raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Daiquiri Boyd conducted a follow-up complaint inspection with the Short Term Residential Theraputic Program (STRTP) and met with Janelle Sicairos . The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation, LPA Boyd conducted confidential interviews. The interviews revealed that there is no consistent consensus as to whether the allegations listed above happened or didn't happen. Although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove the above allegation; therefore, the allegation is unsubstantiated. LPA provided a copy of the report to the STRTP. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Daiquiri Boyd LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


state: CA

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Daiquiri Boyd conducted a follow-up complaint inspection to the Short Term Residential Therapeutic Program (STRTP) and met with Janelle Sicairos. The purpose of the inspection was to deliver the findings for the above complaint allegations regarding the staff not treating the clients with respect and the discipline policies are not trauma informed. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews. The information obtained during the interviews, indicated that staff would speak about clients in front of other clients in a demeaning manner. Review of policy and confidential interviews found that discipline policies are positively based and are not trauma-informed. Type A: This poses an immediate health and safety risk to clients in care. Based on the LPA's observations, interviews, and the records review conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be substantiated. A copy of the report and Appeal Rights was provided to the STRTP. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Daiquiri Boyd LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: ELITE FAMILY SYSTEMS, INC- SCOFFIELD HOMEFACILITY NUMBER: 507003353

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

report_type: Complaint Investigation

met_with: Janelle Sicairos

complaint_status: SUBSTANTIATED


facility_name: ELITE FAMILY SYSTEMS, INC- SCOFFIELD HOME

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Daiquiri Boyd conducted an unannounced visit to the Short Term Residential Therapeutic Program (STRTP) Elite Scoffield Home to deliver the findings of the above allegation and met with MHRS, Janelle Sicairos. The above allegations were referred to Community Care Licensing for investigation. The investigation included confidential interviews and a review of facility and foster children's records. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are UNSUBSTANTIATED at this time. A copy of this report was discussed and provided to STRTP along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Daiquiri Boyd LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

complaint_status: unsubstantiated


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


facility_name: ELITE FAMILY SYSTEMS, INC.- LESLIE HOME

raw_content:
Narrative:
Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are deemed to be UNSUBSTANTIATED at this time. A copy of this report was discussed and provided to Stacy Catanzarite along with appeal rights.

Investigation Findings:
13On January 3, 2022, Licensing Program Analyst (LPA) Rachel Bruce conducted a follow up complaint inspection at Leslie Home and met with Stacy Catanzarite, Facility Manager. The purpose of the visit was to deliver the findings for the above complaint allegations. On October 5, 2021, the above allegations were referred to Community Care Licensing for investigation. The investigation included interviews with the Clients and Staff as well as a review of the client's records and an inspection of the STRTP. The complaint alleged that a client in care was inappropriately restrained, and denied a meal as a form of punishment. The Clients and staff interviewed provided conflicting information regarding the above issues. There were no witnesses to the restraint besides the client and staff directly involved and no other clients could attest to whether or not a meal was denied. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Rachel A Bruce LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: ELITE FAMILY SYSTEMS, INC.- LESLIE HOMEFACILITY NUMBER: VISIT DATE: 01/03/2022

met_with: Stacy Catanzarite, Facility Manager


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Rachel Bruce conducted a follow-up complaint inspection to the STRTP administration office and met with Tim Mathews, Director. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation, Community Care Licensing (CCL) conducted interviews with clients and staff as well as a review of personnel and client records. The information obtained during the investigation substantiated the allegation that a client in care was threatened by a staff member. Type A: This poses an immediate health and safety risk to clients in care. Based on the LPA's observations, interviews and records review the preponderance of evidence standard has been met, therefore, the above allegation is found to be substantiated. A copy of the report and Appeal Rights was provided to the FFA. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Rachel A Bruce LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: ELITE FAMILY SYSTEMS, INC.- LESLIE HOMEFACILITY NUMBER: 507003893

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

met_with: Tim Mathews, Director


raw_content:
Investigation Findings:
13On October 17, 2023, Licensing Program Analyst (LPA) Rachel Bruce conducted a follow-up complaint inspection with the Short Term Residential Therapeutic Program (STRTP) and met with Administrator, Alvaro Juarez. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation, LPA Bruce conducted confidential interviews, reviewed client documentation, and conducted an inspection of the facility. The investigation revealed conflicting information regarding whether or not there is lack of supervision. Although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove the above allegation occurred, therefore, the allegation is found to be UNSUBSTANTIATED LPA provided a copy of the report to the STRTP. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Rachel A Bruce LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

met_with: Alvaro Juarez, Administrator


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Daiquiri Boyd conducted an unannounced visit to the Short Term Residential Therapeutic Program (STRTP) to deliver the findings of the above allegation and met with Administrator, Alvaro Juarez. The above allegation was referred to Community Care Licensing for investigation. The investigation included interviews and a review of facility and placed children's records. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are UNSUBSTANTIATED at this time. A copy of this report was discussed and provided along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Daiquiri Boyd LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

met_with: Alvaro Juarez


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Daiquiri Boyd conducted an unannounced visit to the Short Term Residential Therapeutic Program (STRTP) to deliver the findings of the above allegations and met with, Case Manager, Jennifer Duarte. The above allegations were referred to Community Care Licensing for investigation. The investigation included interviews and a review of facility records. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation occurred. Therefore, the allegation are UNSUBSTANTIATED at this time. A copy of this report was provided to STRTP. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Daiquiri Boyd LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Jennifer Duarte


raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) and Licensing Program Analyst Danny Macias(LPA) traveled to Elite Family Systems offices and met with Bill Sneed to deliver finding of investigation. CS conducted investigation that included review of documentation and confidential interviews. Based in inconsistencies in the information obtained a preponderance of the evidence could not be found. Although the allegations may or may not be valid, without a preponderance of the evidence the allegations are deemed unsubstantiated. No deficiencies observed or cited. Copy of this report, LIC Confidential Names and LIC Appeal Rights left at the agency at conclusion of inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Bill Sneed


raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to Elite Family Systems Leslie Home and met with Jennifer Duarte to deliver findings of investigation. CS conducted investigation that included review of documentation and confidential interviews. Based on information obtained a preponderance of the evidence was found that staff handled minors in rough manner during restraints. Allegation is substantiated. This facility is being cited for violation of Interim Licensing Standards for STRTP Version 5 section 87095.01(a)(4) Emergency Interventions Prohibition. Copy of this report, ILS citation, LIC Confidential Names and LIC Appeal Rights left at the facility at conclusion of inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 06/21/2024 and conducted by Evaluator Charles Kinney PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:ELITE FAMILY SYSTEMS, INC.- LESLIE HOMEFACILITY NUMBER: ADMINISTRATOR:ALVARO JUAREZFACILITY TYPE: ADDRESS: LESLIE LANETELEPHONE: (209) 531- CITY:CERESSTATE: CAZIP CODE: CAPACITY:6CENSUS: 4DATE: 10/16/ UNANNOUNCEDTIME BEGAN: 10: AM MET WITH:Erick Nunez and Jennifer DuarteTIME COMPLETED:11: AM 9Staff use inappropriate forms of discipline with minors. Staff do not provide fair and equal treatment among minors. Staff do not prevent inappropriate interactions between minors. Staff do not provide minors with adequate food. Staff mismanage minors' medications. INVESTIGATION FINDINGS: 13Complaint Specialist C.K. Kinney(CS) traveled to Elite Family Systems Leslie Home and met with Jennifer Duarte to deliver finding of investigation. CS conducted investigation that included review of documentation and confidential interviews. Based in inconsistencies in the information obtained a preponderance of the evidence could not be found. Although the allegations may or may not be valid, without a preponderance of the evidence the allegations are deemed unsubstantiated. Copy of this report, LIC Confidential Names and LIC Appeal Rights left at the agency at conclusion of inspection UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: ELITE FAMILY SYSTEMS, INC.- LESLIE HOMEFACILITY NUMBER: 507003893

