raw_content:
Narrative:
Continue from page 1 . . . The staff denied the allegations and stated that the staff has not denied picking up the youth from school and picked up the youth from the school. The staff stated that the staff only asks the school personnel if the youth is alright and could go back to class but if not would pick the youth up. The staff stated that the youth would go to the school nurse and started to says things to go to the facility. The staff stated that the youth is given his medication as prescribed and the staff takes the youth to get medical attention when needed or noticed. The staff stated that the youth is encouraged to shower daily at night or in the morning when needed but the youth sometimes refuses to shower. The staff stated that the youth clothes are washed weekly by the staff and the youth always has clean things to wear but sometimes refuses to do it. The staff stated that the youth does not dry himself properly after showering sometimes and the staff redirects the youth to dry properly and put dry clothes, the staff stated that the youth sometimes urines on himself at night and does not gets up to change but is encouraged to shower and change in the morning by the staff. The staff stated that the youth has a few pairs of different types of shoes but sometimes wants to wear a certain pair of shoes. The staff stated that the youth gets new clothing and other items monthly or as needed. The confidential interviews revealed the staff would give the youth the medication to take or apply and the youth sometimes would not apply the medication on the area. The information indicated that the staff would give the medication cream to the youth and the youth would go to the restroom to apply it in private. The information indicated that the youth was taken to the doctor when needed. The statements indicated that the youth is able to shower daily but sometimes does not want to but is told by the staff to shower daily. The information indicated that the youth has several different types of shoes but the youth has a favorite pair of shoes that the youth wears. The information indicated that the youth has been picked up from the school by the staff all the time. The County Social Worker stated having no concerns with the care and supervision in the home. Based on the interviews and records reviewed, the allegations is found to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove the allegations. Copies of LIC9099, LIC9099C, LIC811 and Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On January 31, 2024, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and met with Sonia Segovia-Hernandez-Childcare Worker II. The purpose of the inspection was to deliver the finding for the above complaint allegations. During the course of the investigation, LPA interviewed one youth, one staff and other adult on 09/26/23, LPA interviewed County Social Worker (CSW) via telephone on 01/11/24, LPA interviewed two staff via telephone on 01/17/24 and LPA interviewed one staff via telephone on 01/22/24 (see Confidential Names Form LIC 811 dated January 31, 2024). LPA also reviewed documents including but not limited to Client's Need and Service Plans, Special Incident Reports (SIR), medication logs and other documents. It was alleged Staff did not pick up youth from school when called, Staff did not ensure that youth is applying prescribed medication and Staff did not seek youth medical attention. It was also alleged Staff did not ensure that youth's hygiene needs are being met and Staff did not ensure that youth wears proper fitting shoes. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto Perez 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 32-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, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CORINTHIANS HELPING HAND GROUP HOMEFACILITY NUMBER: VISIT DATE: 01/31/2024


state: CA

facility_name: CORINTHIANS HELPING HAND GROUP HOME

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
On 1/29/24 the Department received a complaint alleging the facility is not properly addressing rodents in the facility. It was further alleged that there are rodents present through out the facility. Based on the information gathered during confidential interviews, relevant parties denied the allegation's indicating staff has placed traps through out the home, cleans the facility daily and has Orkin Pest Control come out and treat the facility monthly. Confidential interviews indicated the staff cleans the facility daily and clients have not observed any rodents in the home. Clients indicated they have no concerns with the facility. LPA reviewed the pest control company reports which indicated they came out to the home once a month since August 2023 and twice a month in January and February 2024. The reports indicated the technician inspected the interior and exterior for rodent activity. The facility has closed entry points for rodents in the garage, kitchen, living room, hallway closet and roof. No rodents were observed. LPA during the initial inspection of the facility observed traps through out the facility and did not observe any rodents in the facility. Based on the interviews and records reviewed the allegation is/are found unsubstantiated. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the allegation. Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On May 1, 2024, at 9: AM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegation. LPA Cabral met with the facility administrator Desia Dunn. During the investigation, LPA Cabral interviewed three facility staff (AD, S2, S3) and one client (C1) on 2/7/24. LPA interviewed one client (C2) and attempted to interview another client (C3) on 3/13/24. LPA interview three clients (C4, C5, C6) on 4/24/24 (see Confidential Names Form LIC 811 dated May 1, 2024). LPA reviewed pest control company's service reports on 4/26/24. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Larry Cabral 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CORINTHIANS HELPING HAND GROUP HOMEFACILITY NUMBER: VISIT DATE: 05/01/2024

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

report_type: Complaint Investigation

met_with: Desia Dunn, Administrator

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Continue from page 1 . . . . The staff denied the allegation and stated that the youth is encouraged to get up and go to school. The staff stated that the staff attempts several times in the morning to have the youth get up and get ready for school but the youth refuses. The staff stated that when the youth refuses to go to school a special incident report is written, send to the youth's social worker and other agencies while the youth is counsel. The staff stated that Emergency Placement Child and Family Team Meetings (CFTM) are held with the youth, social worker and staff to help the youth with issues with school and provide additional support. The confidential interviews revealed that the staff tries to get the youths in the GH to get up and go to school. The confidential interviews revealed that the staff attempts to get the youths up several times in the morning but youth sometimes refuse to go to school. The information revealed that the outings or electronics are taken away as a consequence for not going to school. The confidential interviews revealed that a special incident report is written when a youth misses school and that it goes to the social worker. The confidential interviews indicated that meeting are held with the staff, social worker and the youths to talk about the school issues. The County Social Worker (CSW) stated that there was no concerns with the care and supervision and that the GH constantly communicates with her about the youth behavioral issues. The CSW stated that the staff encourage the youth to go to school but the youth refuses and the youth knows that the staff can not make him go to school. Based on the interviews and records reviewed, the allegation is found to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the allegation. Copies of LIC9099, LIC9099C, LIC811 and Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On June 04, 2024, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and met with Reginald Brown Jr, Facility manager. The purpose of the inspection was to deliver the finding for the above complaint allegation. During the course of the investigation, LPA interviewed two youths and one staff on 04/16/24, LPA interviewed two minors on 05/23/24 and LPA interviewed County Social Worker (CSW) and two staff via telephone on 05/24/24 (see Confidential Names Form LIC 811 dated June 04, 2024). LPA also reviewed documents including but not limited to Client's Need and Service Plans, Special Incident Reports (SIR) and other documents. It was alleged Facility staff did not ensure that youth is attending school. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto Perez 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 32-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, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CORINTHIANS HELPING HAND GROUP HOMEFACILITY NUMBER: VISIT DATE: 06/04/2024

met_with: Reginald Brown Jr, Facility manager


raw_content:
Narrative:
Information from staff revealed that the facility has a staff office that can be available to provide privacy to the client when talking about personal issues. The staff indicated that clients can be taken out to the back yard or walk if the clients want to talk about personal issues. The staff stated that staff have not heard the clients talking about private issues in open areas. The staff revealed that the staff is held over when staff call in until a replacement is found or the working staff have to stay and work the following shift. The staff indicated that they are instructed to call ahead of time to give management time to find staff and that the staff was made aware of the hold over policy when being hired. The staff revealed that there have been times when staff have to stay over and work an extra shift but has not been a lot of times. There were staff indicated that there is enough supervision to supervise the clients and other that more staff is needed. The staff stated that staff know that the Mental Health Resource Specialist (MHRS) is a dual position and can supervise the clients if needed. The confidential interviews revealed that there is a staff office where the clients can talk in private and that clients have not hear talk other clients about private things in private. The confidential interviews indicated that the staff have stayed over to work an extra shift but that is not a lot of times. The confidential interviews revealed that the MHRS works with the clients and is there supervising. The confidential revealed that the clients did not have any concerns with the care and supervision in the facility. Based on the interviews and records reviewed, the allegations are found to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove the allegations. Copies of LIC9099, LIC9099C, LIC811 and Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On October 17, 2024, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and met with Desia Dunn, Administrator. The purpose of the inspection was to deliver the finding for the above complaint allegations. During the course of the investigation, LPA interviewed one staff on 08/13/24, LPA interviewed three minors on 08/23/24, LPA interviewed two staff via telephone on 09/17/24, LPA interviewed one staff via telephone on 09/24/24, LPA interviewed one staff via telephone on 09/25/24, LPA interviewed one staff via telephone on 09/26/24 and LPA interviewed one staff via telephone on 10/0324 (see Confidential Names Form LIC 811 dated October 17, 2024). LPA also reviewed documents including but not limited to Client's rooster, staff rooster, staff schedules, Special Incident Reports (SIR), Mandatory Holdover Policy, Staff Job Description, Team meeting agenda and other documents. It was alleged Staff do not provide resident with privacy and Facility does not employ adequate staffing to meet the needs of the residents. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto Perez 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 32-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, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CORINTHIANS HELPING HAND GROUP HOMEFACILITY NUMBER: VISIT DATE: 10/17/2024


