facility_name: PROMESA, MILLBROOK HOUSE

raw_content:
Investigation Findings:
13On 03/30/2022, Licensing Program Analyst (LPA) Tamara Melikian conducted a complaint inspection for the Promesa, Millbrook STRTP at 9:00AM for the purpose of delivering the findings for the above complaint allegation. Met by Residential Program Director Arlene Vargas. During the course of investigating the allegations, LPA interviewed personnel and clients. Interviews conducted are conflicting in that the clients state they are told to stay in their rooms during incidents and staff states that law enforcement is contacted. Therefore, the allegation is unsubstantiated. There are no deficiencies to be cited on this date. Exit interview conducted and a copy of the report was left with the Residential Program Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Tamara Melikian LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

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


state: CA

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On 09/29/2022, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint investigation for the above facility. Met by Residential Program Director Arlene Vargas. Interviews conducted and information obtained. Based on confidential interviews, there are conflicts in statements regarding the above allegations. In addition, former client #1(see 811 dated 09/29/2022) was unable to be interviewed although mulitple attempts were made. Based on the above, the complaint is Unsubstantiated. There are no deficiencies to be cited on this date. A copy of this report is goven on this date to the Residential Program Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Tamara Melikian LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

report_type: Complaint Investigation

met_with: Arlene Vargas

complaint_status: unsubstantiated


raw_content:
Investigation Findings:
13On 10/11/2022, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint investigation for the above facility. Met by Residential Program Director Arlene Vargas. Interviews conducted and information obtained. Based on confidential interviews obtained, there are conflicts in statements regarding the above allegations. Based on the above, the complaint is Unsubstantiated. There are no deficiencies to be cited on this date. A copy of this report is given on this date to the Residential Program Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Tamara Melikian LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13On 12/02/2022, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint investigation for the above facility. Met by Residential Program Director Arlene Vargas. Interviews conducted and information and documents obtained. Based on interviews conducted and information obtained, there is conflicting.Based on the above, there is not a preponderance of the evidence therefore, the complaint is Unsubstantiated. There are no deficiencies to be cited on this date. A copy of this report is given on this date to the Residential Program Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Tamara Melikian LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Reyna Martinez conducted a complaint inspection and met with Erica Arellano, Child Care Worker I. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging Staff did not provide adequate supervision resulting in minor inappropriately touching another minor in care. LPA conducted interviews and obtained documentation.There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Reyna 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 1

met_with: Erica Arellano


summary: Facility Evaluation

raw_content:
Narrative:
On January 24, 2022, Licensing Program Analyst (LPA) Tamara Melikian conducted an annual inspection of the facility indicated above. Met at the agency by Residential Program Director Arlene Vargas. Staff files and training records were inspected on this date. A review of staff records on 01/24/2022 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. The annual inspection will be completed at a later date. There are no deficiencies to be cited on this date.

report_type: Facility Evaluation

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On 04/12/2022, Licensing Program Analyst (LPA) Tamara Melikian travelled to the above facility to conduct an Annual inspection. Met by Administrator Mary Krahn. At 10:15AM, an inspection of the physical plant was conducted. LPA observed adequate food supply, adequate bedding, storage space, activity space, hot water that measured 107 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. At 10:45AM, an inspection of client files was conducted. At 11:30AM, an interview of S1 and S2 (see LIC811 dated 04/12/2022) was conducted. At 11:50AM, an interview of C1 was conducted. It was requested by this LPA to interview the other youth and they all refused. Staff records are at the corporate office and will be inspected at a later date. The exit interview was conducted at 12:00PM and a copy of this report given to the Administrator. It is requested that the licensee submit the following updated forms to CCL: LIC 308, 309, 500 and emergency disaster plan. In addition, the most recent minutes for the Board of Directors meeting. There are no deficiencies to be cited on this date.

met_with: Mary Krahn


summary: Facility Evaluation

raw_content:
Narrative:
On 05/02/2022, Licensing Program Analyst (LPA) Tamara Melikian travelled to the above facility's corporate office to complete an Annual inspection. Met by Human Resource Manager Jodee Romero. At 11:00AM, staff files were inspected as well as training records. There are no deficiencies to be cited on this date. A copy of this report was left with Jodee Romero, Human Resource Manager.

visit_type: Case Management

met_with: Jodee Romero


facility_name: PROMESA, MINARETS HOUSE

raw_content:
Investigation Findings:
13On 06/08/2021, Licensing Program Analyst (LPA) Tamara Melikian conducted a complaint investigation to inform the facility of the outcome of the above allegation. Met by Administrator Tamara Black. Due to restrictions of COVID-19, the inspection was conducted by telephone with this document scanned to Ms. Black on this date with a request for signature and a scan back. Interviews were conducted of clients and documents obtained. Client (#1) is inconsistent in the details of the incident and client (#2) states that an incident never occurred. Report from local law enforcement and CPS issues findings as unfounded. Based on the above, the complaint is unsubstantiated. There are no deficiencies to be cited on this date. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Melanie Krage LICENSING EVALUATOR NAME: Tamara Melikian LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Tamara Black


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On 11/27/2023, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint investigation for the above facility. Met by Residential Program Director Arlene Vargas. Based on confidential interviews conducted and documents obtained, two minors engaged in inappropriate sexual activity due to staff not protecting the minors. Based on the above, the complaint is Substantiated. Deficiency on the attached page. A copy of this report is given on this date to the Residential Program Director, Arlene Vargas. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Tamara Melikian LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: PROMESA, MINARETS HOUSEFACILITY NUMBER: 100407405

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Unsubstantiated - 1 deficiency

raw_content:
Investigation Findings:
13On 04/24/2024, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint investigation for the above agency. The purpose of the inspection is to deliver the findings for the above allegation. Met at the agency by Residential Program Director Arlene Vargas. Interviews conducted and information obtained. Based on confidential interviews conducted, refusal of youth to be interviewed and information obtained, there is conflicting information in the youth #1 (see LIC811 dated 04/24/2024)being bullied by other clients. Based on the above, the complaint is Unsubstantiated. A copy of this report is given on this date to the Residential Program Director Arlene Vargas. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Tamara Melikian LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 02/14/2024 and conducted by Evaluator Tamara Melikian PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:PROMESA, MINARETS HOUSEFACILITY NUMBER: ADMINISTRATOR:A.Iccardo, a.Vargasfacility Type: Address: E. MINARETSTELEPHONE: (559) 447- CITY:FRESNOSTATE: CAZIP CODE: CAPACITY:6CENSUS: 4DATE: 04/24/ UNANNOUNCEDTIME BEGAN: 01: PM MET WITH:Arlene VargasTIME COMPLETED:02: PM 9Clients are sneaking visitors into the facility. INVESTIGATION FINDINGS: 13On 04/24/2024, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint investigation for the above agency. The purpose of the inspection is to deliver the findings for the above allegation. Met at the agency by Residential Program Director Arlene Vargas. Interviews conducted and information obtained. Based on confidential interviews conducted and information obtained, an incident occurred where clients were able to sneak visitors into the facility. Based on the above, the complaint is Substantiated. Deficiency on the attached page. A copy of this report is given on this date to the Residential Program Director Arlene Vargas. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Tamara Melikian LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: PROMESA, MINARETS HOUSEFACILITY NUMBER: 100407405

