summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPA) George Karkazis and Alyssa Ng conducted an unannounced Annual/Random inspection at Fred Finch Youth Center. LPA's met with Mar Smith, Senior Director (SD) and toured the facility, inside and out. The group home is licensed to serve four clients. Currently in placement are three clients. Present during this inspection were three clients and two staff. At 10:50, LPAs walked over to the New Yosemite house. When walking in, LPA saw four bedrooms, single occupancy, and three bathrooms. Two of the bathrooms were for clients and one is for staff. LPA's observed the facility license, client's personal rights, facility sketch, facility rules, and other forms posted on the walls throughout the facility. LPA interviewed two of the clients in care and two staff. LPA reviewed client and staff files which was updated and in order. All staff were fingerprinted and had child abuse index check clearances. LPA tested the water temperature and found it to read 114.4 degrees, which is within range. At 11: AM, LPAs toured the backyard. There were no open bodies of water or debris. LPAs noticed a wooden fence surrounding the backyard. One plank was missing. There was a swing and a seesaw with rubber shavings on the bottom. LPA noticed two window screens that were broken from the clients back window. LPA advised SD to get the screens and fence repaired immediately. SD stated that there was a work order for the fence and that she will have maintenance replace the screen immediately. ------Cont. ON 809C----------- When coming back into the facility, LPA noticed the vent was coated with dust. LPA advised SD to have the vent cleaned. SD said that she will have maintenance clean it right away. At 12:15, LPA walked into the kitchen and noticed that the facility menu was not posted anywhere. When asked about the facility menu, SD mentioned that it was in the main kitchen which is adjacent to the house. SD printed an updated menu and put it on the refrigerator in clear view. There was sufficient 2 day perishables and 7 day non-perishable. Sharps and chemicals were located in staff closet. The medication was also locked away and stored in the staff room. During staff and client interviews, it was disclosed that the fence has been broken for at least three weeks. Facility cited for violation of California Code of Regulations, Title Division Six, regulation 80087 (b) Buildings and Grounds. See attached 809-D. At this time, 1 deficiency and 3 technical violations were cited during this inspection. An exit interview was conducted, appeal rights discussed and a copy of the report was left at the facility with Mar Smith, Senior Director.

met_with: Mar Smith


state: CA

facility_name: FRED FINCH YOUTH CENTER - NEW YOSEMITE

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Michelle Kyane and Licensing Program Manager Angela King conducted a case management inspection on 05/25/23 at 11: AM based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 5 out of Direct Care Staff and 1 out of 1 youth files were reviewed. 3 out of Direct Care Staff and 1 out of 1 youth were interviewed.(See the Confidential Names List, LIC 811, May 25, 2023). The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the including the needs and services assessment, individualized risk screening and treatment care plans. The licensee uses trauma informed and evidence based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Kyane and LPM King observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed with Senior Director Mar Smith and provided to Administrator Brandy Hunt.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Mar Smith, Senior Director and Brandy Hunt, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 07-28-23 9:26AM, Licensing Program Analysts George Karkazis conducted an unannounced Annual/Random inspection at listed facility. LPA met with Mar Smith, Senior Director, and toured the facility inside and out. Safety precautions were taken including screening call and mask wearing. The Group Home is licensed to serve four clients. Present during the inspection were three staff and three clients. At 9:57AM LPA Karkazis reviewed client and staff files. All staff and client files were complete, up to date and in good order. At 12:31PM, LPA Karkazis toured the facility. LPA Karkazis observed four bedrooms and two bathrooms. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPA Karkazis tested the water temperature and found it to be 119 degrees which is in range. The thermostat read 70 degrees, which is within range. Sharps were locked and chemicals were safely stored. There were two days of perishable foods and seven days non-perishable foods present. The medication was also stored and locked in the staff office, in a locked closet. The facility is in good repair and clean. LPA Karkazis interviewed three staff and three clients. All clients were interacting with staff peacefully. At 12:56PM, LPA Karkazis toured the backyard. There were no open bodies of water. The backyard was in good repair and clean. At this time there were no deficiencies. An exit interview was conducted, appeal rights discussed and a copy of this report was given to Mar Smith, Senior Director.

visit_type: Annual

met_with: Mar Smith, Senior Director


summary: Facility Evaluation

raw_content:
Narrative:
On 7-12-24 10:00AM, Licensing Program Analysts George Karkazis conducted an unannounced Annual/Random inspection at listed facility. LPA met with Mar Smith, Senior Director and toured the facility inside and out. The Group Home is licensed to serve 4 clients. Present during the inspection were 3 staff and 1 client. At 10:29AM LPA Karkazis reviewed client and staff files. All staff and client files were complete and in good order. At 11:55AM, LPA Karkazis toured the facility. LPA Karkazis observed 4 bedrooms and 2 bathrooms. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPA Karkazis tested the water temperature and found it to be 117.3 degrees which is in range. The thermostat read 69 degrees which is within range. Sharps were locked and chemicals were safely stored. There were two days of perishable foods and seven days non-perishable foods present. The medication was also stored and locked in the staff office, in a locked closet. The facility is in good repair and clean. LPA Karkazis interviewed 3 staff and 1 clients. At 12:38PM LPA Karkazis toured the backyard. There were no open bodies of water. The backyard was in good repair and clean. At this time there are no deficiencies. An exit interview was conducted, appeal rights discussed and a copy of this report was given to Mar Smith, Senior Director.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Suzanne Martinez and Licensing Program Analyst (LPA) Dung Mac conducted a case management inspection on June 18, 2025 at 10: AM based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 6 out of Direct Care Staff and 3 out of 3 youth files were reviewed. 2 out of Direct Care Staff and 2 out of 3 youths were interviewed. (See the Confidential Names List, LIC 811 (June 18, 2025). The Plan of Operation including policies and procedures were reviewed. Minutes from the Board of Directors' meetings related to the facility's incidents involving contact with law enforcement were emailed and reviewed. Based on the analysis of the confidential interviews and youth file review including the Needs and Service Assessments, Safety Plan, Risk Assessment and Treatment Plan, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Martinez and LPA Mac observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Administrator, Brandy Hunt.

met_with: Brandy Hunt, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 07/18/25 9: AM, Licensing Program Analyst Cole Oliver, and Licensing Program Manager (LPM) Carolyn Flynn conducted an unannounced Random Annual inspection at Fred Finch Youth Center - New Yosemite. LPA and LPM met with Cortney Woolery, Residential Counselor and toured the facility inside and out. The Group Home is licensed to serve 4 clients. During the inspection there were two staffs and two clients in the facility. At 9: AM, LPA Oliver toured the facility. LPA Oliver observed 4 bedrooms and 2 bathrooms. LPA observed facility license, personal rights, facility sketches, meal menu, and other forms posted on the walls throughout the facility. LPA Oliver tested the water temperature and found it to be 117.9 degrees which is in range. The thermostat reads 70 degree Fahrenheit which are within range. Sharps were locked and chemicals were safely stored. There were two days of perishable foods and seven days of non-perishable foods present. The medication was also stored and locked in the staff office, in a locked closet. The facility is in good repair and clean. LPA Oliver toured the backyard. There were no open bodies of water. The backyard was in good repair and clean At 10: AM LPA Oliver reviewed three client and three staff files. All staff and client files were complete and in good order. At 12: PM LPA Oliver interviewed two staff and two clients. At this time there are no deficiencies this inspection is not complete. LPA Oliver will return at a later date using CARE Tools. An exit interview was conducted, appeal rights discussed, and a copy of this report was given to Corntey Wooley, Residential Counselor, whose signature confirms receipt.

met_with: Cortney Woolery, Residential Counselor


summary: Facility Evaluation

raw_content:
Narrative:
On 07/24/2025 at 10: AM, Licensing Program Analyst (LPAs) Cole Oliver and Simran Nayyar conducted an unannounced Random Annual inspection Continuation at Fred Finch Youth Center - New Yosemite. LPAs met with Cortney Woolery, Residential Counselor and toured the facility inside and out. The Group Home is licensed to serve 4 clients. During the inspection there were 2 staffs and 3 clients in the facility. LPA Oliver used the CARE Inspection Tool to complete the inspection. During the inspection, LPA Oliver spoke to Administrator, Brandy Hunt over the phone. LPAs reviewed Disaster Preparedness documentation , Emergency Intervention Plan documentation, allowance/receipt documentation and interviewed the administrator. The required Annual Inspection is complete. No deficiencies were cited. An exit interview was conducted at 1: PM, the report was signed by Jazmeia Perkins, Residential Counselor whose signature on this form confirms receipt. A copy of this will be emailed to Administrator Brandy Hunt.


summary: Facility Evaluation

raw_content:
Narrative:
On August 11, 2025, at 11: AM Licensing Program Analyst (LPA) Cole Oliver conducted an unannounced case management visit to the facility. The purpose of the visit was to address concerns regarding unreceived incident reports (IRs). LPA Oliver met with Director Mar Smith and Administrator Brandy Hunt. During the visit, LPA Oliver requested that all incident reports from January 1, 2025, through August 11, 2025, be emailed directly to LPA Oliver before 08/29/2025. Beginning August 12, 2025, all incident reports are to be submitted to both Community Care Licensing (CCL) and LPA Oliver. Administrator Brandy Hunt will send a test email to confirm successful communication. No violations were cited during this visit. An exit interview was conducted, and a copy of this report was provided to Administrator Brandy Hunt, whose signature confirms receipt. A copy will be emailed to Director, Mar Smith.