raw_content:
Narrative:
The second minor, who accompanied staff, stated they stayed in the lobby and briefly used the restroom, denying going AWOL. Staff corroborated both minors' accounts. Based on information obtained, the allegation is unsubstantiated. Although the allegation may have happened or is valid, there is no preponderance of evidence found to support it. The following reports were provided to the facility representative at the conclusion of today's inspection: LIC9099, LIC9099-C and LIC Confidential Names. Appeal rights forms were also given and explained. There was no deficiency citation issued.

Investigation Findings:
13On September 17, 2025, at 9:15am, Licensing Program Analyst (LPA) Irene Yamamoto conducted a complaint inspection at the facility and met with the facility representative listed above. The purpose of the inspection was to deliver findings regarding the allegation received by the Department on June 3, 2025. As part of the LPA's investigation, confidential interviews were conducted with one staff member and one minor on 6/5/25, five minors on 6/12/25, and one staff member on 9/12/25. Relevant records were reviewed, including the Register of Clients, Personnel Report, Needs and Services Plans and Child and Family Team Meeting (CFTM) notes. No county placement agency investigation report was found. It was alleged that one minor was left unsupervised after being transported to court, and another went AWOL upon arrival. The investigation found that staff supervised the first minor from a distance to allow privacy during the court appointment. The minor confirmed staff remained in court and waited until the appointment ended. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CORINTHIANS HELPING HAND GROUP HOMEFACILITY NUMBER: VISIT DATE: 09/17/2025

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


raw_content:
Narrative:
On 6/13/25 the Department received a complaint alleging facility staff hit one of the clients in care. It was alleged that one client was hit on the client's neck by one of the facility staff. Based on the record review, confidential interviews, and additional information gathered the allegation was not corroborated. Facility staff denied the allegation indicating none of the children have been hit by staff. Confidential interviews revealed contradicting statements regarding the allegation. Based on the interviews and records reviewed the allegation is/are found unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation. Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On September 25, 2025, at 10: AM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegation. LPA Cabral met with the Facility Administrator Desia Dunn. During the investigation, LPA Cabral interviewed four facility staff (S1, S2, S3, S4) and six clients (C1, C2, C3, C4, C5, C6) on 6/27/25 (see Confidential Names Form LIC 811 dated September 25, 2025). LPA reviewed incident reports, CTF meeting notes and needs and services plan (NSP) from the facility. LPA attempted to interview six county social workers (CSWs) on 7/2/25. LPA reviewed the other agency's investigative report on 9/20/25. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Larry Cabral 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CORINTHIANS HELPING HAND GROUP HOMEFACILITY NUMBER: VISIT DATE: 09/25/2025

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


raw_content:
Narrative:
It was alleged that staff at the facility spoke inappropriately to a minor in care and intimidated the minor. The identified staff denied the allegations. According to staff, they were redirecting the minor, who was speaking on the phone late at night and disrupting other minors who were asleep. During the interaction, the minor made verbal threats toward staff. Staff redirected the minor to go to sleep, and the minor complied. Although the minor continued to insist that the alleged incident occurred, there were no witnesses. Information obtained through confidential interviews and a review of records did not corroborate the allegations. Staff reported maintaining a hands-off approach and stated that minors are redirected when they become disrespectful toward others. Staff also indicated that they attempt to de-escalate situations early on. Based on information obtained, the personal rights allegation is unsubstantiated. Although the allegation may have happened or is valid, there is no preponderance of evidence found to support it. The following reports were provided to the facility representative at the conclusion of today's inspection: LIC9099, LIC9099-C and LIC Confidential Names. Appeal rights forms were also given and explained. There was no deficiency citation issued.

Investigation Findings:
13Licensing Program Analyst (LPA) Irene Yamamoto conducted a complaint inspection at the facility on October 30, 2025 at 12:20pm and met with the facility representative listed above. The purpose of the inspection was to deliver findings regarding personal rights allegations received by the Department on July 7, 2025. LPA investigated the allegations. Confidential interviews were conducted with one minor on 8/11/25, two staff members on 9/17/25, three minors on 10/27/25 and an additional two minors on 10/29/25. LPA contacted other related parties on 8/11/25. Relevant records were obtained and reviewed on 8/11/25 and 9/17/25. These include the Register of Clients, Personnel Report, Incident Reports, Needs and Services Plan, and Child and Family Team Meeting (CFTM) notes. The county placement investigation report was reviewed on 10/7/25. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CORINTHIANS HELPING HAND GROUP HOMEFACILITY NUMBER: VISIT DATE: 10/30/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPA) Nicolette David conducted an unannounced visit to the above facility on 6/10/2021 at 11: AM for the purpose of conducting an required annual inspection. LPA met with Residence Administrator Desia Dunn. LPA along with the facility staff conducted a tour of the facility inside and outside. There are 6 clients currently residing in the home. The following was observed during the inspection: The facility is a 2- story residence located in a residential neighborhood. It consists of 3 bedrooms and 2 bathrooms that were clean and in good repair, living room, dining room, kitchen, TV room, staff office and a clinician's office. The following sleeping arrangements were noted: Bedroom # 1 sleeps C-1 and C-2 two twin beds, three dressers and closet Bedroom # 2 sleeps C-3 and C-4, two twin beds, two dressers and closet Bedroom # 3 sleeps C-5 and C-6, two twin beds, two dressers and closet. All beds are clean and in good repair. Bedding and sheets were sufficient. There is adequate supply of perishable and non -perishable food. There is 2 refrigerator being used and four freezer and a laundry room. The kitchen utensils, glasses and dishes were found to be in good condition. Medications were stored and locked in a cabinet in a locked box in the staff office The medication logs are kept updated and the dispensing records had no discrepancies. All hazardous items have been properly made inaccessible to areas where clients will have access, Cleansers/ chemicals are locked and stored in the laundry room. Sharp knives are inaccessible and stored in a locked cabinet in the staff office. The first aid kit is located in the staff office and contained all required supplies. The facility's smoke detectors in the bedrooms and hallway' was checked and operable. The carbon monoxide detector located in the upstairs hallway and family room area were operable. There are no guns or weapons in the facility as stated by the facility staff. The facility license, emergency disaster plan, activity calendar, ombudsman complaint procedure and personal rights were observed to be posted on the wall. The facility outside grounds was observed to be clean and well maintained. Emergency exits were free from obstruction. There were no swimming pool located on the premises of the facility. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. Interviews: LPA interviewed 4 staff that included the Administrator , Child Care worker, Facility relief Manager and Acting facility Manager. There are currently 0 staff working at the facility. LPA interviewed Clients. File Review: A review of 5 client flies and 4 staff files was conducted. Client files contained an original admission agreement. There are 5 clients currently taking medication. Files for clients currently taking prescribed medication contained all the required documentation such as the medical consent forms and authorizations. Overall, clients are provided adequate services in accordance with their needs and services plan and are being updated. All documentation is complete, signed and current for each client. Admission agreements have been updated with STRTP placement and rate information including how services will be provided. Staff files contained criminal record clearances or exemptions and child abuse index check, job descriptions (except for the Administrator's file), required training and work evaluations. All documents were complete and signed by employee. All staff requiring training, including Mandated Reporter, Emergency Intervention, initial and annual training, was current. All adult individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemption. In accordance with California Code of Regulation, Title 22, Division 6. Exit interview was conducted. A copy of the LIC 809, 809C's, was provided to the facility representative.

