summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst's (LPAs) Timika Martin, Pamela Silva and Juliet Robles 09/05/24 at 11: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA's met with Administrator, Raeanna Howard and inspected the facility inside and out. LPAs reviewed three (3) children records and three (3) of staff personnel files on site at the facility. LPAs reviewed three (3) children psychotropic medications and medication records. LPAs interviewed two (2) staff on site to discuss the facility's policies and procedures of operation. One client refused to conduct an interview and one client was on AWOl status during the time of inspection. A technical violation (TV) was issued. LPAs conducted exit interview with, Raeanna Howard, Administrator and provided a copy of this licensing report.


state: CA

facility_name: JAMES PENNY HOUSE INC.

summary: Facility Evaluation

raw_content:
Narrative:
On 9/5/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the James Penny Short term residential therapeutic program (STRTP) for the purpose of a case management incident inspection. LPA met with Mental health coordinator and discussed the following incident: - Client communicating with elder brother 2/13/ Coordinator stated the following: Client doesn't have a phone currently and staff monitor calls. Staff ensure whoever is being called is on the line and if staff hear anything inappropriate, staff will stop the call. Social worker is aware of situation and information is documented in clients call log file. Brother was not identified originally as having restrictions with client. After client disclosed interactions with brother to Administrator, Administrator notified social workers and CPS which received no further action. However, facility conducted prudent parenting in ensuring client did not have interactions with brother who was making inappropriate contact with client. Client had biological mother, grandma and another brother identified as supervised and approved visits. LPA requested that facility provide approved visitation log and updated CFT notes regarding clients visitations and calls. Exit interview conducted and no deficiencies were observed or cited during inspection and a copy of this report was provided to representative.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Diana Mental Health coordinator


summary: Facility Evaluation

raw_content:
Narrative:
On 9/5/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the James Penny Short term residential therapeutic program (STRTP) for the purpose of a case management incident inspection. LPA met with Mental health coordinator and discussed the following incident: - client being sexually and physically abused 7/31/ Coordinator stated the following: Client doesn't get approved or denied visits with girl friend. Incident occurred in Las Vegas in May but client reported to Administrator in July. Administrator at that time called local law enforcement out and they took a report. On August 3,2024 client AWOLed from Camarillo outlets during outing and met up with girlfriend. Client returned two days later and I observed client with black eyes and client disclosed being physically abused by girlfriend. I did a scar report when client disclosed and I called local police and they stated they could not take a report due to incident occurring in Vegas. I did a SCAR report and notified social worker of incidents. Have had multiple CFTs regarding girl friend and client and client still makes contacts. LPA obtained copy of CFT notes showing that client was aware to not contact girl friend. Exit interview conducted and no deficiencies were observed or cited during inspection and a copy of this report was provided to representative.

met_with: Diana Flores, Mental health coordinator


summary: Facility Evaluation

raw_content:
Narrative:
On 9/5/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the James Penny Short term residential therapeutic program (STRTP) for the purpose of a case management incident inspection. LPA met with facility manager and discussed the following incident: -Restraint leading to bruising and bite marks on child: Facility manager stated the following: Client was hitting her head on the ground and was self inflicting injuries. Me and my coworker were holding clients arms. Me and the other staff were holding her on her arms and then we did a restraint by holding her on the ground with her arms out. Holds were approximately 20 seconds. Client wasn't getting what she wanted so she started grabbing random things to try and hurt herself so staff were trying to grab the things away from her. Client wanted to do a bunch of things and became agitated because we wouldn't let her. Client got picked up by police that night and police took her to the hospital. Client was trying to run in traffic when she noticed police. I didn't receive any medical attention for my injuries but I have received training on how to properly conduct restraints. Client was biting staff but staff were not biting client. Client is currently at behavioral hospital and will be discharged on Saturday. Three incidents occurred with client regarding client being aggressive towards staff. Staff called local police each time to address clients behavior first time police responded and found client in street, second time police didn't respond to call and third time client was taken 5150. LPA requested medical paperwork, police reports and plan moving forward for client and use of restraints. LPA requested manual restraint log of documented uses of restraints. Exit interview conducted and no deficiencies were observed or cited during inspection and a copy of this report was provided to representative.

met_with: Diana Flores


summary: Facility Evaluation

raw_content:
Narrative:
On September 19, Licensing Program Analyst (LPA) Brent Lockhart and Licensing Program Manager (LPM) Jean Herring conducted an unannounced inspection at the facility at 09:45am. LPA met with Administrator Raeanna Howard (Admin). The purpose of the inspection was to conduct an Annual/Required inspection of the facility. This STRTP is licensed to serve up to six (6) ambulatory children ages 11-17 years of age. The facility also provide services to non-minor dependents pursuant to W&I Code 16501.1 (C)(1). There are four (4) ambulatory minors currently in placement. This facility is a one-story home with three (3) bedrooms, two (2) bathrooms, one (1) office, kitchen, dining, formal living rooms, and family room. Physical Plant The license is posted in a prominent, publicly accessible location in the facility. Disinfectants, cleaning solutions are locked in a cabinet located in the garage and sharps are locked in a cabinet located in the office. Facility has non-perishable foods for at least one week and perishable foods for at least two days. Facility provides at least three(3) meals per day. Medications are centrally stored and locked in the office. All kitchen, food preparation, and storage areas are kept clean and free of rodents and other vermin. Facility has one or more carbon monoxide detectors in the facility. Facility provides basic laundry services. Room temperatures are maintained at 73 degrees F. The hot water temperature was within the required range. All toilets, hand washing and bathing facilities are maintained in safe and sanitary operating condition and meet the requirements. No more than 2 children share a bedroom. All beds are in good repair; equipped with good springs and a clean mattress; and supplied with pillows which are clean and in good repair. Facility provides age-appropriate clothing items and hygiene products. Overall, facility is clean, safe sanitary and in good repair. Client Records LPA and LPM reviewed four (4) client records. All client records are available to the licensing agency to inspect, audit and copy upon demand. Client records reviewed include, but not limited to, consent forms, court orders, appraisal/needs and services plan, removal/discipline/complaint procedures; medical assessment; safeguards for cash resources, personal property and valuables; education records; personal rights forms; and medication administration records. Disaster Preparedness Plan Facility maintains a current, written disaster and mass casualty plan of action. Facility conducts disaster drill at least every month for each shift. The drills are documented, and the documentation is maintained in the facility for at least a year. Facility maintains an emergency and disaster plan, register of clients, Needs and Services Plan for each client, medication records, and contact information for each client's responsible party and physician. On today's inspection, there are two (2) Type B citations issued, see LIC809D. LPA and LPM also provided (5) five Advisory Notes/Technical Violation (LIC9102TV). An exit interview was conducted, and a signed copy of this report, LIC809D, LIC811 and appeal rights were provided to the facility administrator.

visit_type: Annual

met_with: Raenna Howard, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On September 27, 2024, Licensing Program Analyst (LPA) Brent Lockhart and Licensing Program Manager (LPM) Jean Herring conducted an unannounced inspection at the facility at 09:45AM. LPA and LPM met with Raeanna Howard, Administrator. The purpose of the inspection was to conduct a Case Management - Annual/Required continuation inspection. Operations Facility maintains a current, written plan of operation that meets licensing standards. Facility maintains a register of clients and the register is available upon request. Facility maintains and implements written complaint procedures and the procedures are posted in a publicly accessible location in the facility. The board of directors regularly conducts meeting to review and discuss the STRTP's operation. Cash resources are kept on the facility premises in a locked and secure location. Core/Therapeutic Services Facility provides core services and supports to children and non-minor dependents as appropriate or necessary that are trauma informed, culturally relevant, age and developmentally appropriate and include the following: Medi-Cal specialty mental health services; transition support services; educational and physical, behavioral, and mental health supports; activities to support children and non-minor dependents and services to achieve permanency. Emergency Intervention Plan Facility maintains a monthly log of each use of manual restraints that contains all required information. The log is available for review by the Department upon request. LPA observed documentation of Emergency Intervention Training and on-going training. Staff Records LPA and LPM reviewed six (6) staff records. Staff records contain documentation of the required education and experience requirements and training. All staff subject to criminal records review are fingerprint cleared and associated to the facility at the time of the inspection. LPA and LPM issued deficiencies related to Personnel Requirements. A signed copy of this report was provided to the facility along with LIC 809Ds, LIC 811 (Confidential Name/s list) and Appeal Rights.


