summary: Facility Evaluation

raw_content:
Narrative:
At 9:38AM, Licensing Program Analyst (LPA) Madi Fremont traveled to the home above for the purpose of conducting an unannounced Required Annual Inspection. LPA met with Licensee/Administrator Angie Casipit and Licensee Jesus Casipit, who helped facilitate this inspection. Currently in care are 5 ambulatory clients. At the time of this inspection, all clients were out of the home at school, and all staff were present in the home receiving their annual staff training. During this inspection, LPA toured the home inside and out. The home was observed to be clean and free from hazards. The home has 4 bedrooms, one of which is a staff bedroom that is kept inaccessible to clients. All bedrooms were furnished with 1-2 beds, dressers with ample storage room, and closets with sliding doors. All bedroom furniture was observed to be in good repair. The backyard has 2 play structures which were anchored to the ground and had soft material underneath in the event of falls. All walkways were unobstructed and free of hazards. LPA observed at least 2 days of perishable food and 7 days of nonperishable food. The thermostat was set to 73 degrees Fahrenheit, and the water faucets measured 105.7 degrees Fahrenheit. All smoke and carbon monoxide detectors were functional. All medications were kept locked in a central location. All chemicals and cleaning products are kept locked and inaccessible to clients. No firearms on the premises, all sharps are kept locked. There is a fire extinguisher in the garage which has been inspected by the fire department. The first aid kit is in good condition and contains all required elements. All client and staff records are complete with all required elements. During this inspection, LPA Fremont reviewed the home's psychotropic medications documentation and observed several medications on one Medication Administration Record (MAR). The home was issued an LIC9102 - Technical Violation for CCR Section 84070(b)(13) - Children's Records. Please see the attached LIC9102 for details. At this time, one deficiency was observed and one Advisory Note was issued. No citations issued at this time. An exit interview was conducted, and a copy of this report was emailed to Licensee/Administrator Angie Casipit, whose signature on this form confirms receipt.


state: CA

facility_name: UPPER ROOM OF SAN RAMON

summary: Facility Evaluation

raw_content:
Narrative:
On 6/9/2022 at 12: PM, Licensing Program Analyst (LPA) Alyssa Ng made an unannounced visit to the above facility to conduct an annual required inspection. LPA Ng met with Administrator Angelita Caspit. The facility has a census of 4 clients. Administrator Angelita informed me that they are now licensed for an Adult Residential Facility (ARF). They were licensed on 6/7/2022. Administrator made a copy of the license was given to LPA Ng. LPA Ng also received their Children's Residential license. An exit interview was conducted and a copy of this report was emailed to Administer Angelita.

report_type: Facility Evaluation

visit_type: Annual

met_with: Angelita Caspit


facility_name: UPSCALE CARE (I)

summary: Facility Evaluation

raw_content:
Narrative:
On October 14, 2021 at 11am, Licensing Program Analysts (LPA), Donald Martin arrived at the above facility for the purpose conducting a Pre-licensing Inspection. LPA was met by Administrator, Loretta Brown and Direct Care Staff Lala Bohannon who conducted the tour of the facility. The facility will be licensed to care for four clients, ages 7-14 years, ambulatory only. The facility was set as follows: This is a single story home located in a residential area. The home has two bedrooms one of which contains a bathroom. Bedroom #1 has two full sized beds and one large dresser. There is also an addition two drawer dresser and storage cubbies in the closet for the clients clothing. The bathroom is a full sized bathroom with a shower/tub, sink and toilet which appear to be newly remolded. Bedroom #2 has two full sized beds and two dressers. The closet had ample space for the clients clothing. There is an additional full bathroom located in the hallway that will be used for the second bedroom and for guests. In addition, the home has a large living room with plenty of space for clients. There is an access door that leads to the backyard. There is a fireplace that has a security screen in front of it. The dining room is spacious and has ample seating for clients and staff as well. There is an access door that leads to the backyard. The Kitchen was clean and in order. There are 4 cabinets that have locks on them that contain the sharp knives and disinfectants. The medication will also be kept in the kitchen in a locked cabinet. Note: LPA informed the administrator that the medication needs to be stored in double locked location. There are two refrigerators and a stove with 4 working burners. The laundry room has a large washer and dryer and a stainless steal basin next to it. There is a locked cabinet for detergent and a back door access. Outdoor Activity space: front and backyard was free from obstruction and debris. Detached Garage in the backyard at the end of the driveway. Cont. 809-C Note: There are Three Ring cameras attached to the property. One on the house facing the backyard, one on the garage facing the driveway and one located in the front of the home facing the front door. Administrator was informed to submit a letter indicating the location of the cameras and that there are no cameras located in the facility. The facility was clean, safe, sanitary, and in good repair. The home was fully furnished. Facility has one or more functioning carbon monoxide and smoke detectors that meet statutory requirements. All tested audible and in proper working order. Fire extinguisher was fully charged and located in the living room mounted on the wall. There were no guns or weapons in the home. Linen closet located in the hallway. Central air and heating unit in the backyard. All window had screens and in good repair. The following must be maintained: No more than two (2) clients to a room. Sharp knives, disinfectants/cleaning solutions, and medicines must be made inaccessible to the children. Hot water must be maintained between 105 and 120 degrees(F). Temperature in room that occupy clients must be within 68 and 85 degrees (F). Adequate supervision and protection must be provided for children in care. Staff will ensure three nutritious meals and snacks. Food supply must be ample in the home. The beds must have comfortable mattresses, clean linens, blankets and pillows, to be maintained in good repair. First aid kit must be present and maintained with appropriate supplies. The following was discussed with the facility Administrator: Children will be accorded personal rights. Children in care will be supported and encouraged to participate in extracurricular activities. Children in care will be able to contact the licensing agency. Children in care will not be restricted in telephone use except by program choice. All posting requirements will be met. There will be a working telephone line available for clients to use. The home will operate within capacity and limitations of license. Exit interview was conducted and a copy of this report was left with the Administrator, Loretta Brown.

visit_type: Prelicensing

met_with: Loretta Brown-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On March 29, 2022 at 10am Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of conducting a Component III Inspection. LPA met with Administrator, Loretta Brown and along with LPM JoAunne Griffin (via Teams), LPA conducted the inspection. Administrator was given all documents required for staff and clients and each one was explained to her in detail. The facility will be issued the license to start on April 1, 2022. There were no deficiencies cited at the time of the visit. Nothing further to report at this time.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On August 23, 2022 at 9 am Licensing Program Analyst (LPA), Donald Martin and Licensing Program Manager (LPM) JoAunne Griffin arrived at the above facility for the purpose conducting a Post Licensing Inspection. LPA was met by Administrator, Loretta Brown who conducted the tour of the facility. The facility will be licensed to care for four clients, ages 7-14 years, ambulatory only. There are no clients in care at the time of the inspection. The facility was set as follows: This is a single story home located in a residential area. The home has two bedrooms, two bathrooms, living room, dining area, kitchen and laundry room. Bedroom #1 is equipped with two two full sized beds and one large dresser. There is also an additional two drawer dresser and storage cubbies in the closet and a bathroom. Bedroom #2 has two full sized beds and two dressers.Two bathrooms located in the home were observed to be in working order. Fireplace is secured with a security screen in front of it. The dining room is spacious and has ample seating. The kitchen was clean and in order. There are 4 cabinets that have locks on them that contain the sharp knives and disinfectants. Medication is stored and double locked in hallway closet. The laundry room is equipped with washer, dryer and a stainless steal basin. There is a locked cabinet for detergent and a back door access with access to backyard. Backyard was observed to be free of hazards, obstructions, debris and no bodies of water. Detached garage in the backyard is used for storage.Required posting were visible in common area of home. Cont 809-C The facility was clean, safe, sanitary, and in good repair. The home was fully furnished. Facility has functioning carbon monoxide and smoke detectors that meet statutory requirements. All tested audible and in proper working order.Licensee advised that fire extinguisher located in the living room mounted on the wall needs to be serviced as of November 2021. There were no guns or weapons in the home. Linen closet located in the hallway. Central air and heating unit is located in the backyard. All window had screens and in good repair. Note: There are Ring cameras attached to the exterior of the property. Ring cameras are located at the front door, detached garage and left side of home facing driveway. Motion detectors were observed in Bedroom #1, Bedroom #2, living room and dining room. LPM informed Administrator that a waiver will need to be submitted for the motion detectors. There were no deficiencies cited at this time. Exit interview was conducted and a copy of this report was left with the Administrator, Loretta Brown.