report_type: Facility Evaluation

visit_type: Annual

met_with: Administrator Desia Dunn


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Pamela Silva and Juliet Robles on 12/07/22 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Dunn Desia, Administrator, and inspected the facility inside and out. LPAs reviewed one (1) child's records and two (2) staff personnel files on site at the facility. LPAs reviewed one (1) child's psychotropic medications and medication records. LPAs interviewed two (2) staff on site to discuss the facility's policies and procedures of operation. LPAs interviewed one (1) child currently prescribed psychotropic medication. LPAs provided a copy of this licensing report to Desia Dunn, Administrator. No deficiencies are being cited at this time. One (1) Technical Assistance Advisory was issued, see LIC9102TA. LPAs conducted exit interview with the Administrator.

visit_type: Case Management

met_with: Desia Dunn


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) N. Strickland arrived at the facility unannounced to conduct an interview with a current resident regarding an investigation not pertaining to this facility.

met_with: Facility Manager, Mike Williams


summary: Facility Evaluation

raw_content:
Narrative:
On Tuesday June 25, 2024, at 08:30 a.m., Licensing Program Analysts (LPAs) John Bonilla and Juliet Robles conducted an unannounced inspection at Corinthians Helping Hand Group Home, a Short-Term Therapeutic Residential Program (STRTP), for the purpose of conducting a 2-Year required. LPAs met with Desia Dunn, Administrator. During this inspection LPAs toured the facility, observing postings, licenses, client bedrooms, facility office, and kitchen area. Smoke detectors in the facility were tested and working, fire extinguishers were charged and current. LPAs reviewed the following domains in the Compliance and Regulation Enforcement (CARE) tool: Physical Plant, Operations, Disaster Preparedness, Emergency Intervention Plan, Staffing, Client Records, and Core-Therapeutic Services. LPAs reviewed Client files and Staff files; LPAs interviewed two Clients and one Staff. The STRTP was issued one deficiency during this inspection. Refer to LIC809-D. A signed copy of this report, LIC811 (Confidential Names list dated 06/25/24), and LIC809-D were provided to Desia Dunn. Exit interview conducted. Appeal rights provided.


summary: Facility Evaluation

raw_content:
Narrative:
On June 26, 2024, Licensing Program Analysts (LPAs) John Bonilla and Ashley Ruacho conducted an unannounced POC inspection at Corinthians Helping Hand Group Home, a Short Term Residential Therapeutic Program (STRTP). LPAs met with Desia Dunn, Administrator. On June 25, 2024, the STRTP was issued a deficiency concerning water temperatures in the facility being below regulation guidelines. LPAs verified that water temperature was corrected and current reading was taken at 118.4 degrees Fahrenheit. Exit interview conducted. A signed copy of this report and POC Certification letter were provided to administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On July 30, 2024, at 11:00 a.m., Licensing Program Analyst (LPA) John Bonilla conducted an unannounced Case Management inspection at Corinthians Helping Hand I Short-Term Residential Therapeutic Program (STRTP) for the purpose of following up on an incident first reported to the Department on July 17, 2024 through 24-Hr. notification to the On Duty desk. LPA met with Desia Dunn, Administrator. On July 17, 2024, the Department was notified that a client (C1) (See LIC Confidential names list dated 07/30/24) was arrested by law enforcement for attempting to assault staff, engaging in a physical altercation with a peer, causing over $1000 dollars worth of property damage in the facility, and ultimately being aggressive toward law enforcement upon their arrival to the facility. As a result of client being deemed unsafe, the client was transported by law enforcement to the Child and Family Service office. Administrator stated that the incident began when two facility clients (C3 and C4) were denied use of another client's (C2's) personal gaming system. As retribution, C3 and C4 told C1 that C2 had made derogatory remarks about C1's mother. C1 began to provoke C2, who isolated himself in his bedroom. Night staff attempted to de-escalate the situation to no avail, however no restraints were utilized. C1 caused property damage trying to get to C2. C2 picked up a vacuum extension and chased C1 out of the home. Due to the two clients leaving unauthorized, law enforcement was called. When the clients returned, C1 entered his bedroom. C1 continued to threaten law enforcement and staff with violence, and due to previous incidents with theft around the community, law enforcement decided to detain C1. C1 was transported to the Child and Family Services office due to being deemed unsafe to stay at the STRTP. Administrator states that staff attempted to de-escalate per protocol, with C2 responding to de-escalation techniques. C1 was unresponsive to de-escalation techniques. Law enforcement was called per protocol. An exit interview was conducted and copy of the LIC809 and LIC811 were provided to the Administrator. No deficiency citation were issued at the time of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On June 19, 2025, at 11: AM, Licensing Program Analyst (LPA) Gilbert Gutierrez, conducted an annual random inspection to the facility and met Assistant Administrator, Sonia Segovia- Hernandez. Administrator, Desia Dunn arrived later. The facility is a two-story home with three bedrooms and 2 and 1/4 bathrooms and attached garage. Currently there are six clients placed in the facility. LPA received a copy of the client roster, LIC 500 (Personnel Report), Emergency Disaster Plan and reviewed the Emergency Drill log. Physical Plant LPA together with the Assistant Administrator toured the facility. LPA observed the following: the posted license, emergency disaster plan, client personal rights, and grievance procedure. The disinfectants, cleaning solutions were stored in the garage not accessible to clients if no staff supervision and sharp objects and medications were kept in the staff office where the files are being stored, inaccessible to the clients. There were supplies of non-perishable foods for at least a week and fresh perishable foods for at least two days. Each bedroom has a single bed in good repair with clean sheets and linens and three drawers and closet space. Only two clients sleep in a room. No room commonly used for other purposes is being used as a bedroom. There was extra linens, towels and hygiene supplies in a cabinet on the second floor. There were lights in all the rooms and throughout the facility. The faucets in clients' bathroom deliver hot water within safe temperature. The fireplace has cover for client's safety. There was a working telephone for clients to use. The first aid kit was complete and readily available. There are cameras inside and outside the facility. The camera monitor was in the staff office. The smoke/carbon monoxide detectors were working. All indoor and outdoor passageways were unobstructed. Client Record LPA reviewed three (6) client records. All client records were available upon request. The files contain the required information including, but not limited to, consent forms, Individual Program Plan (IPP), Needs and Services Plan, medical assessment, safeguards for cash resources, personal property and valuables, personal rights forms, and medication administration records. A copy of the LIC 809, LIC 809C LIC 811 were provided to the administrator. No deficiency citation issued at the time of the inspection.

met_with: Sonia Segovia Hernandez, Desia Dunn


facility_name: CORINTHIANS HELPING HAND GROUP HOME II

raw_content:
Narrative:
Staff denied being made aware by any client of the allegation. The facility became aware of the allegation after a county placement agency staff informed the facility. Staff provide supervision as needed to meet the needs of clients in placement. Other minors in care further supported the information obtained. Based on the evidence above, the allegation of neglect/lack of supervision is closed as unsubstantiated. Although the allegation may have happened or is valid, there was no preponderance of evidence found to prove that the allegation occurred. The following reports were provided to the facility representative at the conclusion of today's inspection: LIC9099, LIC9099-C and LIC Confidential Names. Appeal rights forms were also given and explained. There was no deficiency citation issued.

