summary: Facility Evaluation

raw_content:
Narrative:
On January 31, 2022 at 12:40PM License Program Analyst, Yuvi Diaz (LPA) conducted an announced annual inspection at the above facility. LPA met with Rachel Hann, Program Manger (PM), and Cherelle Blufordcraving, Supervisor. LPA toured the facility with the assistance of the Supervisor. Facility consisted of: one office for Case Manager, and Family Coordinator, one office for Supervisor, an area where the printer is and additional computer/ desk area, and one bathroom for staff use. There in one intake room, a lobby area where the entrance is. The entrance has all COVID posters up and COVID screening is done. The kitchen was clean and sanitary as well the as the dining room area. Kitchen pantry was stalked as well as the refrigerator. Facility has two playrooms both were clean and sanitary. There are three bedrooms. One room for infants and the other two rooms for non-infant children. Furniture was clean, sanitary, and in good condition. The back yard was free of hazards. There was a section for the infants and for the children to play with. In the backyard there is a storage with additional food, and emergency supplies. All smoke detectors and carbon monoxide were working properly. Fire extinguishers were to date.The bathroom faucets/toilets all worked properly. All bedrooms had appropriate bedding, dresser and the necessary toiletries. First aid was located in an area were it 's accessible to staff. LPA reviewed 7 staff files and 5 client files. Staff files contained updated CPR/first aid cards, criminal clearance, and education. Client files contained, initial intake form, face sheet, medical consent form, parent rights, and personal rights. LPA also saw facility license, facility sketch, designation of facility responsibility, and emergency plan. No deficiencies were noted. Exit interview was conducted with Program Manager, and Supervisor. A copy of this report was emailed.

met_with: Rachel Hann, Program Manger and Cherelle Blufordcraving, Supervisor


state: CA

facility_name: SACRAMENTO CRISIS NURSERY

summary: Facility Evaluation

raw_content:
Narrative:
On 7/24/23 at approximately 12:30 p.m. Licensing Program Analyst (LPA), Jacqueline Carmona made an announced visit to conduct a case management regarding the facility not providing care and supervision to infants/children during the replacement of their outdoor deck. The Department received an email from the provider on 7/11/23 where it stated the facility will be having their outside deck replaced on 7/31/23. The project is estimated to take place from 7/31/23- 8/11/23. The facility will not having 3 exits available during the replacement of the deck outdoors. Due to the exits not being available the provider made the decision that there will be no care and supervision provided to infants/children effective by the end of the day 7/28/23 until the project is complete. LPA met with Rachel Hann, Program Manager during this visit and there were 6 children in care at the time. A walk through was conducted of the interior and exterior of the facility and it is in compliance. An exit interview was conducted and a copy of this report was provided to the Rachel Hann, Program Manager. This case management investigation is closed.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Rachel Hann, Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 4/18/2024 at 9: AM Licensing Program Analyst (LPA) Tatyana Shulz and Licensing Program Manager (LPM) Rosa Rodriguez made an unannounced visit with the purpose of conducting an annual inspection to the above facility using the Compliance and Regulatory Enforcement (CARE) tool. LPA and LPM met with Rachel Hann, Program Manager and a walk through of the interior and exterior was completed. Physical Plant Room 1 is an intake counseling office. Room 2 is a supervisor office. Room 3 is a staff office/ copier/bathroom area. Room 4 is a case manager and family service coordinator office and file room which is inaccessible to clients. Room 5 is the kitchen/ washer and dryer area. Room 6 is the family room with couches. Room 7 is the first preschool room with two twin beds. Room 8 is the second preschool room with two twin beds. Room 9 is the infant room with 4 cribs and 1 emergency crib/ playroom/ nap room. There are three bathrooms, one located in the staffing area with working toilet, and running warm water with a temperature of 105 degrees. The other two bathrooms have a changing table, working toilet, and running warm water with a temperature of 105 degrees. All playrooms have sufficient activities for the children/infants, including books, age-appropriate toys, arts/craft materials and all furniture is in good repair. The backyard is gated, with two planter boxes, a large back deck and two playhouses covered by two large blue coverings with padded flooring and a grass area. The backyard is clear of debris and clean. There is a garage stocked with toys, gifts, nonperishable food, baby supplies, an extra freezer and an extra fridge, extra cleaning supplies, powdered milk for infants, and age-appropriate clothing and diapers. There is a Toyota Sienna in good working condition, properly maintained, lights, tires, registration/insurance and working seat belts and is available to transport clients if needed. Continue to LIC 809C The following required documents were posted, License and Personal Rights. Disinfectants/cleaning solutions inaccessible to children in care. Refrigerator Temperature at or below 45 degrees F. Nonperishable foods one week and fresh perishable foods three days minimum. Menu present and posted in the kitchen area on the fridge. A working telephone is available at the facility. Carbon monoxide and smoke detectors are in working order. First Aid Kit fully stocked. Medication centrally stored, locked/inaccessible to children. Hot Water between 105-120-degree F. Fire Extinguisher up to date and in working order. Toilets wash basin, bath, and shower fixtures in good repair/no leaks/hot water temperature. Soap and Paper towels are available to clients. Bedroom required linen and furnishings are fully stocked. Facility is free of vermin. The following domains were also reviewed during today's inspection, Operations, Disaster Preparedness, Staffing, Client Records and Day Services. A total of 5 staff files, 5 children's files and 1 volunteer file were reviewed. No out of compliance issues were identified for these domains. LPA also conducted 3 staff interviews and no concerns for follow up was noticed. A review of the Licensing Information System indicates the facility is up to date on their facility fees and all the staff were fingerprint cleared and associated to the facility. An exit interview was conducted with Rachel Hann and a copy of this report, and the Appeal Rights were provided to the facility, no deficiency cited.

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On 03/13/ Licensing Program Analyst (LPA) Chad Cabigon arrived unannounced at this Crisis Nursery to initiate its Required/Annual Inspection. LPA met with Program Supervisor Taylor Tang; interviews were conducted with three staff; the records review of client files was initiated. More time is needed to complete this Inspection. A copy of this report is being provided to the facility.

met_with: Taylor Tang


summary: Facility Evaluation

raw_content:
Narrative:
On 03/17/ Licensing Program Analyst (LPA) Chad Cabigon arrived at this facility unannounced to continue its Required/Annual Inspection. LPA met with Taylor Tang, Program Supervisor, who provided access to staff records. Two additional staff interviews were conducted on this day. More time is required to complete this inspection. A copy of this report is being provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On 03/18/ Licensing Program Analyst (LPA) Chad Cabigon arrived unannounced at the Crisis Nursery and met with Cherelle Blufordcraving, Program Supervisor, and Vinny Quach, Program Manager, for the purposes of continuing the facility's Required/Annual Inspection. The review of children's records was completed; LPA will complete the inspection at a later time. A copy of this report is being provided to the facility.

