summary: Facility Evaluation

raw_content:
Narrative:
On 12-13-24 at 10: AM, Licensing Program Analyst Jonathan Medina conducted an unannounced Annual/Random inspection at the listed facility. LPA met with Meghan Chapman, Facility Manager, and toured the facility inside and out. The Short Term Therapeutic Program is licensed to serve six clients. Present during the inspection were 6 staff members and 0 clients. LPA Medina toured the facility. LPA Medina observed four bedrooms and two bathrooms. LPA observed the facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility except a location for clients to submit complaints mentioned in the 809-D. LPA Medina tested the water temperature and found it to be 115 degrees, which is within range. The thermostat read 73 degrees, which is also within range. Sharps were locked, and chemicals were safely stored. There were two days of perishable foods and seven days of non-perishable foods available. Medication was stored and locked in the staff office in a locked cabinet within a locked safe. The facility is in good repair and clean. There were no open bodies of water. The backyard was in good repair and clean. LPA Medina interviewed four staff members and no clients. LPA Medina reviewed client and staff files. All staff and client files were complete and in good order. LPA also fully reviewed Operational requirements. Inspection is not complete and a follow-up visit will be conducted. Four Technical Assistance were issued for California Code of Regulations 87072.2(a)(3), 87063(a)(8), 80019(e)(2), and 87065.1(d)(6)(A). There was one deficiency cited for California Code of Regulations 87072(a). Please refer to attached 809-D. An exit interview was conducted, appeal rights were discussed, and a copy of this report was provided to Meghan Chapman, Facility Manager .

met_with: Meghan Chapman - Facility Manager


state: CA

facility_name: YOUTH HOMES - CHERRY LANE

summary: Facility Evaluation

raw_content:
Narrative:
On December 17, 2024, at 10: AM, Licensing Program Analyst (LPA) Jonathan Medina conducted an unannounced inspection at Youth Homes, Cherry Lane. The purpose of the visit was to complete unfinished sections of the care tools, including disaster preparedness, emergency intervention, and core/therapeutic services. During the inspection, LPA Medina conducted a confidential interview with the sole client present at the facility. LPA Medina met with Patrice Holley, Case Manager, and toured the facility. The facility was clean, well-maintained, and in good repair. Four staff members and one client were present during the visit. An exit interview was conducted, and a copy of this report was provided to Patrice Holley, Case Manager.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Patrice Holley - Case Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 05/20/25 at 12:00 p.m., Licensing Program Analyst (LPA) Brenda Rodriguez met with Meghan Chapman, Lead Residential Manager regarding an incident report that was reported to CCL on 05/13/2025. LPA Rodriguez disclosed the purpose of the inspection and was granted entry into the facility. LPA Rodriguez wanted to discuss the Incident Report that was reported on 05/13/2025. More information on Incident Report on LIC 812. LPA Rodriguez conducted two (2) confidential staff interviews and one (1) confidential client interview. One of the clients that was involved in the incident was discharged from the facility. An exit interview was conducted at 1:15 p.m., and a copy of this report was emailed to Meghan Chapman, Lead Residential Manager, Ra'Shena Martin, Clinical Director & Administrator and Ronnie Mabou, Director of Standards and Enrichment.


summary: Facility Evaluation

raw_content:
Narrative:
On 06/12/25 at 1:05 p.m., Licensing Program Analyst (LPA) Brenda Rodriguez met with Meghan Chapman, Lead Residential Manager regarding an incident report follow-up that was reported to CCL on 05/13/2025. LPA Rodriguez disclosed the purpose of the inspection and was granted entry into the facility. After conducting four (4) confidential staff interviews and one (1) confidential client interview, LPA Rodriguez wanted to inform the facility that no CCL regulations were violated regarding the incident report. An exit interview was conducted, and a copy of this report was emailed to Meghan Chapman, Lead Residential Manager, Ra'Shena Martin, Clinical Director & Administrator and Ronnie Mabou, Director of Standards and Enrichment.


summary: Facility Evaluation

raw_content:
Narrative:
Control Number: 2006-FN On July 29, 2025, at 10: AM, Licensing Program Analyst (LPA) Jonathan Medina conducted an unannounced case management inspection at the above-referenced facility to follow up on a submitted Incident Report (IR). LPA met with Meghan Chapman, Lead Facility Manager. At the time of the visit, two staff members and three clients were present. The IR was submitted regarding an incident that occurred on July 21, 2025. According to the report, Client C1 allegedly snuck a male individual into their bedroom overnight. During the visit, LPA interviewed the Lead Facility Manager to obtain additional information regarding the facility's plan to ensure C1 received proper follow-up support. LPA confirmed that the awake overnight staff was conducting routine checks during the time of the incident. LPA reviewed the program statement, which includes a house rule stating: "You have the right for staff to knock before entering your bedroom." On the night of the incident, C1 reportedly requested that staff knock before entering, and it is suspected the unauthorized individual may have used this to remain hidden. The facility assessed this incident, along with prior incidents involving the client creating an unsafe environment for others. As a result, a discharge plan was developed, and the client was formally discharged on July 28, 2025. LPA reviewed video footage of the incident, as well as shift logs from the night in question, and confirmed that room checks were being conducted. Two clients declined to be interviewed by LPA. One staff and one client interview were conducted during today's visit. An area of improvement was observed under California Code of Regulations, Title 22, Division 6, Section 80078 - Responsibility for Providing Care and Supervision. Please refer to LIC9102 for further details. No deficiencies were cited as a result of proper procedures done by staff. An exit interview was conducted, appeal rights were discussed, and a copy of this report was provided to Meghan Chapman, Lead Facility Manager.

met_with: Meghan Chapman - Lead Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On November 4, 2025, at 4: PM Licensing Program Analyst (LPA) Jonathan Medina conducted a visit to the above-listed facility to confirm that the location has closed. LPA was informed by Director Ronnie Mabou that the last day of business was October 30, 2025. Upon arrival, LPA observed one blue truck parked in the driveway; however, no one was present on the premises. LPA looked through the windows and observed that no individuals were inside, the lights were turned off, and the premises appeared to be cleared. Halloween decorations were still displayed outside. LPA took a few photographs of premises. All doors were locked. No staff member was present on-site; therefore, there was no one available to sign this document.


