summary: Facility Evaluation

raw_content:
Narrative:
On 11/19/2021 at 8:456 am, Licensing Program Analysts (LPAs) Jenny Mundo and Pamela Silva conducted an SB (Senate Bill) Psychotropic Medication Inspection and met with Jamacia Smith, the facility Program Director. Currently, there are six (6) clients placed at the facility. One (1) of the six (6) clients is taking psychotropic medications and is placed by Humboldt County Department of Health and Human Services (DHHS). LPAs conducted a facility tour with the Program Director at 9: AM. The facility is clean, safe, sanitary and in good repair. All medications are centrally stored, locked and accessible only to employees responsible for stored medications. LPAs reviewed the facility's Program Statement. LPAs reviewed one (1) client's file and three (3) staff files. LPAs interviewed two (2) staff. LPAs were unable to interview one (1) client due to client being sick. LPAs conducted an exit interview. No deficiencies are being cited at this time. A copy of this report was provided to the facility representative along with Confidential Names list (LIC 811).


state: CA

facility_name: YOUTH QUEST GUIDANCE CENTER

summary: Facility Evaluation

raw_content:
Narrative:
On 9/27/2022 at 10: AM, Licensing Program Analyst (LPA) Jenny Mundo conducted an unannounced Required Annual inspection at the Short Term Residential Therapeutic Program (STRTP) facility. LPA met with the facility Administrator Mario Barron and the Program Director Jamacia Smith. The STRTP currently has thirteen (13) personnel, two (2) interns and six (6) clients in placement. The facility is a one-story home with three (3) bedrooms, two (2) bathrooms, a staff office, kitchen, dining area, a living room, and a laundry room. There are no bodies of water on the premises. The facility is licensed to provide services to 6 ambulatory male clients ages 12-17 and to Non-Minor dependents.. LPA conducted a walk-thru of the entire facility at approximately 11: AM. LPA obtained and reviewed the following updated documentation: · LIC Personnel Report · Client Roster · LIC 610C (Emergency Disaster Plan For Children's Residential Facilities) · Written disaster and mass casualty plan of action · Accreditation · Board of Directors meeting minutes PHYSICAL PLANT LPA observed the following signage posted in the living room, dining room, kitchen and office areas: group home license, accreditation, client activity schedule, facility menu, personal rights and grievance procedures. There is sufficient amount of perishable and non-perishable food. Disinfectants and cleaning solutions are locked in the walk-in storage room located in the office. Sharps & knives, medication, client & staff files are kept locked in the office and inaccessible to the clients. The facility has seven (7) complete first aid kits and a fire extinguisher located in the office. There is another fire extinguisher located underneath the kitchen sink; both fire extinguishers were serviced on 8/19/2022. Carbon monoxide/smoke detectors were tested and observed to be operable. The facility's room temperatures was maintained at a safe and comfortable temperature. The hot water temperature was tested and measured at 117.2 degrees F. There are no firearms on the premises. The facility phone system is operable. OPERATIONS The facility is currently accredited by CARF thru 5/31/2024. The facility's mental health program was approved effective 6/21/2022 and expires on 6/21/2023. STAFF RECORDS LPA Mundo reviewed four (4) Staff records. Staff records are maintained locked onsite in the staff office. All facility staff have received a criminal record clearance or exemption and child abuse index checks. One staff (S4) was missing a health screening and TB test. There were three (3) citations issued during today's inspection. Annual Continuation is required at a later date. An exit interviewed was conducted and a copy of this report was provided to facility representative.

report_type: Facility Evaluation

visit_type: Annual

met_with: Mario Barron,Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 9/29/2022 at 11: AM, Licensing Program Analyst (LPA) Jenny Mundo conducted an unannounced inspection to the facility listed above and met with the Program Director Jamacia Smith. The purpose of the inspection was to conduct an Annual Continuation from the initial inspection on 9/27/2022. DISASTER PREPAREDNESS PLAN Facility maintains a current, written disaster and mass casualty plan of action. Facility conducts disaster drills at least monthly. The drills are documented, and the documentation is maintained in the facility for at least a year. Facility maintains an emergency and disaster plan, register of clients, Needs and Services Plan for each client, medication records, and contact information for each client's responsible party and physician. EMERGENCY INTERVENTION PLAN LPA reviewed the facility's emergency intervention plan. The facility has used manual restraints twice and are documented in a log. Facility has an emergency intervention training curriculum. All staff members are trained on the facility's emergency intervention procedures. CLIENT RECORDS LPA reviewed four (4) client records. Client records are maintained locked onsite. CORE/THERAPEUTIC SERVICES The facility provides core services and supports to children as appropriate or necessary that are trauma informed, culturally relevant, age and developmentally appropriate and include the following: Medi-Cal specialty mental health services; transition support services; educational and physical, behavioral, and mental health supports; activities to support children and services to achieve permanency. CLIENTS WITH SPECIAL HEALTH CARE NEEDS There are currently no clients in care with special health care needs. There was one (1) citation, two (2) Advisory Notes-Technical Assistance (LIC9102TA) and two (2) Advisory Notes-Technical Violations (LIC9102TA) issued during today's inspection An exit interviewed was conducted and a copy of this report with appeal rights were provided to facility representative.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Gilbert Gutierrez on 11/01/22 at 9:30AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Gutierrez met with Mario Barron, Administrator and Jamacia Smith, Program Director. LPA together with Program Director inspected the facility inside and out. Currently, there are six (6) clients placed at the facility. Three (3) of the six (6) clients are taking psychotropic medications. LPA conducted a facility tour with the Program Director at 10: AM. All medications are centrally stored, locked and accessible only to employees responsible for stored medications. LPA reviewed the facility's Program Statement. LPA reviewed three (3) clients' records and three (3) staff personnel files on site at the facility. LPA interviewed three (3) staff on site to discuss the facilities policies and procedures of operation. LPA interviewed one (1) of the children currently prescribed psychotropic medication. The other two (2) clients were not available. No deficiency citation issued at this time. LPA conducted exit interview and provided a copy of this report to Program Director Smith.

met_with: Mario Barron, Jamacia Smith


summary: Facility Evaluation

raw_content:
Narrative:
On 8/30/23 at approximately 12:05PM., Licensing Program Analysts (LPA) Angelina Garibaldo and Irene Yamamoto conducted an unannounced Case Management. During this inspection, LPAs met with the facility representatives named above. The purpose this inspection was to discuss with Administrator the facilities procedure for reporting 24hr, notices to CCLD. Administrator was able to provide Analysts with proof that the 24hr. requirement was made on time for incidents on 7/20/23, 7/30/23 and 8/16/23. Moving forward Administrator advised that they would make 24hr. incidents notification though SIR email with following information : Date of incident and name/names of clients involved. An exit interview was conducted, and a copy off this report was given.

met_with: Mario Barron Administrator and Zarion Holiday Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Angelina Garibaldo conducted an unannounced inspection at the facility and met with Project Director (PD) Jamaica Smith to follow up on a Special Incident Report (SIR) that was submitted to Community Care Licensing where two clients reportedly AWOL on 12/03/23 and had sexual interactions with one another. Client ref #1 (C1) and Client ref #2 (C2) (see LIC811 confidential names dated 01/10/24), when clients returned to the facility C1 had been physically assaulted and had visible injuries to face. C1 declined medical attention that night. The following morning Staff (S2) insisted that C1 have eye looked at and C1 was transported to seek medical attention and was diagnosed with an orbital fracture to eye. LPA reviewed SIR, staff schedules, program statement emergency Intervention plan, needs and service plans for C1 and C2, and obtained a copy of police report. LPA toured the facility. LPA Garibaldo noted both clients have AWOL history. LPA Garibaldo attempted to interview C1. C1 declined to be interviewed regarding this incident. LPA Garibaldo attempted to interview C2. C2 declined to be interviewed. Currently there is an ongoing police investigation regarding alleged assault. Based on the information gathered at this time, the facility took proper action regarding the incident in question and therefore no further follow up necessary at this time. Exit interview was conducted. No deficiencies were issued at the time of inspection. A copy of LIC809 was provided to the facility representative.

met_with: Jamacia Smith-Project Director


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced case management inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 2/15/24 at 10: AM. During the inspection LPA Larios met with Director Jamacia Smith. The purpose of the inspection was to amend a plan of correction for a citation issued on 1/29/24. A copy of this report and amended LIC9099D were provided to the above mentioned staff at the conclusion of the inspection.

met_with: Jamaica Smith


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPAs) Timika Martin and Juliet Robles 02/15/24 at 11: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Jamacia Smith, Program Director and inspected the facility inside and out. LPAs reviewed two (2) of child's record and two (2) of staff personnel files on site at the facility. LPAs reviewed two (2) of child's psychotropic medications and medication records. LPAs interviewed two (2) staff on site to discuss the facility's policies and procedures of operation. LPA interviewed one (1) of child currently prescribed psychotropic medication LPA provided a copy of this licensing report to Program Director,Jamacia Smith. No deficiencies are being cited at this time. LPAs conducted exit interview with Program Administrator, Jamacia Smith, Director.

