summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Continued from Records and interviews indicate three clients arrived at school on multiple occasions in clothes that did not fit, were stained, or were inappropriate for school. One client arrived at school with overalls which were too small, would not snap on the sides, and revealed the client's underwear. One client wore pants which were too small and were falling off. On each occasion, school personnel provided the clients with more appropriate clothes which were not returned to the school. Additionally, one client arrived at school with soiled clothes in their backpack. Based on LPM and LPA's observations, interviews which were conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. As both allegations regard Personal rights, only one citation is being issued. Citation per Interim Licensing Standards Section 84072(d)(6)(1)(A) Personal Rights is detailed on 9099D. A signed copy of this LIC-9099 report, the LIC-9099C, and LIC-9099D were provided to the facility. An exit interview was conducted. Appeal rights were provided.

Investigation Findings:
13Licensing Program Manager (LPM) Hillary Hall arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint allegations. LPM met with Neville Kimbrell, Administrator. LPM and LPA's McKinley, Valencia, and Vue conducted the investigation. LPM opened the investigation with the facility on 12/21/22 and an Administrator and one staff were interviewed. LPM conducted a Health and Safety Inspection of the facility and no deficiencies were observed. During the course of the investigation, LPM and LPA's interviewed a total of 7 facility staff, 5 school staff, and a Service Coordinator. Attempts to interview clients were unsuccessful due to client's verbal skills. LPM and LPA McKinley reviewed relevant records from the facility including: Client Roster, Staff Roster, Staff schedule, Staff Training logs, prior complaint history, Serious Incident Reports, Individualized Education Plans, clothing receipts, and Needs and Service Plans for foster youth. LPM also reviewed records from the school. LPM and LPA observed one client to have been changed into different clothes at school when the client arrived in clothes that did not fit. Continued on 9099C SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Margo Castaneda LICENSING EVALUATOR NAME: Hillary Hall 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: REMI VISTA BEAR MOUNTAIN HOMEFACILITY NUMBER: VISIT DATE: 03/06/2023

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

met_with: Neville Kimbrell, Program Facilitator/Administrator


state: CA

facility_name: REMI VISTA BEAR MOUNTAIN HOME

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Continued from LPM and LPA's observed more than required amounts of perishable and non-perishable food at the facility. Menus and grocery lists were detailed, containing nutritious meals for the clients. LPM observed snacks left out for clients that had not been finished, by the client's own choosing. Interviews were consistent that one client had a diagnosis of PICA, which means the client tends to eat items off the ground or out of the garbage. Interviews indicate this behavior rarely exists at the facility, with the high level of supervision provided, but the behavior is more evident at the school. Interviews were consistent that the clients do not require diapers during the day, but do use diapers or Pull-Ups at night. Facility staff report consistently cleaning the clients when a toileting accident occurs. There was insufficient evidence to determine if the client's diapers are not changed timely. Based on LPM and LPA's observations, interviews conducted, and record reviews, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. A signed copy of this LIC-9099 report and the LIC-9099C were provided to the facility. An exit interview was conducted.

Investigation Findings:
13Licensing Program Manager (LPM) Hillary Hall arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint allegations. LPM met with Neville Kimbrell, Administrator. LPM and LPA's McKinley, Valencia, and Vue conducted the investigation. LPM opened the investigation with the facility on 12/21/22 and an Administrator and one staff were interviewed. LPM conducted a Health and Safety Inspection of the facility and no deficiencies were observed. During the course of the investigation, LPM and LPA's interviewed a total of 7 facility staff, 5 school staff, and a Service Coordinator. Attempts to interview clients were unsuccessful due to client's verbal skills. LPM and LPA McKinley reviewed relevant records from the facility including: Client Roster, Staff Roster, Staff schedule, Staff Training logs, prior complaint history, Serious Incident Reports, Individualized Education Plans, menus, grocery lists, and Needs and Service Plans for foster youth. LPM also reviewed records from the school. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Margo Castaneda LICENSING EVALUATOR NAME: Hillary Hall 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: REMI VISTA BEAR MOUNTAIN HOMEFACILITY NUMBER: VISIT DATE: 03/06/2023

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

report_type: Complaint Investigation

met_with: Neville Kimbrell, Administrator

complaint_status: unsubstantiated


raw_content:
Narrative:
Continued from The facility submitted a Serious Incident Report to the Department dated 1/2/23 with follow up on 1/3/23, describing an interaction between one client and staff, witnessed by a second staff. The facility immediately interviewed involved parties and provided corrective action, prior to the Department investigating. The incident involved a client having a physically aggressive tantrum and threatening the safety of other clients and staff. One staff held the bedroom door closed for the client for "several minutes" until the client calmed down, which is a violation of the client's personal rights. Bedroom doors in the facility do not have locks. The facility completed a Corrective Action Plan with staff along with additional training on Personal Rights before allowing the staff to return to work. Based on LPM and LPA's observations, interviews conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation, Staff did not treat minor with respect due to holding the client's door closed, is found to be SUBSTANTIATED, per Title Section 84072(d)(14). As the facility already completed a Corrective Action Plan with the staff, a citation is not being issued. No further plan of correction required. A signed copy of this LIC-9099 report and the LIC-9099C were provided to the facility. An exit interview was conducted. Appeal Rights provided

Investigation Findings:
13Licensing Program Manager (LPM) Hillary Hall arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint allegations. LPM met with Neville Kimbrell, Administrator. LPM and LPA's McKinley, Valencia, and Vue conducted the investigation. LPA Valencia opened the investigation with the facility on 1/12/23 and an Administrator was interviewed. LPA Valencia conducted a Health and Safety Inspection of the facility and no deficiencies were observed. During the course of the investigation, LPM and LPA's interviewed a total of seven facility staff, five school staff, and a Service Coordinator. Attempts to interview clients were unsuccessful due to client's verbal skills. LPM and LPA McKinley reviewed relevant records from the facility including: Client Roster, Staff Roster, Staff schedule, Staff Training logs, prior complaint history, Serious Incident Reports, Individualized Education Plans, and Needs and Service Plans for foster youth. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Margo Castaneda LICENSING EVALUATOR NAME: Hillary Hall 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: REMI VISTA BEAR MOUNTAIN HOMEFACILITY NUMBER: VISIT DATE: 03/06/2023

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

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
Continued from The facility submitted a Serious Incident Report to the Department dated 1/2/23 with follow up on 1/3/23, describing an interaction between one client and staff, witnessed by a second staff. The facility immediately interviewed involved parties and provided corrective action prior to the Department investigating. The incident involved a client having a physically aggressive tantrum and threatening the safety of other clients and staff. Interviews were consistent that the staff did raise his voice. Reports were inconsistent as to whether the staff yelled or made negative or derogatory comments to the client. The facility completed a Corrective Action Plan with the staff along with additional training on Personal Rights before allowing the staff to return to work. Interviews and records indicate a client named in the Serious Incident Report has a pattern of "grazing" on food throughout the day. The facility provides three meals per day, with snacks in between meals. The client in the incident report requested an additional snack. Not all interviews were consistent regarding the details of the client requesting an additional snack and being denied. One staff reported the client was initially denied the extra snack, then later given the extra snack. LPM and LPA's observed more than the required amount of perishable and non-perishable food at the facility during the inspection. LPM also observed during the inspection, that the client in the incident had been offered a snack, and left it uneaten by his own choosing. Based on LPA's observations, interviews that were conducted, and records reviewed, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. A signed copy of this LIC-9099 report and the LIC-9099C were provided to the facility. An exit interview was conducted.

Investigation Findings:
13Licensing Program Manager (LPM) Hillary Hall arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint allegations. LPM met with Neville Kimbrell, Administrator. LPM and LPA's McKinley, Valencia, and Vue conducted the investigation. LPA Valencia opened the investigation with the facility on 1/12/23 and an Administrator was interviewed. LPA Valencia conducted a Health and Safety Inspection of the facility and no deficiencies were observed. During the course of the investigation, LPM and LPA's interviewed a total of seven facility staff, five school staff, and a Service Coordinator. Attempts to interview clients were unsuccessful due to client's verbal skills. LPM and LPA McKinley reviewed relevant records from the facility including: Client Roster, Staff Roster, Staff schedule, Staff Training logs, prior complaint history, Serious Incident Reports, Individualized Education Plans, menus, grocery lists, and Needs and Service Plans for foster youth. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Margo Castaneda LICENSING EVALUATOR NAME: Hillary Hall 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: REMI VISTA BEAR MOUNTAIN HOMEFACILITY NUMBER: VISIT DATE: 03/06/2023

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


raw_content:
Narrative:
Continued from Facility staff report the clients are assisted with bathing daily. Records and additional interviews indicate two clients arrived at school on multiple occasions with a strong odor, appearing as though they had not bathed. Clients needed to be cleaned by school staff on arrival at school. Additionally, one client arrived at school with soiled clothes in their backpack. The school documented one client had oily hair and another had dandruff, despite the facility reporting the clients showered daily. Interviews indicate the clients are able to shower themselves, but need step by step assistance. While the clients did get baths, the frequency and quality of the bathing was not adequate. Based on LPM and LPA's observations, interviews conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation, Staff did not bathe minor is found to be SUBSTANTIATED. Citation per Title Section 84078(b)Responsibility for Care and Supervision is documented on LIC-9099D. A signed copy of this LIC-9099 report, the LIC-9099C, and LIC-9099D were provided to the facility. An exit interview was conducted. Appeal rights were provided.