met_with: Administrator, Brandy Hunt


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 2/2/23, Licensing Program Analyst (LPA) Mariah Hawkins conducted a case management visit at the facility regarding a background clearance. LPA met with Residential Supervisor Theresa McNeally and informed of the purpose of the visit. During a file review, LPA observed that a staff member did not have a criminal background clearance associated to the facility. S1 (See LIC Confidential Names List, dated 2/2/23) has worked at the facility for more than 5 working days. S1 has a clearance associated to another facility operated by the licensee, but neither facility has an approved central administrative waiver on file to allow clearances under one license to apply to other local facilities operated by the same licensee. LPA discussed the process of requesting this waiver with Residential Supervisor, who stated they will consider submitting a request. LPA is issuing a citation of California Code of Regulations, Title 22, Division 6, Chapter 1, Article 3, Section Criminal Record Clearance, Subsection (e). Additionally, pursuant to Subsection (g) of this regulatory section, LPA is assessing an immediate civil penalty of one hundred dollars ($100) per violation (1) for a maximum of 5 days, for a total of five hundred dollars ($500). See attached LIC 809-D and LIC 421. An exit interview was conducted, appeal rights provided, and a copy of this report was provided to Residential Supervisor Theresa McNeally, whose signature on this form confirms receipt.

Deficiencies:
80019: (2) Request a transfer of a criminal record clearance as specified in Section 80019(f)

met_with: Residential Supervisor Theresa McNeally

title:
Criminal Record Clearance
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1522 shall prior to working, residing or volunteering in a licensed facility


facility_name: FREEDOM HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
On October 26, 2021 at 10:00am Licensing Program Analyst (LPA) Donald Martin arrived at the Freedom House for the purpose of conducting an Annual/Required inspection. LPA was met by Lydia Quintanilla and allowed to enter the facility. The inspection is as follows: Front door entry leads into the living room where the clients personal rights, facility profile and grievance policy and forms are posted for clients to see. There are two rooms off the living room. One contains several computers for the clients use and the other is a game room with a pool table and a small weight room for clients use. The kitchen has a large stove with a hood that has a sprinkler system. Clients use the stove for independent skill building but for the most part staff cooks for the clients. The refrigerator was clean and has a two day supply of food. The pantry has plenty of food and can goods. There is a weeks worth of non perishable foods as well. The facility receives food through InstaCart and Homies Unidos. There is a room with a Subzero freezer and an additional refrigerator for food storage. There is a locked closet that contains tool and cleaning supplies that is inaccessible to clients. There is another room that has lockers for the clients to store personal items. There is a bedroom downstairs used for overnight staff use only. There are two bathrooms downstairs as well. Upstairs. There are 8 bedrooms upstairs only 1 is in use at the time of the visit. The rooms are very big and spacious. The client had plenty of clothing and storage room for him to store them away. There is a room used for storage that stays locked that contains hygiene products and stationary, backpacks and other donated school supplies for the clients. Linen is kept in the staff room downstairs. There is a fire alarm pull station and an unlocked exit door on either end of the hall. There are 3 bathrooms upstairs and 3 showers for the clients. Cont on 809-C There is an attic door that leads to a room that is empty. This door remains locked and inaccessible to clients. There is also a fire extinguisher in the hallway. The basement was very spacious and clean. The wall are decorated with art from people in the community and from some of the clients. The washer and dryer is located in the basement and can be used by the clients when supervised by staff. Knives are kept in a locked drawer in the office. The water temperature is 120 and within the state guidelines. There is a structure on the side of the house that is used for storage and inaccessible to clients. The outside has a large garden area surrounding the home. The structure is in fair shape as well as the garden. Note: There are 6 working camera angles noted by LPA on the premises. One in the hallway upstairs, one facing the door on the inside at the entrance, and four attached to the outside of the building that show the property only. Smoke detectors were noticed hard wired into the home but out of LPA's reach. The overall home inside and out was very clean and in order. Note: LPA discussed the cameras that are located at the facility. It was discussed that the cameras located inside of the facility need to be removed due to no camera waivers being permitted by CCL at this time. LPA also requested Lydia Quintanilla submit a letter regarding the outside cameras to my attention as soon as possible. There is one staff currently on duty at the facility; "S1". She is fingerprint cleared and associated to the facility. LPA will return to do staff and client file review and interviews. There are no deficiencies to report at the time of this visit. A copy of this report will be left with Administrator, Lydia Quintanilla.

met_with: Lydia Quintanilla-Interim Administrator


facility_name: FTBP - OPPORTUNITIES HOME FOR CHILDREN

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Furthermore, it was established that staff member S3 witnessed S2 yell at C1 but did not report the incident immediately, which also posed a risk to the other minors in care. Upon discovering the incident at a later date, the facility filed an incident report to notify the required parties and conducted its own internal investigation. Despite the presence of other staff members, established policies and procedures were not followed. Lpa J. Armstrong reviewed evidence, including the Special Incident Report, Police Report, and the Internal Investigation, which confirmed the allegations mentioned above. Based on LPA interviews and record reviews and evidence obtained, the preponderance of evidence standard has been met, therefore the allegation is found to be SUBSTANTIATED. Therefore, issued a citation in accordance with the California Code of Regulations, Title Division Six, regulation 80072(a)(3) Personal Rights. The exit interview was conducted with Audrey Hughes and a copy of this report was provided to the facility. (Continued on LIC 9099D)

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

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

report_type: Complaint Investigation

met_with: AUDREY HUGHES

complaint_status: SUBSTANTIATED


summary: Facility Evaluation

raw_content:
Narrative:
On 07/16/24 at 09: AM Licensing Program Analyst (LPA) Jhane Haynes and Licensing Program Manager Kevin Sauk made an announced visit to the above facility for the purpose of conducting a pre-licensing inspection. LPA met with Facility Administrator(FA) Audrey Hughes who granted access to the facility. Together FA, LPA and LPM toured the home inside and out. This is a single-story home located in a residential area. There are no swimming pools or bodies of water of the premises. LPA and LPM observed the following during facility tour: Entry contains posting not limited to personal rights, emergency numbers. Bedroom #1 is for ambulatory clients and contains a twin bed, drawers, desk, ceiling fan and adequate closet space. Secured Closet contains chemicals and cleaning supplies. Bathroom#1 contains functioning toilet, double sinks and shower with running water. Kitchen contains a kitchen island with seating and pantry with non-perishables with up to two weeks. The refrigerator operating temperature at 38 degrees and freezer at 0 degrees. There is operational kitchen appliances, adequate dinnerware for clients to be placed. A fire extinguisher and phone line can be found. Licensee will post weekly menu. Dining Area contained table and six chairs. Living Room contains adequate seating, rug with non-slip adhesive, TV, additional seating and desk for computer and activities. Bedroom #2 contains a twin bed, drawers, desk, ceiling fan and adequate closet space. Bathroom#2 is non-ambulatory and contains functioning toilet, sink and walk-in shower with running water. Laundry Room contains washer/dryer, cabinet space and secured exterior door to the garage. Garage contains extra laundry storage, water heater, water filter and exterior door to side of home. (Continue to LIC809-C) Bedroom #3 is for non-ambulatory clients and contains twin bed, desk, drawers and adequate closet space. There is a an exterior door that can be opened from the inside but locked on the outside. Bedroom #4 is for non-ambulatory clients and contains twin bed, desk, drawers and adequate closet space with built-in dresser. There is a an exterior door that can be opened from the inside but locked on the outside. Emergency Closet holds first aid kit with required dressings, emergency disaster kits. Activity Room contains seating, TV, game machine, two swings and shelving for activities. There is a secured storage closet for hygiene. Bathroom#3 contains functioning double sinks, separate tub and shower with running water. Toilet is closed off. Office contains seating, desk, locked boxes for clients, secured dresser for clients files. Medications are stored and will be administered here. Exterior contains outdoor seating, umbrellas, AC unit and fruit trees. Trash is stored on the outside the house. The exterior is clear and free of debris. The fire and carbon monoxide alarms were tested and operational. Fire extinguisher can be located in the kitchen and hallway before the activity room and sprinklers located throughout home. An exit interview was conducted, and a copy of this report was emailed to the administrator.

visit_type: Prelicensing

met_with: Audrey Hughes Facility Administrator(FA)


summary: Facility Evaluation

raw_content:
Narrative:
On 07/16/24 at 11:00, Component II of the application process for the above facility located at Raywood Dr Lancaster, CA 93536 was held after pre-licensing inspection. Attending Component II were the following individuals: Licensing Program Analyst (LPA) Jhane Haynes, Licensing Program Manager (LPM) Kevin Sauk and Facility Administrator (FA) Audrey Hughes. The purposes of this Component II meeting were to review the incomplete application and Program Statement and to resolve any concerns that may have existed. The following incomplete application forms were discussed during the meeting: LIC LIC Board of Director Statements LIC Staff Roster Floor Plan The Program Statement was reviewed and discussed. Revisions are to be made in the program design, not limited to: population served, training plan and house guidelines.


