summary: Facility Evaluation

raw_content:
Narrative:
On October 10, 2025 at 11: AM, Licensing Program Analyst (LPA) Olena Maico , conducted a case management visit to the Group Home above. LPA met with Ayan Hill, Administrator and discussed the purpose of her visit. On September 29,2025 the Department received an incident report for the day of September 23,2025. The report stated that the staff S1 unintentionally left personal keys while going to the restroom and when S1 (See LIC List of Confidential names dated 10/10/25) was about to exit the restroom, S1 heard the facility door close and when exited the restroom S1 realized the personal keys were missing from the table. S1 ran outside and witnessed C1 driving off in the car. Law Enforcement was contacted by S1 per Administrator's instructions to report a vehicle theft. C1 returned to the facility at 10: PM, and Law Enforcement arrived at 11: PM and took C1 into custody. Youth was transported by the Bakersfield PD to the Juvenile Hall. C1's placement was terminated due to the incident. LPA interviewed the Administrator during the visit. During the conducted investigation, LPA Maico confirmed that the incident occurred and S1 left keys unintentionally on the table for C1 to gain access. Based on confidential interview and record reviews, the facility's staff did not provide proper supervision of C1 by leaving the keys to the personal vehicle unattended, which caused the vehicle theft and youth was arrested and detained at the Juvenile Hall. Continue pg The facility is being cited for CCR 80078 (a) The licensee shall provide care and supervision as necessary to meet the client's needs. Exit interview has been conducted and the copy of this report, LIC 809D, LIC 811 and Appeal Rights has been provided to the Administrator.


state: CA

facility_name: BRIGHTER DAY 2

summary: Facility Evaluation

raw_content:
Narrative:
On March 18th 2026 at 11: AM, Licensing Program Analyst (LPAs) Olena Maico conducted unannounced annual inspection at Brighter Day Group Home. LPA met with Travis Bates, Administrator. LPA requested and received via e-mail LIC 500, LIC 9020, LIC 308 and LIC610C before the inspection. LPA requested amendment to the LIC 500 to reflect the coverage for the facility LPA also reviewed Guardian associations to the facility and found all the staff to have clearance and being associated to the facility. LPA Maico conducted a physical plant inspection inside and outside the home alongside the Administrator. The following were observed at the time of inspection: This facility is a single level home located in a residential neighborhood. The facility consists of 6 bedrooms, 3 full bathrooms, office, a living room, kitchen, dining room, 2-car garage, laundry room, and a backyard. Overall, the facility is clean, sanitary and in good condition. The facility has no bodies of water. LPA observed the facility sketch posted on the wall as well as the Administrator Certificate, visitation policies, discipline policies, grievance procedures and children's personal rights. The facility has a centralized heat and air-conditioning unit. Temperatures in all rooms are maintained at 68 degrees (F). The hot water temperature was measured at 127 degrees (F). It was adjusted to F while LPA was at the facility. The facility has carbon monoxide and smoke alarms throughout the facility. Alarms were tested and found to be functional. The fire extinguisher is fully charged and expires May 2026. Continue PG PG Knives and sharps are kept locked in the garage in the locked box. Disinfectants and cleaning solutions are kept in the locked box in the garage as well. The facility has a working telephone. The applicant reports no firearms on the premises. The grounds are free from obstructions and hazards. All bedrooms have 1 full bed and a side drawer, storage drawer and adequate closet space to accommodate client's clothing and personal belongings. The closets have hampers and laundry bags, as well as hangers for the clients to use. Bedrooms have appropriate window blinds for client's privacy and the lights in the rooms work properly. Kitchen has a refrigerator, dishwasher, stove and adequate utensils and tableware to accommodate the number of clients. Dining room has enough space to accommodate 6 clients. First aid kit located in the office and has all the necessary and required items. Medications will be centrally stored in the lockbox in the office. Currently there are no clients in care, so no medications are stored in the box. Office has room for the employees to sit and the federal and state labor law posters. Backyard is free of hazards and has enough space for the clients to use. No equipment stored on the back yard. Cameras are located in common areas. Disaster Preparedness Plan: Facility maintains a current, written disaster and mass casualty plan of action. LPA reviewed emergency drill records in the binder. LPA advised the Administrator to add phone number and e-mails to the person designated on the emergency disaster plan. Currently there is no clients at the facility. Continue Pg Pg Staff records are stored electronically on the Ipad. LPA reviewed 2 (two) staff files. Staff files are electronic and contain staff job duties, resumes, CPR training, medical screening and TB test, personnel records, driver license, criminal record and child abuse clearances, initial 8 and 16 hour training along with the Administrator's job performance review. LPA interviewed one staff. LPA issued two Technical Violations during the visit. An exit interview was conducted, and a signed copy of this report, LIC 9102TV and LIC811 were provided and explained to the Administrator.

report_type: Facility Evaluation

visit_type: Annual

met_with: Travis Bates, Adminsitrator


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
SW1 also reported that facility staff did not transport the child to an IFSC meeting and that transportation support was selective when placement or removal of placement was involved. SW1 further reported concerns about the facility environment, noting that during visits, there appeared to be no food actively being prepared at the home. S2 reported that mental health services are coordinated through the county via the presumptive transfer process and that appointments are scheduled through county providers. S2 stated that staff transport youth to appointments and that youth have the right to refuse services. S2 provided documentation including transportation procedures, weekly menus, mental health coordination information, and Needs and Services Plans (NSPs), which were reviewed by LPA Palmer. S1, demonstrated limited knowledge of facility procedures, including mental health services, menu location, and the 5150 processes, and reported relying on lead staff for direction. S3 confirmed that the facility coordinates mental health services through county providers, provides transportation for routine appointments, and ensures meals are provided daily, including weekly menu planning and occasional off-site meal options. C2 reported having access to mental health services and indicated their needs were met while placed at the facility. The interview with C2 was unable to be completed by LPA Palmer. Records reviewed, including NSPs, mental health documentation, transportation procedures, and weekly menus, support that services were coordinated, transportation was provided, and meals were made available to clients. Based on the preponderance of evidence obtained through interviews and record review, there is insufficient evidence to support the allegations. Therefore all allegations are unsubstantiated. No deficiencies sited. A copy of this report was provided to the facility staff. Page 2

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by LPA Carrie Palmer on May 4, 2026, at 5: PM. During the inspection LPA Palmer met with Ayan Hill. The purpose of the inspection was to deliver findings regarding the above-mentioned complaint allegations. Community Care Licensing (CCL) received a complaint alleging that staff did not seek appropriate mental health treatment for a minor, did not ensure transportation, and did not provide adequate food service. During the course of the investigation LPA Palmer conducted interviews with S1, S2 and S3 on March 2, 2026; C2 on April 9, 2026; SW2 on April 9, 2026 and SW1 on May 1, 2026. SW1 reported concerns regarding the facility's follow-up with the identified minor's mental health services, stating that after a 5150 hold, there was no continued follow-up with therapy services as expected. SW1 indicated that the child reportedly refused therapy; however, SW1 felt additional follow-up should have occurred. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Carrie Palmer LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER DAY 2FACILITY NUMBER: VISIT DATE: 05/04/2026

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

report_type: Complaint Investigation

met_with: Ayan Hill, Administrator

complaint_status: unsubstantiated


facility_name: BRIGHTER HOPE GROUP HOME #2

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

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

met_with: Administrator


facility_name: BRIGHTER HOPE GROUP HOME, INC.

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Based on evidence obtained and witness interviews conducted during the investigation process, the above allegation cannot be substantiated because there were inconsistent statements. Witness interviews and evidence obtained revealed that C1 has a history of making false allegations and that C1 had a "crush" on a client residing in a different home. Furthermore, it was reported that children are never allowed in a bedroom unless it's theirs, that children are properly supervised, and witnesses are adamant the inappropriate touching did not happen between the clients as there was no opportunity. Although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Exit interview was conducted, a copy of this report and Appeal Rights were provided to the licensee.

Investigation Findings:
13On March 29, Licensing Program Analyst (LPA) Dawn Eunice conducted a complaint inspection for the purpose of delivering findings to the above Neglect/Lack of Supervision investigation. LPA reviewed/obtained the following evidence: text message exchange, Emergency Response Referral Information, Alta California Regional Center Individual Program Plan, Annual Report, Incident report, Letter giving notice of placement termination, Quarterly Reports, Register of Clients/Residents and Personnel Report. LPA mailed and called a police department requesting a report to no avail. Additionally, LPA interviewed a biological family member, the alleged perpetrator, 4 children and 3 staff between 02-20-2024 and 03-20-2024. Report continue on LIC9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Dawn Eunice-MacLean 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: BRIGHTER HOPE GROUP HOME, INC.FACILITY NUMBER: VISIT DATE: 03/29/2024

met_with: Patrick Eghaghe, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
An annual required inspection was conducted by Licensing Program Analyst (LPA) Tana Kinder on 3/07/2022 with the Program Director. Criminal record clearances were reviewed, and the facility is in compliance. Community Care Licensing file, incident reports, facility roster, facility profile and complaint history were reviewed prior to visit at the agency. The licensing fees are current. The Group Home Facility has a capacity of 6 and currently 6 residents. There are 15 staff members associated to the license, while 8 officially and consistently work at the facility; and 4 currently working at the Facility on this date. LPA reviewed 4 staff files, all which were reviewed were complete and up to date. Staff files reviewed have required training hours, education, and fingerprint clearances. 2 child files were reviewed. The child's needs and services plan/Individual Program Plan, and quarterly reviews were complete and up to date. Immunization records were current. Medical consent forms were signed by authorized representative and current. Additionally, the child's file had a record of personal rights. Personal rights, menu, license, and emergency exit plan were posted. The facility was inspected jointly with the Program Director of the Facility. LPA interviewed 2 clients, all of which had intellectual disabilities. There are 4 bedrooms and 2 bathrooms. Each client's bedroom had a firm mattress, with a bed cover, sheets, blanket, pillows and personal affects. The common areas have couches and chairs to sit in, a TV and games for the clients. The facility is in good repair. There are cabinets in the hall way with additional linen if needed for the bedrooms and the bathrooms. Client and staff files are in locked cabinets. The passageway from the front to the back of the facility is unobstructed. LPA observed 1 locked shed in the backyard with equipment. The backyard has exercise equipment and lawn furniture. LPA observed enough perishable/non-perishable food for 6 clients for 4 days/3 weeks. Smoke detectors are in working order. There is a carbon monoxide monitor and 1 fully charged fire extinguisher. Continued Disinfectants and cleaning solutions were in a locked cabinet. Sharps were kept locked. The kitchen was stocked with plates, utensils and drinking cups sufficient for 6 clients. The water temperature from the kitchen faucet was 108.8 degrees. Medication disbursement is logged and is cross reconciled with the bubble packs and the bottled medications that are stored in a locked cabinet. The client's hygiene kits are stocked and kept in their bedrooms. A fully stocked first aid kit is kept in the medication cabinet. Exit interview conducted and discussed with the Program Director. No citations were issued and a copy of the annual inspection report was provided to the Program Director.