Investigation Findings:
13Licensing Program Manager (LPM) Hillary Hall arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint allegations. LPM met with Neville Kimbrell, Administrator. LPM and LPA's McKinley, Valencia, and Vue conducted the investigation. LPA Valencia opened the investigation with the facility on 01/12/23 and an Administrator was interviewed. LPA Valencia conducted a Health and Safety Inspection of the facility and no deficiencies were observed. During the course of the investigation, LPM and LPA's interviewed a total of 7 facility staff, 5 school staff, and a Service Coordinator. Attempts to interview clients were unsuccessful due to client's verbal skills. LPM and LPA McKinley reviewed relevant records from the facility including: Client Roster, Staff Roster, Staff schedule, Staff Training logs, prior complaint history, Serious Incident Reports, Individualized Education Plans, and Needs and Service Plans for foster youth. LPM also reviewed records from the school. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Margo Castaneda LICENSING EVALUATOR NAME: Hillary Hall 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: REMI VISTA BEAR MOUNTAIN HOMEFACILITY NUMBER: VISIT DATE: 03/06/2023

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


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Continued from One witness reported observing a client be grabbed by the arms, pulled up off the ground, and yelled at within close range by a facility staff when the client refused to leave school campus. The client's escalated behavior diminished after school staff intervened. Another witness observed from a distance but could not hear the verbal exchange. The incident was not reported timely making details inconsistent. The staff alleged to have grabbed and yelled at the youth denied the allegations. Record Review and Interviews with other facility staff indicate the alleged staff who grabbed the youth was very professional and was highly rated at the facility. Based on LPA's observations, interviews, and record reviews, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. A signed copy of this LIC-9099 report and the LIC-9099C were provided to the facility. An exit interview was conducted. *Amendment created to include staff's denial of allegations.

Investigation Findings:
13Licensing Program Analyst (LPA) Lyta Vue and Licensing Program Manager (LPM) Hillary Hall arrived unannounced at the facility on 04/26/23 for the purpose of delivering findings for the complaint investigation. LPA and LPM met with Neville Kimbrell, Administrator. LPAs Vue, Misty Valencia, and Wendy Brown, as well as Licensing Program Manager (LPM) Hillary Hall conducted the complaint investigation. LPAs Vue and Valencia opened the investigation with the facility on 02/02/23 and interviewed facility administrator. LPAs conducted a Health and Safety Inspection. During the course of the investigation, LPAs conducted interviews with three facility staff, one service provider, and two other confidential individuals. LPA's were unsuccessful in conducting interviews with five clients. LPA Vue reviewed relevant records from the facility including Staff training, staff schedule, personnel records, Needs and Service Treatment Plans, Placement Roster, prior complaint history, Serious Incident Reports, and other supporting Assessment Records. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Margo Castaneda LICENSING EVALUATOR NAME: Hillary Hall 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: REMI VISTA BEAR MOUNTAIN HOMEFACILITY NUMBER: VISIT DATE: 04/26/2023


raw_content:
Narrative:
Text messages indicate that one minor was visibly sick with a fever at school on 02/09/23 and the facility staff was notified. The school staff stated during interviews that the minor was picked up. In March, there were multiple days the clients appeared to be sick at school, but it was not documented, and the facility was not always notified to come pick them up. Upon interview and records reviewed, the Client Personal Property Safeguarded Items records showed that the logs were dated through March of 2023 of clothing purchased and personal property provided as needed. LPA observed the minor's health and appearance to be healthy and maintained. The minors were dressed appropriately and clean. LPA completed a Health and Safety Home Inspection and observed the clients to have clothes drawers in the client's room to be filled with clothes and other personal items such as socks and underwear. Based on LPA's observations, interviews, and record reviews, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. A signed copy of this LIC-9099 report and the LIC-9099C were provided to the facility. An exit interview was conducted.

Investigation Findings:
13Licensing Program Analyst (LPA) Lyta Vue arrived unannounced at the facility on 05/30/23 for the purpose of delivering findings for the complaint investigation. LPA met with Chris Magera, Program Manager. LPA Lyta Vue conducted the complaint investigation. LPA opened the investigation with the facility on 03/30/23 and the Behavioral Case Manager (BCM) was interviewed. A Health and Safety Inspection was conducted. During the course of the investigation, LPA interviewed one facility staff, and two other confidential individuals. LPA attempted interviews with two youth. LPA reviewed relevant records from the facility including staff training, staff schedule, Client Quarterly Progress Report, Placement Roster, prior complaint history, Serious Incident Reports, and Individual Client Inventory records. Record review provided no evidence the facility allowed minors to go to school when visibly sick. There was inconsistent information provided in interviews. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Lyta Vue 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: REMI VISTA BEAR MOUNTAIN HOMEFACILITY NUMBER: VISIT DATE: 05/30/2023

met_with: Program Manager (PM)


raw_content:
Narrative:
An allegation was made that a staff hit a minor in care, based on the minor's behavior and verbalizations. Interviews and records reviewed were consistent that a staff spanked a minor four times with a wooden spatula on 11/02/24. The facility submitted a 24-hour Incident Report (IR) on 11/02/24, indicating inappropriate discipline (spanking) by the staff, which was witnessed by two other staff. The staff who spanked the minor was suspended from work the same day and terminated from employment on 11/06/24. The facility arranged for the remaining staff to attend a training on 11/13/24 to review Professional Boundaries and Appropriate Crisis Intervention. Based on LPA's observations, interviews which were conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. One citation is being issued due to violating Title 22, Division 6, Section 84072 (d)(19). A signed copy of this LIC-9099 report, the LIC-9099C, and LIC-9099D were provided to the facility. An exit interview was conducted. Appeal rights were provided. During interviews and records reviewed, it was reported that a minor in care sustained an unexplained injury. One service provider reported that the minor had a scratch on their torso. Three staff reported the minor sustained an injury while playing with a plunger in the shower, causing a circular bruise on their chest. The bruise from the plunger occurred on 10/12/24 and an internal incident report was documented. The scratch was reported within two days, 10/24/24 of the incident. There was conflicting information in the interviews regarding whether the injury was a scratch or bruise. Based on verbalizations by the minor containing swear words, it was alleged that staff speak to the minor in an inappropriate manner, and the minor learned the words from staff. The minor was unable to report what exactly staff said to them. When interviewed, all staff reported that they do not use inappropriate or foul language with the clients. Based on LPA's observations, interviews which were conducted, and records reviewed, although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove the violations did, or did not, occur. Therefore, the allegations are UNSUBSTANTIATED. A signed copy of this LIC-9099 report, the LIC-9099C were provided to the facility. An exit interview was conducted. Appeal rights were provided.

Investigation Findings:
13Licensing Program Analyst (LPA) Lyta Vue arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Chris Magera, Program Manger (PM). LPA Vue conducted the complaint investigation. LPA Kellie McKinley opened the investigation with the facility on 10/16/24 and met with Program Facilitator, Tony Jackson and conducted a Health and Safety Inspection. During the course of the investigation, LPA interviewed four (4) service providers, three (3) staff, and unsuccessfully attempted interviews with four (4) minors. LPA reviewed records including Placement Roster, Training logs, LIC 500, staff contact list, staff schedule, prior Complaint History, Serious Incident Reports, and Needs and Service Plans/ Quarterly Reports for two minors in care. Report continued on 9099c SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Lyta Vue 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: REMI VISTA BEAR MOUNTAIN HOMEFACILITY NUMBER: VISIT DATE: 11/26/2024

met_with: Chris Magera, Program Manger (PM)


raw_content:
Narrative:
Interviews were consistent regarding the allegation, Minor sustained unexplained injuries while in care. 10 out of 10 staff interviewed all reported that a minor was playing on a hammock, which broke, causing the minor to fall, resulting in a scratch on the back. All interviewed reported that they did not witness the fall and only assumed the scratch on the minor was from the fall. An internal incident report was documented regarding the scratch on the minor's back, but it was not submitted to the Department . No staff were present to supervise the minor outside at the time of the reported fall and injury. Based on LPA's observations, interviews which were conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. One citation is being issued for violating Interim Licensing Standards version 6, 80078(a) Responsibility for Providing Care and Supervision (a)The licensee shall provide care and supervision as necessary to meet the client's needs. A signed copy of this LIC-9099 report, the LIC-9099C, and LIC 9099D and appeal rights were provided to the facility. An exit interview was conducted. On or about 3/16/2025, one minor was complaining about an injury on their backside. All staff interviews believed the injury was from a fall off a hammock. However, there were no witnesses to the fall. Two confidential interviews reported the minors were speaking inappropriately, leading to concerns of sexually inappropriate behavior within the facility. Staff Interviews were consistent that they do not speak to the minors inappropriately. Facility records indicated one minor learned inappropriate words from a family member on the phone and has been repeating the words within the facility, leading other minors to also use the words. The minor was unable to report what exactly the family member said to them. Based on LPA's observations, interviews which were conducted, and records reviewed, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. A signed copy of this LIC-9099 report, the LIC-9099C were provided to the facility. An exit interview was conducted.

