summary: Complaint Investigation - Substantiated - 1 deficiency

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge initiated a complaint investigation with the Group Home and spoke with Direct Care Staff Nathaly Hernandez.The purpose of the inspection was to deliver the findings for the above allegation. During the investigation, LPA McCambridge conducted confidential interviews with staff and youth, and reviewed documentation. During confidential interviews it was revealed that minors medication was transported to facility in an inappropriate way. Based on the information obtained, there is a preponderance of the evidence to prove that staff mismanaged minors medications. Therefore, the above allegations are substantiated. Appeal Rights were provided and discussed, and Title 22 deficiencies were cited. An exit interview was conducted, and a copy of the report was sent to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Cheyenne McCambridge 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 21-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SANTA ROSA RO, NEOTOMAS AVENUE, STE. FACILITY NAME: TURNING POINT - JOURNEY ONFACILITY NUMBER: 236801975

Deficiencies:
80075: (6) No medications shall be transferred between containers.


state: CA

facility_name: TURNING POINT - JOURNEY ON

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge initiated a complaint investigation with the Group Home and spoke with Direct Care Staff Nathaly Hernandez.The purpose of the inspection was to deliver the findings for the above allegation. During the investigation, LPA McCambridge conducted confidential interviews with staff and youth, and reviewed documentation. During confidential interviews it was revealed that staff and youth had contrasting statements on the above allegations. Based on interviews conducted and documentation, LPA was unable to determine if facility is out of ratio, clients are left at another facility that is out of ratio, staff use inappropriate forms of punishment,caregivers are not aware of client's needs, and caregivers are not trained appropriately. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that staff is under the influence of drugs and alcohol or that staff is not meeting clients needs; therefore, the above allegation is unsubstantiated. Appeal Rights were provided and discussed, and no deficiencies were cited. An exit interview was conducted, and a copy of the report was sent to the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Cheyenne McCambridge 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: Nathaly Hernandez

complaint_status: unsubstantiated


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Brian Bertoli made an unannounced visit to the Group Home and spoke with Program Director Nicole Flowers.The purpose of the inspection was to deliver the findings for the above allegation. During the investigation, LPA Bertoli inspected the Group Home, conducted confidential interviews and observed the youth, and reviewed documentation. LPA Bertoli did not observe any indications of a lack of attending to the client's hygiene needs. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that Facility staff is not attending to client's hygiene needs; therefore, the above allegation is unsubstantiated. Appeal Rights were provided and discussed, and no deficiencies were cited. An exit interview was conducted, and a copy of the signed report was given to the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Brian Bertoli 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: Nicole Flowers


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Brian Bertoli made an unannounced visit to the Group Home and spoke with Program Director Nicole Flowers.The purpose of the inspection was to deliver the findings for the above allegation. During the investigation, LPA Bertoli inspected the Group Home, conducted confidential interviews and observed the youth, and reviewed documentation. LPA Bertoli did not find conclusive evidence that the allegation occurred. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that Staff are not preventing minors from smoking while in care; therefore, the above allegation is unsubstantiated. Appeal Rights were provided and discussed, and no deficiencies were cited. An exit interview was conducted and a copy of this report was left with the facility. This report was amended due to having incorrect allegation in the original report. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Brian Bertoli 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 Analysts (LPAs) Cheyenne McCambridge and Brian Bertoli conducted an unannounced inspection to the above facility for the purpose of conducting an Annual/Required inspection. LPAs met with Administrator Haley Andersen and toured the facility, inside and out. All passageways are unobstructed. No room commonly used for other purposes is used as a bedroom. LPA noted the home is maintained at a comfortable temperature. There is an adequate supply of perishable and nonperishable food available. Sharps are kept locked in kitchen cabinet below the sink. Toxins are kept locked in a cabinet in the laundry room. Medications are kept locked in the laundry room cabinet and are accessible only to employees responsible for stored medications. The facility has one or more functioning carbon monoxide detectors that meet statutory requirements. There are no firearms or bodies of water on the property. Meal plans, chores, house rules and facility sketch were posted in the kitchen. Personal rights and Emergency disaster forms were posted in the doorway. The group home is licensed to serve four clients ages 7-18. Currently in placement are four male clients. The home operates within the capacity and limitations of the license. LPA Bertoli reviewed client files and they are complete. Staff files will be reviewed at the Administration office. During inspection LPAs noticed that no complaint procedures were posted anywhere in the facility. A technical violation was issued for this. LPAs were unable to review staff records due to staff being out of the area with the key to the files, staff were unable to access them. Per Title 22 regulations, no deficiencies were cited. An exit interview was conducted, appeal rights were discussed and a copy of the report was left at the facility with Administrator Haley Andersen.

report_type: Facility Evaluation

visit_type: Annual

met_with: Haley Andersen


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge made an unannounced case management visit for the purpose of completing the annual inspection and reviewing files. LPA was met by Haley Andersen. 4 clients were on site in care. LPA reviewed staff files and interviewed 3 clients. File review of staff showed proper documentation and are complete. No deficiencies cited at this visit. Annual is complete. Exit interview conducted and a copy of this report was left with Administrator Noel Camatog.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the above facility for the purpose of conducting an Annual/Required inspection. LPAs met with lead staff Chantel Anderson and toured the facility, inside and out. All passageways are unobstructed. No room commonly used for other purposes is used as a bedroom. LPA noted the home is maintained at a comfortable temperature. There is an adequate supply of perishable and nonperishable food available. Sharps are kept locked in kitchen cabinet below the sink. Toxins are kept locked in a cabinet in the laundry room. Medications are kept locked in the laundry room cabinet and are accessible only to employees responsible for stored medications. The facility has one or more functioning carbon monoxide detectors that meet statutory requirements. There are no firearms or bodies of water on the property. Meal plans, chores, house rules and facility sketch were posted in the kitchen. Personal rights and Emergency disaster forms were posted in the doorway. The group home is licensed to serve four clients ages 7-18. Currently in placement are four male clients. The home operates within the capacity and limitations of the license. LPA reviewed staff and client files and they are current and complete with required documentation. Per Title 22 regulations, no deficiencies were cited. An exit interview was conducted, appeal rights were discussed and a copy of the report was left at the facility with Administrator Haley Andersen.

met_with: Chantel Anderson


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Alyssa Ng on 6/2/23 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Ng met with Cesar Vega, Direct Care Staff and inspected the facility inside and out. LPA reviewed 1 of child's records and 4 of staff personnel files on site at the facility. LPA reviewed 1 of child's psychotropic medications and medication records. LPA interviewed 3 of staff on site to discuss the facilities policies and procedures of operation. LPA will interview the child currently prescribed psychotropic medication at their school. LPA provided a copy of this licensing report to Fernando Silveira, Program Director. No deficiencies are being cited at this time. LPA conducted exit interview with Fernando Silveira, Program Director.

met_with: Fernando Silveira


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the above facility for the purpose of conducting an Annual/Required inspection. LPA met with Administrator Alicia Carroll and toured the facility, inside and out. All passageways are unobstructed. No room commonly used for other purposes is used as a bedroom. LPA noted the home is maintained at a comfortable temperature. There is an adequate supply of perishable and nonperishable food available. Sharps are kept locked in kitchen cabinet below the sink. Toxins are kept locked in a cabinet in the laundry room. Medications are kept locked in the laundry room cabinet and are accessible only to employees responsible for stored medications. The facility has one or more functioning carbon monoxide detectors that meet statutory requirements. There are no firearms or bodies of water on the property. Meal plans, chores, house rules and facility sketch were posted in the kitchen. Personal rights and Emergency disaster forms were posted in the doorway. The group home is licensed to serve four clients ages 7-18. Currently in placement are four clients. The home operates within the capacity and limitations of the license. LPA reviewed staff and client files and they are current and complete with required documentation. Per Title 22 regulations, no deficiencies were cited. An exit interview was conducted and a copy of the report was left at the facility with Administrator Alicia Carroll.

