summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Corina Carrillo conducted a case management inspection November 12, 2025 at 11:20AM, 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, 6 out of Direct Care Staff and 3 out of 3 youth files were reviewed. 1 out of Direct Care Staff and 0 out of 3 youth were interviewed. (See the Confidential Names List, LIC 811,November 12, 2025). The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, youth case plans, quarterly assessments, 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 staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Carrillo 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 Maggie Mendez.

met_with: Maggie Mendez & Greg Johnson


state: CA

facility_name: QUALITY FAMILY SERVICES-GETTYSBURG

summary: Facility Evaluation

raw_content:
Narrative:
On December 3, 2025, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Gettysburg and met with Yvonne Carlos. The purpose of this inspection was to discuss concerns with an incident report that was sent into the Department on November 25, 2025, the incident in question happened on 11/24/2025. LPA conducted interviews and will collect additional documentation. Facility Manager stated that it was an isolated incident. Staff One (S1) was concerned with C1 (see 811) grabbing the steering wheel, while S1 was driving facility vehicle (Ford Fusion) It was determined this was an isolated incident and there was no citation warranted. A copy of this report was left at the facility.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Yvonne Carlos


summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On December 3, 2025, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Gettysburg and met with Yvonne Carlos. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the Department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left with Yvonne Carlos at the conclusion of this inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

report_type: Complaint Investigation

complaint_status: unsubstantiated


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On February 21, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Gettysburg and met with Tamara Williams and Laura Romero via phone call. LPA conducted a Case Management inspection due to an incident that occurred at the facility on September 4, 2022. The incident in question is regarding the Care and Supervision as staff did not provide supervision which resulted in inappropriate behaviors between the youth. LPA confirmed with Licensee that staff did not provide supervision during her shift which resulted in the incident occurring. The staff was placed on administrative leave without pay from September 6-30, 2022. Staff then provided a resignation letter on October 15, 2022. The Department determined this to be a risk to the health and safety of the children in care at this time, therefore California Code of Regulations are being cited on the attached LIC809D. A copy of this report and Appeal Rights was provided to the facility.

Deficiencies:
87065.2: (1) Supervision, protection, and care of children at all times, individually and in groups.

met_with: Tamara Williams/Laura Romero

title:
Personnel Duties.
(b) Direct care staff shall perform the following duties


summary: Facility Evaluation

raw_content:
Narrative:
On May 17, 2023, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Corporate office as Gettysburg is currently on COVID restrictions. LPA met with Laura Romeo. The purpose of the inspection was to discuss concerns in regards to a Gettysburg staff driving youth around with a suspended drivers license. The licensee stated they had no knowledge of the suspended license, that same staff was also involved in a car accident on 05/15/23 with a youth in the vehicle. The Department determined this to be a risk to the health and safety of the children in care at this time, therefore California Code of Regulations are being cited on the attached LIC809D. A copy of this report and Appeal Rights was provided to the facility.

met_with: Laura Romero


summary: Facility Evaluation

raw_content:
Narrative:
On February 23, 2026, Licensing Program Analyst (LPA) Danny Macias arrived at Quality Gettysburg Short Term Residential Treatment Program (STRTP) for the purpose of conducting an unannounced Case Management Inspection and met with Facility Manager Yvonne Carlos. The purpose of the inspection was to discuss concerns with buildings and grounds as a walk through was completed. During the facility walk through LPA observed a missing screen in the living room window, a drawer with a broken track in one of the bedrooms and a loose kitchen faucet. The facility has initiated work orders for these items to be completed. A review of the Licensing Information System on this date indicates that all facility staff are associated to the STRTP and had DOJ, FBI, and child abuse index check clearances. A copy of this report was provided to Yvonne Carlos at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On March 4, 2026, Licensing Program Analyst (LPA) Danny Macias arrived at the Short Term Residential Treatment Program (STRTP) and met with Facility Manager Yvonne Carlos. The purpose of the visit was to conduct a case management inspection related to an incident dated 2-22-26 in which a report was made that a client had sex with a maintenance contractor at the STRTP. LPA interviewed Yvonne Carlos on this date (see 812). A copy of this report was left with Yvonne Carlos at the conclusion.


facility_name: QUALITY FAMILY SERVICES-MILLBROOK

raw_content:
Investigation Findings:
13On October 6, 2021, Licensing Program Analyst (LPA) was met by Administrator, Laura Romero for the purpose of concluding the investigation with regards to the above-mentioned allegations. During the course of the investigation, LPA conducted interviews with the minors in care and staff from the facility along with obtaining a copy of the Sheriff's report. When the LPA interviewed the youth that reported being hit by staff, his statement was not consistent with both the Sheriff's report and staff's accounting of the incident. All other minors in care did not have any knowledge of any staff hitting any minor in the facility. When staff and other minors were interviewed regarding the amount of food in the facility, all but one minor stated that there is no shortage of food in the facility. It is noted that during the intial 10 day inspection of the home, LPA observed the food supply in the facility which on that date met and exceeded the minimum requirement for food. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the above allegations occurred, therefore the above allegations are unsubstantiated. There were no deficiencies cited during this inspection. Exit interview conducted and a copy of the report along with appeals rights were left with Ms. Romero. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13On February 16, 2022, Licensing Program Analyst (LPA) was met by Administrator, Laura Romero for the purpose of concluding the investigation with regards to the above-mentioned allegations. During the course of the investigation, LPA conducted interviews with the minors in care and other witnesses. LPA obtained copies of Police Reports, incident reports and other documents from the minor's files. LPA's interviews of the minors and witnesses did disclose that the allegations were not true and/or witnesses did not observe the allegations as reported. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the above allegations occurred. Therefore the above allegations are unsubstantiated. There were no deficiencies cited during this inspection. Exit interview conducted and a copy of the report along with appeals rights were left with Ms. Romero. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


raw_content:
Investigation Findings:
13On April 26, 2022, Licensing Program Analyst (LPA) was met by Administrator, Sinsear Radford for the purpose of concluding the investigation with regards to the above-mentioned allegations. During the course of the investigation, LPA conducted interviews with the minors in care and staff. LPA obtained copies of documents from the minor's file. LPA's interviews with the minors and staff did disclose that the allegations were not consistent and/or witnesses did not observe the allegations as reported. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the above allegations occurred. Therefore the above allegations are unsubstantiated. There were no deficiencies cited during this inspection. Exit interview conducted and a copy of the report along with appeals rights were left with Ms. Radford. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

met_with: Sinsear Radford


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On July 25, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Millbrook and met with Sinsear Radford. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA interviewed staff and clients which revealed that staff handled minor in a rough manner. Based on LPAs confidential interviews which were conducted and records review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Interim Licensing Stanards are being cited on the attached LIC 9099-D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-MILLBROOKFACILITY NUMBER: 107202597

complaint_status: SUBSTANTIATED


summary: Facility Evaluation

raw_content:
Narrative:
On this date, October 20, 2021 at 08: AM, an unannounced required annual inspection was conducted by Licensing Program Analysts (LPA) Wayne Aoki. LPA met with facility representative Sinsear Radford and Laura Romero LPA inspected the facility, inside and out. Centrally stored medications and sharps are maintained in the staff office in a locked closet. LPA inspected the medications for the minors in care. The facility has a written emergency disaster plan. All facility smoke and carbon monoxide detectors were tested and appear to be in appropriate working order, fire extinguisher is properly charged and was last serviced May 6, 2021. Individual beds were observed with appropriate clean linens and are in good repair. There is at least one week supply of nonperishable and a two day supply of perishable foods. The facility is maintained at 75 degrees. Hot water temperature measured 113 degrees. Facility has cameras or weapons are allowed in the facility and there are no pets. There was Staff and Minors present during the inspection. Both staff and minor's files reviewed. LPA interviewed 1 staff and 2 minors during the inspection. LPA reviewed the facility's disaster plan, sampled medication and reviewed facility logs. LPAs requested the following updated documents by October 29, 2021. LIC 500, LIC 308, LIC 999, LIC 610C There were no deficiencies cited during this inspection. A copy of this report was left at the facility at the conclusion of the inspection.

