summary: Facility Evaluation

raw_content:
Narrative:
On September 8, 2021 at 10:30 am Licensing Program Analysts (LPA) Enrique Hernandez arrived at the above facility, for the purpose of conducting Annual/Required inspection. LPA met with Alexandria Jones facility administrator (FA) who granted access into the facility. FA and LPA toured the home both inside and out. The home will accept consumers/clients who meet the following criteria: 2-Ambulatory & 2-Non-Ambulatory children, males and females, Ages 12-17 years of age (Compatibility assessment will be conducted upon intake) This is a one-story home, located in a residential area. There was no swimming pool or bodies of water on the premises. Administrator states there are no guns or weapons in the home. There is a vehicle available to transport consumers/clients Toyota Sienna and her current auto insurance is with Nonprofit Insurance Alliance of California The following was observed during the toured the facility: Bedroom #1 is occupied by one female it has one full size bed, adequate closet and drawer space, there is also an emergency exit door. The room is equipped with alarm in case if the client has seizures will start ringing to alert the staff. Bedroom #2 is occupied by one female it has one full size bed, adequate closet and drawer space, there is also an emergency exit door. Bedroom #3 is occupied by one male client it has one full size bed AThe room has adequate closet and drawer space. Bedroom #4 is occupied by one male it has one full size bed, adequate closet and drawer space. Page 1 of Continued from LIC809, page LPA observed adequate non-perishable foods for one week and perishable food for two days. In between meal snacks is available in the facility. Facility is clean, safe, sanitary, and in good repair. Passageways, inclines, and Porsches are unobstructed. Rules, regulations, licenses, emergency disaster plan and personal rights are posted at the facility. Menu is posted in the kitchen. Hazardous and cleaning solutions, disinfectants, poisons, medication and sharp knives are inaccessible to the clients. The middle section of all walls are bordered throughout the house to prevent consumers/clients from injuring themselves when hitting their heads on the wall. The facility has a working telephone/landline. Carbon monoxide and fire alarms were also tested and in working order during the inspection. Outdoors activity space free of obstructions. The front and backyard are cleared from hazards. The home has comfortable mattresses, clean linens, blankets, and pillows, all in good repair. The home is clean, safe, sanitary, and in good repair. Bathrooms: The home is equipped with three (3) Bathrooms. Bathroom one (1) is located next to bedroom #1 it has handicap access for non-ambulatory consumers/clients and it is equipped with one sink, shower and a toilet. Bathroom two (2) is located across the laundry room and is equipped with a sink and a toilet Bathroom three (3) is located between bedroom #3 and bedroom #4, and is equipped with two sinks, toilet, bathtub/shower. All bathrooms were operable at time of inspection. LPA tested the hot water temperature during the time of the inspection the water temperature was between 105-107 degrees, which meets the requirements. Fire Clearance was granted on August 27, 2019. Sitting area: There is one coffee table, three couches and a large floor rug, next to it there is a computer that the clients can utilized safely. A1 stated that the computer comes with parental control. Living Room/Activity room# Living room has a TV mounted on the wall and secured, a large couch and large floor rug. Page 2 of Continued from