summary: Facility Evaluation

raw_content:
Narrative:
On 03/12/2025 at 09: AM, Licensing Program Analyst (LPA) Dennis Jarmin conducted an unannounced post-licensing inspection at FTBP Opportunities Home for Children. LPA met with Facility Administrator (FA) Audrey Hughes, who granted access and provided LIC 500 and LIC 9020. LPA inspected the entire facility. The Group Home is licensed to provide care and supervision for two ambulatory and two non-ambulatory children, ages 3-17 years. No swimming pools or bodies of water were observed on the premises. The facility maintains appropriate staff-to-child ratios and ensures that personnel meet training and background clearance requirements as mandated by group home regulations. Facility Overview: This single-story home is located in a residential area and includes four bedrooms, three full bathrooms, a living room, a dining room, a kitchen, a laundry area, a backyard, and a detached garage. The facility meets all physical plant safety requirements, ensuring a safe, clean, and comfortable environment for children in care. Entry: The required postings, including personal rights, emergency contact numbers, and emergency procedures, are displayed in a visible location. Bedrooms: Bedroom #1, designated for ambulatory clients, contains a twin bed, drawers, desk, ceiling fan, and closet space. Bedroom #2 is similarly furnished with a twin bed, drawers, desk, ceiling fan, and closet space. Bedroom #3, designated for non-ambulatory clients, includes a twin bed, desk, drawers, closet space, and an exterior door that can be opened from the inside but remains locked from the outside. Bedroom #4, also for non-ambulatory clients, has a twin bed, desk, drawers, a built-in dresser, closet space, and an exterior door with the same security feature. All sleeping areas comply with spacing, bedding, and emergency egress requirements. Bathrooms: Bathroom #1 is equipped with a toilet, double sinks, and a shower with running water. Bathroom #2, designated for non-ambulatory clients, contains a toilet, sink, and a walk-in shower. Bathroom #3 has double sinks, a separate tub, a shower with running water, and an enclosed toilet. Hot water temperature was tested and measured within the required range. Kitchen: The kitchen features an island with seating, a pantry stocked with non-perishable food for up to two weeks, and operational appliances including a refrigerator set at 38°F and a freezer at 0°F. Adequate dinnerware is available for clients. A fire extinguisher and a phone line are present. The licensee will post a weekly menu. Food storage and preparation areas were clean and met sanitary standards. Perishable food supplies were adequate for at least two days, and non-perishable supplies were sufficient for at least seven days. Dining Area: A table with six chairs is arranged in the dining area, providing sufficient space for all residents. Living Room: The living room has ample seating, a non-slip rug, a TV, additional seating, and a desk for computer use and activities. The common area is well maintained and provides space for recreation and socialization. Laundry Room: A washer, dryer, cabinet storage, and a secured exterior door leading to the garage are present in the laundry area. Laundry supplies are stored securely and are inaccessible to children. Garage: The garage contains extra laundry storage, a water heater, a water filter, and an exterior door providing access to the outside. The garage remains locked and is not used as a living space. Emergency & Activity Areas: The emergency closet holds a fully stocked first aid kit and emergency disaster kits. The activity room includes seating, a TV, a game machine, two swings, activity shelving, and secured hygiene storage. The office contains seating, a desk, locked storage for client belongings, a secured dresser for client files, and a designated area for medication storage and administration. Medications are stored securely in compliance with licensing requirements. Exterior: The outdoor space features seating, umbrellas, an air conditioning unit, and fruit trees. Trash is stored outside, and the exterior is clear and free of debris. There are no hazardous conditions observed in outdoor play areas. Health & Safety Compliance: A secured closet holds chemicals and cleaning supplies. Fire and carbon monoxide alarms were tested and found operational. Fire extinguishers are located in the kitchen and hallway. Sprinklers are installed throughout the home. All safety features meet group home regulations. Inspection Findings: No deficiencies were observed. The home remains in substantial compliance with licensing regulations. Exit Interview: An exit interview was conducted with the administrator, and a copy of this report was emailed to them.

met_with: Audrey Hughes


summary: Facility Evaluation

raw_content:
Narrative:
On 10/2/25 at 10: AM Licensing Program Analyst (LPA) Reagan Cohen made an unannounced visit to FTBP Opportunities Home for Children Group Home for the purpose of an annual/Random inspection. LPA met with Facility Manager Melissa, Administrator Audrey Hughes came to the facility later. A tour of the home was conducted.The facility is licensed to provide care and supervision services for four (4) children, ages 3-17 years old, ambulatory and non-ambulatory. The census today is 3. Two of the clients are non verbal one is verbal. The facility is set up as follows: There are four bedrooms and three bathrooms. There are no bodies of water on the premises and no security bars on windows and windows are operational. There are four fully charged fire extinguisher in the house. There are dual smoke/carbon detectors in each bedroom. Entry Way: In the entry way posted in a prominent public place are copies of the facility license, personal rights, facility sketch, activity schedule, weekly menu, & grievance procedures. Bedroom #1: Located at the front of the house adjacent to the entry way is bedroom#1. This room is used by a client. There is adequate lighting, a fan, AC, a TV, drawers, a closet, a bed, pillows, sheets, towels, and a blanket. There is a table with a chair. There is a window with a screen in good condition. The client in this room has AWOL tendencies so there is an alarm on the window to alert when it opens. The alarm system inadvertently prevents the window from fully opening. LPA addressed this with staff who said they would remove the alarm. Bathroom#1: Located adjacent to bedroom#1. This bathroom is for clients and guests. LPA observed and tested the toilet, shower, and sink. The sink temperature was tested to be 105 degrees F. Closet #1: There is a closet next to bedroom #1 and Bathroom #1. The closet is locked and inaccessible to clients. The cloest is storage for cleaning solutions. Kitchen: The kitchen are is after the entry way. The kitchen is complete with a fridge/freezer unit adequately filled with perishable food.The refrigerator operating temperature at 38 degrees and freezer at 0 degrees. There is a pantry filled adequately with non-perishable food. LPA observed that food is not contaminated and labeled with expiration dates. LPA observed an adequate amount of plates, cups, bowls, and utensils. The sharps are locked in a case which is also locked in a cabinet. The cabinet under the sink is locked storing cleaning solutions. LPA observed an operational stove and oven. The stove knobs were covered and made inaccessible to clients for their safety. LPA observed the disaster plan posted in the kitchen. Dining Area: The dinning area is open and connected to the kitchen. The dinning area included a table with adequate seating for the clients. Living room: The living room is open and connected to the dinning area. The living room has adequate seating with couches, a TV, and an armoire closet for storage. Bedroom #2: Located down a hallway after the dinning area. This room is used by a client. It contains a twin bed, drawers, desk, ceiling fan and adequate closet space. There is adequate lighting, a fan, AC, a TV, drawers, a closet, a bed, pillows, sheets, towels, and a blanket. There is a table with a chair. There is a door that leads to the front yard that is unlocked for emergencies. There is an alarm attached to the door to alert staff when it opens. Bedroom #3: Located next to bedroom #2. This room is unused. It contains a twin bed, drawers, desk, ceiling fan and adequate closet space. There is adequate lighting, a fan, AC, a TV, drawers, a closet, a bed, pillows, sheets, towels, and a blanket. There is a table with a chair. There is a door that leads to the front yard that is unlocked for emergencies. There is an alarm attached to the door to alert staff when it opens. Bathroom #2: This is a non-ambulatory bathroom and contains functioning toilet, sink and walk-in shower with running water Closet #2: This closet is unlocked and used to store the first aid kit. Laundry Room: Contains washer/dryer, cabinet space and secured exterior door to the garage. The cleaning solutions are kept locked and inaccessible to clients. Garage: The Garage is kept locked and inaccessible to clients. The facility vehicle is stored here. LPA observed the facility vehicle insurance and registration. Bedroom #4: Located after the hallway. This room is used by a client. There is adequate lighting, a fan, AC, a TV, drawers, a closet, a bed, pillows, sheets, towels, and a blanket. There is a table with a chair. There is a window with a screen in good condition. The window is able to open as an emergency exit. Den: This room is located after bedroom #4. This room has a table with adequate seating. There are couches for extra seating. There is a TV and games/activities. Office: There is a locked office after the den. The office is for staff only. The office holds all staff and client files. The office holds clients medication and the logs. The office has a desk, chairs, and computer. The office has cabinets for files and paperwork storage. Closet #3: This closet is kept locked and inaccessible to clients. The closet holds cleaning solutions and extra toiletries. Bathroom #3: This bathroom has a double sink with water temperature measured to be 108 degrees F. This bathroom is for clients. LPA observed a working toilet and shower. Backyard: The facility has a back yard that is accessed through the living room. The backyard has adequate amount of space for clients to run around. There is basketball hoop and a tetherball set. There is a shaded area under a canopy. The area is clear of debris and safe. LPA started the CARE Tools Checklist. LPA requested and received a copy of the client and staff roster, a copy of SIR's showing logs of previous restraint incidents, and a copy of the Board of Director Meeting Minuets. LPA observed copies of previous CCL reports. LPA observed the client medications and the MAR logs. LPA observed that client medications are stored separately and locked in the office. LPA observed the facility emergency drill log. LPA observed the staff training log. LPA will return to continue the inspection, reviewing the staff and client files, conducting staff and client interviews and completing the CARE Tools Checklist. No deficiencies cited at this time. A copy of this report was given to the administrator.

