summary: Facility Evaluation

raw_content:
Narrative:
On November 02, 2023 at 8:30AM, Licensing Program Analyst (LPA) Juliet Robles made unannounced visit to the Aspiranet Transitional Housing Placement Program for the purpose of a Case Management incident. LPA met with Administrator, Victoria McClain and discussed the Special Incident Report (SIR) received by the Department on 10/23/23 with regards to non-minor dependent (NMD) (refer to Confidential Names List LIC 811, dated 11/02/23) overdose of pills. LPA Robles conducted a telephone interview with the Administrator on 11/01/23. Per Administrator, the incident that happened in July was an ideation from NMD and does not have plans of suicide. After the release of NMD from the hospital, she was allowed to have a friend stay for seven (7) days with her in the apartment. Per Administrator, the pill NMD took was never disclosed to them and it happened in a party as it was NMD's birthday. An Intensive Care Coordination (ICC) meeting was held on 10/30/23 and facilitated by TAY Mental Health, in response to the incident and a safety plan was created. TAY Mental Health has enrolled her in the program called Positive Action Towards Hope & Healing (PATHH), which is an intensified services and increased face to face visits weekly. Additionally, Life Coach (LC) will increase weekly check ins to ensure NMD has support and services needed. LPA obtained copies of Needs and Services Plan, incident report addendum and case notes. The incident was reported to all appropriate parties. No further follow-up is needed. An exit interview was conducted. A copy of this report was provided to the facility Administrator.


state: CA

facility_name: ASPIRANET

summary: Facility Evaluation

raw_content:
Narrative:
On 5/2/24, Licensing Program Analyst (LPA) Claudia Portillo conducted an unannounced inspection at the facility and met with the representative above regarding a Special Incident Report (SIR) that was submitted to Community Care Licensing (CCL) on April 4, 2024. The SIR stated that the Non-Minor Dependent (NMD)t#1 (C1) (see confidential names form LIC 811) had suicidal ideation with a plan to jump in the Kern River. Children 48. Based on record review and interviews, the NMD met with a life coach and disclosed the information of her thoughts to jump in the Kern River. The LC was advised to contact the mental health team to assist the client. NMD was transported to a hospital for evaluation but was later released the same day due to client denying such statement. The agency has been providing the NMD with support services such as therapy,face-to face meetings and a confirmed placement assessment meeting. In addition, a Columbia Suicide Rating Scale (C-SSRS) screening was completed. The NMD's results were negative for current risk. Overall, the NMD is adapting well into the program and there has been no concerns with the health and safety of her placement. The representative above provided the LPA with copies of the NMDs confidential records for review via email. No further follow-up required. A copy of LIC 809 and LIC 811 was provided to the facility representative above.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Victoria McClain


summary: Facility Evaluation

raw_content:
Narrative:
On July 18.,2024, Licensing Program Analysts Angelina Garibaldo conducted a an unannounced case management. LPA met with Victoria McClain, Core Program Director. This reason for the visit was to amend the annual inspection report completed on 06/21/24, as the inspection resulted in no citations. A copy of this report and amended LIC809 dated 6/21/24 was given to Victoria McClain. No deficiencies were cited.

met_with: Victoria McClain, Core Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On June 25, 2025, at 9: AM, Licensing Program Analyst (LPA) Angelina Garibaldo conducted an unannounced annual inspection to the Transitional Housing Program (THP) administrative office. When LPA arrived, LPA met with Wendy Naruse, Core Program Manager, Program Director Victoria McClain arrived shortly. The THP has thirty-six (36) remote site living units fifty-one (51) and participants in placement. The THP office shares the same office with Aspiranet Foster Family Agency (FFA). The administrative office is conveniently located for the public on the fourth floor of a commercial building. The LPA toured the office and observed the Foster Youth Rights Posters, Copies of CCL License, Emergency Disaster Plan for Children's Residential Facilities and Facility Sketch were posted in a prominent location. The administrative office has a file room, copy area, conference room and individual offices for the Program Directors and Program Managers, and kitchen/break room. THP participant and staff records are kept electronically. The administrative office has telephone service on the premises. Cont... LPA obtained and reviewed the following documentation: LIC Personnel, Client Roster LIC 610C and Emergency Disaster Plan Board of Directors Minutes Annual compliance Review consisted of the following five (5) domains: physical plant, operations, disaster preparedness plan, staff and client files. Staff were interviewed. During this inspection, LPA Garibaldo issued one (1) Technical Violation related to client records. An exit interview was conducted and a signed copy of this report, LIC809, LIC809C, LIC9102 and LIC811 was provided to the Program Director.

visit_type: Annual

met_with: Wendy Naruse, Core Program Manager and Victoria McClain, Program Director


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced case management inspection was conducted by Licensing Program Analyst (LPA) Angelina Garibaldo at Aspiranet Transitional Housing Placement Program. During the inspection LPA Garibaldo met with Administrator, Victoria McClain. The purpose of the case management was to follow up on Special Incident Report (SIR) received by the Department on 11/10/25. Facility reported that on 11/07/2025, Non-Minor Dependent (NMD) (see confidential names form LIC 811 dated 12/18/25) was arrested and charged with numerous felonies involving possession of unlawful weapons and gang involvement NMD in custody and awaiting arraignment on 11/12/2025. LPA Garibaldo conducted an interview with the Administrator to obtain additional details NMD was discharged from program on 11/16/25. No further follow-up is needed. An exit interview was conducted. A copy of this report was provided to the facility Administrator.

met_with: Victora MCClain


summary: Facility Evaluation

raw_content:
Narrative:
On May 1, 2024, at around 11: AM, Licensing Program Analyst (LPA) Gilbert Gutierrez conducted a case management inspection at the Transitional Housing Program (THP) Office and met Administrator, Victoria McClain. The purpose of the inspection was to make a follow-up regarding the Special Incident Report (SIR) that the Department received on 04/17/24. The SIR indicated that on 04/10/24, participant reference #1 (P1) see LIC 811 (Confidential Names List) notified her Life Coach and County Social Worker (CSW) regarding her recent emergency room visit last 04/08/24 due to a rash. On 04/19/24, LPA called the THP and gathered the information that there was no report either by email or phone call to the Department within 24 hours from the occurrence of the incident or finding about the incident, made by the facility prior to the Department's receipt of the written incident report. CCR Reporting Requirements: Upon the occurrence, during the operation of the facility, of any of the events specified in (1) ... a report shall be made to the licensing agency within the agency's next working day during its normal business hours. In addition, a written report containing the information specified in (2) ...shall be submitted to the licensing agency within seven days following the occurrence of such event. A deficiency citation was issued at the time of the inspection. An exit interview was conducted and a copy of the LIC 809 and LIC 809D and LIC 811 were provided to the administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On September 5, 2024 at 10:31 am Licensing Program Analyst (LPA), Emina Preciado, conducted an unannounced inspection at Aspiranet, Transitional Housing Placement Program (THPP). The purpose of the inspection was due to the THP program relocating. While at the facility, LPA met with Associate Division Director, Tara Juniel-Fuller and conducted a walk through with Administrator, Yolanda Phillips. The office is located in a commercial business establishment. Upon entrance into the office building, there are stairs and an elevator that lead to a second floor and multiple businesses with private suites. The office is located on the second floor in Suite 240 and is equipped with desk cubicles, telephones, a printer/scanner, and Wi-Fi accessibility. Upon entering the office suite, there is a reception area. To the left of the reception area, there is a staff break room equipped with a refrigerator and microwave. Upon exiting the staff break room, to the left, there is a conference room that will be utilized for staff trainings and private meetings with participants. Additionally there is a room, located behind the copy machine station, that is locked and can be accessed using a key that is used as a file room to store participant records. There are currently three cubicles being utilized for three Life Coaches and one private office that is being utilized by the Core Program Director. The restrooms are located on the second floor building and require a code to gain access. The facility grounds were observed to have ample parking space, and the outside grounds were clean and well maintained. LPA was provided with a copy of the participant roster and current living units. The participant remote site units are within two hours from the office location. During this visit, it was discussed that the facility has a scheduled fire clearance visit on September 9, 2024. LPA requested a copy of the clearance once it is completed. Additionally, LPA requested a copy of the board meeting minutes for August 2024. The facility will be notified once they are issued their license for the THP program. * LIC 809-C* Exit interview conducted and a copy of this report was provided to, Tara Juniel-Fuller, Associate Division Director.

