summary: Facility Evaluation

raw_content:
Narrative:
On 12/12/25 at 12: PM Licensing Program Analyst, (LPA) Wendely Moodie-Naranjo made an unannounced visit for the purpose of conducting an Annual Required Inspection. LPA met Alysan Aachen M.- Social Worker Intern/Facility Manager, who granted access into the facility, and provided a tour of the Administrative Office. Administrative office is located at Casarin Avenue, Unit #2. The office is set up as follows: Sitting area with desk, couch file cabinet, kitchen; Administrator office and restroom (accessible from both sitting area and administrators office). Staff and client files will be kept in the locked file cabinet that is in the sitting area. Copy of license is posted. Licensee is aware of submitting unusual incident reports as needed. Fees were checked by this LPA and they are current. The facility is licensed to provide Transitional Housing Placement plus Foster Care (THP + FC) and Non-Minor Dependents (NMD) to 4 participants ages eighteen (18) thru twenty one (21). There are currently no participants in placement. Per Facility Manager, management would like to keep the license open for now. Per Facility Manager and a text message received if any other information regarding THP is required to contact Melissa Kagen or Kathleen Burrell. No staff records have been reviewed. LPA reminded licensee to provide LPA with updated certification/decertification list when he start placing participants in any remote sites he might have in the future. There are no deficiencies to be cited at this time. Exit interview was conducted with the Facility Manager and a copy of this report will be emailed.


state: CA

facility_name: HANNA BOYS CENTER THP FC

summary: Facility Evaluation

raw_content:
Narrative:
On the above date, LPA David Hiett met with the following representatives from applicant: Scott Singer, Chief Residential Program Officer Trisha Goodwin, Director of Transitional Housing and Alumni Relations Peter Tripp, THP FC (NMD) Specialist Coordinator Current status of county review/approval. The purpose of the meeting was to discuss the current status of the application to become a THP NMD. Topics discussed were: Incorrect application organization Incomplete required forms Required contents of Program Statement / Plan of Operation Overview of expectations for providing detail descriptions of program operations Status of pending county review to and if further revisions will be requested by county.

report_type: Facility Evaluation

met_with: Scott Singer


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge and Licensing Program Manager (LPM) Isabel Diego made an announced prelicensing inspection, on above date. LPA and LPM met with applicant, we and Administrator Scott Singer, director of transitional programs and vocational programs Trish Goodwin, and transitional housing programs facility coordinator Peter Tripp toured the office building. The applicant is applying for a Transitional Housing Placement Program (THPP) license with a capacity of 36 to serve minors and NMDs. LPA will update the system to reflect the new capacity from 24 to 36. Files will be kept locked in a filing cabinet in an office, on site.The office has sufficient space for confidential meetings with participants, if needed. LPA and LPM observed the office to be quiet, clean, and in good and safe condition. The office has storage space, meeting spaces, and a confidential meeting space. The office will be open Monday to Friday, 8AM to 5PM, and the program has a 24hr on-call worker. Participant records will be stored in a locked cabinet in the main back room of the office, The THPP has a Community Engagement Center/training center at this location for participants to utilize. All staff at the participant living unit will be fingerprint cleared prior to accepting any admissions. During inspection, LPA and LPM toured the office along with the three remote sites the facility will be using for participants that are in clean, and in good and safe condition. The facility will be housing two populations, minors and non minor dependents, at different locations and will not be commingling. At this time the department is requesting that the facility gets fingerprint clearance and during inspection the facility provided a clean copy of the program statement and electronic copy by March 30, 2023. An exit interview was conducted, and a copy of this report was left with Administrator Scott Singer. Provisional licensure anticipated for 03/23/23.

visit_type: Prelicensing


summary: Facility Evaluation

raw_content:
Narrative:
At 11:45PM on 09/21/2023, Licensing Program Analyst (LPA) Karmen Balhotra made an unannounced Post-Licensing inspection to the facility listed above. LPA met with Scott Singer, Administrator and Trisha Goodwin, Director of Transitional Housing Placement Program (THPP) who helped facilitate the inspection. The facility is LPA entered the facility through the Admissions building and was directed to offices further down the campus to conduct the inspection. LPA toured the office, which has multiple offices and conference rooms where confidential space can be provided if needed by clients. LPA reviewed client and personnel files and all individuals were cleared via a Guardian roster search dated 09/21/2023. All files were locked in a filing cabinet in a secure location. All proper documentation is posted and the facility holds an accreditation through the Joint Commission and is valid until July 22, 2025. LPA walked to the THPP locations with THPP Director which is on the 70 plus acre campus of the facility. LPA toured two house which house minors and non-minor dependents separately. The facility houses two populations, minors and non-minor dependents. Each population is placed different locations within the facility campus. There are currently five minors and one non-minor dependent in placement. The THPP locations provide clients with their own room, bathroom, and personal storage. A communal kitchen is available to clients in placement and there is adequate amount of food available. The THPP location that has minors in placement have staff available 24 hours who also have a live-in staff room. In addition, there is on-call staff available when needed. LPA observed the toured locations to be free of any safety hazards. At this time, LPA will recommend for the facility to move forward from the Provisional License to a complete License. The department will mail copies of the license to the facility once approved by the department. An exit interview was conducted, and a copy of this report was left with the Director of THPP.

met_with: Trisha Goodwin


summary: Facility Evaluation

raw_content:
Narrative:
At 11:30AM, Licensing Program Analyst (LPA) Mariah Hawkins conducted a visit to the facility for a required 2-year inspection. LPA met with Director of Residence Jeremiah Presinal and Director of Transitional Programs Trisha Goodwin LPA reviewed 5 client files and 5 staff files. All files were observed to be complete and contain all required documentation. LPA toured the facility sites, met with and observed staff and clients, and conducted two confidential interviews. Based on LPA's observations and interviews, the facility sites are maintained in safe condition, clients' needs are being met, the environment provides multiple options for recreation, and the staff provide a supportive environment for the clients. Using the CARE Inspection Tool, no deficiencies were observed. An exit interview was conducted, and a copy of this report and the licensee's appeal rights were provided to Director of Residence, whose signature on this form confirms receipt.

met_with: Director of Residence Jeremiah Presinal; Director of Transitional Programs Trisha Goodwin


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Brian Bertoli conducted an unannounced visit to the facility and met with Jeremiah Presinal and Penn Chourre. The purpose of the visit was to conduct a Case Management Inspection regarding an Incident Report. The incident occurred on 01/18/2026 and was a report of a staff person searching youth and their belongings. LPA discussed the incident with Jeremiah Presinal to determine what their policy is regarding searches and requested documentation, and he indicated that approval for searches was granted by the youth's probation officer due to a history of drug use and he will provide that documentation. No citations were issued at this visit. An exit interview was conducted with Jeremiah Presinal and a copy of this report was given to the facility.

visit_type: Case Management

met_with: Jeremiah Presinal and Penn Chourre


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Brian Bertoli made an unannounced visit to the THPP Administrative office to conduct an Annual/Random inspection. LPA met with Senior Director of Residence Jeremiah Presinal and THP Administrator Rene Sorrosa. The THPP has a capacity of 49 and serves both THPP and THPP NMD participants. The facility uses five residential buildings that are on or near their campus. The facility office is the Hanna Administration Building, which also houses offices from other programs. Staff also have an office within the residential buildings. LPA reviewed participant records and all participant files reviewed are acceptable. LPA Bertoli conducted two confidential staff interviews. Staff records are maintained at the administrative office. All facility staff are associated to the facility and had DOJ, FBI and Child Abuse Index check clearances. There were no Title 22 deficiencies cited during the inspection. An exit interview was conducted and a copy of the report was left at the facility .

visit_type: Annual

met_with: Jeremiah Presinal and Renee Sorrosa


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Brian Bertoli made an unannounced visit to the facility and met with Jeremiah Presinal. The purpose of the visit was to conduct a Case Management visit to review the plan for an outside mentorship program at the facility. LPA and Jeremiah Presinal discussed the plan to utilize the New Hope for Youth mentorship program through Sonoma County. The following details were provided previously by Malcolm Huneidi, VP: People Operations: Program Overview: The New Hope for Youth/County of Sonoma program provides comprehensive, community- and school-based mentorship and prevention services for youth. Services include individualized case management focused on strengths, goals, and risk prevention; regular one-on-one check-ins; structured life-skills groups; pro-social activities; and family/caregiver engagement to strengthen protective factors and connections to resources. · Programs Participating: [GH / THPP / STRTP - to be confirmed] · Youth Served: [Estimated number of participants] · Ages of Youth: [Age range] · Meeting Frequency: Multiple times per week (schedule may vary) · Length of Visits: Several hours per visit · Type of Activities: Combination of group sessions and individual mentorship · Staff Supervision: Hanna Center staff will be present during all activities · Location: Activities will take place on Hanna Center's campus in designated program spaces LPA requested further detail on the location and received an email from Marissa La Brecque indicating the program would occur almost entirely on the school grounds. LPA responded that if it's on the school grounds, background checks would not be required for the residential facilities. An exit interview was conducted and a copy of this report was given to the facility. No citations were issued.