Deficiencies:
80078(a): 1
2
3
4
5
6
7

title: The licensee shall provide care and supervision as necessary to meet the client's needs.This requirement is not met as evidenced by

description:
1
2
3
4
5
6
7


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analysts (LPAs) Danny Macias and Reyna Martinez conducted a complaint inspection and met with Tami Lashley, House Manager (HM.) The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging inappropriate interaction between clients. LPAs conducted interviews and obtained documentation.There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Danny Macias LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Tami Lashley


raw_content:
Investigation Findings:
13On January 15, Licensing Program Analysts (LPA) Angelica Borja conducted a complaint inspection at Promesa Minaret's House and met with Jeimy Manzanarez . The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Angelica Borja LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Administrator Jeimy Manzanarez


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Reyna Martinez conducted a complaint inspection and met with Chaille Payne, CCW I. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging Staff do not ensure that minor is transported to school on time. LPA conducted interviews and obtained documentation.There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Reyna 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 1

met_with: Chaille Payne


raw_content:
Investigation Findings:
13On 12/22/2022, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint investigation for the above facility. Met by Residential Program Director Arlene Vargas. Interviews conducted and information and documents obtained. Minor #1 (see LIC811 dated 12/22/2022) was unavailable for interview although multiple attempts were made. Based on the above, there is not a preponderance of the evidence therefore, the complaint is Unsubstantiated. There are no deficiencies to be cited on this date. A copy of this report is given on this date to the Residential Program Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Tamara Melikian LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of 2


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, Britanee Windom conducted a Case Management Inspection on October 27, 2021 at 11: AM, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code Section 1538.7. 5 out of Direct Care Staff and 3 out of 4 youth files as identified on the LIC Confidential Names dated October 27,2021, were reviewed. 3 out of the Direct Care Staff and 3 out of 4 youth were also interviewed. The Plan of Operation including policies and procedures were reviewed. A copy of this report was discussed and provided to Tamara Black, Administrator.

met_with: Administrator Tamera Black and Tami Lanshley


facility_name: PROMESA, NILES IV HOUSE

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13On 07/06/2022, Licensing Program Analyst (LPA) Tamara Melikian conducted a complaint inspection for the Promesa, Niles IV STRTP at 10:00AM for the purpose of delivering the findings for the above complaint allegation. Met by Administrator Renee Accardo. Based on confidential interviews and documents obtained, there is not a preponderance of evidence that the staff member (#1) had sex with resident (#2). Therefore, the allegation is unsubstantiated. There are no deficiencies to be cited on this date. Exit interview conducted and a copy of the report was left with the Administrator. Computer malufunction during follow up inspection, unable to capture signature. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Tamara Melikian LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Renee Accardo


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, Britanee Windom and Licensing Program Manager Angela Kings conducted a Case Management Inspection on August 10, 2021 at 9:30 am, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code Section 1538.7. 4 out of Direct Care Staff and 4 out of 4 youth files as identified on the LIC Confidential Names dated August 10, 2021, were reviewed. 2 out of the Direct Care Staff and 4 out of 4 youth were also interviewed. The Plan of Operation including policies and procedures were reviewed. A copy of this report was discussed and provided to Renee Accardo, Administrator.

met_with: Administrator Renee Accardo


summary: Facility Evaluation

raw_content:
Narrative:
On October 20, 2021, Licensing Program Analyst (LPA) Tamara Melikian conducted an annual inspection of the facility indicated above. Met at the agency by Residential Administrator Renee Accardo. An inspection of the physical plant was conducted. LPA observed adequate food supply, appropriately maintained yard, adequate bedding, storage space, activity space, hot water that measured 112 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. Pool appropriately fenced and safeguarded. Staff files and training records were inspected on this date. In addition, client files and medication logs were inspected on this date. At 1:30PM, an interview of S1 (see LIC811 dated 10/20/2021) was conducted. At 2:00PM, an interview of C1 (see LIC811 dated 10/20/2021) was conducted. At 2:20PM, an interview of C2 (see LIC811 dated 10/20/2021) was conducted. The exit interview was conducted at 3:30PM and a copy of this report given to the Administrator. Continued on Page 2... It is requested that the licensee submit the following updated forms to CCL: LIC 308, 309, 500 and emergency disaster plan. A review of staff records on 10/20/2021 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. There are no deficiencies to be cited on this date.


summary: Facility Evaluation

raw_content:
Narrative:
On March 29, 2022, Licensing Program Analyst (LPA) Tamara Melikian conducted an annual inspection at the above facility. Met by Administrator Renee Accardo. At 10:15AM, an inspection of the physical plant was conducted. LPA observed adequate food supply, adequate bedding, storage space, activity space, hot water that measured 110 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. At 10:40AM, an inspection of client files was conducted as well as the centrally stored record and medications. At 11:15AM, an interview of S1 and S2 (see LIC811 dated 03/29/2022) was conducted. At 11:40AM, an attempted interview of C4 was conducted, however the youth was not feeling well so was not interviewed. At 12:00PM, an inspection of staff records was conducted. The exit interview was conducted at 12:30PM and a copy of this report given to the Administrator. It is requested that the licensee submit the following updated forms to CCL: LIC 308, 309, 500 and emergency disaster plan. In addition, the most recent minutes for the Board of Directors meeting. There are no deficiencies to be cited on this date.


summary: Facility Evaluation

raw_content:
Narrative:
On 03/28/2024, Licensing Program Analyst (LPA) Tamara Melikian travelled to the above facility to conduct an Annual inspection. Met by Administrator Nicole Molina. At 9:10AM, an inspection of the physical plant was conducted. LPA observed adequate food supply, adequate bedding, storage space, activity space, hot water that measured 106 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. At 9:30AM, an inspection of client files was conducted as well as the centrally stored record and medications. At 10:15AM, an interview of S1, S2, C1, and C2 (see LIC811 dated 03/28/2024) was conducted. At 11:35AM, staff records were inspected. The exit interview was conducted at 12:00PM and a copy of this report given to the Administrator. It is requested that the licensee submit the following updated forms to CCL: LIC 308, 309, 500 and emergency disaster plan. In addition, the most recent minutes for the Board of Directors meeting. There are no deficiencies to be cited on this date

met_with: Nicole Molina


summary: Facility Evaluation

raw_content:
Narrative:
On 04/15/2026, Licensing Program Analyst (LPA) Reyna Martinez traveled to the above facility to conduct an Annual inspection. Met by Administrator Nicole Molina. LPA provided Administrator the entrance checklist and requested the necessary documents. An inspection of client files was conducted as well as the centrally stored record and medications. LPA reviewed the facility's disaster plan and reviewed facility logs. Appropriate staff/client ratios were verified during this inspection. All met the regulatory requirements. An inspection of the physical plant was conducted. LPA observed adequate food supply, adequate bedding, storage space, activity space, hot water that measured 110 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. Individual beds were observed with appropriate clean linens and are in good repair. The facility is CARF Accredited through 01/31/2027, and Mental Health Program Approval through 04/09/2026, and are awaiting a response from DHCS. There is at least one-week supply of nonperishable and a two-day supply of perishable foods. The facility is maintained at 69 degrees. The fire extinguisher is properly charged and was last serviced March 2026. 5 staff files were reviewed and meet all regulatory requirements. 2 staff were available to be interviewed. 4 records of clients were reviewed. All clients in the home were at school and will be interviewed at a later time. A review of the Licensing Information System on April 15, 2026, indicates that all facility staff listed on the LIC 500 under Promesa Niles IV House are associated to the STRTP had DOJ, FBI, and child abuse index check clearances. There are no deficiencies to be cited on this date. The exit interview was conducted and a copy of this report is left with Administrator Nicole Molina.