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On January 31, Licensing Program Analyst (LPA) Wayne Aoki met with Administrator Laura Romero at Yale Ave, Fresno CA to discuss an incident report dated October 18, 2021 where M1 was restrained by S1 and S2. Ms. Romero explained that recent video evidence that was thought to be over written by the video system was salvaged. The video clearly shows S1 being physically aggressive (Pushing, shoving) M1. Video also shows S1 and S2 conducting an inappropriate restraint. S1 was placed on administrative leave October 25, 2021 and has not returned back to work.. S2 was retrained on CPI on November 02, 2021. LPA asked Ms. Romero to submit an amended incident report indicating the findings of the video recording. There were no deficiencies cited during this inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On November 8, 2022, Licensing Program Analysts (LPAs) Lidia Tinoco and Briana Placencia arrived at the Millbrook house for the purpose of conducting a confidential interview with a youth in care. No deficiencies were issued at todays visit. A copy of this report was provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On November 10, 2022, Licensing Program Analysts (LPAs) Briana Placencia and Cynthia Galindo conducted an unannounced annual inspection at Quality Millbrook STRTP located in Fresno CA. LPAs met with Administrator Sinsear Radford and Laura Romero. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 76 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. STRTP was approved on December 1, 2018. The facility is accredited through CARF with accreditation through May 31, 2025, and they are approved through Fresno County Department of Behavioral Health through May 27, 2023. No firearms or weapons are observed in the facility. There is no pool and no pets at the facility. LPAs reviewed 5 client files, and 5 staff files. LPAs interviewed 3 staff and 2 clients. LPAs discussed the medication log, all required forms, intake process, needs and services plan, disaster preparedness plan and emergency intervention plan. LPAs requested the following updated documents by December 10, 2022. Lic 500, Lic 308, Lic 999, Lic 610c. Deficiencies are being cited on today's visit, which include One Type B violation, and Three Technical Violations. A copy of this report was left at the facility at the conclusion of today's inspection.

met_with: Sinsear Radford and Laura Romero


summary: Facility Evaluation

raw_content:
Narrative:
On January 30, 2025, Licensing Program Analysts (LPAs) Briana Placencia and Sonia Sanchez conducted an unannounced random inspection at Quality Millbrook STRTP located in Fresno CA. LPAs met with Direct Care staff Yvonne Carlos. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 72 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. STRTP was approved on December 1, 2018. The facility is accredited through CARF with accreditation through May 31, 2025, and they are approved through Fresno County Department of Behavioral Health through May 27, 2025. Per Yvonne there are no firearms or weapons at the facility. There is no pool and no pets at the facility. LPAs reviewed 4 client files, and 5 staff files. LPAs interviewed 2 staff and 1 client. LPAs discussed the medication logs, and physical plant. No deficiencies are being cited on today's visit. A copy of this report was left with Yvonne Carlos at the conclusion of today's inspection.

met_with: Yvonne Carlos-Direct Care Staff


summary: Facility Evaluation

raw_content:
Narrative:
On August 5, 2025, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Millbrook and met with Sinesar Radford. The purpose of this inspection was to discuss concerns with an incident report that was sent into the Department on July 29, 2025, the incident in question happened on 7/21/2025. LPA interviewed Client One (C1) (See 812 and 811). Further investigation is needed to resolve this Case Management. A copy of this report was left at the facility.

met_with: Sinesar Radford


summary: Facility Evaluation

raw_content:
Narrative:
On September 10, 2025, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Millbrook and met with Sinesar Radford. The purpose of this inspection was to follow up on a Case Management Inspection that occurred on August 5, 2025, with an incident report that was sent into the Department on July 29, 2025, the incident in question happened on 7/21/2025. Based on confidential interviews and records review it was determined that staff conducted an inappropriate restraint on a youth in care. The Department determined this to be an immediate risk to health and safety at this time, therefore the STRTP is being cited on the attached LIC809-D under Interim Licensing Standards (ILS), 87095.01(a)(9)- Emergency Interventions Prohibition. A copy of this report and appeal rights was left at the facility with Sinsear Radford.


summary: Facility Evaluation

raw_content:
Narrative:
On March 20, 2026, Licensing Program Analyst (LPA) Danny Macias traveled to Quality Family Services Millbrook Short Term Residential Therapeutic Program (STRTP) to conduct an unannounced inspection and met with Head of Service Jeanine Parks. The purpose of the inspection was to discuss an incident in which two minors were engaged in a physical altercation. Staff witnessed the altercation, but did not intervene, therefore the STRTP is being cited on the attached LIC809-D under Interim Licensing Standards, Article Continuing Requirements, 87072(c)(32) Personal Rights. A copy of this report and appeal rights was left with Jeanine Parks at the conclusion of the inspection.

met_with: Jeanine Parks


summary: Facility Evaluation

raw_content:
Narrative:
On March 26, 2026, Licensing Program Analyst (LPA) Danny Macias arrived at Quality Family Services - Millbrook House (STRTP) to conduct an unannounced inspection and met with Head of Service Jeanine Parks. The purpose of the inspection was to discuss client internet access in the STRTP. (see 812) No citations at this time. An exit interview was conducted and a copy of this report was left with Jeanine Parks.