met_with: Jamacia Smith, Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On 6/5/2024 at 11:11 am, Licensing Program Analyst (LPA) Angelina Garibaldo conducted an unannounced Case Management inspection at the facility and met with Jamacia Smith the facility's Program Director and Zarion Holiday Facility Manager. The purpose of the inspection was to follow up on an unusual incident report the Department received on 5/24/24, regarding a sexual assault involving two clients (See Confidential Names list (LIC811) dated 6/5/24). The incident allegedly happened a month ago. No specific date and time reported. LPA conducted interviews and reviewed records. C2 denied the allegation. C1 alleged that the assault did occur, LPA received information that C1 was mad at C2 for a prior altercation and made the allegation against C2 to have him removed from STRTP. Confidential interviews also revealed that C1 has been making sexual threats against clients and clients do not feel safe around C1. Staff stated making nightly bed checks raging in time from every three to fifteen minutes. Staff notified Bakersfield Police Department on 5/16/24 and the incident is currently under investigation. Based on the information gathered, Administrator must implement a safety plan by end of day (6/5/24) and send LPA a copy of plan, stating how facility will ensure the safety of all clients in care. Administrator will also request an emergency Child and Family Team Meeting (CFT) with county social worker, placing social worker, mental health provider's, facility administrator and facility director. Administrator will notify LPA of date of meeting. An exit interview was conducted and copy of the LIC 809 and LIC 811 were provided to the administrator. No deficiency citations issued at the time of the inspection.

met_with: Jamacia Smith-Program Director, Zarion Holiday - Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On June 12,2024 at 0: PM, Licensing Program Analyst (LPA) Angelina Garibaldo made an unannounced case management inspection to the facility and met Jamaica Smith Program Director. The purpose of the case management was to follow up on the Special Incident Report (SIR) the Department received regarding physical altercation between two clients. On 06/05/24, the Department received the SIR dated 05/29/24 regarding the incident. The SIR stated that client (C1) (see confidential names form LIC 811 dated on 6/12/24) left the facility and S1 followed behind C1. C1 made threats "to cut" S1 and C1 pulled out a black knife so that S1 could see it and ran off into the alley hiding behind a bush. S1 called the administration team for assistance and reported to Bakersfield Police Department (BPD) that C1 had a weapon on him. Program Director arrived and C1 stated he had something for her and handed the knife over to Program Director. C1 was transported back to the facility where a safety check was done, and BPD was notified of his return. At the time of the inspection, LPA spoke to Program Director regarding the incident. She stated the STRTP program conducted an internal investigation, and it was found that the knife did not come from STRTP, and all knives were accounted for. LPA reviewed knife inventory log and ensured facility knifes were secure in locked locker in office. Statements made by S1 indicates that the knife may obtained by C1 during AWOL. S1 stated she saw C1 pick up and object from ground. Client refused to reveal where the knife was obtained. No deficiency citation was issued at the time of the inspection. Based on information obtained through interviews and documentation provided, no follow-up is needed at this time. A copy of this report was provided to the facility representative, and an exit interview was conducted. There were no deficiencies cited during today's inspection.

met_with: Jamaica Smith- Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On October 15, 2024, Licensing Program Analysts (LPAs) Angelina Garibaldo, Claudia Portillo and Licensing Program Manager Gustavo Garcia conducted an unannounced Annual Inspection at the facility and met with Jamacia Smith, Program Director. LPAs stated the purpose of the inspection to the STRTP representative. One staff was interviewed. LPAs obtained and reviewed the following updated documentation: LIC Personnel and client roster MHPA Certificate LIC 610C Activity Calendar Food Menu *CARF accreditation extension was approved. New survey timeframe is October/November 2024. Annual compliance Review consisted of the following (7) domains: physical plant, operations, disaster preparedness plan, emergency intervention, staffing, core-therapeutic services, and client files. Only (3) domains were reviewed during today's visit: physical plant, operations, and core-therapeutic services. The following domains were partially reviewed disaster preparedness plan and emergency intervention plan (pending). Staff and client files will be reviewed on day two (TBA). LPM interviewed two staff and two clients. An exit interview was conducted, and a signed copy of this report were provided to the Program Director.

met_with: Jamacia Smith- Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On August 19, 2024, Licensing Program Analyst (LPAs) Angelina Garibaldo, Claudia Portillo, and Licensing Program Manager (LPM) Gustavo Garcia conducted an unannounced Annual Inspection and met with Administrator Mario Barron, for the purpose of the continuance of the annual. The following topic was inspected today disaster preparedness plan, emergency intervention plan and four staff files. Client files will be reviewed on day three (TBA). LPAs reviewed four (4) staff files (S1, S2, S3, S4). Copy of this report left at agency at conclusion of inspection.

met_with: Jamacia Smith- Program Director/ Mario Barron Administrator


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On November 17, 2024, Licensing Program Analyst (LPAs) Angelina Garibaldo, and Licensing Program Timika Martin conducted an unannounced Annual Inspection and met with Program Director Jamacia Smith, for the purpose of the continuance of the annual. The following topic was inspected today four client records. LPAs reviewed four (4) client files (S1, S2, S3, S4). Copy of this report left at agency at conclusion of inspection. Technical Assist/Violations and citations were issued (see LIC8102 and LIC809D) Plan of corrections were issued and discussed with Program Director. Appeal Rights were given,

Deficiencies:
87095.61(g): Documentation and Reporting Requirements

(g) The licensee must maintain a monthly log of each use of manual restraints. The log must include


summary: Facility Evaluation

raw_content:
Narrative:
On April 1, 2025, at 12: PM, Licensing Program Analyst (LPA) Angelina Garibaldo made an unannounced case management inspection to the facility and met Jamaica Smith Program Director. The purpose of the case management was to follow up on the Special Incident Report (SIR) the Department received regarding a client having weapons in his possession. On 01/20/25, the Department received the SIR dated 01/13/25 regarding the incident. The SIR stated that client (C1) (see confidential names form LIC 811 dated on 04/01/25) left the facility and S1 followed behind C1 and was able to get C1 to get into the vehicle and transport C1 back to the facility where S2 conducted a safety check, and 3 weapons were found in C1 backpack. At the time of the inspection, LPA spoke to Program Director and Facility Manager regarding the incident. S1 stated that it was no more than three minutes that C1 was AWOL and as soon as she noticed C1 was not in his room she got into the vehicle to look for C1. S1 noticed him two blocks away and was able to get C1 to get into vehicle. It was suspected that C1 hide the weapons in the bushes near the facility, since C1 had a safety check earlier that day when arriving at the facility. Program Director stated that perimeter searches have been conducted daily since they have noticed that the clients hide objects in the bushes. Based on information obtained through interviews no deficiency citation was issued at the time of the inspection. LPA will follow-up with Administrator regarding the perimeter searches, trimming of bushes and the installation of lights towards the back of the facility. A copy of this report was provided to the facility representative, and an exit interview was conducted. There were no deficiencies cited during today's inspection.

met_with: Jamacia Smith-Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On October 29, 2025, Licensing Program Analysts (LPAs) Angelina Garibaldo and Timika Martin conducted an unannounced Annua/Required Inspection at the facility and met with Jamacia Smith, Program Director. LPAs obtained and reviewed the following updated documentation: LIC Personnel and client roster Biannual Reports for the use of Emergency Interventions MHPA Certificate CARF Certification LIC 610C Activity Calendar Food Menu CQI report Board minutes Annual compliance Review consisted of the following (3) domains: physical plant, operations, six (6) client files. This annual with be continued at a later date. An exit interview was conducted; no citations were issued at this time. A signed copy of this report were provided to the Program Director.


summary: Facility Evaluation

raw_content:
Narrative:
On December 04,2025, Licensing Program Analyst (LPA) Angelina Garibaldo conducted a case management inspection at the STRTP and met with Jamacia Smith Program Director. The purpose of the case management was to follow up on Special Incident Report (SIR) the Department received on 10/22/25. SIR stated that C1 informed staff that he had taken codeine and oxycodone at school, then passed out. 911 was called and instructed staff to administer Narcan. C1 was still unresponsive, a second dose of Narcan was administered, Law enforcement arrived and assisted staff, and a third dose was administered. Paramedics arrived and transported C1 to the hospital. Lab results were negative for any narcotics and C1 was diagnosed with anxiety and discharged. Based on information obtained through interviews no deficiency citations were issued at the time of the inspection. An exit interview was conducted and a copy of LIC809, and LIC811 were provided to the facility representative.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Angelina Garibaldo conducted an unannounced Plan of Correction (POC) inspection at the above-named facility on January 15, 2026 and met with Jamacia Smith, Program Director. This follow-up inspection was conducted to verify corrections made to the deficiencies cited during a Required Annual inspection conducted on December 4,2025 under Interim Licensing Standards (ILS), Physical Plant 80087(a,) with the Plan of Correction (POC) extended due date to January 05, LPA Garibaldo toured the facility and inspected the following areas: primary restroom flooring, primary bedroom door, hallway restroom shower. The deficiencies have been corrected per POC. A signed copy of this report and POC cleared letter was provided to the Facility Director and an exit interview was conducted. No follow-up required.

met_with: Jamacia Smith, Program Director.