LIC809-C, page Activity room # There was an attached room space with one table and four chairs which is utilized as the activity room. There were books arts and crafts and play board games available in a storage cabinet. Family room/Activity Room # There is a large couch and a TV mounted on the wall and secured. Fire extinguishers were observed on both areas. Hallway: Has a large wooden cabinet to store linen, towels and for extra storage. Car garage: It is attached to the home and has been legally converted into an extra room which is utilized as the staff's office. Which is equipped with the following items: desk, chairs, locked cabinet for consumer/client's records, small refrigerator, copy machine, first aid kid/emergency kit and petty cash locked box. There is a back-exit door to the side of the home. This room was legally converted and copy of permit information is in the facility file. Kitchen/Dining area: There was one (1) refrigerator, microwave, one (1) stove one (1) with five (5) burners, all operable at the time of the inspection. There is walk-in pantry with non-perishable food. There was a large dining table with six (6) chairs. A trash can with a lid on was observed in the kitchen area. Laundry Room: There was a laundry room equipped with storage cabinets. There is washer and dryer during the time of the inspection. The medication small refrigerator and a second first-aid kit was stored in this room in a locked cabinet and accessible only to employees supervising stored medications. LPA observed six cameras' in the home: One camera is located by the sitting area facing the dining room Camera two is located in the hallway facing the backdoor/sliding door. Camera three is in the activity room #1 facing the office and sitting area Camera four is facing the sliding door facing the patio area. Camera five is in the activity room Camera six is outside in the driveway Page 3 of Continued from LIC809-C, page There are no camera's in the private areas of the bedroom and bathrooms. The cameras were not connected at the time of the inspection. Administrator informed LPA that they haven't installed the hard drive or monitor for the video cameras to operate. LPA informed Administrator that currently CCL is not granting camera system waivers as the Department is reviewing the current regulations. LPA will let Administrator know when CCL will be granting camera system waivers There is a vehicle available to transport consumers/clients a 2020 white Toyota Sienna and the current auto insurance is with Nonprofit Insurance Alliance of California. The vehicle has a slide scratch in the left side of the back bumper. Administrator provided documentation that they submitted the claim and they are just waiting for the insurance to get it fix. LPA will return to review personnel and clients files to ensure it meets regulatory requirements. Personnel Files and client files are maintained on-site. Client and staff interviews will be conducted at a later date. LPA requested copies of, and received the following documents: Staff / Client roster, Monthly Fire Drill records within the last year, Board of Director Meeting Minutes, Vehicle insurance, Vehicle registration and the Operations and Safety Manual. A Review of the Facility's Personnel Summary on 9/8/ Reveals That Staff Have Doj/fbi Criminal Record Clearances and a Child Abuse Background Clearance. There are no deficiencies noted or cited per California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1 & 5. Exit interview was conducted and a copy of this report was left with the Administrator whose signature on this form confirm receipt of this document Page 4 of 4