Investigation Findings:
13On September 25, 2024 at 10: AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted an unannounced complaint inspection at the facility and met with the facility representative named above. The purpose of the inspection is to deliver the finding regarding the above allegation received by the Department on June 25, 2024. This LPA conducted the investigation and it consisted of confidential interviews with the Administrator and four clients on 6/27/24 and one additional staff on 7/2/24. Records were reviewed on 7/1/24, 7/3/24 and 8/9/24. These include, but were not limited to, one incident report and client needs and services plan. There was no county placement agency finding found. It was alleged that staff did not prevent a client from touching a younger client in an inappropriate sexual manner while in care. Confidential interviews reveal the alleged victim/client denied the allegation. Client expressed frustration after being removed from a previous placement but denied making any accusation against the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CORINTHIANS HELPING HAND GROUP HOME IIFACILITY NUMBER: VISIT DATE: 09/25/2024

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

met_with: John Morris, Mental Health Resource Specialist


raw_content:
Narrative:
Pathology and diagnostic radiology results did not reveal any cardiac issues, infections, fractures or a collapsed lung; result was noted as clear lungs. Client was advised to take over the counter medication for any pain, with a recommendation to stay hydrated. Confidential interviews reveal that an incident resulting in an emergency room visit may have been due to stress and anxiety the client was experiencing at the time. Client communicated to staff his symptoms and needs, and staff took immediate action by seeking medical care for client. Client met with and processed the incident with mental health staff after being discharged from the hospital. There was no evidence found to support what was alleged. Based on the evidence above, the allegation of neglect/lack of supervision is closed as unsubstantiated. Although the allegation may have happened or is valid, there was no preponderance of evidence found to prove that the allegation occurred. The following reports were provided to the facility representative at the conclusion of today's inspection: LIC9099, LIC9099-C and LIC Confidential Names. Appeal rights forms were also given and explained. There was no deficiency citation issued.

Investigation Findings:
13On September 25, 2024 at 10: AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted an unannounced complaint inspection at the facility and met with the facility representative named above. The purpose of the inspection is to deliver the finding regarding the above allegation received by the Department on July 1, 2024. This LPA conducted the investigation and it consisted of confidential interviews with the Head of Service on 7/2/24 and identified client on 9/13/24. Records were obtained and reviewed on 7/2/24 which include, but were not limited to, the incident report and addendum, medical reports and client needs and services plan. There was no county placement agency finding found. It was alleged that minor sustained an unexplained internal injury and staff did not ensure that the minor was hydrated. Records show that client was not diagnosed with an unexplained internal injury and dehydration. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CORINTHIANS HELPING HAND GROUP HOME IIFACILITY NUMBER: VISIT DATE: 09/25/2024

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


raw_content:
Narrative:
On November 04, 2024, the Department received a complaint alleging that the STRTP did not prevent a physical altercation between clients, allowing a verbal argument to escalate. It was further alleged that a client sustained injuries during the altercation and that the STRTP did not provide medical care for an injured client. Furthermore, It is alleged that facility staff allow clients to smoke marijuana in the home. LPA's investigation revealed that on November 1, 2024, there was an argument between clients C1 and C2 of the STRTP. C1 and C2 were engaged in a verbal argument in the living room downstairs, with S4 attempting to de-escalate. C1 had a home-made weapon, C2 picked up a chair to shield himself. C3 and C4 were upstairs outside their bedrooms, C3 tossed a desk fan towards C1. Law enforcement was called. A second flare-up between same participants occurred the following day, again staff de-escalated and averted physical altercations between C1 and C2. Staff denied that they allowed a physical altercation between clients, stating they were present and were de-escalating both clients verbally, and that a physical altercation was averted by S4 by walking C1 away from the danger zone and confiscating the weapon. Staff denied client was not provided medical attention. Staff disclosed that contraband is not allowed in the facility and that they confiscate the items when discovered during room searches. Staff stated that when they see a client smoking, they ask them to stop, remind them of the facility policy, and ask them to hand over the contraband. Confidential interviews returned statements that did not corroborate the allegations, stating that staff was present and verbally de-escalating before calling law enforcement, that they provided medical aid, and denying that staff allow clients to smoke marijuana in the home. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are determined to be Unsubstantiated. No deficiencies were cited at this time. Exit interview conducted. A signed copy of this report, LIC9099-C, and LIC811 were provided to Desia Dunn, Administrator. Appeal rights explained and provided.

Investigation Findings:
13On March 21, 2025, at 8:45 a.m., Licensing Program Analyst (LPA) John Bonilla conducted a follow-up complaint investigation at Corinthians Helping Hand Group Home II, a Short-Term Residential Therapeutic Program (STRTP), for the purpose of delivering findings on the above allegations. LPA met with Desia Dunn, Administrator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: John Bonilla 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CORINTHIANS HELPING HAND GROUP HOME IIFACILITY NUMBER: VISIT DATE: 03/21/2025

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


raw_content:
Narrative:
Additional confidential interviews with C1 and C2 revealed that both clients did like living at the facility and felt safe. Further that when clients get into altercations, staff are there to break clients up and provide adequate supervision. C2 states clients do not take Uber home and that clients have the opportunity to walk home or the staff come pick them up. LPA Palmer was unable to continue the interview with C1; as C1 no longer wanted to communicate. Confidential interviews with the complainant revealed that when students are disciplined at school, they are supposed to be picked up by a parent or guardian; but there were several times that the kids were taken home by an Uber, which was concerning because the client may have behaviors while in the Uber; further that they would be unsupervised. . There is not enough evidence to prove that there is a lack of supervision and that students are being transported inappropriately; as the information provided during the investigation is conflicting. Based on information obtained by LPA Palmer, there is not a preponderance of evidence to support the allegation therefore, the allegation is unsubstantiated. No deficiency cited. Copies of the following reports were provided at the conclusion of the inspection: LIC 9099 and LIC 9099-C..

Investigation Findings:
13On May 20, 2025 at 3:30pm, Licensing Program Analyst (LPA), Carrie Palmer conducted a follow-up complaint inspection with the above named facility and spoke to the Facility Manager. The purpose of the visit is to deliver the findings for the above complaint allegation. During the course of the investigation, LPA Palmer reviewed facility records and conducted investigative interviews with S1, S2, C1 and C2 on 1/23/25. LPA Palmer interviewed the complainant on 5/20/25. During the investigation, S1 and S2 state the facility is always staffed based on the compliance ratios and denies their lack of care and supervision and that the facility was built based on safety, supervision and security. S1 and S2 also state that clients do not take Uber and there are two vehicles for staff to drive to transport clients and that staff are always available to pick up the clients. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Carrie Palmer 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CORINTHIANS HELPING HAND GROUP HOME IIFACILITY NUMBER: VISIT DATE: 05/20/2025

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

met_with: Reginald Brown Jr., Facility Manager 2


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPA) Nicolette David conducted an unannounced visit to the above facility on 6/10/2021 at 11: AM for the purpose of conducting an required annual inspection. LPA met with Residence Administrator Desia Dunn. LPA along with the facility staff conducted a tour of the facility inside and outside. There are 0 clients currently residing in the home. The following was observed during the inspection: The facility is a 2- story residence located in a residential neighborhood. It consists of 3 bedrooms and 21/2 bathrooms that were clean and in good repair, living room, dining room, kitchen, TV room, and staff office. The following sleeping arrangements were noted: The Facility has no placement's at the time of the inspection Bedroom # 1 sleeps two with two queen size beds, three dressers and closet Bedroom # 2 sleeps two with two twin beds, two dressers and closet Bedroom # 3 sleeps two with two win beds, two dressers and closet. All beds are clean and in good repair. Bedding and sheets were sufficient. There is adequate supply of nonperishable foods . There is 2 refrigerators being used and two freezers and a laundry room. The kitchen utensils, glasses and dishes were found to be in good condition. Medications are stored and locked in a cabinet in a locked box in the staff office The medication logs are kept updated and the dispensing records had no discrepancies. All hazardous items have been properly made inaccessible to areas where clients will have access, Cleansers/ chemicals are locked and stored in the laundry room. Sharp knives are inaccessible and stored in a locked cabinet in the staff office. The first aid kit is located in the staff office and contained all required supplies. The facility's smoke detectors in the bedrooms and hallway' was checked and operable. The carbon monoxide detector located in the upstairs hallway and family room area were operable. There are no guns or weapons in the facility as stated by the facility staff. The facility license, emergency disaster plan, activity calendar, ombudsman complaint procedure and personal rights were observed to be posted on the wall. The facility outside grounds was observed to be clean and well maintained. Emergency exits were free from obstruction. There were no swimming pool located on the premises of the facility. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. Interviews: LPA interviewed 0 staff. There are currently 0 clients. File Review: A review of 0 client flies and 2 staff files was conducted. Staff files contained criminal record clearances or exemptions and child abuse index check, job descriptions (except for the Administrator's file), required training and work evaluations. All documents were complete and signed by employee. All staff requiring training, including Mandated Reporter, Emergency Intervention, initial and annual training, was current. All adult individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemption. In accordance with California Code of Regulation, Title 22, Division 6. No deficiencies was cited and a exit interview was conducted. A copy of the LIC 809, 809C, was provided to the facility representative.


