summary: Facility Evaluation

raw_content:
Narrative:
On Wednesday 8/31/22 at 3:30PM, Licensing Program Analyst (LPA) Lisette Valenzuela made an unannounced visit to the above facility for a Case Management - Annual Continuation inspection. LPA Valenzuela met with Caregiver Marissa Sanchez and informed her of the reason for the visit. Staff Member assisted LPA Valenzuela with a walk through of the facility. There were no obstructions, hazards, or bodies of water on the grounds inside the house or in the backyard. LPA Valenzuela observed, the license, Emergency Disaster Plan, and other appropriate posters were posted in an accessible location. LPA Valenzuela checked both the room temperature and the water temperature and observed it was between the permitted temperature range. The kitchen was stocked the adequate essentials to meet the residents needs. Sharps and knives were stored in a locked kitchen drawer, and chemicals were stored in locked cabinets in the locked laundry room. Medications were locked away and separated by resident. Bedrooms were clean, and each resident has their own bed and closet/drawer space. During the time of visit, there were 6 clients present during the time of the visit. LPA Valenzuela observed proper staff to client interactions. No safety concerns were observed. All clients are non-verbal, therefore LPA Valenzuela was not able to conduct interviews. LPA Valenzuela interviewed Staff Member. (Please see LIC 812 for interview.) At this time, per Title Regulations, no deficiencies were cited during this inspection. An exit interview was conducted with Marissa Sanchez whose signature on this form confirms receipt, and a copy of this report will be emailed to Co-Administrator/ Facility Manager Patti Inouye.

met_with: Marissa Sanchez


state: CA

facility_name: CICADA-ALMOND

summary: Facility Evaluation

raw_content:
Narrative:
On 7-24-23 9:47AM, Licensing Program Analysts George Karkazis conducted an unannounced Annual/Random inspection at listed facility. LPA's met with Patti Inouye, Administrator and toured the facility inside and out. Safety precautions were taken including screening call and mask wearing. The Group Home is licensed to serve six clients. Present during the inspection were three staff and six clients. At 10:05AM LPA Karkazis reviewed client and staff files. All client files were complete and in good order. Staff files: Staff 5 did not have criminal record clearance associated to the listed facility, but is associated to other facilities in the Children's Residential Program and employed at other Cicada facilities. Administrator Inouye was able to provide a completed Criminal Background Clearance Transfer Request Form (LIC 9182) during the inspection, and proof of submission to CDSS. At 12:23PM, LPA Karkazis toured the facility. LPA Karkazis observed four bedrooms and two bathrooms. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPA Karkazis tested the water temperature and found it to be 105 degrees which is in range. The thermostat read 69 degrees which is within range. Sharps were locked and chemicals were safely stored. There were two days of perishable foods and seven days non-perishable foods present. The medication was also stored and locked in a kitchen cabinet. The facility is in good repair and clean. LPA Karkazis interviewed two staff and no clients. Three clients were nonverbal and three clients refused to be interviewed. continued on LIC 809-C continued from LIC At 1:30PM, LPA Karkazis toured the backyard. There were no open bodies of water. The backyard was in good repair and clean. At this time the facility is being issued a Technical Violation, California Code of Regulations, Criminal Record Transfer, Criminal Record Clearance Transfer 80019(e)(3). An exit interview was conducted, appeal rights discussed and a copy of this report was given to Pattie Inouye, Administrator

report_type: Facility Evaluation

visit_type: Annual

met_with: Patti Inouye, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 07/29/24 10:30am, Licensing Program Analyst (LPA) Kristin Pierotti and Licensing Program Manager (LPM) Carolyn Flynn conducted an unannounced Annual Inspection at listed facility. LPA Pierotti met with Lira Reyes and toured the facility inside and out. The Group Home is licensed to serve 6 clients. Present during the inspection were 4 staff and 4 clients. LPA Pierotti reviewed client and staff files. All client and staff files were available and contained all necessary forms. LPA Pierotti toured the facility. LPA Pierotti observed 4 bedrooms and 2 bathrooms. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPA Pierotti tested the water temperature and found it to be 106.5 degrees which is in range. The thermostat read 77 degrees which is within range. Sharps were locked and chemicals were safely stored. There were two days of perishable foods and seven days non-perishable foods present. The medication was also stored and locked in a kitchen cabinet. The facility is in good repair and clean. LPA Pierotti toured the backyard. There were no open bodies of water. The backyard was in good repair and clean. LPA Pierotti interviewed 1 staff and no clients. Clients left for school and outings during the inspection. The clients that were remaining in the home were nonverbal. An exit interview was conducted and a copy of this report was emailed to Lira Reyes.

met_with: Lira Reyes, Managing Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 7/29/2025, Licensing Program Analyst (LPA), Will Ea made an unannounced visit to the facility for the purpose of conducting the facility's annual inspection. LPA met with Direct Care Staff/House Lead, Rowena Gabe(S01), and informed them on the purpose of this inspection. No clients were present and were all at school and one staff was present. The CARE Tool was used to conduct this inspection. LPA reviewed the facility's plan of operations, client files, staff files, and conducted a walk through of the facility inside and out. During the facility walk through LPA observed the facility to be maintained at a comfortable temperature, water from the client restroom faucet was measured at 114.5F, and an outdoor activity space was observed free from hazards. LPA observed waste bins, all with lids. The facility did not have any bodies of water. LPA toured each of the clients' bedrooms and observed functional lighting, adequate storage space, clean linens, clean bedding, and age appropriate decor. Food supply was adequate with a sufficient supply of fresh and durable grocery items. Allowance balance was maintained for all clients and balance amount was correct. MAR, PMAR, and medication were locked in a cabinet in the kitchen. Logs were complete and accurate. Sharps were kept in a secure drawer in the kitchen. All chemicals and cleaning agents were kept in a locked cabinet in the laundry room. The safety drill logs were maintained and conducted on at least a quarterly basis. Overall the facility appeared to be clean, safe, and in good repair. LPA conducted a review of all four client files and four randomly selected staff files. Client and staff files were found to be in order and up-to-date with no issues observed. (continued on 809C) One staff interview was conducted. LPA took pictures of their current staffing schedule, LIC500 and LIC610. LPA requested an updated copy of the admin organization LIC 309, which S01 agreed to provide by e-mail. Overall, LPA found no issues or defects while conducting the inspection. A copy of this report was provided to House Lead Rowena Gabe along with a copy of the appeal rights. Rowena's signature confirms their receipt and acknowledgement of the summary.

met_with: Rowena Gabe, House Lead


summary: Facility Evaluation

raw_content:
Narrative:
On 3/14/23, at 10: AM, LPA Alyssa Ng, made an unannounced inspection and met with Ren Baylon, direct care staff. Upon arrival, LPA Ng discovered that there was one client home but there was no Facility Manager nor House Manager present. At 11: AM, Maria P Lira Reyes, Managing Administrator arrived. Maria stated that the Administrator for the listed facility is not here. There is a current census of five clients. LPA Ng asked if there was a designated Facility Manager in their place. Maria said that there was none. LPA Ng stated that a Facility Manager needs to be present when a client is home. LPA Ng is issuing a citation of Chapter Group Home Section 84065.2(3) Personnel Duties. See attached LIC 809-D. An exit interview was conducted, appeal rights provided, and a copy of this report was left with Managing Administrator Maria P Lira Reyes, whose signature confirms this receipt.

visit_type: Case Management

met_with: Maria P Lira Reyes


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 6/23/23 at 1: PM, Licensing Program Analyst (LPA) Alyssa Ng conducted a case management inspection at listed facility and spoke with Patti Inouye, Administrator. The purpose of the inspection was to discuss reporting requirements and two clients in care who are over the age of 18. When reviewing the client roster, LPA Ng found that two clients are over the age of 18. Their current license is for clients who are between the ages of 6-17. LPA Ng completed a file review on 6/16/23 and found that there were no age exception requests for both clients in care. In addition, certain unusual incidents, such as epidemic outbreaks are to be reported by telephone within 24 hours. The facility failed to make the telephone report to CCL. Facility cited per CCR regulation, 80010(a), Limitations on Capacity and Ambulatory Status and 80061(b)(1)(H) Reporting Requirements. Please see 809D. At this time, two deficiencies were cited, an exit interview was conducted, and a copy of this report was given to Patti Inouye, Administrator.

