summary: Facility Evaluation

raw_content:
Narrative:
On December 10, 2025 at 10: AM Licensing Program Analyst (LPA) Tatyana Shulz made an unannounced visit with the purpose of conducting an annual inspection to the above facility using the Compliance and Regulatory Enforcement (CARE) tool. LPA met with Kyndra Washington, Facility Manager, who assisted with the inspection. A walk through of the interior and exterior was completed. Physical Plant Rooms 1-3 are client bedrooms with a full sized bed, dresser and closet space. Room 4 is a bedroom used as an office space where the first aid kits, telephone and sharps are kept. Room 5 is the kitchen with the menu displayed in the common area, a telephone and both the fridge and freezer are at the appropriate temperature. Room 6 is the family room with 2 couches, a television, age appropriate toys and games and a fireplace that is inaccessible to clients. There are two bathrooms, one is located in the hallway leading to Rooms 1- 3 next to the washer and dryer alcove and the other bathroom is in Room 4. The first bathroom has a working toilet, shower and running warm water with a temperature of 119 degrees. The second bathroom has a working toilet, and running warm water with a temperature of 119 degrees. The home has sufficient activities for the clients and all furniture is in good repair. The backyard is gated with outdoor furniture and a hammock swing. The backyard is clear of debris and clean. There is a garage with two refrigerators and extra supplies. There is a GMC Yukon in good working condition, properly maintained, lights, tires, registration/insurance, working seat belts, and is available to transport clients if needed. Continued on (LIC 809-C) The following required documents were posted; License, Personal Rights, Facility Sketch, and Emergency Disaster plan. Disinfectants and cleaning solutions were locked and inaccessible to children in care. Refrigerator Temperature was at or below 45 degrees Fahrenheit. Nonperishable foods one week and fresh perishable foods two days minimum. Carbon monoxide and smoke detectors are in working order. First Aid Kits are fully stocked. Medication centrally stored, locked/inaccessible to clients. Hot water is between 105-120 degrees Fahrenheit. Fire Extinguisher is up to date and in working order. Toilets, sinks, and shower fixtures are in good repair/no leaks/hot water temperature. Soap and paper towels are available to clients. Bedrooms had all required linens and furnishings. The facility is free of vermin. The following domains were also reviewed during today's inspection, Physical Plant, Operations, Disaster Preparedness, Staffing, and Client Records. A total of 5 staff files and 2 client files were reviewed. LPA Shulz also conducted 1 staff interview and no concerns for follow up were noticed. LPA Shulz was unable to interview clients due to them being nonverbal. The facility has been cited on the attached 809-D page and Technical Violation. A review of the Licensing Information System indicates the facility is up to date on their facility fees and all the staff were fingerprint cleared and associated to the facility. An exit interview was conducted and a copy of this report was provided to Kyndra Washington, Facility Manager.


state: CA

facility_name: LABARA FAMILY CARE HOME

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Based on evidence obtained and confidential interviews conducted during the investigation process, the allegations above cannot be substantiated due to lack of evidence. 6 out of 8 confidential interviews stated that the facility operates within a 1:1 staff to client ratio and that those ratios are always kept in the home. LPA Shulz received documentation showing the facility does follow up with appropriate parties regarding the client's care and incidents that take place in the home. Record review of staff schedules also shows the maintenance of 1:1 staff to client coverage. Due to the high amount of maladaptive behaviors C1 will cause significant property damage by kicking and hitting holes in the walls and windows which has been addressed in the clients individual behavior plan. Staff have been observed redirecting the client when these behaviors do arise. Lastly, LPA was unable to confirm or deny these claims due to the clients in care being nonverbal. Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On December 10, 2025, at 10:30am Licensing Program Analyst (LPA) Tatyana Shulz made an unannounced visit to deliver findings to the above Group Home and met with Kyndra Washington, Facility Manager. Prior to the meeting LPA Shulz conducted the 10-day inspection of the facility on 9/18/2025. No deficiencies were cited during that inspection. LPA Shulz requested the Staff schedule and contact information, Client Roster, Staff Trainings, Individual Program Plans (IPP) for all clients, cash resources and contact information for all parties involved. LPA Shulz conducted 8 interviews between 9/18/2025-12/08/2025. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Connie Goldie LICENSING EVALUATOR NAME: Tatyana Shulz 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: LABARA FAMILY CARE HOMEFACILITY NUMBER: VISIT DATE: 12/10/2025

report_type: Complaint Investigation

met_with: Kyndra Washington- Facility Manager

complaint_status: unsubstantiated


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 07/23/2025, at 11: AM, Licensing Program Analyst, Connie Goldie made an unannounced case management inspection and met with Kyndra Washington, Facility Manager who assisted with the inspection. The purpose of the inspection was to follow-up on observations LPA Goldie made during inspection on 07/18/2025. During inspection made on 07/18/2025, LPA Goldie met a staff member, S1, who had been on staff since 07/09/2025. S1 was in ratio as staff. It was identified that S1 has no previous experience providing direct supervision to persons with developmental disabilities and has not completed an Orientation. Additionally, facility manager, Ludwig Wimmer, was unable to locate S1's personnel file and a copy of current month's staff schedule. LPA reviewed the facility's Program Statement and learned that minimum requirement for position of Direct Support Professional, position S1 holds, is six months previous experience. The facility is being cited for three Title 22 deficiencies. See LIC 809D. A copy of this report along with appeal rights were discussed and provided to facility staff.

Deficiencies:
84066: (3)A dated employee time schedule developed at least monthly; displayed conveniently for employee reference....

report_type: Facility Evaluation

visit_type: Case Management

met_with: Kyndra Washington, Facility Manager

title: (b)The licensee shall maintain the following personnel records


summary: Facility Evaluation

raw_content:
Narrative:
On August 20, 2025 at approximately 12:30pm Licensing Program Analyst (LPA) Tatyana Shulz arrived at the Labara Family Care Home for the purposes of conducting a wellness check of the clients in care due to the facility being newly placed on their caseload. LPA was greeted by Hector Vega, Facility Manager who granted LPA access. LPA conducted a tour of the inside and outside of the facility where LPA observed the following deficiencies. Outside portion of the living rooms double paned window is broken and not boarded up. Staff toilet is inoperable. Living room outlet does not have a cover. While on sight LPA witnessed staff cover the broken window with a board and covered the outlet with an ottoman until repairs can be made. Work orders have been placed and the facility has been cited for Buildings and Grounds on LIC809D. This case management will remain open, until a follow up inspection is conducted to ensure the facility is in full compliance. An exit interview conducted and a copy of this report was left with Ludwig Wimmer, Facility Manager.

