summary: Facility Evaluation

raw_content:
Narrative:
On December 5, 2024, at 1:20 pm, Licensing Program Analyst (LPA) Charmaine Linley conducted an unannounced random annual licensing inspection at Hart Community Homes, Transitional Housing Placement Program (THPP). LPA met with Program Administrator, Celia Vasquez. The facility is licensed to provide ten placements for Transitional Housing Placement Program Non-Minor Dependent (THPP-NMD) from ages 18 (18) through twenty-one (21). There are currently nine participants in the THPP-NMD program. The facility utilizes a scattered site apartment complex housing model. The agency currently has four apartments designated for THPP/ NMD's use as a single site and one apartment located in Laguna Hills. The agency employs the following assigned staff under the THPP program: Program Director/ Program Administrator and Case Manager. The administrative office resides at N. Lemon Street, Fullerton, CA 92832, located behind the Monkey Business Cafe. The office consists of a waiting area that connects to the staff kitchen which houses a large table and chairs for a conference area. The office building has one restroom, and three offices. The client files are locked in a locked file cabinet in the reception area. There is another office for the Case Managers, and an office for the Human Resources Director, where the personnel files are also kept in a locked cabinet. All three offices have locking doors. LPA observed computers and phones in the offices. The Program Director was informed that each Social Worker should maintain a 1 to 25 ratio, which should never be exceeded. Program Director is aware of submitting unusual incident reports as needed to the Department to include all Law Enforcement contacts. *** LPA reviewed two staff records. All staff met the minimum qualifications and training requirements. A review of records shows that all staff have FBI, DOJ, and Child Abuse Index Check clearances. LPA also reviewed five THPP-NMD Participant files. Based on record review, LPA observed two out of five client files (C3, C4) were missing a written medical assessment and one out of five client files (C5) was missing the Needs and Services Plan. Therefore, the facility is being cited for California Code of Regulations Section Division Six 86069(a) Participant Medical Assessment and Interim Licensing Standards AB Nonminor Dependents THPP Regulation 86268.3(a) Needs and Services Plan. An exit interview was conducted, and appeal rights were reviewed with Celia Vasquez. Due to printer malfunction, a copy of this report was emailed to Celia Vasquez.


state: CA

facility_name: HART COMMUNITY HOMES

summary: Facility Evaluation

raw_content:
Narrative:
On August 7, 2025, at 11: AM, Licensing Program Analyst (LPA) Stefanie Mutialu conducted an unannounced annual licensing inspection at Hart Community Homes, Transitional Housing Placement Program (THPP). LPA met with Program Administrator, Celia Vasquez. The facility is licensed to provide ten placements for Transitional Housing Placement Program Non-Minor Dependent (THPP-NMD) from ages 18 through 21. There are currently nine participants in the THPP-NMD program. LPA observed all licensing fees to be current. The facility utilizes a scattered site apartment complex housing model. The agency currently has four apartments designated for THPP/NMD. The agency employs the following assigned staff under the THPP program: Program Director/ Program Administrator and Case Manager. The administrative office is located at N. Lemon Street, Fullerton, CA 92832. The office consists of a waiting area that connects to the staff kitchen which houses a large table and chairs for a conference area.The office building has one restroom, and three offices. The client files are locked in a locked file cabinet in the reception area. There is another office for the Case Managers, and an office for the Human Resources Director, where the personnel files are also kept in a locked cabinet. All three offices have locking doors. *****Continued on Page 2**** ****CONTINUED FROM PAGE 1**** LPA observed computers and phones in the offices. LPA observed Community Care Licensing required documents posted in a prominent area on the wall, which include License (LIC 200), Emergency Disaster Plan (LIC 610C), See Something Say Something (PUB 45), Personal Rights, and Grievance Policy. The Program Director was informed that each Social Worker should maintain a 1 to 25 ratio, which should never be exceeded. The Program Director is aware of submitting unusual incident reports as needed to the Department to include all Law Enforcement contacts. LPA reviewed two staff records. All staff met the minimum qualifications and training requirements. A review of records shows that all staff have FBI, DOJ, and Child Abuse Index Check clearances. LPA also reviewed five THPP-NMD Participant files. LPA reviewed five client files (C1-C5), to ensure clients had all required documents per Title 22. Client files had signed personal rights forms, signed admission agreements, education records, physical examinations, and Needs and Services plans. Per facility staff, no firearms or weapons are allowed in the facility. No deficiencies were observed during today's inspection. An exit interview was conducted, this report was discussed, and a copy of this report was provided to the Program Administrator, Celia Vasquez. A copy of this report will be placed in the facility file. Due to technical issues the Administrator was emailed today's inspection report.

report_type: Facility Evaluation

visit_type: Annual

met_with: Program Administrator, Celia Vasquez.


summary: Facility Evaluation

raw_content:
Narrative:
On September 11, 2023, at 12:30 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Celia Vasquez, STRTP Administrator, of Hart Community Homes. The purpose of the case management inspection is to follow up on information received by Community Care Licensing. It was reported on 08/15/2023 that the Administrator no longer worked at the facility, and CCL had not received notification of change of the Administrator. LPA spoke with Celia Vasquez, who confirmed that their Administrator resigned on 07/14/2023. LPA requested the facility to submit its plan for the Administrator Change within 10 days. LPA reviewed the Administrator's employee file. Based on interviews and records reviewed, the facility is cited for one deficiency (refer to LIC 809D) from Title 22, Chapter 7, Subchapter 1, 86161(j) Reporting Requirements. An exit interview and appeal rights were discussed with Celia Vasquez. Due to printer malfunction, a copy of this report and appeal rights will be emailed to the Facility Administrator. A signed copy of the report will be placed in the facility file.

visit_type: Case Management

met_with: Celia Vasquez


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
apartments. Confidential interviews denied that the three routers were in the other apartments and that the three apartments did not have internet services. Confidential interviews indicated that the clients were told they needed to purchase their own internet service or they could use the cafe and THPP office during their operating hours for internet services. Based on confidential interviews and record review the allegation alleging facility is not providing internet services to non-minor dependents in care is substantiated. The complaint allegation is valid because the preponderance of evidence standard has been met. Facility is cited for violation of Title 22, Division 6, Chapter 7, Subchapter Regulation 86173. A copy of the report was discussed and provided along with appeal rights to Celia Vasquez.

Investigation Findings:
13On March 17, 2026, at 2:08 pm, Licensing Program Analyst (LPA), Charmaine Linley met with Hart Community Homes, Program Director, Celia Vasquez to deliver the finding for the above stated allegation. A Health and safety inspection of the facility was conducted on January 28, 2026, at 12:15 pm, and no immediate hazards were observed. The investigation included interviews with three foster children (C2, C4, C5), three staff (s1, S3) one foster child declined to be interviewed (C6), and LPA was unable to interview two foster children (C1 and C7), despite numerous attempts to contact them. In addition, facility records were reviewed. On January 22, 2026, Community Care Licensing (CCL) received an allegation alleging the facility is not providing internet services to non-minor dependents in care. Confidential interviews provided consistent statements that three out of four apartments did not have internet services. Records reviewed indicated that the facility provided internet service to one Apartment and three routers were provided to the other SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: HART COMMUNITY HOMESFACILITY NUMBER: VISIT DATE: 03/17/2026

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

report_type: Complaint Investigation

complaint_status: SUBSTANTIATED


facility_name: HAVEN OF HOPE, INC.

summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Investigation Findings:
13On 10/09/2024 at 10: AM, Licensing Program Analyst (LPA) Singh-Sood made an unannounced inspection to the above facility. The purpose of this inspection was to inform the facility representative that a complaint investigation is being conducted regarding the above allegations. LPA Singh-Sood met with Libby Matulich, Program Manager. During this inspection, LPA conducted a facility inspection with closer emphasis on the furniture, and trash areas, as well as the interior of the homes for bugs. During the inspection, there were not broken pieces of furniture, and/or any bugs observed. We have found that the complaint was UNSUBSTANTIATED, meaning that although the allegations may be true or are valid, the preponderance of evidence standard has not been met, therefore the allegations are found to be unsubstantiated, . LPA Singh-Sood conducted an exit interview with Ms. Matulich at 1: PM. A copy of this report was provided to Ms. Matulich. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Vaishali Singh-Sood LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 90

met_with: Libby Matulich

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Paul Simien made an unannounced visit to the above listed facility to inform them of the findings for the above listed allegations. LPA met with Libby Matulich, Program Manager (PM) at 10: AM on 7/9/ Based on confidential interviews conducted it was determined that the allegations listed above are Unsubstantiated. Based on witnesses interviewed, LPA was unable to find evidence that the facility was not ensuring that participant's needs were being met or violating participant's privacy. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. As a result of this visit, there were no title 22 deficiencies observed. Exit interview was conducted and a copy of this report was provided to PM UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Joel Segura LICENSING EVALUATOR NAME: Paul Simien LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

