summary: Facility Evaluation

raw_content:
Narrative:
On 07/27 2021 at 11: AM (LPA) Licensing Program Analyst Rosslyn Gray made an unannounced visit to Visions Adolescent Treatment Centers for the purpose to conduct Annual Required facility inspection. LPA-Gray met with the Administrator who granted access to the facility. The Visions Adolescent Treatment Centers is a therapeutic treatment program that is designed to accept "Private Placement's" for a length of 45 -90 days and is licensed to provide care supervision for six (6) children, ages 13-17 years; ambulatory only. The administrator states that there is no weapons or guns on the premises. LPA observed the follow during the inspection: LPA observed bodies of water (8 1/2 feet pool), a jacuzzi and a fenced and gated pool on the premises that meets the regulations. The fence is at least five feet high, the gate door to swing away from the pool, with self-close and self-latching device located no more than six inches from the top of the gate. All staff are trained in water safety certificates and monitor the clients swimming. The Program Aides transport clients to outside recreational activities and to other appointments. The outdoor perimeter (front yard, side yard and backyard) were inspected and found cleared of hazards materials. Outdoor activity space free of obstructions. All windows, screens and curtains from the inside and outside of the facility were observed to be in good condition. The facility is a two story Group Home in a residential neighborhood and it has four (4) client bedrooms 3 bathrooms, one (1) on the second floor study classroom with one (1) bathroom and two (2) therapy rooms, living room with non-working fireplace with a secure screen attached, kitchen, dining area with a six (6) chair dining table, family room, backyard, pool, attached car garage used as storage (food), Washer and dryer, locked chemicals and extra supplies. LPA observed coverage trash cans in the kitchen, bathroom and staff office. A detached administration office used as storage, therapy bungalow with two (2) offices, a Tennis court, gazebo, basketball, tennis court. LIC- Page 1 of There are a total of four (4) bedrooms, (Located on the on the 1st floor of the facility). Each bedroom is equipped with two (2) full size beds, a comfortable mattress, clean linen, blankets and pillows. There is one (1) walk in closet, adequate lighting, and the windows are slide locked, window screens and colored curtains observed to be in good condition. Bedroom #1: Currently occupied by one (1) Bedroom #2: Currently occupied by two (2) . Bedroom #3: Currently occupied by one (1) Bedroom #4: Currently occupied by two (2) . Bedroom #2 and Bedroom # The bedroom is a shared "Jack-N-Jill" bathroom connecting to bedroom#3. Occupied by only same gender clients. Laundry room (downstairs): There is a washer and dryer. Cleaning supplies and detergent are in locked in the chemical closet located in the garage that only staff have access. Classroom (upstairs): The room is used as the classroom for the clients. The room has individual desk for each client, laptops, and adequate lighting. Adjacent to the classroom in a small lounge area small sofa, massage chair and a book shelf. Therapy Rooms Five (5) rooms are used for therapy and counseling for clients. Located inside the facility and outside backyard area. Entertainment/Playroom: The room is used as a game, and TV room for clients and is equipped with various musical instruments. The smoke detectors operated on a connected system and Carbon Monoxide detectors observed to be operational. LPA observed six (6) fully charged fire extinguishers located throughout the facility (i.e classroom entry way, bedroom hallway, garage, kitchen, and therapy offices. There are six (6) First Aid Kits all required items. LPA observed trash cans are covered with a lid in the kitchen and bathrooms. LIC- Page 2 of On site recreational activities equipment. There is an activity room, basketball court, tennis court, volleyball, tether ball, connect four, ping pong table, barbecue grill and game room. The facility provides an activity calendar for clients to view. Activities included going to the movie theaters, Go-carting riding, Miniature Golf, museums, zoo's aquariums etc. Alternate activities have been implemented based the compliance of the children. The facility was clean, safe, sanitary and in good repair. The administrator confirmed that clients in care twenty-four (24) hours of the day seven (7) days a week, supervised and protected. All medications are stored in the medication room adjacent to the garage in locked cabinets and are inaccessible to clients. LPA observed ample perishable and nonperishable food items. The sharp knives are locked in a cabinet in the kitchen and hazardous solutions are inaccessible to clients locked in the garage. The facility ensures three nutritious meals, snacks, and special diets if needed. There is a private chef that prepares all hot and cold meals for the clients. All smoke detectors were tested and operable at the time of inspection. Multiple fire extinguishers were observed throughout the facility that were tested and operable at the time of inspection. LPA reviewed staff records with the hard in the office. LPA reviewed Clients Records with the hard and stored in the facilities and on the Bamboo Portal Human Resources and in the Kipu Electronic Medical Records LPA interviewed three (3) Staff, obtained consent to interview three (3) clients that were present and gave the clients options to have an adult staff present during the interview. There were no deficiencies cited at the time of this inspection. LPA-Gray concluded the inspection, and a copy of this report was left at the facility with the Program Administrator on 07/27/ LIC- Page 3 of 3

met_with: ADMINISTRATOR


state: CA

facility_name: VISIONS ADOLESCENT TREATMENT CENTERS

summary: Facility Evaluation

raw_content:
Narrative:
On August 5, 2025 at 10:15 am Licensing Program Anaylst (LPA) Justine Armstrong conducted a Case Management-Incident inspection at the above facility site. LPA met with Claudia Gonzalez (S1) the House Manager, Therapist Madeleine Kennell (S2), Amanda Dicker Human Resource Manager (S3) , Amelia Hollis Therapist (S4) and client Camden Koresen (C1). This Case Management is in response to a Special Incident Report that was reported on 7/30/2025. The incident is in regard to an alleged Sexual Assault that occurred on July 18, 2025, around 10:00pm during 15-minute room checks with three clients that were in care. LPA obtained the following documents: current staff and client roster and staff room check-in logs with time stamps of the 15 minute room checks. LPA requested copies of the Internal Investigation and Toured the facility. At this time further investigation is required to determine whether any violations has occurred. Exit Interview conducted, and a copy of this report was provided to the Facility.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Claudia Gonzalez


summary: Facility Evaluation

raw_content:
Narrative:
On August 5, 2025, Licensing Program Analyst Justine Armstrong conducted an unannounced visit to the facility. During the inspection, it was observed that there were 7 children in care. The facility is licensed to provide care for a maximum of 6 children. The facility was therefore over the capacity by 1 child. The over capacity for children in care was observed and confirmed by LPA J. Armstrong. The House Manager Claudia Gonzalez also admitted to having 1 extra child in care due to the child only being here to sleep but is transitioning out to a new facility. The Facility is being cited for not adhering to the License Capacity to care for a maximum of 6 children in care. This is a violation of Title 22, Section 80010 (a): "A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including the capacity limitation." An exit interview was conducted, a Plan of Correction was discussed, and a copy of the report was provided to the facility


