raw_content:
Investigation Findings:
13On December 3, 2022, Licensing Program Analyst (LPA) Wayne Aoki was met by facility representative Laura Romero to conclude the investigation with regards to the above-mentioned allegation. LPA conducted interviews of witnesses which included staff and minors and care. Based upon the content of the interviews, it was determined that although the allegation was made, staff and other clients interviews did not corroborate with the Complainant's accounting of the allegation. Therefore, based on the above, the allegation are unsubstantiated. Exit interview conducted and a copy of the report and appeals rights were provided to Ms. Romero. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki 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


state: CA

facility_name: QUALITY FAMILY SERVICES-YALE

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On January 31, 2022, Licensing Program Analyst (LPA) Wayne Aoki was met by facility representative Laura Romero to conclude the investigation with regards to the above-mentioned allegation. LPA conducted interviews of witnesses which included staff and minors and care. Based upon the content of the interviews, it was determined that although the allegation was made, staff and other minors that were interviewed did not corroborate with the Complainant's accounting of the allegation. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the above allegation occurred, therefore the above allegation is unsubstantiated. There were no deficiencies cited during this inspection. Exit interview conducted and a copy of the report and appeals rights were provided to Ms. Romero. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

report_type: Complaint Investigation

met_with: Laura Romero

complaint_status: unsubstantiated


raw_content:
Investigation Findings:
13On March 11, 2022, Licensing Program Analyst (LPA) Wayne Aoki was met by facility representative Tatmmataya Mason to conclude the investigation with regards to the above-mentioned allegations. LPA conducted interviews of witnesses which included staff and minors in care. LPA obtained copies of Police and incident reports for review. Based upon the content of the interviews and other evidence obtained, it was determined that although the allegation was made, staff and other clients interviews did not corroborate with the Complainant's accounting of the allegation. Minors that were involved in the incident have both absconded from the facility and there whereabouts are unknown. Therefore, based on the above, the allegations are unsubstantiated. Exit interview conducted and a copy of the report and appeals rights were provided to Ms. Mason. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki 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: Tatmmataya Mason


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Yale and met with Michelle Dodd. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia 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: Michelle Dodd


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality Corporate office and met with Laura Romero. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA interviewed staff which revealed that the agency did not ensure that minor had fair and equal access to placement. Based on LPA's observations, interviews which were conducted and records review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia 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 SIERRA CASCADE AC/SC, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-YALEFACILITY NUMBER: 100404234

complaint_status: SUBSTANTIATED


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Coorporate office and met with Laura Romero. The purpose of the inspection was to deliver the findings for the above complaint allegation. This complaint is being closed at the corporate office due to Administrator not being able to be at Yale to close compaint. (See 809-Collateral 4/12/23) During the investigation, LPA conducted interviews, records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Coorporate office and met with Laura Romero. The purpose of the inspection was to deliver the findings for the above complaint allegation. This complaint is being closed at the corporate office due to Administrator not being able to be at Yale to close compaint. (See 809-Collateral 4/12/23) During the investigation, LPA conducted interviews, records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia 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 SIERRA CASCADE AC/SC, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 02/28/2023 and conducted by Evaluator Briana Placencia PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:QUALITY FAMILY SERVICES-YALEFACILITY NUMBER: ADMINISTRATOR:SATTERWHITE, DAVONFACILITY TYPE: ADDRESS: EAST YALETELEPHONE: (559) 252- CITY:FRESNOSTATE: CAZIP CODE: CAPACITY:6CENSUS: 6DATE: 04/12/ UNANNOUNCEDTIME BEGAN: 11: AM MET WITH:Laura RomeroTIME COMPLETED:11: AM 9Staff made inappropriate comments towards client INVESTIGATION FINDINGS: 13Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality Corporate office and met with Laura Romero. The purpose of the inspection was to deliver the findings for the above complaint allegation. This complaint is being closed at the corporate office due to Administrator not being able to be at Yale to close compaint. (See 809-Collateral 4/12/23) During the investigation, LPA interviewed staff and clients which revealed that in fact facility manager made inappropriate comments to a youth in care. Based on LPA's observations, interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Interim Licensing Standards are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia 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 SIERRA CASCADE AC/SC, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-YALEFACILITY NUMBER: 100404234


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality Corporate office and met with Laura Romero. The purpose of the inspection was to deliver the findings for the above complaint allegation. This complaint is being closed at the corporate office due to Administrator not being able to be at Yale to close compaint. (See 809-Collateral 4/12/23) During the investigation, LPA interviewed staff and clients which revealed that in fact facility manager made inappropriate comments to a youth in care. Based on LPA's observations, interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Interim Licensing Standards are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia 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 SIERRA CASCADE AC/SC, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-YALEFACILITY NUMBER: 100404234


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Yale and met with Sherry Blount. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or is valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia 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: Sherry Blount


raw_content:
Investigation Findings:
13On July 12, 2023, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Yale and met with staff Titi Mason and via phone Administrator Maggie Mendez . The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or is valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia 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: Titi Mason, via phone Maggie Mendez


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality Yale and met with Maggie Mendez. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia 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: Maggie Mendez


raw_content:
Investigation Findings:
13On November 29, 2023, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality Yale and met with Maggie Mendez. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2


raw_content:
Investigation Findings:
13On November 29, 2023, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality Yale and met with Maggie Mendez. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia 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


raw_content:
Investigation Findings:
13On November 29, 2023, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality Yale and met with Maggie Mendez. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or is valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia 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: Magie Mendez


raw_content:
Investigation Findings:
13On February 14, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality Yale and met with Sherry Blount. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia 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


raw_content:
Investigation Findings:
13On May 21, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality Corporate Office, due to Quality STRTP Yale being temporarily closed. LPA met with Laura Romero. The purpose of the inspection was to deliver the findings of the above complaint allegation. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia 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


raw_content:
Investigation Findings:
13On July 2, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality corporate office due to STRTP Yale being on temporary closure, LPA met with Laura Romero. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report and appeal rights were provided to the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia 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 05/01/2024 and conducted by Evaluator Briana Placencia PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:QUALITY FAMILY SERVICES-YALEFACILITY NUMBER: ADMINISTRATOR:MENDEZ,MARGARITAFACILITY TYPE: ADDRESS: EAST YALETELEPHONE: (559) 252- CITY:FRESNOSTATE: CAZIP CODE: CAPACITY:6CENSUS: 0DATE: 07/02/ UNANNOUNCEDTIME BEGAN: 01: PM MET WITH:Laura RomeroTIME COMPLETED:02: PM 9Staff cuss at clients. There is mold in the common bathtub. INVESTIGATION FINDINGS: 13On July 2, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality Corporate office due to STRTP Yale being on temporary closure, LPA met with Laura Romero. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA interviewed staff and clients which revealed that in fact facility manager cussed at clients in care; and there was visible mold in the common bath area. Based on LPA's observations, and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia 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: QUALITY FAMILY SERVICES-YALEFACILITY NUMBER: 100404234


