summary: Facility Evaluation

raw_content:
Narrative:
On March 26, 2024, at 9: AM, Licensing Program Analyst (LPA) Gilbert Gutierrez went to the facility to conduct a post-licensing inspection. When LPA arrived, no one was home. LPA called the facility contact number and spoke to Facility Manager (FM), Steve Tavera. LPA waited outside the facility, and he arrived after a while. The facility has 4 clients currently. Physical Plant At around 9: A.M, LPA with FM toured the facility. At the time of inspection, the following was observed: a posted license, Emergency Disaster Plan, Foster Care Ombudsman's Information, Youth's Personal Rights, and Accreditation and Mental Health Approval. There is only a maximum of two (2) beds in each bedroom. All bedrooms have drawers and closet spaces for the clients. The smoke and carbon monoxide alarms were tested and working. The water temperature was tested (120) degrees Fahrenheit) using a digital thermometer. All confidential records, sharp objects, medications, and cleaning solutions were observed locked in cabinets. There were extra linens, towels and hygiene supplies in the cabinets and staff office. There was a complete first aid kit in the facility. Al There was adequate perishable food for at least 2 days, however not enough non-perishable foods for at least 7 days. All passageways were unobstructed. Client Records All client records reviewed are available to the licensing agency to inspect, audit and copy upon demand. Client records contain required information including, but not limited to, consent forms, court orders, needs and services plan, removal/discipline/complaint procedures; medical assessment; safeguards for cash resources, personal property and valuables; education records; personal rights forms. An exit interview was conducted and a copy of the LIC 809,LIC 809D and LIC 811 were provided to the facility representative. A deficiency citation is issued at the time of the inspection.

met_with: Steve Tavera


state: CA

facility_name: BOYS REPUBLIC MONROVIA RESIDENCE

summary: Facility Evaluation

raw_content:
Narrative:
On December 4, 2024, at 10: AM, Licensing Program Analyst (LPA) Gilbert Gutierrez conducted an un-announced annual-required inspection to the facility and met Administrator, Steve Tavera. The facility has four clients currently. Physical Plant LPA with Administrator toured the facility. At the time of inspection, the following was observed: a posted license, Emergency Disaster Plan, Foster Care Ombudsman's contact information, Youth's Personal Rights, Grievance Procedure, and Mental Health Program Approval (MHPA). All bedrooms have two single beds, drawers, and closet spaces. The smoke and carbon monoxide alarms were tested and working. The water temperature was tested (118.2) degrees Fahrenheit) using a digital thermometer. All confidential records, sharp objects, medications, and cleaning solutions were observed locked in cabinets in the staff office. Extra linens, towels and hygiene supplies available for the clients. There was a complete first aid kit in the facility. There were adequate perishable foods for at least 2 days and non-perishable foods for at least 7 days. The passageways and hallways were unobstructed. Client Records All client records reviewed are available to the licensing agency to inspect. Client records contain required information including, but not limited to, consent forms, court orders, needs and services plan, removal/discipline/complaint procedures; medical assessment; safeguards for cash resources, personal property and valuables; education records; personal rights forms. Continued.... Disaster Preparedness Plan Facility maintains a current, written disaster and mass casualty plan of action. Facility conducts disaster drill at least quarterly and documented. Facility maintains an emergency and disaster plan, register of clients, Needs and Services Plan for each client, medication records, and contact information for each client's responsible party and physician. Operations The facility maintains a register of clients available upon licensing staff request. The client records are centrally stored in the staff office. The board minutes meeting was available for review. The board of directors conducts meetings at least on a quarterly basis to review and discuss the STRTP's operation. The facility has written complaint procedures to file a complaint for the clients and/or their representatives. An exit interview was conducted, and a signed copy of LIC 809, LIC 809C and LIC811 were provided to the administrator. No deficiency citations were issued at the time of the inspection.

report_type: Facility Evaluation

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
A continuation of the annual/required inspection was conducted by Licensing Program Analyst (LPA) Gilbert Gutierrez at the facility and met Administrator Steve Tavera on December 11, 2024. The facility is licensed to serve six males, ages 13-17 years old. There are four clients placed in the facility currently. Staff Records LPA reviewed five staff records. All staff subject to criminal records review have been fingerprinted and cleared. There was documentation of the required education and experience requirements and training. Emergency Intervention Plan The facility has written emergency intervention plan. The staff records have proof of training. An exit interview was conducted and a copy of the LIC 809 and LIC 811 were provided to the administrator. No deficiency citations issued at the time of the inspection.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On March 19, 2025, at 1: PM Licensing Program Analyst (LPA) Gilbert Gutierrez made a case management inspection to the facility and met Administrator, Steve Tavera. The case management was a follow- up to a Special Incident Report (SIR) received by the Department. The SIR indicated that a staff (S1) allegedly allowed the clients to smoke a substance in the car or in the community. No specific date and time reported. LPA conducted interviews on 12/04/24, 12/06/24, 12//09/24, and 02/03/25. S1 denied the allegation while C1 was not interviewed after attempts failed. LPA gathered the information that C1 was already discharged prior to S1 started working at the facility. S1 no longer working in the facility because he found a new job prior to the allegation. The clients interviewed denied the allegation. They indicated that S1 did not allow them to smoke any substance. No staff allowed the clients to smoke any substance. Based on the information gathered, the incident needs no further follow-up currently unless added information will come up in the future. A copy of the LIC 809, and LIC 811 were provided to the administrator. No deficiency citation issued at the time of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On November 10, 2024, at 9: AM, Licensing Program Analyst (LPA) Gilbert Gutierrez went to the facility to conduct an unannounced annual required inspection. When LPA arrived, no one was home. LPA called the facility contact number and spoke to Administrator, Steve Tavera. LPA waited outside in the car until a staff member arrived. Administrator arrived shortly but must leave for an urgent matter. The facility has 6 clients currently. Physical Plant LPA with staff toured the facility. At the time of inspection, the following were observed: a posted license, Emergency Disaster Plan, Foster Care Ombudsman's Information, Youth's Personal Rights, and Accreditation and Mental Health Approval. There is only a maximum of two (2) beds in each bedroom. All bedrooms have drawers and closet spaces for the clients. The smoke and carbon monoxide alarms were tested and working. The water temperature was tested (117.6 degrees Fahrenheit) using a digital thermometer. All confidential records, sharp objects, medications, and cleaning solutions were observed locked in cabinets. There were extra linens, towels and hygiene supplies in the cabinets and staff office. There was a complete first aid kit in the facility. There were adequate perishable foods for non-perishable foods for at least 7 days. All passageways were unobstructed. Client Records All client records reviewed are available to the licensing agency to inspect, audit and copy upon demand. Client records contain required information including, but not limited to, consent forms, needs and services plan, removal/discipline/complaint procedures; medical assessment; safeguards for cash resources, personal property and valuables; education records; personal rights forms. An exit interview was conducted, and a copy of the LIC 809 and LIC 811 were provided to the facility representative. No deficiency citation was issued at the time of the inspection.

