facility_name: MISSION PREP - EAGLE MOUNTAIN

raw_content:
Narrative:
It was also reported that some residents expressed frustration about not having enough food and being limited to certain food items. It was further reported that residents are seen looking for any food possible to eat until scheduled meal times. It was reported that some residents do not care for the chef's food, don't eat, and would like additional food items in case they don't like the food. Confidential interviews indicated clients attend a weekly grocery group, participate in menu planning, and suggest menu items. Confidential interviews indicated clients request breakfast items to order. Other confidential interviews indicated clients prepare their own breakfast. Confidential interviews indicated lunch and dinner are provided by a chef. Confidential interviews indicated clients enjoy the food the chef makes. Confidential interviews indicated the chef prepares meals requested by the clients and that are within the facility budget. Confidential interviews indicated items such as scallops, sushi and lobsters have been denied because those items are not within the budget. Confidential interviews denied meals not being provided and denied sufficient food not being available. Based on confidential interviews and records reviewed, the allegation that staff did not ensure adequate meals were provided to minors in care may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this signed report and appeal rights were provided to Hilda Soriano, Administrator.

Investigation Findings:
13On August 27, 2025 at 9: AM, Licensing Program Analyst (LPA) Lucero Jauregui arrived at the facility unannounced and met with Hilda Soriano, Administrator to discuss the investigative finding for the allegation noted above. LPA Jauregui conducted an inspection of the facility on March 12, 2025, and no deficiencies were noted. During the investigation, LPA Jauregui interviewed three clients (C1-C3) and four staff (S1-S4). LPA attempted to interview one staff (S5), however, after numerous attempts LPA was unsuccessful. Pertinent documents were obtained. On Mach 7, 2025, Community Care Licensing (CCL) received allegation that staff did not ensure adequate meals were provided to minors in care. It was reported that upper management was not allowing residents to order food items requested. It was reported that residents were only allowed to order breakfast items and that lunch and dinner is provided by a personal chef. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: LUCERO JAUREGUI LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: MISSION PREP - EAGLE MOUNTAINFACILITY NUMBER: VISIT DATE: 08/27/2025

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

met_with: Hilda Soriano, Administrator


state: CA

summary: Facility Evaluation

raw_content:
Narrative:
On November 5, 2024, at 9: AM, Licensing Program Analyst (LPA) Jacob Salem and Licensing Program Manager (LPM) Dawn Segura met with Samual Justice, Compliance Specialist and William Mara via Microsoft Teams for a Component II orientation. LPA went over application revisions and discussed the application process prior to licensure. LPA confirmed that they have received fire clearance and criminal background clearances, and a pre-licensing inspection will be scheduled once the applicant's revisions are approved by the Department. A copy of this report was sent to Samual Justice, Compliance Specialist for signature. The original signed copy will be placed in the facility file.

report_type: Facility Evaluation

met_with: Samual Justice & William Mara


summary: Facility Evaluation

raw_content:
Narrative:
On December 5, 2024, at 1: PM, Licensing Program Analyst (LPA) Jacob Salem conducted an announced visit to the above facility and met with Mission Prep Health Care Aja Chavez, Administrator for the purpose of conducting a pre-licensing inspection. LPA and the applicants toured the facility inside and out. Currently there are no clients placed in the home. The applicant is applying to serve six ambulatory clients ages 12 to 17. LPA conducted component III of the orientation process and reviewed with the applicants Licensing requirements. The home is a one-story building with three client bedrooms and three client bathrooms which are set up as follows: · Bedroom #1 (Client) has two twin beds and will sleep two clients. · Bedroom #2 (Client) has two twin beds and will sleep two clients. · Bedroom #3 (Client) has two twin beds and will sleep two client. · Kitchen and dining area, multiple family room areas, a laundry room, staff office and storage closet, backyard/patio and pool area with large slide, attached two car garage. The Emergency Disaster Plan and Personal Rights are posted in the front hallway of the home. The license will be posted as soon as it is issued. The client bedrooms are arranged so that no more than two clients will share a room, no room commonly used for other purposes will be used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate closet space for the clients' belongings. Client mattresses, blankets, pillows, and linens are clean and in good repair. There are smoke/carbon monoxide detectors inside all three bedrooms and throughout the common areas of the facility. The smoke/carbon monoxide detectors were tested and are working properly. After adjusting the central water heater, client bathrooms have working faucets measured to run at 116.4 and 105.4, and there are signs above the client sinks to warn of hot water. The showers and toilets in client bathrooms are in clean and operating condition. There are additional bath towels and basic toiletries stored in the home. Continued... ...CONTINUED The kitchen is clean and well maintained with adequate utensils, dishware, and appliances for food storage and preparation. The kitchen contains perishable and non-perishable food supplies ready for clients to consume upon entry into the program. There is a trash can for storage of solid waste in the kitchen with a tight-fitting lid. The home's central air conditioning module was located by the front entrance of the home and the home is kept at a comfortable temperature. There are multiple spacious living room areas located through the home with sofas and chairs and reading material for clients to use for relaxation or visitation from family and friends. There is also an educational room and adjacent office, which can be used for visitation and confidential interviews. The facility has supplies and appliances necessary for laundering clients' personal clothing. The home is well lit and passageways are free from obstructions. The backyard consists of a patio and yard area, and window screens around the facility were inspected and in good repair. There is a covered swimming pool in the lower patio and large slide. A first aid kit is readily accessible and located in the staff office cabinet, as well as throughout the home. Applicant stated there were no weapons/firearms in the home. Harmful cleaning supplies are locked in garage closet, medication is kept locked in the staff office,, and knives are locked in the kitchen cupboard. The facility has telephone service on the premises and provisions for making confidential calls. The client's files will be kept on file electronically, and there are provisions for confidential interviews with clients. The facility has a Emergency and Disaster Plan, which contains all the required procedures, such as provision of emergency power, storage and preservation of medications, and the location of utility shut off valves. The facility has demonstrated compliance with Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report was provided to Aja Chavez, Administrator of Mission Prep Healthcare.

visit_type: Prelicensing

met_with: Aja Chavez, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On March 12, 2025 at 8: AM, Licensing Program Analyst (LPA) Lucero Jauregui conducted an unannounced visit to the facility and met with Program Manager Hilda Soriano for the purpose of conducting a post licensing inspection. Program Manager and Clinical Director provided LPA tour of the facility inside and out. The facility serves six ambulatory clients ages 12 to 17. There are currently 4 clients in care. The home is a one-story building with three client bedrooms and three client bathrooms which are set up as follows: · Bedroom #1 (Client) has two twin beds and will sleep two clients. · Bedroom #2 (Client) has two twin beds and will sleep two clients. · Bedroom #3 (Client) has two twin beds and will sleep two clients. · Kitchen and dining area, multiple family room areas, a laundry room, staff office and storage closet, backyard/patio and pool area with large slide, attached three car garages. The Emergency Disaster Plan and Personal Rights are posted in the front hallway of the home. The client bedrooms are arranged so that no more than two clients will share a room, no room commonly used for other purposes will be used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate closet space for the clients' belongings. Client mattresses, blankets, pillows, and linens are clean and in good repair. There are smoke/carbon monoxide detectors inside all three bedrooms and throughout the common areas of the facility. The smoke/carbon monoxide detectors were tested and are working properly. The water temperature was measured to run at 127.7 and there are signs above the client sinks to warn of hot water. The showers and toilets in client bathrooms are in clean and operating condition. There are additional bath towels and basic toiletries stored in the home. Continued... The kitchen is clean and well maintained with adequate utensils, dishware, and appliances for food storage and preparation. The kitchen contains perishable and non-perishable food supplies. There is a trash can for storage of solid waste in the kitchen with a tight-fitting lid. The home's central air conditioning module was located by the front entrance of the home and the home is kept at a comfortable temperature. There are multiple spacious living room areas located through the home with sofas and chairs and reading material for clients to use for relaxation or visitation from family and friends. There is also an educational room and adjacent office, which can be used for visitation and confidential interviews. The facility has supplies and appliances necessary for laundering clients' personal clothing. The home is well lit and passageways are free from obstructions. The backyard consists of a patio and yard area, and window screens around the facility were inspected and in good repair. There is a covered swimming pool in the lower patio and large slide. A first aid kit is readily accessible and located in the staff office cabinet, as well as throughout the home. Per Program Manage there are no weapons/firearms in the home. Harmful cleaning supplies are locked in garage closet, medication is kept locked in the staff office, and knives are locked in the kitchen cupboard. The facility has telephone service on the premises and provisions for making phone calls. The client's files are maintained on file electronically. LPA reviewed four out of four client files, five out of five staff files, and conducted confidential interviews. The facility has a Emergency and Disaster Plan, which contains all the required procedures, such as provision of emergency power, storage and preservation of medications, and the location of utility shut off valves. Based on todays' inspection there are no deficiencies observed. An exit interview was conducted and a copy of this report was provided to Program Manager Hilda Soriano.