Deficiencies:
80010(a): A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including the capacity limitation.

met_with: Patti Inouye

title:
1
2
3
4
5
6
780010(a)


facility_name: CICADA-GREENBRAE

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Cheyenne McCambridge conducted a follow-up complaint inspection to the Facility and met with Administrator Noel Camatog. The purpose of the inspection was to deliver the finding for the above complaint allegations. During the course of investigating this allegation LPA McCambridge interviewed staff, observed clients, and reviewed files. LPA was unable to interview clients due to the fact that the clients are non-verbal. LPA observed clients to be safe and accorded dignity during the inspection. During interviews staff stated that that staff have never harmed or spoked inappropriately to clients. Without being able to speak to the clients to corroborate the allegatons LPA determined the allegations to be unsubatantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the staff administered cold medicine to a minor that is not ill; therefore, the above allegation is unsubstantiated. Appeal Rights were provided and discussed with the facility and no deficiencies were cited. Exit interview was conducted and a copy of the report was left with the Administration Noel Camatog. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Cheyenne McCambridge LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

report_type: Complaint Investigation

met_with: Noel Camatog

complaint_status: unsubstantiated


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Cheyenne McCambridge conducted a follow-up complaint inspection to the Facility and met with Administrator Noel Camatog. The purpose of the inspection was to deliver the finding for the above complaint allegation. During the course of investigating this allegation LPA McCambridge interviewed staff, observed clients, and reviewed files. LPA was unable to interview clients due to the fact that the clients are non-verbal. LPA observed clients to be safe and accorded dignity during the inspection. Documentation showed that the facility did distribute medicine, but LPA could not determine whether the client was sick at the time. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the staff administered cold medicine to a minor that is not ill; therefore, the above allegation is unsubstantiated. Appeal Rights were provided and discussed with the facility and no deficiencies were cited. Exit interview was conducted and a copy of the report was left with the Administration Noel Camatog. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Cheyenne McCambridge LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the occurrence of the alleged violation; the facility is not reporting incidents, therefore, the allegation is UNSUBSTANTIATED. The facility will be issued a Technical Assistance, Reporting Requirements 80061(b)(E). An exit interview was conducted, and a copy of this report was left with Noel Camatog, Administrator whose signature on this form confirms receipt.

Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

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


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced Annual Required inspection of the facility. LPA McCambidge met with Administrator Noel Camatog. LPA toured the facility, inside and out. The group home is licensed to serve six developmentally delayed clients, ages 13-17 years old. Currently in placement are six clients. Two clients were present during inspection. LPA was able to observe and interact with them, which they all were happy and in good spirits. LPA observed the facility license, emergency disaster plan, client's personal rights, facility sketch, facility rules, personal rights and other forms posted on the walls throughout the facility. There are no firearms or bodies of water. The facility is safe and in good repairs. Facility has 7 day non-perishable foods, and two day perishable food supply kept downstairs in a locked cabinet. Sharp objects are kept in locked drawer in the kitchen and cleaning supplies are kept downstairs in a locked cabinet. Medications are locked in a cabinet in the living room and accessible only to employees. Review of medication documentation showed accuracy in record keeping and medication dispensing. LPA reviewed staff and client files. File review of staff showed proper documentation and all required training complete. File review of clients showed all required forms and updated individualized needs and service plans. Per Title Regulations, no deficiency were cited during this inspection. Exit interview conducted and a copy of the report was left with Administrator Noel Camatog.


summary: Facility Evaluation

raw_content:
Narrative:
On Wednesday, September 8, 2021 at 9:38AM, Licensing Program Analyst (LPA) Mariah Hawkins made a visit to the facility to conduct a collateral interview with a resident formerly residing at a facility in LPA's region. LPA met with Administrator Noel Camatog at the visit and had scheduled the visit the day prior. Safety precautions were taken, including screening, hand hygiene, and mask wearing. LPA conducted an interview with resident R1 (See LIC Confidential Names, dated 9/8/21). An exit interview was conducted, and a copy of this report was left with Administrator, whose signature on this form confirms receipt.

met_with: Administrator Noel Camatog


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced Annual Required inspection of the facility. LPA McCambidge met with Administrator Noel Camatog. LPA toured the facility, inside and out. The group home is licensed to serve six developmentally delayed clients, ages 13-17 years old. Currently in placement are six clients. No clients were present during the inspection. LPA observed the facility license, emergency disaster plan, client's personal rights, facility sketch, facility rules, personal rights and other forms posted on the walls throughout the facility. There are no firearms or bodies of water. The facility is safe and in good repairs. Facility has 7 day non-perishable foods, and two day perishable food supply kept downstairs in a locked cabinet. Sharp objects are kept in locked drawer in the kitchen and cleaning supplies are kept downstairs in a locked cabinet. Medications are locked in a cabinet in the living room and accessible only to employees. Review of medication documentation showed accuracy in record keeping and medication dispensing. LPA reviewed staff and client files. All files are accurate and complete with required documentation. Per Title Regulations, no deficiency were cited during this inspection. Exit interview conducted and a copy of the report was left with Administrator Noel Camatog.


summary: Facility Evaluation

raw_content:
Narrative:
On 10/20/22 at 3:46PM, Licensing Program Analyst (LPA) Mariah Hawkins made an announced collateral visit at the facility to interview a resident for an investigation at another licensed facility. LPA met with Administrator Noel Camatog. During visit, LPA conducted 1 resident interview. An exit interview was conducted, and a copy of this report was left with Administrator Noel Camatog, whose signature on this form confirms receipt.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced Annual Required inspection of the facility. LPA McCambidge met with Administrator Noel Camatog. LPA toured the facility, inside and out. The group home is licensed to serve six developmentally delayed clients, ages 13-17 years old. Currently in placement are five clients. No clients were present during the inspection. LPA observed the facility license, emergency disaster plan, client's personal rights, facility sketch, facility rules, personal rights and other forms posted on the walls throughout the facility. There are no firearms or bodies of water. The facility is safe and in good repairs. Facility has 7 day non-perishable foods, and two day perishable food supply kept downstairs in a locked cabinet. Sharp objects are kept in locked drawer in the kitchen and cleaning supplies are kept downstairs in a locked cabinet. Medications are locked in a cabinet in the living room and accessible only to employees. Review of medication documentation showed accuracy in record keeping and medication dispensing. LPA reviewed staff and client files. All files are accurate and complete with required documentation. Per Title Regulations, no deficiency were cited during this inspection. Exit interview conducted and a copy of the report was left with Administrator Noel Camatog. No clients were interviewed due to them being non-verbal.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Cheyenne McCambridge on the above date at 10: AM. During the inspection, LPA McCambridge met with Administrator Noel Camatog. LPA reviewed Zero child's records on site at the facility due to none of the clients being dependent foster care children. LPAs reviewed zero child's psychotropic medications and medication records. LPA interviewed zero clients due to them being non-verbal and non-dependent foster care children. LPA interviewed two of staff on site starting at 12:00 pm. LPA reviewed two of staff personnel files on site at the facility. LPA toured of the facility inside and out. LPA provided the Summary Report to Noel Camatog, Administrator upon completion. No deficiencies are being cited at this time. LPA conducted exit interview with Administrator Noel Camatog.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) Nicole del Calvo and George Karkazis conducted an unannounced Annual Required inspection of the facility. LPAs del Calvo and Karkazis met with Administrator Noel Camatog. LPAs toured the facility, inside and out. Currently in placement are five clients. Only two clients were present during the inspection. Two staff were present during the inspection. LPAs observed the facility license, emergency disaster plan, client's personal rights, facility sketch, facility rules, personal rights and other forms posted on the walls throughout the facility. There are no firearms or bodies of water. The facility is safe and in good repairs. LPA tested water temperature at 105 degrees, which is in range. Temperature of facility is at 70 degrees which is in range. Facility has 7 day non-perishable foods, and two day perishable food supply kept downstairs in a locked cabinet. Sharp objects are kept in locked drawer in the kitchen and cleaning supplies are kept downstairs in a locked cabinet. Medications are locked in a cabinet in the living room and accessible only to employees. Review of medication documentation showed accuracy in record keeping and medication dispensing. LPAs reviewed staff and client files. All client files are accurate and complete with required documentation. All staff files were complete except for S4 who is missing fingerprint clearance. Guardian is listing S4 as "in progress" aside from having been listed as cleared in DOJ and FBI. Two staff were interviewed, and no clients were interviewed due to them being non-verbal. Per Title Regulations, technical violation is being issued under California Code of Regulations 80019(e) Criminal Record Clearance. Exit interview conducted and a copy of the report was left with Administrator Noel Camatog.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Cheyenne McCambridge on the above date at 10: AM. During the inspection, LPA McCambridge met with Administrator Noel Camatog. LPA reviewed one client's record on site at the facility. LPAs reviewed one client's psychotropic medications and medication records. LPA interviewed zero clients due to them being non-verbal. LPA interviewed three staff on site. LPA reviewed three of staff personnel files on site at the facility. LPA toured of the facility inside and out. LPA provided the Summary Report to Noel Camatog, Administrator upon completion. No deficiencies are being cited at this time. LPA conducted exit interview with Administrator Noel Camatog.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Brian Bertoli conducted an unannounced Annual Required inspection of the Group Home facility. LPA Bertoli arrived at 10:30am and met with Administrator Noel Camatog, who arrived at 11:10am. LPAs toured the facility, inside and out. Currently in placement are five clients. LPAs observed the facility license, emergency disaster plan, client's personal rights, facility rules, personal rights and other forms posted on the walls throughout the facility. There are no firearms or bodies of water. The facility is safe and in good repair. The water temperature was at 120 degrees. The temperature inside the facility is at 70 degrees. Facility has 7 day non-perishable foods, and two day perishable food supply. Sharp objects are kept in locked drawer in the kitchen and cleaning supplies are kept downstairs in a locked cabinet. Medications are locked in a cabinet in the living room and accessible only to employees. Review of medication documentation showed accuracy in record keeping and medication dispensing. LPA reviewed client files. All client files are acceptable. No citations were issued for this visit. An exit interview was conducted and a copy of the report was left with Administrator Noel Camatog.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Brian Bertoli continued a Annual Continuation inspection at the Foster Family Agency (FFA). LPA Bertoli met with Group Home Administrator Noel Camatog. Staff file, Disaster Preparedness, and Emergency Interventions were reviewed and are acceptable. The Care Tools were completed. Staff interviews will be conducted at a later date. No deficiencies were cited for today's visit. An exit interview was conducted, and a copy of this report was given to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On 10/22/2025 at 12: PM, Licensing Program Analyst (LPA) Jasmine Cardeno made an unannounced visit to Cicada-Greenbrae Group Home to conduct a Case Management for the Psychotropic Medication Inspection. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9(a)(2). During the inspection, LPA Cardeno met with Facility Administrator, Noel Camatog, and inspected the facility inside and out. LPA reviewed 1 of child's records and 5 of staff personnel files on site at the facility. LPA reviewed 1 of child's psychotropic medications and medication records. LPA interviewed 2 of staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 1 of children currently prescribed psychotropic medication. During the inspection the LPA provided Technical Violation (see attached LIC9102 form). LPA Cardeno and Facility Administrator had a discussion and appeal rights were provided. LPA provided a copy of this licensing report to Facility Administrator, Noel Camatog.