met_with: Steve Tavera, Hernan Sanchez, Brianna Andrade


facility_name: BOYS REPUBLIC SILVERLAKE RESIDENCE

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13On 06/29/2021, Licensing Program Analyst (LPA) Kevin Sauk arrived at the above-said facility, and met with the Unit Supervisor (US), for the purpose of interviewing staff (S2), and for the purpose of delivering findings of this complaint investigation, regarding the above allegation perpetrated against the alleged victim (C1) [See Confidential Names form (LIC811), 06/29/2021, for names]. Based on all of the interviews conducted, the Department has concluded that the above allegation of Personal Rights to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Supporting evidence includes the following: Although the alleged victim (C1) reported that staff (S1) kicked C1 on purpose, there were no witnesses to the alleged incident, and everyone else that was interviewed did not have any issues with S1, and stated that if S1 had kicked C1, it was probably an accident. If any additional information is received, this complaint can be amended and the finding can be changed. Per California Code Regulation, Title 22, Division 6, Chapters 1, General Licensing Regulations, and Short Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS), there are no deficiencies to be cited at this time. Exit interview was conducted and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Alan Henry LICENSING EVALUATOR NAME: Kevin C Sauk LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

report_type: Complaint Investigation

met_with: Unit Supervisor (US)

complaint_status: unsubstantiated


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Investigation Findings:
13On July 12, 2023 at 9:15: AM, Licensing Program Analyst (LPA) Zena Phillips conducted an unannounced visit to BOYS REPUBLIC SILVERLAKE RESIDENCE for the purpose of concluding the investigation and delivering findings on the above allegation. LPA met with STRTP Devon Hosey/Assistant Supervisor and discussed the findings. During the course of this investigation, LPA Phillips interviewed pertinent parties and reviewed records. Confidential interviews and records produced corroborating evidence to support the allegation. Staff interviews and video recording revealed Staff #2 allowed Child #1 to smoke vape pen in staff's vehicle. Client statements revealed that Staff #2 did not say anything or stop Child #1 from smoking vape pen. Based on information obtained and documentary evidence, the preponderance of standard has been met, therefore the above allegation is found to be substantiated. Facility cited on the attached LIC D for violation of California Code of Regulations, Title 22, Division 6, regulation 80078(a) Responsibility for Providing Care and Supervision. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: BOYS REPUBLIC SILVERLAKE RESIDENCEFACILITY NUMBER: 191800953

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

met_with: Devon Hosey/Assistant Supervisor

complaint_status: SUBSTANTIATED


summary: Facility Evaluation

raw_content:
Narrative:
On December 31, 2021 at 9: AM, Licensing Program Analysts (LPA) Zena Phillips made an unannounced visit to Boys Republic Silverlake Residence STRTP for the purpose of an Annual/Required Inspection. LPA Phillips was greeted by Devon Hosey /Assistant Supervisor who granted access to the facility. A complete tour was provided inside and outside of the facility. The facility is located in a residential area and was set as follows: There are currently three (3) children placed in the facility. Facility was set up as follows:3 bedrooms, 2 bathrooms, with 2 stalls, 2 urinals and 2 showers. Additional 2 restrooms for staff use. LPA Phillips observed main staff office with clients files, additional clean linen, doubled locked door for medications and clinician office. Living room, TV room/recreational area, dining room and kitchen. There was a fireplace in the home non operational. There are no bodies of water on the premises. Kitchen: There is a stove/oven with four (6) burners all working properly. There is a microwave and 2 refrigerators/ 1 freezer. LPA observed one week supply of non-perishable and two days of perishable foods, including nutritious snacks. Bedroom # Occupied by client #1, has two twin size beds and adequate cabinet space, shelves for personal storage and lighting.. Bedroom # Occupied by client #2, has two twin size beds and adequate cabinet space, shelves for personal storage, and lighting.. Bedroom # Occupied by client #3, has two twin size beds and adequate cabinet space, shelves for personal storage, and lighting. The facility was inspected, and the following was observed: Facility is safe, sanitary, and in good repair. Passageways, stairways and open porches are unobstructed. Knives, disinfectants, cleaning solutions, and poisons are made inaccessible to clients. . . Medications are locked/accessible only to employees responsible for stored medications. Smoke detectors/ carbon monoxide were working properly in the home. Fire extinguisher were available and working properly in the facility. There were no bars on the windows at the time of the visit. There are no firearms or weapons on the premises. Facility operates within license conditions and limitations including capacity limitations. Facility posts child's rights if licensed to provide care for six clients. Facility has Nissan Armada van equipped to transport six (6) residents with current registration and valid insurance. Clients are not restricted in telephone use except by court order. Clients in care are supervised and always protected. Clients attend school, extracurricular, cultural, and personal enrichment activities. Facility personnel instructed to report violations of personal rights. LPA Phillips interviewed three (3) clients in care and two (2) staff. All other interviews will be conducted at a later date. LPA Phillips will come back at a later date to complete a records review. LPA Phillips collected a copy of the personnel report, client roster and emergency disaster plan. . There were no deficiencies cited at this time. Exit Interview was conducted, and a copy of this report was left at the facility

met_with: Devon Hosey/Assistant Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 01/27//2022 at 9: AM PM Licensing Program Analysts (LPA's) Zena Phillips with Steve Tevera / Supervisor , made an announced visit to Boys Republic Silverlake Residence for Case Management Annual Continuation Inspection. LPA reviewed the following during the inspection: Staff records review; the information regarding the Emergency Preparedness. LPA reviewed Criminal Records and confirmed that all current and former staff were also cleared. LPA reviewed Supervisor and Direct Care staff records. LPA reviewed the facility binder that included Specific Training's include the following: Policies & Procedures; Health & Safety: Emergency Procedures: Medication; Trauma-Informed Care; Boundaries; Job Duties; and information about the Stakeholders. LPA observed the Board of Directors Meeting Notes and confirmed that meetings are held quarterly. There were no deficiencies cited at this time. Exit Interview was conducted and a copy of this report will be emailed to L Parks/ Administrator..

met_with: Steve Tavera/Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On 03/23/2023 at 1:17PM, Licensing Program Analyst (LPA) Zena Phillips arrived at the facility to conduct a case management due to incident report submitted.. LPA Phillips met with Devon Hosey/ Assistant Supervisor who granted access and provided the census. LPA Phillips request LIC 500 and client roster, internal investigation report in regards to SIR# 848126.. The Special Incident Report states that three youth on 2/26/23 allowed to use nicotine vape pens. LPA Phillips conducted two (2) confidential interviews. Not all parties were available at the time of the visit. A decision cannot be rendered. This case management incident needs further investigation Exit interview was conducted with Devon Hosey/ Assistant Supervisor. There are no deficiencies cited at this time and a copy of this report will be email to Lance Parks /Associate Program Director..