raw_content:
Investigation Findings:
13On March 20, 2026, Licensing Program Analyst (LPA) Danny Macias arrived at Quality Family Services - Millbrook Short Term Residential Treatment Program (STRTP) to both open and close a complaint. LPA met with Head of Service Jeanine Parks. The purpose of the inspection was to initiate an investigation regarding the above allegations. LPA interviewed staff and conducted an inspection of clients' bedrooms on this date. During the investigation, LPA observed the linens on all beds to be clean. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. A copy of this report was left with Jeanine Parks at the conclusion. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Vanessa Galvan LICENSING EVALUATOR NAME: Danny Macias LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 03/12/2026 and conducted by Evaluator Danny Macias PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:QUALITY FAMILY SERVICES-MILLBROOKFACILITY NUMBER: ADMINISTRATOR:OROZCO, MARGARITAFACILITY TYPE: ADDRESS: N. MILLBROOKTELEPHONE: (559) 431- CITY:FRESNOSTATE: CAZIP CODE: CAPACITY:6CENSUS: 4DATE: 03/20/ UNANNOUNCEDTIME BEGAN: 01: PM MET WITH:Jeanine ParksTIME COMPLETED:02: PM 9Staff does not provide clean mattress to minors in care INVESTIGATION FINDINGS: 13On March 20, 2026, Licensing Program Analyst (LPA) Danny Macias arrived at Quality Family Services - Millbrook Short Term Residential Treatment Program (STRTP) to both open and close a complaint. LPA met with Head of Service Jeanine Parks. The purpose of the inspection was to initiate an investigation regarding the above allegations. LPA interviewed staff and conducted an inspection of clients' bedrooms on this date. During the investigation, LPA observed 4 mattresses with stains. During LPA's visit, STRTP staff cleaned stains from two of the mattresses. Based on observation, the allegation is SUBSTANTIATED. This facility is being cited for violation of Interim Licensing Standards (ILS) Version 5, Article 07. Physical Environment, Section 87088(c)(1) Fixtures, Furniture, Equipment, and Supplies on the attached LIC9099-D. A copy of this report was left with Jeanine Parks at the conclusion. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Vanessa Galvan LICENSING EVALUATOR NAME: Danny Macias LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-MILLBROOKFACILITY NUMBER: 107202597


raw_content:
Investigation Findings:
13On March 20, 2026, Licensing Program Analyst (LPA) Danny Macias traveled to Quality Family Services - Millbrook Short Term Residential Therapeutic Program (STRTP) to conduct an unannounced inspection and met with Jeanine Parks. The purpose of the inspection was to deliver findings for the above complaint allegation. During the investigation, LPA conducted confidential interviews and reviewed supporting media provided by the facility. Based on media reviewed, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. No deficiencies or citations issued. A review of the Licensing Information System on this date indicates that all facility staff are associated to the STRTP and had DOJ, FBI, and child abuse index check clearances. An exit interview was conducted and a copy of this report was left with Jeanine Parks at the conclusion. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Vanessa Galvan LICENSING EVALUATOR NAME: Danny Macias LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13On March 24, 2026, Licensing Program Analyst (LPA) Danny Macias traveled to Quality Family Services - Millbrook Short Term Residential Therapeutic Program (STRTP) to conduct an unannounced inspection and met with Head of Service Jeanine Parks. The purpose of the inspection was to deliver findings for the above complaint allegations. During the investigation, LPA conducted confidential interviews and reviewed supporting documents provided by the facility. Based on interviews and documents reviewed, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. No deficiencies or citations issued. A review of the Licensing Information System on this date indicates that all facility staff are associated to the STRTP and had DOJ, FBI, and child abuse index check clearances. An exit interview was conducted and a copy of this report was left with Jeanine Parks at the conclusion. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Vanessa Galvan LICENSING EVALUATOR NAME: Danny Macias LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 01/26/2026 and conducted by Evaluator Danny Macias PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:QUALITY FAMILY SERVICES-MILLBROOKFACILITY NUMBER: ADMINISTRATOR:OROZCO, MARGARITAFACILITY TYPE: ADDRESS: N. MILLBROOKTELEPHONE: (559) 431- CITY:FRESNOSTATE: CAZIP CODE: CAPACITY:6CENSUS: 4DATE: 03/24/ UNANNOUNCEDTIME BEGAN: 03: PM MET WITH:Jeanine ParksTIME COMPLETED:05: PM 9Staff speak to minors in an inappropriate manner. INVESTIGATION FINDINGS: 13On March 24, 2026, Licensing Program Analyst (LPA) Danny Macias traveled to Quality Family Services - Millbrook Short Term Residential Therapeutic Program (STRTP) to conduct an unannounced inspection and met with Head of Service Jeanine Parks. The purpose of the inspection was to deliver findings for the above complaint allegation. During the investigation, LPA conducted interviews and reviewed supporting media obtained. Media reviewed shows facility staff speaking inappropriately to a minor in care. Based on media reviewed, the department has determined the allegation to be SUBSTANTIATED. This facility is being cited for violation of Interim Licensing Standards (ILS) Version 5, Article 06. Continuing Requirements, Section 87072(c)(16) Personal Rights on the attached LIC9099-D. A copy of this report was left with Administrator Jeanine Parks at the conclusion. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Vanessa Galvan LICENSING EVALUATOR NAME: Danny Macias LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-MILLBROOKFACILITY NUMBER: 107202597


raw_content:
Investigation Findings:
13On March 26, 2026, Licensing Program Analyst (LPA) Danny Macias traveled to Quality Family Services - Millbrook Short Term Residential Therapeutic Program (STRTP) to conduct an unannounced inspection and met with Head of Service Jeanine Parks. The purpose of the inspection was to deliver findings for the above complaint allegation. LPA conducted an investigation that included review of documentation and confidential interviews. Based on the information obtained, a preponderance of evidence standard has not been met, therefore, the above allegation is UNSUBSTANTIATED. No citations at this time. A copy of this report was left with Jeanine Parks at the conclusion. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Vanessa Galvan LICENSING EVALUATOR NAME: Danny Macias 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


summary: Facility Evaluation

raw_content:
Narrative:
On April 23, 2026, a meeting was held at the Fresno Children's Residential Program, Fresno Office. Present with Community Care Licensing were Licensing Program Manager (LPM) Vanessa Galvan and Licensing Program Analyst (LPA) Danny Macias. Present from Quality Family Services were CEO May Johnson, Program Director (PD) Greg Johnson, Human Resources Director (HR) Laura Romero, and Facility Administrator (AD) Sinsear Radford. The purpose of the meeting was to address deficiencies cited at the facility for an incident that occurred on 7-21-25, and a plan for compliance. The regulation cited on 9-10-25 was 87095. Emergency Intervention Prohibition. Regulations reviewed on this date were 87095. Emergency Intervention Plan, 87095. Emergency Intervention Prevention, 87065. Supervision, Evaluation & Training Requirements and Personnel Requirements for the facility to provide training for staff. The facility will provide outsourced training for CL and provide proof of training to the department upon completion, to include certificates and sign-in/login information. LPA and LPM discussed the development and review of client's safety plans and implementation. No citations were issued on this date. A copy of this report was provided to Laura Romero at the conclusion.