met_with: Ludwig Wimmer, Facility Manager


facility_name: LADRILLO

summary: Facility Evaluation

raw_content:
Narrative:
Page 1 of 4 of This Report was Amended to correct information regarding the Type of Visit in the body of this report: On 12/02/2021 at 10: AM Licensing Program Analyst (LPA's) Rosslyn Gray made an unannounced to LADRILLO GROUP HOME to conduct Pre Licensing Inspection. LPA met with the Clinical Director (CD) who granted access to the facility. The entire physical plant was inspected. The Group Home is to provide care and supervision for six (6) children, ages 12-17 years Ambulatory Only. There is a (5) feet gated pool on the premises that meets regulations (self-latching; unlocked eight (8) feet pool; 4 feet gate); currently the pool is clean with no debris and full of water. Staff has keys to lock if necessary. The Director of Operation confirmed that there are no guns or weapons on the premises. Group Home Overview: This is a 1-story Seven (7) rooms; 4 bedrooms and 3 bathrooms; located in a residential neighborhood. There a living room, dining room, kitchen, staff office and 2 therapy rooms and intake office. There is a two (2) car garage that has been converted into a gym. The gym is equipped with two (2) tread mills, two (2) stationary bikes and weight machine, bench press a squat machine. The Licensee will ensure that the children are always monitored by staff when utilizing the equipment. There is one (1) facility vehicle parked outside inspected to be in good operating condition. Outdoor Area: The activity space is free of hazard materials and debris. LPAs observed a staff displayed the utility shut-off valves for gas and water. The outdoor perimeter front yard, side yard and backyard were inspected and found cleared of debris and hazards materials. LPA observed all windows, screens and cordless blinds from the inside and outside of the facility were observed to be in good condition. The passageways and porches are unobstructed. All posting requirements were met, (food menu, regulations, licenses, emergency disaster plan and personal rights are all posted on the wall at the entrance. Posting are in the common area accessible to clients (i.e Personal Rights and Grievance forms and a comment box). Lic-809/ Page 1 of The cleaning supplies solutions, disinfectants are stored in the hallway locked closet; sharp knives are also inaccessible in separate box in the key locked in kitchen accessible only to the Private Chef. LPA observed a hard wired enter connected combined Smoke detector and Carbon Monoxide; tested to be operable. The Living Room is fully furnished with two ceiling fans, book shelves, and game closet and fireplace that is non operable. Dining room/Kitchen: Observed to be clean and organized; The Kitchen stove is gas operated with 5 burners a double door refrigerator with bottom freezer. The is also an additional freezer locate located in the garage. The dining table Dining area six (6) chairs, two 2 bar stool chairs. LPA observed coverage trash cans in the kitchen, bathroom and staff office. The Linen closet is in the hallway adjacent to the bedrooms. LPA observed There are three (3) Fire Extinguisher- Special K Grease Fire. The Hot Water Heater is enclosed with a secured strap on the exterior side of the intake office. Bedrooms: There are four (4) Bedrooms each bedroom twin size beds six feet apart, with a mattress clean linen, adequate closet and drawer space. Bedroom # 1: Occupied by two (2) clients, the bedroom is equipped two (2) twin sized beds, comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) walk in closet. There is adequate lighting and the windows, cordless blinds observed to be in good condition. Bathroom #1 have a shared connecting to bedroom #2 with lock on the door knob for privacy. Bedroom # 2: Currently occupied by one (1) client, has one (1) twin sized bed and comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) walk in closet. There is adequate lighting and the windows, cordless blinds observed to be in good condition. Bathroom #1 have a shared connecting to bedroom #2 with a lock on the door knob for privacy. Bedroom # 3: Currently occupied by one (1) client. by one (1) client, has one (1) twin sized bed and comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) walk in closet. There is adequate lighting and the windows, cordless blinds observed to be in good condition. Bedroom # 4: Currently occupied by one (1) client. has two (2) twin sized bed and comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) walk in closet. There is adequate lighting and the windows, cordless blinds observed to be in good condition. Report continues on LIC-809-C/ Page 2 of There are four (4) Bathrooms were inspected and found to be clean. LPA observed S1 test the water temperature, bathroom sinks and ensured that all toilets flushed. The water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. Bathroom #1 two sinks, shower only and one (1) toilet Bathroom #2 located in the Hallway has two (2) sinks, shower only and one (1) toilet Bathroom # Employees near therapist office. one (1) sink; shower only and one (1) toilet Bathroom # 4 is located inside the therapist office. one (1) sink; shower only and one (1) toilet There is a Classroom six (6) computers desk and one (1) additional employee desk. There are three (3) offices; Program Director, Therapist office and office Staff. The Intake Office is attached to the facility located near the pool area. There is a locked Nursing Well-ness station located in kitchen dining area; (All the clients prescribed medications; medication logs, files and medical devices are locked key entry) The First Aid kit is in the kitchen area closet. It has the required items inside (age-appropriate, and scissors, tweezers, thermometer, and gauzes, antiseptic and First Aid Manual Guide). The garage has been converted in a gym with weights and exercise equipment that is monitored by staff. The school is located inside the house and school supplies are provided by the facility. The facility has a working telephone and clients can use the telephone unless restricted by court order. The staff accompanies clients to local recreational facilities based on the rules of the COVID-19. Other outside extracurricular activities and social events that take place into public or crowded places are conducted at outside. Clients are accorded dignity in personal relationships with staff and others. The facility uses the "Token Economy System" for exhibiting appropriate behaviors and compliance. LPA observed that facility ensures that CDC Guidelines are implemented in effort to prevent other from contracting the COVID-19 virus (i.e wash hands with alcohol based hand sanitizer, display colorful preventative hygiene posters, temperature checks, maintain social distancing (six feet of space), disinfect commonly used areas and items (remote controls, mouse's, playing, cards cell phones, practice "cough etiquette". The facility keeps an inventory of the PPE supplies and to report when they are depleted. The Facility operates within license conditions and limitations including capacity limitations. Facility has a current, written plan of operation. Facility personnel are instructed to report violations of personal rights. Licensee will report changes in the plan of operation affecting service to clients. Licensee will report client injuries requiring medical treatment. Report continued on LIC-809-C PAGE 3 of LPA reviewed the following during the inspection: LPA ensured to thoroughly review the records of the primary active staff (i.e Clinical Director, Director of Operations, Associate Therapist; Lead Mentor/Counselor, Mentor Counselor). LPA reviewed the Personnel Report (LIC 500) and confirmed that Mentor/Counselor Ratio present for the six (6) clients in placement. LPA confirmed that All staff have required criminal record clearance. DOJ, FBI and Child Abuse Response; which meet qualification. Staff Records Review and Clients Records Review: LPA met with the Human Resources Director online via ZOOM conference call and viewed details of the Staff records stored in the facilities specific online Portal with Kipuworks.com Staff Interviews: LPA conducted a confidential interview with two (2) on duty staff. Client Interviews: LPA conducted confidential interviews with two (2) clients willing to be interviewed. There were no deficiencies cited at this time. LPA's concluded the Pre-License Inspection. An exit interview was conducted, and a copy of this report was left at the facility with the Clinical Director on 12/02/ Report LIC-809-C/ Page 4 of 4

visit_type: Prelicensing

met_with: Clinical Director


summary: Facility Evaluation

raw_content:
Narrative:
On 3/23/2021 at 2:30PM Licensing Program Analyst (LPA's) Rosslyn Gray made an unannounced to LADRILLO GROUP HOME to conduct POST LICENSING INSPECTION. LPA met with the Director of Operations who granted access to the facility. The entire physical plant was inspected. The Group Home is to provide care and supervision for six (6) children, ages 12-17 years Ambulatory Only. There is a (5) feet gated pool on the premises that meets regulations (self-latching; unlocked eight (8) feet pool; 4 feet gate); currently the pool is clean with no debris, full of water but is not being utilized. Staff has keys to lock if necessary. The Director of Operation confirmed that there are no guns or weapons on the premises. Group Home Overview: This is a 1-story Seven (7) rooms; four (4) bedrooms and three (3) bathrooms; located in a residential neighborhood. There a living room, dining room, kitchen, staff office, two (2) therapy rooms and an intake office. There is a two (2) car garage that has been converted into a gym. The gym is equipped with two (2) tread mills, two (2) stationary bikes, a weight machine, bench press and a squat machine. The Licensee will ensure that the children are always monitored by staff when utilizing the equipment. There is one (1) facility vehicle (i.e Van) parked outside inspected to be in good operating condition. Outdoor Area: The activity space is free of hazard materials and debris. LPA observed a staff displayed the utility Labeled shut-off valves for gas and water. The outdoor perimeter front yard, side yard and backyard were inspected and found cleared of debris and hazards materials. LPA observed all windows, screens and cordless blinds from the inside and outside of the facility were deemed to be in good condition. The passageways and porches are unobstructed. All posting requirements were met, (food menu, regulations, licenses, emergency disaster plan and personal rights are all posted on the wall at the entrance. Posting are in the common area accessible to clients (i.e Personal Rights and Grievance forms and a comment box). Lic-809/ Page 1 of The cleaning supplies solutions, disinfectants are stored in the hallway locked closet; sharp knives are also inaccessible in separate box in the key locked in the garage. LPA observed a hard wired enter connected combined Smoke detector and Carbon Monoxide; tested to be operable. The Living Room is fully furnished with two ceiling fans, book shelves, a game closet and fireplace that is non operable. Dining room/Kitchen: Observed to be clean and organized; The Kitchen stove is gas operated with 5 burners a double door refrigerator with bottom freezer. The is also an additional freezer locate located in the garage. The dining table with eight (8) chairs. LPA observed coverage trash cans in the kitchen, bathroom and staff office. The Linen closet is in the hallway adjacent to the bedrooms. LPA observed there are three (3) Fire Extinguisher- Special K Grease Fire. The Hot Water Heater is enclosed with a secured strap on the exterior side of the intake office. BEDROOMS: There are four (4) Bedrooms each bedroom twin size beds, six feet apart, with a mattress, clean linen, adequate closet and drawer space. Bedroom # 1: Occupied by two (2) clients, the bedroom is equipped two (2) twin sized beds, comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) walk in closet. There is adequate lighting and the windows, cordless blinds observed to be in good condition. Bathroom #1 have a shared connecting to bedroom #2 with lock on the door knob for privacy. Bedroom # 2: Currently occupied by one (1) client, has one (1) twin sized bed and comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) walk in closet. There is adequate lighting and the windows, cordless blinds observed to be in good condition. Bathroom #1 have a shared connecting to bedroom #2 with a lock on the door knob for privacy. Bedroom # 3: Currently occupied by one (1) client. by one (1) client, has one (1) twin sized bed and comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) walk in closet. There is adequate lighting and the windows, cordless blinds observed to be in good condition. Bedroom # 4: Currently occupied by two (2) client. has two (2) twin sized bed and comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) walk in closet. There is adequate lighting and the windows, cordless blinds observed to be in good condition. Report continues on LIC-809-C/ Page 2 of There are four (4) Bathrooms were inspected and found to be clean. LPA observed S1 test the water temperature, bathroom sinks and ensured that all toilets flushed. The water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. Bathroom #1 two sinks, shower only and one (1) toilet; Bathroom #2 located in the Hallway has two (2) sinks, shower only and one (1) toilet; Bathroom # Employees near therapist office. one (1) sink; shower only and one (1) toilet; Bathroom # 4 is located inside the therapist office. one (1) sink; shower only and one (1) toilet There is a Classroom six (6) computers desk and one (1) additional employee desk. There are three (3) offices; Program Director, Therapist office and office Staff. The school is located inside the house and school supplies are provided by the facility. The Intake Office is attached to the facility located near the pool area. There is a locked Nursing Well-ness station located in kitchen dining area; (All the clients prescribed medications; medication logs, files and medical devices are locked key entry) The First Aid kit is in the kitchen area closet. It has the required items inside (age-appropriate, and scissors, tweezers, thermometer, and gauzes, antiseptic and First Aid Manual Guide). The garage has been converted in a gym with weights and exercise equipment that is monitored by staff. The facility has a working telephone and clients can use the telephone unless restricted by court order. The staff accompanies clients to local recreational facilities and other outside extracurricular activities and social events that take place into public or crowded places based on the rules of the COVID-19. Clients are accorded dignity in personal relationships with staff and others. The facility uses the "Token Economy System" for exhibiting appropriate behaviors and compliance. LPA observed that facility ensures that CDC Guidelines are implemented in effort to prevent other from contracting the COVID-19 virus (i.e wash hands with alcohol based hand sanitizer, display colorful preventative hygiene posters, temperature checks, maintain social distancing (six feet of space), disinfect commonly used areas and items (remote controls, mouse's, playing, cards cell phones, practice "cough etiquette". The facility keeps an inventory of the PPE supplies and to report when they are depleted. The Facility operates within license conditions and limitations including capacity limitations. Facility has a current, written plan of operation. Facility personnel are instructed to report violations of personal rights. Licensee will report changes in the plan of operation affecting service to clients. Licensee will report client injuries requiring medical treatment. Report continued on LIC-809-C PAGE 3 of LPA reviewed the following during the inspection: LPA ensured to thoroughly review the records of the primary active staff (i.e Director of Operations, Associate Therapist; Mentor/ Counselor). LPA reviewed the Personnel Report (LIC 500) and confirmed that \staff Ratio present for the six (6) clients in placement. LPA confirmed that all staff have required criminal record clearance. DOJ, FBI and Child Abuse Response; which meet qualification. Staff Records Review LPA met with the Human Resources Director online via ZOOM conference call and viewed details of the Staff records stored in the facilities specific online Portal with Kipuworks.com. Clients Records Review were displayed by S1 online Portal with Kipuworks.com Staff Interviews: LPA conducted a confidential interview with two (2) on duty staff. Client Interviews: LPA conducted confidential interviews with two (2) clients willing to be interviewed.

