summary: Facility Evaluation

raw_content:
Narrative:
On May 25, 2021, and office conference was held with San Diego Center for Children (SDCC) Short Term Residential Therapeutic Program (STRTP) via Microsoft Teams, due to COVID-19 pandemic. In attendance were: Community Care Licensing representatives Regional Manager (RM) LaCresha Cook, Licensing Program Manager (LPM) Ann Valenzuela, LPM Stephanie Hudak, Licensing Program Analyst (LPA) Marisol Lopez; SDCC representatives- Director Ervey Salinas LMFT, Assistant Director of Operations/Residential Meghan Dambacher, Clinical Manager Yasmin Williams, LMFT, Clark Clinical Program Manager Marissa Jones, Training Specialist Michelle Pechtl, Nurse Manager Jennifer Loya, QA Director Misty Howard; CDSS/Systems of Care Provider Development Manager Marjana Jackson. San Diego County Representatives included: Senior Probation Officer Jorge Aguilar, Institutions Evaluation Unit (IEU) Monitor Julie Martinez, IEU Manager Natasha Hood, IEU/Contracts Supervisor Lyn Worthington, and Contracting Officer Representative Gentiana Janina. The following issues were discussed:  Complaints  Emergency Intervention Plan  Training During the meeting, LPM Hudak addressed that this meeting is to support and discuss how CCL can assist the facility in avoiding health and safety issues associated with the use of restraints. LPM Hudak discussed the substantiated complaints due to inappropriate restraint holds within the last 2 years and requested information on what the facility has changed to decrease holds; how the facility is incorporating the emergency intervention plan and how staff is being trained. (see continuation form LIC809-C dated 05/25/21) In response, the facility representative discussed the quality council and data collection that the facility has in place. The facility reviews and disperses the information to train staff and changes actions to meet the needs of clients. The Quality control group for the facility looks at data monthly in an extensive and very detailed data that is compared going back two years. In report details, the facility looks at the durations of holds, times of holds, clients with increased holds, staff who are conducting the holds and any patterns. The facility also reviews injuries and what can be modified to prevent injuries caused during activities. The facility uses trends as support in CFT's to show volume, to see effects of medications and to update weekly meetings on any new trends that have been observed. The facility never looks at numbers by themselves and looks at the number of incidents per occupied bed. Also in response, it was stated the review of the data supports the facility when adding extra services; assessing levels of need; to discuss other services to meet the clients needs; providing incentive plans; changing the way things are done which can include providing a client more breaks, providing psychological testing for functional level, getting a local CASA representative to visit children; reviewing campus video footage for staff feedback on interventions or to review incidents and finding better placement for the staff if the staff is better with adolescents vs. young children. It was specified that multiple staff read incident reports and give staff ideas on what could have been improved or provide feedback for trainings. LPM Hudak asked if the facility is still utilizing SPA as part of their emergency intervention plan and the facility responded they have used SPA since 2007 and haven't found a need to change the program. The facility receives current and up to date trainings yearly from the Devereux Foundation. RM Cook inquired about what the facility is doing to support staff's wellbeing and self-care. The facility discussed the importance of staff self-care and the Wellness Programs offered to encourage staff to take 5 minutes of meditations, take time off or use mental health days, increase team building activities, and provide time for staff to talk about stress levels. The facility highlighted the importance of staff wellness and the encouragement for self-care. All recommendations/suggestions and requirements given during the meeting by CCL were acknowledged by STRTP representatives. County and CCR representatives had no recommendations to add. (see continuation form LIC809-C dated 05/25/21) In closing, all parties were satisfied with all information that was discussed during the meeting. CCL is requesting the following be submitted by 6/25/21: A copy of the Internal Biannual Review of the emergency interventions that was completed by SDCC for January 2021. Also, for future comparison, CCL is also requesting that SDCC submit the Biannual Review due by July 5, 2021. CCL will review both reports to see the trends, patterns, and data collected by the facility and what modifications were recommended by the administrative staff of SDCC. LPA met with SDCC Director Ervey Salinas via tele-inspection to answer any questions. A copy of this report was emailed to SDCC Director Ervey Salinas with "read receipt" notification to verify that the licensee received the report. A copy of the signed reports will be placed in facility file.


state: CA

facility_name: SAN DIEGO CENTER FOR CHILDREN

summary: Facility Evaluation

raw_content:
Narrative:
On 05/26/2021 at 3:30 p.m., due to COVID 19, Licensing Program Analyst (LPA) Marisol Lopez conducted a tele-inspection case management and met with Program Representative Lynette Castillo to facilitate tele-inspection confidential interview. The purpose of the case management is to investigate information reported to Community Care Licensing (CCL). It was reported that on 04/29/2021, Staff #1(S1) allegedly placed S1's hands on Client #1 (C1) and spoke to C1 in a rude manner. During the investigation, confidential interviews were conducted and incident report was obtained. Confidential interviews did not provide information supporting the allegation. Based on information gathered, it appears that the facility acted appropriately, took preventative measures and no violations have been identified. No deficiencies are being cited at this time. A copy of this report was emailed to Program Director Ervey Salinas with "read receipt" notification to verify that the licensee received the LIC809. Original signed reports will be placed in facility file

report_type: Facility Evaluation

visit_type: Case Management

met_with: Ervey Salinas


summary: Facility Evaluation

raw_content:
Narrative:
On 05/26/2021 at 10:00 a.m., due to COVID 19, Licensing Program Analyst (LPA) Marisol Lopez conducted a tele-inspection case management and met with Program Administrator, Ervey Salinas to facilitate confidential interview. The purpose of the case management is to investigate information reported to Community Care Licensing (CCL). It was reported that on 04/29/2021, that Staff #1(S1) allegedly placed S1's hands on Client #1 (C1) and spoke to C1 in a rude manner. LPA conducted confidential interviews. No deficiencies are being cited at this time. Due to the need to gather additional information this investigation is being extended. The outcome of the investigation will be provided to the Administrator. A copy of this report was emailed to Program Director Ervey Salinas with "read receipt" notification to verify that the licensee received the LIC809. Original signed reports will be placed in facility file


summary: Facility Evaluation

raw_content:
Narrative:
On 02/02/2021 at 10:00 a.m., Licensing Program Analyst (LPA) Marisol Lopez conducted a tele-inspection case management and met with Program Administrator, Ervey Salinas. The purpose of the case management is to review reporting requirements for 24 hour notifications and incident reporting. Program Administrator was reminded not to send incident reports or 24hr notifications directly to the LPA, as an LPA may be out or assigned to other tasks and CCL will not get the incident reports in a timely manner. Program Administrator was provided reporting requirements and has understood the requirements. LPA reviewed Title 22, Section 80061(b) Reporting Requirements, 80061 (b) Upon the occurrence, during the operation of the facility, of any of the events specified in (1) below, a report shall be made to the licensing agency within the agency's next working day during its normal business hours. In addition, a written report containing the information specified in (2) below shall be submitted to the licensing agency within seven days following the occurrence of such event. A copy of this report was emailed to Program Director Ervey Salinas with "read receipt" notification to verify that the licensee received the LIC809. Original signed reports will be placed in facility


summary: Facility Evaluation

raw_content:
Narrative:
On February 9, 2022 at 12:15PM, Licensing Program Analyst (LPA) Carol Anderson and Licensing Program Manager (LPM) Ann Valenzuela conducted a annual inspection. LPA Anderson and LPM Valenzuela was met at the facility by Administrator Ervey Salinas. On February 9, 2022 at 12:20PM, LPA Carol Anderson conducted a physical plant inspection with Administrator Ervey Salinas. LPA observed the physical plant inspection which included the following checks: Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. The facility has four outdoor basketball courts, a ropes challenge course, various sporting equipment, game room with computers, books, and television gaming equipment were observed for children's recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguisher is properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. The cafeteria kitchen was inspected and is clean. All required forms are posted including the Grievance Procedures, Visitation Policy in the lobby, Personal Rights form, and Foster Care Ombudsman poster. Medications are locked and centrally stored in the nursing office. Licensee provides the right for contraceptives to be held individually by clients and locked in containers by clients. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. Continued. Jack and Carol Clark facility, the hot water in the client's bathroom was measured to be 109 degrees. Seaside, Baja, Bedrock and Skyline units, the hot water in the client's bathroom was reading at 108 degrees all within regulation. Facility has cameras in common areas of all cottages. The facility has a waiver on file to use the cameras and are meeting the terms and conditions. Per Administrator Ervey Salinas, no firearms or weapons are allowed in the facility. Facility appears to be meeting the terms and conditions of their license. Per. Administrator Ervey Salinas he will be sending the board of director meeting minutes to CCL. A review of the Licensing Information System on February 9, 2022 indicates that all individuals are associated to the facility had DOJ, FBI and child abuse index check clearances. Administrator, Ervey Salinas, is present at the facility a minimum of 20 hours a week, as verified by staff schedules. Appropriate staff/client ratios were verified during this inspection. The facility employs Social Workers, 12 facility managers and 96 direct care staff. Per Administrator, Licensee has obtained Mental Health Certification. Licensee has obtained National Accreditation through the Joint Commission. The Accreditations extended due to COVID-19. Licensing fee payments have been paid. LPA discussed the following with the Administrator and Representative: Incident reporting, including incidents related to Assembly Bill 388 law enforcement contacts as well as incidents involving emergency interventions. LPA discussed procedures for Child and Family Team (CFT) meetings, including an overview of required Core Services and Supports. Based upon the inspection of facility records reviewed of staff and clients, the Licensee appears to be meeting CFT and Core Services/Supports requirements and working on requesting the meetings sooner to not fall close to the 30-day mark. Continued. Personnel files were reviewed to ensure they contained all required documentation per Title Regulations. Personnel Files are maintained on-site in a locked file cabinet in staff HR office. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. A review of Thirteen client records and ten staff personnel were also completed. Due to time constraints, staff and clients will be interviewed at another date and time. Based on the facility inspection and file reviews on this date, there are no deficiencies found at his time. Exit interview conducted with Ervey Salinas, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On March 4, 2022 at 10: AM, LPA Val Wilson arrived at San Diego Center for Children, Short Term Residential Therapeutic Program (STRTP) to meet with Anneka Adame, Lead Shift Supervisor. The purpose of today's meeting is to obtain signatures and delivering an amended SB Inspection Report dated February 25, 2022, Case Management- Medications. LPA conducted exit interview with Anneka Adame, Lead Shift Supervisor, at 12: PM. LPA provided this report and the amended Summary Report to Anneka Adame, Lead Shift Supervisor upon completion.