met_with: Erick Nunez and Jennifer Duarte


raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to Elite Family Systems Leslie Home and met with Jennifer Duarte to deliver findings of investigation. CS conducted investigation that included review of documentation and confidential interviews. Based on information obtained a preponderance of the evidence was found that staff handled minors in rough manner during restraints. Allegation is substantiated. This facility is being cited for violation of Interim Licensing Standards for STRTP Version 5 section 87095.01(a)(4) Emergency Interventions Prohibition. Copy of this report, ILS citation, LIC Confidential Names and LIC Appeal Rights left at the facility at conclusion of inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: ELITE FAMILY SYSTEMS, INC.- LESLIE HOMEFACILITY NUMBER: 507003893


facility_name: ELYSIAN

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

met_with: Senior Human Services Care Counselor Julia Barboza


investigation_findings: UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:


met_with: Administrator Aimee Salazar


raw_content:
Investigation Findings:
13On 12/27/2023 at 12: PM Licensing Program Analysts (LPA),Celeste Aparicio,made an unannounced inspection to the facility for the purpose of delivering findings from a complaint investigation. LPA met with Senior Human Services Care Counselor, Julia Barboza, to informed them on the purpose of this visit. Although the allegation may have happened or is valid, based on LPA's observations and interviews, there is not a preponderance of the evidence to prove the alleged violation did or did not occur. Therefore, the allegation is unsubstantiated. An exit interview was conducted, appeal rights were provided, and a copy of this report was provided to the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lidia Tinoco LICENSING EVALUATOR NAME: Celeste Aparicio LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

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

met_with: Julia Barboza


raw_content:
Investigation Findings:
13On 01/10/24 at 04:34PM Licensing Program Analysts (LPA's) Celeste Aparicio made an unannounced inspection to the facility for the purpose of delivering findings from a complaint investigation. LPA met with Administrator, Aimee Salazar and informed them on the purpose of this visit. Although the allegation may have happened or is valid, based on LPA's observations and interviews, there is not a preponderance of the evidence to prove the alleged violation did or did not occur. Therefore, the allegation is unsubstantiated. An exit interview was conducted and a copy of this report was provided to the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lidia Tinoco LICENSING EVALUATOR NAME: Celeste Aparicio LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Aimee Salazar


raw_content:
Investigation Findings:
13On 03/05/2024 at 12:10PM, Licensing Program Analysts (LPA's) Celeste Aparicio and Jasmine Cardeno made an unannounced inspection to the facility for the purpose of delivering findings from a complaint investigation. LPA's met with Administrator, Aimee Salazar and informed her on the purpose of this inspection. Although the allegations may have happened or are valid, based on LPA's observations, interviews, and records review there is not a preponderance of the evidence to prove the alleged violations did or did not occur. Therefore, the allegationa are unsubstantiated. Exit interview was conducted and a copy of this report was printed and left with Administrator Aimee Salazar, whose signature on this form confirms receipt of these documents. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Celeste Aparicio LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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


summary: Facility Evaluation

raw_content:
Narrative:
On Tuesday October 26, 2021 at 8: AM Licensing Program Analysts (LPA) Isabel Mendoza made an unannounced inspection to conduct an annual required inspection. LPA met with Administrator Saila Martinez. The facility has a census of three clients. Two clients were at school, and one client 51/50. At 08: AM LPA Mendoza conducted a walk thru. The facility is clean, safe and sanitary and in good repair. All passageways are unobstructed. There are no pools or bodies of water. All disinfectants, cleaning solutions and poisons are locked. Per Administrator there are no firearms in the facility. The inspected bedrooms were furnished accordingly. The kitchen is clean and sanitary. Menus are posted in the kitchen area. The facility has sufficient two day perishable and seven day nonperishable food supply. The facility has Personal Rights, Foster Youth Rights, and Emergency Disaster Plans posted and in clear view. At 09: AM LPA Mendoza inspected the medication binder. Currently one client is on psychotropic medication. The facility has all required documents and medications are kept locked in the staff office. At AM, LPA Mendoza reviewed all three client files, and all files were complete. At 10: AM LPA Mendoza reviewed 10 staff files at the facility and staff training. All staff files had everything in personnel file, except TB test results. [ Please Cont. To Lic 809-c.] All TB test results are located at the San Mateo County Building, located at ( Davis Drive, Belmont, CA). After staff file and training review LPA Mendoza went to county office to review TB test results. All TB test were complete and on file. LPA interviewed two staff members. All staff training hours meet the minimum requirements. During inspection, LPA obtained a copy of LIC 500, LIC 610. No deficiencies were cited during todays inspection. An exit interview was conducted and a copy of this report was left with the Administrator.

report_type: Facility Evaluation

visit_type: Annual

met_with: Administrator- Saila Martinez


raw_content:
Narrative:
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 "Staff hit a youth in care" is unsubstantiated. At the time of this inspection, no Title 22 deficiencies were observed regarding this allegation. An exit interview was conducted, appeal rights discussed, and a copy of this report was provided to Long Nguyen, Administrator Designee whose signature below confirms receipt.

Investigation Findings:
13On 05/01/2026 at 9: AM, Licensing Program Analyst (LPA) Amee Li made an unannounced visit to the above-listed facility for the purpose of delivering complaint findings for the above allegation. LPA met with Administrator Designee Long Nguyen and explained the purpose of the visit. At the time of the visit, there are two clients in care and one client present. LPA conducted a physical plant inspection and found the facility to be in good repair. During the investigation, LPA conducted twelve confidential interviews, inspected shift logs and incident reports, and reviewed facility compliance history. LPA found that statements obtained via interview did not support the details of the allegation. Additionally, the documentation reviewed was found to corroborate these statements. (Continued on LIC9099C.) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kristin Pierotti LICENSING EVALUATOR NAME: Amee Li LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN BRUNO RO, TRAEGER AVE., SUITE FACILITY NAME: ELYSIANFACILITY NUMBER: VISIT DATE: 05/01/2026

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

met_with: Long Nguyen, Administrator Designee


raw_content:
Narrative:
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, "Lack of care and supervision" and "Staff are not following runaway plan" are unsubstantiated. At the time of this inspection, no Title 22 deficiencies were observed regarding these allegations. An exit interview was conducted, appeal rights discussed, and a copy of this report was provided to Long Nguyen, Administrator Designee whose signature below confirms receipt.

Investigation Findings:
13On 05/01/2026 at 9: AM, Licensing Program Analyst (LPA) Amee Li made an unannounced visit to the above-listed facility for the purpose of delivering complaint findings for the above allegations. LPA met with Administrator Designee Long Nguyen and explained the purpose of the visit. At the time of the visit, there are two clients in care and one client present. LPA conducted a physical plant inspection and found the facility to be in good repair. During the investigation, LPA conducted fourteen confidential interviews, inspected shift logs and incident reports, and reviewed clients' needs and services plans, facility compliance history, plan of operation, staff training, and staff meeting minutes. Based on observation, interview, and record review, the details of the allegations were unsupported. (Continued on LIC 9099C.) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kristin Pierotti LICENSING EVALUATOR NAME: Amee Li LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN BRUNO RO, TRAEGER AVE., SUITE FACILITY NAME: ELYSIANFACILITY NUMBER: VISIT DATE: 05/01/2026