facility_name: VISIONS TREATMENT CENTER

summary: Facility Evaluation

raw_content:
Narrative:
On June 21, Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of conducting an Annual Required Visit at Visions Treatment Center, Latigo Canyon. LPA met with Facility Administrator Ehsan Ebraim , who granted access and provided a tour of the entire facility. Visions Treatment Center, Latigo Canyon is a therapeutic treatment program that's designed to accept "Private Placements". The length of stay is 45 days and this facility is licensed to provide care and supervision for six (6) children, ages 7-17 years; Ambulatory Only. This facility is located on a private road and sits behind a private gated area that's accessible via key code. Visions Treatment Center, Latigo Canyon is a three-story facility located on approximately 2 acres of land. The first floor of the main facility is constructed as follows: There's a classroom where residents complete school curriculum on a daily basis. The classroom also has glass French Doors that grant access to a small patio and gated grass area. Bedroom #1, that's located on the first floor has comfortable mattresses, clean linen, blankets, and pillows. Bedroom #1 has two (2) single beds, adequate dresser/drawer/closet space and a private bathroom. The second floor of the main facility is constructed as follows: Bedroom #2 has comfortable mattresses, clean linen, blankets, and pillows. Bedroom #2 has two (2) single beds and adequate dresser/drawer and closet space. A total of one (1) bathroom identified for Bedroom #2 as resident/client use only was in good repair and working order. The living room has adequate/serviceable furniture that's in good condition and there are two French Doors that grant access to a furnished wraparound balcony. The staff office, bathroom and laundry room are located on the second floor and inaccessible to residents. The dining room area has one table two bench style seats that can accommodate 10 residents/clients. The kitchen area is equipped with a stove/oven that has eight (8) working burners, a microwave and refrigerator/freezer. All knives, disinfectant and cleaning solutions are inaccessible to children. There are no firearms or dangerous weapons in the home. All medication is stored in the staff office and inaccessible to residents. Three nutritious meals, snacks, and special diets, if necessary, are served on a daily basis and there's an ample supply of Perishable and Non-Perishable food in the facility. The hot water measured at 115 degrees and is within the acceptable temperature range. The third floor of the main facility is constructed as follows: Bedrooms #3 and #4 have comfortable mattresses, clean linen, blankets, and pillows. Both have two (2) single beds, adequate dresser/drawer/closet space and a private bathroom that accessible via an outside hallway to Bedroom #4. Bedroom #3 and #4 also have access to a furnished private balcony that has stairs granting access to the ground level. There are three additional buildings on this property. Building #1 is utilized as a therapy room. Building #2 is utilized as a storage room and building #3 is utilized as a gym/workout area with fitness equipment. There are no bodies of water on the premises and outdoor activity space is clean and free of obstructions. Visions Treatment Center, Latigo Canyon Staffs' First Aid/CPR Certifications, Annual Required Training Hours are current and their required Criminal Background Clearances and Child Abuse Reporting Acknowledgement were in their personnel files. LPA also reviewed a total of two client/resident files and the required forms were identified. During the visit, LPA noted that Visions Treatment Center, Latigo Canyon is operating within the capacity and limitations of their license and reiterated the importance of submitting Special Incident Reports to Community Care Licensing and any other appropriate agencies. The appropriate First Aid Kit supplies are maintained and located in the Staff Office and throughout the facility. All smoke detectors are operable and fire extinguishers fully charged. All posting requirements for Group Home Licensure and Emergency Plans were met. The facility utilizes two Honda Odyssey vans, and maintains current auto insurance with Philadelphia. PER California Code Regulations, TITLE 22, DIVISION 6, CHAPTERS 9.5, there were no deficiencies observed or cited at the time of the visit.

visit_type: Annual

met_with: Ehsan Ebraim-Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On May 6, 2024, at 9: AM, Licensing Program Analyst (LPA), Donald Martin arrived at the above location for the purpose of conducting an Annual Inspection. LPA met with Administrator, Lianne Tolentino, Staff and observed current construction. There are no children in care. On November 13, 2018, the department was notified that the facility was destroyed by the Woolsey fire. On July 28, 2023, the department received approved plans to rebuild facility with an anticipated completion of 2024. The facility is not operating during construction and has maintained license and annual fees are current. Facility is not operable, and no staff and client interviews were conducted and no staff and client records were reviewed. Facility structure was observed erected and construction is in the beginning phase of completion. Administrator LIanne Tolentino was unsure if the permits have been obtained or the date of completion. A message was left for John Lieberman to contact LPA with this information. LPA will contact John Lieberman to collect this information. LPA observed digging of the foundation, large digging equipment and construction supplies on the property. There is a large support wall that has been built surrounding the area of construction. Cont 809-C Facility advised that prior to operating, an inspection will need to be conducted. LPA left a copy of report and appeal rights with Lianne Tolentino. There were no deficiencies cited at this time.

met_with: Lianne Tolentino-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On March 30, 2023 at 1:30pm Licensing Program Analyst (LPA) Donald Martin arrived at Visions Treatment Center for the purpose of performing an Annual inspection. LPA was greeted by Administrator, Lianne Domingo and allowed to enter the facility. Visions Treatment Center is a therapeutic treatment program that's designed to accept "Private Placement's" for a length of 45 - 90 days and is licensed to provide care/supervision for ten (10) children, ages 7-17 years; Ambulatory Only. The front door grants access to a spacious living room area that has lots of furniture including a large entertainment unit. There's also two French Doors that grant access to a patio/backyard area. There are two bedrooms on the east of this facility. Bedroom #2 is equipped with two twin size beds, adequate dresser/drawer/closet space and has a private bathroom. Bedroom #3 is equipped with two twin size beds, adequate dresser/drawer/closet space and has a private bathroom. The west side of this building is constructed as follows: There's a kitchen that's equipped with a stove/oven, dishwasher, microwave and refrigerator/freezer. All knives, disinfectant and cleaning solutions are inaccessible to children. Adjacent to the kitchen is a spacious dining room area that has two long tables, with bench style seating and accommodates approximately twelve (12). Adjacent to the dining room is Bedroom #1, a locked door that grants access to the garage, which is utilized as a storage and laundry room, a secondary door that grants access to the Technical/Program Aide's office and a bathroom that's utilized by Bedroom #1. Bedroom #1 is equipped with two twin size beds and has adequate dresser/drawer/closet space. On the north side of the kitchen is a French Door that grants access to the patio/backyard area. Outside, from the patio/backyard area is Bedroom #4. Bedroom #5 is on the back side of the facility and has its own bathroom and access to the backyard. All rooms are equip with an intercom system that connects to the office and an alarm system that will sound if a door is opened to alert staff of movement within the home. Cont 809-C The backyard has a pool that is gated and has a self closing latch that does not lock. The backyard also has a large grass area that is used for exercise. Adjacent to the grass area is a basketball court that has a gate around half of the court. There is a detached building next to the court where the school is operated. The school has 12 individual desks and computers along the wall for the clients to use. There is a bathroom and 5 therapy rooms in the school building as well. The water temperature is within title 22 regulations The closets contained ample linen supplies and all the rooms bedding was clean and sufficient. The office contained two locked cabinets for medication and cleaning supplies. Also a locked refrigerator for medication. The garage contained a large sub zero refrigerator/freezer for food storage. The overall facility inside and out is very clean and in order. All smoke detectors are in good working order and there is an evacuation plan in every room. There is also a manual fire station located on the wall near the front door for emergencies. LPA interviewed Staff and Clients. There were no deficiencies cited at the time of the visit

met_with: LIanne Domingo-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
This Report is Amended from 08/26/2024 to Correct Report Language. On August 26, 2024, at PM, Cheri Wilkerson, Licensing Program Analyst (LPA), Erika Butler, LPA, and JoAunne Griffin, Licensing Program Manager (LPM) arrived at the above facility for the purpose of conducting a Case Management - Incident investigation. LPA met with Claudia Gonzalez, Facility Coordinator. A health and safety assessment was conducted prior to entering facility. The department received an Unusual Incident/Injury Report (LIC 624LE) dated July 30, 2024 (0000875 -FN). The Incident Report disclosed that Child 1 (C1) was observed to have self-administered 12.5 mg of medication instead of the prescribed 5 mg of medication. During the investigation, LPA interviewed three staff and three clients, requested and reviewed Personnel Report, client roster, C1 medication records for July 2024-August 26, 2024, and Staff 1 (S1) write-ups. Statements and evidence indicated that S1 did not read medication label and C1 self-administered 12.5 mg of medication instead of prescribed 5 mg. Facility cited for violation of California Code of Regulations, Title Division Six, regulation 80075(B) Health Related Services. (B) Once ordered by the physician the medication is given according to the physician's directions. Staff observed C1 self-administer 12.5 mg of medication instead of the prescribed 5 mg. Exit interview was conducted with Claudia Gonzalez, Facility Coordinator. Appeal Rights were issued, and a copy of this report will be emailed ccgonzalez@visionsteen.com.