met_with: Vinny Quach, Cherelle Blufordcraving


facility_name: SACRAMENTO CRISIS NURSERY NORTH

summary: Facility Evaluation

raw_content:
Narrative:
On 06/16/2021 at 11: AM Licensing Program Analysts (LPAs) Nino Sanders and Stephannie Verna arrived at the above facility to conduct an annual/required inspection. LPAs met with Rachel Hann, Program Manager and completed a walk-through of the facility. The facility serves clients age newborn through five years old. Currently there are three children enrolled in the program. The facility has 16 working staff including their Program Manager, Rachel Hann and Program Supervisor, Vinny Quach. The program maintains the staff and child ratio requirements. During the inspection LPAs observed there were two staff on shift, watching the three children. The crisis nursery is clean, safe, sanitary and in good repair. The facility has six bedrooms. The bedrooms have beds with good mattresses an linens, and closets and dressers which held extra linens and blankets. The furniture was in good repair. The bathrooms were clean and sanitary and the toilet and sink had accommodations, including step stools, for the children. The bathrooms included diaper changing stations, and extra supplies and diapers. The Program Manager stated that the diaper changing stations are cleaned and sanitized after each use. The evacuation plan and map are posted in multiple locations throughout the facility. Fire extinguishes are located in several locations within the facility, and are up-to-date. The smoke alarms were recently serviced by Cornerstone company, for the annual service. According to the invoice document, the date of service was conducted on 03/15/2021. The facility has a visitation room which has age appropriate toys and books for children and clients. The offices are located at the entrance/lobby of the facility. Staff and client files are locked in locked filing cabinets located within the filing room. The facility license is posted in the lobby. Personal rights poster is posted in the hallway. The kitchen is clean and well organized. There are two days of perishable and seven days of non-perishable foods. Food supplies are labels. LPAs conducted an expiration date check, and foods were unexpired. Cooking items and utensils are plentiful. The weekly food menu is posted on the refrigerator. There are healthy and age-appropriate snacks available to the children. Medications are locked in locked box in the kitchen cabinet. LPAs observed medications are labeled with expiration dates. At this point the facility serves in-house Tylenol only, as needed. Expired medications are disposed by the the facility nurse, Candy Hernandez, at Sacramento Children's Home. The facility has a medication log that contains emergency forms of each child being served, and dates and times that the medication is given. There is a laundry room located near the kitchen. The laundry room is clean and sanitary and has a storage section which holds extra bathroom supplies, diapers and sanitary items. The hallway has extensive storage, which holds extra clothing and supplies for the children. The garage houses their main pantry, which includes food items, baby formula, cold and frozen food items, and extra storage which includes children's supplies, toys, clothing, diapers, and supplies for activities. The LPAs inspected the outside of the facility, which included an outdoor playground, nature walk area, outdoor rooms used for different purposes. The playground has infant swings, playhouse, playground, climbing gym, and outdoor toys. The ground is covered in rubber flooring for protection, and has a awning for sun protection. The nature trail included stationary activity stations, children's garden plots, playhouses, small shed which held gardening tools, and locked storage bin which held paints. The outdoor rooms near the garage held the following: baby boutique which is used by clients to obtain baby clothing and items that they are in need of and according to Program Manager is off-limits to the children; jump room/gym for children filled with soft pads and age appropriate gym items; storage room for toys; teacher's supply room; and archive file room. LPAs inspected facility vehicle. Vehicle is in good working condition, has valid car insurance and tire pressure is suitable. LPAs reviewed six staff and three client files. The children's files contained admission documents, family and health information, emergency information and contact sheet, dietary requirements, documented daily needs, habits and routines of child(ren) and disciplinary methods used by the parent, signed consent forms. There is a signed copy of child's personal rights signed by the parent. The staff files contain proof of criminal record clearance, CACI clearance, health screening report and proof of negative TB test, valid first aid/CPR certification, and personnel record files. Staff have completed initial staff training requirements and are on track to complete 20 hours of annual training for the current year of employment. No title 22 regulations are cited on today's date. A copy of this report was e-mailed to Rachel Hann, Program Manager.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Alyssa Burgess made an unannounced annual inspection at the facility and met with Program Supervisor (PS) Vinny Quach, and Program Director/ Administrator (PD) Rachel Hann, who assisted with the inspection. LPA and PS conducted a walk-through of the facility. LPA observed a reception area, an intake room, one kitchen, one pantry, one dining area, five bathrooms, six bedrooms, two play areas, a backyard play area, backyard garden, two rooms of extra storage space for donated items, many closets with clothes and supplies, four staff offices, and an archive file room. LPA observed there to be an adequate amount of food of good quality at the facility for the clients. LPA observed the hot water to be non-functioning in one client bathroom, however in another client bathroom the hot water measured at 120.0 degrees Fahrenheit, which is within the required range of 105 to 120 degrees Fahrenheit. In the "Baby Boutique," bed frames were partially obstructing the pathway in and out of the room. The play furniture met all requirements, except for a geometric dome climbing structure, which is not anchored to the ground. There was a soft/squishy ground covering underneath the play equipment. LPA observed four children present, playing and then eating during this inspection. LPA observed extra clothing, bedding, and shoes for the children, all labelled. The toys were clean and in good condition, as well as stored appropriately. All cribs and beds met requirements. The Board has been meeting as required. The facility is conducting emergency drills as required. The Emergency Disaster Plan is up to date and has been reviewed annually as required. LPA reviewed four client and four parent files and found: All requirements were met except, for two clients who are currently potty-training, there is no toilet training written plan as required. LPA found that the intake questionnaire is comprehensive in asking facts about the child and needs they have. No clients are on medication at this time. The parent files list the reason for placement, and time length of stay, as well as the Crisis Nursery's plan to resolve the crisis. LPA was unable to review staff files and conduct interviews on this date due to time. LPA will return on another day to complete the file review and interviews. On today's date, the facility is being cited for a violation of the California Code of Regulations, Title 22, Division 6, Chapter 7.3, Personal Services - Section 86577(d). LPA has also issued three Technical Violation Advisory Notes, which are not citations. An exit interview was conducted with Administrator and a copy of this report and appeal rights were printed and left with her.

met_with: Vinny Quach & Rachel Hann


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Alyssa Burgess made an unannounced annual continuation inspection at the facility and met with Program Manager/Administrator Rachel Hann, who assisted with the inspection. LPA reviewed two staff files, one lead staff file, one Case Manager file, and one Administrator file and found: All requirements were met. Job duties/descriptions were not in the staff files initially, however Administrator printed them out for LPA. All were signed by the staff. LPA advised Administrator to ensure these are kept in each staff file, which she agreed to. All staff reviewed were fingerprint cleared as required, are first aid certified as required, and met all training requirements. LPA interviewed two staff. Both staff were knowledgeable in Suspected Child Abuse reporting, the facility's goals, and evaluating the childrens' needs when they come to the facility. An exit interview was conducted with Administrator and this report with her.

met_with: Rachel Hann


summary: Facility Evaluation

raw_content:
Narrative:
On 09/09/2025 at 10: AM Licensing Program Analyst (LPA) Sarina Buchannan made an unannounced visit to the above Crisis Nursery with the purpose of conducting an annual inspection using the Compliance and Regulatory Enforcement (CARE) tool. LPA met with Vinny Ramirez Quach, Program Manager, and a walk through of the interior and exterior was completed. Physical Plant When entering the facility there is a lobby in which the facilities Program Assistant resides. Connected to the the lobby is a hallway with a set of staff offices, in the hallway there is also a staff bathroom and a staff closet containing cords and extra office supplies. Room 1 is an office with a copier machine and an emergency exit. Room 2 is the Program Managers office with a computer monitor and an emergency exit. Room 3 is a supervisors office but is currently empty and storing extra office supplies. Room 4 is a Case Managers and Family Service Coordinators office and file room which contains client files. These set of office are inaccessible to clients in care. Room 5 is an intake room with pamphlets for families, toddler tables, and a monthly activity schedule. Room 6 is connected to the intake room and has a toddler bed and infant crib but is currently being used as storage. After leaving room 6 there is a hallway that contains client bedrooms , bathrooms, and an emergency exit. Room 7 is the first toddler bedroom with two twin beds, a rocking chair, and closet with extra blankets. Room 8 is the second toddler bedroom with with two twin beds, a dresser, and a rocking chair. Room 9 is the third toddler bedroom with two beds, a rocking chair, and a built in closet. Room 10 is an infant room with 4 cribs, 1 emergency crib, and a dresser. After this room there is another hallway that leads to the remainder of the facility and contains an additional bathroom. (report continued on LIC 809C) Room 11 is a visitation room with a non-operating fireplace, bookcase, and doors that open to the kitchen and hallways. In between the visitation room and Room 11 there is an emergency exit. Room 12 is a supervisors office that has a computer monitor and miniature fridge. Room 13 is a infant room with 3 cribs, 2 rocking chairs, and an emergency crib. Room 14 is a toddler room with 2 beds, a rocking chair, and a door to the bathroom. Room 15 is a laundry room with 2 sets of washer and dryers and chemicals locked and inaccessible to clients. Room 18 is the kitchen with fresh fruits and veggies, a pantry with nonperishable foods, and the multiple first aid kits. Room 19 is an infant playroom that contained high chairs, napping cribs, a variety of toys, an emergency exit, and has a bathroom connected. Room 20 is a preschool room which contains toys, 2 teacher desks, an activity closet, and has 2 emergency exits. There is another part of the facility that is only accessible by exiting the facility. In this area there is a set of 5 rooms not being utilized by clients in care. Room 21 is an archive room containing files. Room 22 is currently a bedroom and bathroom that is being remolded. Room 23 contains outdoor play equipment. Room 24 is a baby boutique and is the only room that families and clients access by appointment and contains clothing and a small office to sort clothing. Room 25 located near the back of the facility and is a large storage pantry and contains diapers, clothes, toys, and any other additional storage items. There are 5 bathrooms in use at the facility which contain running warm water with a temperature of at least 105 degrees. There are 3 bathrooms which have changing tables, working toilets, and toiletries for clients in care. All playrooms have sufficient activities for the children/infants, including books, age-appropriate toys, arts/craft materials and all furniture is in good repair. The backyard is gated with activities for the clients such as instruments, play kitchens, and two playhouses covered by two large shade coverings and has padded flooring. The backyard is clear of debris and clean. There is an additional portion of the backyard that is also gated and leads to a large grass opening with 6 planter boxes. There is a Toyota Sienna in good working condition, properly maintained, lights, tires, registration/insurance and working seat belts and is available to transport clients if needed. (report continued on LIC 809D) The following required documents were posted, License and Personal Rights. Refrigerator Temperature at or below 45 degrees F. Nonperishable foods one week and fresh perishable foods two days minimum. Menu present and posted in the kitchen area on the fridge. Working telephone are available at the facility. Carbon monoxide and smoke detectors are in working order. First Aid Kit fully stocked. Medication centrally stored, locked/inaccessible to children. Hot water between 105-120 degrees. Fire Extinguisher up to date and in working order. Toilets wash basin, bath, and shower fixtures in good repair/no leaks/hot water temperature. Soap and Paper towels are available to clients. Bedrooms have required linen and furnishings are fully stocked. Facility is free of vermin. The following domains were also reviewed during today's inspection, Operations, Disaster Preparedness, Staffing, Client Records and Day Services. A total of 6 staff files, 5 clients files, Volunteer files were reviewed. LPA also conducted 2 staff and 1 volunteer interview but LPA was unable to conduct interviews with clients due to their age. A review of the Licensing Information System indicates the facility up to date on their fees and all the staff were fingerprint cleared and associated to the facility. The facility has been cited for Buildings and Grounds on (See LIC809D). No other concerns for follow up noted. An exit interview was conducted with Vinny Ramirez Quach, Program Manager, and a copy of this report, and the Appeal Rights were provided to the Licensee.