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

met_with: Libby Matulich, Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 04/22/2022 at 11:00AM, Licensing Program Analyst (LPA) Selena Hood and Licensing Program Analyst (LPA) Lisette Valenzuela conducted an unannounced visit to the above facility. The purpose of this visit was to conduct the required annual visit. LPA Selena Hood and LPA Lisette Valenzuela met with April Pao, Program Manager, at the main office. LPA Hood and LPA Valenzuela reviewed three client files, ten staff files, and interviewed one staff member. LPAs also conducted a physical plant inspection. No Type A or Type B deficiencies were cited. LPAs cited three Technical Violations for: Interim Licensing Standard Version 86268.3(a), ILS 86268.3(d), and ILS 86068.3(b) (see LIC9102s). LPAs conducted an exit interview with April Pao, Program Manager, at 2:40PM. LPAs discussed and delivered appeal rights.

met_with: April Pao


summary: Facility Evaluation

raw_content:
Narrative:
On 04/25/2022 at 12:30PM, Licensing Program Analyst (LPA) Selena Hood conducted a visit to the main office of the above facility. On 04/23/2022, LPA was informed that an 18 year old client of the facility had died of an overdose on 04/22/2022. LPA met with April Pao, Program Manager. The facility had not yet completed a Needs and Services plan for this client. LPA collected copies of the Transitional Independent Living Plan, the client's progress notes, and the information for the other clients. LPA also discussed with April Pao, Program Manager, what steps the facility is taking to help staff and youth process the incident. Program Manager discussed the plan following the incident. The facility is providing and will continue to provide grief counseling to clients and staff. Facility has also provided extra support to clients by having dinners and allowing discussion. There is a session scheduled with a trauma therapist for the staff, and more resources being provided to the clients. Facility has begun informing all clients' teams and reaching out directly to the clients themselves to check in. The facility is also working with the client's mother to receive their belongings. LPA conducted an exit interview with April Pao, Program Manager at 2:25PM. Facility will provide updates on the counseling sessions and when the family collects the client's belongings.


summary: Facility Evaluation

raw_content:
Narrative:
On 05/05/2022 at 11:45AM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the above listed agency office. The purpose of this visit was to continue the annual inspection. LPA met with Josefina Lopez, Case Manager. LPA reviewed six client files. LPA delivered one Technical Assistance for California Code of Regulations Title 22 86170(a)(1) (see LIC 9102). LPA conducted an exit interview with Josefina Lopez, Case Manager, at 3:00PM whose signature confirms the receipt of this document.

met_with: Josefina Lopez


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) Sethany Yem and Dung Mac conducted a case management inspection on 6/05/2024 at 10:30am based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 5 out of Direct Care Staff and 5 out of 6 youth files were reviewed. Three out of Direct Care Staff and 2 out of 6 youths were interviewed. (See the Confidential Names List, LIC 811, 6/05/2024). The Plan of Operation including policies and procedures were reviewed. Minutes from the Board Meeting Minutes related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the Emergency Prevention Plan and Needs and Services Plan, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Yem observed documentation of completed training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Libby Matulich, Program Manager.


summary: Facility Evaluation

raw_content:
Narrative:
On 4/30/25 at 10: AM, Licensing Program Analysts (LPA) Paul Simien conducted an unannounced visit to the above listed facility. The purpose of this visit was to conduct the required annual inspection. LPA met with Libby Matulich, Program Manager (PM), at the above facility to conduct the required annual inspection. LPAs reviewed five client files and four staff files At this time the inspection is not complete, LPA will return to complete the inspection. No deficiencies were cited at this time. LPA conducted an exit interview with PM.

met_with: Libby Matulich, Program Manger


summary: Facility Evaluation

raw_content:
Narrative:
On 5/1/25 at 10: AM, Licensing Program Analysts (LPA) Paul Simien conducted an unannounced visit to the above listed facility. The purpose of this visit was to conduct the required annual inspection. LPA met with Libby Matulich, Program Manager (PM), at the above facility to conduct the required annual inspection. LPA completed Operational Requirements, Disaster Preparedness, Emergency Intervention Plan, Staffing Records and Client Records sections of the CARE Tools. LPA Interviewed one staff member (only one available). The inspection is complete. Nine technical violation and five technical assistance were issued. LPA conducted an exit interview and a copy of this report was provided to PM.


summary: Facility Evaluation

raw_content:
Narrative:
On 4/30/26 at 9: AM, Licensing Program Analysts (LPA) Paul Simien conducted an unannounced visit to the above listed facility. The purpose of this visit was to conduct the required annual inspection. LPA met with Libby Matulich, Program Manager (PM), at the above facility to conduct the required annual inspection. LPA reviewed five client files. LPA completed Operational Requirements, Disaster Preparedness, Emergency Intervention Plan and Client Records sections of the CARE Tools. At this time the inspection is not complete, LPA will return to complete the inspection. No deficiencies were cited at this time. LPA conducted an exit interview with PM.


summary: Facility Evaluation

raw_content:
Narrative:
On 4/30/26 at 10: AM, Licensing Program Analyst (LPA) Paul Simien conducted an unannounced visit to the above listed facility. The purpose of this visit was to conduct the required annual inspection. LPA met with Brandon Speight, Case Manager (CM), at the above facility to conduct the required annual inspection. LPA reviewed five staff files. LPA completed Staff Records sections of the CARE Tools. Interviewed one staff (only one present at the facility) At this time, the inspection is complete. Two citations (ILS Title 22, Section 86069(a) and 86069(b)(1)), one technical violations, and one technical assistance were issued at this time. LPA conducted an exit interview with CM.

met_with: Brandon Speight, Case Manager


raw_content:
Narrative:
Documents received by LPA Almaraz reiterated that clients were not allowed to have animals at the facility. Confidential witness stated that C1 had brought an unauthorized animal into the facility and C1 had trouble with keeping C1's residence clean. Other confidential witnesses stated that at a prior placement C1 was allowed to have an emotional support animal. It was added that facility staff made it seem like C1 would be allowed to have a companion animal for therapeutic needs at this facility. In regard to the allegation that facility staff do not accord dignity to C1, confidential witnesses stated that facility staff always responded in a timely manner and at no time did facility staff avoid any of C1's questions. Other confidential witness stated that C1's questions regarding approval of an emotional support animal were ignored by several facility staff. Based on confidential interviews and record review, the allegations that facility staff did not meet client #1's (C1) needs by not allowing C1 to have a companion animal for therapeutic needs and that facility staff was avoiding C1's questions regarding a companion animal may have occurred, however, they are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. A copy of this report was explained and provided to Carrie Mathews.

Investigation Findings:
13On August 3, 2022 at 12: PM Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with Executive Director, Carrie Mathews, to issue the finding for the above stated allegations. The complaint investigation was jointly conducted by LPA A. Flores and LPA M. Almaraz. On December 15, 2021, at 9: AM LPA Flores arrived at the facility to initiate the investigation. During the inspection, LPA Flores reviewed staff and client records. Additionally, LPA Almaraz conducted interviews with one of one client listed on the confidential names list (LIC 811), two staff, and County Social Worker (CSW). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz 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: HEART MATTERS TRANSITIONAL HOUSING PROGRAM, THEFACILITY NUMBER: VISIT DATE: 08/03/2022

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

met_with: Carrie Mathews


raw_content:
Narrative:
Regarding the allegation that staff threw away a past resident's personal belongings, it was specifically reported that after moving out of a remote living site, Participant 1 (P1's) personal belongings were thrown away and P1 was not notified. Details gathered stated that P1 asked for their belongings to be stored, however, when they contacted their Former Evolution Coach (FEC) P1 was informed that their belongings had been thrown away with County Social Worker (CSW) approval. Other information obtained denied the allegation occurred. Confidential interviews stated that after not following the program rules, P1 was discharged. At that time P1 took some of their personal belongings and returned at a later date to gather more belongings. Details gathered stated that P1 did not return for the remainder of their belongings and contacted the program months later. Confidential interviews denied that CSW gave approval to throw away P1's belongings and one confidential witness stated that they threw away P1's personal belongings. Additionally, records reviewed detailed that the THP does not safeguard Participant's personal property or valuables. LPA received inconsistent information regarding the allegation. Based on interviews and confidential information obtained during the course of this investigation, the allegation that staff threw away P1's personal belongings may or may not have occurred; However, it is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview conducted and appeal rights discussed. Due to technical difficulties with printing, a copy of this report along with LIC 811, Confidential Names List, and appeal rights were provided to Andrew Caffey, Lead Evolution Coach electronically.

