facility_name: HUMAN CARE SERVICE II

summary: Complaint - 3/18/2026

raw_content: The following deficiencies were found during the on-site  investigation of complaint 00162440 conducted on March 18, 2026.

rule: R9-10-705.1-2. Contracted Services An administrator shall ensure that: 1. Contracted services are provided according to the requirements in this Article, and 2. Documentation of current contracted services is maintained that includes a description of the contracted services provided.

evidence: Based on record review and interview, the administrator failed to ensure documentation of current contracted services were maintained that included a description of the contracted services provided, for two of two contracted personnel members sampled. The deficient practice posed a risk, as the facility could not demonstrate that contracted services for a qualified behavioral health professional (BHP) and a qualified registered nurse was completed with the service requirements in rule to met the needs of the residents.

findings: 1. A review of E4’s personnel record revealed no documentation of current contracted services for E4 to provide the requirements in rule for a registered nurse. 2. A review of E5's personnel record revealed a contract titled, “BHP TERMS OF CONTRACT.” The contract stated, “TERMS OF CONTRACT…This contract is made and entered into on 06/12/2023 by between Human Care Services, Inc and Cyrus Healthcare Compliance, LLC…Cyprus Healthcare Compliance LLC shall perform the following BHP services for Human Care Services..." However, this contract is between Human Care Services, Inc and Cyrus Healthcare Compliance, LLC and not an individual qualified BHP. 3. In an interview, E1 reported E4’s contract was probably stored at another facility. 4. In an exit interview, the findings were reviewed with E1 and no additional comments or documents were provided.

rule: R9-10-706.B.3.c. Personnel B. An administrator shall ensure that: 3. Sufficient personnel members are present on a behavioral health residential facility's premises with the qualifications, experience, skills, and knowledge necessary to: c. Ensure the health and safety of a resident.

evidence: Based on documentation review, record review, observation, and interview, the administrator failed to ensure sufficient personnel members were present on the behavioral health residential facility's premises with the qualifications, experience, skills, and knowledge necessary to ensure the health and safety of a resident. The deficient practice posed a risk as there were no trained personnel members on the premises to safely manage the sudden, intense, or out-of-control behavior of a resident, which resulted in E1 initiating a physical restraint on R1 that could result in harm to R1 if not properly trained.

findings: R9-10-101.203. “Restraint” means any physical or chemical method of restricting a patient’s freedom of movement, physical activity, or access to the patient’s own body. R9-10-701 “Emergency safety response” means physically holding a resident to manage the resident’s sudden, intense, or out-of-control behavior to prevent harm to the resident or another individual. 1. A review of the facility's policies and procedures (dated August 2022) revealed a policy titled "Behavioral Management of an Out-of-Control Resident." The procedure stated, "POLICY: HUMAN CARE SERVICES Home Care will respond to a resident's sudden, intense, or out of control behavior to prevent harm to him/herself and others...PROCEDURES: c. If resident directs their anger towards the staff, the staff will avoid being involved any further and call the Administrator...n. Emergency Safety Response is not utilized at HUMAN CARE SERVICES Home Care..." 2. A review of R1’s medical record revealed an incident report (dated March 2026). The Incident Report stated, “Client [R1] was observed walking toward another client’s room. Staff attempted to redirect [R1] and reminded [R1] of the facility rule prohibiting entry into other clients’ rooms. [R1] refused redirection, used profanity toward staff, and proceeded into the other [R2] room. While inside, [R1] picked up a head wrap belonging to the other [R2]. Staff remained at the doorway and continued attempts to redirect [R1]. [R1] was informed that due to noncompliance with directions,[R1] schedule outing on Thursday would be cancelled. [R1] continued to use profanity and then proceeded downstairs. Staff informed [R1] that it was bedtime and that going downstairs would result in the temporary removal of preferred items from [R1] room until [R1] behavior improved. Staff removed a plastic glove and arm exercise toys from [R1] room and proceeded downstairs to secure the items. [R1] blocked staff’s path to the garage and demanded the return of the items. During this time, [R1] repeatedly entered staff's personal space, attempted to grab the items, and pushed staff multiple times. Due to escalating aggressive behavior, staff instructed another staff member to contact [police department]. [R1] then verbally threatened to destroy the office and proceeded toward it. Upon entering, [R1] was observed going through office drawers. Staff informed [R1] [R1] was not permitted in the office. [R1] paces and continued making threats. When staff attempted to exit the office, [R1] blocked the doorway and demanded the return of [R1] items. As staff attempted to leave, [R1] grabbed staff’s shirt and attempted to reach for staff's neck. Staff was able to block the attempt and safely exit the room. [Police department] arrived on scene. Officers advised they would complete a long-form report but would not transport [R1], stating [R1] did not meet criteria for detention at [Juvenile Detention]. Following the incident, staff contacted [R1’s] guardian and requested immediate discharge due to increased aggression. Guardian initially instructed staff to transport [R1] to [city] to meet [guardian] and later requested that staff contact DCS. Actions Taken: Verbal redirection attempted multiple times. Client privileges (outing) revoked Items removed for safety/behavioral consequences. Law enforcement contacted. Physical aggression managed with defensive blocking Guardian notified...” 3. The Compliance Officer observed video footage provided by E3. The video footage showed E1 had physical contact with R1, restricting R1's movement and placing R1 on the ground. At 2 minutes and 32 seconds, E1 is seen trying to exit the office while R1 blocked the door, E1 is seen grabbing R1's arms and physically turning R1 around while leading R1 to the floor. When E1 initiated the physical restraint, R1 was blocking the door, however, the video does not show R1 initiates this physical contact nor does it show E1's movement as defensive blocking as E1 was seen walking across the office to the door to exit and when R1 blocked E1's exit, E1 continued moving through the door way into R1's occupied space and initiated the physical contact with R1. The video does not show R1 moving to the floor voluntarily. The video shows E1 holding and moving R1 to the floor resulting in a physical restraint as E1 was physically restricting R1's freedom of movement or physical activity and E1 was not trained on completing any emergency safety responses that would have allowed E1 to physically hold a resident to manage the resident’s sudden, intense, or out-of-control behavior to prevent harm to the resident or another individual. 4. A documentation review of the facility's daily staffing schedule (dated March 2026) revealed E1 and E3 worked the night of the incident. 5. A review of E1's personnel record revealed E1 was hired as an administrator and a behavioral health technician. 6. A review of E3's personnel record E3 was hired as a behavioral health technician. 7. A review of E1's and E3's personnel records revealed no training in emergency safety response. 8. A review of facility documentation revealed a training for Human Care Service Behavioral Health Residential Facility titled, "Crisis Intervention and Management." The staff training stated, "De-escalation techniques are essential for managing crises effectively and maintaining a safe environment for both residents and staff. These techniques aim to reduce tension and prevent situations from escalating into more severe conflicts or emergencies. 1. Maintain Calmness: Use a calm and steady voice. Your demeanor can influence the emotional state of the resident. Avoid aggressive body language; maintain an open and relaxed posture..." The review did not reveal a policy and procedure to protect the health and safety of residents that covered emergency safety responses as indicated in A.A.C. R9-10-703(C)(2)(d). 9. A review of facility documentation revealed a "Staff Training Manual." The "Staff Training Manual" revealed a training titled "Staff Roles and Responsibilities." The training stated, "Job Descriptions for All Staff Positions...1. Direct Care Staff (BHT) Responsibilities: Provide day-to-day support to residents, assist with daily living activities, implement care plans, monitor resident behavior, and document progress. Qualifications: High school diploma or equivalent; experience in behavioral health preferred; training in CPR and first aid..." 10. A review of E1's personnel record revealed a document titled "HUMAN CARE SERVICES VERIFICATION TRAINING" (dated January 2025). The document stated, "...JOB TITLE: Behavioral Health Tech (BHT)...SUBJECT OF TRAINING: Verbal De-escalation of an out of control resident...BRIEF DESCRIPTION OF TRAINING: The purpose of this training is to give you initial and ongoing in learning to verbally de-escalate a resident. Get to know the residents you are working with and learn their triggers in what might upset them and have their behavior spin out of control. If you see a resident getting, try, and move them to a quiet area. Talk in a low calm voice to see what is upsetting them. This may take some time to assure the resident you are concerned and want to help. It would be good to review each resident's chart as a way of getting to know them and see what has worked in the past. If there is a second staff member present, working as a team will be beneficial and do not get into power struggles/ Have a plan in place if the resident starts to get physically aggressive. Always follow the chain of command protocol. Review how the incident can be prevented in the future..." 11. A review of E1's personnel record revealed a module transcript (dated November 2025). The module transcript stated, "...Module...Preventing and De-escalating Crisis Situations...Completion Type...Online completing..." 12. In an interview, E1 reported personnel members are trained in "Preventing and De-escalating Crisis Situations," however, staff are not trained in emergency safety response as the facility does not utilize emergency safety response. 13. In an exit interview, the findings were reviewed with E1, and no additional comments or documents were provided.

rule: R9-10-711.B.1. Resident Rights B. An administrator shall ensure that: 1. A resident is treated with dignity, respect, and consideration;

evidence: Based on record review, observation, and interview, the administrator failed to ensure residents were treated with dignity, respect, and consideration. The deficient practice posed a risk as E1 did not consider R1's health and safety, as E1 was not trained in completing emergency safety response prior to initiating a physical restraint on R1, which could result in harm to R1 if not properly trained, and used for the management of a resident’s violent or self-destructive behavior, and the repeated violation shows a pattern of noncompliance to ensure the health and safety of residents.