met_with: Vinny Ramirez Quach, Program Manager


facility_name: YOLO CRISIS NURSERY, INC

summary: Facility Evaluation

raw_content:
Narrative:
On 10/13/2021, at approximately PM, Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced case management inspection.of this facility. LPA was met by Administrator Heather Sleuter. The purpose of this inspection was to follow up on a reported COVID- Outbreak at the facility. Two child clients and a total of six employees tested positive for COVID-19 at various points in time since 10/01/2021. Neither of the children were Crisis Nursery clients as they had not had overnight stays--more appropriately, the children were clients of this provider's Child Care Program. In any case, a tour of the interior and exterior areas of the facility's physical plant was done--no deficiencies were observed. Client and staff records were also reviewed. The facility was temporarily closed as part of the response to the outbreak; a cleaning service, SERVPRO, was employed to do a COVID-19 cleaning; the plan is to re-open on Monday, 10/18/2021. At that point, all facility persons (staff and clients) who tested positive and/or exhibited symptoms would have passed the 14-day quarantine period. Per the administrator, staff who did not get a positive COVID-19 result would be required to show a negative result from the time period between today and 10/18/2021. No citations were issued as a result of this inspection. A copy of this report is being provided to Ms. Sleuter.

met_with: Heather Sleuter


summary: Facility Evaluation

raw_content:
Narrative:
On 02/14/2022, at approximately PM, Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this facility's Crisis Nursery. LPA was assisted by Executive Director Heather Sleuter with whom the Crisis Nursery operation was discussed; a tour of the interior and exterior areas of the facility's physical plant was done; four client files and five staff files were reviewed. There was signage pertaining to the facility's COVID-19 policy posted at the entrance; LPA was admitted into the facility after going through the appropriately implemented health & safety protocol. The crisis nursery has three designated client bedrooms, all of which are furnished sufficiently. In each bedroom there was a ceiling-mounted smoke or fire alarm. Fire or smoke alarms were also observed in the facility's common areas--the fire alarm system was tested and found to be operational. Fire extinguishers were inspected and were found to be placed at appropriate areas of the crisis nursery. On 01/24/2022, the Davis Fire Department did an inspection and cleared the facility, finding that "[a] reasonable degree of fire and life safety exists..." LPA observed that the common areas were clean and uncluttered; the egresses were unobstructed. All cabinets otherwise accessible to children were key-locked. Detergents and other potentially hazardous chemicals were stored and secured in storage areas inaccessible to children by themselves. Medications were also kept in locked containers, housed in secured cabinets. There was enough perishable food in the kitchen refrigerator to last at least three days; there was an additional refrigerator located in the garage which stocked more perishable items. Non-perishable food was observed in quantities sufficient for at least seven days--LPA did not observe any indications of expired, rotten, soiled, or damaged food items on hand. The backyard contained infant and toddler play structures, toys, and other activity items, all of which were in good working condition. No potentially dangerous areas or items were observed to be accessible to clients in care. Client and staff records were found to be securely filed; LPA reviewed and found the records to contain the required components including (for the children's records) a recent photograph for each child, identifying information (name, date of birth, sex/gender), names and contact information for authorized representatives, (, 809-C) and managing healthcare providers, and (for the staff records) driver licenses or State-issued IDs, CPR/First Aid certificates, signed Statements Acknowledging Requirement to Report Abuse, documentation for Health Screenings (including TB test results), background clearances or exemptions, and documentation of training. No citations are issued as a result of this inspection. A copy of this report is being provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On 07/17/ Licensing Program Analyst (LPA) Chad Cabigon, accompanied by Community Care Licensing (CCL) leadership Angela Carmack, Assistant Program Administrator, and Jennifer Scott, Policy Analyst, conducted an unannounced Random Inspection of this facility. CCL was met initially by Rosalinda Maria Gray, Program Coordinator, and was later joined by licensee Heather Sleuter who gave a tour of the interior and exterior areas of the Nursery's physical plant. The facility did not have any Crisis Nursery clients at the time of the inspection. There were no Building & Grounds deficiencies observed during the walk-through; the review for client and personnel files was started but not completed--a subsequent inspection is needed to finish this inspection. A copy of this report is being provided to the licensee.

met_with: Heather Sleuter, Licensee


summary: Facility Evaluation

raw_content:
Narrative:
On 07/18/ Licensing Program Analyst (LPA) Chad Cabigon continued the Random Inspection of this Crisis Nursery. The review of remaining records and an interview with the licensee/administrator were done. The following were observed: The facility's license and emergency disaster plan were posted in a prominent and publicly accessible location. Meal menus were readily visible on the kitchen refrigerator. Disinfectants and cleaning solutions were kept in locked cabinets. The refrigerator and freezer temperatures were at 45 degrees and 0 degrees Fahrenheit respectively; there was a backup or overflow perishable foods storage unit in the garage; there was fresh/perishable foods and dried goods on hand as the facility had child care clients. There was a working telephone on premises; the facility had a carbon monoxide detector located in the hallway and a smoke detectors in each of the client rooms; there was a fully stocked first aid kit. Common rooms were available including a dining area kept free of clutter. There was a secured storage cabinet, within which a lockable box was kept for medications to be centrally stored. Bathroom facilities were observed to be in good working condition with hot water being delivered in temperatures within regulatory requirements. The nursery had wash stations where soap and paper towels were readily available. Two bedrooms were designated for the use of the overnight program and were found to be furnished appropriately: bed/crib fixtures were in good condition and sufficient linen was on hand. Five staff files were reviewed and found to have documentation of criminal record clearances as well as pediatric cardiopulmonary resuscitation (CPR) and first aid certificates. Since the crisis nursery had no clients, no client records were subject to review though technical assistance was provided on certain aspects of the expected record-keeping for children's files. The crisis nursery was found to be in substantial compliance with Regulations, no deficiencies were issued as a result of this inspection. Exit interview conducted, and a copy of this report is being provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On June 2, 2025 at approximately 9: AM Licensing Program Analyst (LPA) Tatyana Shulz made an announced visit with the purpose of conducting a closure inspection to the above facility. LPA met with Administrator, Heather Sleuter, and a walk through of the interior and exterior was completed. LPA observed the following: No furniture in the home. Beds were removed. Cabinets and closets were empty. No food located on the premises. License was shredded. There were no signs of clients living at the home. This facility will be closed effective June 2, 2025. An exit interview was conducted with Administrator, Heather Sleuter and a copy of this report will be provided to the facility.