met_with: Program Manager Hilda Soriano and Kevin Perez, Clinical Director


summary: Facility Evaluation

raw_content:
Narrative:
On January 14, 2026 at 9: AM, Licensing Program Analyst (LPA) Lucero Jauregui conducted an unannounced visit to the facility and met with Program Manager (PM) Hilda Soriano for the purpose of conducting an annual inspection. LPA Jauregui was provided with an indoor and outdoor guided tour of the facility. The facility serves six ambulatory clients ages 12 to 17. There are currently 6 clients in care. The home is a one-story building with three client bedrooms and three client bathrooms which are set up as follows: · Bedroom #1 (Client) has two twin beds and will sleep two clients. · Bedroom #2 (Client) has two twin beds and will sleep two clients. · Bedroom #3 (Client) has two twin beds and will sleep two clients. · Kitchen and dining area, multiple family room areas, a laundry room, staff office and storage closet, backyard/patio and pool area with large slide, and attached three car garage. The client bedrooms are arranged so that no more than two clients will share a room, no room commonly used for other purposes will be used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate closet space for the clients' belongings. Client mattresses, blankets, pillows, and linens are clean and in good repair. There are smoke/carbon monoxide detectors inside all three bedrooms and throughout the common areas of the facility. The smoke/carbon monoxide detectors were tested on January 8, 2026 and are in proper working order. Additionally, the fire department conducted their annual inspection on September 10, 2025. Continued..... The water temperature was measured to be at 121.5 degrees Farenheit. PM advised that signs will be placed above the client sinks to warn of hot water. The showers and toilets in client bathrooms are in clean and operating condition. There are additional bath towels and basic toiletries stored in the home. The kitchen is clean and well maintained with adequate utensils, dishware, and appliances for food storage and preparation. The kitchen contains perishable and non-perishable food supplies. There is a trash can for storage of solid waste in the kitchen with a tight-fitting lid. The home's central air conditioning module was located by the front entrance of the home and the home is kept at a comfortable temperature. There are multiple spacious living room areas located through the home with sofas and chairs and reading material for clients to use for relaxation or visitation from family and friends. There is also an educational room and adjacent office, which can be used for visitation and confidential interviews. The facility has supplies and appliances necessary for laundering clients' personal clothing. The home is well lit and passageways are free from obstructions. The backyard consists of a patio and yard area, and window screens around the facility were inspected and in good repair. There is a covered swimming pool in the lower patio and large slide. A first aid kit is readily accessible and located in the staff office cabinet, as well as throughout the home with all required items. Per PM there are no weapons/firearms in the home. Harmful cleaning supplies are locked in garage closet, medication is kept locked in the staff office, and knives are locked in the kitchen cupboard. The facility has telephone service on the premises and provisions for making phone calls. The client and staff files are maintained electronically and were readily accessible for review. LPA met via Google Meet with compliance team and reviewed five out of five staff files, and six out of six client files (see confidential names list dated January 14, 2026). All files contained all required items. LPA conducted two client interviews and two staff interviews. Based on todays' inspection there are no deficiencies observed. An exit interview was conducted and a copy of this report was provided to PM Hilda Soriano. Based on printer technical difficulties this report was emailed to PM Hilda Soriano.

visit_type: Annual

met_with: Program Manager Hilda Soriano


facility_name: MISSION PREP HEALTHCARE

summary: Facility Evaluation

narrative: On November 5, 2024, at 9: AM, Licensing Program Analyst (LPA) Jacob Salem and Licensing Program Manager (LPM) Dawn Segura met with Samual Justice, Compliance Specialist and William Mara via Microsoft Teams for a Component II orientation. LPA went over application revisions and discussed the application process prior to licensure. LPA confirmed that they have received fire clearance and criminal background clearances, and a pre-licensing inspection will be scheduled once the applicant's revisions are approved by the Department. A copy of this report was sent to Samual Justice, Compliance Specialist for signature. The original signed copy will be placed in the facility file.


summary: Facility Evaluation

raw_content:
Narrative:
On December 5, 2024, at 12: AM, Licensing Program Analyst (LPA) Jacob Salem conducted an announced visit to the above facility and met with Mission Prep Health Care Kailey Stapel, Administrator for the purpose of conducting a pre-licensing inspection. LPA and the applicants toured the facility inside and out. Currently there are no clients placed in the home. The applicant is applying to serve six ambulatory clients ages 12 to 17. LPA conducted component III of the orientation process and reviewed with the applicants Licensing requirements. The home is a two-story building with three client bedrooms and two client bathrooms which are set up as follows: · Bedroom #1 (Client) has two twin beds and will sleep two clients. · Bedroom #2 (Client) has two twin beds and will sleep two clients. · Bedroom #3 (Client) has two twin bed and will sleep two client. · Kitchen and dining area, family room area, a laundry room, staff office and storage closet, backyard/patio and pool area, attached one car garage, and adjacent office. The Emergency Disaster Plan and Personal Rights are posted in the front hallway of the home. The license will be posted as soon as it is issued. The client bedrooms are arranged so that no more than two clients will share a room, no room commonly used for other purposes will be used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate closet space for the clients' belongings. Client mattresses, blankets, pillows, and linens are clean and in good repair. There are smoke/carbon monoxide detectors directly outside all three bedrooms and throughout the common areas of the facility. The smoke/carbon monoxide detectors were tested and are working properly. Client bathrooms have working faucets measured to run at 118.4 and 117.7 degrees F, as well as showers and toilet that are in clean and operating condition. Continued... ...CONTINUED There are additional bath towels and basic toiletries stored in the home. The kitchen is clean and well maintained with adequate utensils, dishware, and appliances for food storage and preparation. The kitchen contains perishable and non-perishable food supplies ready for clients to consume upon entry into the program. There is a trash can for storage of solid waste in the kitchen with a tight-fitting lid. The home's central air conditioning module was located by the front entrance of the home and the home is kept at a comfortable temperature. There is a spacious living room area with sofas and chairs and reading material for clients to use for relaxation or visitation from family and friends. There is also an educational room and adjacent office, which can be used for visitation and confidential interviews. The facility has supplies and appliances necessary for laundering clients' personal clothing. There is non-working fireplace. The home is well lit and passageways are free from obstructions. The backyard consists of a patio and yard area, and window screens around the facility were inspected and in good repair. There is a swimming pool in the back patio and is covered with netting. A first aid kit is readily accessible and located in the staff office cabinet, as well as throughout the home. Applicant stated there were no weapons/firearms in the home. Harmful cleaning supplies are locked in garage closet. medication is kept locked in the staff office, and knives are locked in the kitchen cupboard. The facility has telephone service on the premises and provisions for making confidential calls. The client's files will be kept on file electronically, and there are provisions for confidential interviews with clients. The facility has a Emergency and Disaster Plan, which contains all the required procedures, such as provision of emergency power, storage and preservation of medications, and the location of utility shut off valves. The following deficiencies were observed: 1. There is no first-aid manual available at the facility. 2. All required toiletries are not present at the facility. The request for a license will be forwarded to Licensing Program Manager Dawn Segura for final approval once the deficiencies are cleared. An exit interview was conducted. A copy of this report was provided to Kailey Stapel, Administrator of Mission Prep Healthcare.