met_with: Jeremiah Presinal


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Brian Bertoli made an unannounced visit to the facility and met with Senior Director of Residence Jeremiah Presinal (SDR). The purpose of the visit was to follow up on an incident report with the facility. The incident occurred on 03/21/26, and the report indicated a youth "would not be receiving his allowance due to a missed AM medication" and that this was "per his consented and signed contract between house staff/coordinator, support team/social worker, and himself. LPA requested copy of the contract and the youth's Needs and Services Plan prior to the visit. LPA asked SDR if this is a standard consequence for refusing medication and he stated that the participants are provided with a base allowance and can earn additional amounts base on schoolwork, chores, and good behavior. No citations were issued. An exit interview was conducted with Jeremiah Presinal and a copy of this report was given to the facility.


facility_name: HART COMMUNITY HOMES

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
the mediation meeting. LPA was unable to interview all individuals; thus, confidential interviews could not confirm or deny the allegation. Thus, confidential interviews did not corroborate the allegation with a preponderance of evidence. Based on confidential interviews and records reviewed the allegation that staff allows a client to be not sanitary while in care, which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report and appeal rights were provided to Angel Rodriguez. A copy of this report will be placed in the facility file.

Investigation Findings:
13On October 1, 2025, at 11:15 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Angel Rodriguez, Clinical Director, to discuss the investigative finding for the allegation noted above. LPA conducted an inspection of the facility on July 23, 2025, at 11:30 am, and no deficiencies were observed. LPA interviewed two Staff (S1-2) and one Client (C1) declined to be interviewed. LPA reviewed the facility documents during the investigation. On July 17, 2025, Community Care Licensing (CCL) received an allegation that staff allows a client to be not sanitary while in care. It was reported that C1 and C2 share an apartment and C2 does not clean up after using the bathroom. It was reported that C1 has told staff several times about the bathroom not being cleaned and staff has not addressed the bathroom cleanliness. Some interviews indicated that S1 and S2 have talked to C2 about cleaning the bathroom, have shown C2 how to properly clean the bathroom, and offered to do a mediation meeting between C1 and C2, and C1 declined to participate in the mediation UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley 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 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: HART COMMUNITY HOMESFACILITY NUMBER: VISIT DATE: 10/01/2025

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

report_type: Complaint Investigation

met_with: Angel Rodriguez

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On November 18, 2021 at 1: PM, Licensing Program Analyst's (LPA's) Anastasia Flores and Leslie Covarrubias arrived and was greeted by Hart Community Homes, Transitional Housing Placement Program (THPP) Controller, Kenny Geh for the purpose of conducting an unannounced Required/ Annual Licensing Inspection for the agency's (THPP) At 2: PM, LPA's toured the facility with Program Administrator, Celia Vasquez. Facility utilizes apartment complex housing model. The agency currently has Apartments designated for THPP/ NMD. The LPA's toured apartment #B, the apartment was observed to be fully furnished to provide the basic necessities for the residents. There are six Non minor dependents (NMD) youth who are currently in placement with the agency. The client files are located in locked file cabinets in the center of the main office. The agency employ's the following assigned staff under the THPP program :Program Director, Joe Duquesnel, Case Manager Supervisor/Program Administrator, Celia Vasquez, one case manager, Marlyn Posadas. Staff and client records need to be reviewed at a later date. Facility was unable to provide an LIC500 for the LPA's at the time of the inspection. The facility is being cited for Title 22, Division 6, chapter 7, section 86071(a)(2)(A) Participant of clients, based on record review, the licensee did not have the client's files in a confidentially secure area. Upon inspection the client files were kept in an unlocked cabinet in the center of the administration office, section; 86030.5(e) Identification of Transitional Housing Placement Program Participant Living Units, based on interview with Celia Vasquez and Kenny Geh and record review, the licensee did not know if the agency kept a copy of the certificate of compliance, section; 86030.5(c)(1) Identification of Transitional Housing Placement Program Participant Living Units, based on observation and interview, the licensee was unsure of what the certificate of compliance is or if the agency had one for each client's residence, () section; 86071(a)(1)(B) Register of participants, based on observation and record review, six of six clients, the licensee did not have the physician information listed on the client roster and Health and safety Code (HSC) 1565(c) Other provisions, based on interview, the licensee does not conduct a drill every quarter which poses a potential health, safety or personal rights risk to persons in care. In addition, the facility is being cited for 86161 (i) (1)Reporting Requirements, based on interview with program administrator, the licensee is not reporting the law enforcement contact information to the department as specified in the ILS guidelines. Carissa Hart verbally approved Celia Vasquez to sign for the report as a LIC308 was not readily available for LPA's upon inspection. A copy of this report, 809D's, and appeal rights were provided to Celia Vasquez.

met_with: Celia Vasquez


summary: Facility Evaluation

raw_content:
Narrative:
On December 10, 2021 at 10: AM, Licensing Program Analyst's (LPA's) Anastasia Flores and Jessica Rubio arrived and was greeted by Hart Community Homes, Transitional Housing Placement Program (THPP) Controller, Kenny Geh. The purpose of this inspection was to continue an annual inspection for the Transitional Housing Placement Program (THPP) for Non-Minor Dependents. 10: AM, LPA's reviewed the client and staff files. There are five Non minor dependents (NMD) currently in placement with the agency. The client files are located in locked file cabinets in the office of Kenny Geh. The agency employ's the following assigned staff under the THPP program Case Manager Supervisor/Program Administrator, Celia Vasquez, one case manager, Marlyn Posadas and one Executive Director, Carissa Hart. The facility is being cited for Title 22, Division 6, chapter 7, section 86019.2 ( b) Personnel Requirements based on record review and interview with Ms. Vasquez the licensee did not assure S S3 are associated to the facility prior to employment, section,86066(a)(11) Personnel Records, based on record review and interview with Ms. Vasquez, the licensee does not have health screening records in (S1, S2, S3), section, 86066(a) (12) Personnel Records, (S1, S2, S3) did not have record of Tuberculosis records maintained in staff files, section, 86064(a)(1) Administrator qualifications and duties; licensee did not ensure that S1, S2, S3 have the educational qualifications necessary, section 86270(a) (2) (A) non minor dependent records, clients record of income, school and/or rent, is not kept in the clients file, 86268.3 (d) Needs and Service Plan, three out of five clients files did not have signatures by County Social Worker, (C2, C3, C5). An exit interview was conducted a copy of this report, 809D's and appeal rights were provided to Celia Vasquez.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On December 01, 2023, at 09: AM, Licensing Program Analyst's (LPA's) Darlene Almaraz-Oseguera and Emina Preciado conducted an unannounced random annual licensing inspection at Hart Community Homes, Transitional Housing Placement Program (THPP). LPA's met with Program Administrator, Celia Vasquez. The facility utilizes apartment complex housing model. The agency currently has four apartments designated for THPP/ NMD's use. There are seven non-minor dependents (NMD) youth who are currently in placement with the agency. The agency employs the following assigned staff under the THPP program: Program Director, Program Administrator, none case manager. The LPA's toured apartment #B, the apartment was observed to be fully furnished to provide the basic necessities for the participants. The office resides at N. Lemon Street, Fullerton, CA 92832, located behind the Monkey Business Cafe. The office consists of a waiting area that connects to the staff kitchen which houses a large table and chairs for a conference area. The office building has one restroom, and three offices. One office is the Controller's office which houses the participant files in a locked filling cabinet. There is another office for the case managers, and an office for the Operational Manager, where the personnel files are also kept in a locked cabinet. All three offices have locking doors. LPAs observed computers and phones in the offices. LPA's reviewed a drill log of the emergency disaster and casualty plan. During the inspection, LPA's reviewed seven participant files. Four out of seven (P1, P2, P3, P4) participant files reviewed did not have a medical assessment completed. LPA's also reviewed two staff files, Staff #1 (S1) did not have a criminal record clearance. Based on interviews and records review, the facility is cited for deficiency from Title 22, Chapter 7, Subchapter 1, sections, 86019(e) Criminal Record Clearance and 86069(a) Participant Medical Assessment. Exit interview conducted and a copy of this report, LIC 809D's, and appeal rights were provided to Program Administrator, Celia Vasquez. Civil Penalties were assessed.