Investigation Findings:
13On June 27, 2024 at 3:39 pm Licensing Program Analyst (LPA), Emina Preciado, arrived at The Heart Matters, Transitional Housing Program (THP) and met with, Andrew Caffey, Lead Evolution Coach. The purpose of the visit was to deliver findings for the above-mentioned allegation. The investigation included interviews with one Participant (P1), one County Social Worker (CSW), one Facility Administrator/Former Evolution Coach (FA), and one confidential witness. LPA Preciado attempted to interview Former Program Administrator (FPA) for this investigation, but was unable to, after multiple attempts. In addition, county and facility records were reviewed. On September 15, 2023, Community Care Licensing (CCL) received one allegation alleging that staff threw away a past resident's personal belongings. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Nicole Strickland LICENSING EVALUATOR NAME: Emina Preciado 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 N CRP RO, MAIN ST., SUITE FACILITY NAME: HEART MATTERS TRANSITIONAL HOUSING PROGRAM, THEFACILITY NUMBER: VISIT DATE: 06/27/2024

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

met_with: Andrew Caffey, Lead Evolution Coach


raw_content:
Narrative:
Participant 1 (P1) was told that it was mandatory for them to receive money for groceries but was later told that it was not mandatory. Additional information obtained stated that P1 did not have sufficient groceries to meet their needs and was told to spend their money wisely. Other information obtained denied that staff mishandle P1's funds. Confidential interviews detailed that P1 was provided with their monthly stipends that included money for groceries. LPA was unable to get a statement by P1 who could confirm or dispute the allegation. Regarding the allegations that staff do not accord client privacy and staff do not treat client with dignity and respect it was specifically reported that P1 was not accorded privacy and was not treated with dignity and respect during home inspections conducted by facility staff. Additional information obtained stated that staff would conduct home inspections as early as seven in the morning and it was demanded they come out of their room during inspections. Other information obtained denied that P1 was not accorded privacy and denied that staff did not treat P1 with dignity and respect. Details gathered from confidential interviews stated that while home inspections are unannounced, they are conducted during normal business hours. Additional details gathered stated that facility staff do not demand for participants to come out of their room during inspections. LPA was unable to get a statement by P1 to confirm or dispute the allegations. Based on interviews and confidential information obtained during the course of this investigation, the allegations that, staff are mishandling P1's funds, staff do not accord P1 privacy, and staff do not treat P1 with dignity and respect may or may not have occurred; however, they are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. Exit interview conducted, appeal rights were discussed, and provided. A copy of this report was provided to Administrator, Jennifer Reyes.

Investigation Findings:
13On March 7, 2025 at 9:55 am Licensing Program Analyst (LPA), Emina Preciado, met with The Heart Matters Transitional Housing Placement Program (THPP), Administrator, Jennifer Reyes to deliver the findings for the above-mentioned allegations. The investigation included interviews with the Facility Administrator (FA), Evolution Coach 1 and 2 (EC1 and EC2), and one of two Participants (P2). One of two Participants (P1) was not interviewed, after multiple attempts. In addition, county and facility records were reviewed. On October 21, 2024, Community Care Licensing received three allegations alleging that staff are mishandling client's funds, staff do not accord client privacy, and staff do not treat client with dignity and respect. Regarding the allegation that staff is mishandling client's funds. Information obtained stated that UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Nicole Strickland LICENSING EVALUATOR NAME: Emina Preciado 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 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: HEART MATTERS TRANSITIONAL HOUSING PROGRAM, THEFACILITY NUMBER: VISIT DATE: 03/07/2025

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

met_with: Jennifer Reyes


facility_name: HEART MATTERS TRANSITIONAL HOUSING PROGRAM, THE

summary: Facility Evaluation

raw_content:
Narrative:
On May 11, 2022 at 1:15 p.m., Licensing Program Analysts (LPA) Sarah Smith met with Program Administrator, Jami Sheridan to conduct an unannounced post-licensing inspection for the Transitional Housing Placement Program (THPP) for Non-Minor Dependents (NMD). The administrative office was toured both inside and out with the Program Administrator at 5:30 p.m. Presently, the THPP NMD has a capacity of NMD's who are placed in remote site apartments and host families. The current census is five. All remote sites are within two hours of the administrative office. The THPP Administrative office is located in San Bernardino County. Currently, the office is in a retail business establishment. The office consists of a reception area equipped with two desks, and three additional office spaces, a kitchen area, bathroom, and locked storage room. In addition there is a computer lab located off the kitchen. The office space is utilized by the Program Administrator, the Evolution Coach/Social Worker, and by the THPP NMD's. The kitchen area was equipped with a refrigerator, variety of snacks and a microwave. The office is equipped with working office equipment, furniture, and supplies. Throughout the office there are motivational signs, along with an educational and employment resource area. All participant and staff files were stored in locked storage room. LPA observed two locked storage cabinets within the storage room which hold the THPP NMD files. The staff files are maintained off site. Only the Administrator has the keys to the storage room. Currently the THPP is staffed with the Program Administrator, and two social workers. Based on LPA file review and observations, the facility will be cited for Title Regulations: Personnel Records 86066(a)(11), 86066(a)(12), and Interim Licensing Standards: Participant Medical Assessment 86069(a), Non-minor Dependents' Record 86270(a)(2)(E), and Needs and Services Plan 86268.3(c)(1). ---------- An exit interview was conducted with Program Administrator, Jami Sheridan and a copy of this report and Appeal Rights were provided to the facility representative.

met_with: Jami Sheridan, Program Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On April 19, 2023 at 10:47 am Licensing Program Analyst (LPA), Emina Preciado, conducted an unannounced visit to The Heart Matters, Transitional Housing Placement Program (THPP) for Non-Minor Dependents (NMD) for the purpose of conducting an annual inspection. LPA met and toured the facility with Program Administrator, Kyndle Crigler. Presently, the THPP has a capacity of 50 participants who are placed in remote site apartments in Moreno Valley and Colton. All remote sites are within two hours of the administrative office. The current census is 18 participants in the program. The THPP Administrative office is located in a retail business establishment. The office consists of a reception area equipped with two desks, a kitchen area, a bathroom, a locked storage room, additional office spaces, and a computer lab that is available for participants to use. The office space is utilized by the Program Administrator, the Evolution Coach (Social Worker), and by the THPP's participants. The kitchen area is equipped with a refrigerator, a microwave, and a variety of snacks. The office is equipped with working office equipment, furniture, and supplies. Throughout the office there are motivational signs as well as an educational and employment resource area for participants to utilize. Facility showed LPA a copy of the emergency binder kept at remote site apartments, a drill log of the emergency disaster and mass casualty plan. All participant records are kept under lock in a storage room. LPA observed two locked storage cabinets within the storage room which hold the participant files. The Program Administrator has the keys to the locked storage room. Currently, the THPP is staffed with one Executive Director, one Program Administrator, and one Evolution Coach (Social Worker). All staff files are located off site in a different office suite that is located within the same retail business establishment. LPA observed staff files were stored under lock and were available for LPA to review. Staff was informed that each Social Worker should maintain a 1 to 12 ratio, which should never be exceeded. Staff is aware of submitting unusual incident reports as needed to the Department and to include all Law Enforcement contacts. *Next page LIC 809-C* LPA reviewed three staff files, five participant files, and completed two staff interviews. All three staff files reviewed met the minimum qualifications as required by the Department and training requirements. A review of records shows that all staff have FBI, DOJ, and Child Abuse Index Check clearances. All five participant files reviewed were complete and had the required documents. Based on observation and record review, the facility is in compliance and no deficiencies were noted at this time. Exit interview conducted with Program Administrator, Kyndle Crigler, and a copy of this report was provided to the facility representative.

met_with: Kyndle Crigler, Program Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On May 6, 2024 at 10:30 am Licensing Program Analyst (LPA), Emina Preciado, conducted an unannounced visit at The Heart Matters, Transitional Housing Placement Program (THPP) for Non-Minor Dependents (NMDs). The purpose of the visit was to conduct a required annual inspection. LPA met and did a walk-through of the facility with, Administrator, Jennifer Reyes. The THPP has a capacity for up to 50 participants who are placed in remote site apartments in Moreno Valley and Colton. All remote sites are within two hours of the administrative office. Currently, the census for the THPP is Participants. The THPP Administrative office is located in a retail business establishment. The office consists of a reception area equipped with two desks, a kitchen area, a bathroom, a locked storage room, additional office spaces, and a computer lab that is available for participants to use. The office space is utilized by office staff and THPP participants. The kitchen area is equipped with a refrigerator, a microwave, and a variety of snacks. The office is equipped with working office equipment, furniture, supplies, and has an area to conduct private interviews. Throughout the office there are motivational signs as well as educational and employment resources for participants to utilize. LPA reviewed copies of pertinent records such as certificates of compliance, the emergency binders kept at remote site apartments, and drill logs for emergency disasters. Participant records are kept in a locked cabinet inside a locked storage room which can be accessed with a key. All staff files are located off site in a different office suite that is located within the same retail business establishment. Staff files are stored under lock and were available for LPA to review. Currently, the THPP is staffed with one Executive Director, one Program Administrator, one Program Manager, two Evolution Coaches (Social Workers), and one Program Assistant. * LIC 809-C* Staff was informed that each Social Worker should maintain a 1 to 12 ratio, which should not be exceeded. Staff is aware of submitting unusual incident reports as needed to the Department and to include all Law Enforcement contacts. While at the facility, LPA reviewed five personnel records, five participant records, and conducted two staff interviews. Five out of five staff files reviewed had a completed health screening/tuberculosis (TB) test and have FBI, DOJ, and Child Abuse Index Check clearances on file. Five out of five personnel records reviewed had completed a minimum of one hour training in child abuse identification and met the minimum qualifications as required by the Department. Five out of five participant files reviewed had required documents including admission agreement, personal rights, medical/education history, immunization records, an initial/current Needs and Services Plan (NSP), and a completed Transitional Independent Living Plan (TILP). Four out of five participant records reviewed did not have a written medical assessment prior to or within 30 calendar days of their acceptance into the program. Four out of five participant records reviewed did not have results of an examination for communicable tuberculosis on file. Based on observation and record review, the facility is being cited for California Code of Regulations (CCR) sections: 86069(a) and 86069(b)(1) which poses a potential health and safety risk to clients in care. Exit interview conducted, appeal rights were discussed and provided. A copy of this report along with LIC 809-C and LIC 809-D were given to Administrator, Jennifer Reyes.