Investigation Findings:
13Licensing Program Analyst (LPA Lyta Vue arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Chris Magera, Administrator (ADMIN). LPAs Valencia and Vue conducted the complaint investigation. LPA Valencia initiated the complaint investigation with the facility on 03/27/2025, met with Program Facilitator (PF) and conducted an interview and a Health and Safety Inspection. During the course of the investigation, LPAs interviewed the Administrator (Admin), 2 service providers, 10 staff, and unsuccessfully attempted interviews with 5 minors. LPA reviewed records including Placement Roster, Training logs, staff contact list, staff schedule, prior Complaint History, Serious Incident Reports, and Needs and Service Plans/ Quarterly Reports for minors in care. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Lyta Vue 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: REMI VISTA BEAR MOUNTAIN HOMEFACILITY NUMBER: VISIT DATE: 05/12/2025

met_with: Chris Magera, Administrator (ADMIN)


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA), Stefanie Whitlow, began an unannounced annual inspection at Remi Vista-Bear Mountain Group Home. LPA initiated the annual at administrative office located at Churn Creek Rd. Redding, CA, on 12/22/21, at 11: AM. LPA met with Chris Magera, who assisted with the inspection. Three staff files were reviewed. Criminal record clearances, First Aid Certificate, and Administrators certificate were valid and current. Job title/qualifications and Hour required training were verified. Four clients files were reviewed. All records were retrieved from the facility computer database. Needs and Services Plans, Parent Consent psychotropic medication forms, medical records, appraisal forms, personal property inventory lists, and client's cash resources were verified. Four out of four client files were lacking a Telecommunications Device Notification form (LIC 9158). This does not post an immediate health and safety risk. A Technical Violation was given based upon California Code of Regulations 80068(b): The licensee shall complete and maintain in the client's file a Telecommunications Device Notification form (LIC 9158) for each client whose pre-admission appraisal or medical assessment indicates he/she is deaf, hearing-impaired, or otherwise disabled. LPA will complete an annual continuation inspection. Exit Interview was conducted with Chris Magera. Appeal rights were not explained as no citations were being given. The LIC 809 was signed and sent electronically.

report_type: Facility Evaluation

visit_type: Annual

met_with: Chris Magera


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA), Stefanie Whitlow, completed an announced annual inspection continuation at Remi Vista Bear Mountain Group Home located at Tamera Way. Redding, Ca 96003 at 9: AM, on 12/24/21. LPA met with Garret Vargas, Program Facilitator, who assisted with the inspection. Lpa, S. Whitlow, conducted a walk-through of the facility inside and out. Facility staff-client ratio at time of inspection was two staff to four clients. LPA observed five bedrooms and three bathrooms. Two staff were interviewed. LPA atThe menu was posted, the carbon monoxide detectors and smoke detectors were tested. The First Aid Kit was fully stocked. LPA observed a common room and dining area available. The furniture was in good condition. Medication was centrally stored in a locked drawer within the locked office. LPA attempted to interview four clients, but all were unable to qualify and are mostly non-verbal. LPA interviewed two staff. LPA (Last Name) inspected and/or reviewed the following: posting of license, Personal Rights, disinfectants/cleaning solutions were inaccessible. The refrigerator Temperature was at 40 degrees F. The freezer temperature was at zero degrees. LPA observed there were nonperishable foods for one week and fresh perishable foods for two days. There was a working telephone. Hot water tested between 105-120 degree F and a fire extinguisher inspected 11/22/21. Toilets, wash basin, bath and shower fixtures are in good repair with no leaks. Soap and paper towels as well as laundry facilities were available. Bedrooms had required linen and furnishings. Motor Vehicle properly maintained including lights, tires, registration/insurance, and working seat belts. The facility was free of vermin. There were no outdoor storage buildings or sheds. Continued on LIC 809-C... ...Continued from LIC Disaster and mass casualty plan was updated and available. LPA reviewed documentation of quarterly drills conducted. Disaster preparedness supplies were verified. LPA reviewed restraint logs. All restraints are documented on Incident Reports and additionally on a spreadsheet. LPA observed three out of three clients' medication records had Psychotropic Medication Administration Record forms (PMAR) with more than one medication listed. LPA provided Technical Violation advisory in reference to Health and Safety Code 1507.6(b)(2)(B) An exit interview was conducted with Program Facilitator, Garrett Vargas. The LIC 809 was signed and sent electronically to licensee.

visit_type: Case Management

met_with: Garrett Vargas


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA), Stefanie Whitlow, conducted Case Management with Administrator, Chris Magera (C.M.), at Administrative Office located at Churn Creek Rd. Redding CA, 96002, on 1/3/22 at 11: AM. The purpose was to gather information surrounding an incident reported to the Department. It was reported that a client missed a psychotropic medication on 12/29/21. This was discovered on 12/30/21 by a general care staff member. The staff members responsible for the error will be participating in a medication training scheduled for 1/4/22 at 11: AM with a nurse (RN), through Far Northern Regional Center, in person. Staff interview attributed the medication to a recent serious injury resulting in a client being hospitalized and changed Psychotropic Medication Administration Record forms (PMAR's). The medication error was reported to the Department timely and correctly, the pharmacy was contacted, and the facility is taking action to reinforce medication administration policies of checking PMAR's twice after administration of medication. No citations are being given at this time. Exit interview was conducted Administrator, C.M., and LIC 809 was sent electronically.


summary: Facility Evaluation

raw_content:
Narrative:
On 11/17/2023, Licensing Program Analyst (LPA) Misty Valencia arrived unannounced at the facility and met with Tony Jackson, Program Facilitator. The purpose of the visit was to conduct a Required, Two year Annual Inspection of the facility. The last Annual inspection for the facility was on 12/22/2021. LPA utilized the CARE Tool to complete the Annual inspection. LPA conducted an inspection of the physical plant, and checked for all necessary requirements. The facility was clean and organized, and maintained an acceptable room temperature. The facility is a home like setting, with five (5) client bedrooms, a large open plan kitchen/dining area, and one locked staff office. Each client had a closet and dresser in good repair. Mattresses and bedding were observed to be clean. Clients were able to decorate their rooms with their personal belongings. The backyard was free from hazards, safely fenced, with a variety of sports equipment accessible to clients. LPA observed the proper postings including: facility license, complaint hotline, client personal rights, and emergency disaster plan. The facility has three. All were observed to be clean and fully functioning. Smoke alarms were in working order, fire extinguishers were current, and a first aid kit was fully stocked. LPA observed the kitchen to have at least 2 days of perishable food and 7 days of non-perishable food on hand, with additional food stored in the storage closet in the kitchen. LPA observed client files and client medications were stored in a locked file cabinet in the locked staff office. The facility has no outstanding fees. LPA traveled to Remi Vista Inc. office to complete file reviews with Administrator Chris Magera. The facility currently has five (5) clients, with a licensed maximum capacity of six (6). Staff to client ratio is two (2) to five (5). LPA reviewed five (5) staff files. Staff files had completed criminal record clearances and all required initial and annual training. All First Aid and CPR certifications were up to date for staff. LPA interviewed three (3) staff on site. continued on 809-C LPA reviewed five (5) client files. All clients had signed Admission Agreements on file. Client files had completed initial Needs and Service Treatment Plans, all signed by clients. Clients had updated Needs and Service plans every thirty (30) days that were signed. Needs and Service Plans detailed adequate supportive services the facility offers to the clients. Clients were current on CHDP physical exams and dental exams. four (4) of five (5) clients were taking court ordered psychotropic medications and had current JV-220's or informed consent from guardian on file. LPA attempted to interviewed two (2) clients, but clients are non-verba and just stared at LPA. No citations were given on this date. A signed copy of this LIC-809, LIC-809C, and LIC 809D, report was provided to Administrator. An exit interview was conducted. Appeal rights were provided