met_with: Facility Manger Melissa Shaprio


summary: Facility Evaluation

raw_content:
Narrative:
On 10/8/ Licensing Program Analyst (LPA) Reagan Cohen made an unannounced visit to FTBP Opportunities Home for Children Group Home for the purpose of continuing an annual/Random inspection. LPA met with Facility Manager Melissa. LPA continued the CARE Tools Checklist. LPA preformed a client and staff files review and documented on LIC 858 and LIC 859. LPA will return to interview staff and clients, and complete the CARE Tools Checklist. No deficiencies cited. Exit interview conducted. A copy of this report was given to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On 10/15/ Licensing Program Analyst (LPA) Reagan Cohen made an unannounced visit to FTBP Opportunities Home for Children Group Home for the purpose of continuing an annual/Random inspection. LPA met with Facility Manager Melissa. LPA continued the CARE Tools Checklist. LPA observed clients TB test was administrated on 10/15/25. LPA was informed that staff signature was not yet obtained due to staff not returning to work yet. LPA conducted interviews with 2 staff and 3 clients. Facility will send proof via email of completed forms. LPA will then complete and send over a completed staff and client file check form. No deficiencies cited. Exit interview conducted. A copy of this report was given to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On 12/17/ Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility and met Melissa Shapiro Facility Manager with for the purpose of conducting a case management other visit. During a previous visit for complaint 34-CR-20250912082534, LPA cited the facility for having an odor in the facility due to dogs being in the facility. LPA wanted to talk to the facility about requesting a waiver to allow for service and therapy dogs to be allowed in the facility. LPA discussed with facility manager that the facility can request a waiver to allow for service and therapy dogs to be allowed in the facility. LPA advised to do the the facility must submit in writing a request for a waiver. The request should include an amendment to the program design that address the following topic including but not limited to: the determination for allowing dogs/animals into the facility, how the dogs will be cared for and pick up after in the facility, any restrictions that will be placed on dogs in the facility, what will happen if clients and/or staff are allergic to and/or afraid of dogs, how staff will ensure that their duties will be upheld while providing for a dog, and how the facility will continue to stay in compliance with all rules and regulations with dogs in the facility. Exit Interview conducted and a copy of this report was given to the facility manager.

met_with: Melissa Shapiro Facility Manager


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Based on staff testimony, evidence, and records review, LPA received conflicting and incomplete evidence regarding bed bugs in the facility. While bed bugs were present in the facility, LPA did not observe evidence that clients were bitten or sprayed, nor that the facility used non-professional pest control. LPA observed multiple invoices from professional pest control companies, and multiple doctors' notes stating no signs of bug bites on the clients. Therefore, based on the available information LPA gathered from interviews and records reviews, the preponderance of the evidence standard has not been met; therefore, the allegation of "Staff does not keep facility free from bed bugs" is found to be unsubstantiated. Exit Interview Conducted and a copy of this report was given to the Facility Manager.

Investigation Findings:
13On 12/17/ Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility and met Melissa Shapiro Facility Manager with for the purpose of delivering complaint findings regarding the above allegation. During the course of the investigation, LPA interviewed involved staff, clients, and witnesses. All staff interviews stated that bed bugs were present in the facility. Some staff during interviews claimed that they and clients were bitten by bed bugs. Some staff claimed that clients were sprayed for bed bugs. While LPA reviewed records that confirmed objects in the house were sprayed, LPA received no further evidence regarding clients being sprayed. One staff interview claimed that the pest control treatment was not done by professionals. The facility stated that the bed bugs first appeared on 9/8/25 and the final pest control treatment date was 10/10/25. LPA observed invoices from two different pest control companies, "Dewey Pest Control" & "Stanley Pest Control", confirming professional treatment on the house. LPA also observed doctor's notes stating that there was no evidence of bug bites on the clients. One client interview shared that they did not have any bug bites. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: FTBP - OPPORTUNITIES HOME FOR CHILDRENFACILITY NUMBER: VISIT DATE: 12/17/2025

complaint_status: unsubstantiated


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Based on staff testimony, evidence, and records review, LPA confirmed that dogs were present in the facility and defecated in the facility. LPA received conflicting interviews regarding an odor in the facility and whether the dogs were being picked up after. LPA did observe pictures of dog poop and pee pads in the facility. Therefore, based on the available information LPA gathered from interviews and records reviews, the preponderance of the evidence standard has been met; therefore, the allegation of "Staff does not keep facility free from odor" is found to be substantiated. Exit Interview Conducted and a copy of this report was given to the Facility Manager.

Investigation Findings:
13On 12/17/ Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility and met Melissa Shapiro Facility Manager with for the purpose of delivering complaint findings regarding the above allegation. During the course of the investigation, LPA interviewed involved staff, clients, and witnesses. All interviews confirmed that dogs have been present in the facility. Some staff interviews claimed that the dogs have defecated and peed in the facility, and the owners did not pick it up, causing the facility to smell. LPA observed picture evidence of dog poop in the facility. The dog owner confirmed that some of the dogs do poop and pee on pads in the facility. Other staff interviews stated that while dogs were present in the facility, they were always picked up after defecating and did not cause any smells in the facility. One client interview said that they did not remember any orders in the house. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: FTBP - OPPORTUNITIES HOME FOR CHILDRENFACILITY NUMBER: VISIT DATE: 12/17/2025


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 11/19/25, Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility and met with Melissa Shapiro Facility Manager, for the purpose of a case management deficiency visit. During a previous investigation, LPA received testimony interviews regarding a time when a client was cared for out of the facility by a staff member for a period of time. LPA received multiple testimonies confirming that a staff member took a client home and provided care and supervision to a client. This is a violation of the facility's Plan of Operation to provide care and supervision in the licensed facility. Based on witness & staff testimony evidence, LPA concludes that on 10/19/25 a client (C1) was removed from the facility and provided care and supervision by a staff member (S1) in their personal, unlicensed house. Based on the available information LPA gathered from interviews, the preponderance of the evidence standard has been met; therefore, the allegation of "not following the facility Plan of Operation" is found to be substantiated. The facility is being cited on CCR 80022 (k) Plan of operation: "The facility shall operate in accordance with the terms specified in the Plan of Operation and may be cited for not doing so." See LIC 809-D for more details. Exit Interview Conducted. A copy of this report and the appeal rights were given.

Deficiencies:
80022: "

title: (k) Plan of operation


raw_content:
Narrative:
Facility staff state that the doctor's orders are to administer one pill in the morning and two in the evening. LPA reviewed the Metformin medication bottle instructions, the doctor's notes, the medication prescription, and an email from the nurse explicitly clarifying the instructions to be one pill in the morning and two in the evening. Client interviews stated that they have no concerns or issues with the facilities administering the medications. LPA received conflicting interviews regarding the allegations. Client interviews and staff interviews, and testimonies conflicted with each other regarding the staff-to-client ratio. Multiple staff interviews denied the allegations, while other staff interviews agreed with the allegations. LPA observed evidence regarding the medication allegation, including the Metformin medication bottle instructions, the doctor's notes, the medication prescription, and an email from the nurse confirming that the facility was correctly administering the medication to clients. Based on the available information, LPA gathered from interviews and records reviews, the preponderance of the evidence standard has not been met; therefore, the allegations that "Staff are operating out of ratio & Staff did not administer medication as prescribed." are found to be unsubstantiated. Exit Interview Conducted. A copy of this report was given to the facility.

Investigation Findings:
13On 11/19/25, Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility and met with Melissa Shapiro Facility Manager, for the purpose of delivering complaint findings regarding the above allegation. During the course of the investigation, LPA interviewed involved staff, clients, and witnesses. Regarding the allegation that Staff are operating out of ratio, the complainant and some staff interviews shared that the facility has at times operated out of ratio. Other staff interviews stated that the facility does not operate out of ratio, because other staff will provide coverage to stay within ratio. The facility is licensed for a ratio of 1 staff for 2 clients. LPA observed staff schedules that are in compliance with the ratio and show other staff stepping in to provide coverage when needed. Regarding the allegation that "staff are not administering medication as prescribed," specifically for C1. LPA received conflicting testimony from interviews. The complainant alleged that C1 is supposed to receive the Metformin medication, one pill in the morning, lunch, and evening, but instead the facility is giving C1 one pill in the morning and two in the evening. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: FTBP - OPPORTUNITIES HOME FOR CHILDRENFACILITY NUMBER: VISIT DATE: 11/19/2025


raw_content:
Narrative:
(This report is being amended to include the allegations of "Staff restrained minor in an inappropriate manner" as unsubstantiated.) LPA received conflicting interviews regarding staff preforming an inappropriate restraint on a client. One staff stated that other staff put objects on a client during a restraint. Other staff and the client testified that staff never put objects on a client during a restrain or any other inappropriate manner of restraint. Based on staff testimony evidence, and records review, LPA received conflicting and incomplete evidence alleging that staff are working without the proper clearance & staff restrained minor in an inappropriate manner. LPA received and observed staff interviews and staff records reviews that showed staff all having the proper clearance. Therefore, based on the available information LPA gathered from interviews and records reviews, the preponderance of the evidence standard has not been met; therefore, the allegation of "Facility does not have complete personnel records on file & Staff restrained minor in an inappropriate manner" are found to be unsubstantiated. Exit Interview Conducted and a copy of this report was given to the Facility Manager.

