summary: Facility Evaluation

raw_content:
Narrative:
On 03/20/2024, Licensing Program Analyst (LPA) Tamara Melikian travelled to the above facility to conduct an Annual inspection. Met by Administrator Renee Accardo. At 9:45AM, an inspection of the physical plant was conducted. LPA observed adequate food supply, adequate bedding, storage space, activity space, hot water that measured 114 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. At 10:30AM, an inspection of client files was conducted as well as the centrally stored record and medications. At 11:10AM, an interview of S1 and S2 (see LIC811 dated 03/20/2024) was conducted. At 11:35AM, staff records were inspected. The exit interview was conducted at 12:00PM and a copy of this report given to the Administrator. It is requested that the licensee submit the following updated forms to CCL: LIC 308, 309, 500 and emergency disaster plan. In addition, the most recent minutes for the Board of Directors meeting. There are no deficiencies to be cited on this date


state: CA

facility_name: PROMESA, MADERA HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analyst (LPA) Sonia Sanchez traveled to Promesa STRTP to conduct an unannounced case management visit and met with Mickey Giannobile, Administrator and spoke with Arlene Vargas, Director via telephone. The purpose of the visit is to follow up on an incident that occurred on October 25, 2024 with client (C1) (see LIC 811 dated 11/07/2024) as outlined on Incident Report FN-0001164 received by CCL on October 29, 2024. The incident and the outcome of the incident was discussed with Mickey Giannobile,and Arlene Vargas. Arlene will provide a copy of the training record, as well as the suspension paperwork for (S1) (see LIC 811). Based on record review and staff interview, S1 did not follow psychotropic medication protocols and distributed the wrong psychotropic medication to C1. The Department determined this to be an immediate risk to health and safety, the STRTP is being issued a Technical Violation on the attached LIC9102TV under Health Related Services. An exit interview was conducted, and a copy of this report and appeal rights were provided to the facility.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Mickey Giannobile, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 04/22/2025, Licensing Program Analyst (LPA) Reyna Martinez conducted an unannounced case management inspection for the above facility. Met by Soila Parra, Child Care Worker. Administrator, Arlene Vargas was contacted by telephone. The purpose of the inspection was to discuss on incident that involved client #1 (see LIC811 dated 04/22/2025) for an incident that occurred on April 13, 2025. LPA gathered additional details to verify outcome of reported sharps and poisons in client #1's possession. LPA discussed incident report writing. No additional follow up needed. A copy of this report is left with Soila Parra, Child Care Worker. There are no deficiencies to be cited on this date.

met_with: Soila Parra


summary: Facility Evaluation

raw_content:
Narrative:
On 08/07/2025, Licensing Program Analyst (LPA) Reyna Martinez conducted an unannounced case management inspection for the above facility. Met by Soila Parra, Child Care Worker. Administrator, Mickey Giannobile was contacted via telephone. The purpose of the inspection was to discuss an incident that involved client #1 (see LIC811 dated 08/07/2025) for an incident that occurred on July 23, 2025. LPA gathered additional details to verify outcome of reported separation of #1 and de-escalation techniques used. LPA discussed incident report writing requirements and requested Administrator to amend the formal incident report to reflect all details of the incident and submit to LPA. No additional follow up needed. A copy of this report is left with Soila Parra, Child Care Worker. There are no deficiencies to be cited on this date.


facility_name: PROMESA, MILLBROOK HOUSE

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13On 03/30/2022, Licensing Program Analyst (LPA) Tamara Melikian conducted a complaint inspection for the Promesa, Millbrook STRTP at 9:00AM for the purpose of delivering the findings for the above complaint allegation. Met by Residential Program Director Arlene Vargas. During the course of investigating the allegations, LPA interviewed personnel and clients. Interviews conducted are conflicting in that the clients state they are told to stay in their rooms during incidents and staff states that law enforcement is contacted. Therefore, the allegation is unsubstantiated. There are no deficiencies to be cited on this date. Exit interview conducted and a copy of the report was left with the Residential Program Director. 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

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

report_type: Complaint Investigation

met_with: Arlene Vargas

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On 09/29/2022, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint investigation for the above facility. Met by Residential Program Director Arlene Vargas. Interviews conducted and information obtained. Based on confidential interviews, there are conflicts in statements regarding the above allegations. In addition, former client #1(see 811 dated 09/29/2022) was unable to be interviewed although mulitple attempts were made. Based on the above, the complaint is Unsubstantiated. There are no deficiencies to be cited on this date. A copy of this report is goven on this date to the Residential Program Director. 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 3


raw_content:
Investigation Findings:
13On 10/11/2022, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint investigation for the above facility. Met by Residential Program Director Arlene Vargas. Interviews conducted and information obtained. Based on confidential interviews obtained, there are conflicts in statements regarding the above allegations. Based on the above, the complaint is Unsubstantiated. There are no deficiencies to be cited on this date. A copy of this report is given on this date to the Residential Program Director. 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 1


raw_content:
Investigation Findings:
13On 12/02/2022, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint investigation for the above facility. Met by Residential Program Director Arlene Vargas. Interviews conducted and information and documents obtained. Based on interviews conducted and information obtained, there is conflicting.Based on the above, there is not a preponderance of the evidence therefore, the complaint is Unsubstantiated. There are no deficiencies to be cited on this date. A copy of this report is given on this date to the Residential Program Director. 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


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Reyna Martinez conducted a complaint inspection and met with Erica Arellano, Child Care Worker I. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging Staff did not provide adequate supervision resulting in minor inappropriately touching another minor in care. LPA conducted interviews and obtained documentation.There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Reyna Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Erica Arellano


summary: Facility Evaluation

raw_content:
Narrative:
On January 24, 2022, Licensing Program Analyst (LPA) Tamara Melikian conducted an annual inspection of the facility indicated above. Met at the agency by Residential Program Director Arlene Vargas. Staff files and training records were inspected on this date. A review of staff records on 01/24/2022 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. The annual inspection will be completed at a later date. There are no deficiencies to be cited on this date.

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On 04/12/2022, Licensing Program Analyst (LPA) Tamara Melikian travelled to the above facility to conduct an Annual inspection. Met by Administrator Mary Krahn. At 10:15AM, an inspection of the physical plant was conducted. LPA observed adequate food supply, adequate bedding, storage space, activity space, hot water that measured 107 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. At 10:45AM, an inspection of client files was conducted. At 11:30AM, an interview of S1 and S2 (see LIC811 dated 04/12/2022) was conducted. At 11:50AM, an interview of C1 was conducted. It was requested by this LPA to interview the other youth and they all refused. Staff records are at the corporate office and will be inspected at a later date. The exit interview was conducted at 12:00PM and a copy of this report given to the Administrator. It is requested that the licensee submit the following updated forms to CCL: LIC 308, 309, 500 and emergency disaster plan. In addition, the most recent minutes for the Board of Directors meeting. There are no deficiencies to be cited on this date.

met_with: Mary Krahn


summary: Facility Evaluation

raw_content:
Narrative:
On 05/02/2022, Licensing Program Analyst (LPA) Tamara Melikian travelled to the above facility's corporate office to complete an Annual inspection. Met by Human Resource Manager Jodee Romero. At 11:00AM, staff files were inspected as well as training records. There are no deficiencies to be cited on this date. A copy of this report was left with Jodee Romero, Human Resource Manager.

met_with: Jodee Romero


summary: Facility Evaluation

raw_content:
Narrative:
On 09/21/2022, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced case management at the above facility. Met at the facility by facility manager Jeimy Manzanares. An incident on 09/09/2022 was discussed regarding client #1 (see LIC811 dated 09/21/2022) regarding a SCAR that was filed and the law enforcement contact. Ms. Manzanares states that this is the 7th SCAR filed against client #1 for her interactions with her baby and that a 14 day notice has been issued. There are no deficiencies to be cited on this date. A copy of this report is left with Jemiy Manzanares, facility manager.