met_with: Facility Administator, Noel Camatog


facility_name: CL STARTING POINT, INC

raw_content:
Narrative:
there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. No title 22 regulations were cited during today's inspection. An exit interview was conducted, and a copy of the report and appeal process was provided to the administrator.

Investigation Findings:
13On 11/17/2021 at 345pm, Licensing Program Analyst (LPA), Tana Kinder conducted an unannounced inspection for the purpose of delivering findings with the group home administrator. Prior to the meeting, LPA Kinder reviewed the agency's file at the licensing office, including the complaint history, criminal background check, incident reports and facility personnel report summary. LPA Kinder conducted an inspection of the facility inside and out and no citations were issued. LPA conducted 4 confidential interviews between 9/8/20201-9/30/2021. LPA obtained and reviewed the following documents: Staff contact information, IPP for 2 clients, staff training related to reporting incidents. The allegation is: Youth got injured by another youth while in care. Based on 4 confidential interviews conducted, one client bit another client while being supervised by staff. Staff was present when the incident occurred. Staff tried to redirect the clients who were agitating each other. Based on the fact the incident happened, while staff were present the staff may have been able to prevent the incident. The allegation is determined to be UNSUBSTANTIATED, although the allegation may have happened or is valid, CONTINUED... UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Tana Kinder LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: CL STARTING POINT, INCFACILITY NUMBER: VISIT DATE: 11/17/2021

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

met_with: Administrator


raw_content:
Narrative:
the allegations are determined to be UNSUBSTANTIATED, although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. No title 22 regulations were cited during today's inspection. An exit interview was conducted, and a copy of the report and appeal process was provided.

Investigation Findings:
13On 4/22/2022 at 915am, Licensing Program Analyst (LPA), Tana Kinder conducted an unannounced inspection for the purpose of delivering findings with the group home DSP Lead Staff. Prior to the meeting, LPA Kinder reviewed the agency's file at the licensing office, including the complaint history, criminal background check, incident reports and facility personnel report summary. LPA Kinder conducted an inspection of the facility inside and out and no citations were issued. LPA conducted 6 confidential interviews between 2/10/22-4/21/22. LPA obtained and reviewed the following documents: Direct Care Staff Training Checklist for 1 staff, Training Certificates for one staff for 2022, and School Log for pick up and drop off. The allegations are: Staff engaged in a verbal altercation with minor, made inappropriate comments towards minor and made inappropriate gestures towards minor. Based on 6 confidential interviews conducted, there is conflicting information provided by all the individuals regarding the details of the incident in question. Based on the fact that one of the incidents happened, per the staff but with the intention of helping the client feel better before starting the school day and the other 2 incidents not having concise information or corroboration, Continued.. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Tana Kinder LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: CL STARTING POINT, INCFACILITY NUMBER: VISIT DATE: 04/22/2022

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

met_with: DSP Lead Staff


raw_content:
Narrative:
Based upon IB Investigator Boyal's observations, interviews, and records review, there is conflictual information related to the interviews conducted and the documentation gathered for the allegation. In addition, the client gave multiple versions of their statement, and staff members denied the allegation and disclosed during the investigation process that nothing inappropriate has ever occurred between any resident and staff. Lastly, other interviews conducted did not disclose any serious disclosures made against staff members. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. Exit interview conducted and a copy of this report and the Appeal Rights will be e-mailed to the facility.

Investigation Findings:
13On 12/2/ Licensing Program Analyst, (LPA) Tana Kinder conducted an inspection to open the complaint at CL Starting Pt. and to obtain documentation. IB Investigator Boyal, Badge #203 conducted a file review of documentation related to the group home, client placements in the LIS and FAS databases, an interview with Elk Grove Police Department Investigations unit and reviewed a Sacramento County Sheriff report #21-359036. Additionally, IB Investigator Boyal conducted 10 interviews related to the complaint allegation. Licensing Program Analyst (LPA) Tana Kinder, conducted an unannounced inspection with the Administrator on 07/26/22 at 3pm to deliver complaint allegation findings on behalf of Investigations Branch (IB) Investigator Boyal, Badge #203. LPA Kinder discussed the above allegation with the Administrator, Minor was inappropriately touched while in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Tana Kinder LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: CL STARTING POINT, INCFACILITY NUMBER: VISIT DATE: 07/26/2022


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tana Kinder conducted an unannounced Post Licensing inspection of the facility. Due to Covid19, the inspection occurred using the video conferencing platform, Facetime. LPA met with Administrator Ludeking and inspected the facility inside and out. The facility is licensed to serve 4 clients. There is currently 1 female resident. There are 4 bedrooms and 2 bathrooms. LPA observed the facility to be clean, safe and sanitary. The walkways were free of obstruction throughout the house and backyard. There is a locked shed in the backyard. The outside area consists of the following: A garden area with raised beds, patio table and a trampoline with safety netting. Documentation was posted which included, personal rights emergency exit plan, disaster plan and Covid19 protocol. Employee and clients files are kept in a locked cabinet in the kitchen area. A fully stocked first aid kit is kept in the staff office. The client had a hygiene kit. The window screens were in good repair. Medication disbursement is logged using a MAR and is cross reconciled with the bubble packs the medications are kept in and the medications are also kept locked. The fire extinguisher is fully charged, with current tags. The facility vehicle is a mini van with current tags that expire in May of 2021 and the insurance is current through July 2021. The tire tread was in a safe range. The kitchen knives were kept in a locked cabinet. The kitchen was stocked with enough perishable/non-perishable food for 5/14 days for 1 client. The March menu was posted. The kitchen was stocked with plates, utensils and drinking cups sufficient for 4 clients. Each client's bedroom has a firm mattress, with a bed cover, sheets, blanket and pillows. There were additional linen in the laundry room, along with additional bath towels and face cloths. Laundry supplies were stored in a locked cabinet. The smoke detectors and carbon monoxide detector were in working order. The garage had an additional freezer of meats and vegetables and a cabinet of extra cleaning supplies. The client's bedroom had personal affects, clothing and dresser. The house phone is operational. No deficiencies noted at today's evaluation. Exit interview conducted and a copy of the report was emailed to the Administrator at ludekingfe@gmail.com.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, (LPA) Tana Kinder conducted an Annual Required Inspection at the facility. The facility was inspected jointly with the Administrator of the Group Home. LPA reviewed 2 client files and 4 staff files. LPA interviewed 2 clients and 1 staff. There are 4 bedrooms and 3 bathrooms. The facilitiy is in good repair. There is a hall closet with additional linen if needed for the bedrooms and the bathrooms. Client and staff files are in locked cabinets. The passageways from the front to the back of the home are unobstructed. LPA observed 1 locked shed in the backyard with yard supplies/lumber and paint. LPA observed enough perishable/non-perishable food for 2 clients for 4 days/5 weeks. Smoke detectors are in working order. There is a carbon monoxide monitor and 1 fully charged fire extinguisher. Water temperature from the kitchen sink was 108. F. The dressers in each child's room is tall and requires an anchor strap to attach the dressers to the wall. This will be cited on a 9099D page. Exit interview conducted and discussed with the Administrator and a copy of the annual inspection report was left at the Group Home.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tana Kinder conducted an unannounced inspection of the facility with the administrator on 2/21/23. LPA met with Administrator Ludeking and inspected the facility inside and out. The facility is licensed to serve 4 clients. There are currently 3 residents. There are 4 bedrooms and 2 bathrooms. LPA observed the facility to be clean, safe and sanitary. The walkways were free of obstruction throughout the house and backyard. There is a locked shed in the backyard. The outside area consists of the following: 2 raised garden beds, patio table with chairs and a trampoline with safety netting. Documentation was posted which included, personal rights emergency exit plan, disaster plan and license. Employee and clients files are kept in a locked cabinet in the kitchen area. A fully stocked first aid kit is kept in a locked entry closet. The clients have hygiene kits. The window screens were in good repair. Medication disbursement is logged using a MAR and is cross reconciled with the bubble packs/bottles the medications are kept in and the medications are also kept locked. The facility vehicle is a minivan with current tags that expire in May of 2023 and the insurance is current through July 2023. The tire tread was in a safe range and seat belts are in working order. Kitchen knives are kept in a locked box. The kitchen is stocked with enough perishable/non-perishable food for 5/14 days for 3 clients. The meal menu was posted. The kitchen was stocked with plates, utensils and drinking cups sufficient for 4 clients. Each client's bedroom has a firm mattress, with a bed cover, sheets, blanket and pillows. There is additional linen in the laundry room, along with additional bath towels and face cloths. Laundry supplies were stored in a locked cabinet. The smoke detectors and carbon monoxide detector are in working order. The fire extinguisher is fully charged, with current tags. The garage had an additional freezer of meats, vegetables and prepped foods; and a cabinet of extra cleaning supplies. The client's bedrooms have personal affects, clothing and dresser. The house phone is operational. Deficiencies noted at today's evaluation were cited on the D page. Exit interview conducted and a copy of the report and appeals process were provided to the Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On January 31, 2024 at 9: AM, Licensing Program Analyst (LPA) Sara Luman-Gonzalez and Licensing Program Manager (LPM) Rosa Rodriguez attempted an unannounced inspection at the above location. During arrival LPA and LPM met with direct staff at the front door who informed LPA and LPM that there was illness in the home. Staff called Cleofe Ludeking, Facility Administrator, who was ill at home, to verify whether staff and children have been tested. FA stated that they will be going to be tested on Friday, LPA stated that all staff and children need to be tested within the next week and LPA is to be notified when this is completed via telephone call. Another inspection attempt will be made at a later date, once the home is cleared. Exit interview was conducted. No report was left at the facility during todays visit.