met_with: Program Director


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, (LPA) Tana Kinder conducted an inspection related to the recent positive Covid19 case at the facility. The purpose of the inspection was to provide the facility with additional PPE supplies. An exit interview was conducted, no citations were issued and a copy of this report was provided.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
An annual required inspection was conducted by Licensing Program Analyst (LPA) Tana Kinder on 3/21/2023 with the Program Director. Criminal record clearances were reviewed, and the facility is in compliance. Community Care Licensing file, incident reports, facility roster, facility profile and complaint history were reviewed prior to visit at the agency. The licensing fees are current. The Group Home Facility has a capacity of 6 and currently 4 residents. There are 20 staff members associated to the license, while 7 officially and consistently work at the facility because the census is 4 clients. There were staff 4 currently working at the Facility on this date. LPA reviewed 4 staff files. The files that were reviewed were complete and up to date. Staff files reviewed have required training hours, education, and fingerprint clearances. 3 child files were reviewed. The child's needs and services plan/Individual Program Plan, and quarterly reviews were complete and up to date. Immunization records were current. Medical consent forms were signed by authorized representative and are current. Additionally, the child's file had a record of personal rights. Personal rights, menu, license, and emergency exit plan were posted prominently in the facility. The facility was inspected jointly with the Program Director of the Facility. There are 4 bedrooms and 2 bathrooms. Each client's bedroom had firm mattresses, with a bed cover, sheets, blanket, pillows and personal affects. The common areas have couches and chairs to sit in, a TV and games for the clients. The facility is in good repair. There are cabinets in the hallway with additional linen if needed for the bedrooms and the bathrooms. Client and staff files are in a locked cabinet. There are locked cabinets in the garage to store old client files. The passageway from the front to the back of the facility is unobstructed. LPA observed 1 locked shed in the backyard with equipment. The backyard has exercise equipment, a drum kit, basketball hoop and patio/lawn furniture. LPA observed enough perishable/non-perishable food for 4 clients for 4 days/3 weeks. Smoke detectors are in working order. There are 2 carbon monoxide monitors and 1 fully charged fire extinguisher. Disinfectants and cleaning solutions were in a locked cabinet under the kitchen sink and an additional cabinet in the garage. Continued... Sharps were kept locked in the kitchen. The kitchen was stocked with plates, utensils and drinking cups sufficient for 6 clients. The water temperature from the kitchen faucet was 115.1 degrees. Medication disbursement is logged and is cross reconciled with the bubble packs and the bottled medications are stored in a locked cabinet. The client's hygiene kits are stocked and kept in their bedrooms. A fully stocked first aid kit is kept in the medication cabinet. The car registration and insurance is current. The minivan is in good repair. Exit interview conducted and discussed with the Program Director. No citations were issued and a copy of the annual inspection report was provided to the Program Director.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Sara Luman-Gonzalez made an unannounced inspection on April 25, 2024 at 10: A.M. During the inspection LPA met with Happy Omoighe and Irene Ogbeiwe who assisted with the inspection. LPA Luman-Gonzalez conducted a walk-through of the facility inside and out. At the time of LPA's arrival no one was at the facility. LPA called FA who arrived within 15 minutes. Facility staff-client ratio at time of inspection was 2 staff members with no clients present at the home. LPA interviewed 2 staff but there were 1 client(s) home by the time of the inspection was complete. LPA observed 4 bedrooms and 2 bathrooms. LPA inspected and/or reviewed the following: Physical Plant LPA observed the Facility License posted upon entry, above the dining room table along with other necessary paperwork, including Personal RIghts, Emergency Prevention Plan etc. The refrigerator was observed to be well stocked with both perishable and non-perishable foods for a minimum of 7 days. The temperature of the fridge was below 45 degrees F and the Freezer was tested at below 0 degrees. The week's menu was posted on the fridge door with snacks available for clients to access in the pantry cabinets. A working telephone was observed in the facility, on the kitchen counter. All Smoke Detectors and Carbon Monoxide Detectors were functioning properly. First Aid, Medications, and Sharps are all locked in the cabinet. All furniture observed in the common area, dining area, and bedrooms was observed to be in good repair and adequate number of seats for the clientele placed in the home. Hot water was tested in at 105.6 degrees F. Fire extinguisher was observed to be fully charged. (Page 1 of 3) Bathrooms were observed to be clean and in good repair with hot water accessible to the rooms. Soap and Paper Towels were placed in each bathroom for clients use. Laundry Facilities are located in the garage area and all chemicals for laundry are locked away until time of use. Linens and Bathing Towels are located in the hallway closet. Red Mini-Van used for the facility was observed to be in working condition and properly maintained. Tires, lights, and seat belts all functioning properly. Vehicle is currently registered and insured. Facility was observed to be free of vermin. In the backyard, there is a locked storage shed containing extra chairs and holiday decorations. Operations LPA observed in the clients binders that contained the compliant procedures and grievance policy is reviewed with clients and families. LPA reviewed Board Meeting Minutes and the CQI Report. Disaster Preparedness Disaster and Mass Casualty Plan is updated on the board above the dining room table for LPA's review. Monthly fire drills are conducted in the facility with the clientele. Disaster preparedness supplies are ready in the garage area. Emergency Intervention Manual Restraints are not used in this Facility. Facility is certified for ProACT but have not had to use the restraints in a significant time period. Staff is trained annually. Staffing/Volunteers LPA reviewed Staff files. All files contained Criminal Records Clearances, Current First Aid Certifications, Current Training Certificates for all Staff with logs. All files contained Personnel Reports, stating the job title and qualifications. Certified Administrators certificate valid and current. Client Records LPA reviewed Client Files. All Needs and Services Plans were completed. Centrally Stored Medication Log was observed to be complete according to guidelines and Psychotropic Medications log was reviewed. Cash Resources was reviewed and Compatibility Assessment was observed to be completed in the clients file. (Page 2 of 3) The following items were reviewed for compliance in the regional office prior to the facility inspection: · Annual fees · Administrator Certificate for: Happy Omoighe · Emergency Disaster Plan (per H&S Code 1565) · Annual Emergency Intervention Log · Personnel Roster, Facility Sketch, LIC 500, LIC 610C and LIC 308 · Waivers and Exceptions An exit interview was conducted with Irene Ogbeiwe and a copy of this report was left with the Facility.

met_with: Happy Omoighe, Facility Administrator


facility_name: BTPT CARE HOME,INC

summary: Facility Evaluation

raw_content:
Narrative:
On 10/25/23 at 12:04 p.m. Licensing Program Analyst (LPA) Jacqueline Carmona arrived to the above facility with the purpose of conducting a pre licensing inspection. LPA Carmona met with Licensee, Pushpinder Toor and explained the reason for the visit. LPA Carmona conducted a walk through of the interior and exterior of the facility. The facility is a one story home that consists of a living room, dinning area, kitchen, 2 full bathrooms, 4 bedrooms, garage which will be used as the administrator office and laundry room. LPA observed each bedroom has a twin size bed with mattress, pillows and comforter on the beds. LPA observed the facility has hygiene supplies for each client provided in bedroom and extra hygiene supplies stored in hallway closet. LPA observed the facility has cleaning supplies and medication in separate locked cabinets. The facility currently has 1 staff and 0 clients. LPA reviewed the one staff file and observed all required documentation is present. LPA observed the facility sketch, disaster plan, sample menu, LIC500 and activity schedule are all posted. LPA Carmona observed the garage which will be used as the Licensees office where staff files and client files are stored and locked in a file cabinet. The kitchen was fully stocked with seven day's worth of non-perishable food. The licensee will stock perishable foods once there are clients placed in the facility. All four bedrooms, living room, and dining room had furniture in good repair. The facility has a working washer and dryer. Both bathrooms are clean, sanitary, and functioning with warm water temperature of 106 degrees. There is adequate lighting throughout the facility. The front and back yard are clear and free of debris. All fire alarms and carbon monoxide alarms are fully functioning at the time of the inspection. The first aid kit was fully stocked and readily available. The fire extinguishers were fully charged. There are no bodies of water on the facility premises. The facility is not fully licensed yet until the LPM approval is complete. Component III is not required due to Licensee having an existing facility and is familiar with all of CCL forms. An exit interview was conducted with the Licensee and a copy of the report was provided.