summary: Facility Evaluation - 2 deficiencies

raw_content:
Narrative:
08/13/2021: At 11:08AM, Licensing Program Analyst (LPA) Madi Fremont attempted to make a visit to Youth Homes Cherry Lane for the purpose of conducting an unannounced Noncompliance Case Management Inspection. When LPA arrived, there was a contractor present in the home replacing the floors throughout the house, and many parts of the house were inaccessible. Additionally, no clients were present in the home, and no staff other than the administrator were present. LPA informed Administrator Rozalynn Johnson-Spearman that they would return at a later date when there were no contractors present in the home. LPA left the facility at 11:25AM. _________________________________________________________________________ On 08/23/2021 at 1:17PM-3:05PM, Licensing Program Analyst (LPA) Madi Fremont traveled to Youth Homes Cherry Lane for the purpose of conducting an unannounced Noncompliance Quarterly Case Management Inspection. LPA met with Administrator Rozalynn Johnson-Spearman, who helped facilitate this inspection. Currently in care are 3 ambulatory clients. At the time of this visit, zero clients and 4 staff were present in the home. (Please reference LIC811 - Confidential Names dated 08/23/2021) In June 2019, Youth Homes - Cherry Lane met with Community Care Licensing (CCL) representatives for a Noncompliance Conference. The purpose of the Noncompliance Conference was to address the following issues: 1. Client care and supervision 2. Staffing ratios 3. Physical Plant of the home - specifically non-functional locks on client bedroom windows 4. Staff training 5. Planned activities (CONTINUED ON LIC809-C) During this inspection, LPA Fremont requested the following documentation for review: 1. Shift notes and 15-minute room check logs for June 13, 2021 2. April 2021 planned activities calendar 3. April 2021-June 2021 training logs and sign-in sheets 4. LIC500 5. Current client roster During this inspection, LPA had a discussion with all present parties regarding the following topics: Physical Plant: All client bedroom window locks are functional and in place. The home recently closed temporarily to go through extensive renovations on the inside of the house. Renovations were successful and clients have since been placed back in care at Cherry Lane. Additional renovations continue, including installation of new floors and general maintenance of the house which includes patching drywall, painting, replacing window screens, replacing lightbulbs, etc. The home will continue to submit plans for renovations to the Licensing Agency. During a tour of the facility, LPA discovered two sharps in the kitchen, one vegetable peeler and one pizza cutter. LPA returned both sharps to the facility office to be locked away from client access. To communicate best practice when storing sharps and other hazardous items, an LIC9102 - Advisory Note was issued for California Code of Regulations (CCR), Title 22, Division 6, Chapter 1, Article 7, Section 80087(g) - Building and Grounds. Please see the attached LIC9102 for details. When taking temperatures of faucets which are in use by clients, LPA recorded the following temperatures: 1. Kitchen sink faucet: 129.3 degrees Fahrenheit 2. Client bathroom sink #1: 128.6 degrees Fahrenheit 3. Client bathroom sink #2: 129.4 degrees Fahrenheit A deficiency was cited per CCR, Title 22, Division 6, Chapter 1, Article 7, Section 80088(e)(1) - Furniture, Fixtures, Equipment, and Supplies. Please see the attached LIC809-D for details. (Continued on Lic809-c) In order to be able to inspect files that were inaccessible at the time of this inspection, LPA Fremont will be continuing this Noncompliance Quarterly Inspection on a separate day, when personnel files and client files will be reviewed, and staff and client interviews will be conducted. _________________________________________________________________________ On 08/24/2021 at 1:25PM-4:15PM, Licensing Program Analyst (LPA) Madi Fremont returned to Youth Homes Cherry Lane to finish their Noncompliance Quarterly Case Management Inspection. LPA met with Administrator Rozalynn Johnson-Spearman, who helped facilitate this inspection. During this inspection, LPA Fremont conducted a confidential interview with Administrator Rozalynn Johnson-Spearman. Ms. Johnson-Spearman indicated that day to day operations have been running smoothly. There have been no significant client incidents over the last few months, and staff and clients have a good relationship. Staff training has had consistent attendance. There have been no issues with client supervision or staffing ratios. The home has provided clients with a large variety of on-site and community planned activities, and there have been no complaints about activities. LPA reviewed files for all youth currently in placement, and found that C2 was missing their immunization record and their physician's report was incomplete and missing physician signature. The facility also keeps all clients' Safeguard for Cash Resources and Centrally Stored Medications Destruction Records in common files. An LIC Advisory Note was issued to the home for CCR, Title 22, Division 6, Chapter 1, Article 6, Section 80070(a)(b)(1-14). Please see attached LIC9102 for details. On the previous day of this inspection (08/23/2021) LPA Fremont asked that all personnel files be made available for inspection by the time LPA returned to finish their inspection. On 08/24/2021, staff files were not available for review. A deficiency was cited per CCR, Title 22, Division 6, Chapter 1, Article 6, Section 80066(e) - Personnel Records. Please see the attached LIC809-D for details. At this time, two deficiencies are being cited and two advisory notes were issued. An exit interview was conducted, Appeal Rights provided and discussed, and a copy of this report was emailed to Administrator Rozalynn Johnson-Spearman whose signature on this form confirms receipt.

Deficiencies:
80088: (e) Faucets used by clients [...] shall deliver hot water; (1) Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures used by clients to attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C).
80066(e): (e)	All personnel records shall be maintained at the facility site and shall be available to the licensing agency for review.

met_with: Administrator Rozalynn Johnson-Spearman

title: Furniture, Fictures, Equipment, and Supplies

title:
1
2
3
4
5
6
780066 Personnel Records


summary: Facility Evaluation

raw_content:
Narrative:
On December 6, 2024, at 10: AM, Licensing Program Analyst (LPA) Vaishali Singh-Sood made an unannounced Case Management inspection to the above facility. LPA Singh-Sood met with Residential Facility Manager, Megan Chapman, who assisted with the inspection. The purpose of this inspection was to discuss a serious incident that had occurred between two clients in care. Facility staff had reported the incident to Community Care Licensing immediately. LPA Singh-Sood reviewed incident reports, conducted confidential interviews at which time it was determined that there had been a lack of supervision towards the care for the clients in care to be safe. It was also noted that there were not enough staff notes regarding the clients, instances, etc. despite the amount of instances the clients in care have had with each other from February-November 2024.. As such, the Facility was cited for violation of California Code of Regulations, Title 22, Division Six, Responsibility for Providing Care and Supervision. An exit interview was conducted at 12: PM, and Ms. Chapman was provided a copy of the report.

met_with: Megan Chapman


facility_name: YOUTH HOMES - EAST BAY SHELTER

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) David Hiett met with Administrator Dennis Gonzalez via phone and Clinical Supervisor Giselle Supar regarding a complaint investigation at the facility. The purpose of the inspection was to deliver the findings for the above complaint allegations. Based on staff interviews and record review, client has a history of making false allegations when they believe that their placement may be terminated. The client was removed from the facility and subsequently left their new placement and their whereabouts are unknown and their cell phone is no longer in service. LPA Hiett was therefore unable to speak with the client. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that staff yelled at client or that staff did not treat client with dignity and respect. Therefore, the above allegations are unsubstantiated. Appeal Rights were provided and discussed with staff and no deficiencies were cited. An exit interview was conducted and a copy of the report was left with the Administrator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: David Hiett 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

report_type: Complaint Investigation

met_with: Administrator Dennnis Gonzalez

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13On 4/15/22 at 11:00, Licensing Program Analyst (LPA) Alyssa Ng made a visit to the facility to open a complaint investigation of the above allegation. LPA met with Administrator Felicia Martin and Ronnie Mabou, Director of Operations and Compliance and informed of the purpose of the visit. During investigating the allegation, LPA Ng conducted confidential interviews with facility staff, clients, social workers. Confidential interviews reveal conflicting stories about food being inaccessible to clients in care. At the facility, LPA opened the fridge and saw that there was lots of fruits and vegetables accessible to clients at any time of the day. the fridge did not have a lock or a place to put the lock. Based on interviews and records review, there was not enough evidence to prove that food is inaccessible to clients. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that food is inaccessible to residents, therefore the above allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy was sent to Ronnie Mabou. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng 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: Ronnie Mabou, Felicia Martin


raw_content:
Narrative:
Although the allegation may have happened or is valid, based on LPA's observations and interviews with residents and staff, there is not a preponderance of the evidence to prove the alleged violation(s) did or did not occur. Therefore, the allegation is Unsubstantiated. An exit interview was conducted, appeal rights provided, and a copy of this report was left with Interim Administrator Ronnie Mabou, whose signature on this form confirms receipt.

Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

met_with: Interim Administrator Ronnie Mabou


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Investigation Findings:
13On 9/2/2022 at 9: AM, Licensing Program Analyst (LPA) Alyssa Ng conducted a complaint inspection at Youth Homes- East Bay and spoke with Ronnie Mabou, Administrator. The purpose of the inspection was to deliver the findings for the above complaint allegations. During confidential interviews with clients and staff, all parties stated that client was in a restraint with their hands behind their back and on the floor. It was also confirmed that staff slapped client in the face. Based on LPA's interview with Administrator and record review(s), the preponderance of evidence standard has been met, therefore the above allegations, Staff inappropriately restrained a minor while in care and Staff slapped a minor while in care is found to be SUBSTANTIATED. Facility is being cited for violation of California Code of Regulations (CCR): 80072(a)(3): Personal Rights and Interim Licensing Standards (ILS): 87095(a)(1)(5): Emergency Interventions Prohibition. See attached LIC9099D for details. An exit interview was conducted, appeal rights provided and discussed, and a copy of this report was given to Ronnie Mabou, Administrator. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng 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 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, TRAEGER AVE., SUITE FACILITY NAME: YOUTH HOMES - EAST BAY SHELTERFACILITY NUMBER: 075650085

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

met_with: Ronnie Mabou

complaint_status: SUBSTANTIATED


raw_content:
Investigation Findings:
13On 9/2/2022 at 9: AM, LPA Alyssa Ng conducted a complaint inspection with Youth Homes- East Bay and met with Ronnie Mabou, Administrator. The purpose of the inspection was to deliver the findings for the above complaint allegations. This complaint was taken as a complaint by Community Care Licensing's (CCL's) Investigations Branch (IB) and assigned to Inv. Shannan Borton on 04/18/2022. During the investigation, it was discovered that staff worked at the facility from 2012-2017. Client was first placed in 2020. Both staff and client confirmed that they were in a sexual relationship but denied that staff was employed at the facility during that time. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that, Staff engaged in inappropriate behavior with client, therefore the above allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy was sent to Ronnie Mabou, Administrator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng 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

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


raw_content:
Investigation Findings:
13On 11/30/22 at 10: AM, Licensing Program Analyst (LPA) Alyssa Ng conducted a complaint inspection with Youth Homes- East Bay and met with Kendra Sheldon, Clinical Director. The purpose of the inspection was to deliver the findings for the above complaint allegations. This complaint was taken as a complaint by Community Care Licensing's (CCL's) Investigations Branch (IB) and assigned to Inv. Blake Williams on 07/29/2022. During the investigation, it was discovered that clients did not interact with each other and were on separate sides of the facility. All parties also stated that they have not heard or seen a staff member inappropriately touch a client while in care. Furthermore, clients did not engage in sexual acts with each other. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that, clients engaged in sexual acts with each other while in care and staff member inappropriately touched a client in care, therefore the above allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy was sent to Kendra Sheldon, Clinical Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng 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