met_with: Alicia Carroll


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Brian Bertoli conducted an unannounced inspection to the above facility for the purpose of conducting an Annual/Required inspection. LPA met with Program Director Nicole Flowers and toured the facility, inside and out. All passageways are unobstructed. No room commonly used for other purposes is used as a bedroom. LPA noted the home is maintained at a comfortable temperature. There is an adequate supply of perishable and nonperishable food available. Sharps are kept locked in kitchen cabinet below the sink. Toxins are kept locked in a cabinet in the laundry room. Medications are kept locked in the laundry room cabinet and are accessible only to employees responsible for stored medications. The facility has one functioning carbon monoxide detectors that meet statutory requirements. There are no firearms or bodies of water on the property. Menus are posted in the kitchen. Personal rights and Emergency disaster forms were posted in the doorway. Water temperature was measured at 109 degrees. The group home is licensed to serve four clients ages 7-18. Currently in placement are four clients. The home operates within the capacity and limitations of the license. LPA reviewed staff and client files and they are current and complete with required documentation. Interviews will be conducted at a later date. Per Title 22 regulations, no deficiencies were cited. An exit interview was conducted and a copy of the report was given to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Brian Bertoli made an unannounced visit to the Group Home for the purpose of an Annual Continuation visit, and met with Program Director Nicole Flowers, who assisted with the inspection. LPA Bertoli conducted confidential interviews, which completed the Annual Inspection. An exit interview was conducted and no deficiencies were cited. A copy of this report was given to Director Flowers.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Brian Bertoli made an unannounced visit to the Group Home for the purpose of an Annual Continuation visit, and met with Program Director Nicole Flowers, who assisted with the inspection. LPA Bertoli conducted a confidential interview, which completed the Annual Inspection. An exit interview was conducted and no deficiencies were cited. A copy of this report was given to Director Flowers.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Brian Bertoli made an unannounced visit to the facility and met with Program Director Catalina Stillday and Mental Health Provider Katerina Smallcomb. LPA Bertoli inspected the facility and was able to view front and back yard, and it appears to be clean and passageways are clear of obstructions. The purpose of the visit was to review an incident report regarding missed medication that occurred on 12/13/2024. LPA and staff discussed what led to the error and what steps have been taken to remedy the situation and prevent further occurrences. LPA is issuing an Advisory Note for Title Section Health-Related Services. An exit interview was conducted and Appeal Rights were discussed and given to the facility. A copy of this report was given to the facility.

met_with: Catalina Stillday and Katerina Smallcomb


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Brian Bertoli on 4/17/25 commencing at 10:15AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Bertoli met with Program Director Catalina Stillday and inspected the facility inside and out. LPA reviewed no children's records and four staff personnel files on site at the facility. LPA reviewed no children's psychotropic medications and medication records. LPA interviewed three staff on site to discuss the facilities policies and procedures. LPA interviewed no children currently prescribed psychotropic medication. LPA is issuing an Advisory Note for Title Section Personal Rights. LPA provided a copy of this report to Program Director Catalina Stillday . No youth were interview or files reviewed as there were no foster youth placed at the facility. No deficiencies are being cited at this time. LPA conducted an exit interview with Catalina Stillday

met_with: Program Director Catalina Stillday


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) Brian Bertoli and Kimberly Hall conducted an unannounced inspection to the above facility for the purpose of conducting an Annual/Required inspection. LPA met with Program Director Catalina Stillday and toured the facility, inside and out. All passageways are unobstructed. No room commonly used for other purposes is used as a bedroom. LPA noted the home is maintained at a comfortable temperature. There is an adequate supply of perishable and nonperishable food available. Sharps are kept locked in kitchen cabinet below the sink. Toxins are kept locked in a cabinet in the laundry room. Medications are kept locked in the laundry room cabinet and are accessible only to employees responsible for stored medications. The facility has a functioning carbon monoxide detector that meet statutory requirements. There are no firearms or bodies of water on the property. Menus are posted in the kitchen. Personal rights and Emergency disaster forms were posted in the doorway. Water temperature was measured at 108 degrees. LPAs interviewed 3 staff and 1 clients. The group home is licensed to serve four clients ages 7-18. Currently in placement are four clients. The home operates within the capacity and limitations of the license. LPA reviewed staff and client files and they are current and complete with required documentation. Per Title 22 regulations, no deficiencies were cited. An exit interview was conducted and a copy of the report was given to the facility.

met_with: Catalina Stillday


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Brian Bertoli on 5/2/22 at 10:15am. During the inspection, LPA Bertoli met with Alicia Carroll, Administrator, and Courtne Hill, Program Director, and inspected the facility inside and out. LPA reviewed one child's records on site at the facility at 11:00am. During the review of children's records, LPA Bertoli observed child's records (C1 - See LIC 811 dated 5/2/22) did not have signatures on the Needs and Services Plan (ISP). Also, while the Administrator and staff indicated they have discussed psychotropic medications with the youth and their authorized representative, there is no documentation in the file. LPA reviewed four of staff personnel files on site at the facility at 1:30pm. Staff and client interviews will be done at a later date. One deficiency was observed (refer to LIC 809D) and cited from the California Code of Regulations, Title 22, and one Advisory note was issued. An exit interview was conducted and Appeal Rights were discussed, and a copy of this report was sent the Administrator. Due to computer difficulties, this form was not signed during the visit, but the Administrator agreed to sign and return a copy that will be sent by email.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Brian Bertoli made an unannounced visit to the facility and met with Program Director Nicole Flowers. LPA Bertoli inspected the facility and was able to view front and back yard, and it appears to be clean and passageways are clear of obstructions. LPA discussed with PD that he conducted interviews recently that indicated that staff are smoking in the front yard of the facility. LPA is issuing a Type A citation for Title Section Building and Grounds. . An exit interview was conducted and Appeal Rights were discussed and given to the facility. A copy of this report was given to the facility.


facility_name: TURNING POINT - OLYMPUS

summary: Facility Evaluation

raw_content:
Narrative:
On 11/15/24 at 12:00pm, Licensing Program Analyst (LPA) Christine Wilson and Licensing Program Manager (LPM) Kevin Sauk, Alexandria Carrascco, Assistant Program DIrector/Administrator, Alicia Carroll, Programming Director, Region 1 for Turning Point of Central California; and together conducted a Component (2) meeting. LPA Christine Wilson and LPM Kevin Sauk discussed the current application and supporting documentation. 1. Control of Property: Not yet received by the Regional Office 2. Facility Sketch: of entire property including ADU, fencing, shut off valves and outdoor space 3. Program Statement: Additional language regarding youth transitional services for non-minor dependents 4. Construction Timeline: of ADU property, client safety plan and completion dates LIC281C will be sent for signature. End of meeting 1:20pm

met_with: Alicia Carroll & Alexandria Carrasco


summary: Facility Evaluation

raw_content:
Narrative:
On March 28, 2025, at 09:00 am, Licensing Program Analyst (LPA) Nestor Gomez and Licensing Program Manager (LPM) Kevin Sauk conducted an announced visit for the purpose of a pre-licensing inspection for the above-mentioned facility. Licensing staff met with the Facility Administrators, Alicia Carroll, Diana Purdon, and Alexandria (Alex) Carrasco granted access, and who provided a tour of the facility. The facility is a one story, five (5) bedroom and three (3) bathroom home. As well as an ADU (Accessory Dwelling Unit). The following was observed during the toured the facility: Bedrooms 1 and 2: Bedrooms were equipped with a full-sized bed, a wardrobe with a closet, a chest, and two (2) laundry baskets. No trashcans at the time of the inspection. Bedrooms had alarms on windows. Continue on 809-C (Page 1) Bedrooms 3 and 4: Bedrooms were equipped with full-sized bed, a closet, a chest and two (2) laundry baskets. Bedrooms did not have alarms on the windows. Bathrooms: There was a total of 3 bathrooms in the facility. One restroom will be used for staff and the other two will be used for the clients. One of the client bathrooms is for non-ambulatory use. Living Room/Dining room: This are of the facility was fully furnished with a couch, 3 chairs, table, TV, and shelf. The dining table was equipped to seat 8. Hallway leading to Bedroom 1 and 2: The hallway contained cabinets that is used to store linens, pillows, hygiene and other supplies. Sunroom: This space was currently empty at the time of the inspection. Kitchen/Staff Area: All kitchen appliances were installed and ready for use including an electric stove, refrigerator, and microwave. The facility does not have gas. The cleaning supplies are placed in a locked cabinet under the sink. The sharps will be placed in a lock box in a cabinet drawer in the kitchen. The trashcans in the kitchen had lids. Beside the kitchen is the staff area that contains a desk and supplies. The medication will be stored in a locked cabinet in this area. Per FA Alicia more cabinets will be installed. Activity Room: This are of the facility is equipped with several activities for the clients such as video games, games and board games. The space contained a book rack, couch, TV, and 3 chairs. Continue 809-C (Page 2) Staff Office/Laundry room: This area contains a desk, chair and washer/dryer. ADU: There is a 2 story ADU on the property that at the time of the inspection was still under construction. The ADU contained 2 bedrooms, a kitchen, fireplace, and 2 bathrooms. The ADU contains its own surrounding fence in the backyard with a patio. There is an exterior room of the ADU that contains a washer and dryer, but at the time of the inspection licensing staff was unable to look inside. LPA Observation: Fire alarms were tested and follow statuary regulations. Water temperature was at 110 degrees Fahrenheit. All exits were equipped with an alarmed system, however at the time of the facility inspection per FA Alex ran out of alarm systems to finish equipping the windows of the facility. Per FA Alex the rugs in the living room and bedrooms still needed to be taped down. There are a total of 4 fire extinguishers. LPA observed the personal rights, disaster plan, evacuation route posted around the facility. On the left side of the facility property a fence was placed to block the building materials and shed. LPA observed a swing set in the backyard that was secured to the ground, however the dirt that it was secured to was too soft for the anchors to hold. Exit interview was conducted and a copy of this report was emailed to the FA. End of Inspection (Page 3)