met_with: Heather Sleuter-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 5/07/2025 at 9:00AM Licensing Program Analysts (LPAs) Tatyana Shulz, Zaria Turner and Licensing Program Manager (LPM) Rosa Rodriguez made an announced visit with the purpose of conducting a relocation/ pre-licensing inspection to the above facility. The Crisis Nursery facility serves a population of clients that are from 0-5 years of age, ambulatory only with a capacity of 12 overnight. LPA met with Administrator, Heather Sleuter, and a walk through of the interior and exterior was completed. Physical Plant Room 1 is the Reception Area was equipped as follows: a large reception desk, 2 chairs, a seating area with a couch and a storage closet located immediately to the right of the front door. Room 2 is a Conference Room was equipped as follows: with a large meeting table with 16 chairs readily available, TV, a kitchen area with a mini refrigerator, stove and microwave. Separating Room 2 from Room 3 the first visitation room is a soundproof folding slider door. Room 3 is the First Visitation Room was equipped as follows: a couch, a chair, 2 children tables, shelving, TV and toys. Room 4 is the Second Visitation Room was equipped as follows: a couch, 2 seating chairs, a children's table, shelving, TV and toys. Room 5 is the Third Visitation Room was equipped as follows: TV, children's table, Highchair, Couch, Rocking Chair, and Play matt. Page 1/ Room 6 is the Server Room inaccessible to clients in care. Room 7 is the First Overnight Bedroom: Safari Theme was equipped as follows: 2 toddler beds, a dresser, sound machine, Lamp, Rug, Closet stocked with clothing, Clothing Hamper. In the hallway leading to room 8 is a storage cabinet with linens, toys, hygiene products and extra supplies. Room 8 is the Second Overnight Bedroom: Butterfly Theme was equipped as follows: 2 toddler beds, A dresser, Sound Machine, Lamp, Rug, Closet stocked with clothing. Room 9 is Third Overnight Bedroom: Cherry Blossom Theme was equipped as follows: 2 cribs, A dresser, Lamp, Rug, Closet stocked with clothing. Room 10 is Fourth Overnight Bedroom: Ocean Theme was equipped as follows: 2 cribs, A dresser, Lamp, Rug, Closet stocked with clothing. Room 11 is the Fifth Overnight Bedroom: Dinosaur Theme was equipped as follows: 2 toddler beds, A dresser, Sound Machine, Lamp, Rug, Closet stocked with clothing. Room 12 is the Sixth Overnight Bedroom: Dolphin Theme was equipped as follows: Rocking Chair, 2 cribs, A dresser, Lamp, Rug, Closet stocked with clothing. Room 13 is the Laundry Room: Poppy Theme was equipped as follows: 3 washers, 3 dryers, A Sink, Folding table area, Storage cabinets. Room 14 is the Sick and Safe Room was equipped as follows: Toilet, Storage, Cabinet with diapers and gloves, Sink, First Aid Kit, AED Machine, Mini Refrigerator and a Chair. Room 15 is the Infant Nap Room: Bullet and Fireproof Room was equipped as follows: 5 cribs, A rocking chair, Cabinet, and Children's Table. Room 16 is the Infant Childcare Room was equipped as follows: Children Tables, 6 chairs each, 2 floor chairs, Play matt, Toys, Storage cabinets. Leading off of the Infant Childcare room is the Infant Dining Room with 1 child table: 4 chairs and 4 highchairs. Room 17 is the Preschool Childcare Room was equipped as follows: Children tables, 4 chairs each, 2 play matts, Storage in the center housing toys, 2 floor chairs, Cubies, Storage cabinets, and TV. Leading off of the Preschool Childcare room is the Preschool Dining Room with 2 children's tables, 4 chairs each. Room 18 is the Kitchen Area and Pantry equipped as follows: 2 full sized Refrigerators, Stove Top, Oven, Dish Washer, Microwave, Sinks and Cabinet Space. The Pantry has cutlery, plates, baby formula, water, Similac, and Storage containers. Room 19 is the Staff Breakroom was equipped as follows: Full Size refrigerator, Sink, Cabinets, Table and chairs. The File room is accessed through the Staff Breakroom with 4 filing cabinets, A table and chairs. Page 2/ Room 20 is the Shared Office Space for Staff was equipped as follows: 4 rows of desks and approximately 11 chairs, File cabinets, Desk phones. Room 21 is the Director's Office was equipped as follows: Desks, Computer Monitor, Cabinets and 4 chairs. There are 9 bathrooms in total, 4 adult and 5 children's bathrooms. All of them equipped with sinks, toilets, working water fixtures. The children's bathrooms all have tubs and sinks equipped with bathing infants. All bathrooms are in full compliance, all children's bathrooms have mini toilets, mini sinks, and mini bathtubs. The outside playground area is located in the center of the complex divided into two sections by a metal fence. The Preschool Playground section has a mini obstacle course, race car track, play structure, sandpit, storage cabinets, basketball hoop, and 3 mini picnic tables. On the Infant Playground section there is a play structure, a mini picnic table, a sandpit and games. All structures are fully secured to the ground and sit upon a patch of turf. There are water fountains disbursed throughout the playground areas with kid appropriate step stools. There are two cameras located in the playground area and there are 8 cameras around the outside of the facility and no cameras located inside. The water shut off valve and the electrical power shut off switch is located near the staff parking lot in the back of the facility. Heading towards the right of the facility is a storage shed with extra containers full of children's supplies (clothes, bottles, toys) and extra attic space for needed storage. Connected to the storage shed is an extra room used for any additional storage needs. Next to the shed is a backup generator for the property. There is a trash enclosure located next to the bicycle storage area. There is an employee patio/break area with a bench, two tables and 8 chairs. The back of the property is surrounded by a metal fence separating the property from the next door residential complex, with a censored gate trigger and automatic locking gate. There is a pull up system for the fire department and the fire clearance was granted on 4/22/2025. There are a total of 6 fire extinguishers in working order throughout the facility. There are 4 fully stocked first aid kits at the facility. The facility is a one story property with no bodies of water on the premises. Disinfectants/cleaning solutions are inaccessible to children in care. Trash cans located around the facility have lids. Refrigerator temperature is at or below 45 degrees F. The facility is maintained at 70 degrees Fahrenheit. Hot Water between 105-120-degree F. Fire Extinguishers are up to date and in working order. Toilets, wash basins and shower fixtures in good repair, no leaks and there is hot water accessible. Bedroom required linen and furnishings are fully stocked. The facility is free of vermin. Page 3/ The following required documents will be posted by the licensee in the common area, Emergency Disaster Plan, Personal Rights, Let-US-Know Flyer, Complaint contact numbers and License once received. The following domains were also reviewed during today's inspection, Physical Plant, Operations, Disaster Preparedness, Staffing, Client Records and Day Services. The facility is in full compliance and will be licensed by 5/8/2025, a new license will be sent to the facility by the following day, to be posted in the common area of the facility with other required documentation. An exit interview was conducted with Heather Sleuter, Administrator and a copy of this report, was provided to the facility. Page 4/4

visit_type: Prelicensing


summary: Facility Evaluation

raw_content:
Narrative:
On June 2, 2025 at approximately 9:40am Licensing Program Analyst (LPA) Tatyana Shulz made an announced inspection to the Crisis Nursery for the purpose of conducting a follow up inspection of the facility. LPA Shulz met with Administrator, Heather Sleuter, who granted LPA access. LPA conducted a walk through of the facility, no deficiencies were noted and the following required documents were posted and located in two prominent areas throughout the complex, the reception area and the client intake entrance. The documents posted are as follows: CCL Licenses Emergency Disaster Plan CCL Contact Information LIC 500 (Staff Information) Business License Personal Rights This report was created to document that the facility is in full compliance. Exit interview was conducted with the licensee and a copy of this report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On 8/05/2025 at 10:00AM Licensing Program Analyst (LPA) Tatyana Shulz made an unannounced visit with the purpose of conducting a post licensing inspection to the above facility. The Crisis Nursery facility serves a population of clients that are from 0-5 years of age, ambulatory only, with a capacity of 12 overnight. LPA met with Administrator, Heather Sleuter, and a walk through of the interior and exterior was completed. During this inspection the physical plant was as follows: The facility has 6 bedrooms designated for overnight clients and are fully stocked with clothing, required linens, storage areas and beds that are in good repair. Menu was present and posted, nonperishable foods one week and fresh perishable foods three days minimum. Dining area fully furnished to accommodate clients in placement. Soap and paper towels are provided and available to clients. There are 3 washers and 3 dryers available and in good repair. The staff office is maintained and locked. Medication are centrally stored, locked, and inaccessible. Temperature of the facility was between 68 degrees Fahrenheit and a maximum of 85 degrees Fahrenheit. There are working telephones located throughout the facility and are accessible to clients. Carbon monoxide detectors and smoke detectors are fully functional. There are 9 bathrooms in total, 4 adult and 5 children's bathrooms. All of them equipped with sinks, toilets, working water fixtures with a water temperature of 106 degrees Fahrenheit. The children's bathrooms all have tubs and sinks equipped with bathing infants. All children's bathrooms have mini toilets, mini sinks, and mini bathtubs and are in full compliance. Continue to 809-C The outside playground area is located in the center of the complex and is divided into two sections by a metal fence. The Preschool Playground section has a mini obstacle course, race car track, play structure, sandpit, storage cabinets, basketball hoop, and 3 mini picnic tables. On the Infant Playground section there is a play structure, a mini picnic table, a sandpit and games. All structures are fully secured to the ground and sit upon a patch of turf. There are water fountains disbursed throughout the playground areas with kid appropriate step stools. There are two cameras located in the playground area and there are 8 cameras around the outside of the facility and no cameras located inside. The water shut off valve and the electrical power shut off switch is located near the staff parking lot in the back of the facility. Heading towards the right of the facility is a storage shed with extra containers full of children's supplies (clothes, bottles, toys) and extra attic space for needed storage. The back of the property is surrounded by a metal fence separating the property from the next door residential complex, with a censored gate trigger and automatic locking gate. There is a pull up system for the fire department and the fire clearance was granted on 4/22/2025. There are a total of 6 fire extinguishers in working order throughout the facility with 4 fully stocked first aid kits. The facility is a one story property with no bodies of water on the premises. Trash cans located around the facility have lids and the facility is free of vermin. The following required documents were posted by the licensee in the common area, Emergency Disaster Plan, Personal Rights, Let-US-Know Flyer, and the License. The following domains were also reviewed during today's inspection, Physical Plant, Operations, Disaster Preparedness, Staffing, Client Records and Day Services. The facility is in full compliance an exit interview was conducted with Heather Sleuter, Administrator and a copy of this report, was provided to the facility.

met_with: Heather Sleuter- Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On May 12, 2026, Licensing Program Analyst (LPA) Tatyana Shulz arrived at the above facility to conduct a required annual inspection for the Crisis Nursery. LPA met with Heather Sleuter, Facility Administrator who granted LPA entry and performed a walk-through of the facility. The facility has 6 bedrooms designated for overnight clients and are fully stocked with clothing, required linens, storage areas and beds that are in good repair. LPA observed the kitchen/dining areas to be in compliance. The 6 fire extinguishers and 4 first aid supplies are fully stocked and charged. There are 9 bathrooms in total, 4 adult and 5 children's bathrooms. All of them equipped with sinks, toilets, working water fixtures with the water temperature set to 108 degrees Fahrenheit. In the middle of the complex sits the Playground section with two play structures. All structures are fully secured to the ground and sit upon a patch of turf. The facility is a one story property with no bodies of water on the premises. No deficiencies were noted in the physical plant inspection. The following required documents were posted by the licensee in the common area, Emergency Disaster Plan, Personal Rights, Let-US-Know Flyer, and the License. The following domains were also reviewed during today's inspection, Physical Plant, Operations, Disaster Preparedness, Staffing, Client Records and Day Services. LPA requested and reviewed five Client Files and five Staff files. The facility did not have any overnight clients during the time of the inspection. All client files were observed to be in compliance with regulations. A copy of this report and appeal rights were discussed and will be sent to Administrator, Heather Sleuter.