findings: R9-10-101.203. “Restraint” means any physical or chemical method of restricting a patient’s freedom of movement, physical activity, or access to the patient’s own body. R9-10-701 “Emergency safety response” means physically holding a resident to manage the resident’s sudden, intense, or out-of-control behavior to prevent harm to the resident or another individual.  1. A review of the facility policies and procedures revealed a policy titled "Behavioral Management of an Out-of-Control Resident" (dated August 2022). The procedure stated, "POLICY: HUMAN CARE SERVICES Home Care will respond to a resident's sudden, intense, or out of control behavior to prevent harm to him/herself and others...PROCEDURES: c. If resident directs their anger towards the staff, the staff will avoid being involved any further and call the Administrator...n. Emergency Safety Response is not utilized at HUMAN CARE SERVICES Home Care..." 2. A review of facility documentation revealed a "Staff Training Manual." The "Staff Training Manual" revealed a training titled "Crisis Intervention and Management." The "Staff Training Manual" stated, "De-escalation techniques are essential for managing crises effectively and maintaining a safe environment for both residents and staff. These techniques aim to reduce tension and prevent situations from escalating into more severe conflicts or emergencies. 1. Maintain Calmness: Use a calm and steady voice. Your demeanor can influence the emotional state of the resident. Avoid aggressive body language; maintain an open and relaxed posture..." The review did not reveal a policy and procedure to protect the health and safety of residents that covered emergency safety responses as indicated in A.A.C. R9-10-703(C)(2)(d). 3. In an interview, E1 reported staff are trained in "Preventing and De-escalating Crisis Situations," however, staff are not trained in emergency safety response as the facility do not utilize emergency safety response. 4. A review of R1’s medical record revealed an incident report (dated March 2026). The Incident Report stated, “Client [R1] was observed walking toward another client’s room. Staff attempted to redirect [R1] and reminded [R1] of the facility rule prohibiting entry into other clients’ rooms. [R1] refused redirection, used profanity toward staff, and proceeded into the other [R2] room. While inside, [R1] picked up a head wrap belonging to the other [R2]. Staff remained at the doorway and continued attempts to redirect [R1]. [R1] was informed that due to noncompliance with directions,[R1] schedule outing on Thursday would be cancelled. [R1] continued to use profanity and then proceeded downstairs. Staff informed [R1] that it was bedtime and that going downstairs would result in the temporary removal of preferred items from [R1] room until [R1] behavior improved. Staff removed a plastic glove and arm exercise toys from [R1] room and proceeded downstairs to secure the items. [R1] blocked staff’s path to the garage and demanded the return of the items. During this time, [R1] repeatedly entered staff's personal space, attempted to grab the items, and pushed staff multiple times. Due to escalating aggressive behavior, staff instructed another staff member to contact [police department]. [R1] then verbally threatened to destroy the office and proceeded toward it. Upon entering, [R1] was observed going through office drawers. Staff informed [R1] [R1] was not permitted in the office. [R1] paces and continued making threats. When staff attempted to exit the office, [R1] blocked the doorway and demanded the return of [R1] items. As staff attempted to leave, [R1] grabbed staff’s shirt and attempted to reach for staff's neck. Staff was able to block the attempt and safely exit the room. [Police department] arrived on scene. Officers advised they would complete a long-form report but would not transport [R1], stating [R1] did not meet criteria for detention at [Juvenile Detention]. Following the incident, staff contacted [R1’s] guardian and requested immediate discharge due to increased aggression. Guardian initially instructed staff to transport [R1] to [city] to meet [guardian] and later requested that staff contact DCS. Actions Taken: Verbal redirection attempted multiple times. Client privileges (outing) revoked Items removed for safety/behavioral consequences. Law enforcement contacted. Physical aggression managed with defensive blocking Guardian notified...” 5. The Compliance Officer observed video footage provided by E3. The video footage showed E1 had physical contact with R1, restricting R1's movement and placing R1 on the ground. At 2 minutes and 32 seconds, E1 is seen trying to exit the office while R1 blocked the door, E1 is seen grabbing R1's arms and physically turning R1 around while leading R1 to the floor. When E1 initiated the physical restraint, R1 was blocking the door, however, the video does not show R1 initiates this physical contact nor does it show E1's movement as defensive blocking as E1 was seen walking across the office to the door to exit and when R1 blocked E1's exit, E1 continued moving through the door way into R1's occupied space and initiated the physical contact with R1. The video does not show R1 moving to the floor voluntarily. The video shows E1 holding and moving R1 to the floor resulting in a physical restraint as E1 was physically restricting R1's freedom of movement or physical activity and E1 was not trained on completing any emergency safety responses that would have allowed E1 to physically hold a resident to manage the resident’s sudden, intense, or out-of-control behavior to prevent harm to the resident or another individual. 6. In an exit interview, the findings were reviewed with E1 and no additional comments or documents were provided. This is a repeated violation from the on-site complaint investigation conducted on October 15, 2025.

rule: R9-10-711.B.2.i. Resident Rights B. An administrator shall ensure that: 2. A resident is not subjected to: i. Restraint;

evidence: Based on documentation review, record review, observation, and interview, the administrator failed to ensure a resident was not subjected to restraint. The deficient practice posed a risk as R1 was restrained by E1 and the repeated violation shows a pattern of noncompliance to the health and safety of residents.

findings: R9-10-101.203. “Restraint” means any physical or chemical method of restricting a patient’s freedom of movement, physical activity, or access to the patient’s own body. R9-10-701 “Emergency safety response” means physically holding a resident to manage the resident’s sudden, intense, or out-of-control behavior to prevent harm to the resident or another individual.  1. A review of the facility policies and procedures revealed a policy titled "Behavioral Management of an Out-of-Control Resident" (dated August 2022). The procedure stated, "POLICY: HUMAN CARE SERVICES Home Care will respond to a resident's sudden, intense, or out of control behavior to prevent harm to him/herself and others...PROCEDURES: c. If resident directs their anger towards the staff, the staff will avoid being involved any further and call the Administrator...n. Emergency Safety Response is not utilized at HUMAN CARE SERVICES Home Care..." 2. A review of facility documentation revealed a "Staff Training Manual." The "Staff Training Manual" revealed a training titled "Crisis Intervention and Management." The "Staff Training Manual" stated, "De-escalation techniques are essential for managing crises effectively and maintaining a safe environment for both residents and staff. These techniques aim to reduce tension and prevent situations from escalating into more severe conflicts or emergencies. 1. Maintain Calmness: Use a calm and steady voice. Your demeanor can influence the emotional state of the resident. Avoid aggressive body language; maintain an open and relaxed posture..." The review did not reveal a policy and procedure to protect the health and safety of residents that covered emergency safety responses as indicated in A.A.C. R9-10-703(C)(2)(d). 3. In an interview, E1 reported staff are trained in "Preventing and De-escalating Crisis Situations," however, staff are not trained in emergency safety response as the facility do not utilize emergency safety response. 4. A review of R1’s medical record revealed an incident report (dated March 2026). The Incident Report stated, “Client [R1] was observed walking toward another client’s room. Staff attempted to redirect [R1] and reminded [R1] of the facility rule prohibiting entry into other clients’ rooms. [R1] refused redirection, used profanity toward staff, and proceeded into the other [R2] room. While inside, [R1] picked up a head wrap belonging to the other [R2]. Staff remained at the doorway and continued attempts to redirect [R1]. [R1] was informed that due to noncompliance with directions,[R1] schedule outing on Thursday would be cancelled. [R1] continued to use profanity and then proceeded downstairs. Staff informed [R1] that it was bedtime and that going downstairs would result in the temporary removal of preferred items from [R1] room until [R1] behavior improved. Staff removed a plastic glove and arm exercise toys from [R1] room and proceeded downstairs to secure the items. [R1] blocked staff’s path to the garage and demanded the return of the items. During this time, [R1] repeatedly entered staff's personal space, attempted to grab the items, and pushed staff multiple times. Due to escalating aggressive behavior, staff instructed another staff member to contact [police department]. [R1] then verbally threatened to destroy the office and proceeded toward it. Upon entering, [R1] was observed going through office drawers. Staff informed [R1] [R1] was not permitted in the office. [R1] paces and continued making threats. When staff attempted to exit the office, [R1] blocked the doorway and demanded the return of [R1] items. As staff attempted to leave, [R1] grabbed staff’s shirt and attempted to reach for staff's neck. Staff was able to block the attempt and safely exit the room. [Police department] arrived on scene. Officers advised they would complete a long-form report but would not transport [R1], stating [R1] did not meet criteria for detention at [Juvenile Detention]. Following the incident, staff contacted [R1’s] guardian and requested immediate discharge due to increased aggression. Guardian initially instructed staff to transport [R1] to [city] to meet [guardian] and later requested that staff contact DCS. Actions Taken: Verbal redirection attempted multiple times. Client privileges (outing) revoked Items removed for safety/behavioral consequences. Law enforcement contacted. Physical aggression managed with defensive blocking Guardian notified...” 5. The Compliance Officer observed video footage provided by E3. The video footage showed E1 had physical contact with R1, restricting R1's movement and placing R1 on the ground. At 2 minutes and 32 seconds, E1 is seen trying to exit the office while R1 blocked the door, E1 is seen grabbing R1's arms and physically turning R1 around while leading R1 to the floor. When E1 initiated the physical restraint, R1 was blocking the door, however, the video does not show R1 initiates this physical contact nor does it show E1's movement as defensive blocking as E1 was seen walking across the office to the door to exit and when R1 blocked E1's exit, E1 continued moving through the door way into R1's occupied space and initiated the physical contact with R1. The video does not show R1 moving to the floor voluntarily. The video shows E1 holding and moving R1 to the floor resulting in a physical restraint as E1 was physically restricting R1's freedom of movement or physical activity and E1 was not trained on completing any emergency safety responses that would have allowed E1 to physically hold a resident to manage the resident’s sudden, intense, or out-of-control behavior to prevent harm to the resident or another individual. 6. In an exit interview, the findings were reviewed with E1 and no additional comments or documents were provided. This is a repeated violation from the on-site complaint investigation conducted on September 25, 2025.