met_with: Anneka Adame, Lead Shift Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On November 28, 2022 at 10: AM, Licensing Program Analyst (LPA) Marisol Lopez conducted a case management and met with Program Representative, Michelle Drake. The purpose of the visit was to conduct a confidential interview of client #1(C1) regarding a complaint that occurred at a different facility. An exit interview was conducted and a copy of this report was provided to facility representative

met_with: Michelle Drake


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst's (LPA's) Joon Choi and Leslie Covarrubias, and Licensing Program Manager (LPM) Cheraki Davis on May 5, 2023 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Choi and Covarrubias, and LPM Davis met with Clinical Program Manager, Marissa Jones, and conducted a tour of the facility. LPA's reviewed one of child's records and three of staff personnel files on site at the facility. LPA's reviewed one of child's psychotropic medications and medication records. LPA's interviewed three staff on site to discuss the facilities policies and procedures of operation. LPA's will interview one child, that is currently prescribed psychotropic medication, at their assigned school, after the facility visit. During the inspection LPA's and LPM observed no deficiencies. LPA provided a copy of this licensing report to Clinical Program Manager Marissa Jones.

met_with: Marissa Jones, Clinical Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On February 25, 2022 at 10: AM, an unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPA) Val Wilson and Licensing Program Manager (LPM) Cheraki Davis. During the inspection, LPM Davis and LPA Wilson inspected the Short Term Residential Therapeutic Program (STRTP) inside and out with Senior Director, Ervey Salinas. During the tour of the facility, LPA Wilson observed the medication carts and the office holding the medication were locked. LPA Wilson interviewed two staff on site at 11: AM and 12: PM. LPA Wilson reviewed two staff personnel files on site at 12: PM. LPA reviewed ten clients' records on site at the facility beginning at 11: AM. LPA conducted exit interview with Janelle Battaglia, Director of Business, at 5: PM. LPA provided the Summary Report to Janelle Battaglia upon completion. No deficiencies are being cited at this time. LPA conducted exit interview with Janelle Battaglia, Director of Business. This is an amended report from the original report dated 02/25/22


facility_name: SAN FRANCISCO BOYS AND GIRLS HOME - EUCLID HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
On Tuesday, October 05, 2021 at 9: AM, Licensing Program Analyst (LPA) Isabel Mendoza conducted an annual/required inspection at the above facility. LPA Mendoza met with Administrator, Scheron Douglas, due to the current Administrator LaTasha Knighten being out on leave. The facility has not been operating since May of 2021 so the facility has been vacant. Therefore, LPA Mendoza did not use Inspection Tool during todays inspection. Please note, the facility has been in communication with CCL regards to their current status. LPA Mendoza toured the facility inside and out and found the facility to be safe, clean and in good repair. During LPA Mendoza's walk thru LPA observed the facility having all items packed in plastic bins. The refrigerator and freezer were empty, and were unplugged due to the facility closure. LPA toured the upstairs and there were a total of 5 bedrooms. All bed rooms were empty and three were storing plastic bins, mattresses, and bed frames. The Administrator confirmed that their maintenance person visits the facility every 2 months to ensure the facility remains in good standing. Per Administrator Scheron, the facility believes they will not be operating until sometime next year (2022). The facility is still in discussion if they will remain as an STRTP or may change to another facility type. At this time the facility wants to remain as an STRTP due to the agency still deciding. Once the facility make a decision they will notify LPA Mendoza immediately. LPA Mendoza also advised the facility to check in with LPA by January of 2022, so LPA can know what the facility current status is. An exit interview was conducted and a copy of the report was left with the Administrator.

visit_type: Annual

met_with: Administrator- Scheron Douglas


summary: Facility Evaluation

raw_content:
Narrative:
On 8/29/24, Licensing Program Analyst (LPA) Mariah Hawkins conducted a required 2-year inspection at the facility. LPA met with Program Manager Dessoni Redmond at the facility and informed of the purpose of the visit. LPA also discussed the purpose of the visit with Administrator Teyona Galloway over the phone. Administrator confirmed that the facility is currently non-operational as a short-term residential therapeautic program (STRTP) and is instead being utilized as office and conference space for the operations of the licensee's other STRTP in the area. Therapists' offices are housed at the site, and staff meetings and therapeutic activies for the residents are hosted at the site. As such, there are no residents in care nor staff employed at this facility site. The licensee has been advised that they would be permitted to forfeit the license and still utilize this building as currently used. LPA toured the facility site and observed no safety hazards. Hot water measured within permitted range, and the site was maintained at a comfortable temperature within permitted range. Bathrooms and kitchen are maintained in clean and sanitary condition. Since the site is not in operation as a care facility at this time, there are no residents in care nor care staff working, so no interviews were conducted and no files were reviewed. No deficiency citations are being issued. LPA observed a few areas where technical support may be beneficial. See LIC Advisory Notes attached. An exit interview was conducted, appeal rights were discussed, and a copy of this report was left with Program Manager, whose signature on this form confirms receipt.

met_with: Program Manager Dessoni Redmond


facility_name: SAN FRANCISCO BOYS AND GIRLS/ SHELTER

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Although the allegations may have happened or are valid, based on LPA's observations and interviews, there is not a preponderance of the evidence to prove the alleged violations did or did not occur. Therefore, the allegations are unsubstantiated. An exit interview was conducted, appeal rights discussed, and a copy of this report left with Administrator Teyona Galloway, whose signature on this form confirms receipt.

Investigation Findings:
13On 2/17/23, Licensing Program Analyst (LPA) Mariah Hawkins conducted a complaint investigation visit to deliver findings. LPA met with Administrator Teyona Galloway and informed of the purpose of the visit. During investigation, LPA conducted confidential interviews and reviewed relevant facility records. Based on LPA investigation, the facility does have a qualified facility manager who has experience working in a leadership role within the facility. The facility does have a qualified Head of Service who holds a valid marriage and family therapist license. The facility had the facility manager as acting interim administrator pending an administrator change, and during this time, in August, LPA made a visit and there were no residents in care pending the designation of an administrator. As of November 2022, Teyona Galloway has been the administrator and is qualified. The designation has been confirmed and approved by CCL and the licensing records will be updated. Lastly, the facility has been following intake procedures but has a history of permitting the county to place youth without prior receipt of admission paperwork. The facility is now requesting the admission paperwork prior to placement, complying with licensing requirements. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Mariah Hawkins 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 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CENTRAL COAST SC/RES, TRAEGER AVE., SUITE FACILITY NAME: SAN FRANCISCO BOYS AND GIRLS/ SHELTERFACILITY NUMBER: VISIT DATE: 02/17/2023

report_type: Complaint Investigation

met_with: Administrator Teyona Galloway

complaint_status: unsubstantiated


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
LPA is issuing citation(s) for violation of the Interim Licensing Standard (ILS), Version 5, Section(s) 87089. Mental Health, 87022(f) Plan of Operation, and 87068.2 (a) Needs and Services Plan. See attached LIC9099-D. An exit interview was conducted, appeal rights were provided, and a copy of this report was left with Administrator Teyona Galloway, whose signature on this form confirms receipt.