visit_type: Prelicensing


summary: Facility Evaluation

raw_content:
Narrative:
On November 7, 2024 at 9:15 am Licensing Program Analyst (LPA), Emina Preciado, conducted an unannounced visit at Aspiranet, Transitional Housing Placement Program (THPP). The purpose of the visit was to conduct a post-licensing inspection. While at the facility, LPA met and did a walk through of the facility with Associate Division Director, Tara Juniel-Fuller. The office is located on the second floor of a commercial business establishment in Suite 240. Upon entrance into the office building there are stairs and an elevator that lead to a second floor and multiple businesses with private suites. Suite 240 is equipped with desk cubicles, telephones, a printer/scanner, office supplies, and Wi-Fi accessibility. Upon entering the suite, there is a reception area; To the left of the reception area, there is a staff break room equipped with a refrigerator and microwave. There is a conference room that is utilized for staff trainings and can be used for private meetings with participants. There are currently three cubicles being utilized for three Life Coaches and one private office that is utilized by the Core Program Director. The restrooms are located on the second-floor of the building and require a code to gain access. The facility grounds were observed to have ample parking space, and the outside grounds were clean and well maintained. Participant records are stored in cabinets in a locked file room, that can be accessed using a key, and staff records are stored electronically. Operational and disaster preparedness documents are maintained at the facility and all pertinent records were available for review upon LPA request. LPA was provided with a copy of the participant roster and current living units. There are currently 29 participants in the program. The participant remote site units are within two hours from the office location. Staff was informed that each Life Coach 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. During the inspection, LPA reviewed five staff records and five participant records. * LIC 809-C* Five out of five staff records reviewed had a completed health screening/tuberculosis (TB) test results. Five out of five staff records reviewed had FBI, DOJ, and Child Abuse Index Check clearances on file. Five out of five staff 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 a pre-placement appraisal, admission agreement, and medical/education history on file. Five out of five participant initial/current Needs and Services Plan (NSP) and a Transitional Independent Living Plan (TILP). Five out of five participant files reviewed had signed facility procedures, personal rights, grievance procedures on file, and met the minimum qualifications as required by the Department. Based on observation and record review, the facility is in compliance and no deficiencies are noted at this time. Exit interview conducted and a copy of this report was provided to, Tara Juniel-Fuller, Associate Division Director.


summary: Facility Evaluation

raw_content:
Narrative:
On June 18, 2025 at 12: PM Licensing Program Analyst (LPA), Raina Perez-Diaz, conducted an unannounced visit at Aspiranet, Transitional Housing Placement Program (THPP). The purpose of the visit was to conduct an annual inspection. While at the facility, LPA met and did a walk through of the facility with Core Program Director I, Yolanda Phillips. Currently, there are 30 clients in care. The office is located on the second floor of a commercial business establishment in Suite 240. Upon entrance into the office building there are stairs and an elevator that lead to a second floor and multiple businesses with private suites. Suite 240 is equipped with desk cubicles, telephones, a printer/scanner, office supplies, and Wi-Fi accessibility. Upon entering the suite, there is a reception area; To the left of the reception area, there is a staff break room equipped with a refrigerator and microwave. There is a conference room that is utilized for staff training and can be used for private meetings with participants. There are currently three cubicles being utilized for three Life Coaches, three private offices that designated to the Core Program Director, the Core Program Supervisor, and The Associate Core Division Director. The restrooms are located on the second-floor of the building and require a code to gain access. Historical participant records are stored in cabinets in a locked file room, that can be accessed using a key. Participate records and staff records are stored electronically. Operational and disaster preparedness documents are maintained at the facility and all pertinent records were available for review upon LPA request. LPA was provided with a copy of the participant roster. There are currently 30 participants in the program. The participant remote site units are within two hours from the office location. ** LIC 809-C* Staff was informed that each Life Coach 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 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, and proof on file of acknowledging the child abuse reporting requirements. Five out of five staff files, which included the Core Program Director's file, reviewed did not have the required training related to the sexual and reproductive rights of children in foster care. The Licensee is currently in the process of obtaining the training mentioned above, therefore, a Technical Violation was given with the expectation the training will be obtained and completed within 30 days. A copy of the training agenda, topics, and attendance sign-in sheet or certification of completion for all staff members must be submitted via email to the LPA by July 19, 2025. If not provided by July 19, 2025, LPA will return to issue a citation. Based on observation and record review, the facility is being given a technical violation for California Code of Regulations (CCR) sections: 86064(h) and 86065(f)(4). Additionally, LPA conducted two staff interviews. A review of administrative records indicate that the facility has an outstanding balance for their current licensing fees: $2,385.00. The Licensee was provided California Department of Social Services (CDSS)'s fee payment web site link and facility pin to resolve their outstanding balance. Exit interview conducted and a copy of this report, LIC 811, LIC 811-C, and both LIC 9102 was reviewed and provided to, Core Program Director I, Yolanda Phillips.

met_with: Core Program Director I- Yolanda Phillips


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
where it was discussed to relocate P1 to another site or discharge P1 from the program. LPA could not confirm or dispute the allegation. Based on confidential interviews and record review, the allegation that staff are not providing a safe home for participant may or may not have occurred; however, it is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. Exit interview conducted, appeal rights were discussed and provided; And a copy of the report was provided to Core Program Director, Yolanda Phillips.

Investigation Findings:
13On December 19, 2025 at 11:35 am Licensing Program Analyst (LPA), Emina Preciado, arrived unannounced at Aspiranet Transitional Housing Placement Program (THPP). LPA met with Core Program Director, Yolanda Phillips, to deliver the finding for the above-mentioned allegation. The investigation included interviews with Participant 1 (P1), Participant 2 (P2), and Core Program Director (CPD). In addition, county and facility records were reviewed. On July 14, 2025, Community Care Licensing (CCL) received one allegation alleging that staff are not providing a safe home for participant. It was specifically reported that Participant 1 (P1) was not being provided a safe home environment. Details gathered confirmed a verbal altercation between P1 and Participant 2 (P2) on July 4, 2025, which led to P1 no longer feeling safe to continue to cohabitate with P2. Confidential interviews stated that P1 relocated self temporarily in order to feel safe. Confidential statements and record review revealed the facility conducted a mediation between P1 and P2 several days later, 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: ASPIRANETFACILITY NUMBER: VISIT DATE: 12/19/2025

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

report_type: Complaint Investigation

met_with: Core Program Director

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On September 5, 2024 at 9:15 am Licensing Program Analyst (LPA), Emina Preciado, arrived unannounced at Aspiranet, Transitional Housing Placement Program (THPP). The purpose of the visit was to deliver a case management deficiencies report regarding a relocation. LPA met with Administrator, Yolanda Phillips. Information obtained by Community Care Licensing (CCL) revealed a concern that Aspiranet, THPP was operating without a license. Record review revealed on August 20, 2024, CCL received a change of location request for the THP program, and was notified that effective August 29, 2024, the THP Program office would be relocating and operating out of a new office location; The office is located at: Orange Tree Lane Suite Redlands, CA 92374. LPA conducted a site visit on August 30, 2024, but was unable to complete an inspection of the relocation site due to the facility not being up to operational standards. Record review revealed this location has not been issued a license to operate a THP program. Based on observation and record review, the facility is being cited for California Code of Regulations (CCR) section 80005(a) License Required (a) unless a facility is exempt from licensure as specified in Section 80007, no adult, firm, partnership, association, corporation, county, city, public agency or other governmental entity shall operate, establish, manage, conduct or maintain a community care facility, or hold out, advertise or represent by any means to do so, without first obtaining a current valid license from the licensing agency. Exit interview conducted, appeal rights were discussed and provided. A copy of this report was provided to Administrator, Yolanda Phillips.

met_with: Yolanda Phillips, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On January 29, 2026 at 3:28 pm, Licensing Program Analyst (LPA) Emina Preciado conducted an unannounced visit at Aspiranet Transitional Housing Placement Program (THPP). LPA met with Core Program Director, Yolanda Phillips. The purpose of the visit was to amend a report. A copy of this report was provided to Core Program Director, Yolanda Phillips.


summary: Facility Evaluation

raw_content:
Narrative:
On February 5, 2026, at 1:15 pm, Licensing Program Analyst (LPA), Emina Preciado, conducted an unannounced visit at Aspiranet Transitional Housing Placement Program (THPP). LPA met with Core Program Director, Yolanda Phillips. 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 one interview and conducted 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 Core Program Director, Yolanda Phillips.


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
*This is page 2, of an amended report initially delivered on 11/19/2025* details gathered stated that P1 was to receive additional supplemental infant funds beginning the month of January 2025. Confidential interviews and information received confirmed that the facility had access to the funds and did not disburse them to P1 or make them accessible to P1 in a timely manner. Based on confidential interviews and record review, the allegation that the licensee is not providing P1 access to funds is substantiated. The preponderance of evidence standard has been met. The facility is cited for violation of Interim Licensing Standard Title 22, Division Chapter Subchapter Transitional Housing Placement Program for Nonminor Dependents Personal Rights (a) which states: (a) A licensee shall ensure that each participant is accorded the personal rights specified in Welfare and Institutions Code Section 16001.9, Section 86072, and the following:..." Exit interview conducted, appeal rights were discussed and provided. A copy of this report along with LIC 9099-D was given to Program Director, Yolanda Phillips.