met_with: Cleofe Ludeking, Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On February 21, 2024 at 9:00am, Licensing Program Analysts (LPA) Sara Luman-Gonzalez, Tatyana Shulz and Licensing Program Manager (LPM) Rosa Rodriguez arrived at the above facility to conduct an Annual Inspection. During the inspection LPAs and LPM met with CEO/Administrator Cleofe Ludeking who assisted with the inspection. LPAs conducted a walk-through of the facility inside and out. The facility was equipped with 4 bedrooms, three full bathrooms. Facility staff-client ratio at time of inspection were met, only one client present with three staff members. LPA Luman-Gonzalez interviewed 3 staff members and was able to interview 1 client because the rest were at school. LPA will interview other 2 client at a later date. Facilities Annual Fees are up to date and there are 3 private placement. CARE tool was unavailable during this inspection. Physical Plan LPAs and LPM observed License, Personal Rights and all required forms were posted in the living room area. Disinfectants/Cleaning solutions were inaccessible to clients.Plenty of nonperishable foods were observed in cabinets and extra stock in the garage. Food menu was posted in the kitchen area. Working telephone was observed in the living area. Carbon monoxide detector was observed and it was in working condition. Smoke Detector observed in working condition. First Aid Kit fully stocked in the locked closet by the front door. Common Room available in the living area and play area. Dining area was observed to have plenty of seating with furniture in good condition. Medication centrally stored, locked and made inaccessible to clients. Client records and staff records are locked in file drawers. Hot Water was tested and was at 118 degrees F. (Page 1 of 3) Fire Extinguisher was observed by the kitchen area and the inspection was up to date. Toilets, bath and shower fixtures were in good repair. Bedrooms-required linen and furnishings were observed to be adequate. Vehicle use to transport the clients was properly maintained, lights, tires, registration/insurance and working seat belts were observed to working properly. Shed in the back yard was observed to be used as a storage and was locked. Required bedding/furniture, light fixtures in the bedrooms were in good repair) The areas observed out of compliances were: Bedroom #1 wall was observed to have holes on the wall. Bedroom #1 and #3 were missing screens on their windows. No citations issued but a Technical Violation was given. Operations Complaint Procedures For Youth Reviewed with the Facility Administrator. Residents normally speak to their families if there are complaints, and the families bring it to the Facility Administrator's attention. Board Minutes were conducted on June 17, 2023 and December 4, 2023. Current issues were discussed as well as issues with the facility or residents were addressed. The areas were all observed to be in compliance. Disaster Preparedness Disaster and mass casualty plan updated and available at the facility upon request. Quarterly Drills conducted and documented monthly. Disaster preparedness supplies verified by LPAs and LPM during todays inspection. Emergency Intervention Facility is ProAct trained/certified. No restraints are conducted unless there is an emergency or danger to self and others. Staff training is only on ProAct. (Page 2 of 3) Staffing/Volunteers LPAs and LPM reviewed 3 client files and observed that all clearances were current. Staff has paid their fees and is waiting for their updated certificate. All staff trainings were verified to be current. Client Records LPAs and LPM reviewed 3 client files and verified the records to be up to date. LPAs notified Staff regarding the updated Psychotropic Medication forms. Client's behavioral plans properly addressed the behavioral concerns. Due to Private Placement, JV220 does not apply to the current residents. Centrally Stored Medication and log reviewed. Cash Resources log was reviewed and observed to be up to date. Special Health Care Needs (SHCN) This facility does not qualify as a Special Health Care Needs Home. An exit interview was conducted with Cleofe Ludeking and a copy of this report was left at the Facility. (Page 3 of 3)

met_with: Cleofe Ludeking-Facility Adminsitrator


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Misty Valencia on 01/14/2025 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Valencia met with Cleofe (Fe) Ludeking-Facility Administrator and inspected the facility inside and out. LPA reviewed 0/3 of child's records and 0/0 of staff personnel files on site at the facility. While LPA was conducting records, LPA observed all children in care were placed by their biological parents and do not qualify. LPA reviewed 3/3 of child's psychotropic medications and medication records and signed documents from biological parents. LPA interviewed 0/0 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 0/3 of children currently prescribed psychotropic medication, as all children are privately placed. LPA provided a copy of this licensing report to Cleofe (Fe) Ludeking-Facility Administrator No deficiencies are being cited at this time. LPA conducted exit interview with Cleofe (Fe) Ludeking-Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 04/04/ Licensing Program Analyst (LPA) Chad Cabigon started an unannounced Annual Inspection of this Group Home. LPA was met by Administrator Cleofe Ludeking who gave a tour of the interior and exterior areas of the facility's physical plant. No Building & Grounds deficiencies were observed; the pathways were unobstructed and no potentially hazardous items or areas were accessible to clients. The records review was started with clients' files. Personnel records will be reviewed during the continuation of this inspection. More time is needed to complete this inspection. No citations are being issued at this time. A copy of this report is being provided to the facility.

met_with: Cleofe Ludeking


summary: Facility Evaluation

raw_content:
Narrative:
On 04/08/ Licensing Program Analyst (LPA) Chad Cabigon continued the required Annual Inspection of this Group Home. LPA was met by Administrator Cleofe Ludeking who facilitated client and staff interviews and the review of facility records. The inspection findings are as follows: The facility has a capacity of four; its current census is three. The physical plant has no bodies of water. The Home's interior was found to be clean and in good repair. At least two communal spaces were available for clients' relaxation and visits as needed. The facility has two full bathrooms for clients' use as needed, both of which were found to be in good working condition with bath/shower and vanity fixtures providing hot water that read at 111.8 and 105.8 degrees F, respectively. The Home's phone landline was tested and found to be live. A first aid kit was on hand, inspected, and found to contain all required items. Each client has their own private room--no clients share rooms. Multi-drawer dressers were observed to be in good condition in each client room. The facility's backyard was well-maintained, with no hazardous or potentially dangerous items or areas accessible to clients--some yard maintenance equipment were stored securely (with a lock) in a shed. LPA found no evidence of any kind of pest infestation; no flies or other insects were observed indoors throughout the inspection. Per client interviews, Personal Rights are being accorded and none reported any violations perpetrated by facility staff. Staff interviews were consistent in describing the facility's plan of operation. Client and staff files contained all required elements. The facility's board of directors' meetings minutes were made available and reviewed. This facility is in substantial compliance with Title Regulations. No citations are being issued as a result of this inspection. A copy of this report is being provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On 04/15/ Licensing Program Analyst (LPA) Chad Cabigon initiated this facility's Required/Annual Inspection. LPA was met by Facility Manager Amelia Hombrebueno who gave a tour of the physical plant's interior and exterior areas. LPA also met with Administrator Cleofe Ludeking who facilitated interviews with clients and a review of a client's file. Additional time is needed to complete this inspection. A copy of this report is being provided to the facility.