visit_type: Prelicensing

met_with: Alicia Carroll - Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 8/25/2025, at 1:30 pm, Licensing Program Analyst (LPA) Nestor Gomez arrived at the above facility, for the purpose of conducting a Post Licensing Inspection. LPA Gomez met with Facility Administrator (FA) Alexandria Carrasco who granted access to the facility. The facility is a one story, five (5) bedroom and three (3) bathroom home. As well as an ADU (Accessory Dwelling Unit). During the time of inspection, LPA Nestor conducted an inspection of the following areas: Bedroom #1: This bedroom is currently occupied by C1. The bedroom is equipped with a full-sized bed, a wardrobe with a closet, a chest, and two (2) laundry baskets. Bedrooms had alarms on windows. Bedroom #2: This bedroom is currently occupied by C2. The bedroom is equipped with a full-sized bed, a wardrobe with a closet, a chest, and two (2) laundry baskets. Bedrooms had alarms on windows. Continue on 809-C (Page 1) Bedroom #3: This bedroom is currently occupied by C3. The bedroom is equipped with full-sized bed, a closet, a chest and two (2) laundry baskets. Bedrooms did not have alarms on the windows, FA stated that the alarms keeps coming off the windows. Bedroom #4: This bedroom is currently occupied by C4. The bedroom is equipped with full-sized bed, a closet, a chest and two (2) laundry baskets. Bedrooms did not have alarms on the windows. FA stated that the alarms keeps coming off the windows. Bathrooms: There was a total of 3 bathrooms in the facility. One restroom will be used for staff and the other two will be used for the clients. One of the client bathrooms is for non-ambulatory use. Living Room/Dining room: This are of the facility was fully furnished with a couch, 3 chairs, table, TV, and shelf. The dining table was equipped to seat 8. Hallway leading to Bedroom 1 and 2: The hallway contained cabinets that are used to store linens, pillows, hygiene and other supplies. Sunroom: The area is a multipurpose room that the facility uses as a gym and crafts. Kitchen/Staff Area: All kitchen appliances were installed and ready for use including an electric stove, refrigerator, and microwave. The facility does not have gas. The cleaning supplies are placed in a locked cabinet under the sink. The sharps will be placed in a lock box in a cabinet drawer in the kitchen. The trashcans in the kitchen had lids. Beside the kitchen is the staff area that contains a desk and supplies. The medication will be stored in a locked box on the wall. Continue on 809-C (Page 2) Activity Room: This area of the facility is equipped with several activities for the clients such as video games, games and board games. The space contained a book rack, couch, TV, and 3 chairs. Staff Office/Laundry room: This area contains a desk, chair and washer/dryer. ADU: There is a 2 story ADU on the property that at the time of the inspection was still under construction. The ADU contained 2 bedrooms, a kitchen, fireplace, and 2 bathrooms. The ADU contains its own surrounding fence in the backyard with a patio. There is an exterior room of the ADU that contains a washer and dryer. At the time of the inspection licensing staff were unable to look inside the ADU because FA did not have the key. LPA Observation: Fire alarms were tested and follow statuary regulations. Water temperature was 110 degrees Fahrenheit. All exits were equipped with an alarm system, however at the time of the facility inspection per FA Alex the alarms on bedroom #4 kept falling off, so she has no placed them back on yet. Per FA Alex the rugs in the hallways are taped down, but the rugs in the bedrooms are not taped down because the clients constantly move them. There are a total of 4 fire extinguishers. LPA observed the personal rights, disaster plan, evacuation route posted around the facility. LPA observed the carbon monoxide/smoke detectors to be in working order when tested by the licensee. On the left side of the facility property a fence was placed to block the building materials and shed. LPA observed a swing set in the backyard that was secured to the ground with stakes. Vehicles: LPA Nestor inspected two (2) facility vehicles in total. Toyota Rav4 (Grey) with current registration that expires on 11/02/2025. Insured by Nonprofits Insurance Alliance of California that expires 1/28/2026. Continue on 809-C (Page 3) Toyota Rav4 (White) with current registration that expires on 10/24/25. Insured by Nonprofits Insurance Alliance of California that expires 1/28/2026. Vehicles are in good condition with no issues. Staff Interview: LPA Nestor conducted one (1) staff interview with FA. Client Interview: LPA Nestor conducted one (1) client interviews with C1. LPA Nestor will return to complete the inspection. There were no deficiencies observed or cited at this time. Exit interview was conducted and a copy of this report was emailed to the FA. End of Interview (Page 4)

met_with: Facility Administrator - Alex Carrasco


summary: Facility Evaluation

raw_content:
Narrative:
On 8/27/2025, at 9:15 am, Licensing Program Analyst (LPA) Nestor Gomez returned to the above-mentioned facility to continue the annual inspection that was started on 8/25/2025. LPA Gomez met with Facility Administrator (FA), Alexandria Carrasco, who granted access to the facility. The following was observed during the Inspection: Staff Interview: LPA Nestor conducted one (1) staff interview with S1. Staff Records Review: LPA reviewed two (2) staff records for the FA and S1. Clients Records Review: LPA reviewed two (2) client records for C1 and C2 which meet qualification. There were no deficiencies observed or cited at this time. Exit interview was conducted with the Facility Administrator and a copy of this report was emailed to the FA.


summary: Facility Evaluation

raw_content:
Narrative:
On February 9, 2026, at 2:00 pm, Licensing Program Analyst (LPA) Nestor Gomez and conducted an announced at the above-mentioned facility for the purpose of a capacity increase, age increase and an ADU. The facility has a current capacity of four (4) clients and is requesting a capacity increase to six (6) clients, an age increase to 16-22 years old and for the approval of an ADU. Licensing staff met with the Facility Administrators, Alexandria Carrasco, who granted access and provided a tour of the facility. Per the Program Statement the purpose of the ADU is to support two (2) young adults between the ages of 16-22 in an independent living environment to provide additional support in independence in a structed environment. The ADU is a two-story two (2) bed and one (1) bathroom home. There is an adjacent room for the washer and dryer. During the time of inspection, LPA Nestor conducted an inspection of the following areas: Kitchen/Dinning/ living space: Equipped with all new appliances. There is a refrigerator, gas stove, toaster, air fryer and a microwave. The pantry and refrigerator contain enough food for 2 clients in care that would stay in the ADU. There is a locked white cabinet for medication and first aid. Continue on 812-C (Page 1) Laundry: located to the right of front entrance of the ADU. The wash and dryer are placed in a small room. FA stated the laundry room would remain open, but the detergent would be kept in a locked cabinet that at the time of the inspection was not installed yet. Bedroom #1: located downstairs. This bedroom is currently vacant. The bedroom is equipped with a full-sized bed, site table and a big closet space. FA stated that the bedroom will have a TV installed on a wall mount, but at the time of the inspection the TV was not delivered. Bedroom #2: located upstairs. This bedroom is currently vacant. The bedroom is equipped with a full-sized bed, 2 nightstands and a dresser. FA stated that the bedroom will have a TV installed on a wall mount, but at the time of the inspection the TV had was not delivered. By the bedroom there is a locked closet that will contain cleaning supplies and storage. Bathroom: equipped with a shower, a bathtub, sink and toilet. The extra toiletries will be kept in the cabinets inside the bathroom. FA stated that the bathroom had yet to be renovated, but it would happen at a later time. Back Outdoor patio: The is a fenced off space in the back of the patio, but FA stated at the time of the inspection that they planned on upgrading the fence at a later date. FA stated that she plans on adding planters and furniture to the backyard for the clients as well. Additional Observations: The water temperature at the kitchen sink was tested by the LPA, however the water remained cold and did not rise in temperature. LPA was unable to get an accurate reading of the water temperature at the time of the inspection. The cleaning supplies are stored in the locked cabinet under the sink and the upstairs storage closet that will also remain locked. Continue on 812-C (Page 2) Sharps are stored in a cabinet by the sink, but FA stated that the lock needs to be installed. There are two (2) fire extinguishers located by the bottom and top of the staircase. LPA observed the carbon monoxide/smoke detectors to be in working order when tested by the licensee. LPA observed all required posting. FA stated that the extra linens would be kept in the clients' respective closets. There are three ductless A/C units in the ADU. One (1) above the bathroom door, and one (1) in each of the client's rooms. At the time of the inspection, the staircase did not have a railing along the wall, but FA stated that they would be installed within the week. The two (2) bedrooms in the ADU along with the four (4) bedrooms in the main house allows for an increase in capacity from four (4) to six (6). Exit interview was conducted and a copy of this report was emailed to the FA. End of Inspection (Page 3)

met_with: Alexandria Carrasco - Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On February 10, 2026, at 8:57 am, Licensing Program Analyst (LPA) Nestor Gomez conducted an announced licensee-initiated case management at the above-mentioned facility to verify the water temperature of the ADU regarding the inspection conducted on 2/09/2026. The water temperature coming from the kitchen sink in the ADU was tested and measured at 109 degrees Fahrenheit which meets licensing regulations. During the inspection, LPA also observed the chicken coop that was approved on 11/13/2025. LPA observed the structure to be well maintained, and no health and safety concerns were noted at the time of the inspection. Exit interview was conducted and a copy of this report was emailed to the FA.