met_with: Jeimy Manzanares


summary: Facility Evaluation

raw_content:
Narrative:
On 12/20/2022, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced case management inspection to discuss an incident. Met by Residential Program Director Arlene Vargas. An incident occurred on 12/10/2022 involving client #1 (see LIC811 dated 12/20/2022) and two staff utilizing an emergency intervention technique. Additional information is needed in the report to include the following: -Any injuries to staff -Any injuries to client #1 -Any staff observers of the incident -Length of time client #1 was in an emergency intervention hold Facility will add the additional information and resubmit the report to this LPA. There are no deficiencies to be cited on this date. A copy of this report is left with Residential Program Director Arlene Vargas.


summary: Facility Evaluation

raw_content:
Narrative:
On January 31, 2023, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced case management at the above facility. Met at the facility by facility manager MaryLou Mendoza. The purpose of the inspection is to interview client #1 (see LIC811 dated 01/31/2023) for an incident unrelated to this facility. There are no deficiencies to be cited on this date. A copy of this report is left with the facility manager.

met_with: MaryLou Mendoza


summary: Facility Evaluation

raw_content:
Narrative:
On 06/22/2023, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced case management inspection for the above facility. Met by Human Resources Supervisor Jodee Romero. Residential Program Administrator Arlene Vargas was contacted by telephone. The purpose of the inspection is to follow up on an incident that occurred on June 15, 2023-June 16, 2023 for client #1 (see LIC811 dated 06/22/2023). The written incident reports were received timely and the information was reviewed. A copy of this report is left with Human Resource Supervisor, Jodee Romero. There are no deficiencies to be cited on this date.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 03/29/2024, Licensing Program Analyst (LPA) Tamara Melikian travelled to the above facility to conduct an Annual inspection. Met by Child Care Worker Yolanda Contreras. At 9:40AM, an inspection of the physical plant was conducted. LPA observed adequate food supply, adequate bedding, storage space, activity space, hot water that measured 109 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. At 10:00AM, an inspection of client files was conducted as well as the centrally stored record and medications. At 10:45AM, an interview of S1 and S2 (see LIC811 dated 03/29/2024) was conducted. All clients were asleep and did not want to be disturbed. Staff records will be inspected at a later date as the main office is closed early today. The exit interview was conducted at 11:30AM and a copy of this report given to the Child Care Worker. It is requested that the licensee submit the following updated forms to CCL: LIC 308, 309, 500 and emergency disaster plan. In addition, the most recent minutes for the Board of Directors meeting.

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

met_with: Yolanda Contreras


summary: Facility Evaluation

raw_content:
Narrative:
On 04/10/2024, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced case management-annual continuation inspection at the corporate offices of Promesa, Millbrook House. Met at the office by Human Resources Manager Jodee Romero. Staff files and training inspected at 11:00AM. There are no deficiencies to be cited on this date. A copy of this report is left with Human Resources Manager, Jodee Romero at 12:00PM.


summary: Facility Evaluation

raw_content:
Narrative:
07/25/2025, Licensing Program Analyst (LPA) Reyna Martinez conducted an unannounced case management for the above facility. Met by Erica Arellano, Child Care Worker, I. The purpose of this inspection was to discuss concerns with two incident reports that were sent into the Department on July 2, 2025, the incidents in question happened on May 11, 2025 and June 19, 2025. Reporting requirements were discussed with Ms. Arellano. A deficiency is being cited for the Californian Code of Regulations (CCR) 80061(b) Reporting Requirements on the attached LIC 809-D page. A copy of the report and appeal rights was provided to the STRTP.


summary: Facility Evaluation

raw_content:
Narrative:
On 12/02/2022, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced case management inspection for the above facility. Met by Residential Program Director Arlene Vargas. The purpose of the inspection is to issue a notice of deficiency regarding a file review. Deficiency on the attached page. A copy of this report is left with Arlene Vargas, Residential Program Director.


summary: Facility Evaluation

raw_content:
Narrative:
On 05/13/2024, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced case management for the above STRTP. Met by Residential Program Director Arlene Vargas. The purpose of the inspection is to issue a deficiency for incident reports not being submitted timely to the Department after the receipt of the 24 hour initial notice. Deficiency on the attached page. A copy of this report is given to Residential Program Director, Arlene Vargas.


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Reyna Martinez conducted a complaint inspection and met with Ceilo Cruz, Child Care Worker. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the complaint alleging Staff did not provide transportation to minor; Staff do not provide the minors with a posted menu; Staff do not have snacks or food available for minors; and Staff confiscated minors personal belongings. LPA conducted investigation that included review of documentation, and confidential interviews and was not able to establish a preponderance of the evidence that the allegations occurred as reported. Without a preponderance of the evidence the allegations are deemed Unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Reyna Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Ceilo Cruz


summary: Facility Evaluation

raw_content:
Narrative:
On 04/14/2026, Licensing Program Analyst (LPA) Reyna Martinez traveled to the Short Term Residential Therapeutic Program (STRTP) and met with Joanna Solorio, Administrator (AD) to conduct an unannounced case management inspection in response to an incident report received by the Department on 04/07/2026. Incident Report involving Client #1 (C1 - See LIC Confidential Names List) was reviewed with the Administrator. C1 reported concerns for their infant and requested medical attention. LPA reviewed all supporting documentation and record review and it was determined staff failed to provide timely medical attention to minor parent's infant after request for medical attention. The STRTP was reminded of appropriate supervision and direct care staff responsibilities of minors in care. Based on the LPA's record reviews and interviews, a deficiency is being cited for the Interim Licensing Standards, Minor and Nonminor Dependent Parent Program, Article 01. General Requirements and Definitions, 87097.75(b)(2) Health Related Services. A copy of the report and Appeal Rights was provided to the STRTP.

met_with: Joanna Solorio


summary: Facility Evaluation

raw_content:
Narrative:
On 04/14/2026, Licensing Program Analyst (LPA) Reyna Martinez traveled to the above facility to conduct an Annual inspection. Met by Administrator Joanna Solorio. LPA provided Administrator the entrance checklist and requested the necessary documents. An inspection of client files was conducted as well as the centrally stored record and medications. LPA reviewed the facility's disaster plan and reviewed facility logs. Appropriate staff/client ratios were verified during this inspection. All met the regulatory requirements. An inspection of the physical plant was conducted. LPA observed adequate food supply, adequate bedding, storage space, activity space, hot water that measured 105 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. Individual beds were observed with appropriate clean linens and are in good repair. The facility is CARF Accredited through 01/31/2027, and Mental Health Program Approval through 04/09/2026, and are awaiting a response from DHCS. There is at least one-week supply of nonperishable and a two-day supply of perishable foods. The facility is maintained at 69 degrees. The fire extinguisher is properly charged and was last serviced December 2025. 5 staff files were reviewed and meet all regulatory requirements. 2 staff were available to be interviewed. 4 records of clients were reviewed. All clients in the home were asleep and did not want to be disturbed. A review of the Licensing Information System on April 07, 2026, indicates that all facility staff listed on the LIC 500 under Promesa Millbrook House are associated to the STRTP had DOJ, FBI, and child abuse index check clearances. There are no deficiencies to be cited on this date. The exit interview was conducted and a copy of this report is left with Administrator Joanna Solorio.


