facility_name: YOUTH CONNECT LA ENTERPRISES

summary: Facility Evaluation

raw_content:
Narrative:
On June 4,2025 at 10: AM, Licensing Program Analysts (LPAs) Guadalupe Munoz and Gilbert Marquez conducted and announced pre-licensing inspection and completed Component III. LPAs met with Executive Directors, Tamika Boyce, Marie Thomas, and Anthony Wagner, The facility is a five bedroom two bathroom single-family, single-story home with an in ground pool and with an attached garage. The applicant is applying for a Short Term Residential Therapeutic Program (STRTP) with the capacity of six ambulatory clients aged between 6-17 years old. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris. There is adequate indoor and outdoor activity space. Clients will use a cordless telephone to make and receive confidential telephone calls. The facility smoke detectors and carbon monoxide detectors tested and were observed to be in working order; the fire extinguishers are properly charged and serviced. The facility has a first aid kit that needs a thermometer. The applicants stated there were no weapons in the facility. Disinfectants and cleaning solutions will be stored and locked in the garage. Sharp knives will be stored in a locked in garage cabinet. Medication will be locked and stored in a cabinet in the staff office. ****** The following required forms need to be posted in the facility: Personal Rights form, Foster Care Ombudsmen Poster and LIC Emergency Disaster Plan, and Grievance Policy. The facility is set up as follows The entry hallway leads to an open living room that flows into the dining area and attached kitchen. There is a an open study area for clients that has two desks and will be equipped with one shared computer for clients. At the back of the home is a multi purpose room that will be used for family visits and private meetings. All shared living spaces have furniture in good condition. At the rear of the home is the pool. It is an enclosed structure that can be accessed through a sliding glass door. Facility is pending having pool secured in compliance with Title Regulations. There are three client bedrooms that are designated for two clients per room with twin sized beds dresser and closet space for each client. Bedroom #1 is designated as the staff office and will house client files, staff files and centrally stored medication. Bedroom #2 is: designated for two clients, with two twin beds, built in dresser drawers and two closet spaces. Bedroom #3 is designated for two clients, two twin beds, built in dresser drawers and two closet spaces. Bedroom #4 is designated for two clients, two twin beds, two plastic dressers with three drawers each and closet space. Bedroom #5 is designated as a multi purpose room that can be used for family visitation and private therapy sessions. Each room has adequate clean linens, pillows, blankets, comforters, mattress pads, and mattresses. and a medication office. LPAs observed the following areas that need to be corrected: Posting the required forms and information Closet Light fixtures need chains to turn on Individual Lock boxes for the storage of contraceptives for clients Seven days of nonperishable food Locked Personal Storage area for clients Pool cover/safety latch Window screens for the pool area windows Based on the facility pre-licensing inspection, the facility will make the corrections and LPA Munoz will return on Thursday June 19, 2025 to complete pre licensing inspection. All special incident reports (SIR's) will be sent via e-mail to: cclpaccr@dss.ca.gov. The reporting requirements were reviewed with the Applicant on this date. LPA explained that once the license is approved, all employees shall have an approved criminal record clearance for CCL and be associated to this facility. LPAs conducted exit interview with Executive Directors, Tamika Boyce and Marie Thomas. LPA provided Executive Directors with copies of this report.

visit_type: Prelicensing


state: CA

summary: Facility Evaluation

raw_content:
Narrative:
On August 19,2025 at 9: AM, Licensing Program Analysts (LPAs) Guadalupe Munoz arrived for an announced pre-licensing inspection. LPA met with Executive Directors, Tamika Boyce, Marie Thomas, and STRTP Administrator, Dr.Peter Airwele, and Social Worker, Brandon Washington. In addition, Orange County Social Services STRTP Monitor/Liaison was present during the inspection to provide placement information to the licensee. The purpose of the visit is to follow up on the corrections needed to complete the pre license process. Based on the facility pre-licensing inspection conducted on June 4,2025, the facility needed to make the following corrections to complete pre licensing inspection. LPA observed the following areas that need to be corrected: Posting the required forms and information Closet Light fixtures need chains to turn on Individual Lock boxes for the storage of contraceptives for clients Seven days of nonperishable food Locked Personal Storage area for clients Pool cover/safety latch Window screens for the pool area windows All of the above items identified were corrected and meet Interim Licensing Standards version 5 (ILSv5) requirements. All special incident reports (SIR's) will be sent via e-mail to: cclpaccr@dss.ca.gov. The reporting requirements were reviewed with the Applicant on this date. LPA explained that once the license is approved, all employees shall have an approved criminal record clearance for CCL and be associated to this facility. LPAs conducted exit interview with Executive Directors, Tamika Boyce and Marie Thomas. LPA provided Executive Directors with copies of this report.

report_type: Facility Evaluation

met_with: Tamika Boyce, Executive Director


summary: Facility Evaluation

raw_content:
Narrative:
On September 4, 2025 at 9: AM, Licensing Program Analysts (LPA) Guadalupe Munoz arrived for an announced pre-licensing inspection. LPA met with Executive Directors, Tamika Boyce, Marie Thomas. The purpose of the visit is to follow up on the corrections needed to complete the pre license process. LPA observed the following areas that need to be corrected; Pool cover needed to secured to the ground. On this date, LPA observed pool cover to be secure and LPA observed Executive Director, Marie Thomas walk across pool cover safely. LPA reminded Applicant that special incident reports (SIR's) will be sent via e-mail to: cclpaccr@dss.ca.gov. The reporting requirements were reviewed with the Applicant on this date. LPA explained that once the license is approved, all employees shall have an approved criminal record clearance for CCL and be associated to this facility. LPA conducted exit interview with Executive Directors, Tamika Boyce and Marie Thomas. LPA provided Executive Directors with copies of this report.

met_with: Tamika Boyce


summary: Facility Evaluation

raw_content:
Narrative:
On December 15, 2025 at 10: AM, Licensing Program Analysts (LPAs) Guadalupe Munoz conducted and unannounced post licensing inspection. LPA met with Executive Director, Tamika Boyce. The facility is a Short Term Residential Therapeutic Program (STRTP) with the capacity of six ambulatory clients aged between 6-17 years old and non minor dependents . Currently there are no clients placed at STRTP. The facility is a five bedroom two bathroom single-family, single-story home with an in ground pool and with an attached garage. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris. In ground pool has pool cover and there is adequate indoor and outdoor activity space. Clients will use a cordless telephone to make and receive confidential telephone calls. The facility smoke detectors and carbon monoxide detectors tested and were observed to be in working order; the fire extinguishers are properly charged and serviced. The facility has a first aid kit. The applicants stated there were no weapons in the facility. Disinfectants and cleaning solutions will be stored and locked in the garage. Sharp knives are stored in a locked in garage cabinet. Medication will be locked and stored in a cabinet in the staff office. The following required were posted in the facility: Personal Rights form, Foster Care Ombudsmen Poster and LIC Emergency Disaster Plan, and Grievance Policy. ****** The facility is set up as follows The entry hallway leads to an open living room that flows into the dining area and attached kitchen. There is a an open study area for clients that has two desks and will be equipped with one shared computer for clients. At the back of the home is a multi purpose room that will be used for family visits and private meetings. All shared living spaces have furniture in good condition. At the rear of the home is the pool. It is an enclosed structure that can be accessed through a sliding glass door and secured with a pool cover that meets Title 22 regulations. . There are three client bedrooms that are designated for two clients per room with twin sized beds dresser and closet space for each client. Bedroom #1 is designated as the staff office and will house client files, staff files and centrally stored medication. Bedroom #2 is: designated for two clients, with two twin beds, built in dresser drawers and two closet spaces. Bedroom #3 is designated for two clients, two twin beds, built in dresser drawers and two closet spaces. Bedroom #4 is designated for two clients, two twin beds, two plastic dressers with three drawers each and closet space. Bedroom #5 is designated as a multi purpose room that can be used for family visitation and private therapy sessions. Each room has adequate clean linens, pillows, blankets, comforters, mattress pads, and mattresses. and a medication office. LPA conducted exit interview and provided copies of this report to Executive Director, Tamika Boyce. .


facility_name: YOUTH DEVELOPMENT CENTER

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
During the investigation, confidential interviews revealed no clients are ever denied court mandated visits and staff often encourages clients to attend all visits. Furthermore, confidential interviews stated when facility does not have enough staff to transport clients to visits, staff will call the house administrator and administrator will have staff from a sister facility go to the facility so the staff is within ratio and the staff can transport clients to visits. Confidential interviews revealed any time any client goes on a visit it is documented in client files. Confidential interviews revealed C5 just had a visit with family. Per confidential interview, it is still being alleged minors are denied visitations due to staff shortage. Based on interviews conducted, record reviews and information obtained, the allegation that minor denied visitations may have occurred, however, it is not supported or proven by evidence. Therefore, this allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report was provided to facility representative.