state: CA

facility_name: CENTRAL VALLEY STAR #1

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On August 31, 2023, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced follow up complaint inspection at Central Valley Star located in Springville, CA and met with Angie Smith, Program Director. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging Staff inappropriately restrained minor in care. During the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentations. Based on the interviews and documents reviewed, it was determined that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. An exit interview was conducted discussing this report and appeal rights. A copy of this report and appeal rights were provide to Lori Miller at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

report_type: Complaint Investigation

met_with: Angie Smith & Lori Miller

complaint_status: unsubstantiated


raw_content:
Investigation Findings:
13On Novemeber 13, 2024, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced follow up complaint inspection at Central Valley Star located in Springville, CA and met with Administrator Norma Garcia and Assistant Program Director Andrena Wiggins. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging facility staff improperly restrained youth, Community Care Licensing (CCL) conducted confidential interviews and reviewed documents. Based on the interviews and documents reviewed, it was determined that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. An exit interview was conducted discussing this report and appeal rights. A copy of this report and appeal rights were provide to Norma Garcia at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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: Norma Garcia and Andrena Wiggins


raw_content:
Investigation Findings:
13On December 20, 2024, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced follow up complaint inspection at Central Valley Star located in Springville, CA and met with Assistant Program Director Andrena Wiggins. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the above complaint allegation, Community Care Licensing (CCL) conducted confidential interviews and reviewed documents. Based on the interviews and documents reviewed, it was determined that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. An exit interview was conducted discussing this report and appeal rights. A copy of this report and appeal rights were provide to Andrena Wiggins at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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: Andrena Wiggins


summary: Facility Evaluation

raw_content:
Narrative:
On 07/07/2022, a virtual video Component II Orientation was conducted by Licensing Program Analysts (LPAs) Vanessa Galvan and Lisa Slusher with Angie Smith, Program Director and Norma Garcia, Administrator. The following was addressed and discussed; the program expectation/review, overview of the first review letter submission, discussed the pending application and the additional items and updates needed,corrections needed for the Plan of Operation (POO) section, and Central Valley Star #1 transferring and associating employees in Guardian. The location of the Pre-licensing inspection will be conducted at Meadow Drive Springville, CA 93265, and Component III is scheduled for 08/16/2022 at 11: AM.

report_type: Facility Evaluation

met_with: Angie Smith and Norma Garcia


summary: Facility Evaluation

raw_content:
Narrative:
On 08/16/2022, Licensing Program Analyst (LPAs) Lisa Slusher and Vanessa Galvan travelled to the facility listed above. The purpose of the visit is to conduct a pre-licensing Facility Inspection. LPAs were met at the facility by Angie Smith- Program Director/Administrator, Norma Garcia- Facility Manager, Andrena Wiggins- Program Assistant/LCSW. LPAs toured the facility and observed the following listed below. 1. The facility has a staff room and is inaccessible to clients. Staff room has extra supplies of linens, personal hygiene products, and emergency food supply. 2. A medication room that stores the facility's first aid kit. First Aid kit is complete with appropriate manual. The medication room stores all medications. LPAs observed a key locked cabinet with a locked medication box. 3. In the kitchen LPAs observed a fire extinguisher, a key locked drawer for sharps to be stored, kitchen chemicals/disinfectants in key locked cabinet, trash can with a lid, weekly menu, refrigerator temperature 36 degrees and freezer temperature 0 degrees. 4. The house has 5 bedrooms- 2 ambulatory and 3 non-ambulatory, single occupancy, all located on one single level. Bedrooms are accommodating of all required furnishings and storage space. All rooms are equipped with fire alarms and trash can. 5. LPAs observed a sensory media room equipped with activities for sensory. 6. Chemicals were in a key locked cabinet. 7. Adequate storage space observed. Continued on Page 2... Continued from Page 1... 8. Dining room had a table with chairs to accommodate the number of clients. 9. Outdoor space observed. The outdoor space has plenty of outdoor space and equipped with a basketball court, garden, and outdoor furniture. 10. The outdoor of the home was free from hazard and obstructions. 11. Adequate food storage space observed. Perishable and non-perishable foods will be available before client are placed in the facility. 12. Facility has two full restrooms and 1 half restroom, all are operable. Facility is to ensure water temperature is maintained between 105 and 120 degrees. All restrooms are stored with hand soap, toilet paper, and paper towels. 13. Appropriate forms posted in the facility. 14. The temperature of the facility was a comfortable temperature of 76 degrees. 15. Licensee has a vehicle for use at the facility. When LPA returns, the vehicle including insurance and registration will be available for inspection. 16. Facility has a separate "annex" building that will be utilized for educational purposes and activities. 17. Facility is a delayed egress facility. The delayed egress is a 15 second delay. An alarm sounds as soon as the bar is pushed, and the gate opens at 15 seconds. The system requires a key turn by staff to deactivate the alarm. Fire clearance has been received from the Tulare County Fire Department. Overconcentration clearance has passed the time frame for county response. Agency will either associate staff through Guardian if able, otherwise a transfer request and copy of identification will be submitted for association.

visit_type: Prelicensing

met_with: Angie Smith


summary: Facility Evaluation

raw_content:
Narrative:
On 12/15/2022, Licensing Program Analyst (LPA) Vanessa Galvan traveled to Central Valley Star #1 in Springville, CA to conduct a post-licensing inspection. The facility was licensed on September 22, 2022. LPA were met at the facility by Administrator Norma Garcia and Program Assistant Andrena Wiggins. A physical plant inspection was completed and included the following observations and checks: Facility grounds are clean and free of debris. Adequate indoor and outdoor activity space and materials observed. All required forms are posted. The temperature of the facility was a comfortable temperature of 73 degrees. All facility smoke detectors are in appropriate working order and all fire extinguishers are properly charged and serviced. The kitchen has a full-size refrigerator and is operating at safe temperature. Facility maintains an adequate supply of perishable and non-perishable foods and food menu is posted. Knives and sharps are key locked and inaccessible to clients. Chemical, disinfectants, and cleaning solutions are key locked and inaccessible to clients. The dining room is equipped with large table and chairs accommodating of all clients. There are five bedrooms- two ambulatory and three non-ambulatory, single occupancy, all located on one single level. Bedrooms are accommodating of all required furnishings and storage space. All rooms are equipped with a fire alarm and trash can. Individual beds were observed and appropriate clean linens and are in good repair. Facility has two full restrooms and a half restroom, all are operable. All restrooms are stored with hand soap, toilet paper, and paper towels. The facility has a sensory media room equipped with activity station and items. Facility has a medication room where medications are dispensed to clients. Medications are locked and inaccessible to clients. LPA observed medications are centrally stored. First Aid kit is stored in the medication room and is complete with all first aid items. The facility has a staff office and is inaccessible to clients. Staff office stores extra supplies of linens, personal hygiene products, and emergency food supply. Facility has a separate "annex" building that will be utilized for educational purposes and activities. Continued on Page 2... Continued from Page 1... Facility is a delayed egress facility. The delayed egress is a 15 second delay. An alarm sounds as soon as the bar is pushed, and the gate opens at 15 seconds. The system requires a key turn by staff to deactivate the alarm. A facility has two vehicles and two vans and are in safe operable conditions and provide adequate seating for all clients. There are no firearms or weapons are allowed in the facility. There are no bodies of water. LPA reviewed three client and two staff files. A review of staff files indicated that all facility staff have received child abuse index clearances and fingerprint clearances. Agency staff meet requirements of respective job descriptions. Agency Employs one Administrator, one Program Assistant, one Social Worker Supervisor, and thirty-four Psych Tech Assistants. Management staff will review the Disaster and Causality Plan and PMAR to maintain compliance with regulatory standards. There were no deficiencies issued today. A copy of this report was left with Norma Garcia at the conclusion of the inspection.