summary: Facility Evaluation

raw_content:
Narrative:
On April 24, 2023 at 9am Licensing Program Analyst (LPA), Donald Martin arrived at the above facility for the purpose conducting an Annual/Required Inspection. LPA was met by Administrator, Loretta Brown and Staff #1 who conducted the tour of the facility. The facility is licensed to care for four clients, ages 7-14 years, ambulatory only. There are no clients in care at the time of the inspection. The facility was set as follows: This is a single story home located in a residential area. The home has two bedrooms, two bathrooms, living room, dining area, kitchen and laundry room. Bedroom #1 is equipped with two two full sized beds and one large dresser. There is also an additional two drawer dresser and storage cubbies in the closet and a bathroom. Bedroom #2 has two full sized beds and two dressers. Two bathrooms located in the home were observed to be in working order. Fireplace is secured with a security screen in front of it. The dining room is spacious and has ample seating. The kitchen was clean and in order. There are 4 cabinets that have locks on them that contain the sharp knives and disinfectants. Medication is stored and double locked in hallway closet. The laundry room is equipped with washer, dryer and a stainless steal basin. There is a locked cabinet for detergent and a back door access with access to backyard. Backyard was observed to be free of hazards, obstructions, debris and no bodies of water. Detached garage in the backyard is used for storage.Required posting were visible in common area of home. Cont 809-C The facility was clean, safe, sanitary, and in good repair. The home was fully furnished. Facility has functioning carbon monoxide and smoke detectors that meet statutory requirements. All tested audible and in proper working order. There were no guns or weapons in the home. Linen closet located in the hallway. Central air and heating unit is located in the backyard. All window had screens and in good repair. Note: There are Ring cameras attached to the exterior of the property. Ring cameras are located at the front door, detached garage and left side of home facing driveway. Motion detectors were observed in Bedroom #1, Bedroom #2, living room and dining room. A waiver has been submitted by the facility. There were no deficiencies cited at this time. Exit interview was conducted and a copy of this report was left with the Administrator, Loretta Brown.


summary: Facility Evaluation

raw_content:
Narrative:
On April 23, 2024 at 11:50am Licensing Program Analyst (LPA), Donald Martin arrived at the above facility for the purpose conducting an Annual/Required Inspection. LPA was met by Administrator, Loretta Brown and Staff #1 who conducted the tour of the facility. The facility is licensed to care for four clients, ages 7-14 years, ambulatory only. There are no clients in care at the time of the inspection. The facility was set as follows: This is a single story home located in a residential area. The home has two bedrooms, two bathrooms, living room, dining area, kitchen and laundry room. Bedroom #1 is equipped with two two full sized beds and one large dresser. There is also an additional two drawer dresser and storage cubbies in the closet and a bathroom. Bedroom #2 has two full sized beds and two dressers. Two bathrooms located in the home were observed to be in working order. Fireplace is secured with a security screen in front of it. The dining room is spacious and has ample seating. The kitchen was clean and in order. There are 4 cabinets that have locks on them that contain the sharp knives and disinfectants. Medication is stored and double locked in hallway closet. The laundry room is equipped with washer, dryer and a stainless steal basin. There is a locked cabinet for detergent and a back door access with access to backyard. Backyard was observed to be free of hazards, obstructions, debris and no bodies of water. Detached garage in the backyard is used for storage. Required posting were visible in common area of home. The facility was clean, safe, sanitary, and in good repair. The home was fully furnished. Facility has functioning carbon monoxide and smoke detectors that meet statutory requirements. All tested audible and in proper working order. Cont 809-C There were no guns or weapons in the home. Linen closet located in the hallway. Central air and heating unit is located in the backyard. All window had screens and in good repair. Note: There are Ring cameras attached to the exterior of the property. Ring cameras are located at the front door, detached garage and left side of home facing driveway. Motion detectors were observed in Bedroom #1, Bedroom #2, living room and dining room. A waiver has been submitted by the facility. There were no deficiencies cited at this time. Exit interview was conducted and a copy of this report was left with the Administrator, Loretta Brown.


facility_name: VALLEY RIDGE CHILDREN'S HOME

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Based on the interviews conducted and documents obtained, the above allegations are found to be Unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove or disprove that a violation occurred. Supporting evidence include the following: Staff #2 denied the above stated allegations. Staff #2 reported that she ducked when Child 1 threw vases and phone at her. Child #1 stated that vase was thrown due to being upset for Staff #2 disturbing Child #1 from watching videos on phone. Child # 2 was present during incident and also stated Staff #2 tried to de-escalate Child 1 but Child 1 would not calm down. Staff #2 & Child #2 both deny allegations of Staff #2 saying inappropriate name both stating Child 1 misunderstood. due to being upset. Staff #2 denied pulling Child # 1 hair stating Child #1 hair became tangled around her arms as she tried keep Child #1 from continuing to swing hits towards Staff # 2. CSW1 confirmed Child #1 has severe behavioral problems and history of attacking caregivers unprovoked. Exit interview was conducted and a copy of the report will be emailed to Administrator Annielyn Dumas

Investigation Findings:
13On March 4 , 2022 at 12: PM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to VALLEY RIDGE CHILDREN'S HOME and met with Jasmin Hernandez/ Case Manager. The purpose of the visit was to deliver findings for the above complaint allegations. During the course of investigating the allegations, pertinent parties were interviewed, reviewed facility records and Incident Reports. Based on the interviews conducted and statements obtained during the investigation the above allegations cannot be substantiated because LPA Phillips obtained inconsistent statements from staff and residents in care. Child# 1 admitted throwing vases at Staff # 2 more than once due to being upset. Staff #2 denied the above said allegations and stated that tried to calm Child 1 but Child 1 would not stop trying to fight. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: VALLEY RIDGE CHILDREN'S HOMEFACILITY NUMBER: VISIT DATE: 03/04/2022

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

report_type: Complaint Investigation

met_with: Jasmine Hernandez/Case Manager

complaint_status: unsubstantiated


raw_content:
Narrative:
Based on the interviews conducted, the above allegation are found to be unsubstantiated, meaning that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove or disprove that a violation occurred. LPA Phillips observed cleaning solutions and automatic dispenser with thermometer installed at front entrance. LPA Phillips observed hand sanitizer and cleaning schedule for maintenance staff. Additionally, Staff 1, Staff 2 and Staff 3 all reported wearing mask during shift, temperature checks and reporting all COVID to proper authorities. All staff interviewed report cleaning hands and reporting illness of residents and self as required by facility and health department. LPA Phillips reviewed special incident reports and found incidents reported to department as required. After review of staff interview , facility reports and LPA Phillips observation the allegations were found to be Unsubstantiated meaning that although the allegations may have happened or are valid there is not a preponderance of evidence to prove that the alleged incident occurred. No deficiencies cited at the time of this investigation. Exit interview was conducted, and copy of the report was left with facility administrator

Investigation Findings:
13This report is being amended from the original report dated 3/16/22 due to the second page not being included". .On March 16, 2022 @ 10: AM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to Valley Ridge Children's Home and met with Jermaine Trottie Administrator. The purpose of the visit was to deliver findings for the above complaint allegations. During the investigation process by Licensing Program Analyst (LPA), Zena Phillips, all relevant parties have been accounted for. . UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: VALLEY RIDGE CHILDREN'S HOMEFACILITY NUMBER: VISIT DATE: 06/01/2022

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

met_with: Jermaine Trottie/ GH Administrator


raw_content:
Narrative:
Based on the interviews conducted, documentary evidence, the information gathered did not produce corroborating evidence to support the above said allegation. Once staff were alerted to specific shampoo and conditioner it was purchased right away to meet Child#1's needs. LPA Phillips was unable to determine if the above said allegation occurred therefore the allegation is determined to be unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. Based on the observations made during today's inspection, no deficiencies. Exit interview was conducted, and a copy of this report will be emailed to the Jermaine Trottie / Group Home Administrator .

Investigation Findings:
13On September 27, 2022, at 8: AM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to VALLEY RIDGE CHILDREN'S HOME and met with Alfred Howard/Night Case Manager who granted access to the facility. The purpose of the visit was to deliver findings for the above complaint allegation. During the investigation, a total of two (2) staff, one (1) attorney and one (1) client were interviewed. Confidential interviews did not substantiate the allegation that Staff do not provide youth with the appropriate hygiene products. It was reported to LPA Phillips that staff were not told about a specific shampoo or conditioner needed for Child #1. Staff #1 denied they stated that Child#1 would have to purchase shampoo & conditoner with own money. Staff #1 stated conversation was about laundry soap and what brand the facility purchases. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: VALLEY RIDGE CHILDREN'S HOMEFACILITY NUMBER: VISIT DATE: 09/27/2022