facility_name: PROMESA, MINARETS HOUSE

raw_content:
Investigation Findings:
13On 06/08/2021, Licensing Program Analyst (LPA) Tamara Melikian conducted a complaint investigation to inform the facility of the outcome of the above allegation. Met by Administrator Tamara Black. Due to restrictions of COVID-19, the inspection was conducted by telephone with this document scanned to Ms. Black on this date with a request for signature and a scan back. Interviews were conducted of clients and documents obtained. Client (#1) is inconsistent in the details of the incident and client (#2) states that an incident never occurred. Report from local law enforcement and CPS issues findings as unfounded. Based on the above, the complaint is unsubstantiated. There are no deficiencies to be cited on this date. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Melanie Krage 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 1

met_with: Tamara Black


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On 11/27/2023, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint investigation for the above facility. Met by Residential Program Director Arlene Vargas. Based on confidential interviews conducted and documents obtained, two minors engaged in inappropriate sexual activity due to staff not protecting the minors. Based on the above, the complaint is Substantiated. Deficiency on the attached page. A copy of this report is given on this date to the Residential Program Director, Arlene Vargas. SubstantiatedEstimated 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 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: PROMESA, MINARETS HOUSEFACILITY NUMBER: 100407405

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Unsubstantiated - 1 deficiency

raw_content:
Investigation Findings:
13On 04/24/2024, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint investigation for the above agency. The purpose of the inspection is to deliver the findings for the above allegation. Met at the agency by Residential Program Director Arlene Vargas. Interviews conducted and information obtained. Based on confidential interviews conducted, refusal of youth to be interviewed and information obtained, there is conflicting information in the youth #1 (see LIC811 dated 04/24/2024)being bullied by other clients. Based on the above, the complaint is Unsubstantiated. A copy of this report is given on this date to the Residential Program Director Arlene Vargas. 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 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 02/14/2024 and conducted by Evaluator Tamara Melikian PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:PROMESA, MINARETS HOUSEFACILITY NUMBER: ADMINISTRATOR:A.Iccardo, a.Vargasfacility Type: Address: E. MINARETSTELEPHONE: (559) 447- CITY:FRESNOSTATE: CAZIP CODE: CAPACITY:6CENSUS: 4DATE: 04/24/ UNANNOUNCEDTIME BEGAN: 01: PM MET WITH:Arlene VargasTIME COMPLETED:02: PM 9Clients are sneaking visitors into the facility. INVESTIGATION FINDINGS: 13On 04/24/2024, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint investigation for the above agency. The purpose of the inspection is to deliver the findings for the above allegation. Met at the agency by Residential Program Director Arlene Vargas. Interviews conducted and information obtained. Based on confidential interviews conducted and information obtained, an incident occurred where clients were able to sneak visitors into the facility. Based on the above, the complaint is Substantiated. Deficiency on the attached page. A copy of this report is given on this date to the Residential Program Director Arlene Vargas. SubstantiatedEstimated 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: 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: PROMESA, MINARETS HOUSEFACILITY NUMBER: 100407405

Deficiencies:
80078(a): 1
2
3
4
5
6
7

title: The licensee shall provide care and supervision as necessary to meet the client's needs.This requirement is not met as evidenced by

description:
1
2
3
4
5
6
7


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analysts (LPAs) Danny Macias and Reyna Martinez conducted a complaint inspection and met with Tami Lashley, House Manager (HM.) The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging inappropriate interaction between clients. LPAs conducted interviews and obtained documentation.There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: 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

met_with: Tami Lashley


raw_content:
Investigation Findings:
13On January 15, Licensing Program Analysts (LPA) Angelica Borja conducted a complaint inspection at Promesa Minaret's House and met with Jeimy Manzanarez . 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: Angelica Borja 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 Jeimy Manzanarez


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Reyna Martinez conducted a complaint inspection and met with Chaille Payne, CCW I. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging Staff do not ensure that minor is transported to school on time. LPA conducted interviews and obtained documentation.There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Reyna Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Chaille Payne


raw_content:
Investigation Findings:
13On 12/22/2022, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint investigation for the above facility. Met by Residential Program Director Arlene Vargas. Interviews conducted and information and documents obtained. Minor #1 (see LIC811 dated 12/22/2022) was unavailable for interview although multiple attempts were made. Based on the above, there is not a preponderance of the evidence therefore, the complaint is Unsubstantiated. There are no deficiencies to be cited on this date. A copy of this report is given on this date to the Residential Program Director. 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: 2 of 2


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, Britanee Windom conducted a Case Management Inspection on October 27, 2021 at 11: AM, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code Section 1538.7. 5 out of Direct Care Staff and 3 out of 4 youth files as identified on the LIC Confidential Names dated October 27,2021, were reviewed. 3 out of the Direct Care Staff and 3 out of 4 youth were also interviewed. The Plan of Operation including policies and procedures were reviewed. A copy of this report was discussed and provided to Tamara Black, Administrator.

met_with: Administrator Tamera Black and Tami Lanshley


summary: Facility Evaluation

raw_content:
Narrative:
On November 18, 2021, Licensing Program Analyst (LPA) Tamara Melikian conducted an annual inspection of the facility indicated above. Met at the facility by Residential Administrator Tamara Black. An inspection of the physical plant was conducted. LPA observed adequate food supply, appropriately maintained yard, adequate bedding, storage space, activity space, hot water that measured 114 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. Pool appropriately fenced and safeguarded. Staff files and training records were inspected on this date. In addition, client files and medication logs were inspected on this date. At 1:30PM, an interview of S1 (see LIC811 dated 11/18/2021) was conducted. At 2:00PM, an interview of C1 (see LIC811 dated 11/18/2021) was conducted. At 2:20PM, an interview of C2 (see LIC811 dated 11/18/2021) was conducted. At 2:45PM, an interview of C5 (see LIC811 dated 11/18/2021) was conducted. The exit interview was conducted at 3:30PM and a copy of this report given to the Administrator. A review of staff records on 11/18/2021 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. There are no deficiencies to be cited on this date.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Provid Risk assessment conducted prior to inspection. Met at the facility by Administrator Tamara Black and House Manager Tammy Lashley. The facility listed above is accredited through CARF and has current Mental Health Program Approval through Fresno County DBH . Arrived at the facility at 9:30 am. At the start of the inspection, LPA discussed procedures for psychotropic medication, current census and other administrative questions. The following were observed upon inspection of the physical plant inspection conducted at 10:30 am : 1. Facility Grounds are clean and free of debris or observable hazard. 2. Adequate indoor and outdoor activity space and materials observed. 3. Chemicals appropriately locked. 4. Locked and centrally stored medications observed. Observed medication logs and discussed procedures for psychotropic medications. 5. First aid kit complete with appropriate manual observed. 6. Adequate storage space observed. 7. Individual beds in good repair observed. 8. The house has 3 bedrooms, one single occupancy. Bedrooms are accommodating of all required furnishings. 9. Adequate food storage space observed. Supply of two days of perishable foods and a week of nonperishable foods observed upon inspection. 10. Weekly menu posted and accessible to clients. 11.Dining room equipped with large table and chairs accommodating of all clients. 12.Facility has two full restrooms in the house for client use. one is located in a client bedroom only for the use of the clients who share that room.. 13.Appropriate forms posted in view of facility clients. 14.No firearms or weapons are allowed in the facility. 15. Holes put in the wall during a recent incident were observed in bedroom 2, discussed plan for repair. The following items were discussed and reviewed by LPA during Inspection 1. LIC Reviewed to ensure appropriate staffing ratios, including Administrator, Social Work personnel, and Direct Care staff. 2. Administrator Tamara Black is present on-site a minimum of 20 hours per week. 3. Personnel files were not reviewed on this date. Personnel files to be reviewed at a later time. 4. Client files reviewed on this date (6) from 11:00-12:30 pm. No deficiencies noted in areas observed. No clients were present during inspection. 2 staff interviews conducted. No deficiencies noted in areas observed.