summary: Facility Evaluation

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Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Claudia Portillo Corinthians Helping Hand Short Term Residential Therapeutic Program (STRTP) on 9/3//21 at 10: AM. During the inspection, LPA Portillo met with Desia Dunn, Administrator. The facility is temporarily closed due to personal reasons. Therefore, there are no staff and clients at the facility. LPA Portillo conducted a tour of the facility at 10: AM. The facility is clean, safe, sanitary and in good repair. All medications are centrally stored, locked and accessible only to employees responsible for stored medications. A review of the program statement was conducted at 10: AM. LPA Portillo reviewed one (1) staff files on site and interviewed the Administrator. The Administrator has received training on psychotropic medications as specified in Section 16501.4(d) of the Welfare and Institutions Code (WIC). A copy of this report, and LIC811 was provided to the STRTP representative upon completion. No deficiency was found. LPA conducted exit interview with STRTP representative.


summary: Facility Evaluation

raw_content:
Narrative:
On November 20, 2023, at 12:00 p.m., Licensing Program Analyst (LPA) John Bonilla arrived at Corinthians Helping Hand Group Home, a Short-Term Residential Therapeutic Program (STRTP) for the purpose of conducting an unannounced Case Management inspection regarding a Special Incident Report (SIR) received by the Department on October 18, 2023. LPA met with Reginald Brown Jr., Facility Manager. On October 18, 2023, the Department received an SIR stating that a facility client (C1) (see Confidential Names list dated 11/20/23) had gone on an unauthorized absence (Absent Without Leave - AWOL) on October 13, 2023 and returned the same day. During today's inspection, LPA discussed and reviewed the special incident report (SIR) that was reported late to the department with Desia Dunn, STRTP Administrator, over the telephone. The incident was documented, but not submitted to the Department within the required time frame. The STRTP was issued an Advisory Note - Technical Violation for Interim Licensing Standards, Article 6, Section 87061(j)(1) Reporting Requirements. See LIC9102TV. A signed copy of this report, LIC811 (Confidential Names list dated 11/20/23), and LIC9102TV was provided to Reginald Brown Jr. Exit interview conducted. Appeal rights were given and explained.

met_with: Reginald Brown Jr., Facility Manager


summary: Facility Evaluation

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Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Juliet Robles and Pamela Silva on 01/25/24 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Desia Dunn, Administrator and inspected the facility inside and out. LPAs reviewed one (1) of children's records and three (3) of staff personnel files on site at the facility. LPAs reviewed one (1) of children's psychotropic medications and medication records. LPAs interviewed two (2) of staff on site to discuss the facility's policies and procedures of operation. LPAs interviewed 0 of child currently prescribed psychotropic medication. Child was unavailable and LPAs will conduct interview at a later date. LPAs provided a copy of this licensing report to Administrator, Desia Dunn. No deficiencies are being cited at this time. LPAs conducted exit interview with Administrator, Desia Dunn.


summary: Facility Evaluation

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Narrative:
On Wednesday June 26, 2024, at 09:00 a.m., Licensing Program Analysts (LPAs) John Bonilla and Ashley Ruacho conducted an unannounced inspection at Corinthians Helping Hand Group Home II, a Short-Term Therapeutic Residential Program (STRTP), for the purpose of conducting a 2-Year required. LPAs met with Desia Dunn, Administrator. During this inspection LPAs toured the facility, observing postings, licenses, family room, living room, client bedrooms, facility office, garage, backyard, laundry room, and kitchen area. Smoke detectors in the facility were tested and working, all 4 fire extinguishers were charged and current. LPAs reviewed the following domains in the Compliance and Regulation Enforcement (CARE) tool: Physical Plant, Operations, Disaster Preparedness, Emergency Intervention Plan, Staffing, Client Records, and Core-Therapeutic Services. LPAs reviewed Client files and Staff files; LPAs interviewed two Clients and one Staff. The STRTP was issued one deficiency and one technical assistance during this inspection. Refer to LIC809-D and LIC9102-TA. A signed copy of this report, LIC811 (Confidential Names list dated 06/26/24), LIC809-D and LIC9102-TA were provided to Desia Dunn. Exit interview conducted. Appeal rights provided.


summary: Facility Evaluation

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Narrative:
On 10/14/2024 at 10:00am, Licensing Program Analysts (LPA) Brent Lockhart and Claudia Portillo arrived at Corinthians Helping Hand Group Home, a Short-Term Residential Therapeutic Program (STRTP) for the purpose of conducting an unannounced Case Management inspection regarding an incident received by the Department on 10/01/24. LPA met with Reginald Brown, Facility Manager (FM). On 10/01/2024, the Department received an SIR stating that a facility client (C1) (see Confidential Names list dated 10/14/ C1 had sexual intercourse the night before and believes he contracted an STD. During today's inspection, LPAs interviewed Desia Dunn, Administrator over the phone and FM in person. Administrator indicated that he received a call from a County Investigator asking him questions regarding C1s whereabouts on 9/25/24. The Administrator stated that C1 did not disclose any information about contracting an STD or concerns about his safety during placement. C1 did not AWOL from the facility on 9/25/24. Last AWOL took place on 9/16/24. Administrator indicated that a fight between C1 and C2 took place at school on 10/1/24. Both clients were suspended from school for five days. The facility staff took C1 to the clinic to be seen for medical observation due to complications from the fight. However, C1 did not disclose any information about having an STD or feeling any symptoms. In addition, the following topics were discussed: SB 89 (Sexual Reproductive resources) Bedroom Sharing Arrangements (87087(e) Side Effect (LIC 622B) Resident Council Meeting The STRTP was issued an Advisory Note - Technical Violation for Interim Licensing Standards. A follow-up is required to complete this case management.

met_with: Reginald Brown Jr., Facility Brown


summary: Facility Evaluation

raw_content:
Narrative:
On October 14, 2024, Licensing Program Analysts (LPAs) Brent Lockhart and Claudia Portillo conducted a follow-up case management inspection that was conducted on the morning of 10/14/24 and met with the representative above. LPA Brent conducted a collateral interviewed with a client 1 (C1) to discuss an incident that took place between him and C2 on 9/25/24. C1 provided LPA with details to the incident and stated there were no concerns to be reported. Based on record review and interviews conducted, there are no follow-ups required. However, the Administrator will submit pending paperwork to LPA for review. Facility Manager indicated that he conducts weekly group meetings to discuss various topics such as zero tolerance, allowance, positive/negative behaviors and other topics that are therapeutic for clients in care. An exit interview was conducted, and the following reports were emailed LIC809 forms were provided and explained.