facility_name: BRIDGE TO LIFE TEEN HOMES, THE

summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA), Lidia Tinoco met with Marissa Shipman virtually via Teams for the purpose of discussing the Program Statement and Plan of Operation Licensing review. LPA provided Technical Assistance for the Plan of Operation and went over sections A through Q. LPA provided a document detailing the changes in the LIC9106A. LPA also included review notes. At this time the Program Statement sections 1-26 are being returned for review and will be resubmitted with updates to meet the current regulations and the LIC9106A(09/24). A copy of this report was provided to Marissa Shipman for signatures. The signed report will be filed at the RO.

met_with: Marissa Shipman


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA), Lidia Tinoco along with Licensing Program Manager (LPM), Lourey Bartolome, Staff Service Manager (SSM) Marjana Jackson and Associate Governmental Program Analyst (AGPA) Cynthia Galindo met with Marissa Shipman and Tiffani Shipman virtually via Teams for the purpose of conducting a Technical Assistance (TA) meeting discussing the Program Statement and Plan of Operation Licensing in review. LPA Tinoco and AGPA Galindo provided Technical Assistance for the Plan of Operation and Program Statement based on the revision notes sent 8/8/25. A new submission date was agreed upon for October 3, 2025 to submit the revisions. A copy of this report was provided to Marissa Shipman for signatures. The signed report will be filed at the RO.

met_with: Marissa Shipman, Tiffani Shipman


summary: Facility Evaluation

raw_content:
Narrative:
On November 25, 2025, a Component II Orientation was conducted by Licensing Program Analysts (LPAs) Lidia Tinoco and Vanessa Galvan with Administrator, Peter Scott, Board Member, Tiffani Shipman, and President Board Member, David Shipman. The purpose of the Component II Orientation was to review the application, Program Statement/Plan of Operation and to discuss the process. The following were addressed and discussed: An overview of the program statement and program expectations. Revisions to the Plan of Operation/Program Statement (POO/PS) to meet regulatory standards. A review of the programs Emergency Intervention Plan, Staffing, Neighborhood Complaint Policy, Mental Health Program Approval, Reporting requirements, Financial, Money Handling of client's funds, Property ownership, Foster Care Rates and transferring and associating employees and board members in Guardian. The pre-licensing inspection is scheduled for 12/16/2025 at 10: AM. The facility is located at S. Cedar Street, Visalia, CA 93292. A copy of this report was provided to David Shipman.

met_with: Peter Scott, Tiffani Shipman, and David Shipman


summary: Facility Evaluation

raw_content:
Narrative:
On December 16, 2025, Licensing Program Analyst (LPA) traveled to Bridge to Life Teen Homes located in Visalia, CA and met with Administrator Peter Scott, Direct Care Staff Tiffani Shipman, Direct Care Staff Tamara Shipman, Board Member Felix Mata, and Board Member Marissa Shipman. The purpose of the inspection is to conduct a pre-licensing Facility Inspection. A physical plant inspection was completed and included the following observations and checks: Facility grounds are clean and free of debris. There are three ambulatory bedrooms that are double occupancy and two bathrooms, all located on one single level. Bedrooms are accommodated with all required furnishings and storage space. Individual beds were observed and appropriate clean linens and are in good repair. Facility has two full bathrooms, and they are in operable condition. The bathrooms are stored with hand soap, toilet paper, and paper towels. There is an open staff office that is equipped with a desk and a locked file cabinet. Adequate indoor and outdoor activity space and materials observed. All required forms are posted. The temperature of the facility was a comfortable temperature. All facility smoke detectors are in appropriate working order, and a fire extinguisher is properly charged and serviced. The kitchen has a full-size refrigerator and is operating at safe temperature. A sample menu is posted in the kitchen. Knives, sharps, chemicals, disinfectants, and cleaning solutions are inaccessible to clients. The dining room is equipped with a large table and with ten chairs. First Aid kit is stored in the kitchen and is complete with all first aid items. The facility stores extra supplies of linens, personal hygiene products, and emergency food supply. There are no firearms or weapons allowed in the facility. There are no bodies of water on the facility grounds. A copy of this report was provided to Peter Scott at the conclusion of the inspection via email.

visit_type: Prelicensing

met_with: Peter Scott, Felix Mata, Tamara Shipman, Tiffani Shipman, Marissa Shipman


summary: Facility Evaluation

raw_content:
Narrative:
On February 5, 2026, Licensing Program Analyst (LPA) Vanessa Galvan met with Administrator Peter Scott, Board Member Marissa Shipman, Facility Manager Tamara Shipman, Direct Care Staff Monica Gonzalez, Yesenia Monje Navarro, Tiffani Shipman. The purpose of the Component III Orientation was to review the Short-Term Residential Threptic Program Rules and Regulations, to prepare Licensee to maintain and operate their facility, and provide information to avoid potential problems areas. The following were addressed and discussed: Interim Licensing Standards (ILS) Short Term Residential Therapeutic Program (STRTP) and General Regulations. Safeguards for Cash Resources, Personal Property, and Valuables, Bonding, Finances, Accountability. Reporting Requirements, Emailing Incident Reports to the CCLD Inbox Fresno. Administrator & Social worker- Qualifications and Duties, Personnel Requirements, and Criminal Record Clearance. Admission Agreements, Participants Medical Assessment, Register of Clients, Personal Rights. Telephones, Transportation, Health Related Services, Food Services, Responsibility for Care & Supervision, Activities, Building and Grounds. Inspection Authority of Licensing Agency, Department Approval for Remote Site Model, Waivers and Exceptions. Complaints and the LPA, Deficiency Types, Extension Request, Types of Civil Penalties, Providers Information Notices (PINs), Complaint and Regulatory Enforcement CARE Tools, Officer of the Day, TSP Services. This report was discussed and provided to Peter Scott at the conclusion of the inspection.