Investigation Findings:
13On 05/13/24 at 12:15PM Licensing Program Analysts (LPA's) Celeste Aparicio made an unannounced inspection to the facility for the purpose of delivering findings from a complaint investigation. LPA met with Administrator Teyona Galloway, and informed on the purpose of this visit. Based on the report received by the licensing agency, it was reported that the facility is not providing mental health services, the facility does not have a Head of Service, and the facility is not following Needs and Services Plans. LPA reviewed pertinent documentation and conducted confidential interviews. LPA found that a Head of Service has not been available to provide mental health services at the facility since December 2023. Additionally, the Department was not notified of any changes in the mental health program. Based on LPA's observations, interviews, and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Celeste Aparicio 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 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN BRUNO RO, TRAEGER AVE., SUITE FACILITY NAME: SAN FRANCISCO BOYS AND GIRLS/ SHELTERFACILITY NUMBER: VISIT DATE: 05/13/2024

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

met_with: Teyona Galloway

complaint_status: SUBSTANTIATED


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


raw_content:
Narrative:
Although the allegations may have happened or are valid, based on LPA's observations and interviews, there is not a preponderance of the evidence to prove the alleged violations did or did not occur. Therefore, the allegations are unsubstantiated. No deficiency citations were issued at today's visit. An exit interview was conducted, and a copy of this report and the licensee's appeal rights were provided to Administrator.

Investigation Findings:
13On 2/26/25, Licensing Program Analyst (LPA) Mariah Hawkins conducted a complaint investigation visit to continue the investigation of the above allegations, which have been investigated in part by the Licensing agency's Investigations Bureau (IB). LPA met with Administrator and informed of the purpose of the visit. Throughout the investigation, LPA and IB have reviewed relevant facility records and conducted confidential interviews of staff and clients, including interviews with 4 staff and 3 clients conducted during today's visit. Based on confidential interviews, observations, and record review, no evidence supporting the above allegations was found. Records and statements reflect that staff conduct themselves in a professional and appropriate manner, that staff receive training on boundaries and the facility's hands-off policy, and that staff confiscate all contraband and inform clients of the rules prohibiting substances and other contraband. Despite attempts, no statement from key witness(es) could be obtained. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Mariah Hawkins 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 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN BRUNO RO, TRAEGER AVE., SUITE FACILITY NAME: SAN FRANCISCO BOYS AND GIRLS/ SHELTERFACILITY NUMBER: VISIT DATE: 02/26/2025


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On Tuesday, October 05, 2021 at 10: AM, Licensing Program Analyst (LPA) Isabel Mendoza made a visit to the facility for a required annual inspection. LPA met with Administrator Scheron Douglas and informed of the purpose of the visit. LPA used the Inspection Tool to complete the annual inspection. LPA toured the facility site and observed the facility to be clean and sanitary. Commonly touched services are sanitized regularly. Per Administrator, there are no firearms on the premises. Sharps and medications are stored in the locked closet in the staff office. First aid kit is also stored in the staff office. Bedrooms are tidy, residents have individual beds, and beds have clean linens. The room temperature and hot water temperature measured within permitted ranges, at F and F. The kitchen was in sanitary condition with functioning equipment and dishware, cookware, and utensils to meet the needs of residents in care. Food storage was sanitary, food was fresh and in date, and there was food storage to meet the 7-day nonperishable, 2-day perishable mandate. LPA reviewed 1 client file, due to the other client being placed at the facility yesterday. (C1), please refer to LIC 811, dated 10/5/21 for confidential names) did not have Modifications to their Needs and Service Plan on file. The facility only had (C1's) initial Needs and Service plan, which was dated 08/24/21. LPA Mendoza requested and updated Needs and Service plan from the Administrator, and Administrator received confirmation from (S3) that the facility does not have one. LPA reviewed 5 staff files. Staff files were complete, and training record shows that the facility has been conducting training's from 2019 to current. [Please Refer to Lic 809-c for Cont.] LPA issued 1 citation per California Code of Regulations, Title 22, STRTP Interim Licensing Standards 87068.3(a) Modifications to Needs and Services Plan. An exit interview was conducted, appeal rights provided, and a copy of this report left with Administrator.

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

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


summary: Facility Evaluation

raw_content:
Narrative:
On 8/18/22 at 11:00AM, Licensing Program Analyst (LPA) Mariah Hawkins made a visit to the facility for a case management inspection. LPA met with Interim Program Manager Dessoni Redmond and informed of the purpose of the visit. There are no residents in care. The Licensing agency was recently informed that there would be a change of administrator, and that the candidate needed to complete administrator training/certification. However, no updates were provided, and no response was received to Licensing Program Manager (LPM) Isabel Mendoza's 8/9/22 email requesting an update, which was sent to multiple representatives of the facility. Per Interim Program Manager, there is not currently a hired administrator, but there is a candidate being considered. LPA advises that the facility ensure timely responses to contacts and inquiries from the Licensing agency. An exit interview was conducted, and a copy of this report was left with Interim Program Manager Dessoni Redmond, whose signature on this form confirms receipt.

met_with: Interim Program Manager Dessoni Redmond


summary: Facility Evaluation

raw_content:
Narrative:
On 04/22/24 at 3: PM Licensing Program Analyst(LPA) Celeste Aparicio made a visit to the facility for the purpose of picking up the facility's Program Statement and Plan of Operations. The Department will return the files within three days. An exit interview was conducted, and a copy of this report was left with Child Care Worker Lelis Reyes, whose signature on this form confirms receipt.

met_with: Lelis Reyes


summary: Facility Evaluation

raw_content:
Narrative:
On 6/25/24, Licensing Program Analysts (LPAs) Mariah Hawkins and Nicole del Calvo conducted a random annual inspection. LPAs met with Program Supervisor Dessoni Redmond and informed of the purpose of the visit. During visit, LPAs toured the facility site and grounds. LPAs observed the facility to be clean, organized, and maintained in safe condition. Kitchen and bathrooms were maintained in sanitary condition. Knives and chemicals were stored where inaccessible to residents in care. Bedrooms had individual beds and closet space. A supply of food was observed that would meet the needs of the two residents in care, including fresh fruit, snacks, and refrigerated items. A current LIC 610C Emergency Disaster Plan was obtained. LPAs requested that a current LIC 500 be generated to align with the facility schedule and to list all facility staff. LPAs also obtained a staff contact sheet. LPAs reviewed resident records for the two current residents. LPAs discussed the facility's transition to a new head of services and the licensee's hiring progress. A continuation visit will be conducted to complete the review of personnel records. An exit interview was conducted, appeal rights were discussed, and a copy of this report was left with Program Supervisor Dessoni Redmond.

met_with: Program Supervisor Dessoni Redmond


summary: Facility Evaluation

raw_content:
Narrative:
On 8/6/24, Licensing Program Analyst (LPA) Mariah Hawkins conducted a case management visit to continue an annual (2-year) inspection initiated on 6/25/24. LPA met with Administrator Teyona Galloway and informed of the purpose of the visit. During today's visit, LPA toured the facility site, reviewed two resident records and two personnel records, and conducted confidential interviews with two staff members and two residents. The following deficiencies were found: -- Documentation of agreements with outside agency(ies) providing mental health services could not be supplied upon request due to there being no such documentation. LPA is issuing a citation of Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS) Section 87078.1. -- 3 resident files were observed to not contain a needs and services plan due to plans not being developed in the absence of a head of services. LPA is issuing a citation of STRTP ILS Section 87068.2. -- 3 resident files were observed to reflect, and confidential interviews confirmed, that allowance has not been distributed since 7/4/24, which is over a month. Additionally, the facility follows a weekly schedule for allowance distribution. LPA is issuing a citation of STRTP ILS Section 87077. -- 3 resident files were observed to not contain a medical assessment or LIC 602, reflecting this documentation was not obtained in required timeline. LPA is issuing a citation of California Code of Regulations (CCR), Title 22, Section 80069. -- A freezer in the garage was observed to obstruct the passageway to a closed-end laundry room. LPA is issuing a citation of CCR, Title 22, Section 80087. 5 deficiency citations were issued at today's visit. Plans of correction for all deficiencies were developed with an authorized facility representative. An exit interview was conducted, appeal rights were provided, and a copy of this report was left with Administrator, whose signature on this form confirms receipt.