met_with: Administrator, Jennifer Reyes


summary: Facility Evaluation

raw_content:
Narrative:
On June 18, 2025, at 09:06 am Licensing Program Analyst (LPA), Raina Perez-Diaz, conducted an unannounced visit at The Heart Matters, Transitional Housing Placement Program (THPP) for Non-Minor Dependents (NMDs). The purpose of the visit was to conduct a random annual inspection. LPA met and did a walk-through of the facility with, Agency Administrator, Lia Andrews. The THPP has a capacity for up to 50 participants who are placed in remote site apartments in Moreno Valley and Colton. All remote sites are within two hours of the administrative office. Currently, the census for the THPP is Participants. The THPP Administrative office is located in a retail business establishment. The office consists of a reception area equipped with one desk for staff, two desks for participants to use, a kitchen area, a bathroom, a locked storage room, and additional office spaces. The office space is utilized by office staff and equipped with working office equipment, furniture, supplies, and has an area to conduct private interviews. The kitchen area is equipped with a refrigerator, a microwave, and a variety of snacks. Throughout the office there are motivational signs as well as educational and employment resources for participants to utilize. LPA reviewed copies of pertinent records such as certificates of compliance, the emergency binders, and drill logs for emergency disasters. Participant records are kept in a locked cabinet inside a locked storage room which can be accessed with a key. All staff files are located off site in a different office suite that is located within the same retail business establishment. Staff files are stored under lock and were available for LPA to review. Currently, the THPP is staffed with one Executive Director, one THPP Administrator, one Program Assistant, one THPP Program Manager, one Lead Evolution Coach, and three Evolution Coaches (Social Workers). * LIC 809-C* Staff was informed that each Social Worker should maintain a 1 to 12 ratio, which should not be exceeded. Staff is aware of submitting unusual incident reports as needed to the Department and to include all Law Enforcement contacts. While at the facility, LPA reviewed five personnel records, five participant records, and conducted three staff interviews. LPA Perez-Diaz reviewed files for five clients in care [Client #1 - Client #5 (C1-C5)]. All clients' files were found to have a completed health screening/tuberculosis (TB) test, Medical Consent forms and signed needs and services plans. LPA also reviewed five staff files [Staff #1 - Staff #5 (S1-S5)]. All staff files reviewed have Department of Justice (DOJ), Federal Bureau of Investigation (FBI) and Child Abuse Clearance Index (CACI) clearance, proof on file of acknowledging the child abuse reporting requirements and meet the minimum qualifications and training requirements per Community Care Licensing Regulations. A review of administrative records indicate that the facility has paid their current licensing fees. Exit interview conducted, appeal rights were discussed and provided. A copy of this report along with LIC 809-C, LIC 811, and LIC 811-C were given to Agency Administrator, Lia Andrews.

met_with: Agency Administrator, Lia Andrews


summary: Facility Evaluation

raw_content:
Narrative:
On March 10, 2026, at 1:20 pm, Licensing Program Analyst (LPA), Emina Preciado, conducted an unannounced visit at The Heart Matters Transitional Housing Placement Program (THPP). LPA met with Program Administrator, Jennifer Reyes. The purpose of the visit is to conduct a Case Management - Other for an incident that was reported to Community Care Licensing by the facility. While at the facility LPA conducted two interviews and a records review to further assist with the case management. There were no deficiencies noted at this time and LPA will follow up as needed. A copy of this report was provided to Program Administrator, Jennifer Reyes.

met_with: Program Administrator


facility_name: HERITAGE THPP

summary: Facility Evaluation

raw_content:
Narrative:
On June 10, 2024 at 10: AM, Licensing Program Analyst (LPA) Pamela Silva conducted a virtual Component II session via Teams with applicant, Heritage THPP. Present at the meeting from Heritage THPP was Sandi Heyer, Executive Director. During the meeting the following items were discussed: 1. All requested revisions in the application documents (LIC401 and LIC610C) have been submitted by applicant and has been reviewed by LPA Silva. 2. Applicant requested change in capacity from 24 to 48. A new LIC200 and the difference in licensing fee due to capacity change will be submitted to the Regional Office on 06/11/24. 3. LPA Silva requested revisions to the Program Statement/Plan of Operation (POO/PS) due to capacity change : Page 2 of POO/PS (capacity states 24), LIC500 and Table of Organization 4. LPA Silva requested to include Telecommunications Device Notification LIC9158 in the intake process of the POO/PS. 5. Ms. Heyer will remove the sketches and the addresses of the 3 remote sites from the POO/PS. An exit interview was conducted and a copy of this report was provided to the applicant.

met_with: Sandi Heyer


summary: Facility Evaluation

raw_content:
Narrative:
On June 14, 2024 at 9: AM, Licensing Program Analyst (LPA) Pamela Silva arrived at the above facility for the purpose of conducting an announced pre-licensing inspection and Component III meeting. LPA met with Executive Director Sandi Heyer and Administrator Maria Serratos. The THPP-NMD program will provide services to non-minor dependents, ages 18 to 21, in remote sites within two (2) hours of driving distance from the agency's administrative office. A tour of the office was conducted. The office building is located in a commercial area with adequate parking spaces available. There are multiple office spaces, a conference room, a storage room, kitchen and restrooms. All office spaces/rooms are well equipped with desks, chairs, computers, file cabinets and shelves. The offices provide privacy for confidential interviews. Telephone service is available in the THPP office. There are locked file cabinets in place to secure staff and client files. Fire extinguishers, carbon monoxide and fire alarms are in place. The facility has a current Emergency and Disaster Plan available in the office. LPA observed the facility to be in good repair, well equipped and ready for operation. A Component III meeting was also conducted to familiarize the applicant with THPP Rules and Regulations as well as best practices. The purpose of the Component III is also to prepare the applicant on how to maintain and operate their facility and provide information to avoid potential problem areas. A copy of the THPP Component III handout was provided to Ms.Heyer and Ms. Serratos. An exit interview was conducted, and a copy of the report was provided to the Executive Director.

visit_type: Prelicensing


summary: Facility Evaluation

raw_content:
Narrative:
On May 28, 2025 at 9: AM, Licensing Program Analyst (LPA) Pamela Silva arrived at the above facility for the purpose of conducting an unannounced Post Licensing inspection. LPA met with Executive Director, Sandi Heyer. The THPP-NMD program provides services to non-minor dependents, ages 18 to 21, in remote sites within two (2) hours of driving distance from the agency's administrative office. PHYSICAL PLANT The facility license is posted in a prominent location. All participant records are maintained in a secure area or locked file cabinets in the administrative office. The administrative office has telephone service on the premises. The office provides privacy for confidential interviews. OPERATIONAL REQUIREMENTS The facility maintains a register of participants available upon request. The facility is currently operating within licensing regulations. DISASTER PREPAREDNESS The facility has an emergency and disaster plan for the THPP NMD participants. The emergency plan includes emergency information, instructions, and telephone numbers, including a 24-hour emergency number for the licensee and the participant's responsible party. STAFF RECORDS LPA reviewed four (4) staff records (refer to Confidential Names form LIC 811 dated 05/28/25). Staff records are available upon request. The agency is in compliance with the social worker ratio. Program Administrator meets the education and experience requirements, completed the required training, file contains the Statement acknowledging requirement to report child abuse, fingerprint, and child abuse index check clearances and current with CPR and first aid. CLIENT RECORDS The facility currently has twelve (12) transitional housing placement participants ages 18-21 years old. LPA reviewed five (5) THPP participant's records. The facility ensured that the Transitional Independent Living Plan/Needs and Services Plan is signed by the NMD, the THPP Administrator or SW personnel and the agency responsible for placement. The facility ensured the participants record are maintained locked on site in the THPP office. LPA interviewed one (1) staff. During today's visit, no violations of Title 22, Division 6 of the California Code of Regulations were observed. An exit interview was conducted, and a signed copy of this report was provided to the Executive Director.