met_with: Peter Scott


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA), Lidia Tinoco traveled to Bridge to Life Teen Homes located in Visalia, CA and met with Administrator Peter Scott and Direct Care Staff Tiffani Shipman, the purpose of the inspection is to conduct a post-licensing Facility Inspection. A physical plant inspection was completed and included the following observations and checks: Facility grounds are clean and free of debris. There are three ambulatory bedrooms that are double occupancy and two bathrooms, all located on one single level. Bedrooms are accommodated with all required furnishings and storage space. Individual beds were observed and appropriate clean linens and are in good repair. Facility has two full bathrooms, and they are in operable condition. The bathrooms are stored with hand soap, toilet paper, and paper towels. There is an open staff office that is equipped with a desk and a locked file cabinet. Adequate indoor and outdoor activity space and materials observed. All required forms are posted. The temperature of the facility was a comfortable temperature. All facility smoke detectors are in appropriate working order, and a fire extinguisher is properly charged and serviced. The kitchen has a full-size refrigerator and is operating at safe temperature. A menu is posted in the kitchen. Knives, sharps, chemicals, disinfectants, and cleaning solutions are inaccessible to clients. The dining room is equipped with a large table and with ten chairs. First Aid kit is stored in the kitchen and is complete with all first aid items. The facility stores extra supplies of linens, personal hygiene products, and emergency food supply. LPA Tinoco observed cameras in common areas of the facility. There are no firearms or weapons allowed in the facility. There are no bodies of water on the facility grounds. Continued on LIC809-C ... A Guardian Check conducted on 4/14/26 confirmed that all the staff listed on the LIC500 have received fingerprint clearances. 5 staff files and 1 child file was reviewed. Confidential interviews were conducted. LPA Tinoco requested updates regarding accreditation and mental health program approval. LPA issued 2 technical assistance, 2 technical violations. 2 type B deficiencies were issued for ILS (Interim Licensing Standards) 87075(c) Health Related Services and 87061(a) Reporting Requirements. A copy of this report was provided at the conclusion of the inspection along with appeal rights.


facility_name: BRIGHT HORIZON

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
On 05/25/2022, the Department received a complaint alleging that clients are smoking marijuana in the facility. Staff members who were interviewed denied the allegation that clients are allowed to smoke in the facility, including activities outside of the facility grounds. LPA was informed by staff members that they have caught client(s) smoking inside the facility, including while conducting routine checks and were able to confiscate the contraband and document the incident. Staff workers, including the Administrator, stated that staff are always present and are working professionally. Staff interviewed stated that they are not supplying marijuana to the clients and do not condone this type of activities. In confidential interviews, all clients interviewed denied the allegation that staff working at the facility allowed them to smoke marijuana or any other form of tobacco or device such as a vape. All clients denied that staff are supplying marijuana or other forms of contraband. Several clients disclosed that they obtain their smoke and other devices, such as a vape while at school. Clients interviewed stated that staff are quick to take away any contraband they discover while at the facility. The clients that admitted smoking inside the facility is done without staff having any knowledge. L.A. County representative that was identified in the referral as having direct information about the allegation could not be contacted, therefore no statement was obtained. The county emergency response worker (ER) who was assigned to the referral made the determination that the referral is to be evaluated out. It should be mentioned that LPA Vargas determined that there were some irregularities in the manner that the facility were under reporting special incident reports (SIR) with respect to discovering contraband. Statements obtained could not corroborate the allegation reported. Therefore, the above allegation of neglect/lack of supervision is determined unsubstantiated at this time. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged abuse occurred. An exit interview was conducted and copy of this report was provided to the facility representative for review and signature. No deficiencies were cited at this time

Investigation Findings:
13On 10/04/2022 at 10: AM, Licensing Program Analyst (LPA) Joseph Vargas conducted a follow-up inspection for the purpose of providing findings for the above complaint. LPA met with Mr. Garces. During the course of the investigation, LPA conducted in-person visits, and telephone interviews with four staff workers, five clients, on 5/31/2022, county emergency response worker (ER) on 06/02/2022, that included two attempted contacts with two individuals that could not be contacted. (reference confidential names list LIC811 dated 10/04/2022. During the inspection LPA requested for review and obtained copy of the staff and client facility roster reports, special incident reports, clients Needs and Service Plan and placement history, including a review of the county report associated to this complaint investigation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Joseph Vargas LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHT HORIZONFACILITY NUMBER: VISIT DATE: 10/04/2022

met_with: Mr. Carlos Garces, Administrator


raw_content:
Narrative:
It was alleged that minors had access to illegal substances and inappropriate items while in care. Information obtained from confidential interviews did not support the allegation. Clients, non-minor dependents and staff denied the allegation and the alleged source of the illegal substances and inappropriate items. LPA attempted to obtain statements from a former client in placement, but attempts were unsuccessful. There was no evidence found to corroborate the allegation. Based on information obtained during the investigation, the allegation is unsubstantiated. Although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met. A copy of this report and the Confidential Names Form were provided to the facility representative. Appeal rights provided and explained.

Investigation Findings:
13On October 7, 2022, at 12: PM, Licensing Program Analyst (LPA) Claudia Portillo conducted a complaint inspection at the facility to deliver the finding of the above allegation on behalf of investigating LPA Irene Yamamoto. LPA Claudia Portillo met with the facility representative named above. LPA Yamamoto investigated the allegations by conducting interviews with clients and non-minor dependents in care, facility staff and other related parties. Records were reviewed such as but not limited to, Personnel Report, Register of Clients/NMDs in Placement, Incident Reports and Needs and Services Plans. There was no placement agency report found. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Claudia Portillo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHT HORIZONFACILITY NUMBER: VISIT DATE: 10/07/2022

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

met_with: Shaun Fernandez, Youth and Family Specialist


raw_content:
Narrative:
It was alleged that staff provided a minor with a vape pen while in care. Confidential interviews reveal that former and current clients in care denied the allegation. They denied being provided with a vape pen by any staff. They denied witnessing any staff provide a vape pen to other clients. The identified client denied the allegation. Staff who were interviewed denied providing any minor with a vape pen. The identified staff denied the allegation and accused another staff of the allegation. However, records reviewed support the allegation that the identified staff provided the identified client with an vape pen on more than one occasion. The records reviewed include an admission to the allegation by the identified staff. The facility terminated the identified staff's employment on January 31, 2023, due to the allegation. Based on the above information, the preponderance of evidence standard has been met, therefore, the allegation is substantiated. A deficiency citation is issued under Short Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS) 87072(c)(11) Personal Rights - To be free of physical, sexual, emotional, or other abuse, and from corporal or unusual punishment, exploitation, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse... This requirement was not met as evidenced by records reviewed which include the admission by the identified staff to providing a client with a vape pen while in care. This poses an immediate health, safety, and personal rights risk to clients in care. An exit interview was conducted, and copies of the following licensing reports were provided: LIC 9099, LIC 9099-C, LIC 9099-D and LIC Confidential Names Form. Appeal rights forms were provided and explained.