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

met_with: Kendra Sheldon


summary: Facility Evaluation

raw_content:
Narrative:
On 9/2/2022 at 10: AM, Licensing Program Analyst (LPA) Alyssa Ng conducted an unannounced case management inspection with listed facility and spoke with Ronnie Mabou, Administrator. The purpose of the inspection was to follow up on an incident involving a sexual relationship with former staff and client. LPA Ng reviewed the IB report for complaint # 14-CR-20220415161702. The allegation, staff engaged in inappropriate behavior with client, and found that both staff and client confirmed that they were in a sexual relationship but denied that staff was employed at the facility during that time. The investigator, Shannon Borton asked staff if they were aware of the relationship. Some staff heard about the client being in a relationship with an adult and some said they were unaware. The staff that heard about it stated that they found out after the client left Youth Homes- East Bay. LPA Ng asked Ronnie Mabou, Administrator the procedures for incidences like this and how staff use prudent parenting to ensure clients are getting the services they need. What kind of services, what staff are communicating to clients, and how often they check in with clients regarding safe sex and other health services. No deficiencies were cited today. A copy of this report was given to Ronnie Mabou, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 11/30/22 at 11: AM Licensing Program Analyst (LPA) Alyssa Ng conducted an unannounced case management inspection. The purpose of the inspection was to confirm that the above address ( Sherman Drive, Pleasant Hill, CA 94523) is no longer operating as a Children's Residential Facility and has no children in placement. The facility is a one story home in a residential neighborhood. There were no cars outside. During inspection, it was confirmed that the above address is no longer a residential facility. Clinical Director Kendra Sheldon gave LPA Ng the license. Youth Homes- East Bay Shelter is officially closed and the license forfeited.


summary: Facility Evaluation

raw_content:
Narrative:
On 10/18/21, Licensing Program Analyst (LPA) Mariah Hawkins made a visit to the facility and met with Interim Administrator Christal Black and Clinical Supervisor Giselle Supar. At 4:30PM, LPA conducted an inspection of the kitchen and food. Food was observed to be organized, sanitary, and within date. However, there were two rodent droppings observed and photographed on top of the left side stack of plates in the cabinet next to the refrigerator. The droppings were small and on top of the plate, clearly visible upon opening the cabinet. Interim Administrator and Clinical Supervisor confirmed observation of droppings. LPA advised that the plate needed to be sanitized; Interim Administrator threw away the plate. LPA did not find any evidence elsewhere of an infestation. Interim Administrator stated that all dishware will be replaced and that dishware and dishware storage will be kept in sanitary condition. Interim Administrator also stated that an exterminator has been to the facility for pest control. LPA issued a citation of California Code of Regulations, Title 22, Section Food Service. An exit interview was conducted, appeal rights provided, and a copy of this report was left with Interim Administrator Christal Black, whose signature on this form confirms receipt.

met_with: Interim Administrator Christal Black; Clinical Supervisor Giselle Supar


summary: Facility Evaluation

raw_content:
Narrative:
On 1/21/22 at 10: AM, Licensing Program Analyst (LPA) Alyssa Ng and Karmen Balhotra made an unannounced Case Management inspection to the facility and met with Giselle Supar, Clinician (S1) and Dennis Lemus, STRTP Administrator (S2). There are currently six clients in care. LPA Ng received a video showing a mouse crawling in the client's room and also received a picture of a mouse trap. In the video received, the mouse was behind a light brown dresser. In the second video, it shows the mouse standing on the blue rug in the middle of the room. The mouse trap was located in between the light brown dresser and a skateboard. At 10: AM, LPA Ng and Balhotra conducted an inspection of the facility grounds. The facility has four bedrooms, a kitchen, dining room and living room and two bathrooms. LPA's toured the facility and while observing a bathroom, there was a door that is locked with a broken door siding that the lock was attached to. LPA Balhotra mentioned that the door needed to be fixed due to it being a safety hazard. S1 mentioned she has a work order for it. LPA Ng and Balhotra toured the rest of the facility and no safety hazards were present. LPA Ng and LPA Balhotra discussed the reason for the inspection with S1 and S2. S1 stated that they called the Terminix and the company was here on 1/11/2022. In addition, S2 was able to provide a invoice from Terminix for 12/08/2021 and 01/11/2022 with their next appointment being on 2/9/2022 from 2- PM. At this time, deficiencies were cited under California Code of Regulations, Title 22, Section Buildings and Grounds. In addition, a Technical Violation was provided regarding the broken siding for a door located in the bathroom. An exit interview was conducted with S1 and appeal rights were provided. A copy of this report was left with S2.

met_with: Giselle Supar (Clinician)


summary: Facility Evaluation

raw_content:
Narrative:
On 8/19/2022 at 10: AM, Licensing Program Analyst (LPA) Alyssa Ng and Program Policy Analyst Tharan Chahal conducted an unannounced visit to the listed facility. The purpose of this visit was to conduct the psychotropic medications inspection. LPA met with Ronnie Mabou, Administrator. LPA conducted a walk through of the facility. LPA observed the facility to be clean, tidy, and in good repair. The home had a sufficient supply of perishable and non-perishable food. There were three staff members and 1 client present at the time of the inspection. The current census is five clients, four of the clients are at school. Four clients are currently on psychotropic medications. LPA reviewed four client files, three staff files, the centralized medication logs, and staff binder. LPA also observed the locked medications cabinets. At 12: PM, LPA observed Ronnie Mabou, Administrator do a medication count of all psychotropic medications, there were no issues with the pill counts. LPA reviewed the PMAR and found two staff initials missing. One deficiency was observed (refer to LIC 809D) and cited from the California Code of Regulations and Title 22 during the inspection. LPA conducted an exit interview with Ronnie Mabou, Administrator at 3: PM, whose signature confirms the receipt of this document.


facility_name: YOUTH HOMES - PRYOR

raw_content:
Narrative:
On 08/28/2020 at 9:01AM, LPA Fremont received an email from Administrator Christal Black, which contained copies of invoices from Clark Pest Control for pest treatments. The first invoice dated 03/03/2020 states that Clark removed one dead mouse from a garbage can in the backyard. The second invoice dated 05/05/2020 states the Clark employee de-webbed around the windows and doors, treated for spiders, ants, wasps, and roaches, and set glue boards in the garage, kitchen, and pantry. The third invoice dated 07/14/2020 states the Clark employee de-webbed around the windows and doors, and treated the home for ants, spiders, wasps, and roaches. Finally, the fourth invoice dated 08/20/2020 states the Clark employee who conducted the inspection found no signs of bed bugs, and no signs of rodents in the home. Because of this, no chemicals or additional glue boards were applied to the home to continue pest mitigation. Based on the information gathered, including LPA observations, records review, and interviews with staff and clients, there is a preponderance of evidence that the facility had mice coming into the home at the time this complaint was received in July 2020. Therefore, the allegation "Facility has pests" is substantiated. Because of the licensee's continued efforts to eradicate rodents and bugs from the home through the regular utilization of pest control treatments by Clark Pest Control, and based on Clark Pest Control finding no sign of rodents in the home in August 2020, no deficiency is being cited at this time. An Advisory Note was issued for California Code of Regulations (CCR), Title 22, Division 6, Chapter 1, Article 7, Section 80087(a) - Buildings and Grounds. Please see the attached LIC9102 for details. At this time, no deficiency is being cited. One LIC9102 - Advisory Note was issued. An exit interview was conducted, and a copy of this report was emailed to Administrator Christal Black for the home's records. On 07/27/2020, LPA Balhotra traveled to the home to notify the licensee of this allegation, to tour the facility, and to conduct interviews with staff and clients. During this inspection, LPA Balhotra conducted interviews with the following clients and staff: C1, C2, C3, C4, S1, S2, and S3. In an interview with S1, S2 stated they had not personally witnessed rodents in the home, but had heard other staff and clients say they had seen them in the home. S1 stated that a client had recently caught a mouse in the snack closet, and Clark Pest Control came to the home the same day to remove it. In an interview with S2, S2 stated they had seen pests in the home, and that Clark Pest Control came out on a regular basis to set and remove traps. S2 stated they have started storing food in plastic bins with lids to try to mitigate the problem. S2 also stated they has personally seen pests in the pantry, garage, and living room. In an interview with S3, S3 stated they had seen a mouse approximately one month earlier, and two were caught in traps in the garage. S3 stated Clark Pest Control regularly came out to the home to set and remove traps. S3 stated the home is always kept clean, and staff deep clean every night. In interviews with C1, C2, C3, and C4, all clients confirmed they had seen pests in the house, specifically mice. C1 stated they had seen mice in the kitchen, and they thought the problem was that the garbage cans were kept in the garage. C2 stated they also saw a mouse in the kitchen, and they believed the rodents were coming in through a hole in the baseboards underneath the dishwasher. This is corroborated by a photo taken by LPA Balhotra during this inspection, which shows a small hole between the dishwasher and the floor where there is a missing piece of baseboard. C2 stated the house is always clean, and they believed the mice were coming in the house from the surrounding fields because the area is hot and dry. C3 and C4 stated they had also seen mice in the kitchen, and that Clark Pest Control frequently came to the house to spray for bugs and to set and remove rodent traps. C4 stated they had seen a dead mouse stuck in a glue trap in the kitchen, and sent a picture of the mouse to LPA Balhotra to verify this statement. The photo shows a Clark Pest Control employee holding a glue trap with a mouse caught in the glue. Other photos taken by LPA Balhotra during this inspection show rodent droppings in the cabinet under the kitchen sink, and a hole in the wall underneath the kitchen sink where the pests could possibly be coming through. (Continued on Lic9099-c)

