summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Olivia Rosas made an announced inspection to the Evolve Treatment, Aura on 12/02/21 at 12:30pm for the purpose of conducting Annual Inspection. LPA Rosas met with Staff#1(S1) who granted access to the facility and an inspection of the facility was conducted together. The Evolve Treatment, Vanalden is a therapeutic treatment program that's designed to accept "Private Placement's" for a length of 30 - 45 days and is licensed to provide care supervision for six (6) youths, ages 12-17 years; ambulatory only. Individuals mention in this report are identify on the Confidential Names List (LIC811) dated 12/02/21. Temperature and health checks are conducted at the entrance in the sign-in area. The home is set-up as follows and LPA inspected the following: This is a single story home with three (3) bedrooms, seven (7) bathrooms, art room, school room, kitchen/family room, dinning room, medication/laundry area, converted garage (gym), three (3) therapy rooms, group room, two (2) staff offices, outdoor seating area, and pool. S1 states that there are no guns or weapons on the premises. There is a pool on the premises that meets regulation requirements. There are 24 facility cameras on the premises, and an approved Camera Waiver on file. The facility has hand sanitizer dispensers for use. Bedroom #1: Is occupied by two (2) clients, the bedroom is equipped two (2) twin sized beds, with one (1) closet, and one (1) bathroom. Bedroom #2: Is occupied by two (2) clients, the bedroom is equipped two (2) twin sized beds, with one (1) closet, and one (1) bathroom. Bedroom #3: Is occupied by two (2) clients, the bedroom is equipped two (2) twin sized beds, with one (1) closet, and one (1) bathroom. All bedrooms have adequate lighting, adequate drawers, closet space, and lighting in the room. Bathrooms: Each bedroom in the home has a bathroom. Bathroom #4: Is located to the left once entering the front door into the facility. Bathroom #5: Is located inside the therapy room which is only used by the staff. Bathroom #6: Is located between the bedrooms and group room area. This bathroom is only used for storage and kept locked. Bathroom #7: Is located inside the staff office and is only used by the staff. LIC 809-C Page 1 of Living Room/Dining room/Kitchen: LPA observed to be clean and organized; equip with living room furniture including a dining table. There is a stove with six (6) burners all working at this time. There is a detached oven currently working at this time. There is a microwave and refrigerator/freezer. The sharp knives are kept locked in a lock box located inside a closet next to the kitchen. Some of the cleaning solutions are kept locked under the sink and the rest is stored and locked. The trash cans have tight lids on. LPA observed ample perishable food items in the refrigerator and the pantry is fully stocked with non-perishable food items. LPA observed enough perishable and Non-perishable food items for seven (7) days. The facility provides three (3) nutritious meals, snacks, and special snacks to the youth. All disinfectant/ poisons chemicals are properly stored inaccessible. There is a private chef that comes to the facility and prepares all meals for the youth. Converted Garage: The garage can be entered through the inside of the house using the door that is located to the right once entering the facility and through the laundry room as well. The garage is being used as a gym and extra food storage. The garage has extra refrigerator and non-perishable food items. The Laundry room: The laundry room is enclosed adjacent to the kitchen. The laundry detergent is distributed to children individually according to the load of their laundry. Cleaning solutions and detergent are kept locked inside the cabinets. Medication Closet Area: Is located next to the kitchen and above the washer and dryer. The cabinet is used to store and administer client medications. All medication is locked and accessible only to employees supervising stored medications. Dinning Area: There is a table with ten (10) chairs. There is also a covered fire place and a mounted TV. Family Room: There is ample seating space with one sofa and three (3) sofa chairs, mounted TV and covered fireplace. There is also a sliding door to exit out in the yard. Art Room and School Room: Are located to the right once entering the facility with ample seating space, desks, and computers. Therapy Rooms: There is a total of three (3) therapy rooms. One is located next to the meds/laundry area, the other one is located next to the staff office and the third therapy room is located outside in the back yard. Staff Offices: There is a total of two staff offices. One staff office is located next to the group room and the other staff office is located inside the staff office that has its own office space. LIC 809-C Page 1 of Backyard: There is a converted club house that is used as a therapy room. There is barbecue area with a grill. LPA also observed an outdoor seat area available for clients to use, one round table with chairs all around. The facility has a pool with a fence that is at least five feet high and has a fence does not obscure the pool from view. LPA Rosas and S1, observed the gate door to swing away from the pool, with self-close and self-latching device located no more than six inches from the top of the gate. The outdoor perimeter front yard, side yard and backyard were inspected and found cleared of debris and hazards materials. The passageways and porches are unobstructed. The facility has a first aid kit stored inside a locked cabinet in the medication/laundry area. The facility has a total of four fire extinguishers. One of the fire extinguishers is located in the kitchen area fully charged and the other fire extinguisher is mounted to the wall between the kitchen and dinning room. Fire extinguisher #3 is located across from bedroom #2 mounted to the wall. Fire extinguisher #4 is located in the group room. Disinfectants and poisons are inaccessible to the clients in care they are kept locked at all times. All knives and sharp objects are made inaccessible to the clients in care locked in a security box inside the locked cabinets in the family room. All posting requirements were met, (food menu, regulations, licenses, emergency disaster plan, Children's Personal Rights, and Ombudsman). The facility has a working telephone and youths can use the telephone unless restricted by court order. The Facility operates within license conditions and limitations including capacity limitations. Facility has a current, written plan of operation. Facility personnel are instructed to report violations of personal rights. Licensee will report changes in the plan of operation affecting service to youths. Licensee will report youth injuries requiring medical treatment. A review of Facility's Personnel Report Summary on 11/29/2021 indicates that all personnel have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. LPA Rosas was not able to review client or staff files during this visit and will return to continue with the annual inspection. The facility keeps files and documents in digital system called KIPUERM. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.

met_with: Staff#1 (S1)


state: CA

facility_name: EVOLVE TREATMENT VANALDEN

summary: Facility Evaluation

raw_content:
Narrative:
On December 14, 2023 at 9:17am, Licensing Program Analyst (LPA) Christine Wilson made an announced inspection to the Evolve Treatment, Vanalden for the purpose of conducting a 2-Year Annual Inspection. The Evolve Treatment, Vanalden is a therapeutic treatment program that's designed to accept "Private Placement's" for a length of 30 - 45 days and is licensed to provide care supervision for six (6) youths, ages 12-17 years; ambulatory only. There is a swimming pool which meets licensing regulations. There is a camera and Naloxone waiver on file. This is a one-story facility located at Vanalden Ave Tarzana CA 91356. LPA Wilson was greeted by staff DBT Skills Coach (S1) who allowed entrance into the facility. At 9:49am, LPA Wilson was greeted by the Operations Manager (OM) who provided LPA with a tour of the facility. At various times, throughout the tour LPA Wison and (OM) were accompanied by (CO). Individuals mentioned in this report are identified on the Confidential Names List [see LIC811 dated 12/14/2023.] On the premises were (2) clients (C1, C2) and (6) staff (S1, FC, OM, CO, TTV, and APD). There are 7 smoke detectors 2 carbon monoxide detectors. Thermostat 63 degrees. Water temperature averaged between 110-120 degrees. Home Entry:The entry of the home has a closet with emergency backpack containing travel binder and hygeine products. Bathroom 1: is used by clients and is a half bathroom with sink and toilet Bedroom Is is occupied by (C1) There are two beds with clean linens, closet, (1) large dresser and (2) small dressers, smoke alarm and an alarm on the sliding windows. There in a full on suite bathroom with shower, sink and toilet in good condition. Bedroom 2 is occupied by (C2)There are two beds with clean linens, closet, (1) large dresser and (2) small dressers, smoke alarm and an alarm on the sliding windows. There in a full on suite bathroom with shower, sink and toilet in good condition. (Continued on 812C page 2) Page Hallway closet with clean towels and linens Bedroom 3 is unoccupied. There are two beds with clean linens, closet, (1) large dresser and (2) small dressers, smoke alarm and an alarm on the sliding windows. There in a full on suite bathroom with shower, sink and toilet in good condition. Education Area: Has three (4) desks and round table and six (6) chairs Group Room Area: For group theraputic services has (6) chairs, fireplace is not used and a camera. Activity room has seating for (6) persons, tv, fireplace is unused, games, and additional hygeine products are in locked cabinets. Supply Closet: contains cleaning supplies and is locked. hygeine supplies, and personal cubbies. Garage: has gym equipment and fire extinguisher and two refrigerators Outdoor Area: Clean and free of debris and hazards. Features a pool with a fence and a basketball court Therapists Office: is the club house, has one desk, couch and smoke detector and separate heating/cooling HVAC Facility Vehicle: Toyota Sienna Current vehicle registration and insurance with Ace Company and Property and Casualty dated to expire on 12/20/2023. There is a 5ft perimeter fence. There are outdoor seating for 8 persons and table with a sand pit, grill and heating units are inoperable here are (3) HVAC Laundry Room: first aid kits are stored here. There was PRN kept in a unlocked cabinet in an individual packet. Medication room: controlled medications are double locked. There is a medication dispensary room with nursing, Dining room: This is a large space with tv, furniture for six (6) persons, TV Fireplace unused and decorated for Christmas Kitchen: Large cooking island with sink, , covered trashcans. Refrigerator is set at 40 degrees.Pantry has 2 weeks non perishable food and first aid kit. There is a sink, stove with six (6) burners and grill, Icemaker, toaster, two (2) dishwashers and ovens all in good repair. Client refrigerator with snacks available and fresh fruit on top. Cereals, snacks, sugar and teas are locked in cabinets (Continued on 812C page 3) Page Staff Office: There is a staff office with adjacent Program director's office and Facility Managers office. LPA Wilson reviewed following during the inspection: LPA Wilson requested the following forms for review, Register of Youth (LIC 9020), which was created during the time of the inspection, Personnel Report (LIC 500), Emergency Disaster Plan (LIC610C), Emergency Intervention Plan, vehicles registration and auto insurance. In addition, written menus, staff weekly schedule. Current Census is (2) residents, Staff Records Review: LPA ensured Administrator Certificate was current. LPA reviewed the Personnel Report (LIC 500) and confirmed that Direct Care Staff Ratio present for the three (2) clients in placement. At 9:26am, Manager nor a supervisor, was not on the premises at time of LPA Wilsons arrival. Observation and interview revealed that staff were not able to answer call placed by LPA Wilson to the facility phone at 9:30am, due to under staffing. LPA confirmed that all staff have required criminal record clearance. DOJ, FBI and Child Abuse Response, which meet qualification. LPA Wilson was able to complete three (2) staff file reviews (OM and APD) one (1) client file review (C1), one (1) staff interview (S1) .LPA was unable to complete a client interview. A review of Facility's Personnel Report Summary on 12/14/2023 indicates that all personnel have criminal record clearance and have obtained the necessary clearances with DOJ, FBI, [see LIC809D and LIC9102]. Exit interview was conducted with staff (CO) and a copy of this report was emailed to the facility.