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


summary: Facility Evaluation

raw_content:
Narrative:
On 05/20/2026 at 10: AM, Licensing Program Analyst (LPA) Amee Li conducted an unannounced annual inspection at the above listed facility. LPA met with Designee Dessoni Redmond and explained the purpose of the inspection. At the time of the inspection, there were two clients in care and one client present. One client returned from school towards the end of the inspection. Administrator Aimee Salazar arrived later to assist with the inspection. LPA conducted a physical plant inspection. LPA observed facility license, accreditation, client rights, facility sketch, meal menu, activity schedule, and complaint procedures posted throughout the walls of the facility. Smoke and carbon monoxide detectors were operable. Thermostat measured at 70 degrees F. LPA observed two days of perishable foods and seven days of non-perishable foods in the kitchen. The refrigerator and freezer temperatures were within range. Sharps, medications, and cleaning solutions containing chemicals are locked and stored in the staff office where inaccessible to clients. Trash cans are covered. LPA found the facility to be clean and in good repair. The faucet in the client bathroom delivered water at a temperature of 104.9 degrees F. LPA observed clean linens, towels, and extra blankets. Client bedrooms had adequate storage space and were in good repair. LPA inspected the backyard and found it to be in good repair. There are no firearms or open bodies of water at the facility. (Continued on LIC809C.) LPA inspected five staff files. LPA found criminal record clearances and staff training to be in compliance. LPA observed that five of five staff files were missing health screening and tuberculosis test results. Administrator showed LPA digital copies of the health screenings including tuberculosis tests. Additionally, three of five staff files contained outdated CPR and first aid training certificates. One Technical Assistance was issued. Staff immediately printed the current certificates and LPA was able to observe. LPA also observed two outdated administrator certificates, but current ones had been obtained and shown to LPA. LPA inspected two client files. LPA observed that one client had not signed their needs and services plan due to unauthorized absence. Previous needs and services plans had all been signed. Administrator immediately obtained client signature. LPA issued one Technical Assistance. Another client's needs and services plan was not signed by the social worker (SW), but Administrator showed LPA that they had already requested for SW to sign. LPA reviewed medication logs and found them to be complete. LPA inspected emergency procedures and drill logs. LPA observed fire clearance and board of directors meeting minutes, current LIC 500 and emergency disaster plan. LPA observed that facility conducts fire drills, but does not conduct drills for other types of emergencies. Administrator stated that facility would add earthquake drills. One Technical Violation was issued. LPA also observed that client information maintained for emergencies were out of date. Administrator immediately printed out updated forms and added them to the emergency binder. One Technical Violation was issued. LPA conducted two staff interviews and no client interviews. One client was present at the time of the inspection and had declined to interview. At this time, there were no deficiencies cited. Two Technical Violations and three Technical Assistances were issued. Please refer to the attached LIC 9102s. An exit interview was conducted, appeal rights discussed, and a copy of this report was left with Aimee Salazar, Administrator whose signature below confirms receipt.

met_with: Aimee Salazar, Administrator


facility_name: EMBOLDEN YOUTH SERVICES - IRIS HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
On July 17, 2025, at 2: PM, Component II of the application process for Embolden Youth Service - Iris House located at W. 95th Street Los Angeles, CA. 90044 was held at the El Segundo Children's Residential Regional Office in El Segundo. Attending Component II were the following individuals: Licensing Program Analyst (LPA), Charmetha White, Applicant, Kendra Bolden. The following incomplete application forms were discussed at the meeting: · Personnel Report (LIC 500) · Guardian Association · Emergency Disaster Plan (LIC 610) · Criminal Clearance Transfer · New Administrator Requirements · STRTP Orientation Certificate · Financial Responsibility Program Statement was reviewed and discussed. Pre-Licensing Inspection will be scheduled for a future date, as applicant is waiting for smoke detectors fully installed. A copy of this report was issued to the Applicant, Kendra Bolden.

met_with: Applicant - Kendra Bolden


summary: Facility Evaluation

raw_content:
Narrative:
On August 7, 2025, Licensing Program Analyst (LPA) C. White arrived at the above location for the purpose of conducting a Pre-Licensing Inspection. LPA was met by Applicant, Kendra Bolden. The facility is requesting to be licensed as a Short-Term Residential Program to provide to provide care and supervision to six (6) female children, ages 13-17 years old, ambulatory only. The facility will also provide services to non-minor dependents. Currently the census is zero (0). The home is set up as follows: This is a single story 3 bedroom, 2 bathroom, home located in a residential area. The home consists of a living room, dining room, kitchen, laundry area, a backyard, and a detached garage. Living room: is equipped two (2) sofas, a lounge chair, two (2)chairs, a coffee table, two (2) end tables with lamps, a mounted flat screen TV, a entry way table equipped with a printer and a small lamp. Dining room: is equipped with a wooden table and six (6) chairs. There is also a small bookshelf that contains board games. Kitchen: is equipped with a refrigerator/freezer, a five (5) burner gas stove (all burners were operational at the time of the inspection), and a microwave. Sharp knives are kept locked in a cabinet located under the kitchen sink. LPA observed a covered trash can, ample plates, cups, and eating utensils. LPA observed ample nonperishable food items in the pantry. The applicant will ensure that three (3) nutritious meals and snacks will be provided to clients in care. Report continued on LIC 809C (Page 1 of 3) Laundry area: is located off of the kitchen. The area has a washer, dryer, locked cabinets, and a door leading to the backyard. This area also contains a hot water heater. (Note: Hot water heater needs to have a secured framed separation). Backyard: Contains a sitting area for private visitation purposes. Detached garage: is equipped with two (2) desks, chairs, a table and multiple seating. This area will be utilized by Facility staff and the Mental Health Team. Bedrooms: A, B, and C: are equipped with two (2) twin beds, drawers, and ample closet space. All bedrooms have a ceiling fan/working light, and security bars. The security bar emergency latches were tested and found to be operational at the time of this inspection. Bathroom #1: is located in the hallway near the back of the home, between bedroom C and bedroom B. The bathroom contains a toilet, sink, and a tub/shower combination. Bathroom #2: is located in the hallway near the front of the home, between bedroom B and bedroom A. The bathroom contains a toilet, sink, and a tub/shower combination. All bathrooms were checked and found to be in working order. Vehicle: Applicant does not currently have a facility vehicle. LPA observed the facility to have two (2) regulation fire extinguishers. The facility has a working telephone. Extra linens are stored in hallway cabinets. The smoke alarm and carbon monoxide detectors were tested and found to be in working order. The First Aid kit was checked and found to be complete with scissors, tweezers, thermometer, gauzes, antiseptics, and First Aid Manual Guide. Disinfectants and cleaning solutions are kept in a locked cabinet in the laundry area. Medications will be kept in a locked cabinet in the staffing office. Medications requiring refrigeration will be kept in a combination lock box in the refrigerator. There are no firearms or dangerous weapons in the facility. There are no bodies of water on the premises. Report continued on LIC 809C (Page 2 of 3) LPA observed the home to be clean, safe, and sanitary. Passageways, stairways, inclines, ramps and open porches are unobstructed. The backyard is fenced in, both were clean and free of debris. Clients and Staff Records will be stored in locked file cabinets located in the staffing office. LPA's informed Applicant, Kendra Bolden, that the following needs to be fixed prior to licensure: 1. Facility Vehicle 2. Thermometer for freezer & fridge 3.) Frame for Hot Water Heater 4.) Completed LIC 610C This concludes the pre licensing inspection. An exit interview was conducted. A copy of this report was emailed to the applicant, Kendra Bolden. (Page 3 of 3)