summary: Facility Evaluation

raw_content:
Narrative:
On 4/21/26, at 12:00 pm, Licensing Program Analyst (LPA) Nestor Gomez arrived at the above facility, for the purpose of conducting an Annual Required Inspection. LPA Gomez met with facility administrator who granted access to the facility. Current census is four (4). The facility is a five (5) bedroom, three (3) bathrooms one-story home with an ADU (Accessory Dwelling Unit). During the time of inspection, LPA Nestor conducted an inspection of the following areas: Bedroom #1: This bedroom is currently occupied by C1. The bedroom is equipped with a full-sized bed, a wardrobe with a closet, a chest, and two (2) laundry baskets. Bedrooms had alarms on windows. Bedroom #2: This bedroom is currently occupied by C2. The bedroom is equipped with a full-sized bed, a wardrobe with a closet, a chest, and two (2) laundry baskets. Bedrooms had alarms on windows. Bedroom #3: This bedroom is currently occupied by C3. The bedroom is equipped with full-sized bed, a closet, a chest and two (2) laundry baskets. Bedrooms had alarms on windows. Bedroom #4: This bedroom is currently occupied by C4. The bedroom is equipped with full-sized bed, a closet, a chest and two (2) laundry baskets. Bedrooms had alarms on windows. Bathrooms: There is a total of four (4) bathrooms. There are three (3) in the main home and Continue on 809-C (Page 1) LPA Observation: Water temperature was at 106 degrees Fahrenheit which meets regulation. All exits were equipped with an alarm system. There are a total of five (5) fire extinguishers on the one (1) in ADU. In the main home, one (1) restroom will be used for staff and the other two (2) will be used for the clients. One (1) of the two (2) bathrooms in the main home for client use is for non-ambulatory clients. Living Room/Dining room: This are of the facility was fully furnished with a couch, 3 chairs, table, TV, and shelf. The dining table was equipped to seat 8. Hallway leading to Bedroom 1 and 2: The hallway contained cabinets that are used to store linens, pillows, hygiene and other supplies. Sunroom: The area is a multipurpose room that the facility uses as a gym and crafts. Kitchen/Staff Area: All kitchen appliances were installed and ready for use including an electric stove, refrigerator, and microwave. The facility does not have gas. The cleaning supplies are placed in a locked cabinet under the sink. The sharps will be placed in a lock box in a cabinet drawer in the kitchen. The trashcans in the kitchen had lids. Beside the kitchen is the staff area that contains a desk and supplies. The medication will be stored in a locked box on the wall. Activity Room: This area of the facility is equipped with several activities for the clients such as video games, games and board games. The space contained a book rack, couch, TV, and 3 chairs. Staff Office/Laundry room: This area contains a desk, chair and washer/dryer. Chicken Coop: The chicken coop is located to the left side of the home and is surrounded by the fence. There are more baby chicks that were recently hatched that are locked in the sunroom. Backyard: This backyard is clear of obstruction. There is patio furniture and a swing set in the backyard. FA stated that there will be lights installed in the backyard. On the left side of the facility property a fence was placed to block the building materials and shed. Continue on 809-C (Page 2) property. LPA observed the personal rights, disaster plan, evacuation route posted around the facility. LPA observed the carbon monoxide/smoke detectors to be in working order when tested by the licensee. The following was observed in the ADU: ADU: The ADU contains 2 bedrooms, a kitchen, fireplace, and 2 bathrooms. The ADU contains its own surrounding fence in the backyard with a patio. There is an exterior room of the ADU that contains a washer and dryer. (ADU) Bedroom #1: This bedroom is currently vacant and it is located downstairs. The bedroom is equipped with a full-sized bed, a TV, a wardrobe with a closet, a chest, and two (2) laundry baskets. Bedrooms had alarms on windows. (ADU) Bedroom #2: This bedroom is currently vacant and it is located upstairs. The bedroom is equipped with a full-sized bed, a wardrobe with a closet, a chest, a TV, two (2) night stands and two (2) laundry baskets. Bedrooms had alarms on windows. By the bedroom there is a locked closet that will contain cleaning supplies and storage. Kitchen/Dinning/ living space: Equipped with all new appliances. There is a refrigerator, gas stove, toaster, air fryer and a microwave. The pantry and refrigerator contain enough food for 2 clients in care that would stay in the ADU. There is a locked white cabinet for medication and first aid. Laundry: located to the right of front entrance of the ADU. The washer and dryer are placed in a small room. FA stated the laundry room would remain open, but the detergent would be kept in a locked cabinet that at the time of the inspection was not installed yet. FA stated that the washer and dryer needs to be positioned to the far end of the room. Bathroom: equipped with a shower, a bathtub, sink and toilet. The extra toiletries will be kept in the cabinets inside the bathroom. FA stated that the bathroom had yet to be renovated, but it would happen at a later time. Continue on 809-C (Page 3) Back Outdoor patio: The is a fenced off space in the back of the patio, but FA stated at the time of the inspection that they planned on upgrading the fence at a later date. FA stated that she plans on adding planters and furniture to the backyard for the clients as well. Additional Observations (ADU): Water temperature was at 109 degrees Fahrenheit which meets regulation. The cleaning supplies are stored in the locked cabinet under the sink and the upstairs storage closet that will also remain locked. Sharps are stored in a cabinet by the sink in a locked drawer, but currently there are no sharps within the cabinet. There are two (2) fire extinguishers located by the bottom and top of the staircase. LPA observed the carbon monoxide/smoke detectors to be in working order when tested by the licensee. LPA observed all required posting. FA stated that the extra linens would be kept in the clients' respective closets. There are three ductless A/C units in the ADU. One (1) above the bathroom door, and one (1) in each of the client's rooms. There is a railing that follows the stairs up into Bedroom #2. Vehicles: LPA Nestor inspected two (2) facility vehicles in total. FA stated that there is a plan to purchase a third vehicle in July. Toyota Sienna (White) with current registration that expires on 8/28/2026. Insured by Nonprofits Insurance Alliance of California that expires 1/28/2027. Toyota Rav4 (White) with current registration that expires on 10/24/2026. Insured by Nonprofits Insurance Alliance of California that expires 1/28/2027. Vehicles are in good condition with no issues. Staff Interview: LPA Nestor conducted two (2) staff interview with S2 and S3. Client Interview: LPA Nestor did not conduct client interviews. All clients were not present during the inspection. LPA Nestor will return to complete the inspection. There were no deficiencies observed or cited at this time. Exit interview was conducted and a copy of this report was emailed to the FA. End of Inspection (Page 4)

met_with: Facility Administrator - Alexandria Carrasco


summary: Facility Evaluation

raw_content:
Narrative:
On 4/22/26, at 8:30 am, Licensing Program Analyst (LPA) Nestor Gomez returned to the above-mentioned facility to continue the annual inspection that was started on 4/21/26. LPA Gomez met with facility administrator (FA), Alexandria Carrasco, who granted access to the facility. The following was observed during the Inspection: Staff Records Review: LPA reviewed two (2) staff records for the C1 and C3. Clients Records Review: LPA reviewed client record for S3 and S2 which meet qualification. Client Interview: LPA Nestor was unable to conduct client interviews. All clients were not present and at school. There were no deficiencies observed or cited at this time. Exit interview was conducted with the Facility Administrator and a copy of this report was emailed to the Facility Administrator.


facility_name: TURNING POINT LAKE HOUSE

summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Continued from Client and staff interviews described an incident involving a staff gabbing the wrist of a client, forcing the client to back into a cabinet. While the interviews had inconsistencies, video camera footage indicated the staff member did grab the arm of a client with unnecessary force. Based on the preponderance of evidence that was met through interviews, observation, and record review, the allegation of: Staff inappropriately handled client is therefore SUBSTANTIATED. Facility is being issued one citation from the Title 22, Division 6, Chapter 5, Continuing Requirements Section 84072(d)(11) Personal Rights: To be free from physical, sexual, emotional, or other abuse, and corporal punishment. A signed copy of this LIC-9099, LIC-9099C, and LIC-9099D were provided to the facility. Appeal Rights were given. An exit interview was conducted.