visit_type: Prelicensing

met_with: Pushpinder Toor, Licensee


summary: Facility Evaluation

raw_content:
Narrative:
On 1/24/24 at approximately 11:00 a.m. Licensing Program Analyst (LPA) Jacqueline Carmona conducted a Post Licensing inspection and met with Pushpinder Toor, Administrator. LPA Carmona conducted a walk through of the interior and exterior of the facility. The facility is a one story home that consists of a living room, dinning area, kitchen, 2 full bathrooms, and 4 bedrooms. LPA observed each bedroom has a twin size bed with mattress, pillows and comforter on the beds. LPA observed the facility has hygiene supplies for each client provided in bedroom and extra hygiene supplies stored in hallway closet. LPA observed the facility has cleaning supplies and storage for medication in separate locked cabinets. LPA observed the facility sketch, disaster plan, sample menu, LIC500 and activity schedule are all posted. LPA Carmona observed the garage which will be used as the Licensees office where staff files and client files are stored and locked in a file cabinet. The kitchen was fully stocked with seven day's worth of non-perishable food. The licensee will stock perishable foods once there are clients placed in the facility. All four bedrooms, living room, and dining room had furniture in good repair. The facility has a working washer and dryer. Both bathrooms are clean, sanitary, and functioning with warm water temperature of 108 degrees. There is adequate lighting throughout the facility. The front and back yard are clear and free of debris. All fire alarms and carbon monoxide alarms are fully functioning at the time of the inspection. The first aid kit was fully stocked and readily available. The fire extinguishers were fully charged. There are no bodies of water on the facility premises. Continue to page Currently there are no clients placed, but the facility has accepted respite clients in the past. A review of Licensing Information System indicates that all facility staff associated to facility have DOJ, FBI and Child Abuse Check clearances and all required documentation in the staff files. An exit interview was conducted with the Administrator and a copy of the report was provided.

met_with: Pushpinder Toor, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 10/18/2024 at 9: AM Licensing Program Analysts (LPAs) Sarina Buchannan, Tatyana Shulz, Zaria Turner, Orlando Areizaga, and Licensing Program Manager (LPM) Rosa Rodriguez made an unannounced visit with the purpose of conducting an annual inspection to the above facility using the Compliance and Regulatory Enforcement (CARE) tool. LPAs and LPM met with Pindy Toor, Facility Administrator, who assisted with the inspection. A walk through of the interior and exterior was completed. Physical Plant Room 1 is a client bedroom with a twin sized bed, two dressers and a locked closet that stored a water heater. Room 2 is a client bedroom with a twin size bed two dressers and closet. Room 3 is a client bedroom with a twin size bed two dressers and closet. Room 4 is a client bedroom with a twin bed, two dressers, a printer, and has a bathroom attached to it. Room 5 is the kitchen that has a menu listed on the refrigerator, sharps locked under the sink, and both the fridge and freezer are at the appropriate temperature. There is an alcove with a washer and dryer in the hallway leading towards the clients bedrooms. Room 6 is the family room with couches, a working telephone, games, and a television. There are two bathrooms, one is located in the hallways to the left of the washer and dryer and the other is connected to Room 2. The first bathroom had a working toilet, and running warm water with a temperature of 114 degrees. The second bathroom had a working toilet, and running warm water with a temperature of 112 degrees. The home has sufficient activities for the clients, including board games, coloring books, a television, and all furniture is in good repair. The backyard is gated with a covered back patio, a shed, and a variety of plant vegetation. The backyard is clear of debris and clean. There is a garage with supplies such as a trailer, a dolly, old furniture, and shelving units. There is a Lexus GX 470 in good working condition, properly maintained, lights, tires, registration/insurance, working seat belts and is available to transport clients if needed. Continued on (LIC 809-C) The following required documents were posted; License, Personal Rights, Facility Sketch, and Emergency Disaster plan. Disinfectants and cleaning solutions were locked and inaccessible to children in care. Refrigerator Temperature at or below 45 degrees F. Nonperishable foods one week and fresh perishable foods two days minimum. Working telephone are available at the facility. Carbon monoxide and smoke detectors are in working order. First Aid Kit fully stocked. Medication centrally stored, locked/inaccessible to clients. Hot water between 105-120 degrees Fahrenheit. Fire Extinguisher is up to date and in working order. Toilets wash basin, bath, and shower fixtures in good repair/no leaks/hot water temperature. Soap and paper towels are available to clients. Bedrooms had all required linens and furnishings. The facility is free of vermin. The following domains were also reviewed during today's inspection, Operations, Disaster Preparedness, Staffing, and Client Records. A total of 4 staff files and 2 client files were reviewed. No out of compliance issues were identified for these domains. LPA also conducted 2 staff interviews and no concerns for follow up was noticed. LPA attempted 1 client interview but was unable to conduct it due to client being non-verbal. A review of the Licensing Information System indicates the facility is up to date on their facility fees and all the staff were fingerprint cleared and associated to the facility. An exit interview was conducted and a copy of this report was provided to the facility, no deficiencies cited.

met_with: Pindy Toor, Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 10/22/2025 at 10: AM Licensing Program Analysts (LPA) Tatyana Shulz, made an unannounced visit with the purpose of conducting an annual inspection to the above facility using the Compliance and Regulatory Enforcement (CARE) tool. LPA met with Pindy Toor, Facility Administrator, who assisted with the inspection. A walk through of the interior and exterior was completed. Physical Plant Rooms 1-4 is a client bedroom with a twin sized bed, two dressers and a closet. Room 5 is the kitchen that has a menu listed on the refrigerator, sharps locked under the sink, and both the fridge and freezer are at the appropriate temperature. There is an alcove with a washer and dryer in the hallway leading towards the clients bedrooms. Room 6 is the family room with a couch, working telephone, games, and a television. There are two bathrooms, one is located in the hallways to the left of the washer and dryer and the other is connected to Room 2. The first bathroom had a working toilet, and running warm water with a temperature of 113 degrees. The second bathroom had a working toilet, and running warm water with a temperature of 112 degrees. The home has sufficient activities for the clients, games, toy trucks, building blocks, a television, and all furniture is in good repair. The backyard is gated with a covered back patio, a shed, and a variety of plant vegetation. The backyard is clear of debris and clean. There is a garage with supplies such as a dolly, old furniture, and shelving units with extra supplies. There is a Lexus GX 470 in good working condition, properly maintained, lights, tires, registration/insurance, working seat belts and is available to transport clients if needed. Continued on (LIC 809-C) The following required documents were posted: License, Personal Rights, Facility Sketch, and Emergency Disaster plan. Disinfectants and cleaning solutions were locked and inaccessible to children in care. Refrigerator Temperature at or below 45 degrees F. Nonperishable foods one week and fresh perishable foods two days minimum. Working telephone are available at the facility. Carbon monoxide and smoke detectors are in working order. First Aid Kit fully stocked. Medication centrally stored, locked/inaccessible to clients. Hot water between 105-120 degrees Fahrenheit. Fire Extinguisher is up to date and in working order. Toilets wash basin, bath, and shower fixtures in good repair/no leaks/hot water temperature. Soap and paper towels are available to clients. Bedrooms had all required linens and furnishings. The facility is free of vermin. The following domains were also reviewed during today's inspection, Physical Plant, Operations, Disaster Preparedness, Staffing and Client Records and Special Health Care Needs. A total of 5 staff files and 4 client files were reviewed. LPA also conducted 2 staff interviews and no concerns for follow up was noticed. LPA attempted 4 client interviews but was unable to conduct it due to clients being non-verbal. A review of the Licensing Information System indicates the facility is up to date on their facility fees and all the staff were fingerprint cleared and associated to the facility. The facility has been cited for a Technical Violation see LIC 9102 for further information. An exit interview was conducted and a copy of this report was provided to the facility.

met_with: Pushpinder Toor- Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On November 25, 2025 at approximately 3:15pm Licensing Program Analyst (LPA) Tatyana Shulz made an unannounced inspection to conduct a plan of correction visit at BTPT Care Home INC. LPA was greeted by Valentyna Petylo, DSP who granted LPA access. Prior to the meeting LPA Shulz conducted a tour of the inside and outside of the facility where LPA observed the following deficiency. · One of the clients rooms was missing their window screen. LPA conducted a walk through of the facility and observed that the issue noted on the October 22, 2025, annual inspection has been addressed. The facility is in full compliance. An exit interview was conducted, and a copy of this report will be sent to the licensee. This plan of correction inspection is closed.

met_with: Valentyna Petylo- DSP


facility_name: BUENAVISTA HOME AT PEPPERWOOD III

raw_content:
Narrative:
PAGE 2: Substantiated Findings No staff members accompanied or followed behind. During the minor's hospital stay, the minor was noted to have a high supervision requirement due to high needs. The preponderance of evidence standard has been met, and therefore the above allegations are found to be substantiated. LPA is issuing citations of California Code of Regulations, Title 22, Sections Responsibility for Providing Care and Supervision and Health Related Services. See LIC 9099-D. An exit interview was conducted, appeal rights were provided, and a copy of this report was left with Facility Manager Arjay Ventura. PAGE 2: Unsubstantiated Findings Although the allegations may have happened or are valid, based on LPA's observations, record review, and interviews, there is not a preponderance of the evidence to prove the alleged violations did or did not occur. Therefore, the allegations are unsubstantiated. There are no citations. An exit interview was conducted, appeal rights were provided, and a copy of this report was left with Facility Manager Arjay Ventura.

