summary: Facility Evaluation

raw_content:
Narrative:
On June 22, 2023, Licensing Program Analyst (LPA) Daiquiri Boyd conducted a continuation of an unannounced Required Inspection at Elite Family Systems Banyan Home. LPA was met by Administrator Tyler Ayala. LPA reviewed 5 client binders. LPA reviewed medications taken and verified signatures and dates in medications binder. LPA completed 3 client interviews and 5 staff interview on this day. Citation was issued on this day for Safeguarding Clients Cash Resources. LPA will complete this inspection at a later time. A copy of this report was left at the facility.


state: CA

facility_name: ELITE FAMILY SYSTEMS, INC- BANYAN HOME

summary: Facility Evaluation

raw_content:
Narrative:
On June 29, 2023, Licensing Program Analyst (LPA) Daiquiri Boyd visited the main office of Elite Family Systems for Banyan Home and was greeted by clerical staff Micah Santos. There is no Administrator or Administrative staff available at this time. Micah provided the staff files that were requested. Tammy Scoffield came into the office to assist for the rest of the work day. LPA inspected Staff files and Training documentation for those 12 staff. Citation was issued on this day for Staff # Terrell Calloway, there is no fingerprint clearance for this staff.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Tammy Scoffield


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Daiquiri Boyd visited the Short Term Residential Therapeutic Program (STRTP) on November 1, 2023 for the purpose of reviewing files and reviewing Incident Reports. LPA met with Tyler Ayala, Facility Administrator. LPA discussed incident reporting and record keeping. LPA was unable to complete the visit due to receiving a new client. LPA will return at a later time.

met_with: Tyler Ayala


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Daiquiri Boyd made an unannounced visit to the Short Term Residential Therapeutic Program (STRTP) Elite Banyan House for the purpose of reviewing client files. LPA Boyd was assisted by MHRS/Lead Facility Manager, Porsha Brooks. LPA Boyd reviewed client files and made relevant copies. A copy of this report was left at the facility.

met_with: Porsha Brooks


summary: Facility Evaluation

raw_content:
Narrative:
On 08/20/2024, Licensing Program Analysts (LPAs) Reyna Martinez conducted an unannounced case management for the above facility. Met by Jennifer Duarte, Program Director. On 06/04/2024, CCL Fresno Incidents received the written report of an incident that occurred on 06/03/2024, involving Client (C1) (See LIC811 dated 08/20/2024). The incident and reporting requirements were discussed with Ms. Duarte. Ms. Duarte will gather the additional information needed and provide to LPA. If further actions are needed LPA will address at a later time. There are no deficiencies to be cited on this date. A copy of this report is given to on this date.

met_with: Jennifer Duarte


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Briana Placencia and Reyna Martinez on December 16, 2024, at 10: A.M. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Brandon Smith Facility Supervisor and inspected the facility inside and out. LPAs reviewed 2 child's records and 2 staff personnel files on site at the facility. LPAs reviewed 2 child's psychotropic medications and medication records. LPAs interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPAs interviewed 1 child currently on psychotropic medication. LPAs will attempt to interview other child at a later time. LPAs provided a copy of the licensing report to Facility Supervisor, Brandon Smith. No deficiencies are being cited at this time. LPAs conducted exit interview with Brandon Smith, Facility Supervisor.

met_with: Facility Supervisor-Brandon Smith


summary: Facility Evaluation

raw_content:
Narrative:
On December 19, 2024, Licensing Program Analysts (LPAs) Danny Macias and Melissa Renovato conducted an unannounced required two year inspection at Elite Banyan STRTP located in Ceres CA. LPAs met with Program Director Jennifer Duarte (S4.) A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 73 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced on June 3, 2024. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. STRTP was approved on 06/26/2020. The facility is accredited through CARF with accreditation through 01/31/2025, and they are approved through Alameda County Department of Behavioral Health through June 14, 2025. No firearms or weapons are in the facility per S4. LPAs reviewed 3 client files, and 5 staff files. LPAs interviewed 2 staff and 0 clients. LPAs discussed loose window locks in two of the bedrooms. The locks have been ordered and will be replaced within the following week. There are no deficiencies being cited on today's visit. LPAs requested that the licensee update the following forms within the following 2 weeks: LIC308, LIC309, LIC500 and Emergency Disaster Plan. A copy of this report and LIC Confidential Names was left with S4 at the conclusion of today's inspection.

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Danny Macias (LPA) traveled to Elite Banyan STRTP and met with Program Director (PD) Jennifer Duarte and Facility Administrator (AD) Alvaro Juarez to conduct Case Management Inspections related to an incident report dated 4-07-25. LPA conducted confidential interviews and reviewed documentation. LPA discussed missed medications and the procedures for daily medication dispensing. LPA discussed staff disciplinary actions for missed medication incidents. AD states that staff has been re-trained for medication procedures and a daily log is being kept to ensure medications travel with youth as necessary. STRTP is being issued a Technical Violation for missed medications. An exit interview was conducted and a copy of this report was left with Jennifer Duarte.


summary: Facility Evaluation

raw_content:
Narrative:
On May 15, 2025, Licensing Program Analysts (LPAs) Danny Macias and Briana Placencia conducted an unannounced required two year inspection at Elite Banyan STRTP located in Ceres CA. LPAs met with Program Director (PD) Jennifer Duarte. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 73 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced on June 5, 2024. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. STRTP was approved on 06/26/2020. The facility is accredited through CARF with accreditation through October 31, 2027, and they are approved through Alameda County Department of Behavioral Health through June 14, 2025. No firearms or weapons are in the facility per PD. LPAs reviewed 4 client files, and 5 staff files. LPAs interviewed two staff and two clients. LPAs discussed buildings and grounds, specifically furniture in clients rooms and client's shower faucet. There is a Type A violation and a Technical Advisory being cited on today's visit. A copy of the reports was left with Jennifer Duarte at the conclusion of today's inspection.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Danny Macias (LPA) traveled to Elite Banyan STRTP and met with Program Director (PD) Jennifer Duarte and Chief Operations Officer (COO) Bill Sneed to conduct Case Management Inspections related to an incident report dated 9-16-25. LPA obtained documentation on this date. An exit interview was conducted and a copy of this report was left with Bill Sneed.

met_with: Bill Sneed


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Danny Macias (LPA) traveled to Elite Banyan STRTP and met with Facility Supervisor (S1) Brandon Smith to conduct Case Management Inspections related to an incident report dated 9-16-25. LPA obtained documentation and conducted interviews on this date. There are no deficiencies noted on this visit. An exit interview was conducted and a copy of this report was left with Brandon Smith.

met_with: Brandon Smith


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Reyna Martinez on October 10, 2025, at 11: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA met with Alvaro Juarez, Administrator and inspected the facility inside and out. LPA reviewed 2 child's records and 2 staff personnel files on site at the facility. LPA reviewed 2 child's psychotropic medications and medication records. LPA interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 0 child currently on psychotropic medication, as children are in school. LPA will attempt to interview other child at a later time. LPA provided a copy of the licensing report to Alvaro Juarez, Administrator. No deficiencies are being cited at this time. LPA conducted exit interview with Alvaro Juarez, Administrator.

met_with: Alvaro Juarez


summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Danny Macias traveled to Elite Family Systems - Banyan Home Short Term Residential Therpaeutic Program (STRTP) and met with Assistant Facility Administrator (S1) Alvaro Juarez to deliver findings of the investigation. Complaint Specialist (CS) CK Kinney and Investigator Jorge Jauregi conducted investigation that included review of documentation and confidential interviews. Based on inconsistencies in the information obtained, a preponderance of the evidence could not be obtained. Although the allegation may or may not have occurred or may or may not be valid, without a preponderance of the evidence the allegation is deemed Unsubstantiated. A review of the Licensing Information System on this date indicates that all facility staff are associated to the STRTP and had DOJ, FBI, and child abuse index check clearances. A copy of this report and LIC Appeal Rights were left at the agency at the conclusion of inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Danny Macias 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

report_type: Complaint Investigation

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Eduardo Barragan on 08/06/2021, at 9: AM. This inspection was a continuation from yesterdays inspection 8/05/2021. During the inspection, LPA Barragan met with Robert Armendariz, Administrator. LPA interviewed the clients currently taking psychotropic medications at 11: AM. LPA reviewed the staff file at the corporate office at 12: PM. One deficiency is being cited on this date. LPA conducted an exit interview and provided the summary report to Robert Armendariz upon completion.

met_with: Robert Armendariz


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On July 13, 2022, Licensing Program Analyst arrived at the Elite Family Systems Inc, Banyon Home facility for an unannounced inspection for the purpose of delivering a case management report. On April 25, 2022, a client was picked up from school by a staff member. During this interaction the client was very agitated and attempted to walk away (AWOL) form the school property furthermore client attempted to strike the staff member multiple times. The incident report states Initially the staff member attempted to redirect the client using humor, change of staff, change of voice and counseling. Ultimately, the staff took the client down to the ground utilizing an improper unauthorized restraint. The client was returned to the facility by the same staff member. No medical attention was required. As soon as staff returned client, staff was sent home. A deficiency is being issued today for inappropriate restraint.