summary: Facility Evaluation

raw_content:
Narrative:
On this date, November 30, 2021 at 10: AM, an unannounced required annual inspection was conducted by Licensing Program Analysts (LPA) Wayne Aoki. LPA met with facility representative Laura Romero and Sherry Blount. LPA inspected the facility, inside and out. Centrally stored medications and sharps are maintained in the staff office in a locked file cabinet. LPA inspected the medications for the minors in care. The facility has a written emergency disaster plan. All facility smoke and carbon monoxide detectors were tested and appear to be in appropriate working order, fire extinguisher is properly charged and was last serviced May 2021. Individual beds were observed with appropriate clean linens and are in good repair. There is at least one week supply of nonperishable and a two day supply of perishable foods. The facility is maintained at 78 degrees. Hot water temperature measured 109 degrees. Facility has cameras in common areas of the facility. Swimming pool properly fenced and secured. No firearms or weapons are allowed in the facility and there are no pets. There was one Staff and one minor present during the inspection. Both staff and minor's files reviewed. LPA interviewed 1 staff and 1 minor during the inspection. LPA reviewed the facility's disaster plan, sampled medication and reviewed facility logs. LPAs requested the following updated documents by December 7, 2021. LIC 500, LIC 308, LIC 999, LIC 610C There were no deficiencies cited during this inspection. A copy of this report was left at the facility at the conclusion of the inspection.

report_type: Facility Evaluation

visit_type: Annual


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On March 21, 2023, Licensing Program Analysts (LPAs) Briana Placencia and Wayne Aoki conducted an unannounced random inspection at Quality Yale STRTP located in Fresno CA. LPAs met with Facility Manager Sherry Blout and Laura Romero. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 70 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced on March 17, 2023. 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. STRTP was approved on December 1, 2018. The facility is accredited through CARF with accreditation through May 31, 2025, and they are approved through Fresno County Department of Behavioral Health through May 27, 2023. No firearms or weapons are observed in the facility. There is a pool at the facility. LPAs reviewed 4 client files, and 5 staff files. LPAs interviewed 2 staff and 1 client. LPAs discussed the medication log, all required forms, intake process, needs and services plan, disaster preparedness plan and emergency intervention plan. LPAs requested the following updated documents by May 1, 2023. Lic 500, Lic 308, Lic 999, Lic 610c. Deficiencies are being cited on today's visit, that include two type A violations and one type B violation, and and one technical advisory. A copy of this report was left at the facility at the conclusion of today's 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

met_with: Sherry Blount and Laura Romero


summary: Facility Evaluation

raw_content:
Narrative:
On April 12, 2023, Licensing Program Analyst arrived at Quality Yale STRTP, to close out three complaints. The administrator Maggie Mendez was not present due to a SB484 inspection being completed at her other facility. HOS was also conducing sessions with clients at the time. LPA will travel to corporate office to meet with Laura Romero to close out the three complaints. No citations were issued during this visit. A copy of this report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Tamara Melikian on April 20, 2023 at 9:00AM. This case management inspection is conducted pursuant to Health and Safety Code 1538.9(a)(2). During the inspection, LPA met with Margarita Orozco, Administrator and inspected the facility inside and out. LPA reviewed 2 child's records and 2 staff personnel files on site at the facility. LPA reviewed 2 child's psychotropic medications and medication records. LPA interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPA attempted to interview one child currently prescribed psychotropic medication but the child refused. The other child was at school and wil be interviewed at a later time. LPA provided a copy of the licensing report to Margarita Orozco, Administrator. No deficiencies are being cited at this time. LPA conducted exit interview with Margarita Orozco, Administrator.

visit_type: Case Management

met_with: Margarita Orozco Mendez


summary: Facility Evaluation

raw_content:
Narrative:
On April 26, 2023, Licensing program analyst (LPA) Briana Placencia conducted an unannounced inspection at Quality STRTP Yale. LPA conducted this visit due to a correction that needed to be fixed from the two citations issued on April 12, 2023. LPA amended the deficiency page to reflect the POC retraining date of 4/15/2023 and not 3/15/2023, for the Substantiated complaints dated 2/28/2023 and 3/14/2023. There was no deficiencies issued during this inspection. A copy of this report was left at the facility.

met_with: Michele Dodd


summary: Facility Evaluation

raw_content:
Narrative:
On May 10, 2023, Licensing Program Analyst (LPA) Briana Placencia conducted an unannounced inspection at Quality STRTP Yale. LPA conducted this visit due to incident report received by CCL for an incident on April 24, 2023. LPA was informed that the staff in question was suspended for three days, received updated training on May 2, 2023, as well as the staff has moved facilities and is now assigned to the Quality Belmont STRTP as of today May 10, 2023. LPA asked for verification of the training as well as the two updated LIC 500s for Yale and Belmont. There was no deficiencies issued during this inspection. A copy of this report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On August 30, 2023, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Yale and met with Michelle Dodd. The purpose of the inspection was to discuss concerns with and incident report sent to Community Care Licensing (CCL) with the incident date of August 14, 2023, regarding a foster child #1 (811- Ref #1) taking and unknown amount of sleeping pills and being admitted to the hospital. Staff #2 (811- Ref #2) reported that #3 (811-Ref #3) informed #2 that there was pills in the house. #2 conducted a facility safety check of the home and three rooms, no pills were found. After the incident it was disclosed by #1 that the youth stole the pills on a community outing. Thus staff was unaware that the pills were in the home. #2 and #4 were suspended for two days due to not following the communication protocol for this incident. Any further incidents will be reported to CCL in the form of incident reports. LPA determined this to not be an immediate risk to health and safety at this time because the problem has been addressed and corrected, therefore no deficiency will be issued at this time.


summary: Facility Evaluation

raw_content:
Narrative:
On October 3, 2023, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Yale and met with Maggie Mendez. The purpose of this inspection was to discuss concerns with an initial incident report sent to CCL on September 22, 2023 involving (Ref#1). LPA interviewed Administrator. There are no findings or citations at this time, A copy of this report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On January 16, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Yale and met with Sherry Blount. The purpose of this inspection was to discuss concerns with a late incident report that was sent into the Department on 1/3/2024, the incident in question happened on 12/20/2023. Facility Manager stated that staff had submitted that report on her last day of work 12/23/2023, but due to the facility having their internet down for at least 5 days it was not sent into CCL on time. There are no findings or citations at this time, A copy of this report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On March 20, 2025, Licensing Program Analyst (LPA) Briana Placencia conducted an unannounced annual random inspection at this facility. LPA was met at the facility by Administrator Maggie Mendez. An inspection of the facility was conducted and the following was observed: No clients were residing in the home; therefore, no client files were reviewed. LPA reviewed the administrator file. The facility was inspected indoors and outdoors. Hot water temperature was at a comfortable temperature of 108.6 degrees in the hall restroom. Home temperature was 59 degrees, due to no clients present. Fire Extinguishers were last serviced on February 24, 2025. LPA observed that there were no supply of perishables and non-perishables, LPA observed adequate supply of linen and storage space for clients. All furnishings were in place for 6 clients. Cleaning chemicals were inaccessible to clients. The facility is accredited by CARF through May 31, 2025. The facility is approved by the Department of Behavioral health through May 27, 2025. There are no weapons observed at the facility. There is a pool at the facility. LPA left a copy of this inspection at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On April 4, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Yale and met with Maggie Mendez-Orozco. LPA conducted a Case Management inspection due to the Department having concerns and not receiving the necessary change in administrator documentation. The Department determined this to be a risk to the health and safety of the children in care at this time, therefore the facility is being cited on the attached LIC809D. A copy of this report and Appeal Rights was provided to the facility.