met_with: Norma Garcia & Andrena Wiggins


summary: Facility Evaluation

raw_content:
Narrative:
On September 7, 2023, Licensing Program Analyst (LPA) Vanessa Galvan traveled Central Valley Star #1 located in Springville, CA, to conduct an Annual Required Inspection and met with Norma Garcia, Administrator/Unit Supervisor. The facility currently has 3 clients and capacity for 5 clients. A tour of the facility was conducted, a physical plant inspection was completed and included the following observation: Facility grounds are clean and free of debris. Adequate indoor and outdoor activity space and materials observed. All required forms are posted. The temperature of the facility was a comfortable temperature of 73 degrees. All facility smoke detectors are in appropriate working order and all fire extinguishers are properly charged and serviced. The kitchen has a full-size refrigerator and is operating at safe temperature. Facility maintains an adequate supply of perishable and non-perishable foods and food menu is posted. Knives and sharps are key locked and inaccessible to clients. Chemical, disinfectants, and cleaning solutions are key locked and inaccessible to clients. The dining room is equipped with large table and chairs accommodating of all clients. There are five bedrooms- two ambulatory and three non-ambulatory, single occupancy, all located on one single level. Bedrooms are accommodating of all required furnishings and storage space. All rooms are equipped with a fire alarm and trash can. Individual beds were observed and appropriate clean linens and are in good repair. Facility has two full restrooms and a half restroom, all are operable. All restrooms are stored with hand soap, toilet paper, and paper towels. The facility has a sensory media room equipped with activity station and items. Facility has a medication room where medications are dispensed to clients. Medications are locked and inaccessible to clients. LPA observed medications are centrally stored. First Aid kit is stored in the medication room and is complete with all first aid items. The facility has a staff office and is inaccessible to clients. Staff office stores extra supplies of linens, personal hygiene products, and emergency food supply. Facility has a separate "annex" building that will be utilized for educational purposes and activities. All required forms are posted. Facility is a delayed egress facility. The delayed egress is a 15 second delay. An alarm sounds as soon as the bar is pushed, and the gate opens at 15 seconds. Continued on Page 2... Continued from Page 1... ...The system requires a key turn by staff to deactivate the alarm. A facility has two vehicles and two vans and are in safe operable conditions and provide adequate seating for all clients. There are no firearms or weapons are allowed in the facility. There are no bodies of water. LPA reviewed 3 client and 5 staff files. A review of staff files indicated that all facility staff have received child abuse index clearances and fingerprint clearances. Agency staff meet requirements of respective job descriptions. Agency Employs Program Director, Administrator/Unit Supervisor, Program Assistant Director/Licensed Social, Senior Psych. Technician, Psych. Technicians, and Psych. Technicians Assistants. There were no deficiencies issued today. A copy of this report was provided to Norma Garcia at the conclusion of the inspection.

visit_type: Annual

met_with: Norma Garcia


summary: Facility Evaluation

raw_content:
Narrative:
On September 23, 2023, Licensing Program Analyst (LPA) Vanessa Galvan traveled Central Valley Star #1 located in Springville, CA, to conduct a Required Inspection and met with Norma Garcia, Administrator/Unit Supervisor. The facility currently has 3 clients and a capacity for 5 clients. A tour of the facility was conducted; a physical plant inspection was completed and included the following observation: Facility grounds are clean and free of debris. Adequate indoor and outdoor activity space and materials observed. All required forms are posted. The temperature of the facility was a comfortable temperature of 73 degrees. All facility smoke detectors are in appropriate working order and all fire extinguishers are properly charged and serviced. The kitchen has a full-size refrigerator and is operating at safe temperature. Facility maintains an adequate supply of perishable and non-perishable foods and food menu is posted. Knives and sharps are key locked and inaccessible to clients. Chemical, disinfectants, and cleaning solutions are key locked and inaccessible to clients. The dining room is equipped with a large table and chairs accommodating all the clients. There are five bedrooms- two ambulatory and three non-ambulatory, single occupancy, all located on one single level. Bedrooms are accommodated with all required furnishings and storage space. All rooms are equipped with a fire alarm and trash can. Individual beds were observed and appropriate clean linens and are in good repair. The facility has two full restrooms and a half restroom, all are operable. All restrooms are stored with hand soap, toilet paper, and paper towels. The facility has a sensory media room equipped with activity station and items. Facility has a medication room where medications are dispensed to clients. Medications are locked and inaccessible to clients. LPA observed medications are centrally stored. The first Aid kit is stored in the medication room and is complete with all first aid items. The facility has a staff office and is inaccessible to clients. Staff office stores extra supplies of linens, personal hygiene products, and emergency food supply. Facility has a separate "annex" building that will be utilized for educational purposes and activities. All required forms are posted. Facility is a delayed egress facility. The delayed egress is a 15 second delay. An alarm sounds as soon as the bar is pushed, and the gate opens at 15 seconds. Continued on Page 2... Continued from Page 1... ...The system requires a key turn by staff to deactivate the alarm. The facility has two vehicles, and one van that are in safe operable condition and provide adequate seating for all clients. There are no firearms or weapons allowed in the facility. There are no bodies of water. LPA reviewed 2 client and 5 staff files. A review of staff files indicated that all facility staff have received child abuse index clearances and fingerprint clearances. Agency staff meet the requirements of respective job descriptions. Agency Employs Program Director, Administrator/Unit Supervisor, Program Assistant Director, Social Worker, Senior Psych Technician, Psych. Technicians, and Psych Technician Assistants. There were no deficiencies issued on today's inspection. A copy of this report was provided to Norma Garcia at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On November 19, 2025, Licensing Program Analyst (LPA) Vanessa Galvan traveled to the Central Valley Star in Springville, CA and met with Interim Administrator (ADM), Maribel Rangel. The purpose of the inspection is to conduct a case management regarding an incident report that was submitted to the department. LPA gathered additional information about the incident that occurred on 10/10/2025, involving Client 1(C1) and Staff 1 (S1) (see LIC 811 for confidential names). It was reported that Client 1 (C1) was allegedly pushed by Staff 1 (S1). During the inspection LPA conducted a confidential interview, conducted a file review, and obtained pertinent documentation. Based on the documentation reviewed and confidential interviews, no additional follow-up is required. No deficiencies were observed or cited during this inspection. An exit interview was conducted to discuss the report, and a copy of this report was provided to Maribel Rangel via email due to a printer error at the conclusion of the inspection.

visit_type: Case Management

met_with: Maribel Rangel


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On May 17, 2023, Licensing Program Analyst (LPA) Vanessa Galvan traveled to the Central Valley Star in Springville, CA and met with Program Assistant Director, Andrena Wiggins. The purpose of today's inspection is to conduct a case management regarding an incident report that was submitted to the department. The incident report disclosed by a reporting party that while Staff 1 (S1) (see LIC 811) worked at Central Valley Star on the Porterville Developmental Center grounds, S1 allegedly "cusses" at clients and "pulls clients' hair." Allegedly, S1 sent a video to the reporting party of a client who claims she is pregnant with god's child. The reporting party is concerned about the welfare of the clients. The reporting party could not give specific dates nor client names. While reviewing the Facility Roster it was determined S1 does not have verification of obtaining a clearance or exemption and has worked in the facility without a current fingerprint clearance or exemption. On this date, a citation is issued in violation of Title 22, Division 6, Chapter 1, Article 03. section 80019(e)(1) Criminal Record Clearance. A civil penalty is assessed on this date. An exit interview was conducted, and a copy of the report and appeal rights were provided to Andrena Wiggins at the conclusion of the inspection.

Deficiencies:
80019(e): (1) Obtain a California clearance or a criminal record exemption as required by the Department.

title: All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1522 shall prior to working...in a licensed facility


raw_content:
Investigation Findings:
13On February 25, 2026, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced follow up complaint inspection at Central Valley Star located in Springville, CA and met with Acting Home Administrator Dustin Wall and Assistant Program Director Norma Garcia. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the above complaint allegation, Community Care Licensing (CCL) conducted confidential interviews and reviewed documents. Based on the interviews and documents reviewed, it was determined that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. An exit interview was conducted discussing this report and appeal rights. A copy of this report and appeal rights were provided to Dustin Wall and Norma Garcia. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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: Dustin Wall and Norma Garcia


facility_name: FRED FINCH CRISIS HOME

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
It was reported that the reason why staff did not want to take C1 back was due to C1's behavior and staff were afraid of C1. Confidential interview indicated the facility maintained constant communication with the hospital regarding C1's discharge. Confidential interviews indicated the facility did not want to bring C1 back to the facility and for C1 to only be released to the Probation Department. Confidential interviews indicated facility staff were afraid of working with C1. Confidential interviews indicated the facility was looking for alternative placements for C1. Confidential interview indicated the facility was not able to bring C1 back to the facility due to lack of staff. Conflicting confidential interview denied discharging C1, and C1 was picked up from the hospital and returned to the facility. Based on confidential interviews and records reviewed, the allegation that staff did not follow facility's discharge policies and procedures may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, due to conflicting statements, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this signed report and appeal rights were provided to Jennifer Phillips, Administrator.