summary: Facility Evaluation

raw_content:
Narrative:
On March 16, 2023, Licensing Program Analyst (LPA) Wayne Aoki travelled to the above facility to conduct an Random Annual inspection. LPA was met by House Manager, Tammy Lashley. 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 109 degrees. Observed supply of non-perishables. Observed 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. The House Manager stated that there are no weapons at the facility. The in ground pool is properly fenced and gate is secured with a self closing/latching gate that opens away from the pool. 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.

met_with: Tammy Lashley


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program(LPA) Corina Carrillo conducted a case management inspection October 19, 2023 at 12: PM, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection,5 out of Direct Care Staff and 1 out of 1 youth files were reviewed. 2 out of Direct Care Staff and 1 out of 1 youth were interviewed. (See the Confidential Names List, LIC 811, October 19, 2023.) The Plan of Operation including policies and procedures were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments and crisis intervention plans, the licensee uses trauma- informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Carrillo observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Alyscia Icardo.

met_with: Alyscia Icardo


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced annual inspection was conducted by Licensing Program Analyst (LPA) Reyna Martinez. LPA met with Hope Sailors, House Manager. LPA provided the House Manager the entrance checklist and requested the necessary documents. An inspection of the physical plant was conducted. Centrally stored medications are maintained in a locked closet in a locked cabinet. Sharps and Toxic chemicals are kept locked. The facility has a written emergency disaster plan. All facility smoke detectors and carbon monoxide were tested and appear to be in appropriate working order, fire extinguisher is properly charged and was last serviced December 2024. Individual beds were observed with appropriate clean linens and are in good repair. The facility is CARF Accredited through 01/31/2027, and Mental Health Program Approval through 04/09/2025. There is at least one-week supply of nonperishable and a two-day supply of perishable foods. The facility is maintained at 71 degrees. Hot water temperature measures 106 degrees. Facility has cameras in the common areas. No firearms or weapons are allowed in the facility. Facility does have a pool and meets all required regulations. LPA reviewed the facility's disaster plan, sampled medication and reviewed facility logs. Appropriate staff/client ratios were verified during this inspection. The facility employs 1 administrator, 1 house manager, 1 clinician, and 9 child care workers. An inspection of 5 client files was conducted as well as the centrally stored record and medications. No client interviews were conducted as all clients were at school. An interview of S1 and S2 (see LIC811 dated 03/27/2025) was conducted. An inspection of 5 staff records were inspected and met all regulatory requirements. A review of the Licensing Information System on March 18, 2025, indicates that all facility staff are associated to the STRTP had DOJ, FBI, and child abuse index check clearances. There are no deficiencies to be cited on this date. The exit interview was conducted a copy of this report given to the House Manager.

met_with: Hope Sailors


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Reyna Martinez on April 16, 2025 at 11: AM. This case management inspection is conducted pursuant to Health and Safety Code 1538.9(a)(2). During the inspection, LPA met with Jeimy Manzanares, Administrator and inspected the facility inside and out. LPA reviewed 0 child records and 2 staff personnel files on site at the facility. LPA reviewed 0 child psychotropic medications and medication records. LPA interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 0 child currently prescribed psychotropic medication. LPA provided a copy of the licensing report to Jeimy Manzanares, Administrator. No deficiencies are being cited at this time. LPA conducted exit interview with Jeimy Manzanares, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced annual continuation inspection was conducted by Licensing Program Analyst (LPA) Reyna Martinez. LPA met with Jeimy Manzanares, Administrator. The purpose of the inspection was to continue client interviews. 1 client was available for interview. (C4 see LIC811 dated 03/27/2025) 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 04/22/2026, Licensing Program Analyst (LPA) Reyna Martinez traveled to the above facility to conduct an Annual inspection. Met by Mickey Giannobile. LPA provided Administrator the entrance checklist and requested the necessary documents. An inspection of client files was conducted as well as the centrally stored record and medications. LPA reviewed the facility's disaster plan and reviewed facility logs. Appropriate staff/client ratios were verified during this inspection. All met the regulatory requirements. An inspection of the physical plant was conducted. LPA observed adequate food supply, adequate bedding, storage space, activity space, hot water that measured 108 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. The facility is CARF Accredited through 01/31/2027, and Mental Health Program Approval through 04/09/2026, and are awaiting a response from DHCS. There is at least one-week supply of nonperishable and a two-day supply of perishable foods. The facility is maintained at 70 degrees. The fire extinguisher is properly charged and was last serviced December 2025. 5 staff files were reviewed and meet all regulatory requirements. 2 staff were available to be interviewed. 4 records of clients were reviewed. All clients in the home were at school and will be interviewed at a later time. A review of the Licensing Information System on April 15, 2026, indicates that all facility staff listed on the LIC 500 under Promesa Minarets House are associated to the STRTP had DOJ, FBI, and child abuse index check clearances. There are no deficiencies to be cited on this date. The exit interview was conducted and a copy of this report is left with Administrator Mickey Giannobile.

met_with: Mickey Giannobile


facility_name: PROMESA, NILES IV HOUSE

raw_content:
Investigation Findings:
13On 07/06/2022, Licensing Program Analyst (LPA) Tamara Melikian conducted a complaint inspection for the Promesa, Niles IV STRTP at 10:00AM for the purpose of delivering the findings for the above complaint allegation. Met by Administrator Renee Accardo. Based on confidential interviews and documents obtained, there is not a preponderance of evidence that the staff member (#1) had sex with resident (#2). Therefore, the allegation is unsubstantiated. There are no deficiencies to be cited on this date. Exit interview conducted and a copy of the report was left with the Administrator. Computer malufunction during follow up inspection, unable to capture signature. 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 1

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

met_with: Renee Accardo


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, Britanee Windom and Licensing Program Manager Angela Kings conducted a Case Management Inspection on August 10, 2021 at 9:30 am, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code Section 1538.7. 4 out of Direct Care Staff and 4 out of 4 youth files as identified on the LIC Confidential Names dated August 10, 2021, were reviewed. 2 out of the Direct Care Staff and 4 out of 4 youth were also interviewed. The Plan of Operation including policies and procedures were reviewed. A copy of this report was discussed and provided to Renee Accardo, Administrator.

met_with: Administrator Renee Accardo


summary: Facility Evaluation

raw_content:
Narrative:
On October 20, 2021, Licensing Program Analyst (LPA) Tamara Melikian conducted an annual inspection of the facility indicated above. Met at the agency by Residential Administrator Renee Accardo. An inspection of the physical plant was conducted. LPA observed adequate food supply, appropriately maintained yard, adequate bedding, storage space, activity space, hot water that measured 112 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. Pool appropriately fenced and safeguarded. Staff files and training records were inspected on this date. In addition, client files and medication logs were inspected on this date. At 1:30PM, an interview of S1 (see LIC811 dated 10/20/2021) was conducted. At 2:00PM, an interview of C1 (see LIC811 dated 10/20/2021) was conducted. At 2:20PM, an interview of C2 (see LIC811 dated 10/20/2021) was conducted. The exit interview was conducted at 3:30PM and a copy of this report given to the Administrator. Continued on Page 2... It is requested that the licensee submit the following updated forms to CCL: LIC 308, 309, 500 and emergency disaster plan. A review of staff records on 10/20/2021 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. There are no deficiencies to be cited on this date.