summary: Facility Evaluation

raw_content:
Narrative:
On 10/29/ LPA Brent Lockhart and LPM Jean Herring conducted an unannounced case management inspection at the facility to follow up on a death report received by the Department on 10/28/24. LPM and LPA met with FA Raeanna Howard. Facility reported that on 10/26/24, C1 jumped out of the facility van during outing in the McDonald's drive thru and took off running stating he wanted to steal alcohol. Facility staff immediately called law enforcement to report the AWOL. On 10/28/2024 at 10:00 a.m., C1's placement worker contacted FA to inform her that C1 passed away from a hit and run accident During this inspection, LPA and LPM reviewed and obtained copies of pertinent documents from C1's records. No deficiencies cited at this time. A copy of this report was provided to the FA along with LIC 811 (Confidential names list). End of contact.

met_with: Raeanna Howard, Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 3/25/ Licensing Program Analyst (LPA) Brent Lockhart conducted an unannounced visit to James Penny Short Term Residential Therapeutic Program (STRTP) for the purpose of a case management inspection. LPA met with Facility Administrator (FA) Raeanna Howard. Facility reported that on 2/23/2025, C1 became agitated and started disrupting the mood at the facility with other clients and staff. C1 made threats against herself, clients and staff throughout the evening with a sharp object. C1 refused to turn over the sharp object to staff and became angry when S2 was leaving for the day. C1 punched and jumped on S2 car. During this episode S1 tried to calm C1 down, eventually putting her in a thirty second hold. While S1 was holding her the object fell out of C1's pants. S1 immediately picked up the object from the ground to which C1 noticed and tried to take away from S1's possession. Bakersfield Police Department arrived and attempted to de-escalate the situation, but C1 remained disruptive. BPD arrested C1 and took her to Kern County Juvenile Hall on 2/23/2025. C1 was discharged from the facility on 3/10/2025, and currently is in Tulare County Juvenile Hall ( Avenue Visalia, CA 93291). In addition, FA provided documentation the Special Incident Report was reported within twenty four hours to CCL, so facility won't be cited for late reporting. During this inspection, LPA reviewed and obtained copies of containment logs and discharge paperwork for C1, as well as a copy of the incident report being sent to CCL on 2/24/2025.. No deficiencies were cited at this time. A copy of this report was provided to the FA along with the LIC 811 (Confidential names list). End of contact

met_with: Raeanna Howard


summary: Facility Evaluation

raw_content:
Narrative:
IRFU - 0001639-FN On April 11, 2025 at 10:00 a.m., Licensing Program Analyst (LPA) Brent Lockhart conducted an unannounced inspection at James Penny House, a Short-Term Residential Therapeutic Program (STRTP) for the purpose of conducting a Case Management concerning a Special Incident Report (SIR) received by the Department on April 6, 2025. LPA met with Raeanna Howard, Facility Administrator. On April 6, 2025, the Department received an SIR regarding an incident on April 5, 2025 that occurred between C1, C2, C3, C4. The incident involved an altercation between all parties. BPD arrived to take statements. During that, C1 ask to speak to S1 privately. During their conversation C1 disclosed she was sexually assaulted while running away. C1 didn't provide any details of the perpetrator. BPD offered C1 a SART (Sexual Assault Response Team Exam) but she declined. In addition, while talking with BPD, C1 also disclosed she has SI (suicidal ideation), at that time BPD put C1 on 5150 and transported her to Kern Medical Center. C1 arrived at the facility on 4/1/25, FA provided a safety plan for C1 to LPA, the plan in the process and consist of C1 participating in programs like mental health services, individual rehab and therapy so she can become more acclimated. LPA requested most recent client roster, NSP and safety plan for C1. FA provided LPA with contact information for S1 and BPD to conduct further interviews. Exit interview conducted and no deficiencies were observed or cited during inspection and a copy of this report was provided to representative.

met_with: Raeanna Howard - Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
IRFU - 0001640-FN On April 11, 2025 at 12: PM, Licensing Program Analyst (LPA) Brent Lockhart conducted an announced Case Management inspection regarding a death incident of a client in care from James Penny Inc. Short Term Residential Therapeutic Program (STRTP). LPA met with Facility Administrator (FA) Raeanna Howard. On October 29, 2024, LPA conducted an initial case management inspection to review records and conduct interviews related to C1s death that occurred on 10/27/2024. On 10/28/2024, SW notified James Penny that C1 passed away from a hit and run incident after running away while on a community outing. BPD informed LPA the investigation is ongoing and a Coroner's report won't be available for 120 to 150 days. On 4/1/2025, the Community Care Licensing Department received a final Coroner's, Autopsy, Toxicology report from Kern County Sheriff Department for C1. Based on the Coroner's report C1s cause of death was ruled an accident. It was determined that staff followed runaway procedures when client ran away on the day of the incident. No further follow-up is required. A signed copy of this report was provided to the facility representative along with LIC 811 (Confidential Names form.)


summary: Facility Evaluation

raw_content:
Narrative:
On June 19, 2025, at 1:15 p.m., Licensing Program Analyst (LPA) John Bonilla conducted an unannounced Case Management - Other inspection at James Penny House Inc, a Short-Term Residential Therapeutic Program (STRTP). The purpose of the inspection was to deliver an amendment to a LIC9099 originally delivered on 06/17/2025. LPA met with Raeanna Howard, Administrator. No deficiencies cited during this inspection. A signed copy of this report as well as amended report were provided to Raeanna Howard, Administrator. Exit interview conducted. No further action required.

met_with: Raeanna Howard, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On August 12, 2025, at 11:30AM, Licensing Program Analyst (LPA) Timika Martin conducted an unannounced Case Management - Incident inspection at James Penny House INC, a Short-Term Residential Therapeutic Program (STRTP) on behalf of LPA Brent Lockhart. The purpose of the inspection was to follow-up on a Special Incident Report (SIR) received by the Department on June 16, 2025. LPA met with Raeanna Howard, Facility Manager. The SIR dated June 12, 2025, S1 noticed C1 (See LIC Confidential Names list dated 08/11/25) wanting to leave the facility and expressed to C1 the dangers of leaving the facility on an unauthorized absence from the STRTP. C1 rejected all offers by staff and left the facility on 6/12/25. Staff followed procedure by following C1 out the home and down the street before they lost sight of her. C1 never returned to the facility, when facility tried to contact C1 and encourage her to come back, C1 told the facility to stop calling her and she is fine. C1 was in communication with C2 and disclosed different locations to C2, who then disclosed that information with the facility, but couldn't confirm if the locations were valid. In addition, C1 was in contact with her CSW and expressed she was safe. According to CSW, C1 was placed with a friend of the mother on 6/20/25, and as of today is still with the family friend. C1 was discharged from the facility on 6/22/25. Based on document review, interviews with staff, and the County Social Worker, the STRTP followed proper protocols when clients leave the facility on unauthorized leave. Continued on 809-C In addition, the facility inform parents, social worker and Bakersfield Police Department (BPD) of any updates they receive regarding C1's location. No deficiencies were cited against the STRTP. Signed copies the LIC809, LIC809-C, LIC811 and Appeal Rights were provided to STRTP representative. Appeal rights explained.

met_with: Administrator, Raeanna Howard


summary: Facility Evaluation

raw_content:
Narrative:
On August 12, 2025, at 12:00 p.m., Licensing Program Analysts (LPAs) Juliet Robles, Timika Martin and Pamela Silva conducted an unannounced Case Management - Incident inspection at James Penny House INC, a Short-Term Residential Therapeutic Program (STRTP) on behalf of LPA Brent Lockhart. The purpose of the inspection was to follow-up on a Special Incident Report (SIR) received by the Department on May 21, 2025. LPAs met with Raeanna Howard, Administrator. The SIR dated May 20, 2025, indicated that C1 (See LIC Confidential Names list dated 08/12/25) was on an unauthorized absence from the STRTP. The SIR indicated that C1 was sexually assaulted by an unknown male. The SIR indicated Bakersfield Police Department (BPD) came to the facility to speak with C1 and requested she go to the hospital to take a Sexual Response Assault Team (SART) exam, as well as turn over the clothing she wore for evidence but C1 refused . S1 stated the client didn't want to cooperate because she feared the evidence would implicate another boy C1 says she had consensual sex with and she didn't want to get him in trouble. Based on document review, interviews with staff, and the Officer who came out to the facility, the STRTP offered C1 medical attention after returning from her unauthorized absence but she refused services. No deficiencies were cited against the STRTP but LPA encouraged the facility to stress preventative measures to clients and the danger of leaving the facility unsupervised. Signed copies of Licensing Reports were provided to STRTP representative.