met_with: Tony Jackson, Program Facilitator


summary: Facility Evaluation

raw_content:
Narrative:
On 11/18/24, Licensing Program Analyst (LPA) Lyta Vue arrived unannounced at the facility and met with Administrator, Neville Kimbrell and Program Manager, Chris Magera. The purpose of the visit was to conduct a Required Annual Inspection of the facility. The last Annual inspection for the facility was on 11/17/23. LPA utilized the CARE Tool to complete the Annual inspection. The facility is licensed to provide treatment services for ambulatory children ages 8 to 17 years. The facility currently has 5 clients, all Regional Center placements. 0 client was present during the inspection. The facility is licensed for a maximum capacity of 6. Staff to client ratio is 2:5. LPA conducted an inspection of the physical plant and checked for all necessary requirements. The facility had no noticeable odor and maintained an acceptable room temperature. There are a total of five bedrooms available for clients, with each client having their own bedroom. LPA observed the client bedrooms, living rooms, kitchen, three bathrooms, 2 for clients and one for staff, the backyard, the garage, and the staff office to be clean and organized. LPA observed each client bedroom to have a closet, a dresser, and a clean mattress. Sheets, blankets, and pillows were in good condition. Every bedroom was decorated with the client's personal items. LPA observed a locked staff office where files and medications are stored, and the medications are locked in a file drawer. Client files were stored electronically with a password. LPA observed the proper postings including facility license, complaint hotline, menu, and emergency disaster plan. Smoke alarms and carbon monoxide were in working order, fire extinguishers were current and will be expire on 02/08/25, and a first aid kit was fully stocked. The facility has no outstanding fees. LPA observed 2 days of perishable food and 7 days of non-perishable food in the kitchen and in the additional refrigerator in the garage. Disinfectants and cleaning solutions were inaccessible, stored and locked in the laundry room. 809 report continued on 809c LPA reviewed five (5) client files. Four (4) of clients were taking court ordered psychotropic medications and had current court authorization or parental consent on file. Psychotropic medication logs for clients were written on separate Psychotropic Medication Administration Records. Clients were current on CHDP physical exams and dental exams, but two (2) clients are missing tuberculosis (TB) test records. The clients' Needs and Services Plan/Individual Program Plan were complete and up to date. LPA reviewed five (5) staff files. Staff files had completed criminal record clearances, and all required initial and annual training. First Aid and CPR certifications were up to date for all staff. Administrators Certificate was valid. LPA interviewed one (1) staff on site, there was only staff was on site due to clients being at school. LPA attempted to interviewed five (5) clients at school, two refused and 3 only repeats questions asked. Facility is issued a citation per Title 22, Division 6, 80069(c)(1) Medical Assessment: (c) The medical assessment shall include the following: (1) The results of an examination for communicable tuberculosis and other contagious/infectious diseases. A signed copy of this LIC-809, LIC-809C, and LIC 809D report was provided to Program Manager, Chris Magera. An exit interview was conducted. Appeal rights were provided.

met_with: Administrator (AM), Program Manager (PM)


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Misty Valencia and Lyta Vue on 11/13/2025 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs Valencia and Vue met with Chris Magera, Administrator and inspected the facility inside and out. LPA reviewed 1of 5 child's records and 5 of 5 staff personnel files on site at the facility. LPA reviewed 4 of 5 child's psychotropic medications and medication records. LPA interviewed 2 of 5 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed no children currently prescribed psychotropic medication due to limited verbal skills. LPA provided a copy of this licensing report to Chris Magera, Administrator. No deficiencies are being cited at this time. LPA conducted exit interview with Chris Magera, Administrator

met_with: Chris Magera, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 11/13/25, Licensing Program Analysts (LPA) Lyta Vue and Misty Valencia arrived unannounced at the facility and met with Program Manager, Chris Magera. The purpose of the visit was to conduct a Required Annual Inspection of the facility. The last Annual inspection for the facility was on 11/18/24. LPAs utilized the CARE Tool to complete the Annual Inspection. The facility is licensed to provide treatment services for ambulatory children ages 8 to 17 years. The facility currently has 5 clients, all Regional Center placements. 0 clients were present during the inspection. The facility is licensed for a maximum capacity of 6. Staff to client ratio is 2:5. LPAs conducted an inspection of the physical plant and checked for all necessary requirements. The facility had no noticeable odor and maintained an acceptable room temperature. There is a total of five bedrooms available for clients, with each client having their own bedroom. LPAs observed the client bedrooms, living rooms, kitchen, three bathrooms, 2 for clients and one for staff, the backyard, the garage, and the staff office to be clean and organized. LPAs observed each client's bedroom to have a closet, a dresser, and a clean mattress. Sheets, blankets, and pillows were in good condition. Every bedroom was decorated with the client's personal items. LPAs observed a locked staff office where files and medications are stored, and the medications are locked in a file drawer. Client files were stored electronically with a password. LPAs observed the proper postings including facility license, complaint hotline, menu, and emergency disaster plan. Annual Report continued on 809c Smoke alarms and carbon monoxide were in working order, fire extinguishers were current and will expire on 02/2026, and a first aid kit was fully stocked. The facility has no outstanding fees. LPAs observed 2 days of perishable food and 7 days of non-perishable food in the kitchen and in the additional refrigerator in the garage. Disinfectants and cleaning solutions were inaccessible, stored and locked in the laundry room. LPAs reviewed five (5) client files. Four (4) of five (5) clients were taking court ordered psychotropic medications and four (4) of five (5) clients had current court authorization or parental consent on file. Psychotropic medication logs for clients were written on separate Psychotropic Medication Administration Records. Clients were current on CHDP physical exams and dental exams. The clients' Needs and Services Plan/Individual Program Plan were complete and up to date. LPAs reviewed five (5) staff files. Staff files had completed criminal record clearances, and all required initial and annual training. First Aid and CPR certifications were up to date for all staff. Administrators Certificate was valid. LPAs interviewed two (2) staff on site due to clients being at school. Zero (0) clients were interviewed due to 5 of 5 clients are non-verbal, and no new placement has been placed since 2022. LPAs have attempted to conduct interviews with all five (5) client's on multiple occasions in the last few years (2023, 2024) but was unsuccessful. A signed copy of this LIC-809, LIC-809C report was provided to Program Manager, Chris Magera. An exit interview was conducted.

met_with: Chris Magera, Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA), Stefanie Whitlow, conducted continuation of Case Management of 1/3/22, on 3/22/22 at 10: AM, with administrator, Chris Magera, at the administrative office. The address is Churn Creek Rd. Redding CA, 96002. LPA investigated the incident-conducted interviews with three staff members, in addition to Facility Program Manager (C.M.). The two staff members, S1 and S2, present at the time of the incident, stated C1 was initially limping after falling and hurting his hip, and that the limp progressively worsened throughout the evening. S1 and S2 stated they had to lift C1 to help him to his room after dinner. The two staff told LPA they intended to take C1 to the doctor in the morning, which they shared with S3, the night staff member, when he arrived. S3 told LPA that C1 was whaling in pain all night long and that S3 did not call 911 because S1 and S2 had told him not to when they debriefed S3. S1 and S2 told LPA they did not seek emergency medical attention because they hoped C1 had only bruised his hip. The three staff told LPA that C1 could not get out of bed in the morning and that C1 was covered in feces and urine. Based on staff neglecting to seek emergency medical attention for a non-verbal client displaying signs of pain for fourteen hours due to an injury resulting in multiple surgeries, LPA is citing facility for violation of California Code of Regulations, Title 22, Division and Chapter Six Interim Licensing Standards Health Related Services: (a) The licensee shall ensure that each client receives necessary first aid and other needed medical or dental service services, including arrangement for and/or provision of transportation to the nearest available. An exit interview was conducted with administrator, Chris Magera, who signed the LIC 9099. Appeal rights were explained and a copy provided.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Lyta Vue arrived unannounced at the facility on this date for the purpose of a Case Management Inspection regarding failure to report an incident. LPA met with Chris Magera, Program Manager (PM). During the course of the case management, interviews were conducted, and records reviewed. One confidential interview reported that on 10/16/24, a staff noticed two different medication capsules/pills on the client's bedroom floor. An internal Special Incident Report was made, however, it was not reported to the Department. A confidential interview alleged one staff had been teaching the minors how to kiss. An internal Special Incident Report was made on 10/14/24 involving one minor kissing another minor. An email was sent out from administration to all staff on 10/23/24 which coincides with the internal Special Incident Report wherein kissing was addressed. No incident report was sent to the Department regarding the staff or minors kissing. Upon further record review, one 24-hour incident report involving a restraint were submitted to the Department on 11/11/24 but a full report was not submitted. Report continued on 809c One citation is being issued per Title 22, Division 6, Chapter 1, Article 6. Continuing Requirement, Section 80061(b)(1)(E) Reporting Requirements: (b) Upon the occurrence, during the operation of the facility, of any of the events specified in (1) below, a report shall be made to the licensing agency within the agency's next working day during its normal business hours. In addition, a written report containing the information specified in (2) below shall be submitted to the licensing agency within seven days following the occurrence of such event. (1) Events reported shall include the following: (E) Any unusual incident or client absence which threatens the physical or emotional health or safety of any client. A signed copy of this LIC-809, 809C, and 809D were provided to the facility. An exit interview was conducted. Appeal rights were provided.

met_with: Chris Magera, Program Manager (PM)


facility_name: REMI VISTA ROCAFORT HOME

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPA) Katherine Deaton and Kellie McKinley conducted an annual inspection at the facility address located above. The facility is clean, safe, and sanitary. The LPAs conducted two staff interviews. There were no clients in the home at the time of the facility inspection. The LPAs requested verification that the first aid and emergency disaster kits were complete. Although all first aid components were identified, it took staff a few minutes to locate two components. The LPAs informed staff that an Advisory Note - Technical Violation would be issued. The LPAs left the facility at approximately 1:30pm and traveled to the Administrative Office located at Churn Creek Rd, Redding, CA to conduct the file review. The LPAs reviewed all three client files and interviewed two clients. The LPAs began the staff file review. Due to time constraints this inspection will be completed at a later date. No citations have been issued.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPA) Katherine Deaton and Kellie McKinley completed the annual inspection at the Administrative Office located at Churn Creek Rd, Redding, CA to complete the file review and conduct an exit interview. The LPAs reviewed four staff files. One staff did not have a Health Screen or TB test as they were hired 11 years ago and the documentation was not readily available at the time of inspection. The facility now maintains this information in a cloud-based system. The LPAs conducted an exit interview with Chris Magera, Program Coordinator and reviewed the Advisory Notes for Technical Violations Title Section 80075(g)(1)(A), Section 84361(f), and Section 84065(i)(1)(D). No citations were issued throughout the course of this inspection.