Investigation Findings:
13On July 21, 2023 at 10: AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted an unannounced complaint inspection at the facility. LPA met with the facility representative named above. The purpose of the inspection is to deliver the finding for the above allegation. The investigation into the allegation includes the following: On 2/9/23, LPA conducted the10-day inspection at the facility; interviews were conducted with three staff and an attempt was made to interview one client. Between 3/1/23 to 7/20/23, LPA conducted interviews with four additional staff, four current and former clients in placement, and multiple placement agency staff. During the same period, attempts were made to obtain statements from other clients and placement agency staff. Records were reviewed including, but not limited to the Personnel Report, Register of Clients in Placement, History of Placements, Discharge Report and Needs and Services Plan. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHT HORIZONFACILITY NUMBER: VISIT DATE: 07/21/2023

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

met_with: Carlos Garces, Administrator


raw_content:
Narrative:
It was alleged Staff are not addressing minors' multiple AWOL's while in care, Staff are not adequately supervising minors in care and Staff are not preventing minors from smoking while in care. It was also alleged Staff are not preventing minors from using marijuana while in care, Staff are not reporting incidents involving minors in care and Staff are mismanaging minor(s) medication(s) while in care. The staff stated that clients are talked to and discouraged to leave the facility by given them other options to do. The staff stated that two to three staff supervise the clients, the staff are through out the home and the staff conducts room checks periodically. The staff stated clients are discouraged to smoke and are reminded of the facility's rules regarding smoking, the staff stated that contraband is confiscated when the staff is able to get from the clients. The staff state that incidents are reported to management and the management has not discouraged the staff from reporting incidents. The staff stated that all the staff has been trained on medication distribution and protocol is follow by the staff. The staff reported that the staff gives the proper medication to the client and stand there to make sure the clients take the medication. The confidential interviews revealed multiple staff are in the facility supervising the clients and that the staff check on the clients frequently through out. Information indicated that the staff tries to talk out the clients when leaving the facility without permission and redirect the clients when acting out. The confidential interviews indicated that the staff gives the medicine to clients and stand there to make sure the clients take the medicine. Information indicated that there has not been a physical altercation between staff and clients. The Social Worker stated that they had no concerns with the care and supervision in the facility and that the staff communicates issues with the social workers. Based on the interviews and records reviewed, the allegations are found to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove the allegations. Copies of LIC9099, LIC9099C, LIC811 and Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On December 05, 2024, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and met with Shaun Fernandez, Facility Manager. The purpose of the inspection was to deliver the finding for the above complaint allegations. During the course of the investigation, LPA interviewed one staff and four clients on 09/05/24, LPA interviewed two staff via telephone on 09/24/24, LPA interviewed one staff via telephone on 11/06/24, LPA interviewed two County Social Workers via telephone on 11/07/24 (see Confidential Names Form LIC 811 dated December 05, 2024). LPA also reviewed documents including but not limited to Client's rooster, staff rooster, staff schedules, Special Incident Reports (SIR), Run Away Plan Procedures, Documentation documentation Medication Documentation procedures and other documents. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHT HORIZONFACILITY NUMBER: VISIT DATE: 12/05/2024

met_with: Shaun Fernandez, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On February 14, 2022 at 11: AM, Licensing Program Analyst (LPA) Juliet Robles conducted an unannounced case management inspection to Bright Horizon Short Term Therapeutic Residential Treatment (STRTP) facility and met Ronnie Andrade, Facility Manager. The special incident report (SIR) disclosed that on 12/29/21, non-minor dependent (NMD) (reference Confidential Names Form LIC811 dated 02/14/22) was arrested for driving under the influence of drugs and driving without a license. LPA spoke with the Carlos Garces, Administrator on 2/14/22 via telephone call and discussed the incident. Per Administrator, NMD has two (2) Rehab Specialists that work with NMD to help with court appearance wherein the court date was pushed back because of pandemic. Rehab Specialist is also working with NMD to continue to enroll at school and finish his GED, attend/apply on adult school and get a job. NMD has been receiving this Mental Health Services 2 times a week to help NMD attain his goals and transition to his Individual Independent Living Plan. Based on the information obtained through interview and records review the facility has been guiding and assisting NMD to transition, there is no further follow up needed. There were no deficiencies cited at this time, and a copy of LIC 809, LIC 811 was given to the facility manager.

met_with: Ronnie Andrade


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Jenny Mundo and Pamela Silva on March 8, 2022 at 9: AM. During the inspection, LPAs met with Carlos Garces, Administrator/Executive Director. LPAs and the Administrator/Executive Director inspected the facility inside and out. LPAs reviewed one (1) child's record on site at the facility at 10: AM. LPAs reviewed three (3) staff personnel files on site at the facility at 10: AM. LPAs reviewed one (1) child's psychotropic medications and medication records at 10: AM. LPAs interviewed three (3) staff on site at 11: AM. LPAs interviewed one (1) child on site at 9: AM. LPAs conducted exit interview with Carlos Garces, Administrator/Executive Director at 12: PM. LPAs provided the Summary Report to the Administrator/Executive Director upon completion. No deficiencies are being cited at this time. One (1) Technical Assistance (LIC9102TA) was also issued.


summary: Facility Evaluation

raw_content:
Narrative:
On March 24, 2022 at 9: AM, Licensing Program Analyst (LPA) Juliet Robles conducted an unannounced follow up case management inspection to Bright Horizon Short Term Therapeutic Residential Treatment (STRTP) facility and met RJ Andrade, Facility Manager. The special incident report (SIR) disclosed that on 03/07/22, facility client (reference Confidential Names Form LIC811 dated 03/24/22) was found having a seizure during a scheduled room check. LPA spoke with the Carlos Garces, Administrator on 3/18/22 via telephone call and discussed the incident. Per Administrator, a referral was made through client's primary physician to obtain and expedite a medical authorization for a neurological assessment. Per Administrator, he will add an addendum that a follow up was done by the STRTP facility. LPA obtained a copy of the referral conducted by the facility. Based on the information obtained through interview and records review, there is no further follow up needed. There were no deficiencies cited at this time, and a copy of LIC 809, LIC 811 was given to the facility manager.

met_with: RJ Andrade


summary: Facility Evaluation

raw_content:
Narrative:
On June 06, 2022 at 10: AM, Licensing Program Analyst (LPA) Juliet Robles conducted an unannounced follow up case management inspection to Bright Horizon Short Term Therapeutic Residential Treatment (STRTP) facility and met Ronnie Andrade, Facility Manager and Carlos Garces, Administrator. The purpose of the inspection was to follow up with the information gathered by LPA Vargas during a complaint investigation. Due to the information obtained during the investigation, LPA discussed with the Administrator that the facility needs to report to the CCLD and County placement any incidents where it discovers and confiscates contraband products such as marijuana and vaping among its clients. A technical assistance advisory was issued today with the facility regarding this matter. A copy of this report and LIC Technical Advisory Form were provided to the facility representative. There were no deficiencies cited during this inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On October 7, 2022, at 12: PM, Licensing Program Analyst (LPA) Claudia Portillo made an unannounced visit to the agency above and met Shaun Fernandez for the purpose of conducting a case management inspection regarding a record review of the needs and services plan (NS0) for a client in care. During a preliminary complaint investigation, LPA Irene Yamato identified errors and missing information on the clients NSP. 1. Information from incident reports, such as substance abuse and school suspension were not documented in a client's NSP.; 2. A non-minor dependent's NSP did not address the outcome goals of the NMD, but instead that of another client in placement at the STRTP. Based upon the above information, it is determined that the facility is in not meeting all the requirements of the content that needs to be in the NSPs. 1. Section 87068.2 ( c )(1) Needs and Services Plan: The needs and services plan (NSP) shall include a description of the services to be provided or arranged to meet the short- and long-term needs and goals of the child as assessed by the Qualified Individual. 2. Interim Licensing Standards (ILS): 87068. Needs and Services Plan for Nonminor Dependents: The Needs and Services Plan (NSP) shall be trauma-informed, culturally relevant, and age and developmentally appropriate, and include a description of the services to be provided or arranged to meet the short- and long-term needs and goals of the nonminor dependent... It is determined that technical violations shall be issued: (see TVs) A copy of this report is being provided to the facilities authorized representative.

met_with: Shaun Fernandez, Youth and Family Specialis


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Pamela Silva and Timika Martin on 01/11/23 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Carlos Garces, Administrator, and inspected the facility inside and out. LPAs reviewed one (1) child's records and three (3) staff personnel files on site at the facility. LPAs reviewed one (1) child's psychotropic medications and medication records. LPAs interviewed three (3) staff on site to discuss the facility's policies and procedures of operation. LPAs were unable to interview child currently prescribed psychotropic medication due to client was unavailable at the time of inspection. LPAs provided a copy of this licensing report to Carlos Garces, Administrator. No deficiencies are being cited at this time. LPAs conducted exit interview with the Administrator.

met_with: Carlos Garces


summary: Facility Evaluation

raw_content:
Narrative:
On September 28, 2023 at 2: PM, Licensing Program Analyst (LPA) Juliet Robles conducted an unannounced case management inspection to Bright Horizon Short Term Therapeutic Residential Treatment (STRTP) facility and met Carlos Garces, Administrator. The special incident report (SIR) disclosed that on 08/21/23, client (reference Confidential Names Form LIC 811 dated 09/28/23) was in altercation at school and the client had a screwdriver as a weapon. LPA Robles spoke with Shaun Fernandez, facility manager (FM) and Cuong "John" Nguyen, County Social Worker (CSW) via telephone call on 09/27/23. Per FM, the weapon did not come from their facility; sharps and knives are all double locked in the closet at their facility. According to FM, the incident was addressed in the Child Family Team Meeting (CFTM) held on 09/12/23, in individual therapy and in rehabilitation services. Youth and Family Specialist went to the school of client after the incident to provide support and guidance. LPA obtained a copy of the CFTM. Per CSW, he was notified by the facility in a timely manner with regards to this incident at school. According to CSW, he visits the youth weekly in the facility. We talked about the incident, and he was aware of the suspension because of his action. CSW stated that he has no concerns about the way the facility is handling the client. The facility is working with the client and making sure he stays in school. Based on the information obtained through interview and records review, there is no further follow-up needed. There were no deficiencies cited at this time, and a copy of LIC 809, LIC 811 was given to the Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On August 09, 2024, Licensing Program Analysts (LPAs) Juliet Robles, Olena Maico and Brent Lockhart conducted an unannounced inspection at the facility at 8: AM. LPAs met with Carlos Garces, Administrator and Shaun Fernandez, Facility Manager. The purpose of the inspection was to conduct a Required - Year inspection at this Short Term Therapeutic Residential Treatment Program (STRTP) facility. The STRTPs Mental Health Program Application is valid until 02/02/2025. This STRTP is licensed to serve up to six (6) males ambulatory children ages 7-17 years of age. The facility also provides services to non-minor dependents. Currently, there are four (4) clients in placement. This is a one story home with five (5) bedrooms, three (3) bathrooms, one (1) office, a full kitchen, dining room and family room. PHYSICAL PLANT: A tour of the facility was conducted at 9: AM, along with facility manager. LPAs observed the following posted items that are accessible to clients like: Grievance Procedures, Personal Rights, Ombudsman Poster, license, facility sketch and menus. All hazardous items have been properly made inaccessible to areas where clients will have access. The medications were stored and locked in a cabinet near the entrance. Cleaners/chemicals are locked and stored in the garage. Sharp knives are inaccessible and stored in a locked cabinet near the entrance. There are two (2) First Aid Kits that are checked and are complete. Supplies of staples non-perishable foods for one week and perishable foods for two days are maintained in the facility. The facility has smoke detectors and carbon monoxide that are operable and located in bedrooms and hallways. The hot water in the client bathroom was measured to be 106 degrees (F). The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. Operations Facility maintains a current, written plan of operation that meets licensing standards. Facility maintains a register of clients and the register is available upon request. The board of directors regularly conducts meeting to review and discuss the STRTPs operation. Disaster Preparedness Plan Facility maintains a current, written disaster and mass casualty plan of action. Facility conducts disaster drill at least every month or with new hire. The drills are documented, and the documentation is maintained in the facility for at least a year. Facility maintains an emergency and disaster plan, register of clients, Needs and Services Plan for each client, medication records, and contact information for each client's responsible party and physician. Core/Therapeutic Services Facility provides core services and supports to children as appropriate or necessary that are trauma informed, culturally relevant, age and developmentally appropriate and include the following: Medi-Cal specialty mental health services; transition port services; educational and physical, behavioral, and mental health supports; activities to support children with services to achieve permanency. Client Records LPAs 11: AM started to review six (6) client records. All client records are electronic and available to the licensing agency to inspect, audit and copy upon demand. Client records contain required information including, but not limited to, consent forms, court orders, appraisal/needs and services plan, medical assessment/consent; safeguards for cash resources, personal property and valuables; education records; personal rights forms; and medication administration records and psychotropic medication record. Emergency Intervention Plan: Facility utilizes technique of group and individual behavior management like crisis prevention and alternative methods of handling aggressive and assaultive behavior. Staff have trainings on manual restraint if needed to be utilized. STAFFING RECORDS: During the inspection review, LPAs reviewed five (5) staff files and verified that all facility staff was subject to criminal records review, fingerprinted and cleared DOJ, FBI and CACI. All staffs signed the Criminal Record Statement and acknowledgement to report Child Abuse. Personnel records are maintained on the administrator, facility manager and each employee. Documentation of the required education, experience and training requirements are maintained in the personnel file. On today's inspection, two (2) Type B deficiency citations are issued under 87070(b)(14)(F) Children's Records and 87065.1(d)(6)(A) Staff Record. An exit interview was conducted, and a signed copy of this report, LIC 809C, LIC809D, LIC811 and appeal rights were provided to the facility manager.

met_with: Shaun Fernandez


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, Dina Camara did a Case Management joint-inspection at 9: AM with Licensing Program Analyst, Juliet Robles. Licensing Program Analyst, Dina Camara address the law enforcement incident report portion of the case management inspection. Lpa D. Camara and LPA J. Robles meet with Facility Manager Shaun Fernandez to review and discuss a incident report involving law enforcement for youth J. Valenzuela dated 09/09/25. The incident report for youth J. Valenzuela dated 09/09/25 required clarification for the date of first contact with law enforcement, the reason law enforcement was involved, and who contacted law enforcement. The incident date states 09/09/25 however, in the incident description it is dated 09/11/25. Staff will do an addendum to the date to reflect 09/11/25. The youth being a Los Angeles County youth was involved in alleged theft/robbery in the County of San Bernardino. Staff will do an addendum to reflect the alleged theft/robbery. The LIC 624-LE 12/22 form was discussed in detail and encouraged staff to state the chain of events using dates and times to reflect the incident and law enforcement involvement.

met_with: Facility Manager, Shaun Fernandez


summary: Facility Evaluation

raw_content:
Narrative:
On September 25, 2025 at 9: AM, Licensing Program Analysts (LPAs) Juliet Robles and Dina Camara conducted an unannounced joint follow up case management inspection to Bright Horizon Short Term Therapeutic Residential Treatment (STRTP) facility and met Facility Manager, Shaun Fernandez. The special incident report (SIR) disclosed that on 09/09/25, client (reference Confidential Names Form LIC811 dated 09/25/25) was arrested. LPA spoke with FM at the facility and discussed the incident. Per FM, he called San Bernardino Probation Officer about client's arrest at school in Rialto, and he stated that the reason behind the arrest is allegedly due to a robbery/theft incident. Per FM, when CSW transported the client back to STRTP after the court date on 09/17/25, client had been placed on house arrest by the court and has an ankle monitor. Per FM, the STRTP received the house arrest contract rules for client. According to FM, the client has a court date scheduled for October 01, 2025. LPA instructed FM to submit an addendum SIR to correct the dates of event and add the new details and information gathered for this incident. Based on the information obtained through interview and records review, there is no further follow-up needed. There were no deficiencies cited at this time, and a copy of LIC 809, LIC 811 was given to the facility manager.


summary: Facility Evaluation

raw_content:
Narrative:
Today 06/16/21 at 8:45 am, Licensing Program Analysts (LPAs) Belinda Gilmer conducted an unannounced required annual at this Short Term Therapeutic Residential Treatment (STRTP) facility. LPA met with Carlos Garces Administrator/Executive Director/Facility Manager. LPA toured the facility with Mr. Garces both inside and outside. This facility has five (5) bedrooms, three (3) bedrooms. There are no changes to the floor plan that was originally submitted to Community Care Licensing. The passageways and entries were unobstructed, at the time of this inspection. There was no swimming pool or body of water on the premises. The disinfectants, cleaning solutions, and other hazardous items were locked and inaccessible to the children. LPA observed a letter from the Joint Commission date 6/14/21, stating the accreditation survey has been postponed due to the COVID 19 pandemic and Bright Horizon will be considered accredited beyond their current certificate expiration date of 5/28/21. Mr. Garces stated there are no firearms/dangerous weapons at this group home. The facility has required non-perishable foods for one (1) week and perishable foods for two (2) days. The facility provides meals, nourishment, or snacks. Medications are locked in the staff office in a locked file cabinet and accessible only to employees. The temperature in the rooms that clients occupy is maintained at a comfortable temperature for the children. Hot water temperature in the three bathrooms was at 106.5 degrees Mr. Garces ensures that children are accorded dignity in personal relationships with staff and others. Children live in a safe, healthy, comfortable facility and are treated with respect. LPA observed the children's rights, children's group home Ombudsman flyer, visitation rules and policy, emergency disaster plan, and foster youth bill of rights were posted. The complaint and grievance procedures posted. There is a phone available for the children to use. The Administrator is required to be on-site at least 20 hours per week (Monday thru Friday at 7:00 am-noon. Mr. Garces ensures appropriate staff/client coverage/ratios for all required positions. The Personal Report (LIC500) dated 06/01/21, doesn't have staff hours. As per the Administrator due to the COVID 19 pandemic and staff being shifted around to cover staff out with COVID 19 he couldn't update the LIC 500. LPA discussed with Administrator the importance of reporting incidents appropriately to the licensing and placement agency. The following topics were discussed with the STRTP representative: The runaway plan and law enforcement contact policies. Emergency Intervention Protocols and proper documentation. As per the Administrator, there were no physical restraints in 2021 or as of the date of this inspection Mental Health Client transition planning and how Child and Family Team are being initiated and utilized Clients involvement in planned activities. Children Records: LPAs reviewed 4 children's files. The files contain a record of the client's Health and Education Passport, Individualize Education Program (IEP) admission agreement, medical assessment, consent forms, identification emergency information, appraisal and needs and services plan, immunization record, centrally stored medication record, safeguards for property/valuables, personal rights form and cash resource information. Staff Records: LPA reviewed 6 employee files. The files contain the following documentation: first-aid certificate, Child Abuse Index Checks/Department of Justice (DOJ)/Federal Bureau of Investigation (FBI) criminal record clearances, personnel record, health screening, criminal record statement, employee rights, and tuberculosis test. Staff number 1 on the review of staff/volunteer records did not obtain a criminal record clearance and was not associated with this group home. Based on the guardian system a letter was generated and appears to have been mailed to the employee and the facility on 5/14/21 informing them that fingerprints process was closed and the employee was not associated to this group home. The Administrator said he never received a letter from Care Provider Management Bureau. Administration/Accountability: LPA received and read the minutes from the board of directors meetings dated 4/7/21. The Emergency Evacuation plan and physical plant sketches are posted. The Emergency Disaster Plan, LIC 610C was posted. Personal rights were posted. The facility License was posted in a prominent place. As per Title 22, the following deficiency was observed during this inspection and will be cited. Copies of these LIC 809s LIC 858, LIC 859 and civil penalty assessment -caregivers background check were provided during this exit interview. LPAs also discussed the facility appeal rights during this exit.

met_with: Carlos A. Garces


summary: Facility Evaluation

raw_content:
Narrative:
On July 21, 2023 at 10: AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted an unannounced case management inspection at the facility. LPA met with the facility representative named above. The purpose of the inspection is to address the following: - The facility received information that a staff provided a vape pen to a client while in care. The staff was terminated but the facility did not report the incident to Community Care Licensing (CCL). - Records obtained and reviewed by the undersigned LPA show that staff did not have a criminal record clearance and was not associated to the facility during staff's employment period from July 6, 2022 to January 31, 2023. Based on the above information, a deficiency citation is issued under 80061(b)(1)(E) Reporting Requirements and 80019(e)(1) Criminal Record Clearance. These violations pose an immediate health, safety, and personal rights risk to clients in care. A violation of Section 80019(e) will result in an immediate assessment of civil penalty of one hundred dollars ($100) per violation for a maximum of 5 days by the Department therefore, a civil penalty assessment of $500.00 is issued. An exit interview was conducted, and the following reports were provided: LIC809, LIC 809-D, LIC421BG and LIC Confidential Names Form. Appeal rights forms were provided and explained.


summary: Facility Evaluation

raw_content:
Narrative:
On July 10, 2024 at 9: AM, Licensing Program Analyst (LPA) Juliet Robles made an unannounced case management inspection to the facility. LPA met with the facility manager named above. The purpose of the inspection is to address the information obtained regarding a special incident report (SIR) that was submitted to Community Care Licensing Department (CCLD) on 06/23/24 about a physical altercation with non-minor dependent (NMD), client and staff (reference Confidential Name Form LIC 811 dated 07/10/24). During this course of inspection, LPA conducted interview with administrator (A) via telephone call on 06/28/24. SIR disclosed that NMD and client were antagonizing and harassing staff. Staff became agitated and began exchanging words with NMD who started recording the staff. Staff demanded NMD to stop and when NMD did not comply, staff pushed and slapped NMD. A physical altercation took place with NMD, client and staff. Based on the information gathered and record review, a deficiency citation is issued under Interim Licensing Standards (ILS)v Section 87072(c)(16) Personal Rights. This violation poses an immediate health, safety, and personal rights risk to clients in care. An exit interview was conducted, and the following reports were emailed LIC809, LIC 809-D, and LIC Confidential Names Form. Appeal rights forms were provided and explained.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On February 11, 2026 at 10:05 am, Licensing Program Analyst (LPA) Juliet Robles conducted an unannounced case management inspection to Bright Horizon Short Term Therapeutic Residential Treatment (STRTP) facility to address a violation found during a complaint investigation. LPA met Ronnie Andrade, Facility Manager (FM). During a complaint investigation on 02/02/26, LPA Complaint Specialist (CS) Larios observed that client's bedroom doors were changed to a curtain. (See Confidential Name List LIC811 dated 02/11/26). A Special Incident Report (SIR) addendum was sent to the Department on 02/03/26 to indicate that for safety precaution facility decided on 01/31/26 to replace the bedroom doors with curtain coverings. LPA Robles and FM did a walk through through the internal and external areas of the facility. LPA observed bedroom doors of #1, #3, #4 and #5 were removed and changed to curtains. LPA discussed with Carlos Garces, Administrator via telephone call on 02/11/26 that the facility is required to notify the Community Care Licensing Department (CCLD) if the provider is altering the building and grounds element, which contrasts with how it was licensed. Facility manager provided LPA with an updated LIC Personnel Summary and LIC Register of Facility Clients. Due to the information obtained during the investigation and inspection, the facility is cited for two (2) Deficiencies: 1) Title 22, Div. Chapter Article 06. Continuing Requirements Reporting Requirements and 2) Article 07. Physical Environment Alterations to Existing Building or New Facilities. See LIC 809D for details. An exit interview was conducted, and the following reports were provided: LIC809, LIC 809-D, and LIC 811. Appeal rights forms were provided and explained to Ronnie Andrade.

Deficiencies:
80086(a): 1
2
3
4
5
6
7

title:
1
2
3
4
5
6
780086(a)Alterations to Existing Building or New Facilities
(a)	Prior to construction or alterations, all licensees shall notify the licensing agency of the proposed change.

This requirement is not met as evidenced by

description:
1
2
3
4
5
6
7


raw_content:
Narrative:
It was alleged staff did not prevent minor in care from harming another minor in care. The staff present when the incident occurred stated client#1(C1) was upset he could not find his skateboard. C2 told C1 to shut up and C1 threw a game controller at C2. Staff#1(S1) heard what was happening and intervened. As C1 and C2 were being separated C2 bit C1 on his leg. Other staff came in to assist and the clients were separated. The staff stated that two to three staff supervise the clients, the staff are through out the home and the staff conducts room checks periodical. C1 stated he feels safe at the facility and staff supervise them. C2 stated he threw a game controller at C1 so he could shut up and during the scuffle he bit C1 on his leg as S1 was separating them. He stated he was kicked on his head and he bit C1 in retaliation. C2 stated he told staff was present and broke them up when they were in the scuffle. The confidential interviews revealed multiple staff are in the facility supervising the clients and that the staff check on the clients frequently through out. Social Workers stated that they had no concerns with the care and supervision in the facility and that the staff communicates issues with the social workers. Based on the interviews and records reviewed, the allegations are found to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove the allegations. Copies of LIC9099, LIC9099C, LIC811 and Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On March 11, Licensing Program Analyst (LPA) Pedro Ramos conducted a follow-up complaint inspection to the above facility and met with Shaun Fernandez, Facility Manager. The purpose of the inspection was to deliver the finding for the above complaint allegation. During the course of the investigation, LPA interviewed three staff and four clients on 11/24/25, LPA interviewed three County Social Workers via telephone on 3/10/26 (see Confidential Names Form LIC 811 dated March 11, 2026). LPA also reviewed documents including but not limited to client's roster, staff roster, staff schedules, Special Incident Reports (SIR) and other documents. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Pedro Ramos LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHT HORIZONFACILITY NUMBER: VISIT DATE: 03/11/2026


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced case management inspection was conducted by Licensing Program Analyst (LPA) Juliet Robles on April 22, 2026, at 10:30 am. During the inspection LPA Robles met with Facility Manager (FM), Shaun Fernandez. The purpose of the inspection is to provide an Advisory Notes - Technical Assistance (TA) with Bright Horizon Short-Term Residential Therapeutic Program (STRTP) licensee of the STRTP Manual Restraint Incident Reporting System (MRIRS), online portal for manual restraint incident reporting to the Community Care Licensing Division (CCLD), Children's Residential Program (CRP). LPA discussed with the Facility Manager the following: · PIN 26-02-CRP · PIN 24-16-CRP-2024 · SB Public Webpage · Remember facility administrator to create facility users · Read/Review MRIRS Procedures Manual for Providers · Upcoming coffee chats: Wednesday, April 29 from 11am to 12pm-registration on SB Public Webpage · Email SB1043support@dss.ca.gov should you require additional support An exit interview was conducted, and a copy of this report, LIC 9102TA, was provided to the facility representative.