summary: Facility Evaluation

raw_content:
Narrative:
On August 21, 2025, at 10:45 a.m., Licensing Program Analyst (LPA) Brent Lockhart conducted an unannounced Case Management - Incident inspection at James Penny House INC, a Short-Term Residential Therapeutic Program (STRTP). The purpose of the inspection was to follow-up on a Special Incident Reports (SIRs) received by the Department on July 30, 2025 and August 13, 2025. LPA met with Raeanna Howard, Administrator. During the visit LPA toured the facility, conducted interviews with two staff members, and gathered documents relevant to the Case Management. FA shared with LPA additional documents will be provided via email. Further follow up is needed at this time.

met_with: Administrator - Raeanna Howard


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Dina Camara conducted a case management inspection on 08/26/25 at 10: AM based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 5 out of Direct Care Staff and 4 out of 4 youth files were reviewed. 3 out of Direct Care Staff and 1 out of 4 youth were interviewed. (See the Confidential Names List, LIC 811, 08/26/25). The Plan of Operation including policies and procedures were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, and youth safety plans, and crisis prevention intervention plan and client intake information sheet, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA, Camara observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Administrator, Raeanna Howard.


summary: Facility Evaluation

raw_content:
Narrative:
On September 11, 2025, at 10:30 a.m., Licensing Program Analyst (LPA) Brent Lockhart conducted an unannounced Case Management - Incident inspection at James Penny House INC, a Short-Term Residential Therapeutic Program (STRTP). The purpose of the inspection was to follow-up on a Special Incident Report (SIR) received by the Department on July 30, 2025. LPA met with Glorious Maclin, Facility Manager. The SIR dated July 29, 2025, indicated that C1 (See LIC Confidential Names list dated 09/11/25) while on an unauthorized absence from the STRTP indicated that she was touched inappropriately. C1 couldn't give a day or time the incident took place. The facility encouraged C1 to talk to Bakersfield Police Department (BPD) as well as seeking medical services, but she declined both options. S1 completed a Suspected Child Abuse Report (SCAR) and submitted to C1s County Social Worker (CSW). Actions taken by the facility included increasing therapy and counseling sessions to three times a week, and other incentives thru Child and Family Team (CFT) meetings and treatment plans to cope with C1s experiences. Based on the information gathered,. No deficiencies were cited against the STRTP at this time. However, LPA encouraged the facility to stress preventative measures to clients, and the danger of leaving the facility unsupervised. Signed copies of LIC 809 and LIC 811 were provided to STRTP representative

met_with: Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On September 24, 2025, at 9: AM, Licensing Program Analyst (LPA) Brent Lockhart conducted an unannounced required 2-year licensing inspection at the facility and met with Facility Administrator Raeanna Howard. a Short-Term Residential Therapeutic Program (STRTP). The facility currently has a provisional STRTP license and is licensed to serve six (6) ambulatory clients age 11 to 17 years old. There are currently 4 clients, none are NMDs, at the facility. LPA reviewed the following domains of the Compliance and Regulatory Enforcement (CARE) tool: Physical Plant and Disaster Preparedness Physical Plant The license, facility sketch, personal rights, emergency disaster form, complaints poster, emergency phone numbers and food menu are posted in a prominent, publicly accessible location in the facility. Disinfectants and cleaning solutions are kept inaccessible and locked in a cabinet located in the kitchen and staff office. Sharps/knives are inaccessible and stored in a locked drawer in the kitchen. Facility has non-perishable food for at least one week and perishable food for at least two days. Medications are centrally stored in a locked cabinet in the office. Smoke and carbon monoxide detectors were tested and in proper working order. Fire extinguishers were fully charged. Room temperatures are maintained at around 66-71 degrees F. The hot water temperature was tested and measured at 135-140 degrees F (Please see LIC 9102). All sinks, showers and toilets are in working order. All beds are in good repair; equipped with good springs, clean mattresses and pillows. Adequate supply of beddings and linens were observed. Overall, facility is clean, safe, sanitary and in good repair. (Continued...) Disaster Preparedness Facility maintains a monthly log of emergency drills that contains all required information. The log is available for review by the Department upon request. LPA observed documentation of Emergency Intervention Training and on-going training An Annual Continuation is required at a later date to review the following domains: Staffing, Client Records, Emergency Intervention, Operations, Special Health Care Needs, and Core Therapeutic Services. During today's inspection, the STRTP was provided one (1) Advisory Note/Technical Violation (LIC9102TV). An exit interview was conducted, and a copy of this report was provided to the facility representative via email.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On October 2, 2025, at 9: AM, Licensing Program Analysts (LPAs) Brent Lockhart, Claudia Portillo and Timika Martin conducted an unannounced Required Annual Continuation inspection at the facility. LPAs met with Administrator, Raeanna Howard. The following components were reviewed and addressed during this inspection. The STRTP are licensed to serve six (6) clients and currently has three (3) clients at the facility. LPAs completed four (4) domains: Operations, Emergency Intervention Plan and Core-Therapeutic Services. LPAs reviewed three (3) staff files, but did not complete the staffing domain. LPAs issued three (3) technical violations and two (2) technical advisories. In addition, LPAs issued two (2) Type B citations, Type B violation 87072.2(a) for Complaint Procedures, and Criminal Record Clearance (80019)(e), The STRTP did not ensure S4 obtained a criminal record clearance prior to working at the facility. S4 was employed June 2025 thru September 13, 2025. A civil penalty won't be issued because S4 is no longer at the facility. An exit interview was conducted and a copy of this report, LIC 811 and appeal rights were discussed and left with Administrator, Raeanna Howard whose signature on this form confirms receipt of these documents.

Deficiencies:
80019(e): Criminal Record Clearance

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1522 shall prior to working, residing or volunteering in a licensed facility


summary: Facility Evaluation

raw_content:
Narrative:
On October 9, 2025, at 9: AM, Licensing Program Analysts (LPA) Brent Lockhart conducted an unannounced Required Annual Continuation inspection at the facility. LPA met with Administrator, Raeanna Howard. The following components were reviewed and addressed during this inspection. The STRTP are licensed to serve six (6) clients and currently has three (3) clients at the facility. LPA completed one (1) domain: Client Records. LPA reviewed three (3) client files. LPA issued two (2) technical violations and one (1) technical advisory. In addition, LPA interviewed one (1) staff, and (1) client. An exit interview was conducted and a copy of this report and appeal rights were discussed and left with Administrator, Raeanna Howard whose signature on this form confirms receipt of these documents.


summary: Facility Evaluation

raw_content:
Narrative:
On January 9, 2026, at 10:15 a.m., Licensing Program Analyst (LPA) Brent Lockhart and Licensing Program Manager (LPM) Jean Herring conducted an unannounced Case Management - Incident follow-up inspection at James Penny House, a Short-Term Residential Therapeutic Program (STRTP). The purpose of the inspection was to follow up on an incident report (IR) received by the Department. LPA met with Raeanna Howard, Facility Administrator (FA). On December 9, 2025 the Department received an IR stating that an incident had occurred on December 8, 2025 with information regarding a client asked staff for hygiene products and was provided an eyebrow razor, the client went to the bathroom and proceeded to use the razor to cut herself. LPA requested Client Roster, LIC500, recent Child and Family Team (CFT) meeting, Needs and Services Plan (NSP), JV Court Order, and Staff Contact List. Further review is required to close the case management. LPA provided a signed copy of this report and LIC811 to the Administrator.

met_with: Raeanna Howard - Administrator


facility_name: JOHN & DOROTHY ALMKLOV HOUSE

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that an alleged violation occurred, therefore the allegation is unsubstantiated. There are no deficiencies to be cited regarding these allegations. A copy of this complaint with Ms. Smith.