report_type: Facility Evaluation

visit_type: Annual

met_with: DBT Skills Coach


summary: Facility Evaluation

raw_content:
Narrative:
On July 24, 2024 at 2:35pm, Licensing Program Analyst (LPA) Christine Wilson made an unannounced Case Management Incident Inspection to the above listed facility, regarding SIR dated 07/18/24. LPA was greeted by the Facility Nurse (FN). During the course of the incident investigation, it was revealed that on 07/18/24, staff (S1) had provided client (C1) a double dosage of medication acetaminophen. Per (FN) it was mistaken for Ibuprofen and the facility's Medical Director provides the general recommended dosages for acetaminophen. LPA Wilson inspected the MAR in Kipu, which was recorded according to regulations. LPA Wilson interviewed (FN). The licensee ensured staff was re-trained, new visuals and rules were posted in the office where medications were passed (photos taken). A Technical Violation was issued. An exit interview was conducted and report left with licensee. (FN) whose signature on this form confirm receipt of these documents.

visit_type: Case Management

met_with: Facility Nurse (FN)


summary: Facility Evaluation

raw_content:
Narrative:
On 12/4/25, LPA Wendely Moodie-Naranjo made an unannounced visit to the above-mentioned facility for the purpose of reviewing a deficiency cited on 12/3/25. LPA Moodie-Naranjo conducted an entrance interview and met with Operations Manager Romeo Eta. Facility was toured inside and out. Deficiency CCR 84088 (c)(1) broken bed in room # 1, next to window has been cleared and corrected. See LIC Cleared POC Letter. It was observed by LPA Moodie-Naranjo that bed was repaired. Exit interview conducted. Copy of this report to be emailed to Facility Administrator.

met_with: Romeo Eta- Operations Manager


summary: Facility Evaluation

raw_content:
Narrative:
On February 04, 2025, at 03: PM, Licensing Program Analyst (LPA) Wendely Moodie-Naranjo conducted an unannounced inspection at the above facility. Upon arrival, LPA was greeted by, Caitlin Gharibeh, Program Director (PD) , who granted LPA access to the facility. The purpose of the inspection is to conduct a case management inspection to investigate a self-reported incident that occurred on December 14th,2025. During today's inspection, LPA and LPM interviewed the Program Director (PD), and obtained copies of that LIC 500 and Client roster from the date of incident (12/14/25). Further investigation is needed to determine whether any violation has occurred. PER California Code Regulation, there are no deficiencies to be cited at this time. Exit Interview conducted, and a copy of this report will be sent electronically to CO.

met_with: Caitlin Gharibeh-Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On 12/03/25 at 8:35AM Licensing Program Analyst (LPA) Wendely Moodie-Naranjo made an unannounced visit to Evolve Treatment Vanalden facility for the purpose of conducting an Annual/Random Required Inspection visit. LPA met with Farah Yousef, Residential Counselor), who granted access to the facility and Romeo Eta, Operations Manager and together a tour of the facility was conducted. This facility is licensed to provide care and supervision to six (6) ambulatory clients, ages 12-17 years old. The census is six (6) clients. The home is set-up as follows and the following was observed: This is a single story home with three (3) bedrooms, seven (7) bathrooms, art room, school room, kitchen/family room, dining room, medication/Nursing room, laundry area, converted garage (gym), two (2)therapy rooms, One (1) Zoom Room, one (1) group room, two (2) staff offices, outdoor seating area, and a gated pool. Bedroom #1: Is occupied by C1 and C2. The room is equipped with two twin size beds. There are adequate drawers, closet space, and lighting in the room. LPA observed a broken bed backrest (bed next to window). Bedroom window has an alarm Bedroom #2: Is occupied by C3 and C4. The room is equipped with two twin size beds. There are adequate drawers, closet space, and lighting in the room. Bedroom window has an alarm. Bedroom #3: Is occupied by C5 and C The room is equipped with two twin size beds. There are adequate drawers, closet space, and lighting in the room. Bedroom window has an alarm. Bathrooms: Each client's bedroom in the home has a bathroom. Bathroom doors were locked which can only be unlocked by staff members. Report continues on LIC 809-C page Continued from LIC 809 page Bathroom #4: There is one bathroom located to the left once entering the front door into the facility. Bathroom #5: Is located inside the therapy room which is only used by the staff. Occasionally in case of emergency that bathroom 4 is not functional, clients have access to this bathroom. Bathroom #6: Is located between the bedrooms and group room area. This bathroom is only used for storage. Bathroom #7: Is located inside the staff office and is only used by the staff. Kitchen: There is a stove with six (6) burners all working at this time. There are two(2) detached ovens currently working at this time. There is two(2) microwaves, two(2) toasters, two(2) countertop ice makers and refrigerator/freezer. The food service in the home is adequate with perishable/nonperishable food supplies. The cleaning solutions are made inaccessible to the clients and stored/ locked under the kitchen sink and in the hallway closet. There were two trash cans, one missing a lid. Chef logs out the knives when they will be used, located in a locked box inside staff room. All smoke detectors and carbon monoxide are operable. Dining Area: There is a table with six (6) chairs. There is also a covered fireplace and a mounted TV. There is a camera in Dining Area. Family Room: There is ample seating space with one sofa and four (4) sofa chairs, mounted TV and covered fireplace. Ample storage cabinets for art supplies, games and puzzles. There is also a sliding door to exit out in the yard. Art Room:Is located to the right once entering the facility adjacent to school room with ample seating space, one(1) table, six(6) chairs, art storage cabinet, art supplies and books. There is a camera inside of art room. School Room: Are located to the right once entering the facility with ample seating space, six(6) desks, and four(4) computers. Therapy Rooms: There is a total of two (2) therapy rooms. One is located next to the laundry area, and the second therapy room is located outside in the back yard (Club House). Zoom Room: This room is located adjacent to the group room and near staff office and is used for zoom meetings. Staff Offices: There is a total of four staff offices. One staff office is located next to the group room and the other staff office is located inside the staff office that has its own office space and two therapist offices(one by the laundry room and another one outside). Report continues on LIC 809-C page Medication/Nursing Room: Is located outside of staff room across from Group Room and is used to store and administer client medications. All medication is locked and accessible only to employees supervising stored medications. Medication records and logs are electronic.The facility has a first aid kit stored inside a locked cabinet in the medication room. There is a camera inside medication room. Laundry Area:There is a washer and dryer available, ample storage with linens and bed comforters and locked detergents. Backyard: The entrance area and backyard are all free of debris and hazardous materials. There is a barbecue area with a grill. There is also a swimming pool on the premises with a five-foot fence with a self-latching lock. Converted Garage/Gym: Can be entered through the inside of the home through a door next to the laundry area. The garage has been converted into a gym space. The facility has a first aid kit stored inside a locked cabinet in the medication. The facility has a total of four fire extinguishers. Facility is clean, safe, sanitary and in good repair. Passageways, stairways, inclines, ramps and open porches are unobstructed. Swimming pools, hot tubs, spas, or similar bodies of water in facilities serving children are made inaccessible to clients. Disinfectants/cleaning solutions and poisons inaccessible to clients. Temperatures in rooms that clients occupy are maintained between 66 and 85 degrees (F). Hot water temperatures are maintained between 105 and 120 degrees (F). Children in care are supervised & protected at all times. Facility has non-perishable foods for one week and perishable foods for two days. Medications are locked and accessible only to employees supervising stored medications. Children not restricted in telephone use except by court order. Children accorded dignity in personal relationships with others in the home. Children live in a safe, healthy, comfortable facility and are treated with respect. Children can contact the licensing agency or foster Care Ombudsperson in confidence without threats or punishments for making complaints. Children attend school, extracurricular, cultural and personal enrichment activities. Facility maintains personal property and valuables. LPA is unable to review Children's records at this time due time constrains. Children and staff files will be reviewed at a later date. LPA will follow up regarding broken bed and trash can lids, pool equipment and paving on the side of the property. Facility operates within license conditions & limitations including capacity limitations. Page All smoke detectors and carbon monoxide are operable. There is a working telephone line available for clients to use . Per California Code of Regulations, Title Regulations, Division 6, Chapters 1 & 5, the following deficiencies were observed and cited at the time of inspection. (See LIC809-D) Exit interview was conducted and a copy of this report will be emailed to the facility administrator. Page 4