summary: Facility Evaluation

raw_content:
Narrative:
On March 29, 2022, Licensing Program Analyst (LPA) Tamara Melikian conducted an annual inspection at the above facility. Met by Administrator Renee Accardo. At 10:15AM, an inspection of the physical plant was conducted. LPA observed adequate food supply, adequate bedding, storage space, activity space, hot water that measured 110 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. At 10:40AM, an inspection of client files was conducted as well as the centrally stored record and medications. At 11:15AM, an interview of S1 and S2 (see LIC811 dated 03/29/2022) was conducted. At 11:40AM, an attempted interview of C4 was conducted, however the youth was not feeling well so was not interviewed. At 12:00PM, an inspection of staff records was conducted. The exit interview was conducted at 12:30PM and a copy of this report given to the Administrator. It is requested that the licensee submit the following updated forms to CCL: LIC 308, 309, 500 and emergency disaster plan. In addition, the most recent minutes for the Board of Directors meeting. There are no deficiencies to be cited on this date.


summary: Facility Evaluation

raw_content:
Narrative:
On 03/28/2024, Licensing Program Analyst (LPA) Tamara Melikian travelled to the above facility to conduct an Annual inspection. Met by Administrator Nicole Molina. At 9:10AM, an inspection of the physical plant was conducted. LPA observed adequate food supply, adequate bedding, storage space, activity space, hot water that measured 106 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. At 9:30AM, an inspection of client files was conducted as well as the centrally stored record and medications. At 10:15AM, an interview of S1, S2, C1, and C2 (see LIC811 dated 03/28/2024) was conducted. At 11:35AM, staff records were inspected. The exit interview was conducted at 12:00PM and a copy of this report given to the Administrator. It is requested that the licensee submit the following updated forms to CCL: LIC 308, 309, 500 and emergency disaster plan. In addition, the most recent minutes for the Board of Directors meeting. There are no deficiencies to be cited on this date

met_with: Nicole Molina


summary: Facility Evaluation

raw_content:
Narrative:
On 04/15/2026, Licensing Program Analyst (LPA) Reyna Martinez traveled to the above facility to conduct an Annual inspection. Met by Administrator Nicole Molina. LPA provided Administrator the entrance checklist and requested the necessary documents. An inspection of client files was conducted as well as the centrally stored record and medications. LPA reviewed the facility's disaster plan and reviewed facility logs. Appropriate staff/client ratios were verified during this inspection. All met the regulatory requirements. An inspection of the physical plant was conducted. LPA observed adequate food supply, adequate bedding, storage space, activity space, hot water that measured 110 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. Individual beds were observed with appropriate clean linens and are in good repair. The facility is CARF Accredited through 01/31/2027, and Mental Health Program Approval through 04/09/2026, and are awaiting a response from DHCS. There is at least one-week supply of nonperishable and a two-day supply of perishable foods. The facility is maintained at 69 degrees. The fire extinguisher is properly charged and was last serviced March 2026. 5 staff files were reviewed and meet all regulatory requirements. 2 staff were available to be interviewed. 4 records of clients were reviewed. All clients in the home were at school and will be interviewed at a later time. A review of the Licensing Information System on April 15, 2026, indicates that all facility staff listed on the LIC 500 under Promesa Niles IV House are associated to the STRTP had DOJ, FBI, and child abuse index check clearances. There are no deficiencies to be cited on this date. The exit interview was conducted and a copy of this report is left with Administrator Nicole Molina.


facility_name: PROMESA, NILES V HOUSE

raw_content:
Investigation Findings:
13On 06/07/2021, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint inspection to deliver the findings for the above allegation. Met by Administrator Mary Krahn. Due to restrictions of COVID-19, this complaint inspection is being conducted by teleinspection with a copy of this document scanned to the facility representative with a request for signature and a scan back on this date. This LPA interviewed personnel and witnesses. Based on interviews conducted, the witness has a concern with trash being thrown over the fence and the facility has reached out to the witness who did not have any concerns at that time. The facility will implement increased contacts to mitigate any possible concerns. Therefore, the complaint is Unsubstantiated. There are no deficiencies to be cited on this date. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Melanie Krage 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 1

met_with: Mary Krahn


summary: Facility Evaluation

raw_content:
Narrative:
On 04/29/2021, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced case management inspection regarding an incident that occurred on April 19, 2021 with client (#1). Due to restrictions of COVID-19, this inspection was conducted by teleinspection with a copy of this document scanned to the Administrator with a request for signature. Met by Administrator Mary Krahn. Client (#1) developed a temporary health condition for which client (#1) received treatment. The Department of Public Health was contacted and none of the other clients in placement were diagnosed with the same condition. Client's (#1) symptoms have resolved and no follow up was necessary with medical personnel. There are no deficiencies to be cited on this date.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, Britanee Windom and Licensing Program Manager Angela King conducted a Case Management Inspection on August 10, 2021 at 1:30pm, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code Section 1538.7. 4 out of Direct Care Staff and 2 out of 2 youth files has identified on the LIC Confidential Names dated August 10, 2021, were reviewed. 1 out of the Direct Care Staff and 2 out of 2 youth were also interviewed. The Plan of Operation including policies and procedures were reviewed. A copy of this report was discussed and provided to, Tammera Black Residential Administrator .

met_with: Residential Administrator Tammera Black


summary: Facility Evaluation

raw_content:
Narrative:
On 08/26/21, Licensing Program Analyst (LPA) Tamara Melikian travelled to the above facility to conduct an Annual inspection. Met by Administrators Arlene Vargas and Mary Krahn. 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.

met_with: Arlene Vargas


summary: Facility Evaluation

raw_content:
Narrative:
On 03/23/2022, Licensing Program Analyst (LPA) Tamara Melikian travelled to the above facility to conduct an Annual inspection. Met by Administrator Mary Krahn. 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:
Licensing Program Analyst Britanee Windom conducted a case management inspection on 07/06/22 at 9: AM based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 3 out of Direct Care Staff and 3 out of 3 youth files were reviewed. 2 out of Direct Care Staff and 2 out of 3 youth were interviewed.(See the Confidential Names List, LIC 811, July 6, 2022). The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, monthly assessments, and crisis intervention plans, the licensee uses trauma informed and evidence based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Windom observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Administrator Lisa Tamez.

met_with: Director of Residential Programs Arlene Vargas and Administrator Lisa Tamez


summary: Facility Evaluation

raw_content:
Narrative:
On 02/27/2024, Licensing Program Analyst (LPA) Tamara Melikian travelled to the above facility to conduct an Annual inspection. Met by Administrator Renee Accardo. 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 106 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 the above date, Licensing Program Analyst (LPA) Reyna Martinez conducted an unannounced case management visit at the STRTP and met with Jaquia Wynne, Child Care Worker II. Incident Report involving Client #1 (See LIC Confidential Names List dated 12/22/2025) for an incident that occurred on 11/25/2025. The department received this incident report on 12/08/2025. LPA spoke with Renee Accardo, Administrator (AD) via phone call to gather additional details regarding the report. LPA determined due to a temporarily technical issue with the STRTP's email system, the delivery of outgoing emails were affected. LPA discussed the importance of reporting requirements with AD. AD will continue to monitor reporting and communication with CCL. An exit interview was conducted, and a copy of the report was provided to the STRTP.