met_with: Maggie Mendez-Orozco


summary: Facility Evaluation

raw_content:
Narrative:
On April 4, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Yale and met with Maggie Mendez-Orozco. LPA conducted a Case Management inspection due to the Department not being provided a valid drivers license for the Facility Manager. The Department determined this to be a risk to the health and safety of the children in care at this time, therefore the facility is being cited on the attached LIC809D. A copy of this report and Appeal Rights was provided to the facility.


facility_name: RAFT, THE

summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Cynthia Galindo conducted a complaint inspection at the Raft and met with Viviana Quevedo. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA interviewed staff as well as obtained relevant documents. Interviews and records reveal that staff was speeding while transporting a youth. Additionally, youth was not wearing a seatbelt. Staff was cited by law enforcement for speeding and child endangerment. Based on the information obtained, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Cynthia M Galindo 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: RAFT, THEFACILITY NUMBER: 547207201

met_with: Viviana Quevedo


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Cynthia Galindo and Briana Placencia conducted a complaint inspection at the Raft and met with . The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging staff made inappropriate comments to youth. LPA interviewed staff, and clients as well as obtained relevant documents. There were inconsistencies in the interviews and the documentation did not provide evidence that any of the above mention allegation occured. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Cynthia M Galindo 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: Mickayla Bottoms


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Cynthia Galindo conducted a complaint inspection at the Raft and met with Alfredo Ceja. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the complaint alleging facility staff refused to transport youth to youth's school of origin and facility does not provide mental health services. There were inconsistencies in the interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Cynthia M Galindo 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: Alfredo Ceja


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPAS) Lisa Slusher travelled to the facility listed above to conduct a prelicensing inspection. The facility listed above submitted an application for a Short Term Residential Therapeutic Program (STRTP) on 5/15/20. The application, Plan of Operation and Program statement have been reviewed and approved by both Community Care Licensing and the Systems of Care/ Continuum of Care Reform Bureau. Facility Inspection conducted. 1. Facility Grounds are clean and free of debris or observable hazard. 2. Adequate indoor and outdoor activity space and materials observed. 3. Chemicals appropriately locked. Chemicals removed from under the sink in Bathroom #2 during inspection. 4. Procedures for Locked and centrally stored medications observed. Discussed medication logs and procedures for psychotropic medications. 5. First aid kit observed. Lacks tweezers, scissors, Thermometer, first manual and antiseptic solution. 6. Additional Individual storage space required in client bedrooms- 2 drawers (8 cu ft) of space is required for each youth. 7. Individual beds in good repair observed. Beds lack box springs. Facility will also send verification of sixth bed. 8. The house has 3 bedrooms, double occupancy, all located on one single level. Bedrooms are accommodating of all required furnishings. 9. Adequate food storage space observed. Adequate supply of food to be in place prior to accepting youth for placement. 10. Weekly menu to be posted. 11.Dining room equipped with large table and chairs accommodating of all clients. 12.Facility has two full restrooms in the house for client use, both are operable. A third restroom is available in the staff office for staff use. 13. Forms posted- personal rights form with licensing phone number to be posted. 14. No firearms or weapons are allowed in the facility. The following items were discussed and reviewed by LPA during Inspection 1. LIC Reviewed to ensure appropriate staffing ratios, including Administrator, Social Work personnel, and Direct Care staff. Direct care staff to be hired. The facility does not utilize Peer Partners at this time. 2. Administrator Alfredo Ceja will be present on-site a minimum of 20 hours per week. 3. Personnel Files are retained at the office and will be available to the department for review upon request at the Family Builders office at S.Fairway # Visalia, 93277. Facility has a guardian account set up with Administrative access. 4. Facility procedures for 30-day updates of Needs and Services plans and process for Crisis Management Assessments discussed. 5. Facility is to ensure all clients considered for placement have been assessed as meeting placement eligibility requirements. 6. Discussed implementation of Core Services and Supports. 7. Facility to obtain Mental Health Program approval within 12 months of effective date of licensure and will provide appropriate documentation to the department upon approval. Agency will also provide regular updates to the department regarding progress toward MHPA. 8. Facility is to contact the Foster Care Rates and Audits Division to inquire about rate and about whether this new facility meets accreditation requirements effective 10/1/21 as a part of FFPSA (Family First Prevention Services Act) Component III Orientation provided to licensee which included information regarding incident reporting procedures, facility, client and staff record requirements, application of prudent parent standards and client personal rights. On this date, this facility is recommended for licensure on a provisional basis upon receipt of verification of additions to first aid kit, box springs and individual drawer space. License will expire one year from effective date. Facility will licensed for a capacity of Male clients ages 12-NMD, licensee will maintain age and behavioral compatibility. Facility accepts only ambulatory clients. Licensee prefers Wards and Dependents.

visit_type: Prelicensing

met_with: Alfredo Ceja, Randy Romero


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analysts (LPAs) Cynthia Galindo, Lidia Tinoco and Vanessa Galvan travelled to the facility to conduct a post-licensing inspection. The facility was licensed in August 2021. LPAs were met at the facility by Alfredo Ceja. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris. Adequate indoor and outdoor activity space and materials observed. All facility smoke detectors are in appropriate working order and fire extinguisher is properly charged and serviced. Facility maintains an adequate supply of perishable and non-perishable foods and food menu is posted. All required forms are posted. Medications were locked at the time of inspection. Individual beds were observed and appropriate clean linens and are in good repair. There are no firearms or weapons are allowed in the facility. There are no bodies of water. Dining room equipped with large table and chairs accommodating of all clients. Facility has three full bathrooms in the house for client use, all are operable. A third restroom is available in the staff office for staff use. Medication is centrally stored. LPAs reviewed two client files. LPA Galindo discussed incident reporting, needs and services, and mental health approval. Administrator said it's in the works and met with Tulare County staff. Administrator said he will keep the Department updated with the mental health approval. There were no deficiencies issued today. A copy of this report was left at the home.