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

met_with: Alfred Howard/Night Case Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 06/25/21 at 9: AM, Licensing Program Analyst (LPA), Zena Phillips and Licensing Program Manager (LPM) Lakescia Smith made an unannounced visit to the Valley Ridge Children's Home to conduct a required annual /required inspection. LPA Phillips met with Walfrido Rodriguez Case Manager , who granted access to facility. State of CA license was posted. LPA Phillips conducted review of staff, clients files and inspected the home. During the inspection of the home the following was observed: Facility is clean, safe, sanitary, and in good repair. Passageways, stairways, inclines, ramps and open porches are unobstructed. Disinfectants, cleaning solutions, and poisons inaccessible to clients. Children in care are supervised & protected at all times. Facility has non-perishable foods for one week and perishable foods for two- days. Facility provides nutritious between meal snacks. Medications locked/accessible only to employees supervising stored medications. Facility Staff confirmed there are no firearms/dangerous weapons. Children in care are supervised & protected at all times. LPA Phillips advised Facility personnel to report violations of personal rights. Facility posts child's right if licensed to provide foster care for six or more children. Children not restricted in telephone use except by court order. Children accorded dignity in personal relationships with staff and others. Children live in a safe, healthy, comfortable facility and are treated with respect. Children can contact the licensing agency or Foster Care Ombudsperson in confidence without threats or punishment for making complaints Children attend school, extracurricular, cultural, and personal enrichment activities. Facility records client cash resources, personal property, and valuables. Children's record contain authorization for emergency medical care signed by each child's authorized representative. Children's records contain original needs and services plan signed by each child and their authorized representative. LPA Phillips advised that facility reports changes in the plan of operation affecting service to clients Facility reports client injuries requiring medical treatment. Emergency Disaster Mass Casualty Plan: Current and available for review. Designation/staff assignments current. Facility operates w/in license conditions & limitations including capacity limitations. Facility staff acknowledge abuse reporting requirements. Facility personnel meet staff qualifications requirements. Facility personnel meet staff training requirements. There are no deficiencies cited during today's visit. Exit interview completed

met_with: Walfrido Rodriguez/Annielyn Dumas


summary: Facility Evaluation

raw_content:
Narrative:
On 04/05/23 at 2: PM, Licensing Program Analyst (LPA), Zena Phillips made an announced visit to the Valley Ridge Children's Home for a Case Management Inspection due to recent renovations of the facility. LPA Phillips met with Jermaine Trottie who granted access to the facility. LPA Phillips toured the entire facility to review work completed. LPA Phillips observed living room with sofa and love seat adequate seating for six (6). The walls have new paint and new mini blinds, with newly installed windows. Screens in place and in good condition. Dining Room has new table with six (6) chairs with newly installed recessed lighting. The windows are newly installed, new mini blinds with screens in place and in good repair. The Kitchen has newly installed flooring , new dishwasher,new five (5) burner stove LPA Phillips confirmed all burners working properly. The cabinets are newly installed with new granite counter tops. The walls are newly painted with recessed lighting. LPA Phillips observed bedroom #1 with new flooring, new paint, new mini blinds with new bed linens. Bedroom #2 has new flooring, new mini blinds, and new six ( 6) dresser drawer, with newly installed recessed lighting. Bedroom #3 has newly painted walls,new flooring, newly installed recessed lighting. The room has new mini blinds with two new six (6) dresser drawer for clothing. Bathroom #1 has newly installed walk in tub & shower combo. The toilet is newly installed with new tile flooring. The walls have been painted with newly installed recessed lighting. Bathroom #2 attached to Bedroom #3 has new paint, new flooring, new vanity sink with under cabinet storage. With refurbished shower stall. The bathroom has newly installed lighting with vent attached. cont on 809 c LPA Phillips observed the mini blinds are cordless including in the office area. . The home is clean safe and sanitary and ready for residents.. There were no deficiencies cited at this time. There were no residents in the facility at the time of the inspection. Exit Interview was conducted and a copy of this report will be emailed to Jermaine Trottie / Administrator

met_with: Jermaine Trottie/ Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On October 31, 2023 @ 8: AM , Licensing Program Analysts (LPA), Zena Phillips & (LPA) Dennis Jarmin made an unannounced visit to the Valley Ridge Children's Home for an Annual Inspection. LPAs Phillips & Jarmin met with Jermaine Trottie/Administrator who granted access to the facility and provided the census. A physical plant inspection was completed and included the following checks: Facility is clean, safe, sanitary and in good repair. LPA observed one-week supply of non-perishable and two days of perishable foods, including nutritious snacks. All prescribed medications are locked and centrally stored in the Health Center; Medications are accessible only to employees supervising stored medications. No firearms or weapons are present in the facility. Medications and cleaning supplies are kept locked. The first aid kit is fully stocked. The hot water temperature is within the mandated range. The home is equipped with a fire alarm system; smoke alarm/carbon monoxide detector and verified that the fire clearance was inspected and found to be in compliance with the fire code. All fire extinguishers are charged. There is a working telephone service for client's personal use. All trash cans have tight-fitting lids. All exits are free of hazards and all doors open freely. Facility posts child's rights if licensed to provide for six or more children. Clients in care are supervised and protected at all times. Facility operates within license conditions and limitations including capacity limitations. The following documents or records are posted in the facility: facility license, complaint procedures, emergency disaster plan, facility sketch, menu, chores, house rules, children's personal rights. LPA Phillips & LPA Jarmin observed living room with sofa and love seat adequate seating for six (6). There are two large cushioned chairs for seating. Bookcase with board games, books and wall mounted television. Small staff office in living room with desk, computer, printer and wall mounted first aid kit. All living room windows have mini blinds, screens and windows in good repair cont on 809c LPA Phillips & LPA Jarmin observed dining room has table with six (6) chairs, recessed lighting. The windows, screens, new mini blinds all in good repair. The kitchen has dishwasher, five (5) burner stove and LPAs confirmed all five burners are working. The upper kitchen cabinets have cups, plates and bowels. The drawers were observed to have spoons, forks and additional kitchen linen. LPAs observed under the kitchen sink locked cabinet with soap and disinfectant for cleaning. Next to the kitchen is half bath primarily for staff use. The washer and dryer are located just outside the kitchen area with laundry soap outside in locked shed. LPA Phillips & LPA Jarmin observed bedroom #1 with two twin beds, clean linens, dresser with five drawers, recessed lighting and ample closet space. LPAs observed bedroom #2 with two twin beds, dresser drawer with six drawers, metal shelf with five shelves for storage and ample closet space. Bedroom #3 has two twin beds with clean linen, two dresser drawers with five drawers, ample closet space and on suite bathroom. The home has two full bathrooms for residents and LPAs confirmed water temperature meets regulations. Facility van was observed to be in good repair, confirmed lights,first aide kit, seat belts in working order. LPAs confirmed valid insurance and registration. Adequate indoor and outdoor activity space and materials were observed. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced. Personnel files are located in the administration building. LPA will return at a later date to complete a review. No deficiencies cited at this time. Exit interview was conducted with Jermaine Trottie/Administrator and a copy of this report will be left at the facility.

met_with: Jermaine Trottie/Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On December 16, 2025, Licensing Program Analyst (LPA) C. White conducted an unannounced Plan of Correction (POC) visit to the above facility for the purpose of clearing a POC. LPA met with Administrator, Larrina Maloy. The POC was originally cited on August 1, 2025 during a Case Management Inspection. The deficiency cited was as follows: Type A - The facility failed to obtain staff criminal record clearance prior to allowing staff to work in the facility. Section 80019(e)(2). Original POC Date: 09/01/2025. (cleared: 10/01/2025; POC letter: 12/16/2025). The Licensee provided written plan to follow procedures in place to ensure staff have a criminal record clearance prior having working in the facility. LPA received a copy via email during today's visit. There are no deficiencies cited at this time. An exit interview was conducted and a copy of this report and POC letter was provided to the Administrator.

met_with: Larrina Maloy - Administrator


summary: Complaint Investigation - Unsubstantiated - 5 allegations

raw_content:
Narrative:
Statements obtained revealed that the facility was not providing the 1:1 care to the client as it was observed for one staff to be providing care and supervision to 3 or 4 clients at the same time during the day with no additional staff present. Additionally, LPA Sanchez P. reviewed staffing schedules which revealed that on multiple dates the facility did not maintain staffing requirements as stated in its program statement of 1:2.. Lastly, the facility was unable to produce required client records including documentation of the client's supervision needs which further demonstrates a lack of compliance with supervision and record-keeping requirements per licensing regulations. The following deficiency is being cited for violating California Code of Regulations Title 22, Division 6, Regulation 84078 (b) Responsibility for Providing Care and Supervision. (see page 9099D). Exit interview was completed and copy of the report and appeal rights were discussed and provided to Armando Velazquez, House Lead. LPA Sanchez P. could not confirm if the facility was using the food reserves to feed the clients in care as on 07/10/ LPA Sanchez P. observed the facility to have non-perishable foods for a minimum of one week and fresh perishable foods for a minimum of two days as required. LPA Sanchez P. also obtained a copy of the incident report submitted for the client's AWOL incident dated 07/25/2024. Additionally, LPA Sanchez P. conducted confidential interviews with collateral contacts who reported not having any concerns regarding the facility providing inadequate food service to the clients in care as they observe the facility to have an ample amount of food. Lastly, confidential interviews with collateral contacts further revealed that there is no evidence to determine that staff did not meet reporting requirements. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore the allegations are unsubstantiated. Exit interview was completed and copy of the report and appeal rights were discussed and provided to Armando Velazquez, House Lead.