Investigation Findings:
13(This report is being amended to include the allegations of "Staff restrained minor in an inappropriate manner" as unsubstantiated.) On 12/17/ Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility and met Melissa Shapiro Facility Manager with for the purpose of delivering complaint findings regarding the above allegation. During the course of the investigation, LPA interviewed involved staff, clients, and witnesses. One staff interview shared that they heard about another staff member who was working without the proper clearance, but no specific name was provided. All other staff interviews shared that they have never seen or heard of any staff working without the proper clearance. LPA performed a LIC Staff Records Review and did not find any discrepancies or staff working without the proper clearance. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: FTBP - OPPORTUNITIES HOME FOR CHILDRENFACILITY NUMBER: VISIT DATE: 12/17/2025


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Management staff admitted that this event did happen, but shared that the non-CPI-certified staff's participation in the client restraint was extremely brief and limited. LPA observed a photo evidence of the non-CPI-certified staff putting their hands on the client and assisting in the restraint. LPA reviewed the facilities Plan of Operation/Program Design which states that "All direct support professionals who use these techniques (restraints) will have completed and passed an approved training program in crisis intervention." Based on staff testimony evidence, and records review, LPA received conflicting interviews from staff and clients regarding what types of holds were used on the client and what types of holds staff are trained to use. Records reviews detailed the events of the restraining incidents, explaining why each event happened, how the facility responded, and for how long the restraint lasted. LPA received photo and testimony evidence that a non-CPI-certified staff participated in a client restraint. Records review revealed that a non-CPI-certified staff participated in a client restraint is a violation of the facilities program design. Therefore, based on the available information LPA gathered from interviews and records reviews, the preponderance of the evidence standard has been met; therefore, the allegation of "Staff untrained in CPI preformed a restraint on a client" is found to be substantiated. Exit Interview Conducted and a copy of this report was given to the Facility Manager.

Investigation Findings:
13(This report is being amended to substantiate the alegation that "Staff untrained in CPI preformed a restraint on a client.") On 12/17/ Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility and met Melissa Shapiro Facility Manager with for the purpose of delivering complaint findings regarding the above allegation. During the course of the investigation, LPA interviewed involved staff, clients, and witnesses. Staff and client interviews and record reviews showed that there have been at least 4 restraints in the facility, all revolving around C1. All interviews confirmed that C1 was involved in at least one prone restraint. LPA received conflicting testimony regarding whether a prone hold is appropriate and whether staff are trained to do prone holds. Interviews revealed that staff are CPI trained, while some interviews stated that all staff are advanced CPI trained, which involves prone holds; other interviews shared that staff were not trained for prone holds. Interviews conflicted on the type of holds that staff are trained for and that are appropriate. LPA reviewed the SIR's regarding the restraining incidents. There were 4 incidents in total, two of which involved a prone hold. Some staff interviews revealed that there was at least one incident in which a staff member who was not CPI certified put their hands on a client. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: FTBP - OPPORTUNITIES HOME FOR CHILDRENFACILITY NUMBER: VISIT DATE: 12/17/2025


facility_name: GROWTH EXTENDED, INC.

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13On 06/20/2022 at 9:30am Licensing Program Analyst (LPA) Bernice Karnsrithong arrived at the facility for the purpose of conducting a complaint investigation and delivering its findings. Health and safety risk assessment was conducted upon arriving. LPA Karnsrithong met with Janice Lewis, Medical Associate who granted access and tour of the facility. During the investigation of the allegations, staff was flirting with a minor in care, minors not receiving medications as prescribed, staff behavior is disruptive to minors in care, and facility not serving meals in a timely manner; LPA Karnsrithong conducted confidential interviews and reviewed documentary evidences. During the investigation statements from confidential interviews were consistent that the facility has extensive medical administration procedures and meal schedules are being followed through and monitored regularly. There were no witnesses to corroborate the allegations. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. Therefore, the allegations are unsubstantiated. Exit interview was conducted with Janice Lewis and a copy of this report will be provided. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Bernice Karnsrithong LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Janice Lewis, Medical Associate


raw_content:
Investigation Findings:
13On 08/30/2024, Licensing Program Analysts (LPA's) C. White and J. Armstrong arrived at the facility for the purpose of concluding the investigation and to deliver findings. LPA's met with Administrator, John Lewis and discussed the allegations. During the course of this investigation, LPA interviewed pertinent parties and reviewed records. Confidential interviews and records did not produce corroborating evidence to support the allegations. Staff denied the allegations and stated a staff member was present at the hospital with the client, that staff was in constant communication with the hospital, and that clients are never left unsupervised. Additionally, Client statements did not produce corroborating evidence to support the allegations. Based on information obtained, the allegations are found to be unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur. Exit interview completed and a copy of this report was left with the Administrator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Bernice Karnsrithong LICENSING EVALUATOR NAME: Charmetha White LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Administrator - John Lewis


raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are unsubstantiated. No deficiencies are being cited at this time. Exit Interview was conducted, and a copy of this report was provided to the facility.

Investigation Findings:
13On 4/14/ LPA J. Armstrong and LPM E. Hernandez arrived at the facility at 2:00pm. The Licensee was not present and did not answer the phone. The Findings could not be delivered today. On April 15, Licensing Program Analyst (LPA) Justine Armstrong conducted an unannounced visit to Growth Extended Inc. to conclude the investigation of the above allegations and deliver the findings. LPA met with John Lewis the Administrator and together, they discussed the investigation details. It was reported Staff mismanaged residents' medication records, Staff did not give residents their medications as prescribed, Facility does not have a vehicle to transport residents, Staff did not ensure that facility has adequate food for the residents, and Staff did not adequately supervise residents. During the investigation, the Licensing Program Analyst (LPA) conducted confidential interviews and reviewed several documents, including vehicle insurance records, the client medication roster, grocery lists for the facility, and the staff and client roster. While conducting confidential interviews, there was not enough evidence to substantiate the allegations. One of the confidential interviews reported that they received their medication daily and noted that the only time they missed their medication was during a visit away from the facility. C1 also mentioned that plenty of food is always available and that the facility never runs out of supplies. Based on the information gathered from the confidential interviews and documentary evidence, the LPA concluded that the allegations were unsubstantiated. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Enrique M Hernandez LICENSING EVALUATOR NAME: Justine Armstrong 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290b El Segundo, CA Facility Name: Growth Extended, INC.FACILITY NUMBER: VISIT DATE: 04/15/2025