summary: Facility Evaluation

raw_content:
Narrative:
On July 22, 2025 at 9: AM, Licensing Program Analyst (LPA) Pamela Silva arrived at the above facility for the purpose of conducting an unannounced Post Licensing inspection. LPA met with Executive Director, Sandi Heyer. The THPP-NMD program provides services to non-minor dependents, ages 18 to 21, in remote sites within two (2) hours of driving distance from the agency's administrative office. PHYSICAL PLANT The facility license is posted in a prominent location. All participant records are maintained in a secure area or locked file cabinets in the administrative office. The administrative office has telephone service on the premises. The office provides privacy for confidential interviews. OPERATIONAL REQUIREMENTS The facility maintains a register of participants available upon request. The facility is currently operating within licensing regulations. DISASTER PREPAREDNESS The facility has an emergency and disaster plan for the THPP NMD participants. The emergency plan includes emergency information, instructions, and telephone numbers, including a 24-hour emergency number for the licensee and the participant's responsible party. The THPP conducts regular disaster drills in the THPP office and in the participants' living units. STAFF RECORDS LPA reviewed two (2) staff records (refer to Confidential Names form LIC 811 dated 07/22/25). Staff records are available upon request. The agency is in compliance with the social worker ratio. Program Administrator meets the education and experience requirements and completed the required training. Files contain the Statement Acknowledging requirement to report child abuse, fingerprint, and child abuse index check clearances and current with CPR and first aid. CLIENT RECORDS The facility currently has twelve (12) transitional housing placement participants ages 18-21 years old. LPA reviewed five (5) THPP participant's records. The facility ensured that the Transitional Independent Living Plan/Needs and Services Plan is signed by the NMD, the THPP Administrator or SW personnel and the agency responsible for placement. The facility ensured the participants record are maintained locked on site in the THPP office. LPA interviewed one (1) staff. During today's visit, no violations of Title 22, Division 6 of the California Code of Regulations were observed. An exit interview was conducted, and a signed copy of this report was provided to the Executive Director, Sandi Heyer.


facility_name: HILLSIDES

summary: Facility Evaluation

raw_content:
Narrative:
On 07/15/25, Licensing Program Analyst (LPA) and Licensing Program Manager (LPM) Lakescia Smith conducted the Component II - Face to Face office interview at the El Segundo Regional Office with Casey Meinster, Administrator. The THPP application and program statement was reviewed and discussed with staff. The following documents are needed and Casey stated that she will submit to licensing by Monday, July 21, 2025: 1. Update LIC 500-Personnel Report - Job descriptions should match job title on personnel report. Refer to THPP regulations. Provide the correct job descriptions for Administrator, Supervising Social Worker, Social worker personnel, etc. 2. Update and submit organization chart. 3. New application, LIC 200, submitted with name of program Hillsides THPP NMD (Submitted in office) 4. Update LIC 610C-Emergency Disaster Plan- due to being incomplete (Updated and received in office). Continued on LIC809C 5. LIC 999-Facility Sketch: should be of administration office with correct address. 6. Submit correct form- LIC 508D: Out -of-State Disclosure & Criminal Record Statement. 7. LIC 9165- Resubmit new forms. Forms received are outdated and must apply to the THPP application. 8. LIC 309-Administrative Organization needs to be completed (see section 10. Officers) 9. Create a certificate of compliance to certify that living units meet regulation requirements. 10. Applicant and administrator must be associated to the facility. 11. LPA informed Administrator to apply for a rate with Foster Care Rates. Administrator told LPA and LPM that she needed to wait until Provisional License was received. 12. Fire clearance is pending to accept non-ambulatory clients. During the review of the plan of operation, there were several compliance concerns that must be corrected. For example, there were statements that referred to "youth" instead of "Non-Minor Dependents" and incorrect section codes referenced. Clarification is needed of job titles. Submit revisions to Plan of Operation/Program Statement. Include details regarding smoking prohibition (Refer to section XVII-Unauthorized Purchases). Component III is scheduled for Wednesday, July 16, 2025, via Microsoft Teams at 10:30am. Pre-licensing visit is scheduled for Thursday, July 17, 2025 at 9:30am. Exit interview completed and copy of the report provided to Administrator, Casey Meinster.

met_with: Casey Meinster


summary: Facility Evaluation

raw_content:
Narrative:
On 07/16/25, at 9: AM, Licensing Program Analyst (LPA) Andrea Aceves and Licensing Program Manager (LPM) conducted an announced pre-licensing inspection at Hillsides THPP. LPA and LPM met with Director, Andrew Hernandez. At the time of the visit, there are no clients in placement. The facility is seeking a license to provide care for capacity of twenty (20) which ten (10) are ambulatory and ten (10) are non-ambulatory, Non-Minor Dependents, ages 18-21 and are using a remote site model. Facility Overview: The THPP-NMD administration office is located in a commercial building within suite 140 and also utilized as a resource center. The entrance to the suite can be accessed during office hours. The lobby of the suite has resource information brochures available for visitors as well as the Emergency Disaster Plan was posted and visible. The suite office is a large area with a reception area. The suite has a workstation area with multiple computers available for clients. There are five (5) small offices in which one (1) will be designated for confidential interviews for clients and CCL staff. In addition, a locked storage cabinet will be placed in the meeting space to store any confidential files. The suite has a large conference table with multiple chairs for clients. There is a TV area with a PlayStation, chairs for clients and a bookshelf with books and board games. A music room is available for clients. A kitchen area that includes a stove, microwave and refrigerator is available for clients. A shower room and laundry room are also accessible for clients. Cameras are also placed throughout the suite's common areas. See LIC809C The licensee will store client and staff files electronically and must be readily available to CCL staff upon request. All staff must be associated to THPP-NMD prior to working in the facility. Licensee submitted a revised Plan of Operation, and the LPA will review it. LPA received the following documents from Andrew: · Revised THPP LIC500-Personnel Report · Revised LIC508D-Criminal Record Statements · Updated LIC309-Administrative Organization · Updated Organizational Chart · Update THPP-NMD Administrative Office Facility Sketch · Revised Plan of Operation · Updated Expectations · Revised Job Descriptions * Group Home application to reduce capacity and check Fire Clearance for non-ambulatory NMD remains pending. An exit interview was conducted, and a copy of this report was provided to Director, Andrew Hernandez.

met_with: AndrewHernandez


summary: Facility Evaluation

raw_content:
Narrative:
On October 9, 2025, Licensing Program Analyst (LPA) Connie Jones-Steward met with Director Andrew Hernandez and Administrator Casey Meinster to conduct the post-licensing inspection. The following was observed. There are currently two clients in the Arroyo cottage and three in Canyon cottage. The administration office is located in a commercial building in the city of Pasadena, CA. It is about three miles from the participant living units. The location also serves as a drop in area for neighborhood youth, providing them with clothes, job search resources, food, hot showers and other resources. It has three offices that clients can use for private interviews and other reasons. There is a locked cabinet in one of the offices for records storage. However all records are stored online. The license and emergency disaster plan are posted near the entrance. LPA observed the three occupied bedrooms in Canyon cottage. Each bedroom has a single bed, closet space,, an operational window and working smoke detectors and carbon monoxide detectors. The cottage also has a common living room and kitchen for participant use. There is also a telephone for shared use in the laundry room. LPA reviewed the records for 4 of 5 participants, the administrator, the social worker supervisor and two social workers. All records were substantially complete. LPA interviewed two staff persons and one participant. There were no deficiencies cited as a result of this inspection.

met_with: Andrew Hernandez


facility_name: HOLLY PLACE

raw_content:
Narrative:
On 03/10/2021, the San Jose Children's Residential Program Regional Office receive a complaint for the facility, Holly Place with two allegations: "Facility is in disrepair" and "Facility staff are withholding non-minor dependent's money." This complaint was assigned to LPA Tran on 03/10/2021. During the investigation, LPA Tran conducted various interviews and email interactions with client and 4 staff members. LPA interviewed and interacted with S1 and S2 on (03/16/2021), then S3 on (03/16/2021, 03/24/2021, 03/17/2021, and 04/19/2021), and S4 on (03/26/2021 and 04/12/2021). LPA Tran also interviewed C1's Social Worker, SW on (04/12/2021). Lastly, LPA Tran interviewed C1 on (03/15/202, 04/12/2021, and 04/19/2021). LPA Tran obtained a copy of the following documents: Maintenance requests from C1, Receipts for Pest Control Service for apartment unit, Electronic Stipend Ledger, List of participants located at the Spring Dr. Hayward apartment, Transitional Independent Living Plan and Agreement for C1, Appraisal Needs and Services Plan for C1, Promise to pay invoice/debt agreement, and Holly Place's Shared Living Agreement. Based on interviews, documents received, and incident reports, the agency has been responsive with client's maintenance requests. LPA Tran interviewed S3 and S4 on 04/12/2021, S4 conducts weekly meeting with C1. C1 did not mention about the leak issue of refrigerator. On 04/06/ C1 denied maintenance services and repair diagnosis. The lack of cooperation from C1 prolongs the maintenance issue available for clients. The agency posted notices to enter the apartment 24-48 hours before entering unit to make repairs and replacement refrigerator delivery. On 03/17/ LPA Tran reviewed documents: Electronic Stipend Ledger, Transitional Independent Living Plan and Agreement for C1, Appraisal Needs and Services Plan for C1, Promise to pay invoice/debt agreement, and Holly Place's Shared Living Agreement. C1 signed agreement dated on 12/16/2020, agreeing to have $100 from Stipend funds to be added to savings account. C1 receives $400 every over week for the infant fund and receives $150 every week as stipend. C1 signed agreement on withholding $100 into savings account. The saving balance amount will be provided to C1 when she leaves the program and agency. (Continue on LIC 9099-C) Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the complaint allegations: "Facility is in disrepair" and "Facility staff are withholding non-minor dependent's money" is unsubstantiated. No citation was given. Exit interview was conducted and a copy of this report was emailed to Ron Dhillon. LPA Tran requested that a copy of the findings be signed and sent back to LPA Tran (AmyLe.Tran@dss.ca.gov). (End)