met_with: Claudia Gonzalez, Facility Coordinator


summary: Facility Evaluation

raw_content:
Narrative:
On March 20, 2026 at 10:00 am Licensing Program Analyst (LPA) Justine Armstrong arrived at Visions Treatment Center for the purpose of conducting an annual inspection. LPA was greeted by the Operations Analyst Amanda Campbell and Facility Manager Crisel Domingo who granted access to the facility. Visions Treatment Center is a therapeutic treatment program that's designed to accept "Private Placement's" for a length of 45 - 90 days and is licensed to provide care/supervision for ten (10) children, ages 7-17 years; Ambulatory Only. The home is set up as follows: The home has five bedrooms, one kitchen, one living room, one dining room, five bathrooms, one pool, a basketball court, and another building where therapy offices are located, school classroom, and a kitchenette. Living Room- The front door grants access to a spacious living room area that has lots of furniture including a large entertainment unit, sectional couches, a piano, and bookshelves. (Report Continued on LIC 809C) Kitchen/Dining- The kitchen is equipped with a dual refrigerator/freezer, lots of cabinet spaces, storage space for pots, and a six burner stove. All knives are kept locked in a kitchen cabinet and a locked pantry. There is a weekly menu posted inside the kitchen bulletin for staff and clients, and there is one trash can available for use. There were sufficient perishable and non-perishable food supplies for one week present and one fire extinguisher. Through the kitchen there is access to the dining area where there are two long tables, with bench style seating to accommodate clients and staff. There's also two Double Doors that grant access to a patio/backyard area. Bedrooms/Bathrooms - Bedroom #1 is located across from the dining room area. Bedroom #1 is equipped with two twin size beds and has adequate dresser/drawer/closet space. There is one bathroom next to bedroom #1 for use. Bedrooms #2 and #3 can be accessed through the living room area both bedrooms are equipped with two twin beds, adequate dresser/drawer/closet space and have a private bathroom in each bedroom. Bedroom #2 also has a private hallway where grants access to the bathroom, a locked double linen closest, and a private closest for clients. Bedroom #3 has a couch area and an additional door that leads to outside, however if clients go out the door the alarm will sound like alert staff. Outside, from the patio/backyard area is where you can access Bedroom #4 and Bedroom #5 both bedrooms are on the back side of the facility and has their own bathroom and access to the backyard. Garage/Staff Office- There is a locked door that grants access to the garage next to bedroom #1, which is utilized as a storage and laundry room, a secondary door that grants access to staff office. The staff office has two locked cabinets, one that stores client's medication and the other that stores first aid supplies. There is a locked refrigerator for medication. (Report Continued on LIC 809C) The garage contained additional refrigerator/freezer for food storage, a locked cabinet with chemicals, extra storage, and washer and dryer used for laundry. Backyard/Patio- The backyard has a pool that is gated and has a self-closing latch that does not lock, patio furniture, and two BBQ grills. The backyard also has a large grass area that is used for exercise across from the grass area is a basketball court that has a gate around half of the court. There is a detached building next to the court where the school is operated. The school has individual desks and computers for the clients to use. There are a bathroom and five therapy rooms in the school building as well. The hot water was tested and found to be between 105-120 degrees (F). LPA observed two client records, six staff records, facility logs, medication logs. The required postings, including the Disaster Plan, Foster Youth Rights, and Facility Sketch with the cameras posting around the facility.The facility's interior and exterior was clean and free of debris, with no safety hazards observed. LPA tested the carbon monoxide alarm and smoke detector which are all in working order. There is a alarm next to the front door entrance designated by the Fire Marshall. An Exit interview was conducted, and a copy of the report was provided to the Administrator. There were no deficiencies cited at the time of visit.

met_with: Amanda Campbell


facility_name: VISTA HAVEN

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13On Feburary 20th, 2025 at 11: AM, Kenrick Ellis, Licensing Program Analyst (LPA) arrived at the above facility for the purpose of concluding a Complaint Investigation. LPA met with Abi Garcia , Administrator. A health and safety assessment was conducted prior to entering facility. During the investigation, LPA conducted confidential interviews with four staff members and three clients. LPA also reviewed Personnel Report (LIC500), client roster and reviewed video evidence. Staff,client interviews, and video footage did not produce substantial evidence to support the allegation. Interviews revealed statements confirming staff provided a safe environment for minors in care. Statements from both staff and clients indicated that staff acted promptly to ensure the safety of minors in care. No client injuries were reported to nursing staff or visible during confidential interviews. There were no deficiences cited at this time. Exit Interview was conducted with Administrator, Abi Garcia and a copy of this report was provided via email. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Kenrick Ellis 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

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

report_type: Complaint Investigation

visit_type: Complaint Investigation

met_with: Abi Garcia, Administrator

complaint_status: unsubstantiated


raw_content:
Narrative:
Records confirm staff's effort to meet C1's needs as evidence by providing special Culture and Religious Accommodations that include sponsorship. LPA reviewed Special Incident Reports (SIR), in addition to the facilities Child-Level Events (CLE) written in a timely manner and cross reported to the C1's authorized representatives. Due to lack of evidence obtained during the investigation, LPA determines that the allegations are Unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that a violation occurred. There are no deficiencies cited at this time. An exit interview was conducted, and a copy of this report was left with the Youth Development Counselor Supervisor Veronica Gallardo

Investigation Findings:
13On March 13, 2025, at 10: AM Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit to conclude the investigation. Prior to entering the facility LPA Gray conducted a health and safety risk assessment. During the investigation, LPA Gray interviewed all available relevant parties and gathered pertinent information in reference to the allegations. The Licensee denied the allegations. Based on confidential interviews and review of documentary evidence, there is no evidence or witnesses to support, or to determine Personal Rights occurred. There is no evidence or witnesses to determine that the staff showed C1 inappropriate content, and staff consume minor's meals. Records determined that ample food was provided to C1, and staff were provided meals on a time agreement. Confidential statements and an internal investigation determined that Child 1 recanted his story and denied that staff showed them nude pictures. Confidential interviews were congruent that staff made effort to establish a rapport with C1 treated them with dignity and respect. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: VISTA HAVENFACILITY NUMBER: VISIT DATE: 03/13/2025

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


raw_content:
Narrative:
LPA reviewed medical records and the needs and services plan and was unable to confirm that a second medication was prescribed to C1. Furthermore, C1 signed a medical consent form and medication rights where it indicates C1 may refuse medication with no consequences and medication side effects were explained to C1. In addition, LPA obtained paperwork from times C1 was hospitalized on 10/02/24 and 11/02/24. In regard to the second allegation, review of staff and client statements there was insufficient evidence to support said allegation of "Staff withheld meals from minors". If a client refuses a meal, staff will hold a client's meal until they are ready to eat. Staff make sure plenty of food is ordered from the kitchen to ensure all clients are served enough portions of food. Per witness statements, there are plenty of snacks available to them throughout the day. Lastly, based on interview statements and review of LIC500-Personnel Reports, there was insufficient evidence to support the allegation that "Staff used inappropriate discipline practices". Per staff statements, no room doors lock within the facility therefore, locking a client in a room is not possible. Per interview statements, there are plenty of staff in the unit to supervise clients in care throughout the day. In addition, clients are able to file grievances/complaints without being retaliated against. Interview statements reveal that clients are encouraged to participate in activities and ask staff for any special accommodations without feeling singled out. In addition, LPA attempted to obtain additional interviews from clients that were previously residing during C1's stay at Vista Haven however, all clients have been discharged. As a result, this investigation is being closed. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore, the allegations are unsubstantiated. Exit interview was completed and copy of the report and appeal rights were discussed and provided to Linekeer Duron.