Investigation Findings:
13On 7/10/24, Licensing Program Analyst (LPA) Mariah Hawkins visited the facility to deliver findings for an investigation conducted in part by the licensing agency's Investigations Bureau (IB). LPA met Facility Manager Arjay Ventura at the facility and Licensee Mark Del Rosario over the phone and informed of the purpose of the visit. During the investigation, it was found that a minor in care with high needs was observed by staff to become increasingly lethargic after starting a new seizure medication. The day following the start of the new medication, the resident showed signs of a cold or similar virus, for which medication was also given. After three days of becoming increasingly lethargic, the minor was found to be unresponsive after staff tried to wake up the minor. The staff called the administrator, who arrived at the facility shortly after. It was the administrator who called 911. The minor was transported by ambulance to the hospital where the minor was observed to have significantly low blood pressure and body temperature and to test positive for rhinovirus. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Mariah Hawkins LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN BRUNO RO, TRAEGER AVE., SUITE FACILITY NAME: BUENAVISTA HOME AT PEPPERWOOD IIIFACILITY NUMBER: VISIT DATE: 07/10/2024

met_with: Facility Manager Arjay Ventura; Licensee Mark Del Rosario


summary: Facility Evaluation

raw_content:
Narrative:
On November 03, Licensing Program Analyst (LPA) Isabel Mendoza made an unannounced annual inspection to group home. During the inspection, LPA met with Rhodora and Mark Del Rosario, Administrator and Administrator Assistant. Present during the inspection was one client (C1) with two additional staff members. LPA was unable to interview youth because youth is non-verbal, but appeared to be in good spirit. At 9: AM LPA Mendoza inspected the facility inside and out. The home is clean, safe, and sanitary. The facility has plenty of nonperishable and perishable food supply. The water measured 108 degrees F. There are no firearms on the property. There are no bodies of water on the property. The home is maintained at a comfortable temperature. The facility license, Personal rights, food menu, and Emergency disaster forms were posted and in clear view. First Aid kit is complete and fully stocked. All smoked detectors are up to date and working properly. The fire extinguisher has been checked and is up to date. . All sharp objects and Medication, cleaning supplies and knives are locked away. Medication logs were inspected. LPA observed the facility using one MAR for both psychotropic and non- psychotropic medication. LPA left a copy of LIC A and LIC B, so the facility can update their medication logs.LPA also noticed that the facility does not have a section in the MAR for medication refusal. LPA advised the facility to use LIC 622 documents, and if not to ensure that the facility MAR has all required items. At 10: AM LPA Mendoza reviewed all five client files. All files were complete. The facility is currently using the outdated LIC 613 (Personal Rights Form). During inspection, the facility obtained a copy of the current LIC 613 and will update each file. [please refer to LIC 809-C for continuation page] At 11: AM LPA reviewed all 7 staff files. All files were complete and each staff have the required training. All staff are associated to the facility as well. LPA obtained copies of the following documents: LIC 500, LIC 610, Updated Administrator certificate, and LIC 308. No deficiencies were cited during todays inspection, but the facility was issued four advisory notes LIC 9102. An exit interview was conducted and a copy of the report was left with the Administrator.

met_with: Administrator-Mark & Rhodra Del Rosario


summary: Facility Evaluation

raw_content:
Narrative:
On 11/14/22 at 12:11PM, Licensing Program Analyst (LPA) Mariah Hawkins made a visit to the facility for a required annual inspection. LPA met with Licensee Mark Del Rosario and Licensee/Administrator Rhodora Del Rosario and informed of the purpose of the visit. The CARE Inspection Tool was used to complete today's inspection. LPA conducted a tour of the facility site and grounds, inspected facility records, and interviewed three staff and observed six residents. The residents are dressed in clean, well-fitting clothes and appear to engage comfortably with staff and with the home environment. Staff are responsive to residents, and residents are responsive to staff. Residents follow a routine upon return from school and have activities ready for them to keep them engaged at home. The house is clean and free of obstructions. The kitchen and bathrooms are sanitary. The backyard offers outdoor activities for the residents. Bedrooms are clean with plenty of storage, and each resident has their own bed with clean linens. Chemicals, sharps, and medications are stored where inaccessible to residents. Medication administration records match the prescription labels and medication documentation. There is food in the quantity and quality necessary to meet the needs of residents in care. Resident files are complete. Staff files are complete. All staff have received the required hours of annual training and are trained in emergency de-escalation. All staff whose files were reviewed are cleared and associated to the facility. Two items require follow-up: 1) A psychotropic medication, Keppra, is not logged on a separate log for residents taking this medication. LPA advises that this is an anticonvulsant, which are psychotropic medications, and thus should be logged as other psychotropic medications are; 2) One staff member's first aid certificate expired last month and needs to be updated. There are no citations. An exit interview was conducted, appeal rights discussed, and a copy of this report was provided to Licensee Mark Del Rosario, whose signature on this form confirms receipt.

met_with: Licensee Mark Del Rosario


summary: Facility Evaluation

raw_content:
Narrative:
On 11/28/23 at PM Licensing Program Analyst (LPA's) Celeste Aparicio and Mariah Hawkins made an unannounced annual inspection. LPA's met with Facility Manager Yvette Salandanan and spoke with Administrator Mark Del Rosario over the phone who was unable to be present for this annual inspection. LPA's inspected the facility, inside and out. Centrally stored medications are maintained in a locked cabinet. Sharps and Toxic chemicals are kept locked. Bathroom water temperatures measured within range. Individual beds were observed with appropriate clean linens and are in good repair. There is at least one-week supply of nonperishable and a two-day supply of perishable foods. The facility is maintained at 73 degrees. No firearms or weapons are present in the facility. LPA's noticed an unanchored play structure outside and issued a Technical Advisory. At this time the inspection is not complete, so LPA Aparicio will return to complete the inspection. No deficiencies were cited at this time. LPA conducted an exit interview with Yvette Salandanan, Facility Manager. A copy of this report was provided at the completion of this inspection.

met_with: Yvette Salandanan


summary: Facility Evaluation

raw_content:
Narrative:
On December 1, 2023 an unannounced annual inspection was conducted by Licensing Program Analyst (LPA), Celeste Aparicio at Buenavista Home at Pepperwood III. At 10:10am, LPA arrived at the facility and met with the Administrator, Rhodora Del Rosario. LPA informed Administrator that the purpose of this visit was to complete an annual inspection and review records. During the visit, LPA reviewed the disaster preparedness plan, emergency intervention plan, client files, and cash resources. LPA conducted two staff interviews and was unable to interview clients because they are Non-verbal. Records of personnel/ staff members were reviewed to ensure staff meet regulatory requirements. All personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. Personnel Files are maintained on-site in a secure location. Six client files were reviewed. All client files were complete and in a secure location. Administrator informed LPA of the facility's plan to convert to an adult facility, since 50% of the population is now over the age of 18. Facility has one pending age exception request that was submitted in October. Administrator has already obtained her license for adult facilities and will be submitting a request to our department to convert within the coming months. No deficiencies were observed or cited at this time. LPA conducted an exit interview with Rhodora Del Rosario, Administrator, at 2: PM. A copy of this report was provided at the completion of this inspection.

met_with: Rhodora Del Rosario


summary: Facility Evaluation

raw_content:
Narrative:
On 10/25/24, Licensing Program Analyst (LPA) Mariah Hawkins conducted a required annual inspection. LPA met with Licensee Mark Del Rosario and Facility Manager Kristian Laxamana and informed of the purpose of the visit. LPA toured the facility site and grounds. LPA observed the facility to be well-maintained and free of hazards or dangerous objects. Chemicals, medications, and sharp objects such as knives are stored in locked cabinets/drawers where inaccessible to residents. There is a large supply of food that is maintained in safe condition. Bathrooms and kitchen are maintained in sanitary condition. LPA observed the first aid kit to be complete and stored in a central location in the facility. LPA inspected 5 personnel records, 5 resident records, and other required facility records. LPA observed all staff to have a background clearance. Records reflected the necessary annual training hours, first aid certification, and intervention training certification. The administrator has a current administrator certificate. LPA observed files to contain accurate resident information and medication records and current medication authorizations and care plans. LPA observed current staff schedules, emergency protocols, and menus in the facility. LPA conducted interviews of 2 staff and observations of 3 residents. LPA observed staff to be knowledgeable of facility procedures and the residents' care needs. LPA observed the residents to appear to have their care needs met and to be well-supervised by present staff. No deficiencies were observed during this inspection, and no deficiency citations were issued. An exit interview was conducted, and a copy of this report was left with Facility Manager Kristian Laxamana, whose signature on this form confirms receipt.

met_with: Licensee Mark Del Rosario, Facility Manager Kristian Laxamana


summary: Facility Evaluation

raw_content:
Narrative:
On 7/10/24, Licensing Program Analyst (LPA) Mariah Hawkins visited the facility to deliver notice of additional deficiencies found during a complaint investigation. LPA met Facility Manager Arjay Ventura at the facility and Licensee Mark Del Rosario over the phone and informed of the purpose of the visit. Based on confidential interview, record review, and observation, these additional deficiencies were found. It was found that a minor in care was administered 3 doses of robitussin on 3/10, 3/11, and 3/12 and a morning dose on 3/13/24. Per the PRN authorization letter signed by the minor's physician, the physician should have been called about the robitussin after 72 hours if no improvement in condition. The minor had been observed over the course of these dates to be increasingly lethargic. Later that day, the minor was found unresponsive after a nap around 3PM, at which point the minor was transported to the hospital. Per licensee, the minor's neurologist had been consulted about another medication but not the robitussin since the minor had been given it on previous occasions without issue. LPA is issuing a citation of California Code of Regulations, Title 22, Section Health Related Services. See LIC 809-D. It was found that a resident in care was supplied with a lunch consisting of five bags of chips, a pack of 17 girl scout cookies, a gatorade, a capri sun, and a container of chicken and rice, which was witnessed to be similar to a lunch provided to another resident in care. The LIC Physician's Report for the former resident indicates that the resident's food also needs to be minced. LPA is issuing a citation of California Code of Regulations, Title 22, Section Food Service. See LIC 809-D. An exit interview was conducted, appeal rights were provided, and a copy of this report was left with Facility Manager Arjay Ventura.