met_with: Chris Magera, Program Coordinator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Misty Valencia arrived unnanounce at the facility and met with Alisha Ashby, Facility Manager (FM), and Karson Van-dyke residential counselor (RC) of Remi Vista Rocafort Home. The purpose of the contact was to initiate a Case Management Inspection following up on four incident reports LPA received from the facility between 6/19/2023 and 06/26/2023 relating to client medication errors. LPA requested the following documents from the facility: Procedures on medication administration and description of training Verification of staff training on medication administration procedures (that will be completed 07/05/2023) Corrective Action Plan for Staff that completed errors On 06/19/2023- Client 1 (C1) #1 was on a home pass 06/14/2023 and was not given prescribed Benztropine 1mg medication and Topiramate 25mg. LPA and FM talked about completing a medication training for family and a separate MARS form for weekend home visits, which Far Northern Regional Center recommended as well. On 06/19/2023-C1 did not receive his morning medications Neutrogena oil-free acne wash 2% to be used twice a day. Take for ACNE Atomoxetine 40MG Take 1 capsule by mouth every morning. Take for ADHD Benztropine 1MG Take 1 tablet by mouth twice daily. Take for Tremors Pimozide 1MG Take 1 tablet by mouth twice daily. Take for tics Topiramate 25MG take 3 caps by mouth twice daily. Take for Seizures Ziprasidone 60MG Take 1 capsule by mouth twice daily. Take as Antipsychotic, due to staff error. continued on 809-C On 06/21/2023-C1 did not receive his prescription medication Gabapentin Cap Mg for bedtime due to the house did not have a refill of the medication provided, staff error. FM reported that a med count was completed on Sunday 06/18/2023 and was known to be limited and a refill should be completed. FM reported that from now on there will contact the medical coordinator to coordinate med refills. On 06/19/2023-Client 2 (C2) did not receive his morning medication Clonidine 0.1MG take 1 tablet by mouth twice daily for ADHD due to staff error. FM reported that morning was very hectic and everything was just not communicated very well. FM reports that from now on the staff coming on will communicate with the staff leaving so they know who received their meds and who didn't. A copy of this report has been provided to the facility. No citations issued.

met_with: Alisha Ashby, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
07/13/2023, Licensing Program Analyst (LPA) Misty Valencia and Lyta Vue arrived unannounced at the facility and met with Arieanna (ARI) Flores, Residential Youth Counselor. The purpose of the visit was to conduct a Required Annual Inspection of the facility. The last Annual inspection for the facility was on 08/24/2021. LPA utilized the CARE Tool to complete the Annual inspection. The facility is licensed to provide treatment services for ambulatory children ages 13-18years. The facility currently has four (4) clients, all Regional Center placements. Four (4) client(s) were present during the inspection. The facility is licensed for a maximum capacity of four (4). Staff to client ratio is two (2) to four (4). LPA conducted an inspection of the physical plant, and checked for all necessary requirements. The facility had no noticeable odor and maintained an acceptable room temperature. There are a total of four bedrooms available for clients, with each client having their own bedroom. LPA observed the client bedrooms, living rooms, kitchen, two bathrooms, the backyard, the garage, and the staff office to be clean and organize. LPA observed each client bedroom to have a closet, a dresser, and a clean mattress. Sheets, blankets, and pillows were in good condition. Every bedroom was decorated with the client's personal items. LPA observed a locked medication where medications are stored. Client files were stored at the main office off site electronically. LPA observed the proper postings including: facility license, complaint hotline, menu, and emergency disaster plan. Smoke alarms were in working order, fire extinguishers were current, and a first aid kit was fully stocked. The facility has no outstanding fees. LPAs observed 2 days of perishable food and 7 days of non-perishable food in the kitchen and in the additional refrigerator in the garage. Disinfectants and cleaning solutions were stored in the medication room cabinet inaccessible. continued on 809-C

met_with: Arieanna (ARI) Flores, Counselor


summary: Facility Evaluation

raw_content:
Narrative:
On 08/15/2024, Licensing Program Analysts (LPA) Misty Valencia and Lyta Vue arrived unannounced at the facility and met with Chris Magera, Administrator. The purpose of the visit was to conduct a Required Annual Inspection of the facility. The last Annual inspection for the facility was on 07/13/2023. LPA utilized the CARE Tool to complete the Annual inspection. The facility is licensed to provide treatment services for ambulatory children ages 13-18years. The facility currently has four clients, all Regional Center placements. One client was present during the inspection. The facility is licensed for a maximum capacity of four. Staff to client ratio is two to four. LPA conducted an inspection of the physical plant, and checked for all necessary requirements. The facility had no noticeable odor and maintained an acceptable room temperature. There are a total of four bedrooms available for clients, with each client having their own bedroom. LPA observed the client bedrooms, living rooms, kitchen, two bathrooms, the backyard, the garage, and the staff office to be clean and organize. LPA observed each client bedroom to have a closet, a dresser, and a clean mattress. Sheets, blankets, and pillows were in good condition. Every bedroom was decorated with the client's personal items. LPA observed a locked medication room where medications are stored. Client files were stored at the main office off site electronically. LPA observed the proper postings including: facility license, complaint hotline, menu, and emergency disaster plan. Smoke alarm was in working order, fire extinguishers were current, and a first aid kit was fully stocked. The facility has no outstanding fees. LPAs observed 2 days of perishable food and 7 days of non-perishable food in the kitchen and in the additional refrigerator in the garage. Disinfectants and cleaning solutions were stored in the medication room cabinet inaccessible. continued 809-C LPAs reviewed four client files. Four clients were taking psychotropic medications and had current parental consent on file. Psychotropic medication logs for clients were written on separate Psychotropic Medication Administration Records. Clients were current on CHDP physical exams and dental exams. The client's Needs and Services Plan/Individual Program Plan, were complete and up to date. LPAs reviewed five staff files. Staff files had completed criminal record clearances and all required initial and annual training. First Aid and CPR certifications were up to date for all staff. Administrators Certificate was valid. LPA interviewed two staff on site. LPA interviewed one client, three other client were not at the facility and were in school. No citations were given on this date. A signed copy of this LIC-809 and LIC-809C, report was provided to Administrator An exit interview was conducted.

met_with: Chris Magera, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 06/19/2025, Licensing Program Analysts (LPA) Misty Valencia arrived unannounced at the facility and met with Chris Magera, Administrator. The purpose of the visit was to conduct a Required Annual Inspection of the facility. The last Annual inspection for the facility was on 08/16/2024. LPA utilized the CARE Tool to complete the Annual inspection. The facility is licensed to provide treatment services for ambulatory children ages 13-18 years. The facility currently has four clients, all Regional Center placements. Four clients were present during the inspection. The facility is licensed for a maximum capacity of four. Staff to client ratio is two to four. LPA conducted an inspection of the physical plant, and checked for all necessary requirements. The facility had no noticeable odor and maintained an acceptable room temperature. There are a total of four bedrooms available for clients, with each client having their own bedroom. LPA observed the client bedrooms, living room, kitchen, two bathrooms, the backyard, the garage, and the staff office to be clean and organize. LPA observed each client bedroom to have a closet, a dresser, and a clean mattress. Sheets, blankets, and pillows were in good condition. Every bedroom was decorated with the client's personal items. LPA observed a locked medication room where medications are stored. Client files were stored at the main office off site electronically. LPA observed the proper postings including: facility license, complaint hotline, menu, and emergency disaster plan. Smoke alarm was in working order, fire extinguishers were current, and a first aid kit was fully stocked. The facility has no outstanding fees. LPA observed 2 days of perishable food and 7 days of non-perishable food in the kitchen and in the additional refrigerator in the garage. Disinfectants and cleaning solutions were stored in the medication room cabinet inaccessible. continued 809-C page LPA reviewed four client files. Four clients were taking psychotropic medications and had current parental consent on file. Psychotropic medication logs for clients were written on separate Medication Administration Records. Clients were current on CHDP physical exams and dental exams. The client's Needs and Services Plan/Individual Program Plan, were complete and up to date. LPA reviewed five staff files. Staff files had completed criminal record clearances and all required initial and annual training. First Aid and CPR certifications were up to date for all staff. Administrators Certificate was valid. LPA interviewed two staff on site and LPA interviewed two clients, two clients were bedrooms sleeping. No citations were given on this date. A signed copy of this LIC-809 and LIC-809C report was provided to Administrator An exit interview was conducted. Page 2


facility_name: RHOG CARE HOME

summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analyst (LPA) Lyta Vue, Yesenia Vallejo, Licensing Program Manager (LPM) Hillary Hall, and Regional Manager (RM) Margo Castaneda met with Abidemi Olatunbosun, Tunde Balogun, Matthew Erilim, and Uchenna Ajaero at 10: AM for a scheduled Component 2 meeting for the Application for RHOG CARE HOMES GROUP HOME. The meeting was held in the CCLD Office located at Cohasset Rd., Chico, CA. RM and LPM discussed revisions needed to the A and B documents. The applicants agreed to provide the revisions to the application to the Department within 30 days. If the applicants need more time, they can request for it. RM and LPM also provided the application for the Regional Center. An approved Program Statement was reviewed in person with the applicant. A signed copy of this 809 was provided to the applicants.