facility_name: PROMESA, NILES V HOUSE

raw_content:
Investigation Findings:
13On 06/07/2021, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint inspection to deliver the findings for the above allegation. Met by Administrator Mary Krahn. Due to restrictions of COVID-19, this complaint inspection is being conducted by teleinspection with a copy of this document scanned to the facility representative with a request for signature and a scan back on this date. This LPA interviewed personnel and witnesses. Based on interviews conducted, the witness has a concern with trash being thrown over the fence and the facility has reached out to the witness who did not have any concerns at that time. The facility will implement increased contacts to mitigate any possible concerns. Therefore, the complaint is Unsubstantiated. There are no deficiencies to be cited on this date. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Melanie Krage LICENSING EVALUATOR NAME: Tamara Melikian LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, Britanee Windom and Licensing Program Manager Angela King conducted a Case Management Inspection on August 10, 2021 at 1:30pm, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code Section 1538.7. 4 out of Direct Care Staff and 2 out of 2 youth files has identified on the LIC Confidential Names dated August 10, 2021, were reviewed. 1 out of the Direct Care Staff and 2 out of 2 youth were also interviewed. The Plan of Operation including policies and procedures were reviewed. A copy of this report was discussed and provided to, Tammera Black Residential Administrator .

met_with: Residential Administrator Tammera Black


summary: Facility Evaluation

raw_content:
Narrative:
On 08/26/21, Licensing Program Analyst (LPA) Tamara Melikian travelled to the above facility to conduct an Annual inspection. Met by Administrators Arlene Vargas and Mary Krahn. An inspection of the facility was conducted and the following was observed: There are currently no clients in placement. Toured the facility indoors and outdoors. Fire extinguisher charged and up to date. Hot water temperature last measured at 110 degrees. Observed adequate supply of non-perishables. Observed adequate supply of furnishings, linen and storage space for clients. Cleaning chemicals inaccessible to clients. Medication area centrally stored and locked. There are no pets at the facility. Per the Administrator, there are no weapons at the facility. There are no bodies of water at the facility. There have been no deficiencies in the prior 12 months. Administrator file inspected as well as training records. There are no other staff. No deficiencies cited on this date. Visit concluded.


summary: Facility Evaluation

raw_content:
Narrative:
On 03/23/2022, Licensing Program Analyst (LPA) Tamara Melikian travelled to the above facility to conduct an Annual inspection. Met by Administrator Mary Krahn. An inspection of the facility was conducted and the following was observed: There are currently no clients in placement. Toured the facility indoors and outdoors. Fire extinguisher charged and up to date. Hot water temperature last measured at 110 degrees. Observed adequate supply of non-perishables. Observed adequate supply of furnishings, linen and storage space for clients. Cleaning chemicals inaccessible to clients. Medication area centrally stored and locked. There are no pets at the facility. Per the Administrator, there are no weapons at the facility. There are no bodies of water at the facility. There have been no deficiencies in the prior 12 months. Administrator file inspected as well as training records. There are no other staff. No deficiencies cited on this date. Visit concluded.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Britanee Windom conducted a case management inspection on 07/06/22 at 9: AM based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 3 out of Direct Care Staff and 3 out of 3 youth files were reviewed. 2 out of Direct Care Staff and 2 out of 3 youth were interviewed.(See the Confidential Names List, LIC 811, July 6, 2022). The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, monthly assessments, and crisis intervention plans, the licensee uses trauma informed and evidence based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Windom observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Administrator Lisa Tamez.

met_with: Director of Residential Programs Arlene Vargas and Administrator Lisa Tamez


summary: Facility Evaluation

raw_content:
Narrative:
On 02/27/2024, Licensing Program Analyst (LPA) Tamara Melikian travelled to the above facility to conduct an Annual inspection. Met by Administrator Renee Accardo. An inspection of the facility was conducted and the following was observed: There are currently no clients in placement. Toured the facility indoors and outdoors. Fire extinguisher charged and up to date. Hot water temperature last measured at 106 degrees. Observed adequate supply of non-perishables. Observed adequate supply of furnishings, linen and storage space for clients. Cleaning chemicals inaccessible to clients. Medication area centrally stored and locked. There are no pets at the facility. Per the Administrator, there are no weapons at the facility. There are no bodies of water at the facility. There have been no deficiencies in the prior 12 months. Administrator file inspected as well as training records. There are no other staff. No deficiencies cited on this date. Visit concluded.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Reyna Martinez conducted an unannounced case management visit at the STRTP and met with Jaquia Wynne, Child Care Worker II. Incident Report involving Client #1 (See LIC Confidential Names List dated 12/22/2025) for an incident that occurred on 11/25/2025. The department received this incident report on 12/08/2025. LPA spoke with Renee Accardo, Administrator (AD) via phone call to gather additional details regarding the report. LPA determined due to a temporarily technical issue with the STRTP's email system, the delivery of outgoing emails were affected. LPA discussed the importance of reporting requirements with AD. AD will continue to monitor reporting and communication with CCL. An exit interview was conducted, and a copy of the report was provided to the STRTP.

met_with: Jaquia Wynne


summary: Facility Evaluation

raw_content:
Narrative:
On 04/15/2026, Licensing Program Analyst (LPA) Reyna Martinez traveled to the above facility to conduct an Annual inspection. Met by Administrator Anna Marie Ochoa. LPA provided Administrator the entrance checklist and requested the necessary documents. An inspection of client files was conducted as well as the centrally stored record and medications. LPA reviewed the facility's disaster plan and reviewed facility logs. Appropriate staff/client ratios were verified during this inspection. All met the regulatory requirements. An inspection of the physical plant was conducted. LPA observed adequate food supply, adequate bedding, storage space, activity space, hot water that measured 120 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. The facility is CARF Accredited through 01/31/2027, and Mental Health Program Approval through 04/09/2026, and are awaiting a response from DHCS. There is at least one-week supply of nonperishable and a two-day supply of perishable foods. The facility is maintained at 73 degrees. The fire extinguisher is properly charged and was last serviced April 2026. 5 staff files were reviewed and meet all regulatory requirements. 2 staff were available to be interviewed. 4 records of clients were reviewed. All clients in the home were at school and will be interviewed at a later time. A review of the Licensing Information System on April 15, 2026, indicates that all facility staff listed on the LIC 500 under Promesa Niles V House are associated to the STRTP had DOJ, FBI, and child abuse index check clearances. There are no deficiencies to be cited on this date. The exit interview was conducted and a copy of this report is left with Administrator Anna Marie Ochoa.

met_with: Anna Marie Ochoa


facility_name: PROMESA, SPRUCE HOUSE

raw_content:
Investigation Findings:
13On 02/25/2022, Licensing Program Analyst (LPA) Tamara Melikian conducted a follow up complaint inspection for the Promesa, Spruce House to deliver the findings for the above allegation. Met by Administrator Renee Accardo. Interviews were conducted and information obtained. Interviews are conflicting in that the minor (#1) states that it took some time to obtain hair products and the facility administrator provided receipts of products that were bought for the minor (#1). Based on the above, the complaint is Unsubstantiated. There are no deficiencies to be cited on this date. This report was provided to the Administrator upon completion. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Tamara Melikian LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2


summary: Facility Evaluation

raw_content:
Narrative:
On October 7, 2021, Licensing Program Analyst (LPA) Tamara Melikian conducted an annual inspection of the facility indicated above. Met at the agency by Residential Program Director Arlene Vargas and Administrator Renee Accardo. An inspection of the physical plant was conducted. LPA observed adequate food supply, appropriately maintained yard, adequate bedding, storage space, activity space, hot water that measured 117 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. Pool appropriately fenced and safeguarded. Staff files and training records were inspected on this date. In addition, client files and medication logs were inspected on this date. At 2:00PM, an interview of S1 (see LIC811 dated 10/07/2021) was conducted. At 2:20PM, an interview of C2 (see LIC811 dated 10/07/2021) was conducted. The exit interview was conducted at 3:30PM and a copy of this report given to the Administrator. It is requested that the licensee submit the following updated forms to CCL: LIC 308, 309, 500 and emergency disaster plan. Staff files and training records were inspected on this date. In addition, client files and medication logs were inspected on this date. A review of staff records on 10/07/2021 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. There are no deficiencies to be cited on this date.