Deficiencies:
87072.1(c): Any form of discipline which violates a client's personal rights as specified in section 87072 shall be prohibited.

met_with: Robert Armendariz, Facility Administrator

title:
1
2
3
4
5
6
7Discipline Policies and Procedures


summary: Facility Evaluation

raw_content:
Narrative:
On 10/11/2022, Licensing Program Analyst (LPA) Daiquiri Boyd visited the Short Term Residential Treatment Program (STRTP) Elite Family Systems Banyan House. LPA Boyd found logs to be missing staff initials. Deficiency cited on this day.

met_with: Rob Armendariz


summary: Facility Evaluation

raw_content:
Narrative:
On 11/02/2022, Licensing Program Analyst's (LPA) Jessica Rodriguez and Vanessa Galvan traveled to Elite Family Systems - Banyan Home in Ceres, CA to conduct an announced SB Psychotropic Medication Inspection at 10: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA's met with Facility Manager, Melissa Armendariz and CEO, Bill Sneed. At 10: AM LPA's reviewed 2 client's files. At 11: AM LPA's inspected the facility inside and out. LPA observed all medication, knives, and disinfectants locked. All medications were stored in a lock container inside a locked cabinet. All required documentation was posted and accessible for both staff and client's review. The facility was clean and in good sanitary conditions. Each client was provided a bed, linens, and storage space in their bedrooms. The facilities food supply was inadequate. The facility's refrigerator, freezer, and water temperature were all at a safe range. The front and back outdoor areas where free from dangers and hazards. At 11: AM LPA's reviewed Client medications and medication records. At 12: PM LPA's interviewed Facility Manager on site to discuss the facilities policies and procedures of operation. At 1: PM LPA's reviewed Staff files on site at the facility. At 2: PM LPA's interviewed CEO on site to discuss the facilities policies and procedures of operation. Continued on Page 2... Continued from Page 1... At 2: PM's LPA interviewed 1 client currently prescribed psychotropic medication. The other client refused to be interviewed. LPA conducted an exit interview with CEO, Bill Sneed at 3: PM. Two deficiencies are being cited on this date on the attached LIC 809-D . A copy of this report was left with Bill Sneed at the conclusion of the inspection.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On this date, Licensing Program Analyst's (LPAs) Jessica Rodriguez and Vanessa Galvan conducted an unannounced Case Management and spoke with CEO, Bill Sneed. The purpose of Case Management was to discuss food services in the home. LPA's observed the food supply in the home to be inadequate. LPA's reviewed the weekly menu and found the facility did not have adequate items needed to make dinner according to the menu for today's date. While LPA's were at the facility, food was delivered to the facility. LPA took pictures to document that food was brought in. Based on LPA's observations, Interim Licensing Standards are being cited on the attached 809D. The plan of correction was discussed with Bill Sneed. A copy of this report and appeal rights were provided to the facility.

Deficiencies:
80076(a): (1) All food shall be safe and of the quality and in the quantity necessary to meet the needs of the clients...

title:
1
2
3
4
5
6
780076 (a) Food Services In facilities providing meals to clients, the following shall apply


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
Licensing Program Analyst (LPA) Daiquiri Boyd, visited the Short Term Residential Therapeutic Program (STRTP) on 1/18/2023. During this visit, LPA Boyd toured the facility, reviewed client files, requested and viewed various forms and documents. LPA requested to view the manual restraint log and was told there wasn't an updated log. A log was created while LPA was at the facility. LPA viewed the staff schedule for 1/8/23 - 1/21/23, staff timecards for 1/16-1/31, and the current LIC 500. LPA found that staff listed on the current staff schedule was not listed on the LIC 500. Administrator hours were discussed and the staff schedule was reviewed. Administrator was found to be on premises less than 20 hours per week. Deficiencies were cited on this day. A copy of this report was left at the facility.

Deficiencies:
80066(f): In all cases, personnel records shall document the hours actually worked.

title:
1
2
3
4
5
6
7Personnel Records


summary: Facility Evaluation

raw_content:
Narrative:
On February 27, 2023, Licensing Program Analyst (LPA) Daiquiri Boyd and Licensing Program Manager (LPM) Juanita Arroyo, conducted an informal conference for the above facility with Administrator Bill Sneed and Chief Financial Officer John Sarhadi. The purpose of the conference was to discuss the facility history and concerns with ongoing compliance and operating procedures. The following were discussed and agreed upon: Incidents reports to Community Care Licensing (CCL) are not complete and do not have all required information Biannual Restraint Log not submitted Medication Procedures Intake Procedures Review of job titles and job descriptions LPA will contact the facility for additional follow-up regarding incident reports. Two deficiencies were cited on this date.

met_with: Bill Sneed, John Sarhadi


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Jessica Rodriguez on October 20, 2023, at 9:00A.M. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Rodriguez met with Tyler Ayala, Administrator and inspected the facility inside and out. LPA reviewed 3 of 5 child's records and 2 of 2 staff personnel files on site at the facility. LPA reviewed 3 of 5 child's psychotropic medications and medication records. LPA interviewed 2 of 2 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 0 of 3 clients currently prescribed psychotropic medication. Two clients are currently in school and one client is currently AWOL. During the inspection LPA observed one deficiency (see attached 809D), plan of correction was discussed and appeal rights were provided. LPA provided a copy of this licensing report to Tyler Ayala, Administrator.

met_with: Taylor Ayala


summary: Facility Evaluation

raw_content:
Narrative:
On February 26, 2026, Licensing Program Analyst (LPA) Danny Macias traveled to Elite Family Systems Short Term Residential Therapeutic Program (STRTP) main office to conduct an unannounced inspection and met with Program Director Jennifer Duarte. The purpose of the inspection was to discuss Admission Determination Procedures with the STRTP. (see 812) An exit interview was conducted and a copy of this report was left with Jennifer Duarte.


raw_content:
Investigation Findings:
13On February 26, 2026, Licensing Program Analyst (LPA) Danny Macias traveled to Elite Family Systems Short Term Residential Therapeutic Program (STRTP) main office to conduct an unannounced inspection and met with Program Director Jennifer Duarte. The purpose of the inspection was to deliver findings for the above complaint allegation. During the investigation, LPA conducted confidential interviews, records review and reviewed supporting documents provided by the facility. Based on confidential interviews and records reviewed, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. No deficiencies or citations issued. A review of the Licensing Information System on this date indicates that all facility staff are associated to the STRTP and had DOJ, FBI, and child abuse index check clearances. An exit interview was conducted and a copy of this report was left with Jennifer Duarte. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Danny Macias LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


summary: Facility Evaluation

raw_content:
Narrative:
On April 15, 2026, Licensing Program Analyst (LPA) Danny Macias traveled to Elite Family Systems Short Term Residential Therapeutic Program (STRTP) Banyan House to conduct an unannounced inspection and met with Facility Administrator Josh Jones. The purpose of the inspection was to discuss updating clients' Needs & Services Plans. The facility is in the process of obtaining signatures from all relevant parties for the current month's Needs & Services Plans. No citations at this time. A copy of this report was left with Josh Jones at the conclusion.

met_with: Josh Jones


facility_name: ELITE FAMILY SYSTEMS, INC- BLAKER HOME

raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) conducted a telephonic Complaint Inspection due to COVID- Pandemic. CS spoke with Bill Sneed to deliver findings of investigation. Investigator Rippe conducted investigation that included review of documentation, interviews of staff and clients. Due to inconsistencies in the information obtained and a lack of evidence, a preponderance of the evidence could not be found the allegations occurred as reported. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. No deficiencies observed or cited during this inspection. Copy of this report emailed to Mr. Sneed for signature and return. Copy of Appeal Rights also provided to Mr. Sneed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Melanie Krage LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2


raw_content:
Narrative:
Although the allegation may have happened or may be valid, there is not a preponderance of evidence to prove the allegation occurred. Therefore, the allegation is deemed to be UNSUBSTANTIATED at this time. A copy of this report was discussed and provided to the facility along with appeal rights.