met_with: Tunde Balogun


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Lyta Vue conducted an announced Pre-licensing Inspection on 10/06/25 at 8: AM at the above location, as required for the Group Home (GH) licensure. LPA met with Matthew Erilim, Administrator (AMIN) and Babatunde Balogun, Chief Executive Officer (CEO). During the pre-licensing visit, LPA conducted a Health and Safety Inspection using the CARE tool. LPA observed the facility to be clean inside and safe. The outside of the facility is fenced in the backyard, spacious, clean and well maintained for outdoor activities. LPA observed that there is one (1) floor to the facility. LPA observed five bedrooms of which four (4) are client bedrooms, equipped with appropriate furniture, bedding, and supplies for clients. Sufficient storage space for client's personal belongings was observed in each room. The facility is requesting to be licensed for six (6) clients. One (1) staff is hired but staff will work according to ratio. LPA observed a medication locked box stored and locked in the locked pantry and a medication fridge which was empty, but locked which is made accessible only to designated staff. The kitchen area was equipped with an adequate number of utensils, dining supplies, and cups for clients. No food was observed as there are no clients, and no pending placements at this time. Facility will verify required food on hand at time of client placement. LPA observed a staff office space that is locked and inaccessible to clients, where client records will be locked in file cabinets. Facility has a garage used for maintenance supplies and is locked and made inaccessible for clients. LPA observed a laundry room with a locked door with all cleaning supplies are store high in cabinets. Inspection report continues on 809c The smoke detectors and carbon monoxide were tested and found to be functional during the inspection. Two (2) fire extinguishers were present and will expire 12/09/25. A fully equipped first aid kit was in the kitchen area. The Foster Youth Bill of Rights was posted in a conspicuous location. There are three (3) bathrooms in the facility, of which two (2) are accessible for client use and one (1) for staff. The water temperature was tested and found to be DEGREES. The facility is ready for licensure as a Group Home and LPA recommends that the facility be licensed. A signed copy of this report was provided to Matthew Erilim, Administrator.

visit_type: Prelicensing

met_with: Matthew Erilim, AMIN Babatunde Balogun, CEO


facility_name: RICKY'S RESIDENTIAL

summary: Facility Evaluation

raw_content:
Narrative:
On August 10, Licensing Program Analyst Stephannie Verna conducted an announced pre-licensing facility inspection and met with Desiree Clifton, Facility Administrator and announced the reason for the inspection. Desiree Clifton, Facility Administrator assisted with the inspection. LPA and the Administrator conducted a joint inspection of the interior and exterior areas of the facility's physical plant. The group home is requesting to be licensed for a capacity of 3 ambulatory clients, ages seven to 17 years old. There were no clients in care at the time of the inspection. Clients with Special Health Care Needs (SHCN) will not be admitted. The home is a one story home. The home consists of three single occupancy bedrooms and two bathrooms, a garage, and a backyard with a swimming pool. The home has a home security alarm system installed, there are no video cameras as part of the security system. The front and back yards were free of clutter; and the passageways and egress were unobstructed. No potentially hazardous items or areas were observed. The backyard contains a swimming pool, a seating area with a table and multiple chairs, gazebo to shade from the sun and a barbecue. Pool fencing surrounding the pool was of adequate height, had a self-closing and latching gate, and was within regulation. continued on 809-c LPA observed that the bedrooms had a single bed and bedding including mattress cover, fitted sheet, top sheet and blanket, desks with drawers for personal items, night stand, lamp, and ample closet area. The living room consisted of two couches and a television, and a shared sitting area/activity area consisted of two chairs and a desk, a television and computer with internet access. The facility had a working land line and the phone was located on an end table in the living room. LPA also observed activity supplies in the sitting area, including coloring supplies, paint supplies, a game, books and an exercise bike. The sitting area contained a screened fire place, that was not in working order. The sitting room was located down one step and was at a lower level than the living and dining area, and there are support bars installed on the wall in the doorways to the lower level. There was one bathroom which was observed to be on the lower level and was equipped with a shower and a shower curtain for privacy. The bathroom had a working toilet, shower, and sink faucet. The second bathroom was located at the rear of the hallway in the home and was observed to have a bathtub, working toilet, bath faucet and sink faucet. The water temperature was measured to be at 108.8 degrees Fahrenheit. The bathrooms contained soap and paper towels for hand washing. The hallway closet outside of the bathroom contained extra towels and wash cloths. LPA observed that the dining area was off of the kitchen and the table was set up for placement of four and contained four chairs. LPA observed that the kitchen area was located off the dining and living room area of the facility and that the kitchen area had the stove, refrigerator, and oven. The pantry was located off of the kitchen in the hallway, with no lock on the door. The facility will ensure that the pantry and kitchen are stocked with ample food prior to accepting placement of clients. continued on 809-c There was also a refrigerator and freezer located in the garage for extra storage of food, and the freezer was stocked with frozen foods. LPA observed that there were ample dishes, cups, utensils, and items used for cooking meals in the kitchen. Sharps are to be kept in a drawer in the kitchen and this drawer was secured by a locking system. Cleaning supplies and chemicals are to be stored under the kitchen sink and in the garage cabinet, which are also secured by a locking system. Menus and meal schedules were posted in the kitchen. LPA observed that the medications and confidential client and staff files, including the Register of Clients, are to be stored in the cabinet in the lower level of the home, across from the bathroom and near the garage door. This cabinet contained multiple first aid kits and other first aid supplies as well as cubbies to hold client medications. LPA observed that this cabinet has a locking mechanism and will not be accessible to clients in care. This cabinet also stored extra hygiene products for the clients, bathroom caddies, and included soap, toothbrushes, razors, lotion, and shampoo. LPA observed that there was a laundry area, including a washer and dryer, in the garage. The garage contained multiple cabinets which were empty, stored life vests for the pool, extra bedding and comforters and/or were locked and stored cleaning supplies, and pool chlorine. The home had an Emergency Disaster plan, and Facility Sketch posted in multiple areas of the home. Client Personal Rights and the Grievance policy were posted in the hallway, along with a calendar of activities. continued on 809-c LPA observed a working Carbon Monoxide detector in the hallway and working smoke alarms in each bedroom, the dining area, and a living area. LPA observed that there was a fire extinguisher in the kitchen and the lower level sitting area. The fire extinguished were charged and last inspected in April 2022. The fire clearance was posted in the hallway. The facility was clean, safe, sanitary and in good repair. All reviewed elements of physical plant of home are compliant with Title Regulation and Health and Safety Codes. The program statement and application are complete and approved. The facility is prepared for licensure and pending Licensing Program Manager's Approval. An exit interview was conducted with Desiree Clifton, Facility Administrator and a copy of this report was left with Clifton, Facility Administrator.

met_with: Desiree Clifton, Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 11/30/ Licensing Program Analyst (LPA) Jean Stidman met with Desiree Clifton, Administrator for the purpose of conducting a Post Licensing Inspection LPA completed the Physical Plant inspection.. LPA will complete the inspection at a later date. LPA conducted a walk-through of the facility inside and out. Facility staff-client ratio at time of inspection (no clients in placement and no staff present) Number of staff interviewed 1. LPA observed #3 bedrooms, # 2 bathrooms I. Physical Plant Posting of license_X_ Personal Rights_X____ Disinfectants/Cleaning solutions inaccessible__X___ Refrigerator Temperature at or below 45 degrees F __X_ Freezer Temperature at or below 0 degrees__X___ Nonperishable Foods one week and fresh perishable foods two days minimum_N/A Menu present and posted___N/A___ Working telephone __X___ Carbon monoxide detectors ___X__Smoke Detector __X__ First Aid Kit fully stocked_X__ Common Room available__X___ Dining area (enough seating, furniture good condition, not broke or damaged) __X__ Medication centrally stored, locked/inaccessible _N/A__ Office (locked and privacy) N/A____ Hot Water between 105-120 degree F (Properly labeled if over 125 degree F__X___ Fire Extinguisher (note inspection date) _April 2022__ Toilets wash basin, bath and shower fixtures in good repair/no leaks/hot water temperature _X___ Soap and Paper towels _X_____ Laundry Facilities(available, work assign dates) __X___ Bedrooms-required linen and furnishings ___X__ Motor Vehicle properly maintained , lights, tires, registration/insurance and working seat belts__N/A_ Facility free of vermin _X____ Locked Facilities (open locked storage area/building/sheds) ___N/A Bedroom (required bedding/furniture, furniture in good repair) ___X__ A copy of this report was left with Desiree Clifton, Administrator