Investigation Findings:
13On September 4, 2025 at 10: AM, Licensing Program Analyst (LPA) Lucero Jauregui arrived at the facility unannounced and met with Jennifer Phillips, Administrator to discuss the investigative finding for the allegation noted above. LPA Jauregui conducted an inspection of the facility on December 04, 2024, and no deficiencies were noted. During the investigation, LPA Jauregui interviewed two staff (S1, S4), one Service Coordinator, and one Probation Officer. LPA attempted to interview Client 1 (C1); however, C1 refused to be interviewed. Pertinent documents were obtained. On November 25, 2024, Community Care Licensing (CCL) received allegation that staff did not follow facility's discharge policies and procedures. It was reported that C1 was placed on a 5150 hold at the hospital. It was reported that facility staff were not allowing C1 to return to the facility and would not pick up C1 when discharged from the hospital. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: LUCERO JAUREGUI 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: FRED FINCH CRISIS HOMEFACILITY NUMBER: VISIT DATE: 08/12/2025

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

met_with: Jennifer Phillips, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On June 1, 2023 at 10: AM Licensing Program Analyst (LPA) Lucero Jauregui and Licensing Program Manager (LPM) Abdoulaye Traore conducted an announced pre licensing inspection for a Community Crisis Home (CCH). LPA and LPM met with Jennifer Phillips, Program Manager and Bruce Wexler, Senior Director. Program Manager provided LPA and LPM a guided indoor and outdoor tour of the facility. The facility will serve two ambulatory and two non-ambulatory clients ages 12-17 years old. The facility is a four-bedroom and two-bathroom for client use. The facility consists of living room, kitchen, dining area, staff office, staff bathroom, reception area, therapy room, hygiene closet, laundry room and two space garage that will be used as a storage and client activity room. Bedroom one and two will serve ambulatory clients. Bedrooms three and four will serve non ambulatory clients. Bathroom one will be used for ambulatory client only. Bathroom two will be used by non ambulatory clients only. Bedrooms were arranged so that no more than two children share a room, and there was one child per bedroom. No room commonly used for other purposes was used as a bedroom, and no bedroom serves as a passageway to another room. All beds were observed to have appropriate clean linens and mattress in good repair. There was adequate drawer and closet space for clients' belongings. The living room and kitchen is set up as an open concept. The living room is furnished with couches, dining table with four chairs and a television. The kitchen was observed to be free from observable hazards. Sharps, cooking utensils, and silver wear will be maintained locked in kitchen draws and cabinets. Meal menu, activity schedule, house rules and daily schedule was observed on the refrigerator. All hazardous items have been properly made inaccessible in the laundry room where children will not have access. The medication cart is maintained locked in the staff office. First Aid kit was accessible and stored in the kitchen cabinet. Continued.... A physical plant inspection was completed and included the following checks: Facility is a fenced perimeter with double locked doors at the entrance and delayed egress system. Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Backyard contained two swinging benches and a gazebo. Art supplies, clay, and yoga balls were observed for children's recreation time in the activity room. All facility smoke detectors and carbon monoxide detectors are in appropriate working order. The hot water temperature was measured in the kitchen and is currently 135.0 degrees. Applicants understands that the water temperature must be maintained within the regulation range of 105-120 degrees Fahrenheit. Trash cans for storage of solid waste had tight fitting lids. Per facility staff, no firearms or weapons are allowed in the facility. LPA observed the following items posted in the reception area Personal Rights, Emergency Disaster Plan, Facility sketch, house rules and ombudsman poster. The facility had the emergency intervention plan. The facility has operable automatic fire sprinkler system. LPM completed the component III Orientation and discussed Incident reporting, including incidents related to Assembly Bill 388 law enforcement contacts as well as incidents involving emergency interventions. Based on this inspection, the facility will need the following corrections: the water temperature must be maintained within the regulation range of 105-120 degrees, phone line to be installed, preservation of the medication requiring refrigeration and lid for recycling container. After corrections are completed. the applicant will notify LPA so another inspection can be completed. A Community Crisis Home shall not be licensed by the Department until the Certificate of Program Approval, granted by the Department of Developmental Services has been received in accordance with Health and Safety Code section 1567.80. Exit interview was conducted. A copy of this report was discussed and provided to Jennifer Phillips, Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On May 21, 2024 at 9: AM Licensing Program Analyst (LPA) Lucero Jauregui conducted an unannounced post licensing inspection for a Community Crisis Home (CCH). LPA met with Jennifer Phillips, Administrator who provided LPA with a guided indoor and outdoor tour of the facility. The facility serves two ambulatory and two non-ambulatory clients ages 12-17 years old with currently one client in placement. The facility is a four-bedroom and two-bathroom for client use. The facility consists of living room, kitchen, dining area, staff office, staff bathroom, reception area, therapy room, hygiene closet, laundry room, two space garage, and client activity room. Bedroom one and two serve ambulatory clients. Bedrooms three and four serve non ambulatory clients. Bathroom one will be used for ambulatory client only. Bathroom two will be used by non ambulatory clients only. Bedrooms are arranged so that no more than two children share a room, and there is one child per bedroom. No room is commonly used for other purposes was used as a bedroom, and no bedroom serves as a passageway to another room. All beds were observed to have appropriate clean linens and mattress in good repair. There is adequate drawer and closet space for clients' belongings. The living room and kitchen is set up as an open concept. The living room is furnished with couches, dining table with four chairs and a television. The kitchen was observed to be free from observable hazards. Sharps, cooking utensils, and silver wear was observed to be locked in kitchen draws and cabinets. Meal menu, activity schedule, house rules and daily schedule was observed on the refrigerator. LPA observed all hazardous items have been properly made inaccessible in locked cabinets in the laundry room where clients will not have access. The medication cart is maintained locked in the staff office. First Aid kit are accessible and stored in the kitchen cabinet, staff office, and garage. Continued.... A physical plant inspection was completed and included the following checks: Facility is a fenced perimeter with double locked doors at the entrance and delayed egress system. Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Backyard contained two swinging benches and a gazebo. Art supplies, clay, and yoga balls were observed for children's recreation time in the activity room. All facility smoke detectors and carbon monoxide detectors are in appropriate working order. The hot water was measured in the client bathroom and is currently 107.4 degrees. Trash cans for storage of solid waste had tight fitting lids. Per facility staff, no firearms or weapons are allowed in the facility. LPA observed the following items posted in the reception area Personal Rights, Emergency Disaster Plan, Facility sketch, house rules and ombudsman poster. The facility had the emergency intervention plan. The facility has operable automatic fire sprinkler system. All staff files and client files are kept electronically. LPA reviewed five out of five staff files (S1-S5) and one out of one client flies (C1). All files contained the required items. Based on todays inspection, there are no deficiencies observed at this time. An exit interview was conducted. A copy of this report was discussed and provided to Jennifer Phillips, Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On April 9, 2025 at 9: AM Licensing Program Analysts (LPA's) Lucero Jauregui and Lisa Bernabe conducted an unannounced annual inspection for a Community Crisis Home (CCH). LPA's met with Jennifer Phillips, Administrator who provided LPA's with a guided indoor and outdoor tour of the facility. The facility serves two ambulatory and two non-ambulatory clients ages 12-17 years old. There are no clients in placement. The facility is a four-bedroom and two-bathroom for client use. The facility consists of living room, kitchen, dining area, staff office, staff bathroom, reception area, therapy room, hygiene closet, laundry room, two space garage, and client activity room. Bedroom one and two serve ambulatory clients. Bedrooms three and four serve non ambulatory clients. Bathroom one will be used for ambulatory client only. Bathroom two will be used by non ambulatory clients only. Bedrooms are arranged so that no more than two children share a room, and there is one child per bedroom. No room is commonly used for other purposes used as a bedroom, and no bedroom serves as a passageway to another room. All beds were observed to have appropriate clean linens and mattress in good repair. There is adequate drawer and closet space for clients' belongings. The living room and kitchen is set up as an open concept. The living room is furnished with couches, dining table with four chairs and a television. The kitchen was observed to be free from observable hazards. Cooking utensils, and silver wear was observed to be locked in kitchen drawers and cabinets. Sharps are maintained locked in staff office. Continued.... LPA's observed all hazardous items have been properly made inaccessible in locked cabinets in the laundry room where clients will not have access. The medication cart is maintained locked in the staff office. First Aid kit are accessible and stored in the kitchen cabinet, staff office, and garage. A physical plant inspection was completed and included the following checks: Facility is a fenced perimeter with double locked doors at the entrance and delayed egress system. Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Backyard contained one swinging bench and a gazebo. Art supplies, clay, and yoga balls were observed for children's recreation time in the activity room. All facility smoke detectors and carbon monoxide detectors are in appropriate working order. The hot water was measured in the client bathroom and is currently 112. 8 degrees. Trash cans for storage of solid waste had tight fitting lids. Per facility staff, no firearms or weapons are allowed in the facility. LPA Jauregui observed the following items posted in the reception area Personal Rights, Facility sketch, and important hotline numbers. Administrator will be updating Emergency Disaster Plan LIC610C for posting. The facility has operable automatic fire sprinkler system. All staff files and client files are kept electronically. LPA Jauregui reviewed five out of five staff files (S1-S5). Three out of five staff are in the process of becoming a Registered Behavior Technician (S2, S3, S5) Based on todays inspection, there are no deficiencies cited at this time. An exit interview was conducted with Jennifer Phillips. Due to printer technical difficulties, LPA Jauregui emailed report to Jennifer Phillips, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On September 4, 2025 at 10: AM, Licensing Program Analyst (LPA) Lucero Jauregui conducted an unannounced case management visit at the facility and met with Jennifer Phillips, Administrator. The purpose of the case management visit is to deliver an amended version of the LIC 9099 originally delivered on August 12, 2025. An exit interview was conducted with Jennifer Phillips, Administrator. Copies of this report, the amended report, and appeal rights were provided to Jennifer Phillips, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On April 22, 2026 at 9: AM Licensing Program Analysts (LPA's) Lucero Jauregui and Stephanie Arreola conducted an unannounced annual inspection for a Community Crisis Home (CCH). LPA's met with Roland Williams, Administrator who provided LPA's with a guided indoor and outdoor tour of the facility. The facility serves two ambulatory and two non-ambulatory clients ages 12-17 years old. There is one client in placement. The facility is a four-bedroom and two-bathroom for client use. The facility consists of living room, kitchen, dining area, staff office, staff bathroom, reception area, therapy room, hygiene closet, laundry room, two space garage, and client activity room. Bedroom one and two serve ambulatory clients. Bedrooms three and four serve non ambulatory clients. Bathroom one will be used for ambulatory client only. Bathroom two will be used by non ambulatory clients only. Bedrooms are arranged so that no more than two children share a room, and there is one child per bedroom. No room is commonly used for other purposes used as a bedroom, and no bedroom serves as a passageway to another room. All beds were observed to have appropriate clean linens and mattress in good repair. There is adequate drawer and closet space for clients' belongings. The living room and kitchen is set up as an open concept. The living room is furnished with couches, dining table with four chairs and a television. The kitchen was observed to be free from observable hazards. Cooking utensils, and silver wear was observed to be locked in kitchen drawers and cabinets. Sharps are maintained locked in staff office. Continued.... LPA's observed all hazardous items have been properly made inaccessible in locked cabinets in the laundry room where clients will not have access. The medication cart is maintained locked in the staff office. First Aid kit is accessible in staff office and contained all required items. A physical plant inspection was completed and included the following checks: Facility is a fenced perimeter with double locked doors at the entrance and delayed egress system. Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Backyard contained one swinging bench and a gazebo, trampoline and boxing bag. Art supplies, clay, and yoga balls were observed for children's recreation time in the activity room. All facility smoke detectors and carbon monoxide detectors are in appropriate working order. The hot water was measured in the client bathroom and is currently 138 degrees Farenheit. LPA Jauregui issued Technical Violation for Section Furniture, Fixtures, Equipment, and Supplies 80088(e)(1) [SEE LIC9102]. Trash cans for storage of solid waste had tight fitting lids. Per facility staff, no firearms or weapons are allowed in the facility. LPA Jauregui observed the following items posted in the reception area Personal Rights, Facility sketch, Therapy Session Rules, Facility License, Grievance forms, Foster Care Ombudsman telephone number, Rights of Individuals with Developmental Disability, DDS Heath and Safety Rights, and emergency hotline numbers. The facility has operable automatic fire sprinkler system. LPA Jauregui reviewed five out of five staff files (S1-S5) and one client file (C1). Staff files are maintained electronically and are available for LPA review. Based on todays inspection, there are no immediate deficiencies cited at this time. An exit interview was conducted and a copy of this signed report, LIC811, LIC9102 and appeal rights were provided to Roland Williams.