summary: Facility Evaluation

raw_content:
Narrative:
On 8/14/24, Licensing Program Analyst (LPA) Mariah Hawkins conducted a case management visit to the facility to discuss needed revisions to the program statement. LPA met with Program Manager Dessoni Redmond and informed of the purpose of the visit. Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS) Version 5 was published 12/13/2023. LPA requested that the necessary revisions be made and submitted to LPA and that the administrator respond to LPA by 8/16/24 with an anticipated submission date. Additionally, LPA requested the following specific items be addressed in the revised plan of operation (POO) / program statement (PS). 1) Staff Ratios The current PS indicates the staff to child ratio is 1 staff to 4 children. LPA advised that ILS Section 87065.5 requires that facilities with a capacity of 7 or more follow specific ratios for on-site supervision. LPA read through the section and explained that this means the following ratios must be followed for this facility, as it has a licensed capacity of 8: From 7AM-10PM: When 1 child is present, there shall be 1 awake direct care staff; when 2 to 4 children are present, there shall be 2 awake staff; when 4 to 8 children are present, there shall be 2 awake staff. From 10PM-7AM: When 1 child is present, there shall be 1 awake direct care staff; when 2 to 6 children are present, there shall be 2 awake staff; when 7 to 8 children are present, there shall be 2 awake staff. See Page 2 2) Search Policies During an investigation at the facility, it was learned that the facility is conducting person searches of children. LPA advised that specific search policies be outlined in the revised PS for the licensing agency's review. LPA also advised that blanket policies will not be allowed, but policies for case-specific searches authorized by the authorized representative may be reviewed by the licensing agency. 3) Cell Phone Policies The current PS includes a cell phone contract that permits the facility to confiscate children's cell phones. LPA advised that ILS Section 87072 requires that children be accorded the right to possess their personal belongings, which would include their cell phones, unless prohibited by a discipline program. LPA requested that the revised PS remove the blanket policy to confiscate cell phones. LPA also advised that policies for case-specific confiscation of phones authorized by the authorized representative may be reviewed by the licensing agency. No deficiency citations were issued at this visit. An exit interview was conducted, and a copy of this report was left with Program Manager, whose signature on this form confirms receipt.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 8/15/24, Licensing Program Analyst (LPA) Mariah Hawkins conducted a case management visit at the facility. LPA met with Administrator Teyona Galloway and informed of the purpose of the visit. During an investigation and inspection at the facility, it was found that four staff working at the facility do not have a background clearance associated to the facility. LPA searched through the background clearance system Guardian and observed that multiple staff listed on the facility's clearance roster did not have a valid background clearance and that one staff listed on facility records and confirmed to be working in the facility did not have a background clearance associated to the facility. Administrator confirmed that the staff without a valid clearance no longer work at the facility and confirmed that Administrator would request that HR remove them from the Guardian roster. Due to one staff (S1 - See LIC Confidential Names dated 8/15/24) working on site without a background clearance associatied to the facility and therefore without eligibility to be working on site, LPA is issuing a citation of California Code of Regulations, Title 22, Division 6, Chapter 1, Article 3, Section Criminal Record Clearance, Subsection (e). See attached LIC 809-D. Additionally, as mandated in Section 80019(g), LPA is assessing an immediate civil penalty of $100 for a maximum of 5 days in violation in which S1 worked on site, for a total of $500. See attached LIC 421BG. An exit interview was conducted, appeal rights provided, and a copy of this report was left with Administrator, whose signature on this form confirms receipt.

Deficiencies:
80019: (3) Request a transfer of a criminal record clearance as specified in Section 80019(f)

title:
Criminal Record Clearance
(e) All individuals subject to a criminal record review...shall prior to working...in a licensed facility


summary: Facility Evaluation

raw_content:
Narrative:
On 01/23/26 at 2:40pm, Licensing Program Analysts (LPAs) Simran Nayyar and Hanako Primer made an unannounced case management inspection at the above agency. LPAs met with Justin Bayne, Head of Service. No clients were present in the facility at the time arrival, one (1) client was at court and, one (1) client is at school. LPAs conducted a site inspection at the facility and found the facility to be in good repair. The purpose of the inspection was to conduct interviews for incident report #2478-FN. LPAs conducted a confidential interview with Justin Bayne, Head of Service. (Please refer to LIC 812 dated 01/23/26). LPAs requested the behavioral contracts made for all clients after the incident took place, meeting notes regarding increased supervision, and discharge summary of Client 1 (C1). Requested documentation will be sent to LPAs by 01/30/26 via email. Further investigation is needed regarding this incident report. Exit interview was conducted and a copy of this report was printed and left with Justin Bayne, Head of Service whose signature on this form confirms receipt of these documents.

met_with: Justin Bayne, Head of Service


summary: Facility Evaluation

raw_content:
Narrative:
On Wednesday, April 22, 2026 at 10:45AM, Licensing Program Analysts (LPA) Kaitlyn Wong and Hanako Primer made an unannounced case management inspection at the above facility. At 11:20AM LPAs met with Maria Ramos, Residential Director, and informed of the purpose of the visit. LPAs conducted a walkthrough of the facility. At the beginning of the inspection there was one (1) staff and no clients present. During the inspection, one (1) client arrived at the facility. The purpose of the inspection was to conduct interviews for incident report #2478 received by CCLD 4/8/26. LPAs conducted one (1) confidential interview. LPA Wong requested the following documentation to be sent via email by 5PM on Tuesday, April 28, 2026. Updated LIC500 16-Hour Training log for one (1) staff Shift notes for the date 3/31/ All clients' school information Staff-meeting 4/15 sign-in sheet Staff meeting 4/15 meeting notes At this time, no deficiencies were cited. Further investigation is needed regarding this incident report. Exit interview was conducted and a copy of this report was printed and left with Maria Ramos, Residential Director, whose signature on this form confirms receipt of these documents.

met_with: Maria Ramos, Residential Director


facility_name: SAN FRANCISCO CRISIS CONTINUUM E-STRTP

summary: Facility Evaluation

raw_content:
Narrative:
On 7/18/25 at 9: AM, A meeting was conducted with the San Jose Regional office and Seneca. Present during this meeting were, Licensing Program Manager (LPM) Carolyn Flynn, LPM Joel Segura, Licensing Program Analyst (LPA) Shikya Belfield, LPA Omar Sawyer, Systems of Care (SOC) Ansar Muhammad, Seneca representative Alicia Hooton. During this meeting, clarification was requested regarding the direction of the facility applications of the program. Seneca representative Alicia Hooton confirmed that Short Term Residential Therapeutic Program (STRTP) application one and STRTP application two, will be STRTP's and not Children's Crisis Residential Program (CCRP). It was also confirmed that both facilities will not be converting to CCRP. Details of the program statement were also discussed and changes that need to be revised regarding requirements, regulations, and length of stay in the program. It was discussed that the language of the Monterey Compass application will better reflect the STRTP program regulations and requirements. Questions were asked regarding application process, facility types, and program requirements. The meeting was concluded. A copy of this report will be sent to Seneca representative Alicia Hooton.

met_with: Alicia Hooton


summary: Facility Evaluation

raw_content:
Narrative:
On 10/29/2025 at 10: AM, Licensing Program Analysts (LPA) Shikya Belfield, LPA Paul Simeon, and LPA Omar Sawyer met with the above facility for the purpose of conducting components II and III of the Licensing Orientation. Representatives present during the orientation was Administrator Adeya Byrd, Administrator Dawn Henson, and Chief Program Officer Melissa Lawton. The following items were discussed: Component II · Client Assessments / intake policies and procedures / discharge planning / removal and transfers / continued services / community resources and their purposes / · Mental Health Program Approval and Head of Service - It was discussed who is assigned as Head of Service for the program and who they report to. · Organization - It was discussed who each person in the program would report to. From Direct Care Staff to chief program officer. · Administrator Assigned - Adeya Byrd who has their administrator certification. · Any missing forms or clarifications - emergency relocation sites have changes and new LIC610C will be submitted to the department by 11/7/2025. Form LIC 308 will be submitted with any changes will be submitted by 11/7/2025. The Component Three presentation was conducted and STRTP specific information and regulations were reviewed.

met_with: Adeya Byrd


summary: Facility Evaluation

raw_content:
Narrative:
On 12/23/25 at 10:00am, Licensing Program Analysts (LPAs) Simran Nayyar and Amee Li, conducted a Pre-licensing inspection and met with Administrator, Adeya Byrd, Chief Operating Officer, Melissa Lawton, and Program Assistant, Monico Jacobo. The entire home was toured, inside and out. The applicant is interested in providing care for a capacity of two children, ages six - seventeen years, ambulatory only. The home is set up as follows: This is a one story home with five bedrooms, two bathrooms, a living room, a dining room, and kitchen. Bedroom # 1 - occupied by minor (one single full bed, one dresser, and closet) Bedroom # 2 - occupied by minor (one single full bed, one dresser, and closet) Bedroom # 3 - used by clients and staff (therapy room) Bedroom # 4 - occupied by staff (break room) Bedroom # 5 - occupied by staff (office) There were appropriate furnishings in the home. There are two full bathrooms, and one full bathroom will be utilized specifically for staff. The facility is aware of having two day perishable and 7 day nonperishable food supply. Client bedrooms were clean and in good repair. Client bathroom water temperature was at 129 degrees, facility was made aware of this issue and was advised to bring it down. The client room temperature was reading at 61 degrees, facility was made aware of this issue and was advised to keep the temperature higher. Technical Advisories were issued for Sections 80088(e)(1) and 80088(a)(1) as a reminder for water temperature and room temperature to be maintained at the appropriate levels. The trash cans to be used by clients and in the kitchen were covered to stop the transmission of communicable diseases or odors. The faucets in the kitchen were tested and delivered hot water at a temperature of 138.9 degrees. The facility was made aware of this issue and was advised to bring the temperature down, and if unable to, facility should put up warning signs advising clients about hot water temperatures. The smoke detectors and carbon monoxide alarms were tested and are operable. LPAs reminded the facility that emergency disaster plan, emergency telephone numbers, Personal Rights, complaint procedures, food menu needed to be posted in a prominent location. Disinfectants and cleaning solutions were stored in a location that will be inaccessible to children. The first aid kit was checked and found to be complete. The front and backyard were inspected and found cleared of hazards. There were no pools and/or bodies of water on the premises. The applicant stated that there are no firearms in the home. A technical Advisory was issued for Section 80088(e)(2), as a reminder for water temperature. Additional technical advisories were issues for Sections 87072(a)(1), 87072.2(a)(3), and 80023(a) as a reminder to keep the personal rights form, complaint procedures, and emergency disaster plan posted on the wall at all times. An exit interview was conducted, and a copy of this report was provided to Administrator, Adeya Byrd.