met_with: May Johnson, Greg Johnson, Laura Romero, Sinsear Radford


facility_name: QUALITY FAMILY SERVICES-PERRIN

raw_content:
Investigation Findings:
13On September 20, 2021, Licensing Program Analyst (LPA) Wayne Aoki conducted a complaint inspection for Quality Family Services - Perrin. LPA was met by facility representative Laura Romero to conclude the investigation with regards to the above-mentioned allegation. During the course of investigating the allegation, LPA conducted interviews with witnesses. One of the children in care stated that they two of them were just messing around and that they had their clothes on. The incident only lasted about 3 seconds and the other child left to go back to his bedroom. The other child that was involved was not interviewed as the child was AWOL and whereabouts are unknown. LPA reviewed the incident report along with the Sheriff Department's report. Based on the interviews conducted and reports obtained and reviewed, Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the above allegation occurred, therefore the above allegation is unsubstantiated. There were no deficiencies cited during this inspection. Exit interview conducted and a copy of the report along with appeals rights were left with the facility representative. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2


summary: Facility Evaluation

raw_content:
Narrative:
On September 21, Licensing Program Analyst Wayne Aoki conducted a required annual inspection at Quality Family Services - Perrin. LPA was met at the facility by facility representative Laura Romero. LPA conducted entrance interview and completed a tour of the facility. Staff and children's files were reviewed. LPA reviewed the facility's disaster plan. LPAs requested the following updated documents by September 1, 2021. LIC LIC LIC LIC 610C There were no deficiencies cited during this inspection. A copy of this report was left at the facility at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On this date Licensing Program Analyst (LPA) Jessica Rodriguez arrived at the Short Term Residential Therapeutic Program (STRTP) for the purpose of conducting an interview with Client 1 (C1). LPA left a copy of this report with Facility Manger, Santiago Quinonez.

met_with: Santiago Quinonez.


summary: Facility Evaluation

raw_content:
Narrative:
On October 18, 2022, Licensing Program Analysts (LPAs) Briana Placencia and Cynthia Galindo conducted an unannounced annual inspection at Quality Perrin STRTP located in Clovis CA. LPAs met with Administrator Santiago Quinonez and Laura Romero. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 72 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted, however facility will update the Foster Youth Rights with the newest forms. Medications are locked and centrally stored. Individual beds were observed. STRTP was approved on December 18, 2018. The facility is accredited through CARF with accreditation through May 31, 2025, they had a fire clearance completed in April 2021 and is good through April 2023, and they are approved through Fresno County Department of Behavioral Health through May 8, 2022. No firearms or weapons are observed in the facility. There is no pool and no pets at the facility. LPAs reviewed 5 client files, and 5 staff files. LPAs interviewed 2 staff and 1 client was present but refused to be interviewed. LPAs discussed the medication log, all required forms, intake process, needs and services plan, disaster preparedness plan and emergency intervention plan. LPAs requested the following updated documents by November 30, 2022.Lic 500, Lic 308, Lic 999, Lic 610c. Deficiencies are being cited on today's visit, which include One Type A, Four Type B violations and One Technical Violation. A copy of this report was left at the facility at the conclusion of today's inspection.

met_with: Santiago Quinonez


summary: Facility Evaluation

raw_content:
Narrative:
On October 25, 2022, Licensing Program Analysts (LPAs) Briana Placencia and Cynthia Galindo met with Clinical Director Juan Cabrera and Research Quality Insurance Coordinator Valerie Curley this meeting was held via Microsoft teams. The purpose of this meeting was to discuss the Plans of Corrections(POCs) issued during the Annual inspection at Quality STRTP-Perrin on October 18, 2022. LPAs reviewed the POCs and discussed the Needs and Services plans that require updating to be in compliance with the Interim Licensing Standards Version 4. The following deficiencies were discussed and reviewed: 87070(c)(4) 87068.2(b)(5) 87068.2(b)(6) 87068.2(e) 87068.3(a)(1) 87068.3(a)(3) 87070(b)(16) 87070(b)(17) A copy of this document scanned to the facility representative with a request for signature and a scan back. Signed copy will be placed in Licensee file.

met_with: Juan Cabrera and Valerie Curley


summary: Facility Evaluation

raw_content:
Narrative:
On November 8, 2022, Licensing Program Analysts (LPAs), Briana Placencia and Lidia Tinoco conducted an unannounced visit to Quality STRTP and met with the Administrator, Santiago Quinonez. The purpose of the visit was to follow-up on a plan of correction issued on October 18, 2022 due to clients Needs and Service Plans failed to contain modifications/updates and signed by authorized representative, ability to manage their own money, visitation, integration of family as well as updates every 30 days. The plan of correction was due on November 1, 2022 and was not met which prompted this plan of correction visit. On November 3, 2022, LPA received the updated Needs and Services plans from Human Resource Manager Laura Romero via email at 5:30pm. Licensee stated that the case manager did take on another caseload at another facility, and was a bit overwhelmed at the time. LPA advised that next time an extension can be requested. A Civil Penalty of $300 was assessed for failure to correct. An exit interview was conducted with Santiago Quinonez and a copy of the report was left at the facility along with appeal rights and the letter of deficiencies citations cleared.


summary: Facility Evaluation

raw_content:
Narrative:
On June 21, 2023, Licensing Program Analyst (LPA), Briana Placencia conducted an unannounced visit to Quality STRTP Perrin and met with the Administrator, Santiago Quinonez and HOS Carole Whitty. The purpose of this visit was to discuss incident reports not received by CCL. In overview between the months of September 2022 to April 2023, it appears that there was 18 missing incident reports and 18 reports where CCL received initial emails but did not receive the full incident report. LPA reviewed the dates in question with both staff. LPA will give the licensee 7 days to review records and locate the missing incident reports. An exit interview was conducted, and a copy of this report was provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On August 18, 2023, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Perrin and met with Laura Romero. The purpose of the inspection was to conduct a tour of the facility. LPA inspected the home and ensured there are not children in the home. Licensee surrendered their license effective as of July 22, 2023.


summary: Facility Evaluation

raw_content:
Narrative:
On June 28, 2023, Licensing Program Analyst (LPA), Briana Placencia conducted an unannounced visit to Quality STRTP Perrin and met with the Administrator, Santiago Quinonez, HOS Carole Whitty and via phone Greg Johnson. The purpose of this visit was to again discuss incident reports not received by CCL. Between the months of September 2022 to April 2023, it appears that there was 18 missing incident reports and about 11 reports where CCL received initial emails but did not receive the full incident report. Per Greg it would appear that they were able to locate some on extended reach and others they were unable to locate. There were others that were in the system but were not followed up on. Per Greg the missing incident reports will be sent to CCL by today. The Department determined this to be a potential risk to health and safety of the children in care at this time, therefore California Code of Regulations are being cited on the attached LIC809D


facility_name: QUALITY FAMILY SERVICES-RIALTO

raw_content:
Investigation Findings:
13On 12/8/2021, Licensing Program Analyst (LPA) Wayne Aoki conducted a complaint inspection for Quality Family Services - Rialto to conclude the investigation with regards to the above-mentioned allegation. LPA was met by facility representative Laura Romero. During the course of investigating the allegation, LPA interviewed staff and minors in care. LPA determined that although the minors engaged in inappropriate sexual interactions with each other, staff did conduct bed checks on the minors approximately every 15-30 minutes. The minors disclosed that they would engage in the activity between the times that staff would conduct bed checks. Staff and Minors both confirmed that the facility policy is to conduct bed checks every 15-30 minutes when the minors are in their rooms. The allegation may or may not have happened, or is or is not valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. There are no deficiencies to be cited on this date. Exit interview conducted and a copy of the report was provided to Ms. Romero. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2


raw_content:
Investigation Findings:
13On 12/15/2021, Licensing Program Analyst (LPA) Wayne Aoki conducted a complaint inspection for Quality Family Services - Rialto at the Quality Family Services office to conclude the investigation with regards to the above-mentioned allegation. LPA was met by facility representative Laura Romero. During the course of investigating the allegation, LPA interviewed staff and minors in care. LPA determined that although the minor in question did engaged in a physical altercation with a staff member, the staff member was in a defensive position and was hit/kicked and choked by the minor. The allegation may or may not have happened, or is or is not valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegation is deemed unsubstantiated. There are no deficiencies to be cited on this date. Exit interview conducted and a copy of the report was provided to Ms. Romero. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality Rialto STRTP and met with Sinsear Radford. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA interviewed staff and inspected the bedrooms which revealed that minor's bed is in disrepair. Based on LPA's observations the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SIERRA CASCADE AC/SC, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-RIALTOFACILITY NUMBER: 107206848