Investigation Findings:
13On January 4, 2022 at 10: AM, Licensing Program Analyst (LPA), Lisi Leon, met with Youth Development Center, Social Worker/Head of Service, Shayla Parra, to deliver the finding for the above stated allegation regarding the Short Term Residential Therapeutic Program (STRTP). LPA was given verbal authorization by Division Head of Residential Care, LaDonna Robinson to have Shayla Parra sign and receive LIC9099. LPA Ronnesha Fountain conducted safety and health inspection on January 11, 2022 and no immediate health or safety concerns were observed. On November 03, 2022, LPA Leon conducted interviews with one Lead Facility Manager (S1), and one Client #5 (C5). On December 30, 2022, LPA Leon conducted interviews with one county social worker (CSW3) and three staff (Staff #2 - S2, Staff #4 - S4, Staff #3 - S3) and attempted interviews with four county social workers and four clients. LPA Leon obtained copies of the facility roster including schedules and reviewed client records. It was alleged minor denied visitations. Specifically, it was reported minor has court mandated visits and staff will not take him because minor did not clean minor's room. ***Continued on 9099-C*** UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Lisi Leon 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: YOUTH DEVELOPMENT CENTERFACILITY NUMBER: VISIT DATE: 01/04/2023

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

report_type: Complaint Investigation

complaint_status: unsubstantiated


raw_content:
Narrative:
On December 1, 2023, Community Care Licensing (CCL) received a complaint alleging that minors had access to drugs while in care. Specifically, it was reported that three clients (C2, C3, C5) were all under the influence of drugs and alcohol. Confidential interviews stated that C3 tested positive for Benzodiazepines "Benzos" at the hospital. Confidential interviews could not confirm whether or not the Benzos were accessed at the facility. Confidential interviews stated further that C2, C3, and C5 tested positive for alcohol intoxication while at the hospital. Confidential interviews continued stating that once staff was aware of the clients condition they monitored clients and sought medical attention for C2, C3, and C5's physical conditions. Confidential interviews could not confirm where or when the clients had access to alcohol. Confidential interviews could not confirm or dispute the allegation. Based on confidential interviews the preponderance of evidence standard has not been met and the allegations that C1, C2, and C3 had access to drugs while in care, may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time.

Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

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

met_with: Jacquline Gonzales Lead Facility Manager


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
(Continued from LIC9099) Video evidence was shared with Community Care Licensing (CCL) that showed the side/back view of a woman driving with two teens; one in the rear seat, and one in the passenger seat of the vehicle, used to transport clients. One of the teens was smoking what looked like a vape pen and blowing smoke. There was writing on the screen of their cell phone which said, "Staff Come Through." The identity of the woman seen in the video was verified, by Community Access Network Administrator, as FSC. FSC was engaged in vaping in the company car while minors in care were present, and FSC's employment was terminated on April 5, 2024. Based on confidential interviews and recorded video, the allegation that Staff engaged in vaping with minors while in care is SUBSTANTIATED. The preponderance of the evidence standard has been met. The facility is being cited for violation of Interim Licensing Standard, Version 5, Section 87074 (b) Transportation. An exit interview was conducted. Copies of this report, LIC 9099D, and appeal rights were explained and given to Jacqueline Gonzalez, Lead Facility Manager, on this date.

Investigation Findings:
13On September 24, 2024, at 12: PM, Licensing Program Analyst (LPA) Cynthia Velasquez met with Youth Development Center (STRTP) Jacqueline Gonzalez, Lead Facility Manager (LFM), to deliver the finding for the above complaint allegation. On 04/11/2024, LPA Jessica Peete conducted a health and safety inspection at the STRTP; no immediate health and safety hazards were observed. The investigation included interviews with Staff, Children (C1-C6), and Former Staff Counselor (FSC) of STRTP. LPA obtained documents pertinent to the investigation. On April 5, 2024, Community Care Licensing received an allegation that Former Staff Counselor (FSC) engaged in vaping with minors while in care. Per confidential interviews, staff deny engaging in substance or any type of smoking with minors while in care. Other confidential interviews concluded that staff deter youth in care from smoking. (Continued on 9099-C) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Cynthia Ann Velasquez 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 RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: YOUTH DEVELOPMENT CENTERFACILITY NUMBER: VISIT DATE: 09/24/2024

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

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
Continued from LIC They went about their day and did not see anything suspicious. Additional confidential interview reported that the behavior of staff could have been taken as flirtatious by minor in care but was not sure of minor's interpretation. Other confidential interview revealed that staff did not engage in inappropriate interactions with minor(s) in care. According to confidential interview, the staff's kindness must have been taken for a weakness, and the tattoo may have signified Jesus, but they were not sure. Confidential interview indicated that staff tries to be nice towards all youth in care, as it is what the job entails. Youth in care are emotional and go through issues, and staff try to be there for them to talk through situations if needed. Other confidential interviews revealed that they were shocked at the allegations. According to confidential interviews, the staff were all spoken to regarding their classifications and how to maintain dealings with youth so that it is not misinterpreted. Additional confidential interviews reported that there was no favoritism among staff and youth. They were unaware of any problems or inappropriate behaviors occurring between clients or staff. Based on confidential interviews, the allegation that facility staff engaged in inappropriate interactions with minors in care may have occurred or is true, however there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the allegation that facility staff engaged in inappropriate interactions with minors in care is unsubstantiated. A copy of this report and appeal rights were discussed and provided to Youth Development Center Lead Facility Manager, Jacqueline Gonzalez.

Investigation Findings:
13On April 3, 2025, at 12: PM, Licensing Program Analyst (LPA) Cynthia Velasquez met with Youth Development Center's Lead Facility Manager, Jacqueline Gonzalez, to deliver the findings for the above complaint allegation. On 11/12/24, LPA inspected the facility; no immediate health and safety hazards were observed. The investigation included interviews with Staff (S1-S6), and Foster Children (C1-C6). Pertinent documents and rosters were gathered. On November 5, 2024, the Department received allegation that facility staff engaged in inappropriate interactions with a minor. Specifically, reporting party stated that staff was grooming a client while in care. Also reported was that minor received a tattoo of an initial intending to represent staff's name. It was reported that the staff and client spent a suspicious amount of time in a one-on-one setting as well. Confidential interview reported that it was unknown if staff was behaving inappropriately with minor while in care. (Continued on LIC9099C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Cynthia Ann Velasquez 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 RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: YOUTH DEVELOPMENT CENTERFACILITY NUMBER: VISIT DATE: 04/03/2025

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

met_with: Jacqueline Gonzalez, Lead Facility Manager


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
It was stated during confidential interviews that C1 pretends to be something that they are not, and once confronted by other clients, they get scared and cry to staff. According to confidential interviews, staff was increased during nocturnal hours to provide additional supervision, as it was alleged that it was during the nighttime that the problems mostly occurred. The investigation did not produce evidence to indicate that altercations occurred due to lack of adequate supervision. Based on confidential interviews, the allegation that staff do not provide adequate supervision resulting in minors engaging in physical altercations with other minors may have occurred or is valid, however, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the above allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report along with appeal rights were discussed and provided to Jacqueline Gonzalez, Lead Facility Manager.

Investigation Findings:
13On June 24, 2025, Licensing Program Analyst (LPA) Cynthia Velasquez arrived unannounced to deliver findings regarding the allegation above. On February 7, 2025, the Department received allegation that staff do not provide adequate supervision resulting in minors engaging in physical altercations with other minors. It was reported that Client 1(C1) was being hit and slapped by other clients when staff were not looking. On February 11, 2025, LPA Velasquez initiated an investigation for the above allegation. LPA conducted a health and safety inspection of the facility and there were no concerns at the time. During this investigation, confidential Interviews were conducted of staff and clients. Documents pertaining to personnel and clients were also used as part of this investigation. Confidential interviews revealed that C1 would often initiate altercations. Other confidential interviews confirmed that C1 agitated others claiming to have ties to a gang. Consistent interviews reported that C1 was the cause of most of the arguments in the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Cynthia Ann Velasquez 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 RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: YOUTH DEVELOPMENT CENTERFACILITY NUMBER: VISIT DATE: 06/24/2025


summary: Facility Evaluation

raw_content:
Narrative:
On December 29, 2022 at 08: AM, Licensing Program Analyst's (LPA's) Darlene Almaraz-Oseguera and Lisi Leon arrived at Youth Development Center Therapeutic Program (STRTP). LPA was greeted and granted access by facility Administrator Christopher Fowler (FA). The purpose of the visit is to conduct an annual inspection of the facility. There were four clients and two staff present during this inspection. Appropriate staff/client ratios were verified during the inspection. Mr. Fowler led the physical inspection of the facility with LPA's. The facility consists of four bedrooms and three bathrooms. One bedroom is used as the staff office and has a restroom inside that is also available for clients to use. There also a separate office that is used for therapy sessions. The facility has a dining area, a kitchen area, a living room, a staff office, laundry room, playroom and a garage. The laundry room is located off the hallway. All bedrooms have individual beds and drawer space for each client. The facility ensures that there is one client per bed with appropriate linens, pillows, comforters, and mattresses in good repair. All the bedroom windows have the screens. Facility grounds are clean and free of debris and observable hazards. There were no bodies of water. There is adequate indoor and outdoor activity space. Televisions, a computer, board games, video gaming console, workout equipment, and books, were observed for client's recreation time. There is an activities calendar posted and staff are getting back to scheduling outings and outside activities. Carbon monoxide detector is in appropriate working order and facility smoke detectors are also in working order. Fire extinguisher is properly charged and serviced. The facility maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. There is an extra freezer and refrigerator in the laundry room. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Medications are stored in a locked box within a locked closet in the staff office. The hot water in the staff and client restrooms was deemed to be at a safe temperature. Per facility staff, there are no firearms or weapons in the facility. Continued on page Chemicals and/or poisons are locked in a cabinet in the laundry room. Sharp objects/knives are stored in a locked box in the locked closet in the hallway. First Aid Kits are also stored in the hallway closet and in the staff office. closet and are complete. A First Aid Manual was also available. Medications were stored in a locked box in the hallway closet. It was observed that the licensee has cameras in common areas of the facility as well as the staff office, outside facing the front door and in the backyard facing the windows and side wall. There is an exception on file for the facility to use the cameras and the facility continues to meet the terms and conditions of the exception. Client files are kept in a locked file cabinet within the staff office. LPA's reviewed four client files during time of inspection. All four of the client files reviews had required documents in the file. LPA's also reviewed five staff files and all of the files were complete and had had all required documents. All staff that work at the facility have Department of Justice and Child Abuse Clearance Index clearances, CPR/First aid and training hours. Based on the facility inspection and file reviews this date, are no deficiencies found at this time. Exit interview conducted and a copy of this report was reviewed and given to facility representative Christopher Fowler.