summary: Facility Evaluation

raw_content:
Narrative:
On September 10, 2025, at 9: AM, Licensing Program Analyst (LPA) Angelina Garibaldo conducted an unannounced case management inspection at the facility and met with the above representative. The purpose of the case management was to follow up on a Special Incident Report (SIR) received by the Department on 8/26/25. Per the SIR the Staff (S1) had distributed the incorrect medication to Client (C1) (See Confidential Names LIC 811 dated September 10, 2025). LPA Garibaldo conducted an interview with Program Director (PD), reviewed S1 medication training log, Psychotropic Medication Administration Record (PMAR) for Client 1(C1) and C2) and staff training logs. Interview and documents revealed that S1 administered incorrect medication to C1 by not adhering to facilities medication procedures. PD disclosed she conducted a re-training of medication distribution procedures on 8/22/25 with S1 and provided proof to LPA. Per Interim Licensing Standards STRTP Article 06. Continuing Requirements Health Related Services 87075 (c) psychotropic medications shall be used only in accordance with the written directions of the physician prescribing the medication and in accordance with authorization requirements specified in Sections 369.5(a)(1) and 739.5(a)(1) of the Welfare and Institutions Code and Section 87070(b)(13). A citation was issued during today's inspection. A plan of correction was discussed and developed with the above representative. An exit interview was conducted, a copy of this report along with LIC809C, LIC 809D. LIC 811 and the appeal rights were given to the Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On December 18, 2025, Licensing Program Analysts (LPA) Angelina Garibaldo conducted unannounced case management. LPA met with Jamacia Smith, Program Director. The reason for the visit was to issue a citation based on the annual inspection report completed on 12/04/25. During the annual inspection LPAs Angelina Garibaldo and Timika Martin reviewed the employee roster and observed that the facility does not have staff that hold the title "Direct Care Staff" but hold the title of "Facility Manager" and perform hands-on client care duties. It was determined that to ensure regulatory compliance these individuals must meet both sets of training requirements for Direct Care Staff and Facility Manager. After review of 11 out of 11 staff files it was observed that staff were given twenty- and one-half hours of in-house training. The forty-four annual training requirement was not met. The facility is being cited Interim Licensing Standards STRTP Article 06. Continuing Requirements 87065. Supervision, Evaluation and Training Requirements 87065.1(e)(1) Exit interview was conducted, Plan of Correction (POC) was discussed. A copy of this report was given to Director.


summary: Facility Evaluation

raw_content:
Narrative:
On July 21, 2023 at approximately 11: AM, Licensing Program Analyst (LPA) Raymond Wu conducted an unannounced Case Management visit at the facility for the purposes of citing recent deficiencies at the facility. A review of records indicated that the facility did not meet the reporting requirements for incidents that occurred on 05/25/23, 06/02/23, and 06/23/23. The incidents that occurred on these dates required at least verbal notification to the Department within 24 hours and a written incident report within 7 days. However, the 24 hour notification requirement was not met. The facility is being cited under CCR 80061(b) for Reporting Requirements on the corresponding 809D page.. An exit interview was conducted and a copy of this report was provided to the Licensee.

met_with: Alejandro Medina, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On November 21,2023 at approximately 9: AM, Licensing Program Analyst (LPA) Angelina Garibaldo conducted an unannounced Case Management. During this inspection, LPA met with the facility representative Jamacia Smith was given a tour of facility by Shawn Love Facility Manager. The purpose of the inspection was to address the late reporting of Special Incident Reports (SIR). Based on a review of records it was indicated that the facility did not meet the reporting requirements for an incident that occurred on 10/22/23. The incident required notification to the Department by telephone, email, or fax within 24 hours or by the next business day following the event, followed by a written incident report within 7 days of the incident. SIR for incident on 10/22/23 was submitted to CCL on 11/01/23. The written incident report within 7 days requirement was not met. This violation pose an immediate and/or potential Health, Safety, or Personal Rights risk to clients in care. The facility is being cited under CCR 80061(b) for Reporting Requirements on the corresponding LIC809D page. This is a repeated violation of the same subsection within a 12-month period, an immediate civil penalty of $250.00; will be accessed. The repeated violation was addressed with the STRTP on 07/21/23 (LIC 809/809-D). Exit interview conducted. Appeal rights provided.


summary: Facility Evaluation

raw_content:
Narrative:
On 1/29/24 at 11: AM, Licensing Program Analyst (LPA) Christopher Larios conducted an unannounced case management inspection to the Short Term Residential Therapeutic Program (STRTP). During the inspection LPA Larios met with Director Jamacia Smith. On 11/13/24 at approximately 6: PM, a facility client (FC1) (See Confidential Names form LIC811 dated 1/29/24) was asleep in the facility living room. Staff (S1) attempted to awaken FC1 however, FC1 refused. Due to FC1's unresponsiveness, S1 then physically escorted FC1 to his bedroom. As they entered the bedroom another client, FC2, kicked S1. Per an incident report dated 11/13/24, S1 placed FC2 in a containment after he was kicked. While S1 was containing FC2, FC1 hit S1 in the face with a pillow and punched him on the chest which resulted in S1 placing FC1 in a containment for two minutes. During a follow up interview conducted by the Department, S1 admitted to placing FC1 in a prone restraint on the bedroom floor between two beds. S1 stated FC1 was lying on his stomach with his head turned to the side. S1 stated he placed one hand on FC1's back and his hand on FC1's arm. S1 stated he released FC1 after a couple of minutes, once S1 observed FC1 was calm. FC1 was assessed by other staff on site and then fell asleep. Continued on page Page The facility is cited for violation of Interim Licensing Standards (ILS) Short Term Residential Therapeutic Program (STRTP) Article 6, standard 87061(i)(7)(C) Reporting Requirements. The incident report dated 11/13/23 failed to describe the use of a manual restraint on FC1. In addition, the facility is cited for ILS STRTP Article 6, standard 87072(c)(1) Personal Rights. Per the facility Emergency Intervention Plan, escorts can be implemented when the client poses a danger to self, or others, or when staff determine a location is unsafe for client. In this situation FC1 was not a danger to himself, and did not require to be physically escorted to his room to sleep. In addition, the facility is cited for ILS STRTP Article 6, standard 87095.01(a)(4) Emergency Interventions Prohibition. Prone restraints may not be used on a child at any time. A copy of this report, LIC809D, LIC811 and appeals rights were provided to the above-mentioned facility representative. Exit interview conducted.


summary: Facility Evaluation

raw_content:
Narrative:
On August 15, 2024, Licensing Program Analyst (LPA) Angelina Garibaldo conducted a case management inspection at the STRTP and met with Jamacia Smith Program Director. The purpose of the inspection was to address violations that were revealed during the investigation of complaint 32-CR-20240607142405. LPA Garibaldo observed the following: The facility uses an "allowance deduction" system as a fine for property damage and as a form of discipline for C1, C2, C3 and C4. Records of clients' cash resources were missing supporting receipts for purchases, and full signature of clients. Facility is cited for violation of California Code of Regulations, Title Division Six, regulation 80026(h)(1)(A) Safeguards for Cash Resources, Personal Property, and Valuables and 87026(c) Safeguards for Cash Resources, Personal Property, and Valuables. An exit interview was conducted, and the following reports were emailed LIC809, LIC 809-D, and LIC Confidential Names Form. Appeal rights forms were provided and explained.

met_with: Jamacia Smith - Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On October 2, 2024, Licensing Program Analyst (LPA) Angelina Garibaldo conducted a case management inspection at the STRTP and met with Jamacia Smith Program Director and Zarion Holiday Facility Manager. The purpose of the inspection was to follow up on previous violations. On August 15, 2024, the facility was issued a deficiency for using an "allowance deduction" system as a fine for property damage and as a form of discipline for C1, C2, C3 and C4. (See LIC Confidential Names list dated 8/15/24). Based on record review and interviews conducted with the program director and administrator the facility failed to reimburse clients within the time allowed. Citation is being reissued. Facility is cited for violation of California Code of Regulations, Title Division Six, regulation 87026(c) Safeguards for Cash Resources, Personal Property, and Valuables. An exit interview was conducted, and the following reports were emailed LIC809, LIC 809-D, and Appeal rights forms were provided and explained.

met_with: Jamacia Smith - Program Director And Zarion Holiday


summary: Facility Evaluation

raw_content:
Narrative:
On October 29, 2024, Licensing Program Analyst (LPA) Angelina Garibaldo conducted a case management inspection at the STRTP and met with Jamacia Smith, Program Director. The purpose of the inspection was to address the violations that were revealed during the investigation of complaint 32-CR-20240607142405. LPA Garibaldo observed the following: Based on record review, and information gathered from interviews the facility is cited for violation of California Code of Regulations Title Div. Chapter Sec. 80022(b)(6) Plan of Operation. The licensee failed to ensure the initial 8-hour new hire trainings were conducted by the designated staff member(s) as indicated in their Plan of Operation. In addition, the facility is cited under violation of Interim Licensing Standards, STRTP, Article Sec. 87065.1(d)(1)(C) Supervision, Evaluation and Training Requirements. The licensee failed to include a trauma informed training as specified in Section 87078.2(a)(3) during new hire direct care staff 8-hour training. It was also revealed a new hire direct care staff was left alone and transported a client before meeting the requirements of the new hire 8-hour trauma informed training. The facility is cited for violation of Interim Licensing Standards, STRTP, Article Sec. 87065.1(1)(A) Supervision, Evaluation and Training Requirements. An exit interview was conducted and a copy of this report, and LIC 809D form were given to the above-mentioned facility representative. Appeals Rights were provided and discussed.