met_with: Kailey Stapel, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On November 7, 2025, at 8: AM, Licensing Program Analyst (LPA) Lucero Jauregui conducted an unannounced visit to the above facility and met with Mission Prep Health Care Community Coordinator I for the purpose of conducting a post-licensing inspection. LPA met with Facility Manager Evan Weidele who provided a guided indoor and outdoor tour of the facility. The facility serves six ambulatory clients ages 12 to 17. The home is a two-story building with three client bedrooms, two client bathrooms, kitchen, dining area, family room, laundry room, staff bathroom, storage closet, two car garage, backyard/patio and pool area. Client bedrooms are on the second floor and are set up to where there are no more than two clients per bedroom, no room commonly used for other purposes will be used as a bedroom, and no bedroom serves as a passageway to another room. LPA observed beds, linen and mattress in good repair. There is adequate dresser and closet space for clients personal belongings. The hot water temperature was measured in the client bathroom to be at 124.8 degrees. Facility will prominently post hot water warning sign. Kitchen was observed to be clean and free from observable hazards. Sharps are maintained locked in a kitchen cabinet. There is a trash can for storage of solid waste in the kitchen with a tight-fitting lid. The laundry room is equipped with a washer and dryer. Chemicals and cleaning supplies are maintained locked in the SDS cabinet in the garage. The garage will be maintained locked at all times. Additionally, the second part of the garage is used as a gym. LPA observed fitness equipment and matting in good repair. Continued...... The medication room is on the second floor. LPA observed medication room and medication cabinet locked. LPA observed sufficient medical supplies and first aid kit with all the required items. Additionally, there is an academic room/ intake room and a bathroom for client use. A physical plant inspection was conducted completed the following checks: There are smoke/carbon monoxide detectors directly outside all three bedrooms and throughout the common areas of the facility and in working conditions. There are fire extinguishers through out common areas of the home that are properly serviced and charged. The home's central air conditioning module was located by the front entrance of the home and the home is kept at a comfortable temperature. There is sufficient emergency water, dry goods and extra refrigerator in the garage. There is adequate indoor and outdoor space for clients relaxation and visitation. There is a swimming pool in the back patio and is covered with netting. There are a total of nine cameras in the exterior of the home. LPA observed the following items posted: House Rules, Community Safety Rules, Physical Safety Rules, Emotional Safety rules, daily schedule, meal menu, Emergency Disaster Plan, Facility Sketch, If you See Something Say Something, Youth Bill of Rights, Grievances, and laundry schedule. Staff files and client files are maintained electronically and were accessible for LPA review. LPA met with Samual Justice virtually on Google Meet. LPA reviewed six out of six client files and five out five staff files. All files contained required items. Based on todays visit, there are no deficiencies cited at this time. An exit interview was conducted and a copy of this signed report was provided to Evan Weidele, Facility Manager. Due to printer difficulties this report was emailed to Evan Weidele.

met_with: Evan Weidele, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On January 21, 2026, at 9: AM, Licensing Program Analyst's (LPA) Lucero Jauregui and Stephanie Arreola conducted an unannounced visit to the above facility for the purpose of conducting an annual inspection. LPA's met with Christine Earley who provided a guided indoor and outdoor tour of the facility. The facility serves six ambulatory clients ages 12 to 17. The home is a two-story building with three client bedrooms, two client bathrooms, kitchen, dining area, family room, laundry room, staff bathroom, storage closet, two car garage, backyard/patio and pool area. Client bedrooms are on the second floor and are set up to where there are no more than two clients per bedroom, no room commonly used for other purposes will be used as a bedroom, and no bedroom serves as a passageway to another room. LPA's observed beds, linen and mattress in good repair. There is adequate dresser and closet space for clients personal belongings. The hot water temperature was measured in the client bathroom to be at 129 degrees and Hot Water Warning prominent posted. Kitchen was observed to be clean and free from observable hazards. Sharps are maintained locked in a kitchen cabinet. There is a trash can for storage of solid waste in the kitchen with a tight-fitting lid. The laundry room is equipped with a washer and dryer. Chemicals and cleaning supplies are maintained locked in the SDS cabinet in the garage. The garage will be maintained locked at all times. Additionally, the second part of the garage is used as a gym. LPA's observed fitness equipment and matting in good repair. Continued...... The medication room is on the second floor. LPA observed medication room and medication cabinet locked. LPA observed sufficient medical supplies and first aid kit with all the required items. Additionally, there is an academic room/ intake room and a bathroom for client use. A physical plant inspection was conducted completed the following checks: There are smoke/carbon monoxide detectors directly outside all three bedrooms and throughout the common areas of the facility and in working conditions. There are fire extinguishers through out common areas of the home that are properly serviced and charged. The home's central air conditioning module was located by the front entrance of the home and the home is kept at a comfortable temperature. There is sufficient emergency water, dry goods and extra refrigerator in the garage. There is adequate indoor and outdoor space for clients relaxation and visitation. There is a swimming pool in the back patio and is covered with netting. There are a total of nine cameras in the exterior of the home. The facility is currently constructing an ADU next to the pool that will be utilized as a therapy room. LPA Jauregui observed Approved Plans and Inspection Record form. LPA observed the following items posted: House Rules, Community Safety Rules, Physical Safety Rules, Emotional Safety rules, daily schedule, meal menu, Emergency Disaster Plan, Facility Sketch, If you See Something Say Something, Youth Bill of Rights, Grievances, and laundry schedule. Staff files and client files are maintained electronically and were accessible for LPA's review. LPA's met with Compliance Associate Josue Ortiz virtually on Google Meet. LPA's reviewed three out of three client files and five out five staff files. All files contained required items. Based on todays visit, there are no deficiencies cited at this time. An exit interview was conducted and a copy of this signed report was provided to Hilda Soriano, Program Manager.

met_with: Hilda Soriano, Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On December 5, 2024, at 9: AM, Licensing Program Analyst (LPA) Jacob Salem conducted an announced visit to the above facility and met with Mission Prep Health Care Ted Guastello, CEO for the purpose of conducting a pre-licensing inspection. LPA and the applicants toured the facility inside and out. Currently there are no clients placed in the home. The applicant is applying to serve six ambulatory clients ages 12 to 17. LPA conducted component III of the orientation process and reviewed with the applicants Licensing requirements. The home is a one-story building with three client bedrooms and three client bathrooms which are set up as follows: · Bedroom #1 (Client) has two twin beds and will sleep two clients. · Bedroom #2 (Client) has two twin beds and will sleep two clients. · Bedroom #3 (Client) has two twin bed and will sleep two client. · Kitchen and dining area, large entrance and family room area, a laundry room, staff office, storage closet, backyard/patio area, and attached two car garage. The Emergency Disaster Plan and Personal Rights are posted in the front hallway of the home. The license will be posted as soon as it is issued. The client bedrooms are arranged so that no more than two clients will share a room, no room commonly used for other purposes will be used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate dresser space for the clients' belongings. Client mattresses, blankets, pillows, and linens are clean and in good repair. There is a smoke/carbon monoxide detectors in all three bedrooms and throughout the common areas of the facility. The smoke/carbon monoxide detectors were tested and are working properly. After adjusting the central water heater, client bathrooms have working faucets measured to run at 114.1, 113.4, and 114.4 degrees F, as well as showers and toilet that are in clean and operating condition. Continued... ...CONTINUED There are additional bath towels and basic toiletries stored in the home. The kitchen is clean and well maintained with adequate utensils, dishware, and appliances for food storage and preparation. The kitchen contains perishable and non-perishable food supplies ready for clients to consume upon entry into the program. There is a trash can for storage of solid waste in the kitchen with a tight-fitting lid. The home's central air conditioning module was located in dining area and the home, and a second unit for client bedrooms, both kept at a comfortable temperature. There is a spacious living room area with sofas and chairs, TV, reading material for clients to use for relaxation or visitation from family and friends. There is also space and recreational activities in the garage, and educational room, which can be used for visitation. The facility has supplies and appliances necessary for laundering clients' personal clothing. There is non-working fireplace. The home is well lit and passageways are free from obstructions. The backyard consists of a patio and yard area, and window screens around the facility were inspected and in good repair. A first aid kits was readily accessible and located in the staff office cabinet, as well as throughout the home. Applicant stated there were no weapons/firearms in the home and harmful cleaning supplies are locked in garage closet and inaccessible to clients. Knives are locked in the kitchen cupper. The swimming pool is covered with netting has a locked self-latching fence. The facility has telephone service on the premises and provisions for making confidential calls. The client's files will be kept on file electronically, and there are provisions for confidential interviews with clients. The facility has a Emergency and Disaster Plan, which contains all the required procedures, such as provision of emergency power, storage and preservation of medications, and the location of utility shut off valves. The following deficiencies were observed: 1. Hot water temperature controls in client bathrooms does not automatically regulate water temperature between 105 degrees and 120 degrees, and there are no warning signs for hot water. 2. Procedures for clients and their authorized representatives to file complaints with the facility administrator are not posted in an accessible location. The request for a license will be forwarded to Licensing Program Manager Dawn Segura for final approval once the deficiencies are cleared. An exit interview was conducted. A copy of this report was provided to Ted Guastello, CEO of Mission Prep Healthcare.