visit_type: Prelicensing

met_with: Adeya Byrd, Administrator


facility_name: SAN GABRIEL CHILDREN'S CENTER, INC./ENID HOME

summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
On 04/07/2023, the Department received a complaint alleging allegation for physical plant concerns. It was reported that the bathroom/shower for the clients is dirty with grime and mildew. In confidential interviews, all clients that were interviewed provided consistent statements that the bathroom is dirty with grime and mildew present in the shower. The house manager (HM) provided a statement that the bathroom is cleaned up by clients followed by staff checking that bathroom/shower is clean. Furthermore, the Administrator disclosed that a weekly "Chore Sheet" is completed by staff. Licensing Program Analyst (LPA) Vargas visited the facility and inspected the bathroom on 04/10/2023 and observed the bathroom areas, such as the floor, shower enclosure, and toilet area not clean. The bathroom was present with grime along the edges of the floor and baseboard, including mildew present in most areas within the shower. Photos of the bathroom area were taken as part of the complaint investigation and was shared with the Facility Administrator on 04/11/23 via email. Interviews and documentary evidence produce corroborating evidence to support the allegation that the bathroom is dirty with grime and mildew. Based on the interview information obtained and LPA's visit to the facility on 4/10/2023, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated per California Code of Regulations Title Division Six Chapter Five. Facility cited for violation California Code of Regulations Title Division Six, 80088(e)(3). The bathroom: toilets, hand washing and bathing facilities shall be maintained in safe and sanitary operating condition. LPA Vargas discussed with the Administrator in the event of repeated violations within a 12-month period {(refer to Heath and Safety Code §1548 for Civil penalties; regulations setting forth appeal procedures for deficiencies, sections (2)(A)(B)}

Investigation Findings:
13On 04/17/2023 at 08: AM, Licensing Program Analyst (LPA) Joseph Vargas conducted a follow-up inspection for the purpose of providing findings for the above complaint. LPA met with Mr. Johnson, Administrator. During the course of the investigation, LPA conducted in-person visits, and telephone interviews with four clients, three staff workers on 4/10/2023, LA County Ombusperson staff on 04/11/2023. Reference confidential names list LIC811 dated 04/17/2023. During the inspection LPA requested for review and obtained copy of the staff and client facility roster reports, staff Chore sheet, and email comunications with the facility Administrator. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Joseph Vargas LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: San Gabriel Children's Center, INC./ENID HOMEFACILITY NUMBER: VISIT DATE: 04/17/2023

met_with: Mr. S. Johnson, Adminnistrator


raw_content:
Narrative:
On 07/05/23, the Department received a complaint alleging allegation that one staff spoke inappropriately to a client. The focused staff (FS) who was identified in the report denied the allegation. Other staff workers that were interviewed denied the allegation and corroborated the FS statement. Information gathered from staff interviews and some of the clients suggest that the focused client (FC) who reported the allegation suggests or appears the client has a physical attraction towards a female staff worker (FS). In confidential interviews, four clients provided consistent statements and denied the allegations. The four clients disclosed that they were aware of the allegation being reported by another client because the FC was overheard speaking about his actions after the report was filed. The one-focused client (FC) stated that he believes a staff spoke inappropriately toward him. The FC did not respond when asked if he is physically attracted to a female staff. The FC admitted speaking to the FS saying inappropriate sexual comments and was told that he is making the staff feel uncomfortable. Information provided by staff and other clients disclosed that the focused client has admitted that he "likes the FS". The Facility Administrator has placed a second member of staff to work with the FS during her regular night shift as a form of support. The Administrator continues to monitor the situation involving that one client and his actions involving a member of staff who works nights. Based on the available information obtained by staff and clients, the above allegation is determined unsubstantiated at this time. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is no preponderance of the evidence to prove that the alleged abuse occurred. The resolution to this complaint was discussed with the facility staff representative and copies of all licensing reports were provided at the conclusion of the inspection. An exit interview was conducted, and the Appeal rights were given and explained. No deficiencies were cited at this time.

Investigation Findings:
13On 08/07/2023 at 1: PM, Licensing Program Analyst (LPA) Joseph Vargas conducted a follow-up inspection for the purpose of providing findings for the above complaint. LPA met with Ms. Gaskin-Hodge. During the course of the investigation, LPA conducted in-person visits, and telephone interviews with four facility staff workers, five clients on 8/01/23, one facility staff worker on 8/03/23, and one facility staff worker on 8/04/23. Reference confidential names list LIC811 dated 08/07/2023. During the inspection LPA requested for review and obtained copy of the staff and client facility roster reports, cleint needs and services (NSP) and intake documents. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Joseph Vargas LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: San Gabriel Children's Center, INC./ENID HOMEFACILITY NUMBER: VISIT DATE: 08/07/2023

met_with: Ms. Gaskin-Hodge, Facility Staff


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
On 10/26/2023, the Department received a complaint alleging that a staff worker got into a physical altercation with a client. The focused staff (FS) who was identified in the report denied the allegation and stated that the one focused client threw water at him and then attacked him. The focused client reported that there was physical contact between him and the FS that involved the FS pushing and pulling the client from one room to another room. During the physical incident another client was a witness to the incident and had to intervene and separate both the FS and the other client identified in the report. A second staff worker who was present and witnessed the incident has corroborated the physical altercation that occurred on Sunday 09/24/2023. There were no other clients or staff at the facility at the time when the physical altercation occurred. In confidential interviews, one staff member denied the allegation, and other clients and facility staff workers provided consistent statements that corroborated the allegation. Based on interviews by the clients, facility staff workers, and other witnesses, including documentary evidence produce corroborating evidence to support the allegation that a staff worker was involved in a physical altercation with a client. The preponderance of evidence has been met; therefore, the allegation is found to be substantiated per California Code of Regulations Title STRTP INTERIM LICENSING STANDARDS Chapter 7.5 (Vs. 5), Articles 06, 87072(c)(16), Personal Rights. The resolution to this complaint was discussed with the facility staff representative and copies of all licensing reports were provided after the conclusion of the inspection. An exit interview was conducted, and the Appeal rights were given and explained.

Investigation Findings:
13On 02/15/2024 at 11: AM, Licensing Program Analyst (LPA) Joseph Vargas conducted a follow-up inspection to provide findings for the above complaint. LPA met with Mr. Johnson. During this investigation, LPA conducted in-person visits, and telephone interviews with one facility staff worker on 10/30/23, four facility staff workers on 10/27/23, the Facility Administrator on 10/30/23, the Facility Program Director on 11/29/23, and two County Out of Home Care Social Workers on 10/28/2023. Reference Confidential names list LIC811 dated 02/15/2024. During the inspection, LPA requested for review and obtained a copy of the staff and client facility roster reports, clients' needs and services (NSP), and intake documents. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Joseph Vargas LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: San Gabriel Children's Center, INC./ENID HOMEFACILITY NUMBER: VISIT DATE: 02/15/2024

met_with: Mr. Sylvester Johnson, Administrator


raw_content:
Narrative:
On 12/27/23, the Department received a complaint alleging staff did not prevent minor from harming another minor in care and staff does not treat minor in care with respect. During the physical incident the staff was present and attempted to break up the fighting and another client was a witness to the incident and also helped in breaking up the fight. In confidential interviews, staff members denied the allegations, and stated they were there supervising the clients and were trying to stop the alleged. Staff denied any special treatment to any clients and stated they treat all the clients equally. Clients two clients felt they were not treated fairly and one client denied the allegation. Social workers both had no concerns with the supervision the clients were receiving. Based on the available information obtained by staff and clients, the above allegations are determined unsubstantiated at this time. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is no preponderance of the evidence to prove that the alleged abuse occurred. The resolution to this complaint was discussed with the facility staff representative and copies of all licensing reports were provided at the conclusion of the inspection. An exit interview was conducted, and the Appeal rights were given and explained. No deficiencies were cited at this time.

