summary: Facility Evaluation

raw_content:
Narrative:
On 02/11/2025, at 10: AM, the CA Department of Social Services' (CDSS) Community Care Licensing Division (CCL) and the County of Sacramento held the monthly collaborative meeting over Microsoft Teams. The attendees were: from County, Cathi Johnson, Sac County Administrator, Alondra Neira,Program Planner, and Alicia Wasklewicz,Sac County Administrator, from CCL, Margo Castaneda, Regional Director, Jodean Hall, Rosa Rodriguez, Hillary Hall, Licensing Program Managers and Tina Thorn, Chad Cabigon, and Connie Goldie, Licensing Program Analysts and from CDSS' System of Care Branch (SOC), Levi Huser, Ashley Bray, and Alicia Bernstein. The following items were discussed- What's working well: Ms. Johnson stated that the County is continuing to focus on training of staff in various areas and two houses have placement. Duty statements will be reviewed with staff, signed, and placed in their files. CCL stated facility staff are pleasant, workers of the day are helpful during inspections and youth are observed to be engaged. CCL requested copy of duty statements by 02/21/2025. Administrator Update: Alicia Wasklewicz, administrator applicant provided Group Home Certificate to CCL on 02/11/2025. CCL clarified expectations that Administrator will provide oversight as needed. Program Statement Update: CCL received Program Statement updates as requested on 01/31/2025. CCL is in the process of reviewing received documentation. CCL's review of revisions will be completed by 02/21/2025. Continued on LIC809C. page Pasadena House License Status: The County stated the Pasadena House license will be maintained until further notice. County will communicate when this transition occurs. Trauma Informed Care (TIC): CCL requested a list of which staff are not currently trained in TIC. County stated they will provide a copy of the training log highlighting staff who still need to complete this training. CCL requests this be submitted by 02/18/2025. CCL asked if security guards will receive restraint training. The County stated security guards will not be restraint trained and will not put hands on youth. Reporting Requirement Update: CCL discussed the continued issue of late and/or missing reports for all TSCF facilities. The County stated that their records are not consistent with CCL reported numbers and requested that CCL attach which reports are missing going forward. Increase of Unauthorized Absences: CCL discussed observation of increased unauthorized absences and asked how staff attempt to prevent youth from leaving. County shared that staff follow youth to the property perimeter line when leaving due to safety concerns. It was also stated staff ratios can determine if a youth is followed. CCL advised the county to include reason for not going further than property line on incident reports. Levi Huser from Systems of Care Branch offered an opportunity for collaboration to discuss ideas on reducing law enforcement contacts. LIC Office Meeting Review: Licensing Program Analyst and Licensing Program Manager will have a Teams Meeting with the County to review the LIC809 report for the monthly collaboration meeting each month in order for any revisions to be made immediately as necessary. The reports will then be emailed to obtain a signature. Ashley Bray from Systems of Care offered to assist with creating individual safety plans with a harm reduction approach in order to be proactive. Ms. Bray suggested County staff and licensing staff participate in the meeting. The office meeting concluded at 10: AM.

met_with: Cathi Johnson, Administrator


state: CA

facility_name: COUNTY OF SACRAMENTO DCFAS SUNSET HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced case management inspection on 3/6/25 at 1: PM and met with Esteban Baul, Engagement Social Worker. LPA informed Mr. Baul to discuss an incident report dated 2/12/25. LPA Hill obtained documentation related to C1 (see LIC811 dated 3/6/25) and questioned Mr. Baul about the incident. LPA Hill informed the facility that additional investigation is needed at this time. Exit interview conducted and document was provided.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Esteban Baul, Engagement Social Worker


summary: Facility Evaluation

raw_content:
Narrative:
Present: CCL: Margo Castaneda, Regional Manager Licensing Program Managers: Hillary Hall, Jodean Hall, and Rosa Rodriguez Licensing Program Analysts: Chad Cabigon, Tina Thorn, and Connie Goldie Sacramento Welcome Home County Partners: Cathi Johnson, Ali Neira, Tashna Ward, Alicia Wasklewicz Systems of Care: Alicia Bernstein, Ashley Bray and Levi Huster On 03.11.25, the following was discussed during the CCL collaboration meeting with Sacramento County regarding the Temporary Shelter Care Facility. Both the county and CCL reported on what's going well: Alicia Wasklewicz collaborated with Systems of Care representative and obtained resources and expressed gratitude for the connection. LPAs for each facility reiterated that the staff have been engaged with clients and responsive to LPAs. LPA Goldie reported on progress with Program Statement Review. LPA stated that she was able to access forms easily. LPA also stated that most of the revisions were a matter of gaining clarification, requesting transcripts, and having County provide more explanation regarding how the processes will be implemented. LPA Goldie gave a briefing on revision requests, namely the under 6 and discipline policies and of requesting transcripts for staff to ensure requirements are met. The County expressed that obtaining transcripts is proving to be a longer process depending on the time frame in which the staff took the required courses. The incident report submission process was discussed, with the county's new system, SMILE being implemented 03.17.25. C. Johnson explained that the county's new system should reduce the reporting time frame by providing email alerts to submit required reports and will provide more reminders to support staff. Continued 809C The county was informed that, going forward, they will be cited if incident reports are turned in late. CCL shared information about our Technical Support Program that will provide support and training for the facility. T. Ward reported 12 staff are fully trained in Therapeutic Crisis Intervention (TCI). There are still staff needing to be trained. It was reported that enough staff are trained to ensure there are 2 people per shift available to do restraints if necessary. The expectation is that all staff are trained by April 1, 2025. County reported that on March 22, 2025, Foster Hope is set to take over operations at the current Madison House. Youth will move to Pasadena and Chicago House to allow Foster Hope to get situated. The County expressed a desire to keep Pasadena House as a home to relocate youth if Chicago House needs to be evacuated for emergency reason or if something needs to be fixed at Chicago House. It was also expressed that Chicago House may be used to conduct staff training and/or for youth visitation when needed and if not occupied by youth. SOC asked if County wanted their harm reduction policies/forms reviewed. A. Bernstein provided email address to the County. Regional Manager M. Castaneda concluded the meeting after offering time for more questions or comments.


summary: Facility Evaluation

raw_content:
Narrative:
On 05/13/2025 the Sacramento Regional Office of Community Care Licensing's (CCL) Children's Residential Program and the Sacramento County Department of Child, Family, and Adult Services (DCFAS) held the monthly Temporary Shelter Care Facility (TSCF) collaborative meeting over the Teams platform. In attendance were Margo Castaneda, Jodean Hall, Rosa Rodriguez, Connie Goldie, Chad Cabigon, Sarina Buchannan, Zaria Turner, Cathi Johnson, Ali Neira, Alicia Wasklewicz, Tashna Ward, and Veronica Carrillo. The following items with respect to the Sacramento Welcome Home (SWH) locations were discussed: What's Working Well: Both the County and CCL stated there is much more collaboration going on which has been very beneficial. SMILE has made a huge impact on getting IRs timelier. Alicia Wasklewicz has made a tremendous impact being at the homes. Provisional License: CCL informed the County that the provisional status of the Pasadena and Chicago Houses will be extended to 11/30/2025-the updated licenses will be provided to the County shortly. Under Program Statement: CCL informed the county that the review of the Under 6 program statement is in progress and requested access to few more documents the LPA was not able to open. Request granted during the meeting. Incident Reports: The SMILE system has been a big success. County is still working on a few inconsistencies and duplication of reports. The county will reinforce to the staff the policy of IRs. (, 809-c) Harm Reduction: As previously stated, any harm reduction plan must be approved by CCL before its implementation. It was also discussed that the harm reduction plan must be specific per youth, and CCL recommended that County reach out to the SOC (System of Care) Branch and to the case carrying LPA and their Licensing Program Manager for collaboration. Unauthorized Absence: County clarified that after four hours of a youth being gone, they pack up their belongings for safe-keeping. County explained that the runaway youth does not necessarily lose their bed if another youth comes into the facility unless that youth tells the facility beforehand that they do not plan to return within 24 hours. County also shared that they continue working on having direct-care staff be more consistent about following youth to the end of the Homes' property lines when clients elope. Reporting Requirement 10-day overstay: By way of reminder, CCL requests County include both the assigned LPA and the LPM (Licensing Program Manager) when sending out the overstay reports. Over-Capacity: County shared part of the challenge has been that their TSCF-partner providers may refuse to accept youth for staffing reasons or due to the level of care and/or compatibility concerns for certain cases. County explained they are working with other providers for additional locations. Another obstacle is when placement is found for the youths but they refuse. Restraint Training: County explained that there is a small group that needed to re-take a required test before transitioning to the next phase causing a delay. By the end of today, the Administrator will be sending a list of fully trained staff and/or a scheduling plan that shows at least two staff per shift are certified to utilize manual restraints if needed. County reiterated its aversion to staff applying restraints on youth and has come up with a Best Practice Acknowledgement form that they are requiring staff to sign before staff are cleared to use such interventions-these forms are being sent out starting this week. CCL asked if County can identify any additional support that CCL can provide; no other items were discussed at this time. A copy of this report is being provided to the County.

met_with: Cathi Johnson et al.