met_with: Ted Guastello, CEO


summary: Facility Evaluation

raw_content:
Narrative:
On June 27, 2025 at 9: AM, Licensing Program Analyst (LPA) Lucero Jauregui conducted an unannounced visit to the facility and met with Hilda Soriano, Administrator. The purpose of the visit is to conduct a Post Licensing inspection. LPA was provided a guided indoor and outdoor tour of the facility. The facility serves six ambulatory clients ages 12 to 17 with a current census of 5. The facility is a one-story home with three client bedrooms, three client bathrooms, living room, dinning room, kitchen, education room, staff office, group room, medication room, and a two car garage. Bedrooms are set up were there are no more than two clients per room. LPA observed mattress and linens in good repair. There is adequate shelf and closet space for client's belongings. All hazardous items have been properly made inaccessible to clients. The medication is stored in a locked cabinet in the medication room. First Aid Kit is maintained in the medication room and contained all the required items. Cleansers/chemicals are locked and stored in the closet. LPA observed kitchen to be free from observable hazards. Sharps are maintained locked in a safe box and locked in an upper kitchen cabinet. The water temperature was measured in the client bathroom to be at 100.7. LPA advised for water temperature to be adjusted. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Fitness equipment and mats was observed in the garage. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguisher are properly charged and serviced. There are 13 cameras located in the exterior of the facility. Continued.... LPA observed the following items posted: Grievance Procedures, Facility Sketch, Meal Menu, Emergency Disaster Plan, If you See something Say something, Youth Bill of Rights, House Rules, Community Safety Rules, and Emotional Safety Rules. Facility has a pool which is appropriately fenced and secured with a mesh fence. The enclosure was measured to be 5 feet with a self-latching gate that swings outward. Per facility staff, no firearms or weapons are allowed in the facility. Staff files and client files are maintained electronically and accessible for LPA review. LPA virtually reviewed five out of five client files (C1-C5) and five out of five staff files (S1-S5). LPA conducted two of two staff interviews and was unable to conduct client interviews due to clients going on an outing. Based on today's inspection there are no deficiencies cited at this point. An exit interview was conducted and a copy of this signed report was provided to Hilda Soriano, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On June 27, 2025, at 2: PM Licensing Program Analyst (LPA) Lucero Jauregui arrived to the facility. The purpose of the visit is to conduct client interviews from the Post Licensing Inspection. LPA conducted three client interviews. An exit interview was conducted and a copy of this report was provided to Cynthia Orozco, Facility Manager.

visit_type: Case Management

met_with: Cynthia Orozco, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On January 29, 2026 at 9: AM, Licensing Program Analyst (LPA) Lucero Jauregui conducted an unannounced visit to the facility and met with Facility Manager Cynthia Orozco. The purpose of the visit is to conduct an annual inspection. The facility is a one-story home with three client bedrooms, three client bathrooms, living room, dinning room, kitchen, education room, staff office, group room, medication room, and a two car garage. Bedrooms are set up were there are no more than two clients per room. LPA observed mattress and linens in good repair. There is adequate shelf and closet space for client's belongings. All hazardous items have been properly made inaccessible to clients. The medication is stored in a locked cabinet in the medication room. First Aid Kits are maintained locked throughout the facility with required items. Cleansers/chemicals are locked and stored in the closet in the garage. LPA observed kitchen to be free from observable hazards. Sharps are maintained locked in a safe box and locked in an upper kitchen cabinet. The hot water temperature was measured at 118 degrees Farenheit. LPA observed Hot Water warning signs prominently posted on sinks. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Fitness equipment and mats was observed in the garage. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguisher are properly charged and serviced. There are 13 cameras located in the exterior of the facility. Continued.... Facility has a pool which is appropriately fenced and secured with a mesh fence. The enclosure was measured to be 5 feet with a self-latching gate that swings outward. Per facility staff, no firearms or weapons are allowed in the facility. LPA observed the following items posted: Facility License, Grievance Procedures, Facility Sketch, Meal Menu, Emergency Disaster Plan, If you See something Say something, and Youth Bill of Rights. Staff files and client files are maintained electronically and accessible for LPA review. LPA met with Compliance Associate Josue Ortiz via Google Meet and reviewed six out of six client files (C1-C6) and five out of five staff files (S1-S5). LPA conducted two of two staff interviews and three out of three client interviews. Based on today's inspection there are no deficiencies cited at this point. An exit interview was conducted and a copy of this signed report was provided to Cynrhia Orozco, Facility Manager.


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove or disprove that a violation occurred; therefore, the above allegation is Unsubstantiated. There are no deficiencies being cited at this time.

Investigation Findings:
13REPORT AMENDED FROM 05/19/2023, TO CORRECT LANGUAGE On August 4, at 11:30pm, Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of concluding complaint investigation. LPA met with Administrator, Aja Chavez and was allowed into the facility. A risk and health assessment were conducted. During the investigation, interviews were conducted, and documents were obtained.The interviews did not produce corroborating evidence to support said allegation. Interviews revealed inconsistent statements and no witnesses to suggest allegation occurred. There was no evidence that facility staff did not provide adequate supervision to a minor in care. Statements and documentary evidence were consistent that facility was in staff-client ratio. Staff maintained sight of client on foot and in vehicle. incident report showed that staff followed and documented the elopement of Child #1 until he was apprehended by the police. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Donald C Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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: MISSION PREP HEALTHCAREFACILITY NUMBER: VISIT DATE: 05/19/2023

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

report_type: Complaint Investigation

met_with: Aja Chavez-Administrator

complaint_status: unsubstantiated


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Facility staff was unable to provide documentation of communication with hospital staff. C#1 was released to the care of biological mother after being hospitalized for 72 hours. Facility cited for violation 80078(a)(2) The licensee shall provide care and supervision as necessary to meet the client's need. Facility staff did not provide contact information or communicate with hospital staff regarding discharge plan for C#1. A copy of this report will be left with Administrator, Aja Chavez.

Investigation Findings:
13On July 7, 2023, at 12pm Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of delivering findings for the above complaint investigation. LPA met with Administrator, Aja Chavez and was allowed into the facility. During the investigation of the allegation of staff are not communicating to medical professional's regarding minor's hospital release, LPA conducted interviews. The confidential interviews indicated that C#1 was hospitalized for evaluation and upon discharge bed was closed. There was no evidence that staff spoke with a hospital representative regarding C#1 discharge plan. There was no evidence that facility staff provided contact information to the hospital representative to be contacted once C#1 discharge from hospital. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Donald C Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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: MISSION PREP HEALTHCAREFACILITY NUMBER: VISIT DATE: 08/04/2023

met_with: Aja Chavez-AdministratorNaomi

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Based on the SIR of the incident, interview evidence from witnesses and staff, and photo evidence, LPA concludes that the incident did happen and that a client did AWOL from the facility without staff supervision and resulting in inappropriate behavior in the community. Based on the available information LPA gathered from interviews and observation, the preponderance of the evidence standard has been met, therefore, the allegation of "Staff did not adequately supervise minor resulting in inappropriate behavior in the community" is found to be substantiated. An exit interview was conducted, during which LPA provided the Administrator with a copy of this report and a copy of their appeal rights.

Investigation Findings:
13On 7/2/25 at 3: PM, Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility and met with Lorenzo Mejia Program Manager for the purpose of delivering complaint findings regarding the above allegation. LPA interviewed involved staff, clients, and witnesses. All staff admitted that there was an incident where C AWOLed from the facility on 1/18/25. No staff were present during the client's alleged interactions with the neighboring community. An SIR of the incident was made at the time and has been given to LPA. LPA was unable to get in contact with C1. Interview and photo evidence from neighbors show the client walking around the area, interacting with workers who were on the roof of a house. Neighbor testimony states that the client was walking around the area and threw objects at houses in the community. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen 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: MISSION PREP HEALTHCAREFACILITY NUMBER: VISIT DATE: 07/02/2025

