summary: Facility Evaluation

raw_content:
Narrative:
On March 18, 2026, at 10: AM Licensing Program Analyst (LPA) Erika Butler, and Licensing Program Analyst, Donald Manager arrived at Promise Transitional Home for the purpose of conducting a Annual/Required Inspection. LPA's met with Agahnee Ekollo, President of the board who granted access to the home and together a tour of the interior and exterior home was conducted. The home is set up as follows: This is a three bedroom, two bathroom home located in a residential area. The home consists of a living room, dining room, kitchen, laundry space, and backyard area, Living room: is equipped with mounted TV, two chairs, two love seats, coffee table, and covered fireplace. Dining room: is equipped with a table with three chairs. Kitchen: is equipped with a refrigerator/freezer, a five burner gas stove (all burners were operational at the time of the inspection), and microwave. Sharp knives will be kept inaccessible in a locked cabinet in the kitchen. LPA observed a covered trash can. LPA observed ample and non-perishable food items. The Applicant will ensure that three nutritious meals and snacks will be provided to the clients. Exit signs are located at the front door and kitchen door. 809 continued on page 1 of Bedroom #1: client's bedroom is equipped with two twin size bed with drawers underneath, dresser, adequate closet space, television, adequate lighting, and windows. Bedroom #2: client's bedroom equipped with two twin beds with drawers underneath, adequate closet space, adequate lighting, and windows. Exit door leads outside and will be locked. Bedroom #3: client's bedroom equipped with two twin beds with drawers underneath, adequate closet space, lighting, and windows. Exit door leads outside and will be locked. Bathroom: Bathroom #1 is located in hallway, and bathroom #2 is located in bedroom #2. Bathrooms were observed to be clean and in working condition. Vehicle: The vehicle was in an accident. The facility will be purchasing a new vehicle. Insurance is valid from December 03, 2025 - December 3, 2026. The home's temperature is maintained by central air/heating. LPA's observed two fully charged fire extinguishers which are located in the kitchen, and dining room. Extra linens will be stored in the cabinet in the kitchen. The smoke alarm and carbon monoxide detectors were tested and found to be in working order. First Aid kit was found to be be complete with required items. The Applicant has a locked refrigerator for refrigerated medication that will be kept in the refrigerator. The applicant has locked boxes for the clients to store there belongings. Disinfectants and cleaning solutions are kept in a locked cabinet in the kitchen. LPA reminded Applicant to ensure the following when children are in placement: Children are accorded personal rights and the corresponding form is in their file. Children are supported and encouraged to participate in extracurricular activities. Children are allowed and encouraged to contact the licensing agency, in confidence, without threats or punishment for making complaints. Children are accorded dignity in personal relationships with others in the home. Applicant acknowledges abuse reporting requirements. Applicant will ensure grievance process, Disaster Plan, discipline policies and procedures will be posted in dining room area. All camera's have been removed from the facilityDuring the inspection, LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. An exit interview was conducted. A copy of report will be emailed to Agahnee Ekollo.

met_with: Agahnee Ekollo, President of the Board


state: CA

facility_name: PURVIS HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
On November 10, 2021, Licensing Program Analyst (LPA) Priscilla Zamudio and Licensing Program Manager (LPM) Juanita Arroyo conducted an unannounced annual required inspection at this facility. LPA and LPM were met at the facility by facility administrator Patricia Bratcher. An inspection of the facility was conducted and the following was observed: No clients were residing in the home; therefore, no client nor staff files were inspected on this date. LPA provided Patricia with a copy of the LIS536 which includes a list of personnel associated to the facility. The facility was inspected indoors and outdoors. Hot water temperature was at a comfortable temperature in the hall restroom. LPA Zamudio observed that there were no supply of perishables and non-perishables. LPA observed adequate supply of linen and storage space for clients. All furnishings were in place for 6 clients. Cleaning chemicals were inaccessible to clients. No visible hazards were observed at this time. No deficiencies cited. Per Administrator, there are no weapons at the facility. There are also no bodies of water at the facility. Administrator to submit an updated facility sketch and LIC 500 when they accept clients into the home. LPA left a copy at the facility and visit concluded.

report_type: Facility Evaluation

visit_type: Annual

met_with: Patricia Bratcher


summary: Facility Evaluation

raw_content:
Narrative:
On November 2, 2022, Licensing Program Analyst (LPA) Wayne Aoki and Licensing Program Manager (LPM) Juanita Arroyo conducted an unannounced annual required inspection at this facility. LPA and LPM were met at the facility by facility Compliance Director, Tara Flores. There are currently no placements in the facility as the facility has been closed for 1.5 years. An inspection of the facility was conducted and the following was observed: No clients were residing in the home; therefore, no client nor staff files were inspected on this date. LPA provided Patricia with a copy of the LIS536 which includes a list of personnel associated to the facility. The facility was inspected indoors and outdoors. Hot water temperature was measured at 119 degrees at the kitchen sink. LPA Aoki observed that there were no supply of perishables and non-perishables. LPA observed adequate supply of linen and storage space for clients. All furnishings were in place for 6 clients. Cleaning chemicals were inaccessible to clients. No visible hazards were observed at this time. There were no deficiencies cited during this inspection. Per Administrator, there are no weapons at the facility. There are also no bodies of water at the facility. Administrator to submit an updated facility sketch and LIC 500 when they accept clients into the home. LPA left a copy at the facility and visit concluded.

met_with: Tara Flores


summary: Facility Evaluation

raw_content:
Narrative:
On December 22, 2022, Licensing Program Analyst (LPA) Wayne Aoki traveled to Purvis House to conduct a Case Management inspection. LPA was met by Administrator, Patricia Bratcher. LPA toured the facility. LPA observed that the facility is not in operation. LPA and Ms. Bratcher discussed future plans for the building. Ms. Bratcher surrendered the facility License to LPA at conclusion of the facility tour. No deficiencies observed or cited during this inspection. Copy of this report was provided to Ms. Bratcher at conclusion of inspection

visit_type: Case Management


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
reported that C6 never heard S1 say anything inappropriate. Confidential interviews reported that S1 showed inappropriate pictures on S1's cell phone to C1. Confidential interviews reported that S1 showed a picture wearing lingerie. The description of color and design of the lingerie was inconsistent when clients (C1, C2, & C5) were asked about it. Confidential interviews reported that S1 was never seen showing inappropriate pictures to C1. Confidential interviews reported that S1 took a picture of C1 injured hand and forward the picture to another staff member. Confidential interview denied having a sexual relationship with any of the clients at the facility and touching any of the clients inappropriately. Confidential interviews reported that clients were told about the alleged incident or overheard inappropriate conversations between C1 and S1. There were no witnesses, videos or photographs of the incidents. Based on inconsistent confidential interviews and information obtained, the allegation that staff touched the resident (C1) inappropriately may have occurred, however, is not supported by evidence. Therefore, the allegation is unsubstantiated. A copy of this report and appeal rights were provided to Thomas Ybarra, STRTP Chief Executive Officer.