Investigation Findings:
13On 06/01/2021 at 1:00pm Licensing Program Analyst (LPA) AmyLe Tran made an announced tele-visit via Microsoft Teams meeting to deliver complaint findings to facility listed above. LPA Tran met with Executive Director, Ron Dhillon (S2) and Program Coordinator, Mandave Sandhu via tele-visit of the findings for the above listed complaint allegation. LPA provided prior notice of the tele-visit due to COVID-19 stay at home orders and scheduled the tele-visit, refer to LIC Confidential Names Form, dated 03/16/2021. (Continue on LIC9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: AmyLe Tran 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: HOLLY PLACEFACILITY NUMBER: VISIT DATE: 06/01/2021

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

met_with: Ron Dhillon and Mandave Sandhu


raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the complaint allegations: "Facility is in disrepair" is unsubstantiated. No citation was given. Exit interview was conducted and a copy of this report was emailed to Ron Dhillon. LPA Tran requested that a copy of the findings be signed and sent back to LPA Tran (AmyLe.Tran@dss.ca.gov). (End) On 01/05/2021, the San Jose Children's Residential Program Regional Office receive a complaint for the facility, Holly Place with allegation: "Facility is in disrepair". This complaint was assigned to LPA, Madeleine Fremont on 01/05/2021, then reassigned to LPA, AmyLe Tran on 04/21/2021. During the investigation, LPA Tran conducted various interviews and email interactions with client and 3 staff members with Holly Place. LPA interviewed and interacted with client P1 on (04/22/2021), S1 on (03/16/2021), S2 on (03/16/2021), S3 on (05/12/2021), and S4 on (03/26/2021). LPA Tran reached out to SW1 multiple times on (05/04/2021, 05/19/2021, and 05/21/2021) with no response. LPA Tran obtained a copy and reviewed the following documents: Maintenance requests from P1, TILP Needs and Services for P1, PG&E for November and December of 2020, promise to pay invoice/debt agreement, Updated LIC-500, Incident reports involving P1, list of P1 stipend deductions and records dated 05/21/2020 - 12/29/2029, and Holly Place's Shared Living Agreement. Based on interviews, documents received, and incident reports, the agency has been responsive with client's maintenance requests. LPA Tran interviewed P1 on 04/22/2021. P1 stated "I don't want to proceed with the complaint anymore. Holly Place has provided me space heaters to help my place keep warm." LPA Tran informed P1 that the investigation still needs to be conducted to ensure the agency is within compliance. Then on 05/12/2021, LPA interviewed S3. S3 had the property owners involved to ensure the heater was working properly. Property owners had the Warranty company and HVAC companies arrived on multiple occasions to ensure unit heater is working properly. The repair technicians stated heater has an automatic shut off for safety reasons. Both heater in unit is working properly. Tenant would put heater on full blast causing the auto shut off. Technicians verified the heater was working but not warm enough for tenant's medical condition. Property owners immediately brought space heaters for tenants as a solution. (Continue on LIC 9099-C)

Investigation Findings:
13On 06/01/2021 at 1:00pm Licensing Program Analyst (LPA) AmyLe Tran made an announced tele-visit via Microsoft Teams meeting to deliver complaint findings to facility listed above. LPA Tran met with Executive Director, Ron Dhillon (S2) and Program Coordinator, Mandave Sandhu via tele-visit of the findings for the above listed complaint allegation. LPA provided prior notice of the tele-visit due to COVID-19 stay at home orders and scheduled the tele-visit, refer to LIC Confidential Names Form, dated 01/08/2021. (Continue on LIC9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: AmyLe Tran 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: HOLLY PLACEFACILITY NUMBER: VISIT DATE: 06/01/2021

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


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
There is a lack of evidence to make a determination as to whether a regulatory violation did occur. This department has investigated the allegations, and although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the above occurred; therefore, the above allegations are Unsubstantiated. Appeal Rights were provided and discussed, and no deficiencies were cited. An exit interview was conducted with Mandave Sandhu and a copy of the report was sent to the facility.

Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Brian Bertoli met with Program Coordinator Mandave Sandhu regarding a complaint investigation at the Transitional Housing Placement Program. The purpose of the inspection was to deliver the findings for the above allegations. During the course of the investigation, LPA Bertoli interviewed participants, staff, and welfare worker, and reviewed documentation. The participant who was the alleged victim (see LIC 811 dated 3/29/22) had indicated that they would provide names, pictures, and text messages to corroborate the occurrence of the incidents, but none was provided despite multiple requests. This evidence was also requested by the Welfare Worker, and nothing was produced. None of the other persons interviewed had knowledge or evidence of the alleged incidents. A fight did occur at the participant's unit between C1 and C2, but there was no other indication of the related allegations occurring, aside from the statements of C2. LPA Bertoli was unable to determine if Case Managers allowed bullying of participants, or didn't meet participants' needs, or if the complex was unsafe, or if they failed to treat participants with respect. (cont. on LIC 9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Brian Bertoli 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: HOLLY PLACEFACILITY NUMBER: VISIT DATE: 03/29/2022

met_with: Mandave Sandhu


raw_content:
Investigation Findings:
13On 9/30/22 at 10: AM, Licensing Program Analyst (LPA) Alyssa Ng conducted a complaint inspection at Holly Place and spoke with Holly Tracy, Administrator. The purpose of the inspection was to deliver the findings for the above complaint allegation. During investigation, interviews were conducted, photos obtained, and incident reports were reviewed, and it was determined that facility is not maintained clean and free of animal hair. Based on LPA's interview with staff, clients, and record review(s), the preponderance of evidence standard has been met, therefore the above allegation, Facility is not maintained clean and free of animal hair is found to be SUBSTANTIATED. Facility is being cited for violation of California Code of Regulations (CCR), Title 22, Division 6 & Chapter 1: 80087(a) Buildings and Grounds. Please refer to attached 9099D. At this time, one deficiency was given. An exit interview was conducted, appeal rights provided and discussed, and a copy of this report was given to Holly Tracy, Administrator. 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: HOLLY PLACEFACILITY NUMBER: 015202678

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

met_with: Holly Tracy


raw_content:
Investigation Findings:
13On 3/24/23 at 10: AM, Licensing Program Analyst (LPA) Alyssa Ng conducted a complaint inspection at listed facility and spoke with Mandave Sandhu, Administrator.The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA Ng reviewed documents and conducted interviews with staff and client. Based on documents and interviews reviewed, facility has an interim Administrator that was approved by Licensing on 2/9/23 and has sufficient oversight. Although, the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that facility has no administrator and facility does not have sufficient oversight. Therefore, the above allegations are unsubstantiated. Exit interview was conducted and a copy of the report was given to Mandave Sandhu, Administrator. UnsubstantiatedEstimated 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 3

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


raw_content:
Investigation Findings:
13On 3/24/23 at 11: AM, Licensing Program Analyst (LPA) Alyssa Ng conducted a complaint inspection at listed facility and spoke with Mandave Sandhu, Administrator.The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA Ng reviewed documents and conducted interviews with staff and clients. Based on documents and interviews reviewed, staff did not engage in inappropriate interactions with client and staff does not speak inappropriately to client in care. Although, the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that staff engaged in inappropriate interactions with client and staff speaks inappropriately to client in care. Therefore, the above allegations are unsubstantiated. Exit interview was conducted and a copy of the report was given to Mandave Sandhu, Administrator. UnsubstantiatedEstimated 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 3

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


raw_content:
Investigation Findings:
13On 5/15/23 at 11: AM, Licensing Program Analyst (LPA) Alyssa Ng conducted a complaint inspection at Holly Place and spoke with Mandave Sandhu, Interim Administrator. The purpose of the inspection was to deliver the findings for the above complaint allegation. During investigation, interviews were conducted, and photos obtained, it was determined that unknown individuals are in the home. Based on LPA's interview with staff, clients, and record review(s), the preponderance of evidence standard has been met, therefore the above allegation, unknown individuals are in the home is found to be SUBSTANTIATED. Facility is being cited for violation of California Code of Regulations (CCR), Title 22, Division 6 & Chapter 1: 80072(a)(2) Personal Rights. Please refer to attached 9099D. At this time, one deficiency was given. An exit interview was conducted, appeal rights provided and discussed, and a copy of this report was given to Mandave Sandhu, Interim Administrator. 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: HOLLY PLACEFACILITY NUMBER: 015202678