summary: Facility Evaluation

raw_content:
Narrative:
On 06/20/2025 at 12: PM, Licensing Program Analyst (LPA) Connie Goldie, made an unannounced visit for the purpose of initiating a Case Management, regarding an incident that was reported to the Department on 06/20/2025, involving the death of a client. LPA Goldie met with Alica Waskliewicz Administrator and Danielle Chan, Supervisor. LPA conducted a tour of the facility inside and out with Ms. Chan. LPA conducted 3 staff interviews and 2 client interviews. LPA reviewed a copy of C1's file and requested a complete copy of C1's electronic file. LPA also requested a copy of schedule and census for June 2025. Further investigation is required. An exit interview was conducted, and a copy of this report was left with Danielle Chan, Supervisor..

met_with: Alica Waskliewicz Administrator Danielle Chan, Supervisor.


summary: Facility Evaluation

raw_content:
Narrative:
On 07/16/2025 at 01: PM, Licensing Program Analyst (LPA) Connie Goldie, made an unannounced, subsequent visit for the purpose of closing out a Case Management, regarding an incident that was reported to the Department on 06/20/2025, involving the death of a client. LPA Goldie met with Shawn Singh, Engagement Social Worker LPA Goldie interviewed the Program Administrator S1, Engagement Social Workers S2 and S3, clients C3 and C4, and a detective badge #1003 between 06/20/2025 and 07/01/2025. Additionally, LPA Goldie received a copy of C2's statements made to law enforcement and the client's, C1's complete file. LPA Goldie will obtain a copy of the coroner's report and police report for the file at a later date, as reports are not available at this time. No deficiencies were cited. This case management is closed. No follow up is needed. An exit interview was conducted, and a copy of this report was left with Shawn Singh, Engagement Social Worker.

met_with: Shawn Singh, Engagement Social Worker


summary: Facility Evaluation

raw_content:
Narrative:
On 07/16/2025 at 01: PM, Licensing Program Analyst (LPA), Connie Goldie arrived unannounced at the facility for the purpose of conducting a Case Management regarding an incident that was reported to the Department on 06/19/2025 and occurred on 06/18/2025. LPA met with Shawn Singh, Engagement Social Worker and Danielle Chan, Supervisor who assisted with the inspection. The incident dated 06/18/2025 reported a fire was started by clients C1 and C2. During the Case Management Inspection, LPA interviewed two staff. LPA conducted a health and safety inspection of facility inside and out and no deficiencies were observed. Further investigation is required to resolve this case management. LPA Goldie conducted an exit interview and provided a copy of this report to Danielle Chan, Supervisor. * edited the date on the amended copy in the narrative

met_with: Shawn Singh, Engagement Social Worker Danielle Chan Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On 07/17/2025, Licensing Program Analyst, (LPA) Connie Goldie made a subsequent case management visit for the purpose of following up on an incident that was reported to the Department on 06/19/2025 and occurred on 06/18/2025. LPA met with Danielle Chin, Supervisor, who assisted with the inspection. The incident dated 06/18/2025 reported a fire was started by clients C1 and C2. During the Case Management Inspection, LPA interviewed three staff. Based on interviews with S1, S2, S3, S4 and S5 it was determined that their was adequate supervision and the fire was put out immediately. No citations were issued. Case management is closed. LPA conducted an exit interview and provided a copy of the report to Danielle Chin, Supervisor.

met_with: Danielle Chin, Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On December 11, 2025, at 2: PM, Community Care Licensing (CCL) - Children's Residential Assistant Program Administrator Margo Castaneda, Regional Manager Danielle Walker-Flores, Licensing Program Manager (LPM) Connie Goldie, Licensing Program Analyst (LPA) Chad Cabigon, and Licensing Program Analyst (LPA) Orlando Areizaga conducted an Informal Meeting in the Sacramento Regional Office with Sacramento County Department of Child, Family and Adult Services' Deputy Director Melissa Lloyd, Division Manager Cathi Johnson, and Sacramento Welcome Home (SWH) Administrator Alicia Wasklewics. Also in attendance were Provider Policy Implementation Unit Manager Alicia Bernstein and Policy Analyst Levi Huser from CDSS' System of Care Branch. The purpose of the meeting was to discuss compliance concerns. The following areas of concern were addressed: staffing, staff training, accessibility of staff records, completeness of children's records, and overcapacity. The operations of the facility were discussed and additional action plan documentation was provided by Sacramento County. Action Plans include the following: Staffing: the facility is hiring additional staff for each location. Training expectations: overtime social worker staff are undergoing the required direct-care staff training; Alicia is to send training logs for staff who have training that are still outstanding by 12/24/25. (Continued on 809c) Staff records: Alicia is to be the point person for access to personnel files. SWH staff who receive Community Care Licensing (CCL) personnel during onsite inspections are to contact Alicia for any staff records request. Children's records: The Worker of the Day (WOD) position was never discontinued, only decentralized; SWH is reinforcing the role by having the WOD per shift be responsible for client intake to the completion of a client's file within 24 hours. Alicia to send new checklist(s)/form(s) that are to be used by SWH staff as templates to ensure completion of client records. Overcapacity: SWH will provide CCL a collaborative plan for how overcapacity will be addressed through partnerships with other licensed facilities. CCL is approving an extension of the provisional license until the end of March 2026. A copy of this report is being provided to Sacramento County Division Manager Cathi Johnson.

met_with: Melissa Lloyd, Cathi Johnson, Alicia Wasklewics


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Seven of eleven confidential interviews were in corroboration with each other regarding the inconsistency of staff supervision on minors during the time period of interest, with some reports of staff going "as long as "1.5 hours" during the day without checking on youth and their activities in the clients' bedrooms. Statements from staff also support the possibility of inappropriate sexual interactions taking place within the facility between minors as a result of staff not monitoring clients frequently enough. Based on LPA's conducted interviews, the preponderance of evidence standard has been met; therefore, the allegation is found to be Substantiated. California Code of Regulations Chapter 5, Article Section 84065.2(b)(1) is being cited on the attached LIC 9099D. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility.

Investigation Findings:
SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

report_type: Complaint Investigation

met_with: Nykesha Sinegal-Thompson, ESW

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
According to corroborating statements from a client, facility staff, and additional County of Sacramento personnel, a client slept in a common living space on a cot for approximately one week or more without a bedroom assignment, despite vacancies arising. Sources also corroborated limited privacy and delayed bedroom assignment in part due to incompatibility reasons with the client's prospective roommates-LPA independently verified that of the nine facility youth whose placement periods overlap with the client, only one was of the same gender. Based on LPA's conducted interviews and a records review, the preponderance of evidence standard has been met; therefore, the allegation is found to be Substantiated. California Code of Regulations, Chapter 5 (Group Homes) section 84087(b)(4) is being cited on the attached LIC 9099-D. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility.

Investigation Findings:
13On 12/31/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this TSCF (Temporary Shelter Care Facility) to deliver findings for the complaint investigation. LPA met with Social Work Supervisors Rahsaan Williams and Danielle Chan and the following report was discussed: LPA investigated a complaint alleging that "Client (was) not provided appropriate bedroom accommodations." The investigation was initiated in person on 09/25/2025 at the facility, during which time a walkthrough of the Shelter grounds was done. Interviews conducted throughout the course of the investigation were with a client, Sacramento Welcome Home (SWH) direct-care staff, and County of Sacramento DCFAS (Department of Child, Family and Adult Services) personnel. A records review was done, noting relevant information from the facility's placement history. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Connie Goldie LICENSING EVALUATOR NAME: Chad Cabigon 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: SACRAMENTO WELCOME HOME (SWH) - CHICAGO HOUSEFACILITY NUMBER: VISIT DATE: 12/31/2025

met_with: Rahsaan Williams, Danielle Chan


summary: Facility Evaluation

raw_content:
Narrative:
On 04/25/2025, at XX:XX PM, Licensing Program Analyst (LPA) Connie Goldie arrived at facility to conduct an unannounced case management inspection. LPA Goldie spoke with Daniele Chan Engagement Supervisor and Michael Gilbert Facility Manager who assisted LPA with the inspection. During previous inspections, on 02/06/2025 and 04/17/2025, it was learned that staff are not following runaway protocol as stated in Plan of Operation/ Program Statement. Youth stated they are not being followed to the perimeter of property and staff corroborated that they do not consistently follow this process. The facility is being cited for Title 22 80022(k) Plan of Operation are being cited on the attached LIC 9099D." An exit interview was conducted. A copy of all reports and appeal rights were provided to the facility.

met_with: Daniele Chan Engagement Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill conducted an unannounced case management inspection on 5/1/25 at 2: PM and met with Danielle Chan, Engagement Supervisor. LPA Hill discussed with Ms. Chan and incident that is still pending completion regarding an incident dated 2/12/25 in which the agency's security guard restrained a child in care at the facility. LPA Hill conducted interviews and obtained additional information regarding efforts made by Sacramento County in this ongoing investigation as well. This investigation is still ongoing at this time. While at the facility, LPA Hill learned that there are seven children present in the facility but the facility is only licensed to provide care and supervision for no more than six children at this location. LPA Hill was made aware that there is a sibling set of four that were admitted on 4/25/25, and three other clients have been in the facility more than ten days. LPA Hill cited the facility per Title 22 of the California Code of Regulations Chapter 1, General Licensing Requirements, Section 80010(a) Limitations on Capacity & Ambulatory Status as the facility is not to operate beyond their licensed capacity which is six at this location. LPA Hill informed Ms. Chan that the facility cannot operate beyond the conditions and limitations specified on the license. Exit interview was conducted and the citation, along with the appeal rights were provided to Ms. Chan.