Investigation Findings:
13On January 3, 2022, Licensing Program Analyst (LPA) Rachel Bruce conducted a follow up complaint inspection at Blaker Home and met with John Henrich, Facility Manger. The purpose of the visit was to deliver the finding for the above complaint allegation. On October 22, 2021, the above allegation was referred to Community Care Licensing for investigation. The investigation included interviews with the Clients and Staff as well as a review of the client's records and an inspection of the STRTP. The complaint alleged that a client in care sustained injuries as a result of an inappropriate restraint. The Clients and staff interviewed provided conflicting information regarding the above allegation. The client directly involved would not provide a statement and one of the staff members directly involved in conducting the restraint no longer works at the facility and was not available for an interview. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Rachel A Bruce LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: ELITE FAMILY SYSTEMS, INC- BLAKER HOMEFACILITY NUMBER: VISIT DATE: 01/03/2022

met_with: John Henrich, Facility Manager


raw_content:
Investigation Findings:
13On February 3, 2022, Licensing Program Analysts (LPA) Rachel Bruce conducted a follow up complaint inspection at the Elite Family Systems Administrative Office and met with Bill Sneed, Administrator. The purpose of the meeting was to discuss the finding on the above allegation. On November 22, 2021 the above allegation was referred to Community Care Licensing for investigation. The investigation included an inspection of the facility, interviews with the staff, clients and also included a review of the client's records. The investigation revealed that an incident of inappropriate interaction between clients occurred, however LPA is unable to determine if the interaction occurred as a result of lack of supervision. Although the allegation happened or is valid, there is not a preponderance of evidence to prove a supervision violation occurred. Therefore, the allegation is deemed to be UNSUBSTANTIATED at this time. A copy of this report was discussed and provided to the Agency along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Rachel A Bruce LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

met_with: Bill Sneed, Administrator


raw_content:
Investigation Findings:
13On February 11, 2022, Licensing Program Analyst (LPA) Rachel Bruce conducted a follow up complaint inspection at the Elite Family Systems Administrative office and met with Bill Sneed, Administrator. The purpose of the meeting was to discuss the finding on the above allegation. On November 22, 2021, the above allegation was referred to Community Care Licensing for investigation. The investigation included an inspection of the facility, interviews with the staff, clients, and also included a review of the client's records. The investigation revealed that an incident of inappropriate interaction between clients occurred, however based on conflicting information received during the investigation LPA Bruce is unable to determine if the interaction occurred as a result of lack of supervision. Although the allegation happened or is valid, there is not a preponderance of evidence to prove a supervision violation occurred. Therefore, the allegation is deemed to be UNSUBSTANTIATED at this time. A copy of this report was discussed and provided to the Agency along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Rachel A Bruce LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Rachel Bruce conducted a follow up complaint inspection at Elite Family Systems- Blaker Home and met with Bill Sneed, Administrator for the purpose of delivering the findings for the above complaint allegations. On February 4, 2022, the above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the STRTP, interviews with staff and clients as well as review of the client records. The complaint alleged that the Staff Social Worker had intimidated and threatened a client who was non-cooperative during an interaction. The staff and foster children (FC) interviewed provided conflicting information regarding this issue. Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegation that staff violated a client's personal rights is UNSUBSTANTIATED at this time. A copy of this report was discussed and provided to _______________ along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Rachel A Bruce LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Daiquiri Boyd conducted a follow-up complaint inspection with the Short Term Residential Theraputic Program (STRTP) and met with Heather Tearney. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, LPA Boyd conducted confidential interviews. The interviews revealed that one client observed bully behavior, but staff intervenes. No clients felt bullied. Although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove the above allegation; therefore, the allegation is unsubstantiated. LPA provided a copy of the report to the STRTP. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Daiquiri Boyd LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

met_with: Heather Tearney


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Rachel Bruce conducted a complaint inspection at Short Term Residential Treatment Program (STRTP) Elite Family Services Blaker Home for the purpose of delivering the findings of the above complaint allegations. LPA Bruce met with Heather Tearney, Case Manager. During the investigation, LPAs Daiquiri Boyd and Rachel Bruce inspected the facility, reviewed staff and client files, and conducted confidential interviews which revealed that staff used inappropriate language with the clients in care and additionally, knowingly caused emotional and mental distress and/or abuse to clients. Based on LPA's observations, confidential interviews and records review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations 87072(c)(11) Personal Rights is cited on the attached LIC 9099D. LPA provided a copy of this report to the STRTP. An exit interview was conducted and a copy of the Appeal Rights were provided to the STRTP. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Rachel A Bruce LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: ELITE FAMILY SYSTEMS, INC- BLAKER HOMEFACILITY NUMBER: 507001666

met_with: Heather Tearney, Case Manager


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to Elite Family Systems Blaker Home and met with Tyler Ayala to deliver findings of investigation. Investigator Ruben Munoz conducted investigation that included review of documentation and confidential interviews and based on the information received, Investigator Munoz found a preponderance of the evidence that the allegation occurred. Allegation is substantiated and this facility is being cited for violation of STRTP Interim Licensing Standards section 87072(c)(1) Personal Rights. Copy of this report, deficiency citation, LIC Confidential Names and LIC Appeal Rights left at the facility at conclusion of inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: ELITE FAMILY SYSTEMS, INC- BLAKER HOMEFACILITY NUMBER: 507001666

met_with: Tyler Ayala

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) and Licensing Program Analyst Danny Macias(LPA) traveled to Elite Family Services offices and met with Bill Sneed to deliver findings. CS and LPA reviewed allegations of complaint with Mr. Sneed. LPA Daiquiri Boyd conducted investigation that included review of documentation and confidential interviews. Based on the information obtained a preponderance of the evidence revealed the allegations occurred and are substantiated. This facility is being cited for violation of Interim Licensing standards version Short Term Residential Treatment Program section 87072(c)(1) Personal Rights, and 87095.69(a)(1) Emergency Interventions. Copy of this report, citations, LIC Confidential Names, and LIC Appeal Rights left at the agency at conclusion of inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: ELITE FAMILY SYSTEMS, INC- BLAKER HOMEFACILITY NUMBER: 507001666


summary: Facility Evaluation

raw_content:
Narrative:
Complaint Specialist C.K. Kinney(CS) traveled to Elite Family Systems offices to conduct an annual inspection of this facility. CS met with Bill Sneed to conduct the inspection. CS conducted entrance interview, reviewed 5 client and 3 staff files. All required documents are in all of the clients files. CS also traveled to Blaker Home to conduct inspection of the facility. The home is licensed to serve six clients. Currently in placement are five clients. CS toured the facility and observed it to be clean, safe, sanitary and in good repair. CS observed the facility license, the menu, client's personal rights, and other forms posted on the walls throughout the facility. The facility was free of pests. CS interviewed 5 clients and three staff. There are no weapons at the facility. No deficiencies were cited during this inspection. Exit interview conducted and a copy of the report was left at the facility.

met_with: Bill Sneed and Tony Keye


summary: Facility Evaluation

raw_content:
Narrative:
On October 17, 2022, Licensing Program Analyst (LPA) Daiquiri Boyd visited the Short Term Residential Therapeutic Program (STRTP) for the purpose of conducting an Annual Inspection. LPA Boyd was met by Case Manager Heather Tearney. LPA Boyd completed a review of client files, medication, and medication logs. Staff interviews were conducted. Some client interviews were conducted. This facility has no bodies of water.


summary: Facility Evaluation

raw_content:
Narrative:
On October 20, 2022, Licensing Program Analyst (LPA) Daiquiri Boyd, visited the Short Term Residential Therapeutic Program (STRTP) Elite-Blaker Home for the purpose of continuing an Annual Inspection. LPA Boyd was met at the facility by Case Manager Heather Tearney and Facility Administrator Tony Keye. LPA Boyd observed fresh food in the refrigerator to last three days. Blaker Home had enough non-perishables to last three weeks. Water temperature was at 110.6 degrees Fahrenheit. Carbon monoxide detectors and smoke alarms were operable. There are no firearms on the premises. All chemicals were locked in cabinets above the washer and dryer area, away from food. Fire extinguisher was checked and observed to have passed inspection by attached tag. Temperature in Blaker Home was at 75 degrees Fahrenheit. All beds and bedding were found to be clean and in good repair. All common areas of the home were found to be clean with comfortable furnishings. All outside areas of the home were found to be in good repair with no visible concerns. All windows opened and had screens that were free of tears. LPA observed the Emergency Evacuation Plan and the Restraint Log binder. Deficiency was cited on this date under Physical Plant. Client bathroom has no paper towels and the shower curtain is stained and torn.