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

met_with: John Lewis


summary: Facility Evaluation

raw_content:
Narrative:
On October 21, 2021 at 9:35, Licensing Program Analyst (LPA) Charmetha White arrived at Growth Extended, Inc. Group Home for the purpose of conducting an Annual Required Inspection. LPA met with Clinical Director, Joy Lewis and Administrator, John Lewis who granted access to the location and together a tour of the entire facility was conducted both inside and out. The facility is licensed to provide care and supervision services for six (6) children ages 12-17 years old, ambulatory only. The census at the time of the inspection was three (3). The program accepts Private Placement clients only. The facility is a two story 6-bedroom, 4-bathroom house which includes a Living room, Dining room, Kitchen, Laundry area, a Classroom, a Front office, Staffing offices, Meeting/Conference room, and a Backyard patio. The home is set up as follows: Living room: Is equipped with a piano, couch, and chairs. Dining room: Is equipped with a table with seating for 8 people. Kitchen: Is equipped with a round glass table with 4 chairs. There is a stove/oven with gas burners all operable, a refrigerator/freezer, a dishwasher, and a microwave. The home was observed to have one-week supply of non-perishable and two days of perishable foods, including nutritious snacks, and the weekly menu is posted. The trash can is equipped with tight fitting lid. Laundry area: Is located next to the kitchen. It is equipped with a washer/dryer, found to be in working order, and a locked storage cabinet containing all sharp knives, disinfectants, and cleaning solutions. The laundry room also has a door leading to the backyard. Den: Is located off the hallway and is used for group sessions. It is equipped with ample seating, bookshelves, and a TV. Individual client lockers are located near the backdoor right next to the classroom area. Front office: Is equipped with a desk, 3 chairs, a sofa, and a locked file cabinet. Meeting/Conference room: This room is located outside in the back of the home. It is equipped with a conference room table that has ample seating, a television, and a bathroom. Nurses Office: Is located along the hallway between the Den and the Kitchen, across from the bathroom. It is equipped with a desk, computer, chair, sofa, and locked cabinet where all prescribed medications are locked and centrally stored. Medications are accessible only to employees supervising stored medications. The facility does not have any medications that need to be refrigerated. Report continued on LIC 809C. Backyard patio: Is equipped with patio furniture and ample seating. Garage: has been converted into the facility's classroom. It is equipped with Bedrooms: The home has 6 bedrooms which are all located on the second floor. Three (3) rooms are used as client bedrooms, each of client bedroom is equipped with two twin sized beds, and there is adequate closet/drawer space in each room. The three remaining rooms are utilized as follows: two rooms are used as staff offices, and one room is used as a client therapy room. Bathrooms: The home has a total of 5 bathrooms. One bathroom located along the hallway between the den and the kitchen, the second bathroom is located next to the laundry room and it used for the staff, the third and fourth bathrooms are located on the 2nd floor of the home, and the fifth bathroom is located in the meeting/conference room found in the backyard of the home. All bathrooms were observed to be in good repair and working order. The hot water temperature was tested and found to be between 105-120 degrees (F). The smoke and carbon monoxide detectors were tested and found to be in working order. The first aid kit was checked and found to be complete. The home has 3 regulation fire extinguishers. There is a working telephone readily accessible. Overall LPA observed the home to be clean, safe, and sanitary. The front and backyard were clean and free of debris. Passageways, stairways, inclines, ramps and open porches are unobstructed. There are no firearms or dangerous weapons in the facility. There was no swimming pool or bodies of water located at the facility. The facility operates within license conditions and limitations including capacity limitations. LPA discussed and advised the Licensee to ensure the following: Children are supported and encouraged to participate in extracurricular activities. Children are allowed and encouraged to contact the licensing agency or the Foster Care Ombudsperson, in confidence, without threats or punishment for making complaints. Children are accorded dignity in personal relationships with others in the home. LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. All posting requirements for Group Home Licensure and Emergency Plan were met. The Program has a total of six Staff. LPA reviewed six Staff files. LPA observed all Staff records included annual personnel performance evaluations, all staff have met the education and experience requirements, and have completed the required trainings. All staff that work directly with clients have current First Aid/CPR cards in their files. LPA will return on a later date to complete review of client files and conduct client and staff interviews. There were no deficiencies noted on this date. An exit interview was conducted and a copy of this report was signed and left with the Clinical Director.


summary: Facility Evaluation

raw_content:
Narrative:
On October 22, 2021 at 9: AM, Licensing Program Analyst (LPA) Charmetha White arrived at the above location for the purpose of reviewing client records and to conduct staff and client interviews in order to complete the STRTP Annual Required Inspection which began on 10/21/2021. LPA met with the Clinical Director, Joy Lewis and Administrator, John Lewis who granted access to location and provided the files. The Program has a three clients. LPA reviewed all client files, conducted interviews with all three clients and four staff. This inspection included an overview of required Core Services and Supports and based upon inspection of facility records and interviews of staff and clients. LPA discussed the following with the Facility Manager: Incident reporting, including incidents related to Law Enforcement contacts as well as incidents involving Emergency Intervention. Discussed procedures for CFT (Child and Family Team) meetings. Licensee is meeting all requirements. There were no deficiencies noted on this date. An exit interview was conducted and a copy of this report was signed and left with the Clinical Director.


summary: Facility Evaluation

raw_content:
Narrative:
On March 21, 2024, Licensing Program Analyst (LPA) C. White arrived at Growth Extended, Inc. Group Home for the purpose of conducting an Annual Required Inspection. LPA met with Administrator, John Lewis and Clinical Director, Joy Lewis who granted access to the location and together a tour of interior and exterior facility was conducted. The facility is licensed to provide care and supervision services for six (6) children ages 12-17 years old, ambulatory only. The census at the time of the inspection was four (4). The program accepts Private Placement clients only. Facility overview: The facility is a two story 6-bedroom, 4-bathroom house located in a residential neighborhood, which includes Living room, Dining room, Kitchen, Laundry area, a Garage/Classroom, Front office, Staffing office, Nurses office, Meeting/Conference room, and a Backyard patio. Living room: has a piano, couch, and chairs. Dining room: has a table with 8 chairs. Kitchen: has small kitchen nook equipped with a round glass table and 4 chairs, kitchen is equipped with a stove/oven with # gas burners (all operable at the time of the inspection), refrigerator/freezer, dishwasher, and a microwave. LPA observed the facility to have a one-week supply of non-perishable and two-day supply of perishable foods. The menu is posted and staff ensure clients are afforded 3 meals daily plus snacks. Trash can has tight fitting lid. Laundry area: has a washer and dryer, a locked storage cabinet containing all sharp knives, disinfectants, and cleaning solutions, and an exit door leading to the backyard. Front office: has a desk, sofa, 3 chairs, and a locked file cabinet. Meeting/Conference room: Is located outside in the back of the home. It is equipped with a conference room table with ample seating, a television, and a bathroom. Nurses Office: Is located along the hallway near the kitchen. It has a desk, computer, chair, sofa, and locked cabinet where all prescribed medications are locked and centrally stored. Medications are accessible only to employees supervising stored medications. The facility does not have any medications that need to be refrigerated. Report continued on LIC 809C. Backyard patio: Is equipped with patio furniture and ample seating. Bedrooms: All bedrooms are all located on the second floor. Each bedroom is equipped with two twin size beds with two attached drawers, windows, and working lights. Staffing Offices: two rooms are used as staff offices, and one room is used as a client therapy room. Bathrooms: The home has a total of 5 bathrooms. One bathroom located along the hallway near the kitchen, the second bathroom is located next to the laundry room and it used for the staff, the third and fourth bathrooms are located on the 2nd floor of the home, and the fifth bathroom is located in the meeting/conference room found in the backyard of the home. All bathrooms were observed to be in good repair and working order. The hot water temperature was tested and found to be between 105-120 degrees (F). The smoke and carbon monoxide detectors were tested and found to be in working order. The first aid kit was checked and found to be complete. The home has 3 regulation fire extinguishers. There is a working telephone readily accessible. Overall LPA observed the home to be clean, safe, and sanitary. The front and backyard were clean and free of debris. Passageways, stairways, inclines, ramps and open porches are unobstructed. There are no firearms or dangerous weapons in the facility. There was no swimming pool or bodies of water located at the facility. The facility operates within license conditions and limitations including capacity limitations. LPA discussed and advised the Licensee to ensure the following: Children are supported and encouraged to participate in extracurricular activities. Children are allowed and encouraged to contact the licensing agency or the Foster Care Ombudsperson, in confidence, without threats or punishment for making complaints. Children are accorded dignity in personal relationships with others in the home. LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. All posting requirements for Group Home Licensure and Emergency Plan were met. The Program has a total of six staff and four clients. LPA interviewed two staff and two clients. LPA will return on a later date to review client files and staff files. There were no deficiencies noted on this date. An exit interview was conducted, and a copy of this report was signed and left with the Administrator.

met_with: Clinical Director - Joy Lewis and Administrator - John Lewis


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 06/21/2022 at 9:30am Licensing Program Analyst (LPA) Bernice Karnsrithong arrived at the facility for the purpose of conducting a complaint investigation and delivering its findings. Health and safety risk assessment was conducted upon arriving. LPA Karnsrithong met with Janice Lewis, Medical Associate. The current census is six (6) at the time of the visit. The facility is located in a residential neighborhood and in a two-story home. During the visit, LPA Karnsrithong has toured the kitchen. LPA Karnsrithong observed that the food preparation area in the kitchen/dining area is clean. Food menu and client schedules are posted in the kitchen. The cabinets are being used to store non-perishable food items and kitchen supplies and equipment. There is refrigerator, stove, and sink that is operational and in good repair. During the visit, a cabinet next to the sink was observed to broken but is blocked and boarded up. LPA Karnsrithong also toured the backyard/outside area of the facility. This area is being used as additional parking for staff and storage for large movable trash bins. LPA Karnsrithong has observed that movable bins had missing or broken lids during the visit. LPA Karnsrithong has observed visible insects swarming around the trash bins as well. During the visit, LPA Karnsrithong has also checked the fingerprint background clearance and association of all staff present. It was determined that two (2) staff present at the facility during the visit does not have cleared fingerprint background clearance. It was determined during the visit that these staff present have pending fingerprint clearance applications only. (Page 1 of 2) Based on the observations during this visit, Facility is cited for the violation of California Code of Regulations, Title Division Six, Regulation Furniture, Fixtures, Equipment, and Supplies: (1) All containers, including movable bins, used for storage of solid wastes shall have tight-fitting covers kept on the containers; shall be in good repair, shall be leakproof and rodent-proof Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1522 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or (2) Request a transfer of a criminal record clearance as specified in Section 80019(f) or (3) Request and be approved for a transfer of a criminal record exemption, as specified in Section 80019.1(r), unless, upon request for the transfer, the Department permits the individual to be employed, reside or be present at the facility. The purpose of the inspection was to assess Civil Penalties for staff 2 and 3 not being associated to the above facility. Copy of Report, LIC 809D, Civil Penalties LIC 421BG and Appeal Rights were given. Appeal rights were explained to the facility representative. Exit interview and plan of correction were discussed with Janice Lewis, Medical Associate. A copy of this report will be provided to the facility.