Investigation Findings:
13Licensing Program Analyst (LPA) Hillary Hall arrived at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Alicia Carroll, Regional Programming Director. LPA conducted the complaint investigation. LPA opened the complaint with the facility on 5/12/2022 and met with the Program Director. During the course of the investigation, LPA Hall and LPA Shannon Parks interviewed three clients, eight staff, three Authorized Representatives, and five Service Providers. LPA Hall reviewed records from the facility including: Staff schedule, Staff training log, Placement Roster, security camera footage, Serious Incident Reports, Prior Complaints, and Individual Program Plans for four clients. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Daniel Allmon LICENSING EVALUATOR NAME: Hillary Hall 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 25-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, COHASSET RD., STE. FACILITY NAME: TURNING POINT LAKE HOUSEFACILITY NUMBER: VISIT DATE: 09/16/2022

complaint_status: SUBSTANTIATED


summary: Facility Evaluation

raw_content:
Narrative:
An annual required inspection was conducted by Licensing Program Analysts (LPAs) Robyn Word, and Kellie McKinley on 6/15/2021. Criminal record clearances were reviewed, and the facility is in compliance. Community Care Licensing file, unusual incident reports, facility roster, facility profile and complaint history were reviewed prior to the visit to the group home. The licensing fees are current, paid 8/6/2020. The Group Home has a capacity of 4 and currently has 4 clients. There are currently 7 staff working at the Group Home. LPA Word, and McKinley reviewed 3 staff files, and all which were reviewed were complete and up to date. Staff files reviewed have required training hours, education, and fingerprint clearances. 2 random children files were reviewed. Children's needs and services plans/Individual Program Plans were completed and up to date. Medical consent forms were signed by authorized representative and current. Each child's file had a record of personal property documented. The facility was inspected jointly with Program Director- Alicia Carroll and the group home is in compliance. Copy of the license, personal rights and emergency exit plan are prominently posted. Client files are in locked cabinets. The passageways from the front to the back of the home are unobstructed. LPA observed enough perishable/non-perishable food for 4 clients for seven days. Smoke detectors are in working order. There is a carbon monoxide monitor and fire extinguisher. LPA interviewed clients at the Group Home. There are no title 22 deficiencies cited today during inspection. Exit interview conducted and discussed with Program Director- Alicia Carroll and a copy of the annual inspection report was left at the group home.

met_with: Program Director- Alicia Carroll


summary: Facility Evaluation

raw_content:
Narrative:
Please see 809 hard copy for signatures. On 8/18/2022, at 2:45PM Licensing Program Analyst (LPA) Robyn Word met with Jason Moore- Executive Director to conduct a Case Management inspection regarding an incident report submitted to CCL. Client FC1 (see confidential names list dated 8/18/2022) was inappropriately restrained by staff members. During the office inspection, this LPA reviewed video footage, needs and service plans for FC1, and disciplinary action for staff S1 and S2, and obtained additional information. Further investigation is needed at this time. Due to technical difficulties, a copy of the 809 was emailed to the Executive Director for signatures.

met_with: Jason Moore- Executive Director


summary: Facility Evaluation

raw_content:
Narrative:
On 04/07/2023, at 10: AM, Licensing Program Analysts (LPAs), Robyn Word and Tina Thorn, met with Direct Service Professional- Angelica Rizo to conduct an unannounced Annual/ Required inspection at the above facility. This facility consists of four bedrooms and two bathrooms. There are a total of four clients. The facility was observed to be clean, organized, and free of debris and clutter. The home contained a living room, a kitchen, dining room, and multi-media/activity room. The dining room and multi-media room had a table for the clients to sit and eat, and complete activities and homework. The client's bedrooms were observed to be bright, contain individual beds, clean linens, and there was multiple storage space for client property. It was observed that several documents were posted on the board for easy access. The facility license, facility sketch, emergency plan, emergency telephone numbers, and fire clearance were observed to be posted in a prominent place. The fire extinguisher was observed to be charged and up-to-date and was last serviced in the last year. In the hallway were two closets. One contained extra blankets and linens. The other one contained locked chemicals. The refrigerator and freezer had enough food to last more than 2 days. The pantry held enough nonperishable food that will last more than 5 days. There were varieties of snacks in the home. During the inspection, LPA reviewed two of the four client files, and observed all required documentation was present and filed. Interviews were conducted with two of the four clients. Interviews were conducted with two of the three staff. Clients' medications were observed to be locked. (Please see continuation page) The garage contained extra food storage in the freezer. The front and backyards were observed to be clean. The fence in the backyard required four boards to be replaced due to weather. The backyard contained an open play area. The facility smoke and carbon monoxide detectors are present. LPA observed that they were in working condition. The water temperature of the facility was tested at multiple sources, including two-bathroom sinks, and the kitchen sink and was observed to measure at 111 degrees F. An exit interview was conducted with Direct Service Professional- Angelica Rizo, A copy of this report, and appeal rights, were reviewed, and provided to the Administrator Jason Moore.

met_with: Direct Service Staff- Angelica Rizo


summary: Facility Evaluation

raw_content:
Narrative:
On 04/08/24, Licensing Program Analysts (LPAs) Kellie McKinley and Lyta Vue arrived unannounced at the facility and met with Tiffany Bowman, Program Director (PD). The purpose of the visit was to conduct a Required Annual Inspection of the facility. The last Annual inspection for the facility was on 04/07/23. LPAs utilized the CARE Tool to complete the Annual inspection. The facility is licensed to provide treatment services for ambulatory children ages 7 to 17 years and the facility has one non-minor. The facility currently has four (4) clients, all Regional Center placements. Two (2) clients were present during the inspection. The facility is licensed for a maximum capacity of four (4). Staff to client ratio is 1:2. LPAs conducted an inspection of the physical plant and checked for all necessary requirements. The facility had no noticeable odor and maintained an acceptable room temperature. There are a total of four (4) bedrooms available for clients, with each client having their own bedroom. LPAs observed the client's bedrooms, living rooms, kitchen, two bathrooms, the backyard, the garage, and two (2) staff offices to be clean and organized. LPAs observed each client bedroom to have a closet, a dresser, and a clean mattress. Sheets, blankets, and pillows were in good condition. Every bedroom was decorated with the client's personal items. LPAs observed two (2) locked staff office where files are locked up in the main Administrator office and medications are stored and locked in the staff office. Client files were stored and locked in the main Administrator Office. LPAs observed the proper postings including facility license, complaint hotline, menu, and emergency disaster plan. Smoke alarms were in working order, fire extinguishers were current and will expire 2/2025, and a first aid kit was fully stocked. The facility has no outstanding fees. LPAs observed 2 days of perishable food and 7 days of non-perishable food in the kitchen and in the additional freezer in the garage. No items were expired. Disinfectants and cleaning solutions were locked up in a supply closet and were inaccessible. LPA's will complete annual inspection on 4/9/2024.

met_with: Tiffany Bowman- Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 04/09/24, Licensing Program Analysts (LPAs) Kellie McKinley and Lyta Vue arrived announced to the facility to complete the required annual. LPAs reviewed four (4) client files. 0 clients were taking court ordered psychotropic medications, but one client has current court authorization for all prescriptions that are taken. Clients were current on CHDP physical exams and dental exams. The client's Needs and Services Plan/Individual Program Plan were complete and up to date. LPAs reviewed 3 staff files. Staff files had completed criminal record clearances, and all required initial and annual training. First Aid and CPR certifications were up to date for all staff. Administrators Certificate was valid. LPAs interviewed 3 staff on site. LPAs interviewed 3 clients. One client was not available for an interview. No citations were given on this date. A signed copy of this LIC-809 report was provided to Tiffany Bowman. An exit interview was conducted.