met_with: Devorah Weiss-Facility Administrator


facility_name: EVOLVE TREATMENT, AURA

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Based on the confidential interviews, observation, and record review, it has been determined that although the allegations that minors are not treated with dignity; minors are not allowed hygiene items; staff open minors' personal mail, minors not receiving an allowance, and minors being denied access to personal belongings may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. The program statement has been updated to ensure that the clients' needs will be met based on their individual assessments per Title Group Home Regulations. An exit interview was conducted, appeal rights discussed, and a copy of this report was provided to Devorah Weiss. It was noted in the facility's program statement that staff are to ensure that the clients keep the bathroom door ajar when using the restroom. Minors are not allowed hygiene items Confidential interviews revealed conflicting statements regarding whether clients are not allowed hygiene items. Interview information revealed that clients are given hygiene boxes that contain toothbrush, toothpaste, soap, shampoo, conditioner, deodorant, lotion, and other products which are available when the clients request them. Confidential interviews stated that clients are provided razors to shave but under the supervision of staff. It was noted in the facility's program statement that staff can withhold hygiene items from clients and provide them upon the request of the client depending on the client's level. Staff open minors' personal mail Confidential interviews indicated that the therapist keep all mail, unopened until the clients' next one-on-one therapy sessions. It was also disclosed that clients are required to open their letters in front of staff to make sure there is no contraband and confirmed that staff do not open clients' mails. Other confidential witnesses were unaware of the mail process and could not speak to this allegation. Some confidential witnesses stated that the clients open their personal mail in front of staff, and others stated the clients' primary therapists open their mail for them to screen letters and packages for contraband or triggering content. Minors not receiving an allowance Confidential interviews revealed that none of the minors received allowance during their residency at this Group Home. Per Facility Representative(s), the purpose of not providing clients allowance was to reduce the ability of incoming contraband. Facility Representative(s) also indicated that clients did not have a need for allowance as the Program provide the necessities for clients. Confidential interviews revealed that although allowance is not given, the facility provide for clients' needs which includes items while on outings. Minors are denied access to personal property Confidential interviews revealed that clients are denied personal property based on scheduled activities and for their safety. Some personal items are stored locked in a cabinet and made available to clients upon request. Per Facility Representative(s) some items such as razors require direct supervision, while other personal items (such as books, clothing and etc.) are not allowed to be possessed by clients because the item could trigger client's behaviors or jeopardize their safety while in treatment.

Investigation Findings:
13On 12/02/2021, Licensing Program Analyst (LPA) Miguel Gomez arrived at the facility to deliver the findings of a complaint investigation. LPA Gomez met with Administrator, Devorah Weiss and discussed the investigative findings. On June 7, 2021, the Department received a complaint alleging minors are not treated with dignity; minors are not allowed hygiene items; staff open minors' personal mail; minors are not receiving an allowance; minors are being denied access to personal property. Confidential interviews were conducted with 4 staff and 4 of 6 clients. Facility's Program Statement, Plan of Operation, Parent Handbook and Training Manual were reviewed. The following information was obtained during the course of the investigation: Minors are not treated with dignity Confidential interviews revealed conflicting statements that clients must leave the bathroom door ajar while using the restroom. Some confidential interviews reported that the clients did not have to leave the door open while using the restroom and other interviews stated that clients must leave the bathroom door ajar while using the restroom. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Miguel A Gomez 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 CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: EVOLVE TREATMENT, AURAFACILITY NUMBER: VISIT DATE: 12/02/2021

report_type: Complaint Investigation

met_with: Devorah Weiss

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Olivia Rosas made an announced inspection to the Evolve Treatment, Aura on 12/02/21 at 10:00am for the purpose of conducting Annual Inspection. LPA Rosas met with Staff#1(S1) who granted access to the facility and an inspection of the facility was conducted together. The Evolve Treatment, Aura is a therapeutic treatment program that's designed to accept "Private Placement's" for a length of 30 - 45 days and is licensed to provide care supervision for six (6) youths, ages 12-17 years; ambulatory only. Individuals mention in this report are identify on the Confidential Names List (LIC811) dated 12/02/21. Temperature and health checks are conducted at the entrance in the sign-in area. The home is set-up as follows and LPA inspected the following: This is a two story home with four (4) bedrooms, eight (8) bathrooms, living room/school room, two (2) therapy rooms, two (2) office rooms, medication room, laundry room, group room, dining area, converted garage (gym), tennis court, and a gated pool. There are 23 facility cameras on the premises, and an approved Camera Waiver on file. There are no security bars on the windows. S1 states that there are no guns or weapons on the premises. There is a pool on the premises that meets regulation requirements. The facility has hand sanitizer dispensers. Living Room/Dining room/Kitchen: LPA observed to be clean and organized; equip with living room furniture including a dining table. There is a stove with five (5) burners all working at this time. There is a detached oven that is also working at this time. There is a microwave and refrigerator/freezer. The sharp knives are kept locked in a lock box located inside the staff office closet upstairs. Some of the cleaning solutions are kept locked under the sink and the rest is stored and locked upstairs in the staff office. The trash cans have tight lids on. LPA observed ample perishable food items in the refrigerator and the pantry is fully stocked with non-perishable food items. LPA observed enough perishable and Non-perishable food items for seven (7) days. The facility provides three (3) nutritious meals, snacks, and special snacks to the youth. All disinfectant/ poisons chemicals are properly stored inaccessible. There is a private chef that comes to the facility and prepares all meals for the youth. Report continues on LIC 809-C Page 1 of Converted Garage: The garage can be entered through the inside of the house using the door that is located to the right once entering the facility and through the laundry room as well. The garage is being used as a gym/art room. The Laundry room: The laundry room is enclosed adjacent to the kitchen. The laundry detergent is distributed to children individually according to the load of their laundry. Cleaning solutions and detergent are kept locked inside the cabinets. Group Room: There is ample seating for clients. Dinning Room: Is located next to the kitchen and there is one round table with nine (9) chairs. Medication Room: This room is located adjacent to the kitchen. The medication room is kept locked and only available to staff supervising and administering client medications. Staff Offices: There is a total on two (2) staff offices. One is located next to the medication room and the other one is located upstairs. Staff office located upstairs has a bathroom, storage, and closet converted to a setting area. The staff office has access to a patio that is kept locked. Therapy Rooms: There is a total of two (2) therapy rooms: One is located next to the laundry room and the other one is located outside in the converted guest room. Bedrooms (upstairs) Bedroom #1: Occupied by two (2) clients, the bedroom is equipped two (2) twin sized beds, comfortable mattresses, with one (1) closet, and one (1) bathroom. Bedroom #2: Occupied by two (2) clients, the bedroom is equipped two (2) twin sized beds, one (1) closet, and one (1) bathroom. Bedroom #3: Occupied by one (1) client, the bedroom is equipped with one (1) twin sized beds, comfortable mattresses, and one (1) closet, and one (1) bathroom. Bedroom #4: Occupied by one (1) client, the bedroom is equipped with one (1) twin sized beds, and one (1) walk in closet, and one (1) bathroom. All bedrooms have adequate lighting, adequate drawers, closet space, and lighting in the room. Bathrooms: Each of the bedrooms have a bathroom. Bathroom #5: Is located to the right once entering the facility. This bathroom is only used by clients. Bathroom #6: Is located inside therapy room #1. Bathroom #7: Is located inside the staff office upstairs and Bathroom #8 is located inside therapy room #2 outside in the guest house. Living Room/School Room: Is located to the right once entering the facility. The living room has ample seating. There is one (1) couch, two (2) sofa chairs, covered fire place and a mounted TV. The school room has desks with chairs and computers for clients to use. Elevator: non-functional or operational, observed to be empty, locked, and equipped with a gate and a disconnected phone. S1 stated they do not plan to use the elevator. Page 2 of Outdoors: There is a converted guest room used as a therapy room. There is propane grill in good condition also observed to be secure and safe. The facility has a pool with a fence that is at least five feet high and has a fence does not obscure the pool from view. LPA Rosas and S1, observed the gate door to swing away from the pool, with self-close and self-latching device located no more than six inches from the top of the gate. There is a pond located in the backyard that has no water and is empty. The outdoor perimeter front yard, side yard and backyard were inspected and found cleared of debris and hazards materials. The passageways and porches are unobstructed. The facility has a first aid kit stored inside a locked cabinet in the medication room. One of the four fire extinguishers is located in the kitchen area fully charged and the other fire extinguisher is located inside the laundry room fully charged. The third fire extinguisher is located next to bedroom #3 mounted onto the wall and the fourth fire extinguisher is located next to the staff office mounted onto the wall fully charged. Disinfectants and poisons are inaccessible to the clients in care they are kept locked at all times. All knives and sharp objects are made inaccessible to the clients in care locked in a security box inside the closet in the staff office upstairs. The Chef logs out the knives when they will be used. All smoke detectors and carbon monoxide are operable. There is a working telephone line available for clients to use. All posting requirements were met, (food menu, regulations, licenses, emergency disaster plan, Children's Personal Rights, and Ombudsman). The facility has a working telephone and youths can use the telephone unless restricted by court order. The Facility operates within license conditions and limitations including capacity limitations. Facility has a current, written plan of operation. Facility personnel are instructed to report violations of personal rights. Licensee will report changes in the plan of operation affecting service to youths. Licensee will report youth injuries requiring medical treatment. A review of Facility's Personnel Report Summary on 11/29/2021 indicates that all personnel have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. LPA Rosas was not able to review client or staff files during this visit and will return to continue with the annual inspection. The facility keeps files and documents in digital system called KIPUERM. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On 4/14/23, at 9:18am Licensing Program Analyst (LPA) Christine Wilson made an unannounced visit to this facility, for the purpose of conducting a Case Management inspection to address concerns regarding an order to individual of immediate exclusion. LPA Wilson was met by S2, who provided a tour of the facility indoors, and outdoor grounds. (7) staff members were present in the facility with (6) clients. S2 provided a staff roster (Evolve Aura Contacts List) (2) staff present in the facility were not included on this list: S3 and S6, but were listed on the LIC500. An order of immediate exclusion was issued by CDSS office April 6, 2023 to inform the facility that, unless notified otherwise in writing by CDSS, staff (S1) must immediately be removed from any contact with clients and not be physically present in any agency or home licensed/approved by the Department. [See Confidential Names form (LIC811), dated 4/14/23 for names.] LPA Wilson received a Personnel Report (form LIC500 from Staff #4 and Staff #5, which does not show S1 associated to this facility. Guardian Report shows that S1 was separated, on 04/10/2023, and is no longer associated to this facility. LPA Wilson also received notification that S1 was terminated from employment, effective 04/10/2023. Based on evidence obtained, LPA Wilson has verified that S1 is no longer present, or employed with any Evolve Growth Initiatives facility. Individuals mentioned in this report are identify on the Confidential Names List (LIC811) dated 04/14/23. There are no deficiencies to be cited at this time. Exit Interview conducted, and a copy of this report was left at the facility.