Investigation Findings:
On September 1 2021, Licensing Program Analyst (LPA), Karen McGee,delivered the findings of the complaint investigation to Administrator, Trina Smith. On May 20, 2021, Monterey Park Children's Residential Program (MPCRP) received a complaint with the above mentioned allegations. The investigation included confidential interviews that consisted of, but were not limited to: the Administrator. The LPA reviewed the needs and services plans and special incident reports. The LPA observed client (see Confidential Names, LIC Ref. #1 dated September 1, 2021) medical history in the CWS/CMS System. The LPA did not receive return phone calls from the reporting party or county social worker. The LPA was unable to obtain the current contact information to interview Client Ref. #1. The investigation revealed that staff at the facility took Ref. #1 to the doctor and Ref. #1 tested negative for COVID19 on May 10, 2021. The investigation revealed that the information was shared with the client's teacher via email. Information in the CWS/CMS indicates that Ref. #1 was given a child wellness check on March 11, 2021. The LPA was unable to determine by the notes which indicated, "NKA" if Ref. #1 suffered allergies. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: JOHN & DOROTHY ALMKLOV HOUSEFACILITY NUMBER: VISIT DATE: 09/01/2021

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

report_type: Complaint Investigation

met_with: Trina Smith

complaint_status: unsubstantiated


raw_content:
Narrative:
It was alleged that a facility staff choked client. Facility staff and client denied the above allegation. It was also alleged that facility staff did not protect minor from other minors in the home. Facility staff and client denied the above allegation. Based on confidential interviews the facility staff did not choke client but did restrain client. Confidential interviews also revealed that facility staff are always present in the facility and interfere when clients get involved when there is a verbal or physical altercation between clients. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and appeal rights were provided to the facility representative.

Investigation Findings:
13On October 7, 2021 at 10: AM, Licensing Program Analyst (LPA) conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegations above. LPA Martin met with the facility representative named above and discussed the findings. During the investigation, LPA Timika Martin conducted a record review on 09/00/21 and obtained copies of client's needs and services plan (NSP), special incident reports (SIRs) and ID & Emergency information for clients. LPA requested copies of the LIC 500 with staff contact information and client roster. Confidential interviews were conducted by LPA Martin with County Social Worker 1 (CSW1), County Social Worker 2 (CSW2) on 9/00/21; Client 1 (C1) and Administrator on 9/30/21 via telephone (See Confidential Names List Form LIC 811 dated October 7, 2021). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Timika Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: JOHN & DOROTHY ALMKLOV HOUSEFACILITY NUMBER: VISIT DATE: 10/07/2021

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

met_with: Trina Smith, Administrator


raw_content:
Narrative:
It was alleged that staff pays residents to fight. Facility staff and client denied the above allegation. It was also alleged that staff do not provide adequate care and supervision. Facility staff and client denied the above allegation. Based on confidential interviews the facility staff does not pay residents to fight. Confidential interviews also revealed that facility staff are present in the facility to provide adequate care and supervision to clients in care. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and appeal rights were provided to the facility representative.

Investigation Findings:
13On December 27, 2021 at 1:00PM Licensing Program Analyst (LPA) Janeth Chavez conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegations above. LPA Chavez met with the facility representative named above and discussed the findings. During the investigation, LPA Chavez conducted a record review on 11/08/21 and obtained copies of client's needs and services plan (NSP), special incident reports (SIRs) and ID & Emergency information for clients. LPA requested copies of the LIC 500 with staff contact information and client roster. Confidential interviews were conducted: County Social Worker 1 (CSW1) on 12/27/21; Client 1 & 2 (C1 & C2) and Administrator and Staff 1 on 11/08/21: Client 3, 4 & 5 refused to be interviewed; Staff 2, 3 & 4 on 11/17/21 (See Confidential Names List Form LIC 811 dated 11/08/21). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Janeth Chavez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: JOHN & DOROTHY ALMKLOV HOUSEFACILITY NUMBER: VISIT DATE: 12/27/2021

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

met_with: Ronnie Wofford


raw_content:
Narrative:
The LPA observed a Law Enforcement Contact Report dated March 28, 2022 reporting the incident that happened March 27, 2022. Ref. #3, the alleged victim, declined to provide information regarding the incident. So, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that an alleged violations occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding this allegations. A copy of this complaint was provided to the facility representative.

Investigation Findings:
On August 4, 2022 at 3:30 p.m., Licensing Program Analyst (LPA), Karen McGee, met with Assistant Administrator, Trina Smith for the purpose of delivering the investigative findings. On March 28, 2022, the Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegations. Confidential interviews were conducted that included, but were not limited to: two Facility Managers (FM) (see Confidential Names, LIC Ref. #1 and #2 dated August 4, 2022); and one Client, Ref. #3. Ref. #4 was not interviewed. The LPA reviewed the Needs and Services Plan and the Special Incident Report. The investigation revealed that Ref. #3 engaged in a fight with their roommate, Ref. #4, during the night shift. It revealed that FM #2 was on duty and became aware of the fight which happened within two minutes when Ref. #4 came from the bedroom breathing heavy. It revealed that FM#2 checked on Ref. #3 and questioned Ref. #3 and #4 about the fight. It revealed inconsisent information on why the fight began. It revealed that Ref. #3 was allowed to sleep in a different location in the facility that night. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: JOHN & DOROTHY ALMKLOV HOUSEFACILITY NUMBER: VISIT DATE: 08/04/2022

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


raw_content:
Narrative:
The Department received a complaint alleging Client (C1) was restrained by Staff (S1). S1 denied the allegation. The investigation revealed S1 conducted a walk through of the facility grounds and observed a window open. S1 asked C1 to close the window. C1 became escalated, grabbed S1 and pulled S1 through the window. Statements obtained from interviews conducted with staff indicated a hold was used due to C1's aggressive behavior. The local police department was dispatched to the facility due to the incident and S1 declined to press charges. Information reported to the Department indicated C1 was not harmed during the incident. Based on information obtained from interviews conducted and record review the allegation is unsubstantiated. Although the allegation may have happened or is valid the standard of the preponderance of evidence was not met. Exit interview conducted and a copy of this report and Confidential Names List LIC811 dated 09/08/22 were given to the above mentioned facility representative. No deficiencies were cited.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 09/08/22 at 1: PM. During the inspection LPA Larios met with Lead Direct Care Staff (LDCS) Ronnie Wofford. The purpose of the inspection was to deliver findings on behalf of LPA Zeyda Loera regarding the above mentioned complaint allegation. During the course of the investigation LPA Loera conducted a record review at the facility on 02/22/22. LPA Loera obtained copies of the Staff Roster and contact information, Client Roster, Client's Needs and Services Plans (NSP) and Special Incident Reports (SIR). LPA Loera attempted to interview three clients (C1, C2, C3) on 02/22/22, however, all clients declined to provide a statement. In addition, LPA Loera conducted interviews with the facility Administrator (AD) and one Staff (S1) on 02/22/22 (See confidential names form LIC811 dated 09/08/22). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: JOHN & DOROTHY ALMKLOV HOUSEFACILITY NUMBER: VISIT DATE: 09/08/2022

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


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Investigation revealed the following: It was alleged facility staff are not appropriately supervising minor in care. Interview conducted with staff were similar and denied the allegation. Staff stated that they have adequate staff throughout each shift to monitor the children in care. Staff stated that children get passes to walk or be in the community but that when children do not return on time or if they aren't allowed to be gone proper agencies are notified and local law enforcement is called, and reports are filed. Staff stated they typically are unaware of what transpires when children run away from facility. However, one staff stated that they were made aware of one incident occurring while one child was on runaway status due to local law enforcement telling them what happened, but staff stated they were not given specifics only questioned about potential locations of child's whereabouts. Children had similar statements and denied the allegation. Children stated that there are adequate staff and that there is adequate staff to meet their needs. Two children had contradictory statements. Children stated that there was adequate staff to supervise them in the home, but that staff don't always answer the phones when children are on outings or wanting to get picked up. Additionally, one child stated that staff don't intervene when children are fighting. However, the information provided for staff was unclear as to if incident occurred in the home or while children were outside on runaway or outing. Child in which this investigation was generated denied speaking with LPA. Documents reviewed identified proper notifications were made pertaining to incident referenced within this investigation and all incidents leading up to and after child returned were documented. Licensing Program Analyst attempted to reach county social worker but was unable to speak with county worker regarding incident but documents reviewed identified no issues or concerns with facility or children being placed in facility. Based on the information gathered, although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of this report Confidential Names Form, and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On 9/13/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the John and Dorothy Almklov House for the purpose of concluding the above complaint investigation. LPA met with Lead Facility Manager and discussed the above identified findings. Investigation consisted of the following: On 6/7/ LPA interviewed Administrator and Direct Care staff (see confidential names, LIC 811, dated June 7, 2023). LPA received the following copies: Current staff/ client roster, staff training log, six (6) children's most recent needs and service plans, law enforcement special incident reports (SIRs) for the past two months and any associated complaints or documents associated to the care and supervision of children. On 6/21/ LPA met with and interviewed children (see confidential names LIC811 dated 6/21/2023). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Dawn Mahecha LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: JOHN & DOROTHY ALMKLOV HOUSEFACILITY NUMBER: VISIT DATE: 09/13/2023

met_with: Ronnie Wofford, Lead Facility Manager


raw_content:
Narrative:
LPA also reviewed pertinent STRTP records, Department databases, and reports from other agencies. Investigation revealed that STRTP staff took three (3) clients on a supervised walk around the neighborhood, satisfying the staff to client ratio for being outside of the facility. On the walk, the group came upon two additional STRTP clients at a local park who were out of the STRTP on permitted community pass. The two groups interacted and an argument ensued. STRTP staff attempted to de-escalate the argument throughout, getting between participants for separation, only for another to engage from a different angle. By all accounts of the clients involved, STRTP staff did actively supervise the youths and de-escalate to the best of his ability. Based on information gathered, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No deficiencies were cited during this inspection. Exit Interview conducted. A signed copy of this report, LIC9099-C, and LIC811 were provided to Henry Trochez, Administrator. Appeal rights provided.