Investigation Findings:
13On 09/18/25, at 09:18am, Licensing Program Analyst (LPA) Andrea Aceves made an unannounced visit to the above facility to conclude the investigation and to deliver the findings on the above allegations. LPA Andrea met with Linekeer Duron. During the investigation, LPA Andrea interviewed all available parties and reviewed LIC500-Personnel Report, client rosters, Needs and Services plan, and medication logs/assessments. It was reported that (1) "Staff are not dispensing medication as prescribed", (2) "Staff withheld meals from minors", and (3) "Staff used inappropriate discipline practices". Based on interview statements from staff and review of medical logs and medical assessments, there was insufficient evidence to support the first allegation. However, LPA Andrea was able to confirm that Vista Haven's psychiatrist conducted a medical assessment on C1 and prescribed medication. On 05/21/25, there was an assessment where medication was discontinued after C1 declined to take medication. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Andrea Aceves 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: VISTA HAVENFACILITY NUMBER: VISIT DATE: 09/18/2025

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

met_with: Linekeer Duron


summary: Facility Evaluation

raw_content:
Narrative:
On 10/18/2022 @ 11: AM Licensing Program Analyst (LPA) Zena Phillips, Licensing Program Analyst (LPA) Daphne Edison & Licensing Program Manager (LPM) Lakescia Smith made an announced visit to VISTA DEL MAR CHILD AND FAMILY SERVICES for the purpose of conducting Pre-Licensing visit. LPAs and LPM were greeted by Amy Jaffe/Senior VP of Intensive Intervention Programs, Josh Ciszek/COO and Karriann Hinds/Director of Government Affairs who granted access to the facility. There are currently no children placed in the facility. The program will provide care and supervision for children ages 12- 17 years old males and ambulatory only. The facility has two (2) wings Sol wing has 11 beds and Luna has 13 beds, with several bathrooms, kitchen/dining room, 2 laundry rooms, and one administration office in each unit. There was adequate closet and storage space for the clients. There are washers and dryers that were operable in Sol and Luna. Sol - Bedrooms with 2 twin beds, with closet space, and desks. Bedrooms has 1 single bed, and with closet space and desks. Luna- Bedrooms with 2 twin beds, has closet space, and desks. Bedrooms with 1 twin size bed, with closet space, and desks. ,. cont on 809 c LPA observed the following deficiencies that need to be corrected: · Laundry area has open ceiling panel which need to be closed and secured, missing door paneling on left and right side of laundry room. · Replace rusted bedroom vent panel, replace broken overhead light panel · Clean interior and exterior of kitchen cabinets, stocked with non -perishables. Remove from kitchen cabinets all non- resident related materials · Replace carpet throughout Sol and Luna wings · Needs adequate seating for licensing capacity · Stock with hygiene products, bed linens, games, books, working telephone for residents' use. · Replace missing light panels in hallway. LPA advised corrections to bed completed by 10/31/2022. Exit interview was conducted and report will be emailed to Amy Jaffe .

visit_type: Prelicensing

met_with: Amy Jaffe/ Senior Vice President of Intensive Intervention Programs


summary: Facility Evaluation

raw_content:
Narrative:
On November 10, 2022, a Component II - Face to Face meeting was conducted with Vista Haven at the El Segundo Regional Office. The purpose of the meeting was to discuss their pending application and Program Statement. The following individuals were present: Lakescia Smith, Licensing Program Manager; Zena Phillips, Licensing Program Analyst; Amy Jaffe,/Administrator & Abbi Garcia/ Program Director. The Program Statement has been reviewed. Revisions are required as outlined below. Please make the required revisions and submit by November 21, 2022 unless arrangements for an extension are made prior to that date.. 1. Table of Contents 2. Submit LIC 200 to update facility name 3. Submit Surety Bond not received 4. Submit Health Screening LIC 503 for CEO 5. First Aid certificate/ CPR (Amy Jaffe) 6. Provide map of 9 camera locations 7. Submit LIC 215 or LIC 501 & LIC Lena Wilson 8. Amy Jaffe informed LPA & LPM program, will only accept males .. Continued on LIC 809C. 9. Amy Jaffe informed that residents stay up to 30 days. 10. Per Amy fire inspection has been completed and will follow up with fire inspector to submit STD 850 to CCL Follow up Pre Licensing Visit schedule on November 21, 2011 @ 9: AM A Virtual Component III is schedule on November 22, 2022 @ 10: AM for Amy Jaffe & Abbi Garcia required to attend. Exit interview completed.

met_with: Amy Jaffe & Abbi Garcia


summary: Facility Evaluation

raw_content:
Narrative:
On November 21, 2022 @ 9: AM Licensing Program Analyst (LPA) Zena Phillips & Licensing Program Analyst (LPM) Lakescia Smith made an announced follow up visit to VISTA DEL MAR CHILD AND FAMILY SERVICES for the purpose conducting pre licensing inspection. LPA & LPM were greeted by Amy Jaffe / VP of Intensive Intervention Programs & Abbi Garcia / Program Director who granted access o the facility. There are currently no children in placed at the facility. LPA & LPM observed the following corrections have been made:. Laundry area has closed ceiling panel and observed to be secured, with door paneling on left and right side of laundry room. Bedroom vent panel is replaced and in good condition along with overhead light panel. Interior and exterior of kitchen cabinets observed to clean , stocked with non -perishables. LPA observed newly installed carpet in bedrooms throughout Sol and Luna wings. Newly installed laminate flooring in hallways and main entrance. LPA observed adequate seating for licensing capacity. LPA observed hygiene products, bed linens, games, books,and telephone for residents' use.LPA observed installed light panels in hallway & bedrooms. LPA Phillips observed the facility to be clean , safe, sanitary and placement ready. Facility is within Title Regulation Standards. There were no deficiencies observed. Exit interview was conducted and a copy of the report will be emailed to Amy Jaffee.

met_with: Amy Jaffe / Senior Vice President of Intensive Intervention Programs


summary: Facility Evaluation

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Narrative:
On 03/10/2023 @ 2:00PM Licensing Program Analyst (LPA) Zena Phillips made an unannounced Post Licensing inspection visit. LPA Philips was greeted by Veronica Gallardo /YDC who granted access to the facility and provided the census. The facility is single story with two wings. There is Sol wing at the current time no residents reside on this wing. The bedrooms each have a clean mattress with chair, desk, portable wardrobe closet. LPA observed each bedroom to have overhead lighting, window screens in good repair and carbon monoxide & smoke detector combo wall mounted in each room. The rooms are labeled one (1) through ten (10), rooms 10 is labeled A/B with two bed twin beds, two portable wardrobe closets, two desk, two chairs. LPA Phillips observed the bed linens to clean and in good condition. The Sol unit has a adequate restrooms with shower tub combo and LPA confirmed with thermometer water temperature meets regulations guidelines. The kitchen is attached to common area with five (5) burner stove, refrigerator and freezer combo used currently for extra food storage. There is adequate seating for twelve (12) residents with four (4) large sofas and two (2) large bean bags. LPA Phillips observed a wall mounted television, and video game equipment and board games. The Luna wing is occupied by the twelve (12) residents who LPA Phillips observed were attending school in the designated class room at the time of inspection. The Luna wing has eleven (11) residents rooms with rooms A/B & Rooms A/B as shared bedroom. Room 1A/B & Room A/B have two win beds, two desk, two portable wardrobe closets, screen in good conditions. cont on 809 c LPA Phillips observed each bedroom to have, desk, chair, working overhead lighting, window screen in good repair, carbon monoxide/ smoke detector combo in each room. The four (4) restrooms have shower tub combo and LPA Phillips confirmed water temperate meet regulation requirement with thermometer test.. The restrooms were observed to be clean safe and sanitary. LPA Phillips observed adequate supply of hygiene products for the residents. LPA Phillips observed in the kitchen five (5) burner stove working as LPA Phillips requested Veronica to turn on each burner. There were adequate supply of fresh fruits on the counter accessible to the residents. The refrigerator contained adequate supply of food and containers cleared marked. The freezer contained adequate supply of food. The menu was posted and available tor residents to view. The common area has four (4) large sofas, two large bean bags, video game equipment, wall mounted television, books, board games and legos sets. There is a classroom able to accommodate twelve (12) residents. There facility has laundry room with two (2) washers and dryers on both wings. The facility has personal lockers for each residents personal items on each wing. LPA observed the emergency bag and first aide kits including , thermometer and gauze. LPA Phillips was advised tweezers and scissors are used by nursing staff. The facility has on site nursing unit to administer first aide. LPA Phillips observed the license posted in the lobby, foster youth bill of rights posted in the hallway. Emergency Disaster plan posted. Emergency exits are clearly marked. LPA observed fire extinguishers fully charged stationed throughout the facility and each kitchen area. cont on 809c page 2 of 3 . LPA Phillips observed the outdoor space to clean and clear of any debris. There was adequate seating and play area for the residents. LPA Phillips spoke with Abbi Garcia/Administrator by phone and advised to remind staff that Community Care Licensing has authorization to inspect facility. LPA Phillips requested client roster and one provided. LPA also requested LIC 500 and it can be emailed to Zena.Phillips@dss.ca.gov at a later date. LPA advised will return to complete inspection of files at a later date. LPA observed the facility to be clean safe and sanitary. No deficiencies cited. A copy of the report will be emailed to Abbi Garcia/Administrator. page 3 of 3