Investigation Findings:
13At 1:36PM, Licensing Program Analyst (LPA) Madi Fremont traveled to Youth Homes Pryor to conduct an unannounced Complaint Investigation Inspection. The purpose of this inspection was to deliver findings for a complaint received for the home on 07/23/2020. LPA met with Administrator Christal Black, who helped facilitate this inspection. Currently in care are 4 ambulatory clients. (Please reference LIC811 - Confidential Names dated 06/22/2021). On 07/23/2020, the San Jose Children's Residential Program Regional Office received a complaint for Youth Homes Pryor with one allegation: "Facility has pests." This allegation is in reference to concerns that the home has rodents. This complaint was assigned to LPA Fremont and investigated by LPA Karmen Balhotra. (CONTINUED ON LIC9099-C) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Madeleine Fremont 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 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, TRAEGER AVE., SUITE FACILITY NAME: YOUTH HOMES - PRYORFACILITY NUMBER: VISIT DATE: 06/21/2021

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

visit_type: Complaint Investigation

met_with: Administrator Christal Black


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Alyssa Ng conducted a follow-up complaint investigation to the above facility. LPA Ng conducted the complaint findings at Youth Homes sister facility, Youth Home- East Bay Shelter. LPA Ng met with Director of Operations and Compliance Ronnie Mabou. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation, LPA Mendoza gathered documentation, interviewed staff, authorized representatives, and one client. LPA Mendoza tried to interview all clients on several occasions however authorized representatives did not know their whereabouts. As a result, LPA Mendoza could not move forward with the interviews. The interviews revealed inconsistencies in explanations for residents' privacy not being respected by staff members. LPA obtained copies of staff shift notes for September and reviewed incident reports. LPA found no information which corroborates the information obtained from the parties interviewed. Although the allegation may have happened or is valid, there is no preponderance of the evidence to prove that the resident's privacy is not respected; therefore, the above allegations are unsubstantiated. An exit interview was conducted, and a copy of the report was left with the Ronnie, Director Of Complaince and Operations. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng 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 Tuesday, March 22, 2022 at 10: AM, Licensing Program Analyst (LPA) Alyssa conducted an annual/required inspection at the above facility. LPA Ng met with Administrator, Christal Black. We did not get inside until 11:15 due to Administrator not having the keys. Direct care staff Felicia came and let us inside. The facility has not been operating since September of 2021 so the facility has been vacant. Therefore, LPA Ng did not use Inspection Tool during todays inspection. Please note, the facility has been in communication with CCL regards to their current status. LPA Ng toured the facility inside and out and found the facility to be safe and clean. Administrator Christal informed LPA Ng that repairs will be completed once they decide to open back up. There were some drywall patches and wood panels showing. During LPA Ng's walk thru, LPA observed the facility having some items packed in plastic bins for storage. The refrigerator and freezer were empty. LPA toured the upstairs and there were a total of 4 client bedrooms in the facility. Two of the client bedrooms are shared and two are single occupancy. All bed rooms were empty and three were storing plastic bins, mattresses, and bed frames. There are three bathrooms. One bathroom is located downstairs. The downstairs bathroom is only designated for the clients that live downstairs and the upstairs bathroom for the clients that stay upstairs. The staff bathroom is located in the staff office. Cleaning supplies, medication cabinet, and sharps are locked and located in the staff office. The Administrator stated that the listed facility is rarely in use. There was one occasion was when a client had COVID and one time when clients would go out on their outings and want a place to hang out. LPA Ng also advised the facility to check in with LPA when deciding to open back up so LPA can know what the facility current status is. An exit interview was conducted and a copy of the report was left with the Administrator.

met_with: Christal Black


summary: Facility Evaluation

raw_content:
Narrative:
On Wednesday, 12/27/2023 at 9: AM, Licensing Program Analyst (LPA) Shikya Belfield conducted an annual inspection at the above facility. LPA Belfield met with Administrator, Ronnie Mabou. Please note, the facility has been in communication with CCL regards to their current status. Currently there are no clients in placement and there are no staff currently working in the facility regularly due the facility not operating at this time. LPA toured the facility with the administrator and reviewed administrator file. No deficiencies were cited during this inspection. An exit interview was conducted a copy of this report will be sent to administrator Ronnia Mabou.

visit_type: Annual

met_with: Ronnie


summary: Facility Evaluation

raw_content:
Narrative:
On 03/18/2025 at 4: PM, Licensing Program Analyst (LPA) Jasmine Cardeno made an unannounced visit to the building of the former facility, Youth Homes - Pryor. LPA knocked on the front door and observed staff and youth present in the home. LPA met with Behavorial Specialist, William Lowery, who facilitated the inspection. LPA informed Behavioral Specialist the purpose of the inspection is to verify that Youth Homes - Pryor is no longer operating as a Short-Term Residential Therapeutic Program (STRTP) or as a Licensed Chidren's Residential Facility. During the time of the inspection, three youth were present and three staff were present. Behavioral Specialist informed LPA that they are currently hosting an art event for the youth. At 4: PM, Behavioral Specialist facilitated a walk-through tour of the building. LPA observed both inside and outside of the building including the downstairs rooms that are used as office spaces for staff and a conference meeting room. In addition, LPA observed the kitchen, dining, and living room area. LPA followed Behavioral Specialist upstairs and observed the rooms to be used as therapeutic meeting rooms including a therapy room, art room, and a recreational room with board games, toys, and art supplies. LPA observed that there are no beds present in the building or signs of youth residing in the building. In addition, LPA observed the outdoor backyard of the facility and the garage area. LPA had a discussion with Behavioral Specialist regarding how the building is now operating currently as an office space for TBS workers and Agency employees, and is no longer operating as an STRTP. In addition, the building is being used as a space for events and activities to be held for youth. LPA observed the building of the former facility, Youth Homes - Pryor, is not being used as an STRTP. LPA observed that there are no clients residing in the facility. An exit interview was conducted and a copy of this report was left with Behavioral Specialist, William Lowery, whose signature on this form confirms receipt.

met_with: TBS Behavioral Specialist, William Lowery


facility_name: YOUTH HOPE HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
On March 26, 2026, at 10: AM, Component II of the application process for Youth Hope House STRTP located at W. 45th Street Los Angeles, CA. 90062 was held at the El Segundo Children's Residential Regional Office in El Segundo. Attending Component II were the following individuals: Licensing Program Analyst (LPA), Charmetha White, Applicant, Amber Coxsom and Assistant Administrator Sarah Jones. The following information and forms were discussed at the meeting: · LIC 200 - Application · LIC 404 - Financial Release and Verification · LIC 500 - Personnel Report · LIC C - Emergency Disaster Plan · PIN 24- CRP - Chaptered Legislation Affecting Children's Residential Facilities and Homes: Summary and Implementation · PIN 24- CRP - Naloxone Distribution Project · PIN 24- CRP - Video Cameras in Children's Residential Congregate Care Facilities · PIN 26- CRP - STRTP Manual Restraint Incident Reporting System · Program Statement and Plan of Operation Pre-Licensing Inspection is scheduled for April 7, A copy of this report was issued to the Applicant, Amber Coxsom.