Investigation Findings:
13*This is page 1, of an amended report initially delivered on 11/19/2025* On November 19, 2025 at 3:00 pm Licensing Program Analyst (LPA), Emina Preciado, met with Aspiranet, Transitional Housing Placement Program (THPP) Program Director, Yolanda Phillips, to deliver the finding for the above stated allegation. The investigation included interviews with one of one Participant (P1), one County Social Worker (CSW1), and one Facility Administrator (FA). In addition, county and facility records were reviewed. On May 2, 2025, Community Care Licensing received one allegation alleging that licensee is not providing non-minor dependent access to funds. SubstantiatedEstimated 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: ASPIRANETFACILITY NUMBER: VISIT DATE: 11/19/2025

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

met_with: Program Director

complaint_status: SUBSTANTIATED


summary: Facility Evaluation

raw_content:
Narrative:
On April 28, 2026, at 3:35 pm, Licensing Program Analyst (LPA), Emina Preciado, conducted an unannounced visit at Aspiranet Transitional Housing Placement Program (THPP). LPA met with Core Program Director, Yolanda Phillips. The purpose of the visit is to conduct a Case Management - Deficiencies. On February 5, LPA Preciado conducted a Case Management - Other for an incident that was reported to Community Care Licensing by the facility. LPA requested additional documentation from the facility and made multiple requests to obtain the documentation. Due to LPA not receiving the requested documentation, the facility is being cited for California Code of Regulations, Title 22, Division 6, Chapter 7, Article 4, regulation 86044(d) Inspection Authority of the Licensing Agency which states, "The licensing agency shall have the authority to inspect, audit, and copy participant or facility records upon demand during normal business hours. Records may be removed if necessary for copying..." Exit interview conducted and appeal rights were discussed and provided. A copy of this report was given to Core Program Director, Yolanda Phillips. .


facility_name: ASPIRANET-FRESNO OFFICE

summary: Facility Evaluation

raw_content:
Narrative:
On February 14, 2023, LPA (Licensing Program Analyst) Wayne Aoki conducted an unannounced Required 2- Year Annual Inspection at the Aspiranet Fresno THP+FC office at E. Shaw Ave., Suite 140. The agency has a capacity of 74 with 35 participants on this date. This LPA met with Core Program Director, Joshua Mishou and discussed current operations and status. Currently the THP employs one Administrator, Life Coaches, Supervisor and Housing Specialist. one Social Work Supervisor to supervise the non minor dependents in the program. LPA reviewed client and personnel files on this date. 5 client files reviewed and 5 personnel files. Staff interview conducted. Procedures for locked and secured files observed. A review of staff files on this date indicate that all facility staff have received child abuse index clearances and fingerprint clearances. There are no deficiencies to be cited on this date. A copy of this report is left at the agency with the Core Program Director.

met_with: Joshua Mishou


summary: Facility Evaluation

raw_content:
Narrative:
On May 20, 2025 at 9:30am, Licensing Program Analyst (LPA), Melissa Renovato, conducted an unannounced Random Annual Inspection at the Aspiranet Fresno THP+FC office at E. Shaw Ave., Suite 140. The agency has a capacity of 74 with 27 participants on this date. A walk through inspection of the facility was conducted. This LPA met with TAY Program Director, Joshua Mishou and discussed current operations and status. Currently the THP employs one Administrator, Life Coaches, Supervisor and Housing Specialist. LPA reviewed client and personnel files on this date. 5 client files reviewed and 5 personnel files. Staff interviews conducted. Procedures secured files observed on the online database. A review of staff files on this date indicates that all facility staff have received child abuse index clearances and fingerprint clearances. A file review was conducted on May 19, 2025, presented 0 deficiencies within the past 12 months. A review of Guardian indicates that all facility staff associated and identified on the LIC500 have eligible clearance. There are no deficiencies to be cited on this date. A copy of this report is left at the agency with the TAY Program Director.

met_with: Joshua Mishou, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analyst (LPA) Jessica Rodriguez met with Core Program Director, Joshua Mishou. The visit was conducted due to an incident occurring on October 11, 2021 (see 811 for confidential names). The incident report was received by the Department via email on October 19, 2021. The report was not received within the 7-days by Community Care Licensing as required by regulations. Further, LPA obtained additional information and documentation from licensee regarding the incident. Please see attached 812 for additional information. Based on the above, there is a preponderance of evidence to substantiate a violation of regulation based on California Code of Regulation, which is being cited on the attached LIC 809D An exit interview was conducted, and a copy of the report and Appeal Rights were provided to the Core Program Director.


facility_name: ASPIRANET-LOS ANGELES OFFICE

summary: Facility Evaluation

raw_content:
Narrative:
On March 8, 2023, Licensing Program Analyst (LPA), C. White arrived at Aspiranet - Los Angeles Transitional Housing Placement + Foster Care Administrative Office for the purpose of conducting an Annual/Required Inspection. LPA met with Katherine Strang, Core Program Supervisor. LPA was granted access to the suite and toured the entire facility. The program is licensed to provide THP+FC services to forty-five (45) non-minor dependents. The current census is 30. The facility is located in a commercial building on the 4th floor. The location serves as the satellite/sub administrative office and houses the administrator as well as the THP+FC staff and client records. The office is set up as follows: reception area, several offices, staff break room, small conference room. Entry office/reception area: which is utilized by the following programs: THP +FC, Foster Family Agency, and Wraparound Services. Each program has their own staff. There are four (4) offices are designated to the THP+FC program, which are used as follows: Office #1: houses the life coaches and the housing specialist. The room has multiple cubicles each equipped with a desk, chair, phone, and a computer. There are two additional sub offices located in this room. One sub-office is used by the program secretary. The second sub-office is used to store THP+FC client files and Wrap Around Service files. LPA observed the room to have several individual locked file cabinets, three of which are designated to the THP+FC program. This room remains locked at all times. Office #2: is used for surplus storage. Office #:3 houses the Administrator. Office #4: houses the Core Program Supervisor. Report continued on LIC 809 (Page 1 of 2). Staff break room: equipped with a sink, refrigerator/freeze, a coffee machine, and a microwave. Small conference room: equipped with a wooden desk. This room is utilized for interviews and private meetings with clients. Additionally, there are other offices and cubicles in the suite which are designated to the two (2) other programs. This program utilizes the remote site housing model and ensures the following services will be applicable: 1.) Participants have their own bedroom; 2.) No more than two participants share a bathroom: 3.) No more than two participants share a refrigerator; 4.) On-site supervisor available 24/7 to support, assist and oversee the needs of the participants: 5.) Assigned Social Workers assist and meet with participants a minimum of once a week (face-to-face); and 6.) Supervision, if needed, for the distribution of prescription medication. The organization also utilizes the iTrack system to report Special Incidents to CCL. LPA observed the following postings: Personnel Report; Facility sketch; Emergency Disaster Plan; COVID- Information. A total of ten (10) client files were reviewed. Each client file contained copies of important documents including, but not limited to, the following: Admission Agreement; signed/dated quarterly Needs and Services Plan; TILP; Allowance and Saving logs; Health and Education Passport; and Personal Rights forms. LPA observed the Needs and Service Plans to be completed within 30 calendar days from date of client placement. LPA will return at a later date to review staff files. LPA obtained a copy of the facility personnel report, LIC 500 and client roster. The facility operates within license conditions and limitations, including capacity limitations. No deficiencies were observed or cited at the time of this inspection. A copy of this report was left with the Core Program Supervisor. (Page 2 of 2).

met_with: Core Program Supervisor - Katherine Strang


summary: Facility Evaluation

raw_content:
Narrative:
On June 22. 2023, Licensing Program Analyst (LPA) C. White made an unannounced visit to Aspiranet-Los Angeles for the purpose of conducting a Case Management-Incident. LPA met with the S1 to discuss the details of the SIR #845431 received by CCL on 02/24/2023 regarding a "Possible Suicide Attempt". During the visit LPA conducted a confidential interview and reviewed client files. LPA was informed that the incident occurred on 02/23/2024 and C1 was transported to the hospital. On 02/26/ C1 was placed on a 14 day psychiatric hold, however C1 was discharged from the hospital on 02/27/2023 and returned to placement without any further incidents. S1 informed LPA due to incident an emergency CFT meeting was held and updated C1's safety plan. Additionally, LPA was informed that per court order dated 05/18/ C1 was found to be a NMD under WIC Section Subdivision B. LPA also confirmed that the licensee did submit an addendum to CCL on 03/01/2023 providing a status update of C1. There were no deficiencies cited at this time. LPA concluded the Case Management-Incident and a copy of this report was left at the facility with the Core Program Supervisor.


