summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On November 3, 2021, at 10: AM, Licensing Program Analysts (LPA) Jesus Cervantes and Sarah Alvizo made an unannounced annual inspection of the facility. This inspection also serves as a Post Licensing Inspection for the facility. LPAs met with Residential Supervisor, Nathan Castillo. The facility was inspected inside and out with Residential Supervisor, Nathan Castillo. The facility is a two-story residence with three client bedrooms, three staff offices, one recreational room, one classroom, and five bathrooms. The property also has a staff/family therapy office located in the backyard of the facility. The facility provides awake night staff. The facility is operating with the capacity of six clients and there are six clients in care. A physical plant inspection was completed and included the following checks: There are no guns or weapons in the facility as stated by Residential Supervisor, Nathan Castillo. Facility grounds are clean and free of debris. There is adequate indoor and outdoor activity space. Sports equipment/toys/books/games were observed for children's recreation time. All facility smoke detectors and carbon monoxide detectors were tested and observed to be in working order; fire extinguisher is properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods to prepare the items on the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and the Emergency Disaster Plan was posted. Sharp knives were inaccessible and stored in a locked drawer in the kitchen. All hazardous items were not made inaccessible to areas where residents do not have access. Cleansers/chemicals were to be stored in a locked cabinet in the kitchen. At 11: AM, LPA observed two 22 fluid ounce bottles of disinfecting spray in an unlocked kitchen cabinet under the microwave which was accessible to clients. This poses an immediate health, safety, or personal rights risk to the residents in care, the facility will be cited. The facility immediately secured the disinfecting spray and secured them in a locked cabinet. See Page Two Client medications and the first aid kit were locked in the medication room located under the staircase. Medication room has a locking door and a locking medication cabinet and refrigerator within the room. Medication logs are kept electronically. At 11: AM, Residential Supervisor, Nathan Castillo stated that the facility did not have a current edition of a first aid manual approved by the American Red Cross, the American Medical Association or a state or federal health agency. This poses a potential health, safety, or personal rights risk to the residents in care, the facility will be cited. Individual client beds were observed with clean linens, pillows, comforters, and mattresses in good repair. All three bedrooms contain two twin beds. The facility has two full client bathrooms and one-half client bathroom. The water temperature in the half client bathroom was tested at 12: PM and registered at 107.9 degrees Fahrenheit which is within the appropriate range of 105 degrees to 120 degrees Fahrenheit. The property contains a pool in the backyard which is fenced by a five-foot tall fence which does not obscure the pool from view. The pool has an entrance gate that swings away from the pool, it self-closes and has a self-latching locking device located no more than six inches from the top of the gate. The pool was covered by a safety net. Based on this inspection, the facility is not in compliance. The facility is being cited for Title 22, Division Six, Regulation 80087(g), Disinfectants, cleaning solutions, poisons, firearms and other items that could pose a danger if readily available to clients shall be stored where inaccessible to clients. This poses an immediate health, safety, or personal rights risk to the residents in care. The facility is also being cited for Title 22, Division Six, Regulation 80075(g)(1)(A), If the facility has no medical unit on the grounds...A current edition of a first aid manual approved by the American Red Cross, the American Medical Association or a state or federal health agency. Due to time constraints, LPA will return to the facility to conduct a continuation of staff and client file reviews. Exit interview was conducted and a copy of this report, along with Appeal Rights was provided to Residential Supervisor, Nathan Castillo.

Deficiencies:
80087(g): Deficient Practice Statement
1
2
3
4Based on observation, the licensee did not comply with the section cited above when LPA observed two 22 fluid ounce bottles of disinfecting spray in an unlocked kitchen cabinet under the microwave which was accessible to clients. which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 11/04/2021
Plan of Correction
1
2
3
4

met_with: Nathan Castillo

title:
Buildings and Grounds

(g) Disinfectants, cleaning solutions, poisons, firearms and other items that could pose a danger if readily available to clients shall be stored where inaccessible to clients.

This requirement is not met as evidenced by


state: CA

facility_name: NEWPORT ACADEMY - HIGHCLIFF

summary: Facility Evaluation

raw_content:
Narrative:
On November 04, 2021, at 9: AM, Licensing Program Analysts (LPA) Jesus Cervantes and Sarah Alvizo continued the unannounced annual inspection, which was started on November 03, 2021. LPAs met with Residential Supervisor, Nathan Castillo. All the client files are stored and maintained via an electronic database. At 9: AM, LPAs began to review a sample of six of six client files during the time of inspection with Residential Supervisor, Nathan Castillo. All files did not contain the necessary documents per Title Regulations. LPA observed three of six client files did not have immunization records. Per California Code of Regulations, Title 22, Section 84070(b) The following information regarding the child shall be obtained and maintained in the child's record: (5) Dental and medical history, if available, including immunization records; and physician's orders for any medically necessary diet as specified in Section 80076(a)(6). A technical violation will be issued. Due to the need to conduct client/staff interviews, and continue staff file reviews, this inspection will need to be continued at a later date. An exit interview was conducted, and a copy of this report was provided to Residential Supervisor, Nathan Castillo.

report_type: Facility Evaluation

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On November 5, 2021 at 9:24am, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual Continuation inspection for the annual that began on 11/03/2021. LPA met with Program Manager Ellen Asquith. All the staff files are stored and secured at a different facility location (#306090011). Staff records are also accessible electronically via a secured records portal. LPA reviewed 10 staff files. All the staff have met the training and qualification requirements per regulation requirements. Per a review of the Community Care Licensing Information System (LIS), all staff met DOJ/FBI criminal record clearances and Child Abuse Index Check requirements. During the inspection, two clients were interviewed. Four clients declined to be interviewed. Due to the need to complete staff interviews, this inspection will need to be continued at later date. Based on the facility inspection, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Program Manager Ellen Asquith. Due to printer malfunction, this report will be emailed to Program Manager Ellen Asquith.

met_with: Ellen Asquith


summary: Facility Evaluation

raw_content:
Narrative:
On November 10, 2021 at 2:22pm, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual Continuation inspection for the annual that began on 11/03/2021. LPA met with Residential Supervisor Nathan Castillo. During the inspection, four facility staff were interviewed. Due to the need to complete staff interviews, this inspection will need to be continued at a later date. Based on the facility inspection, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained and provided to Residential Supervisor Nathan Castillo.


summary: Facility Evaluation

raw_content:
Narrative:
On December 8, 2022 at 11:34am, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct a Required Two Year Annual inspection of the facility. The facility was inspected inside and out with Program Manager Ellen Asquith. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in one of the client bathrooms was measured at 114.2 degrees, which is within regulatory requirements. All hazardous items have been properly made inaccessible. The medications were stored and locked in a medication room in the living room area. Cleansers/chemicals are locked and stored in locked cabinets in the kitchen. Sharp knives are inaccessible and stored in the locked staff office. The First Aid Kit is located in the medication room and contained all required supplies. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There are no guns or weapons in the facility as stated by Program Manager Ellen Asquith. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures, Personal Rights, Visitation policies, Emergency Disaster Plan and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. There is a swimming pool located in the backyard of the facility which is made inaccessible with a pool cover and a gate that is five tall and self-latching. Emergency exits were free from obstruction. LPA reviewed five client files during the inspection. All client files had the required documents per Title Regulations. All client files are maintained on a secured internet database. Due to time constraints and the need to complete client/staff interviews, and staff file reviews, this inspection will need to be continued at a later date. Cont. on 809-C Based on the facility inspection, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Program Manager Ellen Asquith. Due to printer malfunction, this report will be emailed to Program Manager Ellen Asquith.