met_with: ADMINISTRATOR


summary: Facility Evaluation

raw_content:
Narrative:
On 12/12/2022 at 10: AM Licensing Program Analyst (LPA's) Rosslyn Gray made an unannounced to LADRILLO GROUP HOME to conduct ANNUAL/REQUIRED INSPECTION. LPA met with the Program Director who granted access to the facility. The entire physical plant was inspected. The Group Home is to provide care and supervision for six (6) children, ages 12-17 years Ambulatory Only. There is a (5) feet gated pool on the premises that meets regulations (self-latching; unlocked eight (8) feet pool; 4 feet gate); currently the pool is clean with no debris, full of water but is not being utilized. Staff has keys to lock if necessary. LPA observed staff Annual Training in additions to First-Aid and CPR training were up to date. Training also included American Red Cross Water Safety for Parents and Caregivers. The Program Director confirmed that there are no guns or weapons on the premises. Group Home Overview: This is a 1-story seven (7) rooms; four (4) bedrooms and three (3) bathrooms; located in a residential neighborhood. There a living room, dining room, kitchen, staff office, two (2) therapy rooms and an intake office. There is a two (2) car garage that has been converted into a gym. The gym is equipped with two (2) tread mills, two (2) stationary bikes, a weight machine, bench press and a squat machine. The Licensee will ensure that the resident clients are always monitored by staff when utilizing the equipment. There is one (1) facility vehicle (i.e Van) parked outside inspected to be in good operating condition. Outdoor Area: The outdoor perimeter front yard, side yard and backyard were inspected and found cleared of debris and hazards materials. LPA observed a staff displayed the utility 3 labeled shut-off valves for gas and water. LPA observed all windows, screens and cordless blinds from the inside and outside of the facility were deemed to be in good condition. The passageways and porches are unobstructed. All posting requirements were met, (food menu, regulations, licenses, emergency disaster plan and personal rights are all posted on the wall at the entrance. Posting are in the common area accessible to clients (i.e Personal Rights and Grievance forms and a comment box). Lic-809/ Page 1 of The cleaning supplies solutions, disinfectants are stored in the hallway locked closet; sharp knives are also inaccessible in separate box in the key locked in the kitchen cabinet. LPA observed a hard wired enter connected combined Smoke detector and Carbon Monoxide; tested to be operable. The Living Room is fully furnished with two ceiling fans, book shelves, a game closet and fireplace that is non-operable. Dining room/Kitchen: Observed to be clean and organized; The Kitchen stove is gas operated with 5 burners a double door refrigerator with side freezer. The is also an two refrigerator additional freezer locate located in the garage . The dining table with eight (8) chairs. LPA observed coverage trash cans in the kitchen, bathroom and staff office. The Linen closet is in the hallway adjacent to the bedrooms. LPA observed there are three (3) Fire Extinguisher- Special K Grease Fire. The Hot Water Heater is enclosed with a secured strap on the exterior side of the intake office. BEDROOMS: There are four (4) Bedrooms each bedroom twin size beds, comfortable mattresses, clean linen, blankets and pillows; adequate drawer and closet space. There is adequate lighting and the windows, cordless blinds observed to be in good condition. Bathroom #1 have a shared connecting to bedroom #2 with lock on the door knob for privacy. Bedroom # 1: Occupied by one (1) clients, the bedroom is equipped two (2) twin sized beds, one (1) walk in closet. Bathroom #1 have a shared connecting to bedroom #2 with lock on the door knob for privacy. Bedroom # 2: Currently occupied by one (1) client, has one (1) twin sized bed. Bathroom #1 have a shared connecting to bedroom #2 with a lock on the door knob for privacy. Bedroom # 3: Currently occupied by one (1) client. by one (1) client, has one (1) twin sized bed. Bedroom # 4: Currently occupied by two (2) client. has two (2) twin sized bed and comfortable mattresses, There are four (4) Bathrooms were inspected and found to be clean. LPA observed S1 test the water temperature, bathroom sinks and ensured that all toilets flushed. The water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. Report continues on LIC-809-C/ Page 2 of Bathroom #1 two sinks, shower only and one (1) toilet; Bathroom #2 located in the Hallway has two (2) sinks, shower only and one (1) toilet; Bathroom # Employees near therapist office. one (1) sink; shower only (not being utilize) and one (1) toilet; Bathroom # 4 is located inside the therapist office. one (1) sink; shower only and one (1) toilet. There is a classroom six (6) computers desk and one (1) additional employee desk. There are three (3) offices; Program Director, Therapist office and a office Staff. The school is located inside the facility and school supplies are also provided by the facility. The Intake Office is attached to the facility located near the pool area. There is a locked Nursing Well-ness station located in kitchen dining area; (All the clients prescribed medications; medication logs, files and medical devices are locked key entry). The First Aid kit is also located in the nursing station. It has the required items inside (age-appropriate scissors, tweezers, thermometer, gauzes, antiseptic and First Aid Manual Guide). The facility has a working telephone and clients can use the telephone unless restricted authorized representative. he staff accompanies clients to local recreational facilities and other outside extracurricular activities and social events that take place into public. Clients are accorded dignity in personal relationships with staff and others. The facility uses the "Token Economy System" for exhibiting appropriate behaviors and compliance. LPA observed that facility ensures that CDC Guidelines are implemented in effort to prevent other from contracting the COVID-19 virus (i.e wash hands with alcohol based hand sanitizer, display colorful preventative hygiene posters, temperature checks maintain social distancing (six feet of space), disinfect commonly used areas and items (remote controls, mouse's, playing, cards cell phones, practice "cough etiquette". The facility keeps an inventory of the PPE supplies and to report when they are depleted. The Facility operates within license conditions and limitations including capacity limitations. Facility has a current, written plan of operation. Facility personnel are instructed to report violations of personal rights. Licensee will report changes in the plan of operation affecting service to clients. Licensee will report client injuries requiring medical treatment. Report continued on LIC-809-C PAGE 3 of Staff Records Review LPA met with the Human Resources Director online via ZOOM conference call and viewed details of the staff records stored in the facilities specific online Portal with Kipuworks.com. Clients Records Review were displayed by S1 online Portal with Kipuworks.com Staff Interviews: LPA conducted a confidential interview with three (3) on duty staff. Client Interviews: LPA conducted confidential interviews with three (3) clients willing to be interviewed. LPA reviewed the following during the inspection: LPA ensured to thoroughly review the records of the primary active staff (i.e Residential Facility Manager, Associate Therapist; Mentor Counselor). LPA reviewed the Personnel Report (LIC 500) and confirmed that staff ratio present for the six (6) clients in placement. LPA confirmed that all staff have required criminal record clearance. DOJ, FBI and Child Abuse Response; which meet qualification. LPA observed staff Annual Training in addition to First-Aid and CPR training were up to date. Training also included American Red Cross Water Safety for Parents and Caregivers. The facility type is not required to have a Board of Director, put in place the Articles of Incorporations, which highest governing document for the incorporation. There were no deficiencies cited at this time. LPA's concluded the Annual/ Required Inspection. An exit interview was conducted, and a copy of this report was left at the facility with the Program Director on 12/12/ Report LIC-809-C/ Page 4 of 4