met_with: Staff #2 (S2)


summary: Facility Evaluation

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Narrative:
On 12/15/23 at 10: AM Licensing Program Analyst (LPA) Jhane Haynes arrived at the above facility, for the purpose of conducting Annual/Random inspection. LPA met with Joseph Raya-Ward(OM) who granted access into the facility. Together OM, PD and LPA toured the home both inside and out. This is a two-story home located in a residential area. There is a gated swimming pool on the premises. LPA observed the following during facility tour: First Floor Entry contains posting of license and accreditation, sign in sheet. Group Room #1/School Room contains ample seating, activity stations, fireplace, six desks and computers for client education use. Storage Closet stored paper goods not limited to paper towels and other supplies. Garage/Gym house gym mat and equipment, table and chairs, extra storage fridge. Bathroom #1 is a half bathroom with toilet and sink in functioning order. Laundry Room contains washer, dryer, sink and locked cabinets that stores additional cleaning and laundry supplies. Emergency dried food supply is also stored in cabinet. There is a door that leads to the garage. Therapist Office contains a couch, chair, and desk. Locked Closet containing inactive elevator. Staff does not have keys. Group Room #2 contained eight seats, TV, retired fireplace, and re-purposed bar area that stored additional activity supplies, contraband, sports equipment, and sunscreen. (See LIC809-C Page 1 of 3 ) Dining Area contained adequate seating and table in good repair. Kitchen contained two sinks, dishwasher, microwave, five burner stove top, double oven and refrigerator all in good repair. Trashcan had secured lid. LPA observed adequate dinnerware and utensils for clients, accessible snacks for in between meals and posted weekly meal plan. Refrigerator and freezer operating at temperatures within regulation and is observed to have perishables for two days and food items dated. Pantry observed to have non-perishables for one week. Med Room contained locked cabinets that stored PRNs, prepped medications for clients, first aid kits with required supplies and additional aid to administer medication and offer first aid. Behind a locked cabinet contains a safe that facility nurse has access to. Med log is stored electronically on Kipu. There is a locked door that leads to PD office. PD(Program Director) Office contains desk, shelf a couch and two chairs. Exterior contains propane grill, table, and ample seating that clients may eat at, three HVAC units located on side of the facility along with utility shutoff valves and outdoor trashcans. There is a pool on site with a locked gate at least 5ft and door opens outwards. There is also a tennis court, basketball hoop and two gazebos. Electrical panel is stored west of building. The facility utilizes a Toyota Sienna to transport clients in working condition and current insurance and registration. Second Floor Stairway/Entry contains extra storage cabinets and client hygiene bins. Blocked door to decommissioned elevator, door to staff office and client bedrooms. Bedroom #1 rooms C3. It contains two twin beds, six dresser unit and additional bedside drawers. There is a locked closet door that an offsite staff has key to. Ensuite bathroom contains double sink, toilet and tub/shower combo with running water not exceeding the maximum temperature. Bedroom #2 rooms C2. It contains two twin beds, two dressers and closet. Ensuite bathroom is equipped with drawers for storage double sink, shower, separate tub(non-functioning), and toilet with running water not exceeding the maximum temperature. (See LIC809-C Page 2 of 3 ) Bedroom #3 rooms C4. It contains one twin bed, two dressers and locked closet. Ensuite bathroom is equipped with single sink, shower/tub combo and toilet with running water not exceeding the maximum temperature. Bedroom #4 rooms C3. It contains one twin bed, two dressers locked door to staff office. Ensuite bathroom is equipped with shower, separate tub(non-functioning), double sinks, toilet, and bidet(non-functioning) with running water not exceeding the maximum temperature. Staff Office contains two desks, additional storage closet that housed PPE equipment, IT closet housing network related equipment, walk in closet for extra supplies and linen, sunroom with chairs, balcony access. Ensuite bathroom contains staff bathroom, non-functioning sauna, cabinet storage for additional hygiene supplies and staff items. Several fire extinguishers are found throughout the facility. Fire alarms were tested at the time of visit and is operable. Facility temperature does not exceed 80 degrees. Facility was granted waiver for cameras that are found in the facility common areas. LPA obtained staff and client roster and LIC610. Staff have guardian clearance. LPA conducted confidential interviews with S1 and C2. (See LIC811 [Confidential Names]) Due to time constraints LPA will return to complete file review. Facility is clean, safe, and in good repair. No deficiencies will be cited at this time. An exit interview was conducted, and a copy of this report was provided to program director. (LIC809-C Page 3 of 3)