summary: Facility Evaluation

raw_content:
Narrative:
On March 28, 2024, Licensing Program Analyst (LPA), C. White arrived at Aspiranet - Los Angeles Transitional Housing Placement + Foster Care Administrative Office for the purpose of conducting an Annual/Required Inspection. LPA met with Jamie McCall, Core Program Director. LPA was granted access to the suite and toured the entire facility. The program is licensed to provide THP+FC services to forty-five (45) non-minor dependents. The current census is 26. Facility overview: The facility administrative office is located on the 4th floor of a commercial building. The office has a reception area, several staff offices, a staff break room, and a conference room. The program utilizes the remote site housing model to house clients. Reception area: is used by the following programs: THP +FC, Foster Family Agency, and Wraparound Services (each program has separate staff). Offices are designated to the THP+FC program: Office #1: is located to the right of the reception area. This room has multiple cubicles each equipped with a desk, chair, phone, and a computer. The cubicles are utilized by the program's life coaches and housing specialist. There are two sub offices located in the room. One sub-office is used by the program secretary. The second sub-office is used to store THP+FC client files and Wrap Around Service files. LPA observed the room to have several individual locked file cabinets, three of which are designated to the THP+FC program. Office #2: is used for surplus storage. Office #:3 is designated for the Core Program Director. Office #4: is designated for the Core Program Supervisor. Staff break room: has a sink, refrigerator/freezer, coffee machine, microwave, and plenty of cabinets. The staff break room is used by all programs located in the in the office. Report continued on LIC 809C. (Page 1 of 2). Conference room: is equipped with four tables, 3 desk, and 16 chairs. The room is utilized for private interviews, staff meetings, and meetings with clients. The program ensures clients have the following services: 1.) clients have their own bedroom; 2.) No more than two clients share a bathroom: 3.) No more than two clients share a refrigerator; 4.) there is on-site supervisor available 24/7 to support, assist and oversee the needs of the clients, 5.) each client has an assigned Social Worker to assist them; 6.) program Social Workers meet with clients (face to face) a minimum of once a week, and 7.) the program assist clients with the distribution of prescription medication when needed. LPA observed the following postings: Personnel Report; Office sketch; Emergency Disaster Plan, Covid Management Plan. At the time of this inspection, the program has a total of twenty six (26) clients. LPA reviewed a total of ten (10) client files. Each client file contained copies of important documents including, but not limited to, the following: Admission Agreement; Needs and Services Plan; TILP; Allowance and Saving logs; Health and Education Passport; and Personal Rights forms. The program has a total of ten (10) staff. LPA conducted 3 staff interviews. LPA will return at a later date to review staff files. LPA obtained a copy of the facility personnel report, LIC 500 and client roster. The facility operates within license conditions and limitations, including capacity limitations. No deficiencies were observed or cited at the time of this inspection. A copy of this report was left with the Core Program Director. (Page 2 of 2).

met_with: Core Program Director - Jamie McCall


summary: Facility Evaluation

raw_content:
Narrative:
On July 19, 2024, Licensing Program Analyst (LPA) C. White arrived at Aspiranet - Los Angeles for the purpose of conducting a Case Management - Annual Required Continuation Inspection. LPA met with Jamie McCall, Core Program Director who granted access into the facility. LPA requested four (4) Staff files for review. Staff Records Review: LPA observed staff files to have the following, proof of valid cardiopulmonary resuscitation (CPR) and first aid training from an accredited training program; criminal record and CACI clearances; and duties of the employees. LPA observed staff training transcripts included the following topics: Cultural Competencies, Wellness Screenings, Naloxone Distribution, Mandated Reporting, LGBTQ+ Diversity & Inclusiveness, and Treatment Plans. The Administrator is readily available in the THPP during regular business hours. There were no deficiencies cited at this time. An exit Interview was conducted, and a copy of this report was left with the Core Program Director.


summary: Facility Evaluation

raw_content:
Narrative:
On April 16, 2026, Licensing Program Analyst (LPA), Cheri Wilkerson arrived at Aspiranet - Los Angeles Transitional Housing Placement + Foster Care Administrative Office for the purpose of conducting an Annual/Required Inspection. LPA met with Katherine Strang, Core Program Director. LPA was granted access to the suite and toured the entire facility. The program is licensed to provide THP+FC services to forty-five (45) non-minor dependents. The current census is 28. Facility overview: The facility administrative office is located on the 4th floor of a commercial building. The office has a reception area, several staff offices, a staff break room, and a conference room. The program utilizes the remote site housing model to house clients. Reception area: is used by the following programs: THP +FC, Foster Family Agency, and Wraparound Services (each program has separate staff). Offices are designated to the THP+FC program: Office #1: is located to the right of the reception area. This room has multiple cubicles each equipped with a desk, chair, phone, and a computer. The cubicles are utilized by the program's life coaches and housing specialist. There are two sub offices located in the room. One sub-office is used by the program secretary. The second sub-office is used to store THP+FC client files and Wrap Around Service files. LPA observed the room to have several individual locked file cabinets, three of which are designated to the THP+FC program. Office #2: is used for surplus storage. Office #:3 is designated for the Core Program Director. Office #4: is designated for the Core Program Sup (Page 1 of 2). Staff break room: has a sink, refrigerator/freezer, coffee machine, microwave, and plenty of cabinets. The staff break room is used by all programs located in the in the office. Conference room: is equipped with four tables, 3 desk, and 16 chairs. The room is utilized for private interviews, staff meetings, and meetings with clients. The program ensures clients have the following services: 1.) clients have their own bedroom; 2.) No more than two clients share a bathroom: 3.) No more than two clients share a refrigerator; 4.) there is on-site supervisor available 24/7 to support, assist and oversee the needs of the clients, 5.) each client has an assigned Social Worker to assist them; 6.) program Social Workers meet with clients (face to face) a minimum of once a week, and 7.) the program assist clients with the distribution of prescription medication when needed. LPA observed the following postings: Personnel Report; Office sketch; Emergency Disaster Plan, Covid Management Plan. At the time of this inspection, the program has a total of twenty six (26) clients. LPA reviewed a total of ten (10) client files. Each client file contained copies of important documents including, but not limited to, the following: Admission Agreement; Needs and Services Plan; TILP; Allowance and Saving logs; Health and Education Passport; and Personal Rights forms. The program has a total of ten 7 staff. LPA Wilkerson conducted 4 staff interviews. LPA obtained a copy of the facility personnel report, LIC 500 and client roster. The facility operates within license conditions and limitations, including capacity limitations. No deficiencies were observed or cited at the time of this inspection. A copy of this report will be emailed to Katherine Strang, Core Program Director. (Page 2 of 2). End of Report.

met_with: Katherine Strang


facility_name: ASPIRANET-MERCED OFFICE

summary: Facility Evaluation

raw_content:
Narrative:
On this date, an unannounced annual inspection is conducted by Licensing Program Analysts (LPAs) Rachel Bruce and Priscilla Zamudio.. Met at the facility by Administrator, The agency currently serves THP+FC youth, and two life coaches/social workers; one housing specialist and one Administrator A general overview of their program and a tour of the facility was provided. This facility has a reception area, waiting area, and office space for staff. Observed fixtures and furniture, equipment and supplies necessary for this operation. Also observed locked cabinets for client and staff files in order to ensure confidentiality. Discussed daily ongoing functions including incident reports. Participant's living units are inspected monthly. Facility ensures that cleaning solutions and other dangerous items are inaccessible to infants of minor parents. Facility ensures that firearms or other weapons are not stored in THP+FC living units. Facility ensures that fire extinguishers and carbon monoxide detectors are in proper working order. Participant and Personnel Files reviewed on this date. All appropriate items observed. A review of personnel records on this date indicates that facility personnel are appropriately fingerprint cleared. Reviewed incident reporting guidelines. Facility appears to be in compliance with reporting requirements including that of suspected child abuse or abuse of adults. No deficiencies observed on this date.If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the PROGRAM website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

met_with: Sylvia


summary: Facility Evaluation

raw_content:
Narrative:
On 07/31/2024, Licensing Program Analysts (LPAs) Brinae Pointer and Miriam Flores traveled to Aspiranet THP Plus to conduct an annual inspection. Met with Program Director, Jacqueline Villacana. The agency currently serves THP NMD, two life coaches, one Program Director, one House Specialist/Administrator. At about 10:40AM, an inspection of five client files was conducted. At about 11:15AM, an inspection of four staff files was conducted. At about 12: PM, Disaster Preparedness Plan was reviewed. At about 2:40PM Plan of Operation Section was reviewed. At about 3:00PM LPA, Pointer conducted a facility inspection. At about 3:30PM, LPA Pointer conducted a staff interview. This facility has a reception area, waiting area, conference rooms, and office space for staff. Observed furniture, equipment and supplies necessary for this operation. Also observed locked cabinets for client files in order to ensure confidentiality. The exit interview was conducted at 3:35 and a copy of this report was given to the Program Director, Jacqueline Villacana. It is requested that the licensee submit the following updated forms to CCL: LIC 308, 309, 610C by August 9, 2024. There are no deficiencies to be cited on this date.

met_with: Jacqueline Villicana


facility_name: ASPIRANET-STOCKTON OFFICE

raw_content:
Narrative:
The third allegation is whether NMD was using marijuana in the apartment. Agency documentation of face-to-face meetings and inspections of the apartment document this did not occur. However, since NMD did not respond to requests to be interviewed, it is not possible to make a that determination. Based on the investigation, records reviewed and interviews conducted, the complaint finding is UNSUBSTANTIATED at this time meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview was conducted. A copy of all reports and appeal rights were provided to the facility via email.