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On December 15, 2022 at 10:14am, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual Continuation inspection of the Required Two Year Annual inspection that began on 12/08/2022. LPA met with Residential Supervisor Nathan Castillo, Lead Care Coordinator Michael Bautista, and Human Resources Manager Wendy Cabrera. During the inspection, LPA reviewed five staff files. LPA also conducted interviews with two staff and two clients. All the staff records are accessible electronically via a secured records portal. LPA reviewed 5 staff files. All the staff have met the training and qualification requirements per regulation requirements. Per a review of the Community Care Licensing Information System (LIS), all staff met DOJ/FBI criminal record clearances and Child Abuse Index Check requirements. LPA discussed and reviewed the following inspection components; Operational Requirements, Emergency Disaster Preparedness, and the Emergency Intervention Plan. Based on the facility inspection, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Lead Care Coordinator Michael Bautista. Due to printer malfunction, this report will be emailed to Lead Care Coordinator Michael Bautista, and Residential Supervisor Nathan Castillo.


summary: Facility Evaluation

raw_content:
Narrative:
On July 3, 2024, at 11: AM, Licensing Program Analyst (LPA) Jacqueline Garcia conducted an unannounced inspection at the facility and met with Daniel Brito, Residential Supervisor regarding an incident that occurred on June 27, 2024. The incident involved Staff (S1) restraining a Client (C1), see Confidential Names form (LIC 811) dated July 3, 2024. LPA Garcia conducted interviews with two Clients (C2, C3). LPA reviewed S1 facility file and obtained records for S1. LPA conducted an investigation to see if all proper protocol was taken during the incident to ensure C1's safety while conducting a restraint. Due to further review the investigation is being extended. An exit interview was conducted with Daniel Brito, Residential Supervisor. A copy of this report and LIC 811 were provided to Daniel Brito, Residential Supervisor.

met_with: Daniel Brito-Residential Supervisor


facility_name: NEWPORT ACADEMY - MORADA

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Based on confidential interviews, and records reviewed, the allegation that staff did not prevent C1 and C2 from engaging in sexual contact is unsubstantiated. Meaning, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted and a copy of this report, along with the appeal rights were explained to Residential Supervisor Tiffany Norris. Due to printer malfunction, this report will be emailed to Residential Supervisor Tiffany Norris.

Investigation Findings:
13On February 14, 2023, at 2:14pm, Licensing Program Analyst (LPA) Adrian Mendez made an unannounced inspection to the facility and met with Residential Supervisor Tiffany Norris of Newport Academy-Morada to discuss the investigative findings for the allegation noted above. LPA conducted an inspection with the facility on October 13, 2022, at 9:46am. No deficiencies were noted. During the investigation, LPA interviewed three facility staff (S1, S2, S3), and four children (C1, C2, C3, C4). LPA also reviewed the facility staff's shift notes. On October 5, 2022, the Department received an allegation that staff did not prevent minors from engaging in sexual contact. It was reported that C1 and C2 were found in bed together. Based on confidential interviews, it was revealed that staff conduct bedroom checks every 15 minutes. Other confidential interviews revealed that staff conduct bedroom checks every 30 minutes to an hour. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Adrian Mendez 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 22-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, THE CITY DR., SUITE FACILITY NAME: NEWPORT ACADEMY - MORADAFACILITY NUMBER: VISIT DATE: 02/14/2023

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

report_type: Complaint Investigation

met_with: Tiffany Norris

complaint_status: unsubstantiated


raw_content:
Narrative:
Specifically, it was stated that S3 & S4 became upset and made statements towards C1 and C2 such as "C2 came from the suburbs and to shut the fuck up". Confidential interviews denied S3 and S4 speaking to clients inappropriately and further denied that staff do not treat clients with dignity and respect. During the investigation, there was no corroborating evidence to support the allegations. In addition, C1, C2, and S4 was not able to be interviewed. Based on confidential interviews and records reviewed regarding the allegations that S3 and S4 spoke inappropriately to minors in care and that staff do not treat clients with dignity and respect, which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Administrator, Monica Garcia.

Investigation Findings:
13On March 6, 2025 at 8: AM, Licensing Program Analyst (LPA) Jacqueline Garcia arrived unannounced at the facility and met with Administrator, Monica Garcia, to discuss the investigative findings for the allegations noted above. On 08/29/ LPA conducted an inspection of the facility, and no deficiencies were noted. LPA interviewed three Clients (C3-C5), attempted to interview two clients (C1-C2), however after several attempts LPA did not receive a response, and three Staff (S1-S3) and attempted to interview one Staff (S4), however after several attempts LPA was unsuccessful to make contact. During the investigation, LPA reviewed facility client file's for C1 and C2. On 08/20/24, Community Care Licensing (CCL) received allegations staff inappropriately spoke to minor and staff does not treat client with dignity and respect. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Jacqueline Garcia 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 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: NEWPORT ACADEMY - MORADAFACILITY NUMBER: VISIT DATE: 03/06/2025

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

met_with: Monica Garcia-Administrator


raw_content:
Narrative:
****PAGE Based on confidential interviews and records reviewed, the preponderance of evidence standard has been met regarding the allegation that staff did not prevent C1 from accessing a knife while in care is found to be substantiated. The preponderance of evidence standard has been met. The facility is cited for violation of the California Code of Regulations, Title 22, 80087 (g)(1) Buildings and Grounds. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Amanda Seymour. *****Page Continued. Confidential interviews and documents reviewed revealed the facility provides staff with client's information through shift reports and assessments. However, clients that left the facility without permission were unable to be interviewed to confirm that staff used emergency interventions to prevent clients from leaving the facility. Based on confidential interviews, the allegation that staff did not utilize the emergency intervention plan to prevent minors from AWOLING, may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Amanda Seymour.

Investigation Findings:
13On March 28, 2025, at 3:00 p.m. Licensing Program Analyst (LPA) Jacqueline Garcia arrived to the facility and met with Residential Director, Amanda Seymour, to discuss the investigative findings for the allegation noted above. On 09/16/ LPA conducted an inspection of the facility, and no deficiencies were noted. LPA interviewed two clients (C1, C4), three staff (S1-S3), and attempted to interview two client (C2, C3) and one staff (S4) however was not able to reach them for interview. During the investigation, LPA reviewed facility client files, incident reports and program statement. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Jacqueline Garcia 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 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: NEWPORT ACADEMY - MORADAFACILITY NUMBER: VISIT DATE: 03/28/2025

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

met_with: Amanda Seymour-Residential Director


summary: Facility Evaluation

raw_content:
Narrative:
On June 29, 2021, at 2:39PM Licensing Program Analysts (LPA's) Adrian Mendez and Jesus Cervantes conducted an unannounced annual continuation inspection from June 29, 2021. LPA met with Program Manager Claudia Jaimes. Employee files were not located at the facility and required employee files to be reviewed at Newport Academy-Sundance located at E. Sundance Circle, Orange, CA 92869. Five personnel files were reviewed to ensure they contained all required documentation per Title Regulations. Personnel Files are maintained off-site in the Human Resource office. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. No deficiencies were noted during time of inspection. Based on file reviews this date, there are no deficiencies found at this time. A copy of this report was reviewed and given to Program Manager Claudia Jaimes.