facility_name: BRIARWOOD HOME

summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Paul Simien made an unannounced visit to the above listed facility to inform them that a new complaint had been filed with Licensing and that LPA Simien was opening an investigation for the above listed allegations. LPA discussed this with Jovana McGraw, Back-up Administrator at AM on 4/18/25. Based on LPA's obseveration of trash overflow on the side of the facility the allegations are substaintiated. The preponderance of evidence standard has been met, therefore the above allegations, staff does not ensure outside premises is free of garbage is found to be SUBSTANTIATED. As a result of this visit, there is one General Licensing Standards violation ( Furniture, Fixtures, Equipment, and Supplies (f)). The facility will be cited (see 809-Ds for details). Appeal rights were discussed and provided. Exit interview was conducted and a copy of this report was provided to Jovana McGraw, Back-up Administrator. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Joel Segura LICENSING EVALUATOR NAME: Paul Simien 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 26-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN JOSE RO, N. First Street, Ste. FACILITY NAME: BRIARWOOD HOMEFACILITY NUMBER: 445390054

report_type: Complaint Investigation

met_with: Jovana McGraw, Back-up Administrator

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Paul Simien made an unannounced visit to the above listed facility to inform them of the findings for the above listed allegation. LPA met with Jovana McGraw, Back-up Administrator at AM on 4/18/25. Based on confidential interviews conducted it was determined that the allegation listed above is Unsubstantiated. LPA could not find evidence of staff not adequately supervising minor(s) in care. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. As a result of this visit, there were no title 22 deficiencies observed. Exit interview was conducted and a copy of this report was provided to Jovana McGraw, Back-up Administrator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Joel Segura LICENSING EVALUATOR NAME: Paul Simien 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

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On December 15, Licensing Program Analyst (LPA) Monica Pavia met with Chief Executive Officer, Heidi Morgan and Administrator, Evony Garcia, for a prelicensing inspection. LPA discussed the following: Forms that the facility uses and will continue to use. Corporate organization - Including chain of command and roles of staff Written plans, policies or procedures that was submitted with the application. Administrator/Director qualifications and duties. 1. Facility grounds inspected. Grounds are clean and free from observable hazard. The facility does not have a swimming pool or any bodies of water. Firearms are not allowed on facility premises. 2. Adequate indoor activity space and materials observed, and outdoor activity space was observed. 3. Chemicals were appropriately locked. 4. Procedures for locked and centrally stored medications observed. 6. Adequate storage space observed. 7. Individual beds in good repair observed. A supply of extra linens available for bed changes. 8. The house is one story and has 4 client bedrooms, single occupancy. Bedrooms are accommodating of all required furnishings. 9. Adequate food storage space observed. Facility will add appropriate supply of foods upon placement of youth in the home. A supply of nonperishable foods were observed on this date. 10. Sample menu posted. 11. All appropriate forms posted within client view. 12. Dining room equipped with large table and chairs accommodating of all clients. 13. Facility has 2.5 restrooms for client use, all are operable. 14. Hot water measured 120 degrees on this date. Applicant is associated through Guardian and has been fingerprint cleared. Prior to accepting placement's, all staff must be fingerprint cleared and associated to the facility. Discussed Guardian process with the facility. Discussed Incident reporting. An initial report for all reportable incidents is to be made by the next working day to cclcenca@dss.ca.gov. A full report is to be remitted within 7 days and may also be made to the incident reporting email. After licensure, you will receive a letter notifying you of your assigned LPA, from the San Jose office. The application will be given to Licensing Program Manager (LPM), Carolyn Flynn, for review and licensure. Once approved by LPM, license will be issued and sent to Heidi Morgan. Initial license will be issued on a provisional basis, expiring one year from effective date. License will be valid for up to 4 male and/or female youth ages 8 through 17, two (2) can be non-ambulatory. A copy of this report was provided to Heidi Morgan.

met_with: Heidi Morgan


summary: Facility Evaluation

raw_content:
Narrative:
On 9/20/24 at 10: AM, Licensing Program Analyst (LPA) Paul Simien conducted an announced visit to the above facility. The purpose of this visit was to conduct the required post licensing inspection. LPA met with Evony Garcia, Administrator, at the above facility to conduct the required post licensing inspection. LPA reviewed two client files, five staff files, and conducted the Physical Plant. At this time the inspection is not complete, LPA will return to complete the inspection. No deficiencies were cited at this time. LPA conducted an exit interview with Evony Garcia, Administrator.

met_with: Evony Garcia, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 9/23/24 at 10: AM, Licensing Program Analyst (LPA) Paul Simien conducted an announced visit to the above facility. The purpose of this visit was to conduct the required post licensing inspection. LPA met with Evony Garcia, Administrator, at the above facility to conduct the required annual inspection. LPA completed the staff, client, emergency interventions, operations, and disaster preparedness sections of the CARE tool. LPA interviewed three staff members. No clients were interviewed. One client declined and the other client at the facility is non-verbal. At this time, the inspection is complete. one technical violation was issued. LPA conducted an exit interview with Evony Garcia, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 2/19/25 at 10: AM, Licensing Program Analyst (LPA) Paul Simien conducted an unannounced visit to the above facility. The purpose of this visit was to conduct the required annual inspection. LPA attempted to enter the facility but no staff were present. LPA contacted Evony Garcia, Administrator (ADM), who informed him that all facility staff was currently at the facility's main office for training. LPA traveled to the main office and met with ADM, to conduct the annual inspection. LPA reviewed three client files. At this time the inspection is not complete, LPA will return to complete the inspection. No deficiencies were cited at this time. LPA conducted an exit interview with Evony Garcia, ADM.


summary: Facility Evaluation

raw_content:
Narrative:
On 2/20/25 at 9: AM, Licensing Program Analyst (LPA) Paul Simien conducted an unannounced visit to the above facility. The purpose of this visit was to conduct the required annual inspection. LPA met with Evony Garcia, Administrator, at the above facility to conduct the required annual inspection. LPA Completed the Plant Inspection and Operations sections of the CARE tools. LPA also reviewed, Disaster Preparedness, Emergency Intervention. LPA also review one Employee file. At this time the inspection is not complete, LPA will return to complete the inspection. No deficiencies were cited at this time. LPA conducted an exit interview with Evony Garcia, ADM.


summary: Facility Evaluation

raw_content:
Narrative:
On 2/21/25 at 9: AM, Licensing Program Analyst (LPA) Paul Simien conducted an unannounced visit to the above facility. The purpose of this visit was to conduct the required annual inspection. LPA met with Evony Garcia, Administrator, at the above facility to conduct the required annual inspection. LPA Completed the Disaster Preparedness, Emergency Intervention, staff and client sections of the CARE tool. LPA also reviewed four employee files and client MAR. LPA completed three staff interviews. LPA was unable to interview clients due to two being non-verbal and another declining to be interviewed. At this time the inspection is complete. No deficiencies were cited at this time. LPA conducted an exit interview with Evony Garcia, ADM.


facility_name: ENDLESS POSSIBILITIES SERVICES II

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
The LPA was unable to corroborate the allegation. There was no preponderance of the evidence to substantiate the allegation. So, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated. There are no deficiencies to be cited regarding this allegation. A copy of this complaint was emailed to the facility representative.

Investigation Findings:
On April 27, 2023 at 4:35 p.m., Licensing Program Analyst (LPA), Karen McGee, delivered the findings of a complaint investigation to the facility. The LPA met with the Lead Staff, David Lofty. On January 23, 2023, the Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegations. Confidential interviews were conducted that included, but were not limited to: the Administrator and two clients (see Confidential Names, LIC Ref. #1 dated April 27, 2023) at the facility on February 1, 2023. The LPA conducted a telephone interview with the County Social Worker (CSW) on April 25, 2023. The LPA reviewed the clients Individual Behavior Support Plans and Special Incident Reports. The investigation revealed statements that Ref. #2 attempts to go into Ref. #1's bedroom and attack Ref. #1 and punch #1. There were no disclosures that Ref. #2 threw a shoe at Ref. #1 and the staff did not intercede. Ref. #2 denied the allegation and denied getting into fights with Ref. #1. The investigation revealed that the clients do not share a bedroom. It revealed that staff are CPI trained and separate the children when they are having differences. It revealed that law enforcement is called when necessary. The CSW has no concerns about the facility at this time. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: ENDLESS POSSIBILITIES SERVICES IIFACILITY NUMBER: VISIT DATE: 04/27/2023

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

met_with: David Lofty


raw_content:
Narrative:
The Following Allegation was reported: 1. The staff are using an inappropriate form of punishment with minors in care. The Staff (S1, S2, and S3) denied the allegations, stating that all team members are trained in trauma-informed care and understand the importance of creating a safe and healthy environment within the group home. They explained that during behavioral incidents, staff utilize verbal redirection and provide positive reinforcement on a daily and weekly basis, implementing a point system where clients can earn points every forty-five minutes for demonstrating appropriate behavior. The Staff asserted that they have neither seen nor heard of any staff member denying clients water or using it as a form of punishment. Instead, they highlighted that staff actively encourage hydration, awarding clients points for each glass of water consumed, which can be exchanged daily or at the end of the week for various special privileges, including outings to their favorite restaurants. Furthermore, the account given by C2 corroborated the above information, indicating that they are receiving adequate support from the staff and feel safe residing in the facility. The statement obtained from CSW affirmed that they have no concerns regarding the care and supervision provided to their client, and their client has not reported any incidents of misconduct by the facility staff. Therefore, based on the information received, the above allegation(s) are determined to be unsubstantiated. Although the allegation(s) may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred, therefore, the allegation(s) are found to be unsubstantiated. Appeal Rights were provided and discussed with the STRTP Administrator. There are no deficiencies to be cited at this time. An exit interview was conducted, and a copy of the report along with the (LIC 811) was left with the Group Home Administrator Assistant.