met_with: Veronica Gallardo/Youth Development Lead


summary: Facility Evaluation

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Narrative:
On March 22, 2023 at 7: AM, Licensing Program Analyst (LPA) Zena Phillips made an announced visit to Vista Haven for the purpose of continued Post Licensing Inspection. LPA Phillips was greeted by YDC Supervisor, Yesenia Rios Martinez who granted access and provided the census. LPA Phillips requested LIC 500 and client roster and activity calendar. Temperature and health checks are conducted at the entrance in the sign-in area. A review of Facility's Personnel Report Summary indicates that all personnel have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. LPA Phillips conducted confidential interviews with three (3) Staff and three (3) Clients. Staff and client files inspected and found to be in compliance including list of current training. Licensee has a plan to ensure core services are provided and all staff are aware of it and are supportive and trained in their respective roles. Licensee is utilizing trauma informed care practices to ensure effective outcomes that promote client well-being. LPA Phillips discussed TV policy and was advised to encourage full participation in group activities no TV allowed during group activities. A fire drill was conducted the date of inspection and LPA Phillips observed alarms in good working order as staff confirmed all clients and staff exited the facility. The facility was observed to clean safe and sanitary. No deficiencies cited at the time of the inspection. Exit interview was conducted, and a copy of this report will be emailed to the Program Director and Administrator.

met_with: Yesenia Rios Martinez/Youth Development Supervisor


facility_name: VISTA MAREA

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Narrative:
Confidential interviews reported C1 arrived at school wearing non-fitting clothing. Confidential interviews revealed that C1 was wearing two diapers underneath C1's clothing causing C1's pants to fit tightly. However, confidential interviews revealed that staff provided extra clothing for C1 to take to school. Confidential interview reported C1 was not picked up from school in a timely manner. Confidential interviews revealed that a witness contacted staff to pick up C1 from school due to a medical concern and staff arrived an hour later to pick up C1. There were no witnesses to the incidents. Based on confidential interviews and documents reviewed during the investigation, the allegations, the facility staff left C1 in soiled clothing for an extended period of time, facility staff did not ensure that C1 has clothing that fits properly, and facility staff do not pick C1 up from school in a timely manner, may have occurred, however, is not supported or proven by evidence. Therefore, the allegations are unsubstantiated. An exit interview was conducted, and a copy of this report was discussed and provided along with appeal rights to Deliaha Martin, MBA, Administrator Director.

Investigation Findings:
13On May 6, 2022, at 12:20PM, Licensing Program Analyst (LPA) Carol Anderson arrived at the facility to deliver the findings of the above allegations and met with Deliaha Martin, MBA, Administrator Director. During the course of the investigation, LPA reviewed Client 1's (C1) file. LPA interviewed one of three staff. LPA was unable to interview C1 because C1 was not available to be interviewed. LPA reviewed C1's Individual Program Plan (IPP), San Diego County Health and Human Services report and Regional Center notes, hospital medical report as well as Special Incident Report. The Department received a complaint on June 15,2021, alleging, facility staff left minor in soiled clothing for an extended period of time, facility staff did not ensure that minor has clothing that fits properly and facility staff do not pick minor up from school in a timely manner. Confidential interviews reported that C1 arrived at school several times with a soiled diaper. However, confidential interviews revealed that C1 diaper was checked prior to leaving the facility for school. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Carol Anderson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # FACILITY NAME: VISTA MAREAFACILITY NUMBER: VISIT DATE: 05/06/2022

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

met_with: Deliaha Martin


summary: Complaint Investigation - Substantiated - 1 deficiency - 3 allegations

raw_content:
Narrative:
On May 12, 2022, Community Care Licensing (CCL) received the allegation that Facility staff left minor in soiled clothing for an extended period of time and minor Socks and shoes are too tight. Confidential interviews revealed that facility staff were called by school personnel to have C1 picked up due to being covered in feces. Confidential interviews revealed that facility staff took over an hour to have C1 picked up when the facility is located three minutes away from the school. During the investigation LPA Jauregui tried on socks on C1. LPA Jauregui and S4 observed the sock slip off C1s heel when C1 removed their shoe. LPA Jauregui and S4 observed various socks were too small for C1. Based on confidential interviews and observations, the allegation that S6 left C1 in soiled clothing for an extended period of time and C1's socks and shoes are too tight are SUBSTANTIATED because the preponderance of evidence has been met. This posed an immediate Health, Safety, or Personal Rights risk to C1 in care, the facility will be cited for violating Title 22, Division 6, Chapter Article 06. Continuing Requirements Personal Rights (d)(6)(A) Clothing items, provided the clothes are age-appropriate, and Title 22, Division 6, Chapter Article 06. Continuing Requirements, Personal Rights (d)(10) to be accorded dignity in his or her personal relationships with staff and other persons. An exit interview was conducted, and plan of corrections was developed with Elizabeth Granillo, Administrator. A copy of this report and appeal rights were provided to Elizabeth Granillo, Administrator.

Investigation Findings:
13On April 7, 2023, at 09: AM, Licensing Program Analyst (LPA) Lucero Jauregui conducted an unannounced complaint inspection. The purpose of the inspection is to deliver the findings for the above allegations. LPA Jauregui met with Elizabeth Granillo, Administrator. LPA Jauregui conducted an inspection of the facility on March 16, 2023, and no deficiencies were noted. During the investigation, LPA Carol Anderson obtained LIC 500, facility menu for April and May 2022.LPA requested Client 1 (C1)'s Individual Program Plan, (IPP), C1's Individual Service Plan, (ISP) and C1's medical reports. LPA Anderson conducted C1's clothing inventory. During the investigation LPA Jauregui conducted record review, five witness interviews (W1-W3, W7,W8), and two staff interviews (S1, S4). LPA Jauregui was unable to interview C1 due to client being nonverbal, S2 being on medical leave, and S6 no longer employed at the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: LUCERO JAUREGUI LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SO. Cal Sc/res, Metropolitan Dr. # FACILITY NAME: VISTA MAREAFACILITY NUMBER: VISIT DATE: 04/07/2023

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

Deficiencies:
84072: Personal Rights (d)(10) The licensee shall ensure that each child, regardless of whether the child is in foster care...to be accorded dignity in his or her personal relationships with staff and other persons.

This requirement is not met as evidenced by

met_with: Elizabeth Granillo, Administrator

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Substantiated - 3 allegations

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Narrative:
...CONTINUED Based on confidential interviews and record review, the allegation Staff threatened minors in care is SUBSTANTIATED because the preponderance of evidence has been met. This poses an immediate Health, Safety, or Personal Rights risk to children in care, and the facility will be cited for violating California Code of Regulations, Title 22, Division 6, Chapter 5, Article 6, regulation 84072(d)(10) Personal Rights. An exit interview was conducted, and a plan of correction was developed with Elizabeth Granillo, Administrator. A copy of this report and appeal rights were provided to Elizabeth Granillo.

Investigation Findings:
13On January, 10, 2024 at 11: AM, Licensing Program Analyst (LPA) Jacob Salem met with Elizabeth Granillo, Administrator of Vista Marea Group Home to deliver the finding for the above stated allegation. During the investigation, LPA Salem interviewed Client (C1) and four Staff (S1-4). The other two clients (C2, C3) were not interviewed due to their developmental delays. In addition, LPA Salem reviewed C1-C3's Individual Program Plan and S4's internal investigation notes. On September 13, 2023, Community Care Licensing (CCL) received the allegation Staff threatened minors in care. Specifically, it was reported that two staff members threatened to spank C2 and C3. Confidential interviews indicated that S2 jokingly said to C3, "If you keep it up, I am going to spank you," because C3 stood up and walked around after S2 put C3 to bed. Record review of C1's Individual Program Plan reveals that C1 does not understand socials cues, jokes, or sarcasm due to her developmental delay in communication. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: Vista Mareafacility Number: Visit Date: 01/10/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...CONTINUED Based on confidential interviews and record review, the allegation Staff threatened minors in care is SUBSTANTIATED because the preponderance of evidence has been met. This poses an immediate Health, Safety, or Personal Rights risk to children in care, and the facility will be cited for violating California Code of Regulations, Title 22, Division 6, Chapter 5, Article 6, regulation 84072(d)(10) Personal Rights. An exit interview was conducted, and a plan of correction was developed with Elizabeth Granillo, Administrator. A copy of this report and appeal rights were provided to Elizabeth Granillo. SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: VISTA MAREAFACILITY NUMBER: 374602955

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


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
...CONTINUED Based on inconsistent confidential interviews, the allegation that staff (unknown) hit a resident (C2 or C3) is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Jasmine Ruiz, Facility Manager.