met_with: Claudia Jaimes


summary: Facility Evaluation

raw_content:
Narrative:
On June 29, 2021 at 9:30am, Licensing Program Analysts (LPA's) Adrian Mendez and Jesus Cervantes arrived unannounced at the facility to conduct a Post-Licensing Annual inspection of the facility. The facility was inspected inside and out with Program Director Amanda Seymour, and Program Manager Ellen Asquith. The home is a one story residence with three bedrooms, three staff offices, two family therapy rooms, living room, one individual therapy office, a movie theater, one counselor's office, two classrooms, and nine bathrooms. The property also has a guest house located in the backyard of the facility which is used as a classroom. The client bedrooms are set up as follows: Bedroom #1; two twin beds, all required linen, mattresses in good condition. Bedroom #2; two twin beds, all required linen, mattresses in good condition. Bedroom #3; two twin beds, all required linen, mattresses in good condition. All bedrooms contained adequate shelf and closet space for resident's belongings. The staff offices contained office supplies, staff schedule and emergency and disaster plan that was posted. Medications and the first aid kit were locked in the medication room inside the hallway. Medication room has a locking door and a locking medication cabinet and refrigerator within the room. Medication logs are maintained electronically and had no discrepancies. The bathrooms were clean and in good repair. Water temperature in the kitchen sink of the property was measured at 11:33am and read at 108.3 degrees. The property contains a pool and an adjoining spa in the backyard which is fenced and covered. The fence and gate around the pool is five feet tall, and is self latching. Cont. on 809-C All hazardous items were made inaccessible to areas where residents do not have access. Cleansers/chemicals were stored in a locked cabinet in the garage, and a locked cabinet in the laundry room. Sharp knives were inaccessible and stored in a locked drawer in the kitchen. LPA's observed a sufficient supply of 7-day non-perishable food for six residents and a sufficient supply of 2-day perishable food. There was a variety of snacks available for residents as well. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There were no guns or weapons in the facility as stated by Program Director. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Visitation policies, Disaster Plan, Employee Schedule and current menu. A sample of five client files were reviewed during the inspection. A review of administrative records indicate that the facility has paid their current licensing fees. Due to time restraints and facility staff files being maintained at an off site location, LPA will review facility staff files at a later time. Based on the facility inspection and file reviews this date, there are no deficiencies found at this time. A copy of this report was reviewed and given to Program Director Amanda Seymour.

met_with: Amanda Seymour


summary: Facility Evaluation

raw_content:
Narrative:
On March 27, 2023 at 2:54pm, Licensing Program Analysts (LPA's) Adrian Mendez, and Eduardo Barragan arrived unannounced at the facility to conduct a Random Annual inspection of the facility. LPA's met with Residential Supervisor Tiffany Norris. The facility was inspected inside and out with Residential Supervisor Tiffany Norris. LPA's began the annual inspection by touring the facility. Client bedrooms were inspected. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. LPA's observed all clients were receiving appropriate bedding and linen. Cleansers/chemicals are locked and stored in locked cabinets in the laundry room and in a locked cabinet in the garage. Sharp knives are inaccessible and stored in a locked drawer in the kitchen. The facility outside grounds was also inspected and it was observed to be clean and well maintained. There is a swimming pool located in the backyard of the facility which is made inaccessible with a pool cover, and a gate that is five feet tall and self-latching. Emergency exits were free from obstruction. Due to time constraints and the need to complete the physical plant inspection, client/staff file reviews, and client/staff interviews, this inspection will need to be continued at a later date. Based on the facility inspection, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Residential Supervisor Tiffany Norris. Due to printer malfunction, this report will be emailed to Residential Supervisor Tiffany Norris.


summary: Facility Evaluation

raw_content:
Narrative:
On March 29, 2023 at 1:09pm, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual Continuation inspection of the Random Annual inspection that began on 03/27/2023. LPA met with Residential Supervisor Tiffany Norris and resumed the physical plant inspection. The hot water in one of the client bathrooms was measured at 113.1 degrees, which is within regulatory requirements. The medications were stored and locked in the medication room. The First Aid Kit is located in the medication room and contained all required supplies. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures, Personal Rights, Visitation policies, Emergency Disaster Plan and current menu. LPA reviewed five client files during the inspection. All client files had the required documents per Title Regulations. All client files are maintained on a secured internet database. Due to time constraints and the need to complete staff file reviews, and client/staff interviews, this inspection will need to be continued at a later date. Based on the facility inspection, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Residential Supervisor Tiffany Norris. Due to printer malfunction, this report will be emailed to Residential Supervisor Tiffany Norris.


summary: Facility Evaluation

raw_content:
Narrative:
On March 30, 2023 at 9:17am, Licensing Program Analysts (LPA's) Adrian Mendez, and Eduardo Barragan arrived unannounced at the facility to conduct an Annual Continuation inspection of the Random Annual inspection that began on 03/27/2023. LPA's met with Residential Supervisor Tiffany Norris. During the inspection, interviews were conducted with two staff, and four clients. Due to time constraints and the need to complete staff file reviews, this inspection will need to be continued at a later date. LPA discussed and reviewed the following inspection components; Operational Requirements, Emergency Disaster Preparedness, and the Emergency Intervention Plan. Based on the facility inspection, and client and staff interviews, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Residential Supervisor Tiffany Norris. Due to printer malfunction, this report will be emailed to Residential Supervisor Tiffany Norris.


facility_name: NEWPORT ACADEMY - PALM HILLS

summary: Facility Evaluation

raw_content:
Narrative:
On November 2, 2021 at 10:01am, Licensing Program Analysts (LPA's) Adrian Mendez and Sarah Alvizo arrived unannounced at the facility to conduct a Post-Licensing/Required Annual inspection of the facility. The facility was inspected inside and out with Program Manager Claudia Jaimes. The home is a two story residence with five staff offices, one recreational room, one classroom, and seven bathrooms. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in the client bathroom was measured at 116.6 degrees, which is within regulatory requirements. All hazardous items have been properly made inaccessible to areas where clients will not have access. The medications were stored and locked in a cabinet in the medication room at the end of the hallway. Cleansers/chemicals are locked and stored in a cabinet in the kitchen. Sharp knives are inaccessible and stored in a locked cabinet in the kitchen. The First Aid Kit is located in the medication room and contained all required supplies. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There are no guns or weapons in the facility as stated by Program Manager. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures, Personal Rights, Visitation policies, Emergency Disaster Plan and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. Due to the need to complete staff/client interviews and staff/client file reviews, this inspection will need to be continued at later date. LPA discussed and reviewed the following inspection components; Operations, and Emergency Disaster Preparedness. Based on the facility inspection, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Program Manager Claudia Jaimes. Due to printer malfunction, this report will be emailed to Program Manager Claudia Jaimes.


summary: Facility Evaluation

raw_content:
Narrative:
On November 3, 2021 at 11:11am, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual Continuation inspection for the annual that began on 11/02/2021. All the client files are stored and maintained in a secured online database. A sample of five client files were reviewed during the inspection. All client files had the required documents per Title Regulations. All the staff files are stored and secured at a different facility location (#306090011). Staff records are also accessible electronically via a secured records portal. LPA reviewed eight staff files. All the staff have met the training and qualification requirements per regulation requirements. Per a review of the Community Care Licensing Information System (LIS), all staff met DOJ/FBI criminal record clearances and Child Abuse Index Check requirements. Due to the need to complete staff/client interviews, this inspection will need to be continued at later date. LPA discussed and reviewed the following inspection components; Emergency Intervention Plan. Based on the facility inspection, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Program Manager Claudia Jaimes. Due to printer malfunction, this report will be emailed to Program Manager Claudia Jaimes.


summary: Facility Evaluation

raw_content:
Narrative:
On November 5, 2021 at 1:39pm, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual Continuation inspection for the annual that began on 11/02/2021. LPA met with Program Manager Claudia Jaimes. During the inspection, one client was interviewed. One client declined to be interviewed. Due to the need to complete staff interviews, this inspection will need to be continued at later date. Based on the facility inspection, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Program Manager Claudia Jaimes. Due to printer malfunction, this report will be emailed to Program Manager Claudia Jaimes.