met_with: Cleofe Ludeking, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 04/16/ Licensing Program Analyst (LPA) Chad Cabigon continued the Required/Annual Inspection of this Group Home. LPA was met by Administrator Cleofe Ludeking who facilitated an additional staff interview and the continuing review of facility records. The inspection findings are as follows: This Group Home has a capacity of four and, currently, is at capacity. The physical plant has no bodies of water. The Home's interior was found to be clean and in good repair. At least two communal spaces were available for clients' relaxation and visits as needed. The facility has three full bathrooms for clients' use as needed, all of which were found to be in good working condition with bath/shower and vanity fixtures providing hot water whose temperatures read within the required range. The Home' has a phone landline. Two first aid kits were on hand, inspected, and found to contain all required items. Each client has their own private room--no clients share rooms. Multi-drawer dressers were observed to be in good condition in each client room. The facility's backyard was well-maintained, with no hazardous or potentially dangerous items or areas accessible to clients-- yard maintenance equipment were stored securely (with a lock) in a shed. LPA found no evidence of any kind of pest infestation; no flies or other insects were observed indoors throughout the inspection. Per client interviews, Personal Rights are being accorded and none reported any violations perpetrated by facility staff. Staff interviews indicated sufficient knowledge and understanding of Mandated Reporter requirements, the emergency intervention plan, and the facility's equivalent of the Needs & Services Plan. Client and staff files contained all required elements. The facility's board of directors' meetings minutes were made available and reviewed. This facility is in substantial compliance with Title Regulations. No citations are being issued as a result of this inspection. A copy of this report is being provided to the facility.


facility_name: CLEAN PATH RECOVERY

summary: Facility Evaluation

raw_content:
Narrative:
On February 29, 2024 at 10: AM, Licensing Program Analyst (LPA), Jacqueline Garcia and Licensing Program Manager (LPM) Ann Valenzuela conducted a office meeting to discuss and review the following pending application and Program Statement revision. LPA and LPM met with Lee Heiligman and Robert Manna. Review of A/B documents: Application Section A: 1. Application (LIC 200): Completed 2. Applicant information (LIC 215): pending clearances for (Lee/Aldo) 3. Designation of Administrative Responsibility (LIC308): Completed 4. Administrative Organization (LIC 309): Completed 5. Affidavit Client Cash Resources (LIC 400): completed 6. Monthly Operating Statement (LIC401): completed 7. Supplemental Financial Information (LIC 401a): completed 8.Surety Bond (LIC 402): completed 9. Balance Sheet (LIC 403): completed 10. Balance Sheet Supplemental (LIC403a): completed 11. Financial Information Release (LIC404): Need 12. Personnel Report (LIC 500): Need 13. Personnel Record (LIC 501): Needs updated staff information 14. Health Screening (LIC 503) with TB: Partial complete *** D. STAFFING/ADMINISTRATIVE ORGANIZATION STAFF SCHEDULE (LIC OPTIONAL form to use however the information is still needed) (21)---Missing STAFF QUALIFICATIONS (22)---Combined section 22 with section 23 (partial completed) JOB DESCRIPTIONS (23)---Combined section 22 with section 23 (partial completed) IN-SERVICE TRAINING FOR STAFF/ADMINISTRATOR (24)---Completed ADMINISTRATION (25)---Completed VOLUNTEERS (26)---Completed CONTROL OF REAL PROPERTY (27)---Completed FACILITY SKETCH (LIC OPTIONAL) (28)---Completed BOARD OF DIRECTOR'S STATEMENT (29)---Completed Exit interview was conducted. It was discussed with Lee Heiligman and Robert Manna that in the event of any other corrections be needed LPA will notify applicant. The above corrections are to be received by the licensing office by the end of business day on March 14, 2024. LPA printed a copy of this report and was provided to Lee Heiligman and Robert Manna.

met_with: Lee Heiligman


facility_name: COMPASS BEHAVIORAL HEALTH

summary: Facility Evaluation

raw_content:
Narrative:
On June 1, 2021 at 8:40am, Licensing Program Analyst (LPA) Adrian Mendez made telephone contact with Administrator Cherie Mills to conduct a Pre-Licensing inspection of the facility. Due to Covid-19 a tele-inspection was conducted this date via Microsoft Teams. The facility was inspected inside and out with Administrator Cherie Mills and Human Resources Executive Assistant Aerie De La Cruz. The home is a two story residence with one group therapy office, one recreational room, and two and a half bathrooms. This home provides awake night staff. The facility will be operating with the capacity of 6. The bedrooms are set up as follows: Bedroom #1 will be occupied by two residents; two twin beds, all required linen, mattresses in good condition. Bedroom #2 will be occupied by two residents; two twin beds, all required linen, mattresses in good condition. Bedroom #3 will be occupied by two residents; two twin beds, all required linen, mattresses in good condition. Bedroom #4 will be occupied by one resident, as needed; one twin bed, all required linen, mattresses in good condition. All bedrooms contained adequate shelf and closet space for resident's belongings. The staff offices contained office supplies, staff schedule and emergency and disaster plan that was posted. Administrator stated that resident, and Staff files will be stored electronically in the facility's database system. Medications and the first aid kit were locked in the medication room/pantry located in the kitchen. Medication room has a locking door and a locking medication cabinet. The facility also has a refrigerator that locks to store medications that require refrigeration. Cont. on 809-C Medication logs will be kept electronically. The bathrooms were clean and in good repair. Water temperature of the kitchen sink of the property was measured at 109.8 degrees. The property contains a pool in the backyard which is covered. All hazardous items were made inaccessible to areas where residents do not have access. Cleansers/chemicals were stored in a locked cabinet in the laundry room. Sharp knives were inaccessible and stored in a locked drawer in the kitchen. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Visitation Policy, Disaster Plan, Employee Schedule and current menu. LPA observed a sufficient supply of 7-day non-perishable food for six residents and a sufficient supply of 2-day perishable food. There was a variety of snacks available for residents as well. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. During the tele-inspection, Components II and III were conducted. There were no deficiencies cited based on the inspection this date. Facility Provisional License to be issued pending the approval of addendums and revisions to the program statement to be submitted to the Department. An exit interview was conducted and a copy of this report was reviewed and emailed to Administrator Cherie Mills for signature. Original signed reports will be placed in facility file.

visit_type: Prelicensing

met_with: Cherie Mills


summary: Facility Evaluation

raw_content:
Narrative:
On November 10, 2021 at 10:01am, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct a Post-Licensing Annual inspection of the facility. The facility was inspected inside and out with Administrator Cherie Mills. The home is a two story residence with one group therapy office, one staff office, one recreational room, and three and a half bathrooms. There are currently no children placed at the facility. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in one of the client bathrooms was measured at 115.8 degrees, which is within regulatory requirements. All hazardous items have been properly made inaccessible to areas where clients will not have access. The medications will be stored and locked in a cabinet in the storage closet in the kitchen. Cleansers/chemicals are locked and stored in a cabinet in the laundry room. Sharp knives are inaccessible and stored in a locked cabinet in the kitchen. The First Aid Kit is located in the laundry room and contained all required supplies. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There are no guns or weapons in the facility as stated by Administrator. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures, Personal Rights, Visitation policies, Emergency Disaster Plan and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. LPA discussed and reviewed the following inspection components; Operations, Emergency Intervention, and Emergency Disaster Preparedness. All the staff files are stored and secured on an online database. LPA reviewed one of one staff files. All the staff have met the training and qualification requirements per regulation requirements. Cont. on 809-C Per a review of the Community Care Licensing Information System (LIS), all staff met DOJ/FBI criminal record clearances and Child Abuse Index Check requirements. Based on the facility inspection, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained and provided to Administrator Cherie Mills.


summary: Facility Evaluation

raw_content:
Narrative:
On September 1, 2022 at 10:29am, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual/Random inspection of the facility. The facility was inspected inside and out with Administrator Cherie Mills. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in one of the client bathrooms was measured at 119.3 degrees, which is within regulatory requirements. All hazardous items have been properly made inaccessible. The medications were stored and locked in a cabinet in the medication room in the hallway. Cleansers/chemicals are locked and stored in a locked supply closet. Sharp knives are inaccessible and stored in a locked pantry cabinet in the kitchen. The First Aid Kit is located in the medication room and contained all required supplies. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There are no guns or weapons in the facility as stated by Administrator Cherie Mills. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures, Personal Rights, Visitation policies, Emergency Disaster Plan and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. There is a swimming pool located in the backyard of the facility which is made inaccessible with a pool cover. Emergency exits were free from obstruction. Due to time constraints and the need to complete staff interviews, and staff file reviews, this inspection will need to be continued at a later date. LPA discussed and reviewed the following inspection components; Operational Requirements. Interviews were conducted with seven facility staff. Based on the facility inspection, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Administrator Cherie Mills. Due to printer malfunction, this report will be emailed to Administrator Cherie Mills.