Investigation Findings:
13On November 14, 2025 at 2:20pm Licensing Program Analyst (LPA), Emelyn Sanchez P. made an unannounced visit to the above facility to conclude the complaint investigation and to deliver the findings on the above allegation. LPA Sanchez P. met with Armando Velazquez, House Lead. During the investigation, LPA Sanchez P. conducted interviews with all available parties and gathered pertinent information in reference to the complaint allegation. LPA Sanchez P. reviewed the LIC 500- Personnel Report, Client Roster, Non-Minor Dependent Status Review Report Court Document, Work Schedules, and other confidential documents. Based on confidential interviews conducted with staff and collateral contacts as well as reviewed documentary evidence regarding the allegation of staff are operating out of ratio it was confirmed that the client required 1:1 supervision. Report Cont. on LIC 9099C. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Emelyn Sanchez Peralta LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: VALLEY RIDGE CHILDREN'S HOMEFACILITY NUMBER: VISIT DATE: 11/14/2025

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

met_with: Armando Velazquez, House Lead


facility_name: VALLEY TEEN RANCH

summary: Facility Evaluation

raw_content:
Narrative:
On March 27, 2023, Licensing Program Analyst (LPA) Rachel Bruce traveled to Valley Teen Ranch in Madera, CA. The purpose of the visit is to conduct a pre-licensing Facility Inspection. LPA Bruce was met at the facility by John Addington, Administrator. Also present from Valley Teen was Kim Gerhardt, Quality Assurance, Carlos Vigil, Case Manager, and Jairo Delgado, Clinical Therapist; and from Community Care Licensing Juanita Arroyo, Licensing Program Manager and Nelson Martinez, Regional Manager. On March 28, 2023, LPA Bruce arrived at the above facility to amend the inspection document. LPA was met by John Addington. LPA toured the facility and observed the following: 1. The facility has a staff room that is inaccessible to clients. Staff room has offices for the Administrator, Case Manager and Clinical Therapist. There are extra refrigerators (3), medication supplies, first aid kit and a medication closet with locked storage. There is also locked storage for chemicals, cleaning products and sharp objects such as knives etc. 2. In the kitchen LPA observed trash can with a lid, weekly menu, refrigerator temperature 36 degrees and freezer temperature 0 degrees. 3. There are charged and dated fire extinguishers located in the common area, end of hallways, and office. 4. The house has 7 bedrooms- 2 single occupancy rooms and 5 rooms that would accommodate 2 clients each, located on one single level. Bedrooms are accommodating of all required furnishings and storage space. All rooms are equipped with fire alarms and trash cans 5. Adequate storage space observed. Continued on Page 2... 6. Dining room had a table with chairs to accommodate the number of clients. 7. Outdoor space observed. There is plenty of outdoor space and it is anticipated soccer court and other exercise equipment will be installed. 8. The outdoor of the home was free from hazard and obstructions. 9. Adequate food storage space observed. Perishable and non-perishable foods will be available before client are placed in the facility. 10. Facility has two full restrooms, one for clients and one for staff. Client restroom has two stalls with doors and showers. Facility is to ensure water temperature is maintained between 105 and 120 degrees. All restrooms are stored with hand soap, toilet paper, and paper towels. 11. Appropriate forms posted in the facility. 12. The temperature of the facility was a comfortable temperature of 67 degrees. 13. Licensee has a vehicle to accommodate clients in care. 14. House includes a large game room accessible to clients. 15. House provides a confidential area for clients to make confidential phone calls. 16. Client files are located in the Quality Assurance Office with pertinent information available in hard copy and on line at the facility. Staff files are located at the main office. 17. Fire clearance has been received from the Madera County Fire Department. ON this date, the facility will be approved for initial licensure, pending verification of guardian clearance and association for the licensee and administrator. Initial license will be issued on a provisional basis expiring on year from effective date. License will be valid for up to 12 male youth ages 13 though 17.

met_with: John Addington, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On August 15,2023, Licensing Program Analyst (LPA) Rachel Bruce conducted an unannounced post licensing inspection at the above facility. LPA was met at the facility by Administrator John Addington. Currently there are 4 clients at the facility. Staff numbers are in compliance with regulation. Staff files are at the corporate office in Fresno, CA and will be inspected at a later time. Client file review was begun and will be completed when the staff files are reviewed. All clients were home at the time of the inspection. Interviews were conducted with two but further attempts were stopped as language was barrier. 3 staff interviews were successfully conducted. A physical plant inspection was completed and included the following checks. Facility grounds are clean and free of debris and observable hazard. Adequate indoor and outdoor activity space and materials observed. All facility smoke detectors are in appropriate working order, fire extinguishers are properly charged and serviced. Facility maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed with appropriate clean linens and are in good repair. There are no firearms or pets at the facility. There is a pool at the other home on the facility grounds that is available to and utilized by the residents at this facility. There is no interaction between the residents in the other program. There are no deficiencies to be cited on this date. A copy of this report was left at the facility.

met_with: John Addington


summary: Facility Evaluation

raw_content:
Narrative:
On September 6, 2023, Licensing Program Analyst Rachel Bruce arrived at Valley Teen Ranch - Administrative offices located in Fresno, CA for the purpose of reviewing staff files to complete the post inspection. At the time of the visit, Administrator Andrea Evans as well as the Human Resources Specialist were not available to assist. LPA Bruce will return at a later date to complete inspection and review staff files.

met_with: Miriam Delfin, Financial Officer


summary: Facility Evaluation

raw_content:
Narrative:
On September 11, 2023, Licensing Program Analyst (LPA) Rachel Bruce made an unannounced visit to the Administrative Office of Valley Teen Ranch located in Fresno, CA. The purpose of the visit was to review staff files. LPA was met by office staff who provided the staff files, training documentation and provided a space to review the paperwork. LPA reviewed 6 staff files and staff training documentation. Documentation was appropriate and in alignment with regulations. LPA Bruce briefly met with Andrea Evans, Administrative Director to explain the purpose of the visit and to obtain signature


summary: Facility Evaluation

raw_content:
Narrative:
On September 11, 2023, Licensing Program Analyst arrived at the facility to complete the post licensing inspection. On this day, staff files were reviewed at the Administrative Office and were found to be in compliance. At the actual residence, LPA Bruce conducted an inspection of the client files, including medical information and met with John Addington, Administrator. At this time there are only 3 residents in the home. The client files were in compliance with regulations. No citations issued at today's visit. This concludes the post licensing inspection. The facility is in compliance and no citations were issued related to the inspection and regulation guidelines.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA), Lidia Tinoco arrived at Valley Teen Ranch for the purpose of conducting an unannounced Annual/Random inspection. LPA met with Administrator, John Addington and inspected the facility, inside and out. Since April 30, 2024 the contract with ORR has not been renewed and the decision to become non-operational has been made. At this time there are no clients since April 2, 2024 at the facility. Administrator is to provide a letter to the department indicating their decision to pause operation and a plan that indicates that once the program reopens, the appropriate parties will be notified to be provided to LPA by 4/24/2024. Staff files are maintained in the main office and will be reviewed at a later time. The facility has the ability to maintain medications centrally stored in a locked cabinet. Sharps and Toxic chemicals are kept locked. The facility has a written emergency disaster plan. Fire extinguishers are properly charged. The facility has pull fire alarms. Individual beds were observed with appropriate clean linens and are in good repair. There are no perishable foods available and no nonperishable foods. Facility has cameras in common areas of the facility. Licensee has obtained National Accreditation through CARF. The Accreditation is valid through October 31, 2024. No Deficiencies were cited on today's visit. A copy of this report was provided at the end of the visit.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA), Lidia Tinoco arrived at the Valley Teen Ranch Main Office in Fresno for the purpose of continuing the Annual/Random inspection. LPA met with HR Director, Janet Grimson. LPA Reviewed 2 staff files for staff still associated to the Group Home. LPA also obtained an updated copy of the LIC500 dated 4/23/24. LPA reviewed the Board of Director Meeting's file and they meet on a monthly basis. No Deficiencies were cited on today's visit. A copy of this report was provided at the end of the visit.

met_with: Janet Grimson, HR Director


summary: Facility Evaluation

raw_content:
Narrative:
On April 22, 2026, Licensing Program Analyst (LPA) Danny Macias traveled to Valley Teen Ranch Group Home (GH) for the purpose of conducting an unannounced Annual/Random inspection. LPA met with Administrator (AD) John Addington. At this time, there are no clients in placement at the facility. The facility intends to keep the GH license active as of this date. The facility has the ability to maintain medications centrally stored in a locked cabinet. Sharps and toxic chemicals are kept locked. The facility has a written emergency disaster plan. Fire extinguishers are properly charged and serviced in May 2025. Individual beds were observed with clean linens and are in good repair. There are minimal perishable and non-perishable foods available. Facility has cameras in common areas. There are no firearms per AD. LPA reviewed 1 staff file and interviewed 1 staff. A review of the Licensing Information System on this date indicates that facility staff associated to the GH had DOJ, FBI, and child abuse index check clearances. No deficiencies were cited on today's visit. A copy of this report was left with John Addington at the conclusion.