met_with: Tony Keye


summary: Facility Evaluation

raw_content:
Narrative:
On November 4, 2022, Licensing Program Analyst (LPA) visited Blaker Home for the purpose of having amended documents signed. LPA met with Heather Tearney. LPA Boyd requested to see the extra food storage shed that was on the premises and did an inspection of the shed and the contents. There was ample food to supply all four Elite homes, both canned and frozen food supply.


summary: Facility Evaluation

raw_content:
Narrative:
On 12/01/2022, Licensing Program Analyst (LPA) Jessica Rodriguez traveled to Elite Family Systems - Blaker Home in Ceres, CA to conduct an announced SB Psychotropic Medication Inspection at 10: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA met with Facility Administrator, Tony Keye. At 10: AMLPA reviewed 5 client's files. At 12: PM LPA reviewed 5 client's medications and medication records. At 12: PM LPA inspected the facility inside and out. LPA observed all medication, knives, and disinfectants locked. All medications were stored in a lock container inside a locked cabinet. All required documentation was posted and accessible for both staff and client's review. The facility was clean and in good sanitary condition. Each client was provided a bed, linens, and storage space in their bedrooms. The facility had 3 days of perishables and 7 days of non-perishable. The facility's refrigerator, freezer, and water temperature were all at a safe range. The front and back outdoor areas where free from dangers and hazards. At 12: PM LPA reviewed 1 staff file on site at the facility. At 1: PM LPA interviewed 2 staff on site to discuss the facilities policies and procedures of operation. At 1: PM LPA reviewed 1 staff file on site at the facility. LPA conducted an exit interview with Administrator, Tony Keye at 1:45PM. All 5 clients currently prescribed psychotropic medication will be interviewed at a later date/time. No deficiencies were observed and cited on today's visit. A copy of this report was left with Tony Keye at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On 12/20/22, Licensing Program Analysts (LPA) Daiquiri Boyd and Briana Placencia made a visit to the office of Elite Family Services for the purpose of reviewing the staff files. Five staff files were reviewed on this date. A citation was issued on this date.

met_with: Tammy Scoffield


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Daiquiri Boyd visited the Short Term Residential Therapeutic Program (STRTP) on March 21, 2023, for the purpose of interviewing a client in care. LPA met with Administrator Tony Keye.


summary: Facility Evaluation

raw_content:
Narrative:
On June 1, 2023, Licensing Program Analyst (LPA) Daiquiri Boyd conducted an unannounced Required Inspection at Elite Family Systems Blaker Home. LPA was met by Case Manager Heather Tearney. Heather informed LPA that Administrator Tony Keye is out sick on this day. Signatures were provided by John Henrich. LPA toured the facility inside and out. LPA observed water temperature to be within regulation at 114 degrees Fahrenheit. The facility is maintained at a comfortable temperature of 72 degrees Fahrenheit. All trash cans are covered. Smoke alarms were observed and tested and found to be in working order. Centrally stored medications are maintained in a locked box within a locked cabinet. There is a dedicated refrigerator that stores diabetic medication for one client, locked in the office. Sharps and toxic chemicals are kept locked. Fire extinguisher is properly charged and was last serviced December 1, 2022. Individual beds were observed with appropriate clean linens and are in good repair. Closet space for hanging clothes was adequate and drawers were provided There is at least one week supply of nonperishable and a two day supply of perishable foods. Facility has cameras in common areas of the facility. No firearms or weapons are allowed in the facility. LPA completed 5 client interviews and 2 staff interviews on this day. Citations were issued on this day. LPA will complete this inspection at a later time. A copy of this report was left at the facility.

met_with: John Henrich


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On June 2, 2023, Licensing Program Analyst (LPA) Daiquiri Boyd made an unannounced visit to the Short Term Residential Therapeutic Program (STRTP) Elite Family Systems Blaker Home. The purpose of this visit was to continue a Required Inspection. LPA was met by Administrator Tony Keye. LPA Boyd reviewed six client binders and found them all to be complete. LPA reviewed client medications and found there to be errors in three of the clients medications and a citation was issued. Restraint Log was reviewed and found to be missing some information. LPA issued a Technical Violation regarding the Restraint Log. LPA Boyd reviewed the policy for Incident Reporting with Tony Keye and found that some incidents were written up on an Incident Report (IR) and placed in client files , but there was no IR sent to Licensing. LPA issued a citation. A copy of this report was left with the facility. LPA will complete this inspection on another day.

Deficiencies:
87070: (13) A separate log for each psychotropic medication prescription to a childdocumenting all of the following: (G) Documentation of each refusal. (1) Documentation shall include the name of the medication refused, date and time of the refusal, the reason for the refusal, who was notified of the refusal, and any observed results of the refusal.

title: (b)The following information regarding the child shall be obtained and maintained int eh child's record


summary: Facility Evaluation

raw_content:
Narrative:
On June 5, 2023, Licensing Program Analyst (LPA) Daiquiri Boyd made an unannounced visit to the Elite Family Systems main office located at 2935 4th Street Ceres, CA 95307 for the purpose of reviewing facility staff files. LPA Boyd was greeted by Tammy Scoffield Bill Sneed was available for discussion regarding citations previously issued and ongoing facility operations. LPA asked for current LIC500, it was provided by John Sahardi. LPA reviewed logged staff training. LPA found one staff #10 to be in pending status and not having a cleared background check. Citation and Civil Penalty was issued. LPA will complete this inspection at a later date.

met_with: Bill Sneed


summary: Facility Evaluation

raw_content:
Narrative:
On June 13, 2023, Licensing Program Analyst (LPA) Daiquiri Boyd visited the office of Elite Family Systems for the purpose of completing the Annual Inspection. LPA was met by John Sahardi. LPA Boyd issued a Deficiency on this date for 87022. Program Statement. Licensee needs to update the Program Statement where it pertains to Discipline Policies. LPA left a copy of this report, deficiency page, and Appeal Rights.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Daiquiri Boyd made an unannounced visit to the STRTP Blaker Home and reviewed files and incident reports(IR) that had been submitted to Licensing. LPA and Administrator Tyler Ayala reviewed IRs dated 4/14 for C1. IR dated 4/7 for C2. IR dated 4/12 forC2. IR dated 4/12 for C IR dated 4/14 for C IR dated 4/11 for C4 0000464-FN 0000462-FN 0000461-FN


summary: Facility Evaluation

raw_content:
Narrative:
On May 29, Licensing Program Analysts (LPA) Daiquiri Boyd and Charles Kinney, made an unannounced visit to the main office of Elite Family Systems Blaker Home Short Term Residential Therapeutic Program (STRTP) and met with Licensee Bill Sneed Jr. and Administrator Tyler Ayala. On complaint control number 24-CR-20240207160938, an allegation of a personal rights violation was SUBSTANTIATED by Licensing. The facility was cited for ILS 87072(c)(1) on April 10, 2024. Due to client suffering serious bodily injury, an enhanced civil penalty is being assessed. The complaint alleged that the facility staff S4 did not use an appropriate restraint on client, causing injury of a broken wrist to client C1. See confidential names list LIC Based on the findings from the medical reports and Investigation Branch, the Department has determined that an enhanced civil penalty is warranted for the facility. Pursuant to the Enhanced Civil Penalty law, H&S Code section 1548 (f)(1)(C)(i), the Department will be issuing an immediate civil penalty of $2,500.00. An exit interview was completed, and appeal rights discussed. A copy of this report, the Confidential Names List, Appeal Rights and a Civil Penalty Assessment - Serious Bodily Injury/Physical Abuse (Form 421-D) were provided to the Administrator and Licensee. The signed copy will be retained in the facility file.


summary: Facility Evaluation

raw_content:
Narrative:
On May 29, Licensing Program Analysts (LPA) Daiquiri Boyd and Charles Kinney, made an unannounced visit to Elite Family Services, Inc. Blaker Home for the purpose of an Annual Inspection for the Short Term Residential Therapeutic Program. LPAs were met by Administrator Tyler Ayala LPAs were informed that there are three children in placement. Two clients were interviewed on this day, as well as one staff. LPA provided Administrator with Entrance Checklist. LIC500 was provided to LPA, as well as the emergency disaster plan, register of clients, and the monthly record of fire drills. There is no swimming pool at this facility. FFA was found to have locked cabinets for their staff and client files. Locked cabinets for chemicals and washing agents. Fire Extinguisher was found and was valid. LPA found menus on the refrigerator. Sharps and knives were found to be in a locked drawer. Elite FFA has one Administrator, one Social Worker, one case worker, and once clinician.