visit_type: Prelicensing


summary: Facility Evaluation

raw_content:
Narrative:
On September 19, 2025, Licensing Program Analyst (LPA) C. White made an announced visit to Embolden Youth Services - Iris House for the purpose of completing the STRTP Pre-Licensing Inspection. LPA met with Applicant, Kendra Bolden and was granted access to the facility. This facility is requesting to be licensed to provide care and supervision to six (6) female children, ages 13-17 years old, ambulatory only. The facility will also provide services to non-minor dependents. Currently the census is zero (0). The facility is set up as follows: This is a single-story 3 bedroom, 2 bathroom home located in a residential neighborhood. The home has living room, dining room, kitchen, laundry area, backyard, and a detached garage. Living room: Is equipped with two (2) sofas, a lounge chair, a coffee table, two (2) end tables with lamps, a mounted TV, and an entry way table. Dining room: Is equipped with a wooden table with six (6) chairs, and a small bookshelf with board games. Kitchen: Is equipped with an a five (5) burner gas stove (all burners were working at the time of the inspection), refrigerator/freezer, and a microwave. LPA observed a covered trash can, ample plates, cups, and eating utensils. Sharp knives are stored in a locked cabinet located under the kitchen sink. The home has ample nonperishable food items in the pantry. The applicant will ensure that clients in care are provided with three (3) nutritious meals and snacks. Laundry area: located off of the kitchen is equipped with a washer, dryer, locked cabinets, a door leading to the backyard, and an enclosed secured hot water heater. Backyard: Contains a covered sitting area for private visitation purposes. Detached garage: will be used as a staffing office for facility staff and the Mental Health Team, equipped with two (2) desks, chairs, a table and multiple seating. Bedrooms: A, B, and C: are equipped with two (2) twin beds, drawers, and closet space. All bedrooms have a ceiling fan/working light, and security bars. The security bar emergency latches were tested and found to be operational at the time of this inspection. Report continued on LIC 809C (Page 1 of 2) Bathroom #1: is located in the hallway near the back of the home, between bedroom C and bedroom B. The bathroom contains a toilet, sink, and a tub/shower combination. Bathroom #2: is located in the hallway near the front of the home, between bedroom B and bedroom A. The bathroom contains a toilet, sink, and a tub/shower combination. All bathrooms were checked and found to be in working order. Vehicle: The facility has a Dodge Caravan to transport youth to appointments and offsite extra curriculum recreational activities. LPA inspected the vehicle and found the horn, lights, and all seat belts in working order. LPA observed the vehicle to have valid car registration through June 2026 and car insurance with Farmers Insurance. LPA observed the facility to have two (2) regulation fire extinguishers. The facility has a working telephone. Extra linens are stored in hallway cabinets. The smoke alarm and carbon monoxide detectors were tested and found to be in working order. The First Aid kit was checked and found to be complete with scissors, tweezers, thermometer, gauzes, antiseptics, and First Aid Manual Guide. Disinfectants and cleaning solutions are kept in a locked cabinet in the laundry area. Medications will be kept in a locked cabinet in the staffing office. Medications requiring refrigeration will be kept in a combination lock box in the refrigerator. There are no firearms or dangerous weapons in the facility. There are no bodies of water on the premises. LPA observed the facility to be clean, safe, and sanitary. Passageways and porch were unobstructed. The front and back yard were free of debris and hazardous material. LPA observed the electrical shut off valve and the gas shut off valve are located on the left side of the home near Bedroom A, and the water shut off valve is located in the front of the home. The following was discussed with the facility Administrator: Children will be accorded personal rights. Children in care will be supported, encouraged to participate in extracurricular activities. Children in care will be able to contact the licensing agency. Children will be supervised & protected at all times. Children will be accorded dignity in personal relationships with others in the home. Children will not be restricted in telephone use except by court order. The Applicant will provide and ensure three nutritious meals, snacks, and special diets. The Applicant will ensure to have written authorization to obtain medical and dental care. The Applicant will ensure to have personal rights forms in children's files. Applicant acknowledges abuse reporting requirements. Staff working in the facility will have DOJ/FBI criminal record clearances, and Child Abuse Index Checks. Facility will operate within license conditions & limitations including capacity limit. Facility meets posting requirements and emergency telephone numbers are in a prominent location. LPA concluded the Pre license Inspection. An Exit interview was conducted, and a copy of this report was left at the facility with the Applicant. (Page 2 of 2)


summary: Facility Evaluation

raw_content:
Narrative:
On September 24, 2025, at 10: AM, Component III of the application process for Embolden Youth Services - Iris House was held at the El Segundo Children's Residential Regional Office in El Segundo. In attendance for the Component III was the following individuals: Licensing Program Analyst (LPA), C. White and Applicant, Kendra Bolden. Component III Orientation Summary The purpose of the Component III Orientation was to review program-specific regulatory requirements, discuss operational responsibilities, and ensure the applicant and key personnel fully understand the ongoing compliance expectations outlined in the California Code of Regulations, Title 22, and the Interim Licensing Standards for STRTP. The topics discussed included, but were not limited to staff qualifications, client personal rights, incident reporting procedures, documentation requirements, emergency intervention protocols, and the importance of maintaining full regulatory compliance across all operational areas of the facility. The Applicant was advised that Component III is a mandatory requirement in the STRTP licensing process. The applicant demonstrated understanding of the material presented and was reminded to contact the Department with any future questions or concerns. A copy of this report was provided to the Applicant.


summary: Facility Evaluation

raw_content:
Narrative:
This is an amended report of the initial LIC 809 dated 3/25/26. The report was amended to correct the inspection type listed in the narrative. The amended report was completed on April 1, 2026. On March 25, 2026, Licensing Program Analyst (LPA) C. White made an unannounced visit to Embolden Youth Services - Iris House for the purpose of completing the STRTP Post Licensing Inspection. LPA met with Licensee, Kendra Bolden and was granted access to the facility. This facility is licensed to provide care and supervision to six (6) female children, ages 13-17 years old, ambulatory only. The facility will also provide services to non-minor dependents. Currently the census is zero (0). The facility is set up as follows: This is a single-story 3 bedroom, 2 bathroom home located in a residential neighborhood. The home has living room, dining room, kitchen, laundry area, backyard, and a detached garage. Living room: Is equipped with two (2) sofas, a lounge chair, a coffee table, two (2) end tables with lamps, a mounted TV, and an entry way table. Dining room: Is equipped with a wooden table with six (6) chairs, and a small bookshelf with board games. Kitchen: Is equipped with an a five (5) burner gas stove (all burners were working at the time of the inspection), refrigerator/freezer, and a microwave. LPA observed a covered trash can, ample plates, cups, and eating utensils. Sharp knives are stored in a locked cabinet located under the kitchen sink. The home has ample nonperishable food. There was no perishable foods in the home as there are no clients in care at this time. The applicant will ensure that clients in care are provided with three (3) nutritious meals and nutritious snacks. Laundry area: located off of the kitchen is equipped with a washer, dryer, locked cabinets, a door leading to the backyard, and an enclosed secured hot water heater. Backyard: Contains a covered sitting area for private visitation purposes. Detached garage: will be used as a staffing office for facility staff and the Mental Health Team, equipped with two (2) desks, chairs, a table and multiple seating. Report continued on LIC 809C (Page 1 of 2) Bedrooms: A, B, and C: are equipped with two (2) twin beds, drawers, and closet space. All bedrooms have a ceiling fan/working light, and security bars. The security bar emergency latches were tested and found to be operational at the time of this inspection. Bathroom #1: is located in the hallway near the front of the home, between bedroom B and bedroom A. The bathroom contains a toilet, sink, and a tub/shower combination. Bathroom #2: is located in the hallway near the back of the home, between bedroom C and bedroom B. The bathroom contains a toilet, sink, and a tub/shower combination. All bathrooms were checked and found to be in working order. LPA observed the facility to have two (2) regulation fire extinguishers. The facility has a working telephone. Extra linens are stored in hallway cabinets. The smoke alarm and carbon monoxide detectors were tested and found to be in working order. The First Aid kit was checked and found to be complete with scissors, tweezers, thermometer, gauzes, antiseptics, and First Aid Manual Guide. Disinfectants and cleaning solutions are kept in a locked cabinet in the laundry area. Medications will be kept in a locked cabinet in the staffing office. Medications requiring refrigeration will be kept in a combination lock box in the refrigerator. There are no firearms or dangerous weapons in the facility. There are no bodies of water on the premises. LPA observed the facility to be clean, safe, and sanitary. Passageways and porch were unobstructed. The front and back yard were free of debris and hazardous material. Vehicle: The facility has a Honda Odyssey to transport youth in care. LPA inspected the vehicle and found the horn, lights, and all seat belts in working order. LPA observed the vehicle to have valid car registration and car insurance with Nonprofits Insurance Alliance of California. LPA discussed and advised the Licensee to ensure the following: Children are supported and encouraged to participate in extracurricular activities. Children are allowed and encouraged to contact the licensing agency or the Foster Care Ombudsperson, in confidence, without threats or punishment for making complaints. Children are afforded dignity in personal relationships with others in the home. LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. All posting requirements and Emergency Plan were met. The Licensee ensure all staff working in the facility will have DOJ/FBI criminal record clearances, and Child Abuse Index Checks. Facility will operate within license conditions & limitations including capacity limit. An Exit interview was conducted, and a copy of this report was left at the facility with the Administrator. (Page 2 of 2)

met_with: Kendra Bolden - Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On February 26, 2025, at AM, a Component II Office Visit was held to discuss the application received for Argent Ventures Inc located at W. 92nd Street Los Angeles, CA 90044. Attending Component II were the following individuals: Yvette Duncan, Applicant, Erika Butler, Licensing Program Analyst, and JoAunne Griffin, Licensing Program Manager. The purpose of this Component II meeting was to review and discuss the incomplete application and Program Statement and to resolve any outstanding concerns that may have existed. The following incomplete application forms were discussed at the meeting: Argent Ventures Inc Section A Documents 1. Application (LIC 200) 2. Surety Bond (LIC 402) 3. Out of State Criminal Record Disclosure (LIC 508D) Continued on C Control of Property Program Statement Sections A - Q Program Statement Sections 1 - Revisions of the Program Statement are due by March 6, 2025. Licensee needs to complete the Guardian account. Pre-Licensing Inspection scheduled for March 28, 2025, at AM. A copy of this report was provided to Applicant, Yvette Duncan.