Investigation Findings:
13Licensing Program Analyst (LPA) Cindy Johnson arrived at the agency to conduct an unannounced complaint investigation inspection on 9/22/2021 at --- AM. LPA Johnson spoke with Caryn Romero, Program Director to discuss the findings of the complaint investigation and allegations stated above. LPA Johnson informed both agency staff this case was investigated by LPA Johnson. The investigation included: an initial 10-day complaint investigation tele-inspection with the agency on 3/30/2021, due to COVID19. Agency documents regarding the Non-Minor Dependent (NMD) were provided on 3/30/21 and 4/9/2021 including incident report dated 2/28/2021, participant profile, emergency information, placement agreement, needs & service plan, transitional independent living plan and case notes. (See LIC 811, dated 9/22/2021). NMD was incarcerated due to incident report, dated 2/2/82021 and subsequently discharged from the program due to losing AB12 eligibility. Contact with NMD was unsuccessful, via phone and email. Interviews were conducted with NMD's probation officer, agency staff: life coach, supervisor and program director from 3/30/2021- 9/20/2021. (See LIC 811, dated on 9/22/2021). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Cindy Johnson 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: 3 of Control Number 23-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, NATOMAS PARK DR., STE FACILITY NAME: ASPIRANET-STOCKTON OFFICEFACILITY NUMBER: VISIT DATE: 09/21/2021

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

met_with: Caryn Romero, Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On 6/9/2022 at 12:00pm, Licensing Program Analyst (LPA) Stephanie Lor and Licensing Program Manager (LPM) Rosa Rodriguez conducted an announced inspection to the above named facility to conduct an inspection to its new relocation THPP and THPP Plus site. The Foster Family Agency (FFA) is relocating its office from South El Dorador St # CA, Stockton to W. March Lane, Suite Stockton, CA. LPM Rodriguez and LPA Lor met with Director. All the required posters were met. The posters include the fire clearance, facility sketch, tax certificate, foster youth rights, accreditation poster expired 3/26/22, and emergency evacuation. The front reception consisted of 2 computers and 2 desks. The facility consisted of 2 offices equipped with a desk and chair used by Director, Social Workers, 8 desks, chairs with 8 computers used for Social Workers, 1 conference room with a large table and 16 chairs, a visitation room equipped with 3 desks and 3 couches, 1 break room equipped with 1 refrigerator, 1 microwave, 1 water dispenser, and a large file room equipped with 12 tall file cabinets and a large printer. The hour of operation will be from 8am-5pm Monday through Friday. There were 1 first aid kit, 2 fire extinguishers, 1 carbon monoxide, 1 smoke detector tested by fire department, and 2 emergency exits. An exit interview was conducted with Director and a copy of this report will be emailed to cromero@aspiranet.org.


summary: Facility Evaluation

raw_content:
Narrative:
On 7/19/22 at 12:30pm, Licensing Program Analyst (LPA) Stephanie Lor and Licensing Program Manager (LPM) Rosa Rodriguez made an unannounced visit to the above facility located at W. March Lane, # Stockton, CA 95207 for the purpose of conducting a Post Licensing Inspection. LPA met with the Program Director who granted access to the Administrative Office and together LPA and LPM toured the office. The office is located on the second floor of a business office building and is set up as follows: All the required posters were met including the new Foster Rights poster. The posters include the fire clearance, facility sketch, tax certificate, foster youth rights, accreditation poster expired 3/26/25, and emergency evacuation. The front reception consisted of 2 computers and 2 desks. The facility consisted of 2 offices equipped with a desk and chair used by Director, a Supervisor and Housing Navigator, 3 desks, chairs with 3 computers used for Social Workers, the office obtained new cubicles used to separate the desks. 1 conference room with a large table and 16 chairs, a visitation room equipped with 3 desks and 3 couches, 1 break room equipped with 1 refrigerator, 1 microwave, 1 water dispenser, and a large file room equipped with 12 tall file cabinets and a large printer. The hour of operation will be from 8am-5pm Monday through Friday. There are currently 15 participants for the THP+FC program as of 7/19/22. There were 1 first aid kit, 2 fire extinguishers, 1 carbon monoxide, 1 smoke detector tested by the fire department, and 2 of emergency exits. There were no deficiencies observed or cited during today's inspection. Exit interview was conducted and a copy of this report will be emailed to the facility.

met_with: Lori Matthews, Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On August 14, 2024 at 9: AM Licensing Program Analyst (LPA) Angelique Hill, made an unannounced visit to the facility for the purpose of a required annual inspection. During the inspection, LPA met with Caryn Romero, Program Director, who assisted with the inspection. LPA conducted a walk-through of the facility. There were no resource families or children present during the inspection. There were six staff present during the inspection. Three staff members were interviewed. LPA inspected and/or reviewed the following: Physical Plant Posting of license _X_ Personal Rights __X__ Working telephone __X_ Smoke Detector _X_ First Aid Kit inspected, Common Room available __X__ Office (locked and privacy) _X_ Fire Extinguishers inspected May 2024. Staffing/Volunteers Number of Staff files reviewed __five__ Criminal record clearances verified _five__ First Aid Certificate __five__ Job title/qualification verified __five__ Hour required training verified __five__ Client Records Number of Clients files reviewed five Needs and Services Plan five Cash Resources _five_ Core/Therapeutic Services Trauma Informed Practices are implemented as needed (including specialty mental health services and extracurricular activities and social supports) _x_ Special Health Care Needs (SHCN) SHCNs plan is not created by a licensed professional nor implemented. Staff has not received SHCNs training and there are zero clients with Special Health Care Needs.


facility_name: ASPIRANET THPP

raw_content:
Narrative:
within the program. LPA Landry has received undisputed information indicating client #2 was reimbursed for the funds she loaned client #1 and there is no evidence of unsafe environment at this time. Due to conflicting statements LPA Landry is unable to determine if the above allegation occurred. Therefore, the allegation is unsubstantiated. "Unsubstantiated" means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted. Copy of Appeal Rights and this report was emailed to Facility Manager.

Investigation Findings:
13On Wednesday February 23, 2022 @12:00PM, Licensing Program Analyst (LPA) Kathy Landry conducted a virtual inspection with Facility Manager listed above. LPA Landry conducted an entrance interview and discussed the allegation listed above. Facility Manager confirmed 28 clients residing in the program at this time. This investigation initially began 11/13/2020. Since then more information has been received. Exact date unknown but client #1 borrowed money from client #2 (against program rules and agreement). Sometime afterward both clients were no longer friends when client #2 requested repayment of the money loaned to client #1. Facility Manager and Life Coach were consulted and tried to get both clients to resolve their issues. Both clients were reminded the transaction was against program rules & agreement. When the situation could not be resolved both clients were reminded of the consequences of their actions including loss of funds loaned to possible court proceedings to sue for the unreturned funds. A Safety Plan was also drafted for both clients. At this time LPA Landry has received conflicting statements regarding Personal Rights Violation where staff did not provide a safe environment for these two clients and their prohibited money transaction -----> UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Kathy Landry LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: ASPIRANET THPPFACILITY NUMBER: VISIT DATE: 02/23/2022

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

met_with: Leticia Woodruff


raw_content:
Narrative:
Information provided to the Department alleged Nonminor Dependent#2 (NMD2), a roommate of NMD1, was involved in altercations with a male guest while NMD1 was present in the living unit. Furthermore, pets belonging to NMD2 reportedly soiled the carpet throughout the living unit. NMD2 admitted the carpet in the living unit was soiled by pets belonging to NMD2. Facility created a Corrective Action Plan (CAP) was put into place to have the pets removed from the home. Facility stated NMD2 did not comply with the request. On 08/09/2021, an unannounced inspection was conducted by LPA Larios to the living unit and observed a soiled carpet and the smell of animal waste was detected in the bedroom belonging to NMD1. Facility reported due to COVID-19 restrictions staff was not doing on-site inspections. Facility reported they are now having weekly home visits to living units. In addition, on 08/09/2021, LPA Larios and 12/10/2021, LPA Rosas conducted a records review on Nonminor Dependent#1 (NMD1) and Nonminor Dependent#2 (NMD2) and obtained copies of weekly contact notes, Special Incident Reports, Housing Agreements, and Agency Placement related documents. LPA Larios and LPA Rosas conducted interviews with witnesses and parties related to the investigation. On 07/29/2021, the Department assigned complaint investigation to the Monterey Park Children's Residential Program Regional Office- Foster Family Agency (FFA) #567806515 inaccurately. The correct corresponded facility is THPP+FC #565801976 and is assigned to the El Segundo Children's Residential Program Regional Office (ESCRP). On 11/19/2021, LPA Larios delivered findings to Foster Family Agency (FFA) and dismissed the complaint and forward to ESCRP to investigate. On 12/10/2021, the ESCRP received the complaint to investigate. Based on information gathered from interviews, photos and inspection conducted of the living unit on 08/09/2021, the allegation is substantiated, which poses a potential Health, Safety or Personal Rights risk to residents in care. Results from the Department's investigation, consisting of interviews with related parties, inspections, and review of records. The Department has concluded, based on the preponderance of the evidence obtained during this investigation, that the allegation of Neglect and Lack of Supervision is substantiated. During the inspection investigation the LPA observed deficiencies (see attached 809D), plan of corrections was discussed, and appeal rights were provided. LPA Rosas provided a copy of this licensing report to S1. Exit interview was conducted with A1 and a copy of this report was left at the facility.