visit_type: Annual

met_with: Christopher Fowler


summary: Facility Evaluation

raw_content:
Narrative:
On January 04, 2023, Licensing Program Analyst (LPA), Lisi Leon made an unannounced case management inspection for the purpose of reviewing a special incident report (SIR) that was received by Community Care Licensing (CCL) on December 06, 2022 involving Client #1 (C1). LPA obtained verbal authorization from Division Head of Residential Care, LaDonna Robinson to have Social Worker/Head of Service Shayla Parra to sign LIC809 and receive document. LPA Leon met with Social Worker/Head of Service, Shayla Parra, regarding this incident. Additional time is needed for the review at this time. A copy of this report was discussed and given to facility representative

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On January 04, 2023, Licensing Program Analyst (LPA), Lisi Leon made an unannounced case management inspection to address the following issues and concerns during the review of the incident that occurred on or around January 07, 2022. LPA obtained verbal authorization from Division Head of Residential Care, LaDonna Robinson to have Social Worker/Head of Service Shayla Parra to sign LIC809/LIC9102 and receive document. LPA Leon requested copies of visitation logs for all clients on December 13, 2022 and December 28, 2022 and as of this date the information has not been provided to licensing. Therefore the facility is going to be issued a technical violation per Title Regulations, Short Term Residential Therapeutic Program, Article 6, Section 80070(d), Client Records. Documents need to be available to licensing upon demand. A copy of this report was discussed and given to facility representative


summary: Facility Evaluation

raw_content:
Narrative:
On January 26, 2024 at 1:35 pm Licensing Program Analyst (LPA), Emina Preciado, conducted an unannounced collateral visit at Youth Development Center, Short Term Residential Therapeutic Program (STRTP). LPA met with Facility Manager, Breana Areyan. The purpose of the visit was to conduct a confidential interview with a client. A copy of this report, LIC 809, was provided to Facility Manager, Breana Areyan.

met_with: Breana Areyan, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On June 10, 2024 at 10: AM, Licensing Program Analyst's (LPA's) Cynthia Robinson and Cynthia Velasquez arrived at Youth Development Center Therapeutic Program (STRTP). LPA was greeted and granted access by facility Residential Youth Coordinator, David Puma. The purpose of the visit is to conduct an unannounced annual inspection of the facility. The facility currently has five clients. The facility consists of five bedrooms and three bathrooms. One bedroom is used as therapy and the other is used as staff office. The facility has a dining area, a kitchen area, a living room, laundry room, and playroom. All bedrooms have individual beds and drawer space for each client. The facility ensures that there is one client per bed with appropriate linens, pillows, comforters, and mattresses in good repair. All the bedroom windows have the screens. Facility grounds are clean and free of debris and observable hazards. There were no bodies of water. There is adequate indoor and outdoor activity space. Televisions, a computer, board games, video gaming console, workout equipment, and books, were observed for client's recreation time. Carbon monoxide detector is in appropriate working order and facility smoke detectors are also in working order. Fire extinguisher is properly charged and serviced. The facility maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. There is an extra freezer and refrigerator in the laundry room. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Medications are stored in a locked box within a locked closet in the staff office. The hot water in the staff and client restrooms was deemed to be at a safe temperature. Per facility staff, there are no firearms or weapons in the facility. (...) Chemicals and/or poisons are locked in a cabinet in the laundry room. Sharp objects/knives are stored in a locked box in the locked closet in the hallway. Client files are kept in a locked file cabinet within the staff office and available on online staff system. LPA's reviewed four client files during time of inspection. All four of the client files reviews had required documents in the file. LPA's also reviewed five staff files and all of the files were complete and had had all required documents. All staff that work at the facility have Department of Justice and Child Abuse Clearance Index clearances, CPR/First aid and training hours. Based on the facility inspection and file reviews this date, there are no deficiencies found at this time. Exit interview conducted and a copy of this report was reviewed and handed over to Guadalupe Arellano, Assistant Administrator.

met_with: Guadalupe Arellano, Assistant Admin


summary: Facility Evaluation

raw_content:
Narrative:
On November 26, 2024, Licensing Program Analyst (LPA) Cynthia Velasquez conducted an office visit to discuss current roster at facility and to conduct a walk through of facility. Previous incident reports had reports of damage to vehicle on premises, and the vehicle has been repaired fully. LPA was greeted by Jacqueline Gonzalez, Lead Facility Manager (LFM), and assisted with walk through. An update of facility roster was verbally given and updates to youth were addressed. A walk through of facility showed no deficiencies. There are 2 empty rooms that are ready for 4 placements when needed. LPA thanked Jacqueline Gonzalez (LPM) for their time.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Joon Choi and Cynthia Ramos on July 9, 2025 at 10: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs Choi and Ramos met with Administrator Guadalupe Arellano. LPAs were then assisted with a facility inspection where no immediate safety hazards were observed. LPAs reviewed three of child's records and two of staff personnel files on site at the facility. LPAs reviewed three of child's psychotropic medications and medication records. LPAs interviewed two staff on site to discuss the facilities policies and procedures of operation. LPAs provided a copy of this licensing report to Administrator Guadalupe Arellano. No deficiencies are being cited at this time. The facility was provided with a Technical Advisory (please see LIC 9102).

met_with: Guadalupe Arellano, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analyst (LPA) arrived unannounced for the purpose of this visit is to follow up with the incident that occurred on June 27, 2025. Medication was issued to incorrect client on this date, and pharmacy was contacted. The dosage was partially more milligrams of strength and would cause drowsiness to client. There were no immediate dangers to client in care. Training of staff will be executed so that incident does not occur again. The issue during the issuing of medication occurred when out on a hike, staff grabbed the incorrect medication as an issue had just been gone over with a different client in care. Staff's attention was on that client, and for this reason the incorrect medication was drawn from container. Staff was instructed, trained, and disciplinary action taken. A copy of this LIC809 was reviewed with Jacqueline Gonzalez, Lead Facility Manager. There is no need for additional follow up.


summary: Facility Evaluation

raw_content:
Narrative:
On July 14, 2025, at 11: AM, Licensing Program Analyst (LPA) Val Wilson, arrived unannounced to Youth Development Center (YDC) Short Term Residential Therapeutic Program (STRTP) and met with Lead Facility Manager (LFM), Jacqueline Gonzales for the purpose of gathering documents and conducting an interview with a client regarding a complaint allegation unrelated to this facility. LPA was granted access to the facility by LFM and during this visit, LPA conducted one staff interview, gathered documents, and learned client 1 was not not currently at the facility. Documents that were not gathered during today's visit will be emailed by the facility to LPA later today. The LIC809 and appeal rights was reviewed and explained with LFM. A copy of the LIC 809, appeal rights, 809G, and LIC 811 were provided to the LFM.

met_with: Jacqueline Gonzales


raw_content:
Narrative:
Confidential interview declared that staff prevent fights and bullying among clients. Confidential interview narrated that staff break up quarrels and fights or let it be if the smaller female staff are on watch. Confidential interview disclosed that C4 was not an issue in the home, they were cool. However, a former resident may have provoked the altercation that occurred, as an ambush. Additional confidential interview disclosed that there was an altercation while clients were on the phone with a former resident. Confidential interview proclaimed that the resident was being coached by a former resident. Another confidential interview expressed that resident does a good job at protecting themselves from hurtful situations. Additionally, confidential interview revealed that client tends to exaggerate situations. Confidential interview disclosed that if there was bullying, staff would remove the client from the negative environment and counsel them. Confidential interview expressed that there is no tolerance for bullying in the facility. Confidential interview expressed that extra attention would be focused on the perpetrators and if additional instances occurred, they would be transitioned to another facility. Confidential interview declared the facility has resources and implements new action plans as needed. Further confidential interview declared that if a client does not feel safe, there are multiple precautions that are considered. Additional staff are added for safety. Confidential interview narrated that house meetings were held regularly, and all clients were invited to discuss any issues that they felt were pertinent to their well-being. Based on confidential interviews, the allegations that staff did not prevent physical altercations between minors, staff did not prevent minors from bullying other minors, and staff did not provide a safe environment for minors are unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of evidence to prove that the alleged violations occurred. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Jacqueline Gonzalez, Lead Facility Manager.