met_with: Yvette Duncan


summary: Facility Evaluation

raw_content:
Narrative:
On March 28, 2025, at 9: AM Licensing Program Analyst (LPA) Erika Butler, Empowering Experience for the purpose of conducting a Pre-Licensing Inspection. LPA with Applicant Yvette Duncan who granted access to the home and together a tour of the interior and exterior home was conducted. The home is set up as follows: This is a three bedroom, two bathroom home located in a residential area. The home consists of a living room, dining room, kitchen, laundry space, and backyard area. The garage has been converted in to a bedroom that has a Murphy bed, stove, and bathroom. Living room: is equipped with mounted TV, couch, ottoman, coffee table, and cabinet. Dining room: is equipped with a table with bench seating. Kitchen: is equipped with a refrigerator/freezer, a five burner gas stove (all burners were operational at the time of the inspection), and microwave. Sharp knives will be kept inaccessible in a locked cabinet in the kitchen. LPA observed a covered trash can. LPA observed ample and non-perishable food items. The Applicant will ensure that three nutritious meals and snacks will be provided to the clients. 809 continued on page 1 of Bedroom #1: staff office equipped with 2 desk, file cabinet, lockers, chair, adequate lighting, and window with bars that open and close freely. Bedroom #2: client's bedroom equipped with bunk beds, drawer space, adequate closet space, adequate lighting, and window with bars that open and close freely. Bedroom #3: client's bedroom equipped with bunk beds, drawers space, adequate closet space, lighting, and window bars that open and close freely. Bathroom: Bathroom #1 is located in staff office, and bathroom #2 is located in the hallway. Bathrooms were observed to be clean and in working condition. Vehicle: The Applicant will use a Lexus GS to transport clients. Insurance is valid from January32, 2025 - January 3, 2026. The vehicle was observed to be in good condition. The home's temperature is maintained by central air/heating. LPA observed two fully charged fire extinguishers which are located in the kitchen. Extra linens will be stored in drawers in the hallway. The smoke alarm and carbon monoxide detectors were tested and found to be in working order. First Aid kit was found to be be complete with required items, except for a thermometer. The applicant has lockers for the clients to store there belongings. Disinfectants and cleaning solutions are kept in a locked cabinet in the hallway. LPA reminded Applicant to ensure the following when children are in placement: Children are accorded personal rights and the corresponding form is in their file. Children are supported and encouraged to participate in extracurricular activities. Children are allowed and encouraged to contact the licensing agency, in confidence, without threats or punishment for making complaints. Children are accorded dignity in personal relationships with others in the home. Applicant acknowledges abuse reporting requirements. Applicant will ensure grievance process, Disaster Plan, discipline policies and procedures will be posted in dining room area. Report continued on LIC 809C. (Page 2 of 3) LPA observed Ring camera at the front door and on the side of the home. Door sensors were observed on all exit doors. During the inspection, LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. Applicant informed that the following corrections will need to be made. Applicant will email a additional facility sketch to include the garage conversion. Applicant will purchase a lock box for refrigerated medication. Applicant will purchase a thermometers for the home. Applicant will purchase lock boxes for contraceptives. Applicant will add the use of cameras in the facility to the Program Statement by April 8, 2025. Applicant will purchase an additional drawer for bedroom #2. Applicant will remove radio, and dvd player out of closet in bedroom #2. Applicant needs a fire clearance. Applicant needs to set up a Guardian Account. LPA received a copy of applicants Property Taxes. LPA informed Applicant that a Component III meeting will be held April 8, 2025, at AM. An exit interview was conducted. A copy of report will be emailed to Applicant Yvette Duncan.


summary: Facility Evaluation

raw_content:
Narrative:
On April 8, 2025, at 9: AM, Licensing Program Analyst (LPA), Erika Butler, and Licensing Program Manager conducted a Short Term Residential Therapeutic Program (STRTP) Component III office meeting with Applicant,Yvette Duncan. LPA Butler met with Applicant to discuss forms required to be maintained, available, and posted at the facility for inspections. We discussed child and personnel records that are required to be documented, retained and available for inspection. We also discussed specific requirements, concerns and issues operating a STRTP, such as, reporting requirements, personnel requirements, supervision, intake issues, compatibility, removal/discharge policies, complaint procedures, transportation, health services, food, hygiene, visitation, personal property, searches, and community sensitivity. Licensing of facility is pending final approval due to fire clearance, association to Guardian, and corrections to facility plant, and Systems of Care revisions, A copy of this report was provided to the Applicant, Yvette Duncan.


summary: Facility Evaluation

raw_content:
Narrative:
On December 29, 2025, at 2: PM Licensing Program Analyst (LPA) Erika Butler, Empowering Experience for the purpose of conducting a Pre-Licensing Inspection. LPA with Applicant Yvette Duncan who granted access to the home and together a tour of the interior and exterior home was conducted. The home is set up as follows: This is a three bedroom, two bathroom home located in a residential area. The home consists of a living room, dining room, kitchen, laundry space, and backyard area. The garage has been converted to ADU and to a bedroom that has a Murphy bed, stove, and bathroom. Living room: is equipped with mounted TV, couch, ottoman, coffee table, and cabinet. Dining room: is equipped with a table with bench seating. Kitchen: is equipped with a refrigerator/freezer, a five burner gas stove (all burners were operational at the time of the inspection), and microwave. Sharp knives will be kept inaccessible in a locked cabinet in the kitchen. LPA observed a covered trash can. LPA observed ample and non-perishable food items. The Applicant will ensure that three nutritious meals and snacks will be provided to the clients. 809 continued on page 1 of Bedroom #1: staff office equipped with 2 desk, file cabinet, lockers, chair, adequate lighting, and window with bars that open and close freely. Bedroom #2: client's bedroom equipped with bunk beds, drawer space, adequate closet space, adequate lighting, and window with bars that open and close freely. Bedroom #3: client's bedroom equipped with bunk beds, drawers space, adequate closet space, lighting, and window bars that open and close freely. Bathroom: Bathroom #1 is located in staff office, and bathroom #2 is located in the hallway. Bathrooms were observed to be clean and in working condition. Vehicle: The Applicant will use a Lexus GS to transport clients. Insurance is valid from January32, 2025 - January 3, 2026. The vehicle was observed to be in good condition. The home's temperature is maintained by central air/heating. LPA observed two fully charged fire extinguishers which are located in the kitchen. Extra linens will be stored in drawers in the hallway. The smoke alarm and carbon monoxide detectors were tested and found to be in working order. First Aid kit was found to be be complete with required items, except for a thermometer. The applicant has lockers for the clients to store there belongings. Disinfectants and cleaning solutions are kept in a locked cabinet in the hallway. LPA reminded Applicant to ensure the following when children are in placement: Children are accorded personal rights and the corresponding form is in their file. Children are supported and encouraged to participate in extracurricular activities. Children are allowed and encouraged to contact the licensing agency, in confidence, without threats or punishment for making complaints. Children are accorded dignity in personal relationships with others in the home. Applicant acknowledges abuse reporting requirements. Applicant will ensure grievance process, Disaster Plan, discipline policies and procedures will be posted in dining room area. Report continued on LIC 809C. (Page 2 of 3) LPA observed Ring camera at the front door and on the side of the home. Door sensors were observed on all exit doors. During the inspection, LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. LPA Erika Butler-Williams will submit pictures and video to LPM Hernandez. An exit interview was conducted. A copy of report will be emailed to Applicant Yvette Duncan @yvetteduncan28@gmail.com.