met_with: Jaquia Wynne


summary: Facility Evaluation

raw_content:
Narrative:
On 04/15/2026, Licensing Program Analyst (LPA) Reyna Martinez traveled to the above facility to conduct an Annual inspection. Met by Administrator Anna Marie Ochoa. LPA provided Administrator the entrance checklist and requested the necessary documents. An inspection of client files was conducted as well as the centrally stored record and medications. LPA reviewed the facility's disaster plan and reviewed facility logs. Appropriate staff/client ratios were verified during this inspection. All met the regulatory requirements. An inspection of the physical plant was conducted. LPA observed adequate food supply, adequate bedding, storage space, activity space, hot water that measured 120 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. The facility is CARF Accredited through 01/31/2027, and Mental Health Program Approval through 04/09/2026, and are awaiting a response from DHCS. There is at least one-week supply of nonperishable and a two-day supply of perishable foods. The facility is maintained at 73 degrees. The fire extinguisher is properly charged and was last serviced April 2026. 5 staff files were reviewed and meet all regulatory requirements. 2 staff were available to be interviewed. 4 records of clients were reviewed. All clients in the home were at school and will be interviewed at a later time. A review of the Licensing Information System on April 15, 2026, indicates that all facility staff listed on the LIC 500 under Promesa Niles V House are associated to the STRTP had DOJ, FBI, and child abuse index check clearances. There are no deficiencies to be cited on this date. The exit interview was conducted and a copy of this report is left with Administrator Anna Marie Ochoa.

met_with: Anna Marie Ochoa


facility_name: PROMESA, SPRUCE HOUSE

raw_content:
Investigation Findings:
13On 02/25/2022, Licensing Program Analyst (LPA) Tamara Melikian conducted a follow up complaint inspection for the Promesa, Spruce House to deliver the findings for the above allegation. Met by Administrator Renee Accardo. Interviews were conducted and information obtained. Interviews are conflicting in that the minor (#1) states that it took some time to obtain hair products and the facility administrator provided receipts of products that were bought for the minor (#1). Based on the above, the complaint is Unsubstantiated. There are no deficiencies to be cited on this date. This report was provided to the Administrator upon completion. 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


summary: Facility Evaluation

raw_content:
Narrative:
On October 7, 2021, Licensing Program Analyst (LPA) Tamara Melikian conducted an annual inspection of the facility indicated above. Met at the agency by Residential Program Director Arlene Vargas and Administrator Renee Accardo. An inspection of the physical plant was conducted. LPA observed adequate food supply, appropriately maintained yard, adequate bedding, storage space, activity space, hot water that measured 117 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. Pool appropriately fenced and safeguarded. Staff files and training records were inspected on this date. In addition, client files and medication logs were inspected on this date. At 2:00PM, an interview of S1 (see LIC811 dated 10/07/2021) was conducted. At 2:20PM, an interview of C2 (see LIC811 dated 10/07/2021) was conducted. The exit interview was conducted at 3:30PM and a copy of this report given to the Administrator. It is requested that the licensee submit the following updated forms to CCL: LIC 308, 309, 500 and emergency disaster plan. Staff files and training records were inspected on this date. In addition, client files and medication logs were inspected on this date. A review of staff records on 10/07/2021 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. There are no deficiencies to be cited on this date.

met_with: Arlene Vargas, Renee Accardo


summary: Facility Evaluation

raw_content:
Narrative:
On 04/05/2022, Licensing Program Analyst (LPA) Tamara Melikian travelled to the above facility to conduct an Annual inspection. Met by Administrator Renee Accardo. 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 106 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. The pool at the facility is appropriately fenced with a self closing, latching gate. There has been one deficiency in the prior 12 months. Administrator file inspected as well as training records. No deficiencies cited on this date. Visit concluded.


summary: Facility Evaluation

raw_content:
Narrative:
On 08/14/2023, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced case management inspection to conduct a physical plant inspection at the facility. Met by Child Care Worker II, KIa Blue.. A physical plant inspection was conducted. The plumbing blockage in the bathroom has been fixed. There are no deficiencies to be cited on this date. A copy of this report is left with Child Care Worker II, Kia Blue.

met_with: Kia Blue


summary: Facility Evaluation

raw_content:
Narrative:
On 03/19/2024, Licensing Program Analyst (LPA) Tamara Melikian travelled to the above facility to conduct an Annual inspection. Met by Administrator Renee Accardo. At 10:00AM, an inspection of the physical plant was conducted. LPA observed adequate food supply, adequate bedding, storage space, activity space, hot water that measured 114 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair, but is in need of general cleaning. At 10:30AM, an inspection of client files was conducted as well as the centrally stored record and medications. At 11:15AM, an interview of S1 and S2 (see LIC811 dated 03/19/2024) was conducted. At 11:45AM, staff records were inspected. The exit interview was conducted at 12:30PM and a copy of this report given to the Administrator. It is requested that the licensee submit the following updated forms to CCL: LIC 308, 309, 500 and emergency disaster plan. In addition, the most recent minutes for the Board of Directors meeting. There are no deficiencies to be cited on this date


summary: Facility Evaluation

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Narrative:
On 06/26/2025, Licensing Program Analyst (LPA) Reyna Martinez management inspection for the above facility. Met by House Manager, Brian Zirat. The purpose of the inspection is to follow up on an incident that occurred on June 16, 2025 - June 17, 2025 for clients #1 and #2 (see LIC811 dated 06/26/2025). The written incident reports were received timely and the information was reviewed. LPA gathered additional details regarding the incident, supporting documentation and discussed continuous supervision for #1 and #2. A copy of this report is left with House Manager, Brian Zirat. There are no deficiencies to be cited on this date, and a copy of this report was left at the facility.

met_with: Brian Zirat


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Reyna Martinez conducted a complaint inspection and met with Brian Zirate, Administrator (AD) at the Short Term Residential Therapeutic Program (STRTP) in Fresno, CA. The purpose of the inspection was to deliver the findings for the above complaint allegation. Based on interviews it was determined that Facility staff did not treat youth with respect. Based on the LPA's observations, documentation provided, confidential interviews and records review which were conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be substantiated. A deficiency is being cited for the Interim Licensing Standards (ILS) Chapter 7.5, Version 5, Articles 1-10, Section 87072(c)(1) Personal Rights. A copy of the report and Appeal Rights was provided to the STRTP. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Reyna Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 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: PROMESA, SPRUCE HOUSEFACILITY NUMBER: 100406294

met_with: Brian Zirate


raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to Promesa Offices and met with Jodee Romero to deliver findings of investigation. CS, Investigators Munoz and Ortega conducted investigation that included review of documentation and confidential interviews. Based on inconsistencies in the information received a preponderance of the evidence could not be found that the allegation occurred as reported. Although the allegation may or may not be valid, without a preponderance of the evidence the allegation is deemed Unsubstantiated. Copy of this report, LIC Appeal Rights Due to computer issues copy of this report emailed to Jodee Romero 12/22/25. 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: Jodee Romero


raw_content:
Investigation Findings:
13On Decmeber 22, 2025, Licensing Program Analyst (LPA), Olivia Medrano traveled to STRTP Promesa - Spruce House located in Fresno, CA to conduct an unannounced complaint inspection and met with Brian Zirate, Administrator. The purpose of the inspection was to deliver the finding for the above complaint allegation. The Department has investigated the complaint alleging Staff punished a client for an act the client did not commit. During the course of the investigation, LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. It was determined that although the allegation may have happened, 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 and appeal rights were provided to the STRTP at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Olivia Medrano LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) Les Inouye and Tamara Melikian conducted an unannounced inspection at the STRTP and met with Administrator Renee Accardo regarding a Special Incident Report (SIR) that was submitted to Community Care Licensing (CCL)by the licensee on September 15, 2021. The SIR stated the Staff (S#1) (see Confidential Names form (LIC 811 dated October 7, 2021) and Client (C#1) engaged in a verbal altercation. Staff reacted inappropriately which escalated and prolonged the altercation. S#1 was terminated from employment. Based on the information from the SIR and client interview, the STRTP is receiving a citation under Personal Rights. Deficiency on the attached page. A copy of the report and Appeals Rights was provided to the licensee.