Investigation Findings:
13On 07/31/2024 at 2:00PM, Licensing Program Analyst (LPA) Pedro Ramos conducted a follow-up inspection to provide findings for the above complaint. LPA met with Renae Wliiams, House Manager. During this investigation, LPA conducted in-person visits, and telephone interviews with two facility staff worker and administrator and two clients on 1/4/24 and two Social Workers on 1/25/24 and two probation workers. Client#1 interviewed on 7/24/24. Reference Confidential names list LIC811 dated 07/31/2024. During the inspection, LPA requested for review and obtained a copy of the staff and client facility roster reports, clients needs and services (NSP),SIR, and intake documents. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Pedro Ramos LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: San Gabriel Children's Center, INC./ENID HOMEFACILITY NUMBER: VISIT DATE: 07/31/2024

met_with: Renae Williams, House Manager


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) T. Davis went to San Gabriel Children's Center, Inc./Enid Home on December 02, 2021 at 11:15am for the purposes of conducting an unannounced Required Annual inspection. LPA met with Renae Williams, House Manager (HM), and discussed the purpose of today's inspection. LPA and the HM toured the facility and discussed the inspection in detail. The Short Term Residential Therapeutic Program (STRTP) is located in a residential neighborhood and has three bedrooms, two bathrooms, kitchen, staff office, game room, dining area, and a garage Presently, there are four clients in placement at the facility. LPA observed the facility's kitchen to be clean and well stocked with several food items (perishable and nonperishable). Sharp knives, chemicals, cleaning supplies, and medications are kept locked in areas inaccessible to clients. LPA observed two bathrooms to be in good repair and working order. All three bedrooms contained twin beds, dressers, and closet space. Smoke alarms were operable throughout the facility. Exit signs were visible throughout the facility as well. The First Aid Kit was fully stocked with bandages, scissors, band-aids, tweezers, and a thermometer. There is adequate seating in the dining area and the living room. There is also a screened inoperable fireplace in the living room. LPA observed a fully charged fire extinguisher in the dining area. The HM stated that there were no guns or weapons on the premises. The last fire drill was held on November 17, 2021 at 6:02p.m. The last earthquake drill was held on November 17, 2021 at 6:23pm. The outdoor areas were observed to be free of debris and hazards. LPA reviewed three staff files and all four client files and found the reviewed files to be in order. LPA obtained an updated LIC500 (Personnel Report) and a client roster. Licensee will scan/email LPA copy of their most recent Board of Director's meeting minutes. LPA found no Title 22 deficiencies on this date. Exit interview done


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) T. Davis went to San Gabriel Children's Center/Enid Home on December 15, 2023 at 1:58pm for the purposes of conducting an unannounced Random Annual inspection. The facility is licensed to serve six male clients ages 12-17 years old. LPA met with Sylvester Johnson, Site Administrator (SM), and together they toured the facility. The facility is a Short Term Residential Therapeutic Program (STRTP) and is located in a residential neighborhood. It is a single story home with three bedrooms, two bathrooms, living room, dining area, game room, staff office, and a backyard. Presently, there are three clients in placement at the facility. The backyard was observed to be free of debris and hazards. LPA observed two bathrooms to be in good repair and working order. There is adequate perishable and nonperishable food supply at the facility. All three bedrooms contained two twin beds, two dressers, and closet space. There are no guns or weapons at the facility. Smoke alarms were operable in each bedroom. LPA observed a fully stocked linen closet in the hallway. There is no swimming pool or other bodies of water on the premises. Sharp knives, cleaning supplies, and medications are kept locked in areas inaccessible to clients. There is adequate seating in the living room and dining area. The last fire drill was held on November 30, 2023 at 4:35pm. All rules and regulations were posted at the facility. Exit signs were visible throughout the facility. Files were reviewed and found to be in order. SM provided LPA an updated LIC500 (Personnel Report) and a client roster. Licensee also provided LPA a copy of their most recent Board of Director's meeting minutes dated December 05, 2023. LPA found no Title 22 deficiencies on this date. Exit interview conducted

met_with: Sylvester Johnson, Site Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) T. Davis went to San Gabriel Children's Center/Enid Home on October 03, 2024 at 11:42am for the purposes of conducting an unannounced Random Annual inspection. The facility is licensed to serve six male clients ages 12-17 years old. LPA met with Sylvester Johnson, Site Administrator, and together they toured the facility. The facility is a Short Term Residential Therapeutic Program (STRTP) and is located in a residential neighborhood. It is a single story home with three bedrooms, two bathrooms, dining area, kitchen, staff office, game room, living room, and a backyard. Also, there is a screened inoperable fireplace in the dining area. Currently, there are four clients in placement at the facility. LPA observed two bathrooms to be in good repair and working order. There is adequate perishable and nonperishable food supply at the facility. All three bedrooms contained two twin beds, two dressers, and closet space. The backyard and front yard were observed to be free of debris and hazards. There are no guns or weapons at the facility. LPA observed a fully stocked linen closet in the hallway. There is no swimming pool or other bodies of water on the premises. The First Aid Kit was fully stocked. There was one client present at the facility during the inspection and LPA interviewed the client. There is adequate seating in the living room and dining area. Smoke alarms were operable in each bedroom. Sharp knives, cleaning supplies, and medications are kept locked in areas inaccessible to clients. Exit signs were visible throughout the facility. The last fire drill occurred on September 11, 2024 at 4:00pm. Staff and client files were reviewed and found to be in order. All rules and regulations were posted at the facility. The Site Administrator provided LPA an updated LIC500 (Personnel Report) and a client roster. Licensee will send LPA a copy of their most recent Board of Director's meeting minutes. LPA found no Title 22 deficiencies on this date. Exit interview conducted.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPAs) Timika Martin and Pamela Silva 10/30/24 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Administrator, Sylvester Johnson and inspected the facility inside and out. LPAs reviewed one (1) child record and three (3) of staff personnel files on site at the facility. LPAs reviewed one (1) child psychotropic medications and medication records. LPAs interviewed two (2) staff on site to discuss the facility's policies and procedures of operation. LPAs were unable to interview one (1) child currently prescribed psychotropic medication due to the child being unavailable. LPAs will attempt to conduct an interview at a later time. LPAs provided a copy of this licensing report to Administrator, Sylvester Johnson. No deficiencies are being cited at this time. LPA conducted exit interview with Administrator, Sylvester Johnson.

met_with: Administrator, Sylvester Johnson


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) T. Davis went to San Gabriel Children's Center/Enid Home on April 04, 2025 at 2:22pm for the purposes of an unannounced case management inspection. LPA met with Renae Williams, House Manager, and discussed the purpose of today's inspection as well as toured the facility. The facility is a Short Term Residential Therapeutic Program (STRTP) and is located in a residential neighborhood. Currently, there are four clients in placement at the facility. The facility appeared neat and well maintained. The outdoor areas were clear of sharp objects, debris, and hazards. LPA observed two bathrooms to be in good repair and working order. The three client bedrooms contained two twin beds, two dressers, and closet space. LPA observed a fully stocked linen closet in the hallway. There is no swimming pool or other bodies of water on the premises. The First Aid Kit was fully stocked with bandages, band-aids, scissors, tweezers, and thermometer. Sharp knives, cleaning supplies, and medications are kept locked in areas inaccessible to clients. All rules and regulations were posted at the facility. The House Manager provided LPA an updated LIC500 (Personnel Report) and a client roster. The clients were taken on an off grounds outing. LPA spoke with three staff that were present at the facility. LPA observed adequate perishable and nonperishable food supply at the facility as well as a fully stocked refrigerator. LPA found no Title 22 deficiencies on this date. Exit interview conducted.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) T. Davis went to San Gabriel Children's Center/Enid Home on October 23, 2025 at 1:35pm for the purposes of conducting an unannounced Random Annual inspection. The facility is licensed to serve six male clients ages 12-17 years old. LPA met with Renae Williams, House Manager (HM), and together they toured the facility. The facility is a Short Term Residential Therapeutic Program (STRTP) and is located in a residential neighborhood. It is a single story home with three bedrooms, two bathrooms, kitchen, staff office, dining area, living room, game room, and a backyard. Currently, there are three clients in placement at the facility. There is adequate perishable and nonperishable food supply at the facility. All three bedrooms contained two twin beds, two dressers, and closet space. LPA observed a screened inoperable fireplace in the dining area. There is no swimming pool or other bodies of water on the premises. LPA also observed two bathrooms in good repair and working order. The First Aid Kit was fully stocked as well as the linen closet in the hallway. LPA interviewed the two clients present during the inspection. Both clients appeared to be neat and well groomed. Sharp knives, cleaning supplies, and medications are kept locked in areas inaccessible to clients. There is adequate seating in the living room and dining areas. The backyard and front yards were observed to be free of debris and hazards. Exit signs were posted throughout the facility. Smoke alarms were operable in each bedroom. HM stated no guns or weapons are at the facility. The last fire drill occurred on September 10, 2025 at 2:45pm. Files were reviewed and found to be in order. HM provided an updated LIC500 (Personnel Report) and a client roster. Licensee will email LPA a copy of their most recent Board of Director's meeting minutes. LPA found no Title 22 deficiencies on this date. Exit interview conducted.


summary: Facility Evaluation

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Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Pamela Silva and Jenny Mundo on March 3, 2022 at 9:00am. During the inspection, LPAs met with Sylvester Johnson, Administrator. LPAs inspected the facility inside and out. LPAs reviewed one (1) child's record on site at the facility at 9:40 am. During the review of child's record, LPAs observed that the Needs & Services Plan was not signed by the child. LPAs reviewed three (3) staff personnel files on site at the facility at 11:00 am. LPAs interviewed three (3) staff on site at 11:40 am. LPAs were unable to interview the child at the time of the inspection due to the child being on AWOL. LPAs conducted exit interview and provided the Summary Report to Sylvester Johnson, Administrator, upon completion. One deficiency was observed (refer to LIC809D) and cited from the California Code of Regulations, Title 22, and Health & Safety Codes during the inspection.