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

met_with: Lorenzo Mejia Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On January 26, 2023 at 9 am Licensing Program Analyst (LPA) Donald Martin and Licensing Program Manager (LPM) JoAunne Griffin arrived at the above facility for the purpose of conducting the Component III and Pre-Licensing inspection. LPA and LPM were met by Aja Chavez, Administrator and William Mara, Director of Business Systems and allowed access into the facility and conducted the tour of the facility. The facility will be licensed to care for six clients, ages 12-17 years, ambulatory only. The facility layout is as follows: The facility has a large common living room with a sectional and two chairs. There is a book shelf and a non-operable fireplace that is covered. The dining room has a large table with 10 chairs. There is a double door that leads to the backyard and also a garage access door. The kitchen is equipped with a stove, in wall range with a microwave above, a dishwashing machine and a large refrigerator filled with perishable foods. There is a large pantry and an adjacent cupboard filled with non-perishable foods and snacks. The sharp knives are kept in a locked cabinet below the kitchen sink. The large group room is located adjacent to the living room. There is a large table and several chairs and also has a covered fire place and a TV mounted to the wall. The medication room is double locked and inaccessible to clients and contains a locked cabinet with six individual boxes for the clients medication storage. There is also a refrigerator to store medications. There is a safe which will contain the keys for the medication cabinet. There is a hazardous waste container and a container for sharps and supplies for first aid emergencies. Continued on 809-C Bedroom #1 contains two beds, two night stands, 1 desk and a large built in cabinet that has dresser drawers and closet space for two clients. There is a large sliding glass door that gives access to the backyard and also a door to access the Bathroom #1. Bedroom #2 has two beds, a closet that contains dresser drawers and closet space for two clients and a desk. Bedroom #3 has two beds, a large closet, two dresser drawers, two night stands, and a desk. Bathroom #2 is located in the room with a sink, toilet, and shower. The bathroom has an access door that leads to the backyard. There are five fire extinguishers located in the facility and were serviced January 18, 2023. The laundry room is located in the hallway and is equipped with a washer and dryer and detergent is and cleaning solutions are locked in cabinet. There is a locked door that contains the hot water heater. The laundry room is kept locked and inaccessible to children in care. The upstairs will only be used for therapy and school. Therapy room #1 has individual seating for family therapy. There is a covered fire place and patio access through a sliding glass door. There is a full bathroom with a toilet, shower and tub. The sink is located right outside of the bathroom. There is a large first aid kit mounted to the wall. Therapy room #2 has two chairs. There is a school room with a large table with seating for all the clients and teachers. The table has 6 computers and there is a sliding glass door with patio access. Outdoor area was observed to be clean and free of debris and hazards. The Backyard has two seating areas. There are no bodies of water on the premises. There is a tankless water heater mounted to the wall and below it are the shut off valves for the home. Above the restraining wall is a hill that has some small debris that was pointed out to Administrator, Aja Chavez as possible hazards. The backyard wraps around the home and leads to the front yard. The garage is a large three car garage that has some personal vehicles in them and there is an additional garage next to that. The front of the home has a long driveway from the street and a large area for additional parking. There are no cameras attached to the home at the time of this visit. The facility vehicle is a Toyota Sienna Van with current registration and insurance. There is a first aid and fire extinguisher located in the trunk of the vehicle. Facility has one or more functioning carbon monoxide and smoke detectors that meet statutory requirements. There were no guns or weapons in the home. Linen closet located in the hallway. Central air and heating unit and all windows had screens and in good repair. Exit interview was conducted and a copy of this report was left with the Administrator, Aja Chavez.


summary: Facility Evaluation

raw_content:
Narrative:
On January 26, 2023 at 9 am Licensing Program Analyst (LPA) Donald Martin and Licensing Program Manager (LPM) JoAunne Griffin arrived at the above facility for the purpose of conducting a Component II inspection. LPA and LPM were met by Aja Chavez, Administrator and William Mara, Director of Business Systems of whom allowed us access into the facility and conducted the tour of the facility. The facility will be licensed to care for six clients, ages 12-17 years, ambulatory only. The details of the component II are as follows: Section Special Services/Programs offered; Will there be Vocational training for the clients Section Transporting; Detail whether there will be a company vehicle, how you will ensure that there will be no smoking or staff using the vehicle has proper registration/license. Section Admission/Assessment; more in depth on clients rights, pre admission appraisal plan, sign in ad out procedures, emergency placement (yes/no) Section Emergency Intervention; Be more specific as to how Law enforcement will be used. if any of these details will not be apart of the program please make note of that fact in the program statement.


summary: Facility Evaluation

raw_content:
Narrative:
On May 26 2023 at 12:30pm Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of conducting a Post Licensing inspection. LPA was met by Kyle Walkwitz, Lead Community Coordinator (LCC) and allowed access into the facility and conducted the tour of the facility. The facility will be licensed to care for six clients, ages 12-17 years, ambulatory only. The facility layout is as follows: The facility has a large common living room with a sectional and two chairs. There is a book shelf and a non-operable fireplace that is covered. The dining room has a large table with 10 chairs. There is a double door that leads to the backyard and also a garage access door. The kitchen is equipped with a stove, in wall range with a microwave above, a dishwashing machine and a large refrigerator which was empty at the time of this visit. stated that the refrigerator is being repaired. All perishable foods have been moved to the garage and placed into two refrigerator/freezers that are kept in there. There is a large pantry and an adjacent cupboard where non-perishable foods and snacks. The sharp knives are kept in two locked cabinets above and below the kitchen sink. The large group room is located adjacent to the living room. There is a large table and several chairs and also has a covered fire place and a TV mounted to the wall. The medication room is double locked and inaccessible to clients and contains a locked cabinet with six individual boxes for the clients medication storage. There is also a refrigerator to store medications. There is a safe which will contain the keys for the medication cabinet. There is a hazardous waste container and a container for sharps and supplies for first aid emergencies. Continued on 809-C Bedroom #1 contains two beds, two night stands, 1 desk and a large built in cabinet that has dresser drawers and closet space for two clients. There is a large sliding glass door that gives access to the backyard and also a door to access the Bathroom #1. Bedroom #2 has two beds, a closet that contains dresser drawers and closet space for two clients and a desk. Bedroom #3 has two beds, a large closet, two dresser drawers, two night stands, and a desk. Bathroom #2 is located in the room with a sink, toilet, and shower. The bathroom has an access door that leads to the backyard. There are five fire extinguishers located in the facility and were serviced January 18, 2023. The laundry room is located in the hallway and is equipped with a washer and dryer and detergent is and cleaning solutions are locked in cabinet. There is a locked door that contains the hot water heater. The laundry room is kept locked and inaccessible to children in care. The upstairs will only be used for therapy and school. Therapy room #1 has individual seating for family therapy. There is a covered fire place and patio access through a sliding glass door. There is a full bathroom with a toilet, shower and tub. The sink is located right outside of the bathroom. There is a large first aid kit mounted to the wall. Therapy room #2 has two chairs. There is a school room with a large table with seating for all the clients and teachers. There is a large safe where laptops are kept and used during school times. There is a sliding glass door with patio access. Outdoor area was observed to be clean and free of debris and hazards. The Backyard has two seating areas. There are no bodies of water on the premises. There is a tankless water heater mounted to the wall and below it are the shut off valves for the home. The backyard wraps around the home and leads to the front yard. The garage is a large three car garage and there is an additional garage next to that. The front of the home has a long driveway from the street and a large area for additional parking. There are no cameras attached to the home at the time of this visit. The facility vehicle is a Toyota Sienna Van with current registration and insurance. There is a first aid and fire extinguisher located in the trunk of the vehicle. Facility has one or more functioning carbon monoxide and smoke detectors that meet statutory requirements. There were no guns or weapons in the home. Linen closet located in the hallway. Central air and heating unit and all windows had screens and in good repair. Note: has been notified that there needs to be a Grievance Form and Box posted in the home accessible to the clients. LPA also let LCC know that a waiver needs to be sent to my attention regarding the recent installment of sensors on the sliding glass doors throughout the home. Exit interview was conducted and a copy of this report was left with the Lead Community Coordinator, Kyle Walkwitz.

met_with: Kyle Walkwitz-Lead Community Coordinator


summary: Facility Evaluation

raw_content:
Narrative:
On June 13, 2023 at 3:30pm Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of conducting a Case Management inspection to identify door sensors recently installed on the doors in the facility. LPA was met by Naomi Tapia, Program Director and allowed into the facility. One door sensor has been added to the door that exits to the backyard of the facility inside of the end of the hallway bathroom. One door sensor has been added to the Glass Door that exits to the backyard of the facility from the dining room. One door sensor has been added to the door that enters the facility from the garage adjacent to the dining room. The installation has not been completed yet. LPA was informed that more doors and windows will be done before installation is complete. Naomi Tapia will send LPA an email when the installation is complete. No deficiencies were cited at the time of the visit.