met_with: Arlene Vargas, Renee Accardo


summary: Facility Evaluation

raw_content:
Narrative:
On 04/05/2022, Licensing Program Analyst (LPA) Tamara Melikian travelled to the above facility to conduct an Annual inspection. Met by Administrator Renee Accardo. An inspection of the facility was conducted and the following was observed: There are currently no clients in placement. Toured the facility indoors and outdoors. Fire extinguisher charged and up to date. Hot water temperature last measured at 106 degrees. Observed adequate supply of non-perishables. Observed adequate supply of furnishings, linen and storage space for clients. Cleaning chemicals inaccessible to clients. Medication area centrally stored and locked. There are no pets at the facility. Per the Administrator, there are no weapons at the facility. The pool at the facility is appropriately fenced with a self closing, latching gate. There has been one deficiency in the prior 12 months. Administrator file inspected as well as training records. No deficiencies cited on this date. Visit concluded.


summary: Facility Evaluation

raw_content:
Narrative:
On 08/14/2023, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced case management inspection to conduct a physical plant inspection at the facility. Met by Child Care Worker II, KIa Blue.. A physical plant inspection was conducted. The plumbing blockage in the bathroom has been fixed. There are no deficiencies to be cited on this date. A copy of this report is left with Child Care Worker II, Kia Blue.

met_with: Kia Blue


summary: Facility Evaluation

raw_content:
Narrative:
On 03/19/2024, Licensing Program Analyst (LPA) Tamara Melikian travelled to the above facility to conduct an Annual inspection. Met by Administrator Renee Accardo. At 10:00AM, an inspection of the physical plant was conducted. LPA observed adequate food supply, adequate bedding, storage space, activity space, hot water that measured 114 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair, but is in need of general cleaning. At 10:30AM, an inspection of client files was conducted as well as the centrally stored record and medications. At 11:15AM, an interview of S1 and S2 (see LIC811 dated 03/19/2024) was conducted. At 11:45AM, staff records were inspected. The exit interview was conducted at 12:30PM and a copy of this report given to the Administrator. It is requested that the licensee submit the following updated forms to CCL: LIC 308, 309, 500 and emergency disaster plan. In addition, the most recent minutes for the Board of Directors meeting. There are no deficiencies to be cited on this date


summary: Facility Evaluation

raw_content:
Narrative:
On 06/26/2025, Licensing Program Analyst (LPA) Reyna Martinez management inspection for the above facility. Met by House Manager, Brian Zirat. The purpose of the inspection is to follow up on an incident that occurred on June 16, 2025 - June 17, 2025 for clients #1 and #2 (see LIC811 dated 06/26/2025). The written incident reports were received timely and the information was reviewed. LPA gathered additional details regarding the incident, supporting documentation and discussed continuous supervision for #1 and #2. A copy of this report is left with House Manager, Brian Zirat. There are no deficiencies to be cited on this date, and a copy of this report was left at the facility.

met_with: Brian Zirat


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Reyna Martinez conducted a complaint inspection and met with Brian Zirate, Administrator (AD) at the Short Term Residential Therapeutic Program (STRTP) in Fresno, CA. The purpose of the inspection was to deliver the findings for the above complaint allegation. Based on interviews it was determined that Facility staff did not treat youth with respect. Based on the LPA's observations, documentation provided, confidential interviews and records review which were conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be substantiated. A deficiency is being cited for the Interim Licensing Standards (ILS) Chapter 7.5, Version 5, Articles 1-10, Section 87072(c)(1) Personal Rights. A copy of the report and Appeal Rights was provided to the STRTP. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Reyna 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: PROMESA, SPRUCE HOUSEFACILITY NUMBER: 100406294

met_with: Brian Zirate


raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to Promesa Offices and met with Jodee Romero to deliver findings of investigation. CS, Investigators Munoz and Ortega conducted investigation that included review of documentation and confidential interviews. Based on inconsistencies in the information received a preponderance of the evidence could not be found that the allegation occurred as reported. Although the allegation may or may not be valid, without a preponderance of the evidence the allegation is deemed Unsubstantiated. Copy of this report, LIC Appeal Rights Due to computer issues copy of this report emailed to Jodee Romero 12/22/25. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Jodee Romero


facility_name: PROMISE TRANSITIONAL HOMES DBA PROMISE STRTP

summary: Facility Evaluation

raw_content:
Narrative:
On February 11, 2025, at AM, a Component II Office Visit was held to discuss the application received for Promise Transitional Homes DBA Promise STRTP located at W. 69th Street Los Angeles, CA 90047. Attending Component II were the following individuals:Tracia Ekollo, Applicant, and Agahnee Ekollo, Erika Butler, Licensing Program Analyst, and JoAunne Griffin, Licensing Program Manager. The purpose of this Component II meeting was to review and discuss the incomplete application and Program Statement and to resolve any outstanding concerns that may have existed. The following incomplete application forms were discussed at the meeting: Program Statement Sections A-Q Program Statement Sections 1 - Revisions have been completed and are currently being reviewed. Pre-Licensing Inspection scheduled for March 4, 2025, at AM. A copy of this report was provided to Applicant, Tracia Ekollo.