summary: Facility Evaluation

raw_content:
Narrative:
On June 6, Licensing Program Analyst (LPA) Daiquiri Boyd went to the Short Term Residential Therapeutic Program (STRTP) Elite Blaker Home to continue the Annual Inspection. LPA Boyd found no one to be at the home and called Administrator Tyler Ayala to find out when someone would be at the home. Tyler advised LPA that the clients are in summer school and he isn't scheduled to be in until 1:00 pm. LPA Boyd traveled to the main office of Elite to review staff files for the Blaker Home. LPA was met at Elite main office by Licensee Bill Sneed. LPA Boyd and Licensee discussed the plan for the next week for the Blaker Home as the movement of clients and staff continue. LPA Boyd advised Licensee to email Licensing Program Manager (LPM) Juanita Arroyo to report the tentative plans for Elite Blaker Home. Licensee reported to LPA Boyd that he would email LPM Arroyo. LPA Boyd spoke with Tammy Scoffield and received copies of the LIC 500 for Blaker Home, as well as the staff files for all staff still assigned to the Blaker Home. Staff are accounted for on attached LIC 859. LPA Boyd traveled to Elite Blaker Home to review client files. There are currently two clients at this home. LPA to continue this inspection at a later date. no deficiencies at this time.

met_with: Tyler Ayala/Bill Sneed


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Joel Segura conducted an announced inspection to the facility for the purpose of conducting a psychotropic medication inspection. LPA Segura met with executive director Bill Smeed and both toured the facility. The STRTP is licensed to serve six clients, ages 7 - 17 years old and non-minor dependents. Currently in placement are five clients. All of whom are taking psychotropic medication and subject to this inspection. At approximately 10:15am LPA Segura began to review three staff files. At approximately 10: LPA switched to review client files with the arrival of the administrator Tony Keye. In the course of reviewing client files, LPA Segura observed that none of the client ANSP (Assessment Needs and Services Plans) indicate which mental health services the child should be receiving. LPA Segura observed that C4 had a court authorization document which expired on 08/14, the facility indicates that they have been attempting to obtain the current court authorization from the county social worker. No deficiency issued at this time. Interviews were conducted with Administrator and Facility Manager at 1:45pm. One interview was attempted with C5 (see confidential Names list, LIC 811 dated 08/31/2021); however, the child ended interview. Continued on 809c Interviews were conducted with C1 and C2 at approximately 3: A review of Guardian on August 31, 2021 indicates that the three staff who's files were reviewed on todays inspection were associated to the facility and had criminal record clearances. Per Title Regulations, deficiencies were cited during this inspection. A follow up inspection is required at a future date. Exit interview conducted, appeal rights discussed and a copy of the report was left at the facility with Tony Keye.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
Licensing Program Analyst (LPA) Joel Segura conducted an announced inspection to the facility for the purpose of conducting a psychotropic medication inspection. LPA continued this inspection from 08/31/2021. LPA Segura met with staff Mimi Kaur to begin the inspection and was met shortly after by the administrator Tony Keye. The STRTP is licensed to serve six clients, ages 7 - 17 years old and non-minor dependents. Currently in placement are five clients. All of whom are taking psychotropic medication and subject to this inspection. On Todays inspection LPA (Licensing Program Analyst) conducted an interview with C3 (Child See confidential Names list, LIC 811 dated 08/31/21). During todays inspection LPA toured the home inside and out with the administrator at around 9:45am. At approximately 10:30am LPA Segura and administrator Tony Keye began the medication count for the clients in placement. In the course of conducting medication counts LPA Segura found that counts for Clients 1, 2, 3 and 5 were found to be in compliance. However, count for C4 was found to have an extra 30 pills that were not accounted for in the centrally stored log or the PMAR. Continued on 809c In the course of medication counts LPA and administrator also found that C5 is being administered M3 (Medication 3, see confidential names list LIC 811 dated 9/2/2002). The facility does not have documented court authorization for this medication or emergency authorization. This medication was not found during the initial inspection on 08/31/2021. The administrator stated the child was prescribed the medication on an emergency basis due to behavioral issues. See Technical Violation Advisory note LIC 9102. Per Title Regulations, deficiencies were cited during this inspection. Exit interview conducted, appeal rights discussed and a copy of the report was left at the facility with Tony Keye.

Deficiencies:
80075: Based on observation and record review the licensee failed to keep accurate record1
2
3
4
5
6
7Plan of Correction is due on 09/03.

title:
1
2
3
4
5
6
7(k)(7)	The licensee shall ensure the maintenance, for each client, of a record of centrally stored prescription medications... This requirement is not met as evidenced by


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Jessica Rodriguez on October 19, 2023, at 9:00A.M. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Rodriguez met with Tony Keye, Administrator and inspected the facility inside and out. LPA reviewed 3 of 3 child's records and 2 of 2 staff personnel files on site at the facility. LPA reviewed 3 of 3 child's psychotropic medications and medication records. LPA interviewed 2 of 2 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 0 of 3 client currently prescribed psychotropic medication. One client was present at the facility and refused to be interviewed. The other two clients are currently in school. During the inspection the LPA observed two deficiencies (see attached 809D), plan of corrections were discussed and appeal rights were provided. LPA provided a copy of this licensing report to Tony Keye, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On October 25, 2023, Licensing Program Analyst (LPA) Daiquiri Boyd visited the Short Term Residential Therapeutic Program (STRTP) Elite Blaker Home for the purpose of a Case Management visit after a review of Incident Reports. Upon arriving at the home, LPA Boyd was greeted by Facility Manager Roy Wiley. LPA was told Administrator Tony Keyes was in a meeting and would arrive later, possibly after lunch. LPA Boyd found the following Incident Reports to be incomplete and not contain the required information: 6/5/23 for C1, the report is incomplete, more details are needed 6/10/23 for C2, the report is incomplete, more details are needed 6/11/23 for C3, the report is incomplete, more details are needed 6/12/23 for C3, the report is incomplete, more details are needed 7/4/23 for C4, the report is incomplete, more details are needed 8/27/23 for C5, the report is incomplete, more details are needed 8/28/23 for C5, the report is incomplete, more details are needed 9/23/23 for C6, the report needs more details, this was Law Enforcement and not on LIC 624LE or a report with the required information. On Incident Report dated 6/10/23, client C2 was told that his boundaries will be reinforced through education of the point and zone system. On Incident Report dated 6/8/23, client C2 was told he will lose points for making inappropriate statements and not following staff directions. LPA Boyd discussed incident reports with Administrator. Deficiencies were cited on this date for Reporting Requirements and Personal Rights. A copy of this report was left with the facility.

met_with: Tony Keyes


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Daiquiri Boyd made an unannounced visit to the Short Term Residential Therapeutic Program (STRTP). LPA requested to see the Manual Restraint Log for the facility and found that there were no restraints documented on this log. Upon reviewing submitted Incident Reports, it was found that there were restraints on clients on February 5, 2024 (C3), December 4, 2023 (C1), August 28, 2023 (C3), August 27, 2023 (C3), and July 4, 2023 (C2). STRTP was cited Type B deficiency on this date CCR 87095.61(g) for incomplete Manual Restraint log.

met_with: Roy Wiley


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Daiquiri Boyd visited Elite Family Systems main office on February 23, 2024. During my visit, LPA Boyd reviewed staff files for Blaker Home. Staff files contained loose documents in folders and were in no order. LPA requested that all staff files be placed in binders and tabbed as to the contents of each section. LPA Boyd obtained the LIC500 for Blaker Home. Ten staff files were reviewed, which included a recently terminated staff. Seven of ten staff were found to have expired CPI training. Proof of certification of the CPI trainer is found to be expired. Deficiency cited on this date, ILS Emergency Intervention Staff Training 87095.65(c) and ILS 87095.65(e). See LIC859 for list of staff files reviewed. Appeal rights were given to Licensee, along with a copy of this report and the LIC859. John Sarhadi, CFO, signed for these documents today.