facility_name: VILLAVERT HOUSE OF CARE

summary: Facility Evaluation

raw_content:
Narrative:
An annual required inspection was conducted by Licensing Program Analyst (LPA) Tana Kinder on 5/2/2022 at 1:30pm with Facility Administrator. Community Care Licensing file, incident reports, facility roster, facility profile and complaint history were reviewed prior to visit at the agency. The licensing fees are current. The Facility has a capacity of 4 and currently has 3 residents. There are 43 staff members associated to the license, but that is not accurate.The Administrator will update roster. There should only be 13 staff associated and 2 currently working at the Facility. LPA reviewed 4 staff files, all which were reviewed were complete and up to date. Staff files reviewed have required training hours, education, and fingerprint clearances. 3 child files were reviewed. The child's needs and services plan/Individual Program Plan, and quarterly reviews were complete and up to date. Immunization records were current. Medical consent forms were signed by authorized representative and current. Additionally, the child's files had a record of personal property. Personal rights, menu, license, and emergency exit plan were posted. The facility was inspected jointly with the Facility Administrator and Manager. LPA attempted to interview 3 clients, but due to their diagnosis of intellectual disability and Autism, the clients were not able to communicate verbally. There are 4 bedrooms and 2 bathrooms. Each bedroom has 1 bed and is occupied by one client. Each bedroom had a firm mattress, with a bed cover, sheets, blanket and pillows. Each bedroom was personalized for the client. There are two common areas with couches, tables and chairs to sit in, and a TV. The facility is in good repair. There are locked cabinets in the laundry room with cleansers and detergents. Additional linen if needed for the bedrooms and the bathrooms are kept in a hall closet. Client and staff files are in locked cabinets. The passageways from the front to the back of the facility are unobstructed. LPA observed in the backyard and saw a patio table with chairs and a specialized bicycle for a specific client. LPA observed enough perishable/non-perishable food for 3 clients for 4 days/3 weeks. Smoke detectors are in working order. There is a carbon monoxide monitor and 1 fully charged fire extinguisher. Sharps were kept locked in the utility room. The kitchen was stocked with plates, utensils and drinking cups sufficient for 3 clients. The water temperature from the bathroom faucet was 112.9 degrees. The clients' hygiene kits were stocked and stored in hall closet. A fully stocked first aid kit is kept in the utility room. An exit interview was conducted and discussed with the Facility Administrator and a copy of the annual inspection report was provided.

met_with: Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On July 24, at 1: PM an annual required inspection was conducted by Licensing Program Analyst (LPA) Shalisa Stiger with Facility Administrator. Licensing file, incident reports, facility roster, facility profile and complaint history were reviewed prior to visit at the agency. The licensing fees are current. The Facility has a capacity of 4 and currently has 4 residents. LPA reviewed three (3) staff files and one (1) Administrator file, all were complete and up to date. Staff files reviewed have required training hours, education, and fingerprint clearances. Three (3) child files were reviewed. The child's needs and services plan/Individual Program Plan were complete and up to date. Medical consent forms were signed by authorized representative and current. Additionally, the child's files had a record of personal property. LPA observed Personal rights, menu, license, and emergency exit plan posted. There are four (4) bedrooms and two (2) bathrooms all clean, sanitary and in good condition. Each bedroom has one (1) bed and is occupied by one (1) client. Each bedroom has a bed with sheets, blanket and pillows and personalized for the client. There are two common areas with couches, tables and chairs to sit in, and a TV. The facility is in good repair with no hazards. There are locked cabinets in the laundry room with cleansers and detergents. Additional linen if needed for the bedrooms and the bathrooms are kept in a hall closet. LPA observed medication to be in a locked cabinet. Client and staff files are in locked cabinets. LPA observed the backyard and saw a patio table and activities for clients. LPA observed enough perishable/non-perishable food for 4 clients for 4 days/3 weeks. Smoke detector are in working order. There is a carbon monoxide monitor and 1 fully charged fire extinguisher. An exit interview was conducted and discussed with the Facility Administrator and a copy of the annual inspection report will be emailed to the Administrator.

met_with: Anabeth Kidd, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 5/9/2024, Licensing Program Analyst's (LPA's) Kellie McKinley and Aleza Ruiz arrived unannounced at the facility and met with Anabeth Kidd- administrator. The purpose of the visit was to conduct a Required Annual Inspection of the facility. The last Annual inspection for the facility was on 6/. LPA utilized the CARE Tool to complete the inspection. The facility is licensed to provide treatment services for ambulatory children ages 7 to 17 years and Non- minor dependent ages 18-23 years as well. The facility currently has 4 clients, all Regional Center placements. Zero client(s) was/were present during the inspection. The facility is licensed for a maximum capacity of 4. Staff to client ratio is 4:2 or 3:1. Night staff coverage is 1:4. LPA conducted an inspection of the physical plant, and checked for all necessary requirements. The facility had no noticeable odor and maintained an acceptable room temperature. There are a total of four bedrooms available for clients, with each client having their own bedroom. LPA observed the client bedrooms, living rooms, kitchen, two bathrooms, the backyard, the garage, and the staff office to be clean and organized. LPA observed each client bedroom to have a closet, a dresser, and a clean mattress. Sheets, blankets, and pillows were in good condition. Every bedroom was decorated with the client's personal items. LPA observed a locked staff office where files and medications are stored. Client files were stored electronically with password protection. LPA observed the proper postings including: facility license, complaint hotline, menu, and emergency disaster plan. Smoke alarms were in working order, fire extinguishers were current, and a first aid kit was fully stocked. The facility has no outstanding fees. LPA observed 2 days of perishable food and 7 days of non-perishable food in the kitchen and in the additional refrigerator in the garage. Disinfectants and cleaning solutions were inaccessible. LPA reviewed 4 client files. Zero of clients were taking court ordered psychotropic medications and had current court authorization or parental consent on file. Psychotropic medication logs for clients were written on separate Psychotropic Medication Administration Records. Clients were current on CHDP physical exams and dental exams. The client's Needs and Services Plan/Individual Program Plan, were complete and up to date. LPA reviewed 4 staff files. Staff files had completed criminal record clearances and all required initial and annual training. First Aid and CPR certifications were up to date for all staff. Administrators Certificate was valid. LPA interviewed 3 staff on site. LPA interviewed one client. Three client out of four client are non-verbal. No citations were given on this date. A signed copy of this LIC-809 report was provided to Anabeth Kidd- administrator. An exit interview was conducted.

met_with: Anabeth Villavert- Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 5/30/2025 at 10: AM Licensing Program Analyst (LPA) Sarina Buchannan made an unannounced visit with the purpose of conducting an annual inspection to the above facility using the Compliance and Regulatory Enforcement (CARE) tool. LPA met with Anabeth Kidd, Facility Administrator, and a walk through of the interior and exterior was completed. The facility has a capacity of 4 clients ages 7-17 years old, 1 non ambulatory and 3 ambulatory. The facility currently has 2 ambulatory clients and 1 non ambulatory client placed. Physical Plant Room 1 is a staff office with client records, staff records, and client grab and go bags. Room 2 is a activity room with one couch, a bookshelf, and an enclosed fire place. Room 3 is a living room with a dining table, 2 recliner chairs, a couch, and a television. Room 4 is the kitchen with a working stove, refrigerator, fruits accessible to clients, and has chemicals/sharps inaccessible to clients. Room 5 is washer and dryer area which also chemicals inaccessible to clients. Room 6 is a garage which is being turned into a sensory room, it currently has lights and a giant bean bag. Room 7 is a client bedroom with a twin mattress, a dresser, and a television. Room 8 is a client bedroom with a twin mattress, a dresser, a piano, and a television. Room 9 is a client bedroom for 1 non ambulatory client and has a lift, a twin mattress, and a slider with backyard access. Room 10 is a client bedroom with a dresser, bed, and a television. There are 2 clients bathrooms which have accessible toilet paper and paper towels and working toilets and wash basins. (report continued on LIC 809C) The backyard is gated, with a trampoline, a bench, a shed, and a basketball game. There is a Dodge Caravan in good working condition, properly maintained, lights, tires, registration/insurance and working seat belts and is available to transport clients if needed. The following required documents were posted, License and Personal Rights. Disinfectants/cleaning solutions inaccessible to children in care. Refrigerator Temperature at or below 45 degrees F. Nonperishable foods one week and fresh perishable foods two days minimum. Menu present and posted in the kitchen area on the fridge. Working telephone is available at the facility. Carbon monoxide and smoke detectors are in working order. First Aid Kit fully stocked. Medication centrally stored, locked/inaccessible to children. Hot Water between exceeds 105-120-degree F but is properly labeled. Fire Extinguisher up to date and in working order. Toilets wash basin, bath, and shower fixtures in good repair and no leaks. Soap and Paper towels are available to clients. Bedrooms-required linen and furnishings are fully stocked. Facility free of vermin. The following domains were also reviewed during today's inspection, Operations, Disaster Preparedness, Staffing, Client Records and Special Health Care needs. A total of 5 staff files and 3 client files were reviewed. No out of compliance issues were identified for these domains. LPA also conducted 2 client interviews and 2 staff interviews. A review of the Licensing Information System indicates the facility is up to date on their facility fees and all the staff present during inspection were fingerprint cleared and associated to the facility. Based on interviews conducted with staff and clients, no follow up required. Upon inspection and file review the following deficiencies were observed: Trash cans in client bathrooms do not have tight-fitting lids A large pile of bricks accessible to clients in care in the backyard 1 out of 3 client files were missing a signature on their discharge/removal procedures. Due to this, the facility is being issued technical violations see (LIC 9102TV). An exit interview was conducted with Anabeth Kidd, Facility Administrator, and a copy of this report was provided to the Licensee.