summary: Facility Evaluation

raw_content:
Narrative:
On this date Licensing Program Analyst (LPA) Cynthia Galindo arrived at the main office and spoke with Administrator Alfredo Ceja and discussed the staff files for the STRTP. LPA discussed the staff files need to be available at the STRTP. Administrator stated they are still working to separate between the STRTP and FFA staff files. There were no deficiencies issued today. A copy of this report was left at the home.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On this date, Licensing Program Analysts (LPAs) Cynthia Galindo and Briana Placencia conducted an unannounced annual inspection at the Raft located in Visalia. LPAs met with Administrator Alfredo Ceja and facility manager Viviana Quevedo.. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 72 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. Accreditation is valid until July 2023. STRTP was approved on August 31, 2021. The MHPA was submitted on 08/05/2022..Facility will request an extension of provisional license. No firearms or weapons are allowed in the facility. There is no pool and no pets at the facility. LPAs reviewed client files. LPAs interviewed three clients. LPAs discussed the medication log, all required forms, intake process, needs and services plan, disaster preparedness plan and emergency intervention plan. Deficiencies are being cited on todays visit, see LIC809-D. A copy of this report was left at the facility at the conclusion of inspection

Deficiencies:
87068.2: (2)

met_with: Viviana Quevedo, Alfredo Ceja

title: shall be updated at least every 30 days to determine the following


summary: Facility Evaluation

raw_content:
Narrative:
On August 12, 2022, Licensing Program Analyst's (LPA) Cynthia Galindo and Briana Placencia returned to The Raft to continue and finalize annual inspection which began on August 9, 2022. On this day, LPAs reviewed nine staff files and interviewed 2 staff. LPA's met with Alfredo Ceja and reviewed outcome of annual inspection, discussed staff training, updating files, nursing services, and TSP referral. Alfredo said they would like TSP. Deficiencies are being cited on todays visit, see LIC809-D. A copy of this report was left at the facility at the conclusion of inspection


summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analyst (LPA) Cynthia Galindo conducted an unannounced Case Management inspection at Raft and met with Alfredo Ceja. The purpose of the inspection was to clear a POC that was due on Oct 7, 2022 and discuss reporting requirements. . LPA review NSP and they are in compliance. LPA will continue to provide technical assistance when needed. LPA discussed the complaint and grievances procedures. POC is cleared as of today. There are no deficiencies to be cited on todays visit. A copy of this report was left at the facility at the conclusion of inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On this date Licensing Program Analyst (LPA) Cynthia Galindo and Briana Placencia arrived at the house office and spoke with staff Mickayla Bottoms and discussed some concerns observed in the home. LPA noticed some two holes on the walls, one in the hallway and one by the office; the pantry door is punctured and the hallway air vent is has a significant amount dust. LPA is issuing a technical violation. A copy of this report was left at the home.


summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analyst (LPA) Cynthia Galindo conducted a Case Management inspection at the Raft and met with Alfredo Ceja. The purpose of the inspection was to conduct a tour of the facility. LPA inspected the home and ensured there are not children in the home. Licensee is surrendering their license effective March 31, 2023.


facility_name: RAINBOW VALLEY GROUP HOME, INC.

raw_content:
Investigation Findings:
On July 19, 2021, Licensing Program Analyst (LPA) Rachel Bruce conducted an unannounced telephonic inspection. The purpose of the inspection was to deliver findings on the above allegation. On May 7, 2021 the above allegation was referred to Community Care Licensing for investigation. The investigation included review of documentation supplied by the STRTP, interviews with clients in care and staff members who worked with the AWOLing minors. Staff members indicated it was not due to lack of supervision as did 2 clients; however 1 client was not available to confirm or deny and 2 others would not provide a statement. Based on interviews, inspection and documents reviewed, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are UNSUBSTANTIATED at this time. A copy of this report will be provided to the Facility Representative for signature and return. Appeal rights were also provided. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Rachel A Bruce LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

met_with: Deserie Ramos, Supervisor


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On September 10, 2021, Licensing Program Analyst (LPA) Rachel Bruce conducted an unannounced inspection at the STRTP and spoke with Barbara Aramburu, Mental Health Professional. The purpose of the inspection was to deliver the findings for the above complaint allegation. On July 13, 2021, the above allegation was referred to Community Care Licensing for investigation. The investigation included review of documentation supplied by the STRTP, interviews with clients in care and staff members. Based on the information obtained during the course of the investigation, there is a preponderance of the evidence to prove the above allegation is SUBSTANTIATED. Deficiencies were cited. A copy of this report along with appeal rights were left with Barbara Aramburu. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Rachel A Bruce 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: RAINBOW VALLEY GROUP HOME, INC.FACILITY NUMBER: 247202586

met_with: Barbara Aramburu


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Rachel Bruce conducted an unannounced visit to the Rainbow Valley STRTP - JOERG in order to deliver the findings of the above allegation. LPA met with Barbara Aramburu, Mental Health Professional . On April 22, 2021, the above allegation was referred to Community Care Licensing for investigation. The investigation included interviews, facility inspection, and review of documentation. No staff or minors observed any inappropriate touching and the alleged victim denied any inappropriate interactions with any staff member. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation occurred. Therefore, the allegation that a staff member had inappropriate interactions with minors in the house is UNSUBSTANTIATED at this time. A copy of this report was discussed and provided to Barbara Aramburu along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Rachel A Bruce LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2


raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to the home of Board Member Roberta Ortiz to deliver the findings of the investigation. Investigator Barragan conducted investigation that included review of documentation, interviews of staff, clients and witnesses and due to inconsistencies in the information obtained a preponderance of the evidence could not be obtained. The allegations are deemed Unsubstantiated. Although the allegations may or may have not occurred or are or are not valid a preponderance of the evidence could not be met so allegations are deemed Unsubstantiated. Copy of this report left with Roberta Ortiz at conclusion of inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney 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: Roberta Ortiz


summary: Facility Evaluation

raw_content:
Narrative:
On July 7, 2021, Licensing Program Analysts (LPA's) Rachel Bruce and Priscilla Zamudio met with Angela Martinez at the Joerg STRTP. The purpose of the visit was to inspect the fence that had been taken down due to a fire at the property adjacent to the STRTP on the south side. On July 4, 2021 the house next door had severe burn damage due to fireworks that had ignited the roof. Residents of the STRTP were not responsible for lighting the fireworks and no one at the STRTP received any injuries. As a result of the fire department needing to access the building, the fence between the properties came down. The landlord and director of the facility Jason Enger will work together to get the fence repaired as soon as possible. It is not posing an immediate risk to the safety and well being of the clients in care. LPA Bruce also took this oppurtunity to introduce the staff at JOERG to LPA Zamudio who will be their new assigned analyst. She was provided a brief tour of the facility to get acquainted with the layout. Due to printer and computer issues, this document was not prepared at the facility nor was it available to be signed.