met_with: Roland Williams, Adminsitrator


facility_name: KALA HOUSE JR.

raw_content:
Narrative:
Confidential interviews also revealed that the alleged victim made a phone call around the time the incident was alleged to have occurred and there was no mention of the incident during the one-hour phone call. It was also revealed that the alleged victim was asleep and was awakened by the incident. Even though they could not see the perpetrator clearly, they were able to identify their voice, and the other staff members who were on shift during the time the incident was alleged to have occurred, but there were no witnesses who could confirm this information. Records reviewed also showed the list of all staff working during the shift when the incident was alleged to have occurred and the alleged perpetrator was not on the list of staff on that shift. Lastly, email received on 11/1/23 also revealed that the police report of the alleged incident is not available and cannot be produced. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of this report and the Appeal Rights were provided to Jessie Ward, Lead 1.

Investigation Findings:
13On 11/30/23 about 3: PM, Licensing Program Analyst, (LPA) Uchenna Ajaero made an unannounced complaint investigation visit to deliver finding for this allegation. LPA Ajaero met with Jessie Ward, Lead 1 and informed her of the purpose of the visit. During the investigation, LPA Ajaero visited Kala House on 10/04/23 and met Glenda Stanley, the Facility Administrator. LPA Ajaero requested the following client and staff information: Client Roster, Staff Roster, Needs and Services Plans, Admission agreements, police report, emergency contact information for client and Case notes for the past six month. LPA Ajaero conducted confidential interviews with parties involve between 10/10/23 and 11/1/23. Based on interviews conducted during the investigation, the allegation that staff sexually abused a minor in care cannot be substantiated because statements given in one of the confidential interviews conducted 10/10/23 explained that the allegation could not have happened, because the alleged staff did not work the shift when the incident was alleged to have occurred. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Hall LICENSING EVALUATOR NAME: Uchenna Ajaero LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: KALA HOUSE JR.FACILITY NUMBER: VISIT DATE: 11/30/2023

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

met_with: Jessie Ward, Lead 1


raw_content:
Narrative:
it was unclear when the staff shortage took place because no dates and times were provided. Although the allegation may have happened is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is Unsubstantiated. An exit interview was conducted. A copy of this report along with Appeal Rights were provided to Chris Cross.

Investigation Findings:
13On April 16, 2024 at approximately 10: AM, Licensing Program Analyst (LPA) Farhaan Sarangi arrived unannounced at Kala House Jr for the purposes of delivering complaint findings. LPA met with Administrator, Chris Cross and was granted access into the facility. During the investigation process, LPA Sarangi reviewed the complaint history, criminal background check, facility personnel report summary and timecards between December 28, 2023, through February 3, 2024, for a total of 19 staff members. Based on interviews conducted, the allegation above cannot be substantiated because there were inconsistent statements made throughout the course of the investigation process. LPA could not obtain corroborating evidence that the facility is out of ratio. LPA was able to interview one client in care and seven staff members. 2 out of 3 clients refused to be interviewed due to behavior issues during the inspection. Even though 3 staff members disclosed of staff shortages in the past, (Report continued on LIC 9099C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Farhaan Sarangi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: KALA HOUSE JR.FACILITY NUMBER: VISIT DATE: 04/16/2024

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

met_with: Administrator, Chris Cross


raw_content:
Narrative:
out of 11 interviews confirmed that staff attended medical appointments, provided meals, ensured health care needs were met, staff followed behavioral care plans, and supervised clients in care. In addition, LPA Turner was not able to qualify one client during the interview process, and was not able to obtain exact dates and times of incidents reported. During the investigation LPA Turner was informed that C1 was removed from the facility without prior notification. Staff was not aware of C1 being discharge. Staff advised LPA Turner that C1 lost personal belongings in bedding and no other clients or staff took belongings. It was also confirmed that appointments were missed due to mis-communication between the parties involved. It was confirmed by staff members that C1 was the one listening to inappropriate music in the facility. Staff denied that there was a lack of supervision in the facility while client was in care. Lastly, LPA Turner was notified by staff that C1 was provided snacks when RP randomly picked them up from the facility. Staff were unable to provide fully cooked meals before they left the facility. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On October 28, 2024 at 9: AM Licensing Program Analyst (LPA) Zaria Turner and Licensing Program Manager (LPM) Rosa Rodriguez made an unannounced visit to deliver findings to the above facility and met with Chris Cross, Facility Administrator. Prior to the meeting LPA Turner and LPA Shulz initiated the complaint investigation on September 10, 2024. No deficiencies were cited during that inspection. LPAs requested the following documents: staff and client rosters, staff schedule, medication logs, meal and grocery logs, incident reports, intake logs, and needs and services plans for each client. LPA Turner attempted 1 confidential interview and conducted 10 interviews between September 23, 2024 and September 30, 2024. Based on evidence obtained and confidential interviews conducted during the investigation process the above allegations cannot be substantiated because there were inconsistent statements throughout the investigation process. Report continued on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Zaria Turner LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: KALA HOUSE JR.FACILITY NUMBER: VISIT DATE: 10/28/2024