Deficiencies:
86019(e): Criminal Record Clearance

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


summary: Facility Evaluation

raw_content:
Narrative:
On December 5, 2024, at 1:20 pm, Licensing Program Analyst (LPA) Charmaine Linley conducted an unannounced random annual licensing inspection at Hart Community Homes, Transitional Housing Placement Program (THPP). LPA met with Program Administrator, Celia Vasquez. The facility is licensed to provide ten placements for Transitional Housing Placement Program Non-Minor Dependent (THPP-NMD) from ages 18 (18) through twenty-one (21). There are currently nine participants in the THPP-NMD program. The facility utilizes a scattered site apartment complex housing model. The agency currently has four apartments designated for THPP/ NMD's use as a single site and one apartment located in Laguna Hills. The agency employs the following assigned staff under the THPP program: Program Director/ Program Administrator and Case Manager. The administrative office resides at N. Lemon Street, Fullerton, CA 92832, located behind the Monkey Business Cafe. The office consists of a waiting area that connects to the staff kitchen which houses a large table and chairs for a conference area. The office building has one restroom, and three offices. The client files are locked in a locked file cabinet in the reception area. There is another office for the Case Managers, and an office for the Human Resources Director, where the personnel files are also kept in a locked cabinet. All three offices have locking doors. LPA observed computers and phones in the offices. The Program Director was informed that each Social Worker should maintain a 1 to 25 ratio, which should never be exceeded. Program Director is aware of submitting unusual incident reports as needed to the Department to include all Law Enforcement contacts. *** LPA reviewed two staff records. All staff met the minimum qualifications and training requirements. A review of records shows that all staff have FBI, DOJ, and Child Abuse Index Check clearances. LPA also reviewed five THPP-NMD Participant files. Based on record review, LPA observed two out of five client files (C3, C4) were missing a written medical assessment and one out of five client files (C5) was missing the Needs and Services Plan. Therefore, the facility is being cited for California Code of Regulations Section Division Six 86069(a) Participant Medical Assessment and Interim Licensing Standards AB Nonminor Dependents THPP Regulation 86268.3(a) Needs and Services Plan. An exit interview was conducted, and appeal rights were reviewed with Celia Vasquez. Due to printer malfunction, a copy of this report was emailed to Celia Vasquez.


summary: Facility Evaluation

raw_content:
Narrative:
On August 7, 2025, at 11: AM, Licensing Program Analyst (LPA) Stefanie Mutialu conducted an unannounced annual licensing inspection at Hart Community Homes, Transitional Housing Placement Program (THPP). LPA met with Program Administrator, Celia Vasquez. The facility is licensed to provide ten placements for Transitional Housing Placement Program Non-Minor Dependent (THPP-NMD) from ages 18 through 21. There are currently nine participants in the THPP-NMD program. LPA observed all licensing fees to be current. The facility utilizes a scattered site apartment complex housing model. The agency currently has four apartments designated for THPP/NMD. The agency employs the following assigned staff under the THPP program: Program Director/ Program Administrator and Case Manager. The administrative office is located at N. Lemon Street, Fullerton, CA 92832. The office consists of a waiting area that connects to the staff kitchen which houses a large table and chairs for a conference area.The office building has one restroom, and three offices. The client files are locked in a locked file cabinet in the reception area. There is another office for the Case Managers, and an office for the Human Resources Director, where the personnel files are also kept in a locked cabinet. All three offices have locking doors. *****Continued on Page 2**** ****CONTINUED FROM PAGE 1**** LPA observed computers and phones in the offices. LPA observed Community Care Licensing required documents posted in a prominent area on the wall, which include License (LIC 200), Emergency Disaster Plan (LIC 610C), See Something Say Something (PUB 45), Personal Rights, and Grievance Policy. The Program Director was informed that each Social Worker should maintain a 1 to 25 ratio, which should never be exceeded. The Program Director is aware of submitting unusual incident reports as needed to the Department to include all Law Enforcement contacts. LPA reviewed two staff records. All staff met the minimum qualifications and training requirements. A review of records shows that all staff have FBI, DOJ, and Child Abuse Index Check clearances. LPA also reviewed five THPP-NMD Participant files. LPA reviewed five client files (C1-C5), to ensure clients had all required documents per Title 22. Client files had signed personal rights forms, signed admission agreements, education records, physical examinations, and Needs and Services plans. Per facility staff, no firearms or weapons are allowed in the facility. No deficiencies were observed during today's inspection. An exit interview was conducted, this report was discussed, and a copy of this report was provided to the Program Administrator, Celia Vasquez. A copy of this report will be placed in the facility file. Due to technical issues the Administrator was emailed today's inspection report.

met_with: Program Administrator, Celia Vasquez.


summary: Facility Evaluation

raw_content:
Narrative:
On September 11, 2023, at 12:30 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Celia Vasquez, STRTP Administrator, of Hart Community Homes. The purpose of the case management inspection is to follow up on information received by Community Care Licensing. It was reported on 08/15/2023 that the Administrator no longer worked at the facility, and CCL had not received notification of change of the Administrator. LPA spoke with Celia Vasquez, who confirmed that their Administrator resigned on 07/14/2023. LPA requested the facility to submit its plan for the Administrator Change within 10 days. LPA reviewed the Administrator's employee file. Based on interviews and records reviewed, the facility is cited for one deficiency (refer to LIC 809D) from Title 22, Chapter 7, Subchapter 1, 86161(j) Reporting Requirements. An exit interview and appeal rights were discussed with Celia Vasquez. Due to printer malfunction, a copy of this report and appeal rights will be emailed to the Facility Administrator. A signed copy of the report will be placed in the facility file.


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
apartments. Confidential interviews denied that the three routers were in the other apartments and that the three apartments did not have internet services. Confidential interviews indicated that the clients were told they needed to purchase their own internet service or they could use the cafe and THPP office during their operating hours for internet services. Based on confidential interviews and record review the allegation alleging facility is not providing internet services to non-minor dependents in care is substantiated. The complaint allegation is valid because the preponderance of evidence standard has been met. Facility is cited for violation of Title 22, Division 6, Chapter 7, Subchapter Regulation 86173. A copy of the report was discussed and provided along with appeal rights to Celia Vasquez.

Investigation Findings:
13On March 17, 2026, at 2:08 pm, Licensing Program Analyst (LPA), Charmaine Linley met with Hart Community Homes, Program Director, Celia Vasquez to deliver the finding for the above stated allegation. A Health and safety inspection of the facility was conducted on January 28, 2026, at 12:15 pm, and no immediate hazards were observed. The investigation included interviews with three foster children (C2, C4, C5), three staff (s1, S3) one foster child declined to be interviewed (C6), and LPA was unable to interview two foster children (C1 and C7), despite numerous attempts to contact them. In addition, facility records were reviewed. On January 22, 2026, Community Care Licensing (CCL) received an allegation alleging the facility is not providing internet services to non-minor dependents in care. Confidential interviews provided consistent statements that three out of four apartments did not have internet services. Records reviewed indicated that the facility provided internet service to one Apartment and three routers were provided to the other SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley 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 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: HART COMMUNITY HOMESFACILITY NUMBER: VISIT DATE: 03/17/2026

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

complaint_status: SUBSTANTIATED


facility_name: HAVEN OF HOPE, INC.

summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Investigation Findings:
13On 10/09/2024 at 10: AM, Licensing Program Analyst (LPA) Singh-Sood made an unannounced inspection to the above facility. The purpose of this inspection was to inform the facility representative that a complaint investigation is being conducted regarding the above allegations. LPA Singh-Sood met with Libby Matulich, Program Manager. During this inspection, LPA conducted a facility inspection with closer emphasis on the furniture, and trash areas, as well as the interior of the homes for bugs. During the inspection, there were not broken pieces of furniture, and/or any bugs observed. We have found that the complaint was UNSUBSTANTIATED, meaning that although the allegations may be true or are valid, the preponderance of evidence standard has not been met, therefore the allegations are found to be unsubstantiated, . LPA Singh-Sood conducted an exit interview with Ms. Matulich at 1: PM. A copy of this report was provided to Ms. Matulich. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Vaishali Singh-Sood LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Libby Matulich


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Paul Simien made an unannounced visit to the above listed facility to inform them of the findings for the above listed allegations. LPA met with Libby Matulich, Program Manager (PM) at 10: AM on 7/9/ Based on confidential interviews conducted it was determined that the allegations listed above are Unsubstantiated. Based on witnesses interviewed, LPA was unable to find evidence that the facility was not ensuring that participant's needs were being met or violating participant's privacy. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. As a result of this visit, there were no title 22 deficiencies observed. Exit interview was conducted and a copy of this report was provided to PM UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Joel Segura LICENSING EVALUATOR NAME: Paul Simien LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

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

met_with: Libby Matulich, Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 04/22/2022 at 11:00AM, Licensing Program Analyst (LPA) Selena Hood and Licensing Program Analyst (LPA) Lisette Valenzuela conducted an unannounced visit to the above facility. The purpose of this visit was to conduct the required annual visit. LPA Selena Hood and LPA Lisette Valenzuela met with April Pao, Program Manager, at the main office. LPA Hood and LPA Valenzuela reviewed three client files, ten staff files, and interviewed one staff member. LPAs also conducted a physical plant inspection. No Type A or Type B deficiencies were cited. LPAs cited three Technical Violations for: Interim Licensing Standard Version 86268.3(a), ILS 86268.3(d), and ILS 86068.3(b) (see LIC9102s). LPAs conducted an exit interview with April Pao, Program Manager, at 2:40PM. LPAs discussed and delivered appeal rights.