Investigation Findings:
13On November 13, 2023, at 11:00 a.m., Licensing Program Analyst (LPA) John Bonilla arrived unannounced at the John & Dorothy Almklov House, a Short-term Residential Therapeutic Program (STRTP), and met with Henry Trochez, STRTP Administrator, for the purpose of delivering findings on the above complaint investigation. On September 26, 2023, the Department received a complaint alleging that the STRTP staff did not adequately supervise youths while in care. LPA's investigation consisted of the following: On 09/29/ LPA interviewed Reporting Party. On 10/05/ LPA interviewed two STRTP clients (see LIC Confidential Names list dated 10/5/23). LPA received the following copies: Current staff/ client roster, staff training log, clients' most recent Needs and Service Plans (NSPs), and relevant special incident reports (SIRs). On 10/19/ LPA interviewed two clients at their respective high school (see confidential names LIC811 dated 10/5/23). (Cont'd) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: John Bonilla LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: JOHN & DOROTHY ALMKLOV HOUSEFACILITY NUMBER: VISIT DATE: 11/13/2023

met_with: Henry Trochez, Administrator


raw_content:
Narrative:
LPA also reviewed pertinent STRTP records, Department databases, and reports from other agencies. The STRTP has three bedrooms for clients. Two are along the left side of the home with the third bedroom, the master bedroom, being across a hallway that bisects the home. The facility has three restrooms in total. One is located within the master bedroom, one located in the hallway, and a third in the rear of the home, near staff offices. According to S1, The rear restroom is for staff only. Staff restroom has a toilet and sink and is used for multi-purpose storage. The hallway restroom is designated for use by the clients whose bedroom is on the left side of the home. The remaining restroom, in the master bedroom, is for the occupants of that bedroom. Interviews with S1, C1, C2, C4, and C5 were consistent in revealing that the restroom located in the master bedroom was being used by all clients as an auxiliary restroom if the hallway restroom was occupied. Based on LPA's observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Interim Licensing Standards Article 7 are being cited on the attached LIC9099-D. Exit Interview conducted. Plans of Correction discussed. A signed copy of this report, LIC9099-C, LIC9099-D, and LIC811 were provided to Henry Trochez, Administrator. Appeal rights provided. This is an amended finding delivered on 12/15/23. LPA also reviewed pertinent STRTP records, Department databases, and reports from other agencies. Interviews with clients (C1, C2, C4, C5) and staff (S1) returned answers inconsistent with the allegation of staff allowing youths to smoke in the facility. The STRTP has signs prominently posted stating that smoking/vaping is not allowed in the facility. Clients denied having seen anyone smoking or smelling smoke. Clients stated everyone was pretty much sober. Staff said they did not allow anyone to smoke in the home, and denied having smelled anything either. Staff did indicate that vape pens are seen on the client's person occasionally, but when seen, staff asks for the client to turn it in. In cases where a client did not surrender, then staff would allow them to go on, but wait for the client to leave the pen lying in plain sight or inside their laundry on laundry day to confiscate it. Based on the information gathered, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No deficiencies were cited during this inspection. Exit Interview conducted. A signed copy of this report, LIC9099-C, and LIC811 were provided to Henry Trochez, Administrator. Appeal rights provided.

Investigation Findings:
13On November 13, 2023, at 12:00 p.m., Licensing Program Analyst (LPA) John Bonilla arrived unannounced at the John & Dorothy Almklov House, a Short-Term Residential Therapeutic Program (STRTP), and met with Henry Trochez, STRTP Administrator, for the purpose of delivering findings on the above complaint investigation. On October 20, 2023, the Department received a complaint alleging that a client's bedroom is being used as a pathway to reach a facility restroom. LPA's investigation consisted of the following: On 10/19/ LPA interviewed Reporting Party. On 10/30/ LPA interviewed three STRTP clients (C2, C4, C5) and one facility staff (S1) (see LIC Confidential Names list dated 11/13/23). LPA received the following copies: Current staff/ client roster and facility floor plans. On 11/06/ LPA interviewed one client (C1), but was unable to meet with another (C3) at their respective high schools. (Cont'd) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: John Bonilla LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: JOHN & DOROTHY ALMKLOV HOUSEFACILITY NUMBER: VISIT DATE: 11/13/2023


raw_content:
Narrative:
LPA also reviewed pertinent STRTP records, Department databases, and reports from other agencies. The STRTP has two facility vehicles. LPA observed a small sedan, and a white Toyota minivan. LPA was shown the inside of both vehicles. Of note, the white Toyota minivan has capability for seating eight (8) passengers, with the first row consisting of two (2) bucket seats, the rear row consisting of a bench seat for three (3) passengers, and the middle row consisting of two (2) dedicated bucket seats and a fold down seat with seat belt attached to the bucket seats allowing for a third passenger. LPA observed the fold down seat to be cocked in an unusual way, and asked Administrator (A1) about it. A1 said seat was working and attempted to put the seat in place, but being unable to, actually pulled the seat off the hinges and told LPA, "Oh, I guess it 's broken." Interviews with clients (C1, C2, C4, C5) and staff (S1, A1) reveal knowledge of the seat being in disrepair, however LPA is unable to determine whether facility staff allowed clients to use broken seat during transport due to conflicting statements. Further investigation revealed that the facility van was taken to an auto shop on April 20, 2023, for a seat repair. However, the seat is a special order from the dealer and the part is on back order as stated in the work order. The work order was not provided to the LPA during the investigation. The STRTP also states that the facility has another vehicle which can be used to transport clients if additional seats are needed. Although one of the facility van seats is not in good repair, the facility took the van to the repair shop to obtain a work order. Based on the information gathered, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No deficiencies were cited during this inspection. Exit Interview conducted. A signed copy of this report, LIC9099-C, and LIC811 were provided to Shaderian Williams. Appeal rights provided.

Investigation Findings:
13On December 15, 2023, at 12:15 p.m., Licensing Program Analyst (LPA) John Bonilla arrived unannounced at the John & Dorothy Almklov House, a Short-Term Residential Therapeutic Program (STRTP), and met with Shaderian Williams for the purpose of delivering findings on the above complaint investigation. On October 20, 2023, the Department received a complaint alleging that the STRTP's facility vehicle is not in good repair. It was also reported that when people sit in the middle row of the van, they cannot wear a seatbelt because the seat is broken. LPA's investigation consisted of the following: On 10/19/ LPA interviewed Reporting Party. On 10/30/ LPA interviewed three STRTP clients (C2, C4, C5) and one facility staff (S1) (see LIC Confidential Names list dated 11/13/23). LPA received the following copies: Current staff/ client roster, facility travel/outing logs, facility vehicles' maintenance logs and facility floor plans. On 11/06/ LPA interviewed one client (C1), but was unable to meet with another (C3) at their respective high schools. (Continued next page) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: John Bonilla LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: JOHN & DOROTHY ALMKLOV HOUSEFACILITY NUMBER: VISIT DATE: 12/15/2023

met_with: Shaderian Williams, Facility Manager


raw_content:
Narrative:
It was alleged that minor had access to illegal drugs while in care and staff did not provide adequate supervision resulting in minor consuming hand sanitizer. The investigation revealed that the minor returned to the facility from being AWOL and appeared to be under the influence. The minor exhibited unusual behavior and later on asked staff to contact 911 after the minor started vomiting. The minor disclosed drinking hand sanitizer during AWOL. The minor was transported by emergency personnel to the hospital where the minor reported drinking hand sanitizer and using methamphetamines. It was discovered during confidential interviews that the minor obtained hand sanitizer from school and drank it inside the bedroom, after returning to the facility. There was no witness to the incident. The minor engaged in substance abuse while away from the facility and no one from the facility provided the minor with methamphetamines. Staff on duty responded appropriately by monitoring the minor's behavior after returning from AWOL and by immediately seeking medical attention for the minor. Based on the information gathered, the allegation of neglect/lack of supervision is unsubstantiated. Although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met. An exit interview was conducted, and copies of the following licensing reports were provided: LIC 9099, LIC 9099-C, LIC Confidential Names and Appeal Rights. There were no deficiencies cited during this inspection.