Investigation Findings:
13On March 2, 2023, at 9:30am, Licensing Program Analyst (LPA) Olivia Rosas conducted an unannounced inspection to Aspiranet Transitional Housing Program Placement THPP for the purpose of concluding the investigation on the above allegation and to deliver the findings. LPA Rosas, met with Staff#1 (S1) and together discussed the investigation details. During the investigation process, LPA Christopher Larios and LPA Rosas interviewed witnesses and pertinent parties related to the investigation. Individuals mention in this complaint are identify on the Confidential Names List (LIC811) dated 03/02/2023. Based on the confidential interviews conducted during the investigation process, record review, statements obtained, LPA Rosas concluded the allegation of staff did not ensure that youths living unit is safe and sanitary therefore, the findings are substantiated. On 07/29/2021, the Department received a complaint alleging Nonminor Dependent#1 (NMD1) was not afforded a living unit that was safe and sanitary by the Transitional Housing Program Placement (THPP). Report continues LIC-9099C SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Olivia Rosas LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: ASPIRANET THPPFACILITY NUMBER: VISIT DATE: 03/01/2023

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

met_with: Staff#1 (S1)


raw_content:
Narrative:
On July 29, 2021, the Department received a complaint alleging facility staff disclosed personal information regarding a Nonminor Dependent. Statements obtained from interviews conducted had conflicting statements. On 08/09/2021, LPA Larios and 12/10/2021, LPA Rosas conducted a records review on Nonminor Dependent#1 (NMD1) and Nonminor Dependent#2 (NMD2) and obtained copies of weekly contact notes, Special Incident Reports, Housing Agreements, and Agency Placement related documents. LPA Larios and LPA Rosas conducted interviews with witnesses and parties related to the investigation. There was not enough evidence and information to corroborate the allegations of Personal Rights. On 07/29/2021, the Department assigned complaint investigation to the Monterey Park Children's Residential Program Regional Office- Foster Family Agency (FFA) #567806515 inaccurately. The correct corresponded facility is THPP+FC #565801976 and is assigned to the El Segundo Children's Residential Program Regional Office (ESCRP). On 11/19/2021, LPA Larios delivered findings to Foster Family Agency (FFA) and dismissed the dismissed the complaint and forward to ESCRP to investigate. On 12/10/2021, the ESCRP received the complaint to investigate. Results from the Department's investigation, consisting of interviews with related parties, inspections, and review of records. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. The Department has decided that the allegation of Personal Rights are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.

Investigation Findings:
13On March 2, 2023, at 2:00pm, Licensing Program Analyst (LPA) Olivia Rosas conducted an unannounced inspection to Aspiranet Transitional Housing Program Placement THPP for the purpose of concluding the investigation on the above allegation and to deliver the findings. LPA Rosas, met with Staff#1 (S1) and together discussed the investigation details. During the investigation process, LPA Christopher Larios and LPA Rosas interviewed witnesses and pertinent parties related to the investigation. Individuals mention in this complaint are identify on the Confidential Names List (LIC811) dated 03/02/2023. Based on the confidential interviews conducted during the investigation process, record review, statements obtained, LPA Rosas concluded the allegation of Staff did not keep minor's personal information confidential. The allegation may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the findings are unsubstantiated. Report continues LIC-9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Olivia Rosas LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: ASPIRANET THPPFACILITY NUMBER: VISIT DATE: 03/02/2023

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


summary: Facility Evaluation

raw_content:
Narrative:
On 11/30/21 at 9:30am, Licensing Program Analyst, (LPA) Olivia Rosas made announced visit to Aspiranet Transitional Housing Placement plus Foster Care (THP + FC) for the purpose of conducting an Annual/Random Inspection. LPA Rosas met with Staff#1(S1) THP+FC Supervising Social Worker who granted access to the Administrative Office and an inspection was conducted together. Individuals mention in this report are identify on the Confidential Names List (LIC811) dated 11/30/21. The annual fees are current. LPA Rosas inspected following during the inspection The facility is licensed to provide Transitional Housing Placement plus Foster Care (THP + FC) and Non-Minor Dependents (NMD) to forty-eight (48) participants ages eighteen (18) through twenty one (21). There are currently thirty-three (32) participants in placement including remote sites in the Ventura County (sites are in Ventura, Oxnard, Newbury Park, Moorepark and Simi Valley). Facility has two (2) Social Workers (1 per 12 participants) and one (1) Social Worker Supervisor (1 per Social Workers) and one (1) Supervising Social Worker. The facility is currently operating within staff ratio. The administrative office is located at Adolfo Road, Camarillo CA 93012. The office is located on the first floor of the Aspiranet office building and is set up as follows: Upon entering the building the office has a lobby and reception area. Temperature and health checks are conducted at the reception area entrance in the sign-in area. There is an Office for behavioral health staff, Foster Care (FFA supervisor), THPP staff, THPP Supervisor, Facilities Director/THPP Administrator, Behavioral Health clinicians, Foster Care Social Worker/Adoption Social Workers, Adoption Supervisor, Visitation/Multi-purpose room, File Room, Copy/Mail Box room. In the center of the office is a large conference room that can be split into two separate conference rooms. LPA observed locked file cabinets in Program Manager office that contained the participants' files, and discharged files in the locked cabinets. LPA Rosas obtained a copy of the Emergency Exiting Plan for the building. Report continues on LIC 809-C Page 1 of LPA Rosas reviewed following during the inspection: LPA Rosas received the following forms for review, copy of applicable waiver and exceptions, Register of participants, Current Census, Personnel Report (LIC 500), Emergency Disaster Plan Protocols, Emergency Disaster Plan for Children's Residential Facilities (LIC 610C). The certification/decertification list of participants living units. The facility has hard files in addition they keep files and documents in digital system called Watson Care Management (WCM). Staff Records Review: LPA Rosas attempted to review four (4) staff records. Staff files are stored in Aspiranet Human Resources (HR) Headquarters in San Francisco and they are not able to provide copies of confidential employee documents. LPA will make appointment with HR to be on-site to be able to access confidential files. LPA reviewed the Personnel Report and confirmed that facility has two (2) Social Workers (1 per 12 participants) and one (1) Social Worker Supervisor (1 per Social Workers) who carries social worker caseload. The facility is currently operating within staff ratio. LPA review of Facility's Personnel Report Summary on 11/29/2021 that indicates that all personnel have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. The facility has social worker personnel available on a 24-hour basis to respond to any emergency. Clients Records Review: LPA reviewed three (3) clients records which meet requirement. LPA reviewed the Admission Agreements, date of placement in unit, Emergency Contact information, and Needs and Services Plan. The facility keeps a file with required forms and uses a digital WCM system for TILP, Case Notes, and other required documents. The documents are available upon request and can be printed for review. Staff Interviews: LPA Rosas conducted a confidential interview with one (1) staff. LPA obtained contact information for Social Workers to conduct interviews at a later time. Client Interviews: LPA was not able to conduct participant interviews. LPA Rosas obtained register of participants with contact information to conduct interviews at a later time. LPA Rosas by email send the following PINS to S PIN 20-17-CRP: New Background Check Requirements, Assembly Bill 819 (Chapter 777, Statutes of 2019), PIN 21-20-CRP: Statewide Launch of New Inspection Tools for Children's Residential Licensees, PIN 21-05-CRP: The Family Urgent Response System (FURS). There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.


facility_name: ASPIRANET THP+FC RIVERSIDE OFFICE

summary: Facility Evaluation

raw_content:
Narrative:
On March 8, 2023 at 09:15 am, Licensing Program Analyst's (LPA's) Darlene Almaraz-Oseguera and Emina Preciado met with Program Director, Michele Gracia, who granted access into the facility. The purpose of this inspection was to conduct a required two-year annual inspection for the Transitional Housing Placement Program (THPP) for Non-Minor Dependents. The Administrative Office is located at Central Avenue Unit 5, Riverside CA 92506. Presently, the facility is licensed to provide Transitional Housing Placement for non-minor participants ages eighteen (18) through twenty-one (21). There are currently 33 participants residing in the program, which include 21 remote sites throughout Riverside County. The office consists of a lobby/reception area, a resource area equipped a computers and work areas for the participants. The office has cubicles/offices for the Program Director, Supervisor, and Life Coaches, in addition there is a kitchen area for the staff. There are working telephones, office equipment, furniture, and supplies located throughout the office space. LPA observed Participant files were stored in a locked cabinet within a locked storage room. Staff files are kept in the headquarters office in San Francisco and LPA's were provided electronic copies. Currently the facility is staffed with three full-time Life Coaches (social workers), one part-time Life Coach (social worker), one Housing Specialist, one Supervising Social Worker, and one Program Director. The Program Director was informed that each Social Worker should maintain a 1 to 12 ratio, which should never be exceeded. Program Director is aware of submitting unusual incident reports as needed to the Department and to include all Law Enforcement contact. LPA's reviewed seven 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's reviewed eight non-minor dependent files. All files reviewed were complete and had the required documents. Facility provided a copy of the drill log of the emergency disaster and mass casualty plan. The facility is in compliance no deficiency were notes at this time. Exit interview was conducted with Michele Gracia, a copy of this report was provided to the facility representative.