Investigation Findings:
13On April 4, 2025, at 11: AM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection at the above group home and met with the Group Home Administrator Assistant Karina Lopez. The inspection aimed to deliver the findings regarding the complaint allegation(s). On November 11, 2024, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): The staff are using an inappropriate form of punishment with minors in care. Licensing Program Analyst (LPA) Moroney conducted an investigation into the previously mentioned allegation(s). This investigation encompassed a thorough examination of various records, including the children's needs and services plans, medical documentation, incident reports, restraint logs, and interviews with three staff members: S1 on November 15, 2024; S2, S3 on November 18, 2024; 1 of Clients C2 on November 18, 2024, ( No statement was obtained from C2 due to declining to be interviewed), and Kern County Social Worker (CSW) on December 17, 2024. (Refer to Confidential Names Form LIC 811, dated April 4, 2025.) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: ENDLESS POSSIBILITIES SERVICES IIFACILITY NUMBER: VISIT DATE: 04/04/2025

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

met_with: Karina Lopez


summary: Facility Evaluation

raw_content:
Narrative:
On 04/20/21 at 11: A.M, Licensing Program Analyst (LPA) Janeth Chavez conducted an announced Pre-licensing inspection and Component lll at the above facility address. This was a virtual inspection conducted via FaceTime. This facility will be an Enhanced Behavioral Support Home (EBSH) of Endless Possibilities Services Inc. LPA met Susana Rodriguez, who will be the Administrator for this facility. The Administrator provided a virtual tour to LPA of the facility. This is a one-story home that has 4 bedrooms and 4 bathrooms, laundry room and attached garage. Inside the home the following was observed: The staff schedule, Emergency Disaster Plan and Foster Youth Rights and facility menu was posted on the wall by the entrance area. The facility has a designated staff office located inside the home. There is a locking file cabinet, table and chair inside the staff office. There is a living room, dining and kitchen area. There were sofas and a TV in the living room and there were tables and chairs in the dining area. Each bedroom has one bed with beddings, linens, drawers and closet space for the clients' use. The first aid kit was observed to be new, complete and is in the kitchen area. The home has working telephones. There were working smoke/carbon monoxide detectors in the laundry room dining area, living room, hallway and in each bedroom. There were automatic sprinklers in the facility. The centralized heating and air were in working condition. All cleaning solutions were observed locked under the kitchen sink cabinet. All medication will be stored in a locked cabinet in the kitchen area. All client and facility files will be stored in a locked cabinet in the staff office. There is a refrigerator, stove, kitchen utensils, plates and dinnerware in the kitchen drawers. The facility is ready to accept clients after the facility is licensed. Prior to today's inspection the facility received fire clearance on 2/12/21. An exit interview was conducted, and a copy of the report was provided to the applicant.

met_with: Susana Rodriguez


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced case management inspection was conducted by Licensing Program Analyst (LPA) Janeth Chavez at the above-named facility on 02/15/2022 at 12: PM. LPA met and toured the facility with Susana Rodriguez, Administrator and Brianna Rodriguez, Assistant Administrator. There are no clients placed by Kern Regional Center in the facility. This facility is a single-story home and consists of the following: Four (4) bedrooms, 2 full bathrooms, two (2) half bathrooms, formal living room area, 2 family rooms, leisure room, dining room, kitchen, one (1) staff office, attached garage, laundry room, front yard, backyard and swimming pool. LPA observed an in-ground pool located in the backyard. The pool is enclosed by an iron fence that is 66-inches high and does not obscure the pool from view. There are two gates that swing away from the pool area that lock with a key. However, the gates do not have a self-latching or self-closing device. The facility will be installing the self-latching/self-closing device on the two gates and a pool cover. The administrator will have the self-latching/self-closing and pool cover by March 1, 2022. LPA will conduct another inspection once the corrections have been made. An exit interview was conducted, and a copy of this report was provided to Administrator, Susana Rodriguez.


summary: Facility Evaluation

raw_content:
Narrative:
A case management inspection was conducted by Licensing Program Analyst (LPA) Janeth Chavez at the above-named facility on 03/15/2022 at 12: PM. LPA met and toured the facility with Brianna Rodriguez, Assistant Administrator. There are no clients placed by Kern Regional Center in the facility. The purpose of this visit is to inspect that the corrections have been made to the in-ground pool area located in the backyard. LPA observed the pool enclosed by an iron fence. LPA observed and tested the two gates that swing away from the pool area. LPA observed and tested the self-latching and self-closing devices for the gates and are in working condition. The corrections have been made to the gates in the pool area. There are no deficiencies cited on today's date. An exit interview was conducted, and a copy of this report was provided to Administrator, Brianna Rodriguez.

met_with: Brianna Rodriguez


summary: Facility Evaluation

raw_content:
Narrative:
On 05/17/22 at 11: A.M, Licensing Program Analyst (LPA) Janeth Chavez conducted an unannounced Post - Licensing inspection to the facility. There are 2 staff present in the facility upon arrival. LPA toured the facility together with the Assistant Administrator. Currently, there is only one placement in the home. This facility is a single-story home and consists of the following: Four (4) bedrooms, 2 full bathrooms, two (2) half bathrooms, formal living room area, 2 family rooms, leisure room, dining room, kitchen, staff office, attached garage, laundry room, front yard, backyard and swimming pool. The in-ground pool area located in the backyard is enclosed by an iron fence. The swimming pool meets Title Regulations. The following was observed by LPA: Staff schedule, Emergency Disaster Plan and Foster Youth Rights and facility menu. Each bedroom has one bed with beddings, linens, drawers and closet space for the clients' use. The first aid kit was observed to be complete. There are working smoke/carbon monoxide detectors in the staff office, dining room, living room, 2 hallway, and one in each bedroom. There are automatic sprinklers in the facility. The water temperature was tested using a digital thermometer and registered 110 degrees Fahrenheit; within the temperature allowed by Title Regulations. The centralized heating and a/c are working. All cleaning solutions are locked in the drawer next to the kitchen sink and the knives are kept locked under the sink. All medications are kept locked in the kitchen bottom cabinet. The delayed egress doors were tested and working. LPA reviewed 2 staff and 1 client files. All the reviewed staff files have the training and Registered Behavioral Technician (RBT) certification required under Title Regulations. The first client was recently placed on 04/28/22. There were no deficiencies cited during the inspection. An exit interview was conducted and copy of the reports were provided to the administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On March 7, 2023 at 11: AM, Licensing Program Analyst (LPA) Janeth Chavez, conducted an annual inspection to the facility and met with Susana Rodriguez, Administrator. The facility is a one-story home with four bedrooms and four bathrooms, staff office and attached garage. Currently there are two clients placed in the facility. At the time of LPA's arrival, there was one client sleeping in the facility. During the inspection, the administrator provided to LPA the roster of clients, Personnel Report, Emergency Disaster Plan & Emergency Drill log. Physical Plant: LPA observed the following: the posted license, emergency disaster plan, personnel schedule, client personal rights, and grievance procedure. The disinfectants, cleaning solutions, sharp objects are locked and inaccessible to clients. The facility maintains supplies of non-perishable foods for at least a week and fresh perishable foods for at least two days. Each bedroom has a single bed in good repair with clean sheets, linens, drawer space, and closet space. There are extra linens, adequate towels and hygiene supplies available for each client. Only one client sleeps in each bedroom. No bedroom is used for other purposes other than a bedroom. The window screens are in good repair and free of dirt. There are lights in all the rooms and throughout the facility. The faucets used by clients deliver hot water (114 degrees Fahrenheit). All medications are stored in the blue file cabinet and are locked with a key. There is a working telephone for clients to use. The first aid kit was complete and readily available. There are working smoke/carbon monoxide detectors in the facility. The delayed egress doors are properly working. All indoor and outdoor passageways are unobstructed. This facility is a single-story home and consists of the following: Four (4) bedrooms, 2 full bathrooms, two (2) half bathrooms, formal living room area, 2 family rooms, leisure room, dining room, kitchen, one (1) staff office, attached garage, laundry room, front yard, backyard and swimming pool. LPA observed an in-ground pool located in the backyard. The pool is enclosed by an iron fence that is 66-inches high and does not obscure the pool from view. There are two gates that swing away from the pool area that lock with a key. The gates are self-latching. The pool meets state regulations. Staff Records At 01: PM, LPA reviewed three staff records. The staff records are available to LPA to inspect and audit upon request. All staff subject to criminal records review have been fingerprinted and cleared. There is documentation of the required education and experience requirements and training in the personnel file. Client Record At around 2:00pm, LPA reviewed two client records. All client records are available to LPA to audit and inspect upon request. The client records contain the required information including, but not limited to, consent forms, Individual Program Plan (IPP), medical assessment, safeguards for cash resources, personal property and valuables, personal rights forms, and medication administration records. During the time of inspection, LPA interviewed two staff and attempted to interview one client. There are no deficiencies cited during today's inspection. An exit interview was conducted and a copy of LIC 809, LIC 809C & LIC 811s were provided to the administrator.