met_with: Naomi Tapia-Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On August 8, 2023, at AM, an Informal Meeting was conducted at the El Segundo Children's Residential Program Office to discuss compliance issues with Mission Prep Healthcare Group Home representatives. Present at the Informal Meeting were the following individuals: Aja Chavez-Administrator -via Microsoft Teams Billy Mara - Vice President of Compliance Ted Guastello - CEO - via Microsoft Teams Fernanada Perez Clinical Director Kellee Coleman - Regional Manager JoAunne Griffin - Licensing Program Manager Donald Martin - Licensing Program Analyst Jhane Hayne - Licensing Program Analyst Deborah Lee - Licensing Program Analyst The purpose of the meeting was to discuss the following: 1. Intake Process 2. Staff Training 3. Care and Supervision/Staffing 4. Reporting Requirements 4. Community Concerns Community Care Licensing Division (CCLD) explained that the goal for this meeting is to review the recent Incident Reports, complaints and community concerns received for Mission Prep Group Home located at Oceanaire Drive and Palos Verdes E, Rancho Palos Verdes, CA 90275. During this Informal Meeting Regional Manager, Kellee Coleman discussed the Incident Reports sent to CCLD regarding client health and safety incidents. Licensee was informed of their responsibility to ensure that they can meet the needs of the minors and to take appropriate measures if they are unable to meet the needs of the minors. Cont 809-C Intake Process: Facility representatives were asked to update Program Statement. Facility representatives will identify acceptance criteria. Facility representatives will obtain thorough background regarding aggressive behaviors. Facility will also update policies and procedures in Program Statement regarding discharge and emergency discharge practices. Updates should indicate what will occur if the child's parent or representative is not immediately responsive or available to discharge from the hospital and child must return to the facility. Program Statement revisions should indicate what provisions are made if the minor is self-harming. Program Statement should indicate revisions regarding clinical staff oversight during night shift. Facility representatives plan to meet with Del Amo Hospital and build towards a collaborative relationship. Facility representatives will conduct Quality Assurance to ensure clients are not being discharged for reasons that were disclosed during intake. Staff Training: Facility representatives indicated that Google Keeps is currently being utilized to ensure that treatment and safety plan is being communicated to Direct care staff. Facility is working to build a bridge with minors and staff. Facility representatives will be providing trauma informed care to Direct care staff. Facility representatives have identified that incidents have taken place during night hours. Facility representatives have implemented clinical staff being present during this time to assist with coping skills and de-escalation. Facility has implemented less time for free time. Minors are being offered yoga classes, equine therapy, outings in the community and more therapeutic services. Facility staff are building a rapport with minors and involving them in the program. Care and Supervision/Staffing: All staff will receive a refresher CPI training. Facility representatives will review search policies and procedures to ensure that blanket policy is not present. Facility representatives have had exterior cameras installed and alarms on exit doors. Cont 809-C Reporting Requirements: Facility representatives were advised to submit Incident Report of initial incident within 24 hours and addendum within seven days. Re-construct Incident report to mirror CCL's Incident report Incident Report should indicate what happened prior to the incident, during and how the incident concluded. Details of the Incident Report should indicate the name of staff involved. Quality Assurance should be implemented to identify patterns, staff training needs and updates to treatment and safety plans. Facility representatives have identified trends within reports and have implemented changes to activities provided and staff training. Community Concerns: Facility representative will provide a current LIC 500 indicating the days and hours administrator will be present at each facility. Facility representatives will complete and submit a Neighborhood Complaint Form identifying the days and hours administrator is available. Facility representative indicated that they have been in contact with neighbors at both locations and the President of the Homeowner Association (HOA) and has provided them with contact information to share concerns. Facility representative indicated that a staff has been designated to conduct community outreach as an effort to mend relationships with neighbors and mitigate future situations. Facility representative have sent letters to neighbors of pending application locations and has provided information pertaining to program and services that will be provided. Facility representative indicated that counsel has advised that Mission Prep Healthcare Group Home is exempt from business license. Facility representative discussed Off-Site Day School possibility. Regional Manager will follow up regarding policy surrounding Off-Site activities. CCLD is recommending assistance from the Technical Support Program (TSP) in the areas of intake processes and incident reporting. It has also been recommended that facility representatives follow up with their counsel regarding the City of Rancho Palos Verdes to apply for a business license. Exit interview was conducted. A copy of this report was given to the licensee at the end of the Office Meeting.


summary: Facility Evaluation

raw_content:
Narrative:
On September 28, 2023 at 11:45am Licensing Program Analyst (LPA) Donald Martin arrived at the above facility. The purpose of the visit is to conduct a Case Management inspection for the new sensors installed on the facility doors and windows. LPA met with Program Manager, Nyaa Davis and was allowed into the facility. The Group room has a sensor on the sliding glass door as well as the windows which sound off when they are opened and closed. The Dining room has a sliding glass door that leads to the backyard that has a sensor. The front door and the door that leads into the garage have a sensor that sounds off when you open and close the doors. An additional door leading into the backyard from the garage also has a sensor on it. All the windows in the living room area and kitchen area have sensors. Bedroom #1 has a sensor on the sliding glass door as well as the windows in the room. Bedroom #2 & #3 have sensors on all the windows. Throughout the house there are "Invisible Hand" sensors to indicate staff rounds. There is one central areas where the sensors can be heard, the living room/kitchen area. Note: The door that leads to the backyard from the bathroom; a double keyed deadbolt lock has been placed on it. A key is needed to access entry and exit. There are 5 cameras attached to the exterior of the home. 3 cameras in the front of the home, 1 on the side of the home and 1 in the backyard. All cameras are facing away from the home and only show views of the walkway and the yard. There were no deficiencies cited at the time of the visit.

met_with: Nyaa Davis-Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On February 26, 2024 at 10am Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of conducting an Annual inspection in order to change the facility license status from provisional to permanent. LPA was met by Program Manager, Nyaa Davis and allowed access into and conducted the tour of the facility. The facility will be licensed to care for six clients, ages 12-17 years, ambulatory only. The facility layout is as follows : The facility has a large common living room with a sectional and two chairs. There is a book shelf and a non-operable fireplace that is covered. The dining room has a large table with 10 chairs. There is a double door that leads to the backyard and also a garage access door. The kitchen is equipped with a stove, in wall range with a microwave above, a dishwashing machine and a large refrigerator. Only breakfast foods are kept in the home. There is a Chef who brings in the lunches and dinners daily. Clients are given the responsibility of making their own breakfast. There is a large pantry and cupboard where non-perishable foods and snacks are kept. The sharp knives are kept in a locked cabinet next to the sink. The large group room is located adjacent to the living room. There is a large table and several chairs and also has a covered fire place and a TV mounted to the wall. The medication room is double locked and inaccessible to clients and contains a locked cabinet with six individual boxes for the clients medication storage. There is also a refrigerator to store medications. There is a cabinet which contains the keys for the medication cabinet. There is a hazardous waste container and a container for sharps and supplies for first aid emergencies. Continued on 809-C Bedroom #1 contains two beds, two night stands, 1 desk and a large built in cabinet that has dresser drawers and closet space for two clients. There is a large sliding glass door that gives access to the backyard and also a door to access the Bathroom #1 that has a dead bolt and is inaccessible to the clients in care. Bedroom #2 has two beds, a closet that contains dresser drawers and closet space for two clients and a desk. Bedroom #3 has two beds, a large closet, two dresser drawers, two night stands, and a desk. Bathroom #2 is located in the hall way. It contains a sink, toilet, and shower. The bathroom has an access door that leads to the backyard which has a dead bolt and is inaccessible to clients in care. There are five fire extinguishers located in the facility and up to date until May 2025. Note: The bedrooms and downstairs bathrooms need to be kept cleaned. Buildings and Grounds (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. The laundry room is located in the hallway and is equipped with a washer and dryer, detergent and cleaning solutions are locked in the cabinet. There is a locked door that contains the hot water heater. The laundry room is kept locked and inaccessible to children in care. The upstairs has two therapy rooms and a classroom that has been converted into an art room. Note: Clients now attend school outside of the home at another location. Therapy room #1 has individual seating for family therapy. There is a covered fire place and patio access through a sliding glass door. There is a large first aid kit mounted to the wall. Therapy room #2 has two chairs and a desk. There is a full bathroom with a toilet, shower and tub used as a staff bathroom. The sink is located right outside of the bathroom. Outdoor area was observed to be clean and free of debris and hazards. The Backyard has two seating areas. There are no bodies of water on the premises. There is a tankless water heater mounted to the wall and below it are the shut off valves for the home. The backyard wraps around the home and leads to the front yard. There is a three car garage. The cameras attached to the facility only show views of common areas outside of the home. There are no indoor cameras in the facility. The facility vehicle is a Toyota Sienna Van with current registration and insurance. There is a first aid and fire extinguisher located in the trunk of the vehicle. Facility has one or more functioning carbon monoxide and smoke detectors that meet statutory requirements. There were no guns or weapons in the home. Linen closet located in the hallway. Central air and heating unit and all windows had screens and in good repair. No deficiencies cited at the time of the visit.