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


raw_content:
Investigation Findings:
13On 10/17/23 at 11: AM, Licensing Program Analyst (LPA) Alyssa Ng conducted a complaint inspection at Holly Place and spoke with Mandave Sandhu, Administrator. The purpose of the inspection was to deliver the findings for the above complaint allegation. During investigation, interviews were conducted, and photos obtained, it was determined that facility failed to maintain non minor dependents records. Based on LPA's interview with staff, client, and record review(s), the preponderance of evidence standard has been met, therefore the above allegation, facility failed to maintain non minor dependents' records is found to be SUBSTANTIATED. Facility is being cited for violation of California Code of Regulations (CCR), Title 22, Division 6 & Chapter 7: 86170(a) Participant Records. Please refer to attached 9099D. At this time, one deficiency was given. An exit interview was conducted, appeal rights provided and discussed, and a copy of this report was given to Mandave Sandhu, Interim Administrator. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Carolyn Flynn 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 SAN BRUNO ASC, TRAEGER AVE., SUITE FACILITY NAME: HOLLY PLACEFACILITY NUMBER: 015202678

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


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPA) Marisol Lopez conducted an announced pre-licensing inspection to the above facility. LPA met with Program Representative (P1) Anna Pantoja. LPA toured the administrative office for the Transitional Housing Placements. The participants' apartment units will be located scattered within a two-hour radius from the Administration office. LPA inspected the office. The following areas were observed: - The Administrative Office is located in executive office building. Within the office setting there is one office for one Case Manager/Social worker and the second office will be the conference room. The conference will also be used to conduct confidential interviews. - All participants' files will be in locked file cabinets in the Case Manager/Social worker office. All staff files will be kept at the Human Resource building and will be delivered to the office within a reasonable time when requested. -All documents have been received and the physical plant meets the minimum requirements of Title 22 regulations. An exit interview was conducted, a copy of this report was discussed and left with the Program Representative.

met_with: Anna Pantoja


facility_name: HUMAN EDVANCEMENT

summary: Facility Evaluation

raw_content:
Narrative:
On June 17, 2021 at 1:15pm Licensing Program Analyst (LPA) Enrique Hernandez made an announced visit to Human Edvancement Transitional Housing Placement Program for the purpose of conducting an annual/required. LPA met with Chanel Coopwood, THPP Director and Administrator who granted access to the office together toured the administrative office. The office space at the above address is a private suite with two desks and computers. One of the desks is intended for Social Work Supervisor who may oversee the case plans for placement. LPA Hernandez also observed two file cabinets and a printer in the office along with shelf space. File cabinets that will be utilized to store the participants and their client records. Per applicant, the staff records will remain on site and will utilize the available cabinet space at the administrative office. LPA Hernandez toured the Office Space and observed two conference rooms available for use and conducting private and confidential meetings with clients and social workers at the office. Administrator stated that she is planning to move to another a bigger office. There are no participants at the time of the inspection. Administrator stated that she submitted the paperwork to the county on June 8, 2021. A review of facility's personnel summary indicates that all staff who required to have a criminal record clearance has obtain the necessary clearances with DOJ, FBI and Child Abuse Response. There are no deficiencies noted or cited per California Code of Regulations, Title Regulations, Division 6, chapters 1 & 5. Exit interview was conducted and a copy of this report will be emailed to the administrator due to technical difficulties with the printer.

met_with: Facility Administrator


summary: Facility Evaluation - 2 deficiencies

raw_content:
Narrative:
On July 11, 2023, at 12: PM, Licensing Program Analyst (LPA),Christine Wilson made an unannounced visit to Human Edvancement Transitional Housing Placement Program (THPP) for the purpose of conducting the second attempt, at an annual inspection. Individuals mentioned in this report are identified on the Confidential Names List (LIC811) dated 07/11/2023.This facility has a provisional Transitional Housing Placement Program (THPP) license to provide care and supervision for twelve (12) non-minor children ages 18-22 years old, Ambulatory only. LPA Wilson met with the Program Administrator (PA) who granted access to the facility and an inspection of the facility files was conducted. LPA Wilson inspected the following: Operations, Program Statement, Client Records, Staff Files Disaster Preparedness. LPA Wilson interviewed (PA) using the inspection tool. Staff Files inspected (PA, S2, S3) Client Files (C1, C2, C3) who are the only residents at this time. (2) Type B Violations have been determined at this time. Type B: Regulatory Reference 86161(b): TV Regional Office has not received Incident Reports. PA provided LPA Wilson with copies of (2) incident reports dated 11/14/2023 and 04/01/2023. Type B: Regulatory Reference 86065(e) Staff have not had adequate training to meet the requirement. A Technical Advisory has been determined at this time. Regulatory Reference 87009(a): TA: License posted in the staff office, which remains locked. A copy of the report and the appeal rights were left at the facility.

Deficiencies:
86161(b): Deficient Practice Statement
1
2
3
486161(b): Reporting Requirements.
86065(e): Personel Requiremets:
Licensee did not ensure staff are adequately trained.

met_with: Program Administrator (PA)

title: This requirement is not met as evidenced by

title: 86065(e)


summary: Facility Evaluation

raw_content:
Narrative:
On July 20, 2023, at 9: AM, Licensing Program Analyst (LPA),Christine Wilson made an unannounced visit for the purpose of completing the annual inspection, at the residential, remote site located at Bonito Drive, Palmdale, CA. 91311. This is the remote site associated with Human Edvancement Transitional Housing Placement Program (THPP). No staff was present. LPA Wilson called staff (See 812 dated 07/20/23). On July 20, 2023, at 10: AM, Licensing Program Analyst (LPA),Christine Wilson re-attempted an unannounced visit for the purpose of completing the annual inspection. LPA Wilson met with S3 who granted access to the facility. In the home were residents (C1, C2 and C3).Individuals mentioned in this report are identified on the Confidential Names List (LIC811) dated 07/20/2023. This two-story home has a provisional Transitional Housing Placement Program (THPP) license to provide care and supervision for twelve (12) non-minor children ages 18-22 years old, Ambulatory only. LPA Wilson inspected the following: Downstairs: Living Room: Living room is a spacious and clean area that features seating for up to (7) persons. Kitchen: Kitchen is a spacious and clean area with a refrigerator, dishwasher, sink, stove and toaster in good working condition. There were plenty of utensils and cook ware available. Common Area: The common area is a spacious and clean area that features couch seating for up to (7) persons with a fireplace and a large screen TV. Classroom: The classroom area is a spacious and clean area that features seating for up to (6) persons and features a laptop, printer and large dry erase board. Emergency information, foster youth bill of rights, THPP Fact Sheet and community resources are posted in this area. Outdoor area: This is a large area with a large covered patio and grass. There is no outdoor furniture. (Continued on 809C pg 2 of 2) (Continued from 809C Annual Inspection pg 1) Garage: This area is used for storage of decorations and broken furniture. Laundry Room: Has functioning washer and dryer and laundry soaps. Bathroom #1: This area has functioning toilet, sink and shower. Water temperature is 110 degrees. Upstairs: Bathroom #2: This space is shared by C1 and C3. There are two sinks, toilet and a shower. Water temperature is 114 degrees. Bedroom #1: This space is occupied by C1. Space is clean, has clean carpet. One bed, Drawers and a closet. Windows have screens and are in good condition. Bedroom #2: This space is occupied by C3. Space is clean, has clean carpet. One bed, Drawers and a closet. Windows have screens and are in good condition. Bedroom #3: This space is occupied by C2. Space is clean, has clean carpet. One bed, Drawers and a closet. Windows have screens and are in good condition. Bathroom #3: This is an on-suite bathroom for bedroom #3. There are two sinks, toilet and a shower. Water temperature is 114 degrees. Bathtub has a broken faucet. C3 stated "It broke last week." Bedroom #4: Un-occupied and has one mattress. Linen Closet: Empty. LPA Wilson observed dirty towels and linens on the floor in the laundry room. A type B Violation has been determined at this time. Type B: Regulatory Reference 86030.5(f): Identification of Transitional Housing Placement Program Participant Living Units (See 809D). A copy of the report and the appeal rights were emailed to the facility licensee.

met_with: Life Skills Consultant (S3)


summary: Facility Evaluation

raw_content:
Narrative:
On July 21, 2023 at 3:00 pm Licensing Program Analyst (LPA) Christine Wilson, and Licensing Program Manager (LPM) Kevin Sauk, held a TEAMS meeting with Licensee, Human Edvancement for the purpose of conducting technical support, review recent deficiencies, and to answer questions concerning regulations requirements. LPA Wilson virtually met with the Representative Facility Administrator (FA). LPA Wilson reviewed/discussed the children/staff's forms that are required, and to be maintained at the Facility so they are available for inspections. LPA Wilson went over the Child's Records documents, placement appraisal information LIC603, Appraisal/Needs and Service Plan LIC625, Identification and Emergency Information LIC601, Consent For Emergency Medical Treatment Children's Residential Facilities LIC627B, Unusual Incident Report LIC624. LPA Wilson also reviewed/discussed the Personnel records, Health Screening Report, Facility Personnel LIC503, Personnel Record LIC501, Criminal Record Statement LIC508, Employee Rights LIC 9052, Personnel Report LIC500, Appeal Procedures For Applicants/Licensee LIC9058. LPA WIlson emailed the licensee copies of LIC624-LE, THPP Orientation Packet, a list of important CCL links and provided the relevant regulatory reference as questions arose.