Investigation Findings:
13On March 22, 2024 at 11:05AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted an unannounced complaint inspection at the facility. LPA met with the facility representative named above. The purpose of the inspection is to deliver the finding regarding the above allegations. The investigation was conducted by Investigations Branch (IB) Investigator Elisia Rippe and the undersigned LPA. The investigation into the allegations includes the following: LPA conducted the 10-day inspection at the facility on 11/29/23 and obtained copies of pertinent records. Investigator Rippe interviewed the minor and one facility manager on 12/14/23. Between 12/14/23 and 3/20/24, additional information was obtained from other staff, former client and county placement agency staff. Records were reviewed including, but not limited to the Personnel Report, Register of Clients in Placement, Incident & Law Enforcement Contact Reports and Needs and Services Plan. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: JOHN & DOROTHY ALMKLOV HOUSEFACILITY NUMBER: VISIT DATE: 03/22/2024

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

met_with: Peter Airewele, Administrator


raw_content:
Narrative:
The Department received a complaint with the following allegations: Staff hit minor resulting in injury, Staff did not allow minor to eat/Staff confiscated minor's personal belongings. Confidential interviews revealed that S1 and S2 denied hitting the minor, restricting access to food or taking personal items.S1 stated that all youth have access to food as needed, with a monthly menu posted and request for late-night meals. S1 reported that there is no policy or practice of food denial. S1 denied any allegations of physical abuse or inappropriate conduct towards the youth. S1 indicated searches of youth are conducted to maintain safety.According to S2, each youth is provided a personal locker with a key, ensuring security for personal items. S2 clarified that the facility maintains an open access policy to food, with a monthly menu available on the refrigerator. The interview with RP2 revealed that RP2 could not provide any specific details or confirm the allegations. RP2 disclosed no knowledge of the circumstances around the alleged confiscation of the youth's personal belongings. The youth placed in the home declined to give a statement as part of the investigation. Record review revealed that an incident report was generated on 12/28/23 by the STRTP and submitted to the department. The incident report indicated that law enforcement was called to the facility by C6 and C6 admitted to fabricating the story that S1 had hit C5. The incident report stated that law enforcement interviewed C5, S1, and S2. After the interviews, law enforcement left the facility. Based on the confidential interviews and records reviewed, the complaint against the the facility is unsubstantiated. An unsubstantiated determination means the allegation lacks a preponderance of the evidence to prove that the violation occurred. There are no deficiencies to be cited at this time. An exit interview was conducted, and LPA Martinez provided a signed LIC 9099 to the representative.

Investigation Findings:
13On 05/15/24, Licensing Program Analyst (LPA) Joe Martinez conducted a follow up complaint inspection at the Short Term Residential Therapeutic Program (STRTP). LPA Martinez met with the facility representative named above. The purpose of the inspection is to deliver the findings for the above allegation(s) LPA Martinez investigated the above allegation(s). The investigation consisted of but was not limited to a review of records, including special incident reports (SIR), facility social worker notes, needs and services plan. Confidential interviews included S1 and S2 on 01/11/24, R1 on 02/26/24, RP2 on 02/26/24.(Reference Confidential Names Form LIC 811, dated May 15, 2024). On 01/11/24, youths C1, C2, C3, C4, and C6 declined to participate in interviews. C5 was not present on 01/11/24 to be interviewed. On 01/18/24, LPA Martinez unsuccessfully attempted to interview youths C1, C2, and C3 in their school setting. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Joe Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: JOHN & DOROTHY ALMKLOV HOUSEFACILITY NUMBER: VISIT DATE: 05/15/2024


raw_content:
Narrative:
C1 was placed at the facility on March 3, 2024 and shared a bedroom with C2, however, there was not a incident. None of the clients reported any incidents to staff. During confidential interviews conducted, C1 indicated that the allegation happened during the time C1 shared a bedroom with another client, C2. However, C1 refused to provide any details regarding the incident. C1 indicated the incident was reported to staff. C2 denied nor confirmed the allegation. The LPA was unable to corroborate the allegation. The statements obtained from the confidential interviews did not provide sufficient information to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that alleged violation occurred, therefore the allegation is unsubstantiated. There were no deficiencies cited during this inspection. An exit interview was conducted. A copy of this report, Confidential Names Form, and Appeal Rights were provided to the facility representative via electronic mail.

Investigation Findings:
13On August 7, 2024, at 11: AM, Licensing Program Analyst (LPA) Karen Suh conducted a follow-up complaint inspection to deliver the finding of an investigation concerning to the allegation above. The LPA met Raymond Brown, Unit Coordinator, and discussed the finding. The investigation included confidential interviews that consisted of but were not limited to: the Administrator, two staff and three clients (see Confidential Names, LIC 811, dated August 7, 2024) on March 15, 2024. The LPA was unable to contact County Social Worker (CSW) after several attempts. The LPA obtained and reviewed clients (Needs and Services Plan. It was alleged that staff did not ensure sharp objects were inaccessible to clients in care. It was allegedly a client, C2, held a knife on another client, C1's, face. Staff denied the allegation. Staff stated all sharp objects, including knives are locked. Clients do not have access to the knives. Staff stated there was no incident between clients C1 and C2 on March 4, 2024. (Cont.) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Karen Suh LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: JOHN & DOROTHY ALMKLOV HOUSEFACILITY NUMBER: VISIT DATE: 08/07/2024

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

met_with: Raymond Brown


raw_content:
Narrative:
The staff members (S1, S2, and S3) refuted the accusations, asserting that they have no knowledge of, and C1 has not disclosed any information about being associated with adult females. They emphasized their active involvement with the clients, staying informed about each client's daily activities. The staff also assured that they would intervene when necessary to guide clients in adhering to and completing their program. Both the staff and support team stressed the significance of educating clients on condom availability and safe sex practices. They consistently remind clients about the dangers of unprotected sex and the risks of contracting sexually transmitted diseases. Regarding the drug use allegation, the staff explained that the facility implements measures to prevent contraband from entering, including conducting self-searches on clients and inspecting all bags. Despite these precautions, clients have succeeded in smuggling contraband by hiding items in areas not easily accessible to staff. If contraband is found, the staff will confiscate, document, and dispose of it appropriately. Information provided by C1 corroborated the aforementioned details, expressing a sense of security while residing at the facility and acknowledging the staff's assistance in achieving their individualized plan. C1 denied involvement with adult females or mistreatment of animals, stating that the only substances used were marijuana and alcohol during AWOL. C1 admitted to fabricating the claims to provoke a reaction from their teacher. Additionally, C1 mentioned that the facility staff are vigilant, conducting visual searches of items brought back to the facility and confiscating any contraband discovered. Therefore, based on the information received, the above allegation(s) is determined to be unsubstantiated. Although the allegation(s) may have happened are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with the STRTP Facility Manager. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the STRTP Facility Manager.

Investigation Findings:
13On August 8, 2024, at 3: PM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection at the above Short-Term Residential Therapeutic Program (STRTP) and met with the Facility Manager Avian Newsome. The inspection aimed to deliver the finding(s) regarding the complaint allegation(s). On January 1, 2024, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): Staff did not prevent minor from engaging in an inappropriate sexual relationship with an adult; Staff did not prevent minor from engaging in illegal drug use. This LPA conducted the investigation of the above allegation(s) and it consisted of but was not limited to a review of records, including the client's needs and services plans, medical records, and interviews with the two staff members (S1) on 1/24/24, S2 on 1/24/24, (S3) on 1/24/24, 1 of 3 clients (C1) on 2/1/24, and the CSW on 1/31/24. C1 and C2 declined to be interviewed, so no statement was obtained from them. (Reference Confidential Names Form LIC 811, dated August 8, 2024). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: JOHN & DOROTHY ALMKLOV HOUSEFACILITY NUMBER: VISIT DATE: 08/08/2024

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

met_with: Avian Newsome


raw_content:
Narrative:
It was also alleged Staff do not ensure minor is provided with a safe environment while in care. Interviews conducted with staff were similar and staff denied the allegation. Staff stated that there are typically 2 to 3 staff present at one time monitoring children throughout the day and night. Staff stated that children are encouraged to come to them and that no children identified having a problem. Staff stated that children run away and that they do not always receive information as to what has transpired while on runaway. Interviews conducted with children were similar in that children stated they feel safe in the home and that staff are present to assist or address issues or concerns. Documents reviewed identified one child did not feel safe in the home, but information was inconsistent as to why or if incidents were occurring in home or while on runaway. Based on the information gathered, although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of this report Confidential Names Form and Appeal Rights were provided to the facility representative via electronic mail. There were no deficiencies cited during this inspection.