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

met_with: Chris Cross, Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) Tana Kinder and Alyssa Burgess conducted an announced prelicensing inspection with the Licensee, Michelle Wagner on 8/9/2021 at 10:30 am at the facility. LPAs utilized the CARE Tool for the inspection. LPAs conducted the walk through of the facility with the Licensee and observed 4 bedrooms, 2 offices, 2 common areas, 2 bathrooms a kitchen, garage, laundry room, front yard and back yard. All spaces were were clean, sanitary, free of insects, and had unobstructed pathways. LPAs observed 7 days worth of non-pershable, food for 4 potential clients. The facility does not utilized protective separation rooms. All the bedrooms are furnished with a bed, dresser, night stand, closet and is well-lit. The grounds have a garden and recreation area with plenty of space for activities. There are no staff associated to the facility. There are currently no clients at the facility. There are (3) individuals associated to the facility; the licensee, administrator and clinical director. LPAs have observed the following that need to be brought into compliance before issuance of the license. LPAs have given Technical Assistance Advisories for the following: 1. The land line phone is set-up, but the land line is not hooked up. 2. The cilent bathrooms have a faucet with a button to deliver water that does not stay on long enough to deliver hot water. Additionally, the faucet angle/pressure makes the water splash out of sink and on person standing in front of sink. 3. Currently the propane tank is accessible. 4. The rug in the multi-purpose visit room shall have anti-slip material added underneath the rug. 5. No statement regarding back-up power/generator in the Emergency Disaster Plan. 6. Emergency Disaster Plan needs to address storage of medications, including medications that require refrigeration. 7. Facility will have one set of keys for evacuation with each of the following keys: facility vehicles, all client rooms, exit doors, cabinets, cupboards for supplies. 8. Facility needs to compile the Disaster Supply Kit to the specifications in their Program Statement, section Emergency Disaster Plan. Licensee will submit evidence that the above listed issues have been corrected to LPA Kinder before the license can be issued. LPA Kinder and Licensee Wagner agreed upon 9/10/2021 for the above items to be resolved by. Exit interview was conducted with Licensee Wagner and a copy of this report was emailed to mwagner@advancekids.com

met_with: Licensee


summary: Facility Evaluation

raw_content:
Narrative:
LPA Kinder conducted a Post Licensing inspection on 12/29/2021 at 1130am. During this inspection, LPA Kinder inspected the facility interior and exterior which includes the following: · The facility is licensed for 4 placements and currently has 1 client · The facility vehicles (2) were inspected and clean and in good repair with insurance and registration · Facility is clean, safe, sanitary and in good repair · Facility and outdoor area is free of safety hazards · Facility has enough perishable/nonperishable food for 1 client for 4/12 days · Toxic materials are inaccessible, locked in cabinet in laundry room · There are games and in-home entertainment including board and video games · Medications are locked and kept out of reach of children · Smoke detectors and carbon monoxide monitors are operable and there are fire extinguishers (3) fully charged · The facility has adequate personal hygiene supplies and linens for up to 4 clients · Personal Rights, Monthly Menu Plan, Emergency Exit Plan, and Disaster Plan are posted · 1 client file and medications were reviewed and 4 staff files were reviewed. - Water temperature was logged at 108.7 - First Aid Kit (3) were observed to be fully stocked an additional one is in one of the vehicles Based on the files and inspection, the facility appears to be in compliance with Title Regulations. Permanent licensing is recommended at this time.

met_with: Administrator


summary: Facility Evaluation

raw_content:
Narrative:
An annual required inspection was conducted by Licensing Program Analyst (LPA) Tana Kinder on 9/29/2022 with Facility Administrator. Community Care Licensing file, incident reports, facility roster, facility profile and complaint history were reviewed prior to visit at the agency. The licensing fees are owed on this date. This information was provided to the administrator. The Facility has a capacity of 4 and currently has 2 residents. There are 40 staff members associated to the license and 4 currently working at the Facility. LPA reviewed 4 staff files, all that were reviewed were complete and up to date. Staff files reviewed have required training hours, education, and fingerprint clearances. 3 youth files were reviewed. The youth's needs and services plan/Individual Program Plan, Behavioral Plan (IBST) and quarterly reviews were complete and up to date. Immunization records were current. Medical consent forms were signed by authorized representative and current. Additionally, the youth's files had a record of personal property. Personal rights, menu, license, and emergency exit plan were posted. The facility was inspected jointly with the Facility Administrator. LPA interviewed 1 client. There are 4 bedrooms and 2 bathrooms. Each bedroom has a bed for 1 client, as the facility has single occupancy bedrooms. Three bedrooms had a firm mattress, with a bed cover, sheets, blanket, and pillows. One bedroom was being repaired as a client destroyed much of the room during a behavioral episode. The common area has couches and chairs to sit in, and a TV. The facility is in good repair. There are locked cabinets in the laundry room with cleansers and detergents. Additional linen if needed for the bedrooms and the bathrooms are kept in a hall closet. Client and staff files are in locked cabinets. The passageways from the front to the back of the facility are unobstructed. LPA observed the backyard and saw a patio table with chairs and play equipment for the clients. LPA observed enough perishable/non-perishable food for 3 clients for 4 days/3 weeks. Smoke detectors are in working order. There is a carbon monoxide monitor and 2 fully charged fire extinguisher. Sharps were kept locked in the kitchen. Additional sharps are kept locked in the laundry room. The kitchen was stocked with plates, utensils and drinking cups sufficient for 4 clients. The garage is set up for the client's to play ping-pong and do crafts. The clients' hygiene kits were stocked. A fully stocked first aid kit is kept in the laundry room. LPA observed an emergency disaster kit for evacuation, kept in the garage. An exit interview was conducted and discussed with the Facility Administrator. No Citations were issued.


summary: Facility Evaluation

raw_content:
Narrative:
On 9/28/23 at 10:13 a.m. Licensing Program Analyst (LPA) Jacqueline Carmona made an unannounced annual inspection using the Compliance and Regulatory Enforcement (CARE) tools and met with Glenda Stanley, Community Crisis Home (CCH) Facility Manager. LPA toured the interior and exterior of the facility during the inspection today. The facility consists of 4 client bedrooms, which had all the furniture, linens and lighting as required. There is 1 bedroom used as a game room/ visitation room. LPA observed 2 bathrooms available to clients which were appropriately equipped with toilet paper, paper towels and running warm water as required. LPA observed that the shower and toilet were in working condition as required. The kitchen had a adequate supply of perishable and nonperishable food for the clients in care. LPA observed that the facility appliances, refrigerator, and freezer to be clean and function as required. LPA observed that sharps, disinfectants, and cleaning supplies were appropriately stored and were not accessible to clients in care. LPA observed a menu posted in the facility. LPA observed the laundry services available for the youth to complete their own laundry. LPA observed working carbon monoxide detectors and a fully charged fire extinguishers. LPA observed that the facility has a functioning telephone in the facility. The living room and dining room were free of obstruction and had furniture in good repair. The office used by the administrator and staff has locked cabinets for client's files and a locked cabinet for medication. All the posting requirements were available in a visible area. First aid kits were fully stocked and available. LPA observed that the facility vehicle appeared to be in good operating condition. The back yard and front yard were free of debris and in compliance. There are no bodies of water located on the property. Currently the facility has 2 clients in care. LPA reviewed 2 client files and 5 staff files. A review of the staff files indicated the staff have current CPR and First Aid training. They also have DOJ, FBI, and Child Abuse check clearances. The client's file contained all required documentation. Continue to page LPA interviewed 4 staff and 2 clients. A review of the Licensing Information System indicates the facility is current with their facility fees at the time of the inspection. Exit interview was conducted. A copy of report was provided to the CCH Facility Manager.

met_with: Glenda Stanley,CCH Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 10/25/23 at 11:25 a.m. Licensing Program Analyst (LPA), Jacqueline Carmona made an unannounced visit to the Community Crisis Home (CCH) to conduct a case management regarding the facility staff not having knowledge of Mandated Reporting Requirements. LPA met with Glenda Stanley, Facility Manager(who assisted with the inspection). The home is a one story. It consists of two living spaces, one dining room, one kitchen, four bedrooms (three client bedrooms), one bedroom used as a game room/visitation room, 2 bathrooms, a laundry room, an office for staff, and a conference room, A walk through was conducted during today's inspection, the facility was observed to be in compliance. On 9/28/ LPA Carmona conducted the facilities annual inspection. During the staff interviews, 3 out of 4 staff members were unable to answer questions regarding Mandating Reporting. On 10/10/ LPA Carmona received staff members Mandated Reporting Training Log. An exit interview was conducted with Glenda Stanley, Facility Manager and a copy of this report was provided. There were no citations during today's visit. This case management investigation is closed.

met_with: Glenda Stanley, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On February 8, 2024 at approximately 09: AM, Licensing Program Analysts (LPAs), Farhaan Sarangi and Sara Lumen-Gonzalez arrived unannounced at Kala House Jr. for conducting a Case Management-Other inspection. LPA was greeted at the door by Lead RBT, Thaiesha Blake, and was granted access into the facility. During the opening of the complaint, LPAs toured the facility and made observations. Upon entry into the facility at 09: AM, LPAs observed the wooden fence neighboring the home has a hole in it. LPA Lumen-Gonzalez observed window screens that need attention and/or replacement. In addition, LPAs also observed the facility is in the process of conducting a storm cleanup. LPAs educated the Lead RBT regarding the importance of ensuring that the repair of the fence, cleanup and the replacement or repair of the window screens to ensure the physical plant is in good operation (See LIC 9102-Technical Violation). No deficiencies were cited during today's Case Management-Other inspection. Exit interview was conducted and a copy of this report was given to the Lead RBT, Thaiesha Blake.