met_with: Director - Amber Coxsom and Assistant Administrator - Sarah Jones


summary: Facility Evaluation

raw_content:
Narrative:
On April 7, 2026, Licensing Program Analyst (LPA) C. White arrived at the above location for the purpose of conducting a Pre-Licensing Inspection. LPA was met by Applicant, Amber Coxsom. The facility is requesting to be licensed as a Short-Term Residential Program to provide to provide care and supervision to six (6) female children, ages 12-17 years old, ambulatory only. The facility will also provide services to non-minor dependents. Currently the census is zero (0). The home is set up as follows: This is a single story 3 bedroom, 2 bathroom, home located in a residential area. The home consists of a living room, dining room, kitchen, small staffing room, a backyard, and a detached staffing/therapy office. Living room: is equipped with sectional sofa, an ottoman, and a mounted flat screen TV. Dining room: is equipped with a glass table and six (6) chairs. Kitchen: is equipped with a refrigerator/freezer, a five (5) burner gas stove (all burners were operational at the time of the inspection), a microwave, a dishwasher, and an island countertop. Sharp knives are kept locked in a cabinet located under the island countertop. LPA observed a covered trash can, ample plates, cups, and eating utensils. LPA observed ample nonperishable food items in the pantry. The applicant will ensure that three (3) nutritious meals and snacks will be provided to clients in care. Small Staffing Room: contains storage drawers that hold the facilities extra linens and towels, a medication cart that remains locked at all times, and a small refrigerator to store medications that require refrigeration. Backyard: contains a sitting area with a popup canopy for private visitation purposes. Detached Staffing/Therapy Office: contains a small round table with two (2) chairs, a sofa, a mounted flat screen TV, a bathroom (that has a toilet, sink, and shower/tub combination), a refrigerator/freezer, a five (5) burner gas stove (all burners were operational at the time of the inspection), a stackable washer/dryer, and a locked therapist room. The therapy rook has a desk, chair, and a closet that will hold therapist files. This office will be utilized by Facility Staff and the Mental Health Team and will remain locked when not in use. Report continued on LIC 809C (Page 1 of 2) Bedrooms: 1, 2, and 3: are equipped with two (2) twin beds, drawers, and ample closet space. All bedrooms have working lights and windows. Bathroom #1: is located in the hallway between bedroom 2 and 3. The bathroom contains a toilet, sink, and a tub/shower combination. Bathroom #2: is located inside bedroom 3. The bathroom contains a toilet, sink, and a shower. All bathrooms were checked and found to be in working order. Vehicle: The facility has a Toyota Sequoia to transport youth to appointments and offsite extra curriculum recreational activities. LPA inspected the vehicle and found the horn, lights, and all seat belts in working order. LPA observed the vehicle to have valid car registration and insurance. LPA observed the facility to have one (1) regulation fire extinguisher. The facility has a working telephone. The smoke alarm and carbon monoxide detectors were tested and found to be in working order. The facility has cameras located throughout the home in common areas only. The First Aid kit was checked and found to be complete. Disinfectants and cleaning solutions are kept in a locked cabinet under the sink. Additional cleaning supplies and solutions will be kept in the staffing office. Clients and Staff Records will be stored in a locked file cabinet located in the staffing office. There are no firearms or dangerous weapons in the facility. There are no bodies of water on the premises. LPA observed the facility to be clean, safe, and sanitary. Passageways, stairways, and porches are unobstructed. The front and backyard is fenced in, both free of debris and hazardous materials. LPA observed the electrical shut off valve and the gas shut off valve are located in the back of the home near Bedroom 3, and the water shut off valve is located in the left side of the home. The following was discussed with the facility Administrator: Children will be accorded personal rights. Children in care will be supported, encouraged to participate in extracurricular activities. Children in care will be able to contact the licensing agency. Children will be supervised & protected at all times. Children will be accorded dignity in personal relationships with others in the home. Children will not be restricted in telephone use except by court order. The Applicant will provide and ensure three nutritious meals, snacks, and special diets. The Applicant will ensure to have written authorization to obtain medical and dental care. The Applicant will ensure to have personal rights forms in children's files. Applicant acknowledges abuse reporting requirements. Staff working in the facility will have DOJ/FBI criminal record clearances, and Child Abuse Index Checks. Facility will operate within license conditions & limitations including capacity limit. Facility meets posting requirements and emergency telephone numbers are in a prominent location. LPA concluded the Pre license Inspection. An Exit interview was conducted, and a copy of this report was emailed to Applicant, Amber Coxsom. (Page 2 of 2)

visit_type: Prelicensing

met_with: Applicant- Amber Coxsom


summary: Facility Evaluation

raw_content:
Narrative:
On April 14, 2026, at 1: PM, Licensing Program Analyst (LPA), Charmetha White made a Case Management Other visit for the purpose of conducting the Component III portion of the application process for Youth Hope House STRTP. Attending Component III were the following individuals: Applicant, Amber Coxsom and Assistant Administrator, Sarah Jones. Component III Orientation Summary The purpose of the Component III Orientation was to review program-specific regulatory requirements, discuss operational responsibilities, and ensure the applicant and key personnel fully understand the ongoing compliance expectations outlined in the California Code of Regulations, Title 22, and the Interim Licensing Standards for STRTP. Topics discussed included, but were not limited to: staff qualifications, client personal rights, incident reporting procedures, documentation requirements, emergency intervention protocols, and the importance of maintaining full regulatory compliance across all operational areas of the facility. Participants actively engaged in the discussion and were encouraged to ask questions throughout. All parties were advised that Component III is a mandatory requirement in the STRTP licensing process. The applicant and Assistant Administrator demonstrated understanding of the material presented and were reminded to contact the Department with any future questions or concerns.


facility_name: YOUTH QUEST GUIDANCE CENTER

raw_content:
Narrative:
Information obtained through confidential interviews with staff revealed that there has been some minor incident such as clients punching holes in the wall or breaking doors, that have been immediately patched or replaced by the handyman. Staff further disclosed that bedroom #1 did have a leak coming from the ceiling due to the air-conditioner not operating correctly on March 26, 2021, which was resolved that same day by an outsourced company. Statements of clients and staff both corroborated each other's accounts. Information obtained from CSW did not corroborate the alleged allegation. Therefore, based on the information received, the above allegation is determined to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is found to be unsubstantiated. Appeal Rights were provided and discussed with the STRTP Program Director. There are no deficiencies to be cited at this time. Exit interview was conducted and a copy of the report along with the (LIC 811) was sent via email to the to the Program Director.

Investigation Findings:
13On May 5, 2021, at 4:19 p.m., Licensing Program Analyst (LPA) Winston Moroney, conducted a teleconference inspection to the above Short-Term Residential Therapeutic Program (STRTP) and met with Program Director Jamacia Smith. The purpose of the teleconference was to deliver the findings for the above complaint allegations. On April 20, 2021, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegations: Facility is not in good repair. The investigation to the above allegations was conducted by this LPA and it consisted of, but not limited to a review of records, including the children needs and services plans, medical records and interviews with frour staff members (S2, S3,S4,S5 ) on 5/3/21, one staff member (S1) on 5/5/2021, three clients (C1, C2, C3) on 5/3/21, two clients (C4, C5) declined to be interviewed on 5/3/21, one client (C6) was unavailable due to being detained by the Court on 4/13/21 and one CSW on 4/29/21. (Reference Confidential Names Form LIC 811, dated April 5, 2021) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Winston Moroney 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: YOUTH QUEST GUIDANCE CENTERFACILITY NUMBER: VISIT DATE: 05/05/2021

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

met_with: Jamacia Smith - Program Director


raw_content:
Narrative:
Information obtained through confidential interviews corroborated the allegation, facility staff (S1) acted aggressively toward minor (C1). Based on interviews and video footage the preponderance of evidence standard has been met and the Department has determined the allegation that facility staff acted aggressively toward minor is substantiated. This poses an immediate Health, Safety, or Personal Rights risk to children in care. The Facility is cited for STRTP Interim Licensing Standards Chapter 7.5 section 87072(d)(11) Personal Rights, To be free of physical, sexual, emotional, or other abuse, and from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature including, but not limited to, interference with the daily living functions of eating, sleeping, or toileting, or withholding of shelter, clothing, or aids to physical functioning. Appeals rights were provided, and a copy of the report and LIC 9099-D has been emailed to the facility representative mentioned above.