met_with: April Pao


summary: Facility Evaluation

raw_content:
Narrative:
On 04/25/2022 at 12:30PM, Licensing Program Analyst (LPA) Selena Hood conducted a visit to the main office of the above facility. On 04/23/2022, LPA was informed that an 18 year old client of the facility had died of an overdose on 04/22/2022. LPA met with April Pao, Program Manager. The facility had not yet completed a Needs and Services plan for this client. LPA collected copies of the Transitional Independent Living Plan, the client's progress notes, and the information for the other clients. LPA also discussed with April Pao, Program Manager, what steps the facility is taking to help staff and youth process the incident. Program Manager discussed the plan following the incident. The facility is providing and will continue to provide grief counseling to clients and staff. Facility has also provided extra support to clients by having dinners and allowing discussion. There is a session scheduled with a trauma therapist for the staff, and more resources being provided to the clients. Facility has begun informing all clients' teams and reaching out directly to the clients themselves to check in. The facility is also working with the client's mother to receive their belongings. LPA conducted an exit interview with April Pao, Program Manager at 2:25PM. Facility will provide updates on the counseling sessions and when the family collects the client's belongings.


summary: Facility Evaluation

raw_content:
Narrative:
On 05/05/2022 at 11:45AM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the above listed agency office. The purpose of this visit was to continue the annual inspection. LPA met with Josefina Lopez, Case Manager. LPA reviewed six client files. LPA delivered one Technical Assistance for California Code of Regulations Title 22 86170(a)(1) (see LIC 9102). LPA conducted an exit interview with Josefina Lopez, Case Manager, at 3:00PM whose signature confirms the receipt of this document.

met_with: Josefina Lopez


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) Sethany Yem and Dung Mac conducted a case management inspection on 6/05/2024 at 10:30am based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 5 out of Direct Care Staff and 5 out of 6 youth files were reviewed. Three out of Direct Care Staff and 2 out of 6 youths were interviewed. (See the Confidential Names List, LIC 811, 6/05/2024). The Plan of Operation including policies and procedures were reviewed. Minutes from the Board Meeting Minutes related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the Emergency Prevention Plan and Needs and Services Plan, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Yem observed documentation of completed training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Libby Matulich, Program Manager.


summary: Facility Evaluation

raw_content:
Narrative:
On 4/30/25 at 10: AM, Licensing Program Analysts (LPA) Paul Simien conducted an unannounced visit to the above listed facility. The purpose of this visit was to conduct the required annual inspection. LPA met with Libby Matulich, Program Manager (PM), at the above facility to conduct the required annual inspection. LPAs reviewed five client files and four staff files At this time the inspection is not complete, LPA will return to complete the inspection. No deficiencies were cited at this time. LPA conducted an exit interview with PM.

met_with: Libby Matulich, Program Manger


summary: Facility Evaluation

raw_content:
Narrative:
On 5/1/25 at 10: AM, Licensing Program Analysts (LPA) Paul Simien conducted an unannounced visit to the above listed facility. The purpose of this visit was to conduct the required annual inspection. LPA met with Libby Matulich, Program Manager (PM), at the above facility to conduct the required annual inspection. LPA completed Operational Requirements, Disaster Preparedness, Emergency Intervention Plan, Staffing Records and Client Records sections of the CARE Tools. LPA Interviewed one staff member (only one available). The inspection is complete. Nine technical violation and five technical assistance were issued. LPA conducted an exit interview and a copy of this report was provided to PM.


raw_content:
Narrative:
Documents received by LPA Almaraz reiterated that clients were not allowed to have animals at the facility. Confidential witness stated that C1 had brought an unauthorized animal into the facility and C1 had trouble with keeping C1's residence clean. Other confidential witnesses stated that at a prior placement C1 was allowed to have an emotional support animal. It was added that facility staff made it seem like C1 would be allowed to have a companion animal for therapeutic needs at this facility. In regard to the allegation that facility staff do not accord dignity to C1, confidential witnesses stated that facility staff always responded in a timely manner and at no time did facility staff avoid any of C1's questions. Other confidential witness stated that C1's questions regarding approval of an emotional support animal were ignored by several facility staff. Based on confidential interviews and record review, the allegations that facility staff did not meet client #1's (C1) needs by not allowing C1 to have a companion animal for therapeutic needs and that facility staff was avoiding C1's questions regarding a companion animal may have occurred, however, they are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. A copy of this report was explained and provided to Carrie Mathews.

Investigation Findings:
13On August 3, 2022 at 12: PM Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with Executive Director, Carrie Mathews, to issue the finding for the above stated allegations. The complaint investigation was jointly conducted by LPA A. Flores and LPA M. Almaraz. On December 15, 2021, at 9: AM LPA Flores arrived at the facility to initiate the investigation. During the inspection, LPA Flores reviewed staff and client records. Additionally, LPA Almaraz conducted interviews with one of one client listed on the confidential names list (LIC 811), two staff, and County Social Worker (CSW). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz 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 19-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, MAIN ST., SUITE FACILITY NAME: HEART MATTERS TRANSITIONAL HOUSING PROGRAM, THEFACILITY NUMBER: VISIT DATE: 08/03/2022

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

met_with: Carrie Mathews


raw_content:
Narrative:
Regarding the allegation that staff threw away a past resident's personal belongings, it was specifically reported that after moving out of a remote living site, Participant 1 (P1's) personal belongings were thrown away and P1 was not notified. Details gathered stated that P1 asked for their belongings to be stored, however, when they contacted their Former Evolution Coach (FEC) P1 was informed that their belongings had been thrown away with County Social Worker (CSW) approval. Other information obtained denied the allegation occurred. Confidential interviews stated that after not following the program rules, P1 was discharged. At that time P1 took some of their personal belongings and returned at a later date to gather more belongings. Details gathered stated that P1 did not return for the remainder of their belongings and contacted the program months later. Confidential interviews denied that CSW gave approval to throw away P1's belongings and one confidential witness stated that they threw away P1's personal belongings. Additionally, records reviewed detailed that the THP does not safeguard Participant's personal property or valuables. LPA received inconsistent information regarding the allegation. Based on interviews and confidential information obtained during the course of this investigation, the allegation that staff threw away P1's personal belongings may or may not have occurred; However, it is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview conducted and appeal rights discussed. Due to technical difficulties with printing, a copy of this report along with LIC 811, Confidential Names List, and appeal rights were provided to Andrew Caffey, Lead Evolution Coach electronically.

Investigation Findings:
13On June 27, 2024 at 3:39 pm Licensing Program Analyst (LPA), Emina Preciado, arrived at The Heart Matters, Transitional Housing Program (THP) and met with, Andrew Caffey, Lead Evolution Coach. The purpose of the visit was to deliver findings for the above-mentioned allegation. The investigation included interviews with one Participant (P1), one County Social Worker (CSW), one Facility Administrator/Former Evolution Coach (FA), and one confidential witness. LPA Preciado attempted to interview Former Program Administrator (FPA) for this investigation, but was unable to, after multiple attempts. In addition, county and facility records were reviewed. On September 15, 2023, Community Care Licensing (CCL) received one allegation alleging that staff threw away a past resident's personal belongings. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Nicole Strickland LICENSING EVALUATOR NAME: Emina Preciado 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 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: HEART MATTERS TRANSITIONAL HOUSING PROGRAM, THEFACILITY NUMBER: VISIT DATE: 06/27/2024

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

met_with: Andrew Caffey, Lead Evolution Coach


raw_content:
Narrative:
Participant 1 (P1) was told that it was mandatory for them to receive money for groceries but was later told that it was not mandatory. Additional information obtained stated that P1 did not have sufficient groceries to meet their needs and was told to spend their money wisely. Other information obtained denied that staff mishandle P1's funds. Confidential interviews detailed that P1 was provided with their monthly stipends that included money for groceries. LPA was unable to get a statement by P1 who could confirm or dispute the allegation. Regarding the allegations that staff do not accord client privacy and staff do not treat client with dignity and respect it was specifically reported that P1 was not accorded privacy and was not treated with dignity and respect during home inspections conducted by facility staff. Additional information obtained stated that staff would conduct home inspections as early as seven in the morning and it was demanded they come out of their room during inspections. Other information obtained denied that P1 was not accorded privacy and denied that staff did not treat P1 with dignity and respect. Details gathered from confidential interviews stated that while home inspections are unannounced, they are conducted during normal business hours. Additional details gathered stated that facility staff do not demand for participants to come out of their room during inspections. LPA was unable to get a statement by P1 to confirm or dispute the allegations. Based on interviews and confidential information obtained during the course of this investigation, the allegations that, staff are mishandling P1's funds, staff do not accord P1 privacy, and staff do not treat P1 with dignity and respect may or may not have occurred; however, they are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. Exit interview conducted, appeal rights were discussed, and provided. A copy of this report was provided to Administrator, Jennifer Reyes.