Investigation Findings:
13On December 18, 2025, at 1: PM, Licensing Program Analyst (LPA) Cynthia Velasquez conducted an unannounced visit to the YOUTH DEVELOPMENT CENTER (STRTP) to deliver the investigative findings for the allegations listed above. LPA Velasquez obtained documents pertinent to the investigation. LPA interviewed clients (C2 and C4) and staff (S1-S4). LPA attempted to interview C1 and C3, however they were not available to be interviewed. On 09/04/25, Community Care Licensing received allegations that staff did not prevent physical altercations between minors, staff did not prevent minors from bullying other minors, and staff did not provide a safe environment for minors. More specifically, it was alleged that C4 was physically abused and neglected at the facility due to staff not stepping in to protect them. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Cynthia Ann Velasquez 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 RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: YOUTH DEVELOPMENT CENTERFACILITY NUMBER: VISIT DATE: 12/18/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
On March 03, 2023, Licensing Program Analyst (LPA), Lisi Leon made an unannounced case management inspection for the purpose of delivering findings for the case management opened on January 4, 2023 involving a special incident report (SIR) that was received by Community Care Licensing (CCL) on December 06, 2022 involving Client #1 (C1) for being searched upon each facility entry. Confidential interviews revealed residential clients (RC) were searched upon AWOL, when they arrived home from school and on outings while being supervised. Other confidential interviews revealed upon return to the facility at any time an RC is being asked to empty all of their pockets or backpacks and all the RC must comply with the search. Further confidential interviews revealed RC have substance abuse issue and facility will find contraband in rooms upon daily search of rooms and staff were trying to prevent substance abuse and contraband in the facility. An additional confidential interview confirmed clients are being searched upon entry of the facility every time. The facility is being cited for violation of Personal Rights per Interim Licensing Standard (ILS) version four, Personal Rights section 87072(d). Refer to citation on 809-D. A copy of this report was discussed and given to facility representative along with appeal rights.

met_with: Administrator Christopher Fowler


facility_name: YOUTH HOMES - ANDERSON

summary: Facility Evaluation

raw_content:
Narrative:
On 3/4/222 at 11: AM, LPA Alyssa Ng met with Ronnie Mabou, Director of Compliance and Operations at Youth Homes East Bay to discuss the opening of Anderson and their Non-Compliance Plan going forward. Ronnie says that Anderson will be ready to open once their Plan of Operations is finalized by CCL. In October 2020, Youth Homes - Andersen met with Community Care Licensing (CCL) representatives for a Noncompliance Conference. The purpose of the Noncompliance Conference was to address the following issues: 1. Client Supervision and Staff Ratios 2. Staff Training 3. Needs and Services Plans 4. Administration. During this time, Anderson closed their facility dated 4/6/2021 due to lack of staffing and COVID. Youth homes had enough beds at their sister facilities East Bay and Pryor. When Pryor closed, clients were able to move to East Bay. After discussing the opening of Anderson, the Licensee will submit the LIC500 on the 20th of every month. LPA will ask randomly ask for at least two days of the following items per month; 15 minute room checks logs including names of the staff who preformed checks and overnight shift notes. Staff Training: Youth Homes has established a Training Plan for all staff to be completed by 10/01/2020 and addresses the following topics: Mandated Reporting (Laws and Regulations, Procedures and Timeframes for reporting, understanding physical and sexual abuse) Unconscious Bias Trauma-Informed Care ------ Continued on LIC C---------- Aces (Adverse Childhood Experiences) STRTP Regulations Prudent Parent Standards Incident Reporting requirements, AB When Anderson opens, the Licensee will submit a schedule of all upcoming trainings at the home, including the names of the trainers and an agenda for each training. Needs and Services Plans: Licensee will conduct in depth evaluations of each client upon admission, taking into account each clients past history. The licensee will develop individualized and personalized Needs and Services Plans for each client that address each clients particular needs and treatment goals. The Clinical Team is providing training re: Needs and Services Plans, going through each client's treatment and crisis plans in conjunction with the child's treatment team to make sure each section of the Needs and Services is tailored to each child and includes a plan to transition each child to a lower level of care. When Anderson opens, the licensee will conduct and submit to CCL quarterly audits of Needs and Services Plans to check for accuracy, completion, and to ensure that each client's plan is personalized to them individually. The Licensee will also submit 3 random Needs and Services Plans to LPA Ng for Review by the 20th of every month. Administration: Licensee will ensure that the program administrator is present at the home for at least 20 hours per week during normal business hours. On a quarterly basis, the licensee agrees to submit the following to LPA Ng: 1. Executive Board meeting minutes. 2. Weekly staff meeting minutes, to include a log of each direct care staff signing off confirming they have reviewed each client's Needs and Services Plans each week. Upon the request of the Licensee, CCL will request a Technical Support Program (TSP) visit at the home.

met_with: Ronnie Mabou


summary: Facility Evaluation

raw_content:
Narrative:
On 8/10/222 at 1: PM , Licensing Program Analysts (LPA) Alyssa Ng and George Karkazis met with Ronnie Mabou, Administrator at Youth Homes Anderson and discussed their Non-Compliance Plan going forward. Anderson plans on opening in September. After discussing the opening of Anderson, the Licensee will submit the LIC500 before opening and on the 20th of every month. LPA will ask randomly ask for at least two days of the following items per month; 15 minute room checks logs including names of the staff who performed checks and overnight shift notes. LPA Ng discussed staff having required training before working at Anderson. The required training mist include the following topics: · Mandated Reporting (Laws and Regulations, Procedures and Time frames for reporting, understanding physical and sexual abuse) · Unconscious Bias · Trauma-Informed Care · Aces (Adverse Childhood Experiences) · STRTP Regulations · Prudent Parent Standards · Incident Reporting requirements, AB 388 · When Anderson opens, the Licensee will submit a schedule of all upcoming training's at the home, including the names of the trainers and an agenda for each training. Needs and Services Plans: · Licensee will conduct in depth evaluations of each client upon admission, taking into account each client past history. The licensee will develop individualized and personalized Needs and Services Plans for each client that address each client's particular needs and treatment goals. · The Clinical Team is providing training re: Needs and Services Plans, going through each client's treatment and crisis plans in conjunction with the child's treatment team to make sure each section of the Needs and Services is tailored to each child and includes a plan to transition each child to a lower level of care. · When Anderson opens, the licensee will conduct and submit to CCL quarterly audits of Needs and Services Plans to check for accuracy, completion, and to ensure that each client's plan is personalized to them individually. · The Licensee will also submit 3 random Needs and Services Plans to LPA Ng for Review by the 20th of every month. Administration: · Licensee will ensure that the program administrator is present at the home for at least 20 hours per week during normal business hours. Administrator Ronnie told LPA Ng that Kendra Sheldon will be the new Administrator but Ronnie will be the Interim Administrator until Kendra completes her certificate, training's, and on boarding. · On a quarterly basis, the licensee agrees to submit the following to LPA Ng: 1. Executive Board meeting minutes. 2. Weekly staff meeting minutes, to include a log of each direct care staff signing off confirming they have reviewed each client's Needs and Services Plans each week. LPA Ng told Administrator to send CCL needs and service plans when completed, completed trainings, and board meeting minutes closer to Anderson's opening date. A Technical Support Program (TSP) was discussed. Licensee will let LPA Ng know if they need TSP. No deficiencies were cited. A copy of this report was given to Ronnie Mabou, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 9/21/222 at 10: AM , Licensing Program Analyst (LPA) Alyssa Ng met with Ronnie Mabou, Administrator at Youth Homes Anderson. The purpose of the visit was to do a facility walk-through due to clients getting moved from Youth Home East Bay Shelter. The facility placed the clients at Anderson on September 10th due to a fire incident. During the transition, all parties were informed including client's social workers and CCL was notified. At 10: AM, Administrator Ronnie and LPA Ng did a walk-through of the facility. LPA inspected the interior and exterior of the facility and grounds. There are no bodies of water or hazards on the grounds. The room and hot water temperatures are maintained within permitted ranges at F and 115. F. Food supply meets the 7 day nonperishable, 2 day perishable supply mandate for all residents in care. The food storage is kept locked at night, the freezers are always locked, but residents always have access to water, milk, fruit, and makings for sandwiches. The residents also have access to an unlocked fridge freezer for snacks and frozen juice. First aid kit was inspected and observed to be complete. Smoke detectors were tested and are functioning. The house and grounds are well maintained. All bedrooms have clean linens and mattress pads. Knives and chemicals are locked and inaccessible to residents in care. During the walk-through, LPA observed holes in a clients room. LPA Ng was notified prior regarding the property damage. The holes were observed to be covered with duck tape and Administrator provided a work order. Repair is scheduled for tomorrow. LPA Ng also reminded Administrator that now that the facility has clients, the Non-Compliance submissions will begin. As a reminder, the LIC 500 and 3 random Needs and Service Plans will be sent to LPA NG every 20th of every month. LPA will ask randomly ask for at least two days of the following items per month; 15 minute room checks logs including names of the staff who performed checks and overnight shift notes. The administrator will also conduct and submit to CCL quarterly audits of Needs and Services Plans to check for accuracy, completion, and to ensure that each client's plan is personalized to them individually. Submissions will start in October as staff and clients are still transitioning to Anderson House. On a quarterly basis, the licensee agrees to submit the following to LPA Ng: 1. Executive Board meeting minutes. 2. Weekly staff meeting minutes, to include a log of each direct care staff signing off confirming they have reviewed each client's Needs and Services Plans each week. No deficiencies were cited today. An exit interview was conducted and a copy of this report was given to Ronnie Mabou, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 10/26/2022 at 10: AM, Licensing Program Analyst (LPA) Alyssa Ng conducted an unannounced case management inspection with listed facility and spoke with Ronnie Mabou, Administrator. The purpose of the inspection was to follow up on an incident report. LPA Ng reviewed an incident report dated 10/16/22. The incident, aggressive act towards staff over a hygiene product resulted in client being placed in a hold. During a tour of the facility, it was observed where hygiene products are stored. LPA reviewed distribution of hygiene protocols and escalation procedures to ensure that safety measure were followed. No concerns were observed during the inspection. No deficiencies were cited, an exit interview was conducted, and a copy of this report was left with Administrator Ronnie Mabou, whose signature on this form confirms receipt.