met_with: Angela Martinez, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On October 1, 2021, Licensing Program Analyst (LPA) Rachel Bruce conducted an unannounced Case Management- Informal Conference for the purpose of discussing the number and severity of complaints against the facility. Specifically, on July 13, 2021 a complaint was opened regarding a client (FC1) accessing unlocked medication and overdosing. This complaint was found to be substantiated. Findings revealed that while staff was involved with another client who was causing substantial property damage, FC1 absconded out of her bedroom window unnoticed. She proceeded to climb through the unlocked bathroom window to the office. Once inside she accessed the unlocked medicine storage unit and overdosed on her own medication. Staff admitted that while the office was locked the medicine cabinet and the bathroom window were both unlocked and ultimately accessible to the client. A citation was issued for not securing medicine. For purposes of this meeting CCL is focusing on JOERG. CCL acknowledges and will honor the STRTP closure plan effective 10/4/21. As such, there will be no citations issued at this time. Acknowledging the planned closure does not negate legal action in the future or CCL's ability to consult with their legal division


summary: Facility Evaluation

raw_content:
Narrative:
On October 4, 2021, Licensing Program Analyst (LPA) Rachel Bruce conducted an announced visit to the facility to have the facility licence relinquished and signed over to CCL. LPA conducted a tour of the home and noted that there are no residents and no personal belongings or medication. Staff was on site cleaning and boxing up supplies. Angela Martinez signed the back of the license indicating that the facility would be closed effective today.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Rachel Bruce travelled to the facility listed above to conduct an announced annual required inspection. A general overview of their program and tour of the facility inside and out was provided on this date. The agency's current LIC500 accurately reflects current staffing. The STRTP is licensed to serve 6 ambulatory identifying female clients ages 12-17 years old. Current capacity is 6. LPA observed the following: 1. Facility Grounds have a few issues to be addressed. See Deficiency page attached. 2. Adequate indoor and outdoor activity space and materials observed. 3. Chemicals appropriately locked. 4. Locked and centrally stored medications observed. Observed medication logs and discussed procedures for psychotropic medications. Facility is in compliance. 5. First aid kit complete and accessible 6. Adequate storage space observed. 7. Individual beds in good repair observed with clean linens 8. The house has 3 bedrooms, double occupancy, all located on a single level. Bedrooms are accommodating of all required furnishings. 9. Adequate food storage space observed. Supply of two days of perishable foods and a week of nonperishable foods observed upon inspection. 10. Monthly menu and monthly activity schedule is posted and accessible to clients. 11. Dining room equipped with large table and chairs accommodating of all clients. 12. Facility has one and a half restrooms in the house for client use, both are operable. 13. Client's rights and other appropriate and required are forms posted in view of clients. 14. No firearms or weapons are allowed in the facility. 15. Fire extinguisher is properly charged and serviced. Continued Inspection of the client's files reflect appropriate and timely documentation. All JV220's were checked as well as Needs and Services and found to be in compliance with the regulations. Inspection of a sample of the staff files was completed. All were appropriately associated to the facility and received fingerprinting and child abuse index check clearances. Training is up to date and filed/documented and in compliance. Deficiencies cited during this inspection relate to Buildings and Grounds. See attached. A copy of this report along with appeal rights will be left with the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On September 10, 2021, Licensing Program Analyst (LPA) Rachel Bruce conducted an unannounced case management inspection at the Rainbow Valley STRTP- JOERG. LPA Bruce conducted a case management inspection with Barbara Aramburu for the purpose of discussing the requirement and necessity to report any unusual incident relating to the safety and well being of clients in care. Prior to a staff member leaving employment, there was a meeting held with management regarding an allegation of inappropriate interaction between the staff member and a client. Although the allegation is unsubstantiated, there is still a requirement to report such a meeting and to notify CCL appropriately and timely. As this requirement was not met, the facility is receiving a deficiency for not meeting reporting requirements. A copy of the deficiency long with appeal rights was provided to the Agency See attached LIC Confidential Names List

met_with: Barbara Aramburu, Mental Health Professional


facility_name: RAINBOW VALLEY MERCED

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Rachel Bruce conducted an unannounced visit to the STRTP Cavalaire Court for the purpose of delivering the findings on the above allegations and met with Roberta Ortiz, Board Member. On May 6, 2021, the above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the facility, interviews with the staff, foster children and a review of client's records. The complaint alleged that a minor in care had her personal rights violated. (see the six specific allegations above). The foster child in question and other clients interviewed provided conflicting information regarding the issues and staff interviewed denied the allegations. Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove the Personal Right violations occurred. Therefore, the allegations are UNSUBSTANTIATED at this time. A copy of this report was discussed and provided to Roberta Ortiz along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Rachel A Bruce LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

met_with: Roberta Ortiz, Board Member


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On October 1, 2021, Licensing Program Analysts (LPA) Rachel Bruce conducted a follow up complaint inspection to the STRTP and met with Roberta Ortiz, Board Member. The purpose of the inspection was to deliver the findings for the above complaint allegation. Based on interviews of Foster Children, Social Workers, Staff and review of records, it was determined that the staff failed to provide medical attention until hours later to a client that was involved in a serious physical altercation. Based on the information obtained, there is a preponderance of the evidence to prove the above allegation is substantiated. Deficiencies were cited. A copy of the report was provided to the FFA. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Rachel A Bruce 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: RAINBOW VALLEY MERCEDFACILITY NUMBER: 247203971

met_with: Roberta Ortiz, Boardmember


summary: Facility Evaluation

narrative: On October 4, 2021, Licensing Program Analyst (LPA) Rachel Bruce conducted an announced visit to the facility to have the facility licence relinquished and signed over to CCL. LPA conducted a tour of the home and noted that there are no residents and no personal belongings or medication. Staff was on site cleaning and boxing up supplies. Angela Martinez signed the back of the license indicating that the facility would be closed effective today.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Rachel Bruce travelled to the facility listed above to conduct an announced annual required inspection. A general overview of their program and tour of the facility inside and out was provided on this date. The agency's current LIC500 accurately reflects current staffing. The STRTP is licensed to serve 6 ambulatory identifying female clients ages 12-17 years old. Current capacity is 6. LPA observed the following: 1. Facility Grounds have a few issues to be addressed. See Deficiency page attached. 2. Adequate indoor and outdoor activity space and materials observed. 3. Chemicals appropriately locked. 4. Locked and centrally stored medications observed. Observed medication logs and discussed procedures for psychotropic medications. Facility is in compliance. 5. First aid kit complete and accessible 6. Adequate storage space observed. 7. Individual beds in good repair observed with clean linens 8. The house has 3 bedrooms for clients, double occupancy, all located on the upstairs level. Bedrooms are accommodating of all required furnishings. 9. Adequate food storage space observed. Supply of two days of perishable foods and a week of nonperishable foods observed upon inspection. 10. Monthly menu and monthly activity schedule is posted and accessible to clients. 11. Dining room equipped with large table and chairs accommodating of all clients. 12. Facility has one and a half restrooms in the house for client use, both are operable. 13. Client's rights and other appropriate and required are forms posted in view of clients. 14. No firearms or weapons are allowed in the facility. 15. Fire extinguisher is properly charged and serviced. Continued Inspection of the client's files reflect appropriate and timely documentation. All JV220's were checked as well as Needs and Services and found to be in compliance with the regulations. Inspection of a sample of the staff files was completed. All were appropriately associated to the facility and received fingerprinting and child abuse index check clearances. Training is up to date and filed/documented and in compliance. Deficiencies cited during this inspection relate to Buildings and Grounds. See attached. A copy of this report along with appeal rights will be left with the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On September 24, 2021, Licensing Program Analyst (LPA) Rachel Bruce conducted an unannounced case management inspection at the Rainbow Valley STRTP- Cavalaire Court. LPA Bruce conducted a case management inspection with Angela Martinez for the purpose of discussing the following concerns: 1. The requirement and necessity to report any unusual incident relating to the safety and well being of clients in care. On September 16, 2021, the foster children in the home accessed paint and did considerable damage to the property by painting obscenities on the wall and spreading paint across the walls. This incident was not reported timely or through the appropriate channels. A citation for missing this requirement will be issued at today's visit. 2. Access to dangerous items. On September 16, 2021, a foster child in the home accessed paint that was not securely stored. As a result there was considerable damage to the property. The paint was accessible because the children were in the middle of an art project when one of the children chose to vandalize the property. Although staff were available the foster child did not respond to direction or de-escalation. No citation will be issued at this time.