met_with: Desiree Clifton, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 2/8/ Licensing Program Analyst (LPA) Jean Stidman met with Desiree Clifton Administrator for the purpose of a Post Licensing Inspection. LPA inspected the facility inside and outside. The facility has no clients in placement. No violations were cited. LPA and Administrator reviewed the facility application list of revisions needed. LPA provided Technical Assistance on revisions needed. A copy of this report was left with Desiree Clifton, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Jean Stidman made an unannounced Annual inspection on 8/2/23 at 10:15am. During the inspection LPA met with Troy Bishop, House Manager who assisted with the inspection. LPA completed the Physical Plant inspection. LPA will complete the inspection at a later date. LPA conducted a walk-through of the facility inside and out. Facility staff-client ratio at time of inspection were two clients in placement and two staff present. LPA observed #3 bedrooms, # 2 bathrooms. LPA inspected and/or reviewed the following: Physical Plant Posting of license X Personal Rights x Disinfectants/Cleaning solutions inaccessible_ X Refrigerator Temperature at or below 45 degrees F X Freezer Temperature at or below 0 degrees X Nonperishable Foods one week and fresh perishable foods two days minimum X Menu present and posted_NO The menu posted is not current. Working telephone X Carbon monoxide detectors X Smoke Detector X First Aid Kit fully stocked_ X Common Room available_ X Dining area (enough seating, furniture good condition, not broke or damaged) X Medication centrally stored, locked/inaccessible X Hot Water between 105-120 degree F (Properly labeled if over 125 degree F_NO The hot water is 140 degrees Fahrenheit Fire Extinguisher (note inspection date) May 2023. Toilets wash basin, bath and shower fixtures in good repair/no leaks/hot water temperature _NO. The hall bathroom sink has water leaking into the drawers and underneath the sink. LPA observed the repairman was called and will come out this week. Soap and Paper towels X Laundry Facilities(available) X Bedrooms-required linen and furnishings _ X _ Motor Vehicle properly maintained, lights, tires, registration/insurance and working seat belts X Facility free of vermin X Bedroom (required bedding/furniture, furniture in good repair) X. The garage outside wall near the garbage cans has vent into the garage that is missing a screen and is only covered by a board leaning against it. LPA observed the house refrigerator/freezer has ice build-up on the walls and shelves and there is ice on the backwall of the refrigerator compartment and the garage freezer has ice build-up on the walls and shelves. Operations Complaint Procedures For Youth Reviewed _X Board Minutes Reviewed_ X Disaster Preparedness Disaster and mass casualty plan updated and available_ X Quarterly Drills conducted and documented X Disaster preparedness supplies verified X Emergency Intervention Review of manual restraint log _N/A the facility has not had any manual restraints Staff training X Staffing/Volunteers Number of Staff files reviewed _6_Criminal record clearances verified 6_ First Aid Certificate_ X Certified Administrators certificate valid and current LPA observed documentation facility has submitted the application for renewal Job title/qualification verified X Hours required training verified_ X Hours required annual training verified X Two staff are missing health screening. Client Records Number of Clients files reviewed _ Needs and Services Plan X Centrally Stored Medication and log reviewed X JV Reviewed X Psychotropic Medication and log reviewed X Cash Resources X One client is missing ambulatory status and immunization record, LPA observed staff emailed this documentation to the doctor. Facility citation violation of California Code of Regulations, Title 22, Division 6, regulation 80088(e)(1) Fixtures, Furniture, Equipment and Supplies, 80076(a)(5) Food Service, 80087(a)(1) Buildings and Grounds, 80066(a)(10) Personnel Records, 84070(c)(3) and 80069(c)(4) Client Medical Assessments An exit interview was conducted with Troy Bishop, House Manager and a copy of this report was left with Troy Bishop, House Manager.

met_with: Troy Bishop, House Manager


summary: Facility Evaluation

raw_content:
Narrative:
On August 13, 2024 at 10:25AM Licensing Program Analyst (LPA) Kayla Green conducted an inspection of the facility with Desiree Clifton the Administrator. LPA observed: The facility license, fire clearance, facility sketch and emergency disaster plan were current and in a prominent place in the facility. The facility had an adequate amount of food and snacks present for the youth in care. Medication and cleaning supplies were observed to be locked and inaccessible to clients in care. Carbon monoxide and smoke alarms were tested and in working condition. The water temperature is at 105 degrees. The fire extinguishers were charged and last inspected April of 2024. The clients bedrooms had individual beds and clean linens were observed, and the clients had personal storage space for their personal belongings. The indoor space consist of living room, game room, kitchen, and dining room which observed to be clean and safe. The outdoor space was observed to be free from hazards and obstruction. The pool had a locked gate around which is five feet high. Files and cleaners were not left accessible to clients or others. The facility was observed to be clean, safe, and in good repair. No deficiencies were observed and no citations were issued related to the inspection. LPA went over the staff, client, physical plant, and operations sections of the care tools. The inspection will be finished on another day with interviews for staff and clients, go over the disaster preparedness, and emergency intervention sections of the care tools. LPA went over this report with the Administrator Desiree Clifton and left it with her.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Kayla Green made an unannounced Annual inspection on 8/28/24 at 1:45pm. During the inspection LPA met with Troy Bishop, House Manager, who assisted with the inspection. LPA went over the disaster preparedness, and emergency intervention plan domains of the care tools. LPA conducted two staff interviews, and two client interviews during this inspection. The facility was observed to be clean, safe, and in good repair. No deficiencies were observed and no citations were issued related to the inspection. LPA went over this report with the Troy Bishop, House Manager.


summary: Facility Evaluation

raw_content:
Narrative:
On 8/05/2025 at 09:28AM Licensing Program Analyst (LPA) Angelique Hill arrived unannounced for the purpose of an annual inspection. During the inspection LPA met with Anthony Clifton Direct Support Professional and Desiree Clifton, Administrator who assisted with the inspection. LPA conducted a walk-through of the facility inside and out. Three staff and one client was present during inspection. Two clients arrived in the middle of inspection. LPA observed a one story home with three bedrooms, two bathrooms and a round dining table in the garage. LPA interviewed three staff and attempted interviews with three clients. LPA inspected and/or reviewed the following: Physical Plant Posting of license_X_ Personal Rights_X__ Menu present and posted_ X__ Working telephone X Hot Water between 105-120 degree F _X_is 113 degrees F. Client Records LPA observed three client records contain the Regional Center Admission Agreement, LPA observed three out of three client records containing the medical assessment, examination for tuberculosis and immunization records. LPA observed three staff files and criminal records were verified, first aid certificates verified, and training verified. Disaster Preparedness Quarterly Drills conducted and documented _X__ Disaster preparedness supplies verified _X__ The following items were reviewed for compliance in the regional office prior to the facility inspection: Annual fees, Administrator Certificate for: Desiree Clifton, LIC 500, and Waivers and Exceptions. An exit interview was conducted a copy of this report was left with Desiree Clifton, Administrator.


facility_name: RIVER HOME

summary: Facility Evaluation

raw_content:
Narrative:
Component II was conducted on 11/08/24 at the Monterey Park Children's Residential Program Office with applicant . Licensing Program Analyst (LPA) Joe Martinez and Beatriz Milian-Torres and Gurith T. Milian(Applicant) were present for the meeting. During the meeting, LPA Martinez discussed their Group Home application and the pending items needed. LIC Forms: LIC 200: Revised and received by LPA Martinez LIC 400:Revised LIC 402:Surety Bond- forms have been received. LIC 508:Criminal Record Statement for applicant revised LIC 420: Budget Information -Revised matching the lease amount River Home Amended Lease - Section 6 has been revised Program Statement (PS): • Table of Contents received. • Food Menu- Applicant revised to include portion size- • Applicant will Revise AWOL, Level 4 language from the PS (ex: Unauthorized Absence) • Revise Specialized Residential Facility language. • The applicant is still pending fire clearance. • Copy of CPR certification and ID was provided. Program statement revisions will be submitted to the regional office by November 15, 2024. An exit interview was conducted, and a signed copy of this report was provided to the Applicant

met_with: Beatriz Milian-Torres


summary: Facility Evaluation

raw_content:
Narrative:
On 01/23/25, Licensing Program Analyst (LPA) Joe Martinez initiated a Pre-Licensing inspection at the facility and met with the above applicant. LPA Martinez and the applicant walked around the the facility, and the following was observed. BUILDINGS AND GROUNDS • Physical Plant: The home is in good repair with no observable hazards. Floors, walls, and ceilings are safe, and all exits are clear of obstructions. Required fire clearance has been obtained. • Outdoor Space: The surrounding property is free from debris and hazards. There is no pool or body of water on the premises. • Emergency Features: Smoke detectors, carbon monoxide detectors, and fire extinguishers are functional. • Posting Requirements: The Personal Rights and Complaint Hotline information are posted prominently in a common area. • Disaster Plan: An Emergency and Disaster Plan is on file. FOOD SERVICE • Meal Planning: A sample menu on file and posted prominently on the refrigerator. • Storage and Preparation: The kitchen area is clean and well-organized. Adequate and non-perishable food supplies are properly stored; refrigeration units maintain appropriate temperatures. • Kitchen Equipment: Cooking appliances, utensils, and dishware are in good condition. FIXTURES, FURNITURE, EQUIPMENT, AND SUPPLIES • Bedrooms: The facility has 4 bedrooms. Each room includes individual beds, clean linens, and storage for personal belongings. • Bathrooms: Sinks, toilets, and showers/tubs are operable with hot and cold running water. • Common Areas: Living and dining areas have sufficient seating and are maintained to create a home-like environment. • Medication Management: Although no clients reside at the facility yet, there is a locked medication storage area. • First Aid: A fully stocked First Aid kit is readily accessible. INDOOR/OUTDOOR ACTIVITIES & RECREATION • Activity Space: Adequate indoor/outdoor space is available for group or individual activities. Board games are on hand to engage youth. • Safety: Floors are free of tripping hazards Before today's visit, the applicant submitted the final Program Statement/Plan of Operation to LPA Martinez. LPA Martinez will submit application for final review, and a new license will be mailed to the agency upon department approval. LPA Martinez conducted an exit interview and a signed copy of this report was given to the applicant.