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analysts (LPAs) Briana Placencia and Lidia Tinoco conducted a complaint inspection at Quality STRTP Rialto and met with Cynthia Porraz. The purpose of the inspection was to deliver the findings for the above complaint allegation(s). During the investigation, LPA conducted confidential interviews which revealed that a minor was bullied by another minor while in care. Based on LPAs observations, interviews which were conducted and records review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SIERRA CASCADE AC/SC, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-RIALTOFACILITY NUMBER: 107206848

met_with: Cynthia Porraz


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


summary: Facility Evaluation

raw_content:
Narrative:
On this date, September 30, 2021 at 08: AM, an unannounced required annual inspection was conducted by Licensing Program Analysts (LPA) Wayne Aoki. LPA met with facility representative Laura Romero. LPA inspected the facility, inside and out. Centrally stored medications and sharps are maintained in the staff closet. LPA inspected the medications for the minors in care. The facility has a written emergency disaster plan. All facility smoke and carbon monoxide detectors were tested and appear to be in appropriate working order, fire extinguisher is properly charged and was last serviced May 6, 2021. Individual beds were observed with appropriate clean linens and are in good repair. There is at least one week supply of nonperishable and a two day supply of perishable foods. The facility is maintained at 76 degrees. Hot water temperature measured 111 degrees. Facility has cameras in common areas of the facility. There are no bodies of water at the facility. No firearms or weapons are allowed in the facility and there are no pets. There was Staff, Minors and the Administrator present during the inspection. Both staff and minor's files reviewed. LPA interviewed 1 staff and 2 minors during the inspection. LPA reviewed the facility's disaster plan, sampled medication and reviewed facility logs. LPAs requested the following updated documents by October 22, 2021. LIC 500, LIC 308, LIC 999, LIC 610C There were no deficiencies cited during this inspection. A copy of this report was left at the facility at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Priscilla Zamudio conducted a collateral visit for the purpose of interviewing client #1 regarding a matter unrelated to this facility. LPA made contact with Rick McCaster III, Clinical Therpist and provided him with a copy of this report.

met_with: Rick McCaster III


summary: Facility Evaluation

raw_content:
Narrative:
On 04/28/2022 an unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Tamara Melikian and Vanessa Galvan at 2: PM. During the inspection, LPAs met with Laura Romero, Human Resource Manager and inspected the facility. While at the facility LPAs observed plumbing leaks that occurred on this date. The carpet had to be removed and professionals were awaiting entry to the facility while LPAs were present. The inspection will be continued at a later date as to allow the facility to make the appropriate calls and relocate the clients in care. Facility representative also advised they would be notifying their Community Care Licensing analyst on this date. LPAs reviewed two children's records and reviewed two staff personnel records for the facility at 2:30PM. A medication count was conducted at 3:00PM. LPAs were unable to interview staff as they were relocating the clients in care. LPAs did not interview any children in the home as one child is currently on an unauthorized absence from the facility and other child was at school. Children will be interviewed at a later date. No deficiencies to be cited at this time. LPAs conducted exit interview with Laura Romero, Human Resource Manager LPAs provided the summary report to Laura Romero, Human Resource Manager upon completion.


summary: Facility Evaluation

raw_content:
Narrative:
On December 15, 2022, Licensing Program Analysts (LPAs) Briana Placencia and Cynthia Galindo conducted an unannounced annual inspection at Quality Rialto STRTP located in Fresno CA. LPAs met with Administrator Sinsear Radford and Laura Romero. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 69 degrees. All facility smoke detectors are in appropriate working order, fire extinguishers is properly charged and serviced in March 2022. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. STRTP was approved on December 1, 2018. The facility is accredited through CARF with accreditation through May 31, 2025, and they are approved through Fresno County Department of Behavioral Health through May 27, 2023. No firearms or weapons are reported in the facility. There is no pool and no pets at the facility. LPAs reviewed 5 client files, and 5 staff files. LPAs interviewed 2 staff and 1 client. LPAs discussed the medication log, all required forms, intake process, needs and services plan, disaster preparedness plan and emergency intervention plan. LPAs requested the following updated documents by January 16, 2023. Lic 500, Lic 308, Lic 999, Lic 610c. Deficiencies are being cited on today's visit include two type B violations. A copy of this report was left at the facility at the conclusion of today's inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On April 4, 2023, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Rialto and met with Sinesar Radford. The purpose of the inspection was to discuss a recent Neighborhood Complaint. LPA discussed the incident with the Neighborhood complaint, the census is currently at 3 due to the issues with the neighbor. The facility believes that the incident could have occurred back in November 2022. At this time the STRTP has had no further issues with the neighboring home and the youth in question and has since left the facility on February 2, 2023. LPA determined this to not be an immediate risk to health and safety at this time because the problem has been addressed and corrected, therefore no deficiency will be issued at this time. An exit interview was conducted, and a copy of the report was provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Jessica Rodriguez on April 25, 2023, at 8:35A.M. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Rodriguez met with Sinsear Radford, Administrator and inspected the facility inside and out. LPA reviewed 1 of 3 child's records and 2 of 2 staff personnel files on site at the facility. LPA reviewed 1 of 3 child's psychotropic medications and medication records. LPA interviewed 2 of 2 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed no children currently on psychotropic medication, as they were in school at this time. LPA provided a copy of this licensing report to Sinsear Radford, Administrator, No deficiencies are being cited at this time. LPA conducted exit interview with Sinsear Radford, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analyst (LPA) Jessica Rodriguez arrived at the Short Term Residential Therapeutic Program (STRTP) for the purpose of conducting an interview with C1; however, C1 was not at the facility. LPA will attempt to interview C1 at a later date.

met_with: Rick McCaster III, Therapist


summary: Facility Evaluation

raw_content:
Narrative:
On July 15, 2024, Licensing Program Analysts (LPAs) Briana Placencia and Sonia Sanchez conducted a Case Management inspection at Quality STRTP Rialto and met with Sinsear Radford. The purpose of the inspection was to conduct an walk through of the facility. LPAs inspected the home and ensured there are not children in the home. Licensee surrendered their license effective as of July 5, 2024.