facility_name: RAISED BY LOVE HOME #1

summary: Facility Evaluation

raw_content:
Narrative:
On November 25, 2025, Licensing Program Analyst (LPA) Cynthia Urena and Licensing Program Manager (LPM), Cheraki Davis met with Raised by Love # Short Term Residential Therapeutic Program (STRTP) Applicant, Portia Love, and Compliance Officer, Akila Crane to complete Component II, face-to-face interview, for the STRTP application process. The purpose of today's meeting was to address any questions or concerns and to review the application packet and process, ensuring that the applicant, and all relevant parties understand and can provide the services outlined in the Plan of Operations/ Program Statement that align with Community Care Licensing regulations. LPA reviewed the application documents, addressing and correcting discrepancies on the LIC Application for Community Care Facility, LIC Criminal Record Statement, LIC 610C Emergency Disaster Plan, and LIC Board of Directors Statement. In addition, missing documents for the named Administrator were addressed with the applicant and persons in attendance. During this meeting the facility staff plan was discussed to ensure compliance. The applicant does not yet have direct care staff but stated that a temporary staffing plan is in place. LPA reminded the applicant of the required staff-to-client ratios and reviewed the relevant regulations outlined in STRTP Interim Licensing Standards (ILS) 87065.5. Additionally, LPA discussed the need for supportive financial documents, which must be submitted prior to provisional licensure. In addition, the applicant has been made aware of the concerns observed on their Plan of Operation/Program Statement (POO/PS). Revisions will be provided in writing prior to the pre-technical assistance meeting, which will be scheduled at a later date in collaboration with State personnel, applicant, and the applicant's administrative board members. LPA concluded this meeting by informing the applicant of the next steps in the application process.An exit interview was conducted, and a copy of this report was provided to the applicant.

met_with: Applicant, Portia Love


summary: Facility Evaluation

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Narrative:
On December 18, 2025, at 1: PM a Teams meeting was held with Licensing Program Analyst (LPA), Cynthia Urena, Licensing Program Manager (LPM), Cheraki Davis, Regional Manager (RM), Natasha Dunlap, Systems of Care (SOC) Branch Analyst, Ansar Muhammad, Systems of Care (SOC) Branch Manager, Marjana Jackson, and Applicant Portia Love to discuss questions or concerns that the applicant may have regarding Raised by Love # Short-Term Residential Therapeutic Program (STRTP) Plan of Operations/Program Statement POO/PS Revisions. During the meeting, the applicant stated that they did not have any questions regarding the requested revisions. The applicant has stated that they will submit their revisions to Community Care Licensing Division by Monday December 22, 2025. In addition, the applicant was reminded that the population to be served must be clearly stated, and consistent throughout the POO/PS. As the applicant stated they will not be serving parenting youth, the revisions should be updated to remove any language implying that parenting youth will be served at the program. The applicant confirmed the intent to serve female youth between the ages of six (6) and seventeen (17) years old, and non-minor dependents (NMDs). Therefore, POO/PS should consistently reflect the identified targeted population throughout all sections. As the Short-Term Residential Therapeutic Program intends to serve a large age group, the POO/PS should be tailored to meet the needs of the identified targeted population in accordance with all applicable state regulations. A copy of this report was emailed to the applicant for their records. The applicant will sign and return the report to LPA Urena via email.


summary: Facility Evaluation

raw_content:
Narrative:
On February 10, 2026, at 2: PM, a Teams meeting was held with Licensing Program Analyst (LPA), Cynthia Urena, Licensing Program Manager (LPM), Cheraki Davis, Regional Manager (RM), Natasha Dunlap, Systems of Care (SOC) Analyst, Ansar Muhammad, SOC Manager, Marjana Jackson, Applicant Portia Love, and Board Member, Akila Crane. The purpose of this meeting was to discuss questions or concerns that the applicant may have regarding Raised by Love # Short-Term Residential Therapeutic Program (STRTP) Plan of Operations/Program Statement POO/PS 1st Revisions. The following information was addressed with the applicant: Population inconsistencies: The applicant was advised that the POO/PS must remain consistent with the intended population to be served (ages 6-17) and Non-Minor Dependents. If the applicant changes the targeted population from what was previously listed, they must ensure that this change is reflected consistently throughout the entire POO/PS. The applicant was further advised that the POO/PS should be tailored to meet the needs of the targeted population, with close attention to the younger age group ages (6-11). If the intent is to serve this younger age group ages (6-11), the Applicant must revise sections such as planned activities and other relevant areas to ensure information is age appropriate and specific to this population. Section 16: Personal Rights The applicant was informed that this section contains a discrepancy where LPA indicated that standard was not met along an advisory note which further indicated to "See Best Practice Note", however, this section does meet standards, and no additional information is required on behalf of the applicant. (**Continued on the next page**) This error will be corrected to reflect the accurate information. LPA also provided the Applicant and their Board Member clarification about "Best Practice Notes. LPA explained to the Applicant and Board Member that best practice notes are recommendations applicable to the operations of an STRTP and should be considered in the POO/PS and overall revisions. Section 26: Emergency Intervention Plan (EIP) (Runway Plan) The applicant was advised that, although this section provides thorough detail regarding restraints, reporting requirements, and incidents resulting in law enforcement involvement, the POO/PS should also clearly demonstrate a runaway plan appropriate for the targeted population. LPA referenced items listed in Section 26, including LPA's revision notes, which further described the information required for this section, including but is not limited to: Staff, response before, during, and after runaway incidences, law enforcement notification, authorized representative notification, licensing notification, documentation, and approved transportation protocols. LPA further advised the Applicant that the EIP should clearly describe protocols, procedures, and staff responsibilities for ensuring a client's safe return to care, including transportation arrangements and transportation pickups, while maintaining the safety of both clients and staff. The Emergency Intervention Plan must be specific for the targeted population. More importantly, the EIP should also include a thorough detail EIP runaway protocol and procedures for children ages six to eleven years old. The applicant reported that they anticipate submitting their 2nd revisions to their Plan of Operation and Program Statement later today February 10, 2026. This concludes the information that was discussed during this meeting. A copy of this report was emailed to the applicant for their records. The applicant will sign and return the report to LPA Urena via email. The signed copies will be placed in the facility file.


summary: Facility Evaluation

raw_content:
Narrative:
On April 1, 2026, at 9: AM, Licensing Program Analysts (LPA), Cynthia Urena arrived announced at Raised by Love # Short Term Residential Therapeutic Program for the purpose of conducting Pre-licensing inspection at the facility. LPA was met by Licensee/Chief Executive Officer (CEO), Portia Love, and Chief Operating Officer, Akila Crane. The Licensee/CEO submitted a Short Term Residential Therapeutic Program (STRTP) application. There are no clients in care at the proposed new location. The STRTP has an approved capacity of six and has obtained the fire clearance. The age range for the clients are 10-17 including Non-Minor Dependents. Upon arrival to the facility LPA observed that the facility is located in a residential community with accessible entry to the front door. The facility is a two-story residential dwelling equipped with five bedrooms and three bathrooms, and an attached two car garage. LPA observed a camera facing the driveway. The pre-licensing facility physical inspection was conducted with Licensee/CEO, Portia Love. Indoor Physical Plant Observations: During the walk-through of the first floor of the facility, it was observed that the first floor is equipped with a mental health room, living room, kitchen, dining room, and full bathroom. LPA observed age-appropriate games, and puzzle for clients. Knives, and cleaning supplies, are kept locked in a storage room in the hallway and they are inaccessible to clients. The Applicants has sufficient dishes, cups and silverware for client use and the gas stove is in working order. The bathroom down stairs was observed clean and in sanitary condition, with slip mats in place. (**Continued on the next page**) LPA tested the water, and it measured within 105 degrees Fahrenheit and 120 degrees Fahrenheit. A pantry with an ample amount of non-perishable foods was also observed and labeled with their expiration dates. The garage will be used for storage purposes and made inaccessible to clients. This is evident by a deadbolt observed on the door. The second floor of the facility consists of a loft, study area, three bedrooms, one master bedroom, two bathrooms (1 bathroom in master bedroom), and laundry room. The bedrooms are arranged so that no more than two clients are in a room, and there will be one client per bed. All bedrooms will be utilized for client use and they have two beds per room. All bedding was found to be clean, and in ready to use condition. The master bedroom is utilized as a staff office. The staff office was observed with multiple cabinets for confidential files. The Licensee was advised that client files must be kept locked and accessible only to authorized personnel. Client files will be stored in a locked room located in the staff office. A staff desk, a working telephone, and an ample amount of office supplies for staff use was also observed. Medication will be centrally stored in locked boxes located in the staff office. Medications requiring refrigeration will be stored in a refrigerator to ensure proper temperature control. This refrigerator, and medication boxes were observed in the staff office and inaccessible to clients in care. The bathroom in the staff office is only for staff usage per Licensee/CEO and it was observed to be clean and in sanitary condition. The client bathroom was observed to be clean and in sanitary condition, with slip mats in place. LPA tested the water, and it measured within 105 degrees Fahrenheit and 120 degrees Fahrenheit. The facility has a storage room located in the staff office that provides an ample amount of storage for client toiletries. The door is kept locked however, toiletries will be provided with staff assistance and made available upon request and or as needed. The laundry room was observed to be in ready to use, operating condition. A laundry service signs was visible and posted on the door. Detergent and cleaning supplies were observed secured in a locked cabinet in the laundry room. The loft is set up with couches, a television, and games for client usage. (**Continued on the next page**) A study area was also observed, that included a desk area, printer, tablets, and office supplies. All required Community Care Licensing postings were observed in a common areas of the facility and are accessible and visible to clients. Since the Licensee/CEO intends to serve female youth, LPA observed that contraceptive boxes are kept secured with a key, and a spare key. These boxes will be made available to clients upon their placement. The Licensee/CEO has two working fire extinguishers one located by the kitchen and the second located in the second floor (laundry room) of the facility. Carbon monoxides and smoke detectors were observed in the first and second floor of the facility. There is a landline telephone that is in working order that will be available to clients. There were no observable hazards or obstructions by the walkways and entries/exits of the facility. There is one sliding door exit in the kitchen area leading to the backyard. Outdoor Physical Plant Observations: During a walk-through of the backyard, the following was observed: There are no pools or bodies of water present. The backyard has a cemented covered patio with patio furniture. The central air conditioner unit is in the backyard located on the left side of the home. LPA observed two cameras one of the two cameras are pointed at the right side of the home, and the second camera is pointing at the open space of the backyard. Deficiency observed: The window screen located in the left side of the home in the backyard was not in good repair. This was visible by an obstruction observed on the upper right side. The Licensee/CEO reported that the plan of correction of deficiency will be corrected by April 1, 2026 end of day. After the above deficiencies is/are corrected the facility will be submitted for licensure. Component III On April 1, 2026, at 11: AM, Licensing Program Analysts (LPA), Cynthia completed and discussed Component III with Chief Executive Officer (CEO) Portia Love. The Licensee/CEO was advised that all special incidents reports will be sent via email to: cclpaccr@dss.ca.gov. In addition, all manual restraints conducted will be submitted via the Manual Restraint Incident Reporting System (MRIRS). LPA discussed PIN 26-02 with the CEO. Reporting requirements were reviewed.LPA also explained that once the license is approved, all employees must have an approved criminal record clearance and be associated with the facility. A copy of PIN 26-02 was emailed to the Licensee for further reference. (****) The Pre-Licensing inspection was completed, and a copy of this report was given to the Licensee/CEO, Portia Love.

met_with: Licensee/Chief Executive Officer, Portia Love


facility_name: RANCHO SAN ANTONIO BOYS HOME, INC

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13On April 27, 2021 at 2: PM, Regina Martin, Licensing Program Analyst (LPA) spoke with Brian Yabu, Human Resource Director for the purpose of delivering complaint findings. The above-mentioned allegation was investigated by the California Department of Social Services (CDSS) Community Care Licensing Division (CCLD) Investigations Bureau, Investigator Douglas Real. On September 4, 2020, CCLD received a complaint referral alleging facility staff sexually abused minor while in care and staff provided alcohol to minor while in care. Information obtained during the investigation including interviews and review of related reports from Los Angeles Police Department (LAPD) did not provide enough evidence to support allegations. Child #1 indicated that he engaged in sexual activity with Staff #1 in a supply room at the facility and a couple of weeks later he engaged in sexual intercourse with Staff #1 in her room. There were no witnesses to either sexual encounter. Child #1 denied that facility staff provided alcohol to him while he was in care. It has been determined that the allegations are Unsubstantiated at this time meaning, although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove or disprove that a violation occurred. There were no deficiencies cited during this investigation. A copy of this report was emailed to Mr. Yabu for signature. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Alan Henry LICENSING EVALUATOR NAME: Regina Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Brian Yabu, Human Resource Director


raw_content:
Narrative:
There was no evidence that staff speaks inappropriate to minors. Client involved refused to speak with LPA. There was no evidence that Staff did not ensure that hazardous item is inaccessible to minor. It was documented that client picked up said item during off campus schooling. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove or disprove that a violation occurred; therefore, the above allegation is Unsubstantiated. There are no deficiencies being cited at this time.