Investigation Findings:
13On March 7, 2025 at 9:55 am Licensing Program Analyst (LPA), Emina Preciado, met with The Heart Matters Transitional Housing Placement Program (THPP), Administrator, Jennifer Reyes to deliver the findings for the above-mentioned allegations. The investigation included interviews with the Facility Administrator (FA), Evolution Coach 1 and 2 (EC1 and EC2), and one of two Participants (P2). One of two Participants (P1) was not interviewed, after multiple attempts. In addition, county and facility records were reviewed. On October 21, 2024, Community Care Licensing received three allegations alleging that staff are mishandling client's funds, staff do not accord client privacy, and staff do not treat client with dignity and respect. Regarding the allegation that staff is mishandling client's funds. Information obtained stated that UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Nicole Strickland LICENSING EVALUATOR NAME: Emina Preciado 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 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: HEART MATTERS TRANSITIONAL HOUSING PROGRAM, THEFACILITY NUMBER: VISIT DATE: 03/07/2025

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

met_with: Jennifer Reyes


facility_name: HEART MATTERS TRANSITIONAL HOUSING PROGRAM, THE

summary: Facility Evaluation

raw_content:
Narrative:
On 4/30/21, Licensing Program Analysts (LPA) Kendal Zirbes met with Administrator Carrie Mathews who granted access to the facility. The purpose of this inspection was to conduct an announced pre-licensing inspection for the Transitional Housing Placement Program (THPP) for Non-Minor Dependents (NMD). The administrative office was toured both inside and out with the Administrator at 11:05am. Presently, the THPP NMD has requested a capacity of NMD's who will be placed in remote site apartments and host families. Licensee was advised the apartments must be located within two hours of the administrative office. The THPP Administrative office is located in San Bernardino County. The office is located in a retail business establishment. The office consists of a reception area equipped with two desks, another office space equipped with five work stations, a kitchen area, bathroom, and locked storage room. In addition there is a large storage area located off the kitchen. The office space will be utilized by the out stationed staff and by the THPP NMD's. The kitchen area was equipped with a refrigerator, variety of snacks and a microwave. The area was equipped with working office equipment, furniture, and supplies. Throughout the office there are motivational signs, along with an educational and employment resource area. According to Administrator all participant files will be stored in locked storage room. LPA observed two locked storage cabinets within the storage room which will hold the THPP NMD files and the staff files. Per licensee only the Administrator and CEO will be provided to the keys to the storage room. Currently the THPP is only staffed with the Administrator, all additional positions will be hired after obtaining the CCL license. During this inspection Component III for THPP NMD was conducted by LPA Zirbes. During this component, LPA discussed Post Licensing Visits that Community Care Licensing (CCL) may provide, solutions to problematic areas, overview of Title 22, THPP regulations; NMD regulations, personal fingerprint requirements, associations, abuse reporting requirements and licensing fees. LPA informed the Administrator, about the reporting requirements specifically, AB388 and LIC LE. Furthermore, Provider Information Notices (PIN), Resource Guides and the process for designating a new facility Administrator was reviewed. Licensee was advised that this pre-licensing report and application will be reviewed by the Department. The facility will be notified once they are licensed as a THPP NMD. An exit interview was conducted with Administrator Carrie Mathews and a copy of this report was emailed to the facility. The signed report will be in the facility file.

met_with: Licensee/Administrator Carrie Mathews


summary: Facility Evaluation

raw_content:
Narrative:
On May 11, 2022 at 1:15 p.m., Licensing Program Analysts (LPA) Sarah Smith met with Program Administrator, Jami Sheridan to conduct an unannounced post-licensing inspection for the Transitional Housing Placement Program (THPP) for Non-Minor Dependents (NMD). The administrative office was toured both inside and out with the Program Administrator at 5:30 p.m. Presently, the THPP NMD has a capacity of NMD's who are placed in remote site apartments and host families. The current census is five. All remote sites are within two hours of the administrative office. The THPP Administrative office is located in San Bernardino County. Currently, the office is in a retail business establishment. The office consists of a reception area equipped with two desks, and three additional office spaces, a kitchen area, bathroom, and locked storage room. In addition there is a computer lab located off the kitchen. The office space is utilized by the Program Administrator, the Evolution Coach/Social Worker, and by the THPP NMD's. The kitchen area was equipped with a refrigerator, variety of snacks and a microwave. The office is equipped with working office equipment, furniture, and supplies. Throughout the office there are motivational signs, along with an educational and employment resource area. All participant and staff files were stored in locked storage room. LPA observed two locked storage cabinets within the storage room which hold the THPP NMD files. The staff files are maintained off site. Only the Administrator has the keys to the storage room. Currently the THPP is staffed with the Program Administrator, and two social workers. Based on LPA file review and observations, the facility will be cited for Title Regulations: Personnel Records 86066(a)(11), 86066(a)(12), and Interim Licensing Standards: Participant Medical Assessment 86069(a), Non-minor Dependents' Record 86270(a)(2)(E), and Needs and Services Plan 86268.3(c)(1). ---------- An exit interview was conducted with Program Administrator, Jami Sheridan and a copy of this report and Appeal Rights were provided to the facility representative.

met_with: Jami Sheridan, Program Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On April 19, 2023 at 10:47 am Licensing Program Analyst (LPA), Emina Preciado, conducted an unannounced visit to The Heart Matters, Transitional Housing Placement Program (THPP) for Non-Minor Dependents (NMD) for the purpose of conducting an annual inspection. LPA met and toured the facility with Program Administrator, Kyndle Crigler. Presently, the THPP has a capacity of 50 participants who are placed in remote site apartments in Moreno Valley and Colton. All remote sites are within two hours of the administrative office. The current census is 18 participants in the program. The THPP Administrative office is located in a retail business establishment. The office consists of a reception area equipped with two desks, a kitchen area, a bathroom, a locked storage room, additional office spaces, and a computer lab that is available for participants to use. The office space is utilized by the Program Administrator, the Evolution Coach (Social Worker), and by the THPP's participants. The kitchen area is equipped with a refrigerator, a microwave, and a variety of snacks. The office is equipped with working office equipment, furniture, and supplies. Throughout the office there are motivational signs as well as an educational and employment resource area for participants to utilize. Facility showed LPA a copy of the emergency binder kept at remote site apartments, a drill log of the emergency disaster and mass casualty plan. All participant records are kept under lock in a storage room. LPA observed two locked storage cabinets within the storage room which hold the participant files. The Program Administrator has the keys to the locked storage room. Currently, the THPP is staffed with one Executive Director, one Program Administrator, and one Evolution Coach (Social Worker). All staff files are located off site in a different office suite that is located within the same retail business establishment. LPA observed staff files were stored under lock and were available for LPA to review. Staff was informed that each Social Worker should maintain a 1 to 12 ratio, which should never be exceeded. Staff is aware of submitting unusual incident reports as needed to the Department and to include all Law Enforcement contacts. *Next page LIC 809-C* LPA reviewed three staff files, five participant files, and completed two staff interviews. All three staff files reviewed met the minimum qualifications as required by the Department and training requirements. A review of records shows that all staff have FBI, DOJ, and Child Abuse Index Check clearances. All five participant files reviewed were complete and had the required documents. Based on observation and record review, the facility is in compliance and no deficiencies were noted at this time. Exit interview conducted with Program Administrator, Kyndle Crigler, and a copy of this report was provided to the facility representative.

met_with: Kyndle Crigler, Program Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On May 6, 2024 at 10:30 am Licensing Program Analyst (LPA), Emina Preciado, conducted an unannounced visit at The Heart Matters, Transitional Housing Placement Program (THPP) for Non-Minor Dependents (NMDs). The purpose of the visit was to conduct a required annual inspection. LPA met and did a walk-through of the facility with, Administrator, Jennifer Reyes. The THPP has a capacity for up to 50 participants who are placed in remote site apartments in Moreno Valley and Colton. All remote sites are within two hours of the administrative office. Currently, the census for the THPP is Participants. The THPP Administrative office is located in a retail business establishment. The office consists of a reception area equipped with two desks, a kitchen area, a bathroom, a locked storage room, additional office spaces, and a computer lab that is available for participants to use. The office space is utilized by office staff and THPP participants. The kitchen area is equipped with a refrigerator, a microwave, and a variety of snacks. The office is equipped with working office equipment, furniture, supplies, and has an area to conduct private interviews. Throughout the office there are motivational signs as well as educational and employment resources for participants to utilize. LPA reviewed copies of pertinent records such as certificates of compliance, the emergency binders kept at remote site apartments, and drill logs for emergency disasters. Participant records are kept in a locked cabinet inside a locked storage room which can be accessed with a key. All staff files are located off site in a different office suite that is located within the same retail business establishment. Staff files are stored under lock and were available for LPA to review. Currently, the THPP is staffed with one Executive Director, one Program Administrator, one Program Manager, two Evolution Coaches (Social Workers), and one Program Assistant. * LIC 809-C* Staff was informed that each Social Worker should maintain a 1 to 12 ratio, which should not be exceeded. Staff is aware of submitting unusual incident reports as needed to the Department and to include all Law Enforcement contacts. While at the facility, LPA reviewed five personnel records, five participant records, and conducted two staff interviews. Five out of five staff files reviewed had a completed health screening/tuberculosis (TB) test and have FBI, DOJ, and Child Abuse Index Check clearances on file. Five out of five personnel records reviewed had completed a minimum of one hour training in child abuse identification and met the minimum qualifications as required by the Department. Five out of five participant files reviewed had required documents including admission agreement, personal rights, medical/education history, immunization records, an initial/current Needs and Services Plan (NSP), and a completed Transitional Independent Living Plan (TILP). Four out of five participant records reviewed did not have a written medical assessment prior to or within 30 calendar days of their acceptance into the program. Four out of five participant records reviewed did not have results of an examination for communicable tuberculosis on file. Based on observation and record review, the facility is being cited for California Code of Regulations (CCR) sections: 86069(a) and 86069(b)(1) which poses a potential health and safety risk to clients in care. Exit interview conducted, appeal rights were discussed and provided. A copy of this report along with LIC 809-C and LIC 809-D were given to Administrator, Jennifer Reyes.