met_with: Anabeth Kidd, Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On September 25, Licensing Program Analyst (LPA) Sarina Buchannan made an unannounced case management inspection at the above facility and met with Anabeth Kidd, Licensee, who assisted LPA with the inspection. CCL received an incident report dated September 11, 2025 in which a client was administered 1 additional dose of 3 morning medications. LPA requested the following documentation: medication log for September 11, 2025, staff roster, staff contact information, staff schedule, staff medication training's for staff in question, discipline log for staff in question. Administrator informed LPA discipline log will come from HR no later than September 29, 2025. Administrator did not have sign in sheet for staff training due to training having just been conducted on September 23, 2025, but did provide proof via text that training's were conducted with staff. Administrator will provide training sign in sheet once all staff has signed it by September 29, 2025. LPA toured the facility and the facility was in full compliance. LPA conducted 1 administrator interview, no clients interviewed due to them being at school. This case management will remain open. Further investigation is needed. Exit interview conducted and a copy of this report was provided to Licensee.

met_with: Anabeth Kidd, Licensee


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Based on the evidence gathered and confidential interviews conducted during the investigation, the above allegation cannot be substantiated. Six out of eight individuals interviewed stated they have never witnessed any staff members threatening clients in care. One individual stated that staff have threatened clients in care but could not provide specific dates, times, or names of staff involved. The details provided were inconsistent and could not be confirmed by other interviews. Another individual reported hearing about the allegation from someone else and was unable to provide any direct details. LPA was also unable to verify the alleged incident through documentation because it was not reported at the time it was said to have occurred. Additionally, no staff disciplinary actions were found related to this allegation. Although the allegation may have happened or may be valid, there is not enough evidence to prove the alleged violation did or did not occur. Therefore, the allegation is UNSUBSTANTIATED Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On December 30, 2025, Licensing Program Analyst (LPA) Sarina Buchannan made an unannounced visit to deliver findings to the above facility and met with Anabeth Kidd, Licensee. LPA conducted a walkthrough of the interior and exterior of the facility, and no deficiencies were noted. Prior to this meeting, LPA Sara Luman-Gonzalez conducted the 10-day inspection of the facility on 10/10/2025. During this visit, LPA Luman-Gonzalez requested the following documents: the most current Needs & Services Plans, Staff Roster (last 2 months), Client Census, Client Face Sheets, Staff Schedule, Staff Contact Information, staff training records (last 2 months), and any staff disciplinary records (last 2 months). LPA Buchannan conducted a follow-up visit on 10/30/2025 to complete additional interviews. Between 10/01/2025 and 12/11/2025, LPA Buchannan conducted 10 confidential interviews. LPA was unable to conduct verbal interviews with two clients as they are non-verbal; therefore, only eight interview statements were obtained. (report continued on LIC 9099C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Connie Goldie LICENSING EVALUATOR NAME: Sarina Buchannan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: VILLAVERT HOUSE OF CAREFACILITY NUMBER: VISIT DATE: 12/30/2025


raw_content:
Narrative:
Based on the evidence gathered and confidential interviews conducted during the investigation, the above allegation cannot be substantiated. Six out of eight individuals interviewed stated they have never witnessed any staff members hitting or physically harming clients in care. One individual stated that staff have hit clients in care but could not provide specific dates, times, or names of staff involved. The details provided were inconsistent and could not be confirmed by other interviews. Another individual reported hearing about the allegation from someone else and was unable to provide any direct details. LPA was also unable to verify the alleged incident through documentation because it was not reported at the time it was said to have occurred. Additionally, no staff disciplinary actions were found related to this allegation. During the visit on 10/30/2025, LPA observed three youth in care. There were no bruises, marks, or other signs of physical abuse. The youth appeared engaged in normal activities, such as playing on tablets. They were smiling, interacting with staff, and following their usual routine. Staff were observed assisting youth appropriately and providing care in a calm and supportive manner. Although the allegation may have happened or may be valid, there is not enough evidence to prove the alleged violation did or did not occur. Therefore, the allegation is UNSUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On December 30, 2025, Licensing Program Analyst (LPA) Sarina Buchannan made an unannounced visit to deliver findings to the above facility and met with Anabeth Kidd, Licensee. LPA conducted a walkthrough of the interior and exterior of the facility, and no deficiencies were noted. Prior to this meeting, LPA Sara Luman-Gonzalez conducted the 10-day inspection of the facility on 10/10/2025. During this visit, LPA Luman-Gonzalez requested the following documents: the most current Needs & Services Plans, Staff Roster (last 2 months), Client Census, Client Face Sheets, Staff Schedule, Staff Contact Information, staff training records (last 2 months), and any staff disciplinary records (last 2 months). LPA Buchannan conducted a follow-up visit on 10/30/2025 to complete additional interviews. Between 10/01/2025 and 12/11/2025, LPA Buchannan conducted 10 confidential interviews. LPA was unable to conduct verbal interviews with two clients as they are non-verbal; therefore, only eight interview statements were obtained. (report continued on LIC 9099C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Connie Goldie LICENSING EVALUATOR NAME: Sarina Buchannan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: VILLAVERT HOUSE OF CAREFACILITY NUMBER: VISIT DATE: 12/30/2025


summary: Facility Evaluation

raw_content:
Narrative:
On August 12, 2025, Licensing Program Analyst (LPA) Sarina Buchannan arrived unannounced at the above facility for the purpose of conducting a management inspection. LPA met with Anabeth Kidd, Licensee, who assisted LPA with the inspection. LPA conducted a walk-through of the facility, and no deficiencies were noted. On August 8, 2025, the department received an email from Care Provider Management Branch (CPMB) that a staff member was arrested at the facility on May 01, 2025. On August, 8, LPA Sara Luman-Gonzalez reached out to the facility to inquire about the incident and was informed the facility was unaware that the information was reportable and therefore did not report to Community Care Licensing. LPA Buchannan was also informed that the staff in question was terminated on May 02, 2025. Due to the facility not reporting the incident to the appropriate parties in a timely manner, the facility is being issued a citation (see LIC 809D). This Case Management is now closed. Exit interview conducted and a copy of this report and appeal rights were provided to the Anabeth Kidd, Licensee.


facility_name: VINCENT HOME

summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst David Hiett conducted a prelicensing inspection and met with Applicant Jane Gano. At this time, a license may not be issued due to specified issues the licensee must remedy. Upon notice of their completion an additional inspection will be conducted. A copy of this report was sent to Ms. Gano

met_with: Jane Gano


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) David Hiett conducted a Pre-licensing inspection for a Small Family Home license and met with the Administrator Jane Gano. The entire home was toured, inside and out. The application is for a Small Family Home for 4 children ages 6-17. The facility is a 2 story home. The first floor has an open floor plan containing an entertainment area and a kitchen and an attached dining room, Downstairs there are 4 children's bedrooms and 2 bathrooms built to accommodate special health care needs. There is a locked medication cabinet where prescription medications are stored in locked containers and a locked refrigerator in the kitchen for refrigerated medications. A washer and dryer set are located in the garage behind locked doors and is where toxics are stored. All bedrooms have adequate dresser and closet space. There are carbon monoxide/smoke detectors throughout the facility along with adequate fire extinguishers. There is a complete first-aid kit located in a locked cabinet in the dining room. All required postings are present. Upstairs is an office and a bathroom for staff. Applicant understands that the hot water temperature must be maintained within the regulation range of 105-120 degrees and was measured at 110F. The knives will be stored in a locked kitchen drawer. A copy of this report has been shared with the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) David Hiett conducted an unannounced inspection to the facility for the purpose of conducting a Post Licensing inspection. LPA Hiett met with Assistant Administrator Vincent Gano and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. No room commonly used for other purposes is used as a bedroom. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. There is an adequate supply of perishable and nonperishable food available. Medications are kept in locked cabinet in the living room, sharps are in a locked drawer in the kitchen, and toxins are kept locked in a cabinet in the garage. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. Applicant understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Menu, Activities, License, Personal Rights, and Emergency Disaster are posted. The Small Family Home is licensed to serve 4 children ages 6-17. Currently in placement are 2 clients who were not present at the facility. The home operates within the capacity and limitations of the license. LPA Hiett reviewed 2 client files and 3 personnel files and all are complete. Current forms and Title Regulations can be obtained through the internet at www.ccld.ca.gov No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was sent to the facility.