met_with: Danielle Chan, Engagement Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill conducted an unannounced case management inspection on 5/20/25 at 2: PM and met with Pedro Shamar Lewis, Engagement Social Worker to discuss the conclusion of a case management inspection initiated March 6, 2025, with a subsequent inspection conducted May 1, 2025. The initial inspection was related to an incident report dated February 12, 2025, in which C1 was restrained by a security guard (SG) contracted by the Licensee and S1. LPA Hill conducted interviews with direct care staff at the facility, a representative of the security agency, and an Engagement Supervisor as part of this investigation. LPA Hill did attempt to reach out to SG but was not able to obtain contact information due to the security company indicating they would not provide SG's information until the Department of Consumer Affairs, Bureau of Security and Investigative Services (BSIS) completed their investigation and review . LPA Hill did attempt to obtain additional information from BSIS but it was not available. Interviews conducted with the Sacramento County staff working in the facility indicate that at the time of the incident, S1 was not trained to provide manual restraints or provide restraint assistance at the facility and should not have physically engaged. As a result of the case management inspections conducted February 12, 2025 and May 1, 2025, the agency was cited per Title Regulation Section 84365(a) Emergency Intervention Staff Training as no facility personnel are to use emergency intervention techniques, including manual restraints on a child unless the training instructor has certified in writing that the facility personnel have successfully completed the emergency intervention training. S1 had not completed the required training and the instructor had not certified it was completed at the time of the restraint. **Continued** In questioning the role and training for security guards in the facility, it was indicated that security guards are to "observe and report only" and are not to provide any physical intervention, manual restraint(s) and/or assistance, or direct supervision of the youth in care, nor are they trained on the trauma informed responses or practices utilized by direct care staff. While reviewing the facility's program statement, it was not clear about the specific role(s) security guards play in the facility. In addition, the plan of operation is silent on what the security guard(s) are not allowed to do. As discussed during meetings and in-person discussions held between Community Care Licensing staff and Sacramento County, the security guards are to "observe and report only" but this is not explicitly indicated. The Plan of Operation/Program Statement are not clear about security guard training related to the agency's emergency intervention and/or trauma informed practices. LPA Hill did issue a Technical Advisory (LIC 9102TV) regarding this and did request that this be updated and provided to the Licensing Program Analyst reviewing the Plan of Operation and Program Statement. Exit interview was conducted and documents were provided to Pedro Shamar Lewis, along with appeal rights.


summary: Facility Evaluation

raw_content:
Narrative:
On 05/28/2025, at 09: AM, Licensing Program Analyst (LPA) Connie Goldie made an unannounced visit to conduct an Annual/Required inspection. LPA Goldie was greeted at the door by James Hill, Security Guard. Alicia Wasklewicz, Program Administrator(PA) assisted with the inspection and stated 5 staff and 4 clients are present. One client is at school. LPA toured facility with PA and observed a 3 dual occupancy bedroom, 4 bath single story home with a large living room that has adequate seating for clients/staff. The temperature was observed to be a comfortable 70 degrees. Bedrooms had appropriate furnishings and linens as required. LPA observed kitchen to have 5 days of non-perishables and refrigerator/freezer with 2 days of perishables. Refrigerator temperature read 42 degrees Fahrenheit. Dining area has a seating area for clients that is adequate. Family room has additional area for activities. LPA observed soap and towels in bathrooms. The water temperature was observed to be compliant in kitchen, and although bathrooms temp measured at 127 degrees F, a warning sign was posted above the sink. LPA observed hygiene projects to be available to clients. LPA observed a secured shed in the backyard. Backyard was clear of debris. LPA observed a standing ashtray in the backyard. LPA communicated that licensed facilities are unable to have designated smoking areas on the property. Ms. Wasklewicz contacted facilities and requested removal. LPA observed facility van to be in safe driving conditions, headlights working, tire tread appropriate and all seat belts working. LPA verified that all staff are background cleared. LPA conducted three client youths. One youth declined to be interviewed. Continued on LIC809C LPA received the updated LIC 500 and LIC 610C during inspection. The following deficiencies are being cited today- Two Type B Heath and Safety Code and one Type B Title 22 violations. An additional inspection will be necessary to complete the Annual/Required inspection. An exit interview was conducted and documents were discussed and provided to Ms.Wasklewicz, along with appeal rights.

visit_type: Annual

met_with: Alicia Waskliewicz, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 06/03/2025, at 9: AM, Licensing Program Analyst (LPA) Connie Goldie met with Esteban Baul,(S1) Karla Maldonado S2 and Pedro Lewis (S3) Engagement Social Workers, (ESWs) to continue unannounced/required Annual inspection. S1 stated that four staff and six youth are currently in the facility. One client is at school. Upon arrival, LPA Goldie learned that there are seven children present in the facility but the facility is only licensed to provide care and supervision for no more than six children at this location. LPA Goldie was made aware that eight youth are currently in census, one of which arrived this morning. Lashon Tate, Supervisor stated the facility has had more than six youth in care since 05/31/2025. LPA Goldie conducted four staff interviews, S1, S2, S3,and S4. See confidential names list LIC811. La Shon Tate, Supervisor, assisted LPA Goldie with record reviews. LPA Goldie reviewed staff training, five youth records and conducted a medication review. The following deficiencies are being cited today: Two Type A Title California Code of Regulations Chapter 1, Division 6, Chapter 5, 80010(a) Limitations on Capacity and 84070(b)(15) Children's Records and two Type B Interim Licensing Standards (ILS) Article 6, Section 84661(b) Reporting Requirements, and 84668.1(c)(2)(A) Intake Procedures. See LIC809D. Annual inspection is complete. LPA conducted exit interview with Ms.Tate at 04: PM. A copy of this report along with appeal rights was provided to the administrator.

met_with: LaSon Tate Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On 07/31/2024 at 1: PM License Program Analyst, (LPA) Connie Goldie conducted a Post-Licensing inspection. LPA Goldie met with Tamika Hardy, Child Development Supervisor who assisted with this inspection. Upon arrival, three staff, four youth and a security guard are present in the facility. LPA toured the facility with Ms. Hardy. Upon entering the home there is a receptionist area with a security officer present . LPA observed a dining room table with six chairs to the right of the family room area which provides adequate seating for children. A personal rights poster was located in the family room. The kitchen was observed to have a sink with no dishes,appliances in good working order and a menu posted. Perishable and non-perishable foods available exceeded the minimum requirements. LPA requested Ms. Hardy to open cabinet under sink and observed bleach to be accessible in an unsecured location. LPA observed plates, cups and cutlery adequate for the capacity of the home. The garage of the home is where the facility stores extra hygiene products, youth belongings in cabinets along wall and additional food. An additional refrigerator and freezer are located in the garage. The bulletin board had license, a grievance QR code and an emergency procedure plan posted. A small office is set up in this area but, files are not located here. The living room space has clear pathways and comfortable seating for the youth in the home. The four bathrooms observed have soap, paper towels and hygiene products available. The water temperature was measured at 123 degrees which is above the allowed temperature per regulation. A secured office was observed to have medication, sharps and youth files. LPA observed the outside area to be free of debris. Hallway closet was observed to have linens. Two dual bedrooms were observed to have beds and storage space required. A third dual bedroom was observed to not have any youth and currently isn't being used. LPA Goldie conducted two client interviews and three staff interviews. LPA cited facility for Title 22 deficiencies. LPA will return to complete Post Licensing Inspection on a subsequent visit. An exit interview was conducted with Tamika Hardy. A copy of this report was provided.