Deficiencies:
80088: (1) All containers, including movable bins, used for storage of solid wastes shall have tight-fitting covers kept on the containers; shall be in good repair, shall be leakproof and rodent-proof 1
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7Facility must provide trash bins with tight-fitting covers/lids that is leakproof and rodent-proof by July 7, 2022
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title:
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7Regulation 80088  Furniture, Fixtures, Equipment, and Supplies


facility_name: G.T. CARE HOMES INC

summary: Facility Evaluation

raw_content:
Narrative:
On August 15, 2024, a Component II Orientation was conducted by Licensing Program Analyst (LPA) Vanessa Galvan with Applicant, Gloria Torres. The purpose of the Component II Orientation was to review the application, discuss the process, and provide the applicants with needed information. The following was addressed and discussed: · The program expectations. · An overview of the program statement. · Informed the applicants of corrections needing to be made to the application. · Revisions to the Plan of Operation/Program Statement (POO/PS) to meet regulatory standards. · Transferring and associating employees in Guardian, LPA will provide user form to applicant. The pre-licensing inspection is scheduled for 08/30/2024 at 2: PM. The facility is located at Pioneer Ave, Porterville, CA 93257. A copy of this report was provided to Gloria Torres.

met_with: Gloria Torres


summary: Facility Evaluation

raw_content:
Narrative:
On August 30, 2024, Licensing Program Analysts (LPAs) Vanessa Galvan traveled to G.T. Care Homes Inc.The purpose of the visit is to conduct a pre-licensing Facility Inspection. LPA met at the facility by Administrator Gloria Torres. LPA toured the facility and observed the following listed below. 1.The facility has a staff room and is inaccessible to clients. In the staff room is where medication, sharps/knives, and client files are locked and stored. 2. In the kitchen LPA observed a fire extinguisher, first aid kit including all required items and first aid manual are included in the kit. The facility maintained a trash can with a lid in the kitchen. LPA observed a weekly menu for clients. The refrigerator temperature is 37 degrees and freezer temperature are -1 degrees. 3. The dining room has a table with chairs to accommodate the number of clients. 4. The house has four bedrooms- four ambulatory, single occupancy, all located on one single level. Bedrooms are accommodating of all required furnishings and storage space. All rooms are equipped with fire alarms and trash can. 5. The facility has adequate storage space and furniture. 6. The outdoor space has plenty of outdoor space and equipped outdoor furniture. No hazards were observed at the outdoor space. 7. The outdoor of the home was free from hazard and obstructions. 8. Adequate food storage space observed. Perishable and non-perishable foods will be available before client are placed in the facility. 9. Facility has two full bathrooms, and all are operable. Facility is to ensure water temperature is maintained between 105 and 120 degrees. All restrooms are stored with hand soap, toilet paper, and paper towels. 10. Appropriate forms posted in the facility. 11. The temperature of the facility was a comfortable temperature.. 12. Facility has extra towels and linens for all clients. 13.The facility does not have a firearm, ammunition, or weapons. Agency will make sure all staff receives a background clearance with FBI, CAIC, and DOJ and are associate in Guardian.


summary: Facility Evaluation

raw_content:
Narrative:
On December 19, 2024, Licensing Program Analysts (LPAs) Vanessa Galvan traveled to G.T. Care Homes Inc. and met with the Administrator Gloria Torres. The purpose of the inspection was to continue the pre-licensing inspection. LPA conducted a physical plant inspection to verify the facility telephone, fireplace cover, outlet covers, and cleanup of the facility garage. LPA reviewed LIC forms, reporting requirements, Disaster Preparedness plan, training requirements and resources, post-licensing inspection requirements, and facility vehicle requirements. A copy of this report was provided to Gloria Torres at the conclusion inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On July 31, 2025, Licensing Program Analyst (LPA) Vanessa Galvan traveled to G.T. Care Homes INC located in Porterville, CA to conduct a post-licensing inspection and met with Administrator Gloria Torres. The facility was licensed on December 23, 2024. A physical plant inspection was completed and included the following observations and checks: Facility grounds are clean and free of debris. Adequate indoor and outdoor activity space and materials observed. All required forms are posted. The temperature of the facility was a comfortable temperature of 73 degrees. All facility smoke detectors are in appropriate working order and all fire extinguishers are properly charged and serviced. The kitchen has a full-size refrigerator and is operating at a safe temperature. Facility maintains an adequate supply of perishable and non-perishable foods and food menu is posted. Knives and sharps are key locked and inaccessible to clients. Chemical, disinfectants, and cleaning solutions are key locked and inaccessible to clients. The dining room is equipped with large table and chairs accommodating all clients. There are four ambulatory bedrooms, single occupancy, all located on one single level. Bedrooms are accommodating of all required furnishings and storage space. All rooms are equipped with a fire alarm and trash can. Individual beds were observed and appropriate clean linens and are in good repair. The facility has three full bathrooms and in operable condition. The bathrooms are stored with hand soap, toilet paper, and paper towels. In the staff office medications are dispensed to clients. Medications are locked and inaccessible to clients. LPA observed medications are centrally stored. First Aid kit is stored in the hallway closet and is complete with all first aid items. The facility has a staff office and is inaccessible to clients. The facility stores extra supplies of linens, personal hygiene products, and emergency food supply. There are no firearms or weapons allowed in the facility. There are no bodies of water on the facility grounds. LPA reviewed three staff files. A review of staff files indicated that all facility staff have received child abuse index clearances and fingerprint clearances. Agency staff meet the requirements of respective job descriptions. Agency Employs one Administrator, one Facility Manager, and four Direct Support Professional. LPA reviewed three client files. All required documentation were observed in the client files. There were no deficiencies or citations issued on today's inspection. A copy of this report was left with Gloria Torres at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On December 23, 2025, Licensing Program Analyst (LPA) Vanessa Galvan traveled to G.T. Care Homes INC located in Porterville, CA to conduct a post-licensing inspection and met with Administrator Gloria Torres. The facility was licensed on December 23, 2024, and obtained their first placement in May 2025. A physical plant inspection was completed and included the following observations and checks: Facility grounds are clean and free of debris. Adequate indoor and outdoor activity space and materials observed. All required forms are posted. The temperature of the facility was a comfortable temperature of 73 degrees. All facility smoke detectors are in appropriate working order, and all fire extinguishers are properly charged and serviced. The kitchen has a full-size refrigerator and is operating at a safe temperature. Facility maintains an adequate supply of perishable and non-perishable foods and food menu is posted. Knives and sharps are key locked and inaccessible to clients. Chemical, disinfectants, and cleaning solutions are key locked and inaccessible to clients. The dining room is equipped with large tables and six chairs accommodating all clients. There are four ambulatory bedrooms, single occupancy, all located on one single level. Bedrooms are accommodated with all required furnishings and storage space. All rooms are equipped with a fire alarm and trash can. Individual beds were observed and appropriate clean linens and are in good repair. The facility has three full bathrooms and are in operable condition. The bathrooms are stored with hand soap, toilet paper, and paper towels. In the staff office medications are dispensed to clients. Medications are locked and inaccessible to clients. LPA observed medications are centrally stored. First Aid kit is stored in the hallway closet and is complete with all first aid items. The facility has a staff office and is inaccessible to clients. The facility stores extra supplies of linens, personal hygiene products, and emergency food supply. There are no firearms or weapons allowed in the facility. There are no bodies of water on the facility grounds. Continued on Page 2... Continued from Page 1... LPA reviewed five staff files and interviewed two direct care staff A review of staff files indicated that all facility staff have received child abuse index clearances and fingerprint clearances. All staff have background clearance. LPA confirmed the clearance through a Guardian Check. Agency staff meet the requirements of respective job descriptions. Agency Employs one Administrator, five Facility Manager, and two Direct Support Professional. LPA reviewed four client files. All required documentation were observed in the client files. There were no deficiencies or citations issued on today's inspection. A copy of this report was left with Gloria Torres at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On February 23, 2026, Licensing Program Analyst (LPA) Vanessa Galvan, Licensee/Administrator Gloria Torres met for a Component III Orientation. The purpose of the Component III Orientation was to review the Group Home Rules and Regulations, prepare Licensee to maintain and operate their facility, and provide information to avoid potential problems areas. The following was addressed and discussed: Group Home and General Regulations. Safeguards for Cash Resources, Personal Property, and Valuables, Bonding, Finances, Accountability. Reporting Requirements, Emailing Incident Reports to the CCLD Inbox Fresno. Administrator & Social worker- Qualifications and Duties, Personnel Requirements, Personnel Requirements, Criminal Record Clearance. Admission Agreements, Participants Medical Assessment, Register of Clients, Personal Rights. Telephones, Transportation, Health Related Services, Food Services, Responsibility for Care & Supervision, Activities, Building and Grounds. Inspection Authority of Licensing Agency, Department Approval for Remote Site Model, Waivers and Exceptions. Complaints and the LPA, Deficiency Types, Extension Request, Types of Civil Penalties, Providers Information Notices (PINs), Complaint and Regulatory Enforcement CARE Tools, Officer of the Day, TSP Services. This report was discussed and provided to Gloria Torres at the conclusion of the meeting.