met_with: Administrator


state: CA

facility_name: TURNING POINT OF CENTRAL CA INC - LA SERENATA

summary: Facility Evaluation

raw_content:
Narrative:
On 11/08/23 at 09:24 am Licensing Program Analyst (LPA) Jhane Haynes arrived at the above facility, for the purpose of conducting Annual/Required inspection. LPA met with Program Director Amanda Westbrook (PD) who granted access into the facility. PD and LPA Haynes toured the home both inside and out. The home clients who meet the following criteria: two ambulatory & two non-ambulatory children, males and females, ages 12-17 years of age (Compatibility assessment will be conducted upon intake). This is a one-story home, located in a residential area. There are no swimming pool or bodies of water on the premises. LPA observed the following during facility tour: Bedroom #1 is occupied by C1; it has one full size bed, adequate closet, and drawer space. There is an emergency exit door that leads to backyard equipped with an alarm. The bed is equipped with alarm to alert the staff. PD states C1 rarely has seizures overnight and continue to monitor client and explore other methods of notification. Bedroom #2 is occupied by C3; it has one full size bed, adequate closet, and drawer space. There is also an emergency exit door leading to backyard equipped with an alarm. Bedroom #3 is occupied by C4; client it has one full size bed, adequate closet, and drawer space. (See 809-C Page 1 of 3) Bedroom #4 is occupied by C2 it has one full size bed, adequate closet, and drawer space. Kitchen/Dining area observed to have adequate seating for clients to have meals. Ample dinnerware, and pantry with non-perishables for one week and perishables for two days and dated. Snacks are available to clients in between meals. All kitchen appliances in working condition. Refrigerator operating below 45 degrees. Weekly menu is posted on the refrigerator. Sharp knives and cleaning solutions are secured in locked cabinets, inaccessible to clients. License, personal rights, emergency disaster plan is posted. Facility has a working landline available to clients. Living/Activity Space 1 located by staff office; observed to have a mounted TV, large couch, and additional seating. PD states space is also used to de-escalate clients. Living/Activity Space 2 located adjacent to front door; observed to have a mounted TV, large couch, and treadmill. Sensory Space observed to have sensory activities and seating for clients. PD states space is rarely used by clients. Between kitchen and sensory space contains additional seating and a desk clients used for hybrid learning. Bathroom #1 located across laundry room; is equipped with a toilet and sink. Bathroom #2 adjacent to bedroom 1; is non-ambulatory, wheelchair accessible and equipped with toilet, sink and shower. Bathroom #3 located between bedroom 3 and 4; is ambulatory, equipped with double sinks, tub/shower and toilet. Extra incontinence pads are stored in cabinet under sink. (See LIC809-C page 2 of 3 ) All bathroom appliances are functional with running water not exceeding maximum temperature. Hallway contained extra linen storage, client hygiene supplies and incontinence products. Walls contained padding throughout facility for client safety. Fire extinguishers located in kitchen and hallway by bathroom#3. Fire alarms and carbon monoxide were tested and in working conditions. Laundry Room contained a washer and dryer, additional cleaning solutions in a locked cabinet, and first aid kits. Staff Office contained locked client files and medication, two desks and two chairs, and door that leads to side of home where utility shutoff valves are located. Outdoor Space contained a secured shed where facility decorations are stored, two picnic benches, a basketball hoop, and sensory bins. Outdoor space, both front and back is clean and free of obstructions/hazards. The facility vehicle is a Toyota Rav4 with registration and auto insurance in working condition. Facility is clean, safe, and in good repair. LPA Haynes reviewed disaster preparedness plan and conducted interview with S1. No clients were in the home at the time of inspection. (See LIC811 [Confidential Names] dated 11/08/23) Due to time constraints, LPA will return to continue annual inspection. No deficiencies will be cited at this time. An exit interview was conducted, and a copy of this report was emailed to program director.(Page 3 of 3)

report_type: Facility Evaluation

visit_type: Annual

met_with: Program Director Amanda Westbrook


summary: Facility Evaluation

raw_content:
Narrative:
On 12/26/23 at 12: PM Licensing Program Analyst (LPA) Jhane Haynes arrived at the above facility, for the purpose of continuing Annual/Required inspection. LPA met with Program Director Amanda Westbrook (PD) who granted access into the facility. C2,C3, and C4 were home at time of continuation. LPA Haynes reviewed files of PD,S1,S2, and all clients currently in placement. (See LIC811 for names). Files are centrally stored in locked cabinets. LPA observed staff files to contain required TB clearance, first aid certifications and records of training not limited to: medications, pro-act and mandated reporter training. All staff have obtained a criminal record clearance with DOJ, FBI, and Child Abuse Response. LPA also reviewed client files containing the immunization record, individualized service plan and intake documentation. LPA obtained a copy of current LIC500 and client roster. This concludes the annual inspection. No deficiencies will be cited at this time. An exit interview was conducted and a copy of this report was left with the program director.

visit_type: Case Management

met_with: Amanda Westbrook Program Director (PD)