met_with: Tamika Hardy Child Development Specialist Tashna Ward Program Manager


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 08/16/2024, at 12: PM, Licensing Program Analyst (LPA) Connie Goldie conducted a visit to the facility for the purpose of a Case Management visit relating to the Post Licensing inspections completed on 07/31/2024 and 08/07/2024. LPA met with staff listed above who assisted with this inspection. LPA Goldie discussed issues observed during Post licensing inspections completed on dates listed above, LPA Goldie observed the following during the physical plant inspection: Upon arrival on 07/31/2024, LPA observed three staff playing cards at the kitchen table. Three clients in care were in their bedrooms. Additionally, on 08/07/2024, LPA observed a client sleeping on the couch in the living room area. Outside, assorted garbage including a water bottle, perfume bottle, paper plates and food wrappers on lawn adjacent to bedroom was observed. Staff stated clients just toss garbage out of their bedroom windows. LPA discussed that it needs to be picked up. A gate door, observed to be broken, was leaning up against the chain link fence on the back right corner of the property. In the kitchen, a cabinet door was missing. Staff stated work orders have been placed for these items to be repaired. Bedroom number 3 was barricaded with a bed pushed up to the door on both dates listed above. On 07/31/2024, Staff, S3 stated that they were unaware if staff or youth placed the bed to block the doorway. LPA stated that the bed needed to be moved as the bedroom needs to be accessible. On 08/07/2024, staff (S7) entered the window of bedroom number 3 and moved furniture to make bedroom accessible as required as it was again found to be barricaded. The mattresses in bedrooms one, two and three were observed to have worn bedsprings and unclean mattresses. Linens as required were not observed on any of the beds either. There was no activity calendar available for the summer and a client (C5) stated during interview that there were no activities available in the home. The First Aid kit was observed to be missing the first aid manual, scissors, antiseptic solution and adhesive tape. LPA requested staff records on both dates and staff were unable to provide files. Continued on LIC809C Children's records were observed to be incomplete. Placement agreements were unavailable in children's files. Assessments were unsigned. Personal rights forms were unsigned by C2 and C4, consent forms for medical were missing for C2, C3 and C5. All clients did not have cash resource logs. No Medication Administration Records (MARS) were present for August 2024. The acting supervisor was unaware of medication policy and procedures according to regulation and stated training had not been provided. Medication count verifications are not being completed. There was no way for LPA to determine if medication is being dispensed as prescribed due to no documentation available (MARS and PMARS) Clients did have personal property inventories but not cash resource records. The facility does not adhere to reporting requirements per regulation. Thirty plus 7 day written reports have been submitted late and the Department is not consistently receiving 10-day weekly reports as required. Staff S4, S5 stated that all clients who return from unauthorized absences are refused entry until they are searched for contraband. If youth refuse to be searched, staff will call law enforcement. This is considered to be an unreasonable search as it is not being assessed on an individualized basis. One Technical Advisory is being given today. This is not a deficiency. Sixteen Title California Code of Regulation and two Interim Licensing Standards citations are being issued today. (See LIC809D forms) An exit interview was conducted with Program Planner, Ali Neira via telephone who assisted with the plan of correction piece for deficiencies. A copy of this report along with appeal rights were discussed and provided to the facility. * Liz Jones signed on behalf of La Shon Tate as directed.

Deficiencies:
84088: (1) An individual bed maintained in good repair; equipped with good springs and a clean mattress;

met_with: Miguel Rubio Child Development Specialist Elizabeth Jones, Engagement Social WOrker Kellie Jackson Engagement Social Worker

title: (c)The licensee shall provide... to each child ...


summary: Facility Evaluation

raw_content:
Narrative:
On 11/21/2024 at 03: PM, Licensing Program Analyst (LPA), Connie Goldie arrived unannounced at Sacramento Welcome Home Chicago House for the purpose of conducting a Case Management-Deficiencies Inspection. LPA met with Danielle Chan, Supervisor. During case management inspection on 10/24/ LPA Goldie spoke with LaShon Tate, Supervisor regarding an incident report received by the Department on 10/15/2024 that occurred on 09/21/2024 in which a client was restrained. Due to recent licensure the Department is aware that staff have not completed restraint training for manual restraints. La Shon Tate stated she was not working that day but, confirmed that no staff have received training to conduct physical restraints at this time. LPA Goldie called and spoke with Danielle Chan, Supervisor who was on duty the day this incident occurred. Ms. Chan confirmed a staff who hasn't received restraint training grabbed one of client's (C1) arms and the security guard who is also not approved grabbed the other arm when client became aggressive with staff. Additionally, LPA identified that the full incident report was received seventeen days late which is out of compliance with regulation requirements. The agency is being cited for two Title 22, Division 6, Chapter 5, Article 6, violations, 84365 (a) Emergency Intervention Staff Training and 80061 (b) Reporting Requirements. See LIC809D, An exit interview was conducted where the citations and plan of corrections were discussed. Appeals rights were provided and discussed with the facility representative mentioned above.

met_with: Danielle Chan Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On 12/18/2024 at 10: AM, Licensing Program Analyst (LPA), Connie Goldie arrived unannounced at Sacramento Welcome Home Chicago House for the purpose of conducting a Case Management- Deficiencies Inspection. LPA met with Ka Xiong, Facility Manager. On 12/03/2024, during a physical walk through of the facility, LPA Goldie observed smoke detectors in bedroom 1 and bedroom 3 which are hard wired to be cut. S2 stated that the fire department had made an inspection earlier the same day and required youth in bedroom 1 to be relocated to bedroom 2 as the smoke detectors were not functioning. LPA requested if additional smoke detectors were available and staff (S1) stated yes. LPA requested that the new smoke detectors be installed immediately which they were by end of the inspection by S2. The facility is being cited for a Title 22, Division 6, Chapter 5, Article 6 violation, 80087(a) Buildings and Grounds . See LIC809D, An exit interview was conducted where the citation and plan of correction were discussed. Appeals rights were provided and discussed with the facility representative mentioned above.

met_with: Ka Xiong, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 01/26/ Licensing Program Analysts (LPA) Zaria Turner and Chad Cabigon conducted an unannounced inspection of this TSCF (Temporary Shelter Care Facility) and met with Administrator Alicia Wasklewicz and Social Work Supervisor Sandra Gomez. The purpose of this inspection was to introduce LPA Turner to Sacramento Welcome Home (SWH) administration as LPA Turner is taking SWH on to her caseload. Updates were provided on the following: staff training, staffing, overcapacity matters, and pending non-County facilities being opened to help address the needs of the population being served by SWH. A copy of this report is being provided to the facility.

met_with: Alicia Wasklewicz, Sandra Gomez


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
According to records and a corroborating statement, though a certain psychotropic medication was technically administered correctly (in compliance with the medical provider's order), reviewed evidence shows that the medication was given outside of the client's preferred time of administration, despite the youth's expressed wishes. In seven previous administrations of the medication, the MAR reflected the client's preferred time-this indicated that the facility could have administered the medication consistent with the youth's preference. Based on obtained statements, the youth was told by staff that clients were "on [their] (the staff's) time," and that if the youth did not take the medication at the time it was initially offered, there was a risk that it would not be offered again because the facility could get busy and/or staff might not remember to do it at a later time-this reason is inconsistent with respecting a client's autonomy or choice in decisions about their daily life, care, and routines. Based on interviews and a review of records, the preponderance of evidence standard has been met; therefore, the allegation is found to be Substantiated. The facility is cited on the attached LIC 9099D under the California Code of Regulations Title 22, Division 6, Chapter 5, Article 6. Personal Rights: Section 84072(d) "The licensee shall ensure that each child, regardless of whether the child is in foster care, is accorded the personal rights specified in Welfare and Institutions Code section 16001.9, and below, as applicable:...(26) To participate in decisions regarding health-related services and treatment..." Exit interview conducted and a copy of this report and of the Appeal Rights are being provided to the facility.

Investigation Findings:
13On 02/06/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection to deliver findings of this complaint investigation. LPA was met by Brian Golson, Engagement Social Worker, with whom the following report was discussed: LPA investigated an allegation that "Staff did not accord minor dignity in their relationship with staff or other persons." The investigation was initiated at the facility on 11/13/2025, during which time a walkthrough of the physical plant's interior and exterior areas was done and interviews with staff and youth were conducted-in total, interviews were conducted with four staff and two clients. Records reviewed included Centrally Stored Medication logs, Medication Administration Records (MAR) and Psychotropic Medication Administration Records (PMAR), facility placement reports, signed acknowledgements out of a client's file, and correspondences involving the youth. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Chad Cabigon 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: SACRAMENTO WELCOME HOME (SWH) - CHICAGO HOUSEFACILITY NUMBER: VISIT DATE: 02/06/2026

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

met_with: Brian Golson


raw_content:
Narrative:
The Department has investigated the complaint, alleging staff are operating over capacity. Based on confidential interviews and a file review, the preponderance of evidence standard has been met, therefore the above allegation is SUBSTANTIATED. Title 22 of the California Code of Regulations Chapter 1, General Licensing Requirements, Section 80010(a) Limitations on Capacity & Ambulatory Status are being cited on the attached LIC 9099D. An exit interview was conducted, and appeal rights were discussed. A copy of all reports was given to the facility.

Investigation Findings:
13On February 19, 2026, 12: PM, Licensing Program Analyst (LPA) Michelle Silvas made an unannounced inspection to the The Sacramento Welcome Home Mariposa facility due to this location temporarily not operating, to deliver the findings for the allegation listed above. LPA met with Serena Diaz, Child Development Supervisor and Alicia Wasklewicz, Program Manager/Administrator was on the phone. LPA conducted an initial 10-day complaint investigation at the Temporary Shelter Care Facility on February 5, 2026. LPA conducted two confidential interviews. It was alleged that Staff are operating over capacity. While at the facility, LPA learned that there are ten youth currently placed in the facility, but the facility is only licensed to provide care and supervision for no more than six children at this location. LPA was made aware that on January 28, 2026, the facility had a capacity of six and on this same day, they had one youth placed, which increased their capacity to seven. Additionally, on January 29, 2026, the facility placed three more youth which then increased their capacity to ten. Continue LIC9099-C SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Jensen-Hill LICENSING EVALUATOR NAME: Michelle Silvas 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: SACRAMENTO WELCOME HOME (SWH) - CHICAGO HOUSEFACILITY NUMBER: VISIT DATE: 02/19/2026

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


summary: Facility Evaluation

raw_content:
Narrative:
On March 25, 2026 at approximately 11: AM, Licensing Program Analyst (LPA) Zaria Turner, made an unannounced visit at the OB Office ( Branch Center Road, Sacramento, CA 95827) with the purpose of conducting a follow up visit regarding previously identified compliance concerns addressed in an informal office meeting on December 11, 2025, to review progress made toward corrective actions. LPA Turner met with Facility Administrator, Alicia Wasklewicz. The following areas of concern were reviewed: Staff and Client Records, Staff Training, and Overcapacity. LPA Turner conducted an interview and updates regarding facility operations, progress, and ongoing corrective measures were discussed. The Department has found the facility to be in compliance and the permanent license will be issued. This case management is closed. No follow up is needed. An exit interview conducted and a copy of this report was left with Alicia Wasklewicz, Facility Administrator.