met_with: Vincent Gano


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with assistant administrator Vincent Gano and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. No room commonly used for other purposes is used as a bedroom. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. There is an adequate supply of perishable and nonperishable food available. Medications are kept in locked cabinet in the living room, sharps are in a locked drawer in the kitchen, and toxins are kept locked in a cabinet in the garage. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Menu, Activities, License, Personal Rights, and Emergency Disaster are posted. The Small Family Home is licensed to serve 4 children ages 6-17. Currently in placement are 2 clients who were not present at the facility. The home operates within the capacity and limitations of the license. LPA McCambridge reviewed 2 client files and 3 personnel files and all are complete. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was sent to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with administrator Jane Gano and assistant administrator Vincent Gano and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. No room commonly used for other purposes is used as a bedroom. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. There is an adequate supply of perishable and nonperishable food available. Medications are kept in locked cabinet in the living room, sharps are in a locked drawer in the kitchen, and toxins are kept locked in a cabinet in the garage. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Menu, Activities, License, Personal Rights, and Emergency Disaster are posted. The Group Home is licensed to serve 4 children ages 6-17. Currently in placement are 4 clients. Two clients were present at the facility, who declined to be interviewed The home operates within the capacity and limitations of the license. LPA McCambridge reviewed client files and personnel files and all are complete. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was sent to the facility.


summary: Facility Evaluation

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Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Cheyenne McCambridge on the above date. During the inspection, LPA McCambridge met with assistant administrator Vincent Gano. LPA reviewed one client record on site at the facility. LPA reviewed one clients psychotropic medications and medication records. LPA interviewed zero clients currently taking psychotropic medication due to the client not wanting to be interviewed. LPA interviewed three staff on site. LPA reviewed three of staff personnel files on site at the facility. Vincent Gano, Administrator escorted LPA on a tour of the facility inside and out at 10: AM No deficiencies are being cited at this time. LPA conducted exit interview with Vincent Gano and a copy of the report was sent to the facility.


summary: Facility Evaluation

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Narrative:
On 3/14/25, Licensing Program Analysts (LPAs) Mariah Hawkins and Will Ea conducted a required annual inspection. LPAs met with Administrator Jane Gano and Assistant Administrator Vincent Gano and informed of the purpose of the visit. LPAs toured the facility site and observed the facility to be maintained in safe and sanitary condition. Food supply was well-stocked and well-organized. No hazards were observed. There are accessibility accommodations throughout the facility. Each client has their own bedroom, and each bedroom is fitted with appropriate furnishings and clean linens. LPAs reviewed all three current client files. All files were observed to be complete. LPAs reviewed 5 staff files. All files were observed to be complete. LPAs obtained a current LIC 500 and a current LIC 610C. Using the CARE Inspection Tool, no deficiencies were found. An exit interview was conducted, and a copy of this report was provided to Administrator Jane Gano, whose signature on this form confirms receipt.

met_with: Administrator Jane Gano, Assistant Administrator Vincent Gano


summary: Facility Evaluation

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Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Brian Bertoli on May 19, 2025 beginning at 1:00pm. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Bertoli met with Jane Gano, Director/Administrator and inspected the facility inside and out. LPA reviewed four of staff personnel files on site at the facility. LPA interviewed no staff on site to discuss the facilities policies and procedures of operation. LPA provided a copy of this licensing report to Jane Gano, Director/Administrator. No deficiencies are being cited at this time. LPA is issuing Advisory Notes for Program Statement and PMAR forms. LPA conducted exit interview with Jane Gano, Director/Administrator.

met_with: Jane Gano Joseph Bonus Vincent Gano


facility_name: VISIONS ADOLESCENT TREATMENT CENTERS

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Information obtained on 07/31/2020 from S1 via email indicating a forward message sent from S2 on July 29, 2020 admitted having several conversations with C1. LPA obtained statements from one (1) staff and two (2) witnesses. LPA obtained evidence that on 07/30/ S2 sent a letter via email to the Licensee that he was resigning from his position with Visions Adolescent Treatment Centers for reason unrelated to the allegation. LPA reviewed the letter of Resignation and calculated the date and confirmed that S2 did indeed contact C1 when he was employed at the above facility. W1 confirmed that S2 did indeed contact C1 when he was employee. LPA made attempts to contact S2 and C1; neither were available to be interviewed. The Department has determined, based on the preponderance of the evidence obtained during this investigation, that the allegation of Personal Rights "Facility staff member" had inappropriate interactions with youth in care" displayed by S2 is substantiated. LPA gathered statements and assessed that the licensee took appropriate and immediate action to report the allegation to the appropriate parties (I.e CCL/Community Care Licensing Division; CRP/Children's Residential Program and CPS/Child Protective Services). The Facility is cited for violation of California Code of Regulations, Title Division Six, regulation Plan of Operation General Regulations. (k) The facility shall operate in accordance with the terms specified in the Plan of Operation and may be cited for not doing so". S2 violated the programs Plan of Operation Policy by contacting the alleged victim C1 while on duty as a staff. An exit interview was conducted, and a copy of this report was left at the facility.

Investigation Findings:
13THIS REPORT IS AMENDED FROM THE ORIGINAL REPORT DATED 08/12/ On 08/12/2021 11: AM (LPA) Licensing Program Analysts Rosslyn Gray made an announced visit at the VISIONS ADOLESCENT TREATMENT CENTERS to conclude the investigation on the above allegation and to deliver the findings. LPA Gray met with Facility Coordinator and together discussed details of the investigation. Based on the interviews conducted, statements and documents obtained during the investigation process, supporting evidence in reference to the allegation includes the following. LPA reviewed the facility Memorandum for all staff in reference to Boundaries with residents. LPA assessed that S2 did not maintain professionalism and was in violation of breaking the facilities "Boundaries wilth residents". LPA also reviewed the facilities Code of Conduct Policy objective is that all staff is to maintain the highest degree of professional care for the clients in the program all staff shall maintain a code of conduct. S2 signed and violated Visions Employee Code of Conduct Policy. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: VISIONS ADOLESCENT TREATMENT CENTERSFACILITY NUMBER: VISIT DATE: 08/31/2021

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

met_with: Facility Coordinator

complaint_status: SUBSTANTIATED


summary: Facility Evaluation

raw_content:
Narrative:
On 04/04/2023 at 10:30AM (LPA) Licensing Program Analyst Rosslyn Gray made an unannounced visit to Visions Adolescent Treatment Centers for the purpose of conducting an Annual/Random facility inspections. LPA-Gray met Staff #1(S1) who granted access to the facility and an inspection was conducted together. A Health and Risk assessment was conducted upon arrival at the facility.The facility is a two (2) story family home in a residential neighborhood. The 2nd second floor is above the garage; identified as a classroom. The facility has four (4) client bedrooms, three (3) client bathrooms, two (2) staff and visitor bathrooms, three (3) therapy rooms, 2 locate inside the facility and one (1) located outside the house in the backyard area. One (1) staff office, one (1) client classroom, living room with non-working fireplace with a secure screen attached, kitchen, dining area with a dining table and eight (8) chairs. There is an Entertainment/Playroom. There is a spacious backyard with patio furniture, gated pool, and rock pond and attached car garage. The Visions Adolescent Treatment Centers is a therapeutic treatment program that's designed to accept "Private Placement's" for a length of 45- 90 days and is licensed to provide care supervision for six (6) children, ages 13-17 years; ambulatory only. LPA observed the follow during the inspection: Bedroom #1 on the main floor: Is occupied by two (2) Clients. It has Queen sized beds, adequate drawer and closet space, and lighting, comfortable mattresses, and clean lines, blankets, and pillows. Bedroom #2 on the main floor: Is occupied by one (1) Client. It has two full sized beds, adequate drawer and closet space, and lighting, comfortable mattresses, and clean lines, blankets, and pillows. Bedroom #3 on the main floor: Is occupied by one (1) Client. This is a "Extra room utilized when a client gets sick of COVID Quarantine room. It has two twins sized beds. adequate drawer and closet space, and lighting, comfortable mattresses, and clean lines, blankets, and pillows. There is a private bathroom, and a walk-in closet in this room. Bedroom #4 on the main floor: Is occupied by Client#5 (C5). It has two twin sized beds, adequate drawer and closet space, and lighting, comfortable mattresses, and clean lines, blankets, and pillows. There is a private bathroom, and a walk-in closet in this room. Laundry room (downstairs): There is a washer and dryer. Cleaning supplies and detergent are in locked hallway closet and garage that only staff have access. Classroom (upstairs): The room is used as the classroom for the clients. The room has individual desk for each client, laptops, and adequate lighting. There is small lounge area small sofa and bin bag chair and pillows. Therapy Rooms Two (2) rooms are used for therapy and counseling for clients. Located inside the facility and outside backyard area. Entertainment/Playroom: The room is used as a game, and TV room for clients and is equipped with various musical instruments. There is a fenced and gated pool on the premises that meets the regulations. The facility has a pool with a fence that is at least five feet high and has a fence does not obscure the pool from view. LPA-Gray observed the gate door to swing away from the pool, with self-close and self-latching device located no more than six inches from the top of the gate. LPA-Gray tested the door the gate. The gate self-closes and has a self-latching device located no more than six inches from the top of the gate. The backyard has a playground and rock pond with gold fish. Outdoors activity space free of obstructions. The front and backyard are cleared from hazards. The facility was clean, safe, sanitary and in good repair. S1 confirmed that clients in care twenty-four (24) hours of the day seven (7) days a week, supervised and protected. S1 confirmed that there are no firearms or dangerous weapons in the facility. All medications are stored in the Technical/Program Office in locked cabinets and are inaccessible to clients. There is an ample supply of perishable and non-perishable food in the facility. The facility ensures three nutritious meals, snacks, and special diets. There is a private chef that prepares all hot and cold meals for the clients. All smoke detectors were tested and operable at the time of inspection. Multiple fire extinguishers were observed throughout the facility that were tested and operable at the time of inspection. LPA confirmed staff records with the Human Resources Director. LPA reviewed Staff Records and Clients Records stored in the facilities specific online Portal with Kipuworks.com LPA interviewed three (3) Staff. LPA obtained consent to interview three (3) clients that were present. LPA gave the clients options to have an adult staff present during the interview. There were no deficiencies cited at this time. An Exit Interview was conducted, and a copy of this report was left at the facility with the Facility Manager. LIC-809-C Page 3 of 3