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
Continue... On January 07, 2026, the Department received a complaint alleging that a staff (S1) at the facility inappropriately restrained a youth. Specifically, it was reported that on an unknown date and time, S1 allegedly restrained C1 for an unknown reason. It was further alleged that during the restraint, C1 hit his head on a bedroom dresser and later disclosed the incident to another client at the facility. No injuries were reported as a result of the alleged incident. During the interview process, reported information regarding the alleged restraint was indicated. Interviews with different individuals did not corroborate the allegation. Some interviewees reported they were aware of the incident involving S1 and C1. However, their recollection of the incident was contradictory, while others provided statements that were inconsistent / refuting that the incident even occurred. A review of available facility documentation, including incident reports and available records, did not reveal any documentation of an incident involving S1 restraining C1 or any report of C1 sustaining an injury related to such an incident. Based on the information obtained by the LPA through interviews and record review, the statements obtained were inconsistent and did not provide sufficient corroborating evidence to support the allegation. Therefore, the preponderance of evidence standard has not been met; and the above allegation is found to be Unsubstantiated. Although the allegation may have happened or is valid, there is not enough preponderance of evidence to prove a violation occurred. A signed copy of this report, LIC811, and the Appeal rights were discussed and provided to the Facility Representative. Exit interview conducted. No deficiencies were cited at this time.

Investigation Findings:
13On March 20, 2026, at 8:32 a.m., Licensing Program Analyst (LPA) Christopher J. Williams conducted a follow-up inspection at the Youth Quest Guidance Center - Short Term Residential Therapeutic Program (STRTP) for the purpose of delivering findings on the above allegation. LPA met with Cynthia Garcia, Facility Manager. LPA's investigation consisted of an attempted phone interview with the Reporting Party (RP) on 1/09/2026 & 1/12/2026. But to no avail. No answer or response back from RP. On 1/14/2026, LPA completed a collateral visit with Client 1 (C1) (See LIC811 - Confidential Names list dated: 1/14/2026) at their school. On 2/02/2026, LPA contacted and interviewed FA via phone call. On January 23, 2026, LPA contacted and obtained statements from S1 and S2 via phone call (due to staff not currently on shift during initial inspection/visit). On 2/27/2026, LPA continued the interview process by completing collateral visits / interviews with C2, C3, C4, and C5 (See LIC811 - Confidential Names list dated: 3/20/2026) at their schools. Continued on LIC9099c. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Christopher J Williams LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: YOUTH QUEST GUIDANCE CENTERFACILITY NUMBER: VISIT DATE: 03/20/2026

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

report_type: Complaint Investigation

met_with: Cynthia Garcia, Facility Manager

complaint_status: unsubstantiated


facility_name: YOUTH TREATMENT PROGRAM

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
On September 18, 2020, Licensing Program Analyst initiated the complaint investigation, informed Facility Administrator of the investigation and requested file records. The investigation included, confidential interviews and contacts with, but not limited to, three facility residents, five staff members, San Luis Obispo Police Department staff and Detective, assigned San Luis Obispo County Social Worker and other related parties. The investigation further included review of client files, facility file history, San Luis Obispo Police report and forensic interviews of two residents. The investigation revealed corroborating evidence to support sexual abuse by S1 as record review and confidential interviews produced consistencies in statements and history to show inappropriate conduct by S1 towards children in care. Information obtained reveal S1 began making advances towards clients by playing a game which involved touching minor's breast in a playful manner. It was disclosed S1 took clients on outings or walks and was often left alone with clients. S1's inappropriate behavior escalated and at some point S1 began engaging in sexual acts having sexual intercourse with C1 while at the program. On September 4, 2020, S1 was terminated from facility program due to unprofessional boundaries with the clients. Based on information from record review and confidential interviews, the preponderance of the evidence standard has been met. The Department has determined substantiated finding for sexual abuse by S1 on C1. These actions pose an immediate health, safety and personal rights risk of harm to children placed in care. The facility is issued a citation in accordance with the Interim Licensing Standards, Chapter 7.5, Version 3, Personal Rights (d)(11) [See page LIC9099-D for cited deficiency]. An exit interview was conducted, and appeal rights were discussed. A copy of this report, Confidential Names List and appeal rights were provided to Facility Administrator. (Continued on page LIC9099-D)

Investigation Findings:
13On February 4, 2022 at 1: PM, Licensing Program Analyst (LPA), Regina Martin conducted a follow-up complaint inspection to deliver findings concerning the above-mentioned allegation. LPA Martin met with Allison Jensen, Facility Administrator to discuss the investigative outcome. The investigation was conducted by Licensing Special Investigator Mariana Lomeli of the Community Care Licensing (CCL) Investigations Bureau. On September 15, 2020, CCL received an allegation that former Facility Staff member #1 (S1) sexually abused youth in care as S1 reportedly had an ongoing sexual relationship with former youth resident Child #1 (C1) for approximately six months (See LIC811, dated February 4, 2022). It was further reported that S1 had also touched youth resident Child #2 (C2) inappropriately on the breasts, thighs and buttocks areas while in care. This claim was previously reported and investigated as S1 was placed on administrative leave pending the investigation outcome. The investigation presented an unsubstantiated finding at that time, for which S1 could return to work. (Continued on page LIC9099-C) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin 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 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: YOUTH TREATMENT PROGRAMFACILITY NUMBER: VISIT DATE: 02/04/2022

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

met_with: Facility Representative

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
the staff immediately called crisis support and then Law Enforcement. C1 and C2 confirmed that the staff was present the whole time during the incident. Also, during the interview with SW1 and SW2, stated that they have no concerns with the facility and the times they have been to the facility there are enough staff. Continue on LIC9099-C Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has decided that the allegations are unsubstantiated. If any additional information is received this complaint can be amended and the findings can be changed. PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, and Short Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS), Chapter 7. Version 4.0, there are no deficiencies to be cited at this time. Exit Interview conducted, and a copy of this report was left at the facility.

Investigation Findings:
13On May 19, 2022 at 12:00pm, Licensing Program Analyst (LPA) Nancy O'Connell made an unannounced inspection to the above said facility for the purpose of concluding the investigation on the above allegations and deliver the findings for LPA Enrique Hernandez. LPA O'Connell met with Alley Jensen and discussed the investigative findings. On August 25, 2021, the Department received a complaint alleging Facility staff is not properly supervising youths in care and Facility staffing is not sufficient to meet the needs of youths in care. Based on the confidential interviews conducted with all the parties involved during the investigation process and information gathered, the above allegations cannot be substantiated because, the interviews conducted did not produce corroborating evidence to support the allegations. Even though C1 and C2 were cutting themselves with a plate, S2 tried different alternatives to deescalate the situation and when the clients refused to give the plate to S2, Cont on LIC9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Nancy O'Connell 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, FACILITY NAME: YOUTH TREATMENT PROGRAMFACILITY NUMBER: VISIT DATE: 05/19/2022

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

met_with: Alley Jensen, Facility Administrator


raw_content:
Narrative:
Records reviewed including client file, incident reports and facility notes/discussion concerning related incident, determined not enough evidence to prove former resident was touched inappropriately by former S1. Although the allegation may have happened or be valid, documentary evidence is not sufficiently supported by the standard of proof. Therefore, the allegation is determined Unsubstantiated. There are no deficiencies cited per California Code of Regulations or Interim Licensing Standards (ILS). Exit interview conducted and appeal rights discussed. A copy of this report was left with Facility Administrator.

Investigation Findings:
13On September 4, 2024, at 2: PM, Licensing Program Analyst (LPA), Regina Martin conducted a follow-up complaint inspection at the facility (relocation cite) to deliver findings concerning alleged sexual abuse. LPA Martin met with Allison Jensen, Facility Administrator to discuss the investigative outcome. On March 7, 2024, Community Care Licensing received an allegation that a former Facility Staff member #1 (S1) inappropriately touched a youth (former resident) in care as it was reported that S1 tried to touch and rape the youth at night while residing at the facility approximately 2-3 years ago (LIC811, dated 9/4/2024). The investigation revealed, reported allegations of Youth #1 being inappropriately touched by former staff member (S1) was previously investigated by the San Luis Obispo Police Department in February 2020 and the matter was closed. In September of 2020, the same allegation of being inappropriately touched by S1 was investigated by CCL Investigator Mariana Lomeli and substantiated regarding S1 sexually abusing minors in care. On September 4, 2020, S1 was terminated from facility. (Continued on page LIC9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin 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 Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: YOUTH TREATMENT PROGRAMFACILITY NUMBER: VISIT DATE: 09/04/2024

