This case management investigation is closed.

met_with: Teja Ordonez Phillips, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Dawn Eunice conducted a Post Licensing inspection to the above Group Home and met with the above named individual. LPA observed the following items posted: - Personal Rights - Emergency Disaster - Exit signs - Foster Care Bill of Rights - Facility Sketch with emergency exit routes identified This Group Home (GH) has 4 bedrooms and 2 bathrooms; one bathroom is used for non-ambulatory clients. This GH has an office space, this office space is equipped computers, a copier, desks, chairs, locking cabinets, paper and usual office supplies (pens, paper, etc.). The home has a working telephone. During today's visit there are 3 children placed and this facility employes 20 staff. The staff to child ratios are: 2 to 1 for one client, and the two other clients have 1 to 1 supervision. The kitchen is clean, there is a menu binder, cups, plates, and cook ware. The Administrator indicates staff utilize Ukeru pads in an emergency; LPA observed 8 of them throughout the home. The program allows restraints, but no child placed currently needs/or has been restrained. Additionally, the program can accept children with special health care needs and those with incontinence; one child uses a wheel chair. Client and staff files are kept in locked cabinets to maintain confidentiality. There are three emergency exits, a first aid kit, and 2 fire extinguishers. There are 2 living rooms where children/families can interact. The furniture is in good repair and clean. LPA obtained a roster of staff. LPA obtained a LIC 500 and ensured individuals listed are fingerprint cleared using the Guardian database. LPA obtained Ms. Phillips' Administrator Certificate and interviewed staff and children. LPA reviewed children Medications are properly stored, locked and logged onto a medication form. This home has two sensory rooms with soft pillows, furniture, kinetic sand, lights, etc. This facility has a non ambulatory wheel chair with big soft wheels so a client can go onto grass, sand and rocks. This facility meets Interim Licensing Standards mandates and is clean safe, sanitary and in good repair. LPA recommends the facility obtains permanent license with management approval.


summary: Facility Evaluation

raw_content:
Narrative:
On April 4, 2024 at approximately 09: AM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced for the purpose of conducting a Annual/Required inspection. LPA was greeted at the door by Lead RBT, Lawrence Williams, and was granted access into the facility. Administrator, Teja Ordonez-Phillips arrived 1 hour later. During a file review, LPA observed that the Administrators Certificate expired on March 24, 2024 (See LIC 9102-Technical Assistance). Administrator is in the process of renewing the Administrators Certificate and showed proof to the LPA. Clients were not present at the facility during this Annual/Required inspection. Clients were at their respective educational institution. LPA and Lead RBT, Lawrence Williams toured the facility at 09: AM. LPA observed the facility to be clean and at a comfortable temperature with all exits free from obstruction. During the tour, LPA observed that 2 of 2 fire extinguishers are not up to date (See LIC 9102-Technical Violation). LPA inspected 4 of 4 rooms and found those rooms to be appropriate. LPA observed linens on beds. The following documents were posted: License, Personal Rights, and Emergency Disaster Plan. Currently the facility has 2 ambulatory clients and 1 non-ambulatory client in care. LPA observed that the one non-ambulatory client is residing in Room #3. There was a sufficient supply of both perishable and nonperishable foods as required by Title Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations at the time of the inspection. There was a supply of cleaners, hygiene products and paper products available for clients. All bathrooms designated for clients in the common areas at the facility were supplied with individual paper towels and hand soap dispensers. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present. A tour of all clients bedrooms were conducted, and bedrooms inspected have lighting and appropriate furnishing. Facility medication room at the facility was locked and inaccessible to clients in care. Toxins, hazardous items and sharps are inaccessible to clients in care. First Aid kit was inspected and found to be appropriate during the inspection. All client medication orders and medication administration records were reviewed and found to be appropriate during the review. (Report continued on LIC 809C) LPA reviewed a sample of staff files. Staff files consisted of: Criminal record clearances, Active First Aid Certificate, Job title/qualifications, and training hours which were verified during this Annual/Required inspection. LPA reviewed Client Records which consisted of: Needs and Service plan, Individual Behavior Support Plan, Physician Assessment Report, Admission Agreements, Personal Rights, Medical Consent Forms and the Individual Program Plan (IPP) provided by Alta California Regional Center. Medical history were updated. P & I was reviewed. LPA and Administrator observed that the 1 of 3 client P & I records were not up to date. The amount of money balance should be $685.68 as reflected in the P & I. Administrator counted the money which only contained $125.68. (See LIC 809D and LIC 812-Observation/Photo dated for April 4, 2024). During the record review, a Non-Ambulatory client record revealed that a in-home health care nurse attends to the clients needs on a part-time basis. The in-home health agreement was secured in the clients file, reviewed and found to be appropriate. LPA requested the following documents to be sent: LIC 500- Personnel Report LIC 308- Designation of Responsibility LIC 309- Administrative Organization LIC 400- Affidavit regarding Client Cash Resources Most up-to-date Liability insurance Control of Property Register of Clients Annual Continuation will be conducted at a later date and time which will include Staff interviews and client interviews, Emergency Disaster Plan review and Emergency Interventions will be discussed at a date and time. Deficiencies cited from the California Code of Regulations. Appeal Rights were given. Failure to correct the deficiency and/or repeated deficiencies within a 12-month period may result in Civil Penalties. Exit interview was conducted, and a copy of this report was signed and given to the Administrator.

met_with: Lead RBT, Lawrence Williams Administrator, Teja Ordonez-Phillips