summary: Facility Evaluation

raw_content:
Narrative:
On September 26, 2025 at 12pm Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of conducting an Annual inspection. LPA was met by Residential Supervisor, Andrew Siongco and allowed access into the facility. The facility will be licensed to care for six clients, ages 12-17 years, ambulatory only. The facility layout is as follows : The facility has a large common living room with a sectional and two chairs. There is a book shelf and a non-operable fireplace that is covered The dining room has a large table with 10 chairs. There is a double door that leads to the backyard and also a garage access door. The kitchen is equipped with a stove, in wall range with a microwave above, a dishwashing machine and a large refrigerator. Only breakfast foods are kept in the home. There is a Chef who brings in the lunches and dinners daily. Clients are given the responsibility of making their own breakfast. There is a large pantry and cupboard where non-perishable foods and snacks are kept. The sharp knives are kept in a locked cabinet next to the sink. The large group room is located adjacent to the living room. There is a large table and several chairs and also has a covered fire place and a TV mounted to the wall. The medication room is double locked and inaccessible to clients and contains a locked cabinet with six individual boxes for the clients medication storage. There is also a refrigerator to store medications. There is a cabinet which contains the keys for the medication cabinet. There is a hazardous waste container and a container for sharps and supplies for first aid emergencies. Continued on 809-C Bedroom #1 contains two beds, two night stands, 1 desk and a large built in cabinet that has dresser drawers and closet space for two clients. There is a large sliding glass door that gives access to the backyard and also a door to access the Bathroom #1 that has a dead bolt and is inaccessible to the clients in care. Bedroom #2 has two beds, a closet that contains dresser drawers and closet space for two clients and a desk. Closet is missing poles to hang clothing on. Note: Repaired during visit. No citation will be issued. Bedroom #3 has two beds, a large closet, two dresser drawers, two night stands, and a desk. Bathroom #2 is located in the hall way. It contains a sink, toilet, and shower. The bathroom has an access door that leads to the backyard which has a dead bolt and is inaccessible to clients in care. There are five fire extinguishers located in the facility only 4 are up to date. Staff was notified about the one expired extinguisher. The laundry room is located in the hallway and is equipped with a washer and dryer, detergent and cleaning solutions are locked in the cabinet. There is a locked door that contains the hot water heater. The laundry room is kept locked and inaccessible to children in care. The upstairs has three therapy rooms. Therapy room #1 has individual seating for family therapy. There is a covered fire place and patio access through a sliding glass door. There is a large first aid kit mounted to the wall in the hallway area. Therapy room #2 has two chairs and a desk. There is a full bathroom with a toilet, shower and tub used as a staff bathroom. The sink is located right outside of the bathroom. Outdoor area was observed to be clean and free of debris and hazards. The Backyard has two seating areas. There are no bodies of water on the premises. There is a tankless water heater mounted to the wall and below it are the shut off valves for the home. The backyard wraps around the home and leads to the front yard. There is a three car garage. The cameras attached to the facility only show views of common areas outside of the home. There are no indoor cameras in the facility. The facility vehicle is a Toyota Sienna Van with current registration and insurance. Note: There are several dents and scratches to the vehicle. LPA asked about the incident reports and if the incidents were reported to the insurance company. and what the facilities intentions were as far as getting them fixed. Compliance Manager, Samual Justice stated that he could not locate the incident reports and that the facility will probably fix it out of pocket. There is a first aid and fire extinguisher located in the trunk of the vehicle. Facility has one or more functioning carbon monoxide and smoke detectors that meet statutory requirements. There were no guns or weapons in the home. Linen closet located in the hallway. Central air and heating unit and all windows had screens and in good repair. Cont 809CC LPA will not cite for deficiencies observed during inspection because they were repaired during the visit: Broken closet poles and outdated license. LPA will return to the facility within 10 days to issue a citation for incident reporting for the facility van damage. Due to computer error LPA was unable to submit citation during visit. Due to this repeat violation, this citation comes with a civil penalty. Nothing further to report at this time.

met_with: Andrew Siongco-Residential Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On August 15, 2025 at 9:30 a.m., Licensing Program Analyst (LPA)Erika Butler-Williams conducted an unannounced complaint visit at the above-said facility to address concerns regarding reporting requirements through a Case Management Inspection. During the course of the visit LPA was made aware that two incidents that occuured on June 16, 2025, and June 23, 2025 were not reported to Community Care Licensing. LPA Erika Butler-Williams informed the Residential Supervisors Kayla Kamego, and Lorenzo Mejia the importance of submitting unusual incident reports. The following deficiency is being cited for violating California Code of Regulations Title 22, Division Regulation Reporting requirements 80061(a)(1). (see page D)

met_with: Lorenzo Mejia, Residential Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On October 7, 2025 at 10am Licensing Program Analyst (LPA) Donald Martin arrived at which is the location used for school services for the above facility. LPA was met by Clinical Program Director, Rey-Philip Genaldo and allowed into the facility. On September 26, 2025 and October 2, LPA visited the facility to conduct an Annual Inspection. During the inspection, confidential interviews were conducted. Confidential interviews revealed that several incidents have occurred at the facility, but have not been reported. Incidents such as client elopement, client hospital visits, facility staff working out of ratio for entire shifts, and extreme facility van damage. A mandatory Regional Office meeting will be scheduled by LPA, to include the Licensee and management from the El Segundo Regional Office at an agreed upon date and time. At that time the specifics of these allegations will be discussed. The following deficiency is being cited for violating California Code of Regulations Title 22, Division Regulation Reporting requirements 80061(a)(1) This citation is accompanied by a Civil Penalty due to the violation that was first assessed on August 15, 2025. A copy of this report will be emailed to Clinical Program Director, Rey-Philip Genaldo.

met_with: Rey-Philip Genaldo-Clinical Program Director


summary: Facility Evaluation

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Narrative:
On May 5, 2023 at 1pm Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of conducting a Case Management investigation. LPA was met by Program Manager, Naomi Tapia and allowed into the facility. On March 16, 2023, an Incident Report was received indicating an altercation between Child #1 and Staff #1. The police were called and Child #1 was temporarily detained and Staff #1 was ultimately terminated. Child #1 was released from the officers and placed back into the facility at the scene. LPA conducted interview with staff. Statements indicated that Staff #1 stated, "you're forced to be here and I'm paid to be here so I'm going to be the one calling the shots." (SIR Dated 3/16/2023) This is a violation of the clients Personal Rights. Facility cited for violation of California Code of Regulations, Title Division Six, regulation 80072(a)(1) Personal Rights. Staff #1 spoke inappropriately to Child #1.

met_with: Naomi Tapia-Program Tapia


summary: Facility Evaluation

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Narrative:
On 1/30/ LPA Reagan Cohen and LPM Lakescia Smith arrived at Mission Prep Healthcare at 2:40 for the purpose of an unannounced case management deficiency inspection and met with Administrator Kevin Perez. While reviewing the staff schedule LPA & LPM noticed that staff Jana Anaya was listed on the schedule but was missing clearance on guardian. Administrator admitted that staff has worked at he facility without being cleared. LPA and LPM informed Administrator that the facility would be cited. The following deficiency is being cited for violating of 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 Administrator.

met_with: Kevin Perez


summary: Facility Evaluation

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Narrative:
Mission Prep Healthcare - Informal Office Meeting AgendaTuesday November 4, 2025 1pm-3pm El Segundo Children's Residential Regional Office N. Continental Blvd. Suite 290-B El Segundo, Ca. 90245 1. Purpose of the Meeting To discuss ongoing concerns related to incident reporting, administrator oversight, staffing ratios, and compliance history. The goal is to clarify expectations and ensure consistent compliance with Title 22 regulations. 2. Compliance and Complaint History Review · Summary of prior complaints, citations, and case management visits related to reporting, supervision, or staffing. · Discuss whether corrective actions from previous cases were implemented and sustained. · Review any repeat deficiencies or patterns of noncompliance (e.g., delayed incident reports, lack of admin oversight, missing documentation). Action Items: · Facility to review and ensure corrective plans from prior complaints remain in place. · Provide verification of training or monitoring procedures that address prior findings. 3. Current Areas of Concern Incident Reporting: · Reports not being submitted timely or missing follow-up. · Immediate verbal notification required for serious incidents (Section 80061). Administrator Oversight: · Clarify admin schedule and daily oversight plan for all sites. · Ensure communication protocol when off-site (Section 84064). Staffing & Supervision: · Review current coverage for all shifts. · Confirm compliance with the approved 1:3 staffing ratio given client needs. · Confidential Interviews Training & Documentation: · Verify all staff retrained on reporting, supervision, and documentation. · Confirm training logs are maintained and available for review. Program Statement: · Ensure every site has an updated, accessible copy. · Confirm staff can articulate program goals and client needs. 4. Next Steps and Follow-Up · Facility to submit a written plan of correction addressing: o Timely reporting and communication with CCL. o Administrator presence and oversight plan. o Staff training and ratio compliance. o Steps taken to prevent repeat deficiencies. · Plan due by [insert date]. · CCL to schedule a follow-up or TSP visit to review compliance progress. Attendees: Enrique Hernandez Licensing Program Manager Donald Martin Licensing Program Analyst Aimee Moratalla Licensing Program Analyst Mission Prep Healthcare Ted Guastello CEO/Licensee Rey Phillip Genaldo Primary Clinician Kailey Stapel Administrator/Director of Operation Aja Chaves Administrator/ Billy Mara Vice President of Compliance Incident reporting, Civil Penalty , Supervision & Staffing (1:3), LIC Renaming each facility, Centralized Association of Staff, Update LIC 500 (Will implement real time Staffing Report), Confidential Interviews must be confidential.