summary: Facility Evaluation

raw_content:
Narrative:
On 10/17/2025, at 11:50 am, Licensing Program Analyst (LPA) Nestor Gomez arrived at the above facility, for the purpose of conducting an Annual Required Inspection. LPA Gomez met with Lead staff (S1), Gabriela Lopez who granted access to the facility. The facility may provide care and supervision to four (4) children, ages 7-17 years, two ambulatory and two non-ambulatory. This is a one-story home, located in a residential area. There are no swimming pools or bodies of water on the premises. During the time of inspection, LPA Nestor conducted an inspection of the following areas: Kitchen: observed to have adequate seating for clients to have meals. Ample dinnerware, and pantry with non-perishables for one week and perishables for two days and dated. Snacks are available to clients in between meals. All kitchen appliances are in working condition. Refrigerator operates below 45 degrees. Weekly menu is posted on the refrigerator. Sharp knives and cleaning solutions are secured in locked cabinets, inaccessible to clients. License, personal rights, and emergency disaster plans are posted. Facility has a working landline available to clients. Continue on 812-C (Page 1) Bedroom #1 (Bungalow): This bedroom is currently occupied by C1. The bedroom is equipped with one full size bed, adequate closet, and drawer space. There is an emergency exit door that leads to backyard equipped with an alarm. The bed is equipped with alarm to alert the staff. Bedroom #2 (Hut): This bedroom is currently occupied by C3. The bedroom is equipped with one full size bed, adequate closet, and drawer space. There is also an emergency exit door leading to backyard equipped with an alarm. Bedroom #3 (Cottage): This bedroom is currently occupied by C2. The bedroom is equipped with one full size bed, adequate closet, and drawer space. Bedroom #4 (Hideout): This bedroom is currently occupied by C4. The bedroom is equipped with one full size bed, adequate closet, and drawer space. Bathroom #1: located across the laundry room; is equipped with a toilet and sink. Bathroom #2: located adjacent to bedroom 1; is non-ambulatory, wheelchair accessible and equipped with toilet, sink and shower. Bathroom #3: located between bedroom 3 and 4; is ambulatory, equipped with double sinks, tub/shower and toilet. Extra incontinence pads are stored in cabinet under sink. All bathroom appliances are functional with running water not exceeding maximum temperature. Hallway contained extra linen storage, client hygiene supplies and incontinence products. Walls contained padding throughout facility for client safety. Living/Activity Space 1: located by staff office; observed to have a mounted TV, large couch, and additional seating. Living/Activity Space 2: located adjacent to front door; observed to have a mounted TV, large couch, and treadmill. Sensory Space: observed to have sensory activities and seating for clients. PD states space is rarely used by clients. Between kitchen and sensory space contains additional seating and a desk clients used for hybrid learning. Continue on 812-C (Page 2) Staff Office: contained locked client files and medication, two desks and two chairs, and door that leads to side of home where utility shutoff valves are located. Laundry Room: contained a washer and dryer, additional cleaning solutions in a locked cabinet, and first aid kits. Outdoor Space: contained a secured shed where facility decorations are stored, two picnic benches, a basketball hoop, and sensory bins. Outdoor space, both front and back is clean and free of obstructions/hazards. Additional Observations: The water temperature at the kitchen sink was tested and measured at 110 degrees Fahrenheit which meets licensing regulations. The cleaning supplies are stored under the kitchen sink in a locked cabinet. Sharps are stored in a locked drawer containing a lock box. There are three (3) fire extinguishers. LPA observed the carbon monoxide/smoke detectors to be in working order when tested by the licensee. LPA observed all required posting. Vehicles: LPA Nestor inspected two (2) facility vehicles in total. Toyota Rav4 (Grey) with current registration that expires in 08/02/2025. Insured by Nonprofits Insurance Alliance of California that expires 01/28/2026. Toyota Sienna (White) with current registration that expires in 03/16/2026. Insured by Nonprofits Insurance Alliance of California that expires 01/28/2026. Vehicles are in good condition with no issues. Staff Interview: LPA Nestor conducted two (2) staff interviews with S1 and S2. Client Interview: LPA Nestor conducted two (2) client interviews with C2 and C4. LPA Gomez attempted to interview C4, but due to C4 being non-verbal, LPA could not communicate effectively and conduct an interview. LPA Nestor will return to complete the inspection. There were one deficiency observed and cited at this time. (See 809-D) A copy of this report was reviewed and provided to Facility Administrator (FA), Alex Carrasco. End of Inspection (Page 3)