met_with: FACILITY MANAGER


summary: Facility Evaluation

raw_content:
Narrative:
On August 22, 2024, at 3:00PM Rosslyn Gray, Licensing Program Analyst (LPA) arrived at the above facility for the purpose of conducting a Case Management - Incident investigation. LPA met with Jennifer Richardson and a health and safety assessment was conducted prior to entering facility. The department received an Unusual Incident/Injury Report (LIC 624) dated June 22, 2024. The Incident Report disclosed that Child 1 (C1) reported that Staff 1 (S1) had an inappropriate interaction and conversation with C1. S1 was removed from the facility. During the investigation, LPA interviewed Jennifer Richardson requested Personnel Report, client roster, S1 contact information, and termination documentation. Based on the information obtained during this visit, additional investigation is needed. There were no deficiencies cited at this time. Exit interview was conducted with Jennifer Richardson and a copy of this report was left at the facility.

met_with: Jennifer Richardson Human Resources Manager


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On August 28, 2024, at 10:15AM Rosslyn Gray, Licensing Program Analyst (LPA) arrived at the above facility for the purpose of conducting a Case Management - Incident investigation. LPA met with Jennifer Richardson and a health and safety assessment was conducted prior to entering facility. The department received an Unusual Incident/Injury Report (LIC 624) dated June 22, 2024. The Incident Report disclosed that Child 1 (C1) reported that Staff 1 (S1) had an inappropriate interaction and conversation with C1. S1 was removed from the facility. During the investigation, LPA interviewed staff, obtained Personnel Report, client roster, termination documentation for S1, and internal investigation report. Evidence indicated that S1 left facility classroom and conducted a one-on-one de-escalation with C1 which was outside the scope of S1 duties. Also, S1 left the company cell phone unattended and C1 obtained the phone and made an outside phone call. S1 was terminated due to not complying with company policy effective June 28, 2024. Facility is cited for violation of California Code and Regulations, Title Division Six, Regulation 80022 (k) Plan of Operation. Evidence indicated that S1 left the classroom session and met with C1 1on1 and did not secure company's cellular phone, as result C1 gained access to S1 cellular phone. Exit interview was conducted with Chance Stirling Facility Coordinator. A copy of this report and Appeal Rights was provided to Jennifer Richardson Human Resources Manager.

Deficiencies:
80022(k): Statements and documentary evidence indicated that S1 displayed operated outside the scope of company policies and conducted a one-on-one de-escalation with C1 and left company phone unattended, which was obtained by C1.8
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title:
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780022(k) The facility shall operate in accordance with the terms specified in the Plan of Operation and may be cited for not doing so.1
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7Plan of Correction (POC) was discussed. Prior to the investigation the facility conducted an internal investigation, followed reporting protocal, and provided evidence that S1 was terminated and disassociate from all Visions Treatment Centers.
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14This requirement was not met as evidenced by


summary: Facility Evaluation

raw_content:
Narrative:
On 06/15/2021 at 10: AM (LPA) Licensing Program Analyst Rosslyn Gray and Licensing Program Analyst Meghan McGee made an unannounced visit to Visions Adolescent Treatment Centers for the purpose to conduct Annual Required facility inspection. LPA-Gray and LPA McGee met with Staff#1 (S1) who granted access to the facility. The entire physical plant was inspected. The facility is licensed to care for six (6) clients, ages 13-17 years, ambulatory only. S1 states that there is no weapons or guns on the premises. There is a swimming pool and jacuzzi on the premises. The facility is a two story Group Home in a residential neighborhood and it has four (4) client bedrooms, three (3) bathrooms, one (1) on the second floor study classroom with one (1) bathroom and two (2) therapy rooms, living room with non-working fireplace with a secure screen attached, kitchen, dining area with a six (6) chair dining table, family room, backyard, pool, attached car garage used as storage (food), Washer and dryer, locked chemicals and extra supplies. LPA observed coverage trash cans in the kitchen, bathroom and staff office. A detached administration office used as storage, therapy bungalow with two (2) offices, a Tennis court, gazebo, tree house and a basketball court. The Visions Adolescent Treatment Centers is a therapeutic treatment program that is designed to accept "Private Placement's" for a length of 45 -90 days and is licensed to provide care supervision for six (6) children, ages 13-17 years; ambulatory only. Individuals mention in this report are identify on the Confidential Names List (LIC811) dated 06/15/2021. LPA observed the follow during the inspection: The outdoor perimeter (front yard, side yard and backyard) were inspected and found cleared of hazards materials. Outdoor activity space free of obstructions. All windows, screens and blinds from the inside and outside of the facility were observed to be in good condition. The passageways and porches are unobstructed. All posting requirements were met, (food menu, regulations, licenses, emergency disaster plan and personal rights). Bedroom #1(downstairs): Is occupied by Client#4. It has two twin beds, adequate drawer and walk-in closet, adequate lighting, comfortable mattresses, clean linen, blankets, and pillows. Bedroom #2(downstairs): Is occupied by Client#2 and Client#5. It has two twin beds, adequate drawer and closet space, and lighting, comfortable mattresses, clean linen, blankets, and pillows. The bedroom was a share "Jack-N-Jill" bathroom connecting to bedroom#3. Only same sex clients may use the bedroom#2 and bedroom#3. Bedroom #3 (downstairs): Is occupied by Client#1 and Client#3. It has two twin beds, adequate drawer and closet space, and lighting, comfortable mattresses, clean linen, blankets, and pillows. The bedroom was a share "Jack-N-Jill" bathroom connecting to bedroom#2. Clients that occupy this Only same sex clients may use the bedroom#2 and bedroom#3. Bedroom #4(downstairs): Is occupied by Client#6. It has two twin beds, adequate drawer and closet space, and lighting, comfortable mattresses, clean linen, blankets, and pillows. Room 5 is located (upstairs): Classroom- Is used as study area and classroom for clients. There is a fenced and gated pool on the premises that meets the regulations. The facility has a pool with a fence that is at least five feet high and has a fence does not obscure the pool from view. LPA-Gray, LPA McGee and S1, observed the gate door to swing away from the pool, with self-close and self-latching device located no more than six inches from the top of the gate. LPA-Gray, LPA McGee and S1 tested the door the gate and is self-close and has a self-latching device located no more than six inches from the top of the gate. LPA-Gray and LPA McGee, observed the detached administration office used as storage and a therapy bungalow with two (2) offices used for therapy. There is also a driveway that leads to a full-size Tennis court, and Basketball court. There is a Bungalow that is not being occupied by clients. Per S1, they submitted permits to Ventura County and are waiting for approval. At the time of the inspection, the facility was clean, safe, sanitary and in good repair. Clients in care are always supervised and protected. All medications are stored in the Technical/Program Office in locked cabinets and are inaccessible to clients. There is an ample supply of perishable and non-perishable food in the facility. The facility ensures three nutritious meals, snacks, and special diets. Cleaning solutions, disinfectants, and sharp knives are inaccessible to the clients (stored in a locked cabinet in the staff office). There is a private chef that comes to the facility and prepares all meals for the clients. During the inspection, all six (6) clients were attending school together. All smoke/ carbon monoxide detectors were tested and operable at the time of inspection. LPA-Gray and LPA McGee observed multiple fire extinguishers throughout the facility that were operable at the time of inspection. Clients can use the telephone unless restricted by court order. Clients are accorded dignity in personal relationships with staff and others. Clients live in a safe, healthy, comfortable facility and are treated with respect. Clients attend school, extracurricular, cultural, and personal enrichment activities. Clients can contact Community Care Licensing or Foster Care Ombudsman office in confidence without threats or punishment. Facility operates within license conditions and limitations including capacity limitations. Facility has a current, written plan of operation. Facility personnel are instructed to report violations of personal rights. Licensee will report changes in the plan of operation affecting service to clients. Licensee will report client injuries requiring medical treatment. LPA's reviewed the Clothing Inventory Log, Food Menu, and the Weight Log for all clients. A review of Facility's Personnel Report Summary on 06/15/2021, indicates that all personnel have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. There were no deficiencies cited at this time. Exit Interview was conducted with S1 and a copy of this report was left with S1.

met_with: Staff #1