met_with: R. Accardo


summary: Facility Evaluation

raw_content:
Narrative:
On 04/22/2026, Licensing Program Analyst (LPA) Reyna Martinez traveled to the above facility to conduct an Annual inspection. Met by Administrator Brian Zirate. LPA provided Administrator the entrance checklist and requested the necessary documents. An inspection of client files was conducted, no current clients on any psychotropic medications or any centrally stored medications. LPA reviewed the facility's disaster plan and reviewed facility logs. Appropriate staff/client ratios were verified during this inspection. All met the regulatory requirements. An inspection of the physical plant was conducted. LPA observed adequate food supply, adequate bedding, storage space, activity space, hot water that measured 120 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. The facility is CARF Accredited through 01/31/2027, and Mental Health Program Approval through 04/09/2026, and are awaiting a response from DHCS. There is at least one-week supply of nonperishable and a two-day supply of perishable foods. The facility is maintained at 69 degrees. The fire extinguisher is properly charged and was last serviced December 2025. 5 staff files were reviewed and meet all regulatory requirements. 2 staff were available to be interviewed. 1 record of client was reviewed. The client in the home was at school and will be interviewed at a later time. A review of the Licensing Information System on April 15, 2026, indicates that all facility staff listed on the LIC 500 under Promesa Spruce House are associated to the STRTP had DOJ, FBI, and child abuse index check clearances. There are no deficiencies to be cited on this date. The exit interview was conducted and a copy of this report is left with Administrator Brian Zirate.


facility_name: PROMISE TRANSITIONAL HOMES DBA PROMISE STRTP

summary: Facility Evaluation

raw_content:
Narrative:
On February 11, 2025, at AM, a Component II Office Visit was held to discuss the application received for Promise Transitional Homes DBA Promise STRTP located at W. 69th Street Los Angeles, CA 90047. Attending Component II were the following individuals:Tracia Ekollo, Applicant, and Agahnee Ekollo, Erika Butler, Licensing Program Analyst, and JoAunne Griffin, Licensing Program Manager. The purpose of this Component II meeting was to review and discuss the incomplete application and Program Statement and to resolve any outstanding concerns that may have existed. The following incomplete application forms were discussed at the meeting: Program Statement Sections A-Q Program Statement Sections 1 - Revisions have been completed and are currently being reviewed. Pre-Licensing Inspection scheduled for March 4, 2025, at AM. A copy of this report was provided to Applicant, Tracia Ekollo.

met_with: Tracia Ekollo


summary: Facility Evaluation

raw_content:
Narrative:
On March 4, 2025, at 10: AM Licensing Program Analyst (LPA) Erika Butler, and Licensing Program Manager (LPM) JoAunne' Griffin arrived at Promise Transitional Home for the purpose of conducting a Pre-Licensing Inspection. LPA and LPM met with Applicant Tracia Ekollo 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 Applicant will use a Chrysler Van will be used to transport clients. Insurance is valid from December 03, 2024 - December 3, 2025. The vehicle was observed to be in good condition. The home's temperature is maintained by central air/heating. LPA 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. Report continued on LIC 809C. (Page 2 of 3) LPA and LPM observed Ring camera at the front door and camera in the living room. Door sensors were observed at the front door, Bedroom #2 and Bedroom #3. During 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. Applicant informed that the following corrections will need to be made. Purchase a mobile phone for clients use. Window lever needs to be replaced in Bedroom #3. Tools need to be removed from cabinet in the living room. Shower handle needs to be fixed in Bathroom #1. Remove personal hygiene items that will not be used by clients from Bathroom #2. Purchase plates, cups, bowls, utensils, pots, and pans. Place bedding on the beds in Bedroom #2. Remove tire, wood, weights, and items that will not be utilized by clients. Applicant will purchase six chairs for the dining room table. Applicant will place the drawer in the refrigerator. The Applicant will add the use of cameras in the facility to the Program Statement by March 20, 2025. Applicant will remove the glass off the floor in Bedroom #2. Applicant will remove the chandelier from Bathroom #2. Hall closet will be cleared of items not be used by clients. LPA and LPM will obtain approval for shed to be used as office space. LPA informed Applicant that a Component III meeting will be held March 20, 2025, at AM. An exit interview was conducted. A copy of report will be emailed to Applicant Tracia Ekollo.

visit_type: Prelicensing


summary: Facility Evaluation

raw_content:
Narrative:
On March 20, 2025, at 10: AM, Licensing Program Analyst (LPA), Erika Butler, and Licensing Program Manager (LPM), JoAunne Griffin conducted a Short Term Residential Therapeutic Program (STRTP) Component III office meeting with Applicant, Tracia Ekollo. LPA Butler and LPM Griffin met with Applicant to discuss forms required to be maintained, available, and posted at the facility for inspections. We discussed child and personnel records that are required to be documented, retained and available for inspection. We also discussed specific requirements, concerns and issues operating a STRTP, such as, reporting requirements, personnel requirements, supervision, intake issues, compatibility, removal/discharge policies, complaint procedures, transportation, health services, food, hygiene, visitation, personal property, searches, and community sensitivity. Licensing of facility is pending final approval due to fire clearance, association to Guardian, and corrections to facility plant. Second Pre-Licensing inspection is scheduled for April 1, 2025 @ 10. A copy of this report was provided to the Applicant, Tracia Ekollo.


summary: Facility Evaluation

raw_content:
Narrative:
On April 1, 2025, at 10: AM Licensing Program Analyst (LPA) Erika Butler arrived at Promise Transitional Home for the purpose of conducting a follow-up Pre-Licensing Inspection. The following corrections were made: Purchased a mobile phone for clients use. Window lever was replaced in Bedroom #3. Tools were removed from cabinet in the living room. Shower handle was fixed in Bathroom #1. Personal hygiene items were removed from Bathroom #2. Applicant purchased plates, cups, bowls, utensils, pots, and pans. Bedding was placed on the beds in Bedroom #2. Tire, wood, weights, and items were removed from the backyard. Applicant purchased additional chairs for the dining room table. Applicant will fixed the broken drawer in the refrigerator. Applicant added the use of cameras in the facility to the Program Statement. Applicant removed the glass off the floor in Bedroom #2. Applicant removed the chandelier from Bathroom #2. Items in the hall closet that are not be used by clients were removed.. An exit interview was conducted. A copy of report will be emailed to Applicant Tracia Ekollo.