facility_name: ELITE FAMILY SYSTEMS, INC- SCOFFIELD HOME

raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to Elite Family Systems offices and met with Bill Sneed and Tammy Scoffield to deliver findings of investigation. CS conducted investigation that included review of documentation, interviews of staff, clients and witnesses. Due to insufficient information and inconsistencies in the information obtained a preponderance of the evidence could not be found the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. No deficiencies observed or cited. Copy of this report and LIC Appeal rights left with Mr. Sneed at conclusion of inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

met_with: Bill Sneed and Tammy Scoffield


raw_content:
Investigation Findings:
13On July 18, 2022, Licensing Program Analyst (LPA) Rachel Bruce conducted an unannounced visit to the Elite - Scoffield Home in order to deliver the findings of the above allegation and met with Stacy Catanzarite, Case Manager. On April 19, 2022 the above allegation was referred to Community Care Licensing for investigation. The investigation included an inspection of the facility, confidential interviews, and a review of facility and foster children's records. The complaint alleged that lack of supervision resulted in inappropriate interactions between clients. Although the allegation may have happened or may be valid, based on confidential interviews there is not a preponderance of evidence to prove the allegation occurred. Therefore, the allegation that there was lack of supervision is UNSUBSTANTIATED at this time. A copy of this report was discussed and provided to Stacy Catanzarite along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Rachel A Bruce LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

met_with: Stacy Catanzarite, Case Manager


raw_content:
Investigation Findings:
13On August 31, 2022, Licensing Program Analyst (LPA) Rachel Bruce conducted a follow up complaint inspection to Elite Family Systems- Scoffield Home and met with Administrator, Richard Padilla. The purpose of the inspection was to deliver the findings for the above complaint allegations. Based on confidential interviews, and file documentation review for both clients and staff, it was determined that staff did not refill a client's psychotropic medication nor did staff ensure that the same client received psychiatric care. It was also determined that staff did not report incidents regarding this client to Community Care Licensing. Based on the information obtained, there is a preponderance of the evidence to prove the above allegations are substantiated. Deficiencies were cited. A copy of the report was provided to the agency along with appeal rights. On 10/4/ LPA Bruce arrived at Scoffield Home to amend the deficiency page (changing Regulation Code) No other chages were made. Signing the amended documents on today's date is Janelle Sicairos, Mental Health Rehab Specialist/Social Worker. Copies of the amended document were provided to the facility. On 10/20/ LPA Bruce arrived at Scoffield Home to amend the deficiency page (changing Regulation Code) No other chages were made. Signing the amended documents on today's date is Richard Padilla, Administrator. Copies of the amended document were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Rachel A Bruce LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: ELITE FAMILY SYSTEMS, INC- SCOFFIELD HOMEFACILITY NUMBER: 507003353

met_with: Richard Padilla, Administrator


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Daiquiri Boyd conducted a follow-up complaint inspection to the Short Term Residential Therapeutic Program (STRTP) and met with Janelle Sicairos. The purpose of the inspection was to deliver the findings for the above complaint allegation regarding the staff handled minor in an inappropriate manner. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews. The information obtained during the interviews, indicated that the staff FS12 twisted a clients hand behind his back and pushed him to the floor.. Type A: This poses an immediate health and safety risk to clients in care. Based on the LPA's observations, interviews, and the records review conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be substantiated. A copy of the report and Appeal Rights was provided to the STRTP. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Daiquiri Boyd LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: ELITE FAMILY SYSTEMS, INC- SCOFFIELD HOMEFACILITY NUMBER: 507003353

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

met_with: Janelle Sicairos


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Daiquiri Boyd conducted a follow-up complaint inspection with the Short Term Residential Theraputic Program (STRTP) and met with Janelle Sicairos . The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation, LPA Boyd conducted confidential interviews. The interviews revealed that there is no consistent consensus as to whether the allegations listed above happened or didn't happen. Although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove the above allegation; therefore, the allegation is unsubstantiated. LPA provided a copy of the report to the STRTP. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Daiquiri Boyd LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Daiquiri Boyd conducted a follow-up complaint inspection to the Short Term Residential Therapeutic Program (STRTP) and met with Janelle Sicairos. The purpose of the inspection was to deliver the findings for the above complaint allegations regarding the staff not treating the clients with respect and the discipline policies are not trauma informed. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews. The information obtained during the interviews, indicated that staff would speak about clients in front of other clients in a demeaning manner. Review of policy and confidential interviews found that discipline policies are positively based and are not trauma-informed. Type A: This poses an immediate health and safety risk to clients in care. Based on the LPA's observations, interviews, and the records review conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be substantiated. A copy of the report and Appeal Rights was provided to the STRTP. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Daiquiri Boyd LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: ELITE FAMILY SYSTEMS, INC- SCOFFIELD HOMEFACILITY NUMBER: 507003353

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


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Daiquiri Boyd conducted an unannounced visit to the Short Term Residential Therapeutic Program (STRTP) Elite Scoffield Home to deliver the findings of the above allegation and met with MHRS, Janelle Sicairos. The above allegations were referred to Community Care Licensing for investigation. The investigation included confidential interviews and a review of facility and foster children's records. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are UNSUBSTANTIATED at this time. A copy of this report was discussed and provided to STRTP along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Daiquiri Boyd LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


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Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to Elite Scoffield Home and met with Janelle Sicairos to deliver findings of investigation. CS conducted investigation that included review of documentation and confidential interviews. Due to inconsistencies in the information obtained a preponderance of the evidence could not be obtained. Although the allegations may or may not have occurred, without a preponderance of the evidence the allegations are deemed Unsubstantiated. No deficiencies observed or cited. Copy of this report and Appeal Rights left at the facility at conclusion of inspection UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


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Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to Elite Family Systems offices and met with Bill Sneed to deliver findings of investigation. Investigator Jauregui conducted investigation that included review of documentation and confidential interviews. Due to inconsistencies in the information received a preponderance of the evidence could not be obtained. Although the allegations may or may not have happened without a preponderance of the evidence allegation is deemed unsubstantiated. No deficiencies observed or cited during this inspection. Copy of this report and LIC Appeal Rights left at the agency at conclusion of inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


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Investigation Findings:
13On July 17, 2025, Licensing Program Analyst (LPA) Danny Macias and Complaint Specialist (CS) Charles Kinney conducted a complaint inspection at the STRTP and met with Facility Manager (FM) Tyler Ayala. The purpose of the inspection was to deliver the findings of the above complaint allegation. LPA and Investigator Nancy Saechao conducted investigation that included review of documentation and confidential interviews. Due to inconsistencies in the information obtained, a preponderance of the evidence could not be obtained. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted and a copy of this report was left with Tyler Ayala. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Danny Macias 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 03/25/2025 and conducted by Evaluator Danny Macias PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:ELITE FAMILY SYSTEMS, INC- SCOFFIELD HOMEFACILITY NUMBER: ADMINISTRATOR:RICHARD PADILLAFACILITY TYPE: ADDRESS: URANUS DRIVETELEPHONE: (209) 538- CITY:CERESSTATE: CAZIP CODE: CAPACITY:6CENSUS: 5DATE: 07/17/ UNANNOUNCEDTIME BEGAN: 10: AM MET WITH:Tyler AyalaTIME COMPLETED:11: AM 9Staff did not prevent inappropriate interaction between minors in care Staff did not prevent inappropriate behaviors between minors INVESTIGATION FINDINGS: 13On July 17, 2025, Licensing Program Analyst (LPA) Danny Macias and Complaint Specialist (CS) Charles Kinney conducted a complaint inspection at the STRTP and met with Facility Manager (FM) Tyler Ayala. The purpose of the inspection was to deliver the findings of the above complaint allegations. LPA, CS and Invetigator Nancy Saechao conducted investigation that included review of documentation and confidential interviews. Based on the informatin obtained, a preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. An exit interview was conducted and a copy of this report was left with Tyler Ayala. This facility is being cited for violation of Title Division Chapter Article Section 80078(a) Responsibility for providing care and supervision. A copy of this report, deficiency citation, LIC SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Danny Macias 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: ELITE FAMILY SYSTEMS, INC- SCOFFIELD HOMEFACILITY NUMBER: 507003353