met_with: Sylvester Johnson


summary: Facility Evaluation

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Narrative:
On 02/15/2024 at 12: PM, Licensing Program Analysts (LPA) Joseph L Vargas conducted an unannounced case management inspection at the above facility and met with Mr. Johnson, Administrator. The purpose of the inspection is to follow up on a Special Incident Report that was submitted to the Department on 10/30/2023. The Department received a late Special Incident Report for an unusual incident that was reported to have occurred on Sunday 09/24/2023, approximately thirty days after the fact. The Special Incident Report (SIR) was created after Licensing Program Analyst instructed the Administrator to submit a late SIR via iTrack Special Incident Report. Information obtained by the Administrator stated that he was aware of the incident that occurred on 09/24/2023 and overlooked submitting the SIR in a timely manner. Refer to Confidential Names List, dated, {02/15/2023}. This is in violation of Title Division Chapter Article 6, 80061(a)(b)(1)(E) on Reporting Requirements. A deficiency citation is being issued, see LIC809-D. An exit interview was conducted. A copy of this report, LIC809-D, LIC 811 and appeal rights were provided to the facility representative.

met_with: Mr. S. Johnson, Administrator


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) T. Davis went to San Gabriel Children's Center/Enid Home on March 25, 2026 at 2:15pm for the purposes of conducting an unannounced case management inspection. LPA met with Sylvester Johnson, Site Administrator, and discussed the purpose of today's visit. Community Care Licensing (CCL) has received some information as it relates to a visit conducted by the Department of Health Care Services. CCL was advised that the Department of Health Care Services observed some deficiencies during their recent file review inspection. A review of the files was conducted on this date by LPA. The facility has submitted a Corrective Action Plan (CAP) to the Department of Health Care Services. The CAP was accepted and approved by the Department of Health Care Services. Based on a review of the files, LPA has determined that things were in order in the files. LPA did not observe any issues or deficiencies. The Department has concluded that all issues have been resolved and no further follow up is necessary. LPA found no Title 22/ILS deficiencies on this date. Exit interview conducted.


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) T. Davis went to San Gabriel Children's Center/Enid Home on April 17, 2026, at 2:30pm for the purposes of conducting an unannounced case management inspection to follow up on some information relating to a Contract Compliance review done by the Department of Children and Family Services Contract Compliance Division. LPA met with Renae Williams, House Manager, and discussed the purpose of today's visit. The Department of Children and Families Services Contract Compliance Division (DCFS) completed its Calendar Year 2025 review of the facility and observed several items/areas that needed improvement. The improvements were needed in the areas of General Contract Requirements, Personnel Files, and Facility and Environment. The facility was requested to submit a Corrective Action Plan (CAP) to DCFS for approval. Information gathered shows that a CAP was submitted to resolve the findings. The CAP was accepted and approved. LPA observed the corrections made by the facility. The hot water temperature was also tested and found to be within the 105-120 degree range. Based on observations, LPA found no Title 22 deficiencies on this date. Exit interview done


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Narrative:
There was a total of five clients residing in the facility. During investigation, all the clients were interviewed. During the incident, all five clients witnessed the physical altercation between C1 and C2. Based on the interview, on the day when the incident happened, an argument escalated, leading to C2 hitting C1. Both C1 and C2 engaged in a physical fight. Following the altercation, S3 called 911 for assistance. Three staff members were present during the incident, and all three were interviewed as part of the investigation. C1 sustained injuries during the altercation and was transported to the local hospital for medical attention. The interviews conducted with the youth placed in the facility revealed consistent statements. According to the accounts provided by C1(interviewed on 05/03/23), C2 (interviewed on 05/17/23), C3 and C4 (interviewed on 05/05/23), , and C5 (interviewed on 05/17/23), the staff members attempted to prevent the youth from engaging in a physical altercation during the incident. Statements from the youth also revealed that the staff members made efforts to intervene physically but also employed verbal redirection techniques to prevent the youth in care from engaging in a physical altercation. The client interviews indicated that the staff used communication strategies to redirect and de-escalate the situation. LPA Martinez also interviewed three staff during the investigation. S1 was interviewed on 04/28/23, S2 and S3 were interviewed on 07/06/23.The interviews revealed that the staff members were consistent in their presence during the altercation and made efforts to intervene. Staff members utilized both verbal de-escalation techniques and physical intervention to address the incident. Based on interviews conducted with five clients and three staff members, in addition to reviewing the needs and services plan obtained during the investigation, the allegation against license #197804961 is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. No deficiencies were identified during the inspection. An exit interview was conducted, and a copy of this report was provided to the director.

Investigation Findings:
13On 07/06/23, Licensing Program Analyst (LPA) Joe Martinez conducted a follow-up complaint investigation at the facility mentioned above and met with Director Lynette Hanna .The purpose of the inspection was to deliver the findings of the investigation. The investigation included interviews with five clients placed in the facility, three staff members, and a social worker. LPA Martinez requested and reviewed the needs and services plans for C1 and C2. Staff and client rosters were also inspected as part of the investigation. On 04/24/23, the Department received a complaint alleging staff's failure to prevent a physical altercation between youth in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Joe Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SAN GABRIEL CHILDREN'S CENTER/HOMEREST HOMEFACILITY NUMBER: VISIT DATE: 07/06/2023

met_with: Lynette Hanna- Director


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Narrative:
On 04/16/25, the Department received a complaint alleging staff engaged in an altercation with youth resulting in injury. S1 denied the allegation and stated the C1 was becoming upset because S1 did not want to give him allowance money which is only to be given to his mother as C1 has a tendency to use money for drugs. S1 stated C1 became agitated and grabbed S1 by his necklace/shirt and began to punch him. S1 stated he tried to separate from C1 and both ended on the ground. S1 stated that he did not throw any punches and just tried to pull away from C1. C1 stated he was not punched by S1 and stated he threw punches at S1 and did not know how many times he struck S1. C1 stated he had a scratch on his hand and his foot when they fell to the ground. S1 had a knot on his head and a mouse on his eye a scratch on his face. In confidential interviews, three staff workers provided statements to support S1 saying that he gets along with the clients and the clients pick on S1 do to his age. In confidential interviews with clients, they revealed inconsistent statements and could not corroborate the reported allegation. Based on the information gathered during confidential interviews, and records reviewed, it cannot be determined whether the allegation occurred resulting in staff engaged in an altercation with youth resulting in injury. Therefore, the above allegations are determined unsubstantiated at this time. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged abuse occurred. The resolution to this complaint was discussed with the agency representative and copies of all licensing reports were provided at the conclusion of the inspection. An exit interview was conducted and the Appeal rights were given and explained. No deficiencies were cited at this time.

Investigation Findings:
13On September 26, 2025 at 8:30AM, Licensing Program Analyst (LPA) Pedro Ramos conducted a follow-up inspection to provide findings for the above complaint investigation. LPA met with the representative above. During this investigation, LPA conducted in-person interviews with two clients, four facility staff on 4/23/25, ER CSW on 5/13/25 and attempted to contact county social worker. Reference Confidential names list LIC811 dated 9/26/ During the inspection, LPA requested for review and obtained a copy of the staff and client facility roster reports, clients' needs and services (NSP), intake documents and Special Incident Report associated with this complaint investigation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Pedro Ramos LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SAN GABRIEL CHILDREN'S CENTER/HOMEREST HOMEFACILITY NUMBER: VISIT DATE: 09/26/2025

met_with: Ray Leon, Residential Counselor


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Narrative:
On 09/13/2024, the Department received a complaint alleging that a staff worker (S1) applied a chokehold to a client (client to be identified only as C1 for this report), including making inappropriate comments about his overall status being placed in a facility, and that his family doesn't love him. S1 denied the allegations that he applied a chokehold to a client. S1 denied telling a client his family does not love him, which is why he is in a facility. S1 disclosed that on 09/01/24., a client got upset for impatiently waiting to be served more food, aside from just finished eating a large meal. S1 reported that C1 got upset, grabbed S1's food, and threw it at him, including smearing fries on his face. S1 reported that C1 became combative and was attempting to hit him. S1 only held his wrists or hands to prevent being injured by the client. S1 reported that other staff workers assisted and escorted the client to his bedroom without further incident. In confidential interviews, two staff workers who witnessed the incident denied the allegations, other staff workers provided statements to support S1 saying that he is not the type of person who would do and say things inappropriately to a client. In confidential interviews with five clients, they revealed inconsistent statements and could not corroborate the reported allegations against the staff identified in the report. Based on the information gathered during confidential interviews, and records reviewed, it cannot be determined whether the allegations occurred resulting in staff applying a chokehold to a client, and staff making inappropriate comments to a client. Therefore, the above allegations are determined unsubstantiated at this time. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged abuse occurred. The resolution to this complaint was discussed with the agency representative and copies of all licensing reports were provided at the conclusion of the inspection. An exit interview was conducted and the Appeal rights were given and explained. No deficiencies were cited at this time.

Investigation Findings:
13On 09/13/2024 at 1: AM, Licensing Program Analyst (LPA) Joseph Vargas conducted a follow-up inspection to provide findings for the above complaint. LPA met with Mr. Johnson. During this investigation, LPA conducted in-person visits, and telephone interviews with five clients, Facility Administrator, four facility staffs, individual identified as other on 09/16/24, two facility staffs on 09/17/2024, county social worker on 10/09/24. Reference Confidential names list LIC811 dated 10/11/ During the inspection, LPA requested for review and obtained a copy of the staff and client facility roster reports, clients' needs and services (NSP), intake documents and Special Incident Report associated with this complaint investigation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Joseph Vargas LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SAN GABRIEL CHILDREN'S CENTER/HOMEREST HOMEFACILITY NUMBER: VISIT DATE: 10/15/2024

met_with: Mr. Johnson, Administrator


facility_name: SAN GABRIEL CHILDREN'S CENTER/HOMEREST HOME

summary: Facility Evaluation

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Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Claudia Portillo and Gilbert Gutierrez, at San Gabriel Children's Center, Inc./Homerest Short Term Residential Therapeutic Program (STRTP) on 8/6/21 at 9: AM. During the inspection, LPAs Portillo and Gutierrez met with Sylvia Quintana, House Manager. All clients at this facility are Probation placements. Therefore, no files were inspected. LPA Gutierrez conducted a tour of the facility at 9: AM. The facility is clean, safe, sanitary and in good repair. All medications are centrally stored, locked and accessible only to employees responsible for stored medications. There is adequate staffing in the facility to provide care and supervision for the clients per facility's Plan of Operation/Program Statement. A review of the program statement was conducted at 10: AM. LPA Portillo reviewed four (4) staff files on site at 11: AM. Employees received training on psychotropic medications as specified in Section 16501.4(d) of the Welfare and Institutions Code (WIC). LPA Gutierrez interviewed three (3) staff members administering psychotropic medication on site. A copy of this report, and LIC811 was provided to the STRTP representative upon completion. No deficiency was found. LPAs conducted exit interview with STRTP representative.

met_with: Sylvester Johnson, Administrator


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) T. Davis went to San Gabriel Children's Center/Homerest Home on December 06, 2021 at 12:30pm for the purposes of conducting an unannounced Required Annual inspection. The facility is licensed to serve six male clients ages 12-17 years old. The facility also provides services to non-minor dependents. LPA met with Sylvia Quintana, House Manager (HM), and together they toured the facility. The facility is a Short Term Residential Therapeutic Program (STRTP) and is located in a residential neighborhood. It is a single story home with three bedrooms, two bathrooms, living room, dining area, staff office, and a backyard. Presently, there are four residents in placement at the facility. The backyard was observed to be free of debris and hazards. Smoke alarms were operable in each bedroom. LPA observed two bathrooms to be in good repair and working order. Sharp knives, cleaning supplies, and medications are kept locked in areas inaccessible to clients. There is adequate perishable and nonperishable food supply at the facility. LPA observed a fully stocked linen closet in the hallway. All three bedrooms contained two twin beds, two dressers, and closet space. There is adequate seating in the living room and dining area. The HM stated that there were no guns or weapons at the facility. There is no swimming pool or other bodies of water on the premises. All rules and regulations were posted at the facility. LPA observed several disaster kits, board games, and reference materials. LPA also observed a fully charged fire extinguisher in the dining area. The last fire drill was held on December 05, 2021 at 10:30am. The last earthquake drill was held on December 05, 2021 at 10:35am. LPA reviewed three staff files and all four client files and found the reviewed files to be in order. LPA also interviewed staff as well as clients during today's inspection. LPA obtained an updated LIC500 (Personnel Report) and a client roster. Licensee will scan/email LPA a copy of their most recent Board of Director's meeting minutes. LPA found no Title 22 deficiencies on this date. Exit interview conducted

met_with: Sylvia Quintana, House Manager


summary: Facility Evaluation

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Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Timika Martin and Pamela Silva on October 26, 2023, at 10: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs Martin and Silva met with Administrator, Sylvester Johnson and inspected the facility inside and out. All clients at this facility are Probation placement's and none of the clients are currently prescribed psychotropic medication. Therefore, no files were inspected, and no interviews were conducted with clients. LPAs reviewed 0 of child's records and 2 of staff personnel files on site at the facility. LPAs reviewed 0 of child's psychotropic medications and medication records. LPAs interviewed 1 of the staff on site to discuss the facilities policies and procedures of operation. LPAs interviewed 0 of children currently prescribed psychotropic medication. LPAs provided a copy of this licensing report to Administrator, Sylvester Johnson No deficiencies are being cited at this time. LPAs conducted exit interview with Administrator,Sylvester Johnson.


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) T. Davis went to San Gabriel Children's Center/Homerest Home on December 15, 2023 at 11:10am for the purposes of conducting an unannounced Random Annual inspection. The facility is licensed to serve six male clients ages 12-17 years old. LPA met with Sylvester Johnson, Site Administrator (SM), and together they toured the facility. The facility is a Short Term Residential Therapeutic Program (STRTP) and is located in a residential neighborhood. It is a single story home with three bedrooms, two bathrooms, living room, dining area, staff office, and a backyard. Presently, there are four clients in placement at the facility. The backyard was observed to be free of debris and hazards. LPA observed two bathrooms to be in good repair and working order. Sharp knives, cleaning supplies, and medications are kept locked in areas inaccessible to clients. There is adequate perishable and nonperishable food supply at the facility. All three bedrooms contained two twin beds, two dressers, and closet space. There is adequate seating in the living room and dining area. There are no guns or weapons at the facility. Smoke alarms were operable in each bedroom. LPA observed a fully stocked linen closet in the hallway. There is no swimming pool or other bodies of water on the premises. All rules and regulations were posted at the facility. LPA observed two fully charged fire extinguishers at the facility. The last fire drill was held on November 21, 2023 at 3:20pm. Files were reviewed and found to be in order. SM provided LPA an LIC500 (Personnel Report). Licensee will scan/email LPA a copy of their most recent Board of Director's meeting minutes and a client roster. LPA found no Title 22 deficiencies on this date. Exit interview conducted


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) T. Davis went to San Gabriel Children's Center/Homerest Home on October 03, 2024 at 2:38pm for the purposes of conducting an unannounced Random Annual inspection. The facility is licensed to serve six male clients ages 12-17 years old. LPA met with Sylvester Johnson, Site Administrator, and together they toured the facility. The facility is a Short Term Residential Therapeutic Program (STRTP) and is located in a residential neighborhood. It is a single story home with three bedrooms, two bathrooms, staff office, kitchen, living room, dining area, and a backyard. Currently, there are five clients in placement at the facility. There is adequate perishable and nonperishable food supply at the facility. The backyard and front yard were observed to be free of debris and hazards. LPA observed two bathrooms to be in good repair and working order. All three bedrooms contained two twin beds, two dressers, and closet space. Smoke alarms were operable in each bedroom. There is adequate seating in the living room and dining area. LPA observed a fully stocked refrigerator in the kitchen. There are no guns or weapons at the facility. Sharp knives, cleaning supplies, and medications are kept locked in areas inaccessible to clients. LPA observed a fully stocked linen closet in the hallway. There is no swimming pool or other bodies of water on the premises. Fire and earthquake drills were conducted on September 06, 2024 at 4:45pm. All rules and regulations were posted at the facility. Staff and client files were reviewed and found to be in order. All fire extinguishers at the facility were fully charged. There were three clients present at the facility during the inspection. LPA interviewed two of the three clients. The third client did not want to be interviewed. The Site Administrator provided LPA an updated LIC500 (Personnel Report) as well a client roster. Licensee will scan/email LPA a copy of their most recent Board of Director's meeting minutes. LPA found no Title 22 deficiencies on this date. Exit interview conducted


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) T. Davis went to San Gabriel Children's Center/Homerest Home on May 01, 2025 at 3:05pm for the purposes of conducting an unannounced case management inspection. The facility is licensed to serve six male clients ages 12-17 years old. The facility is a Short Term Residential Therapeutic Program (STRTP) and is located in a residential neighborhood. Currently, there are two clients in placement at the facility. LPA observed two bathrooms to be in good repair and working order. The outdoor areas were observed to be free of debris and hazards. The three client bedrooms contained two twin beds, two dressers, and closet space. LPA observed adequate perishable and nonperishable food supply at the facility as well as a fully stocked refrigerator. There is no swimming pool or other bodies of water on the premises. Sharp knives, chemicals, cleaning supplies, and medications are kept locked in areas inaccessible to clients. LPA observed a fully stocked linen closet in the hallway. There is adequate seating in the living room and dining areas. Smoke alarms were operable in each bedroom. The House Manager provided LPA an updated LIC500 (Personnel Report) and a client roster. There were two clients present at the facility during the inspection. Both clients appeared neat and well groomed. All rules and regulations were posted at the facility. LPA reviewed both client files for completeness and found the reviewed files to be in order. LPA found no Title 22/ILS deficiencies on this date. Exit interview conducted.

met_with: Bobby Patton, House Manager