facility_name: BUILD BRIGHT CARE GROUP

summary: Facility Evaluation

raw_content:
Narrative:
Report Amended on May 16, 2023 to Update Language. On May 16, 2023, at 11: AM, Component II of the application process for Build Bright Group Home located in Granada Hills was held at the El Segundo Children's Residential Regional Office in El Segundo. Attending Component II were the following individuals: Christina Kiesselbach, Compliance Specialist, Ahron Lefkowitz (CEO), Devon Wayt,Compliance Specialist, Licensing Program Analyst (LPA), Rosslyn Gray, Licensing Program Manager (LPM), JoAunne Griffin. The purposes of this Component II meeting were to review the incomplete application and Program Statement, to resolve any outstanding concerns that may have existed. The following incomplete application forms were discussed at the meeting: Financial Information Release and Verification (LIC 404), Personnel Report (LIC 500), Group Home Orientation Certificate, CPR certificates, and Group Home Hour Administrator certificate. The applicants were advised of the following revision and/or corrections needed to the application and/or Program Statement: Sections 3-25 of the Program Statement was reviewed and discussed. Revisions are due June 6, 2023. A copy of this report was provided to Ahron Lefkowitz (CEO). Sec TITLE: PLANNED ACTIVITIES/USE OF COMMUNITY RESOURCES · RECREATIONAL ACTIVITIES (Page 9) o What situation would not allow client to not be permitted to engage in community activities? Sec TITLE: SPECIALIZED SERVICES/PROGRAM OFFERED · VIRTUAL COMMUNICATION (Page 12) o What is your designated private setting for virtual meetings? · VIRTUAL COMMUNICATION (Page 15) o Please review Program Statements and remove language for Visions facilities. Sec TITLE: MEDICATION o PROCEDURE (Page 16) o Describe how medication will be disposed? · PROCEDURES for Provisions of Medication (Page 18-20) o Is reimbursement of repayment of medical expenses outlined in Admissions Agreement? o What does EMAR stand for? o How does this system work? o How will you ensure psychotropic and over the counter medications are recorded separately? (Pg-19) o How will illicit drug be destroyed? (Pg-20-22) · COMMUNICABLE DISEASES (with COVID- Addendum) (Page 23) o Check update CDC requirements for isolation o Update return to work consult with CDC guidelines o Describe isolation plan. o Review CDC guidelines regarding quarantine period. CORONAVIRUS /COVID- PANDEMIC-Intake Protocols Sec TITLE: TRANSPORTATION (Page 35) · How will you ensure that staff vehicles are safe, maintenance is current and proper insurance is maintained? Sec TITLE: VISITOR POLICIES SECTION (Page 68) · Is there a guest restroom/bathroom? · CONFIDENTIALITY (Page 70) · Please provide a copy of the Non-Disclosure Agreement (NDA). Sec TITLE: BUILD BRIGHT CARE GROUP RULES/RESIDENT SAFETY GUIDELINES-(Page 76) · Speaking a foreign language · Please elaborate on "pull clothing items". (Page 77) Sec TITLE: DISCIPLINE POLICY (Page 78) · What are the behaviors that result in consequences? Sec TITLE: RUNAWAY POLICY (Page 101) · How is the search procedure implemented without violating personal rights? Sec TITLE: RESIDENT COMPLAINTS (Page 103) · Please clarify how client complaints will be handled on a case by case basis. · How will clients be able to file grievance confidentially? · Where will the state and ombudsman contact phone numbers and emails be posted? Sec TITLE: PLAN FOR HANDLING RESIDENTS FUNDS (Page 105) · An allowance should be given monthly per regulation. Sec TITLE: HOUSEHOLD CHORES (Page 106) · Clarify language- Mess. TITLE: FACILITY CLEANLINESS (Page 109) · What cleaning responsibility does the staff have? Will a professional cleaning service be used? Sec 20: TITLE: CLOTHING AND INCIDENTALS Policy- (Page 111-112) · Please address cultural sensitivity to clients' needs for hair products (Page 112) TITLE: FACILITY MAINTENANCE POLICY: Policy- (Page 113) · Please identify location of water/gas shutoff valves TITLE: UNAUTHORIZED USE OF DRUGS AND/OR ALCOHOL (Page 124) · In what situations are residents being isolated to a private office? · Will you be providing services to residents with a history of drug and alcohol abuse? · What rehabilitation services will be provided? Sec. TITLE: ADMINISTRATION: (Page 145) Please identify Board Members. A copy of this report was provided to LIC PAGE 2 of 3

met_with: Ahron Lefkowitz (CEO)


summary: Facility Evaluation

raw_content:
Narrative:
On July 19, 2023, at 10: AM, Component III of the application process for Build Bright Group Home located in Granada Hills was held at the El Segundo Children's Residential Regional Office in El Segundo. Attending Component III were the following individuals: Christina Kiesselbach, Compliance Specialist, Ahron Lefkowitz (CEO), Devon Wayt, Compliance Specialist, Stephen Smith, Administrator, Licensing Program Analyst (LPA), Rosslyn Gray, LPA, Christine Wilson, and Licensing Program Manager (LPM), JoAunne Griffin. The purposes of this Component III meeting were to discuss the Child's and Personnel Records, to be documented, retained, maintained, available and posted at the facility for inspections. LPAs and LPM discussed the specific problems and issues of operating a Group Home, such as, reporting requirements, personnel requirements, supervision, intake issues, compatibility, removal/discharge, complaint procedures, transportation, health services, food and hygiene, visitation, personal property, searches, and community sensitivity. Pre-Licensing inspection has been scheduled for Friday July 28, 2023 at AM. A copy of this report was provided to the Ahron Lefkowitz .

met_with: Ahron Lefkowitz


summary: Facility Evaluation

raw_content:
Narrative:
On 07/28/2023 at 9: AM Licensing Program Analyst (LPA) Rosslyn Gray, Christine Wilson, and Licensing Program Manager (LPM) JoAunne Griffin arrived at the above facility for the purpose of conducting Pre-Licensing inspection. A health and risk assessment was conducted. LPAs and LPM met with the CEO Ahron Lefkowitz (S1) who granted access to the facility. Staff Administrator (S2) also provided a walk-through of the facility. Home also consists of two car garage, living room, kitchen, dining area and education room. Home can be accessed through garage. There is no vehicle at the time of this inspection. The facility is seeking a license to provide care and supervision for six (6) clients ages 12-17, ambulatory only. The following was observed during the inspection: This is a one story home with an attached additional dwelling unit located in a residential community. Home located at Lahey St. consist of: LPAs observed a hard wired interconnected combined smoke detector and carbon monoxide detector; tested to be operable. Garage: This area is equipped with a refrigerator for medications, fire extinguisher, and cabinets for supplies over-flow, first-aid kit. The detergent, chemical and cleaning supplies are stored in a locked cabinet above. Therapy Room/Office#1: will be utilized and accessible to staff only. Bathroom #1 is a full bathroom located in this office. Sliding door leads to left side yard. Toilet, (1) sink and shower are in good condition. Water temp 108 degrees. Hallway: Bathroom #2 is a full bathroom. Toilet, (1) sink and shower are in good condition. Water temp 108 degrees. LIC- PAGE 1 of Laundry Closet: This is a stacked laundry unit washer and dryer. Bedroom #1: is equipped with (2) two twin size beds, linen, blankets, pillows, adequate lighting, and closet space. There are (2) two night stands and (2) two dressers, and a closet. Windows have screens and are operable. Exit door leads to left side yard. Door is equipped with an alarm sensor and a lock on the bottom rail. Additional linens and towels are stored in the closet. Personal hygiene products and caddys are also stored in the closet. Bathroom #3 is a full on-suite bathroom located in this bedroom. Toilet, (1) sink and shower are in good condition. Water temp 108 degrees. Education Room: will be utilized for school settings. There are (6) six desks, (6) six chairs, (2) two bookshelves and a seating area for (4) four persons and an area rug with no tripping hazard. Exit door leads to left side yard. Door is equipped with an alarm sensor.. Windows have screens and are operable. Bedroom #2: is equipped with (2) two twin size beds, linen, blankets, pillows, and adequate lighting. There are (2) two night stands and (2) two dressers, and a closet. Additional linens and towels are stored in the closet. Personal hygiene products and caddys are also stored in the closet. This bedroom is adjacent to the Education Room. Exit door leads to backyard. Door is equipped with an alarm sensor and a lock on the bottom rail. Windows have screens and are operable. Bathroom #4 is a full bathroom and located adjacent to this room. Toilet, (1) sink and shower are in good condition. Water temp 108 degrees. Kitchen #1: The kitchen was observed to be clean and organized. The kitchen stove is gas operated with 5 burners, sink features a hot water fountain that is disabled for safety. A double door refrigerator with bottom freezer. Disinfectants are under the kitchen sink, and sharp knives are also inaccessible Licensee uses a magnetic-key to lock these items in cabinets. There are (3) three bar stools and an island for dining. Dining Area: The dining area consists of (8) eight chairs and a large table Living Room: The living room is fully furnished. The living room is a common area with seating for eight (8), cabinet, television and desk with one (1) chair. LIC- PAGE 2 of Additional, attached dwelling unit located at 17167 consists of: Bedroom#3: is equipped with two twin size beds, linen, blankets, pillows, adequate lighting, and closet space. Additional linens and towels are stored in the closet. Personal hygiene products and caddy's are also stored in the closet. Exit door leads to right side-yard. Door is equipped with an alarm sensor and a lock on the bottom rail. Windows have screens and are operable. Bathroom #5 is a full bathroom located in this bedroom. Toilet, (1) sink and shower are in good condition. Water temp 108 degrees. Activity Room/Office#2: will be utilized and accessible to clients and staff from the right side yard. Exit door leads to right side yard. Outdoor Area: The space is free of hazardous materials and debris. There are a total of seven (7) perimeter cameras. There is outdoor seating for (8) eight persons, a table and a large umbrella providing coverage. There is a metal gate that surrounds the front of the home. Electrical shut-off valve is located on left side yard next to Education Room. Gas shut-off valve is located on left side yard next to garage. Main water shut-off valve is located in front of home. LPAs observed all windows and screens to be in good condition. The passageways and porches are unobstructed. All posting requirements were met. Garage is utilized for storage, food supply and (PPE) Personal Protection Equipment. LPA observed covered trash cans throughout the facility. The laundry room is adjacent to the kitchen. LPA observed three fire extinguishers located in the garage, dining area and office #2. Water temperature throughout the facility, measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. All the clients prescribed medications, medication logs, files and medical devices will be locked in a medication box in office #1. First Aid kit is located in garage. It was observed to be equipped with the required items inside (age-appropriate, scissors, tweezers, thermometer, and gauzes, antiseptic, and First Aid Manual Guide. The facility has a working telephone and clients can use the telephone unless restricted by authorized representative and/or court order. The facility will operate within license conditions and limitations including capacity limitations. Facility personnel are instructed to report violations of personal rights. Licensee will report changes in the plan of operation affecting service to clients. Licensee will report client injuries requiring medical treatment. LPAs concluded the Pre-License Inspection. An exit interview was conducted, and a copy of this report was left at the facility with the CEO PAGE 3 of 3