summary: Facility Evaluation

raw_content:
Narrative:
On 1/20/23 at 1: PM, Licensing Program Analyst (LPA) Alyssa Ng met went to listed facility for the purpose of conducting a Noncompliance Case Management Inspection. LPA met with Administrator Ronnie Mabou, who helped facilitate this inspection. In October 2020, Youth Homes - Andersen met with Community Care Licensing (CCL) representatives for a Noncompliance Conference. The purpose of the Noncompliance Conference was to address the following issues: 1. Client Supervision and Staff Ratios 2. Staff Training 3. Needs and Services Plans 4. Administration. In April of 2021, Youth Homes made the decision to temporarily close due to staffing issues. LPA Ng made a visit to Youth Homes- Anderson back in August of 2022 for a timeline for an anticipated open date / update on the facility. In September of 2022, Youth Homes Director of Operational Compliance and Services Ronnie Mabou notified LPA Ng that they have moved clients from Youth Homes East Bay to Youth Homes- Anderson due to a incident involving a fire. Youth Homes decided to forfeit the East Bay License so the clients stayed at Anderson permanently. --------Cont. ON 809C---------- Needs and Services Plans: · Licensee will conduct in depth evaluations of each client upon admission, taking into account each client past history. The licensee will develop individualized and personalized Needs and Services Plans for each client that address each client's particular needs and treatment goals. · The Clinical Team is providing training re: Needs and Services Plans, going through each client's treatment and crisis plans in conjunction with the child's treatment team to make sure each section of the Needs and Services is tailored to each child and includes a plan to transition each child to a lower level of care. · The Licensee will also submit 3 random Needs and Services Plans to LPA Ng for Review by the 20th of every month. Administration: · Licensee will ensure that the program administrator is present at the home for at least 20 hours per week during normal business hours. Ronnie Mabou is still the interim Administrator until Kendra Sheldon receives her Administrator certificate. As part of the Non-Compliance, LPA Ng reviewed the following: - Current LIC500 to ensure staffing meets the needs of the residents in care. - Needs and Service Plans for all clients to ensure accuracy and completion. LPA Ng requested: 1. Executive Board meeting minutes. 2. Weekly staff meeting minutes, to include a log of each direct care staff signing off confirming they have reviewed each client's Needs and Services Plans each week. Due date for the documents will be on 1/27/23 at 4: PM. No deficiencies were cited today. An exit interview was conducted and a copy of this report was given to Ronnie Mabou, Administrator.

met_with: Ronnie Mabou and Kendra Sheldon


summary: Facility Evaluation

raw_content:
Narrative:
On 1/20/23 at 10: AM, Licensing Program Analyst (LPA) Alyssa Ng made an unannounced annual/required inspection to listed facility and met with Ronnie Mabou, Administrator. The facility is licensed for six residents, and currently in placement are 4 clients. During this inspection, 3 clients and 6 staff were present in the home. Safety precautions were taken, including screening call, hand hygiene, and mask-wearing. LPA Ng toured the facility inside and out. The facility is a three story home and has 4 client bedrooms. All client bedrooms were equipped with comfortable furnishings which included ample storage space for clients' belongings and full sized beds. Each bedroom has drawers for extra storage space. Client bathroom was clean and furnished with hygiene supplies for each client. The water temperature measured 124.5 degrees F. The thermostat measured 71 degrees. The facility is clean, safe and sanitary. The kitchen was observed to be clean and free of hazards or chemicals. Sharps were located in a locked cabinet in the staff office. Extra linens are located in a closet in the hallway. The weekly menu was posted in the kitchen. LPA's observed at least 2 days of perishable foods and 7 days of nonperishable foods. The smoke detectors are in working order. No bodies of water on the premises. All walkways were free from debris or hazards. LPA Ng interviewed 2 staff and 1 client. LPA toured the backyard and observed it to be free from hazards. The backyard is surrounded by a wooden fence with locked gates. The facility has a centralized AC unit in the side yard which is inaccessible to clients. All client records complete with all of the required documentation. The facility had a separate file for each staff. All files were present except for one staff's TB test and three staff Child Abuse Index Check (LIC 198). LPA also found that all clients has their own separate binder of all required documents. Each psychotropic medication was did have its own Psychotropic Medication Administration Record (PMAR). All medications were consistent with these records. Staff has a centralized binder that contained their training, qualifications, and other personal information. LPA looked through all binders and were complete with all the required documentation. Resident and staff records were observed to be complete and the facility in compliance, with only the following exception: LPA Ng reviewed staff records and found staff did not have the Child Abuse Index Check (LIC198). Facility was cited under California Code Of Regulations, Title 22, Chapter 6, Section Personnel Records and 80019. Child Abuse Central Index. At this time, 2 deficiencies was cited. An exit interview was conducted, and a copy of this report was given to Ronnie Mabou, Administrator .


summary: Facility Evaluation

raw_content:
Narrative:
On 05/16/23 at 11: AM, Licensing Program Analyst (LPA) Alyssa Ng met went to listed facility for the purpose of conducting a Noncompliance Case Management Inspection. LPA met with Kendra Sheldon, Administrator and Ronnie Mabou, Director of Operational Compliance and Services who helped facilitate this inspection. The purpose of the Noncompliance Conference was to address the following issues: 1. Client Supervision and Staff Ratios 2. Staff Training 3. Needs and Services Plans 4. Administration. In April of 2021, Youth Homes made the decision to temporarily close due to staffing issues. In September of 2022, Youth Homes Director of Operational Compliance and Services Ronnie Mabou notified LPA Ng that they have moved clients from Youth Homes East Bay to Youth Homes- Anderson due to a incident involving a fire. Youth Homes decided to forfeit the East Bay License, so the clients stayed at Anderson permanently. As part of the Non-Compliance, LPA Ng reviewed the following: -Signed Needs and Service Plans -Shift logs (AM, PM) -Staff meeting topics -Updated LIC500 - Planned activities for all clients This Non-Compliance is expected to end in March of 2024 due to the temporary closure in April of 2021. No deficiencies were cited today. An exit interview was conducted, and a copy of this report was given to Kendra Sheldon, Administrator.

met_with: Kendra Sheldon and Ronnie Mabou


summary: Facility Evaluation

raw_content:
Narrative:
On 09/07/23 at 11: AM, Licensing Program Analyst (LPA) Alyssa Ng met with Kendra Sheldon, Administrator and Ronnie Mabou, Director of Operational Compliance and Services for the purpose of conducting a Noncompliance Case Management Inspection. LPA Ng met at listed facilities sister facility "Cherry Lane" due to a waiver issued by CCL that is dated 8/29/23. Listed facility is temporarily relocating their youth to Cherry Lane while repairs are being done for Andersen house. *Please note that although the youth are getting relocated to Cherry Lane , they are still under Andersen placement.* Administrator does not have a timeline yet but will get in contact with a contractor next week regarding repairs. The purpose of the Noncompliance Conference was to address the following issues: 1. Client Supervision and Staff Ratios 2. Staff Training 3. Needs and Services Plans 4. Administration In April of 2021, Youth Homes made the decision to temporarily close due to staffing issues. In September of 2022, Youth Homes Director of Operational Compliance and Services Ronnie Mabou notified LPA Ng that they have moved clients from Youth Homes East Bay to Youth Homes- Anderson due to a incident involving a fire. Youth Homes decided to forfeit the East Bay License, so the clients stayed at Anderson permanently. As part of the Non-Compliance, LPA Ng reviewed the following: -Signed Needs and Service Plans ------- CONT. ON 809C------- -Shift logs (AM, PM) -Staff meeting topics -Updated LIC500 - Planned activities for all clients This Non-Compliance is expected to end in March of 2024 due to the temporary closure in April of 2021. No deficiencies were cited today. An exit interview was conducted, and a copy of this report was given to Kendra Sheldon, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On Wednesday, 12/27/2023 at 9: AM, Licensing Program Analyst (LPA) Shikya Belfield conducted an annual inspection at the above facility. LPA Belfield met with Administrator, Ronnie Mabou. Please note, the facility has been in communication with CCL regards to their current status. Currently there are no clients in placement and there are no staff currently working in the facility regularly due the facility not operating at this time. LPA toured the facility with the administrator. No deficiencies were cited during this inspection. An exit interview was conducted a copy of this report will be sent to administrator Ronnie Mabou.