Investigation Findings:
13On February 9, 2024, at 2: PM, Licensing Program Analyst (LPA) Jacob Salem met with Jasmine Ruiz, Facility Manager of Vista Marea Group Home to deliver the finding for the above-stated allegation. LPA Salem interviewed Staff (S1-5) and Clients (C1). C2 and C3 were not interviewed due to their limited verbal skills. In addition, LPA Salem reviewed C1-C3's Individual Program Plan and S4's internal investigation notes. On August 28, 2023, Community Care Licensing (CCL) received an allegation that staff (unknown) hit a resident (C2 or C3). Specifically, it was reported that an unnamed staff hit C2 or C3 with a television remote and held the remote in an intimidating manner. Confidential interviews revealed conflicting statements of whether there was actual hitting of clients with the television remote or only clients appearing fearful of the remote and other objects in the home. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: Vista Mareafacility Number: Visit Date: 02/09/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...CONTINUED Based on inconsistent confidential interviews, the allegation that staff (unknown) hit a resident (C2 or C3) is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Jasmine Ruiz, Facility Manager. SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 2

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

met_with: Jasmine Ruiz, Facility Manager


summary: Facility Evaluation

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Narrative:
On Monday June 14, 2021 at 2: PM Licensing Program Analyst (LPA) Linda Haynes conducted an annual inspection of the facility. At time of inspection LPA met with facility administrator Elizabeth Granillo. The facility was toured inside and out with facility administrator, Elizabeth Granillo. The home is a one-story residence with four bedrooms and three bathrooms. Two clients were present at time of inspection. Bedrooms are arranged so that no more than one client is in a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in the clients bathroom was measured to be 105 degrees. All hazardous items have been properly made inaccessible to areas where clients will have access. The medications were stored and locked in a cabinet in the entry way. Cleansers/chemicals are locked and stored in closet in kitchen. Sharp knives are inaccessible and stored in a locked closet in the kitchen. The First Aid Kit is located in the entry way and contained all required supplies. The facility's smoke detectors in each bedroom were checked and were operable. The carbon monoxide detector located in the kitchen and was operable. There are no guns or weapons in the facility as stated by facility administrator Elizabeth Granillo. LPA observed a minimum 7-day non-perishable and a 2-day perishable supply of food. There was a variety of snacks available for clients as well. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Visitation policies, and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. Two client and five staff files were reviewed during the inspection and noted to have documents required per regulations in file. All staff that work at the facility have Department of Justice, FBI and Child Abuse Index clearances. Based on the facility inspection and file reviews this date, are no deficiencies found at this time. A copy of this report was reviewed and given to facility administrator Elizabeth Granillo.

met_with: Elizabeth Granillo


summary: Facility Evaluation

raw_content:
Narrative:
On July 28,2022 at 10:30AM, Licensing Program Analyst (LPA) Carol Anderson conducted an annual/required inspection of the facility. LPA met with Facility Administrator Elizabeth Granillo. Four clients were present at time of inspection. LPA interviewed one client and one staff. Bedrooms are arranged so that no more than one client is in a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water was measured to be 110 degrees. All hazardous items have been properly made inaccessible clients. The medications were stored and locked in a cabinet in the entry way. Cleansers/chemicals are locked and stored in closet in kitchen. Sharp knives are inaccessible and stored in a locked closet in the kitchen. The First Aid Kit is in the entry way and contained all required supplies. The facility's smoke detectors in each bedroom were checked and were operable and carbons monoxide detector located in the kitchen and was operable. There are no guns or weapons in the facility as stated by Facility Administrator Elizabeth Granillo. LPA observed a minimum 7-day non-perishable and a 2-day perishable supply of food. There was a variety of snacks available for clients as well. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Visitation policies, and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. This is an amended report for a report that was issued on 7/28/ The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. Four clients and seven staff files were reviewed during the inspection and noted to have documents required per regulations in file. All staff that work at the facility have Department of Justice, FBI and Child Abuse Index clearances. Based on the facility inspection and file reviews this date no deficiencies were cited. A copy of this report was reviewed and given to facility administrator Elizabeth Granillo. Signature on file.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Eduardo Barragan on 02/24/2023 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Barragan met with Elizabeth Granillo, Administrator and inspected the facility inside and out. LPA reviewed 2 of child's records and 1 of staff personnel files on site at the facility. LPA reviewed 1 of child's psychotropic medications and medication records. LPA interviewed 1 of staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 0 of children currently prescribed psychotropic medication. LPA provided a copy of this licensing report to Elizabeth Granillo, Administrator No deficiencies are being cited at this time. LPA conducted exit interview with Elizabeth Granillo, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On June 28,2023 at 12:30PM, Licensing Program Analyst (LPA) Carol Anderson conducted an annual/required inspection of the facility. LPA met with Facility Administrator Elizabeth Granillo. LPA interviewed two staff. LPA interviewed one client. Two clients were not interviewed due to clients' lack of verbal abilities. Bedrooms are arranged so that no more than one client is in a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The hot water was measured to be 110 degrees. All hazardous items have been properly made inaccessible clients. The medications were stored and locked in a cabinet in the entry way. Cleansers/chemicals are locked and stored in closet in kitchen. Sharp knives are inaccessible and stored in a locked closet in the kitchen. The First Aid Kit is in the entry way and contained all required supplies. The facility's smoke detectors were checked and were operable and carbons monoxide detector There are no guns or weapons in the facility as stated by Facility Administrator Elizabeth Granillo. LPA observed a minimum 7-day non-perishable and a 2-day perishable supply of food. There was a variety of snacks available for clients as well. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Visitation policies, menu posted and "See Something Say Something". The facility outside grounds was also inspected and it was observed to be clean and well maintained. LPA requested the board meeting minutes to be emailed to LPA. Three clients and four staff files were reviewed during the inspection and all required forms in the files. All staff that work at the facility have Department of Justice, FBI and Child Abuse Index clearances. Based on the facility inspection and file reviews this date no deficiencies were cited. A copy of this report was reviewed and given to Facility Administrator Elizabeth Granillo.


facility_name: VISTA PACIFICA

raw_content:
Narrative:
Based on confidential interviews and information gathered during the investigation, the allegation that C1 staff hit the resident, may have occurred, however, is not supported or proven by the evidence gathered. Therefore, the allegation is determined to be unsubstantiated. An exit interview was conducted appeal rights provided and copy of this report was provided to with Facility Group Home Administrator Elizabeth Granillo.