met_with: Administrator, Jennifer Reyes


summary: Facility Evaluation

raw_content:
Narrative:
On June 18, 2025, at 09:06 am Licensing Program Analyst (LPA), Raina Perez-Diaz, conducted an unannounced visit at The Heart Matters, Transitional Housing Placement Program (THPP) for Non-Minor Dependents (NMDs). The purpose of the visit was to conduct a random annual inspection. LPA met and did a walk-through of the facility with, Agency Administrator, Lia Andrews. The THPP has a capacity for up to 50 participants who are placed in remote site apartments in Moreno Valley and Colton. All remote sites are within two hours of the administrative office. Currently, the census for the THPP is Participants. The THPP Administrative office is located in a retail business establishment. The office consists of a reception area equipped with one desk for staff, two desks for participants to use, a kitchen area, a bathroom, a locked storage room, and additional office spaces. The office space is utilized by office staff and equipped with working office equipment, furniture, supplies, and has an area to conduct private interviews. The kitchen area is equipped with a refrigerator, a microwave, and a variety of snacks. Throughout the office there are motivational signs as well as educational and employment resources for participants to utilize. LPA reviewed copies of pertinent records such as certificates of compliance, the emergency binders, and drill logs for emergency disasters. Participant records are kept in a locked cabinet inside a locked storage room which can be accessed with a key. All staff files are located off site in a different office suite that is located within the same retail business establishment. Staff files are stored under lock and were available for LPA to review. Currently, the THPP is staffed with one Executive Director, one THPP Administrator, one Program Assistant, one THPP Program Manager, one Lead Evolution Coach, and three Evolution Coaches (Social Workers). * LIC 809-C* Staff was informed that each Social Worker should maintain a 1 to 12 ratio, which should not be exceeded. Staff is aware of submitting unusual incident reports as needed to the Department and to include all Law Enforcement contacts. While at the facility, LPA reviewed five personnel records, five participant records, and conducted three staff interviews. LPA Perez-Diaz reviewed files for five clients in care [Client #1 - Client #5 (C1-C5)]. All clients' files were found to have a completed health screening/tuberculosis (TB) test, Medical Consent forms and signed needs and services plans. LPA also reviewed five staff files [Staff #1 - Staff #5 (S1-S5)]. All staff files reviewed have Department of Justice (DOJ), Federal Bureau of Investigation (FBI) and Child Abuse Clearance Index (CACI) clearance, proof on file of acknowledging the child abuse reporting requirements and meet the minimum qualifications and training requirements per Community Care Licensing Regulations. A review of administrative records indicate that the facility has paid their current licensing fees. Exit interview conducted, appeal rights were discussed and provided. A copy of this report along with LIC 809-C, LIC 811, and LIC 811-C were given to Agency Administrator, Lia Andrews.

met_with: Agency Administrator, Lia Andrews


summary: Facility Evaluation

raw_content:
Narrative:
On March 10, 2026, at 1:20 pm, Licensing Program Analyst (LPA), Emina Preciado, conducted an unannounced visit at The Heart Matters Transitional Housing Placement Program (THPP). LPA met with Program Administrator, Jennifer Reyes. The purpose of the visit is to conduct a Case Management - Other for an incident that was reported to Community Care Licensing by the facility. While at the facility LPA conducted two interviews and a records review to further assist with the case management. There were no deficiencies noted at this time and LPA will follow up as needed. A copy of this report was provided to Program Administrator, Jennifer Reyes.

met_with: Program Administrator


facility_name: HERITAGE THPP

summary: Facility Evaluation

raw_content:
Narrative:
On June 10, 2024 at 10: AM, Licensing Program Analyst (LPA) Pamela Silva conducted a virtual Component II session via Teams with applicant, Heritage THPP. Present at the meeting from Heritage THPP was Sandi Heyer, Executive Director. During the meeting the following items were discussed: 1. All requested revisions in the application documents (LIC401 and LIC610C) have been submitted by applicant and has been reviewed by LPA Silva. 2. Applicant requested change in capacity from 24 to 48. A new LIC200 and the difference in licensing fee due to capacity change will be submitted to the Regional Office on 06/11/24. 3. LPA Silva requested revisions to the Program Statement/Plan of Operation (POO/PS) due to capacity change : Page 2 of POO/PS (capacity states 24), LIC500 and Table of Organization 4. LPA Silva requested to include Telecommunications Device Notification LIC9158 in the intake process of the POO/PS. 5. Ms. Heyer will remove the sketches and the addresses of the 3 remote sites from the POO/PS. An exit interview was conducted and a copy of this report was provided to the applicant.

met_with: Sandi Heyer


summary: Facility Evaluation

raw_content:
Narrative:
On June 14, 2024 at 9: AM, Licensing Program Analyst (LPA) Pamela Silva arrived at the above facility for the purpose of conducting an announced pre-licensing inspection and Component III meeting. LPA met with Executive Director Sandi Heyer and Administrator Maria Serratos. The THPP-NMD program will provide services to non-minor dependents, ages 18 to 21, in remote sites within two (2) hours of driving distance from the agency's administrative office. A tour of the office was conducted. The office building is located in a commercial area with adequate parking spaces available. There are multiple office spaces, a conference room, a storage room, kitchen and restrooms. All office spaces/rooms are well equipped with desks, chairs, computers, file cabinets and shelves. The offices provide privacy for confidential interviews. Telephone service is available in the THPP office. There are locked file cabinets in place to secure staff and client files. Fire extinguishers, carbon monoxide and fire alarms are in place. The facility has a current Emergency and Disaster Plan available in the office. LPA observed the facility to be in good repair, well equipped and ready for operation. A Component III meeting was also conducted to familiarize the applicant with THPP Rules and Regulations as well as best practices. The purpose of the Component III is also to prepare the applicant on how to maintain and operate their facility and provide information to avoid potential problem areas. A copy of the THPP Component III handout was provided to Ms.Heyer and Ms. Serratos. An exit interview was conducted, and a copy of the report was provided to the Executive Director.


summary: Facility Evaluation

raw_content:
Narrative:
On May 28, 2025 at 9: AM, Licensing Program Analyst (LPA) Pamela Silva arrived at the above facility for the purpose of conducting an unannounced Post Licensing inspection. LPA met with Executive Director, Sandi Heyer. The THPP-NMD program provides services to non-minor dependents, ages 18 to 21, in remote sites within two (2) hours of driving distance from the agency's administrative office. PHYSICAL PLANT The facility license is posted in a prominent location. All participant records are maintained in a secure area or locked file cabinets in the administrative office. The administrative office has telephone service on the premises. The office provides privacy for confidential interviews. OPERATIONAL REQUIREMENTS The facility maintains a register of participants available upon request. The facility is currently operating within licensing regulations. DISASTER PREPAREDNESS The facility has an emergency and disaster plan for the THPP NMD participants. The emergency plan includes emergency information, instructions, and telephone numbers, including a 24-hour emergency number for the licensee and the participant's responsible party. STAFF RECORDS LPA reviewed four (4) staff records (refer to Confidential Names form LIC 811 dated 05/28/25). Staff records are available upon request. The agency is in compliance with the social worker ratio. Program Administrator meets the education and experience requirements, completed the required training, file contains the Statement acknowledging requirement to report child abuse, fingerprint, and child abuse index check clearances and current with CPR and first aid. CLIENT RECORDS The facility currently has twelve (12) transitional housing placement participants ages 18-21 years old. LPA reviewed five (5) THPP participant's records. The facility ensured that the Transitional Independent Living Plan/Needs and Services Plan is signed by the NMD, the THPP Administrator or SW personnel and the agency responsible for placement. The facility ensured the participants record are maintained locked on site in the THPP office. LPA interviewed one (1) staff. During today's visit, no violations of Title 22, Division 6 of the California Code of Regulations were observed. An exit interview was conducted, and a signed copy of this report was provided to the Executive Director.


summary: Facility Evaluation

raw_content:
Narrative:
On July 22, 2025 at 9: AM, Licensing Program Analyst (LPA) Pamela Silva arrived at the above facility for the purpose of conducting an unannounced Post Licensing inspection. LPA met with Executive Director, Sandi Heyer. The THPP-NMD program provides services to non-minor dependents, ages 18 to 21, in remote sites within two (2) hours of driving distance from the agency's administrative office. PHYSICAL PLANT The facility license is posted in a prominent location. All participant records are maintained in a secure area or locked file cabinets in the administrative office. The administrative office has telephone service on the premises. The office provides privacy for confidential interviews. OPERATIONAL REQUIREMENTS The facility maintains a register of participants available upon request. The facility is currently operating within licensing regulations. DISASTER PREPAREDNESS The facility has an emergency and disaster plan for the THPP NMD participants. The emergency plan includes emergency information, instructions, and telephone numbers, including a 24-hour emergency number for the licensee and the participant's responsible party. The THPP conducts regular disaster drills in the THPP office and in the participants' living units. STAFF RECORDS LPA reviewed two (2) staff records (refer to Confidential Names form LIC 811 dated 07/22/25). Staff records are available upon request. The agency is in compliance with the social worker ratio. Program Administrator meets the education and experience requirements and completed the required training. Files contain the Statement Acknowledging requirement to report child abuse, fingerprint, and child abuse index check clearances and current with CPR and first aid. CLIENT RECORDS The facility currently has twelve (12) transitional housing placement participants ages 18-21 years old. LPA reviewed five (5) THPP participant's records. The facility ensured that the Transitional Independent Living Plan/Needs and Services Plan is signed by the NMD, the THPP Administrator or SW personnel and the agency responsible for placement. The facility ensured the participants record are maintained locked on site in the THPP office. LPA interviewed one (1) staff. During today's visit, no violations of Title 22, Division 6 of the California Code of Regulations were observed. An exit interview was conducted, and a signed copy of this report was provided to the Executive Director, Sandi Heyer.


facility_name: HILLSIDES

summary: Facility Evaluation

raw_content:
Narrative:
On 07/15/25, Licensing Program Analyst (LPA) and Licensing Program Manager (LPM) Lakescia Smith conducted the Component II - Face to Face office interview at the El Segundo Regional Office with Casey Meinster, Administrator. The THPP application and program statement was reviewed and discussed with staff. The following documents are needed and Casey stated that she will submit to licensing by Monday, July 21, 2025: 1. Update LIC 500-Personnel Report - Job descriptions should match job title on personnel report. Refer to THPP regulations. Provide the correct job descriptions for Administrator, Supervising Social Worker, Social worker personnel, etc. 2. Update and submit organization chart. 3. New application, LIC 200, submitted with name of program Hillsides THPP NMD (Submitted in office) 4. Update LIC 610C-Emergency Disaster Plan- due to being incomplete (Updated and received in office). Continued on LIC809C 5. LIC 999-Facility Sketch: should be of administration office with correct address. 6. Submit correct form- LIC 508D: Out -of-State Disclosure & Criminal Record Statement. 7. LIC 9165- Resubmit new forms. Forms received are outdated and must apply to the THPP application. 8. LIC 309-Administrative Organization needs to be completed (see section 10. Officers) 9. Create a certificate of compliance to certify that living units meet regulation requirements. 10. Applicant and administrator must be associated to the facility. 11. LPA informed Administrator to apply for a rate with Foster Care Rates. Administrator told LPA and LPM that she needed to wait until Provisional License was received. 12. Fire clearance is pending to accept non-ambulatory clients. During the review of the plan of operation, there were several compliance concerns that must be corrected. For example, there were statements that referred to "youth" instead of "Non-Minor Dependents" and incorrect section codes referenced. Clarification is needed of job titles. Submit revisions to Plan of Operation/Program Statement. Include details regarding smoking prohibition (Refer to section XVII-Unauthorized Purchases). Component III is scheduled for Wednesday, July 16, 2025, via Microsoft Teams at 10:30am. Pre-licensing visit is scheduled for Thursday, July 17, 2025 at 9:30am. Exit interview completed and copy of the report provided to Administrator, Casey Meinster.

met_with: Casey Meinster


summary: Facility Evaluation

raw_content:
Narrative:
On 07/16/25, at 9: AM, Licensing Program Analyst (LPA) Andrea Aceves and Licensing Program Manager (LPM) conducted an announced pre-licensing inspection at Hillsides THPP. LPA and LPM met with Director, Andrew Hernandez. At the time of the visit, there are no clients in placement. The facility is seeking a license to provide care for capacity of twenty (20) which ten (10) are ambulatory and ten (10) are non-ambulatory, Non-Minor Dependents, ages 18-21 and are using a remote site model. Facility Overview: The THPP-NMD administration office is located in a commercial building within suite 140 and also utilized as a resource center. The entrance to the suite can be accessed during office hours. The lobby of the suite has resource information brochures available for visitors as well as the Emergency Disaster Plan was posted and visible. The suite office is a large area with a reception area. The suite has a workstation area with multiple computers available for clients. There are five (5) small offices in which one (1) will be designated for confidential interviews for clients and CCL staff. In addition, a locked storage cabinet will be placed in the meeting space to store any confidential files. The suite has a large conference table with multiple chairs for clients. There is a TV area with a PlayStation, chairs for clients and a bookshelf with books and board games. A music room is available for clients. A kitchen area that includes a stove, microwave and refrigerator is available for clients. A shower room and laundry room are also accessible for clients. Cameras are also placed throughout the suite's common areas. See LIC809C The licensee will store client and staff files electronically and must be readily available to CCL staff upon request. All staff must be associated to THPP-NMD prior to working in the facility. Licensee submitted a revised Plan of Operation, and the LPA will review it. LPA received the following documents from Andrew: · Revised THPP LIC500-Personnel Report · Revised LIC508D-Criminal Record Statements · Updated LIC309-Administrative Organization · Updated Organizational Chart · Update THPP-NMD Administrative Office Facility Sketch · Revised Plan of Operation · Updated Expectations · Revised Job Descriptions * Group Home application to reduce capacity and check Fire Clearance for non-ambulatory NMD remains pending. An exit interview was conducted, and a copy of this report was provided to Director, Andrew Hernandez.

met_with: AndrewHernandez


summary: Facility Evaluation

raw_content:
Narrative:
On October 9, 2025, Licensing Program Analyst (LPA) Connie Jones-Steward met with Director Andrew Hernandez and Administrator Casey Meinster to conduct the post-licensing inspection. The following was observed. There are currently two clients in the Arroyo cottage and three in Canyon cottage. The administration office is located in a commercial building in the city of Pasadena, CA. It is about three miles from the participant living units. The location also serves as a drop in area for neighborhood youth, providing them with clothes, job search resources, food, hot showers and other resources. It has three offices that clients can use for private interviews and other reasons. There is a locked cabinet in one of the offices for records storage. However all records are stored online. The license and emergency disaster plan are posted near the entrance. LPA observed the three occupied bedrooms in Canyon cottage. Each bedroom has a single bed, closet space,, an operational window and working smoke detectors and carbon monoxide detectors. The cottage also has a common living room and kitchen for participant use. There is also a telephone for shared use in the laundry room. LPA reviewed the records for 4 of 5 participants, the administrator, the social worker supervisor and two social workers. All records were substantially complete. LPA interviewed two staff persons and one participant. There were no deficiencies cited as a result of this inspection.

met_with: Andrew Hernandez


facility_name: HOLLY PLACE

raw_content:
Narrative:
On 03/10/2021, the San Jose Children's Residential Program Regional Office receive a complaint for the facility, Holly Place with two allegations: "Facility is in disrepair" and "Facility staff are withholding non-minor dependent's money." This complaint was assigned to LPA Tran on 03/10/2021. During the investigation, LPA Tran conducted various interviews and email interactions with client and 4 staff members. LPA interviewed and interacted with S1 and S2 on (03/16/2021), then S3 on (03/16/2021, 03/24/2021, 03/17/2021, and 04/19/2021), and S4 on (03/26/2021 and 04/12/2021). LPA Tran also interviewed C1's Social Worker, SW on (04/12/2021). Lastly, LPA Tran interviewed C1 on (03/15/202, 04/12/2021, and 04/19/2021). LPA Tran obtained a copy of the following documents: Maintenance requests from C1, Receipts for Pest Control Service for apartment unit, Electronic Stipend Ledger, List of participants located at the Spring Dr. Hayward apartment, Transitional Independent Living Plan and Agreement for C1, Appraisal Needs and Services Plan for C1, Promise to pay invoice/debt agreement, and Holly Place's Shared Living Agreement. Based on interviews, documents received, and incident reports, the agency has been responsive with client's maintenance requests. LPA Tran interviewed S3 and S4 on 04/12/2021, S4 conducts weekly meeting with C1. C1 did not mention about the leak issue of refrigerator. On 04/06/ C1 denied maintenance services and repair diagnosis. The lack of cooperation from C1 prolongs the maintenance issue available for clients. The agency posted notices to enter the apartment 24-48 hours before entering unit to make repairs and replacement refrigerator delivery. On 03/17/ LPA Tran reviewed documents: Electronic Stipend Ledger, Transitional Independent Living Plan and Agreement for C1, Appraisal Needs and Services Plan for C1, Promise to pay invoice/debt agreement, and Holly Place's Shared Living Agreement. C1 signed agreement dated on 12/16/2020, agreeing to have $100 from Stipend funds to be added to savings account. C1 receives $400 every over week for the infant fund and receives $150 every week as stipend. C1 signed agreement on withholding $100 into savings account. The saving balance amount will be provided to C1 when she leaves the program and agency. (Continue on LIC 9099-C) Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the complaint allegations: "Facility is in disrepair" and "Facility staff are withholding non-minor dependent's money" is unsubstantiated. No citation was given. Exit interview was conducted and a copy of this report was emailed to Ron Dhillon. LPA Tran requested that a copy of the findings be signed and sent back to LPA Tran (AmyLe.Tran@dss.ca.gov). (End)

Investigation Findings:
13On 06/01/2021 at 1:00pm Licensing Program Analyst (LPA) AmyLe Tran made an announced tele-visit via Microsoft Teams meeting to deliver complaint findings to facility listed above. LPA Tran met with Executive Director, Ron Dhillon (S2) and Program Coordinator, Mandave Sandhu via tele-visit of the findings for the above listed complaint allegation. LPA provided prior notice of the tele-visit due to COVID-19 stay at home orders and scheduled the tele-visit, refer to LIC Confidential Names Form, dated 03/16/2021. (Continue on LIC9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: AmyLe Tran 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 14-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, TRAEGER AVE., SUITE FACILITY NAME: HOLLY PLACEFACILITY NUMBER: VISIT DATE: 06/01/2021

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

met_with: Ron Dhillon and Mandave Sandhu


raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the complaint allegations: "Facility is in disrepair" is unsubstantiated. No citation was given. Exit interview was conducted and a copy of this report was emailed to Ron Dhillon. LPA Tran requested that a copy of the findings be signed and sent back to LPA Tran (AmyLe.Tran@dss.ca.gov). (End) On 01/05/2021, the San Jose Children's Residential Program Regional Office receive a complaint for the facility, Holly Place with allegation: "Facility is in disrepair". This complaint was assigned to LPA, Madeleine Fremont on 01/05/2021, then reassigned to LPA, AmyLe Tran on 04/21/2021. During the investigation, LPA Tran conducted various interviews and email interactions with client and 3 staff members with Holly Place. LPA interviewed and interacted with client P1 on (04/22/2021), S1 on (03/16/2021), S2 on (03/16/2021), S3 on (05/12/2021), and S4 on (03/26/2021). LPA Tran reached out to SW1 multiple times on (05/04/2021, 05/19/2021, and 05/21/2021) with no response. LPA Tran obtained a copy and reviewed the following documents: Maintenance requests from P1, TILP Needs and Services for P1, PG&E for November and December of 2020, promise to pay invoice/debt agreement, Updated LIC-500, Incident reports involving P1, list of P1 stipend deductions and records dated 05/21/2020 - 12/29/2029, and Holly Place's Shared Living Agreement. Based on interviews, documents received, and incident reports, the agency has been responsive with client's maintenance requests. LPA Tran interviewed P1 on 04/22/2021. P1 stated "I don't want to proceed with the complaint anymore. Holly Place has provided me space heaters to help my place keep warm." LPA Tran informed P1 that the investigation still needs to be conducted to ensure the agency is within compliance. Then on 05/12/2021, LPA interviewed S3. S3 had the property owners involved to ensure the heater was working properly. Property owners had the Warranty company and HVAC companies arrived on multiple occasions to ensure unit heater is working properly. The repair technicians stated heater has an automatic shut off for safety reasons. Both heater in unit is working properly. Tenant would put heater on full blast causing the auto shut off. Technicians verified the heater was working but not warm enough for tenant's medical condition. Property owners immediately brought space heaters for tenants as a solution. (Continue on LIC 9099-C)

Investigation Findings:
13On 06/01/2021 at 1:00pm Licensing Program Analyst (LPA) AmyLe Tran made an announced tele-visit via Microsoft Teams meeting to deliver complaint findings to facility listed above. LPA Tran met with Executive Director, Ron Dhillon (S2) and Program Coordinator, Mandave Sandhu via tele-visit of the findings for the above listed complaint allegation. LPA provided prior notice of the tele-visit due to COVID-19 stay at home orders and scheduled the tele-visit, refer to LIC Confidential Names Form, dated 01/08/2021. (Continue on LIC9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: AmyLe Tran 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 14-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, TRAEGER AVE., SUITE FACILITY NAME: HOLLY PLACEFACILITY NUMBER: VISIT DATE: 06/01/2021

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


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
There is a lack of evidence to make a determination as to whether a regulatory violation did occur. This department has investigated the allegations, and although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the above occurred; therefore, the above allegations are Unsubstantiated. Appeal Rights were provided and discussed, and no deficiencies were cited. An exit interview was conducted with Mandave Sandhu and a copy of the report was sent to the facility.

Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Brian Bertoli met with Program Coordinator Mandave Sandhu regarding a complaint investigation at the Transitional Housing Placement Program. The purpose of the inspection was to deliver the findings for the above allegations. During the course of the investigation, LPA Bertoli interviewed participants, staff, and welfare worker, and reviewed documentation. The participant who was the alleged victim (see LIC 811 dated 3/29/22) had indicated that they would provide names, pictures, and text messages to corroborate the occurrence of the incidents, but none was provided despite multiple requests. This evidence was also requested by the Welfare Worker, and nothing was produced. None of the other persons interviewed had knowledge or evidence of the alleged incidents. A fight did occur at the participant's unit between C1 and C2, but there was no other indication of the related allegations occurring, aside from the statements of C2. LPA Bertoli was unable to determine if Case Managers allowed bullying of participants, or didn't meet participants' needs, or if the complex was unsafe, or if they failed to treat participants with respect. (cont. on LIC 9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Brian Bertoli 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 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: HOLLY PLACEFACILITY NUMBER: VISIT DATE: 03/29/2022

met_with: Mandave Sandhu


raw_content:
Investigation Findings:
13On 9/30/22 at 10: AM, Licensing Program Analyst (LPA) Alyssa Ng conducted a complaint inspection at Holly Place and spoke with Holly Tracy, Administrator. The purpose of the inspection was to deliver the findings for the above complaint allegation. During investigation, interviews were conducted, photos obtained, and incident reports were reviewed, and it was determined that facility is not maintained clean and free of animal hair. Based on LPA's interview with staff, clients, and record review(s), the preponderance of evidence standard has been met, therefore the above allegation, Facility is not maintained clean and free of animal hair is found to be SUBSTANTIATED. Facility is being cited for violation of California Code of Regulations (CCR), Title 22, Division 6 & Chapter 1: 80087(a) Buildings and Grounds. Please refer to attached 9099D. At this time, one deficiency was given. An exit interview was conducted, appeal rights provided and discussed, and a copy of this report was given to Holly Tracy, Administrator. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng 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 14-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, TRAEGER AVE., SUITE FACILITY NAME: HOLLY PLACEFACILITY NUMBER: 015202678

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:

met_with: Holly Tracy


raw_content:
Investigation Findings:
13On 3/24/23 at 10: AM, Licensing Program Analyst (LPA) Alyssa Ng conducted a complaint inspection at listed facility and spoke with Mandave Sandhu, Administrator.The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA Ng reviewed documents and conducted interviews with staff and client. Based on documents and interviews reviewed, facility has an interim Administrator that was approved by Licensing on 2/9/23 and has sufficient oversight. Although, the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that facility has no administrator and facility does not have sufficient oversight. Therefore, the above allegations are unsubstantiated. Exit interview was conducted and a copy of the report was given to Mandave Sandhu, Administrator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng 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 3

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


raw_content:
Investigation Findings:
13On 3/24/23 at 11: AM, Licensing Program Analyst (LPA) Alyssa Ng conducted a complaint inspection at listed facility and spoke with Mandave Sandhu, Administrator.The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA Ng reviewed documents and conducted interviews with staff and clients. Based on documents and interviews reviewed, staff did not engage in inappropriate interactions with client and staff does not speak inappropriately to client in care. Although, the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that staff engaged in inappropriate interactions with client and staff speaks inappropriately to client in care. Therefore, the above allegations are unsubstantiated. Exit interview was conducted and a copy of the report was given to Mandave Sandhu, Administrator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng 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 3

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