met_with: CEO


summary: Facility Evaluation

raw_content:
Narrative:
On 08/25/2023 at AM Licensing Program Analyst (LPA) Rosslyn Gray and Christine Wilson arrived at the above facility for the purpose of conducting the second Pre-Licensing inspection. A health and risk assessment were conducted. LPAs met with the (S1) Ahron Lefkowitz, CEO, who granted access to the facility.Facility consists of a two-car garage, living room, kitchen, dining area and education room. Facility can also be accessed through garage. There is no facility vehicle at the time of this inspection. The facility is seeking a license to provide care and supervision for six (6) clients ages 12-17, ambulatory only. The following was observed during the inspection: This is a one-story home located at Lahey St. Granada Hills, CA. 91344. LPAs observed a hard wired interconnected combined smoke detector and carbon monoxide detector; tested to be operable. Garage: This area is considered a" multi-purpose workroom," equipped with a refrigerator for medications, fire extinguisher, and cabinets for supplies over-flow, first-aid kit. The detergent, chemical and cleaning supplies are stored in a locked cabinet above. Garage is not to be used as office space. A table can and file cabinets can be stored in garage. All the clients prescribed medications, medication logs, files and medical devices will be locked in a medication box in garage. First Aid kit is in garage and was observed to meet regulations. The facility has a working telephone and clients can use the telephone unless restricted by authorized representative and/or court order. Bedroom #1: is equipped with (2) two twin size beds, linen, blankets, pillows, adequate lighting, and closet space. There are (2) two night stands and (2) two dressers, and a closet. Windows have screens and are operable. Exit door leads to left side yard. Door is equipped with an alarm sensor and a lock on the bottom rail. Additional linens and towels are stored in the closet. Personal hygiene products and caddies are also stored in the closet. Bathroom #1 is a full bathroom located in this office. Sliding door leads to left side yard. Toilet, (1) sink and shower are in good condition. Water temp 108 degrees. LIC- PAGE 1 of Laundry Closet: This is a stacked laundry unit washer and dryer. Hallway: Bathroom #2 is a full bathroom connected to bedroom #1. Toilet, (1) sink and shower are in good condition. Water temp 108 degrees. Bedroom #2: is equipped with (2) two twin size beds, linen, blankets, pillows, adequate lighting, and closet space. There are (2) two night stands and (2) two dressers, and a closet. Windows have screens and are operable. Exit door leads to left side yard. Door is equipped with an alarm sensor and a lock on the bottom rail. Additional linens and towels are stored in the closet. Personal hygiene products and caddies are also stored in the closet. Bathroom #3 is a full on-suite bathroom located in bedroom #2. Toilet, (1) sink and shower are in good condition. Water temp 108 degrees. Education Room: will be utilized for school, There are (6) six desks, (6) six chairs, (2) two bookshelves and a seating area for (4) four persons and an area rug with no tripping hazard. Exit door leads to left side yard. Door is equipped with an alarm sensor. Windows have screens and are operable. Bedroom #3: is equipped with (2) two twin size beds, linen, blankets, pillows, and adequate lighting. There are (2) two night stands and (2) two dressers, and a closet. Additional linens and towels are stored in the closet. Personal hygiene products and caddies are also stored in the closet. This bedroom is adjacent to the Education Room. Exit door leads to backyard. Door is equipped with an alarm sensor and a lock on the bottom rail. Windows have screens and are operable. Bathroom #4 is a full bathroom and located adjacent to this room. Toilet, (1) sink and shower are in good condition. Water temp 108 degrees. Kitchen: The kitchen was observed to be clean and organized. The kitchen stove is gas operated with 5 burners; sink features a hot water fountain that is disabled for safety. A double door refrigerator with bottom freezer. Disinfectants are under the kitchen sink, and sharp knives are also inaccessible Licensee uses a magnetic key to lock these items in cabinets. There are (3) three bar stools and an island for dining. LIC- PAGE 2 of Dining Area: The dining area consists of (8) eight chairs and a large table Living Room: The living room is fully furnished. The living room is a common area with seating for eight (8), cabinet, television, and desk with one (1) chair. Outdoor Area: The space is free of hazardous materials and debris. There are a total of seven (7) perimeter cameras. There is outdoor seating for (8) eight persons, a table and a large umbrella providing coverage. There is a metal gate that surrounds the front of the home. Electrical shut-off valve is located on left side yard next to Education Room. Gas shut-off valve is located on left side yard next to garage. Main water shut-off valve is in front of home. LPAs observed all windows and screens to be in good condition. The passageways and porches are unobstructed. All posting requirements were met. Garage is utilized for storage, food supply and (PPE) Personal Protection Equipment. LPA observed covered trash cans throughout the facility. The laundry room is adjacent to the kitchen. LPA observed three fire extinguishers located in the garage, dining area and office #2. Water temperature throughout the facility, measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. LPAs observed that there was no designated private space, or space for therapeutic services, and no designated space for an office. Additional dwelling unit (ADU) located at Lahey consists of: Bedroom, bathroom, and living space which has not been approved for use. An ADU is for residential purposes and an office, or a group room will not be allowed without any residential sleeping quarters included within the ADU. LPAs concluded the Pre-License Inspection. LPA observed that the Interior entrance is now blocked with a wall. The objective of the CEO is to gain approval from the Fire Inspector to convert the space into a residential space, which includes a bedroom. CEO agreed to obtain consent to utilize the space as a potential therapy room and privacy space. CEO will contact the Regional Office, to communicate next steps to obtain ADU space clearance for licensure. The facility will operate within license conditions and limitations including capacity limitations. Facility personnel are instructed to report violations of personal rights. Licensee will report changes in the plan of operation affecting service to clients. Licensee will report client injuries requiring medical treatment. LPAs concluded the second, Pre-License Inspection. An exit interview was conducted, and a copy of this report was left at the facility with the Ahron Lefkowitz, CEO

met_with: Ahron Lefkowitz, CEO


summary: Facility Evaluation

raw_content:
Narrative:
On September 05 2023 10:15AM Licensing Program Analyst (LPA) Rosslyn Gray arrived at the above facility for the purpose of conducting the Third (3rd) Pre-Licensing inspection. A health and risk assessment were conducted. LPAs met with the (S1) Ahron Lefkowitz, CEO, who granted access to the facility. The facility consists of two (2) bedrooms, an office, two (2) car garage, living room, kitchen, dining area and education room. The facility can also be accessed through entrance in the garage. There is no facility vehicle at the time of this inspection. The facility is seeking a license to provide care and supervision for four (4) clients ages 12-17, ambulatory only. The following was observed during this inspection: This is a one story home located at Lahey St. Granada Hills, CA. 91344. LPAs observed a hard wired interconnected combined smoke detector and carbon monoxide detector; tested to be operable. Garage: This area is considered a multi-purpose workroom utilized to store (PPE) Personal Protection Equipment; extra supplies. It is equipped with a table, there a top locked file cabinet and two (2) additional locked cabinets that will utilized to store the medication logs, files, medical devices and medication boxes. There is a refrigerator that will be utilized to store the clients prescribed medications. There is a First Aid kit observed to meet regulations and a Fire extinguisher observed to be fully charge. The detergent, chemical and cleaning supplies are stored in a locked cabinet above. Office: This room will be used as office space to serve as private setting for therapeutic services and for conducting private interviews. Bathroom #1 is a full size bathroom located in this office, equipped with one (1) toilet, one (1) sink , bathtub and a shower observed to be in good condition. The water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. There is a sliding door that leads to left side yard. The door is equipped with an alarm sensor. LIC- PAGE 1 of The laundry Laundry Unit is located in the hallway adjacent to the kitchen; enclosed inside of a single door door closet: This is a stacked washer and dryer unit. Children will be monitored by staff that will distribute the chemicals (i.e detergent, bleach, fabric softener). Bathroom #2 is located in the hallway: It is a full bathroom. It is equipped with one (1)toilet, one (1) sink and shower observed to be in good condition. The water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. Bedroom #1: is equipped with (2) two twin size beds, linen, blankets, pillows, adequate lighting, and closet space. There are (2) two night stands and (2) two dressers, and a closet. Windows have screens and are operable. Exit door leads to left side yard. Door is equipped with an alarm sensor and a lock on the bottom rail. Additional linens and towels are stored in the closet. Personal hygiene products and caddies are also stored in the closet. Bathroom #3 is a full on-suite bathroom located in bedroom #1. It is equipped with one (1)toilet, one (1) sink and shower observed to be in good condition. The water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. Education Room: will be utilized for school, There are (6) six desks, (6) six chairs, (2) two bookshelves and a seating area for (4) four persons and an area rug with no tripping hazard. Exit door leads to left side yard. Door is equipped with an alarm sensor. Windows have screens and are operable. Bedroom 2: is equipped with (2) two twin size beds, linen, blankets, pillows, and adequate lighting. There are (2) two night stands and (2) two dressers, and a closet. Additional linens and towels are stored in the closet. Personal hygiene products and caddies are also stored in the closet. This bedroom is adjacent to the Education Room. Exit door leads to backyard. Door is equipped with an alarm sensor and a lock on the bottom rail. Windows have screens and are operable. Bathroom #4 is a full bathroom and located adjacent to bedroom # It is equipped with one (1)toilet, one (1) sink and shower observed to be in good condition. The water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. LIC- PAGE 2 of Kitchen: The kitchen was observed to be clean and organized. The kitchen stove is gas operated with 5 burners; sink features a hot water fountain that is disabled for safety. A double door refrigerator with bottom freezer. Disinfectants are under the kitchen sink, and sharp knives are also inaccessible Licensee uses a magnetic key to lock these items in cabinets. There are (3) three bar stools and an island for dining. Dining Area: The dining area consists of (8) eight chairs and a large table Living Room: The living room is fully furnished. The living room is a common area with seating for eight (8), cabinet, television, and desk with one (1) chair. The facility has a working telephone and clients can use the telephone unless restricted by authorized representative and/or court order. Outdoor Area: The space is free of hazardous materials and debris. There are a total of seven (7) perimeter cameras. There is outdoor seating for (8) eight persons, a table and a large umbrella providing coverage. There is a metal gate that surrounds the front of the home. Electrical shut-off valve is located on left side yard next to Education Room. Gas shut-off valve is located on left side yard next to garage. Main water shut-off valve is in front of home. LPA observed all windows and screens to be in good condition. The passageways and porches are unobstructed. All posting requirements were met. LPA observed covered trash cans throughout the facility. LPA observed two (2) fire extinguishers located in the garage and in the dining area. The water temperature throughout the facility, measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. Additional dwelling unit (ADU) located at Lahey. This is an ADU and is not to be used and will not be a part of the license. LPA observed that it is blocked with a wall and separate from the main facility. The facility will operate within license conditions and limitations including capacity limitations. Facility personnel are instructed to report violations of personal rights. Licensee will report changes in the plan of operation affecting service to clients. Licensee will report client injuries requiring medical treatment. LPAs concluded the third (3rd) Pre-License Inspection. An exit interview was conducted, and a copy of this report will be emailed to Ahron Lefkowitz, CEO