summary: Facility Evaluation

raw_content:
Narrative:
On February 6, 2026 at 10:00 a.m., Licensing Program Analyst (LPA) Erika Butler-Williams conducted a Pre Licensing visit at the above-named STRTP to review the use of an attached converted garage/Additional Dwelling Unit (ADU) located on the same parcel as the proposed facility. During the visit, it was discussed that the Administrator/Director intends to reside in the attached converted garage/ADU. The converted garage/ADU has a separate exterior entrance and is physically attached to the licensed STRTP structure.The attached converted garage/ADU is permitted by Los Angeles County Public Works; however, the Fire Authority approved the primary residence for STRTP operations only. The attached converted garage/ADU was not included in the fire clearance for STRTP use and was identified by the Fire Authority as having only one means of egress. The Fire Inspector documented that the ADU is not approved for use as part of the STRTP.The applicant is advised that occupancy of the attached converted garage/ADU by the Administrator/Director is permitted subject to the following conditions: 1. The attached converted garage/ADU is not approved for STRTP operations. Clients and staff shall not access or utilize the converted garage/ADU for any purpose. The area shall Report continued on LIC 809C remain secured and inaccessible to clients at all times. 2. No interior access shall be created between the licensed STRTP and the attached converted garage/ADU without prior written approval from the Department and the Fire Authority. 3. The converted garage/ADU shall be used solely as the private living space of the applicant. The space shall not be used or represented as office space, administrative space, meeting space, program space, or storage related to the STRTP. The converted garage/ADU shall not be used for emergency housing or overnight staff lodging or for STRTP storage. 4. The Administrator/Director licensee shall not be counted toward required staffing ratios. The facility shall ensure required staffing coverage independent of the Administrator/Director presence on the property unless the Administrator/Director is scheduled to work at the facility. 5. Any visitors to the converted garage/ADU shall not enter any of the STRTP areas and shall have no contact with clients. Visitors who are present on a frequent or routine basis (multiple times per week) shall obtain the appropriate criminal background clearance and must be added to the personnel roster. 6. The applicant shall update the Program Statement to accurately reflect the approved physical plant and clarify the use of the attached converted garage/ADU is not part of STRTP operations and is not used for staff or client activities. 7. The applicant shall submit a revised Facility Sketch (LIC 999) identifying the attached converted garage/ADU and clearly labeling the space as not approved for STRTP use. The previously submitted sketch incorrectly labeled the converted garage/ADU as administrator headquarters, which is not approved. Report continued on LIC 809C 8. The applicant shall post signage indicating that the attached converted garage/ADU is not approved for STRTP use and that access is restricted to the licensee only. Signage shall be visible to staff and clients. Failure to comply with the above conditions may result in regulatory action. Until all documents are submitted a provisional license will not be issued. The applicant will email LPA a copy of the updated Facility Sketch, an updated verbiage for the Program Statement. There are no deficiencies to be cited at this time. Exit interview was conducted and a copy of this report will be emailed to the applicant.

met_with: Yvette Duncan - Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On March 25, 2026, at 1: PM, Licensing Program Analyst (LPA), Aimee Moratalla and Licensing Program Manager (LPM), Enrique Hernandez met with Applicant, Yvette Duncan at the El Segundo, Regional Office to review/discuss/corrected and provided the following documents: 1. LIC 200-revised 2. LIC 215 - signed 3. LIC 308 - provided 4. LIC 309 - provided 5. LIC 400 - provided 6. LIC 402 - Need the original copy of the Surety bond 7. LIC 401 - will be given on 4/1/26 8. LIC 401-a - will be given on 4/1/26 8-b. LIC 403 - will be given on 4/1/26 8-c. LIC 403-a - will be given on 4/1/26 9. LIC 404 - will be given on 4/1/26 9-a. LIC 420 - will be given on 4/1/ Page 1 of 2 10. LIC 500 - provided 11. LIC501 - Personnel training certificates, CPR, first aid 12. LIC 503 - Health Screening for staff 13. LIC 610C - corrected All the missing documents will be provided by the Applicant on or before April 1, 2026. Page 2 of 2

met_with: Applicant, Yvette Duncan


facility_name: ENVIRONMENTAL ALTERNATIVES-DIAMOND PEAK

summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Continued from LPA conducted a record review of the following documents: Client Placement roster for 3 months, staff roster with weekly schedules, current staff training logs, recent Serious Incident Reports, Needs and Services Treatment Plans for current clients, and an employee disciplinary notice. Based on observation, record review, and interviews, the allegation Staff pushed client in care is SUBSTANTIATED. Facility is cited under Interim Licensing Standards STRTP, Article 6, Personal Rights 87072(d)(11): To be free of physical...or other abuse, and from corporal or unusual punishment...intimidation...or other actions of a punitive nature." A signed copy of this report and the 9099C/9099D was provided to the facility. Exit interview was conducted and a copy of the appeal rights were given to the administrator. The facility has already documented and submitted a Plan of Correction to the Department, which satisfies regulations. The Staff member who pushed the client received disciplinary action and will complete additional training. He reports receiving helpful supervision and feedback from other staff since the incident.

Investigation Findings:
13Licensing Program Analyst (LPA) Hillary Hall arrived at the facility on 10/29/21 for the purpose of delivering findings following a complaint investigation. LPA met with Eric Perry, Administrator, to discuss the complaint findings. LPA opened the complaint virtually with the Administrator on 9/1/21, due to the roads to the facility being closed. LPA interviewed one former client on 10/1/21, and one county social worker on 9/23/21. LPA then toured the facility in person on 10/4/21, and interviewed four staff and three clients. A client (C1-See LIC 811: Confidential Names list 10/29/21) became physically and verbally aggressive on the evening on 8/22/21. C1 approached a Staff member, "bumped chests and began yelling and swearing." Staff admitted to pushing C1 away from him when C1 approached. C1 fell back onto his bed, and was not physically injured. Statements were consistent between C1, and the other staff and clients who witnessed the incident. The facility reported the incident to the Department via Serious Incident Report which was submitted on 8/25/21. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Daniel Allmon LICENSING EVALUATOR NAME: Hillary Hall LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, COHASSET RD., STE. FACILITY NAME: ENVIRONMENTAL ALTERNATIVES-DIAMOND PEAKFACILITY NUMBER: VISIT DATE: 10/29/2021

met_with: Eric Perry, Administrator


raw_content:
Narrative:
Continued from The reporting party alleged one client was sexually abused by another client. Interviews and record reviews were consistent that one client (C1) alleged abuse by another client (C2). C2 denied any abuse or involvement with C1. There were no witnesses to the alleged abuse. C1 gave different accounts of the abuse, and was vague in reporting dates and times of when it occurred, but stated it happened at night and lasted a few minutes. The same day that C1 informed staff of the alleged abuse, C1 was taken the doctor for an exam. C2 was removed from the facility the following day. Within three weeks, the Administrator had retrained all staff on night time supervision policies and procedures. LPA reviewed staff schedules and observed the facility had maintained appropriate staff ratio. C1 indicated to LPA he felt safe in the facility and was well cared for by staff. The Juvenile attorney added they did not feel the facility was neglectful in their level of supervision for the clients. Based on LPA's observations, interviews, and record reviews, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. Exit interview was conducted and a copy of this LIC-9099 and LIC-9099C were provided to the facility.

Investigation Findings:
13Licensing Program Analyst (LPA) Hillary Hall arrived unannounced at the facility and met with Alonzo Nall, Co-Administrator. The purpose of the visit was to deliver findings for a complaint investigation. LPA discussed the findings for the allegation: Lack of supervision by staff resulting in sexual interactions between minors. During the investigation, LPA interviewed one client (C1), one Therapist, and one Administrator on 1/19/2022. LPA had previously interviewed the same client on 10/4/21, which was after the alleged sexual incident took place, but prior to the alleged incident being reported by the client on 10/5/21. The client is a private placement and does not have a County Social Worker or Probation Officer. LPA initially interviewed the Administrator about the incident when it was first reported on 10/5/21, 10/6/21, 10/8/21, and 10/29/21. LPA interviewed a Juvenile attorney and two Probation officers on 4/11/2022. LPA reviewed the facility Program Statement, Serious incident reports, staff schedules, and Needs and Service Plan for the client. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Daniel Allmon LICENSING EVALUATOR NAME: Hillary Hall LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, COHASSET RD., STE. FACILITY NAME: ENVIRONMENTAL ALTERNATIVES-DIAMOND PEAKFACILITY NUMBER: VISIT DATE: 04/15/2022

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

met_with: Alonzo Nalls, Co-Administrator


raw_content:
Narrative:
All interviews were consistent that an employee was involved in horseplay with a client wherein both wound up on the floor together. Interviews were inconsistent about what occurred during the horseplay. The involved client reported no harm, threat, or inappropriate action occurred. The witness did not report observing the employee doing anything that threatened the health, safety or wellbeing of the client. The involved client reported feeling safe at the facility and that staff never behaved in ways which made them feel uncomfortable. The involved employee was discharged from employment for violation of company policy around horseplay. The agency is developing training and an accompanying syllabus to present to staff around appropriate boundaries. Based on LPA's observations, interviews, and records reviewed, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove a violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. An exit interview was conducted and a copy of the report was provided along with appeal rights.