summary: Facility Evaluation

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Narrative:
On June 25, 2025, at 9: AM, Licensing Program Analyst (LPA) Gilbert Gutierrez, conducted an annual random inspection to the facility and met Assistant Administrator, Sonia Segovia- Hernandez. Facility Manager Reginald Brown Jr. arrived shortly during the physical plant inspection. The facility is a two-story home with three bedrooms and 2 and 1/4 bathrooms and attached garage. Currently there are two clients placed in the facility. LPA received a copy of the client roster, LIC 500 (Personnel Report), Emergency Disaster Plan and reviewed the Emergency Drill log. Physical Plant LPA together with the Assistant Administrator toured the facility. LPA observed the following: the posted license, emergency disaster plan, client personal rights, and grievance procedure. The disinfectants, cleaning solutions were stored in a room with lock. All sharp objects were kept in the staff office where the files are being stored. There were supplies of non-perishable foods for at least a week and fresh perishable foods for at least two days. Each bedroom has two single beds in good repair with clean sheets and linens. There are drawers and closet space also in the rooms. Only two clients sleep in a room. No room commonly used for other purposes is being used as a bedroom. There was extra linens, towels and hygiene supplies in a cabinet on the second floor. There were lights in all the rooms and throughout the facility. The faucets in clients' bathroom deliver hot water (110.6 degrees Fahrenheit) within safe temperature. The fireplace has cover for client's safety. There was a working telephone for clients to use. The first aid kit was complete and readily available. There are cameras inside and outside the facility. The camera monitor was in the staff office. The smoke/carbon monoxide detectors were working. All indoor and outdoor passageways were unobstructed. Client Record LPA reviewed three (6) client records. All client records were available upon request. The files contain the required information including, but not limited to, consent forms, Needs and Services Plan, medical assessment, safeguards for cash resources, personal property and valuables, personal rights forms. Staff Records LPA reviewed four (4 ) staff records. Staff records contain documentation of the required education and experience requirements and training. All staff subject to criminal records review have been fingerprinted and cleared. A copy of the LIC 809, LIC 809C LIC 811 were provided to the facility representative.

met_with: Sonia Segovia Hernandez, Reginald Brown Jr.


facility_name: COURAGE TO CHANGE

raw_content:
Investigation Findings:
13On January 11, 2022, Licensing Program Analyst (LPA) Vanessa Galvan conducted a follow up complaint inspection at Courage to Change Short-Term Residential Therapeutic Program and met with Aaron Bustos; the purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, Community Care Licensing (CCL) conducted interviews as well as conducted a review of documentation. The Department has investigated the above complaint allegations and based on information obtained, the above allegations could not be proven with a preponderance of the evidence. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. An exit interview was conducted, and a copy of this report was with Aaron Bustos. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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

met_with: Aaron Bustos


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On May 13, 2022, Licensing Program Analyst (LPA) Vanessa Galvan conducted a complaint inspection at Courage to Change and met with Joseph Lovett, Assistant Program. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA interviewed staff, client, and other parties; as well as reviewed documents that revealed that Courage to Change did not attempt to preserve placement prior to termination. In addition, information gathered verifies that Courage to Change did not follow appropriate procedures to try to mitigate permanent removal from the facility following temporary removal by law enforcement. Based on LPA's observations, interviews, and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations is being cited on this date for section 87068.4(c). An exit interview was conducted, and a copy of the report and appeal rights were provided to Joseph Lovett. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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 24-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, E SHAW AVE FACILITY NAME: COURAGE TO CHANGEFACILITY NUMBER: 547200700

met_with: Joseph Lovett

complaint_status: SUBSTANTIATED


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analysts (LPAs) Lidia Tinoco and Reyna Martinez conducted an unannounced visit to the Courage to Change STRTP in Exeter in order to deliver the findings of the above allegations and met with Administrator Susan Gambini. On 12/30/21 the above allegation was referred to Community Care Licensing for investigation. The investigation conducted by C.S Charles Kinney included an inspection of the facility, interviews and a review of facility and foster children's records. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation occurred. Therefore, the allegation is UNSUBSTANTIATED at this time. A copy of this report was discussed and provided along with appeal rights at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco 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

met_with: Susan Gambini


raw_content:
Investigation Findings:
13On November 10, 2022, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced follow up complaint inspection at Courage to Change in Exeter, CA and met with Administrator Susan Gambini and Program Director Gary Bonds. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentations. The Department has investigated the above complaint allegations and based on information obtained, the above allegations could not be proven with a preponderance of the evidence. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. An exit interview was conducted, copy of this report and appeal rights were provide to Gary Bonds at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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

met_with: Susan Gambini & Gary Bonds


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Investigation Findings:
13On December 16, 2022, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced follow up complaint inspection at Courage to Change in Exeter, CA and met with Administrator Susan Gambini. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, Community Care Licensing conducted confidential interviews and review of documentations. The Department has investigated the above complaint allegations and based on information obtained and conflicting interviews, the above allegations could not be proven with a preponderance of the evidence. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. An exit interview was conducted, copy of this report and appeal rights were provided to Susan Gambini at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 09/15/2022 and conducted by Evaluator Vanessa Galvan PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:COURAGE TO CHANGEFACILITY NUMBER: ADMINISTRATOR:GAMBINI, SUSANFACILITY TYPE: ADDRESS: ANDERSON ROADTELEPHONE: (559) 594- CITY:EXETERSTATE: CAZIP CODE: CAPACITY:16CENSUS: 9DATE: 12/16/ UNANNOUNCEDTIME BEGAN: 11: AM MET WITH:Susan GambiniTIME COMPLETED:01: PM 9Staff discarded incident reports involving minors while in care. INVESTIGATION FINDINGS: 13On 12/16/2022, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced follow up complaint inspection at Courage to Change in Exeter, CA and met with Administrator Susan Gambini. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted confidential interviews as well as obtained relevant documents. Confidential interviews and documents revealed that staff discarded incident reports involving a minor while in care without authorization from management. As a result, the facility is in violation of The California Code of Regulations, section 80070(c)(1). Based on LPA's observations, interviews, and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22 is being cited on this date for Division 6, Chapter 1, Section 80070(c)(1). See attached LIC 9099-D. An exit interview was conducted, a copy of this report and appeal rights were provided to Susan Gambini at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-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, E SHAW AVE FACILITY NAME: COURAGE TO CHANGEFACILITY NUMBER: 547200700


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Investigation Findings:
13On November 22, 2024, Licensing Program Analysts (LPAs) Vanessa Galvan and Olivia Medrano conducted an unannounced follow up complaint inspection at Courage to Change in Exeter, CA and met with Program Director Gary Bonds. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentations. The Department has investigated the above complaint allegations and based on information obtained, the above allegations could not be proven with a preponderance of the evidence. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. An exit interview was conducted, copy of this report and appeal rights were provide to Gary Bonds at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Gary Bonds


summary: Complaint Investigation - Substantiated

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Investigation Findings:
13On April 16, 2025, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced follow up complaint inspection at Courage to Change in Exeter, CA and met with Program Director Gary Bonds and Lead Intake Coordinator/Case Manager Alex Gonzales. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the above complaint allegations. During the course of the investigation, LPAs conducted confidential interviews and file review. Based on information obtained and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. The agency is being cited for Interim Licensing Standards, STRTP Article 06. Continuing Requirements, Personal Rights 87072(c)(1). See Attached LIC 9099D for further information. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Gary Bond at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: COURAGE TO CHANGEFACILITY NUMBER: 547200700

met_with: Gary Bonds and Alex Gonzales


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Investigation Findings:
13On June 19, 2025, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced follow up complaint inspection at Courage to Change in Exeter, CA and met with Program Director Gary Bonds and Lead Intake Coordinator/Case Manager Alex Gonzales. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentations. The Department has investigated the above complaint allegation and based on information obtained, the above allegation could not be proven with a preponderance of the evidence. 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 deemed unsubstantiated. An exit interview was conducted, copy of this report and appeal rights were provide to Gary Bonds at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 04/17/2025 and conducted by Evaluator Vanessa Galvan PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:COURAGE TO CHANGEFACILITY NUMBER: ADMINISTRATOR:GAMBINI, SUSANFACILITY TYPE: ADDRESS: ANDERSON ROADTELEPHONE: (559) 594- CITY:EXETERSTATE: CAZIP CODE: CAPACITY:16CENSUS: 12DATE: 06/19/ UNANNOUNCEDTIME BEGAN: 10: AM MET WITH:Alex GonzalesTIME COMPLETED:11: AM 9Staff inappropriately searched a minor while in care. INVESTIGATION FINDINGS: 13On June 19, 2025, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced follow up complaint inspection at Courage to Change in Exeter, CA and met with Program Director Gary Bonds and Lead Intake Coordinator/Case Manager Alex Gonzales. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the above complaint allegation. During the course of the investigation, LPAs conducted confidential interviews and file review. Based on information obtained and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. The agency is being cited for Interim Licensing Standards, STRTP Article 06. Continuing Requirements, Personal Rights 87072(c)(1). See Attached LIC 9099D for further information. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Gary Bond at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: COURAGE TO CHANGEFACILITY NUMBER: 547200700