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Based on evidence obtained and confidential interviews conducted during the investigation process, the allegation above cannot be substantiated due to lack of evidence. 4 out of 6 confidential interviews stated that they have not witnessed staff hitting the client in care. In addition, the client stated that no corporal punishment happened while they were in care, and that they felt safe during their time in the home. Although the allegation may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On March 26, 2026, at 4:00pm Licensing Program Analyst (LPA) Tatyana Shulz made an unannounced visit to deliver findings to the above Temporary Shelter Care Facility and met with Sarah Morrow, Social Worker. Prior to the meeting LPA Shulz conducted the 10-day inspection of the facility on 12/23/2025. No deficiencies were cited during that inspection. LPA Shulz requested the Staff Roster, Client census, Client Face Sheet, Staff Schedule, Staff Contact Information. LPA Shulz conducted 6 interviews between 12/23/2025-3/23/2026. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Connie Goldie LICENSING EVALUATOR NAME: Tatyana Shulz 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: SACRAMENTO WELCOME HOME (SWH) - CHICAGO HOUSEFACILITY NUMBER: VISIT DATE: 03/26/2026

met_with: Sarah Morrow-Social Worker

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
LPA investigated an allegation that Staff spoke inappropriately to a minor. Interviewed County staff corroborated that a security officer, employed by a security agency contracted by the County of Sacramento, who was posted at this Sacramento Welcome Home location got into a heated verbal altercation with a youth after that youth threw activity material that hit the security staff. The verbal exchange was characterized by "a lot of cussing" and inappropriate statements made by the security officer to the youth including threats of violence. Based on LPA's interviews and a record review, the preponderance of evidence standard has been met; therefore, the allegation is found to be Substantiated. CCR Title 22, Division 6, Chapter 5, Article 06, Section 84072(d)(19) is being cited on the attached 9099-D. Exit interview conducted. A copy of this report, as well as the Appeal Rights, is being provided to the facility. would not have been directly observed by any non-County individual being that only the security officer and the youth in question were involved and no one else was present outside of the three residential staff who intervened when the verbal altercation took place-though there were other youth residents on the premises, those clients were in the bedroom(s). LPA found no indication that County residential staff did not intervene appropriately and in a timely manner-the youth and the security officer were separated and did not come to blows despite apparent posturing from both individuals. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is Unsubstantiated. Exit interview conducted and a copy of this report, and of the Appeal Rights, is being provided to the facility.

Investigation Findings:
13On 01/16/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this TSCF (Temporary Shelter Care Facility) to close the complaint investigation. LPA met with Danielle Chan, Social Work Supervisor, to whom the following findings were delivered: LPA opened the complaint investigation on 09/26/2024 at the facility, during which time a tour of the interior and exterior areas of the Shelter's physical plant was conducted and the following records were requested for review: a client's intake documents, contact numbers for specific staff, and information pertaining to the security agency involved. LPA interviewed children, residential staff and additional County personnel, as well as youth advocates. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon 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: SACRAMENTO WELCOME HOME (SWH) - PASADENA HOUSEFACILITY NUMBER: VISIT DATE: 01/16/2025

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

met_with: Danielle Chan


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Based on evidence obtained and confidential interviews conducted during the investigation process the allegations above have been substantiated. 4 out of 5 confidential interviews stated that the facility has been operating over capacity on and off during the month of October 2024, due to population fluctuations and the abundant need for this specific facility type. Also, during review of the client roster for October 2024 it was confirmed by the LPA that there was a 5-year-old child placed at the facility from 10/20/2024-10/24/2024, it was also confirmed by staff members that a minor under 6 was placed at the facility for that length of time. Also, during today's visit on January 17, LPA observed the facility to be over capacity by one. Based on LPAs observations and interviews which were conducted and records review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Interim Licensing Standards are being cited on the attached LIC 9099D. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On January 17, 2025 at 10:50am Licensing Program Analyst (LPA) Tatyana Shulz made an unannounced visit to deliver findings to the above Temporary Shelter Care Facility (TSCF) and met with Kaeley Vang, House Manager. Prior to the meeting LPA Shulz, conducted the 10-day inspection of the facility on 10/30/2024. No deficiencies were cited during that inspection. LPA Shulz requested, the staff roster, staff training hours, and the client roster for the month of October. LPA Shulz conducted 5 interviews between 10/30/2024-1/08/2025. Continue to LIC 9099C SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Tatyana Shulz 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: SACRAMENTO WELCOME HOME (SWH) - PASADENA HOUSEFACILITY NUMBER: VISIT DATE: 01/17/2025

met_with: Kaeley Vang- House Manager


raw_content:
Narrative:
The Department investigated the allegation, "Staff did not provide adequate supervision to ensure safety of youth." All interviewed youth admitted to being exposed to vaping and/or marijuana use in the facility. There was also substantial corroboration through obtained statements that youth were exposed to, or possibly even recruited for, CSEC (Commercially Sexually Exploited Children) activities. Staff interviewed stated they communicate with youth about safety and making healthy choices and provide harm reduction strategies when youth are determined to participate in unsafe activities. Upon observation of drug use, staff attempt to confiscate contraband and discourage the use. There was not enough evidence to clearly and directly attribute these instances to a lack of supervision on the part of facility staff. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is unsubstantiated. An exit interview was conducted. A copy of all reports and appeal rights were discussed and provided to the facility.

Investigation Findings:
13Licensing Program Analyst (LPA) Chad Cabigon arrived at shelter to conduct an unannounced complaint investigation inspection on 04/30/2025. LPA Cabigon spoke with Brittany Taylor, ESW, to discuss the findings of the complaint investigation and allegation stated above. The initial 10-day complaint investigation inspection was initiated by LPA Chad Cabigon on 02/06/2025. At the shelter, LPA Cabigon obtained the following documentation: PMIs (Placement Matching Information), Youth Intake Screening Tools, Health & Education Passports, Daily Progress Logs, and a youth's Care & Goal Plan as well as a Safety Plan. During the investigation, 13 confidential interviews with youth and eight interviews with staff were conducted between 02/06/2025 and 04/17/2025. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon 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: SACRAMENTO WELCOME HOME (SWH) - PASADENA HOUSEFACILITY NUMBER: VISIT DATE: 04/30/2025

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

met_with: Brittany Taylor, ESW


raw_content:
Narrative:
Though actual rendering of services were inconsistent, interviewed youth indicated that mental health services are generally made available or facilitated by the Shelter as necessary; actual referrals are within the purview of the County's case-carrying placement or permanency Social Workers who are not part of the residential staff at the Shelter. No youth reported any instances of not being taken to acute care when medically necessary though there has been at least one instance where Shelter staff should have sought for services sooner on behalf of a minor. Regarding a possible mishandling of medication administration, though LPA was not able to independently verify that a youth was taken to emergent or acute care, there was sufficient corroboration between the interviewees that this was done, and that this was done to have the youth evaluated following staff deciding to hold a psychotropic medication. The medication being whithheld was due to concerns about adverse drug interactions as the youth was suspected of being under the influence of an illicit substance at the time. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are Unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility.