Investigation Findings:
13On September 6, Licensing Program Analyst (LPA) Winston Moroney made an unannounced visit to the John and Dorothy Almklov home on behalf of LPA Dawn Mahecha for the purpose of closing the above complaint investigation. LPA met with representative and discussed the following findings. Investigation consisted of the following: On 2/15/ LPA Christopher Larios conducted initial 10-day and on 3/14/ LPA Mahecha met with and interviewed Administrator and two staff (see confidential names list LIC811, dated, 9/6/2024). LPA requested the following documents: Staff/ client roster, three (3) children's needs and service plans, daily logs of incidents of fights with staff and amongst peers. Additionally, LPA requested incident reports for AWOLs for three children and any recent medical visits. Investigation revealed the following: It was alleged staff encourage minor(s) to physically abuse other minor in care. Staff had similar statements and denied the allegation. Staff stated that children are not encouraged to hit, physically abuse or be in each other's rooms when staff are not monitoring. Staff stated that children will sometimes go into each other's rooms and staff will redirect children to leave or if children refuse staff sit and monitor children while in the room. Staff stated one child had accidents and was accused of peeing on themselves and in a roommate's bed. Staff stated that the child would initiate fights with other children in the home, but if children reported incidents or incidents were observed staff would redirect children and children would be moved to ensure children didn't fight with each other. Interviews conducted with children had similar statements and children denied seeing or witnessing any staff encouraging children to physically abuse anyone. Children stated facility have enough staff to monitor them and are actively present within the facility. LPA attempted to interview child in which investigation was about, but LPA was unsuccessful. Documents reviewed identified that one child did identify staff encouraging children physically abusing one another but child did not identify which staff encouraged children or who else was present to observe incidents. Documents identified that child was consistently on run-away status and that incidents documented child's behaviors and documented interactions with children. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: JOHN & DOROTHY ALMKLOV HOUSEFACILITY NUMBER: VISIT DATE: 09/06/2024

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

met_with: Raymon Brown - Unit Coordinator


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Gilbert Gutierrez and Pamela Silva on January 25, 2022 at 9:30am. During the inspection, LPAs met with Trina Smith, Administrator. LPAs and Administrator inspected the facility inside and out. LPAs reviewed four (4) children's records on site at the facility at 10:00 am. LPAs reviewed two (2) staff personnel files on site at the facility at 11:15 am. LPAs interviewed two (2) staff on site at 12:30 pm. LPAs interviewed one (1) child currently taking psychotropic medication at 12:45 pm. LPAs provided the Summary Report to Trina Smitjh, Administrator upon completion. No deficiencies are being cited at ths time. LPAs conducted exit interview with the administrator at around 1:15 pm.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPA)s T. Davis and Dawn Mahecha went to John and Dorothy Almklov House on November 30, 2023 at 09:10am for the purposes of a joint unannounced Random Annual inspection. LPAs met with Crisol Jimenez, Head of Service and Robert Carter, Executive Vice President and discussed the purpose of today's inspection. The STRTP is located in a residential neighborhood and currently has six youth in placement. LPAs observed the facility's kitchen to be clean and well stocked with several food items (perishable and nonperishable). Sharp knives, chemicals, cleaning supplies, and medications are kept locked in areas inaccessible to clients. Each bedroom contained twin beds, dressers, and closet space. There is adequate seating in the dining area and the living room. LPAs also observed the bathrooms to be in good repair and working order. There is no swimming pool or other bodies of water on the premises. The Executive Vice President stated that there weren't any firearms or other weapons on the premises. The last fire drill occurred on October 27, 2023 at 9:05am. There is adequate space for indoor and outdoor activities. Smoke alarms were operable throughout the facility. The outdoor areas were observed to be free of debris and hazards. LPAs reviewed five client and three staff files and found the reviewed files to be in order. LPAs conducted staff Interviews. Clients were either sleeping, sick, or refused to speak with LPAs. LPAs obtained an updated LIC500 (Personnel Report) and a client roster. LPAs also obtained Board of Director's meeting minutes dated August 08, 2013 and September 12, 2023, respectively. The facility will be undergoing renovations in the foreseeable future. Licensee will email LPAs a copy of the facility's plans going forward as it relates to the renovations. LPAs obtained sketches regarding the future project. LPAs found no Title 22/ILS deficiencies on this date. Exit interview done LPAs discussed the cold weather conditions and precautions with licensee and provided licensee with the department's website address (www.ccld.ca.gov).

met_with: Crisol Jimenez, Head of Service


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Juliet Robles and Timika Martin on 02/15/24 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs Robles and Martin met with Ronnie Wofford, Facility Manager, Robert R. Carter, Administrator and inspected the facility inside and out. There are no children currently that take psychotropic medications. LPAs reviewed two (2) staff personnel files on site at the facility. LPAs interviewed two (2) staffs on site to discuss the facilities policies and procedures of operation. No deficiencies are being cited at this time. LPA conducted exit interview with Ronnie Wofford, Facility Manager and provided a copy of this licensing report.


summary: Facility Evaluation

raw_content:
Narrative:
On 08/27/25, Licensing Program Analyst (LPA) Joe Martinez initiated an annual/random inspection at the Short Term Residential Treatment Program (STRTP) and met with the facility representative listed above. During the inspection, LPA Martinez interviewed 3 staff. and observed the following: The interior of the facility was observed clean, sanitary, and in good repair Indoor temperatures were maintained within the required range of 68-85 degrees. All hallways and stairways were free of obstruction. Smoke detectors were tested and found operational. Carbon monoxide detectors were present and functional. At least one fully charged fire extinguisher was available At the time of the inspection, there were no clients present. Construction was going on in the facility and water was shut off. LPA Martinez was not able to inspect water temperature. Water will be turned back on prior to youth returning to the facility. The kitchen and food preparation areas were sanitary and well organized. Cleaning supplies and toxic substances were locked and inaccessible. Food storage areas were clean and sufficient supplies of perishable and nonperishable food were available. Sharps are locked in the facility office and inaccessible to youth placed in the home. The facility has readily accessible first aid supplies maintained in a central location in the facility. Three bedrooms were observed during the inspection. All individual beds were clean, safe, and comfortable, with pillows, mattresses, and linens provided. Each child have their own bed and adequate supply of linens (sheets, blankets/coverings, towels, and washcloths) available to allow for weekly changes or more frequent changes. Adequate storage space for each child's clothing and personal belongings were observed. The facility also has a separate, lockable locker for each youth to store their personal belongings. Due to time constraints, the annual review will need to be completed at a later time. There are no deficiencies to be cited at this time. LPA Martinez conducted an exit interview and provided the STRTP Representative with a signed copy of the LIC 809 and LIC809C.

met_with: Abraham Nesheiwat


raw_content:
Narrative:
A review of several Law Enforcement Contact Reports indicated that Ref. #1 left the facility on several occasions without permission, but upon return to the facility was questioned about sexual and criminal activity. The investigation revealed no incident reports indicating that Ref. #1 snuck his girlfriend into the facility. Ref. #1 denied bringing his girlfriend inside the facility. Staff indicated that if the girlfriend became pregnant it did not happen at the facility. Staff indicated when the girlfriend showed up at the facility at inappropriate times, the staff called law enforcement to have her escorted away. There were conflicting statements as to whether the girlfriend was pregnant or not. Ref. #1 denied having a girlfriend. Staff indicated that at some point Ref. #1 broke up with the girlfriend. The CSW has no concern about the supervision of Ref. #1 at this time. The LPA was unable to obtain sufficient evidence to corroborate the allegation. There was no preponderance of the evidence to substantiate the allegation. So, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegation is unsubstantiated. There are no deficiencies to be cited regarding this allegation. A copy of this complaint was provided to the facility representative.