summary: Facility Evaluation

raw_content:
Narrative:
On 05/30/24 at 12:15 p.m., Licensing Program Analyst (LPA) Brenda Rodriguez went to the listed facility above. The purpose of this visit is to conduct a Non-Compliance Case Management Inspection. LPA Rodriguez met with Kendra Walsh, Administrator and Ronnie Mabou, Director of Operational Compliance and Services who helped facilitate this inspection. The purpose of the Non-Compliance Conference was to address the following issues: 1. Client Supervision and Staff Ratios 2. Staff Training 3. Needs and Services Plans 4. Administration In April of 2021, Youth Homes made the decision to temporarily close due to staffing issues. In September of 2022, Youth Homes Director of Operational Compliance and Services Ronnie Mabou notified LPA Alyssa Ng that they have moved clients from Youth Homes East Bay to Youth Homes- Anderson due to a incident involving a fire. Youth Homes decided to forfeit the East Bay License, so the clients stayed at Anderson permanently. As part of the Non-Compliance, LPA Rodriguez reviewed the following: - Signed Needs and Service Plans - Shift logs (AM, PM) - Staff meeting topics - Updated LIC 500 (cont. on LIC 812-C) - Planned activities for all clients This Non-Compliance is expected to end in March of 2024 due to the temporary closure in April of 2021. No deficiencies were cited today. An exit interview was conducted, and a copy of this report was given to Kendra Walsh, Administrator.

met_with: Kendra Walsh and Ronnie Mabou


summary: Facility Evaluation

raw_content:
Narrative:
On Wednesday, 12/11/2024, at 11: AM, Licensing Program Analyst (LPA) Jonathan Medina conducted an annual inspection at the above facility. LPA Medina met with Administrator Ronnie Mabou. The facility has been in communication with Community Care Licensing (CCL) regarding its current status. LPA Medina toured the facility. During the tour, LPA observed four bedrooms and three bathrooms. The facility license, facility sketch, and other required forms were posted on the walls throughout the facility. However, the Personal Rights poster was not initially displayed. The Administrator posted the required poster by the end of the visit. The fire clearance was not located at the facility but was instead kept at the main office. The Administrator indicated they were working on updating the Operations binder, which will be returned to the facility once revisions are complete. LPA Medina tested the water temperature and found it out of compliance due to a maintenance issue with the water heater. Since there are no clients in care, only a technical violation was issued, and the Administrator will provide an update to LPA once the issue is resolved. Sharps were locked, and chemicals were safely stored. A designated location for medication storage was observed in the staff office, secured in a locked cabinet within a locked safe. The facility was found to be in good repair and clean, with no open bodies of water. The backyard was also in good repair and clean. LPA Medina interviewed the Administrator, as there are currently no clients in placement and no staff regularly working at the facility due to it not being operational at this time. One technical violation and two technical assistance notices were issued during this inspection. An exit interview was conducted, and a copy of this report will be sent to Administrator Ronnie Mabou.

met_with: Ronnie Mabou - Administrator


facility_name: YOUTH HOMES - CHERRY LANE

raw_content:
Narrative:
On 06/17/2020 at 2PM, LPA Fremont met with representatives of Cherry Lane over FaceTime to notify them of this allegation and to conduct interviews with staff and clients. During this meeting, LPA conducted the following interviews: S1 at 2PM, C3 at 2:20PM, S2 at 2:18PM, S3 at 2:25PM, S4 at 2:30PM, and S5 at 2:40PM. LPA attempted to interview C1 and C2 at this time, however C1 was away on AWOL, and C2 refused to give an interview. LPA also conducted interviews with S6 on 06/26/2020 at 9:46AM, and W1 on 06/17/2020 at 12:22PM. In an interview with W1, this witness stated that C1 and C2 had been running away multiple days per week and were sometimes gone for two nights at a time, only returning on the third day so their beds would be held. W1 had also heard from another client that C1 and C2 were engaging in Commercially Sexually Exploited Child (CSEC) behaviors while on AWOL in the surrounding community. S2 and S4 added to this statement, saying that they had heard C1 and C2 discussing wanting to make money and talking about a hotel. S2 also stated that the clients often returned from AWOL with money, and the clients refused to disclose where they got it. All staff interviewed stated that C1 and C2 had been AWOLing almost every day for a period of several weeks, sometimes leaving the facility multiple times in one day. This was corroborated by C3, who stated the clients were leaving almost every day. All staff stated that per facility protocol, when a child AWOL'd from the facility, staff would try to talk them down and would follow on foot or in the facility vehicle until they lost line of sight or it became too dangerous for staff to follow. S2 stated that there had been times where they could not follow C1 and C2 because they were the only staff on duty and could not leave the other residents. This is corroborated by a document titled "Staff Training: Runaway Procedure" sent to LPA Fremont on 06/19/2020 at 4:38PM. This document states the following: "If a youth is seen leaving, always follow unless you are a single coverage and cannot leave the other youth." In an interview with S6, S6 stated that if any clients required a hire level of supervision, staffing would be increased to make up for the supervision needs of the other clients. All staff interviewed confirmed that no additional staff had been added to supplement supervision for C1 and C2. (Continued on Lic9099-c) When asked how the clients were getting out of the house, all staff stated that C1 and C2 either walked out of the font door, or climbed through the bedroom or bathroom windows. S4 stated the following: "They are AWOLing so often at this point, most of the time they will say 'Hey I'm leaving' and walk out of the house, or they won't say anything and just walk out." This is corroborated by C3, who stated, "It's a daily basis so it gets to a point where they [staff] can't do anything every time." When asked if C1 and C2's supervision needs had been updated in their Needs and Services Plans, S1 stated that changes had been made to reflect the clients' recurring AWOL behavior. This is contradicted by C2's Needs and Services Plan sent to LPA Fremont on 06/19/2020 at 4:38PM. In this plan dated 06/15/2020, it is stated that C2 was on "normal" supervision at the time, however it is also noted that C2 was at severe risk for AWOL behaviors. This plan also states that C2 was in possession of an unauthorized cellphone at the time, which they were using to set up AWOLs, and the client was AWOLing daily. When asked if they thought they were doing everything they could to prevent AWOLs, all staff stated they were, with the exception of S4, who stated "yes and no" and clarified that it depended on the staff and their comfort level with de-escalation and following clients. Based on the information gathered, including interviews with staff and clients and review of facility records, there is a preponderance of evidence that the supervision needs of C1 and C2 were not being met, allowing them to repeatedly AWOL from the facility by leaving through the front door. Based on a recent Administrative Action taken against the home for similar complaints and incidents, the home has put a plan in place to increase staffing, to increase the number of on-call Crisis Management Supervisors, and to regularly meet with clients' Child and Family Teams to address ongoing behavioral issues and to implement solutions to prevent similar incidents from occurring in the future. Because of these recent changes, no deficiency is being cited at this time. To communicate best practice of client supervision going forward, an LIC9102 - Technical Violation was issued to the home for Title 22, Division 6, Chapter 1, Article 6, Section 80078(a) - Responsibility for Providing Care and Supervision. Please see the attached LIC9102 for details. At this time, one Technical Violation has been issued per Title Regulations. An exit interview was conducted, Appeal Rights provided and discussed, and a copy of this report was emailed to Youth Homes Director of Operational Compliance Ronnie Mabou, to be signed and returned for the home's facility file.

Investigation Findings:
13At 2:04PM, Licensing Program Analyst (LPA) Madi Fremont met with the home above virtually over Microsoft Teams to conduct a Complaint Investigation Inspection. The purpose of this inspection was to deliver findings for a complaint received on 06/12/2020. LPA met with Youth Homes Director of Operational Compliance Ronnie Mabou, who helped facilitate this inspection. Also in attendance was STRTP Administrator Rozalynn Johnson-Spearman. Currently in care are 5 ambulatory clients. (Please reference LIC811 - Confidential Names dated 05/27/2021). On 06/12/2020 at 9:28AM, the San Jose Children's Residential Program Regional Office received a complaint for Youth Homes Cherry Lane with one allegation: "Facility did not prevent youths from going AWOL." This allegation is in reference to C1 and C2 repeatedly AWOLing from the facility over a period of several weeks, sometimes AWOLing multiple times in one day. This complaint was assigned to and investigated by LPA Fremont. (CONTINUED ON LIC9099-C) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Madeleine Fremont 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 14-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, TRAEGER AVE., SUITE FACILITY NAME: YOUTH HOMES - CHERRY LANEFACILITY NUMBER: VISIT DATE: 05/27/2021

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

visit_type: Complaint Investigation


raw_content:
Narrative:
This department has investigated the allegation, and although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the facility failed to act once made aware that the adult staff acted inappropriately with group home minor, the above allegation is UNSUBSTANTIATED. Appeal Rights were provided and discussed, and no deficiencies were cited. An exit interview was conducted and a copy of the report was left at the facility.

Investigation Findings:
13Licensing Program Analyst (LPA) David Hiett met with Administrator Felicia Martin regarding a complaint investigation at the facility. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, Licensing Program Analyst (LPA) Hiett reviewed human resources documentation regarding the termination of the staff member named in the complaint. LPA Madeline Fremont interview interviewed 1 staff. The documentation did not identify any previous inappropriate behavior and Administrator Felicia Martin confirmed this. The facility acted immediately once the allegation surfaced and immediately terminated the staff member identified in the complaint. LPA Hiett did not find evidence that the interactions between the staff member and the youth was sexual or abusive in nature. LPA Hiett was unable to contact the youth for further details. Continued on LIC9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: David Hiett 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 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: YOUTH HOMES - CHERRY LANEFACILITY NUMBER: VISIT DATE: 02/15/2022

met_with: Administrator Felica Martin


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Narrative:
Based on the information obtained, there is a preponderance of evidence to prove that the licensee did not provide the level of care and supervision required by the clients it had in its care. Therefore, the allegation- Staff did not prevent inappropriate sexual interactions between children are substantiated. The facility is being cited deficiencies per Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS) 87072(c) - Personal Rights. See the attached LIC9099-D for details. Additionally, due to the substantiated allegations above, and based on interviews with staff, there is a preponderance of evidence to prove that youth had access to illegal drugs. Therefore, the allegations are substantiated. The facility is being cited deficiencies per Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS) 87078(a) - Responsibility for Providing Care and Supervision. See the attached LIC9099-D for details. An exit interview was conducted, appeal rights provided and discussed, and a copy of this report was given to Ronnie Mabou .