facility_name: QUALITY FAMILY SERVICES-SAMPLE

raw_content:
Investigation Findings:
13On July 12, 2021, Licensing Program Analyst (LPA) Wayne Aoki conducted a follow up complaint inspection for Quality Family Services - Sample and met with facility representative, Laura Romero. The purpose of the investigation is to deliver the findings for the above allegations. LPA conducted Interviews with staff, clients in care and witnesses. Based upon the content of the interviews and documents reviewed, it was determined that staff yelled and screamed at the youth in care, did not provide emergency personnel facility contact information and did not allow the youth in care to make a phone call during an incident at the facility. Based on the above, there is a preponderance of evidence to conclude that the allegations are substantiated. The facility is being cited on the attached LIC 9099D. An exit interview was conducted and Plans of Corrections were reviewed and developed with Ms. Romero. A copy of this report and appeals rights were discussed and left with the facility. Ms. Romero's whose signature on this form confirms receipt of these documents. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-SAMPLEFACILITY NUMBER: 100406223


raw_content:
Investigation Findings:
13On August 20, Licensing Program Analyst (LPA) Wayne Aoki met with facility representative Helen Gowans to conclude the investigation and deliver the findings with regards to the above-mentioned allegation. LPA conducted the investigation that included review of documentation, interviews of staff and the Children in Care. LPA was not able to come to a preponderance of the evidence that the allegation occurred due to the inconsistencies in the information obtained from the witness statements. Although the complainant reported that the faciltiy did not seek medical attention in a timely manner, the child and other witnesses stated otherwise. The allegation may or may not have happened, or is or is not valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. No deficiencies observed or cited during this inspection. Copy of this report and LIC Appeal Rights left at the agency at conclusion of inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

met_with: Helen Gowans


raw_content:
Investigation Findings:
13On December 23, 2021, Licensing Program Analyst (LPA) Wayne Aoki conducted a follow up complaint inspection for Quality Family Services - Sample and met with facility representative, Laura Romero. The purpose of the investigation is to deliver the findings for the above allegations. LPA conducted Interviews with staff and minors in care. Based upon the content of the interviews and documents reviewed, it was determined that staff confiscated minor's personal belongings and did not return them in a timely manner, staff failed to transport minor to her employment and denied the minor from showering. Based on the above, there is a preponderance of evidence to conclude that the allegations are substantiated. The facility cited on the attached LIC 9099D. An exit interview was conducted and Plans of Corrections were reviewed and developed with Ms. Romero. A copy of this report and appeals rights were discussed and left with the facility. Ms. Romero's whose signature on this form confirms receipt of these documents. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-SAMPLEFACILITY NUMBER: 100406223


raw_content:
Investigation Findings:
13On December 23, 2021, Licensing Program Analyst (LPA) Wayne Aoki conducted a follow up complaint inspection for Quality Family Services - Sample and met with facility representative, Yvonne Carlos. The purpose of the investigation is to deliver the findings for the above allegations. LPA conducted Interviews with staff and minors in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted and a copy of the report and appeal rights were provided to Ms. Carlos. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


raw_content:
Investigation Findings:
13On March 17, 2022, Licensing Program Analyst (LPA) was met by facility manager, Yvonne Carlos. The purpose of this inspection is to amend the 9099 that was created on 3/14/22 to conclude the investigation with regards to the above-mentioned allegations. LPA conducted interviews with the minors in care at the facility and staff. LPA also conducted a facility inspection of the home. Witness statements were not consistent with the allegations that were made above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted and a copy of the report and appeal rights were provided to Ms. Carlos. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2


raw_content:
Investigation Findings:
13On March 14, 2022, Licensing Program Analyst (LPA) was met by facility manager, Yvonne Carlos. The purpose of this inspection is to conclude the investigation with regards to the above-mentioned allegations. LPA conducted interviews with the minors in care at the facility and staff. LPA also conducted a facility inspection of the home. Witness statements were not consistent with the allegations that were made above. LPA was unable to interview one minor as the minor AWOL'd from the facility when the county social worker came to the facility to transfer the minor to another placement. The whereabouts of that minor are unknown. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted and a copy of the report and appeal rights were provided to Ms. Carlos. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality Corporate office and met with Laura Romero. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA interviewed staff which revealed that the agency did not ensure that minor had fair and equal access to placement. Based on LPA's observations, interviews which were conducted and records review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SIERRA CASCADE AC/SC, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-SAMPLEFACILITY NUMBER: 100406223


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


raw_content:
Investigation Findings:
13On October 4,2023, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Sample and met with Yvonne Carlos. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


raw_content:
Investigation Findings:
13On April 25, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Sample and met with Yvonne Carlos. The purpose of the inspection was to deliver the findings regarding the above complaint allegation. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13On May 10, 2024, Licensing Program Analysts (LPAs) Briana Placencia and Angelica Borja conducted a complaint inspection at Quality STRTP Sample and met with Bernardina Marcelo. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPAs conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Bernardina Marcelo


raw_content:
Investigation Findings:
13On October 3, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality corporate office due to the STRTP Sample being temporarily closed. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPAs conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


investigation_findings: 13On October 3, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality corporate office due to the STRTP Sample being temporarily closed. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPAs conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


summary: Facility Evaluation

raw_content:
Narrative:
On this date, September 30, 2021 at 08: AM, an unannounced required annual inspection was conducted by Licensing Program Analysts (LPA) Wayne Aoki. LPA met with facility representative Laura Romero and Yvonne Carlos. LPA inspected the facility, inside and out. Centrally stored medications and sharps are maintained in the staff office. LPA inspected the medications for the minors in care. The facility has a written emergency disaster plan. All facility smoke and carbon monoxide detectors were tested and appear to be in appropriate working order, fire extinguisher is properly charged and was last serviced May 6, 2021. Licensee has provisions for contraceptives to be held in individually locked containers by clients (Currently no residents). Individual beds were observed with appropriate clean linens and are in good repair. There is at least one week supply of nonperishable and a two day supply of perishable foods. The facility is maintained at 78 degrees. Hot water temperature measured 115 degrees. Facility has cameras in common areas of the facility. There are no bodies of water at the facility. No firearms or weapons are allowed in the facility and there are no pets. There were Staff, Minors and the Administrator present during the inspection. Both staff and minor's files reviewed and interviewed. LPA reviewed the facility's disaster plan. LPAs requested the following updated documents by October 8, 2021. LIC 500, LIC 308, LIC 999, LIC 610C There were no deficiencies cited during this inspection. A copy of this report was left at the facility at the conclusion of the inspection.

met_with: Laura Romero/Yvonne Carlos


summary: Facility Evaluation

raw_content:
Narrative:
On this date, April 27, 2022 at 08: AM, Licensing Program Analyst (LPA) Wayne Aoki conducted an unannounced Required Annual inspection although the type of visit is recorded as a Annual/Random inspection. LPA met with facility House Manager, Yvonne Carlos. Ms. Carlos informed LPA that the facility was just cleared from Covid Quarantine on April 26, 2022. LPA inspected the facility, inside and out. Centrally stored medications and sharps are maintained in the staff office. LPA inspected the medications for the minors in care. The facility has a written emergency disaster plan. All facility smoke and carbon monoxide detectors were tested and appear to be in appropriate working order, fire extinguisher is properly charged and was last serviced May 6, 2021. Licensee has provisions for contraceptives to be held in individually locked containers by clients (Currently no residents). Individual beds were observed with appropriate clean linens and are in good repair. There is at least one week supply of nonperishable and a two day supply of perishable foods. The facility is maintained at 78 degrees. Hot water temperature measured 115 degrees. Facility has cameras in common areas of the facility. There are no bodies of water at the facility. No firearms or weapons are allowed in the facility and there are no pets. There was one minor at the facility during the inspection and only the House Manger was at the facility during this inspection. Interview was conducted with the minor and House Manager. All staff and all minor's files were reviewed. LPA reviewed the facility's disaster plan. LPAs requested the following updated documents by May 31, 2022. LIC 500, LIC 308, LIC 999, LIC 610C There were no deficiencies cited during this inspection. A copy of this report was left at the facility at the conclusion of the inspection.