Investigation Findings:
13On May 5, 2021, at 4:19 p.m., Licensing Program Analyst (LPA) Winston Moroney, conducted a teleconference inspection to the above Short-Term Residential Therapeutic Program (STRTP) and met with Program Director Jamacia Smith. The purpose of the teleconference was to deliver the findings for the above complaint allegations. On April 20, 2021, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegations: Facility staff acted aggressively toward minor. The investigation to the above allegations was conducted by this LPA and it consisted of, but not limited to a review of records, including the children needs and services plans, medical records and interviews with frour staff members (S2, S3,S4,S5 ) on 5/3/21, one staff member (S1) on 5/5/2021, three clients (C1, C2, C3) on 5/3/21, two clients (C4, C5) declined to be interviewed on 5/3/21, one client (C6) was unavailable due to being detained by the Court on 4/13/21 and one CSW on 4/29/21. (Reference Confidential Names Form LIC 811, dated April 5, 2021) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Winston Moroney 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: YOUTH QUEST GUIDANCE CENTERFACILITY NUMBER: VISIT DATE: 05/05/2021

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


raw_content:
Narrative:
Staff denied the allegation further indicating that clients are well supervised by staff maintaining above the recommended Interim Licensing standards 1:4 staff to client ratio by having three to five staff members present at the facility. Staff indicated that if they are aware of a client wanting to AWOL staff will attempt to deter the client by verbally redirecting them while trying to determine what is trigging the behavior. Staff indicated that they try to provide a variety of activities to keep the clients busy and motivated to finish their program and hopefully deter the clients from AWOL. Information obtained from clients did not corroborate the above allegation further disclosing that they feel safe and are provided with whatever they need by facility staff. Therefore, based on the information received, the above allegation is determined to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is found to be unsubstantiated. Appeal Rights were provided and discussed with the Program Director. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the STRTP Program Director.

Investigation Findings:
13On March 30, 2022, at 8: PM., Licensing Program Analyst (LPA) Winston Moroney, conducted a complaint inspection to the above Short Term Residential Therapeutic Program (STRTP) Facility and met with STRTP Program Director Jamacia Smith. The purpose of the inspection was to deliver the finding for the above complaint allegation. On October 4, 2021, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegations: Staff did not prevent minor from AWOL. The investigation to the above allegations was conducted by this LPA and it consisted of, but not limited to a review of records, including the children's needs and services plans, medical records, and interviews with Staff members (S1, S2, and S3) on 10/14/2021, 3 of Clients (C1, C2, and C3) on 10/14/2021, (C4 was AWOL at time of interview). (Reference Confidential Names Form LIC 811, dated March 30, 2022). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Winston Moroney 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: YOUTH QUEST GUIDANCE CENTERFACILITY NUMBER: VISIT DATE: 03/30/2022

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


raw_content:
Narrative:
C1's representative confirmed the allegation was false and that there was no physical abuse towards C1 from any of the staff members. Based on the information obtained during the investigation, it cannot be determined whether the above allegations occurred. Based upon interviews, the complaint findings are unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegations occurred. No deficiencies were cited. Exit interview was conducted, and a copy of this report was emailed to the above-named facility staff.

Investigation Findings:
13On May 23, 2023, Licensing Program Analyst (LPA) Johanna Lofton, conducted a follow up inspection visit Youth Quest Guidance Center with the purpose of delivering findings for the above complaint allegation. LPA Lofton met with Jamaica Smith, Facility's Program Director. During the complaint investigation, LPA Lofton conducted confidential interviews with clients, facility staff, and social worker. The allegation was denied by interviewed parties. Facility clients and staff reported that C1 can get out of control at times and would have to be restrained at times due to getting violent and out of control.Iinterviewed facility clients denied seeing any staff member physically hit C1. Interviewed facility staff denied seeing the former staff physically hit C1. The investigation revealed that the staff member C1 reported as the perpetrator (S3), was not at the facility the day of the incident. Furthermore, the alleged perpetrator separated from the facility as an employee as of September 2022. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Johanna Lofton 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: YOUTH QUEST GUIDANCE CENTERFACILITY NUMBER: VISIT DATE: 05/23/2023

met_with: Jamaica Smith-Program Director


raw_content:
Narrative:
It was alleged that around April 2023, facility staff improperly restrained one client in care on multiple occasions which resulted in minor scratches. In an interview conducted, one client stated that facility staff were physically rough when conducting manual restraints but denied any type of physical abuse or corporal punishment in the facility. The client stated that in one instance, they sustained some minor scratches on their body as a result of being manually restrained. In an interview conducted, a second client denied any type of physical abuse or corporal punishment in the home and also denied that staff would be unnecessarily rough during manual restraints. In interviews conducted, three staff members denied the allegation and stated that the client in question exhibited a lot of behaviors that were physically dangerous to others as well as to themselves. As a result, they have had to use manual restraints on a more frequent basis with the client. Staff stated that there was one instance in which the client had to be held in a prone position and sustained a rug burn from the carpet. Staff stated that the client did not initially report this to them as they felt that it was an accident and not a serious injury. However, staff have began conducting more thorough body checks every time manual restraint is used since then. Staff stated that they receive manual restraint training every year through a qualified, contracted instructor. LPA reviewed facility video footage of instances in which the client had to be manually restrained. In the video footage, LPA observed instances in which the client was physically violent towards others as well as themselves, suggesting that manual restraint was necessary in those moments. LPA did not observe any indication of malice or intentional roughness on the part of staff conducting the manual restraints. A review of records revealed that the facility properly logged instances of manual restraint in the facility. Based on interviews conducted and records reviewed, there is not a preponderance of evidence to suggest that the allegation occurred. Although the allegation may have happened or may be valid, the preponderance of evidence standard has not been met. Therefore, the allegation is deemed UNSUBSTANTIATED. An exit interview was conducted and a copy of this report was provided to the Licensee.

Investigation Findings:
13On July 21, 2023 at approximately 11: AM, Licensing Program Analyst (LPA) Raymond Wu conducted an unannounced complaint inspection visit at the facility for the purposes of delivering findings for the above allegations. LPA met with the representative named above and discussed the purpose of the visit. As part of the investigation, interviews with clients and staff were conducted on 04/26/23. Records were reviewed on 04/26/23 and 07/20/23. (Continued) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Raymond Wu 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: YOUTH QUEST GUIDANCE CENTERFACILITY NUMBER: VISIT DATE: 07/21/2023

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

met_with: Alejandro Medina, Facility Manager


raw_content:
Narrative:
S1 stood on the outside of C1's bedroom door. C1 came up to S1 and began to curse at S1 and pushed and punched S1's face. S1 restrained C1 by holding C1's hand to prevent them from getting more punches. C1 then began to kick S1 and threatened to kill him. C1 bit S1's right arm and head butt him. S2 tried to calm C1 and placed a pillow between C1 and S1 to shield C1's head butts. C1 continued to make verbal threats against S1. Staff stated the client was not inappropriately restrained. Statements obtained from the confidential interviews provided contradictory information regarding the allegation and did not provide sufficient information to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that alleged violation occurred, therefore the allegation is unsubstantiated. There were no deficiencies cited during this inspection. An exit interview was conducted. A copy of this report, Confidential Names Form, and Appeal Rights were provided to the facility representative via electronic mail.

Investigation Findings:
13On January 9, 2024, at 1: PM, Licensing Program Analyst (LPA) Karen Suh conducted a follow-up complaint inspection to deliver the finding of an investigation concerning to the allegation above. The LPA met with the representative named above and discussed the finding. The investigation included confidential interviews that consisted of but were not limited to: five clients, three staff, and Program Director at the facility on July 26, 2023, two staff on August 18, 2023. The LPA reviewed client's (C1; see Confidential Names LIC 811, dated January 9, 2024) Needs and Services Plan, Child and Family Team (CFT) Meetings Report, Qualified Individual Assessment Report Addendum, and Special Incident Report, and Personnel Report (LIC 500). It was alleged that staff inappropriately restrained a minor. Staff denied the allegation. C1 was on one on one supervision by staff (S1) due to C1's history of AWOL. C1 had been pacing back and forth and S1 redirected them to relax and suggested to watch a movie with S1. C1 became agitated and walked back into their room. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Karen Suh 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: YOUTH QUEST GUIDANCE CENTERFACILITY NUMBER: VISIT DATE: 01/09/2024

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

met_with: Jamacia Smith, Program Director


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
Page The Department received a complaint alleging a facility staff (S1) assaulted a youth while in care. On November 14, 2023, a facility client (FC1) was observed with a red/purple bruise on his face that resembled a shoe imprint, and a red bruise on his upper left shoulder. It was alleged that on the previous night, S1 thrust FC1's face into a headboard, and threw FC1 to the ground and stepped on his face. S1 denied the allegation and stated that on the evening of 11/13/23, due to aggressive behaviors, he placed FC1 in a prone restraint. Statements obtained from interviews conducted with staff did not support the allegation. Record review revealed law enforcement interviewed pertinent individuals regarding the alleged assault. There were no witnesses to the reported incidents. Based on information gathered from interviews conducted and records reviewed, the allegation is unsubstantiated. Although the allegation may have happened or is valid the standard of the preponderance of evidence was not met. A copy of this report and confidential names form LIC811 dated 1/29/24 were given to the above-mentioned facility representative. No deficiencies were cited. Exit interview conducted.

Investigation Findings:
13On 1/26/24 at 10: AM, Licensing Program Analyst (LPA) Christopher Larios conducted a follow up complaint inspection to the Short Term Residential Therapeutic Program (STRTP). During the inspection LPA Larios met with Director Jamacia Smith. The purpose of the inspection was to deliver findings regarding the above mentioned complaint allegation. The allegation was investigated by Community Care Licensing Division (CCLD) Investigations Bureau (IB) State Investigator (SI) Mariana Lomeli. During the course of the investigation, SI Lomeli conducted interviews with four staff, two administrators, three facility clients, and others between 12/05/23 and 1/11/24. SI Lomeli also obtained a Bakersfield Police Department report on 11/29/23 and reviewed the STRTP Program Statement on 12/14/23. On 11/22/23, LPA Larios conducted a record review and obtained copies of the LIC500, LIC9020, needs and service plan, special incident reports, staff identification, job description, discipline policy, and training records. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Christopher Larios 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: YOUTH QUEST GUIDANCE CENTERFACILITY NUMBER: VISIT DATE: 01/29/2024

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

met_with: Jamacia Smith


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
LPA conducted interviews with six clients. All six clients stated that they were unaware they had a monthly clothing allowance. Client statements also corroborate that they were not taken shopping monthly and have not been provided with adequate clothing by the facility. Four clients disclosed that a majority of clothing that clients currently have is largely what they had when arriving to the facility and stated that most of the clothing no longer fits or is poor condition. While conducting client interviews LPA observed three clients wearing jeans and shirts that appeared to be too small. Based on confidential interviews and records reviewed there is a preponderance of evidence to prove the allegation, therefore, the allegation is substantiated which poses a potential Health, Safety or Personal Rights risk to the child in clients in care Based on the information gathered, the allegation stated above is SUBSTANTIATED. A substantiated finding means the preponderance of evidence standard has been met. This violation poses an immediate and/or potential Health, Safety, or Personal Rights risk to children in care. The facility is being cited under Interim Licensing Standards (ILS) Short Term Residential Therapeutic Program (STRTP) Article 6, standard Personal Rights 87072(d)(6)(A). An exit interview was conducted, and the following reports were emailed LIC809, LIC 809-D, and LIC Confidential Names Form. Appeal rights forms were provided and explained.

Investigation Findings:
13On August15, 2024, Licensing Program Analyst (LPA) Angelina Garibaldo conducted a follow-up complaint inspection at the above facility and met with Jamaica Smith, Program Director (PD). The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA interviewed Program Director, six clients on 6/12/24 and Administrator (Admin)on 8/9/24. (See Confidential Names Form LIC 811 dated August 15, 2024). LPA also reviewed documents including but not limited to Allowance logs, Expenditure Records, Receipts, client clothing inventory logs and Need and Service Plans. It was alleged that clothing allowance is not provided to clients. Interviews conducted with both PD and Admin denied the allegation and stated that clients are taken shopping as needed and clients have more than enough clothing. On 6/12/ LPA conducted an inspection of clients' rooms, closets, dresser drawers and clothing. LPA observed dresser drawers over filled, piles of clothing on the floor and in the closet. Clothes appeared to be in poor condition. Continue from page 1 . . . SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Angelina Garibaldo 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: YOUTH QUEST GUIDANCE CENTERFACILITY NUMBER: VISIT DATE: 08/15/2024

met_with: Jamaica Smith - Program Director


raw_content:
Narrative:
Page The Department received a complaint alleging the staff are blocking the doorway with items, staff do not properly maintain the facility grounds and staff are not properly trained. On 8/21/ LPA Garibaldo toured the facility and observed a bed obstructing a door leading to the backyard. LPA Garibaldo also observed the toilet in the primary bedroom restroom was not properly installed, vanities in both restrooms were missing handles, vanity counter tops were chipped, vanity cabinet drawers were dirty and did not close properly, tiles on floors were missing, and walls were patched but not painted. Night stand and dresser in the primary bedroom were not in good repair, walls throughout the facility had holes that had not been patched, drawings on walls in client's rooms, in primary bedroom the door had been replaced but not painted, electrical outlet in living room was missing a plate cover, patio cover in backyard was in disrepair, broken 2x4 on patio,wooden gate in patio was broken and in disrepair, and window screens were missing from all windows in the facility. In addition, LPA Garibaldo reviewed the facilities Initial 8-hour New Staff Core Competencies Training Tally Record, and it was revealed that the areas of training's failed to include the required Trauma-Informed Intervention and Treatment Practices and were not conducted by the appointed instructors. Statements obtained from staff disclosed that the 8-hour initial training's were conducted by the facility director. The facility failed to follow their own Plan of Operation for training of new staff. Based on information gathered from inspections, records review and interviews conducted all the allegations are Substantiated. Facility cited for violations of California Code of Regulations, Title Division 6, regulation 80087(a) Buildings and Grounds, 80088 (b) Furniture, Fixtures, Equipment, and Supplies, 80088 (3) Furniture, Fixtures, Equipment, and Supplies, 87078.2(a)(3) Trauma-Informed Interventions and Treatment Practices, and 87022 (6) Plan of Operation. An exit interview was conducted and a copy of LIC9099, LIC9099D and appeals rights were provided to the facility representative.

Investigation Findings:
On 10/16/24 at 0: AM, Licensing Program Analyst (LPA) Angelina Garibaldo and Licensing Program Manager Gustavo Garcia conducted a follow up complaint inspection. During the inspection LPA Garibaldo and LPM Garcia met with Facility Manager Jamacia Smith. The purpose of the inspection was to deliver findings for the above-mentioned complaint allegation. During the course of the investigation LPA Garibaldo conducted a record review on 08/21/24 and obtained copies of but not limited to, staff rosters and staff contact information, copies of direct staff initial twenty-four (24) hour training. And staff training sign in sheets and topics for year 2024 and facility repair logs. LPA Garibaldo toured facility with Facility Manager. In addition, LPA Garibaldo conducted interviews on 8/26/24 with Administrator, Facility Director two social workers, and on 10/02/ Facility Manager. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Angelina Garibaldo 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: YOUTH QUEST GUIDANCE CENTERFACILITY NUMBER: VISIT DATE: 10/16/2024

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

met_with: Jamacia Smith-Facility Manager


raw_content:
Narrative:
Investigation revealed the following: It was alleged Staff are allowing minors to vape and smoke marijuana. Staff denied the allegation. Staff stated that children are discouraged from smoking or vaping. Staff stated that sometimes when children return from running away children have been caught with vape pens or smoking paraphernalia. However, staff stated that if children are caught with these items staff will confiscate them. Interviews conducted with children also denied the allegation. Children stated staff do not allow them to smoke or vape in the facility and denied that staff gives them vapes or marijuana. It was also alleged; staff are allowing minors to wear inappropriate clothing. Staff denied the allegation. Staff stated that children are allowed to pick out their own clothes, but they are not allowed to buy clothing that has any sort of drugs or inappropriate language. Children denied the allegation. Children stated that staff do not allow them to wear or buy inappropriate clothing. Children stated they are only allowed to wear clothing that is appropriate for school. Lastly, it was alleged, staff does not ensure minor's educational needs are being met. Staff denied the allegation. Staff stated that children are enrolled in school and if they need extra assistance, they are given opportunities to make up credits or provided resources to assist them with schooling. Interviews conducted with one (1) child identified not receiving services or getting school assistance. However, child did not provide details as to what staff were not providing services or what circumstances surrounded child not receiving services. Interviews conducted with four (4) additional children denied the allegation and stated that they receive support and assistance in school and from facility staff. Documents reviewed showed no incidents of staff misconduct or staff allowing children to smoke or vape. Documents reviewed also showed no incidents or children wearing inappropriate clothing or that children's schooling needs weren't being met. Interviews conducted with witnesses showed that incidents of concerns were occurring outside of facility and staff jurisdiction. Based on the information gathered, although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of this report Confidential Names Form and Appeal Rights were provided to the facility representative via electronic mail. There were no deficiencies cited during this inspection.