visit_type: Annual

met_with: PROGRAM DIRECTOR


summary: Facility Evaluation

raw_content:
Narrative:
On 02/17/2023 at 3: PM Licensing Program Analyst (LPA's) Rosslyn Gray made an unannounced to LADRILLO GROUP HOME to conduct a Case Management-Incident. LPA met with the S1 to discuss the details of the information reported in the Critical Incident report on 10/20/2022 "Client reported suspected child abuse on 10/19/2022 while in individual therapy". S1 provided an explanation, stated that the language in the incident report was incorrect and that C1 disclosed suspected child abuse to the therapist while in an individual therapy session and the abuse occured prior to placement.. LPA asked was the child present to be interviewed that was indicated in the incident. S1 stated that the child was not available and provided the date that client was discharged. LPA asked was S2 (therapist) present to be interviewed. S1 stated that S2 was no longer employed at the facility and resigned from the organization. LPA requested evidence of the clients discharge plan and evidence that the S2 was no longer an employee. S1 agreed to provide C1's Discharge Summary, S2 notice of resignation and email correspondence clarifying what actually occurred on the day that that the incident was reported. There were no deficiencies cited at this time. LPA concluded the Case Management-Incident and a copy of this report was left at the facility with the Program Director on 02/17/2023


summary: Facility Evaluation

raw_content:
Narrative:
On 12/16/2024 at 10: AM Licensing Program Analyst (LPA) Rosslyn Gray made an unannounced visit to LADRILLO GROUP HOME to conduct ANNUAL/REQUIRED INSPECTION. LPA met with the Director of Operations Toni Jackson who granted access to the facility. The entire physical plant was inspected. The Group Home is to provide care and supervision for six (6) children, ages 12-17 years Ambulatory Only. There is a (5) feet gated pool on the premises that meets regulations (self-latching; unlocked eight (8) feet pool; 4 feet gate); currently the pool is clean with no debris, full of water but is not being utilized. LPA observed staff Annual Training in additions to First-Aid and CPR training were up to date. Training also included American Red Cross Water Safety for Parents and Caregivers. The Director of Operations confirmed that there are no guns or weapons on the premises. Group Home Overview: This is a 1-story seven (7) rooms; four (4) bedrooms and three (3) bathrooms; located in a residential neighborhood. There a living room, dining room, kitchen, staff office, two (2) therapy rooms and an intake office. There is a two (2) car garage that has been converted into a gym. The gym is equipped with two (2) tread mills, two (2) stationary bikes, a weight machine, bench press and a squat machine. The Licensee will ensure that the resident clients are always monitored by staff when utilizing the equipment. There is one (1) facility vehicle (i.e Van) parked outside inspected to be in good operating condition. Outdoor Area: The outdoor perimeter front yard, side yard and backyard were inspected and found cleared of debris and hazards materials. LPA observed a staff displayed the utility 3 labeled shut-off valves for gas and water. LPA observed all windows, screens and cordless blinds from the inside and outside of the facility were deemed to be in good condition. The passageways and porches are unobstructed. All posting requirements were met, (food menu, regulations, licenses, emergency disaster plan and personal rights are all posted on the wall at the entrance. Posting are in the common area accessible to clients (i.e Personal Rights and Grievance forms and a comment box). Lic-809/ Page 1 of The cleaning supplies solutions, disinfectants, sharp knives are also inaccessible in are stored in the locked cabinet in the garage. LPA observed a hard wired enter connected combined Smoke detector and Carbon Monoxide; tested to be operable. The Living Room is fully furnished with two ceiling fans, book shelves, a game closet and fireplace that is non-operable. Dining room/Kitchen: Observed to be clean and organized; The Kitchen stove is gas operated with 5 burners a double door refrigerator with side freezer. The is also an two refrigerator additional freezer locate located in the garage . The dining table with eight (8) chairs. LPA observed coverage trash cans in the kitchen, bathroom and staff office. The Linen closet is in the hallway adjacent to the bedrooms. LPA observed there are three (3) Fire Extinguisher- Special K Grease Fire. The Hot Water Heater is enclosed with a secured strap on the exterior side of the intake office. BEDROOMS: There are four (4) Bedrooms each bedroom twin size beds, and two (single beds),comfortable mattresses, clean linen, blankets and pillows; adequate drawer and closet space. There is adequate lighting and the windows, cordless blinds observed to be in good condition. Bathroom #1 have a shared connecting to bedroom #2 with lock on the door knob for privacy. Bedroom # 1: Occupied by one (1) clients, the bedroom is equipped two (2) twin sized beds, one (1) walk in closet. Bathroom #1 have a shared connecting to bedroom #2 with lock on the door knob for privacy. Bedroom # 2: Currently occupied by one (1) client, has one (1) twin sized bed. Bathroom #1 have a shared connecting to bedroom #2 with a lock on the door knob for privacy. Bedroom # 3: Currently occupied by one (1) client. by one (1) client, has one (1) twin sized bed. Bedroom # 4: is currently unoccupied has two (2) twin sized bed and comfortable mattresses, There are four (4) Bathrooms were inspected and found to be clean. LPA tested the water temperature, bathroom sinks and ensured that all toilets flushed. The water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. Report continues on LIC-809-C/ Page 2 of Bathroom #1 two sinks, shower only and one (1) toilet; Bathroom #2 located in the Hallway has two (2) sinks, shower only and one (1) toilet; Bathroom # Employees near therapist office. one (1) sink; shower only (not being utilize) and one (1) toilet; Bathroom # 4 is located inside the therapist office. one (1) sink; shower only and one (1) toilet. There is a classroom six (6) computers desk and one (1) additional employee desk. There are three (3) offices; Program Director, Therapist office and a office Staff. The school is located inside the facility and school supplies are also provided by the facility. The Intake Office is attached to the facility located near the pool area. There is a locked Nursing Well-ness station located in kitchen dining area; (All the clients prescribed medications; medication logs, files and medical devices are locked key entry). The First Aid kit is also located in the nursing station. It has the required items inside (age-appropriate scissors, tweezers, thermometer, gauzes, antiseptic and First Aid Manual Guide). The facility has a working telephone and clients can use the telephone unless restricted authorized representative. he staff accompanies clients to local recreational facilities and other outside extracurricular activities and social events that take place into public. Clients are accorded dignity in personal relationships with staff and others. The facility provided allowances for the clients and utilizes the Token Economy System for incentives. LPA observed that facility ensures that CDC Guidelines are implemented in effort to prevent other from contracting the COVID-19 virus (i.e wash hands with alcohol based hand sanitizer, display colorful preventative hygiene posters, temperature checks maintain social distancing (six feet of space), disinfect commonly used areas and items (remote controls, mouse's, playing, cards cell phones, practice "cough etiquette". The Facility operates within license conditions and limitations including capacity limitations. Facility has a current, written plan of operation. Facility personnel are instructed to report violations of personal rights. Licensee will report changes in the plan of operation affecting service to clients. Licensee will report client injuries requiring medical treatment. Report continued on LIC-809-C PAGE 3 of Staff Records Review LPA met with the S1 and viewed details of the staff records stored in the facilities specific online Portal with Kipuworks.com. Clients Records Review were displayed by S1 online Portal with Kipuworks.com Staff Interviews: LPA conducted a confidential interview with three (3) on duty staff. Client Interviews: LPA conducted confidential interviews with two (2) clients willing to be interviewed. LPA reviewed the following during the inspection: LPA reviewed the Personnel Report (LIC 500) and confirmed that staff ratio present for the six (6) clients in placement. LPA confirmed that all staff have required criminal record clearance. DOJ, FBI and Child Abuse Response; which meet qualification. LPA observed staff Annual Training in addition to First-Aid and CPR training were up to date. Training also included American Red Cross Water Safety for Parents and Caregivers. There were no deficiencies cited at this time. LPA's concluded the Annual/ Required Inspection. An exit interview was conducted, and a copy of this report will be provided via email the Director of Operations Toni Jackson. Report LIC-809-C/ Page 4 of 4

met_with: Director of Operations Toni Jackson


summary: Complaint Investigation - Unsubstantiated - 1 allegation

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Due to a lack of evidence obtained during the investigation, LPA determined that the allegation is Unsubstantiated. Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that a violation occurred. There are no deficiencies cited at this time. An exit interview was conducted, and a copy of this report was provided via email to the Facility Administrator Daniel Samson

Investigation Findings:
13On 09/26/2025 at 2:30PM Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit to conclude the investigation. During the investigation, LPA Gray interviewed all relevant parties available and gathered pertinent information in reference to the allegation. Based on confidential interviews and documentary evidence, there is no evidence to determine that staff did not ensure minor's medication was available at the facility. Documented evidence determined that C1 arrived without any medication, and the hospital sent the prescription to the incorrect pharmacy, which was closed. Records determined that the facility developed a Safety Plan to monitor C1's symptoms; provided Individual, group therapy interventions, and alternative medication was administered until C1's initial prescription was ordered, filled and delivered as soon as the local pharmacy opened for business. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: LADRILLOFACILITY NUMBER: VISIT DATE: 09/26/2025

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

met_with: Daniel Samson Facility Administrator


facility_name: LAST RESORT, THE

summary: Facility Evaluation

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Narrative:
Complaint Specialist C.K. Kinney(CS) traveled to the facility to conduct a Case Management inspection to ensure the facility is no longer in operation. CS met with Melissa Muncrief(S1), toured the facility and interviewed staff. CS observed the facility is virtually empty(only a few items moved in by the property owners new tenant). No clients or staff other than S1 present, no food, no medications. S1 stated the License was destroyed upon facility closure. Facility closed effective 04/01/2022. No deficiencies observed or cited during this inspection. Copy of this report left with S1 at conclusion of inspection.