met_with: Gabriela Lopez - Lead Staff


summary: Facility Evaluation

raw_content:
Narrative:
On March 13,2005, at 3:19 pm Licensing Program Analyst (LPA) Nestor Gomez made an unannounced inspection to the above mentioned facility. LPA met with Program Director (PD) Alexandria Carrasco For the purpose of conducting a Case Management inspection to address concerns regarding in incident report that was received on 3/24/25 stating the following: On 2/27/25 at 6:12 am, Program Director (PD) was notified by Staff 1 (S1) that a medication error was found during a routine check of client records. It was found that on 2/26/25, during the administration of 8PM medications, Staff 2 (S2) failed to fully pop a medication out of the bubble pack, resulting in medication remaining stuck to the back of the pack. Resident received 1mg of risperidone instead of the ordered 2mg. Error was not found during PM shift records check by S2 or S3. PER California Code Regulation, 80075(b)(5)(B) there is one deficiency to be cited at this time. See LIC809-D for details. Exit interview was conducted with PD and a copy of this report was emailed to PD.

met_with: Program Director - Alexandria Carrasco


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13On 2/9/2026, at 3:23 pm, Licensing Program Analyst (LPA) Nestor Gomez made an unannounced inspection to the above facility for the purpose of concluding the investigation on the above allegation and deliver the findings. LPA spoke with interm program director, Gabriela Lopez and together, discussed the investigative findings. During the investigative process by Licensing program Analyst (LPA), Nestor Gomez, all relevant parties have been accounted for. LPA conducted several interviews that were inconsistant with the allegation. When asked C1 could not provide information the alleged injuries that were sustained, but was adament about received the alleged injuries from a staff member. Interviews revealed that the alleged injuries were not observed by several individuals who came into contact with C1.The validity of the allegations could not be determined. The parties interviewed either confirmed or denied the allegations. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No deficiencies are being cited at this time. Exit Interview conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Nestor Gomez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

report_type: Complaint Investigation

met_with: Interm Program Director - Gabriela Lopez

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On 3/26/26, at 9:10 am, Licensing Program Analyst (LPA) Nestor Gomez made an unannounced inspection to the above-mentioned facility, for the purpose of following up on a Case Management inspection regarding an incident report that was received on 3/6/2026. LPA met with Interm Program Direct(S2) Gabriela Lopez, who granted access to the facility. Per the SIR, at 7:05 pm FA received a call from S1 stating that they failed to administer Client's (C1) 4:00 pm medication. S1 stated C1 was out of the facility until 5:30 pm. FA was informed 3 hours after the medication should have taken their medication. No further investigation or interviews are required on the above incident. PER California Code Regulation Health & Safety Code 1507.6 (b) there is one (1) deficiency to be cited at this time. See 809-D. Exit interview was conducted and a copy of this report will be emailed the Facility Administrator (FA).

met_with: Interm Program Direct - Gabriela Lopez


facility_name: UPPER ROOM OF SAN RAMON

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Administrator Angelita Casipit regarding a complaint investigation at the facility. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation LPA McCambridge interviewed clients, staff and reviewed documentation. During the interviews C1 and C2 both stated that they had never had an incident with a staff member. C1 was inconsistent with his statements. C2 denied seeing or being involved with any inapropriate incidents between staff and minors. There is a lack of clear evidence to make a determination as to whether a regulatory violation did occur. this department has investigated the allegations, and although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the staff or residents do not have access to food; therefore, the above allegation is unsubstantiated. Appeal rights were provided and discussed, and no deficiencies were cited. An exit interview was conducted and a copy of the report was sent to the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Cheyenne McCambridge LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

met_with: Angelita Casipit


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.


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.

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.