met_with: Yvonne Carlos


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, LPAs (Licensing Program Analysts) conducted a case management inspection at the QFS main office. Met with Human Resource Director Laura Romero. The purpose of this inspection is to address the facility Covid Quarantine. Staff person last worked on 6/22/22 and was exposed to COVID. Staff person is symptomatic but has not yet tested. Agency will follow up with LPA Briana Placencia regarding results of testing. Currently, the facility youth and staff are quarantined and following the Agency's COVID quarantine protocols.

met_with: Laura Romero


summary: Facility Evaluation

raw_content:
Narrative:
On August 29, 2023, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Sample and met with Yvonne Carlos. The purpose of the inspection was to discuss concerns with and incident report sent to Community Care Licensing (CCL) with the incident date of August 20, 2023, regarding a foster child #1 (811- Ref #1) absconding from the facility (According to staff, youth was followed until out of line of sight). It was also noted that foster child #2 (811-Ref #2) made allegations that #1 inappropriately touching youth without consent. (See 811 for confidential names). There is an ongoing police investigation for this matter. #1 has a history of absconding from the facility. #2 and #1 were in a verbal altercation prior to the allegations being made. Any further incidents will be reported to CCL in the form of incident reports. LPA determined this to not be an immediate risk to health and safety at this time because the problem has been addressed and corrected, therefore no deficiency will be issued at this time.


summary: Facility Evaluation

raw_content:
Narrative:
On September 6, 2023, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Sample and met with Yvonne Carlos. The purpose of the inspection was to discuss concerns with and incident report sent to Community Care Licensing (CCL) with the incident date of September 3, 2023, regarding a foster child #1 (811- Ref #1) got into a physical altercation with other youths in the home. Fresno Police Department was called by the neighbors as the youths were all fighting in the front of the home as staff was attempting to de-escalate and separate all the youth. #1 was taken to Fresno Community for medical clearance and the charges are "In-sighting a fight usual racial slurs" being placed on #1. #1 returned back to the facility on 9/3/23 at 730pm, after not meeting the criteria for a 5150. #1 absconded again at 805pm, that is when #1 began hitting the van, yelling throughout the streets and making allegations of "rape" "sample staff rape kids" as she walked throughout the neighborhood. A CFT was held on 9/5/2023, and it was determined that a 14 day notice would be placed on #1 as the team agreed that #1 needs a placement that is not in the city and or out of county due to her absconding and being very familiar with the Fresno Area. 14-day notice is set to expire on September 19, 2023. LPA determined this to not be an immediate risk to health and safety at this time because the problem has been addressed and corrected, therefore no deficiency will be issued at this time.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Tamara Melikian and Reyna Martinez on February 12, 2024 at 10: AM. This case management inspection is conducted pursuant to Health and Safety Code 1538.9(a)(2). During the inspection, LPAs met with Yvonne Carlos, House Manager and inspected the facility inside and out. LPAs reviewed 2 child's records and 2 staff personnel files on site at the facility. LPAs reviewed 2 child's psychotropic medications and medication records. LPAs interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPAs interviewed 1 child currently on psychotropic medication. The other child refused to be interviewed on this date. LPAs provided a copy of the licensing report to Yvonne Carlos, House Manager. No deficiencies are being cited at this time. LPAs conducted exit interview with Yvonne Carlos, House Manager.


summary: Facility Evaluation

raw_content:
Narrative:
On July 10, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Sample and met with Bernardina Marcelo. The purpose of the inspection was to discuss concerns with and incident report sent to Community Care Licensing (CCL) with the incident date of 06/29/2024, regarding a foster child #1 (see 811- Ref #1) was in a physical altercation with other youths in the home. Staff separated the girls immediately, #1 was taken to the hospital to get evaluated. #1 was moved to another STRTP as a safety precaution. Licensee received verbal confirmation from the authorized representative to move #1 to another facility. LPA determined this to not be an immediate risk to health and safety at this time because the problem has been addressed and corrected, therefore no deficiency will be issued at this time.


summary: Facility Evaluation

raw_content:
Narrative:
On October 17, 2024, Licensing Program Analysts (LPAs) Briana Placencia and Danny Macias conducted an unannounced annual required inspection at this facility. LPAs were met at the facility by Human Resource Manager Laura Romero. An inspection of the facility was conducted and the following was observed: No clients were residing in the home; therefore, no client files were reviewed. LPAs reviewed the administrator file. The facility was inspected indoors and outdoors. Hot water temperature was at a comfortable temperature of 120.7 degrees in the hall restroom. Home temperature was 75 degrees. Fire Extinguishers were last serviced on March 19, 2024. LPAs observed that there were no supply of perishables and non-perishables, LPAs observed adequate supply of linen and storage space for clients. All furnishings were in place for 6 clients. Cleaning chemicals were inaccessible to clients. The facility is accredited by CARF through May 25, 2026. There are no weapons observed at the facility. There are also no bodies of water at the facility. LPA left a copy of this inspection at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analyst's (LPA) Briana Placencia and Jessica Rodriguez conducted a Case Management inspection at the Quality Corporate office and met with Greg Johnson and Laura Romero, LPA's met at Quality Corporate office due to Quality-Sample being on COVID quarantine. The purpose of the inspection was to discuss incident reports not received by the Department. During review of client files, LPA Placencia observed several refused medications. LPA then cross referenced with the incident reports provided to the Department from Quality-Sample. It was determined that the incident reports were not provided to the Department. Quality was able to provide the Department with the incident reports during todays visit. However the incident reports were not completed within the 7 days as required. Based on the above, there is a preponderance of evidence to substantiate a violation based on the California Code of Regulation which is being cited on the attached LIC 809D. A copy of this report and Appeal Rights was provided to the facility.

met_with: Greg Johnson and Laura Romero


facility_name: QUALITY FAMILY SERVICES-WARNER

summary: Complaint Investigation - Substantiated - 1 deficiency

raw_content:
Investigation Findings:
13On 06/18/2021, Licensing Program Analyst (LPA) Wayne Aoki conducted a follow up complaint inspection for Quality Family Services - Warner. LPA was met by representative Laura Romero. The purpose of the investigation is to conclude the investigation and deliver the findings for the above allegation. LPA and Special Investigator conducted Interviews with staff and the clients in care. Based upon the content of the interviews and documents reviewed, it was determined that due to an emergency 1 of the 2 staff working had to leave. This caused a lapse in supervision of the clients in care which resulted in a client hitting another client causing injury. Based on the above, there is a preponderance of evidence to conclude that the allegation is substantiated. The facility is being cited on the attached LIC 9099D. This report along with appeals rights was left with Ms. Romero. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-WARNERFACILITY NUMBER: 100404635