met_with: Alex Gonzales


summary: Facility Evaluation

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Narrative:
On this date, Licensing Program Analysts (LPAs) Cynthia Galindo, and Vanessa Galvan traveled to Courage to Change, California and conducted an unannounced visit. LPAs met with Administrator Susan Gambini and inspected the facility, inside and out. A physical plant inspection was completed for the three facilities and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facilities are maintained at 68 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. There is a pool on the facility premises with appropriate safeguards. There are pets in one of the facilities. No firearms or weapons are allowed in the facility. LPAs reviewed 10 staff files. All staff members that require criminal record clearance or exemptions have received the appropriate clearances. A few deficiencies were noted on today's inspection. LPAs did not finish the annual inspection and will return another day. A copy of this report was left at the facility at the conclusion of inspection


summary: Facility Evaluation - 1 deficiency

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Narrative:
On this date, Licensing Program Analysts (LPAs) Cynthia Galindo, and Vanessa Galvan traveled to Courage to Change, California and conducted an unannounced visit. The purpose of the visit was to complete the annual that was started on 10/26/2021. LPAs met with Administrator Susan Gambini. LPAs conducted a file review of ten client files. LPAs interviewed one staff. LPAs discussed with Administrator the Emergency Intervention Plan, Operation, Disaster Preparedness and Modifications to the Needs and Services Plan. Deficiencies were cited on todays visit, see LIC809-D. A copy of this report was left at the facility at the conclusion of inspection.

Deficiencies:
87068.3(a): Modifications to The Needs And Services Plan

(a) The needs and services plan specified in Section 87068.2 shall be updated at least every 30 days to determine the following


summary: Facility Evaluation

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Narrative:
On November 4, 2021, Licensing Program Analysts (LPAs), Vanessa Galvan and Cynthia Galindo conducted a case management visit at the Courage to Change and met with Lead Case Worker, Aaron Bustos. The purpose of the meeting was to discuss an incident report emailed to Community Care Licensing (CCL) on October 28, 2021. LPAs had a discussion with Licensee in regards to a late incident report submission. LPAs asked the licensee for the reason for the late submission. Licensee stated due to many reason as to why the incident report could have been submitted late. LPAs determined this is not a immediate risk to any children in care, however, a technical violation will issued.


summary: Facility Evaluation

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Narrative:
On this date, Licensing Program Analyst (LPA) Vanessa Galvan traveled to Courage to Change Short-Term Residential Therapeutic Program (STRTP), California and conducted an unannounced visit. The purpose of the visit was to complete the annual interviews with clients and staff that was started on 10/26/2021. LPA met with Program Direct, Larry Goates. LPA interviewed ten staff and six clients. No deficiencies were cited on todays visit. A copy of this report was left with Larry Goates at the conclusion of inspection.

met_with: Larry Goates


summary: Facility Evaluation

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Narrative:
On the above date, Licensing Program Analyst (LPA) Vanessa Galvan traveled to the Courage to Change Short-Term Residential Therapeutic Program (STRTP) for the purpose of conducting a Plan of Correction (POC) visit to make sure all of the appropriate corrections were made. LPA met with Program Director, Larry Goates. LPA conducted a facility walk through and file review of staff and client files. LPA confirmed that all of the POCs were cleared and gathered copies of pertinent documentation. No deficiencies were cited or observed on today's visit. A copy of this report was left at the facility with Program Director Larry Goates at the conclusion of the inspection.


summary: Facility Evaluation

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Narrative:
On the above date, Licensing Program Analysts (LPA's), Lidia Tinoco and Vanessa Galvan Traveled to Courage to Change for the purpose of interviewing a youth in care. LPA's met with Chris Wessel and left a copy of this report at the conclusion of the inspection.

met_with: Chris Wessel


summary: Facility Evaluation

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Narrative:
On April 21, 2022, Licensing Program Analyst (LPA), Vanessa Galvan traveled to Courage to Change in Exeter, CA to conduct an unannounced case management and met with Aaron Busto and Joseph Lovett. The purpose of the inspection was to discuss the complaint allegation. LPA conducted interviews with staff and obtained additional copies of pertinent documentation. No deficiency were cited on todays visit. A copy of this report was provided to Aaron Bustos and Joseph Lovett.

met_with: Aaron Bustos and Joseph Lovett


summary: Facility Evaluation - 1 deficiency

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Narrative:
On 06/29/2022, Licensing Program Analysts (LPAs) Vanessa Galvan, Lidia Tinoco, Reyna Martinez traveled to Courage to Change, Exeter, California and conducted an unannounced annual visit. LPAs met with Administrator Susan Gambini and inspected the facility, inside and out. A physical plant inspection was completed for the three operating facilities on the campus and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facilities are maintained at 68 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. There is a pool on the facility premises with appropriate safeguards. There are no pets in the facilities. No firearms or weapons are allowed in the facility. LPAs reviewed 10 staff files. All staff members that require criminal record clearance or exemptions have received the appropriate clearances. LPAs reviewed 10 client files. Two type B deficiencies were observed and cited on today's inspection. A copy of this report was left at the facility at the conclusion of inspection along with appeal rights.

Deficiencies:
87068.3(a): Modifications to The Needs And Services Plan

(a) The needs and services plan specified in Section 87068.2 shall be updated at least every 30 days to determine the following


summary: Facility Evaluation

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Narrative:
On 7/12/2022, Licensing Program Analysts (LPAs) Vanessa Galvan, Lidia Tinoco, and Reyna Martinez traveled to Courage to Change in Exeter, California and conducted an unannounced visit. The purpose of the visit was to complete the annual inspection that was started on 6/29/2022. LPAs met with Administrator Susan Gambini. LPAs conducted interview with 9 clients and 8 staff. LPA's addressed incident reports, recreation time, and concerns with the Administrator. LPA's inspected the cars available at the facility and conducted a quick walk through and tested the water temperature which measured 117 degrees. No deficiencies were issued or observed at this time. A copy of this report was given to Susan Gambini at the conclusion of this inspection.


summary: Facility Evaluation

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Narrative:
On July 15, 2022, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced visit to Courage to Change Short Term Residential Therapeutic Program in Exeter, CA for the purpose of amending a citation. LPA Galvan met with Assistant Program Director Joseph Henderson. Licensee was able to provide documentation and proof that the clients authorized representative signed the medical consent form. During the annual inspection of the client's file the medical consent form was overlooked and was present in the client's file. LPA amended the citation for 87070(b)(11); (b) The following information regarding the child shall be obtained and maintained in the child's record: (11) Consent forms, completed by the child's authorized representative(s), to permit the facility to authorize medical care. No deficiencies were observed or cited. A copy of this report and the amended LIC 809-D was provided to Assistant Program Director Joseph Henderson at the conclusion of the visit.

met_with: Joseph Henderson


summary: Facility Evaluation

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Narrative:
On September 7, 2022, Licensing Program Analyst (LPA), Vanessa Galvan traveled to Courage to Change (CTC) Short-Term Residential Therapeutic Program in Exeter, CA to conduct an unannounced case management inspection. LPA met with Administrator Assistant/Intake Coordinator, Alex Gonzales and Program Director, Gary Bonds. The purpose of the inspection was to interview staff regarding a complaint allegation. LPA interviewed six staff during the visit at CTC. No deficiencies were observed or cited on today's visit. A copy of this report was left with Assistant Program Director, Joseph Henderson the at conclusion of the inspection.