Investigation Findings:
13On February 2, 2023, at 10:15AM, Licensing Program Analyst (LPA) Carol Anderson met with Facility Group Home Administrator Elizabeth Granillo, to deliver the finding of the above allegation. During the investigation, LPA interviewed one of five clients (C1). LPA interviewed five of six staff (S1-S5). LPA interviewed two of three witnesses. LPA attempted to interview several clients and staff; however, LPA was unsuccessful with the interviews due to the clients having limited speech and staff not returning phone calls. LPA reviewed Client 1 (C1)'s Individual Program Plan (IPP) as well as Special Incident Reports. On February 3, 2022, the Department received a complaint alleging staff hit resident. Confidential interviews revealed conflicting statements; confidential interviews indicated that C1 yells and hits staff, clients and others and staff often have to redirect C1. There were no witnesses to the alleged incident. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Carol Anderson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # FACILITY NAME: VISTA PACIFICAFACILITY NUMBER: VISIT DATE: 02/02/2023

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


raw_content:
Narrative:
have adequate food, facility staff are mismanaging minor's medication, facility staff send minors to school when ill, facility staff are unavailable to pick minors up from school, facility staff do not attend minors' treatment team meetings at school. It was reported that C1 and C2 wore clothing that was too large or too small. Confidential interviews reported conflicting information that C1 and C2 gained and lost weight, and their parents bought additional clothing, however, it is unknown when C1 and C2's parents provided additional clothing. Regarding facility staff does not ensure that minors have adequate food It was reported that C1's lunch was sent to school with inconsistent portions and at times, did not have enough to eat and when asked to provide additional snacks, the facility said they did not have the budget to purchase the items. Confidential interviews reported conflicting information, while some interviews reported that C1's mother dropped off food each week for C1 to take to school, other interviews reported that at times C1 did not have enough for a full portion at lunch. Regarding facility staff are mismanaging minor's medication it was reported that the facility has forgotten to send medication for C1 to the school and has not ensured there are enough refills. Some interviews reported that staff forgot to pack the medication and when the school called, the facility took the medication to the school for C1 by 12:30 pm. Confidential interviews denied C1 ran out of medication, while other interviews could not recall if C1 ran out of medication. Regarding facility staff sending minors to school when ill and facility staff are unavailable to pick minors up from school it was reported that the facility has sent C1 and C2 to school sick and when they have been asked to pick up the clients, due to not feeling well, the facility has stated they don't have staff available to pick them up. Confidential interviews reported conflicting information. Some interviews reported that C1 and C2 were not sick when sent to school and when staff picked them up, they did not have any symptoms of being sick. Conflicting interviews reported that it took at times up to an hour and a half to pick up the clients when C1 and C2 were sick. Regarding facility staff does not attend minors' treatment team meetings at school it was reported that staff do not attend C1 and C2' s treatment team meetings at school. Confidential interviews reported that the staff has not attended school meetings and conflicting interviews reported that the facility has not always been *** notified about school meetings. Confidential interviews did not corroborate the allegations with a preponderance of evidence. Based on confidential interviews and records reviewed, we have determined that the complaint was unsubstantiated, meaning that the allegations that facility staff does not ensure C1 and C2 wear appropriate size clothing in good condition, facility staff does not ensure that C1-2 have adequate food, facility staff are mismanaging C1's medication, facility staff send C1-2 to school when ill, facility staff are unavailable to pick C1-2 up from school, facility staff do not attend C1-2 treatment team meetings at school, which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted with David McKnight and appeal rights were reviewed. Due to printer malfunction, a copy of this report and the LIC 811 was emailed to the Facility Administrator. A signed copy of this report will be kept in the Facility file.

Investigation Findings:
13On February 7, 2024 at 2:25 pm, Licensing Program Analyst (LPA) Charmaine Linley conducted an unannounced complaint inspection at the above facility. LPA Linley met with David McKnight, Direct Support Professional. The purpose of the inspection was to deliver the findings of the complaint investigation. Lpa C. Anderson conducted an inspection of the facility on 05/22/2023 at 2:45 pm and no deficiencies were found. LPA Anderson attempted to interview two clients (C1, C2); however, clients were unable to verbally communicate with LPA. LPA Linley interviewed three staff (S1-3) and was unable to interview two staff (S4-5), despite multiple attempts to contact them. During the investigation, the following documents were reviewed: C1 and C Individual Program Plans (IPP), Client Roster, Staff Schedule, C1 and C Property Invoice form, C1 and C Weight Logs, and Doctor appointment forms. On 05/16/2023, Community Care Licensing (CCL) received allegations that facility staff does not ensure that minors wear appropriate size clothing in good condition, facility staff does not ensure that minors UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: VISTA PACIFICAFACILITY NUMBER: VISIT DATE: 02/07/2024

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

met_with: David McKnight


raw_content:
Narrative:
top of their head, inside their ears, and bruising on their ear lobes, arms, and back. Confidential interviews revealed conflicting statements. Some interviews reported that C1 has a history of self injurious behaviors and has marks from scratching and picking at their body. Conflicting interviews reported inconsistencies to whom caused the bruising and there was inconsistent information if the injuries happened while at the facility or outside of the facility. There were no witnesses to this allegation. Thus, confidential interviews did not corroborate the allegation with a preponderance of evidence. Based on confidential interviews and records reviewed, the allegation that C1 has unexplained bruises and injuries while in care due to lack of supervision, which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with David McKnight. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights was emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On February 7, 2024 at 2:40 pm, Licensing Program Analyst (LPA) Charmaine Linley conducted an unannounced complaint inspection at the above facility. LPA Linley met with David McKnight, Direct Support Professional. The purpose of the inspection was to deliver the findings of the complaint investigation. Lpa C. Anderson conducted an inspection of the facility on 05/22/2023 at 2:02 pm and no deficiencies were found. LPA Anderson interviewed one client (C1). LPA Linley interviewed three staff (S1-3) and was unable to interview two staff (S4-5), despite multiple attempts to contact them. During the investigation, the following documents were reviewed: C Individual Program Plan (IPP), Client Roster, Staff Schedule, and Special Incident Report, and Body Check Forms. On 05/17/23, Community Care Licensing (CCL) received an allegation that C1 has unexplained bruises and injuries while in care due to lack of supervision. It was reported that C1 had cut and scratches on the UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: VISTA PACIFICAFACILITY NUMBER: VISIT DATE: 02/07/2024

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


raw_content:
Narrative:
Confidential interview reported that C1 engaged in self-injurious behaviors, had marks from jumping off furniture, and ran into things while at the facility. Record review reported that C1 required constant supervision due to behaviors. The investigation did not produce information to determine whether the injuries happened while C1 was at the facility, while C1 was at school, or while being transported to school. The investigation also did not yield witnesses to how or where C1 sustained the reported bruising. Based on confidential interviews and record review, the allegation that minor sustained unexplained injuries while in care may have occurred or is valid, but there is not a preponderance of the evidence to prove the allegation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Deliaha Martin, Administrative Director. A copy of this report and appeal rights were given to Deliaha Martin, Administrative Director.

Investigation Findings:
13On June 30, 2025, at 10:40 am, Licensing Program Analyst (LPA) Cynthia Velasquez, conducted an unannounced complaint inspection at the above facility. LPA Velasquez met with Deliaha Martin, Administrative Director. The purpose of the inspection was to deliver the findings of the complaint investigation. Lpa C. Anderson conducted an inspection of the facility on 07/09/24 at 12: PM and no deficiencies were noted at that time. LPA Anderson interviewed one staff member, Staff 1 (S1) and gathered pertinent records. LPA Velasquez interviewed Staff 2 (S2) and Biological Parent (BP1). Other interview attempts were made but were unsuccessful. Record review was conducted. On 07/03/2024, Community Care Licensing (CCL) received an allegation that minor sustained unexplained injuries while in care. It was reported that C1 had bruises on their chest, left eye, and on the left side of their face. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Cynthia Ann Velasquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: VISTA PACIFICAFACILITY NUMBER: VISIT DATE: 06/30/2025

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

met_with: Deliaha Martin, Administrative Director


raw_content:
Narrative:
Confidential interviews reported that the residence always has enough food for clients in care. Additionally, during LPA's visit to the facility, it was observed that there was food capable of feeding five youth, with use of fresh foods on hand, frozen meats, frozen meals and snack, and canned goods. Upon completion of the visit, a cook arrived who LPA was informed would be working on evening meals and snacks. It was also reported that the facility was out of ratio. Confidential interview revealed that youth in care have special health care needs, and more than 1 staff are available to clients. Due to inspection being during afternoon hours, there were no clients at the facility during the visit. At the time of the inspection, although clients were not present, there was a staff member available. Additionally, S2 arrived 30 minutes later and assisted with inspection and interview. Based on confidential interviews and LPA observations, the allegations that the facility had a lack of food, and the facility was out of ratio may have occurred or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Deliaha Martin, Administrative Director. A copy of this report, and appeal rights were provided by signed confirmation. .