summary: Facility Evaluation

raw_content:
Narrative:
On December 7, 2023 at 9:11AM Licensing Program Analyst (LPA) Christine Wilson arrived at the above facility for the purpose of conducting a Post-Licensing inspection. LPA Wilson met with the Social Worker (S1) who granted access to the facility. This is a one story facility, located at Lahey St. Granada Hills, CA. 91344.which consists of two (2) bedrooms, three (3) bathrooms, an office for therapy, two (2) car garage used for medication, and additional storage, living room, kitchen, dining area and education room. The facility can also be accessed through entrance in the garage. The facility is licensed to provide care and supervision for four (4) clients ages 12-17, ambulatory only. There is no facility vehicle at the time of this inspection. The facility will intake both male and female clients. At 9:40 am LPA conducted a walk through of the facility with staff (S2). There are six (6) smoke detector/carbon monoxide detectors; tested to be operable. There are (2) fire extinguishers with recent inspection. Garage: This area is considered a multi-purpose workroom for staff use only, and is utilized to store (PPE) Personal Protection Equipment; extra laundry and toiletry supplies, which are in several locked cabinets. It is equipped with a table and a printer. there a top locked file cabinet which contains PRN medications and sharp knives. The medication logs, files, medical devices and medication boxes are kept electronically in KIPU. There is a refrigerator that will be utilized to store the clients prescribed medications. There is a First Aid kit. The detergent, chemical and cleaning supplies are stored in a locked cabinet above. Office: This room will be used as office space to serve as private setting for therapeutic services and for conducting private interviews. Bathroom #1 is a full size bathroom located in this office, equipped with one (1) toilet, one (1) sink , bathtub and a shower observed to be in good condition. The water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. There is a sliding door that leads to left side yard. The door is equipped with an alarm sensor. Continued on LIC809C Page 2 of Page 2. The laundry Laundry Unit is located in the hallway adjacent to the kitchen; enclosed inside of a single door door closet: This is a stacked washer and dryer unit. Children will be monitored by staff that will distribute the chemicals (i.e detergent, bleach, fabric softener). Bathroom #2 is located in the hallway: It is a full bathroom. It is equipped with one (1) toilet, one (1) sink and shower observed to be in good condition. The water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. Bedroom #1: equipped with (2) two twin size beds, linen, blankets, pillows, adequate lighting, and closet space. There are (2) two night stands and (2) two dressers, and a closet. Windows have screens and are operable. Exit door leads to left side yard. Door is equipped with an alarm sensor and a lock on the bottom rail. Additional linens and towels are stored in the closet. Caddies are also stored in the closet. Bathroom #3 is a full on-suite bathroom located in bedroom #1. It is equipped with one (1)toilet, one (1) sink and shower observed to be in good condition. The water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. Education Room: will be utilized for school, There are (6) six desks, (6) six chairs, (2) two bookshelves and a seating area for (4) four persons and an area rug with no tripping hazard. Exit door leads to left side yard. Door is equipped with an alarm sensor. Windows have screens and are operable. Bedroom 2: is is occupied by one (1) male client (C1) and equipped with (2) two twin size beds, linen, blankets, pillows, and adequate lighting. There are (2) two night stands and (2) two dressers, and a closet. Additional linens and towels are stored in the closet. Personal hygiene products and caddies are also stored in the closet. This bedroom is adjacent to the Education Room. Exit door leads to backyard. Door is equipped with an alarm sensor and a lock on the bottom rail. Windows have screens and are operable. Bathroom #4 is a full bathroom and located adjacent to bedroom # It is equipped with one (1)toilet, one (1) sink and shower observed to be in good condition. The water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. Continued on LIC809C PAGE 3 of Page At 10:0am LPA Wilson observed the Outdoor Area: The space is free of hazardous materials and debris. There are a total of seven (7) perimeter cameras. There is outdoor seating for (8) eight persons, a table and a large umbrella providing coverage. There is a metal gate that surrounds the front of the home. Electrical shut-off valve is located on left side yard next to Education Room. Gas shut-off valve is located on left side yard next to garage. Main water shut-off valve is in front of home. LPA observed all windows and screens to be in good condition. The passageways and porches are unobstructed. All posting requirements were met. LPA observed covered trash cans throughout the facility. The water temperature throughout the facility, measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. At 10:32am, LPA WIlson observed the Kitchen: The kitchen was observed to be clean and organized. The kitchen stove is gas operated with 5 burners; sink features a hot water fountain that is disabled for safety. A double door refrigerator with bottom freezer. Disinfectants are under the kitchen sink, and butter knives are also inaccessible Licensee uses a magnetic key to lock these items in and current. LPA Wilson and (S2) observed batteries, WD40 and a garage opener in a drawer. Staff (S2) moved these items to a locked cabinet under the sink, in the presence of the LPA. Licensee is not in compliance with a regulation but the violation no longer poses a risk to the health and safety of the client. Dining Area: The dining area consists of (8) eight chairs and a large table Living Room: The living room is fully furnished. The living room is a common area with seating for eight (8), cabinet, television, and desk with one (1) chair. The facility has a working telephone and clients can use the telephone unless restricted by authorized representative and/or court order. Postings: The entryway had the Foster Youth Personal Rights and Emergency Disaster Plan LIC610C) posted. License is posted in kitchen area. Additional dwelling unit (ADU) located at Lahey. This is an ADU and is not used currently used. LPA observed that it is blocked with a wall and separate from the main facility. Continued on LIC809C PAGE 3 of LPA Wilson requested the following forms for review: Register of participants, Current Census, Personnel Report (LIC 500), Emergency Disaster Plan Protocols, Emergency Disaster Plan for Children's Residential Facilities (LIC 610C). Staff records are maintained electronically in Google Drive on the PA's laptop. Staff Records Review: LPA Wilson reviewed two (2) staff records (S1 and S3) stored in individual electronic personnel file using KIPU provided by PA. LPA ensured to thoroughly review the records of the primary active staff (i.e the Behavioral Health Technician and Social Worker). LPA reviewed the Personnel Report (LIC 500) and confirmed that facility has one (1) Social Workers (1 per 4 participants) and one (1) Social Worker Supervisor (Licensee) The facility is currently operating within staff ratio. LPAs review of Facility's Personnel Report Summary on 12/07/2023 that indicates that all personnel have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. LPA reviewed staff qualifications and training hours. The facility has three (3) Behavioral Health Technician personnel available on a 24-hour basis to respond to any emergency. Clients Records Review: LPA Wilson KIPU one (1) clients records (C1) which meet requirement. LPA reviewed the Admission Agreements, date of placement in facility, Emergency Contact information, and Needs and Services Plan (Treatment Plan). Staff Interviews: LPA Wilson conducted a confidential interview with two (2) on duty staff (PA and S1). Operational Requirements: LPA Wilson observed that non-discriminatory notice, facility license, activity calendar, foster youth bill of rights, facility sketch floor plan, in the entry and in kitchen area. Disaster Preparedness: LPA Wilson observed written procedures to address storage and preservation of medications, training on emergency procedures, monthly emergency drills, a disaster and mass casualty plan, a roster and contact information for clients. Emergency Intervention: Restraints are not used in the facility. Staffing Records: A review of records shows that all staff have FBI, DOJ and Child Abuse Index Check clearances, educational transcripts, first aid/cpr certification and identification. (Continued on 809C page 5 of 5) Page A (1) technical Violation is issued today.(See LIC9102) CCR Buildings and Grounds A technical Violation is issued today. Exit interview was conducted, and a copy of this report was left with the Program Administrator (PA).