met_with: Lead RBT, Thaiesha Blake


summary: Facility Evaluation

raw_content:
Narrative:
On March 5, 2024 at approximately 12: PM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Kala House Jr. for conducting a Case Management-Incident inspection. LPA was greeted at the door by Assistant Administrator, Anthony Driessen, and was granted access into the facility. During the Case Management-Incident Inspection, LPA reviewed the incident report with the Assistant Administrator and performed a file review. LPA reviewed the IBST meeting notes dated for February 21, 2024 and learned that the client is a 1 to 1 on a 24/7 basis. LPA reviewed the Needs and Services Plan that corroborated the staff ratio to the client. LPA toured the inside of the facility and outside of the facility and made observations. LPA requested the following: -Social Worker contact information -NOC shift staff member contact information Further investigation is needed. Exit interview was conducted at Kala House Jr. with Assistant Administrator, Anthony Driessen and a copy of this report was signed and given to the Assistant Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On March 25, 2024 at approximately 1: PM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Kala House Jr. for the purpose of conducting a Case Management-Incident inspection. LPA was greeted at the door by Director of Residential Services, Shoa Johnson, and was granted access into the facility. During the Case Management-Incident Inspection, LPA toured the home on March 5, 2024 and March 25, 2024 and made observations. Facility was found to be clean with all exits free from obstruction. LPA observed sufficient perishable and non-perishable foods. Toxins and other hazardous items were observed to be stored and locked inaccessible to clients in care. LPA observed client bedrooms which were found to be appropriate during both tours. The incident which occurred on February 19, 2024 involved a client eloping from the facility and was on the neighbors property. Neighbor brandished a weapon and advised client and staff to get off the property. Client got assisted off the property by staff and transitioned back into placement. Facility properly reported the incident to Community Care Licensing Division. LPA conducted interviews with staff. LPA attempted to interview the client on March 19, 2024 and March 25, 2024, but was unsuccessful due to client denying to be interviewed. LPA reviewed client records and observed that client is on a 1 to 1, and that the staffing ratio was appropriate during the incident. No deficiencies were observed or cited during today's Case Management-Incident inspection. Exit interview was conducted, and a copy of this report was signed and given to the Director of Residential Services, Shoa Johnson.


summary: Facility Evaluation

raw_content:
Narrative:
On May 13, 2024 at approximately 01: PM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Kala House Jr for the purpose of conducting a Case Management-Other inspection. LPA was greeted at the door by Director Residential Services, Sho Johnson and was granted access into the facility. During the Case Management-Other inspection, LPA reviewed both vehicle vans registration cards that transport clients for outings and school. Both vehicles had current and valid registration. LPA verified the census which is three female clients and no male clients. LPA verified of no male clients residing in the home or outside of the home. LPA verified that the home that houses male clients is the Adult Residential Facility located in the Greater Sacramento area. No deficiencies were observed or cited during today's Case Management-Other inspection. Exit interview was conducted, and a copy of this report was given to the Director Residential Services, Sho Johnson.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Misty Valencia and Lyta Vue on 07/26/2024 at 9:00AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Valencia and Vue met with Chris Cross, Licensee and inspected the facility inside and out. LPA reviewed 0/2 child's records and 2/2 staff personnel files on site at the facility. LPA reviewed 0/2 child's psychotropic medications and medication records. LPA interviewed 2/2 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 0/2 of children currently prescribed psychotropic medication. LPA provided a copy of this licensing report to Chris Cross, Licensee No deficiencies are being cited at this time. LPA conducted exit interview with Chris Cross, Licensee.

met_with: Chris Cross, Licensee


summary: Facility Evaluation

raw_content:
Narrative:
On September 10, 2024 at approximately 3:45 pm Licensing Program Analysts (LPAs) Tatyana Shulz and Zaria Turner arrived at the above Community Crisis Home. LPAs were greeted by Patrick Scott Mahoney, Assistant Administrator who granted LPAs access. LPAs conducted a tour of the inside and outside of the facility where LPA observed the following deficiencies. Broken window in clients bedroom. The work order was placed on 08/28/2024. Air conditioning units are easily accessible to clients in care. (See LIC TV) LPAs requested a copy of the work order to replace the window and also discussed the barrier needed around the air conditioning units to make it inaccessible to clients in care. This case management will remain open, until a follow up inspection is conducted to ensure the facility is in full compliance. An exit interview conducted and a copy of this report was left with Patrick Scott Mahoney, Assistant Administrator.

met_with: Patrick Scott Mahoney-Assistant Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On September 27, 2024 at approximately 9: AM Licensing Program Analysts (LPAs) Zaria Turner and Licensing Program Manager (LPM) Rosa Rodriguez, made an unannounced visit with the purpose of conducting an annual inspection to the above Community Crisis Home. LPA and LPM met with Administrator, Chris Corss, and a walk through of the interior and exterior was completed. Physical Plant LPA and LPM conducted a walk though of the interior and exterior of the facility. The facility was clean, safe and kept free of obstruction. LPA and LPM observed the posting of License, Personal Rights, and Emergency Disaster Plan. The facility consists of four client bedrooms, two bathrooms, visitation/game room, kitchen, living room, dining room, staff room, office/conference room, and three car garage. Each client room is equipped with one bolted bed frame, closet, space for clothing and personal belongings. LPA and LPM observed two vacant bedrooms. Three bedrooms are equipped with bedding and one bedroom is equipped with a TV. The two bathrooms at the facility are equipped with working toilets and running water. The living room is equipped with a couch and a lounge chair, TV, and stuffed toys for clients in care. There are two closets with extra disinfectant products, hygiene products, and snacks for clients. There is a laundry room with a washer and dryer and cabinets above and below where extra linen, toiletries, feminine products, and cleaning supplies are kept and locked away. Disinfectants/cleaning solutions are inaccessible to clients in care and locked in one hall closet, under the kitchen sink, and in laundry room. Refrigerator temperature is at or below 45 degrees F. There is nonperishable food for one week and fresh perishable food for three days minimum. Sharp objects are locked in the drawer in kitchen and hall closet. There are containers to place leftover food. A working telephone is available at the facility. Continue summary of inspection on 809-C Carbon monoxide and smoke detectors are in working order. First Aid Kit fully stocked. Hot Water between 105-120-degree F. Fire Extinguishers are up to date and in working order. The toilets, bathtubs, and shower fixtures are in good repair. Soap and paper towels are available to clients in care. The facility is free of vermin. The backyard contains a double fenced in area with basketball hoop, table with benches, and basket for toys. The fenced areas are locked and inaccessible to clients in care. On the outside of the fence there are two gazebos with a lunch table, BBQ area, table and two chairs, and water heater that is locked away. There is an additional fenced area containing a gravel walkway, one gazebo, and swing. Outside of the double fence is an additional area containing a play structure for clients in care. There is a shed for the exposed well, enclosed space for water filter, two locked sheds for discarded materials, and a gated gardening area. There is no pool on the premises. The following domains were also reviewed during today's inspection, Physical Plant, Operation, Staff and Client Records. A total of four staff files and two client files were reviewed. LPA and LPM conducted four staff interviews and two client interviews. A review of the Licensing Information System indicates the facility is up to date on their facility annual fees. Several deficiencies and four Technical Violations (TVs) were assessed during today's inspection. (See LIC 809-D and LIC TVs) An exit interview was conducted with Chris Cross, Administrator, and a copy of this report and the Appeal Rights were provided during today's inspection.

met_with: Chris Cross, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On October 28, 2024 at approximately 9: AM Licensing Program Analysts (LPA) Zaria Turner and Licensing Program Manager (LPM) Rosa Rodriguez arrived at the above Community Crisis Home. LPA and LPM were greeted by Chris Cross, Facility Administrator who granted LPA and LPM access. LPA and LPM conducted a tour of the inside and outside of the facility where LPA and LPM observed the following deficiency (See LIC TV): Broken pantry/cabinet door on October 23, 2024. Work order is currently pending and licensee will send a copy to LPA via email. On September 27, 2024 the following deficiencies were noted and are currently pending (TVs for the following deficiencies we're issued): Board minutes unavailable during inspection. Air conditioning units are easily accessible to clients in care Exposed circuit breakers on the right side of the facility is accessible to clients in care. This case management will remain open, until a follow up inspection is conducted to ensure the facility is in full compliance. An exit interview conducted and a copy of this report was left with Chris Cross, Facility Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On October 28, 2024 at approximately 9: AM Licensing Program Analysts (LPA) Zaria Turner and Licensing Program Manager (LPM) Rosa Rodriguez arrived at the above Community Crisis Home. LPA and LPM were greeted by Chris Cross, Facility Administrator who granted LPA and LPM access. LPA and LPM conducted a tour of the inside and outside of the facility where LPA and LPM observed the following deficiency (See LIC TV): Broken pantry/cabinet door on October 23, 2024. Work order is currently pending and licensee will send a copy to LPA via email. On September 27, 2024 the following deficiencies were noted and are currently pending (TVs for the following deficiencies we're issued): Board minutes unavailable during inspection. Air conditioning units are easily accessible to clients in care Exposed circuit breakers on the right side of the facility is accessible to clients in care. This case management is now closed, all deficiencies have been cleared. No Plan of Correction letter was issued due to the deficiencies not being cited. An exit interview conducted and a copy of this report was sent via email to Chris Cross, Facility Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On August 13, 2025 at approximately AM, Licensing Program Analyst (LPA) Zaria Turner, made an unannounced visit to the above Community Crisis Home (CCH) for the purpose of conducting a Case Management. LPA Turner met with Assistant Administrator, Patrick Mahoney, who granted LPA Turner access to the facility. Community Care Licensing (CCL) received an incident report dated August 3, 2025, in which a client was given medication without contacting their physician, which is a requirement prior to passing the PRN, per the authorization on file. During this inspection a tour was conducted of the facility, the facility is in compliance. LPA interviewed two staff members and the following records were requested: Staff Roster and Client Roster, Staff Medication Training minutes, and Medication Log for August 2025. Documents will be sent to LPA Turner via email by August 13, COB. This case management will remain open until a follow up inspection is conducted to ensure the facility is in full compliance. An exit interview conducted and a copy of this report was left with Patrick Mahoney, Assistant Administrator.