summary: Facility Evaluation

raw_content:
Narrative:
On March 10, 2026 at 12:30pm Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of conducting a 10 day complaint investigation. During the visit LPA was made aware that S1 was on duty alone with 5 clients. Confidential interviews produced information that S2 called in sick for the morning shift 6:30am to 3pm. S3 arrived at the school location in his own vehicle at 9:30am, however no staff rode in the van during transport to and from the facility. Facility cited for violation of California Code of Regulations, Title Division Six, regulation 80022 (k) Plan Of Operation: The facility shall operate in accordance with the terms specified in the Plan of Operation and may be cited for not doing so. Facility Plan of Operation states that there will be 1 staff per every 3 clients present during 7am to 10pm daily. Exit interview was conducted and a copy of this report will be provided.

met_with: Lorenzo Mejia-Program Manager


raw_content:
Narrative:
Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred; therefore, the above allegations are Unsubstantiated. There are no deficiencies being cited at this time. The client to staff ratio is 1 staff per 3 clients, therefore the allegation that staff did not prevent a minor from physically assaulting another minor in care is Substantiated. On the same day C1 reported a scar on his face, to a facility staff. The facility staff took a picture of the scar on a personal phone but never reported the medical issue. Days later C1 was taken to the doctor where it was discovered that C1 had a staph infection that had progressed. Therefore the allegation that staff did not seek medical attention for minor in care is Substantiated. The following deficiency is being cited for violating California Code of Regulations Title 22, Division Regulation Reporting requirements 80061(a)(1) This citation is accompanied by a Civil Penalty due to the violation that was first assessed on August 15, 2025. Facility cited for violation of California Code of Regulations, Title Division Six, regulation 80022 (k) Plan Of Operation: The facility shall operate in accordance with the terms specified in the Plan of Operation and may be cited for not doing so. Facility Plan of Operation states that there will be 1 staff per every 3 clients present during 7am to 10pm daily. Reports will be left with Clinical Program Director, Rey Phillip Genaldo.

Investigation Findings:
13On Feburary 2, 2026 at 1:45pm, Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of delivering findings for the above complaint investigation. LPA met with Clinical Program Director, Rey Phillip Genaldo and was allowed into the facility. A health and safety assessment was conducted. During the investigation of the allegation, confidential interviews were conducted, and video recording was reviewed. According to video footage and confidential interviews, C1 was struck in the head area by C2 while the clients were in the facility van coming back to the facility from an outing. There was only one staff present in the van with 4 clients. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Donald C Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B This is an official report of an unannounced visit/investigation of a complaint received in our office on 09/24/2025 and conducted by Evaluator Donald C Martin PUBLICCOMPLAINT CONTROL NUMBER: 34-CR- FACILITY NAME:MISSION PREP HEALTHCAREFACILITY NUMBER: ADMINISTRATOR:AJA CHAVEZFACILITY TYPE: ADDRESS: PALOS VERDES DRIVE ETELEPHONE: (424) 267- CITY:RANCHO PALOS VERDESSTATE: CAZIP CODE: CAPACITY:6CENSUS: 5DATE: 02/02/ UNANNOUNCEDTIME BEGAN: 01: PM MET WITH:Rey Phillip Genaldo-Clinical Program DirectorTIME COMPLETED:04: PM 9Staff did not prevent a minor from making inappropriate comments towards another minor in care. INVESTIGATION FINDINGS: 13On February 2, 2026 at 1:45pm, Licensing Program Analyst (LPA) Donald Martin arrived at the above facility and spoke with Clinical Program Director, Rey Phillip Genaldo. The purpose of this inspection was to deliver findings for the above complaint allegations. A health and safety inspection was conducted. During the investigation LPA conducted confidential interviews and reviewed documentary evidence. The interviews did not produce corroborating evidence to support allegations. Interviews revealed inconsistent statements and no witnesses to suggest allegations occurred. There was no evidence to support that staff did not prevent a minor from making inappropriate comments towards another minor in care. Both clients admitted their wrong doings regarding the comments and apologies were exchanged. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Donald C Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 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: MISSION PREP HEALTHCAREFACILITY NUMBER: VISIT DATE: 02/02/2026

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


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred; therefore, the above allegations are Unsubstantiated. There are no deficiencies being cited at this time.

Investigation Findings:
13On August 6, 2024 at 10am, Licensing Program Analyst (LPA) Donald Martin arrived at the above facility and spoke with Administrator, Fernanda Perez-Rios. The purpose of this inspection was to deliver findings for the above complaint allegations. A health and safety inspection was conducted. During the investigation the allegations for staff are not properly supervising minors in care and staff did not provide a safe and comfortable environment for minors, interviews were conducted, documents were obtained, and video footage was reviewed. The interviews did not produce corroborating evidence to support allegations. Interviews revealed inconsistent statements and no witnesses to suggest allegations occurred. Review of video footage revealed that a client left the facility on an unauthorized absence and was followed by a staff on foot. There was no evidence that staff did not provide a safe and comfortable environment for clients. Statements indicated that clients felt safe while residing in the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Donald C Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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: MISSION PREP HEALTHCAREFACILITY NUMBER: VISIT DATE: 08/06/2024

met_with: Fernanada Perez-Rios-Administrator


raw_content:
Narrative:
Interviews produced inconsistent evidence to state that the clients are are unsafe at the facility. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred; therefore, the above allegations are Unsubstantiated. There are no deficiencies being cited at this time.

Investigation Findings:
13On March 27, 2025 at 10am, Licensing Program Analyst (LPA) Donald Martin arrived at the above facility and spoke with Program Manager, Nyaa Davis The purpose of this inspection was to deliver findings for the above complaint allegations. A health and safety inspection was conducted. During the investigation LPA conducted confidential interviews and reviewed documentary evidence. The interviews did not produce corroborating evidence to support allegations. Interviews revealed inconsistent statements and no witnesses to suggest allegations occurred. There was no evidence to support that staff do not follow admissions agreement. Survelance video shows clients walking and sometimes running down the street from the facility, however staff is seen following behind them shortly after. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Donald C Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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: MISSION PREP HEALTHCAREFACILITY NUMBER: VISIT DATE: 03/27/2025


raw_content:
Narrative:
Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred; therefore, the above allegations are Unsubstantiated. There are no deficiencies being cited at this time.

Investigation Findings:
13On March 27, 2025 at 10am, Licensing Program Analyst (LPA) Donald Martin arrived at the above facility and spoke with Program Manager, Nyaa Davis The purpose of this inspection was to deliver findings for the above complaint allegations. A health and safety inspection was conducted. During the investigation LPA conducted confidential interviews and reviewed documentary evidence. The interviews did not produce corroborating evidence to support allegations. Interviews revealed inconsistent statements and no witnesses to suggest allegations occurred. There was no evidence to support that staff do not safeguard minor's private health information. The interviews did not produce consistent information to state what private information was disclosed that was personal to the clients in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Donald C Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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: MISSION PREP HEALTHCAREFACILITY NUMBER: VISIT DATE: 03/27/2025

met_with: Nyaa Davis-Program Director


raw_content:
Narrative:
Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred; therefore, the above allegations are Unsubstantiated. There are no deficiencies being cited at this time.

Investigation Findings:
13On March 27, 2025 at 10am, Licensing Program Analyst (LPA) Donald Martin arrived at the above facility and spoke with Program Manager, Nyaa Davis The purpose of this inspection was to deliver findings for the above complaint allegations. A health and safety inspection was conducted. During the investigation LPA conducted confidential interviews and reviewed documentary evidence. The interviews did not produce corroborating evidence to support allegations. Interviews revealed inconsistent statements and no witnesses to suggest allegations occurred. There was no evidence to support that staff do not abide by admissions agreement. Survelance video shows clients walking and sometimes running down the street from the facility, however staff is seen following behind them shortly after. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Donald C Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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: MISSION PREP HEALTHCAREFACILITY NUMBER: VISIT DATE: 03/27/2025


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Facility cited for violation of California Code of Regulations, Title Division Six, regulation 84087 (a)(c) In addition to Section 80087, the following shall apply. The licensee shall prohibit smoking in the facility and on the grounds of the facility. Adult male was observed to be smoking a cigarette on facility grounds. A copy of this report and appeal rights will be provided to Education Coordinator, Carlos Andres Diaz.

Investigation Findings:
13On May 7, 2025, at 3pm, Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of delivering findings for the above complaint investigation. LPA met with Education Coordinator, Carlos Andres Diaz Gallardo and was allowed into the facility. A health and safety assessment was conducted. During the investigation of the allegation, confidential interviews were conducted, and video recording was reviewed. Recorded video footage revealed an adult male walking out of the facility to the front of the garage area. Adult male was observed to begin to smoke what appeared to be a cigarette and put the cigarette out at the entryway of the driveway. Adult male then entered the inside of the facility. Adult male was not identified during investigation. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Donald C Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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: MISSION PREP HEALTHCAREFACILITY NUMBER: VISIT DATE: 05/07/2025

met_with: Carlos Andres Diaz Gallardo-Education Coordinator