summary: Facility Evaluation

raw_content:
Narrative:
On September 22, 2022 at 1:24pm, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual Continuation inspection of the Annual/Random inspection that began on 09/01/2022. LPA met with Clinical Director Hugh Leonard, and Administrator Cherie Mills. During the inspection, LPA reviewed seven staff files. All the staff records are accessible electronically via a secured records portal. LPA reviewed seven staff files. All the staff have met the training and qualification requirements per regulation requirements. Per a review of the Community Care Licensing Information System (LIS), all staff met DOJ/FBI criminal record clearances and Child Abuse Index Check requirements. Due to the need to complete staff file reviews, this inspection will need to be continued at a later date. Based on the facility inspection, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Administrator Cherie Mills. Due to printer malfunction, this report will be emailed to Administrator Cherie Mills.

met_with: Hugh Leonard, Cherie Mills


summary: Facility Evaluation

raw_content:
Narrative:
On September 28, 2022 at 10:12am, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual Continuation inspection of the Annual/Random inspection that began on 09/01/2022. LPA met with Clinical Director Hugh Leonard, and Administrator Cherie Mills. During the inspection, LPA reviewed three staff files and conducted interviews with one staff. All the staff records are accessible electronically via a secured records portal. LPA reviewed 10 of 10 staff files. All the staff have met the training and qualification requirements per regulation requirements. Per a review of the Community Care Licensing Information System (LIS), all staff met DOJ/FBI criminal record clearances and Child Abuse Index Check requirements. LPA discussed and reviewed the following inspection components; Emergency Disaster Preparedness, and the Emergency Intervention Plan. Based on the facility inspection, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Administrator Cherie Mills. Due to printer malfunction, this report will be emailed to Administrator Cherie Mills.


summary: Facility Evaluation

raw_content:
Narrative:
On 04/17/25 at 10: AM, Licensing Program Analyst (LPA) Gilbert Marquez met with Cherie Mills, Administrator, for the purpose of conducting an annual inspection of the facility. The Facility is licensed to serve six ambulatory children ages 13-17 years old. The current census is six youth. The Facility is current with their licensing fees. The Facility is a double story dwelling. A physical plant inspection was completed with Yasmin Ruben, Program Administration Assistant and included the following checks: four bedrooms, kitchen, four bathrooms (three client, one staff), medication room, dining room, living room, and two staff offices There is a gym detached from the main building and an outdoor living space with a discontinued pool that had a pool cover. All required forms are posted including Grievance Procedures, Visitation Policies, Personal Rights form, and Emergency Disaster Plan. Clients' medications were observed to be inaccessible and stored in medication room. LPA observed a security system camera on the front porch at the facility. There are no cameras in the interior of the house. Facility grounds are clean and free of debris. There is adequate indoor and outdoor activity space. All facility smoke detectors and carbon monoxide detectors were tested and observed to be in working order. Licensee maintains an adequate supply of perishable and non-perishable foods to prepare the items on the posted menu. LPA observed a minimum seven-day non-perishable and two-day perishable supply of food. **Continued LIC809C** **Continued from LIC809** On the second floor, Individual beds were observed with clean linens, pillows, comforters, and mattress in good repair. Two bedrooms contain two twin beds, and the other two bedrooms only have one twin bed. The water temperature was tested in bathroom one which measured 117.9 degrees Fahrenheit which is within the appropriate range of 105 degrees to 120 degrees Fahrenheit. The first aid kit was accessible to everyone and had all required supplies. All client files are stored and maintained on a secure internet database. LPA reviewed five client files (C1 - C5, see LIC811 and LIC811C Confidential Names List) to ensure clients had all required documents per Title 22. LPA reviewed five client medication records. LPA reviewed five staff files (S1 - S5) to ensure staff had all required documents per Title 22 regulations. Staff records are stored via a secured records portal. Per a review of Guardian, all staff have a criminal record clearance. LPA conducted two staff interviews(S2 and S3) and two client interviews(C2 and C5). Per facility staff, no firearms or weapons are allowed in the facility. No deficiencies cited during today's inspection. An exit interview was conducted, and a copy of this report and the LIC811 and LIC811C was provided to Cherie Mills. A copy of this report will be placed in the facility file.


summary: Facility Evaluation

raw_content:
Narrative:
On the date listed above at 2:01 pm, Licensing Program Analyst (LPA) Charmaine Linley met with Aubree Farrell, Milieu Clinical Supervisor, for a case management inspection. Facility Administrator, Cherie Mills, was present on the telephone. On January 14, 2026, Community Care Licensing Department received an Incident Report for C1 that stated on December 31, 2025, C1 was throwing up due to taking several pills they had kept in their possession instead of taking the medication. C1 was transported via ambulance to the hospital for medical treatment. The facility did not send the Incident Report for C1 until January 14, 2026. LPA Linley stressed the importance of reporting incidents in a timely manner. This process is necessary to ensure the welfare and well-being of all residents that are in care. The agency is in violation of regulation 80061(b) Reporting Requirements. Please refer to LIC 809-D for detailed deficiency information. An exit interview was conducted and appeal rights were reviewed. A copy of this report and appeal rights were provided to the facility. A copy of this report will be placed in the facility file.

met_with: Aubree Farrell


facility_name: BCFS HEALTH AND HUMAN SERVICES

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPA) Cecilia Warren made an unannounced required Year Annual facility inspection on 10.27.2022 at 11: PM. During the inspection LPA met with Deborah Searfoss, Program Director and Veronica Villa, Administrator who assisted with the inspection. LPA Cecilia Warren conducted a walk-through of the facility inside and out. Facility staff-client ratio at time of inspection was Zero. LPA observed nine bedrooms and two in a half bathrooms. LPA Warren inspected and/or reviewed the following: I. Physical Plant Posting of license_X__ Personal Rights__X___ Disinfectants/Cleaning solutions inaccessible__X___ Refrigerator Temperature at or below 45 degrees F _X____ Freezer Temperature at or below 0 degrees__X___ Nonperishable Foods one week and fresh perishable foods two days minimum_X____ Menu present and posted__X____ Working telephone __X_____ Carbon monoxide detectors ___X_______Smoke Detector _X____ First Aid Kit fully stocked_X___ Common Room available__X___ Dining area (enough seating, furniture good condition, not broke or damaged) __X____ Medication centrally stored, locked/inaccessible _X____ Office (locked and privacy) __X_____ Hot Water between 105-120 degree F (Properly labeled if over 125 degree F_X_____ Fire Extinguisher:_01/2022_______ Continued on 809-C Toilets wash basin, bath and shower fixtures in good repair/no leaks/hot water temperature __X_____ Soap and Paper towels ___X___ Laundry Facilities(available, work assign dates) __X___ Bedrooms-required linen and furnishings __X____ Motor Vehicle properly maintained , lights, tires, registration/insurance and working seat belts_X____ Facility free of vermin __X___ Locked Facilities (open locked storage area/building/sheds) _X_____ Bedroom (required bedding/furniture, furniture in good repair) __X___ II. Operations Complaint Procedures For Youth Reviewed __X____ Board Minutes Reviewed___X__ CQI Report Reviewed __X___ No Citations were issued on this day. No Citations were issued on this day. A copy of this report was left with Deborah Searfoss, Program Director.


summary: Facility Evaluation

raw_content:
Narrative:
On 9/28/2023 @ 10:05AM Licensing Program Analyst (LPA) Donna Edwards made an unannounced annual visit at the facility. LPA met with Veronica Villa, Administrator who assisted with the inspection. LPA Edwards and Administrator conducted a walk-through of the facility inside and out. The Facility staff-client ratio at the time of the inspection is Staff 15 and Client 3. LPA observed 9 bedrooms and 3 bathrooms. The bedrooms were clean and consisted of beds, bedding, desk and storage and the bathrooms were clean well-lit and well stocked with supplies. The Recreation Rooms had two televisions, a pool table, basketball court and gaming unit with games. The sitting area had a large sofa with seating for 8 and 2 gaming chairs. LPA inspected a training room with housed the clients' records. LPA observed 6 locked filing cabinets with client records and 3 cabinets with emergency supplies, clothes, and games. The kitchen area was clean, and LPA observed Nonperishable foods for one week and fresh perishable foods for two days. The water temperature was at F. The dining area had three large tables and benches. The currently monthly meal menu was posted. Off the dining area was a seating are with a large couch, TV, Entertainment Center, gaming system games and puzzles. The outdoor area was clean and well maintained. The recreational area had a volleyball and soccer set. The back yard also had three locked sheds. The sheds contained recreational equipment, clothes, and extra emergency equipment. The school in the back of property had two classrooms which contained tables, chairs, books, and whiteboards. Medication Room was locked and contained four locked cabinets marked for over-the-counter medications and prescribed medications. The office also had a locked drawer for the MAR to be stored. LPA did 5 staff interviews and 3 client interviews. Fire Extinguisher and Carbon Monoxide detectors were tested. No deficiencies were noted at todays visit. A copy of this report was given to the Administrator.