met_with: Melissa Muncrief


facility_name: LAUGHERY HOUSE

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Narrative:
confidential information, if C2 had in fact said this, it was most likely said jokingly. Confidential interviews also denied that's staff ever use profanities or speak inappropriately in the presence of clients; including during personal calls. While other confidential information received by licensing office stated that the allegation had occurred, and that C2 had approached C1 while C1 was in his bedroom and had asked C1 if they wanted to have sex in exchange for money, on at least one occasion. Confidential information received by Licensing Office also stated that facility staff sometimes makes inappropriate comments in the presence of clients. Based on confidential interviews and information obtained, the allegations that facility speak inappropriately in the presence of youths, as well as did not prevent sexual harassment between two youths, more specifically that Child # 2 (C2) had asked Child # 1 (C1) to have sex in exchange for money, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13LPA Mena met with Administrator, Alan Kana to discuss the investigative findings for the above stated allegations. An investigation was conducted by LPAs Lynda Haynes and Daniel Mena regarding allegations. LPA Haynes and Mena conducted inspections to the home on March 26, 2021 at 3:30pm, and on December 01, 2021 at 9:461m. No immediate hazards observed. LPAs interviewed five staff (S1, S2, S3, S4 & S5), three of foster child (C1), as well as reviewed client and facility records. LPAs were unable to interview Child # 4 (C4) due to them being non-verbal. Community Care Licensing received information on March 25, 2021 alleging that facility staff speak inappropriately in the presence of youths, as well as did not prevent sexual harassment between two youths, more specifically that Child # 2 (C2) had asked Child # 1 (C1) to have sex in exchange for money. Information obtained did not corroborate the allegations with a preponderance of evidence. LPAs received conflicting information during complaint investigation. Confidential interviews denied allegation that C2 had ever made a request to have sex with C1 in exchange for money. According to other UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: LAUGHERY HOUSEFACILITY NUMBER: VISIT DATE: 12/16/2021

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

met_with: Alan Kana


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Narrative:
Confidential interviews revealed that a witness observed the gait belt wrapped around toilet in C1's bathroom. However, confidential interviews revealed that C1 has a gait belt in C1's backpack that is used only at school and is never used at the facility. Based on confidential interviews and information gathered during the investigation, the allegation that staff inappropriately restrain C1, may have occurred, however, is not supported or proven by the evidence gathered. Therefore, the allegation is determined to be unsubstantiated. An exit interview was conducted appeal rights were provided and a copy of this report was provided to Program Administrator Alan Kana.

Investigation Findings:
13On October 24, 2023, at 2:30PM, Licensing Program Analyst (LPA) Carol Anderson met with Facility Group Home Administrator Alan Kana, to deliver the finding of the above allegation. LPA Gloria Meza-Gonzalez conducted an inspection of the facility on April 17, 2023. During the investigation, LPA Anderson interviewed one client (C2), one witness, and four Staff (S1-S4). LPA Anderson attempted to interview several clients; however, LPA was unsuccessful with the interviews due to the clients having limited speech or being unavailable for interviews. LPA reviewed Client 1 (C1)'s Individual Program Plan (IPP) as well as Special Incident Reports. On April 7, 2023, the Department received a complaint alleging staff restrain resident. More specifically, it was reported that staff strapped C1 on the toilet for a long period of time with a gait belt. Interviews revealed conflicting statements. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Carol Anderson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: LAUGHERY HOUSEFACILITY NUMBER: VISIT DATE: 10/24/2023

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

met_with: Alan Kana, Program Administrator


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Regarding the allegation that staff strangled minor resulting in injuries, confidential interviews revealed that S1 threw C1 in C1's room resulting in C1 sustaining scratches and bruises on C1's shin. However, confidential interviews reported that S1 acted appropriately during the incident with C1 to gain control of C1 and protect the safety of the other clients in the home. When C AWOLed from the facility, S1 quickly attempted to follow C1, contacted C1's family and called local officials. In regard to the allegation that staff handled minor in a rough manner, confidential interview reported that staff was hitting and placed hands on C1 choking. However, confidential interviews reported that S1 used verbal redirection and positive reinforcer towards C1 when C1 was upset and began charging and threatening staff. LPA was unable to gather additional information. Regarding allegation that staff speak inappropriately to minors, confidential interviews revealed S1 called C1 derogatory name. However, S1 denied calling C1 a derogatory name. Other confidential witnesses didn't provide relevant information or support the allegation. Regarding the allegation that staff misuse minor's cash resources, confidential interviews revealed that the staff was taking all C1's money because C1 had zero dollars in C1's account. However, confidential interviews revealed that everything purchased for C1 has to get approved by the managers and accountant's supervisor and vice president of financial. LPA couldn't verify the information. Based on interview and record review, the allegation S1 strangled C1 resulting in injuries; S1 handled C1 in a rough manner; staff speaks inappropriately to C1; and S1 misuse C1's cash resources. may have occurred, however, there was not a preponderance of evidence to support the alleged violations, therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights discussed, and a copy of this report was provided to Shonda Simmons, House Manager.

Investigation Findings:
13On July 12, 2024, at 11:30AM, Licensing Program Analyst (LPA) Carol Anderson met with House Manager Shonda Simmons, to deliver finding of the above allegation. The investigation was conducted by Senior Special Investigator Angelica Medina of the Community Care Licensing (CCL) Investigations Branch. Senior Special Investigators Angelica Medina interviewed five staff, two clients and several witnesses. The investigation included a review of San Diego Sheriff's Investigative report and Rady's Childrens Hospital medical report. The Department received a complaint on October 13, 2023, alleging staff strangled minor resulting in injuries; staff handled minor in a rough manner; staff speak inappropriately to minor; and staff misuse minor's cash resources. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Carol Anderson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: LAUGHERY HOUSEFACILITY NUMBER: VISIT DATE: 07/12/2024

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

met_with: Shonda Simmons


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Narrative:
It was reported that S2 disclosed information about the client's behavior and disability. It was also reported S2 was involved in a physical altercation with the client, resulting in S2's arm being dislocated. In reference to the allegation that staff engaged in a physical altercation with a minor, confidential interviews revealed that staff at the facility have not engaged in physical altercations with clients in care. Additionally, confidential interviews also disclosed that when client's behavior escalate, staff will talk ro clients and give them time and space to themselves. Confidential interviews did not corroborate any incidents or issues in which S2 engaged in a physical altercation with a client. Confidential interviews described S2 as "nice" to both staff and clients. A review of a Special Incident Report (SIR) submitted to CCL, did, however, reveal there was an incident on November 16, 2023, in which a client dislocated a staff member's arm after experiencing behavioral dysregulation and expressing suicidal ideation and intent to harm others; however, the report did not indicate it was the named client. The Special Incident report did not reveal which staff had their arm dislocated and did not indicate it was a result of a physical altercation. In reference to the allegation that staff disclosed personal information about a minor while in care, a confidential interview revealed there was previously a client in care in the facility with a similar name. Confidential interviews and a review of pertinent facility records confirmed there is not a resident at the facility and there have been no former clients placed in the facility with the reported name. Confidential interviews revealed staff have not been seen or heard disclosing information about clients in care, and a confidential interview indicated that staff will only discuss information relating to clients in the facility in a private setting. Based on interviews and records review, the allegations that staff engaged in a physical altercation with a minor and staff disclosed personal information about a minor while in care are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove the alleged violations occurred. An exit interview was conducted with Shonda Simmons, Facility Manager. A copy of this report and appeal rights were provided and reviewed with Shonda Simmons, Facility Manager, whose signature on this report confirms receipt of these documents.

Investigation Findings:
13On January 10, 2025 at 12: PM, Licensing Program Analyst (LPA) Abby Saeteurn made an unannounced visit to Laughery House and met with Shonda Simmons, Facility Manager to deliver findings to the above stated allegations. LPA Carol Anderson initiated a complaint inspection at the facility on February 21, 2024, at 10: AM and no immediate deficiencies were observed. During the investigation, LPA Anderson interviewed clients (C1- C4), staff (S1, S3-S5) and reviewed pertinent facility records. On February 12, 2024, Community Care Licensing (CCL) received a complaint alleging that staff engaged in a physical altercation with a minor and staff disclosed personal information about a minor while in care. It was reported that on February 03, 2024, S2 disclosed information about a named client in a setting outside of the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Abby Saeteurn LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: LAUGHERY HOUSEFACILITY NUMBER: VISIT DATE: 01/10/2025

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

met_with: Shonda Simmons, Facility Manager


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Narrative:
Continuation of LIC 9099... Confidential interviews also indicated there was at least one staff with all four clients at any given time throughout the outing. Confidential interviews confirmed that staff never left clients alone and staff would even wait outside the restroom when clients had to use the restroom inside the theme park. Confidential interviews also confirmed that all clients and staff stayed as a group and after the theme park, they would all be together. Confidential interviews confirmed that there was always at least one staff member with the clients at all times. A review of records did not reflect that clients required one-to-one supervision. Based on confidential interviews and record reviews, the allegation that staff did not follow the staff to client ratio is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Tracie Arrellano, Administrator. A copy of this report and appeal rights were provided to Tracie Arrellano, Administrator.

Investigation Findings:
13On September 25, 2025 at 10: AM, Licensing Program Analyst (LPA) Lisa Bernabe met with Laughery House Administrator, Tracie Arrellano, to deliver the findings for the above stated allegation(s). On May 7, 2025, at 10: AM, a health and safety inspection of the facility was conducted, and no immediate hazards were noted. The investigation included interviews with three clients (C1, C2, C3), and five staff (S1, S2, S3, S4, S5). In addition, facility records were reviewed. On May 2, 2025, Community Care Licensing (CCL) received an allegation that staff did not follow staff to client ratio. It was reported that from April 27, 2025, to April 29, 2025, four clients and four staff went on an outing in Los Angeles. Consistent confidential interviews confirmed that staff followed protocol and were in ratio throughout the outing to Universal Studios with clients. Confidential interviews indicated there were four staff and four clients who went on the outing. According to confidential interviews, there was never a time throughout the trip when clients were left alone. Contination on LIC 9099-C... UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Lisa Bernabe LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: LAUGHERY HOUSEFACILITY NUMBER: VISIT DATE: 09/25/2025

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

met_with: Tracie Arrellano, Administrator


summary: Facility Evaluation

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Narrative:
On Monday June 21, 2021 at 11: AM Licensing Program Analyst (LPA) Linda Haynes conducted an annual inspection of the facility. At time of inspection LPA met with House Administrator Alan Kana. The facility was toured inside and out with house administrator Alan Kana. The home is a one-story residence with four bedrooms and two bathrooms. There were no clients present at time of inspection. Bedrooms are arranged so that no more than one client in a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in the clients bathroom was measured to be 105 degrees. All hazardous items have been properly made inaccessible to areas where clients will have access. The medications were stored and locked in a cabinet in the staff office. Cleansers/chemicals are locked and stored in cabinet in garage. Sharp knives are inaccessible and stored in a locked cabinet in the garage. The First Aid Kit is located in the staff office and contained all required supplies. The facility's smoke detectors in each bedroom were checked and were operable. The carbon monoxide detector is located in the hallway and was operable. There are no guns or weapons in the facility as stated by house administrator Alan Kana. LPA observed a minimum 7-day non-perishable and a 2-day perishable supply of food. There was a variety of snacks available for clients as well. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Visitation policies, and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. Continue next page Four client and seven staff files were reviewed during the inspection and noted to have documents required per regulations in file. All staff that work at the facility have Department of Justice, FBI and Child Abuse Index clearances. LPA requested updated copies of LIC 500, LIC 309, LIC 308, LIC 400, and LIC 402 to be emailed to LPA. Based on the facility inspection and file reviews this date, there are no deficiencies found at this time. A copy of this report, was reviewed and given to house administrator Alan Kana.


summary: Facility Evaluation

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Narrative:
On August 5, 2022, at 10: AM, Licensing Program Analyst (LPA) Gloria Meza- Gonzalez conducted an unannounced annual inspection. LPA Meza-Gonzalez met with Program Administrator (PA) Alan Kana. The purpose of the inspection is to conduct a two year required inspection. The facility services four developmentally disabled children, one non-ambulatory and three ambulatory. LPA Meza-Gonzalez reviewed four clients' files (see confidential name list, LIC 811, dated August 5, 2022). LPA Meza-Gonzalez observed the files to be complete and in order. LPA Meza-Gonzalez conducted two client interviews and four staff interviews. Due to time constraints, the annual inspection is being extended to inspect and review the physical plant, operations, disaster preparedness, emergency interventions, and staff files. Based on observations made during the inspection, no deficiencies observed during today's visit. An exit interview was conducted, a copy of this report and LIC811 was given to PA Kana.


summary: Facility Evaluation

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Narrative:
On August 17, 2022, at 9: AM, Licensing Program Analyst (LPA) Gloria Meza- Gonzalez conducted an unannounced annual inspection. LPA Meza-Gonzalez met with Program Administrator (PA) Alan Kana. The purpose of the inspection is to conduct a two-year required inspection. The facility services four developmentally disabled children, one non-ambulatory and three ambulatory. The group home is located in a residential community. The home is a single story four-bedroom and two-bathroom home, and it is set up as follows: Bedroom #1 has one queen-size bed for a non-ambulatory client, bedroom #2 has one twin-size bed, bedroom #3 has one queen-size bed, and bedroom #4 has one twin-size bed. Bedroom #1 has its own bathroom. Bedroom #2, bedroom #3, and bedroom #4 share a bathroom. All bedrooms have an adequate drawer and closet space for children's belongings. There is one client per room per bed. No room commonly used for other purposes was used as a bedroom, and no bedroom serves as a passageway to another room. Smoke detectors in all rooms were tested and operable. The staff office is located next to the front door. The staff office has two desks, two chairs, a couch, a TV, locked cabinet. The medication is stored in a locked box in the locked cabinet in the staff office. A first aid kit was located in the medication cabinet with all required items. The client files are located in a locked cabinet in the hallway next to the staff's office. The kitchen has a kitchen table. The menu is posted on the refrigerator. There is a second refrigerator and a freezer in the garage. LPA Meza-Gonzalez observed seven days of non-perishable and three days of perishable food. All hazardous items are locked in a cabinet in the garage. Cleansers/chemicals were locked and stored in the garage. The living room has a couch, treadmill, TV, games, and a table. Smoke detectors in all rooms were tested and operable. Carbon monoxide was tested and operable. See page LIC809c The backyard has two swings, tables, chairs, and a patio cover. The back was safe and free of hazards. Toys were safe, clean, and age-appropriate for the age group of children being cared for. There was no body of water/pool at the home. The Emergency Disaster Plan, facility sketch, emergency invention plan, complaints/grievances, house rules, and Title Personal Rights were posted at this time. LPA Meza - Gonzalez reviewed nine staff files. The files were observed to be complete and in order. There is no deficiency observed during today's visit. The home is in compliance with Title Regulation. An exit interview was conducted, and copies of this report were given to PA Kana.


summary: Facility Evaluation

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Narrative:
On July 27,2023, at 11:00AM, Licensing Program Analyst (LPA) Carol Anderson conducted an annual/required inspection of the facility. LPA met with Program Administrator (PA) Alan Kana. LPA interviewed two staff. LPA interviewed two clients. One client was not interviewed due to client's lack of verbal abilities. One client was not present during today's visit. LPA Anderson inspected the exterior and interior of the facility as follows: LPA observed kitchen area with dining table. LPA observed of adequate food supplies including non-perishable. LPA observed, the living room has a couch, treadmill, TV, games, and a table. LPA observed, the medication is stored in a locked box in the locked cabinet in the staff office. LPA reviewed clients' medication log via computer database. LPA observed smoke detectors were tested and operable. LPA observed Carbon monoxides are installed in the hallway. LPA observed staff office is located next to the front door. LPA observed, the hot water temperature reading at 110 degrees. LPA observed, the client files are in a locked cabinet in the hallway next to the staff's office. LPA observed, the menu is posted on the refrigerator. LPA observed, there is a second refrigerator and a freezer in the garage. LPA observed Bedroom #1 has one twin bed. Bedroom #2 has one queen bed, Bedroom #3 has one twin bed, and Bedroom #4 has one queen bed with master bathroom located in hallway. All bedrooms have an adequate drawer and closet space for children's belongings. LPA observed, the First Aid Kit contained all required supplies.LPA observed cleansers/chemicals were locked and stored in the garage. The backyard is fully fenced, covered patio with patio furniture. Per PA Kana, there is no weapon in the home. LPA reviewed the board meeting minutes LPA observed , the Emergency Disaster Plan, facility sketch, emergency invention plan, complaints/grievances, house rules, and Title Personal Rights were posted at this time. LPA reviewed five staff files and four client files. All the required documentation in the files. A review of Guardian fingerprinted System on July 27,2023 indicates that staff associated to above facility had DOJ, FBI and child abuse index check clearances. Based on the facility inspection and file reviews conducted, there are no deficiencies found at this time. An exit interview was conducted. Due to computer failure, this report will be emailed to to PA Kana.


summary: Facility Evaluation

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Narrative:
On August 21, 2024, at 10:00AM, Licensing Program Analyst (LPAs) Abby Saeteurn and Carol Anderson conducted an unannounced Annual Required Inspection. LPA Saeteurn and Anderson met with the Facility Group Home Administrator Alan Kana. LPAs toured the interior and exterior. Currently, there are three clients residing at this facility at this time. LPA Saeteurn interviewed two clients. LPA Saeteurn interviewed two staff. The facility is a four-bedroom and a two-bathroom facility, and it is set up as follows: • Bedroom 1 has 1 queen bed, all appropriate furnishing and sleeps one client. • Bedroom 2 has 1 full bed, all appropriate furnishings and sleeps one client. • Bedroom 3 has 1 queen bed, all appropriate furnishing, and sleeps and one client • Bedroom 4 has 1 full bed, all appropriate furnishing and sleeps one client. Bedrooms were arranged so that no more than two children share a room, and there was one child per bed. No room commonly used for other purposes was used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate drawer and closet space for children's belongings. All hazardous items have been properly made inaccessible to areas where children will have access. Medications were locked in the cabinet in staff office. Cleansers/chemicals were locked and stored in the garage. Sharp knives were inaccessible and stored in the garage. The facility had two first aid kits. One kit was in the medication cabinet with all required items and the other one accessible on the top of the cabinet. There were no guns or weapons as stated by the administrator. Hot water temperature was reading at 105 degrees. Smoke detector was tested and operable. Proper storage of all food was noted. Trash cans for storage of solid waste had tight fitting lids. The Emergency Disaster Plan, Facility Sketch and Title Personal Rights were posted at this time. LPA Saeteurn inspected the facility vehicle, which was in operable conditions, registered and with insurance coverage. The backyard is fully fenced, covered patio with patio furniture. LPA Saeteurn reviewed five staff files and two client files. All the required documentation in the files. LPA Saeteurn requested updated copies of LIC 309, LIC 308, LIC 400, and LIC 402 to be emailed to LPA Anderson. Based on the facility inspection and file reviews this date, there are no deficiencies cited at this time. A copy of this report was reviewed and given to Facility Administrator Alan Kana.

met_with: Alan Kana, Administrator


summary: Facility Evaluation

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Narrative:
On September 25, 2025, at 10: AM, Licensing Program Analyst (LPA) Lisa Bernabe met with Tracie Arrellano, Program Administrator of Laughery House to deliver a case management deficiencies report. During a complaint investigation, LPA Bernabe received information indicating Staff (S1, S2, and S3) engaged in inappropriate behavior while on a facility outing to Universal Studios with Clients (C1, C2, C3, and C4). A confidential interview indicated that while C1, C2, C3 and C4 were in care of S1, S2, S3, and S4. S1, S2 and S3 did not ensure a safe environment for clients. Confidential interviews reported that while on the overnight outing, staff and clients stayed in a rented Airbnb. A confidential interview indicated that S1, S2 and S3 left the Airbnb and walked to a liquor store and purchased alcohol. During the investigation, a confidential video that was collected of S3's social media posts was viewed, and it was visible that S3 was consuming alcohol and appeared to be intoxicated while clients were in care. Further review of the footage showed S3 violating C1's privacy and posting the client on social media platforms where S3 was streaming live for other people to view. A confidential interview and footage review indicated that S3 recorded themselves verbally and psychologically abusing C1 by using obscene language while communicating with C1. A review of video footage indicated that S1 and S2, who served in management roles in the facility, were also seen walking to a liquor store with S3, and both were present and observing while S3 selected and purchased alcoholic beverages during a time when all three staff were scheduled to provide care and supervision to clients in care. During the video footage review, while on the outing with clients, S3 was also seen with S2 in Universal Studios Park with drinks in their hands. Evidence gathered during the investigation indicated that the drink is said to be an alcoholic drink that cannot be made without alcohol. continuation on LIC 809-C. Continuation of LIC 809. Confidential interviews also indicated that sleeping arrangements in the Airbnb included clients and staff sharing bedrooms. According to confidential interviews, C1 and S2 shared a bedroom, C2 and S1 shared a bedroom, S3 and S4 shared a bedroom, and C3 and C4 shared a bedroom. The investigation did not yield sufficient evidence to determine whether staff slept in the same beds as clients or if there were only shared rooms. According to confidential interviews, there were no awake staff providing overnight supervision during this outing. Based on confidential interviews and records reviewed, the facility will be cited for violating the Health and Safety Code, Division 2, Chapter 3, Article 5, Section 1558(a)(2). An exit interview was conducted, and a plan of correction was developed with Tracie Arrellano, Administrator of Laughery House. A copy of this report, LIC809D, LIC811, and appeal rights were provided to Tracie Arrellano, Administrator.

met_with: Tracie Arrellano, Program Administrator


summary: Facility Evaluation

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Narrative:
On February 6, 2025, at 3: PM, Licensing Program Analysts (LPAs) Jacob Salem and Stephanie Arreola met with Tracie Arellano, Administrator of Laughery House to deliver a case management deficiencies report. According to information obtained by Community Care Licensing (CCL), the licensee did not discharge a client after they turned 18 years old, thus operating outside the limitation of the facility's license. A confidential interview and records reviewed indicated that Client 1 (C1) lived at the facility approximately five months after their 18th birthday. A confidential interview indicated that the facility believed there was an approved age exception for C1, allowing C1 to remain at the facility as an adult. A review of CCL's records revealed that there was no approved age exception or exception request submitted for C1 to remain in care of the facility after their 18th birthday. A review of the facility's state license and plan of operation reveals that the facility is licensed to provide care to clients between the ages of 8 and 17. Based on confidential interviews and records reviewed, the facility is being cited for violation of Title 22, Division 6, Section 80010(a) Limitations on Capacity and Ambulatory Status. An exit interview was conducted, and a plan of correction was developed with Tracie Arellano, Administrator. A copy of this report, LIC9099D, LIC 811, and appeal rights were provided to Tracie Arellano, Administrator.

met_with: Tracie Arellano, Administrator


summary: Facility Evaluation

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Narrative:
On February 17, 2026, at 10: AM, Licensing Program Analyst (LPA) Cynthia Velasquez, conducted an unannounced random Inspection. LPA met with the Facility Group Home Administrator, Tracie Arellano. LPA requested to review two staff files and one client file. Review of client file verified identification, name, date of birth, admission agreement, consents to treat, personal rights/client rights, family involvement plan, ISP, IPP, and IEP, behavior assessment, house rules and discipline policy, emergency intervention, runaway plan, handling of children's funds, sample menu, Health screenings, DSP Rights of Individual with Developmental Disabilities, DV Visitation Order, and signed consent for psychotropic medication releases. Review of staff files verified name, address, California identification, job description, educational degree, resume, TB test results, background clearance, DOJ clearance, CPR Training Certificates, restraint training, and other trainings, employee rights, personal rights, LIC Child Abuse Reporting, and signed DSP 304's. LPA visually analyzed the front yard which had clear pathways to the front entrance and was easily accessible. The home has 4 bedrooms, 2 baths, office area, family room, and garage/activity area. The facility contained all necessary postings and personal rights postings in several areas. The office area contained emergency and disaster drill folders, and locked medication cabinets. The first-aid kit in the office area contained all dressings, bandages, tweezers, scissors, and thermometers. There were other emergency bags with travel first-aid kits in the garage. The kitchen had a table with 4-5 seats, fresh fruit and vegetables, along with cabinets of dry goods. All sharp knives were housed in the garage. The family room has two large couches, a TV area, and another table for homework and/or meals. Bedroom #4 was attainable through the family room, which is the master bedroom which contained bathroom #1. There are two double doors leading to the outside. There were drawers, a closet with built-in cabinets, and a twin bed. The backyard was well kept, and there was no overgrown foliage. There is a swinging set, basketball court, BBQ, and a patio with two bamboo swinging chairs. There was also exercise equipment which included a cycle machine, and treadmill. There was fencing around the entire perimeter. The garage area had multiple food cabinets for canned foods, pastas, and a freezer of meats and snacks. There was a punching bag, two couches, a TV with a gaming system, and a drawer for arts and crafts. Bedroom #1 was vacant and is being furnished for new clients. Bedroom #2 had a full-size bed, a dresser with drawers, and a closet. The room has a TV for entertainment and bedding was clean. Bedroom #3 has client 1 (C1) furnishings with a full-size bed, closet space, and drawers. There were 2 closets in the hallway with bedding, linens, and towels. All bedrooms were separate from another and no bedroom serves as a passageway to another room. There were no guns or weapons as stated by the administrator. Smoke detector was tested and operable. Proper storage of all food was noted. Trash cans for storage of solid waste had tight fitting lids. Based on the facility inspection and file reviews this date, there are no deficiencies cited at this time. A copy of this report was reviewed and given to Tracie Arellano, Administrator.


facility_name: LAUNCH PAD

summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Danielle Walker-Flores met with Daniel (Patrick) Sweeney (S1), Administrator of Launch Pad Group Home at the facility to conduct a required annual inspection. Prior to the inspection, the LPA reviewed: criminal record clearances, Community Care Licensing file, incident reports, and complaint history. This home is licensed to provide treatment services for ambulatory children with ages 12 - 17 years and non-minor dependents ages 18 - 19, and homeless youth ages 12-17 years. There are a total of nine youth currently living in the home with three of those youth being dependents. One foster youth was present during inspection. LPA and S1 conducted a walk-through of the facility. There are a total of ten bedrooms available for clients. LPA observed client bedrooms, four living rooms, four kitchens, four bathrooms, the backyard area, the garage, and the staff offices. LPA observed the bedrooms to be acceptably clean and equipped with the proper items. LPA observed the first aid kit to be complete with all required supplies. LPA observed a locked office where files and medications are stored. LPA observed an adequate amount of food, both perishable and non-perishable, meeting regulations. LPA observed the facility to be clean and free of hazards or insects. LPA reviewed the fire clearance, license, program statement sections, four client records and six staff records. LPA also reviewed operational requirements, and the disaster preparedness plan. The emergency disaster and mass casualty plan were complete. LPA observed emergency supplies and food. LPA conducted interviews with client and staff. No citations will be issued at the time of the inspection. An exit interview was conducted and a copy of this report provided.

met_with: Daniel (Patrick) Sweeney, Administrator


summary: Facility Evaluation

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Narrative:
On 10/24/23, Licensing Program Analyst (LPA) Lyta Vue arrived unannounced at the facility and met with Pat Sweeney, Administrator. The purpose of the visit was to conduct a Required Annual Inspection of the facility. The last Annual inspection for the facility was on 4/14/22. LPA utilized the CARE Tool to complete the Annual inspection. The facility is licensed to provide treatment services for ambulatory children ages 12 through 18 years. The facility currently has 7 clients, some emergency placement from County Child Welfare and some are private placement. One client was present during the inspection. The facility is licensed for a maximum capacity of 12. Staff to client ratio is 2:10. LPA conducted an inspection of the physical plant, and checked for all necessary requirements. The facility had no noticeable odor and maintained an acceptable room temperature. There are a total of 10 bedrooms available for clients, with each client having their own bedroom or can can share a bedroom based on the fitting of their needs and compatibility. LPA observed the client bedrooms, living rooms, kitchen, three bathrooms, the backyard, and the staff office to be clean and organized. LPA observed each client bedroom to have a closet, a dresser, and a clean mattress. Sheets, blankets, and pillows were in good condition. Every bedroom was decorated with the client's personal items. LPA observed a locked staff office where files and medications are stored. Client files were stored in a lock file cabinet in the staff office. LPA observed the proper postings including: facility license, complaint hot-line, menu, and emergency disaster plan. Smoke alarms were in working order, fire extinguishers were current, and a first aid kit was fully stocked. The facility has no outstanding fees. LPA observed 2 days of perishable food and 7 days of non-perishable food in the kitchen and in the additional refrigerator in the garage. Annual report continued on 809c Disinfectants and cleaning solutions were inaccessible. LPA reviewed seven client files. Two clients were taking court ordered psychotropic medications and had current court authorization or parental consent on file. Psychotropic medication logs for clients were written on separate Psychotropic Medication Administration Records. Clients were current on CHDP physical exams and dental exams. The client's Needs and Services Plan/Individual Program Plan, were complete and up to date. LPA reviewed 6 staff files. Staff files had completed criminal record clearances and all required initial and annual training. First Aid and CPR certifications were up to date for all staff. Administrators Certificate was valid. LPA interviewed 3 staff on site. LPA interviewed 3 clients, 2 clients was interviewed over the phone due to school and location. No citations were given on this date. A signed copy of this LIC-809 and LIC-809C report was provided to Pat Sweeney, Administrator. An exit interview was conducted. End of inspection

met_with: Pat Sweeney, Administrator


summary: Facility Evaluation

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Narrative:
On 11/04/25, Licensing Program Analysts (LPAs) Lyta Vue and Kellie McKinley arrived unannounced at the facility and met with Pat Sweeney, Administrator (ADMIN). The purpose of the visit was to conduct a Required Annual Inspection of the facility. The last Annual Inspection for the facility was on 10/24/23. LPAs utilized the CARE Tool to complete the Annual inspection. The facility is licensed to provide treatment services for ambulatory children ages 12 through 18 years. The facility currently has eight (8) clients, some emergency placements from Child Welfare and some are private placements. Three (3) clients were present during the inspection. The facility is licensed for a maximum capacity of twelve (12). Staff to client ratio 2:1. LPAs conducted an inspection of the physical plant and checked for all necessary requirements. The facility had no noticeable odor and maintained an acceptable room temperature. There is a total of ten (10) bedrooms available for clients, with each client having their own bedroom. LPAs observed the client bedrooms, common rooms, kitchen, five (5) bathrooms, the backyard, the garage, and the staff office to be clean and organized. LPAs observed each client's bedroom to have a closet, a dresser, and a clean mattress. Sheets, blankets, and pillows were in good condition. Every bedroom was decorated with the client's personal items. LPAs observed a locked staff office where files and medications are stored. Client files were stored in a locked cabinet in a locked office. Annual Report continued on 809c LPAs observed the proper postings including facility license, complaint hotline, menu, and emergency disaster plan. Smoke alarms were in working order, fire extinguishers were current and will expire September 2026, and a first aid kit was fully stocked. The facility has no outstanding fees. LPAs observed 2 days of perishable food and 7 days of non-perishable food in the kitchen and in the additional refrigerator in the kitchen. Disinfectants and cleaning solutions were inaccessible. LPAs reviewed five (5) client files. With five (5) client files reviewed, no clients were taking court ordered psychotropic medications. Clients were current on CHDP physical exams and dental exams. The client's Needs and Services Plan were complete and up to date. LPAs reviewed five (5) staff files. Staff files had completed criminal record clearances, and all required initial and annual training. First Aid and CPR certifications were up to date for all staff. Administrators Certificate was valid. LPAs interviewed three (3) staff on site. LPAs interviewed three (3) clients. No citations were given on this date. A signed copy of this LIC-809 and LIC-809C was provided to Pat Sweeney, Administrator. An exit interview was conducted. End of Annual Inspection report.

met_with: Pat Sweeney, Administrator (ADMIN)


facility_name: LAUREL HOUSE

summary: Facility Evaluation

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Narrative:
On March 24 2026, at 09: AM, Licensing Program Analyst (LPA) Stefanie Mutialu arrived at the facility to conduct a Pre-licensing inspection of the facility. The facility was inspected inside and out with Derrick Burton, Administrator and Tera Booher, Respite Parent. The facility has a capacity of six ambulatory clients, ages 12-17 years old. The facility is a single-story home with six bedrooms and four bathrooms. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris, observable hazards, and insects. There are adequate indoor and outdoor activity space and televisions were observed for client's recreation time. All facility smoke detectors and carbon monoxide detectors were tested and were observed to be in working order; fire extinguishers were properly charged and serviced. All the required forms were posted in the facility that included: Weekly Menus, Personal Rights Poster and Emergency Disaster Plan. The facility is set up as follows: There are three bedrooms which each have two twin beds in them. The bedrooms have adequate dresser and closet space. There are two bedrooms used by staff. One with a king bed and one with a queen bed. One bedroom is used for House Parent and spouse, and the other bedroom is used for respite parent. There is one bedroom which is not currently being occupied. Three of the bathrooms are used by all the clients. Cleaning products are stored and locked in the garage. The knives, sharps, and medications are stored in the locked staff office in a locked cabin. Each of the three client bedrooms has proper lighting, adequate drawer space, all six beds were observed with appropriate clean linens, pillows, blankets, comforters, mattress pads, and mattresses in good repair. There are ample storage areas for client's personal property. There is a linen closet with extra bedding and towels for client use and a locked cabinet for client's personal hygiene items and supplies. The hot water was measured at 113.2 degrees Fahrenheit. The facility has a fully equipped first aid kit and a current first aid manual approved by the American Red Cross. First aid kits are located in the locked Facility Manager/Therapy office. LPA observed sufficient food supply, including a sufficient supply of fresh fruits, vegetables, canned goods, and staples. LPA observed that there are no bodies of water on premises. Per Administrators there are no firearms or weapons on premises and smoking is prohibited. The staff and clients' files will be located and locked in the Administrator/Therapist office in a locked cabinet. No deficiencies were observed. An exit interview was conducted with the Derrick Burton, Administrator. The report was discussed and provided by email to the Administrator at the time of the inspection.

met_with: Administrator, Derrick Burton


facility_name: LEE FAMILY CARE HOME #3

summary: Facility Evaluation

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Narrative:
On 11/12/21 at 11AM, Licensing Program Analyst (LPA) Mariah Hawkins made a visit to the facility to conduct a required annual inspection. LPA met with Licensee Maureen Lee and informed of the purpose of the visit. The CARES inspection tool was used to complete the inspection. The facility is a regional center facility with developmentally disabled residents. The facility has been approved for licensure as an Adult Residential Facility (ARF) and will close the group home within the next two weeks. The facility was observed to be clean and in good repair. Beds have clean linens and mattress pads. There are no hazards on site. Room temperature measured within permitted range at F. At 11:15AM, the hot water measured 124. F. Licensee turned down the water heater, and hot water measured 111. F at 12:14PM, within permitted range. At 11:15AM, some dead ants were observed on the kitchen pantry shelf, but there was no evidence of active infestation or live insects, and all food stored were cans which were sealed and safe from contamination. Licensee immediately cleared out and wiped down the pantry and ensured all foods were uncontaminated. Staff are cleared and associated to the facility. There are no issues that require follow-up. No deficiencies are being cited. LPA advises that the facility post the emergency disaster plan, per California Code of Regulations, Section 80023. Licensee will need to update the plan for the transition to ARF, but LPA advises that a version of this form be visibly posted at all times. An exit interview was conducted, and a copy of this report was left with Licensee Maureen Lee, whose signature on this form confirms receipt.

met_with: Licensee Maureen Lee


facility_name: LEVA PENTE

summary: Complaint Investigation - Substantiated

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Narrative:
It is alleged that a staff member inappropriately spoke to a client in care. Interviews provided consistent information that a staff did speak to a client inappropriately while attempting to get the client to use the restroom before bed. The facility submitted an SIR describing the interaction with the client and staff member. The staff in question admitted they may have made a mistake with the client. Based on LPA's observations, interviews which were conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. No citation is being issued as the facility responded promptly with an internal investigation, and the staff who spoke inappropriately was terminated. A signed copy of this LIC-9099 report and the LIC-9099C were provided to the facility. An exit interview was conducted. Appeal rights were provided.

Investigation Findings:
13Licensing Program Analyst (LPA) Kellie McKinley arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Erica Plunkett- Faciltiy Manager. LPA Kellie McKinley conducted the complaint investigation. LPA Wendy Brown initiated the investigation with the facility on 2/03/25 and the Administrator was interviewed. LPA Brown conducted a Health and Safety Inspection and interviewed a staff member. During the course of the investigation, LPA McKinley interviewed a three staff, and the reporting party. The client was unable to be qualified for an interview. LPA McKinley reviewed records from the facility including: Placement Roster, staffing schedule, training logs, prior complaint history, Serious Incident Reports (SIR), IPP plan, and one staff file. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Kellie McKinley 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: LEVA PENTEFACILITY NUMBER: VISIT DATE: 04/16/2025

met_with: Erica Plunkett -Facility Manager

complaint_status: SUBSTANTIATED