Investigation Findings:
13*Correction: In the statement "Three staff were aware that youth would go into other youths' room even when they are not allowed and were aware of C1 and C2 (refer to 811) having sex with other clients inside the facility." It is C4 and C5 instead of C1 and C2. On 4/5/22 at 10: AM , LPA Alyssa Ng conducted a complaint inspection with Youth Homes- Cherry Lane and met with Ronnie Mabou, Director of Operations and Compliance. The visit was conducted at the corporate office due to Cherry Lane being closed. The purpose of the inspection was to deliver the findings for the above complaint allegations. This complaint was taken as a complaint by Community Care Licensing's (CCL's) Investigations Branch (IB) and assigned to Inv. Victoria McIntosh on 12/03/2021. During the investigation, it was disclosed that it was very easy to sneak drugs into the facility due to not being searched thoroughly. For example, on 10/25/2021, two clients took MDMA pills and were not checked on throughout the night. Two clients said that staff only checked when showing behaviors or smelling like marijuana and some staff are aware that client's smoke marijuana and drink alcohol and do not get in trouble if it is not on the property. Three staff were aware that youth would go into other youths' room even when they are not allowed and were aware of C1 and C2 (refer to 811) having sex with other clients inside the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng 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 14-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, TRAEGER AVE., SUITE FACILITY NAME: YOUTH HOMES - CHERRY LANEFACILITY NUMBER: VISIT DATE: 04/05/2022

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


raw_content:
Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

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

met_with: Director of Operational Compliance and Services Ronnie Mabou


raw_content:
Narrative:
The preponderance of evidence standard has been met, and therefore the above allegation is found to be Substantiated. LPA is issuing one citation, per Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS) Section Personal Rights. See attached LIC 9099-D. An exit interview was conducted, appeal rights provided, and a copy of this report left with Director of Operational Compliance and Services Ronnie Mabou, whose signature on this form confirms receipt. Police did not aid further. Staff searched, but youth could not be located. Licensee responded to the incident and determined that staff did not make appropriate internal notifications and did not follow intervention procedures, including restraining to prevent further harm. Confidential interviews indicate that the facility does not restrain to prevent unauthorized absences, as that is not permitted, but youth was a threat to self and needed medical treatment, so restraining would have been required per their procedures. Staff were terminated. However, it is not clear that the facility is in violation of regulatory requirements for admitting youth. Neither youth is still in care, and the licensee has temporarily closed the facility pending hire of new staff. Additionally, based on confidential interviews, the facility faced a staffing shortage which made it difficult to maintain appropriate staff to child ratios. However, interviews do not clearly indicate instances of shortage resulting in not meeting ratio. Staff have worked overtime to maintain ratios. As stated above, it was reported that a staff member had been the sole staff at the facility in the morning when four youth were present, but the staff member denied this. Licensee has now closed the facility pending hire of new staff. Although the allegation(s) may have happened or is/are valid, based on LPA's observations and interviews with residents and staff, there is not a preponderance of the evidence to prove the alleged violation(s) did or did not occur. Therefore, the allegation is Unsubstantiated. An exit interview was conducted, appeal rights provided, and a copy of this report left with Director of Operational Compliance and Services Ronnie Mabou, whose signature on this form confirms receipt.

Investigation Findings:
SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion: UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Hugo Licea conducted a case management inspection on October 26, 2021 at 11:00am based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. 3 out of Direct Care Staff and 4 out of 4 youth files as identified on the LIC 811 confidential names dated October 5, 2021, were reviewed. 3 out of Direct Care Staff and 1 out of 4 youth were also interviewed. The Plan of Operation including policies and procedure were reviewed. A copy of this report was discussed and provided to Ronnie Mabou, Director of Operational Compliance and Services.

met_with: Ronnie Mabou, Director


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Christopher Rollins conducted an annual inspection at Youth Homes- Cherry Lane. LPA met with Ronnie Mabou Director of Operational Compliance and Services (DOCS). The STRTP is licensed to serve 6 clients ages 12-18. The facility consists of 4 bedrooms ( Double occupancy) and 2 bathrooms. At 11: AM, LPA Rollins toured the facility with DOCS inside and out. LPA observed the kitchen is clean. LPA measured hot water in the bathroom, kitchen sink and shower at 113.4 degrees F. The facility has plenty of non perishable and perishable food supply. Medication and knives are locked away. There are enough folks, spoons, plates and cups. All passageways are unobstructed. All smoke detectors are up to date and working. The facility is clean, safe and sanitary. There are no firearms on the property. There are no bodies of water on the property. The facility is maintained at a comfortable temperature. Personal rights, floor plan, food menu and Emergency disaster forms were posted in clear view. Fire Extinguisher was up to date and carbon monoxide was in good working shape. At 12: PM, LPA reviewed four client files with DOCS. LPA observed all four client files to be complete and found no deficiencies. LPA observed all documentation to be up to date. LPA observed medication logs to be updated and current. At 1: PM, LPA observed 5 staff files with DOCS. LPA observed staff files to be complete and documentation was update. LPA found no deficiencies. LPA observed all facility staff have completed there 40 hours annual training. LPA observed all training to be up to date and all certificates to be complete. During inspection, LPA receive an updated copy of the LIC Personnel Report to maintain their file current. A review of Licensing Information System on December 10, 2021 indicates that all facility staff associated to the facility had DOJ, FBI and child abuse index check clearances. Per Title Regulations, no deficiencies were cited during the inspection. Exit interview was conducted and a copy of the report was left at the facility.

met_with: Ronnie Mabou- Director of Operational Compliance and Services


summary: Facility Evaluation

raw_content:
Narrative:
On 8/15/222 at 10: AM, Licensing Program Analysts (LPA) Alyssa Ng met with Ronnie Mabou, Administrator at Youth Homes Cherry Lane and discussed their Non-Compliance Plan going forward. In June 2019, Youth Homes - Cherry Lane met with Community Care Licensing (CCL) representatives for a Noncompliance Conference. The purpose of the Noncompliance Conference was to address the following issues: 1. Client care and supervision 2. Staffing ratios 3. Physical Plant of the home - specifically non-functional locks on client bedroom windows 4. Staff training 5. Planned activities In regards to training, Contra Costa offered to help with some of the on boarding training's to help reach the 40-80 hours. The training will be in-person and Online depending on the topic.. The facility is clean, safe, and sanitary. There are no firearms on the property. There are no bodies of water on the property. The facility is maintained at a comfortable temperature. During this inspection, LPA had a discussion with Administrator regarding the following topics: Stipulation and Waver; and Order dated 6/4/ On page Section E: "Respondent shall submit the monthly quality assurance report to the department". LPA requested all reports from 2021- present. On page Section 4: "The probationary period shall be extended by the total time during which the facility is not operating". LPA Ng also asked if "Geriann Smith" is still the President, Board of Directors of Respondent. Administrator confirmed that Geriann Smith is still the Board of Directors of Respondent. LPA Ng told Administrator that CCL is still discussing the possibility of surrendering Youth Homes- Cherry Lane's license and moving Youth homes East Bay license to this location. LPA Ng or the Department will reach out to Youth Homes when they get confirmation/update. LPA Ng asked if there was a plan in case the change in location does not pan out. Administrator said that they will follow through with the Probationary License. They plan on having less kids with more staff. 1 or 2 to 1 overnight. Nurse on site. They will utilize some of the current staff from Youth Homes- East Bay Shelter. Internally promote a licensed clinical director role from the agency. They will need time to recruit and train new staff so they plan to be ready by the end of October. A Technical Support Program (TSP) was discussed. Licensee will let LPA Ng know if they need TSP. No deficiencies were cited. A copy of this report was given to Ronnie Mabou, Administrator.

met_with: Ronnie Mabou, Jana Corral


summary: Facility Evaluation

raw_content:
Narrative:
On 9/21/2022 at 11: AM, Licensing Program Analyst (LPA) Alyssa Ng conducted an unannounced case management inspection with listed facility and spoke with Ronnie Mabou, Administrator. The purpose of the inspection was to follow up on a complaint regarding inappropriate touching. LPA Ng reviewed the IB report for complaint # 14-CR-20220624135456. The allegation, facility staff member inappropriately touched minor while in care, and found that it was a client who inappropriately touched the minor. LPA Ng asked Ronnie Mabou, Administrator the procedures for incidences like this and how staff use prudent parenting to ensure clients are safe and protected in their rooms, and the compatibility of roommates. No deficiencies were cited today. A copy of this report was given to Ronnie Mabou, Administrator.