Investigation Findings:
13On January 31, 2022 at 10:00am, Licensing Program Analyst (LPA), Cheraki Davis met with Thomas Ybarra, Short Term Residential Therapeutic Program (STRTP) Chief Executive Officer to deliver the finding for the above complaint allegation. On 07/29/2021 at 9:45am, LPA conducted a health and safety inspection and no immediate safety hazards were observed. The investigation was conducted by Special Investigator Lori Wood of the Community Care Licensing (CCL) Investigations Bureau. The investigation included interviews with clients (C1-C6) and one staff member. Facility records were reviewed. On July 22, 2021, Community Care Licensing received an allegation that stated staff (S1) touched the resident (C1) inappropriately. Confidential interviews reported that S1 had inappropriately sexual relations with C1. Confidential interviews reported that S1 was seen touching C1 inappropriately in the laundry room by C2. Confidential interviews reported that C5 never heard of any incident happening in the laundry room. Other confidential interviews reported that C1 told C3 that S1 touched C1 inappropriately. Confidential interviews reported that C5 overheard an inappropriate conversation between C1 and S1. Confidential interviews UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cheraki Davis 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 19-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, MAIN ST., Suite Riverside, CA Facility Name: P.H.I.L.O.S. Adolescent Treatment Centers,inc.FACILITY NUMBER: VISIT DATE: 01/31/2022

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

report_type: Complaint Investigation

met_with: Thomas Ybarra

complaint_status: unsubstantiated


facility_name: P.H.I.L.O.S. Adolescent Treatment Centers,inc.

summary: Facility Evaluation

raw_content:
Narrative:
On June 15, 2021, Licensing Program Analyst (LPA) Lorena Valenzuela arrived at PHILOS Adolescent Treatment Centers Inc and met with Administrator Thomas Ybarra Sr. regarding an incident report received at Community Care Licensing (CCL) on 04/09/2021. LPA obtained client and staff records and interviewed children and staff as listed on the Confidential Names List Form (LIC 811). A copy of the LIC 809 was provided to facility Administrator.

met_with: Thomas Ybarra Sr, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 04/19/2022, Licensing Program Analyst (LPA) Lorena Valenzuela met with PHILOS Treatment Center Short Term Residential Therapeutic Program (STRTP) former Administrator Thomas Ybarra Sr. The purpose of this case management is to discuss information received during a review of an report received regarding an incident that occurred at the facility. The incident involved Client #1 (C1) and Staff #1 (S1). LPA conducted interviews with six clients (C1, C2, C3, C4, C5, & C6) and one Staff #1 (S1). See Confidential Names List form (LIC 811) dated 04/19/2022. On 06/15/2021, LPA Valenzuela conducted an inspection of the facility and a review of facility records. Interviews revealed that around April 2021, Staff #1 (S1) made inappropriate sexual comments to Client #1 (C1). Confidential witness statements reported that S1 made comments to C1 regarding S1's personal sexual relationships. Additional interviews revealed that S1 stated to C1 and other clients in care, that S1 would be willing to engage in sexual relationships with clients once the clients left the facility and/or turned 18 years of age. Based on interviews and records review, the Department has determined a preponderance of evidence that Staff #1 (S1) made inappropriate comments to Client #1 (C1). The facility is cited for violation of the STRTP Interim Licensing Standards (ILS), Version 3.1, Section 84072(d)(11) Personal Rights. A copy of this report, LIC 809-D, LIC 811, and appeal rights were provided to Thomas Ybarra Sr. An exit interview was conducted with Thomas Ybarra Sr.

met_with: Thomas Ybarra Sr.


facility_name: QUALITY FAMILY SERVICES-BELMONT

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On August 8, 2022, Licensing Program Analyst (LPA) Wayne Aoki conducted a follow up complaint inspection. The purpose of the inspection was to deliver the findings for the above complaint allegations. LPA was me by facility representative Maggie Mendez. During the course of the investigation, confidential interviews were conducted and law enforcement reports were obtained. Although the allegation may have happened or is valid, there is not a preponderance of the evidence, therefore, the above allegation is unsubstantiated. Based on the above, the complaint is Unsubstantiated. A copy of this report and appeals rights were left with Ms. Mendez. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

met_with: Maggie Mendez


raw_content:
Investigation Findings:
13Licensing Program Analyst's (LPA's) Briana Placencia and Lidia Tinoco conducted a complaint inspection at Quality Family Services and met with Laura Romero. The purpose of the inspection was to deliver the findings for the above complaint allegation(s). During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Laura Romero


investigation_findings: 13Licensing Program Analyst's (LPA's) Briana Placencia and Lidia Tinoco conducted a complaint inspection at Quality Family Services and met with Laura Romero. The purpose of the inspection was to deliver the findings for the above complaint allegation(s). During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality Corporate office and met with Laura Romero. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA interviewed staff which revealed that the agency did not ensure that minor had fair and equal access to placement. Based on LPA's observations, interviews which were conducted and records review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SIERRA CASCADE AC/SC, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-BELMONTFACILITY NUMBER: 100404782

complaint_status: SUBSTANTIATED


raw_content:
Investigation Findings:
13On May 21, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Belmont, LPA met with Maggie Mendez. The purpose of the inspection was to deliver the findings of the above complaint allegations. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13On July 25, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Belmont and met with Francisca Ortiz. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Francisca Ortiz


raw_content:
Investigation Findings:
13On September 23, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Belmont and met with Maggie Mendez. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13On November 20, 2024, Licensing Program Analysts (LPAs) Briana Placencia and Angelica Borja conducted a complaint inspection at Quality STRTP Belmont and met with Maggie Mendez. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Administrator Maggie Mendez


raw_content:
Investigation Findings:
13On November 20, 2024, Licensing Program Analysts (LPAs) Briana Placencia and Angelica Borja traveled to Quality STRTP Belmont and met with Maggie Mendez to deliver findings of investigation. Investigator Ruben Munoz conducted investigation that included review of documentation and confidential interviews. Due to inconsistencies in the information received a preponderance of the evidence could not be obtained. Although the allegations may or may not be valid, without a preponderance of the evidence the allegations are deemed Unsubstantiated. No deficiencies observed or cited during this inspection. Copy of this report LIC Confidential Names and LIC Appeal Rights left at the facility at conclusion of inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13On January 16, 2025, Licensing Program Analysts (LPAs) Briana Placencia and Olivia Medrano conducted a complaint inspection at Quality STRTP Belmont and met with Maggie Mendez. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13On October 14, 2025, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Belmont and met with Elizabeth Hernandez. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the Department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility with Elizabeth Hernandez. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Elizabeth Hernandez-Direct Care Staff