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

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:

met_with: Jasmine Hernandez/Case Manager


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


summary: Facility Evaluation

raw_content:
Narrative:
On August 1, 2025, Licensing Program Analysts (LPA), C, White made an unannounced visit to Valley Ridge Children's Home for the purpose of conducting Case Management deficiency inspection. LPA met with, House Manager, Armando Velazquez. While reviewing the LIC 500, LPA noticed staff (Gloria Nneka Modugu) who (per the staff schedule works Sunday - Thursday 10: PM - 6: AM). According to the Guardian system, this individual's clearance is listed as in process, thus this staff has not been cleared to work in the facility. The House Manager, confirmed the staff member has been working at the facility. LPA informed House Manager, that the staff member would not be able to work in the facility until clearance has been fully granted. LPA informed House Manager, Armando Velazquez that the facility would be cited. The following deficiency is being cited for violating California Code of Regulations Title 22, Division Regulation 80019 (e) (2) criminal record clearance. (see page D) Exit interview completed, appeal rights issued, and a copy of this report was given to the House Manager, Armando Velazquez.

met_with: House Manager - Armando Velazquez


summary: Facility Evaluation

raw_content:
Narrative:
On September 17, 2025, at 11:30am, Licensing Program Analyst (LPA), Emelyn Sanchez P. made an unannounced Case Management-Other visit to the above facility and met with Armando Velazquez, House Lead who granted access to the facility. The purpose of the visit is to review former client records, including admission agreements, need and services plans, and/or other documentation such as court orders. LPA Sanchez P. conducted a Health and Safety Risk assessment upon entering the facility. Based on observations conducted by LPA Sanchez P. all current client records are maintained at the facility and available to the licensing agency to inspect, audit, and copy upon demand. However, LPA Sanchez P. has not been able to review a file/record for a former client (C #1) who was in care at facility last year. LPA Sanchez P. has made several requests to review former client's file/record on 07/10/2025, 08/12/2025, 08/26/2025, and 09/03/2025. Although some documents were forwarded to LPA Sanchez P. via e-mail the documents requested (Admission Agreement, Needs and Services, Individualized Program Plan (IPP) or court documents) were not provided. Failure to maintain and provide former client file/records on site prevents the Department from verifying compliance with licensing requirements. This poses a potential health, safety, and personal rights risk to the children in care. The following deficiency is being cited for violating California Code of Regulations Title 22, Division 6, Regulation 80070 (g) Client Records. (see page D). Exit interview was completed and copy of the report and appeal rights were discussed and provided to 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

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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

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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

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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

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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

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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

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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

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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


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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

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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.


summary: Facility Evaluation

raw_content:
Narrative:
On October 30, 2025, Licensing Program Analyst (LPA) Sarina Buchannan made an unannounced visit for the purpose of conducting a follow up Case Management inspection. LPA met with Anabeth Kidd, Licensee, who assisted with the walk through of the interior and exterior of the facility. No deficiencies were noted. On September 11, CCL received an incident report with the same date in which staff administered a client an extra dose of three different psychotropic medications. LPA requested the following documentation: Medication log for September 11, 2025, staff roster, staff contact information, staff schedule, staff training on medication, discipline reports for staff in question. LPA also interviewed the facility administrator. Based on interview and record review it was confirmed that the client was administered an extra dose of three different psychotropic medications. LPA was informed that the client was up earlier than usual causing an overnight staff to administer the medication prior to morning staffs arrival. When morning staff arrived, the youth was administered an additional dose of each medication. The youth was taken to the hospital for evaluation and had no adverse reactions.The Licensee wrote an incident report and submitted it to the appropriate parties in a timely manner. Also, on September 12, 2025, the staff in question was given disciplinary action. Lastly, all staff were given additional medication training on September 23, 2025. Due to the medication errors, facility is being cited a Type A violation (See LIC 809D) for Health Related Services. This case management that was initially open on September 25, 2025, is now closed. Exit interview conducted, copy of this report and appeal rights were provided to Anabeth Kidd, Licensee.


facility_name: VINCENT HOME

summary: Facility Evaluation

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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