summary: Facility Evaluation

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Narrative:
On 1/18/23 at 2: PM, Licensing Program Analyst (LPA) Alyssa Ng made a visit to the facility for a required annual inspection. LPA met with Administrator Ronnie Mabou and informed of the purpose of the visit. Safety precautions were taken, including screening call, mask-wearing, and hand hygiene. LPA used the CARES Inspection Tool to conduct the inspection. There are no children in care and no staff currently working at the facility. The facility is temporarily closed pending the approval of a new administrator and the hiring of new staff. LPA toured the facility site and grounds and observed the facility to be in safe condition. Backyard was safe and clear from obstruction. Room temperature and hot water temperature were maintained within permitted ranges, at F and 113. F, respectively. There are four double-occupancy bedrooms with beds in safe condition and clean linens. During the inspection, Interim Administrator Ronnie Mabou states that the facility plans on opening when they hire a clinician and direct care staff. Youth Homes has hired Melissa Geddis as a Clinician. Melissa Geddis will become the new Administrator for Youth Homes- Cherry Lane when she takes her Administrator Class in February 2023. At this time, no citations were issued at this visit. An exit interview was conducted and a copy of this report left with Administrator Ronnie Mabou, whose signature on this form confirms receipt.


summary: Facility Evaluation

raw_content:
Narrative:
On 1/20/23 at 2: PM, Licensing Program Analyst (LPA) Alyssa Ng met with Ronnie Mabou, Administrator at Youth Homes Cherry Lane and discussed their Non-Compliance Plan going forward. In June 2019, Youth Homes - Cherry Lane met with Community Care Licensing (CCL) representatives for a Noncompliance Conference. The purpose of the Noncompliance Conference was to address the following issues: 1. Client care and supervision 2. Staffing ratios 3. Physical Plant of the home - specifically non-functional locks on client bedroom windows 4. Staff training 5. Planned activities The facility is clean, safe, and sanitary. There are no firearms on the property. There are no bodies of water on the property. The facility is maintained at a comfortable temperature. During this inspection, LPA had a discussion with Administrator regarding the following topics: Stipulation and Waver; and Order dated 6/4/ On page Section E: "Respondent shall submit the monthly quality assurance report to the department". LPA requested all reports from September 2022- present. On page Section 4: "The probationary period shall be extended by the total time during which the facility is not operating". The facility plans on opening when they hire a clinician and direct care staff. Youth Homes has hired Melissa Geddis as a Clinician. Melissa Geddis will become the new Administrator for Youth Homes- Cherry Lane when she takes her Administrator Class in February 2023. No deficiencies were cited. A copy of this report was given to Ronnie Mabou, Administrator.


summary: Facility Evaluation

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Narrative:
On 09/07/23 at 11: AM , Licensing Program Analyst (LPA) Alyssa Ng met with Kendra Sheldon, Administrator and Ronnie Mabou, Director of Operational Compliance and Services for the purpose of conducting a facility inspection. LPA conducted a facility inspection due to a waiver issued by CCL that is dated 8/29/23. Listed facility is temporarily relocating their youth to Cherry Lane while repairs are being done for Andersen house. *Please note that although the youth are getting relocated to Cherry Lane , they are still under Andersen placement.* LPA Ng toured the facility inside and out. The facility consists of 4 bedrooms and 2 bathrooms. All client bedrooms were equipped with comfortable furnishings which included ample storage space for clients' belongings and full sized beds. Each bedroom has drawers for extra storage space. Client bathroom was clean and furnished with hygiene supplies for each client. The facility is clean, safe and sanitary. The kitchen was observed to be clean and free of hazards or chemicals. Sharps were located in a locked cabinet in the staff office. Extra linens are located in a closet in the hallway. The weekly menu was posted in the kitchen. LPA's observed at least 2 days of perishable foods and 7 days of nonperishable foods. The smoke detectors are in working order. No bodies of water on the premises. All walkways were free from debris or hazards. LPA toured the backyard and observed it to be free from hazards. The backyard is surrounded by a wooden fence with locked gates. The facility has a centralized AC unit in the side yard which is inaccessible to clients. At this time, 0 deficiencies was cited. An exit interview was conducted, and a copy of this report was given to Kendra Sheldon, Administrator .


summary: Facility Evaluation

raw_content:
Narrative:
On 12-12-23 10:16AM, Licensing Program Analysts George Karkazis conducted an unannounced Annual/Random inspection at listed facility. LPA met with Ronnie Mabou, Director of Standards and Enrichment, and toured the facility inside and out. The Short Term Therapeutic Program is licensed to serve 6 clients. Present during the inspection were 4 staff and 0 clients. At 10:35AM LPA Karkazis reviewed client and staff files. All staff and client files are complete and in good order. At 12:13PM, LPA Karkazis toured the facility. LPA Karkazis observed 4 bedrooms and 2 bathrooms. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPA Karkazis tested the water temperature and found it to be 116 degrees which is in range. The thermostat read 70 which is within range. Sharps were locked and chemicals were safely stored. There were two days of perishable foods and seven days non-perishable foods present. The medication was also stored and locked in the staff office in a locked cabinet, in a locked safe. The facility is in good repair and clean. There were no open bodies of water. The backyard was in good repair and clean. LPA Karkazis interviewed 4 staff and 0 clients. A Technical Assistance was issued California Code of Regulations 80023(d)(2) Disaster Drill Logs. An exit interview was conducted, appeal rights discussed and a copy of this report was given to Ronnie Mabou, Director of Standards and Enrichment.


summary: Facility Evaluation

raw_content:
Narrative:
On 2-2-24 at 4:10PM, Licensing Program Analyst George Karkazis conducted an unannounced inspection at Youth Homes, Cherry Lane, for the purpose of conducting unfinished interviews with clients. LPA Karkazis met with Ra'Shena Martin, Clinical Director, and toured the facility. The facility was clean and in good repair. Present were six staff and three clients. An exit interview was conducted and a copy of this report was given to Ra'Shena Martin, Clinical Director.

met_with: Ra'Shena Martin, Clinical Director


summary: Facility Evaluation

raw_content:
Narrative:
On 06/04/24 at 1: PM , Licensing Program Analyst (LPA) Brenda Rodriguez met with Autumn McGowan, Facility Shift Lead for the purpose of conducting a facility inspection. LPA conducted a facility inspection due to a waiver issued by CCL that is dated 08/29/23. Listed facility is temporarily relocating their youth to Cherry Lane while repairs are being done for Andersen house. *Please note that although the youth are getting relocated to Cherry Lane, they are still under Andersen placement.* LPA Rodriguez toured the facility inside and out. The facility consists of 4 bedrooms and 2 bathrooms. All client bedrooms were equipped with comfortable furnishings which included ample storage space for clients' belongings and full sized beds. Each bedroom has drawers for extra storage space. Client bathroom was clean and furnished with hygiene supplies for each client. The facility is clean, safe and sanitary. The kitchen was observed to be clean and free of hazards or chemicals. Sharps were located in a locked cabinet in the staff office. Extra linens are located in a closet in the hallway. The weekly menu was posted in the kitchen. LPA observed at least 2 days of perishable foods and 7 days of nonperishable foods. The smoke detectors are in working order. No bodies of water on the premises. All walkways were free from debris or hazards. LPA toured the backyard and observed it to be free from hazards. At this time, zero deficiencies were cited. An exit interview was conducted, and a copy of this report was emailed to Autumn McGowan, Facility Shift Lead, Kendra Walsh, Administrator and Ronnie Mabou, Director of Operational Compliance and Services.

met_with: Autumn McGowan, Facility Shift Lead


summary: Facility Evaluation

raw_content:
Narrative:
On 06/04/24 at 1:27 p.m., Licensing Program Analyst (LPA) Brenda Rodriguez met with Megan Escocio, Clinician regarding an incident report that was reported to us on 06/03/2024. LPA Rodriguez disclosed the purpose of the inspection and was granted entry into the facility. LPA Rodriguez wanted to discuss the Incident Report that was reported on 06/03/2024. More information on Incident Report on LIC 812. LPA Rodriguez asked Clinician, Megan Escocio a few questions regarding the incident report (See LIC 812). Client was present at the moment, but LPA Rodriguez decided not to ask her questions regarding what the incident talked about. An exit interview was conducted and a copy of this report was emailed to Megan Escocio, Clinician, Kendra Walsh, Administrator and Ronnie Mabou, Director of Standards and Enrichment.

met_with: Megan Escocio, Clinician


summary: Facility Evaluation

raw_content:
Narrative:
On 08/26/2024 at 10:30 a.m., Licensing Program Analyst (LPA) Brenda Rodriguez and Licensing Program Manager (LPM) Helga Wong conducted a Teams Meeting with the following team members from Youth Homes - Cherry Lane: Kendra Walsh, Ronnie Mabou, Louie Jacobus, and Jana Corral. The purpose of the meeting was for the team members from Youth Homes - Cherry Lane to further explain to LPM Wong and LPA Rodriguez their transition of residential log note process into the EHR System Welligent. Louie Jacobus, Director of Clinical Operations showed LPM Wong and LPA Rodriguez step by step about how the EHR System Welligent works. After seeing the breakdown of how the system works, LPM Wong and LPA Rodriguez agreed that it is a really useful system for residential log notes. LPM Wong agreed to use the system, but to test it out first and see how it goes for everyone in the team. The trial run will start September 5th, 2024. The Teams Meeting ended at 11:10 a.m.

met_with: Kendra Walsh, Ronnie Mabou, Louie Jacobus, & Jana Corral