met_with: Veronica Villa, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Avelina Martinez made an unannounced annual inspection on October 25, 2024 at 9: AM. During the inspection LPA Martinez met with Veronica Villa and Deborah Searfoss who assisted with the inspection. LPA Martinez conducted a walk-through of the facility inside and out. Facility staff-client ratio at time of inspection (required ratio, 2 youth and 5 youth care staff ) Number of staff interviewed: Number of clients interviewed LPA Martinez observed # 9 bedrooms, # 2 bathrooms LPA Martinez inspected and/or reviewed the following: Posting of license: Yes Personal Rights Yes Disinfectants/Cleaning solutions inaccessible: Yes Refrigerator Temperature at or below 45 degrees F Freezer Temperature at or below 0 degrees Nonperishable Foods one week and fresh perishable foods two days minimum Yes Menu present and posted: Yes Working telephone: Yes Carbon monoxide detectors Yes Smoke Detector Yes-Last Fire Marshall Inspection was on: 10/02/ First Aid Kit fully stocked Yes Common Room available Yes Dining area (enough seating, furniture good condition, not broke or damaged) Yes Medication centrally stored, locked/inaccessible Yes Office (locked and privacy) Yes Hot Water between 105-120 degree F (Properly labeled if over 125 degree F Yes Fire Extinguisher (note inspection date) Yes Toilets wash basin, bath and shower fixtures in good repair/no leaks/hot water temperature Yes Soap and Paper towels Yes Laundry Facilities(available, work assign dates) Yes Continued.... Bedrooms-required linen and furnishings Yes Motor Vehicle properly maintained , lights, tires, registration/insurance and working seat belts Yes Facility free of vermin Yes Locked Facilities (open locked storage area/building/sheds) Yes Bedroom (required bedding/furniture, furniture in good repair) Yes Complaint Procedures For Youth Reviewed Yes Board Minutes Reviewed Administrator will email documentation CQI Report Reviewed Administrator will email documentation Disaster and mass casualty plan updated and available Yes Quarterly Drills conducted and documented Yes, Last Fire Drill was on September 27, Disaster preparedness supplies verified Yes Review of manual restraint log (Emergency intervention) Restraints have not been been used. Staff training: every six months and next scheduled training is November 06, 2024. Review of manual restraint log Yes Staff training Yes Number of Staff files reviewed Criminal record clearances verified Yes First Aid Certificate Yes Certified Administrators certificate valid and current Yes Job title/qualification verified Yes Hours required training verified Yes Hours required annual training verified Yes Number of Clients files reviewed Yes Needs and Services Plan Yes Centrally Stored Medication and log reviewed Yes Psychotropic Medication and log reviewed Yes Cash Resources Yes Compatible Assessment Yes Trauma Informed Practices are implemented as needed (including specialty mental health services and extracurricular activities and social supports) Yes Annual fees paid Administrator Certificate for: Debborah Searfoss Emergency Disaster Plan (per H&S Code 1565)Accreditation Name and Expiration Date: CARF Exp Date: Annual Emergency Intervention Log Yes Personnel Roster, Facility Sketch, LIC 500, LIC 610C and LIC Yes Waivers and Exceptions Yes An exit interview was conducted with Veronica Villa and Deborah Searfoss and a copy of this report was left with Veronica Villa and Deborah Searfoss .

met_with: Veronica Villa and Deborah Searfoss


facility_name: COVECREST GROUP HOME

summary: Facility Evaluation

raw_content:
Narrative:
On August 18, 2021, Licensing Program Analyst (LPA) Raymond Wu met with Administrator Sergio Castaneda for the purposes of conducting a final walkthrough before facility closure. During the walkthrough, LPA observed no clients in care. LPA observed one storage shed in the backyard which was also empty. The last client to move out of the home was in May of 2020. Administrator Castaneda discussed with LPA the future plans for the home. No deficiencies were observed on this date. An exit interview was conducted and a signed copy of this report was provided to the Administrator.

met_with: Administrator Sergio Castaneda


raw_content:
Narrative:
Confidential interviews reported that the staff member forces minors to complete tasks and tells them, "You have to do it." Confidential interviews reported that clients usually had positive interactions with staff. Other confidential interviews reported that one staff member (S1) did not knock before entering the room. Confidential interviews disclosed that a staff member (S1) exhibited rude behavior by throwing the facility handheld phone toward the client (C1) instead of handing it to C1. Confidential interviews reported that staff always knocked on doors before entering the client's bedrooms. Other confidential interviews reported that staff has never thrown any items toward clients. Confidential interviews reported that the minors in care had no issues with how the staff treated them. Confidential interviews reported that clients are always treated with dignity and respect. Based on inconsistent confidential interviews, the allegation that staff (S1) did not treat minors (C1, C2, C3, C4, and C5) with dignity and respect may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and provided to CEO Greg Eubanks.

Investigation Findings:
13On 01/12/2023, at 09: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit to Crittenton Services for Children and Families Refugee Resettlement Facility to deliver the investigative findings for the allegation listed above. On 08/30/2022, LPA Covarrubias conducted an initial health and safety Inspection at the facility, and no immediate health and safety hazards were observed. On 12/30/2022, LPA Choi conducted a follow-up health and safety inspection of the facility, and no immediate health and safety hazards were observed. The investigation included interviews with clients (C1, C2, C3, C4 and C5) and staff (S1, S2, S3, S4, S5, S6, and S7). LPAs obtained pertinent documentation during this investigation, such as photos of the facility's refrigerator, allowance logs, and bank account statements. On 08/23/2022, Community Care Licensing received an allegation that facility staff (S1) did not treat minors (C1, C2, C3, C4, and C5) with dignity and respect. Confidential interviews reported that a staff member (S1) was rude in their tone of voice when speaking to all the minors. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Joon R Choi 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 CCLD Regional Office, FACILITY NAME: CRITTENTON SERVICES FOR CHILDREN AND FAMILIESFACILITY NUMBER: VISIT DATE: 01/12/2023

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

met_with: Greg Eubanks, CEO


facility_name: CRITTENTON SERVICES FOR CHILDREN AND FAMILIES

summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On June 27, 2022, Licensing Program Manager (LPM) Cheraki Davis, and Licensing Program Analyst (LPA) Leslie Covarrubias arrived at Crittenton Services for Children and Families Group Home (GH). LPA and LPM, were met and granted access by Program Director Ericka Vasquez and Assistant Program Director, Michael Saavedra. The purpose of the visit is to conduct an annual inspection of the facility. At 10: AM, Program Director, Ericka Vasquez and Assistant Program Director, Michael Saavedra, led the physical inspection of the facility with LPA Covarrubias and LPM Davis. A physical plant inspection was completed and included the facility's, kitchen, living room, two bathroom/showers and five bedrooms (two clients per bedroom), and outdoor activity space located in the garage. The facility is set up as follows: two bedrooms, and two bathrooms (one staff bathroom and one client bathroom) located downstairs, and three bedrooms and one-half bathroom located upstairs. Facility grounds are clean and free of debris and observable hazards. Sports equipment/toys/books/games were observed for client's recreation time. There is adequate indoor and outdoor activity space. Facility smoke detector was in appropriate working order and fire extinguisher is properly charged and serviced. At 12: PM LPA and LPM observed there was no carbon monoxide detector located in the facility. Licensee maintains an adequate supply of perishable and non-perishable foods. All required forms are posted including the, Personal Rights form and Foster Care Ombudsperson poster. Medications are locked in a medical cart which is locked in the staff office. First Aid Kit is stored in the staff office. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. At 12: PM the hot water in the client's bathrooms was measured to be 129.1-degrees Fahrenheit in bathroom #1- and 122-degrees Fahrenheit in bathroom #2. Per the Assistant Program Director, no firearms or weapons are allowed in the facility. (Continued of LIC 809C...) LPA and LPM reviewed eight out of eight client files which were completed with updated Needs and Services Plans, valid TB test, and client medical assessments. The facility is required to have at minimum one carbon monoxide installed; therefore, the facility is being cited for California Code of Regulation (CCR) 84087(d). The facility was also observed to have a water temperature higher than 120 degrees Fahrenheit, therefore the facility is being cited for California Code of Regulations (CCR) 80088(e)(1). All corrections were made at the time of visit. Due to only the physical plant, and client records being reviewed this inspection will be continued at a later date.

Deficiencies:
84087(d): Deficient Practice Statement
1
2
3
4Based on observation the licensee did not comply with the section cited above in one out of one carbon monoxide detectors not being installed which poses an immediate health and safety risk to persons in care.
POC Due Date: 06/28/2022
Plan of Correction
1
2
3
4

title:
Buildings and Grounds

(d) Every group home shall have one or more carbon monoxide detectors in the facility that meets the standards established in Health and Safety Code Chapter 8 (commencing with Section 13260) of Part 2 of Division 12.