Investigation Findings:
13On 04/30/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this TSCF (Temporary Shelter Care Facility) to deliver the findings of, and close, the complaint investigation. LPA met with Brittany Taylor, ESW, to whom the following report was delivered: UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon 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: SACRAMENTO WELCOME HOME (SWH) - PASADENA HOUSEFACILITY NUMBER: VISIT DATE: 04/30/2025

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


raw_content:
Narrative:
Sacramento Welcome Home (SWH) confirmed the use of a cot for the youth client to sleep in during at least that one night in question, and that the cot was situated in a play or activity area adjacent to the Shelter's kitchen. LPA was shown the cot and the beddings usually provided for youth clients when this sleeping arrangement is necessitated--though the cot was found to be in good working order, the use of cots are prohibited. Furthermore, the aforementioned open space in which the cot was situated cannot be used as a bedroom for clients. Based on LPA's observations and interviews, the preponderance of evidence standard has been met; therefore, the allegations are found to be Substantiated. California Code of Regulations, Title 22, Division 6, Chapter 5, Article 07, Sections 84087(b)(4) and 84088(c)(1)(C) are being cited on the attached 9099-D. Exit interview conducted; this report and the Appeal Rights are being provided to the facility

Investigation Findings:
13On 10/09/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this TSCF (Temporary Shelter Care Facility) to deliver the findings of, and close, the complaint investigation. LPA met with Brian Golson, Engagement Social Worker, and Danielle Chan, Social Work Supervisor, and the following report was discussed: Community Care Licensing (CCL) investigated a complaint allegation that "Client not provided appropriate bedroom accomodations." The investigation was initiated on 07/11/2025 during which time a tour of the interior and exterior areas of the facility's physical plant was done with focus on the Shelter's provisions for bedroom and/or sleeping accommodations. Interviews were conducted with Sacramento Welcome Home direct-care staff; none of the clients on the premises agreed to be interviewed at that time. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Connie Goldie LICENSING EVALUATOR NAME: Chad Cabigon 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: SACRAMENTO WELCOME HOME (SWH) - PASADENA HOUSEFACILITY NUMBER: VISIT DATE: 10/09/2025

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

met_with: Brian Golson, Engagement Social Worker


facility_name: SACRAMENTO WELCOME HOME (SWH) - PASADENA HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
On 03/13/ Licensing Program Analysts (LPA) Tatyana Shulz and Chad Cabigon met with (NAME) in the County of Sacramento office at Branch Center Rd., Sacramento, CA 95827. The following report was delivered: Community Care Licensing (CCL) confirms the receipt of application documents for the Pasadena facility submitted in person by Division Manager Cathi Johnson on 03/06/2024. Those documents were the following: LIC 200, LIC 309, LIC 400, LIC 610C, and LIC 9054. The following forms/elements of the application are either in need of more information or have yet to be submitted: -on the LIC 610C: additional, local agency-specific names and contact numbers are needed for the fields where "911" was inputted. -LIC 215 (Applicant Information) -LIC 308 (Designation of Facility Responsibility) -LIC 500 (Personnel Report) -LIC 501 (Personnel Record -LIC 508 (Criminal Record Statement & Out-Of-State Disclosure) -LIC 999 (Facility Sketch) -Sections in the Program Statement (B docs) that need to be revised to include the new facility. Ms. Carrillo is advised that these documents are due on 03/22/2024. Ms. Carrillo was advised that the submission of the facility sketch, in particular, was time-sensitive because it is a requirement to obtain the fire clearance.

met_with: Veronica Carrillo, Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 04/09/ Licensing Program Analyst (LPA) Chad Cabigon conducted a Prelicensing Inspection at this location as part of the licensure process for a Temporary Shelter Care Facility (TSCF). LPA met with County of Sacramento Division Manager Cathi Johnson. LPA was given a tour of the interior and exterior areas of the facility's physical plant. The facility has two client bedrooms with each room having two beds; the bedrooms contained the required bedding observed to be in good condition; there is one common or shared full bathroom for the children's use situated between the bedrooms--the bathroom was in good repair, hygienic products were observed to be on hand, and the fixtures provided hot water. The temperature in spaces/rooms that clients occupy was within the required range. There are multiple refrigerators and/or freezer units all observed to be in good working condition and provided temperatures within the required range for perishable items. There is also sufficient storage space for dried goods or non-perishable items. The facility currently has a sufficient amount of perishable and non-perishable food items for at least three days and one week, respectively. Also observed within a secured staff office were lockable cabinets for confidential files and medications and a first aid kit which contained the required items. Potentially hazardous cleaning agents and chemicals were stored appropriately in the laundry area which was securable. The backyard was found to not have any potentially hazardous areas or items; the pathways were unobstructed. There is a detached covered garage on the property which was being used as additional storage for overstock groceries and other miscellaneous items. Ms. Johnson was advised of the following, as conditions of licensure: that not more than two children shall share a bedroom; children of different sexes shall not share a bedroom; no bedroom shall be used as a public or general passageway to another room, bath, or toilet (the larger space adjacent to the dining area and the staff office will have to be utilized to get to the staff office--there is no alternative entrance to the staff office); the use of cots or bunk beds shall be prohibited; sufficient personal storage space in the bedrooms shall be provided (a minimum of two drawers or eight cubic feet of drawer space is required for each child). A copy of this report is being provided to Ms. Johnson.

visit_type: Prelicensing

met_with: Division Manager Cathi Johnson


summary: Facility Evaluation

raw_content:
Narrative:
On 05/01/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this pending TSCF (Temporary Shelter Care Facility) in response to reported operational concerns. LPA met with Brittany Taylor and Nykesha Sinegal-Thompson, Engagement Social Workers, who facilitated a tour of the physical plant; Ms. Sinegal-Thompson also facilitated an LPA interview with one youth; LPA inspected the House's stock of food items. Further inspection may be required; a copy of this report is being provided to the County of Sacramento.

met_with: Nykesha Sinegal-Thompson, ESW; Brittany Taylor, ESW


summary: Facility Evaluation

raw_content:
Narrative:
On 05/24/ Licensing Program Analyst (LPA) Chad Cabigon conducted a second prelicensing inspection of this facility and was met by Division Manager Cathi Johnson and Admin. Services Officer Hazel Magett. A tour of the facility was conducted with focus on items/areas that needed to be addressed during the last prelicensing inspection, namely: 1) Personal storage bin/dresser space for clients' personal belongings--both bedrooms were observed to have sufficient storage space as prescribed by the Regulations; and 2) Fixtures that delivered hot water above the temperature limit required by Regulations--such water fixtures have been identified prominently with warning signs (one for the bathroom vanity faucet and one for the kitchen faucet). No other deficiencies were observed during this inspection. A copy of this report is being provided to the County of Sacramento.

met_with: Cathi Johnson, Hazel Magett


summary: Facility Evaluation

raw_content:
Narrative:
On 09/10/2024, at 11: AM, Regional Manager, Margo Castaneda, Licensing Program Managers, (LPMs) Jodean Hall, Hillary Hall, and Rosa Rodriguez and Licensing Program Analysts, (LPAs) Connie Goldie, Tina Thorn and Chad Cabigon conducted an in-person Office Meeting. Present from Sacramento County's Chicago House, Pasadena and Hilltop/Madison Temporary Shelter Care Facility Homes is Cathy Johnson, Division Manger, Alondra Neira, Program Planner, CPS, Veronica Carrillo, Program Manager, CPSU, Tashna Ward, Program Manager Alicia Wasklewicz, CPS Planner. Present from Systems of Care is Ashley Bray, Staff Services Manager II and Kayla Haith, Health Program Specialist II. The purpose of the meeting is to discuss CCL's concern regarding issues around the non-compliance in the facilities and to collaborate and problem solve together for the success of the programs. The primary areas of concern discussed, and outcomes provided include the following: ·Administrator/ Designation of Authority o It was discussed that a qualified administrator shall be on the premises for the number of hours necessary to manage and administer the facility in compliance with applicable laws and regulations. There needs to be someone readily available for the responsibilities and over site of all three facilities. There also needs to be staff designated to act on the administrator's behalf in the overall management of the facility when the administrator is not at the facility. These designees also need to be able to provide plan of corrections on site during an inspection. o CCL requested a written plan by 9/25/2024. Continued on LIC809C · Reporting Requirements o CCL is receiving 24-hour notifications as required but, the full reports continue to be received past the regulatory requirement of seven days following the incident. o County staff communicated that they have streamlined the approval process to become compliant with full report. o CCL requested a written plan by 9/25/2024. · Training opportunities o CCL identified training concerns in the following areas: emergency intervention procedures, personal rights, medication, and job descriptions. o CCL offered training support by CCL staff and the Ombudsperson office. · Services Provided o Child specific services, Intake Assessment, CFT's and community resources are some of the services being provided. o Further collaboration will be ongoing. · Additional items discussed: o CCL suggested that a copy of Title 22 regulations, the Program Statement and a copy of the policies and procedures be located at the facility and available to staff. o The County shared that they are in the process of creating an employee handbook. o Administrator shared that two additional supervisors are being added which will provide supervision in the homes for all shifts. Written plans shall be submitted by email to all CCL attendees. A copy of this report was emailed to Cathy Johnson, Division Manager for signature.

met_with: Kathy Johnson Division Manager


summary: Facility Evaluation

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Narrative:
On 09/13/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced Post Licensing inspection of this TSCF (Temporary Shelter Care Facility). LPA was let in to the facility by a security officer to whom LPA's badge was presented identifying his capacity as a licensing official for the California Department of Social Services (CDSS). LPA was subsequently received by Engagement Social Workers (ESW) Kaeley Vang, and Mike Gilbert; one more floor staffer was present-a Child Development Specialist (CDS). LPA interviewed both ESWs before Social Work Supervisor Danielle Chan arrived onsite to facilitate a tour of the interior and exterior grounds of the shelter's physical plant. Ms. Chan also assisted LPA with a records review. Two youth files including medication records were surveyed; per staff, the facility currently has only two clients. No hard copies of the shelter's personnel files were physically maintained at this location; Ms. Chan did access staff records online and was able to present certain records for LPA to review. An interview was conducted with the only available youth on the premises. A subsequent inspection may be required to complete this Post Licensing inspection. A copy of this report is being provided to the facility.