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Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) and Licensing Program Analyst Danny Macias traveled to Elite Scoffield Home and met with Tyler Ayala to deliver findings of investigation. CS and Investigator Nancy Saechao conducted investigation that included review of documentation and confidential interviews. Due to inconsistencies in the information obtained a preponderance of the evidence could not be obtained. Although the allegations may or may not have occurred, without a preponderance of the evidence the allegations are deemed Unsubstantiated. Copy of this report and Appeal Rights left at the facility at conclusion of inspection UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 03/27/2025 and conducted by Evaluator Charles Kinney PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:ELITE FAMILY SYSTEMS, INC- SCOFFIELD HOMEFACILITY NUMBER: ADMINISTRATOR:RICHARD PADILLAFACILITY TYPE: ADDRESS: URANUS DRIVETELEPHONE: (209) 538- CITY:CERESSTATE: CAZIP CODE: CAPACITY:6CENSUS: 4DATE: 07/17/ UNANNOUNCEDTIME BEGAN: 10: AM MET WITH:Tyler AyalaTIME COMPLETED:11: AM 9Youth was sexually assaulted by another youth while in care. INVESTIGATION FINDINGS: 13Complaint Specialist C.K. Kinney(CS) and Licensing Program Analyst Danny Macias (LPA) traveled to Elite Scoffield Home and met with Tyler Ayala to deliver findings of investigation. CS, LPA and Investigator Nancy Saechao conducted investigation that included review of documentation and confidential interviews. Based on the information obtained a preponderance of the evidence was found and the allegation is substantiated. This facility is being cited for violation of Title Division Chapter Article Section 80078(a) Responsibility for providing care and supervision. Copy of this report, deficiency citation, LIC Confidential Names and LIC Appeal Rights left at the facility at conclusion of inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: ELITE FAMILY SYSTEMS, INC- SCOFFIELD HOMEFACILITY NUMBER: 507003353


summary: Facility Evaluation

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Narrative:
Complaint Specialist C.K. Kinney(CS) and Licensing Program Analyst Priscilla Zamudio(LPA) traveled to Elite Family Systems offices to conduct an annual inspection of this facility. CS met with Bill Sneed to conduct the inspection. CS conducted entrance interview, reviewed 6 client and 3 staff files. All required documents are in all of the clients files. CS also traveled to Banyan Home to conduct inspection of the facility. The home is licensed to serve six clients. Currently in placement are five clients. CS toured the facility and observed it to be clean, safe, sanitary and in good repair. CS observed the facility license, the menu, client's personal rights, and other forms posted on the walls throughout the facility. The facility was free of pests. CS interviewed clients and three staff. There are no weapons at the facility. No deficiencies were cited during this inspection. Exit interview conducted and a copy of the report was left at the facility.


summary: Facility Evaluation

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Narrative:
On 09/19/2022, an unannounced annual inspection was conducted by Licensing Program Analyst (LPA) Daiquiri Boyd. LPA was met at the Short Term Residential Therapeutic Program (STRTP) office by day care manager Ken Patton and Brandon Smith. Physical plant, staff and client interviews were conducted. This inspection is to be completed at a later date. Deficiencies were issued on this date

met_with: Ken Patton


summary: Facility Evaluation

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Narrative:
On September 20, 2022, Licensing Program Analyst (LPA) Daiquiri Boyd continued the Annual Inspection and was met by the House Supervisor, Richard Padilla. LPA reviewed client files and completed staff interviews on this date. Deficiencies cited on this date. Inspection to be completed on a later date.

met_with: Richard Padilla


summary: Facility Evaluation

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Narrative:
On 10/06/2022, Licensing Program Analyst (LPA) Daiquiri Boyd, went to the office of Elite Family Systems, Inc. to do a review of staff files and other documentation pertaining to the operations of the agency. LPA Boyd was met by John Sarhadi who assisted in retrieving files and documents. LPA Boyd sat with Agency Chief Operations Officer, Bill Sneed and discussed Board of Directors meetings and plans for employees training. Deficiency was given on today's visit.


summary: Facility Evaluation

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Narrative:
On November 4, 2022, LPA Boyd made a visit to Scoffield Home to have amended documents signed by Administrator Richard Padilla.


summary: Facility Evaluation

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Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Jessica Rodriguez on March 8, 2023 at 10:30AM. This case management inspection is conducted pursuant to Health and Safety Code 1538.9(a)(2). During the inspection, LPA met with Facility Manager, Brandon Smith and inspected the facility inside and out. LPA reviewed 2 child's records and 2 staff personnel files on site at the facility. LPA reviewed 2 child's psychotropic medications and medication records. LPA interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 1 child currently on psychotropic medication. The other client was attending court and unable to be interviewed on this date. LPA provided a copy of the licensing report to Facility Manager, Brandon Smith. No deficiencies are being cited at this time. LPA conducted exit interview with Brandon Smith, Facility Manager.

met_with: Brandon Smith


summary: Facility Evaluation

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Narrative:
On July 18, 2023, Licensing Program Analyst (LPA) Daiquiri Boyd made an unannounced visit to the Short Term Residential Therapeutic Program (STRTP) Scoffield Home for the purpose of an Annual Inspection. LPA was met on this day by Mental Health Resource Specialist (MHRS) Janelle Sicairos. Administrator Richard Padilla was not in on this day. MHRS advised LPA that a new client was coming and being admitted around 12:30 or 1:00 pm and she also had a scheduled CFT this afternoon. MHRS had additional staff to assist her. LPA toured the facility inside and out. Water temperature in the kitchen and the bathroom was at 115 degrees. Perishable and nonperishable food was within regulation requirements. The home is an older home and the kitchen cabinets are an older wood style. There are a few drawers in the kitchen that do not open easily and fall due to broken drawer glides. In general the home was in order. Staff was doing laundry and cleaning the rooms and vacuuming the carpets. There is a fireplace in the living room that is inoperable. There are whiteboards in the living area with client schedules and possible consequences. LPA viewed the client bathroom to be generally clean, but nothing seemed to be wiped down. There was toothpaste and spit in the sink, the counters had hair and hygiene products on it, the mirror was dirty with drips and spatter, the tub had soap or shampoo drips and there was a layer of dust around the rim. Staff bathroom had no paper towels and the trash can was overflowing. LPA reviewed one client file on this day. LPA to return to complete the inspection on another day.


summary: Facility Evaluation

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Narrative:
On July 19, 2023, Licensing Program Analyst (LPA) made an unannounced visit to the STRTP Scoffield Home for the purpose of continuing the Annual Inspection. LPA was met on this day by Administrator Richard Padilla. LPA discussed the results of the previous day's inspection with Administrator. Administrator provided LPA with LIC500. Administrator provided LPA with current fire clearance. LPA and Administrator discussed Emergency Evacuation Plans. Administrator provided LPA with Manual Restraint Log and LPA discussed the need to have a more detailed follow up and explanations on the log. Fire extinguishers were checked and were valid. A new LIC203A Facility License was printed for the facility as the old one was invalid. Medication binder was reviewed for all clients. No deficiencies were cited on this day. Annual will be continued on a later date.


summary: Facility Evaluation

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Narrative:
On August 22, 2023, Licensing Program Analyst, (LPA) Rachel Bruce arrived at Scoffield House to complete the annual inspection started on July 19, 2023 by LPA Daiquiri Boyd. LPA Bruce was greeted by House Administrator Richard Padilla. A quick tour of the facility was conducted while no clients were in the home. No obvious deficiencies noted. Please refer to the physical inspection completed by LPA Boyd. LPA Bruce conducted interviews with 5 staff members who were present in the facility. There were one client present upon arrival, with a current total census of 6 residents. The client present upon arrival is a new client who arrived 4 days ago and his sibling is arriving today to bring the total to 6. LPA Bruce was able to interview 4 clients. A review of 5 client records was conducted. There was no regulation violations. Medication storage and dispensing records were reviewed with no regulation violations noted. There was one refused medication dose to be destroyed from just four days ago. It was secured and will be taken to the main office for destruction at the end of the week. During an interview, a client noted that there were worms in the shower that scared him. LPA inspected tub area and could not see any. Staff confirmed that the problem was noticed on Sunday. Maintenance had been contacted and actually arrived during LPA's visit. No other issues brought forward by clients. Over the weekend, staff applied vinegar to the affected area. Staff files need to be reviewed at a later visit. They are located off site in the main office.