This requirement is not met as evidenced by


summary: Facility Evaluation

raw_content:
Narrative:
On July 5, 2022, Licensing Program Analysts (LPAs) Leslie Covarrubias, Joon Choi, and Licensing Program Manager (LPM) Cheraki Davis, arrived at Crittenton Services for Children and Families Group Home (GH). LPAs and LPM, were met and granted access by Program Director Ericka Vasquez and Assistant Program Director, Michael Saavedra. The purpose of the visit is to continue an annual inspection of the facility that was initiated on June 27, 2022. LPA's and LPM already completed the physical inspection of the facility and reviewed facility client files. LPAs and LPM reviewed ten out of ten personnel files to ensure they contained all required documentation per Title Regulations. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. Personnel Files are maintained in the corporate office in the building adjacent to the facility. LPA Choi conducted four out of eight client interviews. Three clients refused to be interviewed and one client was not present during the time of inspection. Clients indicated that their basic needs are being met at the facility and core services are being provided. LPA Covarrubias requested the Board of Directors meeting minutes, based on review of meeting minutes, the facility was found to comply with all applicable regulations. LPA Choi conducted five staff interviews that were present during the time of inspection. All staff were able to provide sufficient information in relation to the facility's GH Program Statement, Emergency Intervention Plan, clients' Needs and Services plan, and Reporting Requirements. Based on interviews with staff, the facility appears to be meeting Core Services/Supports requirements. An exit interview was conducted and a copy of this report, was provided to Assistant Program Director, Michael Saavedra.


summary: Facility Evaluation

raw_content:
Narrative:
On 04/21/25, at 9: AM, Licensing Program Analyst (LPA) Gilbert Marquez met with Michael Saavedra, Administrator, for the purpose of conducting an annual inspection of the facility. The Facility is licensed to serve 12 ambulatory children ages 8-17 years old. The current census is eight children. The Facility is current with their licensing fees. The Facility is a double story dwelling. A physical plant inspection was completed with Michael and included the following checks: five bedrooms, kitchen, 1 bathroom (client) and 3 restrooms (two client, one staff), staff room, dining room, living room, a detached recreation room which used to be a garage, and outdoor living space. All required forms are posted including Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster, and the Emergency Disaster Plan. Clients' medications were observed to be inaccessible and stored in staff office. LPA observed cameras located in the common areas of the facility. No cameras were observed in the bedrooms. Facility grounds are clean and free of debris. There is adequate indoor and outdoor activity space. All facility smoke detectors and carbon monoxide detectors were tested and observed to be in working order; fire extinguisher is properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods to prepare the items on the posted menu. LPA observed a minimum seven-day non-perishable and two-day perishable supply of food. **Continue LIC809-C** **Continued from LIC809** Individual beds were observed with clean linens, pillows, comforters, and mattress in good repair. All five bedrooms contain two twin beds. The water temperature was tested in bathroom one which measured 106.1 degrees Fahrenheit which is within the appropriate range of 105 degrees to 120 degrees Fahrenheit. The first aid kit was accessible to everyone and had all required supplies. All client files are stored and maintained at the other location, North Harbor, Fullerton. LPA reviewed five client files (C1-C5, see LIC811) to ensure clients had all required documents per Title 22. LPA reviewed five client medication records. LPA reviewed five staff files(S1 - S5) to ensure staff had all required documents per Title 22 regulations. Staff records are stored via a secured records portal. Per a review of Guardian, all staff have a criminal record clearance. LPA conducted two staff interviews(S1 and S2) and one client (C1) interview. See LIC Confidential Names List for code reference. Per facility staff, no firearms or weapons are allowed in the facility. No deficiencies cited during today's inspection. An exit interview was conducted, and a copy of this report and LIC811 were given to Michael Saavedra, Administrator. A copy of this report will be placed in the facility file.

met_with: Michael Saavedra, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On March 20, 2026, at 8: AM, Licensing Program Analyst (LPA) Jacqueline Garcia went to Crittenton Services For Children and Families in order to conduct a collateral interview regarding a complaint that is generated under Crittenton Foster Care/Critt. SVCS for Chldrn/Fam. LPA met with Belinda Robinson-Program Director. LPA conducted one client interview. Further investigation is required in order to resolve the complaint. No deficiencies were observed nor cited during this visit. Due to the need to gather additional information this investigation is being extended. The outcome of the investigation will be provided to the facility at the close of the investigation. The facility is reminded that they are prohibited from discussing the ongoing investigation with any interested parties. An exit interview was conducted and a copy of the report along with LIC 811 (confidential names) was provided to Belinda Robinson, Program Director.

met_with: Belinda Robinson-Program Director


raw_content:
Narrative:
Confidential interviews denied allegations of a lack of supervision. According to confidential interviews, it was Staff # 1 (S1) who had observed Child # 3(C3) hit or "smack" C2 in the face, after C2 was refusing to eat, and immediately reported the incident to their supervisors, who then notified Children's County Social Worker. Confidential interviews also denied that C1 had received a fracture on their leg due to a lack of supervision. According to confidential information, fracture was observed in C1's leg after C1 was taken to be seen by a physician after the facility had reported C3 abusing C2. According to confidential interviews, C1 and C2's County Social Worker requested to have both children medically evaluated after C3 had been observed by staff and security footage, physically abusing C1 and C2 during a feeding session. Regarding allegation of C2 not being properly fed while in care, confidential interviews stated that although C2 had arrived underweight to their facility, C2 had managed to gain some weight during the approximate 2 months that they had lived at this facility. While other confidential information received by Licensing Office stated that these allegations had occurred. IB investigator and LPA Mena were unable to interview C1 and C2 due to their young age and limited verbal ability. There were no other known witnesses to these allegations. Based on confidential information obtained during the course of this investigation, the allegations that that Child #2 (C2) is not being properly fed and sustained a fracture while in care, and of a lack of supervision resulting in Child # 1 (C1) being slapped while in care, as well as staff not seeking timely medical attention for C1 and C2, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Assistant Program Director, Michael Saavedra to discuss the investigative findings for the above stated allegations. Special Investigator, Rey Lyyjoki and LPA Daniel Mena conducted an inspection to the facility on February 17, 2022 and on February 22, 2022. No immediate hazards observed. Special Investigator (SI), Lyyjoki and LPA Mena interviewed Facility Director (FD), Facility Administrator (FA), County Social Worker (CSW), Youth Care Worker (S1), as well as reviewed medical, client and facility records. Community Care Licensing received information on February 11, 2022 alleging that Child #2 (C2) is not being properly fed and sustained a fracture while in care, and of a lack of supervision resulting in Child # 1 (C1) being slapped while in care, as well as staff not seeking timely medical attention for C1 and C2. Information obtained in confidential interviews did not corroborate the allegations with a preponderance of evidence. IB investigator and LPA Mena obtained conflicting information during interviews. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena 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 CCLD Regional Office, FACILITY NAME: CRITTENTON SERVICES FOR CHILDREN AND FAMILIESFACILITY NUMBER: VISIT DATE: 11/21/2022

met_with: Michael Saavedra


raw_content:
Narrative:
****PAGE CONTINUED: The surveillance video further revealed that S3, S4, S6 and S7 conducted improper restraint techniques while attempting to restrain C1; S6 was seen pulling C1's arm, S4, S6 and S7 were seen struggling (incorrect positioning of feet and arm holds) with C1 initially to place C1 in a restraint, then while C1 was on the ground S6 was seen wrapping their leg around C1, and S7 was seen placing their weight on C1's chest area while C1 was on the ground. Based on confidential interviews and documents reviewed, the preponderance of evidence standard has been met and the allegations that staff restrained minor, resulting in minor sustaining bruises, Staff hit minor, and Staff do not provide a safe environment for minor is substantiated. The facility is being cited for violations of Group Home Title 22, Division Chapter Article 3, section Plan of Operation. An exit interview was conducted, and a copy of this report, along with appeal rights was provided to Cesar Salgado-VP Residential and Foster Care ******page 2 continued: Regarding the allegation that staff spoke inappropriately to C1, confidential interviews revealed conflicting statements; some denied the allegation of speaking to C1 in an inappropriate manner, while other information states that it happened. In addition, confidential interviews revealed conflicting statements in which who was present and if staff or clients witnessed C1 being spoken to in an inappropriately manner. Based on confidential interviews, and documents reviewed the allegation staff inappropriately spoke to minor and staff restrained minor resulting in minor sustaining bruises may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Cesar Salgado-VP Residential and Foster Care.

Investigation Findings:
13On August 22, 2025, at 1: PM, Licensing Program Analyst (LPA) Jacqueline Garcia conducted an unannounced visit to Crittenton Services for Children and Families facility to deliver the investigative findings for the allegations listed above. On 6/24/25, LPA conducted a health and safety inspection at the facility, and no immediate health and safety hazards were observed. LPA interviewed four clients (C1-C4), nine staff (S1-S9). During the investigation, LPA reviewed C1 facility file and staff files and surveillance footage. On 06/18/25, Community Care Licensing (CCL) received allegations that staff hit minor, and staff do not provide a safe environment for minor. Confidential interviews and documents reviewed confirmed C1 was placed in a restraint by S3-S7 in efforts to protect another client from being physically attacked by C1. LPA observed in the surveillance video that S7 brought their hand into contact with C1's stomach/chest area by quickly and forcefully attempting to restrain C1. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Jacqueline Garcia 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: CRITTENTON SERVICES FOR CHILDREN AND FAMILIESFACILITY NUMBER: VISIT DATE: 08/22/2025

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: