summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) David Hiett conducted a Pre-licensing inspection for a Small Family Home license and met with the Administrator Jane Gano. The entire home was toured, inside and out. The application is for a Small Family Home for 4 children ages 6-17. The facility is a 2 story home. The first floor has an open floor plan containing an entertainment area and a kitchen and an attached dining room, Downstairs there are 4 children's bedrooms and 2 bathrooms built to accommodate special health care needs. There is a locked medication cabinet where prescription medications are stored in locked containers and a locked refrigerator in the kitchen for refrigerated medications. A washer and dryer set are located in the garage behind locked doors and is where toxics are stored. All bedrooms have adequate dresser and closet space. There are carbon monoxide/smoke detectors throughout the facility along with adequate fire extinguishers. There is a complete first-aid kit located in a locked cabinet in the dining room. All required postings are present. Upstairs is an office and a bathroom for staff. Applicant understands that the hot water temperature must be maintained within the regulation range of 105-120 degrees and was measured at 110F. The knives will be stored in a locked kitchen drawer. A copy of this report has been shared with the facility.


state: CA

facility_name: VINCENT HOME

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) David Hiett conducted an unannounced inspection to the facility for the purpose of conducting a Post Licensing inspection. LPA Hiett met with Assistant Administrator Vincent Gano and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. No room commonly used for other purposes is used as a bedroom. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. There is an adequate supply of perishable and nonperishable food available. Medications are kept in locked cabinet in the living room, sharps are in a locked drawer in the kitchen, and toxins are kept locked in a cabinet in the garage. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. Applicant understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Menu, Activities, License, Personal Rights, and Emergency Disaster are posted. The Small Family Home is licensed to serve 4 children ages 6-17. Currently in placement are 2 clients who were not present at the facility. The home operates within the capacity and limitations of the license. LPA Hiett reviewed 2 client files and 3 personnel files and all are complete. Current forms and Title Regulations can be obtained through the internet at www.ccld.ca.gov No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was sent to the facility.

report_type: Facility Evaluation

met_with: Vincent Gano


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with assistant administrator Vincent Gano and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. No room commonly used for other purposes is used as a bedroom. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. There is an adequate supply of perishable and nonperishable food available. Medications are kept in locked cabinet in the living room, sharps are in a locked drawer in the kitchen, and toxins are kept locked in a cabinet in the garage. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Menu, Activities, License, Personal Rights, and Emergency Disaster are posted. The Small Family Home is licensed to serve 4 children ages 6-17. Currently in placement are 2 clients who were not present at the facility. The home operates within the capacity and limitations of the license. LPA McCambridge reviewed 2 client files and 3 personnel files and all are complete. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was sent to the facility.

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with administrator Jane Gano and assistant administrator Vincent Gano and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. No room commonly used for other purposes is used as a bedroom. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. There is an adequate supply of perishable and nonperishable food available. Medications are kept in locked cabinet in the living room, sharps are in a locked drawer in the kitchen, and toxins are kept locked in a cabinet in the garage. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Menu, Activities, License, Personal Rights, and Emergency Disaster are posted. The Group Home is licensed to serve 4 children ages 6-17. Currently in placement are 4 clients. Two clients were present at the facility, who declined to be interviewed The home operates within the capacity and limitations of the license. LPA McCambridge reviewed client files and personnel files and all are complete. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was sent to the facility.

met_with: Jane Gano


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Cheyenne McCambridge on the above date. During the inspection, LPA McCambridge met with assistant administrator Vincent Gano. LPA reviewed one client record on site at the facility. LPA reviewed one clients psychotropic medications and medication records. LPA interviewed zero clients currently taking psychotropic medication due to the client not wanting to be interviewed. LPA interviewed three staff on site. LPA reviewed three of staff personnel files on site at the facility. Vincent Gano, Administrator escorted LPA on a tour of the facility inside and out at 10: AM No deficiencies are being cited at this time. LPA conducted exit interview with Vincent Gano and a copy of the report was sent to the facility.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On 3/14/25, Licensing Program Analysts (LPAs) Mariah Hawkins and Will Ea conducted a required annual inspection. LPAs met with Administrator Jane Gano and Assistant Administrator Vincent Gano and informed of the purpose of the visit. LPAs toured the facility site and observed the facility to be maintained in safe and sanitary condition. Food supply was well-stocked and well-organized. No hazards were observed. There are accessibility accommodations throughout the facility. Each client has their own bedroom, and each bedroom is fitted with appropriate furnishings and clean linens. LPAs reviewed all three current client files. All files were observed to be complete. LPAs reviewed 5 staff files. All files were observed to be complete. LPAs obtained a current LIC 500 and a current LIC 610C. Using the CARE Inspection Tool, no deficiencies were found. An exit interview was conducted, and a copy of this report was provided to Administrator Jane Gano, whose signature on this form confirms receipt.

met_with: Administrator Jane Gano, Assistant Administrator Vincent Gano


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Brian Bertoli on May 19, 2025 beginning at 1:00pm. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Bertoli met with Jane Gano, Director/Administrator and inspected the facility inside and out. LPA reviewed four of staff personnel files on site at the facility. LPA interviewed no staff on site to discuss the facilities policies and procedures of operation. LPA provided a copy of this licensing report to Jane Gano, Director/Administrator. No deficiencies are being cited at this time. LPA is issuing Advisory Notes for Program Statement and PMAR forms. LPA conducted exit interview with Jane Gano, Director/Administrator.

met_with: Jane Gano Joseph Bonus Vincent Gano


summary: Facility Evaluation

raw_content:
Narrative:
On 3/13/26, Licensing Program Analysts (LPAs) Brian Bertoli and Kimberly Hall made and unannounced visit to the facility and met with Administrator Jane Gano and Assistant Administrator Vincent Gano and Facility Manager Joseph Bonus. LPAs informed them the purpose of the visit was to conduct an Annual/Required Inspection. LPAs toured the facility site and observed the facility to be maintained in safe and sanitary condition. Food supply was well-stocked and well-organized. No hazards were observed. There are accessibility accommodations throughout the facility. Each client has their own bedroom, and each bedroom is fitted with appropriate furnishings and clean linens. LPAs reviewed four client files (all) and five staff files. All files were observed to be complete.. LPAs interviewed 2 staff and 2 clients. The CARE Inspection Tool was completed for all domains No deficiencies were cited. An exit interview was conducted, and a copy of this report was provided to Administrator Jane Gano, whose signature on this form confirms receipt.

met_with: Jane Gano, Vincent Gano, Joseph Bonus


facility_name: VISIONS ADOLESCENT TREATMENT CENTERS

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Information obtained on 07/31/2020 from S1 via email indicating a forward message sent from S2 on July 29, 2020 admitted having several conversations with C1. LPA obtained statements from one (1) staff and two (2) witnesses. LPA obtained evidence that on 07/30/ S2 sent a letter via email to the Licensee that he was resigning from his position with Visions Adolescent Treatment Centers for reason unrelated to the allegation. LPA reviewed the letter of Resignation and calculated the date and confirmed that S2 did indeed contact C1 when he was employed at the above facility. W1 confirmed that S2 did indeed contact C1 when he was employee. LPA made attempts to contact S2 and C1; neither were available to be interviewed. The Department has determined, based on the preponderance of the evidence obtained during this investigation, that the allegation of Personal Rights "Facility staff member" had inappropriate interactions with youth in care" displayed by S2 is substantiated. LPA gathered statements and assessed that the licensee took appropriate and immediate action to report the allegation to the appropriate parties (I.e CCL/Community Care Licensing Division; CRP/Children's Residential Program and CPS/Child Protective Services). The Facility is cited for violation of California Code of Regulations, Title Division Six, regulation Plan of Operation General Regulations. (k) The facility shall operate in accordance with the terms specified in the Plan of Operation and may be cited for not doing so". S2 violated the programs Plan of Operation Policy by contacting the alleged victim C1 while on duty as a staff. An exit interview was conducted, and a copy of this report was left at the facility.

Investigation Findings:
13THIS REPORT IS AMENDED FROM THE ORIGINAL REPORT DATED 08/12/ On 08/12/2021 11: AM (LPA) Licensing Program Analysts Rosslyn Gray made an announced visit at the VISIONS ADOLESCENT TREATMENT CENTERS to conclude the investigation on the above allegation and to deliver the findings. LPA Gray met with Facility Coordinator and together discussed details of the investigation. Based on the interviews conducted, statements and documents obtained during the investigation process, supporting evidence in reference to the allegation includes the following. LPA reviewed the facility Memorandum for all staff in reference to Boundaries with residents. LPA assessed that S2 did not maintain professionalism and was in violation of breaking the facilities "Boundaries wilth residents". LPA also reviewed the facilities Code of Conduct Policy objective is that all staff is to maintain the highest degree of professional care for the clients in the program all staff shall maintain a code of conduct. S2 signed and violated Visions Employee Code of Conduct Policy. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray 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: VISIONS ADOLESCENT TREATMENT CENTERSFACILITY NUMBER: VISIT DATE: 08/31/2021

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

report_type: Complaint Investigation

met_with: Facility Coordinator

complaint_status: SUBSTANTIATED


summary: Facility Evaluation

raw_content:
Narrative:
On 04/04/2023 at 10:30AM (LPA) Licensing Program Analyst Rosslyn Gray made an unannounced visit to Visions Adolescent Treatment Centers for the purpose of conducting an Annual/Random facility inspections. LPA-Gray met Staff #1(S1) who granted access to the facility and an inspection was conducted together. A Health and Risk assessment was conducted upon arrival at the facility.The facility is a two (2) story family home in a residential neighborhood. The 2nd second floor is above the garage; identified as a classroom. The facility has four (4) client bedrooms, three (3) client bathrooms, two (2) staff and visitor bathrooms, three (3) therapy rooms, 2 locate inside the facility and one (1) located outside the house in the backyard area. One (1) staff office, one (1) client classroom, living room with non-working fireplace with a secure screen attached, kitchen, dining area with a dining table and eight (8) chairs. There is an Entertainment/Playroom. There is a spacious backyard with patio furniture, gated pool, and rock pond and attached car garage. The Visions Adolescent Treatment Centers is a therapeutic treatment program that's designed to accept "Private Placement's" for a length of 45- 90 days and is licensed to provide care supervision for six (6) children, ages 13-17 years; ambulatory only. LPA observed the follow during the inspection: Bedroom #1 on the main floor: Is occupied by two (2) Clients. It has Queen sized beds, adequate drawer and closet space, and lighting, comfortable mattresses, and clean lines, blankets, and pillows. Bedroom #2 on the main floor: Is occupied by one (1) Client. It has two full sized beds, adequate drawer and closet space, and lighting, comfortable mattresses, and clean lines, blankets, and pillows. Bedroom #3 on the main floor: Is occupied by one (1) Client. This is a "Extra room utilized when a client gets sick of COVID Quarantine room. It has two twins sized beds. adequate drawer and closet space, and lighting, comfortable mattresses, and clean lines, blankets, and pillows. There is a private bathroom, and a walk-in closet in this room. Bedroom #4 on the main floor: Is occupied by Client#5 (C5). It has two twin sized beds, adequate drawer and closet space, and lighting, comfortable mattresses, and clean lines, blankets, and pillows. There is a private bathroom, and a walk-in closet in this room. Laundry room (downstairs): There is a washer and dryer. Cleaning supplies and detergent are in locked hallway closet and garage that only staff have access. Classroom (upstairs): The room is used as the classroom for the clients. The room has individual desk for each client, laptops, and adequate lighting. There is small lounge area small sofa and bin bag chair and pillows. Therapy Rooms Two (2) rooms are used for therapy and counseling for clients. Located inside the facility and outside backyard area. Entertainment/Playroom: The room is used as a game, and TV room for clients and is equipped with various musical instruments. There is a fenced and gated pool on the premises that meets the regulations. The facility has a pool with a fence that is at least five feet high and has a fence does not obscure the pool from view. LPA-Gray observed the gate door to swing away from the pool, with self-close and self-latching device located no more than six inches from the top of the gate. LPA-Gray tested the door the gate. The gate self-closes and has a self-latching device located no more than six inches from the top of the gate. The backyard has a playground and rock pond with gold fish. Outdoors activity space free of obstructions. The front and backyard are cleared from hazards. The facility was clean, safe, sanitary and in good repair. S1 confirmed that clients in care twenty-four (24) hours of the day seven (7) days a week, supervised and protected. S1 confirmed that there are no firearms or dangerous weapons in the facility. All medications are stored in the Technical/Program Office in locked cabinets and are inaccessible to clients. There is an ample supply of perishable and non-perishable food in the facility. The facility ensures three nutritious meals, snacks, and special diets. There is a private chef that prepares all hot and cold meals for the clients. All smoke detectors were tested and operable at the time of inspection. Multiple fire extinguishers were observed throughout the facility that were tested and operable at the time of inspection. LPA confirmed staff records with the Human Resources Director. LPA reviewed Staff Records and Clients Records stored in the facilities specific online Portal with Kipuworks.com LPA interviewed three (3) Staff. LPA obtained consent to interview three (3) clients that were present. LPA gave the clients options to have an adult staff present during the interview. There were no deficiencies cited at this time. An Exit Interview was conducted, and a copy of this report was left at the facility with the Facility Manager. LIC-809-C Page 3 of 3

met_with: FACILITY MANAGER


summary: Facility Evaluation

raw_content:
Narrative:
On August 22, 2024, at 3:00PM Rosslyn Gray, Licensing Program Analyst (LPA) arrived at the above facility for the purpose of conducting a Case Management - Incident investigation. LPA met with Jennifer Richardson and a health and safety assessment was conducted prior to entering facility. The department received an Unusual Incident/Injury Report (LIC 624) dated June 22, 2024. The Incident Report disclosed that Child 1 (C1) reported that Staff 1 (S1) had an inappropriate interaction and conversation with C1. S1 was removed from the facility. During the investigation, LPA interviewed Jennifer Richardson requested Personnel Report, client roster, S1 contact information, and termination documentation. Based on the information obtained during this visit, additional investigation is needed. There were no deficiencies cited at this time. Exit interview was conducted with Jennifer Richardson and a copy of this report was left at the facility.

met_with: Jennifer Richardson Human Resources Manager


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On August 28, 2024, at 10:15AM Rosslyn Gray, Licensing Program Analyst (LPA) arrived at the above facility for the purpose of conducting a Case Management - Incident investigation. LPA met with Jennifer Richardson and a health and safety assessment was conducted prior to entering facility. The department received an Unusual Incident/Injury Report (LIC 624) dated June 22, 2024. The Incident Report disclosed that Child 1 (C1) reported that Staff 1 (S1) had an inappropriate interaction and conversation with C1. S1 was removed from the facility. During the investigation, LPA interviewed staff, obtained Personnel Report, client roster, termination documentation for S1, and internal investigation report. Evidence indicated that S1 left facility classroom and conducted a one-on-one de-escalation with C1 which was outside the scope of S1 duties. Also, S1 left the company cell phone unattended and C1 obtained the phone and made an outside phone call. S1 was terminated due to not complying with company policy effective June 28, 2024. Facility is cited for violation of California Code and Regulations, Title Division Six, Regulation 80022 (k) Plan of Operation. Evidence indicated that S1 left the classroom session and met with C1 1on1 and did not secure company's cellular phone, as result C1 gained access to S1 cellular phone. Exit interview was conducted with Chance Stirling Facility Coordinator. A copy of this report and Appeal Rights was provided to Jennifer Richardson Human Resources Manager.

Deficiencies:
80022(k): Statements and documentary evidence indicated that S1 displayed operated outside the scope of company policies and conducted a one-on-one de-escalation with C1 and left company phone unattended, which was obtained by C1.8
9
10
11
12
13
14

title:
1
2
3
4
5
6
780022(k) The facility shall operate in accordance with the terms specified in the Plan of Operation and may be cited for not doing so.1
2
3
4
5
6
7Plan of Correction (POC) was discussed. Prior to the investigation the facility conducted an internal investigation, followed reporting protocal, and provided evidence that S1 was terminated and disassociate from all Visions Treatment Centers.
8
9
10
11
12
13
14This requirement was not met as evidenced by


summary: Facility Evaluation

raw_content:
Narrative:
On 06/15/2021 at 10: AM (LPA) Licensing Program Analyst Rosslyn Gray and Licensing Program Analyst Meghan McGee made an unannounced visit to Visions Adolescent Treatment Centers for the purpose to conduct Annual Required facility inspection. LPA-Gray and LPA McGee met with Staff#1 (S1) who granted access to the facility. The entire physical plant was inspected. The facility is licensed to care for six (6) clients, ages 13-17 years, ambulatory only. S1 states that there is no weapons or guns on the premises. There is a swimming pool and jacuzzi on the premises. The facility is a two story Group Home in a residential neighborhood and it has four (4) client bedrooms, three (3) bathrooms, one (1) on the second floor study classroom with one (1) bathroom and two (2) therapy rooms, living room with non-working fireplace with a secure screen attached, kitchen, dining area with a six (6) chair dining table, family room, backyard, pool, attached car garage used as storage (food), Washer and dryer, locked chemicals and extra supplies. LPA observed coverage trash cans in the kitchen, bathroom and staff office. A detached administration office used as storage, therapy bungalow with two (2) offices, a Tennis court, gazebo, tree house and a basketball court. The Visions Adolescent Treatment Centers is a therapeutic treatment program that is designed to accept "Private Placement's" for a length of 45 -90 days and is licensed to provide care supervision for six (6) children, ages 13-17 years; ambulatory only. Individuals mention in this report are identify on the Confidential Names List (LIC811) dated 06/15/2021. LPA observed the follow during the inspection: The outdoor perimeter (front yard, side yard and backyard) were inspected and found cleared of hazards materials. Outdoor activity space free of obstructions. All windows, screens and blinds from the inside and outside of the facility were observed to be in good condition. The passageways and porches are unobstructed. All posting requirements were met, (food menu, regulations, licenses, emergency disaster plan and personal rights). Bedroom #1(downstairs): Is occupied by Client#4. It has two twin beds, adequate drawer and walk-in closet, adequate lighting, comfortable mattresses, clean linen, blankets, and pillows. Bedroom #2(downstairs): Is occupied by Client#2 and Client#5. It has two twin beds, adequate drawer and closet space, and lighting, comfortable mattresses, clean linen, blankets, and pillows. The bedroom was a share "Jack-N-Jill" bathroom connecting to bedroom#3. Only same sex clients may use the bedroom#2 and bedroom#3. Bedroom #3 (downstairs): Is occupied by Client#1 and Client#3. It has two twin beds, adequate drawer and closet space, and lighting, comfortable mattresses, clean linen, blankets, and pillows. The bedroom was a share "Jack-N-Jill" bathroom connecting to bedroom#2. Clients that occupy this Only same sex clients may use the bedroom#2 and bedroom#3. Bedroom #4(downstairs): Is occupied by Client#6. It has two twin beds, adequate drawer and closet space, and lighting, comfortable mattresses, clean linen, blankets, and pillows. Room 5 is located (upstairs): Classroom- Is used as study area and classroom for clients. There is a fenced and gated pool on the premises that meets the regulations. The facility has a pool with a fence that is at least five feet high and has a fence does not obscure the pool from view. LPA-Gray, LPA McGee and S1, observed the gate door to swing away from the pool, with self-close and self-latching device located no more than six inches from the top of the gate. LPA-Gray, LPA McGee and S1 tested the door the gate and is self-close and has a self-latching device located no more than six inches from the top of the gate. LPA-Gray and LPA McGee, observed the detached administration office used as storage and a therapy bungalow with two (2) offices used for therapy. There is also a driveway that leads to a full-size Tennis court, and Basketball court. There is a Bungalow that is not being occupied by clients. Per S1, they submitted permits to Ventura County and are waiting for approval. At the time of the inspection, the facility was clean, safe, sanitary and in good repair. Clients in care are always supervised and protected. All medications are stored in the Technical/Program Office in locked cabinets and are inaccessible to clients. There is an ample supply of perishable and non-perishable food in the facility. The facility ensures three nutritious meals, snacks, and special diets. Cleaning solutions, disinfectants, and sharp knives are inaccessible to the clients (stored in a locked cabinet in the staff office). There is a private chef that comes to the facility and prepares all meals for the clients. During the inspection, all six (6) clients were attending school together. All smoke/ carbon monoxide detectors were tested and operable at the time of inspection. LPA-Gray and LPA McGee observed multiple fire extinguishers throughout the facility that were operable at the time of inspection. Clients can use the telephone unless restricted by court order. Clients are accorded dignity in personal relationships with staff and others. Clients live in a safe, healthy, comfortable facility and are treated with respect. Clients attend school, extracurricular, cultural, and personal enrichment activities. Clients can contact Community Care Licensing or Foster Care Ombudsman office in confidence without threats or punishment. Facility operates within license conditions and limitations including capacity limitations. Facility has a current, written plan of operation. Facility personnel are instructed to report violations of personal rights. Licensee will report changes in the plan of operation affecting service to clients. Licensee will report client injuries requiring medical treatment. LPA's reviewed the Clothing Inventory Log, Food Menu, and the Weight Log for all clients. A review of Facility's Personnel Report Summary on 06/15/2021, indicates that all personnel have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. There were no deficiencies cited at this time. Exit Interview was conducted with S1 and a copy of this report was left with S1.

met_with: Staff #1


summary: Facility Evaluation

raw_content:
Narrative:
On 07/27 2021 at 11: AM (LPA) Licensing Program Analyst Rosslyn Gray made an unannounced visit to Visions Adolescent Treatment Centers for the purpose to conduct Annual Required facility inspection. LPA-Gray met with the Administrator who granted access to the facility. The Visions Adolescent Treatment Centers is a therapeutic treatment program that is designed to accept "Private Placement's" for a length of 45 -90 days and is licensed to provide care supervision for six (6) children, ages 13-17 years; ambulatory only. The administrator states that there is no weapons or guns on the premises. LPA observed the follow during the inspection: LPA observed bodies of water (8 1/2 feet pool), a jacuzzi and a fenced and gated pool on the premises that meets the regulations. The fence is at least five feet high, the gate door to swing away from the pool, with self-close and self-latching device located no more than six inches from the top of the gate. All staff are trained in water safety certificates and monitor the clients swimming. The Program Aides transport clients to outside recreational activities and to other appointments. The outdoor perimeter (front yard, side yard and backyard) were inspected and found cleared of hazards materials. Outdoor activity space free of obstructions. All windows, screens and curtains from the inside and outside of the facility were observed to be in good condition. The facility is a two story Group Home in a residential neighborhood and it has four (4) client bedrooms 3 bathrooms, one (1) on the second floor study classroom with one (1) bathroom and two (2) therapy rooms, living room with non-working fireplace with a secure screen attached, kitchen, dining area with a six (6) chair dining table, family room, backyard, pool, attached car garage used as storage (food), Washer and dryer, locked chemicals and extra supplies. LPA observed coverage trash cans in the kitchen, bathroom and staff office. A detached administration office used as storage, therapy bungalow with two (2) offices, a Tennis court, gazebo, basketball, tennis court. LIC- Page 1 of There are a total of four (4) bedrooms, (Located on the on the 1st floor of the facility). Each bedroom is equipped with two (2) full size beds, a comfortable mattress, clean linen, blankets and pillows. There is one (1) walk in closet, adequate lighting, and the windows are slide locked, window screens and colored curtains observed to be in good condition. Bedroom #1: Currently occupied by one (1) Bedroom #2: Currently occupied by two (2) . Bedroom #3: Currently occupied by one (1) Bedroom #4: Currently occupied by two (2) . Bedroom #2 and Bedroom # The bedroom is a shared "Jack-N-Jill" bathroom connecting to bedroom#3. Occupied by only same gender clients. Laundry room (downstairs): There is a washer and dryer. Cleaning supplies and detergent are in locked in the chemical closet located in the garage that only staff have access. Classroom (upstairs): The room is used as the classroom for the clients. The room has individual desk for each client, laptops, and adequate lighting. Adjacent to the classroom in a small lounge area small sofa, massage chair and a book shelf. Therapy Rooms Five (5) rooms are used for therapy and counseling for clients. Located inside the facility and outside backyard area. Entertainment/Playroom: The room is used as a game, and TV room for clients and is equipped with various musical instruments. The smoke detectors operated on a connected system and Carbon Monoxide detectors observed to be operational. LPA observed six (6) fully charged fire extinguishers located throughout the facility (i.e classroom entry way, bedroom hallway, garage, kitchen, and therapy offices. There are six (6) First Aid Kits all required items. LPA observed trash cans are covered with a lid in the kitchen and bathrooms. LIC- Page 2 of On site recreational activities equipment. There is an activity room, basketball court, tennis court, volleyball, tether ball, connect four, ping pong table, barbecue grill and game room. The facility provides an activity calendar for clients to view. Activities included going to the movie theaters, Go-carting riding, Miniature Golf, museums, zoo's aquariums etc. Alternate activities have been implemented based the compliance of the children. The facility was clean, safe, sanitary and in good repair. The administrator confirmed that clients in care twenty-four (24) hours of the day seven (7) days a week, supervised and protected. All medications are stored in the medication room adjacent to the garage in locked cabinets and are inaccessible to clients. LPA observed ample perishable and nonperishable food items. The sharp knives are locked in a cabinet in the kitchen and hazardous solutions are inaccessible to clients locked in the garage. The facility ensures three nutritious meals, snacks, and special diets if needed. There is a private chef that prepares all hot and cold meals for the clients. All smoke detectors were tested and operable at the time of inspection. Multiple fire extinguishers were observed throughout the facility that were tested and operable at the time of inspection. LPA reviewed staff records with the hard in the office. LPA reviewed Clients Records with the hard and stored in the facilities and on the Bamboo Portal Human Resources and in the Kipu Electronic Medical Records LPA interviewed three (3) Staff, obtained consent to interview three (3) clients that were present and gave the clients options to have an adult staff present during the interview. There were no deficiencies cited at the time of this inspection. LPA-Gray concluded the inspection, and a copy of this report was left at the facility with the Program Administrator on 07/27/ LIC- Page 3 of 3

met_with: ADMINISTRATOR


summary: Facility Evaluation

raw_content:
Narrative:
On August 5, 2025 at 10:15 am Licensing Program Anaylst (LPA) Justine Armstrong conducted a Case Management-Incident inspection at the above facility site. LPA met with Claudia Gonzalez (S1) the House Manager, Therapist Madeleine Kennell (S2), Amanda Dicker Human Resource Manager (S3) , Amelia Hollis Therapist (S4) and client Camden Koresen (C1). This Case Management is in response to a Special Incident Report that was reported on 7/30/2025. The incident is in regard to an alleged Sexual Assault that occurred on July 18, 2025, around 10:00pm during 15-minute room checks with three clients that were in care. LPA obtained the following documents: current staff and client roster and staff room check-in logs with time stamps of the 15 minute room checks. LPA requested copies of the Internal Investigation and Toured the facility. At this time further investigation is required to determine whether any violations has occurred. Exit Interview conducted, and a copy of this report was provided to the Facility.

met_with: Claudia Gonzalez


summary: Facility Evaluation

raw_content:
Narrative:
On August 5, 2025, Licensing Program Analyst Justine Armstrong conducted an unannounced visit to the facility. During the inspection, it was observed that there were 7 children in care. The facility is licensed to provide care for a maximum of 6 children. The facility was therefore over the capacity by 1 child. The over capacity for children in care was observed and confirmed by LPA J. Armstrong. The House Manager Claudia Gonzalez also admitted to having 1 extra child in care due to the child only being here to sleep but is transitioning out to a new facility. The Facility is being cited for not adhering to the License Capacity to care for a maximum of 6 children in care. This is a violation of Title 22, Section 80010 (a): "A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including the capacity limitation." An exit interview was conducted, a Plan of Correction was discussed, and a copy of the report was provided to the facility


facility_name: VISIONS TREATMENT CENTER

summary: Facility Evaluation

raw_content:
Narrative:
On June 21, Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of conducting an Annual Required Visit at Visions Treatment Center, Latigo Canyon. LPA met with Facility Administrator Ehsan Ebraim , who granted access and provided a tour of the entire facility. Visions Treatment Center, Latigo Canyon is a therapeutic treatment program that's designed to accept "Private Placements". The length of stay is 45 days and this facility is licensed to provide care and supervision for six (6) children, ages 7-17 years; Ambulatory Only. This facility is located on a private road and sits behind a private gated area that's accessible via key code. Visions Treatment Center, Latigo Canyon is a three-story facility located on approximately 2 acres of land. The first floor of the main facility is constructed as follows: There's a classroom where residents complete school curriculum on a daily basis. The classroom also has glass French Doors that grant access to a small patio and gated grass area. Bedroom #1, that's located on the first floor has comfortable mattresses, clean linen, blankets, and pillows. Bedroom #1 has two (2) single beds, adequate dresser/drawer/closet space and a private bathroom. The second floor of the main facility is constructed as follows: Bedroom #2 has comfortable mattresses, clean linen, blankets, and pillows. Bedroom #2 has two (2) single beds and adequate dresser/drawer and closet space. A total of one (1) bathroom identified for Bedroom #2 as resident/client use only was in good repair and working order. The living room has adequate/serviceable furniture that's in good condition and there are two French Doors that grant access to a furnished wraparound balcony. The staff office, bathroom and laundry room are located on the second floor and inaccessible to residents. The dining room area has one table two bench style seats that can accommodate 10 residents/clients. The kitchen area is equipped with a stove/oven that has eight (8) working burners, a microwave and refrigerator/freezer. All knives, disinfectant and cleaning solutions are inaccessible to children. There are no firearms or dangerous weapons in the home. All medication is stored in the staff office and inaccessible to residents. Three nutritious meals, snacks, and special diets, if necessary, are served on a daily basis and there's an ample supply of Perishable and Non-Perishable food in the facility. The hot water measured at 115 degrees and is within the acceptable temperature range. The third floor of the main facility is constructed as follows: Bedrooms #3 and #4 have comfortable mattresses, clean linen, blankets, and pillows. Both have two (2) single beds, adequate dresser/drawer/closet space and a private bathroom that accessible via an outside hallway to Bedroom #4. Bedroom #3 and #4 also have access to a furnished private balcony that has stairs granting access to the ground level. There are three additional buildings on this property. Building #1 is utilized as a therapy room. Building #2 is utilized as a storage room and building #3 is utilized as a gym/workout area with fitness equipment. There are no bodies of water on the premises and outdoor activity space is clean and free of obstructions. Visions Treatment Center, Latigo Canyon Staffs' First Aid/CPR Certifications, Annual Required Training Hours are current and their required Criminal Background Clearances and Child Abuse Reporting Acknowledgement were in their personnel files. LPA also reviewed a total of two client/resident files and the required forms were identified. During the visit, LPA noted that Visions Treatment Center, Latigo Canyon is operating within the capacity and limitations of their license and reiterated the importance of submitting Special Incident Reports to Community Care Licensing and any other appropriate agencies. The appropriate First Aid Kit supplies are maintained and located in the Staff Office and throughout the facility. All smoke detectors are operable and fire extinguishers fully charged. All posting requirements for Group Home Licensure and Emergency Plans were met. The facility utilizes two Honda Odyssey vans, and maintains current auto insurance with Philadelphia. PER California Code Regulations, TITLE 22, DIVISION 6, CHAPTERS 9.5, there were no deficiencies observed or cited at the time of the visit.

met_with: Ehsan Ebraim-Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On May 6, 2024, at 9: AM, Licensing Program Analyst (LPA), Donald Martin arrived at the above location for the purpose of conducting an Annual Inspection. LPA met with Administrator, Lianne Tolentino, Staff and observed current construction. There are no children in care. On November 13, 2018, the department was notified that the facility was destroyed by the Woolsey fire. On July 28, 2023, the department received approved plans to rebuild facility with an anticipated completion of 2024. The facility is not operating during construction and has maintained license and annual fees are current. Facility is not operable, and no staff and client interviews were conducted and no staff and client records were reviewed. Facility structure was observed erected and construction is in the beginning phase of completion. Administrator LIanne Tolentino was unsure if the permits have been obtained or the date of completion. A message was left for John Lieberman to contact LPA with this information. LPA will contact John Lieberman to collect this information. LPA observed digging of the foundation, large digging equipment and construction supplies on the property. There is a large support wall that has been built surrounding the area of construction. Cont 809-C Facility advised that prior to operating, an inspection will need to be conducted. LPA left a copy of report and appeal rights with Lianne Tolentino. There were no deficiencies cited at this time.

met_with: Lianne Tolentino-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On March 30, 2023 at 1:30pm Licensing Program Analyst (LPA) Donald Martin arrived at Visions Treatment Center for the purpose of performing an Annual inspection. LPA was greeted by Administrator, Lianne Domingo and allowed to enter the facility. Visions Treatment Center is a therapeutic treatment program that's designed to accept "Private Placement's" for a length of 45 - 90 days and is licensed to provide care/supervision for ten (10) children, ages 7-17 years; Ambulatory Only. The front door grants access to a spacious living room area that has lots of furniture including a large entertainment unit. There's also two French Doors that grant access to a patio/backyard area. There are two bedrooms on the east of this facility. Bedroom #2 is equipped with two twin size beds, adequate dresser/drawer/closet space and has a private bathroom. Bedroom #3 is equipped with two twin size beds, adequate dresser/drawer/closet space and has a private bathroom. The west side of this building is constructed as follows: There's a kitchen that's equipped with a stove/oven, dishwasher, microwave and refrigerator/freezer. All knives, disinfectant and cleaning solutions are inaccessible to children. Adjacent to the kitchen is a spacious dining room area that has two long tables, with bench style seating and accommodates approximately twelve (12). Adjacent to the dining room is Bedroom #1, a locked door that grants access to the garage, which is utilized as a storage and laundry room, a secondary door that grants access to the Technical/Program Aide's office and a bathroom that's utilized by Bedroom #1. Bedroom #1 is equipped with two twin size beds and has adequate dresser/drawer/closet space. On the north side of the kitchen is a French Door that grants access to the patio/backyard area. Outside, from the patio/backyard area is Bedroom #4. Bedroom #5 is on the back side of the facility and has its own bathroom and access to the backyard. All rooms are equip with an intercom system that connects to the office and an alarm system that will sound if a door is opened to alert staff of movement within the home. Cont 809-C The backyard has a pool that is gated and has a self closing latch that does not lock. The backyard also has a large grass area that is used for exercise. Adjacent to the grass area is a basketball court that has a gate around half of the court. There is a detached building next to the court where the school is operated. The school has 12 individual desks and computers along the wall for the clients to use. There is a bathroom and 5 therapy rooms in the school building as well. The water temperature is within title 22 regulations The closets contained ample linen supplies and all the rooms bedding was clean and sufficient. The office contained two locked cabinets for medication and cleaning supplies. Also a locked refrigerator for medication. The garage contained a large sub zero refrigerator/freezer for food storage. The overall facility inside and out is very clean and in order. All smoke detectors are in good working order and there is an evacuation plan in every room. There is also a manual fire station located on the wall near the front door for emergencies. LPA interviewed Staff and Clients. There were no deficiencies cited at the time of the visit

met_with: LIanne Domingo-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
This Report is Amended from 08/26/2024 to Correct Report Language. On August 26, 2024, at PM, Cheri Wilkerson, Licensing Program Analyst (LPA), Erika Butler, LPA, and JoAunne Griffin, Licensing Program Manager (LPM) arrived at the above facility for the purpose of conducting a Case Management - Incident investigation. LPA met with Claudia Gonzalez, Facility Coordinator. A health and safety assessment was conducted prior to entering facility. The department received an Unusual Incident/Injury Report (LIC 624LE) dated July 30, 2024 (0000875 -FN). The Incident Report disclosed that Child 1 (C1) was observed to have self-administered 12.5 mg of medication instead of the prescribed 5 mg of medication. During the investigation, LPA interviewed three staff and three clients, requested and reviewed Personnel Report, client roster, C1 medication records for July 2024-August 26, 2024, and Staff 1 (S1) write-ups. Statements and evidence indicated that S1 did not read medication label and C1 self-administered 12.5 mg of medication instead of prescribed 5 mg. Facility cited for violation of California Code of Regulations, Title Division Six, regulation 80075(B) Health Related Services. (B) Once ordered by the physician the medication is given according to the physician's directions. Staff observed C1 self-administer 12.5 mg of medication instead of the prescribed 5 mg. Exit interview was conducted with Claudia Gonzalez, Facility Coordinator. Appeal Rights were issued, and a copy of this report will be emailed ccgonzalez@visionsteen.com.

met_with: Claudia Gonzalez, Facility Coordinator


summary: Facility Evaluation

raw_content:
Narrative:
On March 20, 2026 at 10:00 am Licensing Program Analyst (LPA) Justine Armstrong arrived at Visions Treatment Center for the purpose of conducting an annual inspection. LPA was greeted by the Operations Analyst Amanda Campbell and Facility Manager Crisel Domingo who granted access to the facility. Visions Treatment Center is a therapeutic treatment program that's designed to accept "Private Placement's" for a length of 45 - 90 days and is licensed to provide care/supervision for ten (10) children, ages 7-17 years; Ambulatory Only. The home is set up as follows: The home has five bedrooms, one kitchen, one living room, one dining room, five bathrooms, one pool, a basketball court, and another building where therapy offices are located, school classroom, and a kitchenette. Living Room- The front door grants access to a spacious living room area that has lots of furniture including a large entertainment unit, sectional couches, a piano, and bookshelves. (Report Continued on LIC 809C) Kitchen/Dining- The kitchen is equipped with a dual refrigerator/freezer, lots of cabinet spaces, storage space for pots, and a six burner stove. All knives are kept locked in a kitchen cabinet and a locked pantry. There is a weekly menu posted inside the kitchen bulletin for staff and clients, and there is one trash can available for use. There were sufficient perishable and non-perishable food supplies for one week present and one fire extinguisher. Through the kitchen there is access to the dining area where there are two long tables, with bench style seating to accommodate clients and staff. There's also two Double Doors that grant access to a patio/backyard area. Bedrooms/Bathrooms - Bedroom #1 is located across from the dining room area. Bedroom #1 is equipped with two twin size beds and has adequate dresser/drawer/closet space. There is one bathroom next to bedroom #1 for use. Bedrooms #2 and #3 can be accessed through the living room area both bedrooms are equipped with two twin beds, adequate dresser/drawer/closet space and have a private bathroom in each bedroom. Bedroom #2 also has a private hallway where grants access to the bathroom, a locked double linen closest, and a private closest for clients. Bedroom #3 has a couch area and an additional door that leads to outside, however if clients go out the door the alarm will sound like alert staff. Outside, from the patio/backyard area is where you can access Bedroom #4 and Bedroom #5 both bedrooms are on the back side of the facility and has their own bathroom and access to the backyard. Garage/Staff Office- There is a locked door that grants access to the garage next to bedroom #1, which is utilized as a storage and laundry room, a secondary door that grants access to staff office. The staff office has two locked cabinets, one that stores client's medication and the other that stores first aid supplies. There is a locked refrigerator for medication. (Report Continued on LIC 809C) The garage contained additional refrigerator/freezer for food storage, a locked cabinet with chemicals, extra storage, and washer and dryer used for laundry. Backyard/Patio- The backyard has a pool that is gated and has a self-closing latch that does not lock, patio furniture, and two BBQ grills. The backyard also has a large grass area that is used for exercise across from the grass area is a basketball court that has a gate around half of the court. There is a detached building next to the court where the school is operated. The school has individual desks and computers for the clients to use. There are a bathroom and five therapy rooms in the school building as well. The hot water was tested and found to be between 105-120 degrees (F). LPA observed two client records, six staff records, facility logs, medication logs. The required postings, including the Disaster Plan, Foster Youth Rights, and Facility Sketch with the cameras posting around the facility.The facility's interior and exterior was clean and free of debris, with no safety hazards observed. LPA tested the carbon monoxide alarm and smoke detector which are all in working order. There is a alarm next to the front door entrance designated by the Fire Marshall. An Exit interview was conducted, and a copy of the report was provided to the Administrator. There were no deficiencies cited at the time of visit.

met_with: Amanda Campbell


facility_name: VISTA HAVEN

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13On Feburary 20th, 2025 at 11: AM, Kenrick Ellis, Licensing Program Analyst (LPA) arrived at the above facility for the purpose of concluding a Complaint Investigation. LPA met with Abi Garcia , Administrator. A health and safety assessment was conducted prior to entering facility. During the investigation, LPA conducted confidential interviews with four staff members and three clients. LPA also reviewed Personnel Report (LIC500), client roster and reviewed video evidence. Staff,client interviews, and video footage did not produce substantial evidence to support the allegation. Interviews revealed statements confirming staff provided a safe environment for minors in care. Statements from both staff and clients indicated that staff acted promptly to ensure the safety of minors in care. No client injuries were reported to nursing staff or visible during confidential interviews. There were no deficiences cited at this time. Exit Interview was conducted with Administrator, Abi Garcia and a copy of this report was provided via email. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Kenrick Ellis 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:

visit_type: Complaint Investigation

met_with: Abi Garcia, Administrator

complaint_status: unsubstantiated


raw_content:
Narrative:
Records confirm staff's effort to meet C1's needs as evidence by providing special Culture and Religious Accommodations that include sponsorship. LPA reviewed Special Incident Reports (SIR), in addition to the facilities Child-Level Events (CLE) written in a timely manner and cross reported to the C1's authorized representatives. Due to lack of evidence obtained during the investigation, LPA determines that the allegations are Unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that a violation occurred. There are no deficiencies cited at this time. An exit interview was conducted, and a copy of this report was left with the Youth Development Counselor Supervisor Veronica Gallardo

Investigation Findings:
13On March 13, 2025, at 10: AM Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit to conclude the investigation. Prior to entering the facility LPA Gray conducted a health and safety risk assessment. During the investigation, LPA Gray interviewed all available relevant parties and gathered pertinent information in reference to the allegations. The Licensee denied the allegations. Based on confidential interviews and review of documentary evidence, there is no evidence or witnesses to support, or to determine Personal Rights occurred. There is no evidence or witnesses to determine that the staff showed C1 inappropriate content, and staff consume minor's meals. Records determined that ample food was provided to C1, and staff were provided meals on a time agreement. Confidential statements and an internal investigation determined that Child 1 recanted his story and denied that staff showed them nude pictures. Confidential interviews were congruent that staff made effort to establish a rapport with C1 treated them with dignity and respect. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray 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 EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: VISTA HAVENFACILITY NUMBER: VISIT DATE: 03/13/2025

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


raw_content:
Narrative:
LPA reviewed medical records and the needs and services plan and was unable to confirm that a second medication was prescribed to C1. Furthermore, C1 signed a medical consent form and medication rights where it indicates C1 may refuse medication with no consequences and medication side effects were explained to C1. In addition, LPA obtained paperwork from times C1 was hospitalized on 10/02/24 and 11/02/24. In regard to the second allegation, review of staff and client statements there was insufficient evidence to support said allegation of "Staff withheld meals from minors". If a client refuses a meal, staff will hold a client's meal until they are ready to eat. Staff make sure plenty of food is ordered from the kitchen to ensure all clients are served enough portions of food. Per witness statements, there are plenty of snacks available to them throughout the day. Lastly, based on interview statements and review of LIC500-Personnel Reports, there was insufficient evidence to support the allegation that "Staff used inappropriate discipline practices". Per staff statements, no room doors lock within the facility therefore, locking a client in a room is not possible. Per interview statements, there are plenty of staff in the unit to supervise clients in care throughout the day. In addition, clients are able to file grievances/complaints without being retaliated against. Interview statements reveal that clients are encouraged to participate in activities and ask staff for any special accommodations without feeling singled out. In addition, LPA attempted to obtain additional interviews from clients that were previously residing during C1's stay at Vista Haven however, all clients have been discharged. As a result, this investigation is being closed. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore, the allegations are unsubstantiated. Exit interview was completed and copy of the report and appeal rights were discussed and provided to Linekeer Duron.

Investigation Findings:
13On 09/18/25, at 09:18am, Licensing Program Analyst (LPA) Andrea Aceves made an unannounced visit to the above facility to conclude the investigation and to deliver the findings on the above allegations. LPA Andrea met with Linekeer Duron. During the investigation, LPA Andrea interviewed all available parties and reviewed LIC500-Personnel Report, client rosters, Needs and Services plan, and medication logs/assessments. It was reported that (1) "Staff are not dispensing medication as prescribed", (2) "Staff withheld meals from minors", and (3) "Staff used inappropriate discipline practices". Based on interview statements from staff and review of medical logs and medical assessments, there was insufficient evidence to support the first allegation. However, LPA Andrea was able to confirm that Vista Haven's psychiatrist conducted a medical assessment on C1 and prescribed medication. On 05/21/25, there was an assessment where medication was discontinued after C1 declined to take medication. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Andrea Aceves 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 EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: VISTA HAVENFACILITY NUMBER: VISIT DATE: 09/18/2025

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

met_with: Linekeer Duron


summary: Facility Evaluation

raw_content:
Narrative:
On 10/18/2022 @ 11: AM Licensing Program Analyst (LPA) Zena Phillips, Licensing Program Analyst (LPA) Daphne Edison & Licensing Program Manager (LPM) Lakescia Smith made an announced visit to VISTA DEL MAR CHILD AND FAMILY SERVICES for the purpose of conducting Pre-Licensing visit. LPAs and LPM were greeted by Amy Jaffe/Senior VP of Intensive Intervention Programs, Josh Ciszek/COO and Karriann Hinds/Director of Government Affairs who granted access to the facility. There are currently no children placed in the facility. The program will provide care and supervision for children ages 12- 17 years old males and ambulatory only. The facility has two (2) wings Sol wing has 11 beds and Luna has 13 beds, with several bathrooms, kitchen/dining room, 2 laundry rooms, and one administration office in each unit. There was adequate closet and storage space for the clients. There are washers and dryers that were operable in Sol and Luna. Sol - Bedrooms with 2 twin beds, with closet space, and desks. Bedrooms has 1 single bed, and with closet space and desks. Luna- Bedrooms with 2 twin beds, has closet space, and desks. Bedrooms with 1 twin size bed, with closet space, and desks. ,. cont on 809 c LPA observed the following deficiencies that need to be corrected: · Laundry area has open ceiling panel which need to be closed and secured, missing door paneling on left and right side of laundry room. · Replace rusted bedroom vent panel, replace broken overhead light panel · Clean interior and exterior of kitchen cabinets, stocked with non -perishables. Remove from kitchen cabinets all non- resident related materials · Replace carpet throughout Sol and Luna wings · Needs adequate seating for licensing capacity · Stock with hygiene products, bed linens, games, books, working telephone for residents' use. · Replace missing light panels in hallway. LPA advised corrections to bed completed by 10/31/2022. Exit interview was conducted and report will be emailed to Amy Jaffe .

visit_type: Prelicensing

met_with: Amy Jaffe/ Senior Vice President of Intensive Intervention Programs


summary: Facility Evaluation

raw_content:
Narrative:
On November 10, 2022, a Component II - Face to Face meeting was conducted with Vista Haven at the El Segundo Regional Office. The purpose of the meeting was to discuss their pending application and Program Statement. The following individuals were present: Lakescia Smith, Licensing Program Manager; Zena Phillips, Licensing Program Analyst; Amy Jaffe,/Administrator & Abbi Garcia/ Program Director. The Program Statement has been reviewed. Revisions are required as outlined below. Please make the required revisions and submit by November 21, 2022 unless arrangements for an extension are made prior to that date.. 1. Table of Contents 2. Submit LIC 200 to update facility name 3. Submit Surety Bond not received 4. Submit Health Screening LIC 503 for CEO 5. First Aid certificate/ CPR (Amy Jaffe) 6. Provide map of 9 camera locations 7. Submit LIC 215 or LIC 501 & LIC Lena Wilson 8. Amy Jaffe informed LPA & LPM program, will only accept males .. Continued on LIC 809C. 9. Amy Jaffe informed that residents stay up to 30 days. 10. Per Amy fire inspection has been completed and will follow up with fire inspector to submit STD 850 to CCL Follow up Pre Licensing Visit schedule on November 21, 2011 @ 9: AM A Virtual Component III is schedule on November 22, 2022 @ 10: AM for Amy Jaffe & Abbi Garcia required to attend. Exit interview completed.

met_with: Amy Jaffe & Abbi Garcia


summary: Facility Evaluation

raw_content:
Narrative:
On November 21, 2022 @ 9: AM Licensing Program Analyst (LPA) Zena Phillips & Licensing Program Analyst (LPM) Lakescia Smith made an announced follow up visit to VISTA DEL MAR CHILD AND FAMILY SERVICES for the purpose conducting pre licensing inspection. LPA & LPM were greeted by Amy Jaffe / VP of Intensive Intervention Programs & Abbi Garcia / Program Director who granted access o the facility. There are currently no children in placed at the facility. LPA & LPM observed the following corrections have been made:. Laundry area has closed ceiling panel and observed to be secured, with door paneling on left and right side of laundry room. Bedroom vent panel is replaced and in good condition along with overhead light panel. Interior and exterior of kitchen cabinets observed to clean , stocked with non -perishables. LPA observed newly installed carpet in bedrooms throughout Sol and Luna wings. Newly installed laminate flooring in hallways and main entrance. LPA observed adequate seating for licensing capacity. LPA observed hygiene products, bed linens, games, books,and telephone for residents' use.LPA observed installed light panels in hallway & bedrooms. LPA Phillips observed the facility to be clean , safe, sanitary and placement ready. Facility is within Title Regulation Standards. There were no deficiencies observed. Exit interview was conducted and a copy of the report will be emailed to Amy Jaffee.

met_with: Amy Jaffe / Senior Vice President of Intensive Intervention Programs


summary: Facility Evaluation

raw_content:
Narrative:
On 03/10/2023 @ 2:00PM Licensing Program Analyst (LPA) Zena Phillips made an unannounced Post Licensing inspection visit. LPA Philips was greeted by Veronica Gallardo /YDC who granted access to the facility and provided the census. The facility is single story with two wings. There is Sol wing at the current time no residents reside on this wing. The bedrooms each have a clean mattress with chair, desk, portable wardrobe closet. LPA observed each bedroom to have overhead lighting, window screens in good repair and carbon monoxide & smoke detector combo wall mounted in each room. The rooms are labeled one (1) through ten (10), rooms 10 is labeled A/B with two bed twin beds, two portable wardrobe closets, two desk, two chairs. LPA Phillips observed the bed linens to clean and in good condition. The Sol unit has a adequate restrooms with shower tub combo and LPA confirmed with thermometer water temperature meets regulations guidelines. The kitchen is attached to common area with five (5) burner stove, refrigerator and freezer combo used currently for extra food storage. There is adequate seating for twelve (12) residents with four (4) large sofas and two (2) large bean bags. LPA Phillips observed a wall mounted television, and video game equipment and board games. The Luna wing is occupied by the twelve (12) residents who LPA Phillips observed were attending school in the designated class room at the time of inspection. The Luna wing has eleven (11) residents rooms with rooms A/B & Rooms A/B as shared bedroom. Room 1A/B & Room A/B have two win beds, two desk, two portable wardrobe closets, screen in good conditions. cont on 809 c LPA Phillips observed each bedroom to have, desk, chair, working overhead lighting, window screen in good repair, carbon monoxide/ smoke detector combo in each room. The four (4) restrooms have shower tub combo and LPA Phillips confirmed water temperate meet regulation requirement with thermometer test.. The restrooms were observed to be clean safe and sanitary. LPA Phillips observed adequate supply of hygiene products for the residents. LPA Phillips observed in the kitchen five (5) burner stove working as LPA Phillips requested Veronica to turn on each burner. There were adequate supply of fresh fruits on the counter accessible to the residents. The refrigerator contained adequate supply of food and containers cleared marked. The freezer contained adequate supply of food. The menu was posted and available tor residents to view. The common area has four (4) large sofas, two large bean bags, video game equipment, wall mounted television, books, board games and legos sets. There is a classroom able to accommodate twelve (12) residents. There facility has laundry room with two (2) washers and dryers on both wings. The facility has personal lockers for each residents personal items on each wing. LPA observed the emergency bag and first aide kits including , thermometer and gauze. LPA Phillips was advised tweezers and scissors are used by nursing staff. The facility has on site nursing unit to administer first aide. LPA Phillips observed the license posted in the lobby, foster youth bill of rights posted in the hallway. Emergency Disaster plan posted. Emergency exits are clearly marked. LPA observed fire extinguishers fully charged stationed throughout the facility and each kitchen area. cont on 809c page 2 of 3 . LPA Phillips observed the outdoor space to clean and clear of any debris. There was adequate seating and play area for the residents. LPA Phillips spoke with Abbi Garcia/Administrator by phone and advised to remind staff that Community Care Licensing has authorization to inspect facility. LPA Phillips requested client roster and one provided. LPA also requested LIC 500 and it can be emailed to Zena.Phillips@dss.ca.gov at a later date. LPA advised will return to complete inspection of files at a later date. LPA observed the facility to be clean safe and sanitary. No deficiencies cited. A copy of the report will be emailed to Abbi Garcia/Administrator. page 3 of 3

met_with: Veronica Gallardo/Youth Development Lead


summary: Facility Evaluation

raw_content:
Narrative:
On March 22, 2023 at 7: AM, Licensing Program Analyst (LPA) Zena Phillips made an announced visit to Vista Haven for the purpose of continued Post Licensing Inspection. LPA Phillips was greeted by YDC Supervisor, Yesenia Rios Martinez who granted access and provided the census. LPA Phillips requested LIC 500 and client roster and activity calendar. Temperature and health checks are conducted at the entrance in the sign-in area. A review of Facility's Personnel Report Summary indicates that all personnel have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. LPA Phillips conducted confidential interviews with three (3) Staff and three (3) Clients. Staff and client files inspected and found to be in compliance including list of current training. Licensee has a plan to ensure core services are provided and all staff are aware of it and are supportive and trained in their respective roles. Licensee is utilizing trauma informed care practices to ensure effective outcomes that promote client well-being. LPA Phillips discussed TV policy and was advised to encourage full participation in group activities no TV allowed during group activities. A fire drill was conducted the date of inspection and LPA Phillips observed alarms in good working order as staff confirmed all clients and staff exited the facility. The facility was observed to clean safe and sanitary. No deficiencies cited at the time of the inspection. Exit interview was conducted, and a copy of this report will be emailed to the Program Director and Administrator.

met_with: Yesenia Rios Martinez/Youth Development Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On 12/05/2023 @ 8:30AM Licensing Program Analyst (LPA) Zena Phillips made an unannounced Required Annual Inspection visit. LPA Philips was greeted by Noe Valenzuela/ Assistant Program Director who granted access to the facility and provided the census of 24 residents in care. The facility is single story with two wings Sol wing and Luna wing. LPA Phillips observed the following posted on the wall in main lobby of the facility, Foster Youth Bill of Rights, Department of Social Services License, current fire clearance with inspection conducted February 2023, emergency disaster plan and emergency exit route. During the inspection LPA Phillips observed and inspected the Sol wing 11 residents with 9 single bedrooms, one double occupancy bedroom. The bedrooms have a clean mattresses, chair, desk, wardrobe closet. LPA observed each bedroom to have overhead lighting, window screens in good repair and carbon monoxide & smoke detector combo wall mounted in each room. The double occupancy room has two twin beds, two wardrobe closets, two desk and two chairs. LPA Phillips observed the bed linens to be clean and in good condition. The Sol wing has four (4) restrooms with shower tub combo and LPA confirmed with thermometer water temperature meets regulations guidelines. The kitchen is attached to common area with five (5) burner stove, refrigerator and freezer combo. LPA observed adequate food supply in the refrigerator and baskets on table and counter for fresh fruit brought over daily by main kitchen. The upper cabinets contained spices, dry goods, plates, bowls and cups. The lower cabinets have pots and pans for cooking. LPA observed a working dishwasher and menu posted on refrigerator and main lobby. There is adequate seating for twelve (12) residents with six (6) large sofas and two (2) large bean bags. LPA Phillips observed a wall mounted television, video game equipment and board games. cont on 809 c The Luna wing has 13 residents with 11 bedrooms, two rooms have double occupancy. LPA observed each bedroom to have overhead lighting, window screens in good repair, carbon monoxide & smoke detector combo wall mounted in each room. LPA Phillips observed the bed linens clean and in good condition. The Luna wing has 4 restrooms with shower tub combo. The kitchen is attached to common area with five (5) burner stove, refrigerator and freezer combo. LPA Phillips observed staff request fresh fruit restock from kitchen for both counter and table baskets. LPA Phillips observed dining table with seating for 12. LPA observed the common area with adequate seating (12) residents with six (6) large sofas and two (2) large bean bags. LPA Phillips observed a wall mounted television, video game equipment and board games. During the inspection LPA Phillips conducted three (3) Staff interviews and six (6) residents interviews. LPA reviewed six (6) residents files and five (5) staff files and all found to be in compliance. LPA observed the following trainings in staff files, Trauma Informed Care, Mandated Reporter-Child Abuse/Neglect, Significant Incidents Reports and Title 22, HIPPA, Confidentiality. Staffing Office: is equipped with a desk, chair, computer and phone. Laundry room: contains two washers and two dryers. LPA observed each wing has large pantry closet with additional dry goods, bread and snacks. LPA observed fully stocked first aid bag including current client roster for each wing. Overall LPA observed the facility to be clean, safe, sanitary and in good repair. Temperatures in client rooms and common areas were found to be between 68 - 85 degrees (F). Additional disinfectants/cleaning solutions are stored in the maintenance room and made inaccessible to clients. The facility operates within license conditions and limitations including capacity limitations. LPA discussed and advised the Licensee to ensure the following: Children are supported and encouraged to participate in extracurricular activities. Children are allowed and encouraged to contact the licensing agency or the Foster Care Ombudsperson, in confidence, without threats or punishment for making complaints. Children are accorded dignity in personal relationships with others in the facility. LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. Personal Rights, menus, and activities were posted in each wing. There are no deficiencies observed or cited during this inspection. An exit interview was conducted with Noe Valenzuela/ Assistant Program Director , and of this report will be provided to Abbi Garcia/ Program Director

met_with: Noe Valenzuela/Assistant Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On 12/9/2024 at 12: PM Licensing Program Analyst (LPA) Kenrick Ellis made an unannounced Annual Inspection visit to the above facility. LPA met with Yesenia Rios- Martinez, Administrator who granted access to the facility, current census is eleven. The facility is single story building with two living wings named Sol and Luna. LPA Kenrick Ellis observed the following posted on the wall in main lobby of the facility, Foster Youth Bill of Rights, DCSS License, current up to date fire clearance , emergency disaster plan and emergency exit route. LPA Ellis observed and inspected the Sol wing housing no clients with 9 single bedrooms, one double occupancy bedroom. Client bedrooms have clean mattresses, chairs, desk, and wardrobe closet. LPA observed each bedroom to have overhead lighting, window screens in good repair and carbon monoxide & smoke detector combo wall mounted in each room. The double occupancy room has two twin beds, two wardrobe closets, two desk and two chairs. LPA observed the bed linen to be clean and in good condition. The Sol wing has four restrooms with a shower tub combo. LPA confirmed water temperature meets regulation guidelines. Disinfectants and cleaning solutions are stored in the maintenance room and made inaccessible to clients. The kitchen is attached to common area with a five pilot stove, refrigerator and freezer combo. LPA observed adequate food supply in the refrigerator. The upper cabinets contained spices, dry goods, plates, bowls and cups.The lower cabinets have pots and pans for cooking. LPA observed a working dishwasher and menu posted on refrigerator and main lobby. There is adequate seating for twelve residents with six large sofas and two large bean bags. LPA observed a wall mounted television, video game equipment and board games. The Luna wing has eleven residents with eleven bedrooms, two rooms have double occupancy. LPA observed each bedroom to have overhead lighting, window screens in good repair, carbon monoxide & smoke detector combo wall mounted in each room. LPA observed the bed linens to be clean and in good condition. The Luna wing has 4 restrooms with shower tub combo.The kitchen is attached to common area with five pilot stove, refrigerator and freezer combo. LPA observed dining table with seating for twelve and adequate common space. There are six large sofas and two large bean bags. LPA observed a wall mounted television, video game equipment and board games. The facility was inspected, and the following was observed: Passageways are unobstructed. Knives, disinfectants, cleaning solutions, and poisons are kept locked in the staff office and made inaccessible to clients. Facility has perishable and non-perishable foods available. During the inspection LPA Ellis conducted five staff interviews and five residents interviews. LPA reviewed five residents files and five staff files all found to be in compliance. Medications are kept locked/accessible only to employees responsible for stored medications. Smoke detectors/ carbon monoxide tested audible and were working properly in the facility. The facility is equipped with six regulation fire extinguishers. Hot water was tested and found to be within a safe temperature range. First Aid kit is complete with required items. Facility vehicle is in good repair with valid and current California vehicle registration and insurance. Children can contact the licensing agency or Foster Care Ombudsperson in confidence without threats or punishment for making complaints. Caregiver(s)/adults working/residing in the facility have DOJ/FBI criminal record clearances and Child Abuse Index Checks. A copy of this report was emailed to the administrator Yesenia Rios-Martinez.

met_with: Yesenia Rios-Martinez, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 11/20/ LPA Kenrick Ellis arrived at the above facility to conclude four investigations. LPA provided amended reports for the following complaints to Noe Valenzuela, Assistant Program Director and Veronica Gallardo, YDC Supervisor. 34-CR-20241112113006, 34-CR-20241028095123, 34-CR-20250108115552, and 34-CR-20250210103319

met_with: Veronica Gallardo, YDC Supervisor


raw_content:
Investigation Findings:
13*This report is an amended report of the original report dated February 20, 2025 due to additional information received. On 11/20/25 at 2: PM, Kenrick Ellis, Licensing Program Analyst (LPA) arrived at the above facility for the purpose of delivering findings for the complaint investigation received on 11/12/2024. LPA Ellis met with Noe Valenzuela , Assistant Program Director. During the investigation, LPA conducted confidential interviews with staff and clients. LPA also reviewed Personnel Report (LIC500), client roster, facility's program statement and policies and reviewed video evidence. Confidential interviews and physical evidence did not provide sufficient evidence that staff did not ensure a safe environment for minors in care. Interviews indicated that staff were present when a verbal and physical altercation over the use of a community cologne occurred between two clients and staff intervened to address the safety and well being of all the clients involved in the incident. Interviews revealed statements confirming staff provided a safe environment for minors by having a visual of clients before the incident and also by separating clients and attending to them individually to help de-escalate the situation. Statements from both staff and clients indicated that staff acted promptly to ensure the safety of minors in care. No client injuries related to the incident were reported to nursing staff. Due to conflicting information received, the findings for the complaint investigation are deemed unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. There were no deficiencies cited at this time. Exit Interview was conducted with Assistant Program Director, Noe Valenzuela and a copy of this report was provided. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Kenrick Ellis LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Noe Valenzuela, Assistant Program Director


raw_content:
Investigation Findings:
13This report has been amended from the initial report dated 11/13/ On November 20, 2025 at 2:30 pm, Kenrick Ellis, Licensing Program Analyst (LPA), conducted an unannounced visit to Vista Haven for the purpose of concluding a complaint investigation of the above allegations. LPA met with, Assistant Program Director, Noe Valenzuela and discussed the complaint allegations. During the investigation LPA conducted four staff interviews, and two client interviews. LPA reviewed Personnel Report (LIC500), client roster, incident reports, individualized client treatment plans, mental health assessment forms, and client psychotropic authorization letter. The interview did not produce evidence or statements to support the allegations. During investigation, multiple statements indicated that staff(S1) (S3) and (S4) did not mistreat complainant while in care. Clients (C1) and (C2) declined allegations that staff mistreat clients in care. Statements indicated that complainant declined to continue meeting with (S5) (S3) and (S4) for mental health and case management services. Statements indicated that staff (S5) did not make unauthorized medical decisions for the complainant. LPA confirmed that a mental health assessment was completed with the client on 8/6/24. Client records confirmed that complainant met with psychiatrist twice and declined to meet thereafter. LPA confirmed that complainant did receive psychotropic medication while in care. Medication log records show complainant declined to continue receiving medication. Records on file revealed the client was placed on three medical holds due to his behavior on 8/22/24, 10/2/24, 11/2/24. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore the allegations are unsubstantiated. LPA Ellis was unable to determine if the above allegations occurred, therefore the allegations are determined to be unsubstantiated. There were no deficiencies cited at time. Exit interview was conducted, and a copy of this report was given to Assistant Program Director, Noe Valenzuela. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Kenrick Ellis 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:


raw_content:
Investigation Findings:
13This report has been amended from the initial report dated 11/13/ On November 20, 2025 at 2:35 pm, Kenrick Ellis, Licensing Program Analyst (LPA), conducted an unannounced visit to Vista Haven for the purpose of concluding a complaint investigation of the above allegations. LPA met with Noe Valenzuela, Assistant Program Director and discussed the complaint allegations. During the investigation LPA conducted three client interviews and three staff interviews. During the investigation LPA also reviewed Personnel Report (LIC500), client roster, video surveillance, and religious service logs. During investigation no statements indicated that Staff 1 (S1) handled minor (C1) in a rough manner. C1 was not observed to have any physical injuries. There were no statements or documentary evidence to suggest that (C1) required medical attention as a result of S1 taking the facility Christmas tree from (C1). Statements and LPA video observations indicated that the Christmas tree did not belong to (C1). LPA video observations did not support allegation that staff S1 handled C1 in a rough manner when taking the facility tree from (C1). Statements indicated that staff allow C1 and other clients to attend religious services, activities, and ceremonies. Multiple statements and religious service logs indicated that C1 declined multiple religious services when staff provided transportation to religious services. There was no evidence to suggest that S1 or other staff do not safeguard minor's personal items. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore the allegations are unsubstantiated. There were no deficiencies cited at this time Exit interview was conducted, and a copy of this report was provided to, Noe Valenzuela , Assistant Program Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Kenrick Ellis LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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


summary: Facility Evaluation

raw_content:
Narrative:
On 12/23/2025 at 9:05AM Licensing Program Analyst (LPA) Andrea Aceves arrived at the above location, for the purpose of conducting an Annual/Required Inspection. LPA met with Assistant Program Director Noe Valenzuela, who granted access to the facility and provided a tour of the entire interior and exterior physical plant. The facility is licensed to provide care and supervision for up to twenty-four (24) children ages 12-17 years old, ambulatory only. Currently the census is (0). There is a pool or bodies of water on the premises but not used by Vista Haven. The facility is single story building with two living wings named Sol and Luna. LPA Andrea observed and inspected the Sol wing housing 10 clients with 10 bedrooms, one double occupancy bedroom. Each client bedroom has a clean mattress, chair, desk, and wardrobe closet. LPA observed each bedroom to have overhead lighting and window screens in good repair. The double occupancy room has two twin beds, two wardrobe closets, two desks and two chairs. See Lic 809-c LPA observed the bed linen to be clean and in good condition. LPA observed a small hole behind room #3 door that needs repair. The Sol wing has four restrooms with a shower tub combo. LPA confirmed water temperature meets regulation guidelines. Disinfectants and cleaning solutions are stored in the maintenance room and made inaccessible to clients. The kitchen is attached to the common area equipped with gas operated five (5) burner stove, refrigerator/freezer, microwave, lid covered trash can, plates and cups, eating and cooking utensils. LPA observed adequate food supply in the refrigerator. LPA observed a working dishwasher and menu posted on wall next refrigerator. There is adequate seating for twelve residents with six large sofas and two large bean bags. LPA observed a wall mounted television and board games. The Luna wing has thirteen residents with thirteen bedrooms; two rooms have double occupancy. Each client bedroom has a clean mattress, chair, desk, and wardrobe closet. LPA observed each bedroom to have overhead lighting and window screens in good repair. The double occupancy rooms have two twin beds, two wardrobe closets, two desks and two chairs. The Luna wing has 4 restrooms with shower tub combo. The kitchen is attached to the common area equipped with gas operated five (5) burner stove, refrigerator/freezer, microwave, lid covered trash can, plates and cups, eating and cooking utensils. LPA observed food menu posted on refrigerator. LPA observed adequate food supply in the refrigerator. LPA observed dining table with seating for twelve and adequate common space. There are six large sofas and two large bean bags. LPA observed a wall mounted television, video game equipment and board games. The facility was inspected, and the following was observed: Passageways are unobstructed both indoor and outdoor. See Lic809-c Knives, disinfectants, cleaning solutions, and poisons are kept locked in the staff office and made inaccessible to clients. Facility has perishable and non-perishable foods available. LPA observed the facility to have six (6) fully charged fire extinguishers. Smoke and Carbon Monoxide combination detectors were tested and found to be in working order. The following posting requirements were observed and posted in public area: The Emergency Disaster Plan, Personal Rights, and the facility license. LPA observed during the inspection of the exterior and found window screens to classroom A and breakroom to be placed by duct tape and not secured in place. Facility vehicles are in good repair with valid and current California vehicle registration and insurance. LPA received copy of the Staff and Client Roster. LPA verified that all staff on the personnel roster have a criminal record clearance.In addition, LPA received work orders for window screens and hole in room #3 on Sol side. LPA will return to complete file review and interviews at a later date. The following deficiencies are being cited for violating California Code of Regulations, Title 22, Division 6, Section 80087(a)-Buildings and Grounds and Section 80088(b)-Fixtures, Furniture, Equipment and Supplies. (See page LIC 809D). Exit interview was completed and a copy of this report was provided to the Assistant Program Director Noe Valenzuela.

met_with: Assistant Program Director-Noe Valenzuela


raw_content:
Narrative:
Based on interview statements, there was insufficient evidence to support the first and fourth allegations. However, LPA confirmed through interview statements and grievance policy, that residents are informed of the Vista Haven grievance policy during their intake process. Residents are reminded of the grievance policy as well as the ORR hotline that is available to residents at any time. In addition, any grievances/concerns received from residents are resolved within a week and the client is notified of the outcome. In regard to the second allegation, based on interview statements there was insufficient evidence to corroborate the allegation. Residents use the private phone booth to contact ORR hotline and residents are able to make personal phone calls without having phone be put on speakerphone. Per witness statements, C1 would either be on a videocall that could be heard or voluntarily put their phone call on speakerphone. Based on ORR policy, interview statements, staff shift exchange notes and recreation and leisure logs, clients are not isolated from outings and forced to do work. Per documentation previously mentioned, C1 was able to participate in numerous outings. LPA confirmed that C1 also declined to participate in outings. In addition, based on interview statements, C1 offered to volunteer to do chores. LPA confirmed that C1 signed acknowledgment of the resident's handbook which describes what the outing rules are and what the reasons are for not being able to participate in outings per ORR policy. A couple of those reasons which a resident may not be able to participate in outings, is if a resident is determined to be a runaway risk or whose behavior within the last 48 hours be deemed to be unsafe or aggressive. Interview statements and incident reports reveal that C1 was ineligible to participate in some outings due to the reasons previously mentioned. In addition, LPA confirmed through the Cultural and Religious accommodation logs, C1 was taken off grounds by staff to purchase a cultural meal of their choice. Lastly, based on interview statements, risk assessment notes and therapy notes, there was insufficient evidence to support the fifth allegation. LPA confirmed that C1 completed an assessment called Unaccompanied Alien Child (UAC) that is conducted when a client arrives to the facility. The assessment is completed through facility portal and it serves to gather background information and any mental health concerns. A risk assessment was completed with Prevention of Sexual Abuse (PSA) Compliance Officer, when C1 first arrived to the facility, however, any follow ups or additional assessments were not conducted due to C1 declining services. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore the allegations are unsubstantiated. Exit interview was completed and copy of the report and appeal rights were discussed and provided to Program Director Abbi Garcia.

Investigation Findings:
13On 12/17/25, at 9: AM, Licensing Program Analyst (LPA) Andrea Aceves made an unannounced visit to the above facility to conclude the investigation and to deliver the findings on the above allegations. LPA met with Program Director Abbi Garcia. During the investigation, LPA Andrea interviewed all available parties and reviewed LIC500-Personnel Report, incident reports, staff shift exchange notes, risk assessments, progress notes, therapy notes, client admission packet, Individual Service Plans (ISPs), Cultural/Religious Accommodation logs, Recreation and Leisure logs, Client Level Event (CLE) reports, copy of Vista Haven Grievance Complaint Procedure, copy of Vista Haven Guidelines for Residents and a copy of ORR policy regarding outings. It was reported that (1) Clients were informed not to report anything to outside agencies or it will affect their case, (2) Client was forced to conduct personal phone calls on speakerphone, (3) staff neglected client by isolating client and forcing them to work, (4) staff neglected to address client's serious issues, and (5) Staff did not perform professional evaluations. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Andrea Aceves 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 EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: VISTA HAVENFACILITY NUMBER: VISIT DATE: 12/17/2025

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