met_with: Facility Administrator (FA)


summary: Facility Evaluation

raw_content:
Narrative:
On 2/6/24 at 11: AM Licensing Program Analyst (LPA) Reagan Cohen and Licensing Program Manager (LPM) Lakescia Smith made an unannounced visit to Human Edvancement Transitional Housing Placement Program for the purpose of conducting a Required 2-year inspection visit. LPA and LPM met with Chanel Coopwood, THPP Director and Administrator and toured the administrative office. Applicant is utilizing an office space at the above address as the administrative office. The office space is a private suite with two desks and computers. LPA also observe one file cabinet and a printer in the office along with shelf space. The file cabinet is utilized to store the participants and staff records. LPA and LPM toured the Office Space and observed two conference rooms available are for use and conducting private and confidential meetings with clients social workers and CCL staff at the office. LPA requested and received a copy of the staff and client roster. Acopy of this report was given to the Licensee. Exit Interview Completed. No deficiencies cited.

met_with: Administrator Chanel Coopwood


summary: Facility Evaluation

raw_content:
Narrative:
On 2/6/25 at 11: AM Licensing Program Analyst (LPA) Reagan Cohen and Licensing Program Manager (LPM) Lakescia Smith made an unannounced visit to Human Edvancement Transitional Housing Placement Program for the purpose of conducting a Case Management-Licensee Initiated visit. Licensee is requesting a capacity increase from 12-24. LPA and LPM met with Chanel Coopwood, THPP Director and Administrator. LPA and LPM advised Licensee to submit a letter of recommendation with the updated capacity to Licensing after obtaining it from LA County. LPA advised Licensee to submit a list of certified and decertified units any times there is changes in the placement of the youth. LPA will conduct a final review of the application for a capacity increase and follow up with Licensee. Exit Interview Complete.


summary: Facility Evaluation

raw_content:
Narrative:
On 2/20/25 at 10: AM Licensing Program Analyst (LPA) Reagan Cohen made a visit to Human Edvancement Transitional Housing Placement Program for the purpose of continuing a Required 2-year inspection visit. LPA met with Chanel Coopwood, THPP Director and Administrator and completed the inspection checklist by reviewing the client and staff files and records. LPA reviewed all staff and client records and found no major deficiencies. Technical Assistances and Technical Violations are explained on LIC-9102. LPA then went to the THPP Houses and conducted a physical inspection of two of the houses. Details recorded on LIC-812. LPA also conducted staff and client interviews, recorded on LIC-812's. A copy of this report was given to the Licensee. Exit Interview Completed. No deficiencies cited.


facility_name: HYACINTH NETWORK, THE

summary: Facility Evaluation

raw_content:
Narrative:
On April 9, 2025, at 1:00pm, Licensing Program Analyst (LPA) Cynthia Robinson and Licensing Program Manager (LPM) Cheraki Davis met with The Hyacinth Network Applicants Ashbinah Coney and Ahmaad Coney to complete Component II of the Transitional Housing Placement Program (THPP) application process, the face-to-face interview. The Applicant attended Component I, the THPP orientation, on November 26, 2024. The purpose of the meeting was to review the THPP application process with the applicant, review incomplete licensing (LIC) application forms, and resolve any questions or concerns to ensure that the applicant understands the process and can provide the services outlined in the Program Statement (PS) and Plan of Operation (POO) submitted. LPA verified that the Applicant had applicable clearances and was associated with the THPP. During the meeting, LPA reviewed the LIC application forms, and the Section A documents review that was sent to the Applicant on March 26, 2025. During the meeting, LPA received updated LIC forms that were incomplete or missing. LPA informed the Applicant that the PS and POO would require revisions, and they have been provided to the Applicant. LPA will be completing the revisions and send those revisions to Applicant. The LPA discussed the Program Statement reviews, Transportations, Medical Services and Optional Services for the non-minor dependents in the program. (Continued on LIC 809C...) The LPA also discussed LIC forms, 401 and 401a regarding questions for financial information. LPA will follow up with clarification on what information is needed on the LIC 401 and LIC 401a forms and will provide the clarification to the Applicant's at a later date. LPA also discussed section B Control of Property and explained to the applicants that Community Care Licensing needs a copy of the rental/ lease agreement from the apartment complex they will utilize for the non-minor dependents to reside. The following documents were requested from the Applicant due by April 25, 2025: Documents Requested Rental/ Lease Agreement A copy of this report was printed and provided to the Applicant Ashbinah Coney. The original copy of the signed report will be placed in the facility file.

met_with: Ashbinah Coney, Applicant


summary: Facility Evaluation

raw_content:
Narrative:
On July 9, 2025, at 09:50am, Licensing Program Analyst (LPA) Cynthia Robinson conducted an announced pre-licensing inspection located at Pierce St. STE 200, Riverside, Ca 92505. The Licensee above submitted a Transitional Housing Placement Program (THPP) application. LPA met with Ashbinah Coney, Administrator. Upon entrance into the facility, there are multiple businesses with private suites. The facility is located on the second floor with a locked door for privacy. There is one office that is equipped with two computer desks and two sofa chairs. The building holds a conference room located on the second floor and is available for use when requested for additional meeting space. The office holds a working telephone, computer and printer and scanner available for office needs. The facility will be holding client files that will be locked in the office. There is a staff break room equipped with refrigerator and microwave downstairs in the building. The restrooms are located inside the building upstairs and downstairs. A copy of this report was given to the Applicant.

met_with: Ashbinah Coney, Administrator


facility_name: INNER CIRCLE: FIND YOUR WAY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On May 24, 2022, at 9:35AM, Licensing Program Analyst (LPA) Yuvi Diaz and Yelena Palmer, Policy Analyst (PA) conducted an announced required- 2 year inspection. LPA Diaz met with Michelle Tapp, Executive Director who assisted with this inspection. LPA Diaz observed at the time of this inspection, the facility to be clean, safe, and sanitary. Facility office consisted of kitchenette space, five offices, and bathrooms. LPA Diaz observed the Foster Youth Personal Rights, covid posters, facility license, floor plan, and the emergency/disaster plan. LPA Diaz observed the files are stored in locked file cabinets in a locked designated room. LPA Diaz reviewed three staff files: one Administrator file, Executive Director file, and one Case worker file. They all contained the following documents: CPR./First Aid training, training's, job description, medical forms, and criminal record check. They also have DOJ, FBI, and Child Abuse check clearances. A review of Licensing Information System on May 9, 2022, indicates that all facility staff associated to the facility had DOJ, FBI, and child abuse index check clearances. There were no deficiencies noted at today's inspection. LPA Diaz completed all domains from the care tools: Physical Plant, Operations, and Disaster Preparedness, Staff Records, and Client Records Exit interview was conducted with Michelle Tapp, Executive Director. A copy of this report will be e-mailed to mtapp@innercirlcefindyourwayhome.org

met_with: Michelle Tapp, Executive Director


summary: Facility Evaluation

raw_content:
Narrative:
On 8/14/23, Licensing Program Analyst (LPA) Stephanie Lor attempted an annual inspection at the above facility. When LPA arrived, a Social Worker informed LPA that the facility is no longer in operation. The Social Worker will have the Administrator call LPA. This report is created to document the attempted visit.


facility_name: INSTITUTE FOR CHILDREN'S AID

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an announced pre-licensing inspection on 12/20/21 at 12: PM and met with Charlotte Paulsen, Executive Director and Seandy Gonzalez, Director of Journey of Hope (JOH) Programs. LPA toured two offices that are jointly used for Foster Family Agencies and Transitional Housing Placement Programs. There are two separate buildings that are used for offices for interviewing, social workers and interviewing. LPA observed the main office to have a reception area and a file area where all of the files are locked and inaccessible to individuals without keys. LPA observed that there is an adequate amount of privacy for interviews and office meeting space as well as storage. The facility has provided a program statement that is still under some revisions and the agency has agreed to complete all of the revisions within 60 days of licensure. The agency is ready to be licensed for the Transitional Housing Program at this time. The Transitional Housing Program will serve minors and nonminor dependents and have letters of support for the Unaccompanied Undocumented Minors and the Unaccompanied Refugee Minor Programs and this is the population to be served with this license at this time. Exit interview was conducted and documentation was provided to Ms. Paulsen.

met_with: Charlotte Paulsen, Executive Director


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced post-licensing visit 5/6/22 at 8: AM and met with Candace Milton, Supervising Social Worker who assisted with the inspection. LPA was informed that there are currently no participants in the transitional housing program and that they are actively recruiting for participants in the transitional housing. The program currently has social worker staff and social worker supervising but that they are not currently supervising participants at this time. LPA observed that there are office areas for private interviews, a waiting area for participants, and foster family business. LPA observed that the office is clean and accessible to the public and open and operating as required. LPA observed that the filing system is set up for THP files for minors and non minor dependents when participants are accepted. LPA observed that the fire extinguisher was last inspected on 2/7/22. LPA observed that the phone number listed on the facility profile needs to be updated as it is based on the application and has not been updated to reflect this location as of yet. LPA did not conduct staff interviews at this time since the program is not currently operating. LPA did not observe any violations at this time and no citations were issued at the conclusion of the visit. Exit interview conducted and document was provided to Ms. Milton and Charlotte Paulsen.