summary: Facility Evaluation

raw_content:
Narrative:
On April 12, 2023 at 9:46am, Licensing Program Analysts (LPA's) Adrian Mendez, and Eduardo Barragan arrived unannounced at the facility to conduct a Random Annual inspection of the facility. LPA's met with Residential Supervisor Courtney Garcia. The facility was inspected by LPA Barragan inside and out with Care Coordinator Katharine Carranza-Mejia. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in all of the client bathrooms was measured at 112 degrees, which is within regulatory requirements. All hazardous items have been properly made inaccessible. The medications were stored and locked in a medication room. Cleansers/chemicals are locked and stored in locked cabinets in the kitchen and a locked storage closet. Sharp knives are inaccessible and stored in a locked cabinet in the kitchen. The First Aid Kit is located in the medication room and contained all required supplies. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There are no guns or weapons in the facility as stated by Residential Supervisor Courtney Garcia. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures, Personal Rights, Visitation policies, Emergency Disaster Plan and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. There is a swimming pool located in the backyard of the facility which is made inaccessible by a pool cover, and with a gate that is five feet tall and self-latching. Emergency exits were free from obstruction. LPA reviewed six client files during the inspection. All client files had the required documents per Title Regulations. All client files are maintained on a secured internet database. Cont. on 809-C During the inspection, LPA's conducted interviews with two staff and two children. Due to time constraints and the need to complete staff file reviews, this inspection will need to be continued at a later date. LPA discussed and reviewed the following inspection components; Operational Requirements, Emergency Disaster Preparedness, and the Emergency Intervention Plan. Based on the facility inspection, confidential interviews, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Residential Supervisor Courtney Garcia. Due to printer malfunction, this report will be emailed to Residential Supervisor Courtney Garcia.

met_with: Courtney Garcia


summary: Facility Evaluation

raw_content:
Narrative:
On April 12, 2023 at 2:29pm, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual Continuation inspection of the Random Annual inspection that began on 04/12/2023. LPA traveled to facility #306004815 to complete the staff file review. LPA met with Human Resources Assistant Anahi Mendoza, and Director Amanda Seymour. All the staff records are accessible electronically via a secured records portal. LPA's reviewed 5 staff files. All the staff have met the training and qualification requirements per regulation requirements. Per a review of the Community Care Licensing Information System (LIS), all staff met DOJ/FBI criminal record clearances and Child Abuse Index Check requirements. Based on the facility inspection, and file review, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Director Amanda Seymour. Due to printer malfunction, this report will be emailed to Director Amanda Seymour.


summary: Facility Evaluation

raw_content:
Narrative:
On November 04, 2024 at 12: PM, Licensing Program Analyst (LPA) Jacqueline Garcia arrived unannounced at the facility to conduct a Random Annual inspection of the facility. LPA Garcia met with Program Manager, Monica Garcia. The facility was inspected by LPA Garcia inside and out with Program Manager, Monica Garcia. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in all of the client bathrooms was measured at 113 degrees, which is within regulatory requirements. All hazardous items have been properly made inaccessible. The medications were stored and locked in a medication room. Cleansers/chemicals are locked and stored in locked cabinets in the kitchen and a locked storage closet. Sharp knives are inaccessible and stored in a locked cabinet in the kitchen. The First Aid Kit is located in the medication room and staff office and contained all required supplies. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There are no guns or weapons in the facility as stated by Program Manager, Monica Garcia. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures, Personal Rights, Visitation policies, Emergency Disaster Plan and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. There is a swimming pool located in the backyard of the facility which is made inaccessible by a pool gate, the gate is five feet tall and self-latching. Emergency exits were free from obstruction. Due to time constraints and the need to complete staff and client file reviews and interviews, this inspection will need to be continued at a later date. LPA Garcia discussed and reviewed the following inspection components; Physical Plant, Operational Requirements, Disaster Preparedness, and the Emergency Intervention Plan. . Based on the facility inspection, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report along with LIC 811 was explained and given to Program Manager, Monica Garcia.

met_with: Monica Garcia-Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On November 05, 2024 at 08: AM, Licensing Program Analyst (LPA) Jacqueline Garcia arrived unannounced at the facility to conduct an Annual Continuation inspection of the Random Annual inspection that began on 11/04/2024. LPA met with Program Manager, Monica Garcia, Human Resources Manager, Melanie Ramirez and Human Resource Assistant Rachel Salinas. All the staff records are accessible electronically via a secured records portal. LPA reviewed 5 staff files. All the staff have met the training and qualification requirements per regulation requirements. Per a review of the Community Care Licensing Information System (LIS), all staff met DOJ/FBI criminal record clearances and Child Abuse Index Check requirements. LPA reviewed six client files during the inspection. All client files had the required documents per Title Regulations. All client files are maintained on a secured internet database. During the inspection, LPA conducted interviews with two staff and two children. Based on the facility inspection, confidential interviews, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained and given to Program Manager, Monica Garcia.


facility_name: NEWPORT ACADEMY - RUSH CREEK

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
There is a lack of clear evidence to make a determination as to whether a regulatory violation did occur. this department has investigated the allegations, and although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the staff or residents do not have access to food; therefore, the above allegation is unsubstantiated. The Administrator has agreed to sign and return the LIC9099. Appeal rights were provided and discussed, and no deficiencies were cited. An exit interview was conducted and a copy of the report was sent to the facility.

Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Administrator Laurel Chase via phone regarding a complaint investigation at the facility. The purpose of the inspection was to deliver the findings for the above complaint allegation. During LPA McCambridge's investigation, LPA interviewed all clients that reside at the facility and staff. During those interviews some clients stated that some clients may get into verbal arguments with other clients or direct their anger towards staff members and sometimes use cuss words, but there is no name calling. Other clients stated that there is no inappropriate interactions or language between clients or directed at staff. With contradicting satements there is no way to know with certain that these allegations happened. (Continued on LIC9099-C dated 09/22/2020) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Cheyenne McCambridge 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 21-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, GOLF COURSE DR. STE. A- ROHNERT PARK, CA FACILITY NAME: NEWPORT ACADEMY - RUSH CREEKFACILITY NUMBER: VISIT DATE: 11/02/2021

met_with: Laurel Chase


raw_content:
Narrative:
There is a lack of clear evidence to make a determination as to whether a regulatory violation did occur. This department has investigated the allegations, and although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that minor was inappropriately touched by another minor in care; therefore, the above allegation is unsubstantiated. Appeal rights were provided and discussed, and no deficiencies were cited. An exit interview was conducted and a copy of the report was sent to the facility.

Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Administrator Priscilla Hernandez regarding a complaint investigation at the facility. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation, LPA McCambridge interviewed staff, attempted to interview clients and reporting party, and reviewed documentation. During confidential interviews staff claimed they were told about an incident occuring, but inconsistent statements were made by the clients. Documents and staff revealed any instance of inappropriate behavior is immediately redirected and documented, resulting in prompt notice to the clinical team and an emphasis on client safety. Attempts were made to contact clients to ascertain details of the incident in question. (Continued on LIC9099-C dated 07/07/2022) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Cheyenne McCambridge 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 21-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, NEOTOMAS AVENUE, STE. FACILITY NAME: NEWPORT ACADEMY - RUSH CREEKFACILITY NUMBER: VISIT DATE: 07/07/2022

met_with: Priscilla Hernandez


raw_content:
Narrative:
Four of the interviewees were aware of racist or insensitive comments being made by other youth towards C1, all four interviewees state that staff were not present for the comments. These four interviewees also state that staff had spoken to the youth involved separately after the inappropriate comments. According to one interview, staff was "not supportive". Based on confidential interviews, the allegation that staff do not intervene when other minors make racist comments to minor may or may not be true. The allegation has not met the preponderance of doubt and therefore the allegation is unsubstantiated. LPA conducted an exit interview with Boe Roberts, Clinical Supervisor at 1:01PM whose signature confirms the receipt of this document.