met_with: Tracia Ekollo


summary: Facility Evaluation

raw_content:
Narrative:
On March 4, 2025, at 10: AM Licensing Program Analyst (LPA) Erika Butler, and Licensing Program Manager (LPM) JoAunne' Griffin arrived at Promise Transitional Home for the purpose of conducting a Pre-Licensing Inspection. LPA and LPM met with Applicant Tracia Ekollo who granted access to the home and together a tour of the interior and exterior home was conducted. The home is set up as follows: This is a three bedroom, two bathroom home located in a residential area. The home consists of a living room, dining room, kitchen, laundry space, and backyard area, Living room: is equipped with mounted TV, two chairs, two love seats, coffee table, and covered fireplace. Dining room: is equipped with a table with three chairs. Kitchen: is equipped with a refrigerator/freezer, a five burner gas stove (all burners were operational at the time of the inspection), and microwave. Sharp knives will be kept inaccessible in a locked cabinet in the kitchen. LPA observed a covered trash can. LPA observed ample and non-perishable food items. The Applicant will ensure that three nutritious meals and snacks will be provided to the clients. Exit signs are located at the front door and kitchen door. 809 continued on page 1 of Bedroom #1: client's bedroom is equipped with two twin size bed with drawers underneath, dresser, adequate closet space, television, adequate lighting, and windows. Bedroom #2: client's bedroom equipped with two twin beds with drawers underneath, adequate closet space, adequate lighting, and windows. Exit door leads outside and will be locked. Bedroom #3: client's bedroom equipped with two twin beds with drawers underneath, adequate closet space, lighting, and windows. Exit door leads outside and will be locked. Bathroom: Bathroom #1 is located in hallway, and bathroom #2 is located in bedroom #2. Bathrooms were observed to be clean and in working condition. Vehicle: The Applicant will use a Chrysler Van will be used to transport clients. Insurance is valid from December 03, 2024 - December 3, 2025. The vehicle was observed to be in good condition. The home's temperature is maintained by central air/heating. LPA observed two fully charged fire extinguishers which are located in the kitchen, and dining room. Extra linens will be stored in the cabinet in the kitchen. The smoke alarm and carbon monoxide detectors were tested and found to be in working order. First Aid kit was found to be be complete with required items. The Applicant has a locked refrigerator for refrigerated medication that will be kept in the refrigerator. The applicant has locked boxes for the clients to store there belongings. Disinfectants and cleaning solutions are kept in a locked cabinet in the kitchen. LPA reminded Applicant to ensure the following when children are in placement: Children are accorded personal rights and the corresponding form is in their file. Children are supported and encouraged to participate in extracurricular activities. Children are allowed and encouraged to contact the licensing agency, in confidence, without threats or punishment for making complaints. Children are accorded dignity in personal relationships with others in the home. Applicant acknowledges abuse reporting requirements. Applicant will ensure grievance process, Disaster Plan, discipline policies and procedures will be posted in dining room area. Report continued on LIC 809C. (Page 2 of 3) LPA and LPM observed Ring camera at the front door and camera in the living room. Door sensors were observed at the front door, Bedroom #2 and Bedroom #3. During the inspection, LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. Applicant informed that the following corrections will need to be made. Purchase a mobile phone for clients use. Window lever needs to be replaced in Bedroom #3. Tools need to be removed from cabinet in the living room. Shower handle needs to be fixed in Bathroom #1. Remove personal hygiene items that will not be used by clients from Bathroom #2. Purchase plates, cups, bowls, utensils, pots, and pans. Place bedding on the beds in Bedroom #2. Remove tire, wood, weights, and items that will not be utilized by clients. Applicant will purchase six chairs for the dining room table. Applicant will place the drawer in the refrigerator. The Applicant will add the use of cameras in the facility to the Program Statement by March 20, 2025. Applicant will remove the glass off the floor in Bedroom #2. Applicant will remove the chandelier from Bathroom #2. Hall closet will be cleared of items not be used by clients. LPA and LPM will obtain approval for shed to be used as office space. LPA informed Applicant that a Component III meeting will be held March 20, 2025, at AM. An exit interview was conducted. A copy of report will be emailed to Applicant Tracia Ekollo.

visit_type: Prelicensing


summary: Facility Evaluation

raw_content:
Narrative:
On March 20, 2025, at 10: AM, Licensing Program Analyst (LPA), Erika Butler, and Licensing Program Manager (LPM), JoAunne Griffin conducted a Short Term Residential Therapeutic Program (STRTP) Component III office meeting with Applicant, Tracia Ekollo. LPA Butler and LPM Griffin met with Applicant to discuss forms required to be maintained, available, and posted at the facility for inspections. We discussed child and personnel records that are required to be documented, retained and available for inspection. We also discussed specific requirements, concerns and issues operating a STRTP, such as, reporting requirements, personnel requirements, supervision, intake issues, compatibility, removal/discharge policies, complaint procedures, transportation, health services, food, hygiene, visitation, personal property, searches, and community sensitivity. Licensing of facility is pending final approval due to fire clearance, association to Guardian, and corrections to facility plant. Second Pre-Licensing inspection is scheduled for April 1, 2025 @ 10. A copy of this report was provided to the Applicant, Tracia Ekollo.


summary: Facility Evaluation

raw_content:
Narrative:
On April 1, 2025, at 10: AM Licensing Program Analyst (LPA) Erika Butler arrived at Promise Transitional Home for the purpose of conducting a follow-up Pre-Licensing Inspection. The following corrections were made: Purchased a mobile phone for clients use. Window lever was replaced in Bedroom #3. Tools were removed from cabinet in the living room. Shower handle was fixed in Bathroom #1. Personal hygiene items were removed from Bathroom #2. Applicant purchased plates, cups, bowls, utensils, pots, and pans. Bedding was placed on the beds in Bedroom #2. Tire, wood, weights, and items were removed from the backyard. Applicant purchased additional chairs for the dining room table. Applicant will fixed the broken drawer in the refrigerator. Applicant added the use of cameras in the facility to the Program Statement. Applicant removed the glass off the floor in Bedroom #2. Applicant removed the chandelier from Bathroom #2. Items in the hall closet that are not be used by clients were removed.. An exit interview was conducted. A copy of report will be emailed to Applicant Tracia Ekollo.


summary: Facility Evaluation

raw_content:
Narrative:
On 06/27/25 at 9:40 am Licensing Program Analyst (LPA) Reagan Cohen & Licensing Program Manager (LPM) Lakescia Smith arrived at the facility for the purpose of conducting a Post-Licensing Inspection. Upon arrival LPA and LPM met with home owner Tracy, who granted access to the home. PB Agahnee Ekollo was contacted and made her way over. Tracy informed LPA & LPM that she is living in the home while no clients are present to protect the home. There are currently no clients or staff in the facility. Health and safety risk assessment and a facility walk through was conducted upon arriving at the facility. LPA & LPM observed the posted facility License. LPA and LPM observed the foster youth bill of rights posted in the dinning room, but it is too small and illegible. LPA & LPM explained that the poster needs to be bigger for clients to be able to read. LPA & LPM observed the complaint procedures posted, LPA & LPM explained that there needs to be forms and writing tools present for clients to fill out on their own time anonymously. PB explained that Tracia Ekolo is the current Administrator but the plan is to switch to Chernika Corbett once she gets her administrator certification. Staff must submit change of administrator request and administrator qualifications for Chernika for review and approval. LPA & LPM showed PB that on Guardian Tracia and Agahnee Ekollo are not cleared for the facility. PB will ensure that all staff are cleared prior to being present in the facility. PB will follow up with guardian on facility clearance status. cont. on next page. The home is set up as follows: This is a three bedroom, two bathroom home located in a residential area. The home consists of a living room, dining room, kitchen, laundry space, and backyard area, Living room: is equipped with mounted TV, two chairs, two sofas, coffee table, and covered fireplace. There are fire place tools that will be removed. There is a camera pointed at the door. Cameras record video only, no sound. The video footage is stored by the security company for three days. Only Tracia and Agahnee have access to the footage. Dining room: is equipped with a table with six chairs and and extra chair. There is a fully charged fire extinguisher. The license, personal rights poster, complaint procedures, menu, and activity poster will be posted. Kitchen: is equipped with a refrigerator/freezer, a five burner gas stove (all burners were operational at the time of the inspection), and microwave. Sharp knives will be kept inaccessible in a locked cabinet in the kitchen. LPA observed a covered trash can. The Applicant will ensure that three nutritious meals and snacks will be provided to the clients. Currently there is no supply of perishable or non perishable food. Licensee will ensure that there is an adequate supply of non perishable food, snacks, extra cups, utensils, bowls, plates, and napkins. There is a fully charged fire extinguisher in the kitchen. Breakfast nook: is equipped with adequate bench seating and a small table. Laundry Area: is equiped Exit signs are located at the front door and kitchen door. Bedroom #2: client's bedroom equipped with two twin beds with drawers underneath, adequate closet space, adequate lighting, and windows. Sliding exit door leads outside. Facility must ensure that there is a clear and accessible emergency exit, which can be either the sliding door or a window. Bedroom #3: client's bedroom equipped with two twin beds with drawers underneath, two closets, lighting, and windows. Exit door leads outside and will be locked. Facility will ensure that the closet is empty of the tv box and paint tray and rollers, and filled with hangers for clients clothes. There is a wall socket that must be repaired. Bathroom #2 is only accessible from Bedroom #3. Bathroom #1: Bathroom #1 is located in hallway. There is a sink, shower, and toilet. The water temperature was measured to be 115 degrees F. The toilet was observed to be operable. Bathroom #2 is located in bedroom #3. There is a sink, shower, tub, and toilet. The water temperature was measured to be 115 degrees F. There is a storage unit available for extra linens and towels. The door is a barn door that facility will add a lock to, to be able to lock for client privacy. Storage Closet: There is a storage closet in the hallway that will be made inaccessible to clients. Clients medications and medication logs will be stored in the closet. There is a mini fridge that will be able to store temperature controlled medications. There is an First Aid kit in the closet. Each First Aid kit is complete with Band-Aids, gauze, anti-septic solutions, scissors, tweezers, thermometer, and a first aid manual. The applicant has locked boxes for the clients to store there belongings. Backyard: There is adequate seating around a fire pit in the backyard. There are two walkways along either side of the house. Facility must ensure that there is no debris or other harmful items including propane tanks, ladders, animal poop, bottles, trash, pipes, weights, buckets, brooms, etc. accessible to clients. There is a shed in the back yard which is designated for the therapist, will be used to store all facility records including staff and client files, etc. The files will be locked in a cabinet inaccessible to clients. There is another shed that is storing the property owners personal belongings. This shed must be locked and made inaccessible to clients.

met_with: President of the Board (PB) Agahnee Ekollo


summary: Facility Evaluation

raw_content:
Narrative:
On 7/24/25 at 9: LPA arrived at the above facility. LPA knocked on the door twice and stood on the porch for 5 min. LPA then called the number on file 323-722-6488, the number was disconnected. LPA then sent an email to the email address on file. LPA waited until 10: AM and did not receive a response. LPA wrote this report and logged the attempted visit.


summary: Facility Evaluation

raw_content:
Narrative:
On December 30, 2025, at 10: AM, Erika Butler-Williams Licensing Program Analyst (LPA) and Licensing Program Manager (LPM) Enrique Hernandez conducted a Case Management inspection at the above named facility based on the information obtained prior Licensing visit on 11/24/25. The information indicated that on 11/20/2025, a youth in care had been left outside the facility do to client having an episode chasing staff stating that he was going to kill them The client was left outside in inclement weather (rain), and was not immediately allowed to re-enter the facility. During the Case Management inspection, the Department interviewed the Acting Administrator, and reviewed available documentation. Interviews were conducted and documents obtained. LPA has determined further investigation is needed to conclude this Case Management Investigation. Exit interview conducted, and the report will be emailed to admin@promisestrtp.com

met_with: Chernikia Corbett, Acting Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On January 29,2026, Licensing Program Analyst (LPA) Erika Butler-Williams conducted an unannounced follow-up case management inspection at the above-named facility and met with the Acting Administrator Agahnee Ekollo. This follow-up case management inspection was conducted in reference to the initial case management inspection completed on December 30, 2025. During the follow-up case management inspection, the Department determined that on the course of the visit, confidential interviews corroborated that on 11/17/25, a youth in care was left outside of the facility, and remained outside in inclement weather (rain), and was not permitted to re-enter the home, thereby denying the youth access to safe, healthful, and comfortable accommodations and placing the youth at risk to health and safety. As a result, the facility is being cited for violation of California Code of Regulations, Title 22, Division 6, Section 80072(a)(2) - Personal Rights (see LIC 809D). Exit interview completed, appeal rights issued, and a copy of this report was provided to the Acting Administrator.

met_with: Agahnee Ekollo, Acting Administrator


facility_name: PURVIS HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
On November 10, 2021, Licensing Program Analyst (LPA) Priscilla Zamudio and Licensing Program Manager (LPM) Juanita Arroyo conducted an unannounced annual required inspection at this facility. LPA and LPM were met at the facility by facility administrator Patricia Bratcher. An inspection of the facility was conducted and the following was observed: No clients were residing in the home; therefore, no client nor staff files were inspected on this date. LPA provided Patricia with a copy of the LIS536 which includes a list of personnel associated to the facility. The facility was inspected indoors and outdoors. Hot water temperature was at a comfortable temperature in the hall restroom. LPA Zamudio observed that there were no supply of perishables and non-perishables. LPA observed adequate supply of linen and storage space for clients. All furnishings were in place for 6 clients. Cleaning chemicals were inaccessible to clients. No visible hazards were observed at this time. No deficiencies cited. Per Administrator, there are no weapons at the facility. There are also no bodies of water at the facility. Administrator to submit an updated facility sketch and LIC 500 when they accept clients into the home. LPA left a copy at the facility and visit concluded.

met_with: Patricia Bratcher


summary: Facility Evaluation

raw_content:
Narrative:
On November 2, 2022, Licensing Program Analyst (LPA) Wayne Aoki and Licensing Program Manager (LPM) Juanita Arroyo conducted an unannounced annual required inspection at this facility. LPA and LPM were met at the facility by facility Compliance Director, Tara Flores. There are currently no placements in the facility as the facility has been closed for 1.5 years. An inspection of the facility was conducted and the following was observed: No clients were residing in the home; therefore, no client nor staff files were inspected on this date. LPA provided Patricia with a copy of the LIS536 which includes a list of personnel associated to the facility. The facility was inspected indoors and outdoors. Hot water temperature was measured at 119 degrees at the kitchen sink. LPA Aoki observed that there were no supply of perishables and non-perishables. LPA observed adequate supply of linen and storage space for clients. All furnishings were in place for 6 clients. Cleaning chemicals were inaccessible to clients. No visible hazards were observed at this time. There were no deficiencies cited during this inspection. Per Administrator, there are no weapons at the facility. There are also no bodies of water at the facility. Administrator to submit an updated facility sketch and LIC 500 when they accept clients into the home. LPA left a copy at the facility and visit concluded.

met_with: Tara Flores


summary: Facility Evaluation

raw_content:
Narrative:
On December 22, 2022, Licensing Program Analyst (LPA) Wayne Aoki traveled to Purvis House to conduct a Case Management inspection. LPA was met by Administrator, Patricia Bratcher. LPA toured the facility. LPA observed that the facility is not in operation. LPA and Ms. Bratcher discussed future plans for the building. Ms. Bratcher surrendered the facility License to LPA at conclusion of the facility tour. No deficiencies observed or cited during this inspection. Copy of this report was provided to Ms. Bratcher at conclusion of inspection


raw_content:
Narrative:
reported that C6 never heard S1 say anything inappropriate. Confidential interviews reported that S1 showed inappropriate pictures on S1's cell phone to C1. Confidential interviews reported that S1 showed a picture wearing lingerie. The description of color and design of the lingerie was inconsistent when clients (C1, C2, & C5) were asked about it. Confidential interviews reported that S1 was never seen showing inappropriate pictures to C1. Confidential interviews reported that S1 took a picture of C1 injured hand and forward the picture to another staff member. Confidential interview denied having a sexual relationship with any of the clients at the facility and touching any of the clients inappropriately. Confidential interviews reported that clients were told about the alleged incident or overheard inappropriate conversations between C1 and S1. There were no witnesses, videos or photographs of the incidents. Based on inconsistent confidential interviews and information obtained, the allegation that staff touched the resident (C1) inappropriately may have occurred, however, is not supported by evidence. Therefore, the allegation is unsubstantiated. A copy of this report and appeal rights were provided to Thomas Ybarra, STRTP Chief Executive Officer.

Investigation Findings:
13On January 31, 2022 at 10:00am, Licensing Program Analyst (LPA), Cheraki Davis met with Thomas Ybarra, Short Term Residential Therapeutic Program (STRTP) Chief Executive Officer to deliver the finding for the above complaint allegation. On 07/29/2021 at 9:45am, LPA conducted a health and safety inspection and no immediate safety hazards were observed. The investigation was conducted by Special Investigator Lori Wood of the Community Care Licensing (CCL) Investigations Bureau. The investigation included interviews with clients (C1-C6) and one staff member. Facility records were reviewed. On July 22, 2021, Community Care Licensing received an allegation that stated staff (S1) touched the resident (C1) inappropriately. Confidential interviews reported that S1 had inappropriately sexual relations with C1. Confidential interviews reported that S1 was seen touching C1 inappropriately in the laundry room by C2. Confidential interviews reported that C5 never heard of any incident happening in the laundry room. Other confidential interviews reported that C1 told C3 that S1 touched C1 inappropriately. Confidential interviews reported that C5 overheard an inappropriate conversation between C1 and S1. Confidential interviews UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cheraki Davis 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 19-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, MAIN ST., Suite Riverside, CA Facility Name: P.H.I.L.O.S. Adolescent Treatment Centers,inc.FACILITY NUMBER: VISIT DATE: 01/31/2022

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

met_with: Thomas Ybarra


facility_name: P.H.I.L.O.S. Adolescent Treatment Centers,inc.

summary: Facility Evaluation

raw_content:
Narrative:
On June 15, 2021, Licensing Program Analyst (LPA) Lorena Valenzuela arrived at PHILOS Adolescent Treatment Centers Inc and met with Administrator Thomas Ybarra Sr. regarding an incident report received at Community Care Licensing (CCL) on 04/09/2021. LPA obtained client and staff records and interviewed children and staff as listed on the Confidential Names List Form (LIC 811). A copy of the LIC 809 was provided to facility Administrator.

met_with: Thomas Ybarra Sr, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 04/19/2022, Licensing Program Analyst (LPA) Lorena Valenzuela met with PHILOS Treatment Center Short Term Residential Therapeutic Program (STRTP) former Administrator Thomas Ybarra Sr. The purpose of this case management is to discuss information received during a review of an report received regarding an incident that occurred at the facility. The incident involved Client #1 (C1) and Staff #1 (S1). LPA conducted interviews with six clients (C1, C2, C3, C4, C5, & C6) and one Staff #1 (S1). See Confidential Names List form (LIC 811) dated 04/19/2022. On 06/15/2021, LPA Valenzuela conducted an inspection of the facility and a review of facility records. Interviews revealed that around April 2021, Staff #1 (S1) made inappropriate sexual comments to Client #1 (C1). Confidential witness statements reported that S1 made comments to C1 regarding S1's personal sexual relationships. Additional interviews revealed that S1 stated to C1 and other clients in care, that S1 would be willing to engage in sexual relationships with clients once the clients left the facility and/or turned 18 years of age. Based on interviews and records review, the Department has determined a preponderance of evidence that Staff #1 (S1) made inappropriate comments to Client #1 (C1). The facility is cited for violation of the STRTP Interim Licensing Standards (ILS), Version 3.1, Section 84072(d)(11) Personal Rights. A copy of this report, LIC 809-D, LIC 811, and appeal rights were provided to Thomas Ybarra Sr. An exit interview was conducted with Thomas Ybarra Sr.

met_with: Thomas Ybarra Sr.


summary: Facility Evaluation

raw_content:
Narrative:
On 06/22/2021, at 3: PM, Licensing Program Analyst (LPA) Lorena Valenzuela arrived at the above location to conduct a confidential collateral interview of Child #1 (see LIC Confidential Names List Form, dated 06/22/2021) regarding a complaint that happened at another facility. LPA provided a copy of this report to Lori Lamey, Facility Manager.

met_with: Lori Lamey, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On July 7, 2021, at 1: PM, an informal office conference was held with representatives from PHILOS Adolescent Treatment Centers Short Term Residential Therapeutic Program (STRTP) facilities #336408176 and #360911251 . In attendance were: STRTP representatives Administrator Thomas Ybarra Sr., STRTP Consultant Randy Cima. Also in attendance from Community Care Licensing (CCL) were: LaCresha Cook Regional Manager (RM), Christina Barnes, Licensing Program Manager (LPM) and Lorena Valenzuela, Licensing Program Analyst (LPA). The following representatives were also in attendance from probation, county, and mental health, including Dianne Wolkenhauer, Anjelica Matus, Nathan Sacrano, Raul Manriquez, Juan Bretado, Rose Collins, Christopher Hernandez, Michelle Brown, Allison Brown, Jenell Ross, Rachel Rivas, Timothy Hougen, Kimberly Epps, and CARF (Commission on Accreditation of Rehabilitation Facilities) representative Shar Whitmore. The following was discussed with the facility: 1. Accreditation requirements 2. Mental Health county contract status 3. Mental Health county approval (DHCS) 4. Medi-Cal certification status 5. Administrator Role During this meeting, LPA Barnes and RM Cook inquired about the facility's STRTP accreditation. Per Mr. Ybarra the facility did not obtain an STRTP accreditation and plans to submit the application for accreditation this month- July 2021. Regional Manager Cook inquired if the facility had a Mental Health Program approval, Mr. Ybarra stated they have an approval as of March 2021. Regional Manager Cook inquired about the facility's Medi-Cal certification; Mr. Ybarra stated the facility continues to have Medi-Cal certification as of now. Regional Manager Cook inquired about the facility's county mental health contract, Mr. Ybarra stated the contract expired July 1, 2021 and the facility is seeking a mental health contract with other counties. Regional Manager Cook inquired about the Administrator role and hours spent at each facility, Mr. Ybarra stated he works at least 20 hours at each facility and more hours as needed. The Department request that the facility formulate a plan of action on how they intent to proceed with their program and submit to CCL by August 4, 2021. The Department also request the facility is to provide the Personnel Report (LIC 500) from January 2020 to July 2021. The facility was advised that the Department will meet with the legal department for further instructions regarding the items that were discussed. LPA Valenzuela read and explained the report to Administrator Thomas Ybarra Sr., and gave a copy of the report to Administrator, Thomas Ybarra Sr.

met_with: Thomas Ybarra Sr., Randy Cima


facility_name: QUALITY FAMILY SERVICES-BELMONT

raw_content:
Investigation Findings:
13On August 8, 2022, Licensing Program Analyst (LPA) Wayne Aoki conducted a follow up complaint inspection. The purpose of the inspection was to deliver the findings for the above complaint allegations. LPA was me by facility representative Maggie Mendez. During the course of the investigation, confidential interviews were conducted and law enforcement reports were obtained. Although the allegation may have happened or is valid, there is not a preponderance of the evidence, therefore, the above allegation is unsubstantiated. Based on the above, the complaint is Unsubstantiated. A copy of this report and appeals rights were left with Ms. Mendez. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

met_with: Maggie Mendez


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

met_with: Laura Romero


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


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality Corporate office and met with Laura Romero. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA interviewed staff which revealed that the agency did not ensure that minor had fair and equal access to placement. Based on LPA's observations, interviews which were conducted and records review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SIERRA CASCADE AC/SC, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-BELMONTFACILITY NUMBER: 100404782


raw_content:
Investigation Findings:
13On May 21, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Belmont, LPA met with Maggie Mendez. The purpose of the inspection was to deliver the findings of the above complaint allegations. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


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

met_with: Francisca Ortiz


raw_content:
Investigation Findings:
13On May 6, 2026, Licensing Program Analyst (LPA) Danny Macias traveled to Quality Family Services Short Term Residential Therapeutic Program (STRTP) main office to conduct an unannounced inspection and met with Chief Executive Officer Mae Johnson. The purpose of the inspection was to deliver findings for the above complaint allegations. During the investigation, LPA conducted confidential interviews and reviewed supporting documents provided by the facility. Based on interviews and documents reviewed, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. No deficiencies or citations issued at this time. An exit interview was conducted and a copy of this report was left with Mae Johnson at the conclusion. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Vanessa Galvan LICENSING EVALUATOR NAME: Danny Macias LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Mae Johnson


facility_name: QUALITY FAMILY SERVICES-CAMBRIDGE

summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On March 19, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Cambridge and met with Santiago Quinonez. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA interviewed staff, clients and reviewed supporting documentation which revealed that in fact the staff failed to supervise the youths which resulted in inappropriate behaviors. Based on LPA's interviews which were conducted and records review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. This facility is being cited for violation of Title Division Chapter Article Section 80078(a) Responsibility for Providing Care and Supervision. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-CAMBRIDGEFACILITY NUMBER: 100403988

met_with: Santiago Quinonez


raw_content:
Investigation Findings:
13On April 4, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Cambridge and met with Santiago Quinonez. The purpose of the inspection was to deliver the findings regarding the above complaint allegation. During the investigation, LPA conducted confidential interviews which revealed that in fact staff spoke inappropriately to youth in care. Based on LPA's, interviews which were conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Interim Licensing Standards are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-CAMBRIDGEFACILITY NUMBER: 100403988


raw_content:
Investigation Findings:
13On April 25, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Cambridge and met with Santiago Quinonez. The purpose of the inspection was to deliver the findings regarding the above complaint allegation. During the investigation, LPA conducted confidential interviews and records review which revealed that in fact facility failed to notify authorized representative of incidents. Based on LPA's, interviews which were conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Interim Licensing Standards are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-CAMBRIDGEFACILITY NUMBER: 100403988


raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to Quality Family Services-Cambridge and met with Carole Whitty to deliver findings of investigation. CS conducted investigation that included review of documentation and confidential interviews. Based on inconsistences in the information obtained a preponderance of the evidence could not be obtained. Although the allegation may or may not be valid without a preponderance of the evidence the allegation is deemed Unsubstantiated. No deficiencies observed or cited during this inspection. Copy of this report, LIC Confidential Names, and LIC Appeal Rights left at the facility at conclusion of inspection UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Carole Whitty


raw_content:
Investigation Findings:
13On June 10, 2025, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Cambridge and met with Carole Whitty. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 04/29/2025 and conducted by Evaluator Briana Placencia PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:QUALITY FAMILY SERVICES-CAMBRIDGEFACILITY NUMBER: ADMINISTRATOR:QUINONEZ, SANTIAGOFACILITY TYPE: ADDRESS: EAST CAMBRIDGETELEPHONE: (559) 252- CITY:FRESNOSTATE: CAZIP CODE: CAPACITY:6CENSUS: 2DATE: 06/10/ UNANNOUNCEDTIME BEGAN: 01: PM MET WITH:Carole WhittyTIME COMPLETED:02: PM 9Staff threatened youth in care. Staff conducted an inappropriate de-escalation technique. Staff handled minor in a rough manner. Staff locked youth out of the facility. Facility failed to report incident timely. INVESTIGATION FINDINGS: 13On June 10, 2025, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Cambridge, LPA met with Carole Whitty. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA interviewed staff, clients and conducted a video review which revealed that in fact staff threatened youth, staff conducted an inappropriate de-escalation technique, staff handled minor in a rough manner, staff locked youth out of the facility and the facility failed to report incident timely. Based on LPA's observations, interviews and video review which was conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-CAMBRIDGEFACILITY NUMBER: 100403988


summary: Facility Evaluation

raw_content:
Narrative:
On 09/10/21, Licensing Program Analyst (LPA) Lisa Slusher Travelled to the above to conduct an Annual inspection. Met by Executive Director Mae Johnson, and Administrative Staff Laura Romero and Maggie Orozco.. An inspection of the facility was conducted and the following was observed: There are currently no clients in placement. Toured the facility indoors and outdoors. Fire extinguisher charged and up to date. Hot water temperature last measured at 110 degrees. Observed adequate supply of non-perishables. Observed adequate supply of furnishings, linen and storage space for clients. Cleaning chemicals inaccessible to clients. Medication area centrally stored and locked. There are no pets at the facility. Per the Administrator, there are no weapons at the facility. There are no bodies of water at the facility. There have been no deficiencies in the prior 12 months. Administrator file inspected as well as training records. There are no other staff. No deficiencies cited on this date. Visit concluded.


summary: Facility Evaluation

raw_content:
Narrative:
On October 25, 2022, Licensing Program Analysts (LPAs) Briana Placencia and Cynthia Galindo conducted an unannounced annual required inspection at this facility. LPAs were met at the facility by Human Resource Manager Laura Romero. An inspection of the facility was conducted and the following was observed: No clients were residing in the home; therefore, no client files were reviewed. LPAs reviewed the administrator file. LPAs provided Laura Romero with a copy of the LIS536 which includes a list of personnel associated to the facility. The facility was inspected indoors and outdoors. Hot water temperature was at a comfortable temperature of 119 degrees in the hall restroom. LPAs observed that there were no supply of perishables and non-perishables. LPAs observed one of the fridges had rotten food with a heavy odor and bugs. A Technical Violation will be issued for this. (See LIC 9102) LPAs observed adequate supply of linen and storage space for clients. All furnishings were in place for 6 clients. Cleaning chemicals were inaccessible to clients. There are no weapons observed at the facility. There are also no bodies of water at the facility. Laura Romero/Administrator to submit an updated facility sketch and LIC 500 when they accept clients into the home. LPA left a copy at the facility and visit concluded.


summary: Facility Evaluation

raw_content:
Narrative:
On September 13, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Cambridge and met with Santiago Quinonez. LPA conducted a Case Management inspection due to an incident that occurred on August 26, 2023 where #1 (Ref #1-811) was assaulted while waiting outside of the boxing gym. Staff was on their way to pick up youth, but stated he is 18 years of age and has earned independent passes. The issue arises that CCL received the initial report but did not receive a follow up completed Incident report (LIC 624). A technical assistance was issued on this date.


investigation_findings: 13On May 6, 2026, Licensing Program Analyst (LPA) Danny Macias traveled to Quality Family Services Short Term Residential Therapeutic Program (STRTP) main office to conduct an unannounced inspection and met with Chief Executive Officer Mae Johnson. The purpose of the inspection was to deliver findings for the above complaint allegations. During the investigation, LPA conducted confidential interviews and reviewed supporting documents provided by the facility. Based on interviews and documents reviewed, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. No deficiencies or citations issued at this time. An exit interview was conducted and a copy of this report was left with Mae Johnson at the conclusion. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Vanessa Galvan LICENSING EVALUATOR NAME: Danny Macias LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1