summary: Facility Evaluation

raw_content:
Narrative:
On 06/27/25 at 9:40 am Licensing Program Analyst (LPA) Reagan Cohen & Licensing Program Manager (LPM) Lakescia Smith arrived at the facility for the purpose of conducting a Post-Licensing Inspection. Upon arrival LPA and LPM met with home owner Tracy, who granted access to the home. PB Agahnee Ekollo was contacted and made her way over. Tracy informed LPA & LPM that she is living in the home while no clients are present to protect the home. There are currently no clients or staff in the facility. Health and safety risk assessment and a facility walk through was conducted upon arriving at the facility. LPA & LPM observed the posted facility License. LPA and LPM observed the foster youth bill of rights posted in the dinning room, but it is too small and illegible. LPA & LPM explained that the poster needs to be bigger for clients to be able to read. LPA & LPM observed the complaint procedures posted, LPA & LPM explained that there needs to be forms and writing tools present for clients to fill out on their own time anonymously. PB explained that Tracia Ekolo is the current Administrator but the plan is to switch to Chernika Corbett once she gets her administrator certification. Staff must submit change of administrator request and administrator qualifications for Chernika for review and approval. LPA & LPM showed PB that on Guardian Tracia and Agahnee Ekollo are not cleared for the facility. PB will ensure that all staff are cleared prior to being present in the facility. PB will follow up with guardian on facility clearance status. cont. on next page. 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 sofas, coffee table, and covered fireplace. There are fire place tools that will be removed. There is a camera pointed at the door. Cameras record video only, no sound. The video footage is stored by the security company for three days. Only Tracia and Agahnee have access to the footage. Dining room: is equipped with a table with six chairs and and extra chair. There is a fully charged fire extinguisher. The license, personal rights poster, complaint procedures, menu, and activity poster will be posted. 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. The Applicant will ensure that three nutritious meals and snacks will be provided to the clients. Currently there is no supply of perishable or non perishable food. Licensee will ensure that there is an adequate supply of non perishable food, snacks, extra cups, utensils, bowls, plates, and napkins. There is a fully charged fire extinguisher in the kitchen. Breakfast nook: is equipped with adequate bench seating and a small table. Laundry Area: is equiped Exit signs are located at the front door and kitchen door. Bedroom #2: client's bedroom equipped with two twin beds with drawers underneath, adequate closet space, adequate lighting, and windows. Sliding exit door leads outside. Facility must ensure that there is a clear and accessible emergency exit, which can be either the sliding door or a window. Bedroom #3: client's bedroom equipped with two twin beds with drawers underneath, two closets, lighting, and windows. Exit door leads outside and will be locked. Facility will ensure that the closet is empty of the tv box and paint tray and rollers, and filled with hangers for clients clothes. There is a wall socket that must be repaired. Bathroom #2 is only accessible from Bedroom #3. Bathroom #1: Bathroom #1 is located in hallway. There is a sink, shower, and toilet. The water temperature was measured to be 115 degrees F. The toilet was observed to be operable. Bathroom #2 is located in bedroom #3. There is a sink, shower, tub, and toilet. The water temperature was measured to be 115 degrees F. There is a storage unit available for extra linens and towels. The door is a barn door that facility will add a lock to, to be able to lock for client privacy. Storage Closet: There is a storage closet in the hallway that will be made inaccessible to clients. Clients medications and medication logs will be stored in the closet. There is a mini fridge that will be able to store temperature controlled medications. There is an First Aid kit in the closet. Each First Aid kit is complete with Band-Aids, gauze, anti-septic solutions, scissors, tweezers, thermometer, and a first aid manual. The applicant has locked boxes for the clients to store there belongings. Backyard: There is adequate seating around a fire pit in the backyard. There are two walkways along either side of the house. Facility must ensure that there is no debris or other harmful items including propane tanks, ladders, animal poop, bottles, trash, pipes, weights, buckets, brooms, etc. accessible to clients. There is a shed in the back yard which is designated for the therapist, will be used to store all facility records including staff and client files, etc. The files will be locked in a cabinet inaccessible to clients. There is another shed that is storing the property owners personal belongings. This shed must be locked and made inaccessible to clients.

met_with: President of the Board (PB) Agahnee Ekollo


summary: Facility Evaluation

raw_content:
Narrative:
On 7/24/25 at 9: LPA arrived at the above facility. LPA knocked on the door twice and stood on the porch for 5 min. LPA then called the number on file 323-722-6488, the number was disconnected. LPA then sent an email to the email address on file. LPA waited until 10: AM and did not receive a response. LPA wrote this report and logged the attempted visit.


summary: Facility Evaluation

raw_content:
Narrative:
On December 30, 2025, at 10: AM, Erika Butler-Williams Licensing Program Analyst (LPA) and Licensing Program Manager (LPM) Enrique Hernandez conducted a Case Management inspection at the above named facility based on the information obtained prior Licensing visit on 11/24/25. The information indicated that on 11/20/2025, a youth in care had been left outside the facility do to client having an episode chasing staff stating that he was going to kill them The client was left outside in inclement weather (rain), and was not immediately allowed to re-enter the facility. During the Case Management inspection, the Department interviewed the Acting Administrator, and reviewed available documentation. Interviews were conducted and documents obtained. LPA has determined further investigation is needed to conclude this Case Management Investigation. Exit interview conducted, and the report will be emailed to admin@promisestrtp.com

met_with: Chernikia Corbett, Acting Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On January 29,2026, Licensing Program Analyst (LPA) Erika Butler-Williams conducted an unannounced follow-up case management inspection at the above-named facility and met with the Acting Administrator Agahnee Ekollo. This follow-up case management inspection was conducted in reference to the initial case management inspection completed on December 30, 2025. During the follow-up case management inspection, the Department determined that on the course of the visit, confidential interviews corroborated that on 11/17/25, a youth in care was left outside of the facility, and remained outside in inclement weather (rain), and was not permitted to re-enter the home, thereby denying the youth access to safe, healthful, and comfortable accommodations and placing the youth at risk to health and safety. As a result, the facility is being cited for violation of California Code of Regulations, Title 22, Division 6, Section 80072(a)(2) - Personal Rights (see LIC 809D). Exit interview completed, appeal rights issued, and a copy of this report was provided to the Acting Administrator.

met_with: Agahnee Ekollo, Acting Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On January 29, 2025 at 10:30 am, Licensing Program Analyst (LPA) Erika Butler Williams arrived at Promise Transitional Homes, and LPA met with the Acting Administrator, Agahnee Ekollo of the facility, who granted access into the home. Based on confidential corroborated interviews, that on 11/17/ There was no Administrator or Facility Manager at the facility on the 11/17/25 when an incident occurred at the facility. As a result, the facility is being cited for violation of California Code of Regulations, Title 22, Division 6, Section 800652(a)(k) - Personnel Requirements (see LIC 809D). Exit interview completed, appeal rights issued, and a copy of this report will be provided to the Acting Administrator.

met_with: Agahnee Ekollo, Acting Manager


summary: Facility Evaluation

raw_content:
Narrative:
On February 23, 2026, Licensing Program Analyst (LPA) Erika Butler-Williams and Licensing Program Manager (LPM) Enrique Hernandez conducted an informal office meeting with President, Agahnee Ekollo of Promise Transitional Homes DBA Promise STRTP at the Children's Residential Regional Office in El Segundo, California. The purpose of the meeting was to review Community Care Licensing requirements and clarify compliance expectations for operation of the Short-Term Residential Therapeutic Program (STRTP). Community Care Licensing discussed the licensee's responsibility to operate the facility in accordance with California Code of Regulations, Title 22, and STRTP Interim Licensing Standards. Community Care Licensing reviewed and provided guidance regarding the following: • Administrator approval requirements and submission of documentation • Mental Health Program approval status and notification requirements • Serious Incident Reporting (LIC 624) timelines and documentation requirements • Complaint reporting expectations and cooperation with investigations • Staffing plan and supervision of youth • Plan of Correction expectations and required follow-up documentation The licensee was informed of reporting timelines and regulatory expectations. TECHNICAL SUPPORT PROGRAM During the meeting, Community Care Licensing informed the licensee that the facility was referred Technical Support Program (TSP) on 01/22/26 due to identified compliance concerns and the need for additional oversight and guidance to ensure operation in accordance with Title 22 regulations and STRTP Interim Licensing Standards. The President of the Board stated that the Technical Support Program has set up additional training. PLAN OF CORRECTION The licensee agrees to comply with Community Care Licensing regulations and reporting requirements and will submit all the outstanding documentation requested for the Administrator to the Department. An exit interview was conducted with President, Agahnee Ekollo. Technical Support Program expectations were discussed, and a copy of this report was provided.

met_with: Agahnee Ekollo, President