met_with: Joseph Raya-Ward Operations Manager


summary: Facility Evaluation

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Narrative:
On 12/04/25 at 8:30AM Licensing Program Analyst (LPA) Wendely Moodie-Naranjo made an unannounced visit to Evolve Treatment Aura facility for the purpose of conducting an Annual/Random Required Inspection visit. LPA met with Kiana Ayati, Residential Counselor, who granted access to the facility and Romeo Eta, Operations Manager and together a tour of the facility was conducted. This facility is licensed to provide care and supervision to six (6) ambulatory clients, ages 12-17 years old. The census is six (6) clients. General overview: This is a 4 bedroom (2 single occupancy, and 2 dual occupancy), 8 bathrooms, elegantly furnished two-story home with a one program director's office, one staff office (which was converted from the Master Bedroom, and located on the 2nd floor), 1 therapist office located in the home, and 1 therapist office located in a detached guest house in the backyard near the pool, a living room/recreational room, dining room, kitchen, family room/Group room, garage (used as a gym, and art room), laundry area, and a large entertainer's backyard. There are 23 facility cameras on the premises, and an approved Camera Waiver on file. There are no firearms or dangerous weapons in the home. Medicines are inaccessible to children. All smoke detectors were tested and are operating properly in the home at the time of visit. Carbon Monoxide alarms were observed and functional in the home at the time of the visit. There are numerous fully charged fire extinguishers available. Outdoor activity space free of obstructions. Water temperature measured within safe temperatures. First aid kits were checked and complete with scissors, tweezers, thermometer, gauzes, antiseptic and 1st Aid Manual. All posting requirements for the Licensee's Foster Care License have been met. The Group Home license and personal rights posting were observed by the entrance , to the left of the door. There are covered fireplaces in the home where the key for the gas are kept with the maintenance personnel. Report to cont... on LIC 809-C page Continued from LIC809 page 1 1st Floor: The first level of the home includes the following: 1/2 bathroom: immediately adjacent to the front door entrance and observed to be clean and in good repair. Laundry area: equipped with a washer and dryer, the electrical panel, a fully charged fire extinguisher, facility vehicle's cleaning supplies, emergency food supply(dehydrated food), a camera and plenty of cabinet/storage space. Therapist office: equipped with a full bathroom, desk, computer, couch, chair, and closet in good repair. Garage/Gym/Art Room: locked except when in use, converted from a four (4) car garage spaces, equipped with plenty of locked cabinets for storage, carbon monoxide detector, phone, fire extinguisher, exercise equipment, camera, table with seven (7) chairs and art supplies, a refrigerator/freezer, and a wall that closes off the water heater and exit door to the backyard. This exit door to the backyard is locked and accessible only through the backyard by staff only. Living Room/Recreational Room: with a securely covered fireplace with plenty of seating, a foosball table, a TV and phone accessible to clients during phone time. School area: converted from the home's dining room to be used for school purposes, and equipped with a fully charged fire extinguisher, six (6) desks and chairs, and four (4) computers, a phone, a fire extinguisher and a camera. Program Director's Office: locked for authorized staff only, and equipped with a phone, a printer, a sitting area with views to the backyard, a door that has direct access to a locked Nurse's station. Nurse's station: adjacent to and direct access from the Program Director's office, and the kitchen. The station was converted from the "Butler's Pantry". It is equipped with plenty of cabinet space (some with locks) , first-aid kit, medical supplies, over-the-counter medication, and six(6) small locked boxes were observed to keep each clients individual medication. Kitchen: equipped with a refrigerator/freezer, dual oven, a functional 5-burner gas range stove, and plenty of cabinet space. Knives/Sharp objects are stored in the staff office and logged out by the chef. Chemicals and cleaning solutions are kept in locked cabinets under the sink. Another sink is observed in the kitchen island, where a non-functional electric 2-burner stove is stationed as well. A microwave, two (2) dishwashers (one functional and one not functioning), toaster oven, and coffee pot and small kitchen appliances were also observed. A weekly menu was posted in the kitchen. The perishable and non-perishable foods were fully stocked with supply for at least 2 days of perishable foods, as well as 7 days of non-perishable foods on hand. Report to cont..on LIC 809-C page Breakfast/Dining area: equipped with a round table with seven (7) chairs, and bay windows, a camera and a door that exits to patio. Second Floor: All bedrooms are upstairs Bedrooms Bedroom #1: Occupied by two (2) clients,C1 and C2; the bedroom is equipped two (2) twin sized beds, comfortable mattresses, with one (1) closet, and one (1) bathroom. Bedroom #2: Occupied by two (2) clients,C3 and C4; the bedroom is equipped two (2) twin sized beds, one (1) closet, and one (1) bathroom. Bedroom #3: Occupied by one (1) client, C5; the bedroom is equipped with one (1) twin sized bed, comfortable mattresses, and one (1) closet, and one (1) bathroom. Bedroom #4: Occupied by one (1) client,C6; the bedroom is equipped with one (1) twin sized beds, and one (1) walk in closet, and one (1) bathroom. All bedrooms have adequate lighting, adequate drawers, closet space, and lighting in the room. Elevator: non-functional or operational, observed to be empty, locked, and equipped with a gate and a disconnected phone. OM stated they have never used the elevator. Bathrooms: Each of the bedrooms have a full bathroom. Bathroom #5: Is located to the right once entering the facility. This bathroom is only used by clients. Bathroom #6: Is located inside therapy room #1. Bathroom #7: Is located inside the staff office upstairs (Used by staff only) Bathroom #8 is located inside therapy room #2 outside in the guest house.(Used by staff only) The Exterior consists of the following: POOL: Located in the backyard, with a five-foot fence with a self-latching lock meeting required standards and regulations. The backyard also contains a: tennis court with one basketball hoop; an area which will be used as a garden; a grassy area with 2 gazebos; a large detached guess house building used as a therapy office equipped with a fully charged fire extinguisher, covered fireplace, smoke alarm, carbon monoxide detector, phone, desk, couch, chair, electrical panel, and 3/4 bathroom. The front yard also had a drained waterfall emptying into a pond, which has been filled with dirt and used as a garden. There are no deficiencies to be cited at this time. Exit interview was conducted and a copy of this report will be emailed to the Facility Administrator (FA).


summary: Facility Evaluation

raw_content:
Narrative:
On 01/08/24 at 09: Licensing Program Analyst (LPA) Jhane Haynes made an unannounced visit to the above facility for the purpose of conducting a case management inspection. LPA met with Jospeh Raya- (OM) who granted access to the facility and discussed the late reporting of an incident that occurred on 11/25/2023 and reported to the department on 12/07/2023. Written reports must be submitted within seven working days to the department. Compliance Officer Devorah Weiss(CO) met with LPA and CO discussed plan of correction. CO took responsibility for late reporting. CO also shared facility's incident report training PowerPoint, IR cheat sheet and list of employees that completed training. Per California Code Regulations Title 22, Division 6, Chapter 1, one deficiency will be cited. See LIC809-D for details. An exit interview was conducted, and a copy of this report was left with OM.

met_with: Joesph Raya-Ward Operations Manager (OM)


summary: Facility Evaluation

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Narrative:
On May 24, 2024 at 12:58pm, Licensing Program Analyst (LPA) Christine Wilson made an unannounced Case Management Incident Inspection to the above listed facility, regarding SIR dated 05/19/24. LPA was greeted by the Clinical DIrector (CD) who provided entry into the home.. During the course of the incident investigation, it was revealed that on 05/18/24, staff (S1) had not prepared, or reported dosage given of medication in MAR and did not sign off on Kipu, which resulted in staff not administering medication to (C1) according to the physician's directions, resulting in (C1) receiving a double dosage of medication. LPA Wilson interviewed (FN and CD).(LIC811 dated 05/24/24). A (1) deficiency has been determined at this time. The following deficiency has been cited. (See LIC 809D) An exit interview was conducted and Plans of Correction was developed and reviewed with the licensee. A copy of this report and appeals rights were discussed and left with licensee. (CD) whose signature on this form confirm receipt of these documents.

met_with: Clinical Director


summary: Facility Evaluation

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Narrative:
On November 18, 2024 at 12:22 pm, Licensing Program Analyst (LPA) Christine Wilson made an unannounced visit to the above listed facility, in order to conduct a case management incident inspection, regarding SIR dated 11/06/24.LPA was met by (CO) and (PD). During the course of the incident investigation, it was revealed that on 11/06/24; due to the Malibu fires, SoCal power pre-emptively turned off all power in this region. The decision was made to move all clients; six (6) from the Calabasas facility and six (6) from the Agoura facility to the Evolve Aura location in Tarzana, which had three (3) clients in care, which resulted in the licensee operating the facility beyond the conditions and limitations, as specified on the license. A (1) deficiency Type A has been determined at this time. The following deficiency has been cited. (See LIC 809D) An exit interview was conducted and Plans of Correction was developed and reviewed with the licensee. A copy of this report and appeals rights were discussed and left with licensee. (CO) whose signature on this form confirm receipt of these documents.

met_with: Compliance Officer


facility_name: FALCON GROVE CRISIS HOME

summary: Complaint Investigation - Unsubstantiated - 1 allegation

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Narrative:
It was alleged that a staff physically abused a facility client resulting in an injury, and a facility client sustained an injury due to neglect by facility staff. The investigation revealed that a facility client was in a bathtub thrashing around, kicking his legs, throwing his arms around and hitting the bathtub with his fist along with trying to kick and hit staff with his fists. The client alleged that a staff, Reference #1, pulled his arm to restrain him during the incident causing an arm injury. Reference #1 stated that the client sustained the injury from hitting the wall with his left fist and denied intentionally hurting the client when he assisted the client out of the bathtub during the episode. Another staff who assisted with the client during the episode denied witnessing Reference #1 physically abuse the client. Confidential documents obtained ruled the injury as accidental. Based on the information gathered, although the allegations may have happened or is valid, the preponderance of evidence to prove the allegations was not met, therefore the allegations are unsubstantiated. A copy of this report, Confidential Names Form and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On June 25, 2021 at 12: PM, Licensing Program Analyst (LPA) Joshua Rarela conducted a follow-up inspection to deliver the findings of a complaint investigation concerning the allegations above. The complaint was investigated by Community Care Licensing Investigations Branch, State Investigator Elisia Rippe. LPA Rarela discussed the findings with the facility representative named above. During the course of the investigation, Investigator Rippe interviewed the placement agency social worker on 3/30/21 and 4/2/21, facility administrator on 5/11/21 and 5/12/21, a facility client on 5/12/21, a facility client's parent on 5/20/21, and facility staff on 5/24/21 (see Confidential Names Form dated June 25, 2021). Investigator Rippe also reviewed documents on 3/19/21, 3/27/21, 5/18/21 and 6/2/21 including the police report, hospital records, child welfare services reports, and the file review documents obtained on 3/19/21. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Joshua Rarela 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: FALCON GROVE CRISIS HOMEFACILITY NUMBER: VISIT DATE: 06/25/2021

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

met_with: Stacy Krebs, Administrator


raw_content:
Narrative:
The LPA reviewed the following documents: Falcon Grove Crisis Home Employee, Phone List, Register of Facility Clients, Personnel Report (LIC500), Kern County Department of Human Services (DHS) - Child Protective Services (CPS) Child Abuse Hotline (CAHL), Kern County DHS - CPS Screener Narrative, Kern County DHS - CPS Emergency Response Notice of Referral Disposition, San Joaquin County HSACSB - CAHL, San Joaquin County HSACSB Screener Narrative, San Joaquin Emergency Response Notice of Referral Disposition, Client Ref. # Behavioral Treatment Plan/Individual Program Plan, Special Incident Reports, Bakersfield Police Department Report. Ref. #2 denied the allegations stating that Ref. #1 targeted and threatened them, because Ref. #2 chose to work with the other client at the facility. The investigation revealed that the witness did not recall the incidents or the name of the perpetrator, although the witness continued to allege that they were hit and cursed at. The investigation revealed that CPS found the allegations to be Inconclusive. Bakersfield Police Department was unable to determine if an offense occurred due to conflicting statements and Ref. #2 having a history of making false accusations. A review of records indicates that Ref. #1 has a history of threatening staff, engaging in inappropriate attention seeking and actions of self-harm. There were no witnesses to the allegations and the LPA was unable to corroborate the allegations. So, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding this allegations. A copy of this complaint was provided to the facility representative.