Investigation Findings:
13On September 11, 2025 at 4:50 p.m., Licensing Program Analyst (LPA), Karen McGee, delivered the findings of a complaint investigation report to the facility and met with PM Unit Coordinator, Raymond Brown. On June 11, 2025, Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegations. Confidential interviews were conducted that included, but were not limited to: one client (see Confidential Names, LIC Ref. #1 dated September 11, 2025) at school August 22, 2025 and the Administrator via telephone September 8, 2025, one County Social Worker (CSW) via telephone on August 25, 2025. The LPA reviewed incident reports. There was a statement that Ref. #1 engaged in a consensual sexual relationship with his girlfriend and that the girlfriend was pregnant. There was a statement that Ref.#1 snuck his girlfriend into the facility. The investigation revealed that Ref. #1 is 16 years old and has community passes. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: JOHN & DOROTHY ALMKLOV HOUSEFACILITY NUMBER: VISIT DATE: 09/11/2025

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


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
Continued... On September 17, 2025, the Department received a complaint alleging that a staff (S1) interfered with minor's confidential phone call, staff engaged in a verbal altercation with minor in care, and staff did not follow proper reporting requirements. During the interview process, LPA conducted interviews with S1, S2, C2, and BM. LPA also attempted to interview Client 1 (C1); however, C1 refused to participate in an interview with LPA. No additional witnesses came forward and no corroborating documentation or physical evidence was provided to support the allegations. LPA's investigation consisted of interviews with S1, S2, C2, and BM. Interviews revealed that C1 was on a late-night video call with BM in his shared bedroom while C2 was attempting to sleep. S1 stated he turned off the room light during routine room checks per facility rules and not to interrupt C1's phone call. Per BM, she stated that she was the one who interrupted C1's call after he became upset about the light being turned off by S1. S2 reported that C1 admitted he was very upset about a serious family matter, was not following directions, and escalated-yelling and making racial slurs toward S1. BM corroborated this account. Interviews and documentation confirmed S1 followed proper procedures: notifying administration, completing an Incident Report and participating in an administrative review. Based on the information gathered by the LPA, there is insufficient evidence to support that S1 interfered with C1's confidential phone call, engaged in inappropriate verbal altercation, or failed to follow reporting requirements. While the allegations may have happened or may be true, there is not enough preponderance of evidence to prove that staff violated applicable regulations. Therefore, the complaint allegations are deemed Unsubstantiated. A signed copy of this report along with the Appeal rights were discussed and provided to the Facility Representative. Exit interview conducted. No deficiencies were cited at this time.

Investigation Findings:
13On 12/17/2025, at 8:04 a.m., Licensing Program Analyst (LPA) Christopher J. Williams conducted a follow-up inspection at the John & Dorothy Almklov - Short Term Residential Therapeutic Program (STRTP) for the purpose of delivering findings on the above allegations. LPA met with Abraham Nesheiwat, Facility Administrator. LPA's investigation consisted of an attempted phone interview with the Reporting Party (RP) on 9/22/2025. But to no avail. No answer or response back from RP. LPA attempted to interview Client 1 (C1) (See LIC811 - Confidential Names list dated: 12/17/2025) on 9/25/2025 at the STRTP. But to no avail. C1 refused to meet and interview with LPA. On 10/14/2025, LPA contacted and interviewed S1 via phone call (staff currently works the graveyard shift). On 10/17/2025, LPA contacted and interviewed S2 and BM via phone call. On 11/12/2025, LPA continued the interview process by completing an interview via phone call with C2. Continued on LIC9099c. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Christopher J Williams LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: JOHN & DOROTHY ALMKLOV HOUSEFACILITY NUMBER: VISIT DATE: 12/17/2025

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 90


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Timika Martin, Pamela Silva, Amber Hunter and Joe Martinez on 08/07/25 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Administrator, Abraham Nesheiwat and inspected the facility inside and out. LPAs reviewed two (2) of children's records and three (3) of staff personnel files on site at the facility. LPAs reviewed two (2) of children's psychotropic medications and medication records. LPAs interviewed three (3) staff on site to discuss the facility's policies and procedures of operation. LPAs interviewed one (1) child currently prescribed psychotropic medication. During the inspection, the LPAs observed deficiencies (see attached 809-D). Plan of corrections were discussed, and appeal rights were provided. LPAs conducted exit interview and provided a copy of this licensing report to Administrator, Abraham Nesheiwat.


summary: Facility Evaluation

raw_content:
Narrative:
On October 19, 2023, at 12:27 p.m., Licensing Program Analyst (LPA) John Bonilla arrived at the John & Dorothy Almklov House, a Short-Term Residential Therapeutic Program (STRTP) for the purpose of conducting an unannounced Case Management inspection. LPA met with Henry Trochez. The Department obtained knowledge on September 26, 2023, of an incident that occurred involving clients of the STRTP. The report states that during a supervised walk in the neighborhood, an altercation occurred at a nearby park between clients of the home with staff present. Upon review of records at STRTP, it was discovered that an incident report had been created for the event but was never reported to Community Care Licensing. Mr. Trochez provided a copy of the report for LPA. During today's inspection, the STRTP was cited for being in violation of Reporting Requirements. Please refer to LIC809D (citation page) A signed copy of this report and LIC809D were provided to Mr. Trochez. Exit interview conducted. Appeal Rights provided.


summary: Facility Evaluation

raw_content:
Narrative:
On 04/17/26, Licensing Program Analyst (LPA) Joe Martinez initiated a case management inspection at Short Term Residential Treatment Program (STRTP) and met with the facility representative listed above. The Department received an incident report concerning a youth (C1) residing at the Short-Term Residential Therapeutic Program (STRTP). The purpose of this investigation was to determine if the facility met the mandatory reporting requirements. LPA Martinez interviewed the Program Administrator regarding the timeline of the event and the reporting process. LPA Martinez also reviewed C1's facility file during the inspection. Based on the information gathered, STRTP notified the Department of the incident and the records confirmed that the formal written report was submitted within the seven-day period. No further follow-up is needed on this incident. There are no deficiencies to be cited at this time. LPA Martinez conducted an exit interview and a copy of this report was provided to the facility administrator.

met_with: ABRAHAM NESHEIWAT


facility_name: JOHNNIE'S HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Christopher Rollins conducted an annual Inspection with Johnnie's House. LPA met with Robert Oliver Administrator. Johnnie's House converted to Short Term Residential Therapeutic Program (STRTP) on June 30, 2020. STRTP is licensed to serve 6 clients ages 6-17. At 11: AM, LPA Rollins conducted a file review with Administrator. LPA reviewed 2 clients files and Staff files were reviewed. LPA observed two client files and found no deficiencies. The documentation in the clients file are complete. LPA observed all staff files to be complete, all correct documentation and all staff were up to date with there 40 hours of training for the year. LPA spoke with Administrator about the upcoming facility move to Oakhill Circle Oakland, California 94605. Administrator states that the move happen on June 10, 2021. LPA explain the documentation that the facility needs to turn in. LPA request an updated LIC 200, Fire Clearance, submit relocation checks to San Bruno Office and updated program statement with new address on it. Administrator states that currently the facility doesn't have any clients in the facility. LPA states that LPA will conduct a facility inspection when it is ready. LPA spoke with Administrator about facility getting there Mental Health Certification. Administrator states that facility is working with the county to get there Medi-Cal certification. LPA advised Administrator that LPA will extend the facility for another 6 months. During inspection, LPA requested a updated copy of the LIC Personnel Report to maintain their file current. A review of Licensing Information System on June 30, 2021 indicates that all facility staff associated to the facility had DOJ, FBI and child abuse index check clearances. Per Title Regulations, no deficiencies were cited during this inspection. Exit interview conducted and a copy of the report was left at the facility.

met_with: Robert Oliver- Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On March 09, 2022 at 3: PM Licensing Program Analysts (LPA's) Alyssa Ng and Isabel Mendoza conducted an unannounced case management inspection. The purpose of the inspection was to confirm that the above address ( Carrison St Berkeley, CA) is no longer operating as a Children's Residential Facility and has no children in placement. The house is a one story home in a residential neighborhood. There were no cars outside. In January of 2020 the facility sold their property. During inspection, it was confirmed that the above address is no longer a residential facility. Johnnies House is officially closed and the license forfeited.

met_with: New renters