met_with: Program Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 07/16/24 at 3:00pm, LPA Christine Wilson, LPM Kevin Sauk and CEO Ahron Leftkowich joined in a Teams meeting online. The purpose of the meeting was to gain clarification on the proposed residential use of the ADU location, and the processes CCL utilizes to potentially support an application for a provisional license. LPA Wilson: Is your understanding that you would provide an application for separate licensing of the separate address? CEO, I wasn't thinking about it in that regard and that is because its connected to the house. Same as a house with a back house and to incorporate it into the existing group home. At the time it seemed the only issue was the fire clearance. There is a separate entrance and three rooms. I wanted to use the space as a therapy room and the larger room as an office. That would free up the current office as a third bedroom. I wanted the same license and just to add the ADU to it. LPM Sauk: This was my understanding also; that you wanted a capacity increase from 4-6. If there is a hypothetical approval to do this, where would staff be stationed during the night shift? CEO: Staff will be in the main house because that is where the bedrooms would be. LPM Sauk: There is no direct access to the ADU from the main home. The ADU would have no bedroom usage? CEO Yes. We do not want clients coming through the office and would not want to have one in the ADU and others in the main house. This office will primarily be used for administrative use, and used as a space for staff to have meetings, and work space. Any staff on shift is on shift in the presence of clients. LPM Sauk: What do you need to do to gain clearance from the City? CEO Label the floorplan as a bedroom, change deadbolt to a handle. I was trying to coordinate between Fire and DSS and I may have gotten the wrong impression as to the use of each room in the house compared to the labeling of the rooms. When it came to the ADU my struggle and hesitation has been around the labeling of the bedroom when I would rather use it as a therapy room. Continues on page Page LPM Sauk: Is there any way to not have a separate address? If we license that, you would have to have two separate facility numbers. CEO: We want to use it for whatever we want to use it for. To remove that address I would have to do a lot of construction to remove the kitchen and further construction to attach it to the main house. We want the current license to be added on to the ADU. It cannot be a separate free-standing group home because of the number of rooms. LPM Sauk: You are not allowed to have meetings and client files in an address that is not licensed by us. What I can do is I can reach out to my supervisor to confirm that it could be the same license number. The fact that it has a separate address is a hurdle. CEO: Its also difficult because we are leasing. LPM Sauk: A suggestion could be, to maybe file for a relocation. It will cost you half of the relocation fees and you can find another property with the number of bedrooms and office space you need. How many clients do you have? CEO: we have no clients at this moment. Our population is teens with mental/behavioral health challenges and offering therapeutic services. We do not deal with addiction. We receive direct referrals from other programs. No one is living on the premises. LPM Sauk: I will reach out to my manager to understand if/how we could license the ADU. We have to see if this is a possibility for licensure or not. LPA Wilson: I will send you a report today, as if we met in person, for your signature. End of meeting 3:32pm

met_with: CEO Ahron Leftkowich


summary: Facility Evaluation

raw_content:
Narrative:
On August 28, 2024 at 9:14AM Licensing Program Analyst (LPA) Christine Wilson arrived at the above facility for the purpose of conducting a Post-Licensing inspection. LPA Wilson met with the Lead Behavioral Health Technician (S1) and (S2) who granted access to the facility. Client (C1) and the Clinical Therapist (CT), were also in the home at the time of LPA Wilson's arrival. This is a one story facility, located at Lahey St. Granada Hills, CA. 91344.which consists of two (2) bedrooms, three (3) bathrooms, an office for therapy, two (2) car garage used for medication, and additional storage, living room, kitchen, dining area and education room. The facility can also be accessed through entrance in the garage. The facility is licensed to provide care and supervision for four (4) clients ages 12-17, ambulatory only. There is no facility vehicle at the time of this inspection. The facility will intake both male and female clients. There are six (6) smoke detector/carbon monoxide detectors; tested to be operable. There are (4) fire extinguishers with recent inspection. The facility has a working telephone and clients can use the telephone unless restricted by authorized representative and/or court order. A comfortable temperature for staff and clients was maintained by a thermostat in all areas of the home. Postings: The entryway had the Foster Youth Personal Rights and Emergency Disaster Plan LIC610C) was posted. Updated facility sketch, emergency services phone numbers, Heath and safety poster and License which is all posted in the entry area. At 9:49 am LPA conducted a walk through of the facility outdoor area with staff (S1). LPA Wilson observed the Outdoor Area: The space is free of hazardous materials and debris. There are a total of seven (7) perimeter cameras. There is outdoor seating for (8) eight persons, a table and a large umbrella providing coverage. There is a metal gate that surrounds the front of the home. Electrical shut-off valve is located on left side yard next to Education Room. Gas shut-off valve is located on left side yard next to garage. Main water shut-off valve is in front of home. LPA observed all windows and screens to be in good condition. The passageways and porches are unobstructed. All posting requirements were met. LPA observed covered trash cans throughout the facility. Continued on LIC809C PAGE 2 of Page 2 9:54 am Additional dwelling unit (ADU) located at Lahey. This is an ADU and is not used currently used. LPA observed that it is blocked with a wall and separate from the main facility.LPA Wilson observed that the kitchenette has a stove and a refrigerator, which is empty. The bedroom has two beds, linens and an on suite bathroom. This room is currently not being used for any programming. 9:59 am Garage: This area is considered a multi-purpose workroom for staff use only, and is utilized to store (PPE) Personal Protection Equipment; extra laundry and toiletry supplies, which are in several locked cabinets. It is equipped with a table and (2) chairs. There a top locked file cabinet which contains PRN medications and sharp knives. The medical devices and medication boxes are kept in locked cabinets, which (S1) opened with keys. Medical logs, and files are electronically in KIPU. There is a refrigerator that will be utilized to store the clients prescribed medications; however the current client has no medications needing refrigeration. There are (2) First Aid kits with all required supplies. The detergent, chemical and cleaning supplies are stored in overhead locked cabinets. There is a fire extinguisher with current inspection and a large area rug in the center of the room, with no tripping hazard. 10:08 am Therapy Room: This room is used by the Clinical Therapist (CT), as space to serve as private setting for therapeutic services and for conducting private interviews. Bathroom #1 is a full sized bathroom located in this office, equipped with one (1) toilet, one (1) sink , bathtub and a shower observed to be in good condition. The water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. There is a sliding door that leads to left side yard. The door is equipped with an alarm sensor. Laundry: The laundry Laundry Unit is located in the hallway adjacent to Bathroom #2; enclosed inside of a single door closet: This is a stacked washer and dryer unit. Children will be monitored by staff that will distribute the chemicals (i.e detergent, bleach, fabric softener). Bedroom #1 is located adjacent to the Therapy Room. This bedroom is unoccupied and equipped with (2) two twin size beds, linen, blankets, pillows, and adequate lighting. There are (2) two night stands and (2) two dressers, and a closet. Additional linens and towels are stored in the closet. (2) caddies for personal hygiene products are also stored in the closet. Continued on LIC809C PAGE 3 of Page Bathroom #2 is a full bathroom and located adjacent to bedroom # It is equipped with one (1)toilet, one (1) sink and shower observed to be in good condition. The water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. Education Room: This room is utilized for schooling, indoor activities and a meeting space for families when visiting. There are (6) six desks, (6) six chairs, (2) two bookshelves and a seating area for (4) four persons and an area rug with no tripping hazard. Exit door leads to left side yard. Door is equipped with an alarm sensor. Windows have screens and are operable. This bedroom is adjacent to the Education Room. Exit door leads to backyard. Door is equipped with an alarm sensor and a lock on the bottom rail. Windows have screens and are operable. Bathroom #3 is located in the hallway, adjacent to the kitchen: It is a full bathroom. It is equipped with one (1) toilet, one (1) sink and shower observed to be in good condition. The water temperature of the sink measured below the recommended temperature of between 105 and 120 degrees. Licensee is not in compliance with a regulation but the violation poses no risk to the health and safety of the client. A technical Advisory was issued. Bedroom #2: is is occupied by one (1) male client (C1) and equipped with (2) two twin size beds, linen, blankets, pillows, and adequate lighting. There are (2) two night stands and (2) two dressers, and a closet. Additional linens and towels are stored in the closet. Personal hygiene products and caddies are also stored in the closet. This bedroom is adjacent to the Education Room. Exit door leads to backyard. Door is equipped with an alarm sensor and a lock on the bottom rail. Windows have screens and are operable. At 10:17am, LPA Wilson observed the Kitchen: The kitchen was observed to be clean and organized. The kitchen stove is gas operated with 5 burners; sink features a hot water fountain that is disabled for safety. A double door refrigerator with bottom freezer. Disinfectants are locked under the kitchen sink, and butter knives are also inaccessible and kept in the garage in a lock box. Licensee uses a magnetic key to lock these items in and current. LPA Wilson and (S1) observed there was several days worth of fresh and properly stored perishable and 10 days of non-perishable food items. A menu was current and posted and (S1) stated that shopping is done weekly. Continued on LIC809C PAGE 4 of Page Dining Area: The dining area consists of (8) eight chairs and a large table in good condition. Living Room: The living room is fully furnished. The living room is a common area with seating for eight (8), cabinet, television. 11:01am Staff/Client Interviews: LPA Wilson conducted a confidential interview with two (2) on duty staff (CT and S1) and (1) client (C1). At 12:50pm, LPA Wilson was greeted by Program Administrator (PA) and Clinical Director (CD) and requested the following forms for review: Register of participants, Current Census, Personnel Report (LIC 500), Emergency Disaster Plan Protocols, Emergency Disaster Plan for Children's Residential Facilities (LIC 610C). Staff records are maintained electronically in Google Drive on the (PA's) laptop. Staff Records Review: A review of Guardian shows that all staff have FBI, DOJ and Child Abuse Index Check clearances. LPA Wilson reviewed two (2) staff records (S1 and CT) stored in individual electronic personnel file using KIPU provided by (PA). LPA ensured to thoroughly review the records of the primary active staff (i.e the Lead Behavioral Health Technician and Clinical Therapist).) LPA's review of Facility's personnel records indicates that Staff (CT) does not have a copy of the necessary clearances with DOJ, FBI, and Child Abuse Response in their file, nor does (CT) have a Job Description in their file. LPA reviewed staff qualifications and training hours. (Staff (S1) does not have their educational records in their file. The facility has two (1) Behavioral Health personnel (CD) available on a 24-hour basis to respond to any emergency and is within 30 minutes of the facility for on-call purposes. Clients Records Review: LPA Wilson KIPU one (1) clients records (C1) which meet requirement. LPA reviewed the Admission Agreements, date of placement in facility, Emergency Contact information, and Treatment Plan (Needs and Services Plan). Emergency Intervention: Restraints are not used in the facility. (Continued on 809C page 5 of 5) Page A (1) Technical Advisory is issued today. (See LIC9102) There are (4) Technical Violations issued today. (See LIC9102) Exit interview was conducted, and a copy of this report was sent to the Program Administrator (PA).

met_with: Lead Behavioral Technician