Investigation Findings:
13On 6/13/2023 at 12:52PM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the licensed facility. The purpose of this visit was to deliver the finding for the listed allegation. LPA met with Boe Roberts, Clinical Supervisor. LPA Cheyenne McCambridge informed the facility of the allegation on 3/7/2023. During the course of the investigation, LPA Hood conducted seven interviews between 5/22/2023 and 6/6/2023. LPA reviewed C1's program plan, and there were no incident reports regarding these allegations. Based on confidential interviews, five of the seven interviews did not have concerns with the staff not intervening or any general supervision issues. One of the interviewees stated they were unknowledgeable about the supervision in the facility. Continued on LIC9099C... UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood 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 21-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, FACILITY NAME: NEWPORT ACADEMY - RUSH CREEKFACILITY NUMBER: VISIT DATE: 06/13/2023

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

met_with: Boe Roberts


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting a Post Licensing inspection. LPA McCambridge met with Administrator Priscilla Hernandez and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature.There is an abundant supply of perishable foods available. Facility has a chef that prepares and cooks all meals daily. Sharps and toxins are kept locked. Medications are kept locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. Applicant understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. All required signage is posted in the hallway on the third floor and is clearly visible. The group home is licensed to serve six clients. Currently in placement are six clients, all female. The home operates within the capacity and limitations of the license. LPA McCambridge reviewed client files and they are complete. Staff files are kept off site with Human Resources (HR), and will be reviewed at a later date. Fingerprint clearances for personnel, on site at time of inspection, were reviewed using a Facility Personnel Report Summary dated 12/21/21. All facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances and/or exemptions. Current forms and Title Regulations can be obtained through the internet at www.ccld.ca.gov. No Title 22 deficiencies cited this date. Exit interview conducted and a copy of the report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an annual/required inspection. LPA McCambridge met with Administrator Priscilla Hernandez and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. There is an abundant supply of perishable foods available. Facility has a chef that prepares and cooks all meals daily. Sharps and toxins are kept locked. Medications are kept locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. All required signage is posted in the hallway on the third floor and is clearly visible. The group home is licensed to serve six clients. Currently in placement are six clients, all female. The home operates within the capacity and limitations of the license. LPA McCambridge reviewed client and staff files and they are complete. No Title 22 deficiencies cited this date. Exit interview conducted and a copy of the report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an annual/required inspection. LPA McCambridge met with Administrator Priscilla Hernandez and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. There is an abundant supply of perishable foods available. Facility has a chef that prepares and cooks all meals daily. Sharps and toxins are kept locked. Medications are kept locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. All required signage is posted in the hallway on the third floor and is clearly visible. The group home is licensed to serve six clients. Currently in placement are six clients, all female. There were four clients present during inspection, but they did not want to talk to me. The home operates within the capacity and limitations of the license. LPA McCambridge reviewed client and staff files and they are complete. No Title 22 deficiencies cited this date. Exit interview conducted and a copy of the report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an annual/required inspection. LPA McCambridge met with Administrator Kimeeco Epps and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. There is an abundant supply of perishable foods available. Facility has a chef that prepares and cooks all meals daily. Sharps and toxins are kept locked. Medications are kept locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. All required signage is posted in the hallway on the third floor and is clearly visible. The group home is licensed to serve six clients. Currently in placement are two clients, both female. There were two clients present during inspection, but they did not want to talk to me. The home operates within the capacity and limitations of the license. LPA McCambridge reviewed client and staff files and they are complete. No Title 22 deficiencies cited this date. Exit interview conducted and a copy of the report was left at the facility.

met_with: Kimeeco Epps


summary: Facility Evaluation

raw_content:
Narrative:
On 4/8/25, Licensing Program Analyst (LPA) Mariah Hawkins conducted a case management visit. LPA met with Administrator/Residential Supervisor Kimeeco Epps, Residential Supervisor Starr Williams, and Residential Manager Hope Hurst and informed of the purpose of the visit. The purpose of the visit was to follow-up on a submitted incident report. Per the incident report, a client was given their prescribed medication and later passed off the medications to another client. The former client informed staff of what happened, and the latter client confirmed ingesting the medication. Proper notifications were made, and a nurse assessed the clients. Neither involved client is currently in care. Based on statements from Nursing Supervisor, Residential Supervisors and Residential Manager, the facility has a supervision policy of not allowing clients to be near the medication room when a nurse is administering medications. The facility agreed to send LPA a copy of the documented follow-up with the care coordinators working at the time of the incident. No deficiencies were observed during today's visit. An exit interview was conducted, and a copy of this report and the licensee's appeal rights were provided to Administrator/Residential Supervisor Kimeeco Epps.


facility_name: NEWPORT ACADEMY - SUNDANCE

summary: Facility Evaluation

raw_content:
Narrative:
On June 29, 2021 at 1:13pm, Licensing Program Analysts (LPA's) Adrian Mendez and Jesus Cervantes arrived unannounced at the facility to conduct a Post-Licensing Annual inspection of the facility. The facility was inspected inside and out with Program Manager Claudia Jaimes, Human Resources Assistant Jocelyn Lee, and Residential Supervisor Amy Bautista. The home is a one story residence with three bedrooms, one staff office, one family therapy room, one counselor's office, one care coordinator office, one garage/multi-purpose room, one individual therapy office, one nurse's office, one over facility staff office, one group room, one recreational room, one classroom, and seven bathrooms. The property also has a horse stable located in the backyard of the facility which will be used to house horses for equine therapy. The horse stable also contains an equine office. The client bedrooms are set up as follows: Bedroom #1; two twin beds, all required linen, mattresses in good condition. Bedroom #2; two twin beds, all required linen, mattresses in good condition. Bedroom #3; two twin beds, all required linen, mattresses in good condition. All bedrooms contained adequate shelf and closet space for resident's belongings. The staff offices contained office supplies, staff schedule and emergency and disaster plan that was posted. Medications and the first aid kit were locked in the medication room inside the hallway. Medication room has a locking door and a locking medication cabinet and refrigerator within the room. Medication logs are maintained electronically and had no discrepancies. The bathrooms were clean and in good repair. Water temperature in the client bathroom of the property was measured at 3:17pm and read at 105.8 degrees. The property contains a pool and an adjoining spa in the backyard which is fenced and covered. The fence and gate around the pool is five feet tall, and is self latching. Cont. on 809-C All hazardous items were made inaccessible to areas where residents do not have access. Cleansers/chemicals were stored in a locked cabinet in the garage, and a locked cabinet in the laundry room. Sharp knives were inaccessible and stored in a locked drawer in the kitchen. LPA's observed a sufficient supply of 7-day non-perishable food for six residents and a sufficient supply of 2-day perishable food. There was a variety of snacks available for residents as well. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There were no guns or weapons in the facility as stated by Program Manager. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Visitation policies, Disaster Plan, Employee Schedule and current menu. A sample of five client files were reviewed during the inspection. A review of administrative records indicate that the facility has paid their current licensing fees. Personnel files were reviewed to ensure they contained all required documentation per Title Regulations. Personnel Files are maintained off-site in the facility corporate office. LPA reviewed five staff files, no discrepancies were observed. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances. Based on the facility inspection and file reviews this date, there are no deficiencies found at this time. A copy of this report was reviewed and given to Program Manager Claudia Jaimes.


summary: Facility Evaluation

raw_content:
Narrative:
On March 30, 2023 at 1:01pm, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct a Random Annual inspection of the facility. LPA met with Program Manager Claudia Jaimes, and Director Amanda Seymour. The facility was inspected inside and out with Program Manager Claudia Jaimes. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in one of the client bathrooms was measured at 119.6 degrees, which is within regulatory requirements. All hazardous items have been properly made inaccessible. The medications were stored and locked in a medication room. Cleansers/chemicals are locked and stored in locked cabinets in the laundry room and the kitchen. Sharp knives are inaccessible and stored in a locked drawer in the kitchen. The First Aid Kit is located in the medication room and contained all required supplies. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There are no guns or weapons in the facility as stated by Program Manager Claudia Jaimes. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures, Personal Rights, Visitation policies, Emergency Disaster Plan and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. There is a swimming pool located in the backyard of the facility which is made inaccessible with a gate that is five feet tall and self-latching. Emergency exits were free from obstruction. LPA reviewed four client files during the inspection. All client files had the required documents per Title Regulations. All client files are maintained on a secured internet database. Cont. on 809-C Due to time constraints and the need to complete client/staff interviews, and staff file reviews, this inspection will need to be continued at a later date. Based on the facility inspection, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Program Manager Claudia Jaimes. Due to printer malfunction, this report will be emailed to Program Manager Claudia Jaimes.