met_with: Janelle Sicairos, Mental Health Specialist


summary: Facility Evaluation

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Narrative:
On August 29, Licensing Program Analyst (LPA) Rachel Bruce made an unannounced visit to the main office of Elite Family Services for the purpose of continuing the Annual Inspection. LPA was met by office staff who provided the staff files, training documentation and provided a space to review the paperwork. LPA reviewed 7 staff files and staff training documentation. Documentation was appropriate and in alignment with regulations. LPA Bruce briefly met with Bill Sneed, Director to explain the purpose of the visit and to obtain signature

met_with: Bill Sneed, Director


summary: Facility Evaluation

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Narrative:
On August 29, 2023, Licensing Program Analyst (LPA) Rachel Bruce arrived at Shoffield for an unannounced inspection. LPA Bruce was greeted by Janelle Sicairos. The purpose of the inspection is to complete the annual which was started on July 18, 2023, by LPA Daiquiri Boyd. On today's date LPA Bruce had earlier completed staff file review at the Main Office and met with Bill Sneed, Director. There were no issues found with the files and no deficiencies were issued. Today's inspection at the home, included the second bathroom in the master bedroom. A client stated during his interview that the water was scalding in that bathroom and they were not allowed to use it. The temperature today measured within regulations. Staff indicated that the restroom is not utilized by staff unless there are no children present. It remains locked and the clients only utilize if there is an emergency and only if there are no clients present in the bedroom. There were no other issues to address during today's visit and no citations were issued. Annual is concluded.


summary: Facility Evaluation

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Narrative:
On 08/20/2024, Licensing Program Analysts (LPAs) Reyna Martinez conducted an unannounced case management for the above facility. Met by Richard Padilla, Administrator. On 03/28/2024, CCL Fresno Incidents received the written report of an incident that occurred on 03/23/2024 involving Client (C1) and Staff (S1) (See LIC811 dated 08/20/2024). The incident and medication requirements were discussed with Mr. Padilla and Mr. Padilla provided additional details for the incident. On 06/11/2024, CCL Fresno Incidents received the written report of an incident that occurred on 06/08/2024 involving Client (C2) (See LIC811 dated 08/20/2024). LPAs discussed restraints and procedures for talking to clients when they may be escalating behaviors and attempting to runaway. Mr. Padilla will gather the additional information needed and provide to LPAs. If further actions are needed LPA will address at a later time. There are no deficiencies to be cited on this date. A copy of this report is given to on this date.


summary: Facility Evaluation

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Narrative:
On December 2, 2024, Licensing Program Analysts (LPAs) Danny Macias, Melissa Renovato, Olivia Medran and Complaint Specialist (CS) C.K. Kinney conducted an unannounced required two year inspection at Elite Scoffield STRTP located in Ceres CA. LPAs and CS met with Facility Manager Desiree Castaneda, Richard Padilla and Jennifer Duarte. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 72 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced in June 5, 2024. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. STRTP was approved on 07/19/2023. The facility is accredited through CARF with accreditation through 01/31/2025, and they are approved through Alameda County Department of Behavioral Health through July 2025. . No firearms or weapons are observed in the facility. LPA reviewed 5 client files, and 5 staff files. LPAs interviewed 4 staff and 1 client. LPA discussed repairs needed for the fence, including a missing fence plank, a missing gate latch, a hole and a loose fence post not secured to the building. Deficiencies are being cited on today's visit, that include one Type A violation. Interim licensing standards Section 87087.2(a), Outdoor Activity Space (a) Children shall have access to safe outdoor activity space. A copy of this report, LIC Confidential Names, LIC Appeal Rights was left at the facility at the conclusion of today's inspection.

met_with: Desiree Castaneda, Richard Padilla, Jennifer Duarte


summary: Facility Evaluation

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Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Briana Placencia and Reyna Martinez on December 11, 2024, at 10: A.M. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Richard Padilla Administrator and inspected the facility inside and out. LPAs reviewed 4 child's records and 2 staff personnel files on site at the facility. LPAs reviewed 4 child's psychotropic medications and medication records. LPAs interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPAs interviewed no children currently on psychotropic medication as they were in school at this time. LPAs will attempt interview with children at a later time. LPAs provided a copy of the licensing report to Administrator, Richard Padilla. No deficiencies are being cited at this time. LPAs conducted exit interview with Richard Padilla, Administrator.


summary: Facility Evaluation

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Narrative:
On December 27, 2024, Licensing Program Analyst (LPA) Danny Macias continued a required annual inspection at Elite Scoffield STRTP in Ceres, CA. LPA met with Desiree Castaneda (S1.) LPA conducted one client interview. No deficiencies are being cited on today's visit. LPA left a copy of this report with S1 at the end of the visit.

met_with: Desiree Castaneda


summary: Facility Evaluation

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Narrative:
On June 4, 2025, Licensing Program Analysts (LPAs) Danny Macias and Melissa Renovato conducted an unannounced required two year inspection at Elite Scoffield STRTP located in Ceres CA. LPAs met with Program Director (PD) Jennifer Duarte. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 73°F. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced on June 1, 2025. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. STRTP was approved on 06/26/2020. The facility is accredited through CARF with accreditation through October 31, 2027. Per letter from Alameda County Behavioral Health Department dated June 2, 2025, the agency is approved through April 30, 2028. No firearms or weapons are in the facility per PD. LPAs reviewed 4 client files, and 5 staff files. LPAs interviewed two staff. LPAs discussed buildings and grounds, specifically client's bathroom sink drain stopper and client's bathroom cabinet. There is a Type B violation and a Technical Violation being cited on today's visit. A copy of the reports was left with Jennifer Duarte at the conclusion of today's inspection.

met_with: Jennifer Duarte


summary: Facility Evaluation

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Narrative:
On August 12, 2025, a Non-compliance conference was held at the Fresno Children's Residential Program, Fresno Office. Present with Community Care Licensing are Regional Manager Nelson Martinez, Licensing Program Manager Tamara Melikian, Licensing Program Manager Lourey Bartolome and Licensing Program Analyst Danny Macias. Present with Elite Family Services is Chief Operations Officer (COO) Bill Sneed and Program Director (PD) Jennifer Duarte. The purpose of the conference is to address deficiencies assessed at the facility and a plan for compliance. Facility will be training STRTP staff on incident reporting and implementing a process to submit incident reports in a timely manner. In addition, the services of the Technical Support Program and Systems of Care were offered and the licensee is interested in these support systems. A copy of this report was left with COO Bill Sneed


summary: Facility Evaluation

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Narrative:
On August 26, 2025, Licensing Program Analysts (LPAs) Danny Macias and Briana Placencia conducted an unannounced case management inspection at the above facility. LPAs met with Facility Supervisor Desiree Castaneda. Based on record review and interviews, the facility allowed C1 to have unsupervised phone calls with C1's parent. This was in violation to the current court order specifying that C1 is to only have supervised phone calls with C1's parent. The STRTP is being issued a Technical Violation under Title 22, 84072(d)(8) Personal Rights on today's visit. An exit interview was conducted, and a copy of the report and appeal rights were left with Desiree Castaneda at the conclusion.


summary: Facility Evaluation

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Narrative:
Complaint Specialist C.K. Kinney(CS) traveled to Elite Family Systems, Inc-Scoffield Home and met with Richard Padilla to conduct Case Management inspection, in order to assess an Enhanced Civil Penalty(ECP) . CS conducted entrance interview and reviewed details of substantiated complaint. On July 17, 2025, the Department concluded a complaint investigation for the STRTP. The allegation of Youth was sexually assaulted by another youth while in care was substantiated. Therefore the STRTP was cited for violation of Title Division Chapter Article Section 80078(a) Responsibility for Providing Care and Supervision. Pursuant to the Enhanced Civil Penalty law, H&S Code section 1548 (f)(1)(C)(i), the Department will be issuing an immediate civil penalty of $2,500.00. An exit interview was completed, and appeal rights discussed. A copy of this report, LIC Confidential Names List, LIC Appeal Rights and a Civil Penalty Assessment - Serious Bodily Injury/Physical Abuse (Form 421-D) were provided to at conclusion of inspection.


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst Danny Macias (LPA) traveled to Elite Scoffied STRTP and met with Program Director (PD) Jennifer Duarte to conduct Case Management Inspections related to incident report dated 8-28-25 (incident log 0002130-FN). LPA discussed Documentation and Reporting Requirements with staff. Two Technical Assistance for Documentation and Reporting Requirements are being issued on today's visit.


summary: Facility Evaluation

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Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Reyna Martinez on October 20, 2025, at 12: PM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA met with Alvaro Juarez, Administrator and inspected the facility inside and out. LPA reviewed 2 child's records and 2 staff personnel files on site at the facility. LPA reviewed 2 child's psychotropic medications and medication records. LPA interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 0 child currently on psychotropic medication, as children are in school. LPA will attempt to interview children at a later time. LPA provided a copy of the licensing report to Alvaro Juarez, Administrator. No deficiencies are being cited at this time. LPA conducted exit interview with Alvaro Juarez, Administrator.

met_with: Alvaro Juarez