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

met_with: Alley Jensen, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 08/31/2021, Licensing Program Analyst (LPA) Enrique Hernandez, conducted an unannounced inspection, at the above said facility, for the purpose of conducting an Annual Required Inspection. LPA Hernandez was met by Alley Jensen facility Administrator (FA) , who granted access into the facility, who provided a tour of the entire facility, inside and out. This is a two-story family home with a living room and a fireplace that has been cemented with no chimney, a therapy room, Administrative office, kitchen, a dining area, five (5) bedrooms, three (3) full bathrooms and a detached garage, washer/dryer are in the kitchen area and the garage is set as recreational activities and extra perishable and nonperishable. The home is clean, safe, sanitary and in good repair. LPA observed the following on the first floor: There is a supply of non-perishable food supply located in the kitchen. There are four working burners on the stove, a working dish washer, a microwave and refrigerator at the time of the inspection. Knives and sharps objects are stored in a locked cabinet in the staff office. Cleaning supplies and tools are stored in a locked cabinet located above the washer and dryer in the laundry room adjacent to the kitchen. Medication is stored in a locked cabinet in the staff office. There are 8 chairs and two dining tables in the kitchen area. There is adequate drinking glasses, plates and utensils in the home. There is a locked storage room under the stairwell for art and creative supplies. LPA observed one full bathroom adjacent to the three downstairs bedrooms. Page 1 of Bedroom #1 is occupied by client # It has one (1) twin size bed, dresser and night stand. Bedroom #2 is occupied by client #2 it has one (1) twin size bed, adequate closet space and a dresser and night stand. Bedroom #3 is occupied by client #3. It has one (1) twin size bed, dresser and night stand. There are two linen and towel closets in the hallway. Administrator states that there are no guns or weapons on the premises. LPA observed the following on the second floor: There is administrative office was observed to be equipped with a locked closet that is also used for medication storage with a small fridge for any medications that may require refrigeration. LPA also observe and therapy room with storage utilized to lock the staff and clients' files. There is a staff bathroom adjacent to the therapy room. The second floor also has a sensory room with two doors. Bedroom #4 is occupied by client #4. It has one (1) twin size bed, dresser, night stand and closet. Bedroom #5 is occupied by clients #5 . It has two (2) twin size beds, dressers, night stands and closet. LPA also observed several the signal buttons on the second floor (Bedroom #4, Bedroom #5, and the administrative office. When button is pushed a visual light and audible sound is emitted in the staff office downstairs. All smoke detectors and carbon monoxide detectors are operable. All fire extinguishers are observed to be fully charged. All posting requirements are met. Administrator states there are no exterior or interior cameras on the facility property and LPA did not observe any cameras. The front yard and backyard are clear of debris. There are no bodies of water on the premises. The detached garage has a large open space with a desk and computers, two couches. Additionally, in a second room in the garage there was additional food storage and a second fridge for additional food items including an emergency food supply. Facility appears to be meeting the terms and conditions of their license. Page 2 of Administrator Alley Jensen is present at the facility with a minimum of 20 hours a week, as verified by staff schedule and interviews. Appropriate staff/client ratios were verified during this inspection. Licensee has obtained Mental Health Certification. The MH Certification is valid through 02/17/2022 . Licensee has obtained National Accreditation through CARF. The Accreditation is valid through 09/30/2022. LPA will return to review personnel and clients files to ensure it meets regulatory requirements. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. Personnel Files and client files are maintained on-site. Client and staff interviews will be conducted at a later date. The facility has two vehicles to transport clients: Auto #1: Honda Odyssey passenger van (charcoal). Administrator will email LPA a copy of valid insurance and registration Auto #2: Honda Odyssey passenger van (charcoal). LPA obtained a copy of valid insurance and registration PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, and Short Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS), Chapter 7. Version 3.1, there are no deficiencies to be cited at this time. Exit interview was conducted and a copy of this report was left at the facility with the facility administrator whose signature on this form confirm receipt of this document. Page 3 of 3

met_with: Alley Jensen


summary: Facility Evaluation

raw_content:
Narrative:
On 8/31/2021 at 8:15 am, Licensing Program Analyst (LPA) Enrique Hernandez conducted a Case Management - Incident inspection at the above said facility, and met with Alley Jensen Facility Administrator (FA), in response to a Special Incident Report that was submitted to Community Care Licensing (CCL), in order to investigate. The incident, which was received by the department, on 08/27/2021, involved Client #1[see LIC Confidential Names List form (LIC811), dated 08/31/2021, for names]. LPA discussed the incident with Alley Jensen which occurred on 08/26/2021, Client #1 (C1), who reported to staff that was sexually violated by a nurse at the hospital. LPA conducted confidential interviews. additional interviews are needed in order to closed this Case Management. At this time, the Department has made no determination on whether a violation has occurred. further investigation needs to be conducted PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, and Short Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS), Chapter 7. Version 3.1, there are no deficiencies to be cited at this time. Exit interview was conducted and a copy of this report was left at the facility with the Administrator whose signature on this form confirm receipt of this document.


summary: Facility Evaluation

raw_content:
Narrative:
On July 26, 2022 at 8:00am Licensing Program Analysts (LPAs), Emelyn Sanchez P. and Olivia Rosas conducted an unannounced SB Psychotropic Medication Inspection for Youth Treatment Program. During the inspection LPA Sanchez P. and LPA Rosas met with Cailyn Ortega, Assistant Manager. LPAs Sanchez P. and Rosas reviewed three (3) client files and three (3) staff files. LPAs Sanchez P. and Rosas conducted one (1) client interview and two (2) staff interviews. Currently there are four (4) clients residing in the above facility. This is a two story house located in a residential area. The facility has five bedrooms, three bathrooms, a living room, kitchen/laundry area, staff office, therapist's office, detached garage (recreational room and storage space), and outdoor space. The outdoor space is free of obstructions. Overall, LPAs Sanchez P. and Rosas observed the facility to be clean, safe, sanitary and in good repair. LPAs Sanchez P. and Rosas observed adequate staffing at the facility to provide care and supervision to children in care. LPAs Sanchez P. and Rosas observed medication to be centrally stored, triple locked and inaccessible to clients and unauthorized staff members in the Managers Office. Medication was also observed to be double locked in Staff Office/Medication Room where medication is administered to the children in care. There were no deficiencies cited at this time. Exit interview was conducted, and a copy of this report will be e-mailed and mailed to the facility.

met_with: Assistant Manager


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Raymond Canal and Licensing Program Manager Angela King conducted a case management inspection on 10/10/23 at 11:40 am based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 5 out of Direct Care Staff and 3 out of 3 youth files were reviewed. 2 out of Direct Care Staff and 2 out of 3 youth were interviewed. (See the Confidential Names List, LIC 811, 9/14/23). The Plan of Operation including policies and procedures were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, youth case plans, and Crisis Intervention plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Canal observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Administrator Alley Jensen.


facility_name: ZOE HOME FOR YOUTH

summary: Facility Evaluation

raw_content:
Narrative:
On June 29, 2021, at 2: PM Licensing Program Manager (LPM) Lakescia Smith and Licensing Program Analyst (LPA) Zena Phillips arrived at the above facility for the purpose of conducting a Pre-Licensing Inspection for the Short-Term Residential Therapeutic Program (STRTP). LPM/LPA conducted a tour of the entire facility. This facility will provide services to 6 female children, ages 12-17 years, ambulatory only placed by LA County Department of Children and Family Services & Probation. The facility is located in a rural area with six (6) bedrooms designated for residents, 3 bathrooms, 2 staff offices, family room, dining/living room, kitchen, laundry room, therapist room & live in staff suite. Each bedroom has 1 twin bed with closet and drawer space. LPA observed adequate linens, hygiene products, board games, books, magazines, basketball court, soccer field and swimming pool is under construction.. LPA observed a separate building identified as multi purpose where online schooling & visitation and staff offices are located. Facility was observed to be clean, safe, sanitary and in good repair. Passageways, stairways, incline ramps and open porches are unobstructed. Disinfectants, cleaning solutions, and poisons are inaccessible to clients. Facility personnel instructed to report violations of personal rights. Facility posts child's rights if licensed to provide foster care for six or more clients. Smoke alarm/carbon monoxide detector was in working order. Fire extinguishers are fully charged. Complaint procedure, personal rights, emergency disaster plan and menu were posted. Fire extinguisher is properly charged and serviced.. There is adequate supply of non- perishable foods. There is adequate indoor/outdoor activity space. Medications will be locked in staff office. LPAs were informed they utilized a private water source/septic tank. LPA discussed the following with Jason Plunkett, applicant: Mental Health program approval and accreditation discussed with applicant. Applicant has submitted application for accreditation. LPA was informed Staff #1 lives on the premises. LPA reminded staff that program statement must include that a staff is residing on the premises. LPM will follow up with staff if additional information is needed. LPA informed applicant that component 3 is pending LPA Landry will follow up with applicant. LPA was informed that security cameras are installed externally and internally however internal cameras have been set up. No firearms or weapons are allowed in the facility. Additional fencing is pending around the campus. LPA & LPM informed applicant any additional construction must be reported to licensing prior to starting work. Exit Interview conducted. A copy of this report was left with staff.