met_with: Tiffany Bowman- Residential Director


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Hillary Hall arrived unannounced at the facility for the purpose of delivering a case management investigation. LPA met with Alicia Carroll, Regional Programming Director. Insufficient staff training: During the course of a case management investigation, LPA observed a deficiency in staff training. Two Service Providers and three Authorized Representatives reported a lack of staff training, evident by staff inappropriately responding to client behaviors and failing to report client incidents. Two clients reported multiple incidents of staff unnecessarily putting hands on the clients. LPA reviewed staff training records provided by the facility. The total number hours of staff training was not listed in the records as required. Additionally, multiple staff trainings were completed within a few minutes. One staff was listed as completing 7 trainings in less than one hour. Four staff completed 5 trainings in less than 10 minutes each. The facility is issued a citation according to Title 22, Division 6, Chapter 5, Article 06. Continuing Requirements 84065(j) Personnel Requirements: Annual Training (1) All child care staff shall complete a minimum of 20 hours of annual training. Reporting Requirements: LPA Hall interviewed staff on 5/12/22 regarding an incident which occurred on 5/3/22. The Serious Incident Report (SIR) was not documented until LPA Hall advised the facility to do so. An SIR was then submitted to the Department on 5/13/22, which is outside the required reporting timeframe. When interviewed, two authorized representatives reported several Serious Incidents had occurred which LPA did not find as having been documented by the facility. Three authorized representatives indicated they were not being notified of Serious Incidents by the facility. LPA reviewed previous Serious Incident Reports submitted by the facility and found discrepancies in the dates, including one Serious Incident which reportedly occurred on 3/30/22, but the report says the authorized representatives were notified on 3/2/22. Continued on 809C Continued from Another Serious Incident Report was reported as having occurred on 4/13/22, but was reported to the to the placing entity on 3/14/22, reducing validity. The facility is issued a citation according to Title 22, Division 6, Chapter 1, Article 06. Continuing Requirements, Section 80061(b), Reporting Requirements, (b) Upon the occurrence, during the operation of the facility, of any of the events specified in (1) below, a report shall be made to the licensing agency within the agency's next working day during its normal business hours. In addition, a written report containing the information specified in (2) below shall be submitted to the licensing agency within seven days following the occurrence of such event. Food Services During interviews, two out of four clients reported not having sufficient food. Additionally noted, the remaining two clients either declined to be interviewed or were not able to communicate verbally. One client reported the school would "sneak" them food to bring home, but the facility would take it. Both clients reported the pantry and snack box were locked. The clients could not access the fridge without permission. During the in person inspection, LPA observed the fruit bowl in the kitchen had only onions. The staff offered the clients an afterschool snack of only one granola bar. A couple clients wanted a second granola bar but were told no. Due to the age and young adult size of the clients, one granola bar does not constitute between meal nourishment. The facility is being issued a citation according to Title 22, Division 6, Chapter 1, Article 06. Continuing Requirements, Section 80076(a)(4), Food Services (a) In facilities providing meals to clients, the following shall apply: (4) Between meal nourishment or snacks shall be available for all clients unless limited by dietary restrictions prescribed by a physician. A signed copy of this LIC-809, LIC-809C, and LIC-809D report were provided to Regional Programming Director and an exit interview was conducted. Appeal rights were provided.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
Licensing Program Analyst (LPA) Hillary Hall arrived at the facility unannounced for the purpose of delivering a case management investigation. LPA met with Regional Programming Director (RP) LPA conducted a Health and Safety Inspection of the facility and observed a client was missing a bedroom door. The client also had a square cut in their wall approximately 12 inches across, where the sheet rock had been damaged. LPA spoke with RP who indicated the damage to the wall had been done by the client during a behavioral outburst. The client also kicked down their door, which subsequently needed to be completely removed. RP indicated the damage had occurred within the last two weeks. RP stated a Serious Incident Report was not completed to report the damage. Based on observation and interview, the facility is issued a citation per Title 22, Division Chapter 1, Physical Environment, Section 80087: Buildings and Grounds (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. *The facility is being cited for Reporting Requirements on a separate LIC-809, so it is not addressed on this LIC-809 report. Exit interview conducted and Appeal rights provided. A copy of this LIC- Report were provided to the facility.

Deficiencies:
80087: Buildings and Grounds   (a)

met_with: Alicia Carroll, Regional Programming Director

title:
1
2
3
4
5
6
7Section 80087

description: Buildings and Grounds   (a)


summary: Facility Evaluation

raw_content:
Narrative:
Due to technical difficulties, a copy of the 809 was emailed to the Executive Director for signatures. On 11/22/2022, at 2:00PM Licensing Program Analyst (LPA) Robyn Word arrived at the facility and met with Jason Moore- Executive Director to deliver findings for a case management investigation regarding an incident report submitted to CCL. Client FC1 (see confidential names list dated 11/22/2022) was inappropriately restrained by staff. During the office inspection on 8/18/2022, this LPA reviewed video footage, needs and service plans for FC1, and disciplinary action for staff S1 and S2, and obtained additional information. The facility is being issued a citation according to Title 22, Division 6, Chapter 1, Article 06. Continuing Requirements, 87072 (d)(11) Personal Rights - To be free from corporal or unusual punishment, infliction of pain or other actions of a punitive nature. A hard signed copy of this LIC-809 and LIC-809D report were provided to Regional Programming Director and an exit interview was conducted. Appeal rights were provided.

met_with: Jason Moore-Executive Director for signatures


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Investigation Findings:
13On July 15, 2021 at 1:00pm Out of State Group Home Analyst Sarah Waklee contacted the facility by telephone to deliver findings to the above complaint allegation. Analyst Walkee spoke with Regional Director. Analyst Waklee conducted telephone interviews with three staff members, two youth, a San Luis Obispo Deputy Sheriff, and reviewed Tri-Counties Regional Center documentation. Based on information obtained through interviews, and documentation review there is a preponderance of evidence that staff withheld food from a child as punishment. Therefore the above allegation is substantiated. Facility cited for violation of the Interm Licensing Standards,Version 3.1, Section 87072(d)(11) To be free of phsycial, sexual, emotional, or other abuse and from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercieon, threat, mental abuse or other actions of a punitive nature including, but not limited to, interference with the daily living funcitnos of eating, sleeping or toileting, or withholding of shelter, clothing or aids to physical functioning. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Sarah Waklee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: TURNING POINT OF CENTRAL CA - PRAIRIE HOUSEFACILITY NUMBER: 405801411

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

met_with: Jason Moore, Regional Executive Director, Region 1


facility_name: TURNING POINT OF CENTRAL CA - PRAIRIE HOUSE

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13On July 15, 2021 at 1:00pm Out of State Group Home Analyst Sarah Waklee contacted the facility by telephone to deliver findings to the above complaint allegation. Analyst Walkee spoke with Regional Director. Based on confidential interviews with three staff members, two youth, a San Luis Obispo Deputy Sheriff, and the review of Tri-Counties Regional Center documentation, Analyst Waklee determined that the above allegation is unsubstantiated. An unsubstantiated finding means although the allegation may have happened, the preponderance of evidence does not prove it. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Sarah Waklee 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:


investigation_findings: 13On July 15, 2021 at 1:00pm Out of State Group Home Analyst Sarah Waklee contacted the facility by telephone to deliver findings to the above complaint allegation. Analyst Walkee spoke with Regional Director. Based on confidential interviews with three staff members, two youth, a San Luis Obispo Deputy Sheriff, and the review of Tri-Counties Regional Center documentation, Analyst Waklee determined that the above allegation is unsubstantiated. An unsubstantiated finding means although the allegation may have happened, the preponderance of evidence does not prove it. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Sarah Waklee 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:


raw_content:
Narrative:
C1's behaviors and intervention strategies to address behaviors). Further evidence includes interview with the reporting party, and staff. However, due to developmental disabilities presented by residents, client interviews could not be obtained, and resident witness statements could not be gathered. Based on the interviews conducted and documents obtained, the above allegation is found to be Unsubstantiated, meaning that the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. A tour of the facility was conducted with FA and there are no deficiencies to be cited at this time. Exit interview conducted and a copy of this report was left at the facility

Investigation Findings:
13On 7/27/2022, at1:40am, Licensing Program Analyst (LPA) Nancy O'Connell made an unannounced inspection to the above facility for the purpose of concluding the investigation on the above allegations and deliver the findings. LPA spoke with James Ralls (FA) and together, discussed the investigative findings. During the investigative process by Licensing Program Analyst (LPA), Nancy O'Connell, all relevant parties have been accounted for. Supporting evidence includes: review of LIC500, client roster, recommended de-escalation strategies developed by behavioral consultant for program staff, Individual Service Plans (ISP) for all residents (reflecting individualized behavioral interventions plans), Law Enforcement contact report, Serious Incident Report, staff training records, weekly activity schedule (specifying timeframe for usage of electronics) and Planning Team Meeting report (addressing Continued on LIC9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Nancy O'Connell LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: TURNING POINT OF CENTRAL CA - PRAIRIE HOUSEFACILITY NUMBER: VISIT DATE: 07/27/2022

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

met_with: James Ralls, Facility Administrator (FA)


raw_content:
Narrative:
Page Based on information from record review and confidential interviews, the preponderance of the evidence standard has been met. The Department has determined substantiated finding for violation of personal rights; thus, posing an immediate health, safety and personal rights risk of harm to children placed in care. The facility is issued a citation. [See page LIC9099-D for cited deficiencies]. An exit interview was conducted, and appeal rights were discussed. A copy of this report, and appeal rights were provided/emailed to Facility Administrator.