met_with: Claudia Jaimes, Amanda Seymour


summary: Facility Evaluation

raw_content:
Narrative:
On April 4, 2023 at 10:04am, Licensing Program Analysts (LPA's) Adrian Mendez, and Eduardo Barragan arrived unannounced at the facility to conduct an Annual Continuation inspection of the Random Annual inspection that began on 03/30/2023. LPA's met with Program Manager Claudia Jaimes. During the inspection, interviews were conducted with two staff, and two clients. Due to time constraints and the need to complete staff file reviews, this inspection will need to be continued at a later date. LPA discussed and reviewed the following inspection components; Operational Requirements, Emergency Disaster Preparedness, and the Emergency Intervention Plan. Based on the facility inspection, and client and staff interviews, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Program Manager Claudia Jaimes. Due to printer malfunction, this report will be emailed to Program Manager Claudia Jaimes.


summary: Facility Evaluation

raw_content:
Narrative:
On April 4, 2023 at 1:24pm, Licensing Program Analysts (LPA's) Adrian Mendez, and Eduardo Barragan arrived unannounced at the facility to conduct an Annual Continuation inspection of the Random Annual inspection that began on 03/30/2023. LPA's traveled to facility #306004815 to complete staff file review. LPA's met with Director Amanda Seymour, and Human Resources Assistant Anahi Mendoza. All the staff records are accessible electronically via a secured records portal. LPA reviewed 5 staff files. All the staff have met the training and qualification requirements per regulation requirements. Per a review of the Community Care Licensing Information System (LIS), all staff met DOJ/FBI criminal record clearances and Child Abuse Index Check requirements. Based on the facility inspection, and file review, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Director Amanda Seymour. Due to printer malfunction, this report will be emailed to Director Amanda Seymour.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Veronica Whitaker conducted a case management inspection on 8/1/23 based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 5 out of Direct Care Staff and 5 out of 5 youth files were reviewed, 2 out of Direct Care Staff and 2 out of 5 youth were interviewed. (See the Confidential Names List, LIC 811, dated 8/1/23. The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review, including the needs and service assessments, youth case plans, quarterly assessments, and crisis intervention plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Veronica Whitaker observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Crystal Goodwin, Compliance Manager.

met_with: Crystal Goodwin, Compliance Manager, Claudia James, Residential Manager, Amanda Seymour, Residential Director


summary: Facility Evaluation

raw_content:
Narrative:
On May 12, 2025, at 9: AM, Licensing Program Analyst (LPA) Stefanie Mutialu made an unannounced visit for the for the purpose of conducting an annual inspection of the facility. LPA met with Care Coordinator, Maurice Champion and Program Director, Amanda Seymour. The Facility is licensed to serve six (6) ambulatory children ages 7-12 years old. The current census is five (5) children. The facility is a one story four-bedroom, seven-bathroom home. A physical plant inspection was completed with Maurice Champion and included the following checks: three client bedrooms, four client bathrooms, three staff bathrooms, kitchen, living room, dining room, medication room, staff break room , storage/bedroom, individual therapy office, family therapy office, sensory room, garage, two school classrooms, gym/fitness room, two care coordinators offices, program director's office, pantry, laundry room, horse stables, horse riding arena, front yard, and backyard. There is a pool located in the backyard that is enclosed by a 4-foot fence that does not meet per Title 22 regulations. LPA measured the height of the fence, measuring at 4-feet high and pool fence door measuring at 3-feet and 11 inches. Facility is receiving a type A citation for height of the pool fence measuring below 5-feet high. ****Continued on page 2**** All required forms are posted including Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster, the Emergency Disaster Plan was also posted. Clients' medications were observed to be inaccessible and stored in medication room. Facility grounds are clean and free of debris. There is adequate indoor and outdoor activity space. All facility carbon monoxide detectors were tested and observed to be in working order; fire extinguishers are properly charged and serviced on 02/05/2025. Fire inspection was completed on 02/05/2025. Licensee maintains an adequate supply of perishable and non-perishable foods to prepare the items on the posted menu. LPA observed a minimum seven-day non-perishable and two-day perishable supply of food. Individual beds were observed with clean linens, pillows, comforters, and mattress in good repair. All three bedrooms contain two twin beds. The facility has four client bathrooms. The water temperature was tested in one bathroom the appropriate range of 105 degrees to 120 degrees Fahrenheit was measured. LPA conducted two staff interviews and one client interview. Four clients refused to be interviewed. Facility cited for violation of California Code of Regulations, Title Division six, regulation 80087(e)(1): Buildings and Grounds. Due to time constraints LPA will return on another day to conduct review of client records and staff records Per facility staff, no firearms or weapons are allowed in the facility. The licensing fee payments are current. An exit interview was conducted, and a copy of this report, confidential names (LIC811), and appeal rights were discussed and provided to Amanda Seymour. A copy of this report will be placed in the facility file.

met_with: Program Director, Amanda Seymour


summary: Facility Evaluation

raw_content:
Narrative:
On May 15, 2025, at 8: AM, Licensing Program Analyst (LPA), Stefanie Mutialu continued the unannounced annual inspection, which was started on May 14 ,2025. LPA met with Compliance Specialist, Whitney Rodgers and Human Resources Specialist, Rachel Salinas via Zoom meeting. LPA reviewed five staff (S1-S5) files. Five out of five staff records reviewed have the verification of Department of Justice, Federal Bureau of Investigation, and Child Abuse Index Check clearances and were associated to the facility. Five out of five staff records reviewed have proof in file of acknowledging confidentiality and mandated child abuse reporting requirements. LPA reviewed five client (C1-C5) files. Five out of five client records reviewed had required documents including admission agreements, signed personal rights, medical/dental exam, immunization records, medical consent forms, an initial and updated needs and services plan on file, and met the minimum requirements per Interim Licensing Standards. Record review of psychotropic medication records, C5 is missing parent authorization and signature as a result the facility is receiving a Type A violation. Facility cited for violation of California Code of Regulations, Title Division six, regulation 84070(b)(15)): Children's Records. ****Continued on Page 2**** An exit interview was conducted, and a copy of this report, Confidential Names List (LIC811), and appeal rights were discussed and emailed to Compliance Specialist, Whitney Rodgers. A signed copy of this report will be placed in the facility file.


raw_content:
Narrative:
******PAGE CONTINUED: During the investigation, there was no corroborating evidence to support the above allegations. Confidential interviews and documents reviewed revealed conflicting statements if C1 obtained a knife, or if C1 stabbed the knife through a door. Confidential interviews also revealed conflicting statements whether the facility is denying clients access to report an incident. C1, C2 and S3 were not able to be interviewed to confirm if alleged incident occurred. Thus, confidential interviews and records reviewed did not corroborate the allegations with a preponderance of evidence. Based on confidential interviews and records reviewed that staff allowed C1 access to a hazardous item (knife) and staff discouraged C2 from reporting incident involving minors in care, which may have occurred, however, are not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report, LIC 811 and appeal rights was provided to Whitney Rodgers.