facility_name: HALIFAX HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
On 6/17/2021 at 9:45 am, Licensing Program Analysts (LPAs) Jenny Mundo and Timika Martin conducted an unannounced inspection at the facility and met with the Facility Manager Veronica Heron. The purpose of the inspection was to conduct an Annual/Required inspection. LPAs Mundo and Martin conducted a tour of the inside and outside of the facility accompanied by staff at 10:00 am. This facility has three bedrooms, two restrooms and a game room for clients. There are currently four (4) clients in placement and twelve (12) group home staff. LPAs observed the following documents posted in the living room, dining room and kitchen areas: group home license, client activity schedule, staff roster and schedule, client school information, facility menu, personal rights and grievance procedures. There is a sufficient amount of perishable and non-perishable food. All cleaning supplies, knives, medication and client files are kept locked. The facility has a first aid kit and fire extinguisher that was serviced on 1/28/2021. Carbon monoxide/smoke detectors are operable and located throughout the facility. The following are kept inside the garage which is inaccessible to clients: extra perishable food items in a refrigerator, emergency supplies and cleaning supplies. LPA Martin reviewed 4 client files, LPA Mundo reviewed 5 staff files, monthly fire drills, client medication and logs. A revised copy of the facility's emergency disaster plan was submitted and will be reviewed by LPA Mundo. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. This facility is under the umbrella of Hope House Lic. # 191501937, so all staff criminal record clearances are associated and kept in a central administrative file with Hope House. There were no deficiencies observed during this inspection. The facility operates within the licensed capacity and limitations. An exit interview was conducted and a copy of the report was provided to the facility representative.

met_with: Cheyenne Klascius, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 6/15/2022 at 11:15 am, Licensing Program Analyst (LPA) Jenny Mundo conducted an unannounced inspection at the facility and met with the Administrator, Wanda Magee. The purpose of the inspection was to conduct an Annual/Required inspection. The facility currently has four (4) residents in placement and twelve (12) personnel. LPA requested a copy of the following: -current LIC 500 (Personnel Report) -client/resident roster -Board minutes - LIC C Emergency Disaster Plan & written disaster and mass casualty plan of action LPA conducted a walkthrough of the inside and outside of the facility at 12:00 pm. This facility has three (3) bedrooms, two (2) restrooms, a living room, a dinning area, a kitchen, a laundry room/area, a game room for clients, a garage and outdoor space. There are no bodies of water on the premises. The facility is licensed to serve up to four (4) ambulatory minors ages 12-17 years of age. PHYSICAL PLANT LPA observed the following signage posted in the living room, dining room and kitchen areas: group home license, client activity schedule, staff roster and schedule, client school information, facility menus, personal rights and grievance procedures. There is sufficient amount of perishable and non-perishable food. Disinfectant, cleaning solutions, sharps & knives and medication are kept locked in the kitchen and inaccessible to the clients. The client files are kept locked in the hallway near the bedrooms. The facility has a complete first aid kit and a fire extinguisher that was serviced on 5/22/2022. Carbon monoxide/smoke detectors were tested and observed to be operable. The following are kept inside the garage in locked cabinets which is inaccessible to clients: extra perishable food items in a refrigerator, emergency supplies, cleaning supplies and old files. The facility's room temperatures was maintained at a safe and comfortable temperature. The hot water temperature was tested and measured at 117.2 degrees F. There are no firearms on the premises. The facility phone system is operable. OPERATIONS Facility maintains a register of clients and the register is available upon request. The board of directors regularly conducts meeting to review and discuss the facility's operation. The facility Program Director is the responsible and capable staff for communicating with emergency personnel in the facility. The facility has developed, maintained and implemented written complaint procedures. CLIENT RECORDS LPA reviewed four (4) client records. Client records are maintained locked onsite. CLIENTS WITH SPECIAL HEALTH CARE NEEDS There are currently no clients in care with special health care needs. Annual Continuation is required at a later date. An exit interviewed was conducted and a copy of this report was provided to facility representative.

met_with: Wanda Magee, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 6/22/2022 at 10: AM, Licensing Program Analyst (LPA) Jenny Mundo conducted an unannounced inspection to the facility and met with the Administrator, Wanda Magee. The purpose of the inspection was to conduct an Annual Continuation from the initial inspection on 6/15/2022. DISASTER PREPAREDNESS PLAN Facility maintains a current, written disaster and mass casualty plan of action. Facility conducts disaster drills at least quarterly. The drills are documented, and the documentation is maintained in the facility for at least a year. Facility maintains an emergency and disaster plan, register of clients, Individual Person Plans (IPPs)/Quarterly reports for each client, medication records, and contact information for each client's responsible party and physician. EMERGENCY INTERVENTION PLAN LPA reviewed the facility's emergency intervention plan. The facility has not used any manual restraints within the past 12 months. However, the facility has a log prepared that contains all required information when needed. Facility has an emergency intervention training curriculum. All staff members are trained on the facility's emergency intervention procedures. STAFFING RECORDS LPA Mundo reviewed two (2) staff records. Staff records are maintained in the main office, also located in El Monte. All facility staff have received a criminal record clearance or exemption and child abuse index checks. All file documentation is complete, signed and current. There are no citations assessed during this inspection. An exit interview was conducted and a signed copy of this report was provided to the facility representative.


facility_name: HANNA BOYS CENTER, GROUP HOME, BLDGS 400 & 405

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) Brian Bertoli and David Hiett conducted an unannounced inspection for the purposes of completing an Annual/Required Inspection and met with administrator Scott Singer. A pre-screening call was done prior to arrival, and Administrator Singer indicated that one client was COVID positive and in quarantine and one staff who was also positive and was off work. Appropriate protocols were followed in the facility for the inspection and all interviews were conducted outdoors. The Physical Plant was toured inside and out by LPA Bertoli. Water temperatures were measured at 114F. Seven-day Non-perishable food supply was inspected and was found to be adequate. Two-day perishable food supply was inspected and were found to be adequate and consistent with the menu. LPA inspected bedrooms and found that there was adequate linens and each bed had mattress pads. The home is clean and in good repair. There are no firearms in the facility. There are no open bodies of water on the property. Medications are locked in the office. Toxics and cleaning solutions are in a locked cabinet. Required documents are posted. There are charged operable fire extinguishers, carbon monoxide and smoke detectors are in the facility. Client files were partially reviewed at the administration office and will be completed on another date. Per Title Regulations, no deficiencies were cited during this inspection.

met_with: Scott Singer


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPA) David Hiett and Brian Bertoli conducted an unannounced inspection for the purposes of completing an Annual/Required Continuation Inspection. Assisting with records was Berenice Rodriguez. The records were reviewed at the administrative office and no further updates occurred. LPA Bertoli interviewed 5 clients and 5 staff. 10 client files were reviewed. Per Title Regulations, no deficiencies were cited during this inspection. An exit interview was conducted and a copy of the report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) David Hiett conducted an unannounced inspection for the purposes of completing an Annual/Required Continuation Inspection. Assisting with records was Berenice Rodriguez. The records were reviewed at the administrative office and no further updates occurred. LPA Hiett reviewed 10 staff files all of which had all required items. The facility Disaster Preparedness plan was reviewed and was complete. Due to COVID restrictions and campus closure, facility was unable to complete all required drills in the previous 12 months. Facility will submit proof of completion of future drills for the next 12 months. The Annual/Required inspection is complete. Per Title Regulations, no deficiencies were cited during this inspection. An exit interview was conducted with Clinical Director Stefanie Smith and a copy of the report was left at the facility.

met_with: Stefanie Smith


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst David Hiett conducted an unannounced inspection for the purposes of completing an Annual/Required Inspection and met with administrator Jeremiah Presinal. The Physical Plant was toured inside and out by LPA Hiett. Water temperatures were measured at 114F. Seven-day Non-perishable food supply was inspected and was found to be adequate. Two-day perishable food supply was inspected and were found to be adequate and consistent with the menu. LPA inspected bedrooms and found that there was adequate linens and each bed had mattress pads. The home is clean and in good repair. There are no firearms in the facility. There are no open bodies of water on the property. Medications are locked in the office. Toxics and cleaning solutions are in a locked cabinet. Required documents are posted. There are charged operable fire extinguishers, carbon monoxide and smoke detectors are in the facility. 10 staff files were reviewed. Per Title Regulations, no deficiencies were cited during this inspection.

met_with: Jeremiah Presinal


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst David Hiett conducted an unannounced inspection for the purposes of completing an Annual/Required Inspection and met with administrator Jeremiah Presinal. 10 employees were interviewed. Per Title Regulations, no deficiencies were cited during this inspection.