Investigation Findings:
13On May 2, 2024, at 9:15am Licensing Program ANalyst (LPA) Christine Wilson made an unannounced visit to the above listed facility to conclude the complaint investigation. It was reported that client (C1) was spoken to in an inappropriate manner by staff (S1); a vioation of the personal rights of client (C1). The investigation included confidential interviews with, including but not limited to, facility staff members, S1 and C1 as well as review of records for C1, reports from Police Department report and facility file review. Information obtained via confidential interviews with staff and clients, revealed enough evidence to prove the alleged, as S1 admitted that S1 had intentionally yelled at C1 on occasion. Further the allegation was via confidential interviews. Continued on 9099C page SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Christine Wilson 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 WOODLAND HILLS S.Ro, Ventura Blvd., STE. WOODLAND HILLS, CA This is an official report of an unannounced visit/investigation of a complaint received in our office on 01/18/2024 and conducted by Evaluator Christine Wilson COMPLAINT CONTROL NUMBER: 34-CR- FACILITY NAME:TURNING POINT OF CENTRAL CA - PRAIRIE HOUSEFACILITY NUMBER: ADMINISTRATOR:JAMES RALLSFACILITY TYPE: ADDRESS: PRAIRIE ROADTELEPHONE: (805) 461- CITY:PASO ROBLESSTATE: CAZIP CODE: CAPACITY:4CENSUS: DATE: 05/02/ UNANNOUNCEDTIME BEGAN: 09: AM MET WITH:Program DirectorTIME COMPLETED:10: AM 9Staff does not ensure clients are allowed to exercise their personal rights INVESTIGATION FINDINGS: 13On May 2, 2024, at 9:13am Licensing Program Analyst (LPA) Christine Wilson made an unannounced visit to the above listed facility to conclude the complaint investigation. It was reported that staff does not ensure client (C1) was allowed to exercise their personal rights by not having access to their electronic devices and exercise thier personal rights, in general. The investigation included confidential interviews with, including but not limited to, facility staff members, as well as review of records for C1, and facility file review. Based on information from record review and confidential interviews, the preponderance of the evidence standard has not been met. There is not a preponderance of evidence that the alleged staff did not allow (C1) to exercise their personal rights The above allegation may have happened, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the finding is unsubstantiated. There are no deficiencies to be cited, at this time, regarding the above allegation. An exit interview was conducted. A copy of this report was provided/emailed to Facility Administrator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Christine Wilson 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION WOODLAND HILLS S.Ro, Ventura Blvd., STE. WOODLAND HILLS, CA FACILITY NAME: TURNING POINT OF CENTRAL CA - PRAIRIE HOUSEFACILITY NUMBER: VISIT DATE: 05/02/2024

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

met_with: Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On September 23, 2021 at 9:00am Licensing Program Analyst (LPA) Enrique Hernandez arrived at the above facility, for the purpose of conducting an Annual/Required Inspection on Turning Point-Prairie House Group Home. LPA met with the Lead staff Teresa Reynoso Roque and Direct Care staff Omotayo Ajayi who granted access into the facility. The Lead staff and LPA toured the home both inside and out. This is a Four bedroom, two bathroom, single story family residence that includes a living room, dining area, family room, kitchen staff office and laundry room. The facility accepts placement from Tri-counties and provides services to developmentally disabled/challenged clients. The following was observed during the toured the facility: Bedroom #1 is occupied by client #1, it has one twin size bed, adequate closet and drawer space Bedroom #2 is occupied by client #2, it has one twin size bed, adequate closet and drawer space. Bedroom #3 is occupied by client #3, it has one twin size bed, adequate closet and drawer space. Bedroom #4 is occupied by client #4, it has one twin size bed, adequate closet and drawer space. LPA observed non-perishable foods for one week and perishable food for two days. In between meal snacks is available in the facility. Facility is clean, safe, sanitary, and in good repair. Passageways, stairways, inclines, ramps, there were some rocks in the main entrance that were removed at the time of the inspection. Rules, regulations, licenses, emergency disaster plan and personal rights are posted at the facility. Menu is posted in the kitchen. Continue on LIC809-C Outdoor space is free of debris and hazard. Hazardous and cleaning solutions, disinfectants, poisons, medication and sharp knives are inaccessible to the clients. All medication is always locked and is accessible only to employees supervising stored medications. Home has hardwired smoke alarms, carbon monoxide detectors and working fire extinguishers at the time of this visit. Bathrooms were toured and found to have regulation temperature hot water of 112. The facility has a working telephone. There are no bodies of water on the premises. LPA will return to continue the annual/ required inspection to review personnel and clients files to ensure it meets regulatory requirements. LPA also will conduct interviews with clients and staff at a later date. A Review of the Facility's Personnel Summary on 9/23/ Reveals That Staff Have Doj/fbi Criminal Record Clearances and a Child Abuse Background Clearance. Exit interview was conducted and a copy of this report was left with the lead staff whose signature on this form confirm receipt of this document.

met_with: Lead staff


summary: Facility Evaluation

raw_content:
Narrative:
On 12/09/2021 at 8:30am, Licensing Program Analyst (LPA) Enrique Hernandez conducted an unannounced inspection, at the above-said facility, for the purpose of conducting a Case Management Annual Continuation Inspection from 9/23/2021. LPA met with the James Ralls Facility Administrator (FA), who granted access into the facility. LPA Hernandez reviewed the following sections with FA: Operations, disaster preparedness and Emer intervention. Due to time constraints, LPA's shall return to complete the Annual Inspection and review personnel and client's files to ensure it meets regulatory requirements. Also, clients and staff interviews will need to be conducted. PER California Code Regulation, TITLE 22, DIVISION 5, CHAPTERS 1, General Licensing Regulations, no deficiencies cited at this time. Technical Violations notes were issued. Exit interview was conducted with the facility Administrator. A copy of this report was left with the facility administrator whose signature on this form confirm receipt of this document.

met_with: Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On October 10, 2023 at 9:00am Licensing Program Analysts (LPA) Nancy O'Connell and Jhane Haynes arrived at the above facility, for the purpose of conducting an Annual/Required Inspection on Turning Point-Prairie House Group Home. LPAs met with who granted access into the facility. A tour was conducted of the home, both inside and out. This is a four-bedroom, two-bathroom, single story family residence that includes a living room, dining area, family room, kitchen staff office and laundry room. The facility accepts placements from Tri-Counties Regional Center and provides services to developmentally disabled clients. The following was observed during the tour of the facility: Bedroom #1 is occupied by client #1, it has one twin size bed, adequate closet and drawer space Bedroom #2 is occupied by client #2, it has one twin size bed, adequate closet and drawer space. Bedroom #3 is occupied by client #3, it has one twin size bed, adequate closet and drawer space. Bedroom #4 is occupied by client #4, it has one twin size bed, adequate closet and drawer space. In the kitchen, LPA observed non-perishable foods for one week and perishable food for two days. Snacks and fruit are made available in the facility. Menu is posted in the kitchen which also reflects the date. Food was inspected and found to be dated, and packaged in sanitary and safe manner. Refrigerator and freezer were observed to be operating within required temperature ranges. Sharps were observed to be locked in the kitchen cabinet area and made inaccessible to clients. There was enough dishware/utensils for all clients. Dinning table is located next to kitchen and had enough seating to accommodate all clients. Continue on LIC809-C The living room has enough seating to accommodate all clients, as well as a tv. This space also serves as a relaxation area and maintains required postings (facility license, emergency disaster plan, and facility sketch). The staff office is located at the far end of the facility and maintains staff/client files that are kept secured and centrally stored. Medications are stored in this office as well and are kept locked, inaccessible to clients. The facility presents as clean, safe, sanitary, and in good repair. Passageways, stairways, inclines, ramps were clear of obstructions. Required postings were observed in the office and living room entryway. The fire alarms were tested and operational at the time of inspection. Hazardous and cleaning solutions, disinfectants, poisons, medication and sharp knives are inaccessible to the clients and maintained in a locked area. Bathrooms were toured and found to have the required regulated temperature. The facility has a working telephone. There are no bodies of water on the premises. Medications were observed to be locked in the staff office and LPAs confirmed that client/staff records are maintained accurately and secured. The facility has two assigned vehicles and both were observed to be in good working condition (brake lights, headlights, and windshield wipers) with current insurance/registration. The outdoor backyard space is free of debris and hazard. The yard is secured by a perimeter fence and there is a locked shed in the rear of the yard that stores gardening supplies. There is no body of water on the premises. There were recreational items available for the clients to utilize (basketball hoop, balls, bikes, etc.). LPAs conducted staff interviews with FA and S1. Due to time constraints, LPAs will return on a later date in order to conduct a client/staff file review along with client interviews. No deficiencies were cited on this day. Exit interview was conducted and a copy of this report was emailed to the staff.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Sethany Yem conducted a case management inspection on 11/1/23 at 7:00am based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 5 out of Direct Care Staff and 4 out of 4 youth files were reviewed. 2 out of Direct Care Staff and 2 out of 4 youths were interviewed. (See the Confidential Names List, LIC 811, 11/1/23). The Plan of Operation including policies and procedures were reviewed. Minutes from the Board Meeting Minutes 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 Individualized Plans, Behavior Plans, and Youth Safety 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 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 James Ralls.