visit_type: Prelicensing

met_with: Jason Plunkett


summary: Facility Evaluation

raw_content:
Narrative:
On 02/03/2022 at 9:30AM Licensing Program Analyst (LPA) Olivia made an unannounced to Zoe Home For Youth for the purpose to conduct Post Licensing Inspection. LPA Rosas met with Staff#1(S1), Staff#2 (S2) who granted access to the facility and an inspection of the facility was conducted together. Individuals mention in this report are identify on the Confidential Names List (LIC811) dated 02/03/2022. Temperature and health checks are conducted at the entrance in the sign-in area in the multi purpose building. LPA met with S1, who granted access into the multi purpose building, and who provided a tour of the entire physical plant. This facility has a provisional Short-Term Residential Therapeutic Program (STRTP) and licensed to provide care and supervision for six (6) female children ages 12-17 years old, Ambulatory only. Children are placed by Los Angeles County Department of Children and Family Services & Probation. The facility is in the process of obtaining CARF. They are in the process obtaining Mental Health Approval with Los Angeles County. The facility is current with their annual fees. The facility is located in a rural area of 50+ acres. The facility has a pedestrian gate with coded locking mechanism surrounding the property. The self-catching latch when the gate is closed cannot be accessed on the outside. Facility staff and clients are given the locked code for the gate. To enter the property a iron driveway gate with buzz system is used. The property has two (2) separate buildings, park area, and hiking trail. There are bodies of water on the premises. The facility has pool with a safety automatic pool cover that is pending approval from the Department. Staff confirmed that there are no firearms or dangerous weapons in the facility. Facility utilize a private water source/septic tank. The facility has eleven (11) exterior security cameras. L Report continues on LIC 809-C Page 1 of LPA Rosas inspected the following: Multi Purpose Building (MPB): Facility utilizes the multi purpose building for schooling, visitation, and staff offices. The building has two (2) large rooms, one (1) outdoor bathroom, storage area, and temperature and health checks are conducted at the entrance in the sign-in area. The Education room is used a study area and has computer desks, and library. The Multi Purpose room is used as dance room, yoga, theater, and has locked storage. The multi purpose room has semi private work cubicle stations for staff and semi private counseling space. The spaces are kept locked. The Emergency Evacuation Plan is posted on the walls throughout the facility. Multiple fire extinguishers is located within the building and exit doors are label. A First Aid kit is kept by the private work cubicle. Outdoor Area: There are bodies of water on the premises. The facility has pool with a safety automatic pool cover that is pending approval from the Department. The building has surrounding fence that is at least five feet high and does not obscure the pool from view. The swimming pool is secured by automatic safety pool cover. LPA Rosas observed S1 walk in top of the cover. The pool cover is strong enough to completely support the weight of an adult and shall be placed on the pool. The flip switch to open and close the pool cover is kept in a key lock box. The key lock box is located inside locked gate that only designated staff has access to enter. The outside has garden beds, outdoor setting areas, soccer/grass field, basket ball area, two (2) storage sheds that are kept locked. The outdoor perimeter front yard, side yard and backyard were inspected and found cleared of debris and hazards materials. The passageways and porches are unobstructed. Home: There are six (6) bedrooms, three (3) bathrooms, two (2) staff offices, family room, dining/living room, kitchen, laundry room, therapist room, live in staff suite. Living Room: There is one sofa, sofa chairs, mounted TV. Dining Area: There is a table with eight (8) chairs. Kitchen: There is a gas stove with six (6) burners all working at this time. There is a detached oven currently working at this time. There is a microwave and refrigerator/freezer. The food service in the home is adequate with perishable/nonperishable food supplies. The cleaning solutions are made inaccessible to the clients and stored/ locked under the kitchen sink and under kitchen island. All trash cans have tight lids on. LIC 809-C Page 2 of Staff Office: The home has (2) staff offices. The office is equipped office furniture (i.e desk, computers, printers).The medication is triple locked inside of the staff office by the kitchen. All the children prescribed medications are locked in the staff office and children files are kept in a lock cabinet. Staff office is located inside the main facility. The First Aid kit has the required items inside (age-appropriate, and scissors, tweezers, thermometer, and gauzes, antiseptic and First Aid Manual Guide. Laundry Room: The laundry room is located near the bedrooms. The laundry is equipped with two sets of washer and dryer units that was observed to be in good condition. The laundry detergent is made inaccessible to the children and is disputed according the load of the laundry. Disinfectants and chemicals are locked in cabinets made inaccessible. Garage: The attached garage is used as storage and is kept locked. LPA observed a staff displayed the utility shut-off valves outside of the home. Bedrooms: The clients bedrooms are occupied by one (1) client., Each bedroom is equipped one (1) twin sized bed, comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) wall closet with lock box for client to use. There is adequate lighting and the windows have horizontal slide locked with curtains observed to be in good condition. Bathrooms: There are three (3) bathrooms. Bathroom #1 and Bathroom#2 is the common bathroom for the clients. It is a full-sized bathroom with a toilet, sink, and tub/showers. Bathroom #3 is located next to staff office. Water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. LPA observed non-perishable foods for one week and perishable food for two days. The home has a multiple first aid kits. The have multiple fire extinguishers through the buildings. Disinfectants and poisons are inaccessible to the clients in care they are kept locked at all times. All knives and sharp objects are made inaccessible to the clients in care locked. All smoke detectors and carbon monoxide are operable. LPA observed a key locked closet that stored hygiene supplies, and cleaning solutions. All windows were in good condition with screens and blinds. There were no security bars on the windows. LPA observed ample towels and linen closet. The passageways and porches are unobstructed. Report continues on LIC 809-C Page 3 of All posting requirements were met, (food menu, regulations, licenses, emergency disaster plan, Children's Personal Rights, and Ombudsman). The facility has a working cell phones and youths can use the telephone unless restricted by court order. The Emergency Evacuation Plan is posted on the walls throughout the facility. The Facility operates within license conditions and limitations including capacity limitations. Facility has a current, written plan of operation. Facility personnel are instructed to report violations of personal rights. Licensee will report changes in the plan of operation affecting service to youths. Licensee will report youth injuries requiring medical treatment. LPA Rosas received a copy of copy of Register of participants, Current Census, Personnel Report (LIC 500), Emergency Disaster Plan Protocols, Emergency Disaster Plan for Children's Residential Facilities (LIC 610C), Facility Sketches (LIC9099), Staff Water Safety Certificates. On 06/26/2021, LPA Smith informed facility that currently Community Care Licensing Division (CCLD) are not approving internal camera waivers. Facility submitted ZHY Security Camera System Policy to CCLD. The facility has eleven (11) exterior security cameras. LPA Rosas informed S1 that interior cameras cannot be operable, until a camera waiver has been approved by the Department. CCLD will conduct in person physical inspection in order approve the waiver in the future. The pool cover is pending approval from Community Care Licensing Division (CCLD). A review of Facility's Personnel Report Summary on 02/03/2022 indicates that all personnel have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. LPA Rosas discussed with and advised If any changes or modifications to the program or facility physical plant need to be submitted to the Department for review and approval before implementing the new changes. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.

met_with: Staff#1 (S1)


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Olivia Rosas made an announced inspection to the Zoe Home For Youth on 02/03/22 at 9:00am for the purpose of conducting Case Management- Licensee Initiated (Pool Waiver). LPA Rosas met with Staff#1(S1), and Staff#2(S2) who granted access to the facility and an inspection of the facility was conducted together. The Zoe Home For Youth Short-Term Residential Therapeutic Program (STRTP) facility provides services to six (6) female children, ages 12-17 years; ambulatory only placed by Los Angeles County Department of Children and Family Services & Probation. Individuals mention in this report are identify on the Confidential Names List (LIC811) dated 02/03/22. The following items were inspected with S1: The swimming pool is located in the multi purpose building. The building has surrounding fence that is at least five feet high and does not obscure the pool from view. The swimming pool is secured by automatic safety pool cover. LPA Rosas observed S1 walk in top of the cover. The pool cover is strong enough to completely support the weight of an adult. The flip switch to open and close the pool cover is kept in a key lock box. The key lock box is located inside locked gate that only designated staff has access to enter. LPA Rosas observed S1 open and close the automatic safety pool cover. LPA Rosas stated that safety cover should be kept locked while the pool is not in use. LPA Rosas received a copy of staff water safety certificates, and updated facility sketch (LIC 999). The pool waiver request is pending approval from Community Care Licensing Division (CCLD). There were no deficiencies cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.


summary: Facility Evaluation

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Narrative:
On August 17,2022 at 2: PM., Licensing Program Analyst (LPA) Kuliema Calloway and Licensing Program Manager (LPM), Kevin Sauk, made an unannounced inspection visit to conduct an Annual inspection. LPA/LPM met Ester Yu, Facility Administrator, (FA) who granted access and a tour of the administrative office for the Short-Term Residential Therapeutic Program (STRTP). LPM/LPA conducted a tour of the entire facility. This facility will provide services to 6 female children, ages 12-17 years, ambulatory only placed by LA County Department of Children and Family Services & Probation. The facility is located in a rural area with six (6) bedrooms designated for residents, 3 bathrooms, 2 staff offices, family room, dining/living room, kitchen, laundry room, therapist room & live in staff suite. Each bedroom has 1 twin bed with closet and drawer space. LPA observed adequate linens, hygiene products, board games, books, magazines, basketball court, soccer field and swimming pool is full with water and has a locked cover. LPA observed a separate building ( B) identified as multipurpose where online schooling & visitation and staff offices are located. Facility was observed to be clean, safe, sanitary and in good repair. Passageways, stairways, incline ramps and open porches are unobstructed. Disinfectants, cleaning solutions, and poisons are inaccessible to clients. Facility personnel instructed to report violations of personal rights. Facility posts child's rights if licensed to provide foster care for six or more clients. Smoke alarm/carbon monoxide detector was in working order. Fire extinguishers are all fully charged. Emergency disaster plan and menu were posted. Continued on C There is adequate supply of non- perishable foods. There is adequate indoor/outdoor activity space. LPA/LPM were informed they utilized a private water source/septic tank and propane tank for energy. Bedroom # 3 was unoccupied and there missing mattress that needed replacing. LPA was informed there are two (2) overnight staff with rotating shifts that do not live on the premises. LPA was informed that security cameras are installed externally. No firearms or weapons are in the facility. LPA/LPM discussed the following with Ester Yu, : Medications are locked in staff office. Medication log are current and up to date. There is one client that is taking psychotropic medication that needs to be separated on three (3) different logs. This was told to the FA The Complaint/Grievance Procedures and Personal Rights were not posted in the public area.. Bedroom #6 is unoccupied, but has a broken door knob and must be repaired immediately. A repair order was requested to be emailed to LPA for time frame and possible correction. LPA/LPM observed expired foods in the refrigerator and pantry. Mental Health program approval and accreditation are still in process and awaiting approval. Additional fencing is pending and awaiting permits from the City. LPA & LPM informed FA any additional construction must be reported to licensing once the work is completed. Exit Interview conducted. A copy of this report was left with Ester Yu, Facility Administrator.