met_with: Alex Gonzales & Gary Bonds


summary: Facility Evaluation

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Narrative:
On November 10, 2022, Licensing Program Analyst (LPA) Vanessa Galvan conducted a Case Management inspection at the Courage to Change in Exeter, CA and met with Administrator Susan Gambini and Program Director Gary Bonds. The purpose of the visit was to discuss an incident that occurred at the facility. LPA conducted five confidential interviews. The confidential interviews disclosed that staff 1 (S1) may have misplaced a utility knife on the Courage to Change campus. (see 812 for details) Based on LPA's observation and confidential interviews, no deficiencies will be issued at this time. An exit interview was conducted, a copy of this report were provided to Gary Bonds at the conclusion of the inspection.


summary: Facility Evaluation

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Narrative:
On December 13, 2022, Licensing Program Analyst (LPA), Vanessa Galvan traveled to Courage to Change in Exeter, CA to conduct an unannounced case management and met with Susan Gambini and Gary Bonds. The purpose of the inspection was to discuss a complaint allegation. LPA conducted interviews with staff and obtained additional copies of pertinent documentation. No deficiency was cited on today's visit. A copy of this report was provided to Gary Bonds.


summary: Facility Evaluation

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Narrative:
On February 9, 2023, Licensing Program Analyst (LPA) Vanessa Galvan traveled to Courage to Change in Exeter, CA, and met with Program Director Gary Bonds. The purpose of this unannounced inspection is to conduct a Case Management regarding proper procedures to review the facility's Emergency Intervention Plan (EIP). LPA Galvan provided the Licensee with technical assistant on Short-Term Residential Therapeutic Program, Title 22, ILS, Chapter 7.5, version 4, regulation 87095.22(h)(1)-(5). No deficiency was cited on today's visit regarding the above information. A copy of this report was provided to Gary Bonds


summary: Facility Evaluation

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Narrative:
An announced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPA's) Jessica Rodriguez and Vanessa Galvan on March 6, 2023 at 10:00AM. This case management inspection is conducted pursuant to Health and Safety Code 1538.9(a)(2). During the inspection, LPAs met with Administrator, Susan Gambini and inspected the facility inside and out. LPA's reviewed 2 child's records and 2 staff personnel files on site at the facility. LPA's reviewed 2 child's psychotropic medications and medication records. LPA's interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPA's interviewed 1 client currently on psychotropic medication. The other client is currently on an extended home pass. LPA's provided a copy of the licensing report to Administrator, Susan Gambini. LPA's issued one technical violation. No deficiencies are being cited at this time. LPA's conducted exit interview with Susan Gambini, Administrator.


summary: Facility Evaluation

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Narrative:
On 4/28/2023, Licensing Program Analyst (LPA) Vanessa Galvan traveled to the Courage to Change in Exeter, CA and met with Facility Representative, Alex Gonzales (FR) for the purpose of conducting a Case Management regarding an Incident Report submitted to the department on 4/04/2023. LPA conducted confidential interview with FR regarding a client unauthorized absence and staff protocols during the day of the incident. FR disclosed that staff did follow client until client was out of sight, running through the orchids. Law enforcement was contacted regarding clients unauthorized absence. Based on confidential interview and documents reviewed, LPA determined this to not be an immediate risk to the health and safety of clients in care. Concerns surrounding the incident has been addressed and corrected, therefore no deficiency will be issued at this time. An exit interview was conducted, and a copy of the report was provided to Alex Gonzales at the conclusion of the inspection.


summary: Facility Evaluation

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Narrative:
On January 25, 2024, Licensing Program Analyst (LPA) Vanessa Galvan traveled to the Courage to Change Located in Exeter, CA and met with Program Director, Gary Bonds (PD) for the purpose of conducting a Case Management regarding an Incident Report submitted to the department. LPA conducted confidential interviews and reviewed documents. LPA and Licensee discussed the following, contraband/paraphernalia, searches, and drug use on facility grounds. Licensee shares their plan that have been put in place to process of clients returning home from a home pass, conduct searches, confiscate contraband/paraphernalia, contacting social workers/probations, drug testing, and Alcohol and Other Drugs (AOD) counseling, all clients have safety plans, staff training of overdose, and use of Narcan. Based on confidential interview and documents reviewed (see attached 812 for additional details), concerns surrounding the incident has been addressed and corrected, therefore no deficiency will be issued at this time. An exit interview was conducted, and a copy of the report was provided to Gary Bonds at the conclusion of the inspection.


summary: Facility Evaluation

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Narrative:
On January 25, 2024, Licensing Program Analyst (LPA) Vanessa Galvan traveled to the Courage to Change Located in Exeter, CA and met with Program Director, Gary Bonds (PD) for the purpose of conducting a Case Management regarding an Incident Report submitted to the department. LPA conducted confidential interviews and reviewed documents.LPA and Licensee discussed the following, contraband/paraphernalia, staff personal items brought on facility grounds, staff responsibility of keeping the facility free from substances. Licensee shares their plan to provide staff with a locked area to place personal items, zero tolerance and termination of staff bring any substance on facility grounds. Based on confidential interview and documents reviewed (see attached 812 for additional details), concerns surrounding the incident has been addressed and corrected, therefore no deficiency will be issued at this time. An exit interview was conducted, and a copy of the report was provided to Gary Bonds at the conclusion of the inspection.


summary: Facility Evaluation

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Narrative:
On October 2, 2024, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced case management for the above facility and met by Program Director Gary Bonds. On 09/27/2024, this LPA received the written report of an incident that occurred on 09/27/2024. The incident and reporting requirements were discussed with Gary Bonds. There are no deficiencies to be cited on this date. A copy of this report was provided to Gary Bonds at the conclusion of the inspection via email due to a printer error.


summary: Facility Evaluation

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Narrative:
On 12/16/2024, Licensing Program Analysts (LPAs) Vanessa Galvan and Olivia Medrano traveled to Courage to Change, Exeter, California to conduct an unannounced inspection and met with Program Director Gary Bonds. The purpose of the inspection was to conduct a 2-Year required inspection. A physical plant inspection was completed for the three operating facilities on the facility grounds and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facilities are maintained at 70 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced. Facility maintains an adequate supply of perishable and non-perishable foods. A supply of emergency food is stored at the facility. Knives and sharps are key locked and inaccessible to clients. Chemical, disinfectants, and cleaning solutions are key locked and inaccessible to clients. All the houses dining rooms are equipped with large tables and chairs accommodating of all clients. All the facility kitchens are equipped with a full-size refrigerator and measures at the required temperature. All restrooms are stored with hand soap, toilet paper, and paper towels. All required forms are posted. Individual beds were observed in good repair with adequate bedding. The First Aid kit is complete with all first aid items. There is a pool on the facility premises with appropriate safeguards and meets regulatory standards. No firearms or weapons are allowed in the facility. LPAs reviewed 5 staff files. All staff members that require criminal record clearance or exemptions have received the appropriate clearances. LPAs reviewed 5 client files. A review of the Licensing Information System on 12/09/2024, indicates that all facility staff associated to the agency have DOJ, FBI, and child abuse index check clearances. The facility currently holds a Mental Health Program Approval valid through 10/26/2025. The licensee has obtained National Accreditation through The Joint Commission valid through 10/31/2026. LPA will need to continue the inspection to complete review of the Emergency Intervention Plan, The Disaster Preparedness Plan, all facility vehicle inspections, staff interviews, and client interviews. There were no deficiencies issued today. A copy of this report was provided to Gary Bonds at the conclusion of the inspection.


summary: Facility Evaluation

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Narrative:
On December 19, 2024, Licensing Program Analyst (LPA) traveled to Courage to Change in Exeter, California, conducted an unannounced visit and met with Program Director Gary Bonds. The purpose of the inspection was to complete the 2-year required inspection that was started on 12/16/2024. LPA conducted interview with 5 clients and 5 staff. LPA reviewed the Emergency Intervention Plan, The Disaster Preparedness Plan, and facility vehicle inspections. LPA addressed logging of medication and provided the facility with LIC 622, LIC 622B, and pill count oversight. The facility was provided with two technical violations. A copy of this report was given to Gary Bonds at the conclusion of this inspection.