met_with: Administrator James Ralls


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with administrator James Ralls to conduct the Annual/Required inspection. The following was observed. This is a 4 bedroom, 2 bathroom home located in a rural area of San Luis Obispo County. The home serves regional center clients. There are currently 4 clients in placement. Fire Clearance & General Safety: The home has working smoke detectors and carbon monoxide detectors. There are three fully charged fire extinguishers in the home. There are no security bars on windows, no bodies of water and no firearms in the home. There is a non-operational wood burning stove .There is a complete first aid kit. Kitchen: There is an electric stove. The refrigerator is at a safe temperature. There is perishable and non-perishable food to meet Title 22 requirements. All knives and household cleaners are safely stored. Bathrooms: Each bathroom is clean and well maintained. Hot water is within the safe temperature range. Bedrooms: Each bedroom has one twin bed with linens and mattresses in good condition. There is the required storage space. All windows are operational. Yard area: The yard area is free of hazards. The storage shed was opened and inspected. LPA reviewed all client records and interviewed two clients. LPA will return on 08/29/2024 to review staff records and interview staff

met_with: James Ralls, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On August 29, 2024, Licensing Program Analyst Connie Jones-Steward completed the Required Annual Inspection. DSP Kimberly Keithley assisted with the file review. LPA reviewed six staff files and interviewed one staff person. The facility was cited under Title Section 80069(c)(1) and 84063(a)(1)

met_with: Kimberly Keithly, DSP


summary: Facility Evaluation

raw_content:
Narrative:
On 9/25/26, at 11:43 am, Licensing Program Analyst (LPA) Nestor Gomez arrived at the above facility, for the purpose of conducting an Annual Required Inspection. LPA Gomez met with Facility Administrator (FA) James Ralls who granted access to the facility. This is a four (4) bedroom, two (2) bathroom home located in a rural area. The current census is 4. During the time of inspection, LPA Nestor conducted an inspection of the following areas: Kitchen: equipped with working appliances such a microwave, refrigerator and a dishwasher. The pantry and kitchen cabinets contained ample food for children in care that included both perishable and non-perishable foods. All appliances are in working order. The trash can in the kitchen was equipped with a lid. This space is also equipped with a dining table that seats 6. Bedroom #1: This bedroom is currently occupied by C1. The bedroom is equipped with a twin bed, adequate drawer space and a closet. Bedroom #2: This bedroom is currently occupied by C3. The bedroom is equipped with a twin bed, adequate drawer space and a closet. Bedroom #3: This bedroom is currently vacant/occupied by C2. The bedroom is equipped with a twin bed and adequate drawer space. Bedroom #4: This bedroom is currently vacant/occupied by C4. The bedroom is equipped with a twin bed, adequate drawer space and a closet. Continue on 812-C (Page 1) Bathrooms: The two bathrooms are equipped with a cabinet, sink, toilet and bathtub/shower. Office space: This space contains three desks, three chairs, one refrigerator for staff food and client food if needed. Client files and medication are stored in the staff office. The client medication is centralized in a locket file cabinet. Living Room: equipped with a television and two couches. Den/game room: Equipped with board games, couch, television, and a fireplace that is not in use per FA. Laundry room: Equipped with a washer and dryer, but at the time of the inspection the dryer was out of order. Per FA a part has been ordered to fix the dryer and at the latest should be fixed by 9/27/25. Per FA staff washes the clients' clothing at a laundry mat in the meantime. The laundry supplies and extra cleaning supplies are stored in a locked cabinet above the dryer. The pantry is located in the laundry room. Backyard: There is a storage shed in the back left of the property. There are two basketball hoops in the back. The backyard area is mostly grass with no obstructions. Additional Observations: The water temperature at the kitchen sink was tested and measured at 119 degrees Fahrenheit which meets licensing regulations. The cleaning supplies are stored in a locked cabinet in the laundry room. Sharps are stored in a locked cabinet in the Kitchen. There are three (3) fire extinguishers located in the hallway closet, pantry and the den area (between bedroom #3 and #4). LPA observed the carbon monoxide/smoke detectors to be in working order when tested by the licensee. LPA observed all required posting. Continue on 809-C (Page 2) Vehicles: LPA Nestor inspected two (2) facility vehicles in total. Dodge Grand Caravan (Brown) with current registration that expires on 12/08/25. Insured by Nonprofits insurance of California that expires on 1/28/2026. Toyota Sienna (White) with current registration that expires on 9/28/25. Insured by Nonprofits insurance of California that expires on 1/28/2026. Vehicles are in good condition with no issues. Staff Interview: LPA Nestor conducted two (2) staff interview with FA and S1. Client Interview: LPA Nestor conducted two (2) client interviews with C1 and C4. LPA Nestor will return to complete the inspection. There were no deficiencies observed or cited at this time. A copy of this report was reviewed and provided to the FA via email

met_with: Facility Administrator - James Ralls


summary: Facility Evaluation

raw_content:
Narrative:
On 9/26/25, at 9:00 am, Licensing Program Analyst (LPA) Nestor Gomez returned to the above-mentioned facility to continue the annual inspection that was started on 9/25/2026. LPA Gomez met with Lead Direct Support Professional (S3), Hannah Paris who granted access to the facility. The following was observed during the Inspection: Staff Records Review: LPA reviewed three (3) staff records for the FA, S1, and S2. Clients Records Review: LPA reviewed two (2) client records for C1 and C4 which meet qualifications. There were no deficiencies observed or cited at this time. Exit interview was conducted with S3 and a copy of this report was emailed to the Facility Administrator.

met_with: Lead Direct Support Professional - Hannah Paris


summary: Facility Evaluation

raw_content:
Narrative:
On May 2, 2024, at 9:13am Licensing Program Analyst (LPA) Christine Wilson made an unannounced visit to the above listed facility to conduct a case management deficiency. On January 18, 2024, Community Care Licensing Division (CCLD) received complaint allegations concerning (1) Staff member (S1) who reportedly spoke inappropriately to client (C1) , and (2) Staff do not ensure clients are allowed to exercise their personal rights. The investigation included confidential interviews with, including but not limited to, facility staff members, and clients, as well as review of records for C1. During the course of the investigation, it was discovered that a copy of the child's needs and services plan; was not signed by the child each of his/her authorized representative(s). Further, it is unclear if the child was offered the opportunity to participate in plan development; whereby electronic devices could be taken away from (C1) for 1-6 days. LPA Wilson interviewed Program Director (PD), who stated that the Needs and Service Plan template currently used, was adopted, because the administrators wanted to end, using the LIC625 form. LPA asked if anyone else other than (BC) and (SC) would sign it. (PD) stated, only those two (BC) and (SC). A (1) deficiency Type B has been determined at this time. The following deficiency has been cited. (See LIC 809D) An exit interview was conducted and Plans of Correction was developed and reviewed with the licensee. A copy of this report and appeals rights were discussed and were provided/emailed to Facility Administrator.


raw_content:
Investigation Findings:
13On 2/9/26, at 11:48 pm, Licensing Program Analyst (LPA) Nestor Gomez made an unannounced inspection to the above facility for the purpose of concluding the investigation on the above allegation(s) and deliver the findings. LPA spoke with Direct Support Professional (S1), Hannah Paris and together, discussed the investigative findings. During the investigative process by Licensing program Analyst (LPA), Nestor Gomez, all relevant parties have been accounted for. The involved client reported that the alleged incidents did not occur. Interviews with staff and clients did not idnetify concerns regarding inapproparte conduct or boundary violations. The invidual named in the complaint denied the allegation. The validity of the allegations could not be determined. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No deficiencies are being cited at this time. Exit Interview conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Nestor Gomez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Hannah Paris - Direct Support Profressional


facility_name: TURNING POINT OF CENTRAL CA INC - LA SERENATA

raw_content:
Investigation Findings:
13On 01/04/2024 at 12:37pm, Licensing Program Analyst (LPA), Christine Wilson met with Program Director (S1), and concluded the investigation of the above allegations. During the course of this investigation, LPA Wilson conducted interviews, record reviews, and made observations. Based on all interviews conducted and documents obtained, the above allegations were found to be unsubstantiated, meaning that the allegations may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. There were no direct witnesses identified to the alleged violations. There were no medical reports or other forms of documentary validation available establishing the cause or the likelihood of the sustained injuries to be corporal punishment by the alleged perpetrators. There are no deficiencies to be cited at this time. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Christine Wilson 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:


raw_content:
Investigation Findings:
13On 10/15/2024 at 12:00pm Licensing Program Analyst (LPA) Enrique Hernandez made an unannounced inspection to Turning Point La Serenata for the purpose of concluding the investigation on the above allegations and deliver the findings. LPA spoke with Program Director, Alexandrai Carrasco and together, discussed the investigative finding. During the investigative process by Licensing program Analyst (LPA), Jhane Haynes,all relevant parties have been accounted for. During the investigation LPA Haynes interviewed and accounted for all relevant parties. Interviews reflect miscommunication that led to parties involved conflict on the level of care provided. Interviews also reflect that youth are transported to school in the mornings and afternoons via school bus. Staff are pulled to transport youth and are otherwise encouraged to remain in school during school hours. LPA Haynes did not obtained statements to corroborate the above allegations. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Enrique M Hernandez 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: Program Director/Alexandria Carrasco