met_with: Ester Yu, Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On August 31,2022 at 10: AM., Licensing Program Analyst (LPA) Kuliema Calloway, made an unannounced visit to conduct a Continuation Visit for Annual inspection. LPA met with Ester Yu, Facility Administrator, (FA) who granted access facility. [See Confidential Names form (LIC 811), dated 08/31/2022 for names]. This facility will provide services to 6 female children, ages 12-17 years, ambulatory only placed by LA County Department of Children and Family Services & Probation. LPA conducted client interviews with C1. C2, C3, and C4 declined to interview LPA conducted six (6) staff interviews. [See Confidential Names List LIC 811 dated 8/31/2022 for name identifiers] Review of the LIC 500 indicated four (4) staff members: S1, S2, S3, and S4, do not have criminal background clearance. [See Confidential Names List LIC 811- dated 8/31/2022, for name identifiers]. Facility cited for violation of California Code of Regulation, Title Division Six, regulation 80019 (e)(1): Criminal Record Clearance. Record review confirm S1, S2, S3, and S4 have worked in the facility for more than five days without criminal record clearance. An immediate civil penalty is issued for $500 ($100 per day, to a maximum of five days) for each staff member. Exit interview was conducted. A copy of this report was left at the facility with Ester Yu, Facility Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On August 31,2022 at 3: PM., Licensing Program Analyst (LPA) Kuliema Calloway, made an unannounced inspection to the facility Zoe Home for Youth, for the purpose of conducting a Case Management inspection to address concerns regarding in incident report that was received on 01/06/2022 stating the following: On 1/06/2022 at 3:44 a.m., an SIR was received, (FA) went to check on client (AP) and the client began cussing at FA and picked up a plant and threw it.. AP went to the kitchen to get food from the refrigerator and was told by FA to wash their hands. AP cussed at FA and picked up a dining room chair and threw it towards FA and broke it. FA heard a loud bang and went to investigate to see that a different client, (AC) kicked a hole in the administrative office door. [ See confidential names list LIC- 811 for name identifiers]. The situation escalated. AP took keys belonging to FA. FA tried to call for de-escalation assistance and AP smacked FA's cell phone out of her hand and continued to destroy the property. Law enforcement (Sheriff Department) was notified, arrived, and took a report. The deputy asked FA if they wanted to press charges against AP and FA agree to file charges. FA, AP and AC are no longer employed or reside at the facility. On 8/31/22, LPA conducted an interview with current Facility Administrator indicated on this report. No further information was given. A copy of this report was left at the facility with Ester Yu, Facility Administrator.


summary: Facility Evaluation

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Narrative:
On September 1, 2022 at 9: AM., Licensing Program Analyst (LPA) Kuliema Calloway, and Licensing Program Manager (LPM), Kevin Sauk, made an unannounced visit to conduct a Continuation Visit for Annual inspection. LPA met with Clarissa Ortega, Social Worker (SW), who granted access facility. [See Confidential Names form (LIC 811), dated 09/01/2022 for names]. This facility provides services to 6 female children, ages 12-17 years, ambulatory only placed by LA County Department of Children and Family Services & Probation. LPA completed a review of the facility's Operations, Disaster Preparedness, Emergency Interventions, and Client's Records for Clients' (C1) and (C2). The facility is being cited for two deficiencies today for violating Title 22 regulations, please refer to 809-D. An exit interview was conducted, and a copy of the report was given to the Social Worker/Facility Manager, Clarissa Ortega. LPA reviewed the appeal rights and provided a copy of the appeal to the Social Worker/Facility Manager, Clarissa Ortega.

met_with: Clarissa Ortega, Social Worker/Facility Manager


summary: Facility Evaluation

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Narrative:
On September 22, 2022 at 9: AM., Licensing Program Analyst (LPA) Kuliema Calloway, and Licensing Program Manager (LPM), Kevin Sauk, made an unannounced visit to conduct a Continuation Visit for Annual inspection. LPA met with Ester Yu, who granted access to the Headquarters Office located at Market St. Newhall, CA 91321. There is a conference room with a large table and seating for ten. There are fourteen offices, a kitchen, dining area, front and rear access to the building, there are five meeting rooms, one is an executive meeting room. There is a media room, program room, and training room. The staff records are locked inside of the Human Resources and Accounting office. There are three restrooms. LPA took photos. [See Confidential Names form (LIC 811), dated 09/22/2022 for names]. LPA viewed Staff Records for five (5) staff members: S1, S2, S3, S4, and S5 inside the conference room with the FA. There are no deficiencies to cite at this time. Exit interview was conducted. A copy of this report was left at the facility with Ester Yu, Facility Administrator.


summary: Facility Evaluation

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Narrative:
On August 22,2023 at 8: AM., Licensing Program Analyst (LPA) Christine Wilson, made an unannounced inspection visit to conduct an Annual inspection. LPA met Ralph Franklin, Clinical Director (S1),who granted access and a tour of the administrative office for the Short-Term Residential Therapeutic Program (STRTP). LPA conducted a tour of the entire facility. This facility will provide services to (6) female children, ages 12-17 years, ambulatory only placed by LA County Department of Children and Family Services & Probation. Current census is (4) The facility is located in a rural area with a main house with six (6) bedrooms designated for residents, (5) bathrooms, (2) staff offices, family room, dining/living room, kitchen, laundry room, therapist room and administrator's staff office Each bedroom has 1 twin bed with closet and drawer space, ceiling fan, and smoke detector are in working order. LPA observed adequate linens, hygiene products, board games, books, magazines, basketball court, soccer field and swimming pool is full with water and has a locked cover. LPA observed a separate building ( B) identified as multipurpose where online schooling & visitation and staff offices are located. Pool area is enclosed. (3) smoke alarms and (2) carbon monoxide alarms tested in working condition. Facility was observed to be clean, safe, sanitary and in good repair. Passageways, stairways, incline ramps and open porches are unobstructed. Disinfectants, cleaning solutions, and poisons are inaccessible to clients. Facility personnel instructed to report violations of personal rights. Facility posts child's rights if licensed to provide foster care for six or more clients. (11) Smoke alarms /(6)carbon monoxide detector were in working order. Fire extinguishers are all fully charged and were last inspected in June 2023. Emergency disaster plan and menu were posted. Continued on 809C The staff records are locked inside of the Human Resources and Accounting office. Assistant Director/Facility Administrator, Ester Yu provided access to staff and client files electronically LPA Wilson inspected (4) client files, and conducted (3) staff interviews and (2) client interviews. LPA viewed Staff Records for four (4) staff members: S2, S3, S4, and S5 inside the staff office room with the FA. [See Confidential Names form (LIC 811), dated 08/22/2023 for names]. There are no deficiencies to cite at this time. Exit interview was conducted. A copy of this report was left at the facility with Ester Yu, Assistant Director/Facility Administrator.

met_with: Clinical Director (S1)


summary: Facility Evaluation

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Narrative:
On January 29, 2025 at 1pm Licensing Program Analyst (LPA) Donald Martin arrived at the above facility. The purpose of the visit is to conduct a Case Management investigation. LPA met with Administrator, and was allowed into the facility. On December 16, 2024 the department received a Special Incident Report #1198146 stating that on December 15, Child #1 reported to S3 that she was sexually touched by Staff #2. LPA conducted interviews and documents obtained. Child #1 was discharged from the facility on December 17, 2014 due to a Probation Violation of property destruction which occurred at the facility on the day of the allegation. Further investigation is needed to conclude this Case Management investigation. There were no deficiencies cited at the time of the visit.

met_with: Darchell Guidry-Administrator


summary: Facility Evaluation

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Narrative:
On July 15, 2025 at 9: AM, Licensing Program Analyst (LPA) Connie Jones-Steward made an announced visit at Zoe Home For Youth to commence the SB Psychotropic Medication Inspection. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9(a)(2). LPA Jones-Steward met with administrator Darchell Guidry and clinical director Lawrence Franklin. One client met all criteria for this inspection and LPA reviewed her Needs & Services Plan and Psychotropic Medications records. LPA also reviewed three staff files and conducted three staff interviews. The client was not available, thus she will be interviewed on July 15, 2025 when the inspection.

met_with: Darchell Guidry & Lawrence Franklin


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst continued the SB Inspection on July 16, 2025. LPA performed a count of C1's psychotropic medications. C1 declined to be interviewed. LPA reviewed LIC 500 on July 15, 2025. This completes the SB Psychotropic Medication Inspection.