summary: Facility Evaluation

raw_content:
Narrative:
On this date, November 10, 2021 at 08: AM, an unannounced required annual inspection was conducted by Licensing Program Analysts (LPA) Wayne Aoki. LPA met with facility Administrator Maggie Mendez. LPA inspected the facility, inside and out. Centrally stored medications and sharps are maintained in the staff office in a locked file cabinet. LPA inspected the medications for the minors in care. The facility has a written emergency disaster plan. All facility smoke and carbon monoxide detectors were tested and appear to be in appropriate working order, fire extinguisher is properly charged and was last serviced May 6, 2021. Individual beds were observed with appropriate clean linens and are in good repair. There is at least one week supply of nonperishable and a two day supply of perishable foods. The facility is maintained at 74 degrees. Hot water temperature measured 107 degrees. Facility cameras are allowed in the facility and there are no pets. There were Staff present during this inspection. Both staff and minor's files reviewed. LPA interviewed 2 staff during the inspection. Additional interviews with minors in placement will be conducted at a later date as they were not home from school during this inspection. LPA reviewed the facility's disaster plan, sampled medication and reviewed facility logs. LPAs requested the following updated documents by November 17, 2021. LIC 500, LIC 308, LIC 999, LIC 610C There were no deficiencies cited during this inspection. A copy of this report was left at the facility at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On December 1, 2022, Licensing Program Analysts (LPAs) Briana Placencia and Cynthia Galindo conducted an unannounced annual inspection at Quality Belmont STRTP located in Fresno CA. LPAs met with Administrator Maggie Mendez and Laura Romero. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 71 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. STRTP was approved on August 24, 2012. The facility is accredited through CARF with accreditation through May 31, 2025, and they are approved through Fresno County Department of Behavioral Health through May 26, 2023. No firearms or weapons are observed in the facility. There is no pool at the facility. LPAs reviewed 5 client files, and 5 staff files. LPAs interviewed 2 staff and 1 client. LPAs discussed the medication log, all required forms, intake process, needs and services plan, disaster preparedness plan and emergency intervention plan. LPAs requested the following updated documents by January 1, 2023. Lic 500, Lic 308, Lic 999, Lic 610c. No deficiencies are being cited on today's visit. A copy of this report was left at the facility at the conclusion of today's inspection.

met_with: Maggie Mendez-Orozco


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Jessica Rodriguez on April 12, 2023, at 9:00A.M. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Rodriguez met with Margarita Mendez, Administrator and inspected the facility inside and out. LPA reviewed 2 of 5 child's records and 2 of 2 staff personnel files on site at the facility. LPA reviewed 2 of 5 child's psychotropic medications and medication records. LPA interviewed 2 of 2 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 2 of 2 children currently prescribed psychotropic medication. LPA provided a copy of this licensing report to Margarita Mendez, Administrator, No deficiencies are being cited at this time. LPA conducted exit interview with Margarita Mendez, Administrator.

met_with: Margarita Mendez


summary: Facility Evaluation

raw_content:
Narrative:
On January 29, 2025, Licensing Program Analysts (LPAs) Briana Placencia, Melissa Renovato and Olivia Medrano conducted an unannounced random inspection at Quality Belmont STRTP located in Fresno CA. LPAs met with Administrator Maggie Mendez. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 75 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced in March 19, 2024. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. STRTP was approved on August 24, 2012. The facility is accredited through CARF with accreditation through May 31, 2025, and they are approved through Fresno County Department of Behavioral Health through May 26, 2025. Per Administrator there are no weapons/firearms in the facility. There are no bodies of water. LPAs reviewed 2 client files, and 5 staff files. LPAs interviewed 2 staff and 0 clients, due to the clients being at school. The facility is being cited a Technical Violation for staff training during todays visit. A copy of this report and appeal rights was left with Administrator Maggie Mendez at the conclusion of today's inspection.


facility_name: QUALITY FAMILY SERVICES-CAMBRIDGE

summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On March 19, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Cambridge and met with Santiago Quinonez. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA interviewed staff, clients and reviewed supporting documentation which revealed that in fact the staff failed to supervise the youths which resulted in inappropriate behaviors. Based on LPA's interviews which were conducted and records review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. This facility is being cited for violation of Title Division Chapter Article Section 80078(a) Responsibility for Providing Care and Supervision. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-CAMBRIDGEFACILITY NUMBER: 100403988

met_with: Santiago Quinonez


raw_content:
Investigation Findings:
13On April 4, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Cambridge and met with Santiago Quinonez. The purpose of the inspection was to deliver the findings regarding the above complaint allegation. During the investigation, LPA conducted confidential interviews which revealed that in fact staff spoke inappropriately to youth in care. Based on LPA's, interviews which were conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Interim Licensing Standards are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-CAMBRIDGEFACILITY NUMBER: 100403988


raw_content:
Investigation Findings:
13On April 25, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Cambridge and met with Santiago Quinonez. The purpose of the inspection was to deliver the findings regarding the above complaint allegation. During the investigation, LPA conducted confidential interviews and records review which revealed that in fact facility failed to notify authorized representative of incidents. Based on LPA's, interviews which were conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Interim Licensing Standards are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-CAMBRIDGEFACILITY NUMBER: 100403988


raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to Quality Family Services-Cambridge and met with Carole Whitty to deliver findings of investigation. CS conducted investigation that included review of documentation and confidential interviews. Based on inconsistences in the information obtained a preponderance of the evidence could not be obtained. Although the allegation may or may not be valid without a preponderance of the evidence the allegation is deemed Unsubstantiated. No deficiencies observed or cited during this inspection. Copy of this report, LIC Confidential Names, and LIC Appeal Rights left at the facility at conclusion of inspection UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Carole Whitty


raw_content:
Investigation Findings:
13On June 10, 2025, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Cambridge and met with Carole Whitty. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 04/29/2025 and conducted by Evaluator Briana Placencia PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:QUALITY FAMILY SERVICES-CAMBRIDGEFACILITY NUMBER: ADMINISTRATOR:QUINONEZ, SANTIAGOFACILITY TYPE: ADDRESS: EAST CAMBRIDGETELEPHONE: (559) 252- CITY:FRESNOSTATE: CAZIP CODE: CAPACITY:6CENSUS: 2DATE: 06/10/ UNANNOUNCEDTIME BEGAN: 01: PM MET WITH:Carole WhittyTIME COMPLETED:02: PM 9Staff threatened youth in care. Staff conducted an inappropriate de-escalation technique. Staff handled minor in a rough manner. Staff locked youth out of the facility. Facility failed to report incident timely. INVESTIGATION FINDINGS: 13On June 10, 2025, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Cambridge, LPA met with Carole Whitty. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA interviewed staff, clients and conducted a video review which revealed that in fact staff threatened youth, staff conducted an inappropriate de-escalation technique, staff handled minor in a rough manner, staff locked youth out of the facility and the facility failed to report incident timely. Based on LPA's observations, interviews and video review which was conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-CAMBRIDGEFACILITY NUMBER: 100403988


summary: Facility Evaluation

raw_content:
Narrative:
On 09/10/21, Licensing Program Analyst (LPA) Lisa Slusher Travelled to the above to conduct an Annual inspection. Met by Executive Director Mae Johnson, and Administrative Staff Laura Romero and Maggie Orozco.. An inspection of the facility was conducted and the following was observed: There are currently no clients in placement. Toured the facility indoors and outdoors. Fire extinguisher charged and up to date. Hot water temperature last measured at 110 degrees. Observed adequate supply of non-perishables. Observed adequate supply of furnishings, linen and storage space for clients. Cleaning chemicals inaccessible to clients. Medication area centrally stored and locked. There are no pets at the facility. Per the Administrator, there are no weapons at the facility. There are no bodies of water at the facility. There have been no deficiencies in the prior 12 months. Administrator file inspected as well as training records. There are no other staff. No deficiencies cited on this date. Visit concluded.


summary: Facility Evaluation

raw_content:
Narrative:
On October 25, 2022, Licensing Program Analysts (LPAs) Briana Placencia and Cynthia Galindo conducted an unannounced annual required inspection at this facility. LPAs were met at the facility by Human Resource Manager Laura Romero. An inspection of the facility was conducted and the following was observed: No clients were residing in the home; therefore, no client files were reviewed. LPAs reviewed the administrator file. LPAs provided Laura Romero with a copy of the LIS536 which includes a list of personnel associated to the facility. The facility was inspected indoors and outdoors. Hot water temperature was at a comfortable temperature of 119 degrees in the hall restroom. LPAs observed that there were no supply of perishables and non-perishables. LPAs observed one of the fridges had rotten food with a heavy odor and bugs. A Technical Violation will be issued for this. (See LIC 9102) LPAs observed adequate supply of linen and storage space for clients. All furnishings were in place for 6 clients. Cleaning chemicals were inaccessible to clients. There are no weapons observed at the facility. There are also no bodies of water at the facility. Laura Romero/Administrator to submit an updated facility sketch and LIC 500 when they accept clients into the home. LPA left a copy at the facility and visit concluded.


summary: Facility Evaluation

raw_content:
Narrative:
On September 13, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Cambridge and met with Santiago Quinonez. LPA conducted a Case Management inspection due to an incident that occurred on August 26, 2023 where #1 (Ref #1-811) was assaulted while waiting outside of the boxing gym. Staff was on their way to pick up youth, but stated he is 18 years of age and has earned independent passes. The issue arises that CCL received the initial report but did not receive a follow up completed Incident report (LIC 624). A technical assistance was issued on this date.


summary: Facility Evaluation

raw_content:
Narrative:
On February 14, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Cambridge and met with Santiago Quinonez. LPA conducted a inspection to conduct a physical plant inspection. Physical plant inspection was conducted. LPA observed two holes in the day area room, one on the ceiling and one on a wall. There was also a hole in bedroom number three's door. Administrator stated that there is already a work order to fix the holes and that maintenance is coming out today at 3pm. There are no deficiencies to be cited at this time. A copy of this report is being left at the facility.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On October 30, 2024, Licensing Program Analysts (LPAs) Briana Placencia, Melissa Renovato, and Olivia Medrano conducted an unannounced Annual/Random inspection at Quality Gettysburg STRTP located in Fresno CA. LPAs met with Administrator Santiago Quinonez. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 68 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced in March 19, 2024. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. STRTP was approved on December 1, 2018. The facility is accredited through CARF with accreditation through May 31, 2025, and they are approved through Fresno County Department of Behavioral Health through May 28, 2025. No firearms or weapons are observed in the facility. LPA reviewed 6 client files, and 5 staff files. LPA interviewed 2 staff and 2 clients. LPAs discussed medication logs, needs and services plan with updates, food supply, TB tests for clients, buildings and grounds. Deficiencies are being cited on today's visit, include two Type A violations and two Technical Advisories. A copy of this report was left at the facility at the conclusion of today's inspection.

Deficiencies:
80075(k): Health-Related Services

(k) The following requirements shall apply to medications which are centrally stored


summary: Facility Evaluation

raw_content:
Narrative:
On March 11, 2025, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Cambridge and met with Carole Whitty. The purpose of this inspection was to discuss concerns with an incident report that was received by the Department on 02/26/2025, the incident in question happened on 02/25/2025. LPA conducted an interview and collected documentation. Head of Service/Therapist stated that it was an isolated incident. Client #1 (C1) is private placement and authorized representative is Adoptive Mother.(See 811 and 812). It was determined this was an isolated incident and there was no citation warranted. A copy of this report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On June 18, 2025, Licensing Program Analyst (LPA) Briana Placencia arrived at Quality Corporate office and met with Human Resource Manager Laura Romero. The purpose of this visit was to obtain additional information regarding staff and client (See 811). LPA was provided supporting documents by the facility. No citations were issued during todays visit. A copy of this licensing report was provided to Laura Romero at the conclusion of this inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On April 25, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Cambridge and met with Santiago Quinonez. The purpose of this visit was to discuss incident reports not received by CCL, these reports were for a client no longer residing at Quality STRTP Cambridge (see 811). Incident reports were completed on LIC 624 forms and indicated that CCL received the reports but in fact they were not received by CCL. The Department determined this to be a risk to the health and safety of the children in care at this time, therefore California Code of Regulations are being cited on the attached LIC809D. A copy of this report and Appeal Rights was provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On February 23, 2026, Licensing Program Analyst (LPA) Danny Macias arrived at Quality Cambridge Short Term Residential Treatment Program (STRTP) for the purpose of conducting an unannounced Case Management Inspection and met with Head of Service Carole Whitty. The purpose of the inspection was to discuss concerns with buildings and grounds as a walk through was completed. During the facility walk through LPA observed a hole in a bedroom wall and a dresser missing a drawer in a 2nd bedroom. The facility has initiated work orders for these items to be completed. A review of the Licensing Information System on this date indicates that all facility staff are associated to the STRTP and had DOJ, FBI, and child abuse index check clearances. A copy of this report was provided to Carole Whitty at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On February 26, 2026, Licensing Program Analyst (LPA) Danny Macias arrived at Quality Cambridge Short Term Residential Treatment Program (STRTP) for the purpose of conducting an unannounced Case Management Inspection and met with Head of Service Carole Whitty. The purpose of the inspection was to obtain signatures on documents from an earlier case management inspection on February 23, 2026. A copy of this report was provided to Carole Whitty at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On March 26, 2026, Licensing Program Analyst (LPA) Danny Macias arrived at Quality Family Services - Cambridge House (STRTP) to conduct an unannounced inspection and met with Head of Service Carole Whitty. The purpose of the inspection was to discuss an incident in which clients went on an unauthorized absence, but the STRTP did not contact law enforcement. More information is necessary to resolve the incident. (see 812) No citations at this time. An exit interview was conducted and a copy of this report was left with Carole Whitty.


summary: Facility Evaluation


facility_name: QUALITY FAMILY SERVICES-CLINTON

summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On 05/03/2021, Licensing Program Analyst (LPA) Wayne Aoki conducted a follow up complaint inspection for Quality Family Services - Clinton and spoke with Laura Romero. Due to restrictions of COVID-19, the complaint investigation was conducted by telephone. The purpose of the investigation is to deliver the findings for the above allegation. Interviews were conducted with staff and the clients in care. Based upon the content of the interviews and witness statements, it was determined that the staff knew that the clients in care have a history of acting out sexually and making poor choices. The staff still failed to provide the needed supervision to prevent this type of incident from occurring. Based on the above, there is a preponderance of evidence to conclude that the allegation is substantiated. The facility is being cited on the attached LIC 9099D. This report along with appeals rights are being emailed to the facility for signature and a scan back to CCL on this date. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-CLINTONFACILITY NUMBER: 100405477


raw_content:
Investigation Findings:
13On May 17. 2021, Licensing Program Analyst (LPA) Wayne Aoki conducted a complaint inspection at this group home for the purpose of informing the facility of the results of the investigation. LPA met with facility representative, Laura Romero. A tele-inspection was conducted (ROM 20-11-CCLD) due to the pandemic. During the course of investigating the allegation, LPA conducted interviews with staff and minors in care at the facility. The minor in care that allegedly was assaulted by staff indicated that the staff hit the minor while in the staff restroom. LPA reviewed video of two staff attempting to restrain the minor while in the staff office. The video evidence was inconclusive with regards to staff assaulting/hitting the minor. The minor involved stated that the staff did not hit him in the office but rather in the staff bathroom where there are no cameras. Other minors and staff that were interviewed either denied that the minor was hit or did not witness the alleged assault. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the above allegation occurred, therefore the above allegation is unsubstantiated. There were no deficiencies cited during this inspection. Exit interview conducted and a copy of the report along with appeals rights were emailed to the facility with a request for the signed document be provided to Community Care Licensing. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2


raw_content:
Investigation Findings:
13On July 25, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Clinton, LPA met with Juan Quevedo. The purpose of the inspection was to deliver the findings of the above complaint allegations. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Juan Quevedo


raw_content:
Investigation Findings:
13On October 22, 2025, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Clinton, LPA met with Juan Quevedo. The purpose of the inspection was to deliver the findings of the above complaint allegations. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the Department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility with Juan Quevedo. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


summary: Facility Evaluation

raw_content:
Narrative:
On 05/24/2021, an unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Tamara Melikian at 2:00PM. During the inspection, LPA met with Laura Romero, Human Resource Manager and Juan Quevedo, Administrator and inspected the facility inside and out. Due to restrictions of COVID-19, this inspection was conducted via FaceTime. All file and medication documents were sent to this LPA on the dates prior to inspection. In addition, a medication count was conducted. LPA reviewed three children's records and reviewed two staff personnel records for the facility. LPA interviewed two staff via telephone at 2:30PM. LPA did not interview any children in the home as all dependents refused an interview. No deficiencies to be cited at this time. LPA conducted exit interview with Laura Romero, Human Resource Manager at 3:00PM. A copy of this report was provided upon completion by email with a request for signature and a scan back to this LPA on this date.


summary: Facility Evaluation

raw_content:
Narrative:
On this date, October 13, 2021 at 08: AM, an unannounced required annual inspection was conducted by Licensing Program Analysts (LPA) Wayne Aoki. LPA met with facility representative Juan Quevedo. LPA inspected the facility, inside and out. Centrally stored medications and sharps are maintained in the staff office in a locked closet. LPA inspected the medications for the minors in care. The facility has a written emergency disaster plan. All facility smoke and carbon monoxide detectors were tested and appear to be in appropriate working order, fire extinguisher is properly charged and was last serviced May 2021. Individual beds were observed with appropriate clean linens and are in good repair. There is at least one week supply of nonperishable and a two day supply of perishable foods. The facility is maintained at 77 degrees. Hot water temperature measured 112 degrees. Facility has cameras in common areas of the facility. There are no bodies of water at the facility. No firearms or weapons are allowed in the facility and there are no pets. There was Staff, Minors and the present during the inspection. Both staff and minor's files reviewed. LPA interviewed 1 staff and 3 minors during the inspection. LPA reviewed the facility's disaster plan, sampled medication and reviewed facility logs. LPAs requested the following updated documents by October 22, 2021. LIC 500, LIC 308, LIC 999, LIC 610C There were no deficiencies cited during this inspection. A copy of this report was left at the facility at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On this date, October 18, Licensing Program Analyst (LPA) was met by facility representative Laura Romero for the purpose of conducting a Case Management inspection. The LPA informed this Short-Term Residential Therapeutic Program (STRTP) and all other associated facilities to amend their Program Statements to be in compliance with the STRTP Interim Licensing Standards Version 4. LPA specifically directed Ms. Romero to section 87068.05(c)(4)(A)1., Admission Determination Procedures. The agency is to update this section by November 1, 2021 and provide a copy to Community Care Licensing for approval. There were no citable deficiencies during this visit.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, LPAs (Licensing Program Analysts) conducted a case management inspection at the QFS main office. Met with Human Resource Director Laura Romero. Discussed the incident report dated 6/15/2022. LPAs requested that the facility send an updated/addendum incident report with the collateral information from since the initial report on the C1 in regards to his 5150 and hospitalization and plan for when minor will consume his medication thereafter. Incident report addendum will be submitted by end of business 6/24/22. See LIC 811 dated 6/23/22 for confidential name(s).


summary: Facility Evaluation

raw_content:
Narrative:
On November 1, Licensing Program Analysts (LPAs) Briana Placencia and Cynthia Galindo conducted an unannounced annual inspection at Quality Clinton STRTP located in Fresno CA. LPAs met with Facility Manager Juan Quevedo and Laura Romero. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 72 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced in March 2022. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. STRTP was approved on December 1, 2018. The facility is accredited through CARF with accreditation through May 31, 2025, and they are approved through Fresno County Department of Behavioral Health through May 27, 2023. No firearms or weapons were observed in the facility. There is no pool and no pets at the facility. LPAs reviewed 4 client files, and 8 staff files. LPAs interviewed 2 staff and no clients due to the clients being at school. LPAs discussed the medication log, all required forms, intake process, needs and services plan, disaster preparedness plan and emergency intervention plan. LPAs requested the following updated documents by December 1, 2022. Lic 500, Lic 308, Lic 999, Lic 610c. Deficiencies are being cited on today's visit, which include One Technical Violation for "Children's Records" and one Technical Advisory for "Training Requirements". A copy of this report was left at the facility at the conclusion of today's inspection.

met_with: Juan Quevedo and Laura Romero


summary: Facility Evaluation

raw_content:
Narrative:
On January 23, 2025, Licensing Program Analysts (LPAs) Briana Placencia, Melissa Renovato and Olivia Medrano conducted an unannounced random inspection at Quality Clinton STRTP located in Fresno CA. LPAs met with Facility Manager Juan Quevedo. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 72 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced in March 19, 2024. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. STRTP was approved on December 1, 2018. The facility is accredited through CARF with accreditation through May 31, 2025, and they are approved through Fresno County Department of Behavioral Health through June 1, 2026. Per Administrator there are no weapons/firearms in the facility. There are no bodies of water and no pets at the facility. LPAs reviewed 2 client files, and 0 staff files. LPAs interviewed 2 staff and no clients due to the clients being at school. LPA will follow up with staff files as well as interviewing the clients at school. LPAs discussed needs and services plan, JV220/JV223, and having staff records readily available to CCL. Deficiencies are being cited on today's visit, which include one Technical Violation for "Staff Records". A copy of this report and appeal rights was left with Administrator Juan Quevedo at the conclusion of today's inspection.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Briana Placencia on May 5, 2025 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code 1538.9(a)(2). During the inspection, LPA met with Juan Quevedo, Administrator and inspected the facility inside and out. LPA reviewed 1 child record and 2 staff personnel files on site at the facility. LPA reviewed 1 child psychotropic medications and medication records. LPA interviewed 2 staff on site to discuss the facilities policies and procedures and plan of operation. LPA was unable to conduct any interviews as the child currently on psychotropic medication is at school, they will be interviewed at a later time. LPA provided a copy of this licensing report to Juan Quevedo, Administrator. No deficiencies are being cited at this time. LPA conducted exit interview with Juan Quevedo, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On November 20, 2025, Licensing Program Analyst (LPA) Briana Placencia traveled to Quality Corporate office and met with Human Resource Director Laura Romero to conduct a Case Management Inspection related to reporting concerns. LPA collected supporting documents. An exit interview was conducted, and a copy of this report was left with Laura Romero.


summary: Facility Evaluation

raw_content:
Narrative:
On December 10, 2025, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Clinton and met with James Jacinto and Juan Quevedo via phone. The purpose of this inspection was to discuss concerns with an incident report that was sent into the Department on December 2, 2025, the incident in question happened on 11/23/2025. LPA conducted interviews and will collect additional documentation. Administrator stated that it was an isolated incident, Client One (C1) (see 811) was previously on an unauthorized absence then arrived to the facility and the incident occurred. Please see 812. It was determined this was an isolated incident and there was no citation warranted. A copy of this report was left at the facility.

met_with: James Jacinto-Clinician


summary: Facility Evaluation

raw_content:
Narrative:
On June 18, 2021, Licensing Program Analyst (LPA) conducted an unannounced Case Management inspection to discuss an incident that occurred on 02/20/2021. LPA was met by facility representative Laura Romero. On 2/20/2021 a client in care was acting out in the facility office. The client became aggressive and two staff attempted to restrain the client. The LPA determined that when the two staff went to take down the client, the failed to use proper restraint protocol. Based on the above, the facility is being cited on the attached LIC 9099D. This report along with appeals rights are being provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On January 23, 2026, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Clinton and met with Sherry Blount. The purpose of this inspection was to discuss concerns with an incident report that was sent into the Department on January 20, 2026, the incident in question happened on 01/16/2026. LPA conducted an interview. Facility Manager stated that it was an isolated incident. Staff has had multiple Chid Family Team meetings for client one (C1) regarding this incident and C1's Probation officer is aware and a safety plan is in place. It was determined this was an isolated incident and there was no citation warranted. A copy of this report was left at the facility.

met_with: Sherry Blount


summary: Facility Evaluation


summary: Facility Evaluation

raw_content:
Narrative:
On April 8, 2026, Licensing Program Analyst (LPA) Danny Macias conducted a Case Management inspection at Quality STRTP Clinton and met with House Manager (S1) Sherry Blount. The purpose of this inspection was to discuss an incident that occurred on 3-27-26 in which Direct Care Staff (S2) Toua Kue did not intervene when clients stole tickets at the nickel arcade. S1 attempted to contact the nickel arcade as the situation was happening. S1 later addressed the incident with staff and clients involved. (see 812) No citations at this time. A copy of this report was left with Sherry Blount at the conclusion.


raw_content:
Investigation Findings:
13On April 8, 2026, Licensing Program Analyst (LPA) Danny Macias traveled to Quality Family Services - Clinton Short Term Residential Treatment Program (STRTP) to conduct an unannounced inspection and met with House Manager Sherry Blount. The purpose of the inspection was to deliver findings for the above complaint allegations. During the investigation, LPA conducted confidential interviews and reviewed supporting documents. Based on interviews and document review, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. No deficiencies or citations issued. A review of the Licensing Information System on this date indicates that all facility staff are associated to the STRTP and had DOJ, FBI, and child abuse index check clearances. An exit interview was conducted and a copy of this report was left with Sherry Blount at the conclusion. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Vanessa Galvan LICENSING EVALUATOR NAME: Danny Macias LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


facility_name: QUALITY FAMILY SERVICES-GETTYSBURG

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Investigation Findings:
13On 11/19/2021, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint inspection for the Quality Family Services, Gettysburg House STRTP for the purpose of informing the facility of the outcome of the investigation. Met by Human Resource Manager Laura Romero. During the course of the investigation, LPAs conducted interviews with the youth (#2) and a witness. In addition, staff members were interviewed and documents were obtained from the facility and law enforcement. Based on the information obtained, there are inconsistencies whether the staff (#1) hit the youth (#2). Staff denies the allegation and the youth states that it did occur. There were no witnesses to the allegation. Based on the above, the allegation is unsubstantiated. Exit interview conducted and a copy of the report was given to the Human Resource Manager. There are no deficiencies to be cited on this date. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Tamara Melikian LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2


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Investigation Findings:
13Complaint Specialist C.K. Kinney (CS) traveled to Quality Family Services offices and met with Laura Romero to deliver findings of investigation. Investigators Kujawa and Barragan conducted investigation that included review of documentation, confidential interviews. Due to inconsistent information that was obtained the Department was not able to find a preponderance of the evidence the allegation occurred as reported. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the above allegations are deemed UNSUBSTANTIATED at this time. Copy of this report and LIC Appeal Rights left at the facility at conclusion of inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