met_with: Michele Gracia


summary: Facility Evaluation

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Narrative:
On October 30, 2025, at 09:40 am, Licensing Program Analyst's (LPA's) Cynthia Robinson and Jessica Peete met with Program Director, Michele Gracia, who granted access into the facility. The purpose of this inspection was to conduct a Random annual inspection for the Transitional Housing Placement Program (THPP) for Non-Minor Dependents. The Administrative Office is located at Central Avenue Unit 5, Riverside CA 92506. Presently, the facility is licensed to provide Transitional Housing Placement for non-minor participants ages eighteen (18) through twenty-one (21). There are currently 46 participants residing in the program, which includes 25 remote sites throughout Riverside County. The office consists of a lobby/reception area, a resource area equipped with computers and work areas for the participants. The office has cubicles/offices for the Program Director, Supervisor, Housing Specialist and Life Coaches, in addition there is a kitchen area for the staff. There are working telephones, office equipment, furniture, and supplies located throughout the office space. Currently the facility is staffed with four full-time Life Coaches (social workers), one Housing Specialist, one Supervising Social Worker, one Administrative Assistant and one Program Director. Program Director is aware of submitting unusual incident reports as needed to the Department and to include all Law Enforcement contacts. Participant files are kept in an electronic database system and Program Director, Michele Gracia assisted LPA's Cynthia and Jessica for client file reviews. Staff files are maintained electronically with Human Resources and LPA's were provided electronic copies. LPA's reviewed five 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. (Continued on LIC 9099C...) LPA's reviewed five non-minor dependent files. All files reviewed were complete and had the required documents. Facility provided a copy of the drill log of the emergency disaster and mass casualty plan. The facility is in compliance no deficiency were notes at this time. LPA's conducted three staff interviews and no client interviews were conducted due to NMD's being in off site housing. Exit interview was conducted with Michele Gracia, a copy of this report was provided to the facility representative.

met_with: Michele Garcia, Program Director


facility_name: ASPIRANET THP+FC SAN BERNARDINO OFFICE

summary: Facility Evaluation

raw_content:
Narrative:
On November 22, 2021 at 09: AM, Licensing Program Analysts (LPA's), Anastasia Flores and Leslie Covarrubias met with Core Program Supervisor, Andrea Castillo and Core Program Director Stephen Morales who granted access to the facility. The purpose of this inspection was to conduct an annual inspection for the Transitional Housing Placement Program (THPP) for Non-Minor Dependents. The administrative office was toured both inside and out with Ms. Castillo at 10: AM. Presently, the THPP is licensed to provide care for 75 participants ages eighteen (18) through twenty-one (21). There are currently 25 participants utilizing the program. The participants reside in nine remote sites throughout San Bernardino County. The THPP Administrative office is located in San Bernardino CA. The office is located on the first floor of a retail business establishment. The office consists of a lobby/reception area, a resource area equipped with a computer and work area for the THPP participants, offices for the Management team (Administrator, Program Director, Program Manager, Program Supervisor), cubicles for the Life Coach's (Social Workers/Case Manager), Housing Specialist. There was a kitchen area for the staff, and additional conference room. The office space was equipped with working office equipment, furniture, and supplies. LPA's observed the THPP participant files were stored in a locked storage room. The storage room housed files for two different Aspiranet programs which utilize the same office space. Each of the program files were located in separate locked filing cabinets. THPP personnel files were not readily available, LPA's were informed the facility is not allowed to store the personnel files at this location and will have them readily available on the next site visit. Currently the THPP is staffed with three full-time life coaches (social workers), one housing specialists and one Core Program Supervisor (Supervising Social Worker/Program Manager) and one Core Program Director. () During the inspection, LPA's reviewed five participant records. LPA observed that two of five Participant files (P1, P4) did not contain results for tuberculosis test. Based on the record review, the THPP did not ensure the participant medical assessment are not current and up to date. The facility is being cited for non-minor dependent regulations, 86069(b)(1) participant medical assessments. Exit interview was conducted with Core Program Director Stephen Morals and Core Program Supervisor Andrea Castillo. A copy of this report, the Confidential Names List ( LIC 811) dated November 22, 2021 and the appeal rights were handed to facility representative. LPA' will conduct a tour of one remote site upon departure of the annual inspection.

met_with: Stephen Morales


summary: Facility Evaluation

raw_content:
Narrative:
On December 9, 2021 at 10: AM, Licensing Program Analysts (LPAs), Anastasia Flores and Jessica Rubio met with Core Program Director Stephen Morales who granted access to the facility. The purpose of this inspection was to continue an annual inspection for the Transitional Housing Placement Program (THPP) for Non-Minor Dependents. LPA's observed the THPP personnel files which were stored in an administrative office located in San Francisco, Ca. Currently the THPP is staffed with three full-time life coaches (social workers), one housing specialists, one Core Program Supervisor (Supervising Social Worker/Program Manager), one Core Program Director and one Administrative Assistant II. During the inspection, LPA's reviewed seven out of seven staff files. LPA Flores communicated with Mr. Morales the staff files need to be kept available to Community Care Licensing (CCL). The facility is being cited for Non-Minor Dependent regulations, Title 22, division 6, chapter 7; 86066 (e) Personnel Requirements. Based on interview and record review the licensee did not comply with the regulation and seven out of seven staff files are kept at another location not immediately available to CCL. Exit interview was conducted with Core Program Director Stephen Morals and a copy of this report, the Confidential Names List ( LIC 811) dated 12/09/21, LIC809D and the appeal rights were handed to Core Program Director.


summary: Facility Evaluation

raw_content:
Narrative:
On April 11, 2023 at 11:40 am, Licensing Program Analyst's (LPA's), Darlene Almaraz-Oseguera and Emina Preciado, met with Core Program Director, Christina Ruiz, who granted access into the facility. The purpose of this inspection was to conduct a random two-year annual inspection for the Transitional Housing Placement Program (THPP) for Non-Minor Dependents. The Administrative Office is located at E. Carnegie Drive Suite San Bernardino, CA 92408. The facility is licensed to provide Transitional Housing Placement for 75 non-minor participants ages eighteen (18) through twenty-one (21). There are currently 29 participants utilizing in the program, which include nine remote sites throughout San Bernardino County. The THPP Administrative office is located in San Bernardino CA. The office is located on the first floor of a retail business establishment. The office consists of a lobby/reception area, a resource area equipped with a computer and work area for the THPP participants, offices for the Management team (Administrator, Program Director, Program Manager, Program Supervisor), cubicles for the Life Coach's (Social Workers/Case Manager), Housing Specialist. There was a kitchen area for the staff, and additional conference room. The office space was equipped with working office equipment, furniture, and supplies. LPA's observed the THPP participant files were stored in a locked storage room. The storage room housed files for two different Aspiranet programs which utilize the same office space. Each of the program files were located in separate locked filing cabinets. THPP personnel files were not readily available, LPA's were informed the facility is not allowed to store the personnel files at this location, however, electronic copies were provided. Currently the THPP is staffed with three full-time Life Coaches (Social Workers), one Housing Specialists, one Core Program Supervisor (Supervising Social Worker/Program Manager), one Core Program Director, and one Administrative Assistant II. The Program Director was informed that each Social Worker should maintain a 1 to 12 ratio, which should never be exceeded. Continued on page Program Director is aware of submitting unusual incident reports as needed to the Department and to include all Law Enforcement contact. LPA's reviewed four 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's reviewed seven non-minor dependent files. All files reviewed were complete and had the required documents. Facility provided a copy of the drill log of the emergency disaster and mass casualty plan. The facility is in compliance no deficiency were notes at this time. Exit interview was conducted with Core Program Director, Christina Ruiz. And a copy of this report along with LIC 811, Confidential Names List, was provided to the facility representative.

met_with: Core Program Director, Christina Ruiz


facility_name: BAYFRONT YOUTH AND FAMILY SERVICES THP+FC

summary: Facility Evaluation

raw_content:
Narrative:
On 12/21/2021 at 9:30 am, Licensing Program Analyst (LPA) Bernice Karnsrithong arrived at the facility to conduct an unannounced annual/required inspection. LPA arrived at the facility office at 9:30am and met with Chief Operating Officer, Cynthia Sarmiento who provided the tour of the facility. The facility is currently licensed to provide transitional housing placement plus foster care services to non-minor dependents. The facility office is in a two-story building located in a commercial space. The agency has CARF certification valid until August 16 2023. All THP + FC staff and client records will be maintained at this Administrative Office when there are clients. The facility has an emergency preparedness and disaster plan located in the first floor that is available for inspection. Currently there are no location for housing right now since the facility has no clients. Currently there are no THP + FC site staff and administration is actively looking for locations for future client placement. LPA Karnsrithong conducted an interview with Chief Operating Officer who is the current active employee for the facility. Administrative staff are mostly working remote and will only come in to the office once or twice a week due to COVID-19. During the inspection, LPA Karnsrithong had observed the following: First Floor: There are seven (7) office rooms located in the first floor. There are three (3) restrooms for administrative and staff to use. There is a receptionist desk upon entrance of the building. There is a work station for the accounting manager in the first floor as well. There is a large conference room that has seating and a large table for private meetings and interviews. The room is connecting to a kitchenette and the office of the CEO. There is an open reception area that's connected via sliding glass door to an outside atrium area. There is ample storage space, for files and supplies. (Page 1 of 2) Parking is also available outside the building. The license is posted in the receptionist area and is visible to all upon entering the office. Mental Health and CARF certification are also posted in the receptionist area. There are three (3) operating fire extinguishers and a first aid kit located in the first floor. Facility sketch plan is located on areas where fire extinguishers are located, one in the receptionist area, and one in the conference room. Second Floor: A staircase will take you to the second floor office. Quality Assurance (QA), Information Technology (IT) Maintenance Department offices are located in the second floor. There is a kitchenette that has a stove, microwave, and toaster for staff to use. There are two (2) working fire extinguishers in the second floor. There are two (2) enclosed office rooms being used by the QA director and IT department. There are two (2) restrooms located in the second floor. QA department houses all the documentation and monitoring for the agency and the facility. There is an employee lounge located in the second floor that is in a patio setting. There is a sliding door that leads to the employee lounge. The employee lounge is not accessible for clients. Exit interview was conducted with the Chief Operating Officer. A copy of this report will be emailed to the facility at a later date. There were no deficiencies cited at this time. (Page 2 of 2)