Investigation Findings:
13On March 4, 2026 at 1: PM, Licensing Program Analyst (LPA) Jacqueline Garcia arrived unannounced at the facility and met with Whitney Rodgers-Compliance Specialist, to discuss the investigative findings for the allegations noted above. On 09/08/ LPA conducted an inspection of the facility, and no deficiencies were noted. LPA conducted two client interviews (C3-C4) and attempted to interview two clients (C1-C2). LPA conducted two staff interviews (S1-S2) and attempted to interview one staff (S3), and after several attempts LPA Garcia was not able to reach C1, C2, S3 for an interview. During the investigation, LPA reviewed client file (C1). On 09/02/25, Community Care Licensing (CCL) received allegations that staff allowed minor access to a hazardous item and staff discouraged minor from reporting incident involving minors in care. It was specifically reported that C1 obtained a knife and stabbed it through a door to gain access to the other clients and that the facility declined the clients (C2) from reporting the incident. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Jacqueline Garcia 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 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: NEWPORT ACADEMY - SUNDANCEFACILITY NUMBER: VISIT DATE: 03/04/2026

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

met_with: Whitney Rodgers-Compliance Specialist


facility_name: NEWPORT ACADEMY - VALLEY VISTA

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, there will be a civil penalty assessed on this day. See LIC9099D for details. Exit interview was conducted with FM. Due to technical difficulties with LPA printer, a copy of this report along with appeal rights were discussed and a copy of this report was emailed to the FM.

Investigation Findings:
13On 2/8/2023 at 9:48am, Licensing Program Analyst (LPA) Nancy O'Connell and Licensing Program Analyst (LPA) Christine Wilson, made an unannounced inspection to the above-listed facility, and met with the Facility Manager (FM), who granted access to the facility. The purpose of this inspection is to conduct an initial complaint investigation inspection regarding the above allegation. LPA O'Connell and LPA Wilson reviewed facility staff records and found: S1 is not listed on LIC500. During the time of the inspection LPA O'Connell and LPA Wilson conducted confidential interviews with: S1, FM, HOS, and RM [See Confidential Names form (LIC811), dated 02/8/23, for names]. During confidential interview, it was determined that P1 has been working onsite at the facility for three weeks, without a criminal background clearance. Continued on LIC9099C. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Nancy O'Connell 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 31-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, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: NEWPORT ACADEMY - VALLEY VISTAFACILITY NUMBER: VISIT DATE: 02/08/2023

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

met_with: Monique Hernandez, Facility Manager

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
(Continuation of Findings Pg 2)) Based on all interviews conducted, and documents obtained, the Department has found the above allegations to be unsubstantiated, meaning that, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. There are no deficiencies to be cited at this time.

Investigation Findings:
13On 08/11/2023 at 9:05am, Licensing Program Analyst (LPA) Christine Wilson made an unannounced inspection to the above listed facility, Newport Academy Group Home, for the purpose of concluding the investigation on the above allegations: (1) Licensee does not ensure direct care staff obtain the minimum number of initial training hours required. (2) Licensee does not ensure direct care staff obtain the minimum number of annual training hours required. Although the Human Resources Administration provided training records to LPA Wilson, these records do not document the number of hours completed for each staff and for each training course; therefore, there is no way of determining whether a staff has met the minimum number of training hours for any completed training course. (Continued Findings on 9099C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Christine Wilson 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 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION GREATER LA AREA SC, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: NEWPORT ACADEMY - VALLEY VISTAFACILITY NUMBER: VISIT DATE: 08/11/2023

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

met_with: Sheryl Stone, HR Manager


raw_content:
Investigation Findings:
13On 08/11/2023 at 9:05am, Licensing Program Analyst (LPA) Christine Wilson made an unannounced inspection to the above listed facility, Newport Academy Group Home, for the purpose of concluding the investigation on the above allegation: (3) Licensee does not ensure direct care staff training topics are appropriate for the client population at facility. The investigation included confidential interviews with facility and administrative staff. Per LPA request of training records, which the Licensee provided; a review of the records revealed that training topics are few and not varied, and do not meet the minimum, regulatory requirement.. Based on all interviews conducted, and documents obtained, the Department has found the above allegations to be substantiated, meaning that, the preponderance of the evidence has been met. The facility is issued a citation. The following deficiency was cited [See page LIC9099-D for cited deficiencies]. An exit interview was conducted, and appeal rights were discussed. A copy of this report, and appeal rights were provided to the licensee. The report will be emailed to Facility Administrator. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Christine Wilson 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 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION GREATER LA AREA SC, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: NEWPORT ACADEMY - VALLEY VISTAFACILITY NUMBER: 565802321

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

met_with: Sheryl Stone, HR Manager)


raw_content:
Investigation Findings:
13On 12/28/2023 at 9:35am, Licensing Program Analyst (LPA) Christine Wilson made an unannounced inspection to the above listed facility, Newport Academy Group Home, for the purpose of concluding the investigation on the above allegation. LPA met with Human Resources Assistant (HRA). The investigation included confidential interviews with facility staff and administrative staff and review of certification records, which the Licensee provided. Based on records review of of the Plan of Operation/Program Statement, and confidential interviews, revealed counselors are to obtain specialized training and certification. Further, the licensee did not ensure credentialing registration for certification, had been obtained from staff member (C3) and staff was working as a counselor prior to obtianing credentialing registration for certification on 11/30/23. This allegation is considered valid, because the prepondrance of the evidence standard has been met in (1) out of (4) counseling staff. A type A deficiency is cited at thei time (see LIC9099D). Exit interview conducted and appeal rights were left at the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Christine Wilson 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 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION WOODLAND HILLS S.Ro, Ventura Blvd., STE. WOODLAND HILLS, CA FACILITY NAME: NEWPORT ACADEMY - VALLEY VISTAFACILITY NUMBER: 565802321

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

met_with: Human Resources Assistant


summary: Facility Evaluation

raw_content:
Narrative:
On June 17, 2021 at 09: AM Licensing Program Analysts (LPA) Enrique Hernandez, made an announced inspection, to Newport Academy Valley Vista for the purpose of conducting a pre-licensing inspection. LPA met with Tiai Salanoa Facility Administrator, Mydori Salanoa Facility Administrator, Zenobia Mayweather Residential Supervisor, Jerome Spurlin and Jep Stokes Executive Director who granted access to the facility and together toured the home inside and out. This facility will provide services to 6 female clients ages 12-17 years, ambulatory only. The home: Is currently vacant and is equipped as follow: General overview: This is a three-story home 3 bedroom, 5 bathrooms and 2 half bathrooms 4 offices, House Detached, a living room, dining room, kitchen, breakfast area, family room, garage, laundry area classroom, and a backyard. There is a swimming pool and jacuzzi located in the backyard covered with a net. Pool and jacuzzi is also are surrounded by a gate with proper latching device that meets regulations. The backyard also consists of a built-in BBQ island and chairs and tables by the outdoor firepit that Mydori stated that they won't use. There are no cameras on the facility. Medicine room is inaccessible to children. All smoke detectors were tested and are operating properly in the home at the time of visit. There are numerous fully charged fire extinguishers available. Outdoor activity space free of obstructions. During LPA inspection measured the water temperature and measured within safe temperature at 117.6 degrees Fahrenheit. Outdoor by the vineyard there is the office for the intake coordinator is equipped with a 4 burner stove a small refrigerator a sink a room with a desk and two chairs. The home is also equipped with a cellar due to the the previous owners used to have wine, but the facility representatives stated that they removed all the wines from the cellar and is now an activity room. The activity room is equipped with a sink a refrigerator. Page 1 of All publication requirements for the Licensee License and Emergency Plan will be met, in addition to the Group Home License, which has not yet been issued or approved by the LPA's manager. There are covered fireplaces all over the house and Mydori said there not working, and they will not be used. Fire Clearance was granted on 6/15/2021. Before placement/or licensure, the following deficiencies need to be made repair/removed: Outside and Inside of the home LPA observed the following The lights in the hallway by the entrance of the house do not turn on. Some of the cabinet doors in the hallway were not positioned properly in the cabinet. Some of the drawers have metal screws, and metal items not locked. In the same hallway where the cabinets are under the sink, there are chemicals and the doors are not locked. There are several paint cans/buckets and ladders behind the garage, accessible to the clients. At the end of the outdoor hallway there is a table with various types of garden chemicals accessible to the clients. The ceiling in the livingroom have some patches that are unpainted In the kitchen there is no lock to store the knives, so that they are not in the reach of the clients. The television in the second living room is not installed (still on box). A few broken pieces of tile on the floor next to the exterior door of the office that is next to the pool. A crack in the planter next to the pool. The sink next to the outdoor barbecue has old, cracked wood covering it. There are no computers in the classroom or curtains on the classroom window. The client's rooms do not have poles to hang clothes. The bathroom across from room #1 does not have a mirror. No lock on gate door next to the tool shed by the vineyard. Page 2 of No lock on the tool shed by the vineyard. The balcony doors on the second and third floors do not have a lock. The elevator is accessible to clients and does not have a lock. Bedrooms 2 and 3 share the Jack and Jill bathroom. LPA observed that the two doors don't have a lock. LPA told the facility representatives that LPA will ask their manager about the two doors not having locks. Once all the corrections are completed, from the deficiencies that LPA observed in today's inspection. LPA will give the manager all the documentation for approval. Exit interview was conducted and a copy of this report will be emailed to the facility administrator, in order to obtain a signature due to at the time of the inspection there were some technical difficulties with the computer. Signature will be on file. Page 3 of 3