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Investigation Findings:
13On September 21, 2022, Licensing Program Analyst (LPA) Wayne Aoki conducted a follow up complaint inspection. The purpose of the inspection is to conduct additional interviews and close the investigation and deliver the findings for the above complaint allegations. LPA was me by House Manager, Joyce Wynn.. During the course of the investigation, confidential interviews were conducted and other documents were obtained. Although the allegation may have happened or is valid, there is not a preponderance of the evidence, therefore, the above allegation is unsubstantiated. Based on the above, the complaint is Unsubstantiated. There were no deficiencies cited during this inspection. A copy of this report and appeals rights were left with Ms. Wynn. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

met_with: Joyce Wynn


summary: Complaint Investigation - Substantiated

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Investigation Findings:
13Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality Corporate office and met with Laura Romero. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA interviewed staff which revealed that the agency did not ensure that minor had fair and equal access to placement. Based on LPA's observations, interviews which were conducted and records review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SIERRA CASCADE AC/SC, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-GETTYSBURGFACILITY NUMBER: 107204178


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Investigation Findings:
13Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Coorporate office and met with Laura Romero. The purpose of the inspection was to deliver the findings for the above complaint allegation. This complaint is being closed at the corporate office due to Gettysburg being on COVID restrictions. During the investigation, LPA conducted interviews, records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


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Investigation Findings:
13On February 21, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Gettysburg and met with Ruth Inacay. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Ruth Inacay


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Investigation Findings:
13On December 30, 2024, Licensing Program Analysts (LPAs) Briana Placencia and Olivia Medrano conducted a complaint inspection at Quality STRTP Gettysburg and met with Joyce Wynn. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Facility Manager-Joyce Wynn


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Investigation Findings:
13On April 8, 2025, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Gettysburg and met with Joyce Wynn. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


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Investigation Findings:
13On September 10, 2025, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Gettysburg and met with Maggie Mendez. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left with Maggie Mendez at the conclusion of this inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


summary: Facility Evaluation

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Narrative:
On October 6, 2022, Licensing Program Analyst (LPA) Wayne Aoki was met by Administrator, Laura Romero. The purpose of this Case Management meeting is to discuss the high calls for service at this facility. LPA received a letter from Lloyd J. Flores with Fresno Police Department referencing 90 calls of service to this location. Ms. Romero acknowledged that 90 calls of service to the facility is above the norm and that administration will look into why there was so many calls of services. Ms. Romero stated that the Quality Family Services will reach out to the Fresno Police Department to address this problem as this is not acceptable. Ms Romero will retrain all managers to address behavioral issues and the proper protocol (Emergency Intervention Plan -EIP) that is to be used prior to any calls to law enforcement. There were no deficiencies cited during this inspection. A copy of this report was left with Ms. Romero.


summary: Facility Evaluation

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Narrative:
On this date, November 17, 2021 at 08: AM, an unannounced required annual inspection was conducted by Licensing Program Analysts (LPA) Wayne Aoki. LPA met with facility representative Joyce Wynn. Laura Romero arrived later with staff files. LPA inspected the facility, inside and out. Centrally stored medications and sharps are maintained in the staff office in a locked closet. LPA inspected the medications for the minors in care. The facility has a written emergency disaster plan. All facility smoke and carbon monoxide detectors were tested and appear to be in appropriate working order, fire extinguisher is properly charged and was last serviced May 2021. Individual beds were observed with appropriate clean linens and are in good repair. There is at least one week supply of nonperishable and a two day supply of perishable foods. The facility is maintained at 73 degrees. Hot water temperature measured 107 degrees. Facility has cameras in common areas of the facility. There are no bodies of water at the facility. No firearms or weapons are allowed in the facility and there are no pets. There was Staff and Minors present during the inspection. Both staff and minor's files reviewed. LPA interviewed 1 staff and 2 minors during the inspection. LPA reviewed the facility's disaster plan, sampled medication and reviewed facility logs. LPAs requested the following updated documents by November 30, 2021. LIC 500, LIC 308, LIC 999, LIC 610C There were no deficiencies cited during this inspection. A copy of this report was left at the facility at the conclusion of the inspection.

met_with: Joyce Wynn and Laura Romero


summary: Facility Evaluation

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Narrative:
On this date, Licensing Program Analysts (LPAs) Cynthia Galindo and Briana Placencia conducted a case management visit at the STRTP and met with Administrator Joyce Wynn. The purpose of the meeting was to discuss an incident report emailed to Community Care Licensing (CCL) on June 6, 2022. LPAs discussed with Administrator the incident where the youth swallowed glass. LPAs obtained clarification on the incident and determined the facility took all the appropriate precaution and set a safety plan in place to keep the youth safe. LPAs reviewed the safety plan and spoke with the youth. See 812 for details. Based on the information obtained, the facility is not being cited but a technical violation is being issued for the youth's bedroom window. A copy of this report was left at the facility.


summary: Facility Evaluation

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Narrative:
On the above date, LPAs (Licensing Program Analysts) conducted a case management inspection at the QFS main office. Met with Human Resource Director Laura Romero. The purpose of this inspection is to follow up on a technical violation issued on 06/13/22. The facility has replaced the lock on the window. Agency provided a photo of the correction on this date.


summary: Facility Evaluation

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Narrative:
On this date Licensing Program Analyst (LPA) Jessica Rodriguez arrived at the Short Term Residential Therapeutic Program (STRTP) for the purpose of conducting an interview with Client 2 (C2). LPA waited for approximately 20 minutes for C2 to arrive to the facility from school pick ups. LPA attempted to interview C2; however, she declined to be interviewed by LPA. LPA left a copy of this report with Head of Service, Sarah Thomas.

met_with: Sarah Thomas


summary: Facility Evaluation

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Narrative:
On January 27, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality Gettysburg STRTP and met with Austriana Mccarty. The purpose of the inspection was to discuss concerns received by the Department about a former youth with and incident date of September 4, 2022. LPA interviewed staff. There are no findings or citations at this time. A copy of this report was left at the facility.

met_with: Austriana Mccarty


summary: Facility Evaluation

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Narrative:
On January 27, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality Corporate office and met with Laura Romero in regards to a incident at Gettysburg STRTP. The purpose of the inspection was to discuss concerns received by the Department about a former youth with and incident date of September 4, 2022. LPA interviewed staff. There are no findings or citations at this time. A copy of this report was left at the facility.

met_with: Laura Romero


summary: Facility Evaluation

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Narrative:
On February 8, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality Gettysburg STRTP and met with Joyce Wynn. The purpose of the inspection was to discuss concerns received by the Department about a former youth with and incident date of September 4, 2022. LPA interviewed staff. There are no findings or citations at this time. A copy of this report was left at the facility.


summary: Facility Evaluation

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Narrative:
On February 8, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality Gettysburg STRTP and met with Joyce Wynn. The purpose of the inspection was to discuss concerns in regards to an initial incident report received by the Department about a staff not administering a medication to youth on February 5, 2023. LPA interviewed staff (see 812). The facility is being issued a Technical Advisory based off of 87075(c) for this incident. A copy of this report was left at the facility.


summary: Facility Evaluation

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Narrative:
On September 13, 2023, Licensing Program Analyst (LPA) Briana Placencia arrived at the Short Term Residential Therapeutic Program (STRTP) for the purpose of conducting an interview with Foster Child 1 (FC1). LPA was able to interview FC1. There are no findings or citations at this time. A copy of this report was left at the facility.


summary: Facility Evaluation

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Narrative:
On December 12, 2023, Licensing Program Analyst (LPA) Briana Placencia conducted an unannounced random inspection at Quality Gettysburg STRTP located in Fresno CA. LPA met with Facility Manager Austriana McCarty. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 73 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced in March 2023. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. STRTP was approved on December 1, 2018. The facility is accredited through CARF with accreditation through May 31, 2025, and they are approved through Fresno County Department of Behavioral Health through May 28, 2024. No firearms or weapons are observed in the facility. LPA reviewed 3 client files, and 5 staff files. LPA interviewed 1 staff and 1 client. LPA discussed the medication logs, all required forms, intake process, needs and services plan with updates, STRTP Interagency Placement recommendation, disaster preparedness plan and emergency intervention plan. Deficiencies are being cited on today's visit, that include one technical violation. A copy of this report was left at the facility at the conclusion of today's inspection.

met_with: Austriana McCarty


summary: Facility Evaluation

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Narrative:
On July 25, Licensing Program Analyst (LPA) Briana Placencia arrived at the Short Term Residential Therapeutic Program (STRTP) for the purpose of conducting an interview with Client Two (C2) and Client Four (C4). LPA was unable to interview either client as they both refused. Staff attempted multiple times and they continued to refuse. There are no findings or citations at this time. A copy of this report was left at the facility.


summary: Facility Evaluation

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Narrative:
On September 17, 2024, Licensing Program Analysts (LPAs) Briana Placencia and Danny Macias conducted a Case Management inspection at Quality STRTP Gettysburg and met with Joyce Wynn. The purpose of the inspection was to discuss concerns with the frequency of AWOLs at the facility. The facility has implemented a Law Enforcement tracking Log as of August 2024. In speaking with staff it was determined that they are following their runaway procedures per their program statement. Staff has noticed that there is a large population of CSEC youth that have been placed at their facility over that last several months. In speaking with Program Director (PD), staff has been receiving extra training with the last training being on 9/3/2024. PD does plan to conduct more training's with staff. There are no citations at this time. A copy of this report was left at the facility.


summary: Facility Evaluation

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Narrative:
On September 17, 2024, Licensing Program Analysts (LPAs) Briana Placencia and Danny Macias conducted a Case Management inspection at Quality STRTP Gettysburg and met with Joyce Wynn. The purpose of this inspection was to discuss concerns with a late incident report that was sent into the Department on 8/30/2024, the incident in question happened on 07/17/2024. In speaking with Program Director he stated that it could have been an oversight and they are working with current staff to get the reports to PD for review in a timely manner. PD stated that there was a recent meeting held on 9/3/2024 to discuss these concerns. PD will continue to work/train staff to submit the documentation in a timely manner. The facility is being cited a Technical Assistance(TA). A copy of this report and TA was left at the facility.


summary: Facility Evaluation

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Narrative:
On October 14, 2024, Licensing Program Analysts (LPAs) Briana Placencia and Melissa Renovato conducted a Case Management inspection at Quality STRTP Gettysburg and met with Maggie Mendez. The purpose of this inspection was to discuss concerns with an incident report that was sent into the Department on 10/10/2024, the incident in question happened on 10/09/2024. In speaking with Facility Manager there was an incident and staff had control of the situation. (See 811 and 812). It was determined this was an isolated incident and there was no citation warranted. A copy of this report was left at the facility.

met_with: Maggie Mendez


summary: Facility Evaluation - 1 deficiency

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Narrative:
On October 17, 2024, Licensing Program Analysts (LPAs) Briana Placencia and Danny Macias conducted an unannounced required two year inspection at Quality Gettysburg STRTP located in Fresno CA. LPAs met with Facility Manager Joyce Wynn. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 73 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced in March 19, 2024. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. STRTP was approved on December 1, 2018. The facility is accredited through CARF with accreditation through May 31, 2025, and they are approved through Fresno County Department of Behavioral Health through May 28, 2025. No firearms or weapons are observed in the facility. LPA reviewed 4 client files, and 5 staff files. LPA interviewed 1 staff and 2 clients refused to be interviewed. LPA discussed TB tests of clients, medication logs, needs and services plan with updates. Deficiencies are being cited on today's visit, that include two Type B violations. A copy of this report was left at the facility at the conclusion of today's inspection.

Deficiencies:
87068.3(a): Modifications to The Needs And Services Plan

(a) The needs and services plan as described Sections 87068.2 and 87068.22, shall be updated at least every 30 days to determine the following


summary: Facility Evaluation

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Narrative:
On November 4, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Gettysburg and met with Joyce Wynn. The purpose of this inspection was to discuss concerns with an incident report that was sent into the Department on 10/22/2024, the incident in question happened on 9/17/2024. LPA did receive a call from Program Director (PD) regarding this specific incident. It was determined the facility will be issued a Technical Assistance (TA) for late reporting. A copy of this report was left at the facility.


summary: Facility Evaluation

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Narrative:
On November 4, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Gettysburg and met with Joyce Wynn. The purpose of this inspection was to discuss concerns with an incident report that was sent into the Department on 10/25/2024, the incident in question happened on 10/14/2024. LPA conducted interviews and collected documentation. Facility Manager stated that it was an isolated incident, FM did meet with staff about the incident in question. Client #1 has a history of contacting law enforcement/medical services.(See 811 and 812). It was determined this was an isolated incident and there was no citation warranted. A copy of this report was left at the facility.


summary: Facility Evaluation

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Narrative:
On July 16, 2025, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Gettysburg and met with Joyce Wynn. The purpose of this inspection was to discuss concerns with an incident report that was sent into the Department on July 11, 2025, the incident in question happened on 07/09/2025. LPA conducted interviews and collected documentation. Facility Manager stated that it was an isolated incident. Staff did check on client every 15 mins or more, FM also stated that C1 refused medical treatment. It was determined this was an isolated incident and there was no citation warranted. A copy of this report was left at the facility.