Investigation Findings:
On October 5, 2022 at 11:10 a.m., Licensing Program Analyst (LPA), Karen McGee, delivered the findings of the complaint investigation to the facility. The LPA met with Administrator, Amanda Allen On March 4, 2022, the Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegations. Confidential interviews were conducted that included, but were not limited to: the former Administrator, now the Trainer, Stacy Krebs and Valley Mountain Regional Center Service Coordinator (VMRCSC) 1, via telephone on September 20, 2022; VMRCSC 2 via telephone on September 26, 2022; one client, Ref. #1 via telephone on September 27, 2022; one Direct Care Staff (DCS), Ref. #2 via telehone on September 29, 2022; and one VMRC Senior Community Services Liaison email October 3, 2022. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Karen McGee 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: FALCON GROVE CRISIS HOMEFACILITY NUMBER: VISIT DATE: 10/06/2022

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

met_with: Amanda Allen


summary: Facility Evaluation

raw_content:
Narrative:
On April 26, 2022, Licensing Program Analysts (LPA) Jean Herring arrived at the facility at 10: AM for the purpose conducting an unannounced Annual/Required inspection of the facility. LPA met with Amanda Allen, Administrator; Jose Cortez, Facility Manager; Stacy Krebs, Trainer. The group home is licensed to serve three (3) male/female developmentally disabled clients, ages 7 - 17. Facility has no children placed at this time. Physical Plant This facility is a one-story home with three(3) bedrooms, an office, two (2) full bathrooms, kitchen, dining, and living room. The license is posted in a prominent, publicly accessible location in the facility. Disinfectants and cleaning solutions are locked in a cabinet located next to the bathroom. Sharps and knives are locked in the office. Facility has non-perishable foods for at least one week and perishable foods for at least two days. Facility provides at least three(3) meals per day. Facility stores and locks medications in the office closet. Facility's first aid kit meets the requirements. All kitchen, food preparation, and storage areas are kept clean and free of rodents and other vermin. Carbon monoxide detectors and smoke alarms were tested and observed to be operable. Facility provides basic laundry services. Room temperatures are maintained at a comfortable temperature. The hot water temperature was tested and measured at 126 degrees F. Fire extinguisher is fully charged. All toilets, hand washing and bathing facilities are maintained in safe and sanitary operating condition and meet the requirements. Each client has his/her own bedroom. All beds are in good repair and supplied with pillows and linens which are clean and in good repair. Operational Requirements Facility maintains a register of clients and the register is available upon request. Facility maintains a fire clearance. Facility maintains and implements written complaint procedures and the procedures are posted in a publicly accessible location in the facility. (cont...) Disaster Preparedness Plan Facility has a current LIC 610C Emergency Disaster Plan. Facility conducts disaster drill at least once a month The drills are documented and the documentation is maintained in the facility for at least a year. Facility maintains an emergency and disaster plan and register of clients with contact information for each client's responsible party and physician. Emergency Intervention Plan Facility maintains a monthly log of each use of manual restraints that contains all required information. The log is available for review by the Department upon request. LPA observed documentation of Emergency Intervention Training and on-going training. Client Records LPA reviewed one (1) client record (C1- last client discharged from the facility). Client records are available to the licensing agency to inspect, audit and copy upon demand. Client records contain required information including, but not limited to: Identification and Emergency Information; Admission Agreement; consent forms; needs and services plan and/or Individual Program Plan; medical assessment; TB test; dental, vision, medical, and psychological reports; personal property and valuables; personal rights forms; and medication administration records. During this inspection, the following deficiencies were observed: - Facility does not have an updated emergency and disaster plan that includes procedures required by HSC 1565(a)(7); HSC 1565(e) and HSC 1565(f). - Hot water temperature reading was at 126 degrees F. These pose a potential Health, Safety, or Personal Rights risk to clients in care. Deficiency citations were issued. A signed copy of this report was provided to the facility along with LIC 809Ds, LIC 811 (Confidential Name/s list) and Appeal Rights. These pose a potential Health, Safety, or Personal Rights risk to clients in care. Deficiency citations were issued. A signed copy of this report was provided to the facility along with LIC 809Ds, LIC 811, and Appeal Rights.


summary: Facility Evaluation

raw_content:
Narrative:
On April 27, 2023, at 1: PM Licensing Program Analyst (LPA) Ashley Ruacho conducted an unannounced inspection at the above facility for the purpose of conducting an annual/required inspection. LPA met with facility Administrator, Amanda Allen. LPA and Administrator toured the facility. The group home is licensed to serve three (3) male/female developmentally disabled clients, ages 7 - 17. Physical Plant This facility is a one-story home with three (3) bedrooms, an office, two (2) full bathrooms, kitchen, dining, and living room. The license is posted in a prominent, publicly accessible location in the facility. Disinfectants and cleaning solutions are locked in a cabinet located next to the bathroom. Sharps and knives are locked in the office. Facility has non-perishable foods for at least one week and perishable foods for at least three days. Facility provides at least three (3) meals per day. Facility stores and locks medications in the office closet. Facility's first aid kit meets the requirements. All kitchen, food preparation, and storage areas are kept clean and free of rodents and other vermin. Carbon monoxide detectors and smoke alarms were tested and observed to be operable. Facility provides basic laundry services. Room temperatures are maintained at a comfortable temperature. The hot water temperature was tested and measured at 112.5 degrees F. Fire extinguisher is fully charged and last serviced on January 17th, 2023. All toilets, hand washing and bathing facilities are maintained in safe and sanitary operating condition and meet the requirements. Each client has his/her own bedroom. All beds are in good repair and supplied with pillows and linens which are clean and in good repair. Operational Requirements Facility maintains a register of clients and the register is available upon request. Facility maintains a fire clearance. Facility maintains and implements written complaint procedures, and the procedures are posted in a publicly accessible location in the facility. Disaster Preparedness Plan Facility has a current LIC 610C Emergency Disaster Plan. Facility conducts disaster drill at least once a month The drills are documented, and the documentation is maintained in the facility for at least a year. Facility maintains an emergency and disaster plan and register of clients with contact information for each client's responsible party and physician. Emergency Intervention Plan Facility maintains a monthly log of each use of manual restraints that contains all required information. The log is available for review by the Department upon request. LPA observed documentation of Emergency Intervention Training and on-going training. Client Records LPA reviewed two (2) client records. Client records are available to the licensing agency to inspect, audit and copy upon demand. Client records contain required information including, but not limited to: Identification and Emergency Information; Admission Agreement; consent forms; needs and services plan and/or Individual Program Plan; medical assessment; TB test; dental, vision, medical, and psychological reports; personal property and valuables; personal rights forms; and medication administration records. For this review, two (2) Kern Regional Center clients were selected for the sample to assess the level of care and services they receive. Additionally, LPA reviewed three (3) staff files for compliance with Title Regulations and Interim Licensing Requirements. LPA conducted interviews with two staff members. LPA interviewed one client and the other client was unable to be interviewed due to a speech delay. An exit interview was conducted. LPA provided the facility administrator a signed copy the LIC 809 and LIC 811 reports. There were no deficiencies cited at the time of this inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On May 9th, 2023, at 2:50pm Licensing Program Analyst (LPA) Ashley Ruacho conducted an unannounced visit at the above facility. The purpose of the visit was to finalize the inspection tool that was not completed during the annual inspection conducted on April 27th, 2023. LPA met with the administrator Amanda Allen and completed the inspection tool. An exit interview was conducted. LPA provided the facility administrator a signed copy the LIC 809. There were no deficiencies cited at the time of this inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On April 30th, 2024, at 12: PM Licensing Program Analyst (LPA) Ashley Ruacho conducted an unannounced inspection at the above facility for the purpose of conducting an annual/required inspection. LPA met with facility Administrator, Amanda Allen. LPA and Administrator toured the facility. Physical Plant This facility is a one-story home with three (3) bedrooms, an office, two (2) full bathrooms, kitchen, dining, and living room. The license is posted in a prominent, publicly accessible location in the facility. Disinfectants and cleaning solutions are locked in a cabinet located next to the bathroom. Sharps and knives are locked in the office. Facility has non-perishable foods for at least one week and perishable foods for at least three days. Facility provides at least three (3) meals per day. Facility stores and locks medications in the office closet. Facility's first aid kit meets the requirements. All kitchen, food preparation, and storage areas are kept clean and free of rodents and other vermin. Carbon monoxide detectors and smoke alarms were tested and observed to be operable. Facility provides basic laundry services. Room temperatures are maintained at a comfortable temperature. The hot water temperature was tested and in working order. Fire extinguisher is fully charged and last serviced on January 15th, 2024. All toilets, hand washing and bathing facilities are maintained in safe and sanitary operating condition and meet the requirements. Each client has their own bedroom. All beds are in good repair and supplied with pillows and linens which are clean and in good repair. Operational Requirements Facility maintains a register of clients and the register is available upon request. Facility maintains a fire clearance. Facility maintains and implements written complaint procedures, and the procedures are posted in a publicly accessible location in the facility. Disaster Preparedness Plan Facility has a current LIC 610C Emergency Disaster Plan. Facility conducts disaster drill at least once a month The drills are documented, and the documentation is maintained in the facility for at least a year. Facility maintains an emergency and disaster plan and register of clients with contact information for each client's responsible party and physician. Emergency Intervention Plan Facility maintains a monthly log of each use of manual restraints that contains all required information. The log is available for review by the Department upon request. LPA observed documentation of Emergency Intervention Training and on-going training. Client Records LPA reviewed two (2) client records. Client records are available to the licensing agency to inspect, audit and copy upon demand. Client records contain required information including, but not limited to: Identification and Emergency Information; Admission Agreement; consent forms; needs and services plan and/or Individual Program Plan; medical assessment; TB test; dental, vision, medical, and psychological reports; personal property and valuables; personal rights forms; and medication administration records. For this review, two (2) Kern Regional Center clients were selected for the sample to assess the level of care and services they receive. Additionally, LPA reviewed three (3) staff files for compliance with Title Regulations and Interim Licensing Requirements. LPA conducted interviewed three (3) staff members. LPA did not interview any client's due clients being at school. There were no deficiencies cited at the time of this inspection. An exit interview was conducted. LPA provided the facility administrator a signed copy the LIC 809 and LIC 811 reports.