met_with: Cindy Torres, Administrative Coordinator


summary: Facility Evaluation

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Narrative:
On 9/11/2025, at 9:00 am, Licensing Program Analyst (LPA) Nestor Gomez arrived at the above facility, for the purpose of conducting an Annual Required Inspection. LPA Gomez met with Facility Manager (FM), Cindy Torres, who granted access to the facility. This facility provides services to (6) female children, ages 12-17 years, ambulatory only placed by LA County Department of Children and Family Services & Probation. The current census is one (1). The facility is located in a rural area with a main house with six (6) bedrooms designated for residents, (5) bathrooms, (2) staff offices, family room, dining/living room, kitchen, laundry room, therapist room and administrator's staff office. There is a separate building identified as multipurpose where online schooling & visitation and staff offices are located. The pool area is enclosed. During the time of inspection, LPA Nestor conducted an inspection of the following areas: The House Kitchen: equipped with a microwave, toaster, refrigerator, oven, sink, gas stove, ice machine, and air fryer. All appliances are clean and in working order. Continue on 809-C (Page 1) There is an island in the center of the kitchen with 5 chairs. The pantry contained ample food for children in care that included both perishable and non-perishable foods. All appliances are in working order. The trash can in the kitchen was equipped with a lid. The menu was posted on the refrigerator. Dining Room/Living Room: equipped with a dining table with 10 chairs. The living room contains 2 couches, an armchair, coffee table, and a small desk with a chair. The cabinets in between the kitchen and dining room contain board games, craft supplies, and client personal snacks. Bedroom #1: This bedroom is currently vacant. The bedroom is equipped with one (1) twin bed with a closet, drawer space, ceiling fan, and smoke detector are in working order. Bedroom #2: This bedroom is currently vacant. The bedroom is equipped with one (1) twin bed with a closet, drawer space, ceiling fan, and smoke detector are in working order. Bedroom #3: This bedroom is currently vacant. The bedroom is equipped with one (1) twin bed with a closet, drawer space, ceiling fan, and smoke detector are in working order. Bedroom #4: This bedroom is currently vacant. The bedroom is equipped with one (1) twin bed with a closet, drawer space, ceiling fan, and smoke detector are in working order. Bedroom #5: This bedroom is currently vacant. The bedroom is equipped with one (1) twin bed with a closet, drawer space, ceiling fan, and smoke detector are in working order. Bedroom #6: This bedroom is currently occupied by a client (C1). The bedroom is equipped with one (1) twin bed with a closet, drawer space, ceiling fan, and smoke detector are in working order. Continue on 809-C (Page 2) Bathrooms: There is a total of 3 bathrooms that are equipped with a cabinet, sink, toilet and bathtub/shower. Two bathrooms are for clients and 1 is the staff to use. Office space: The office space is located by the kitchen next to the pantry door. The office contains two filing cabinets, one table, and one chair. The sharps, medication, and MARS are kept in the locked filing cabinets. Family Room: equipped with a desk, chair, table, television and large couch. This room is mainly used for private calls, and therapy sessions. Garage: The garage is mainly used for storing cleaning supplies, emergency supplies, golf cart, extra clothing, and extra hygiene supplies. There is also a refrigerator and freezer. FM stated that the clients do not have access to the garage. The water shut off is located behind the garage. There is also a storage shed beside the garage. Confidential Area: this area is used as office space for staff. This room is equipped with desks, sofa, and a television. There is a safe in the closet of this space that contains the client's allowance. Laundry Room: equipped with 2 washers and 2 dryers. However, during the time of the inspection LPA observed one of the washing machines to be out of order. Other sharps, cleaning supplies, and laundry supplies are also stored in the laundry room in locked cabinets. Yard: the outside of the property is mostly empty land except for the swing set area that is equipped with turf grass and padding underneath. There is also a gazebo on top of a hill with a bench. Multipurpose Building: this building contains office space, a gym, and educational room. The back of the building is enclosed by a fence that contains the pool, sitting area, BBQ, two storage sheds, a space with turf, and basketball court. The pool is behind the building surrounded by a fence and pool cover. Continue on 809-C (Page 3) Additional Observations: The water temperature at the kitchen sink was tested and measured at 117 degrees Fahrenheit, which meets licensing regulations. The cleaning supplies are stored in the laundry room and the garage. Sharps are stored in the staff office of the house. There are seven (7) fire extinguishers located on the property. One (1) is in the multipurpose building and six (6) in the home. LPA observed the carbon monoxide/smoke detectors to be in working order when tested by the licensee. LPA observed all required posting. LPA observed adequate linens and hygiene products for the clients. Facility was observed to be clean, safe, sanitary and in good repair. Passageways, stairways, incline ramps and open porches are unobstructed. LPA observed 20 cameras throughout the outside of the property. Vehicles: LPA Nestor inspected three (3) facility vehicles in total. Chrysler Pacifica (White) with current registration that expires on 7/26/26. Insured by Non-profits Insurance alliance of California that expires on 6/9/26. Ford Escape (White) with current registration that expires on 01/02/2026. Insured by Non-profits Insurance alliance of California that expires on 6/9/26. Ford Fusion Hybrid (White) with current registration that expires on 03/12/2026. Insured by Non-profits Insurance alliance of California that expires on 6/9/26. Vehicles are in good condition with no issues. Staff Interview: LPA Nestor conducted three (3) staff interview with FA, FM2, and FM3. Client Interview: LPA Nestor conducted zero (0) client interviews because the client (C1) was not present at the facility at the time of the inspection. LPA Nestor will return to complete the inspection. There were no deficiencies observed or cited at this time. A copy of this report was reviewed and emailed to the Facility Administrator (FA).

met_with: Facility Manager - Cindy Torres


summary: Facility Evaluation

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Narrative:
On 9/12/25, at 9:05 am, Licensing Program Analyst (LPA) Nestor Gomez returned to the above-mentioned facility to continue the annual inspection that was started on 9/11/25. LPA Gomez met with Facility Administrator (FA), Darchell Guidry, who granted access to the facility. The following was observed during the Inspection: Staff Records Review: LPA reviewed three (3) staff records for the FA, FM2 and FM3. Clients Records Review: LPA reviewed one client record for client (C1) which meets qualification. Client Interview: LPA Nestor conducted one (1) client interview for client (C1). There is one deficiency observed and cited at this time. (See 809-D) Exit interview was conducted with the Facility Administrator and a copy of this report was emailed to the Facility Administrator.

met_with: Facility Administrator - Darchell Guidry


summary: Facility Evaluation

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Narrative:
On 02/29/24 at 09: AM Licensing Program Analyst (LPA) Jhane Haynes made an unannounced visit to the above facility for the purpose of conducting a case management inspection following an incident report received on 02/23/24. A client missed scheduled dose due to medication not being refilled timely. LPA met with Facility Administrator (FA) Esther Yu who granted access to the facility. LPA spoke with FA, reviewed the medication log and obtained memo sent to staff regarding medication monitoring. LPA observed a violation of the Interim Licensing Standards(ILS) was found and the facility will be cited for missing client dose. Per ILS Article Sec 87075, one deficiency will be cited today. See LIC809-D for details. An exit interview was conducted, and a copy of this report was left at the facility.

met_with: Esther Yu Facility Administrator (FA)


raw_content:
Investigation Findings:
13On 11/14/2025, at 10:00 am, Licensing Program Analyst (LPA) Nestor Gomez made an unannounced inspection to the above facility for the purpose of concluding the investigation on the above allegation(s) and deliver the findings. LPA spoke with Clinical Director (A1), Lawrence Franklin and together, discussed the investigative findings. During the investigative process by Licensing program Analyst (LPA), Nestor Gomez, all relevant parties have been accounted for. The validity of the allegations could not be determined. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. No deficiencies are being cited at this time. Exit Interview conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Nestor Gomez 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: Lawrence Franklin (Clinical Director)


facility_name: Z.N.D. Residential, INC. (Z.N.D.)

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On this date, Licensing Program Analyst (LPA) Leslie Inouye conducted a complaint inspection for the Short Term Residential Therapeutic Program (STRTP) for the purpose of delivering the findings for the above complaint allegation. LPA met with Administrator Zeb Graves During the course of investigating the allegations, LPA conducted interviews with staff members and clients, conducted a record review and obtained information. The interviews and information revealed inconsistencies of the allegation that staff held a knife to the clients chest or threatened the client with a knife. The interviews and information revealed inconsistencies of the allegation that staff did not prevent the client from engaging ins self harm while in care. Although the allegations 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 UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Les Inouye 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: Zeb Graves


raw_content:
Investigation Findings:
13On this date, Licensing Program Analyst (LPA) Leslie Inouye conducted a complaint inspection for the Short Term Residential Therapeutic Program (STRTP) for the purpose of delivering the findings for the above complaint allegation. LPA met with Administrator Zeb Graves. During the course of investigating the allegation, LPA conducted interviews with staff members, clients and witnesses and conducted a record review and obtained information. The information revealed inconsistencies. Althought staff and clients confirm that the clients are not being taken to another location at night to sleep, interviewed witneses indicate that they are. Although the allegations 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 UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Les Inouye 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 this date, Licensing Program Analyst (LPA) Leslie Inouye conducted a complaint inspection for the Short Term Residential Therapeutic Program (STRTP) for the purpose of delivering the findings for the above complaint allegation. LPA met with Administrator Zeb Graves. During the course of investigating the allegation, LPA conducted interviews with staff members, clients and witnesses and conducted a record review and obtained information. The interviews and information revealed inconsistencies. Interviews and information indicated that the client could not identify staff or idenfify when he was kicked. Also, others interviewed could not demonstrate a proponderance of evidence that the client was kicked. Although the allegations 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. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lidia Tinoco LICENSING EVALUATOR NAME: Les Inouye 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