summary: Facility Evaluation

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Narrative:
On January 24, 2025, at 11:30 a.m., Licensing Program Analyst (LPA) John Bonilla conducted an unannounced Annual/Required inspection at Endless Possibilities II, an Enhanced Behavioral Supports Home (EBSH). LPA met with Brianna Hendrick, Co-Administrator. During this inspection, a tour of the facility was conducted, and LPA reviewed the following domains in the Compliance And Regulation Enforcement (CARE) Tool: Physical Plant, Operational Requirements, Disaster Preparedness, and Emergency Intervention Plan. LPA also attempted to interview one (1) client. Physical Plant: The license is posted in a prominent, publicly accessible location in the facility. Disinfectants, cleaning solutions are locked under the kitchen sink and sharps are locked in the kitchen. Facility has non-perishable foods for at least one week and perishable foods for at least two days. Facility provides at least three(3) meals per day. Medications are centrally stored and locked in kitchen. All kitchen, food preparation, and storage areas are kept clean and free of rodents and other vermin. Facility has one or more carbon monoxide detectors in the facility. Facility provides basic laundry services. Room temperatures are maintained at 73 degrees F. The hot water temperature was within the required range. All toilets, hand washing and bathing facilities are maintained in safe and sanitary operating condition and meet the requirements. All clients have their own bedroom. All beds are in good repair; equipped with good springs and a clean mattress; and supplied with pillows which are clean and in good repair. Facility provides age-appropriate clothing items and hygiene products. Overall, facility is clean, safe sanitary and in good repair. Operational Requirements: Facility maintains a current, written plan of operation that meets licensing standards. Facility maintains a register of clients and the register is available upon request. Facility maintains and implements written complaint procedures. ... Disaster Preparedness Plan: Facility maintains a current, written disaster and mass casualty plan of action. Facility conducts disaster drill at least every month for each shift. The drills are documented, and the documentation is maintained in the facility for at least a year. Facility maintains an emergency and disaster plan, register of clients, Needs and Services Plan for each client, medication records, and contact information for each client's responsible party and physician. Emergency Intervention Plan: Facility maintains a monthly log of each use of manual restraints that contains all required information. The log is available for review by the Department upon request. LPA observed documentation of Emergency Intervention Training and on-going training. During today's inspection, the EBSH was issued two (2) type B deficiencies (see LIC809-D) and four (4) Advisory Notes/Technical Violations (see LIC9102TVs). An exit interview was conducted A signed copy of this report, LIC Confidential names list dated 01/24/25, LIC809-D, LIC9102TVs, and appeal rights were provided to Brianna Hendrick. A follow-up is required to complete inspection.

met_with: Brianna Hendrick, Co-Administrator


facility_name: GOGIAN HOUSE

summary: Facility Evaluation

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Narrative:
On August 19, 2025, at 9: AM, Licensing Program Analyst (LPA), Angelina Garibaldo conducted an announced pre-licensing inspection at Gogian House Enhanced Behavioral Support Home (EBSH). LPA met with licensee Mary Watson, Chief Executive Officer, David Bernstein and Administrator Annamaria Ramos toured the home. Physical Plant This facility is in a quiet residential community. The facility consists of bedrooms (4) bedrooms, (2) bathrooms, (1) half bathroom, kitchen, Living room, office, a 3-car garage, and a backyard. Overall, LPA observed the home back yard to be sanitary and in excellent condition. Passageways are free from obstruction. Facilities smoke and carbon monoxide were tested and in working order. Facility has delayed egress system installed on front and back yard gates. Fixtures, Furniture, Equipment, and Supplies The home has toilets and wash basins for clients' use. Client bedrooms were observed to be clean, orderly, and contained full beds and desks. LPA observed clean pillows, bed sheets and blankets. The client's bedroom has an adequate closet and drawer space to accommodate the client's clothing and personal belongings. Knives are kept in a locked drawer in the kitchen and cleaning supplies in a locked cabinet under the sink in the kitchen. Additional supplies, linens, emergency supplies and water are kept in locked cabinets in the garage. Heath Related Services and Record Keeping The medications will be stored in a locked cabinet off the dining room. First aid kits were available for review, one located in a medication station, and two located in the garage. Client files will be kept in locked cabinets in the hallway; staff files are maintained at the main facility headquarters. Prior to being licensed the following are still pending: Approval of the Plan of Operation by Disability Determination Services (DDS). Review of Plan Operation by Community Care Licensing (if revisions are made by DDS). Complication of Component 3. An exit interview was conducted, and a copy of this form was emailed to Mary Watson.

met_with: Mary Watson, David Bernstein-CEO, and Administrator Annamaria Ramos.


summary: Facility Evaluation

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Narrative:
A Component III meeting was conducted at the Monterey Park Children's Residential Regional Office. Licensing Program Analyst (LPA). Angelina Garibaldo met with Applicant, Mary Watson and Administrator, Anamaria Ramos and Back up Administrator,,Froilan Quintero. During the meeting continuing requirements for Group Homes were discussed. The purpose of Component III is to familiarize applicants with general Rules and Regulations, prepare the applicants on how to maintain and operate their facility, provide information to avoid potential problem areas, provide clear description of Licensing Program Analyst's (LPA) role in operation of facility, and provide clear description of Civil Penalties. LPA Garibaldo requested orientation documents to sign Component II and Component III. The document was signed and given to the applicant and placed in the application file. An exit interview was conducted and a copy of this report LIC809 and a copy of the Small Family Home (SFH) Component III handout was provided. *Prior to being licensed the following are still pending: Approval of the Plan of Operation by Disability Determination Services (DDS). Review of Plan Operation by Community Care Licensing (if revisions are made by DDS).

met_with: May Watson- Applicant and Anamaria Ramos- Administrator and Froilan Quintero


summary: Facility Evaluation

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Narrative:
On February 24, 2026, Licensing Program Analyst (LPA) conducted an unannounced inspection at Enhanced Behavioral Support home (EBSH) facility and met with the Administrator Anamaria Ramos. The purpose of the inspection was to conduct a post licensing visit. This EBSH is licensed to serve four (4) ambulatory children aged 12-17 with developmental disabilities, requiring enhanced behavioral support. LPA Garibaldo requested via e-mail prior to the inspection and reviewed a copy of an updated Personnel Report (LIC 500), The Register of Facility Clients LIC 9020, and LIC 610C. During the visit LPA requested and reviewed Board Meeting Minutes, Emergency Disaster Drill log, restraint log. LPA along with the facility staff conducted a tour of the facility. There is currently 1 (one) resident residing in the home. The following was observed during the inspection: Physical Plan This facility is a one story home located in a quiet residential community. The facility consists of bedrooms (4) bedrooms, (3) bathrooms, kitchen, Living room, office, a 3-car garage, and a backyard and an approved delayed egress system. Cont... Bedroom (1) one is occupied by resident (1) and other bedrooms are ready for future placement's and in compliance with all regulations. The facility. LPA observed the following on the first floor: Four (4) bedrooms, kitchen, dining room with table and 8 chairs, a wet bar area used as medication storage and distribution, 1 staff office, 3 bathrooms, living room with the TV and couches for residents to use, the backyard with table and chairs, and a 3-car garage. The Facility License is posted in plain view in the living room. The kitchen has counter with three stools, working fridge, stove, microwave, sink. LPA observed plenty of perishable and non-perishable foods. LPA also observed the menu posted on the wall in the kitchen. Menu was available for review. LPA observed, License posted, Emergency Disaster Plan, Persons with Disabilities Rights poster, and weekly and daily activities list posted in hall way. Temperature inside the facility was 68 degrees F. The following bedroom arrangements were noted: all bedrooms have one full bed, storage dresser, night stand, desk, closet and plenty of room for the clients to use. LPA observed 3 bathrooms at the facility with the working sink, shower and toilet. The facility is clean and sanitary and in good repair. LPA observed screens in good condition on all the windows. Operations The facility has an activity calendar hung in entryway, LPA Garibaldo was able to review board meeting minutes. Disaster Preparedness and Emergency Intervention The facility has the Emergency Disaster Plan posted at the facility with the phone numbers and e-mails. The facility was able to provide their emergency drill binder to include drills for fire and earthquake. LPA reviewed manual restraints log. Client files LPA reviewed one resident (1) file. LPA observed admission agreement, information for the medical and dental providers, medical and dental records, medication administration logs, copies of the IPPs, vaccination and TB test records. Staff files LPA reviewed 4 (four) staff files. LPA reviewed the criminal record clearances, and training LPA issued two Technical Assistance and three Technical Violations to the facility. No deficiencies issued at the time of inspection. The copy of this report and LIC 811 was given to the facility Administrator. An exit interview was conducted, and a signed copy of this report was provided to the facility representative along with LIC 809 report.