met_with: Amanda Allen - Administrator


summary: Facility Evaluation

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Narrative:
On May 1st, 2025, at 11: AM Licensing Program Analyst (LPA) Ashley Ruacho conducted an unannounced inspection at the above facility for the purpose of conducting an annual/required inspection. LPA met with facility Administrator, Amanda Allen. LPA and Administrator toured the facility. Physical Plant This facility is a one-story home with three (3) bedrooms, an office, two (2) full bathrooms, kitchen, dining, and living room. The license is posted in a prominent, publicly accessible location in the facility. Disinfectants and cleaning solutions are locked in a cabinet located next to the bathroom. Sharps and knives are locked in the office. Facility has non-perishable foods for at least one week and perishable foods for at least three days. Facility provides at least three (3) meals per day. Facility stores and locks medications in the office closet. Facility's first aid kit meets the requirements. All kitchen, food preparation, and storage areas are kept clean and free of rodents and other vermin. Carbon monoxide detectors and smoke alarms were tested and observed to be operable. Facility provides basic laundry services. Room temperatures are maintained at a comfortable temperature. The hot water temperature was tested and in working order. Fire extinguisher is fully charged and last serviced on January 7th, 2025. All toilets, hand washing and bathing facilities are maintained in safe and sanitary operating condition and meet the requirements. Each client has their own bedroom. All beds are in good repair and supplied with pillows and linens which are clean and in good repair. Operational Requirements Facility maintains a register of clients and the register is available upon request. Facility maintains a fire clearance. Facility maintains and implements written complaint procedures, and the procedures are posted in a publicly accessible location in the facility. Disaster Preparedness Plan Facility has a current LIC 610C Emergency Disaster Plan. Facility conducts a disaster drill at least once a month. The drills are documented, and the documentation is maintained in the facility for at least a year. Facility maintains an emergency and disaster plan and register of clients with contact information for each client's responsible party and physician. Emergency Intervention Plan Facility maintains a monthly log of each use of manual restraints that contains all required information. The log is available for review by the Department upon request. LPA observed documentation of Emergency Intervention Training and on-going training. Client Records For this inspection, LPA Ruacho reviewed two (2) Kern Regional Center clients. They were selected for the sample to assess the level of care and services they receive. Client records are available to the licensing agency to inspect, audit and copy upon demand. Client records contain required information including, but not limited to: Identification and Emergency Information; Admission Agreement; consent forms; needs and services plan and/or Individual Program Plan; medical assessment; TB test; dental, vision, medical, and psychological reports; personal property and valuables; personal rights forms; and medication administration records. Staff Records LPA reviewed three (3) staff files for compliance with Title Regulations and Interim Licensing Requirements. LPA conducted interviewed one (1) staff members. LPA did not interview any client's due clients being at school. There were no deficiencies cited at the time of this inspection. An exit interview was conducted. LPA provided the facility administrator a signed copy the LIC 809 and LIC 811 reports.

met_with: Amanda Allen- Administrator


summary: Facility Evaluation

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Narrative:
On April 2nd, 2026, at 11: AM Licensing Program Analyst (LPA) Ashley Ruacho conducted an unannounced inspection at the above facility for the purpose of conducting an annual/required inspection. LPA met with facility Administrator, Amanda Allen. LPA and Administrator toured the facility. Physical Plant This facility is a one-story home with three (3) bedrooms, an office, two (2) full bathrooms, kitchen, dining, and living room. The license is posted in a prominent, publicly accessible location in the facility. Disinfectants and cleaning solutions are locked in a cabinet located next to the bathroom. Sharps and knives are locked in the office. Facility has non-perishable foods for at least one week and perishable foods for at least three days. Facility provides at least three (3) meals per day. Facility stores and locks medications in the office closet. Facility's first aid kit meets the requirements. All kitchen, food preparation, and storage areas are kept clean and free of rodents and other vermin. Carbon monoxide detectors and smoke alarms were tested and observed to be operable. Facility provides basic laundry services. Room temperatures are maintained at a comfortable temperature. The hot water temperature was tested and in working order. Fire extinguisher is fully charged and last serviced on January 8th, 2026. All toilets, hand washing and bathing facilities are maintained in safe and sanitary operating conditions and meet the requirements. Each client has their own bedroom. All beds are in good repair and supplied with pillows and linens which are clean and in good repair. Operational Requirements Facility maintains a register of clients and the register is available upon request. Facility maintains a fire clearance. Facility maintains and implements written complaint procedures, and the procedures are posted in a publicly accessible location in the facility. Disaster Preparedness Plan Facility has a current LIC 610C Emergency Disaster Plan. Facility conducts disaster drills at least once a month. The drills are documented, and the documentation is maintained in the facility for at least a year. Facility maintains a register of clients with contact information for each client's and physician responsible. Emergency Intervention Plan Facility maintains a monthly log of each use of manual restraints that contains all required information. The log is available for review by the Department upon request. LPA observed documentation of Emergency Intervention Training and on-going training. Client Records For this inspection, LPA Ruacho reviewed two (2) Kern Regional Center clients. They were selected for the sample to assess the level of care and services they receive. Client records are available to the licensing agency to inspect, audit and copy upon demand. Client records contain required information including but not limited to: Identification and Emergency Information; Admission Agreement; consent forms; needs and services plan and/or Individual Program Plan; medical assessment; TB test; dental, vision, medical, and psychological reports; personal property and valuables; personal rights forms; and medication administration records. Staff Records LPA reviewed three (3) staff files for compliance with Title Regulations and Interim Licensing Requirements. LPA conducted interviewed one (1) staff members. LPA did not interview any client's due to one (1) client being nonverbal and other client declined. Per CCR 84065(b)(1)(A) and 84065(i)(3)(V), staff training requirements were not met at the time of this inspection. A citation was issued during today's inspection. A plan of correction was discussed and developed with the above representative. An exit interview was conducted and a copy of this report along with the appeal rights were given to the Administrator.


facility_name: FONTANELLA CARE HOME

summary: Facility Evaluation

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Narrative:
On September 23, 2025 at 10: AM, LPA Michelle Silvas and LPM Tamara Hill conducted an in person office meeting with Susan Peralta Partisala and Karren Melegrito. The purpose of the meeting was to continue the group home application process by conducting the Component II orientation. LPM Tamara Hill explained the purpose of the meeting and LPA Silvas obtained copies of the participants driver's licenses. The following issues were discussed and/or addressed: The LIC200 indicates that you are willing to accept children ages 0-6 which have specific requirements and elevated staff qualifications. If you are still planning this, please read the regulations for Under Six and address the staffing levels, qualifications, and other requirements as necessary. Licensing Forms - need to filled out appropriately. There are several identified issues with the forms. Staff Training - the majority of the staff training speaks to adult clientele but your application is for under age 18. Please address this section appropriately. Facility Program Description - Your entire program description is build on the premise that you would be serving adult clientele but your application is for youth. In addition, your LIC200 and the LIC9106 both indicate that you plan to serve youth under the age of six but none of the requirements for this population is included in your both Program Description and Program Statement portions of your application. Continue LIC 809-C LLC documentation and members. According to the documentation you provided that were approved by Secretary of State, it indicates that you are required to have a Board of Managers (page 2 of the "Limited Liability Company Agreement of SP Care One LLC dba Fontanella Care Home". Discipline Policies - must be geared to children, use positive discipline, and be trauma informed and culturally relevant. Personal Rights - must be about educating children/youth in an age-appropriate and trauma informed manner their rights as it pertains to being in out of home care. Training curriculum needs to be about training of staff to serve children/youth in care. Admissions Agreement Transportation Program Statement Scheduled pre-licensing for further date once fire clearance is approved and program statement is submitted. Component III will be scheduled and provider will be notified of the date and time. Component III will be conducted electronically.

met_with: Susan Peralta Partisala Licensee & Karren Melegrito Administrator


facility_name: FRED FINCH YOUTH CENTER - NEW YOSEMITE

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Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the facility conducted an illegal eviction, therefore the above allegation is unsubstantiated. Exit interview conducted with SD and LPA left report at the facility.