met_with: Chief Operating Officer


summary: Facility Evaluation

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Narrative:
On 11/29/2023 at 10: AM, Licensing Program Analyst (LPA) Charmetha White arrived at Bayfront Youth and Family Services for the purpose of conducting an unannounced annual/required inspection of the administrative office. LPA met with Administrator/Chief Operating Officer, Cynthia Sarmiento. LPA was granted access and toured the facility. This program is licensed to provide transitional housing placement plus foster care services (THP+FC) for up to six (6) non-minor dependents. The census at the time of this inspection is zero (0). The administrative office is a two-story building located in a commercial area. The facility is set up as follows: First Floor: At the entrance of the building there is a receptionist desk and a waiting area. To the right of the entrance there is a hallway that consist of the Administrator's office, the human resource office, three (3) additional offices, two (2) workstations, and two (2) restrooms. To the left of the entrance there is a hallway that consist of the Chief Executive's office, one (1) restroom, and a conference room. The conference room is equipped with a large table and seating for at least 10 people. The room is used for meetings, and private interviews with clients should then need to meet with staff. There is also a small kitchenette connected to the back of the conference room. There are three (3) regulation fire extinguishers on this floor and a complete first aid kit. Second Floor: Is accessible from an outside staircase. This floor consists of two (2) offices, two (2) restrooms, a small kitchen, and an employee patio lounge. This floor houses the maintenance department, the information technology team, and quality assurance. The kitchen is equipped with a stove, toaster oven, and microwave. There are two (2) regulation fire extinguishers on this floor. The administrator's office contains a doubled keyed locked storage cabinets for client files. Staff files are kept locked in the human resource office. Report continued on LIC 809C. (Page 1 of 2) LPA observed the license is posted in the receptionist area and is visible to all upon entering the office. The facility has an emergency preparedness and disaster plan located on the first floor that is available for inspection. The program will utilize the remote site housing model and ensure the following services will be applicable: 1.) Participants have their own bedroom; 2.) No more than two participants share a bathroom: 3.) No more than two participants share a refrigerator; 4.) On-site supervisor available 24/7 to support, assist and oversee the needs of the participants: 5.) Assigned Social Workers assist and meet with participants a minimum of once a week (face-to-face); and 6.) Supervision, if needed, for the distribution of prescription medication. Currently there are clients placed in the program and no housing locations. Currently the only staff are the Administrator and Chief Executive Officer. There are no deficiencies observed or cited at this site visit. An exit interview was completed and a copy of this report was left with Administrator/Chief Operating Officer.

met_with: Cynthia Sarmiento - Administrator/Chief Operating Officer


facility_name: BEYOND EMANCIPATION

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Christopher Rollins made an unannounced required Annual inspection to Beyond Emancipation Administrative office. LPA met with Kamela Stewart Housing Division Manager (HDM) and Lavina Desilva Director of Programs (DP). The Transitional Housing Placement Plus Foster Care program (THP-FC) services non-minors dependents. At 11: AM, LPA did a walk through inspection with HDM and DP of the office. The office has sufficient space for confidential meetings, all participant files and staff files are located in a locked cabinet in a secure location. The agency has their license posted in their office. The office is in compliance with Community Care Licensing (CCL) regulations. LPA spoke with HDM and DP about the residential units. HDM stated that all residential units have at least one toilet, sink and tub in working order. HDM stated that all disinfectants and cleaning supplies are locked up and inaccessible. HDM notified LPA that the program provides all participants with household essentials and that there are no weapons or firearms stored in the housing units. At 12: PM, LPA reviewed 2 participants files and 4 staff files with HDM and DP. LPA observed Participants files to be complete and found no deficiencies. All documents are complete and up to date. LPA observed 4 staff files to be complete, all documentation is up to date and all staff training were up to date/current. During inspection, LPA requested a updated copy of the LIC Personnel Report, LIC C to maintain their file current. LPA receive an updated copy of COVID-19 safety plan, updated list of the Participant Residential Units and Leasing Agreements. LPA also spoke with DP and HDM about updating the Program Administrator documents. A review of Licensing Information System on August 10, 2021 indicates that all facility staff associated to the facility had DOJ, FBI and child abuse index check clearances. Per Title Regulations, no deficiencies were cited during this inspection. Exit interview conducted and a copy of the report was left at the facility. .

met_with: Lavina Desilva-Director of Programs and Kamela Stewart- Housing Division Director


summary: Facility Evaluation

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Narrative:
On 8/31/22 at 9: AM, Licensing Program Analysts (LPA's) George Karkazis and Mariah Hawkins conducted an unannounced required 2-year inspection at the transitional housing placement program. LPA's met with Director Lavina De Silva and informed of the purpose of the visit. The CARE inspection tool was used to conduct this inspection. LPA's toured the facility and observed the office to be in good repair, clean, well organized, and to have confidential meeting spaces. LPA's toured two residential units and observed the following: The first unit was clean and in good repair. The second unit was unoccupied, and certain parts were not safe for occupation due to being under renovation and remodeling. LPA's reviewed three staff files and two residents files and interviewed one staff. Neither resident currently in care were interviewed due to one resident being on a home stay following the birth of their child and one resident being asleep during visit to residential unit. The following deficiency was found during today's inspection: - No emergency and disaster plan was available at the residential units and no documentation that the plan had been provided to participants/residents was in facility records accessible during today's visit. LPA's are issuing a citation of California Code of Regulations, Title 22, Section 86023. See attached LIC 809-D. The following advisories were issued (See LIC 9102s): - LPA's observed that the facility conducts safety drills one to two times per year. LPA's advised that drills be conducted on a quarterly basis. - LPA's observed that one staff member did not have mandated reporter training accessible during inspection. LPA's advise that all staff responsible for the facility or with authority to represent the facility ensure they have access to all required documentation. - LPA's observed that only the administrator has access to current participant files, so LPA's were not able to review current participant records during visit. LPA's reviewed past participant records. LPA's advise that the facility ensure all staff responsible for the facility or with the authority to represent the facility have access to all required documentation. - LPA's observed that participant records did not contain needs and services plans but did have transitional independent living plans (TILPs). LPA's advise that needs and services plans be generated that are consistent with the participants' TILPs. - LPA's observed that needs and services were not updated annually due to not being generated. LPA's advise that the facility begin generating needs and services plans and updating plans at least annually. An exit interview was conducted, appeal rights were provided, and a copy of this report was provided to Director Lavina De Silva, whose signature on this form confirms receipt.

met_with: Director Lavina De Silva


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPA) George Karkazis and Nicole del Calvo made an unannounced required Annual inspection to Beyond Emancipation. LPA's met with Jenny Fick, Interim Housing Director and Dina Gibson, Interim Human Resource Director. The Transitional Housing Placement Plus Foster Care program (THP-FC) services non-minors dependents. At 12:00PM, LPA's did a walk through inspection with Jenny Fick, Interim Housing Director of the office. The office has sufficient space for confidential meetings, all participant files and staff files are located in a locked cabinet in the administrative offices. The agency has their license posted in their office. The office is in compliance with Community Care Licensing (CCL) regulations. LPA spoke with Jenny Fick about the residential units. Jenny Fick stated that all residential units have at least one toilet, sink and tub in working order. Jenny Fick stated that all disinfectants and cleaning supplies are locked up and inaccessible. Jenny Fick notified LPA's that the program provides all participants with household essentials and that there are no weapons or firearms stored in the housing units. At 11:00AM, LPA's reviewed 5 participants files and 5 staff files with DIna Gibson. LPA observed Participants files to be complete and found no deficiencies. All documents are complete and up to date. LPA observed 5 staff files. S1 & S2 did not have background clearance, and S3 & S4 did not have health screen or TB record on file. At this the facility is being cited for California Code of Regulation 80018(e)(1) Criminal Record Clearance, with civil penalty, 86066(a)(11) Health Screening, 86066(a)(12) Tuberculosis. LPA's Karkazis and Del Calvo provided education/training pertaining to Guardian and fingerprint clearance Exit interview conducted, appeal rights provided, and a copy of the report was given to Dina Gibson.