Deficiencies:
87078(a): 1
2
3
4
5
6
7Facility has retrained staff on supervison and when staff is doing medication, the facilty protocal is to have one staff supervising the minors and the other staff prepping and distributing medications.
8
9
10
11
12
13
14

title: Responsibility for Providing Care and Supervision  (a) In addition to California Code of Regulations, Title 22, Section 80078, the following shall apply. This requirement is not met as evidenced by


raw_content:
Investigation Findings:
13On September 8, 2021, Licensing Program Analyst (LPA) Priscilla Zamudio conducted a complaint inspection at Quality Family Services- Warner Facility. and spoke with Andrew Davis, Head of Service. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging " Child was hit by staff." LPA Zamudio completed interviews with staff and clients, reviewed pertinent documents, however, LPA found contradicting information. Therefore, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, the allegation is UNSUBSTANTIATED. A copy of this report and appeal rights were left with Andrew Davis. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Priscilla Zamudio LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

met_with: Andrew Davis


summary: Facility Evaluation

raw_content:
Narrative:
On 05/25/2021, an unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Tamara Melikian at 2:00PM. During the inspection, LPA met with Laura Romero, Human Resource Manager and Ruby Guerrero, Administrator and inspected the facility inside and out. Due to restrictions of COVID-19, this inspection was conducted via FaceTime. All file and medication documents were sent to this LPA on the dates prior to inspection. In addition, a medication count was conducted. LPA reviewed five children's records and reviewed two staff personnel records for the facility. LPA interviewed two staff via telephone at 2:30PM. LPA did not interviewed one child in the home as all other dependents refused an interview. No deficiencies to be cited at this time. LPA conducted exit interview with Laura Romero, Human Resource Manager at 3:00PM. A copy of this report was provided upon completion by email with a request for signature and a scan back to this LPA on this date.

met_with: Laura Romero, Ruby Guerrero


summary: Facility Evaluation

raw_content:
Narrative:
On this date, October 29, 2021 at 09: AM, an unannounced required annual inspection was conducted by Licensing Program Analysts (LPA) Wayne Aoki. LPA met with facility representative Laura Romero LPA inspected the facility, inside and out. Centrally stored medications and sharps are maintained in the staff office in a locked file cabinet. LPA inspected the medications for the minors in care. The facility has a written emergency disaster plan. All facility smoke and carbon monoxide detectors were tested and appear to be in appropriate working order, fire extinguisher is properly charged and was last serviced May 6, 2021. Individual beds were observed with appropriate clean linens and are in good repair. There is at least one week supply of nonperishable and a two day supply of perishable foods. The facility is maintained at 73 degrees. Hot water temperature measured 112 degrees. Facility cameras are allowed in the facility and there are no pets. There was Staff and no minors present during this inspection. Both staff and minor's files reviewed. LPA interviewed 1 staff during the inspection. There were no minors at the facility to interview during this inspection. Interviews with minors in placement will be conducted at a later date. LPA reviewed the facility's disaster plan, sampled medication and reviewed facility logs. LPAs requested the following updated documents by November 5, 2021. LIC 500, LIC 308, LIC 999, LIC 610C There were no deficiencies cited during this inspection. A copy of this report was left at the facility at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On November 3, Licensing Program Analyst (LPA), Wayne Aoki was met by facility representative, House Manager, Ruby Guerrero for the purpose of continuing the required annual inspection of October 29, 2021. On this date, there are two of the three minors at the facility during the inspection.. LPA interviewed 2 minors and concluded the annual inspection. There were no citable deficiencies during this inspection. A copy of this report was left at the facility with Ms. Guerrro.

met_with: Ruby Guerrero


summary: Facility Evaluation

raw_content:
Narrative:
On 05/20/2022 an unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Vanessa Galvan at 11: AM. During the inspection, LPA met with Laura Romero, Human Resource Manager and inspected the facility. LPA reviewed one child's record and reviewed two staff personnel records for the facility. The Administrator and staff were unable to be at the inspection and will be interviewed at a later date. The children were at school on this date and will be interviewed at a later date. A medication review was conducted at 11: AM. No deficiencies to be cited at this time. LPAs provided the summary report to Laura Romero, Human Resource Manager upon completion at 12: PM


summary: Facility Evaluation

raw_content:
Narrative:
On October 25, 2022, Licensing Program Analysts (LPAs) Briana Placencia and Cynthia Galindo conducted an unannounced annual required inspection at this facility. LPAs were met at the facility by Greg Johnson, Mae Johnson and Human Resource Manager Laura Romero. An inspection of the facility was conducted and the following was observed: No clients were residing in the home; therefore, no client files were reviewed. LPAs reviewed the administrator file. LPAs provided Laura Romero with a copy of the LIS536 which includes a list of personnel associated to the facility. The facility was inspected indoors and outdoors. Hot water temperature was at a comfortable temperature. LPAs observed that there were no supply of perishables and non-perishables. LPAs observed 3 out of 6 beds were not clients ready, one of the fridges had rotten food with a heavy odor and insects. Insects were observed in the home. Technical Violations will be issued for this. (See LIC 9102s) LPAs observed adequate supply of linen and storage space for clients. Cleaning chemicals were inaccessible to clients. There are no weapons observed at the facility. There are also no bodies of water at the facility. Laura Romero/Administrator to submit an updated facility sketch and LIC 500 when they accept clients into the home. LPA left a copy at the facility and visit concluded.

met_with: Greg Johnson, Mae Johnson


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Jessica Rodriguez on September 15, 2023 at 1:30PM. This case management inspection is conducted pursuant to Health and Safety Code 1538.9(a)(2). During the inspection, LPA met with Laura Romero, Administrator and inspected the facility inside and out. LPA reviewed 0 child's records and 1 staff personnel file on site at the facility. LPA reviewed 0 child's psychotropic medications and medication records. LPA interviewed 1 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed no children currently on psychotropic medication as the facility currently has no clients. LPA provided a copy of the licensing report to Administrator, Laura Romero. No deficiencies are being cited at this time. LPA conducted exit interview with Laura Romero, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On July 10, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Warner and met with Sinsear Radford. The purpose of the inspection was to conduct an walk through of the facility. LPA inspected the home and ensured there are not children in the home. Licensee surrendered their license effective as of July 3, 2024.

met_with: Sinsear Radford


facility_name: QUALITY FAMILY SERVICES-YALE

raw_content:
Investigation Findings:
13On December 3, 2022, Licensing Program Analyst (LPA) Wayne Aoki was met by facility representative Laura Romero to conclude the investigation with regards to the above-mentioned allegations. LPA conducted interviews of witnesses and reviewed Police and facility incident reports. Based upon the content of the interviews and documents reviewed, it was determined that although the allegations were made, staff and other clients interviews did not corroborate with the Complainant's accounting of the allegations. Therefore, based on the above, the allegations are unsubstantiated. Exit interview conducted and a copy of the report and appeals rights were provided to Ms. Romero. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2