met_with: Beatriz Milian


summary: Facility Evaluation

raw_content:
Narrative:
On 01/14/2026, Licensing Program Analyst (LPA) Joe Martinez conducted an unannounced visit to the Group Home for a Post-Licensing inspection. LPA Martinez met with the licensee and, together, conducted a walk-through of the facility. The facility was observed to be clean, safe, sanitary, and in good repair. Interior and exterior areas, including bedrooms, bathrooms, common living areas, and outdoor space, were maintained free of obstructions and hazards. Furniture, fixtures, and equipment were appropriate for the population served and were observed to be kept in safe and operable condition, with hazardous items stored in a manner inaccessible to clients.The facility was observed to have required personal rights information posted in areas accessible to clients, including information on how to contact appropriate agencies regarding questions or concerns The facility maintained written menus and an adequate supply of perishable and nonperishable food items on the premises. Food storage areas and refrigerators were observed to be clean and maintained at appropriate temperatures. Food preparation areas were sanitary and organized. Meals served were observed to be consistent with posted menus and appeared sufficient in quantity and nutritional value to meet the needs of the clients. During the inspection, LPA Martinez reviewed one (1) client's record and observed that the facility maintained a separate, complete, and current record. Records reviewed contained required identifying, admission, authorized representative, and health related information, including medical assessments and medication documentation. Client records were maintained in a confidential manner. There are no deficiencies found at this time LPA Martinez conducted an exit interview and a signed copy of the LIC809 was given to the licensee.


summary: Facility Evaluation

raw_content:
Narrative:
On 04/02/2026, a case management inspection was conducted. Licensing Program Analyst met with American Alvarenga Phillip. During the inspection, the group home was observed to be clean, with appropriate lighting and temperature. All confidential records were maintained in locked file cabinets, the facility license was posted in the facility, and sharp objects were locked away and unattainable by youth placed in the home. LPA Martinez observed that the kitchen area was clean, a menu was posted, and the amount of food appropriate for the number of youth placed in the home. LPA Martinez interviewed America, staff, regarding reporting requirements and training requirements for staff working in the facility. LPA Martinez also reviewed one youth file and observed file maintained information related to the youth. Based on observations, interview, and record review completed during the inspection, no deficiencies were cited. LPA Martinez conducted an exit interview and a signed copy of the LIC809 was given to the licensee.

met_with: American Alvarenga Phillip


raw_content:
Narrative:
Other confidential interviews revealed that C1-C2 ignored all prompts made by staff and engaged in a physical altercation. Furthermore, confidential interviews stated that staff called law enforcement and broke up the altercation. Other confidential interviews stated that certain unnamed staff would occasionally condone a fight. Separate confidential interviews denied any staff condoning fights and reported staff treated all clients with respect. Based on inconsistent confidential interviews, the allegation that staff did not prevent youths (C1-C2) in care from engaging in a physical altercation is unsubstantiated. The allegations may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. A copy of this report and appeal rights were discussed and provided to Office Manager, Lola Mullings.

Investigation Findings:
13On April 2, 2024, at 2: PM, Licensing Program Analyst (LPA) Leslie Covarrubias met with River Stones Child and Adolescent Treatment Group Home, Office Manager, Lola Mullings, to deliver the findings for the above complaint allegation. On 8/22/2023 at 11: AM, LPA Covarrubias inspected the physical plant; no immediate health and safety hazards were observed. The investigation included interviews with Clients (C2-C6) and Staff (S2 and S4). LPA attempted to interview S1, S3, and C1 but was unsuccessful due to being unable to reach for an interview. Initial Needs and Services Plans and Placement Agreements for C1-C2, Crisis Intervention Training for S1-S3, and Special Incident Report dated 08/14/2023 were obtained. The Department received an allegation on August 16, 2023, that staff did not prevent youths (C1-C2) in care from engaging in a physical altercation. Confidential interviews revealed that the facility is hands-off, and staff S1-S3 did attempt to use all de-escalation techniques such as crisis communication, keeping the youth separated for the day, redirecting, and their emergency intervention techniques. (Continue on next page...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Leslie Y Covarrubias 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 19-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, MAIN ST., SUITE FACILITY NAME: RIVER STONES CHILD AND ADOLESCENT TREATMENT, INCFACILITY NUMBER: VISIT DATE: 04/02/2024

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

met_with: Lola Mullings, Office Manager


facility_name: RIVER STONES CHILD AND ADOLESCENT TREATMENT, INC

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, Dahl Larios conducted a case management inspection on October 28, 2021, at 9:57 am, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. 5 out of Direct Care Staff and 4 out of 4 youth files as identified on the LIC 811 confidential names dated October 28, 2021, were reviewed. 4 out of Direct Care Staff and 4 out of 4 youth were interviewed. The Plan of Operation including policies and procedure were reviewed. A copy of this report was discussed and provided to Lenier Lee, Program Manager.

met_with: Russell Rice CEO


summary: Facility Evaluation

raw_content:
Narrative:
On February 18, 2022, at 10: AM, Licensing Program Analyst (LPA) Latricia Rogers conducted a Group Home pre-licensing inspection. The LPA met with Linear Lee, Program Manager. The purpose of this visit was to conduct a pre-licensing inspection of the Short Term Residential Therapeutic Program (STRTP). Applicants are changing the facility from a Short-Term Residential Treatment Program (STRTP) to a Group Home. The facility was toured both inside and out. The facility is a one-story residence with 3 bedrooms and 2. Bedroom #1: the room was furnished with two twin-size beds - 2 occupants Bedroom #2: the room was furnished with one twin-size bed - 2 occupants Bedroom #3, the room was furnished with two twin-size bed - 2 occupants There was a common area with a TV and sofa and a dining room area with a table that fit 6 clients. At the back of the main living area there is an office used for individual therapy sessions. There is one group meeting/ conference room area. There is also a room with a refrigerator and freezer and extra food and toiletries. There is also bathroom attached. Next to the conference area there is an office for the program director with a bathroom attached. On the facility grounds located at the back of the facility along the facility gates there is an outdoor outhouse, three separate offices (Clinical Program manager office, Therapist office, CEO Office), a shed used for holding tables and chairs and another shed used for lawn care items. Bedrooms were arranged so that no more than two clients share a room, and there was one client per bed. There was adequate shelves and closet space for clients' belongings. There were additional linens and towels located in the hallway closet. The bathrooms were clean and in good repair. The hot water in the client bathroom was measured to be 117.6 degrees. All hazardous items have been properly made inaccessible to areas where clients will have access. The medications will be stored and locked in a cabinet in the kitchen area pantry. Cleansers/chemicals were locked and stored in the kitchen area pantry along with sharp knives. The First Aid Kit was located in the facility living room area at the sigh-in table and contained all required supplies. The facility's smoke detectors in the rooms and hallways were checked and they were operable. The carbon monoxide detectors located in common area outside the kitchen were also operable. Toys were observed to be safe, clean and age appropriate for the age group of children to be cared. There were no guns or weapons in the facility as stated by the Program Manager. LPA observed a minimum 7-day non-perishable and a 2-day perishable supply of food. Proper storage of all food was noted. Food will be stored in kitchen cabinets and accessible to clients. There was an additional refrigerator and freezer for additional food storage located in a locked room at the back of the facility. An operable fire extinguisher was located in the kitchen area. The laundry room is located at the back of the facility in a room adjacent to the conference room. Client files will be stored in a locked cabinet in the staff office. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, visitation policies, menu, Emergency Disaster Plan and facility sketch. The facility outside ground was also inspected and it was observed to be clean and maintained. Emergency exits were free from obstruction. There is no swimming pool located on the facility grounds. Prior to today's visit, the application for the program change was received and reviewed by LPA . LPA did not observe any deficiencies in Physical Plant during today's inspection. LPA will submit this program change for final review and a new license will be mailed to the facility upon approval. An exit interview was conducted, and a copy of this report was given to the Program Manager, Linear Lee.

met_with: Linear Lee- Program Manager