Investigation Findings:
13Licensing Program Analyst (LPA) Christopher Rollins conducted a follow-up complaint inspection at Fred Finch and met with Mar Smith Senior Director (SD). The purpose of the inspection was to deliver the finding for the above complaint allegation. During the course of investigating these allegations, LPA Rollins conducted confidential interviews with facility staff, clients, social workers and conducted clients file review. Confidential interviews reveal conflicting stories about facility conducting an illegal eviction. Based on interviews and documentation there was not enough evidence to prove that facility conducted an illegal eviction. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Christopher Rollins LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, TRAEGER AVE., SUITE FACILITY NAME: FRED FINCH YOUTH CENTER - NEW YOSEMITEFACILITY NUMBER: VISIT DATE: 01/05/2022

met_with: Mar Smith-Senior Director


summary: Complaint Investigation - Substantiated

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Investigation Findings:
13Licensing Program Analyst (LPA) Shikya Belfield and Lisette Valenzuela conducted a follow-up complaint inspection at Fred Finch and met with Rising Oaks administrator Kelli Knox and Avolon administrator Grace Helton. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of investigating this allegations, LPA Belfield conducted confidential interviews and reviewed documentation to include but not limit email communications and incident reports. It was determined that the program did not give proper notice when evicting the client from the program and failed to pick them up from the hospital. The propinderance of evidence has been met, therefore this allegation is Substantiated. Facility cited for violation of California Code of Regulations, Title 22, Division Six, Section 84068. Removal and/or Discharge Procedures. An exit interview was conducted and a copy of this report along with apeal rights will be sent to Adminsitrator Kellie Knox. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Carolyn Flynn LICENSING EVALUATOR NAME: Shikya Belfield LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: FRED FINCH YOUTH CENTER - NEW YOSEMITEFACILITY NUMBER: 015650088

met_with: Kellie Knox

complaint_status: SUBSTANTIATED


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Investigation Findings:
13On 1/20/23, Licensing Program Analyst (LPA) Mariah Hawkins made a visit to the facility to deliver findings of an investigation of the above allegations. LPA met with Senior Director Mar Smith and informed of the purpose of the visit. Based on confidential interviews with resident, staff, and witnesses, the resident was provided food, clothes were clean, and hygiene needs were met. Based on LPA's observation of resident, resident was clean and tidy with clean and well-fitting clothes and appeared in good spirits. Additionally, resident expressed liking the facility and staff and feeling safe there. Further, authorized representatives expressed having no concerns with the care they have observed the resident to be receiving at the facility. However, after multiple attempts, LPA was unable to obtain a statement from all reported witnesses of the specific concerns regarding the care of the resident. Although the allegations may have happened or are valid, based on LPA's observations and interviews, there is not a preponderance of the evidence to prove the alleged violations did or did not occur. Therefore, the allegation is unsubstantiated. An exit interview was conducted, appeal rights discussed, and a copy of this report provided to Senior Director Mar Smith, whose signature on this form confirms receipt. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Mendoza LICENSING EVALUATOR NAME: Mariah Hawkins 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: Senior Director Mar Smith


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Narrative:
continued from LIC Other documents viewed stated the interviewee said the incident never occurred. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that staff pushed minor. Therefore, the above allegation is UNSUBSTANTIATED. Regarding the allegation staff did not properly report the incident involving minor in home: During the course of the investigation, Licensing Program Analyst (LPA) conducted confidential interviews with staff, clients, and conducted document research. During confidential interviews, inconsistent information was provided. Some interviewees stated that the incident was immediately reported within regulation while others did not find out about the incident until a later time. LPA conducted document research and found inconsistent information. Proper notification by the facility was sent to CDSS within regulation, while client representatives state they learned of the incident hours later. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that staff did not properly report the incident involving minor in home. Therefore, the above allegation is UNSUBSTANTIATED. Regarding the allegation minor was not permitted scheduled visit: During the course of the investigation, Licensing Program Analyst (LPA) conducted confidential interviews with staff, clients, and conducted document research. During confidential interviews, inconsistent information was provided. Most interviewees stated that the meeting was missed by accident and rescheduled two days later. A representative stated that the meeting was purposely missed and not rescheduled. LPA conducted document research and found no evidence to support that minor was not permitted scheduled visit. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that minor was not permitted scheduled visit. Therefore, the above allegation is UNSUBSTANTIATED. continued on LIC 9099 continued from LIC 9099-C Regarding the allegation that minor's dietary needs are not being met: During the course of the investigation, Licensing Program Analyst (LPA) conducted confidential interviews with staff, clients, and conducted document research. During confidential interviews, inconsistent information was provided. Most interviewees stated that the client is placed on a specific diet and provided planned meals for their condition. Sometimes the client refuses the meals provided. Small measured portions of other foods are provided, the client cannot be denied the right to eat. Other interviewees stated that there is no specific dietary meals provided to meet the client's needs. LPA conducted document research and found no evidence to support that minor's dietary needs are not met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that minor's dietary needs not being met. Therefore, the above allegation is UNSUBSTANTIATED. An exit interview was conducted and a copy of this report was given to Mar Smith Senior Director.

Investigation Findings:
13On 9-27-23 10:43AM, Licensing Program Analyst (LPA's)George Karkazis and Celeste Aparicio, conducted an unannounced inspection at Fred Finch New Yosemite and met with Mar Smith, Senior Director, who helped with the inspection. The purpose of the inspection was to deliver the complaint findings. Regarding the allegation staff pushed minor: During the course of the investigation, Licensing Program Analyst (LPA) conducted confidential interviews with staff, clients, and conducted document research. During confidential interviews, inconsistent information was provided. Some interviewees stated that a staff pushed a minor but did not witness it, other interviewees stated it never happened. LPA conducted document research and found a client reported that staff pushed them in an incident report. continued on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: George Karkazis LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN BRUNO ASC, TRAEGER AVE., SUITE FACILITY NAME: FRED FINCH YOUTH CENTER - NEW YOSEMITEFACILITY NUMBER: VISIT DATE: 09/27/2023

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

met_with: Mar Smith, Senior Director


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Investigation Findings:
13On 2-20-25 9:30AM, Licensing Program Analyst (LPA) George Karkazis conducted an unannounced inspection at Fred Finch New Yosemite and met with Mar Smith, Senior Director, who helped with the inspection. The purpose of the inspection was to deliver the complaint findings. The complaint alleged that staff is engaging in inappropriate sexual behavior with minors. LPA Karkazis conducted confidential interviews and document research, in which inconsistent information was provided. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation occurred. Therefore, the allegation is UNSUBSTANTIATED. A copy of this report was given to Mar Smith, Senior Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: George Karkazis 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:


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Investigation Findings:
13On 3-14-25 1:00PM, Licensing Program Analyst (LPA) George Karkazis conducted an unannounced inspection at Fred Finch New Yosemite, and met with Brandy Hunt, Administrator, who helped with the inspection. The purpose of the inspection was to deliver the complaint findings. The complaint alleged that the minor was sexually abused. LPA Karkazis and CDSS Investigations Branch conducted confidential interviews and document research, in which inconsistent information was provided. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation occurred. Therefore, the allegation is UNSUBSTANTIATED. A copy of this report was given to Brandy Hunt, Administrator . UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: George Karkazis 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: Brandy Hunt, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Christopher Rollins conducted an unannounced annual inspection at Fred Finch Youth Center-New Yosemite. During the inspection, LPA met with Mar Smith Senior Director (SD). The group home is licensed to served 4 clients ages 8-17. The facility consists of 4 bedrooms (4 single occupancy) and 4 bathrooms (3 client and 1 staff). The facility also has a activity and staff room. At 10: AM, LPA Rollins toured the facility with SD inside and out. LPA observed the kitchen is clean. Hot water in kitchen, bathroom and shower measured at 113.4 degrees F which is currently between 105-120 required degrees F. The facility has plenty of non perishable and non- perishable food supply. All items in the refrigerator are correctly labeled and no spoiled food was found. Medication, cleaning supplies and knives are locked away in a secure location. There are enough folks, spoons, plates and cups. All passageways are unobstructed. All smoke detectors are up to date and working. The facility is clean, safe and sanitary. There are no firearms on the property. There are no bodies of water on the property. The facility is maintained at a comfortable temperature. Personal rights, floor plan, food menu and Emergency disaster forms were posted in clear view. Fire Extinguisher was up to date and carbon monoxide was in good working shape. LPA observed all activity logs and emergency policies to be up to date. At 12: PM, LPA reviewed three client files with SD. LPA observed all three client files and found no deficiencies. Needs and services plan are updated. The documentation is in the clients files are complete. LPA observed medication logs to be updated and current. At 1: PM, LPA observed eleven staff files with SD and found no deficiencies. Staff have completed there 20 hours annual training. All staff documentation is current. LPA reviewed staff training documents with SD and found all training to be up to date and all certificates to be complete. During inspection, LPA receive an updated copy of the LIC Personnel Report and updated Emergency Disaster Plan (LIC C) to maintain their file current. A review of Licensing Information System on July 29, 2021 indicates that all facility staff associated to the facility had DOJ, FBI and child abuse index check clearances. Per Title Regulations, no deficiencies were cited during the inspection. Exit interview was conducted and a copy of the report was left at the facility.