visit_type: Prelicensing

met_with: Facility Admonistrator


summary: Facility Evaluation

raw_content:
Narrative:
On 06/25/2021 at 11:15am, Licensing Program Analyst (LPA) Kevin Sauk arrived at the above facility, for the purpose of conducting a follow-up Pre-Licensing Inspection, which was initiated on 06/17/2021. LPA met with the and the Executive Director (ED), and the Program Manager (PM), who granted access into the facility, and who provided a tour of the entire physical plant inside and out. LPA observed the following, during the inspection: The lights in the outdoor hallway next to the garage are functional. The cabinet doors in the outdoor hallway next to the garage have been repaired, and no longer consist of metal screws, metal items or chemicals. When supplies come in, these cabinet doors will have a lock. Garden chemicals have been removed from the table at the end of the outdoor hallway. The paint cans/buckets and ladders behind the garage, were removed from the facility premises. The patches on the ceiling in the living room have been repaired. In the kitchen there is no lock to store the knives, so that they are not in the reach of the clients. The television in the second living room was out of the box and installed. A few broken tile pieces on the floor in front of the office, next to the pool, was repaired. The old, cracked wood covering was removed from the sink next to the outdoor barbecue. Computers and curtains over the windows were observed and installed in the classroom. All of clients rooms have a place to hang their clothes in the closet. A mirror was installed in the bathroom across from room #1. Locks were installed on gate door next to the two tool sheds by the vineyard. The two tool sheds, by the vineyard, were equipped with secure locks. The balcony doors on the second and third floors were equipped with a lock. The elevator is locked, inaccessible to clients, and has been deactivated. Bedrooms 2 and 3 share a "Jack-and-Jill" bathroom, and the two doors are now equipped with locks from inside of the bathroom. (Continued on LIC809-C) This facility is clean, safe, sanitary, and in good repair. Exit interview was conducted, and a copy of this report was discussed and left with the Program Manager (PM).

met_with: Program Manager (PM) & Executive Director (ED)


summary: Facility Evaluation

raw_content:
Narrative:
On March 3, 2022, at 08: AM Licensing Program Analysts (LPAs) Enrique Hernandez and Nancy O'Connell conducted an unannounced inspection, at the above-said facility, for the purpose of conducting a Post-License Inspection. Licensing staff was met by Mydori Saipale Facility Administrator (FA), Tiai Salanoa Facility Administrator, Tone Reyes Program Director (PD) who granted access into the facility, who provided a tour of the entire facility, inside and out. General overview: This is a three-story home 3 bedroom, 5 bathrooms and 2 half bathrooms 4 offices, House Detached, a living room, dining room, kitchen, breakfast area, family room, garage, laundry area, classroom, and a backyard. There is a swimming pool and jacuzzi located in the backyard covered with a net. Pool and jacuzzi is also surrounded by a gate with proper latching device that meets regulations. The backyard also consists of a built-in BBQ island and chairs and tables by the outdoor firepit that Mydori stated that they won't use (appliances are nonoperational). There are no cameras on the facility. Medicine room is inaccessible to children and contains first aid kit with thermometer. All smoke detectors were tested and are operating properly in the home at the time of visit. There are numerous fully charged fire extinguishers available. Outdoor activity space free of obstructions. LPA measured the temperature of the water and measured within the safe temperature at 110 degrees Fahrenheit. In the outdoor area, next to the vineyard, is the office of the Director, equipped with a 4-burner stove that is non operational, a small refrigerator, a sink, a room with a desk and two chairs. The house is also equipped with a wine cellar because the previous owners used to have wine, but LPA observed all the wines from the cellar have been removes, and it is now being used as a staff office and is equipped with a sink and refrigerator. Continue on LIC809-C LPAs observed the following during inspection: Living Room: with a securely covered (non-operational) fireplace with plenty of seating that has access to the backyard. Dining Room: equipped with a large table with 8 chairs. Kitchen: equipped with a refrigerator, Built-In BBQ, Cooktop - Gas, Double Oven, Microwave, Breakfast Nook, Formal Dining Room, Kitchen Island a sink is located in the island and was non operational at the time of inspection- Mydori stated a work order was submitted (copy requested). Plenty of cabinet space. Knives / Sharp objects are stored in the pantry and kept in a locked tool box, within a locked cabinet. Chemicals and cleaning solutions are kept in locked and stored next to sharps box at the time of inspection. Breakfast area: consists of a table with 8 chairs, and dually functions as dining room. Family Room: equipped with a secure cover on the fireplace (non-operational), and plenty of clean furniture in good repair. Electrical window blinds were not in working condition at the time of inspection and Mydori stated that a work order has been submitted (copy requested). Garage: is being utilized as Facilities storage and contains items related to maintenance, and contains a refrigerator. Items intended for disposal were observed laying on ground outside door of garage (wine cellar cabinet, wine barrels, washing machine). Laundry area: equipped with a washer and dryer, and plenty of cabinet space where a fully charged fire extinguisher. Bathroom located immediately outside of laundry room with entrance located on outside of building. Knives were stored in laundry and contained in locked box. Locked box was stored next to cleaning chemicals within locked cabinet. Program director agreed to remove all knives and place them in office at the time of inspection. School: equipped with a fully charged fire extinguisher, smoke alarm, 6 desk, 6 computers, and a printer. Applicant reported that each client shall have access to his/her own laptop during school hours. Bedroom #1 is occupied by two clients with two twin size beds on each side of the room, adequate closet and drawer space, there is a bathroom directly outside of the bedroom in good repair. Bedroom #2 is occupied by two clients it has two twin size bed, adequate closet and drawer space, there is also an adjoining bathroom in good repair. Bedroom #3 is occupied by two clients; it has one full size adjoining bathroom in good repair. Continue on LIC809-C Third Floor loft- empty room with balcony door that is securely locked. Nursing station- kept a first aid kit, and first aid supplies were seen, including thermometer. There is also a small refrigerator for storage of client medication that requires refrigeration. Nursing station along with supplies kept in locked room. Bathrooms- 5 full bathrooms with half bathroom on first floor, all in good working condition. Outdoor- LPAs observed non operational washer, wine cabinet, wine barrels outside of Facilities Garage. LPA's observed in the lower vineyard shed a sharp garden tool placed outside the shed, also a metal fence placed on the floor and a wheel barrel next to the shed. Facility administrator removed the gardening tool and put it in a safe locked place. Program Director stated that he will pick up everything up and will send pictures after they clean the area. Due to time constraints, LPA shall return to complete the Annual Required Inspection. A copy of this report was discussed with the facility manager and will be email to the facility due to technical difficulties with the LPA's printer

met_with: Facility Administrator