met_with: Danielle Chan, Social Work Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On 10/08/ Community Care Licensing (CCL) and the County of Sacramento held the monthly Sacramento Welcome Home (SWH) TSCF (Temporary Shelter Care Facility) collaborative meeting over Microsoft Teams. In attendance were Cathi Johnson, Ali Neira, Alicia Wasklewics, and Tashna Ward from the County and, from CCL, Rosa Rodriguez, Jodean Hall, Hillary Hall, Connie Goldie, and Chad Cabigon. After introductions, the following was covered: CCL acknowledged and thanked the County for the submission of its Written Plan, received by CCL on 09/25/2024, in response to the items covered during the first collaborative meeting held on 09/10/2024. The County has since assigned two new program supervisors to the SWH locations and is looking to fill a third supervisor position pending the Sacramento County Board of Supervisors' approval which is expected to pass on 11/05/2024, bringing the total number of program supervisors to five (currently, there are four). Regarding the plan to re-designate an administrator, it was noted that Alicia Wasklewics is set to go through the administrator training/certification at the end of this month (October, 2024). CCL clarified that the required facility manager designation is specific to each shift per House/location when children are present. Being that there are only four supervisors covering all the Houses, there are times when no supervisor is available at a given location. The County stated that they have implemented an assigned Worker of the Day or "WOD" to cover those locations and/or times when a program supervisor is not available. CCL requested that on the schedules (on the LIC 500 or Personnel Report) it is specified who the WODs and supervisors are and that those designated are spelled out as 'facility managers', that all other CCL-required positions are spelled out (including, for example, Administrator) under the "Job Title," and that an updated form be submitted for each location by October 31, 2024. The County stated that some of the limitation(s) in properly reflecting these positions may be due to the need to have it cleared by the staff's union beforehand and that, relatedly, the same constraint(s) may be affecting the finalizing of job duty statements for care staff to acknowledge. (, 809-c) (PAGE 2) Also discussed were the missing full or seven-day reports which are the follow-up reports to the County's 24-hour notifications. Per the County, management is paying close attention to the October reports to ensure compliance: the 24-hour reports are being done in a timely manner but the intermediate step involving a supervisor de-brief is where the reports are getting held up. The County are actively working on a pilot program set to start at the end of November or the beginning of December, 2024, which is meant to help track reports through a more automated system. It is CCL's expectation that the outstanding full or seven-day reports for previously-submitted 24-hour notifications (for September, 2024) will also be submitted to CCL by October 31, 2024-the number of missing full or seven-day reports are as follows: Pasadena House - 11; Madison - 27, and Chicago - 10 (for a total of 48). It is also CCL's expectation that an immediate correction plan be put in place to be in compliance with Title Regulations. Regarding training requirements-specifically, Section 84065(i)(1)(D) which discusses the need for an assessment of the efficacy of training-CCL noted, based on interviews, that direct-care staff may not have a sufficient understanding of the training topics covered despite having received the training. CCL advised that post-testing or return demonstrations to assess for competency may be developed by the County, themselves, so long as those assessments are documented in each staffer's file. The County stated that management will check-in with the supervisors about this protocol and also added that the supervisors do meet with their staff every month, are probably doing at least some type of performance evaluations, and that they may just need to do better at documenting. CCL is requesting an implementation plan to be compliant with Title Regulations, and that this plan should be submitted by October 31, 2024. Additional training support: CCL advised that the Ombudsperson's Office only provides training on the Foster Youth Bill of Rights but not on anything more specific like medications, for example. CCL provided the Ombudsperson's Office portal and link to sign up for Bill of Rights training. The County asked if CCL, apart from the Ombudsperson's Office, provides more topic-specific training-CCL advised that it does and that this training will be scheduled for the County by the end of November or the beginning of December, 2024. On the SWH Program Statement being made accessible to staff: the County stated that they are still working on the employee handbook-along with this process the care staff have been given electronic access to the Title 22/Interim Licensing Standards (ILS) Regulations digitally and parts of the Program Statement on which staff get trained. (, 809-c) (PAGE 3) Regarding the POC for the Personal Rights citation on the Chicago House on inventory check/searches. The POC was submitted to CCL on 10/03/2024, this procedure is still under review by CCL. Regarding the POC for the Personal Rights citation on the Madison House, the County will check on the progress of training for staff which is expected to be completed by 10/11/2024. Regarding the POC for the overcapacity citation on the Pasadena House, this POC was submitted to CCL on 10/02/2024 and is still under review. A copy of this report is being emailed to the County for signature.


summary: Facility Evaluation

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Narrative:
On 01/14/2025 the CA Department of Social Services' (CDSS) Community Care Licensing Division (CCL) and the County of Sacramento held the monthly collaborative meeting over Microsoft Teams. The attendees were: from County, Cathi Johnson, Alondra Neira, Tashna Ward, Alicia Wasklewicz, and Veronica Carrillo, from CCL, Margo Castaneda, Jodean Hall, Rosa Rodriguez, Hillary Hall, Connie Goldie, Tina Thorn, Chad Cabigon, and from CDSS' System of Care Branch (SOC), Kelley Hartman, Levi Huser, and Alicia Bernstein. Topics discussed at the meeting were: What's working well: The County expressed having two TSCF's is much more manageable. They have also had a lower census on average as of late between the Welcome Home locations which has been helped by the recent capacity expansion through outside partners. Temporary move from Chicago House to Pasadena House: Due to an infestation of carpet beetles the facility is being fumigated. Designated Administrator: CCL noted that Alicia Wasklewicz passed the Administrator Exam; County was informed that Regional Manager (RM) Castaneda requested the expedited processing of Ms. Wasklewicz's administrator certification. CCL reiterated expectations for a facility administrator: to be on facility premises for the number of hours necessary to manage and administer the facility in compliance with applicable laws and regulations, and to be readily available for the responsibilities and oversight of the facilities. CCL also reiterated the need for staff to be designated to act on the administrator's behalf with the overall management of facilities in the administrator's absence. CCL emphasized that these designees also need to be able to provide Plans of Correction for citations issued during inspections-County confirmed that these facility manager designees have been given this authority. (, 809-c) (PAGE 2) Plan for Pasadena House license: The County will continue to keep the license until further notice. Training Requirements: Follow-Up: County will be sending the template for staff training. Security Guards - Fingerprint Clearance Needed: CCL advised that all security guards positioned in the home need to be fingerprinted and obtain criminal record clearances through Guardian due to the frequency, consistency, and recurring nature of their presence. The due date for the completion of fingerprinting is 01/31/2025. Reporting Requirement Update - Incident Reporting CCL discussed the continued issue of late and/or missing reports and acknowledged it is vastly improving. County stated that they are continuing to address this and with Ms. Wasklewicz as administrator, her presence in the Houses more frequently should help address the reporting. The County also expects to start testing the SMILE system this week with the goal of launching in the end of February. Inventory Check/Searches: CCL followed up on the submission of the County's Prudent Parenting activation form related to searches for CCL to review. The County will be submitting the form. CCL/SOC pointed out that Prudent Parenting is usually in reference to decisions that a substitute caregiver makes to afford youth something that resembles a more "normal" way of life such as allowing youth to participate in certain activities without prior approval from their authorized representative. SOC discussed that the Prudent Parent Standard is a general framework through which providers can respond as necessary to help support youth, but it might not always be appropriate, and its use should depend on the population and/or individual youth in question. Facility Overview: Both LPAs stated seeing an increase in engagement between youth and staff participating in various house activities. (, 809-c) (PAGE 3) Additional feedback: SOC reminded County of standing offer to provide consultation and guidance and encouraged County to reach out, as necessary. Training materials have been sent to County from SOC that may be helpful and could be integrated in the Shelter's program. County to submit Program Statement updates by 01/31/2025, to include clarification on the mandated initial vs. annual training, as well as policies and expectations related to contracted security personnel who work onsite at the SWH locations. Closing discussion on restraints: The County stated that all staff will start Phase 2 of the TCI training in February, 2025, and that they anticipate completion in March, 2025. CCL advised that a manual restraint should only be executed by a trained staff and should only be resorted to in a health and safety consideration for a child or staff, that it is more about good training that truly helps staff be proactive with early interventions, how to identify early on what the specific youth' triggers are, and how staff can equip themselves with enough techniques to de-escalate a situation. Additionally, it should also be helpful for the County to be familiar with the temperament and tendencies of their direct-care personnel so as to better inform management on staffing decisions and training considerations. A copy of this report is being provided to the County of Sacramento.

met_with: Catherine Johnson et al.