Investigation Findings:
13On 10/16/ Licensing Program Analysts (LPA) Claudia Portillo made an unannounced visit to the Youth Quest STRTP on behalf of Dawn Mahecha for the purpose of delivering findings to the above complaint investigation. LPAs met with representative and discussed the following findings. Investigation consisted of the following: On 9/5/ LPA Mahecha reviewed files and obtained the following documents: Current LIC500/ client roster, completed annual training, clothing policy, children's school enrollment paperwork, current needs, and service plans (NSPs) for five (5) children and any associated complaints or special incident reports (SIRs) regarding children smoking, missing school, or wearing inappropriate clothing. LPA Mahecha interviewed on site therapist and witness. Additionally, between 10/11 and 10/14/ LPA Elnora Smith interviewed five (5) children and three (3) staff. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Claudia Portillo 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: YOUTH QUEST GUIDANCE CENTERFACILITY NUMBER: VISIT DATE: 10/16/2024


raw_content:
Narrative:
Confidential interviews were completed on 05/02/25 with C1, C2, R1,R2. 07/28/25 with R4, 09/30/25 with R3. (Reference Confidential Names Form LIC811, dated October 03, 2025). The purpose of this inspection is to determine whether staff provided adequate care and supervision, responded appropriately to youth safety concerns. The investigation revealed the following: Four out of Five youth were interviewed for the investigation.During a follow up phone contact, facility staff confirmed that one youth was no longer placed in the home and therefore was not interviewed. Each youth was asked about their general sense of safety in the home, interactions with peers, and the role of staff when conflicts arise. The youth consistently reported that they feel safe in the program and described staff as supportive and attentive. None of the youth interviewed reported concerns about bullying or staff failing to intervene during peer conflicts. Youth further shared that when disagreements occur, staff step in to separate youth and redirect behaviors. Staff were asked about their awareness of the reported incident, prior concerns regarding youth conflicts, and their role in supervising and intervening when necessary. Staff consistently reported that they had not observed or received reports among youth and denied knowledge of an altercation on the date in question. Staff explained that supervision is maintained in common areas, and they are trained to intervene immediately when behaviors escalate to ensure youth safety.When asked about reporting procedures and communication, staff stated that they consistently notify supervisors and document incidents as required, including contacting outside parties when appropriate. Staff further explained that when youth disagreements occur, they follow established de-escalation protocols and maintain sight and sound supervision. Staff expressed that they prioritize youth safety, monitor peer interactions closely. Based on the confidential interviews and records reviewed, the complaint is unsubstantiated. An unsubstantiated determination means the allegation lacks a preponderance of the evidence to prove that the violation occurred. There are no deficiencies to be cited at this time. LPA Martinez conducted an exit interview and provided a signed LIC 9099 to the facility representative

Investigation Findings:
13On 10/03/25, Licensing Program Analyst (LPA) Joe Martinez conducted a follow-up complaint inspection at the Short Term Residential Therapeutic Program (STRTP). LPA Martinez met with the facility representative named above. The inspection aims to deliver the finding for the above allegation(s). On 04/29/25, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): Staff did not prevent youths from engaging in a physical altercation with LPA Martinez investigated the above allegation. The investigation included a review of records and confidential interviews, but it was not limited to these. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Joe 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: YOUTH QUEST GUIDANCE CENTERFACILITY NUMBER: VISIT DATE: 10/03/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
On 10/07/2021 at 10: AM, Licensing Program Analysts (LPAs) Jenny Mundo and Timika Martin conducted an unannounced Required Annual inspection at the above-named Short Term Residential Therapeutic Program (STRTP) facility. LPAs met with the facility Administrator Mario Barron and the Program Director Jamacia Smith. The facility is currently accredited by CARF effective 5/31/2021 and expires on 5/31/2024. The facility's mental health program was approved effective 6/21/2021 and expires on 6/21/2022. The facility's license will will be updated to reflect a permanent licensure. LPAs requested a copy of current resident roster and Personnel Report (LIC 500). Currently, the facility has five (5) minor residents placed by Humboldt, Kern and Tulare counties. Based on the review of Licensing Information System (LIS), all facility staff listed on the LIC 500 have received fingerprint clearances. The facility is a one-story home with three (3) bedrooms, two (2) bathrooms, a staff office, kitchen, dining area, a living room, and a laundry room. There are no bodies of water on the premises. The facility is licensed to serve up to six (6) ambulatory minors ages 12-17 years of age. At 11: AM, LPAs conducted a walkthrough of the entire facility. Physical Plant Sharps and knives are kept locked in the office closet. Per the administrator, there are no firearms on the premises. Disinfectants and cleaning solutions are locked in the walk-in storage room located in the office. Temperature in rooms that the residents occupy are maintained at 71 degrees (F). The hot water temperature was measured at 117.7 (F). Carbon monoxide and smoke alarms were tested and observed to be operational. The facility has two(2) fire extinguishers that are fully charged. Facility has a working telephone. Advisory notes and citation/s were issued to address physical plant issues observed. Continued from pg. Fixtures, Furniture, Equipment, and Supplies Facility has two(2) toilets, two(2) wash basins, and two(2) showers. Individual privacy is provided in all toilet, bath and shower areas. Each resident has an individual bed in good repair; equipped with good springs and clean mattresses. The quantity of linen provided permits changing the linen at least once a week or more when indicated to ensure that clean linen is in use by clients at all times. Each client is provided with items used to maintain basic personal hygiene practices including but not limited to shampoo, soap, toothbrush, toothpaste, comb, toilet paper. Each client bedroom has closets and drawer space to accommodate the client's clothing and personal belongings. Health Related Services Medications are centrally stored and locked in the office cabinet and accessible only to employees responsible for stored medications. Food Service A written weekly menu is posted in an area accessible to the staff and clients. A review of weekly menu indicates that the facility provides nutritious meals and snacks. Facility maintains supplies of staple non-perishable foods for at least one week and fresh perishable foods for at least two days. There was one (1) Advisory Notes-Technical Assistance (LIC9102TA) and one (1) citation issued during the today's inspection. Annual Continuation is required at a later date. An exit interviewed was conducted and a copy of this report was provided to facility representative.

met_with: Mario Barron, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 10/19/2021 at 9:45 am, Licensing Program Analysts (LPAs) Jenny Mundo and Timika Martin conducted an unannounced Required Annual Continuation inspection at the facility. LPAs met with the facility Program Director Jamacia Smith. The following components were reviewed and addressed during this inspection. Client Records LPA Martin reviewed four (4) client records. Client records are maintained locked onsite in the staff office. One (1) Client record was missing one (1) required documentation (see Advisory Note). Centrally stored medications are recorded and logged. Staff Records LPA Mundo reviewed four (4) Staff records. Staff records are maintained locked onsite in the staff office. All facility staff have received a criminal record clearance or exemption and child abuse index checks. All file documentation is complete, signed and current for staff# 1 to #4. Disaster Preparedness Plan The Emergency/Disaster Plan is available and current per Provider Information Notice PIN 21-03. The facility conducts disaster drills monthly. Administrative Duties The STRTP Administrator has a current STRTP Administrator Certificate. Per Personnel Report, the administrator works for a least 40 hours per week. Staff/Child Ratios A review of Personnel Report (LIC 500) or staff schedule indicates that the facility meets the Staff Child ratio. LPA Mundo interviewed three (3) staff members and zero (0) clients during this inspection due to the clients being in school. There were Advisory Notes-Technical Assistance (LIC9102TA) and citations issued during the today's inspection. Annual Continuation is required at a later date. An exit interviewed was conducted and a copy of this report was provided to facility representative.


summary: Facility Evaluation

raw_content:
Narrative:
On 11/2/2021 at 11:00 am, Licensing Program Analyst (LPA) Jenny Mundo conducted an unannounced Required Annual Continuation inspection at the facility. LPA met with the facility Program Director Jamacia Smith. The following components were reviewed and addressed during this inspection. Core/Therapeutic Services The facility provides core services and supports to children as appropriate or necessary that are trauma informed, culturally relevant, age and developmentally appropriate and include the following: Medi-Cal specialty mental health services; transition support services; educational and physical, behavioral, and mental health supports; activities to support children and services to achieve permanency. Operations Facility maintains a register of clients and the register is available upon request. The board of directors regularly conducts meeting to review and discuss the facility's operation. The facility Program Director is the responsible and capable staff for communicating with emergency personnel in the facility. The facility has developed, maintained and implemented written complaint procedures. Disaster Preparedness Plan Facility maintains a current, written disaster and mass casualty plan of action. Facility conducts disaster drill at least monthly for each shift. The drills are documented, and the documentation is maintained in the facility for at least a year. Facility maintains an emergency and disaster plan, register of clients, Needs and Services Plan for each client, medication records, and contact information for each client's responsible party and physician. continued from pg. Emergency Intervention Plan LPA reviewed the facility's emergency intervention plan. The facility has not used any manual restraints currently. However, the facility has a log prepared that contains all required information when needed. Facility has an emergency intervention training curriculum. All staff members are trained on the facility's emergency intervention procedures. There are currently no clients in care with Special Health Care Needs. There are no citations assessed during this inspection. The facility representative was provided information on where to locate the Provider Information Notices (PINs), guidance to the new CARE Tools inspection process and Guardian. An exit interview was conducted and a signed copy of this report and appeal rights were provided to the facility representative.