Investigation Findings:
13On January 16, 2023 at 8:45am Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of delivering findings for the above compliant investigation. LPA met with Troy McNair, Residential Director and was allowed into the facility. During the course of investigation the allegation for facility Facility does not meet minor's nutritional needs, Staff speaks inappropriately in the presence of minors and Staff did not ensure that hazardous item is inaccessible to minor, interviews were conducted and documents obtained. The interviews did not produce corroborating evidence to support said allegations. Interviews revealed inconsistent statements and no witnesses to suggest allegations occurred. There was no evidence that facility does not meet minor's nutritional needs. Facility had a weekly menu posted and enough perishable and non perishable food for the clients. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Donald C Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: RANCHO SAN ANTONIO BOYS HOME, INCFACILITY NUMBER: VISIT DATE: 01/17/2023

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

met_with: Troy McNair-Residential Director


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

Investigation Findings:
13On March 17, 2023 at 10am Licensing Program Analyst (LPA) Donald Martin arrived at the above facility. LPA met with Residential Director, Troy Mcnair and was allowed into the facility. The purpose of this visit is to deliver findings for the above complaint investigation. During the course of investigation the allegation Staff did not prevent the minors from causing harm to another minor while in care, interviews were conducted and documents obtained. The interviews did not produce corroborating evidence to support said allegations. Interviews revealed inconsistent statements and no witnesses to suggest allegations occurred. There was no evidence that Staff did not prevent the minors from causing harm to another minor while in care. Client recanted his statement according to given statements. Client refused to speak with LPA. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Donald C Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: RANCHO SAN ANTONIO - BROTHER JOHN'S HOUSEFACILITY NUMBER: VISIT DATE: 03/15/2023

met_with: Troy Mcnair-Residential Director


summary: Facility Evaluation

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Narrative:
On August 19, 2021, at 1pm Licensing Program Analyst, LPA Donald Martin made an inspection visit to Rancho San Antonio for the purpose of conducting a Case Management Investigation. LPA met with Judy Brevaire, Clinical Director (CD). The department received several SIR's regarding clients overdosing while in care of the facility. As a result some of the clients were detained and some remain at the facility. The clients that have returned from the Emergency Room back to the facility have been put on Relapse Prevention Plans that include a written safety plan, individual therapy, drug treatment therapist, and a child family Specialist for skill building. The facility has created supervision planning and training to increase staff awareness with the clients, documentation, and the location of the Naloxone in case of an emergency. They have increased room searches, CFT's were conducted immediately for all youth on campus regarding Fentanyl and CFT's are conducted every 30 days to get ahead of an issue with the client. A drug prevention committee was formed that includes CD, the residential director and several therapists to discuss daily the progress with the new program and the clients. According to CD the idea is to become more proactive than reactive. No clients were interviewed during this visit due to them being in school. Nothing further to report at this time.

met_with: Judy Brevaire-Clinical Director


summary: Facility Evaluation

raw_content:
Narrative:
On May 5, 2022 at 11am Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of conducting a Case Management investigation. LPA met with Program Director, Judy Brevaire and discussed the incident. Client stated that he was injured (whiplash) in an accident on 3/16/2022, while out in the facility vehicle. LPA conducted interviews. Special Incident Report dated 4/29/2022 indicated C1 reported whiplash over 30 days after being involved in a car accident in the facility vehicle. There was no evidence to support claim and no evidence to support facility staff did not provide medical attention. There were no deficiencies cited at the time of the visit. A copy of this report was left at the facility. Nothing further to report at this time.

met_with: Judy Brevaire-Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On August 2, 2022 at 12:30pm Licensing Program Analyst (LPA) Donald Martin, Licensing Program Manager (LPM) JoAunne Griffin and Regional Manager (RM) Kellee Coleman arrive at the above facility for the purpose of conducting a population reduction Case Management inspection. The purpose of this inspection is to reduce the STRTP capacity from 106 clients to 54 clients. LPA met with Troy McNair, Residential Director and Zeena Burse, Contracts and Compliance Director who escorted us through the inspection. Inspection is as follows: Frisco: There are Four bedrooms. Each room contains two beds and two stand up closets that contain a clothes hanging area, two dresser drawers and a pull out desk. There are two large windows in front of each bed that have large pull down window covers. The bathroom was equip with a shower, sink and toilet all in good condition. Rafael: There are Four bedrooms. Each room contains two beds and two stand up closets that contain a clothes hanging area, two dresser drawers and a pull out desk. There are two large windows in front of each bed that have large pull down window covers. The bathroom was equip with a shower, sink and toilet all in good condition. Flippo: There are Four bedrooms. Each room contains two beds and two stand up closets that contain a clothes hanging area, two dresser drawers and a pull out desk. There are two large windows in front of each bed that have large pull down window covers. The bathroom was equip with a shower, sink and toilet all in good condition. Fernando: There are Four bedrooms. Each room contains two beds and two stand up closets that contain a clothes hanging area, two dresser drawers and a pull out desk. There are two large windows in front of each bed that have large pull down window covers. The bathroom was equip with a shower, sink and toilet all in good condition. Cont. 9099-C Santa Cruz: Two very large bedrooms which contain two beds, two dressers, and two utility cabinets for hang up clothing storage and also converts to a desk area in each room. Each room also had two bathrooms per room. The bathrooms contained a sink, toilet and shower all in good working condition. Note: None of the rooms had entrance doors on them. LPA advised Troy McNair to have an enclosure attached to each room for client privacy. There is a day room with couches and a table with enough seating to accommodate staff and clients and a kitchen area with a refrigerator and a microwave. San Juan: Two very large bedrooms which contain two beds, two dressers, and two utility cabinets for hang up clothing storage and also converts to a desk area in each room. Each room also had two bathrooms per room. The bathrooms contained a sink, toilet and shower all in good working condition. Note: None of the rooms had entrance doors on them. LPA advised Troy McNair to have an enclosure attached to each room for client privacy. There is a day room with couches and a table with enough seating to accommodate staff and clients and a kitchen area with a refrigerator and a microwave. St Anthony: The cottage has 7 individual bedrooms all equip with two beds, two stand up closets that contain a clothes hanging area, two dresser drawers and a pull out desk. There are two large windows in front of each bed that have large pull down window covers. Each room has its own bathroom that contains a sink, toilet and shower all in good working condition. There is a day room with couches and a table with enough seating to accommodate staff and clients and a kitchen area with a refrigerator and a microwave. There is a large TV attached to the wall and computers, computer tables and books for the clients use. Note: Ensure all closets are covered, All rooms must have doors/enclosure to allow privacy. Ensure there is no obstruction blocking the windows. Replace break in blinds (San Juan). Replace face on drawer in bedroom (St Anthony). Ensure all windows have curtains to allow privacy. Although citations were not issued due to relocation of bedrooms, corrections are needed to complete this inspection. Nothing further to report at this time.