met_with: Anamaria Ramos -Administraor


facility_name: HEALTHY YOUTH AND FAMILIES HOME

raw_content:
Investigation Findings:
13On this date, Licensing Program Analyst (LPA) Leslie Inouye conducted a complaint inspection for the Group Home, Healthy Youth and Families Home for the purpose of delivering the findings for the above complaint allegation. LPA met with facility administrator Nicole Threatt. During the course of investigating the allegation, LPA conducted interviews with staff members and the child (#1), conducted a record review and obtained information. The interviews from staff were consistent that all allegations were denied. Client #2 when interviewed was inconsistent when asked about the allegations. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the above allegation occurred, therefore the above allegation is unsubstantiated UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lidia Tinoco LICENSING EVALUATOR NAME: Les Inouye LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Nicole Threatt


raw_content:
Investigation Findings:
13On this date, Licensing Program Analysts (LPAs) Lisa Slusher and Olivia Medrano conducted a complaint inspection for the Group Home, Healthy Youth and Families Home for the purpose of delivering the findings for the above complaint allegation. LPA met with facility administrator Nicole Threatt. During the course of investigating the allegation, LPA conducted interviews with staff members and others. LPAs were unable to locate client for interview, conducted a record review and obtained information. The interviews conducted revealed inconsistent information regarding the above allegation. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the above allegation occurred, therefore the above allegation is unsubstantiated UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Nicole Threatt Jasso


raw_content:
Investigation Findings:
13On this date, Licensing Program Analysts (LPAs) Lisa Slusher and Olivia Medrano conducted a complaint inspection for the Group Home, Healthy Youth and Families Home for the purpose of delivering the findings for the above complaint allegation. LPA met with facility administrator Nicole Threatt. During the course of investigating the allegation, LPA conducted interviews with staff members, client and others. LPAs conducted a record review and obtd information. The interviews conducted revealed inconsistent information regarding the above allegation. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the above allegation occurred, therefore the above allegation is unsubstantiated UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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


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Investigation Findings:
13On September 3, 2025, Licensing Program Analyst (LPA), Olivia Medrano traveled to Healthy Youth and Families GH located in Fresno, CA to conduct an unannounced complaint inspection and met with Jazmin Serna Mares, DSP. The purpose of the inspection was to deliver the finding for the above complaint allegation. The Department has investigated the complaint alleging staff inappropriately restrained minor resulting in injury. During the course of the investigation, LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. It was determined that although the allegation may have happened, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to the GH at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Olivia Medrano LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Jazmin Serna Mares


summary: Facility Evaluation

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Narrative:
On the date above Licensing Program Analyst (LPA) Les Inouye and Licensing Program Manager (LPM) Lou Bartolome arrived at the facility for a Pre Physical Plant Inspection and we were met by Allen Azizian, Nicole Treatt and Aaron Olsen. The interior and exterior facility was toured. These issues are identified as to be updated/corrected prior to the Pre licensing inspection scheduled on Monday, January 29, 2024. Interior: 1)Captains bed box spring exception 2) Camera Exception 3) Personal Rights Signage 4) non perishable food items Exterior: 1) locks to secure gates and storage sheds A. chain link gate fence back side B. Chain link gate next to garage C. 2 storage containers D. storage shed north side of property E. gate on north side of property F. secure electrical panels on north side of house 2) common fence between facility and property south side. LPA will contact Licensee for any additional instructions or technical assistance.

met_with: Allen Azizian


summary: Facility Evaluation

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Narrative:
On the above date, Licensing Program Analyst (LPA) Les Inouye travelled to the facility listed above to conduct a prelicensing inspection. The application, Plan of Operation and Program Statement have been reviewed. Corrections were requested from the licensee. 1. Facility Grounds are clean and free of debris or observable hazard. 2. Adequate indoor and outdoor activity space and materials observed. 3. Chemicals appropriately locked. 4. Locked and centrally stored medications observed. 5. First aid kit complete with appropriate manual observed. 6. Adequate storage space observed. 7. Individual beds in good repair observed, equipped with good springs, clean mattresses and pillows observed. Individual beds were observed with appropriate clean linens in good repair. Adequate supply of additional bedding and linens observed. a. An Exception for box springs has been submitted 8. The house has 4 bedrooms, single occupancy located on a single level. Bedrooms are accommodating of all required furnishings. 9. Adequate food storage space observed. Supply of two days of perishable foods and a week of nonperishable foods to be in place prior to accepting clients. 10. Weekly menu to be posted and accessible to clients. 11. Dining room equipped with large table and chairs accommodating of all clients. 12. Facility has 2 full bathrooms in the house for client use, both are operable. 13. Appropriate forms to be posted in view of facility clients. 14. Facility has no pool, but a water splash area which water empties completely with no standing water when not in use. 15. No firearms or weapons are allowed in the facility. 16. Security cameras were observed in the common areas and an observation monitor was in the nurse's station. Cameras were not operational and licensee confirmed the system will not be operational until approved by the department. a. A waiver has been submitted to the department and is under review. CARES inspection tool has been completed for pre licensing. Hot Water measured between 105-120 degrees. Fire inspection was completed on 1/17/24. The following issues were noted: Technical Assistance violations shall be corrected prior to placement and licensure.

met_with: Allen Azizian and Nicole Threatt


summary: Facility Evaluation

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Narrative:
On this date, Licensing Program Analysts (LPAs) Olivia Medrano and Lisa Slusher conducted an annual required inspection at the Healthy Youth and Families Group Home and met with Administrator, Nicole Treatt-Jasso and Executive Director, Natalie Santellano. LPA's conducted a physical plant inspection and included the following checks. Adequate indoor and outdoor activity space and materials observed. Smoke detectors and carbon monoxide detectors were observed, fire extinguisher is properly serviced. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed with clean linens and in good repair. There are currently no clients in placement. LPAs reviewed 4 staff files, buildings and grounds, automatic fire sprinklers, splash pad, nursing station, and a vehicle inspection. LPA requests the following updated forms/items: LIC 500 (Personnel Report) and LIC 9020 (client roster) to be submitted when the facility has clients in care. LPA's Discussed process for permanent license and the conditions under which a provisional license may be extended. The provisional license for this facility expires on 1/30/25. A determination will be made prior to that date regarding permanent license. No deficiencies observed or cited on this date. Due to computer issues, this report was provided via email to Nicole Treatt-Jasso.

met_with: Nicole Treatt-Jasso and Natalie Santellano


summary: Facility Evaluation

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Narrative:
On November 18, 2024, Licensing Program Analyst (LPAs) Lisa Slusher and Olivia Medrano conducted an unannounced post-licensing inspection at the Healthy Youth and Families Home located in Fresno CA. LPAs were met at the facility by Nicole Threatt-Jasso, Administrator and Natalie Santellano, Assistant. Staff person Stephanie Medrano was also present at the facility. The facility does not have any youth placed at the home but expects a youth next week on 11/25/24. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at a comfortable temperature. All facility smoke detectors are in appropriate working order, carbon monoxide detector observed, fire extinguisher is properly charged and serviced in 2024. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. Facility has a delayed egress system, which appears to be functioning appropriately. No firearms or weapons are observed in the facility. LPA reviewed 3 personnel files on this date. LPA interviewed 3 staff persons. LPA discussed the medication logs, all required forms, intake process, needs and services plan with updates, and disaster preparedness plan and emergency intervention plan. A copy of this report was left at the facility at the conclusion of today's inspection. LPA requests an updated LIC 500 and 9020 when a client is placed at the facility. LPA discussed the pending Waiver request for cameras in line with PIN (Provider information notice) 24-09-CRP and PIN 24-11 and 23-11 for the utilization of Naloxone as well as a distribution program.

met_with: Nicole Threatt-Jasso, Natalie Santellano


summary: Facility Evaluation - 1 deficiency

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Narrative:
On May 5, 2026, Licensing Program Analyst (LPA) Olivia Medrano traveled to Healthy Youth and Families GH located in Fresno, CA, to conduct an unannounced Case Management inspection at the facility and met with Julia Sanchez, Administrator. The purpose of the inspection was to discuss an Incident Report (SIR) submitted to the department on March 5, 2026. The incident report indicated that there was a medication error. The Administrator provided additional training for the staff involved in the incident. A deficiency is being issued at this time. The facility is cited for CCR Health Related Services (See attached LIC809-D). An exit interview was conducted and a copy of this report and appeal rights were left with Julia Sanchez at the conclusion of the inspection.

Deficiencies:
80075: (B)Once ordered by the physician the medication is given according to the physician's directions.

met_with: Julia Sanchez

title:
Health Related Services		(b) Clients shall be assisted as needed with self-administration of prescription ...
(5) ... facility staff designated by the licensee shall be permitted to assist the client with self-administration, providing all of the following requirements are met


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On May 5, 2026, Licensing Program Analyst (LPA) Olivia Medrano traveled to Healthy Youth and Families GH located in Fresno, CA, to conduct an unannounced Case Management inspection at the facility and met with Julia Sanchez, Administrator. While conducting a physical plant inspection on March 16, 2026, LPA observed the facility to not have an adequate supply of food at the facility. While at the facility, LPA observed staff place a grocery delivery order to be delivered later that evening. A deficiency is being issued at this time. The facility is cited for CCR Food Services (See attached LIC809-D). An exit interview was conducted and a copy of this report and appeal rights were left with Julia Sanchez at the conclusion of the inspection.

Deficiencies:
80076: (1) ...  nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days shall be maintained on the premises.

title:
Food Services
(c)The licensee shall meet the following food supply ... requirements


raw_content:
Investigation Findings:
13On May 5 2026, Licensing Program Analyst (LPA), Olivia Medrano traveled to Healthy Youth and Families GH located in Fresno, CA to conduct an unannounced complaint inspection and met with Julia Sanchez, Administrator. The purpose of the inspection was to deliver the finding for the above complaint allegations. The Department has investigated the complaint alleging Staff are inappropriately transporting minors, Staff have inadequate record keeping for the clients, Staff are mishandling the minors medications, Staff are not properly trained, and Staff are operating out of ratio. During the course of the investigation, LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. It was determined that although the allegations may have happened, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation are unsubstantiated. An exit interview was conducted and a copy of this report and appeal rights were provided to the GH at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Olivia Medrano 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