Investigation Findings:
13On June 30, 2025, Licensing Program Analyst (LPA) Cynthia Velasquez arrived unannounced at Vista Pacifica to deliver findings of the above stated allegations. On July 9, 2024, LPA Carol Anderson inspected the Group Home at 11: AM and no safety concerns or deficiencies were noted at this time. LPA Anderson conducted a confidential interview with staff 1 (S1). LPA Velasquez (LPA) conducted interview with Staff 2 (S2) and conducted an additional inspection of the facility. On July 5, 2024, the Department received complaint allegations that facility had a lack of food, and the facility was out of ratio. It was reported that upon visiting the facility, on more than one occasion, there was not enough food in the refrigerator to feed five residents. Also reported was that there are 5 clients in care, with special needs, and there is only 1 staff available to care for them. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Cynthia Ann Velasquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: VISTA PACIFICAFACILITY NUMBER: VISIT DATE: 06/30/2025

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

met_with: Deliahah Martin, Administrative Directo


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Cynthia Ann Velasquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: VISTA PACIFICAFACILITY NUMBER: VISIT DATE: 06/30/2025


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Confidential interview indicated that Human Resources (HR) manages the hiring of staff members for the GH. Also disclosed during confidential interview, staff member, S1, was employed from mid-August 2023 to May 1, 2024. Confidential interview revealed that S1's employment was terminated but they were not told why. Additional confidential interview disclosed that S1 was hired by the facility and was employed for more than a year. Confidential interview revealed that S1 worked during the PM to AM shift, which allowed for overnight supervision of youth in care. It was disclosed during confidential interview that S1 was employed from mid-2023 until May 1, 2024. Record review indicated that S1 was terminated once it was discovered that S1 required an exemption to be authorized to work in the facility. Based on confidential interviews and record review, the preponderance of evidence standard has been met and the allegation that an uncleared adult was providing care and supervision to minors is substantiated. Facility is cited for violation of Title Regulations, section 80019 (e)(2) Criminal Record Clearance. An immediate civil penalty in the amount of $500.00 is being assessed for allowing S1 to work in the facility with clients in care without a criminal background clearance or exemption. An exit interview was conducted and copies of this report, the LIC 9099D, LIC 421BG Civil Penalty Assessment Background Check, LIC Confidential Names List, and appeal rights were provided to David McKnight, Direct Support Professional.

Investigation Findings:
SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

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


summary: Facility Evaluation

raw_content:
Narrative:
On Thursday June 10, 2021 at 11: AM Licensing Program Analyst (LPA) Linda Haynes and Licensing Program Manager (LPM) Stephanie Hudak conducted an annual inspection of the facility. At time of inspection LPA and LPM met with facility administrator Elizabeth Granillo. The facility was toured inside and out with facility administrator, Elizabeth Granillo. The home is a one-story residence with five bedrooms and three bathrooms. One client was present at time of inspection. Bedrooms are arranged so that no more than one client is in a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in the client bathroom was measured to be 105 degrees. All hazardous items have been properly made inaccessible to areas where clients will have access. The medications were stored and locked in a cabinet in the living room. Cleansers/chemicals are locked and stored in closet in the entryway. Sharp knives are inaccessible and stored in a locked cabinet in the living room. The First Aid Kit is located in the living room and contained all required supplies. The facility's smoke detectors in each bedroom were checked and were operable. The carbon monoxide detector located in living room and was operable. There are no guns or weapons in the facility as stated by facility administrator Elizabeth Granillo. LPA observed a minimum 7-day non-perishable and a 2-day perishable supply of food. There was a variety of snacks available for clients as well. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Visitation policies, and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. Three client and five staff files were reviewed during the inspection and noted to have documents required per regulations in file. One client was interviewed and indicated that they feel safe in the home and accorded their personal rights. All staff that work at the facility have Department of Justice, FBI and Child Abuse Index clearances. LPA discussed with administrator that licensing fees are due as of today June 10, 2021. Based on the facility inspection and file reviews this date, there are no deficiencies found at this time. A copy of this report was reviewed and given to facility administrator Lina Dancur.

met_with: Lina Dancur


summary: Facility Evaluation

raw_content:
Narrative:
On May 18, 2026, at 9: AM, Licensing Program Analyst (LPA) Jacob Salem arrived to the facility and met with Deliaha Martin, Administrative Director. The purpose of this Case Management inspection is to conduct an annual continuation from 5/12/2026. LPA review five staff files (S1-S5), which contained the required information, including the background information, criminal record clearances, staff qualifications, and training requirements. LPA reviewed five client files (C1-C5) which are kept in a locked staff office. The client files reviewed contained the required demographic information, personal rights and facility policy acknowledgements, and medication logs. LPA inspected the facility's physical plant, including personal rights postings, health related services, buildings and grounds, food services, indoor and outdoor activity space, and furniture, fixtures, equipment and supplies. The home is clean, in good repair, and free from observable risks to clients' health, safety, and personal rights. The home is a one story residential building with five client bedrooms and three client bathrooms which are set up as follows: Bedroom #1 has one single bed and currently sleeps one client, bedroom #2 has one single bed and currently sleeps one client, bedroom #3 has one single bed and currently sleeps one client, bedroom #4 has one single bed and currently sleeps one client, and bedroom #5 has one single bed and currently sleeps no clients. There is a kitchen and living room, staff office and backyard/patio with separate staff office. LPA conducted two staff interviews. Continued... ...CONTINUED Based on observations made during the inspection, there were no deficiencies cited at this time. An exit interview was conducted with Deliaha Martin, Administrative Director and a signed copy of this report was provided.


facility_name: WAYFINDER FAMILY SERVICES - THE HAVEN

raw_content:
Narrative:
Due to a lack of evidence obtained during the investigation, LPA determines that the allegations are Unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that a violation occurred. There are no deficiencies cited at this time. An exit interview was conducted, and a copy of this report was left with the Program Director Talesha Payne THIS REPORT WAS AMENDED DUE TO BEING A DUPLICATE AND DEEMED TO BE DELETED Due to a lack of evidence obtained during the investigation, LPA determines that the allegations are Unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that a violation occurred. There are no deficiencies cited at this time. An exit interview was conducted, and a copy of this report was left with the Facility Administrator/_________

Investigation Findings:
13On July 18, 2025, at 11: AM Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit to conclude the investigation. Prior to entering the facility LPA Gray conducted a health and safety risk assessment. During the investigation, LPA Gray interviewed all relevant parties available and gathered pertinent information in reference to the allegation. Based on confidential interviews and review of documentary evidence, there is no evidence or witnesses to support the allegation that the Licensee does not ensure staff are adequately trained. Records also indicate that staff were in Ratio. The staff file records include various training modules from RELIAS; Criminal Record clearances obtained from LIS, Guardian Background Clearance verified that all staff listed on the LIC 500 were cleared and Associate/ Eligible Clearance; Health Screening Report /TB results, First Aid & CPR were all reviewed in the staff file. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: WAYFINDER FAMILY SERVICES - THE HAVENFACILITY NUMBER: VISIT DATE: 07/18/2025

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

met_with: Program Director Talesha Payne


summary: Facility Evaluation

raw_content:
Narrative:
On December 14, 2023 at 10:00am, Licensing Program Analyst (LPA) Zena Phillips conducted a Component II, Face-to-Face meeting with Wayfinder Family Services -The Haven. In attendance were the following: Tony Weaver, Applicant, Jasmine Griffis, Program Director and Veta Talton, Administrator. The purpose of the meeting was to discuss the pending Group Home application and Program Statement review. The Program Statement has been reviewed. The following concerns were discussed with applicant. Administrator must be associated to the facility prior to licensed issued. Only one Administrator is recognized by Community Care Licensing per regulations. Translations will be provided to the clients in care through translation tool. LPA discussed allowance for residents in care. Applicant provided copy of Administrator certificate for Veta Talton. LPA advised Administrator required on site 20 hrs per week. LPA advised would consult with supervisor on any pending concerns regarding application and follow up with applicant at a later date. . Follow up Pre Licensing Visit schedule on December 21, 2023 @ 9: AM at the facility address listed above.

met_with: Tony Weaver- Applicant