Investigation Findings:
13Licensing Program Analysts (LPAs) Misty Valencia and Lyta Vue arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met ws Valencia and Vue met with Eric Perry, Administrator. LPA Wendy Brown conducted the complaint investigation. LPA Brown opened the investigation with the facility on 08/21/2024 and two staff were interviewed. During the course of the investigation, LPA conducted additional interviews with two clients, one Administrator, one more staff, one county social worker, and one former staff. LPA reviewed records from the facility including: client Needs and Services Plan and progress notes, agency policy information, staff meeting agenda and notes, employee clearance documents, an employee report of the incident, and an email notice to human resources regarding the incident. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Misty Valencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: ENVIRONMENTAL ALTERNATIVES-DIAMOND PEAKFACILITY NUMBER: VISIT DATE: 08/28/2024


raw_content:
Narrative:
Based on LPA's interview and records review the preponderance of evidence standard has been met. Therefore, the allegation is SUBSTANTIATED. One citation is being issued for violating Interim Licensing Standards Section 87095.01(b) and (c). An exit interview was conducted. A signed copy of this LIC-9099 report, the LIC-9099C, and LIC-9099D, and appeal rights were provided to Amy Green, Supervisor.

Investigation Findings:
13Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Amy Green, Supervisor. LPA Brown and LPA Yesenia Vallejo conducted the complaint investigation. LPA Brown initiated the investigation with the facility on 04/08/2025 and three staff members were interviewed. A Health and Safety Inspection was conducted. LPA Vallejo interviewed two county social workers and LPA Brown conducted a total of nine confidential interviews. LPA reviewed records including: incident reports, staff training records, Needs and Services plans, daily progress notes, and Child and Family Team meeting notes. The complaint allegation indicates that staff inappropriately restrained a minor in care. While there was some discrepancy as to how the client was restrained, the staff member in question admitted to having the client by the arm to prevent them from leaving, and witnesses were consistent that the staff member had grabbed and held the client by the arm. Restricting the client from leaving in this manner is not an approved restraint as part of the facility's emergency intervention plan. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Wendy Brown LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: ENVIRONMENTAL ALTERNATIVES-DIAMOND PEAKFACILITY NUMBER: VISIT DATE: 05/22/2025

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

met_with: Amy Green, Supervisor


raw_content:
Narrative:
action is taken. One staff person indicated they have seen clients smack each other on the buttocks and told them to stop. Interviews were consistent that staff had not received a report of a client being inappropriately touched by another client. It was alleged that a client received clothing that did not fit and did not receive new clothes when requested. Fifteen of sixteen interviewees were consistent that upon placement, need, or request, clients are provided with clothing immediately if needed, or later if they prefer to shop at a variety of stores not available in the community. Based on LPA's interviews and records review, although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove the violations did, or did not, occur. Therefore, the allegations are UNSUBSTANTIATED. A signed copy of this LIC-9099, LIC-9099C, and appeal rights were provided to the facility. An exit interview was conducted.

Investigation Findings:
13Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Amy Green, Facility Supervisor. LPA conducted the complaint investigation. LPA initiated the investigation with the facility on 05/22/2025 and three staff members were interviewed. During the course of the investigation, LPA interviewed seven other staff members, one probation officer, one county social worker, and five other confidential interviewees. LPA reviewed records including: Mental Health Rehabilitation Team's weekly minutes, Needs and Services Plans, Client Safety Plans, staff discipline and annual evaluation reports, client accounting record, Unusual Incident/Injury Reports, disciplinary notices, employee reviews, daily progress notes, emails, texts, and written statements. It is alleged that staff did not intervene when a client reported inappropriate touching by other client(s) at the facility. Staff interviews were consistent that if or when inappropriate touching is reported, immediate UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Wendy Brown LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: ENVIRONMENTAL ALTERNATIVES-DIAMOND PEAKFACILITY NUMBER: VISIT DATE: 07/31/2025

met_with: Amy Green, Facility Supervisor


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
were inconsistent as to whether this occurs however one staff person admitted to swearing at clients but getting better at not doing so. Record review of one staff file indicated one staff had received correction for speaking negatively of a client. It was further alleged that staff do not treat clients with dignity and respect, including provoking clients when interacting with them. In interview with LPA, one staff person indicated that they were smiling and laughing while restraining a client. In a separate incident, interviews were consistent from individuals present that a staff person told a client they were at fault for an incident while efforts were underway to de-escalate the client. Based on LPA's interviews and records reviewed, the "preponderance of evidence" standard has been met. Therefore, the allegations are SUBSTANTIATED. One citation is being issued for violating Interim Licensing Standards sections 87072(c)(15) and (32): Personal Rights (c) The licensee shall ensure that each child...is accorded the personal rights...(15) to be accorded dignity in their personal relationships with staff and other persons. (32) To have placement that utilizes trauma-informed and evidence-based de-escalation and intervention techniques. An exit interview was conducted. A signed copy of this LIC-9099 report, the LIC-9099C, LIC-9099D, and appeal rights were provided to the facility.

Investigation Findings:
13Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Amy Green, Facility Supervisor and Eric Perry Administrator joined by phone. LPA conducted the complaint investigation. LPA initiated the investigation with the facility on 05/22/2025 and three staff members were interviewed. During the course of the investigation, LPA interviewed seven other staff members, one probation officer, one county social worker, and five other confidential interviewees. LPA reviewed records including: Mental Health Rehabilitation Team's weekly minutes, Needs and Services Plans, Client Safety Plans, staff discipline and annual evaluation reports, client accounting record, Unusual Incident/Injury Reports, disciplinary notices, employee reviews, daily progress notes, emails, texts, and written statements. It was alleged that staff speak inappropriately to clients by swearing at and calling them names. Interviews SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Wendy Brown LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: ENVIRONMENTAL ALTERNATIVES-DIAMOND PEAKFACILITY NUMBER: VISIT DATE: 07/31/2025


raw_content:
Narrative:
that while vapes have been confiscated by facility staff, no clients have been caught smoking or vaping anywhere on the property in recent months. Although as of the date of this report and since the start of school there has been recent occurances of confiscated vapes from clients. One confidential interviewee admitted to vaping in the bathroom without staff knowledge. On a specific night of a reported marijuana odor, one staff person reported smelling skunk outside but not observing anyone smoking. Based on LPA's interviews and records reviewed, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. An exit interview was conducted and a copy of the report was provided along with appeal rights.

Investigation Findings:
13Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Eric Perry, Administrator. LPA conducted the complaint investigation. LPA initiated the investigation with the facility on 07/31/2025 and three staff and four confidential interviews were conducted. During the course of the investigation, LPA interviewed the reporting party, a second involved party, and two additional facility staff. LPA reviewed records to include: daily progress notes, agency policy on neighbor complaints, client roster, facility smoke free policy, law enforcement denial of report request, text messages, two short videos, emails, Code of Conduct, biopsychosocial assessments, and Needs and Services Plans. Allegations include that the facility fails to maintain a smoke free environment. The reporting party did not see any client(s) or staff smoking marijuana but reported smelling it and finding vapes and cans of chewing tobacco along the property line. Seven of the nine interviewees were consistent in stating that staff and clients are not allowed and have not been observed to smoke or vape on the property. Staff indicates UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Wendy Brown LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: ENVIRONMENTAL ALTERNATIVES-DIAMOND PEAKFACILITY NUMBER: VISIT DATE: 09/08/2025

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


summary: Complaint Investigation - Substantiated - 1 deficiency - 1 allegation

raw_content:
Narrative:
Based on LPA's record reviews, the preponderance of evidence standard has been met. Therefore, the allegation is SUBSTANTIATED. One citation is being issued for violating California Code of Regulations Title 22 section 80078(a). An exit interview was conducted. A signed copy of this LIC-9099 report, the LIC-9099C, and LIC-9099D were provided to the facility. Appeal rights were provided.