summary: Facility Evaluation

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Narrative:
On 02/11/2025, at 10: AM, the CA Department of Social Services' (CDSS) Community Care Licensing Division (CCL) and the County of Sacramento held the monthly collaborative meeting over Microsoft Teams. The attendees were: from County, Cathi Johnson, Sac County Administrator, Alondra Neira,Program Planner, and Alicia Wasklewicz,Sac County Administrator, from CCL, Margo Castaneda, Regional Director, Jodean Hall, Rosa Rodriguez, Hillary Hall, Licensing Program Managers and Tina Thorn, Chad Cabigon, and Connie Goldie, Licensing Program Analysts and from CDSS' System of Care Branch (SOC), Levi Huser, Ashley Bray, and Alicia Bernstein. The following items were discussed- What's working well: Ms. Johnson stated that the County is continuing to focus on training of staff in various areas and two houses have placement. Duty statements will be reviewed with staff, signed, and placed in their files. CCL stated facility staff are pleasant, workers of the day are helpful during inspections and youth are observed to be engaged. CCL requested copy of duty statements by 02/21/2025. Administrator Update: Alicia Wasklewicz, administrator applicant provided Group Home Certificate to CCL on 02/11/2025. CCL clarified expectations that Administrator will provide oversight as needed. Program Statement Update: CCL received Program Statement updates as requested on 01/31/2025. CCL is in the process of reviewing received documentation. CCL's review of revisions will be completed by 02/21/2025. Continued on LIC809C. page Pasadena House License Status: The County stated the Pasadena House license will be maintained until further notice. County will communicate when this transition occurs. Trauma Informed Care (TIC): CCL requested a list of which staff are not currently trained in TIC. County stated they will provide a copy of the training log highlighting staff who still need to complete this training. CCL requests this be submitted by 02/14/2025. CCL asked if security guards will receive restraint training. The County stated security guards will not be restraint trained and will not put hands on youth. Reporting Requirement Update: CCL discussed the continued issue of late and/or missing reports for all TSCF facilities. The County stated that their records are not consistent with CCL reported numbers and requested that CCL attach which reports are missing going forward. Increase of Unauthorized Absences: CCL discussed observation of increased unauthorized absences and asked how staff attempt to prevent youth from leaving. County shared that staff follow youth to the property perimeter line when leaving due to safety concerns. It was also stated staff ratios can determine if a youth is followed. CCL advised the county to include reason for not going further than property line on incident reports. Levi Huser from Systems of Care Branch offered an opportunity for collaboration to discuss ideas on reducing law enforcement contacts. LIC Office Meeting Review: Licensing Program Analyst and Licensing Program Manager will have a Teams Meeting with the County to review the LIC809 report for the monthly collaboration meeting each month in order for any revisions to be made immediately as necessary. The reports will then be emailed to obtain a signature. Ashley Bray from Systems of Care offered to assist with creating individual safety plans with a harm reduction approach in order to be proactive. Ms. Bray suggested County staff and licensing staff participate in the meeting. The office meeting concluded at 10: AM.

met_with: Cathi Johnson Administrator


summary: Facility Evaluation

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Narrative:
Present: CCL: Margo Castaneda, Regional Manager Licensing Program Managers: Hillary Hall, Jodean Hall, and Rosa Rodriguez Licensing Program Analysts: Chad Cabigon, Tina Thorn, and Connie Goldie Sacramento Welcome Home County Partners: Cathi Johnson, Ali Neira, Tashna Ward, Alicia Wasklewicz Systems of Care: Alicia Bernstein, Ashley Bray and Levi Huster On 03.11.25, the following was discussed during the CCL collaboration meeting with Sacramento County regarding the Temporary Shelter Care Facility. Both the county and CCL reported on what's going well: Alicia Wasklewicz collaborated with Systems of Care representative and obtained resources and expressed gratitude for the connection. LPAs for each facility reiterated that the staff have been engaged with clients and responsive to LPAs. LPA Goldie reported on progress with Program Statement Review. LPA stated that she was able to access forms easily. LPA also stated that most of the revisions were a matter of gaining clarification, requesting transcripts, and having County provide more explanation regarding how the processes will be implemented. LPA Goldie gave a briefing on revision requests, namely the under 6 and discipline policies and of requesting transcripts for staff to ensure requirements are met. The County expressed that obtaining transcripts is proving to be a longer process depending on the time frame in which the staff took the required courses. The incident report submission process was discussed, with the county's new system, SMILE being implemented 03.17.25. C. Johnson explained that the county's new system should reduce the reporting time frame by providing email alerts to submit required reports and will provide more reminders to support staff. Continued 809C The county was informed that, going forward, they will be cited if incident reports are turned in late. CCL shared information about our Technical Support Program that will provide support and training for the facility. T. Ward reported 12 staff are fully trained in Therapeutic Crisis Intervention (TCI). There are still staff needing to be trained. It was reported that enough staff are trained to ensure there are 2 people per shift available to do restraints if necessary. The expectation is that all staff are trained by April 1, 2025. County reported that on March 22, 2025, Foster Hope is set to take over operations at the current Madison House. Youth will move to Pasadena and Chicago House to allow Foster Hope to get situated. The County expressed a desire to keep Pasadena House as a home to relocate youth if Chicago House needs to be evacuated for emergency reason or if something needs to be fixed at Chicago House. It was also expressed that Chicago House may be used to conduct staff training and/or for youth visitation when needed and if not occupied by youth. SOC asked if County wanted their harm reduction policies/forms reviewed. A. Bernstein provided email address to the County. Regional Manager M. Castaneda concluded the meeting after offering time for more questions or comments.

met_with: Cathi Johnson, Administrator


summary: Facility Evaluation

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Narrative:
On 04/10/ Licensing Program Analyst (LPA) Chad Cabigon initiated a case management follow-up to clear a deficiency for which a citation was issued on 04/07/2025. LPA visually inspected youth' bedrooms and observed that additional bins/moveable dressers have been provided to clients in care, bringing the facility into compliance with respect to section 84088 (c)(4)(A)(1) of the Group Home Regulations. A copy of this report is being provided to the facility.

met_with: Rashenda Williams, Engagement Social Worker


summary: Facility Evaluation

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Narrative:
On 05/13/2025 the Sacramento Regional Office of Community Care Licensing's (CCL) Children's Residential Program and the Sacramento County Department of Child, Family, and Adult Services (DCFAS) held the monthly Temporary Shelter Care Facility (TSCF) collaborative meeting over the Teams platform. In attendance were Margo Castaneda, Jodean Hall, Rosa Rodriguez, Connie Goldie, Chad Cabigon, Sarina Buchannan, Zaria Turner, Cathi Johnson, Ali Neira, Alicia Wasklewicz, Tashna Ward, and Veronica Carrillo. The following items with respect to the Sacramento Welcome Home (SWH) locations were discussed: What's Working Well: Both the County and CCL stated there is much more collaboration going on which has been very beneficial. SMILE has made a huge impact on getting IRs timelier. Alicia Wasklewicz has made a tremendous impact being at the homes. Provisional License: CCL informed the County that the provisional status of the Pasadena and Chicago Houses will be extended to 11/30/2025-the updated licenses will be provided to the County shortly. Under Program Statement: CCL informed the county that the review of the Under 6 program statement is in progress and requested access to few more documents the LPA was not able to open. Request granted during the meeting. Incident Reports: The SMILE system has been a big success. County is still working on a few inconsistencies and duplication of reports. The county will reinforce to the staff the policy of IRs. (, 809-c) Harm Reduction: As previously stated, any harm reduction plan must be approved by CCL before its implementation. It was also discussed that the harm reduction plan must be specific per youth, and CCL recommended that County reach out to the SOC (System of Care) Branch and to the case carrying LPA and their Licensing Program Manager for collaboration. Unauthorized Absence: County clarified that after four hours of a youth being gone, they pack up their belongings for safe-keeping. County explained that the runaway youth does not necessarily lose their bed if another youth comes into the facility unless that youth tells the facility beforehand that they do not plan to return within 24 hours. County also shared that they continue working on having direct-care staff be more consistent about following youth to the end of the Homes' property lines when clients elope. Reporting Requirement 10-day overstay: By way of reminder, CCL requests County include both the assigned LPA and the LPM (Licensing Program Manager) when sending out the overstay reports. Over-Capacity: County shared part of the challenge has been that their TSCF-partner providers may refuse to accept youth for staffing reasons or due to the level of care and/or compatibility concerns for certain cases. County explained they are working with other providers for additional locations. Another obstacle is when placement is found for the youths but they refuse. Restraint Training: County explained that there is a small group that needed to re-take a required test before transitioning to the next phase causing a delay. By the end of today, the Administrator will be sending a list of fully trained staff and/or a scheduling plan that shows at least two staff per shift are certified to utilize manual restraints if needed. County reiterated its aversion to staff applying restraints on youth and has come up with a Best Practice Acknowledgement form that they are requiring staff to sign before staff are cleared to use such interventions-these forms are being sent out starting this week. CCL asked if County can identify any additional support that CCL can provide; no other items were discussed at this time. A copy of this report is being provided to the County.

met_with: Cathi Johnson et al.


summary: Facility Evaluation

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Narrative:
On June 10, 2025, Licensing Program Analyst (LPA) Sara Luman-Gonzalez arrived at Sacramento Welcome Home-Pasadena at approximately (Time) for the purpose of performing a collateral visit. LPA was greeted by Sarah Morrow, Engagement Social Worker who granted LPA access. LPA conducted a collateral visit to facility for the purpose of interviewing C1 in regards to another open complaint at a different facility. C1 was moved to another placement in the week previous. Exit interview conducted and a copy of this report was left with at the facility.

met_with: Sarah Morrow, Engagement Social Worker