Investigation Findings:
13Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Eric Perry, Administrator. LPA conducted the complaint investigation. LPA initiated the investigation with the facility on 07/31/2025 and three staff and four confidential interviews were conducted. During the course of the investigation, LPA interviewed the reporting party, a second involved party, and two additional facility staff. LPA reviewed records to include: daily progress notes, agency policy on neighbor complaints, client roster, facility smoke free policy, law enforcement denial of report request, text messages, two short videos, emails, Code of Conduct, biopsychosocial assessments, and Needs and Services Plans. Allegations include a lack of supervision of clients, with one client throwing rocks over the fence targeting the neighboring resident and their home. Records review indicate that the involved client had documented high needs, that warranted close, increased supervision. Interviews and records review indicate staff were informed by law enforcement that the client was throwing rocks, rather than having supervised the youth to intervene with the behavior. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Wendy Brown LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: ENVIRONMENTAL ALTERNATIVES-DIAMOND PEAKFACILITY NUMBER: VISIT DATE: 09/08/2025

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

Deficiencies:
80078: Based on records review staff were informed by law enforcement that the client with high needs was throwing rocks, rather than
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title: (a)	The licensee shall provide care and supervision as necessary to meet the client's needs. This regulation was not met as evidenced by


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Misty Valencia and Lyta Vue on 04/30/26 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs Valencia and Vue met with Amy Green, Administrator and inspected the facility inside and out. LPA reviewed 2 out of 8 child's records and 4 out of 4 staff personnel files on site at the facility. LPA reviewed 2 out of 2 child's psychotropic medications and medication records. LPA interviewed 2 out of 4 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 2 out of 2 of children currently prescribed psychotropic medication. LPA provided a copy of this licensing report to Amy Green, Administrator. No deficiencies are being cited at this time. LPA conducted exit interview with Amy Green, Administrator.

visit_type: Case Management

met_with: Amy Green, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 05/01/2026, Licensing Program Analysts (LPA) Misty Valencia and Lyta Vue arrived unannounced at the facility and met with Amy Green, Administrator. The purpose of the visit was to conduct a Required Annual Inspection of the facility. The last Annual inspection for the facility was on 04/02/2025. LPA utilized the CARE Tool to complete the Annual inspection. The facility is licensed to provide treatment services for ambulatory children ages 13-18 years. The facility currently has 8 clients, No Regional Center placement's. Two clients were present during the inspection. The facility is licensed for a maximum capacity of 10. Staff to client ratio is one to one. LPA conducted an inspection of the physical plant, and checked for all necessary requirements. The facility was clean and organized, and maintained an acceptable room temperature. The facility is a home like setting with a living room, with five client bedrooms, a large open plan kitchen/dining area, and two locked staff offices. Each client had a closet and dresser in good repair. Mattresses and bedding were observed to be clean. Clients were able to decorate their rooms with their personal belongings. The backyard was free from hazards, safely fenced, with a variety of sports equipment accessible to clients. LPA observed the proper postings including: facility license, complaint hotline, client personal rights, and emergency disaster plan. continued on 809-C The facility has two client bathrooms and one staff bathroom. All were observed to be clean and fully functioning. Smoke alarms were in working order, fire extinguishers were current, and a first aid kit was fully stocked. LPA observed the kitchen to have at least 2 days of perishable food and 7 days of non-perishable food on hand, with additional food stored in the storage room. LPA observed client files and client medications were stored in a locked file cabinet in the locked staff office. The facility has no outstanding fees. LPAs reviewed 5 client files. 3 clients were taking psychotropic medications and had current court documentation in files. Psychotropic medication logs for clients were written on separate Psychotropic Medication Administration Records. Clients were current on CHDP physical exams and dental exams. The client's Needs and Services Plan/Individual Program Plan, were complete and up to date. LPAs reviewed 5 staff files. Staff files had completed criminal record clearances and all required initial and annual training. First Aid and CPR certifications were up to date for all staff. Administrators Certificate was valid. LPA interviewed 2 staff on site. LPAs interviewed 2 clients on site. No citations were given on this date. A signed copy of this LIC-809 and LIC-809C, report was provided to Administrator An exit interview was conducted.


facility_name: ENVIRONMENTAL ALTERNATIVES - BUTTE VALLEY

summary: Facility Evaluation

raw_content:
Narrative:
An announced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA), Stefanie Whitlow, at STRTP EA Butte Valley located at address above on 9/8/21 at 9:30am. During the inspection, LPA met with Joe Wylie, facility administrator, and inspected the facility inside and out. There were no deficiencies noted. A medication count was also conducted. LPA reviewed three children's records. LPA interviewed three children currently taking psychotropic medication at 2: PM LPA interviewed five staff on site during the inspection at 10: AM. LPA reviewed five staff personnel files. LPA conducted exit interview with Joe Wylie, facility administrator, who signed the LIC 809. Appeal rights were not explained, as no citations were given. LPA provided the Summary Report to Joe Wylie, facility manager, upon completion by email.

met_with: Joe Wylie


summary: Facility Evaluation

raw_content:
Narrative:
On 08/03/2022, at 11: AM Licensing Program Analyst (LPA) Connie Goldie conducted an announced visit to facility to conduct a collateral interview with a client for a open investigation at another facility. LPA Goldie met with House Manager Joe Wylie to assist with this interview. LPA interviewed 1 client today. Exit interview conducted with House Manager Joe Wylie at 12: PM.

met_with: House Manager Joe Wylie


summary: Facility Evaluation

raw_content:
Narrative:
SB Psychotropic Medication Inspection An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Hillary Hall on 11/3/22 at AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Hall met with Joe Wylie, Administrator, and inspected the facility inside and out. LPA reviewed 5 client files and 3 staff personnel files on site at the facility. LPA conducted a medication count of 5 client's psychotropic medications and medication records. LPA interviewed 3 staff on site. LPA interviewed 3 clients out of 5 who are currently prescribed psychotropic medication. One client was not interviewed due to feeling ill and one client refused to be interviewed. No deficiencies are being cited at this time. LPA conducted an exit interview with the Administrator. LPA provided a signed copy of this LIC-809 licensing report to the Administrator.

met_with: Joe Wylie, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 11/4/2022, Licensing Program Analysts (LPA) Hillary Hall and Misty Valencia arrived unannounced at the facility for the purpose of conducting an Annual Inspection. LPA's arrived at 10:45 am and met with Administrator (AD) Joe Wylie. LPA's left at 2:30pm. LPA's utilized the CARES tool to conduct the inspection. Facility is clean and organized. More than 7 days of non-perishable food was observed and more than 3 days of perishable food was observed. The facility currently has six clients. Each client has sufficient bedding and storage space. Facility vehicles were in good repair. Facility has a pool which is properly fenced. Staff supervision was was within regulations. Smoke alarms and fire extinguishers were in compliance. Medications and cleaning supplies were locked. *No deficiencies were noted in the physical grounds. On 11/03/22, LPA Hall interviewed three clients present, as LPA was on site this date for a SB Psychotropic Medication Inspection. LPA's reviewed six client files. LPA Hall interviewed 3 staff. LPA's reviewed five staff files. LPA's observed all six client files to have current Needs and Services Plans (NSP). *No deficiencies were noted with the staff or client files. A signed copy of this LIC-809 and LIC-809C were provided to the administrator.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Misty Valencia on 11/30/2023 at 8:00AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Valencia met with Author (Joe) Wylie, Administrator and inspected the facility inside and out. LPA reviewed one of five (1/5) child's records and three of three (3/3) staff personnel files on site at the facility. LPA reviewed one of five (1/5) of child's psychotropic medications and medication records. LPA interviewed three of three (3/3) staff on site to discuss the facilities policies and procedures of operation. LPA interviewed one of five (1/5) children currently prescribed psychotropic medication. LPA provided a copy of this licensing report to Joe Wylie, Administrator. No deficiencies are being cited at this time. LPA conducted exit interview with Joe Wylie, Administrator.