summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced collateral inspection at Golden Plaza, administrative offices for Summitview Child and Family Services on 4/28/23 at 8: AM, and met with Haley Randle, Director of Youth Residential Programs. LPA Hill conducted this case management inspection to review files for staff and clients. LPA Hill did note that while conducting the physical plant inspection at the facility, there is naloxone which is an over the counter medication which rapidly reverses an opioid overdose should a client in care be experiencing one. LPA Hill did advise the facility that per Provider Information Notice (PIN) 21-12-CRP, the facility is required to obtain a waiver to have/use this medication when/if a client is experiencing any signs or symptoms of an opioid overdose. Ms. Randle states that she will ensure that the waiver is submitted to Licensing as soon as possible as they do keep this in the first aid kit. In addition, the facility shall ensure that it is addressed with the primary physician in that it needs to be specified in the clients' PRN medication list maintained in the individual client files. LPA Hill did remind the facility that they are to keep at the facility, all licensing reports for a minimum of three years per Health and Safety Code, Section 1538.5(a)(3). LPA Hill reviewed staff and client files and did not issue any violations during the inspection but did issue three technical violations during the inspection for discharge policies, psychotropic medication logs that require date of the prescription rather than date medication is filled, and the requirement to maintain a list of individual(s) allowed to visit with youth while in care are all required. Exit interview was conducted and documentation was provided to Ms. Randle.


state: CA

facility_name: SUMMITVIEW CHILD & FAMILY SERVICES - PIONEER

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced case management inspection on 5/25/23 at 2: PM and met with Anna Gleason, CEO and Jose Navarrete, Administrator, to discuss an incident report. LPA Hill did discuss an incident report dated 5/22/23 in which staff forgot to pass a medication to C1 (see LIC811 dated 5/25/23) prior to eating which is how the medication is to be administered. LPA Hill did advise the facility that the report does not give information that was previously requested regarding these medication errors including the staff name. LPA Hill also advised the facility that when medication errors happen, if staff are to be given a written warning and/or re-training then it is the facility's responsibility to provide the date(s) of the re-training and written warning to ensure that the agency is following the previous plan of correction for the same issue. LPA Hill requested that the updated incident report be provided with the requested information by 5/30/23. In addition, LPA Hill advised the agency that Licensing will be tracking the medication errors and further citations are possible should the facility continue to make these types of errors. End of incident report discussion. Exit interview was conducted and document was provided at the conclusion of the inspection.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Anna Gleason, CEO


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced annual inspection to the facility on 1/18/24 at 11: AM and met with Evelyn Calderon, Administrator. LPA Hill conducted the inspection at the facility to inspect the physical plant of the facility. LPA Hill observed that the facility was clean, safe and sanitary during the inspection. LPA Hill observed that the facility has three dual occupancy client rooms and that all of the clients had all of the required bedroom furniture as required. LPA Hill did advise the facility to document when youth do not want top sheets on their beds as many are resistant to this. LPA Hill observed that beds were made and rooms were tidy otherwise. LPA Hill observed that the facility had the carbon monoxide detector in the hallway and that it was functioning as required. LPA Hill tested all of the smoke detectors in the home and all were functioning as required. LPA Hill observed that the fire extinguisher was last inspected on 2/15/23. LPA Hill toured the facility and observed that there are two restrooms in the facility that were clean and well stocked with toileting supplies and that the toilets flushed as required, the two showers were functioning as required and that the sinks in the bathroom and kitchen all had running hot water. LPA Hill observed paper towels in the restrooms and no common towels in the restrooms. LPA Hill observed that there were a variety of fruit snacks available for youth and that other snack items were not accessible to youth in care. LPA Hill observed that the facility did not have a list of snack items available to youth and did suggest that a list of snack items allowed be placed on the refrigerator for all youth to see and be able to obtain and/or make as it was discovered during conversation that other items such as cheese, quesadillas, yogurts, etc. were available to youth. Exit interview was conducted and inspection to continue at the administrative office.

visit_type: Annual

met_with: Haley Randle, Director of Youth Residential Programs


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced case management annual continuation inspection on 1/19/24 at 9:30 am to the administrative offices for Summitview Child and Family Services and met with Alyson Chavez, Administrator who facilitated the records review during today's inspection. LPA Hill conducted this inspection to review staff and client records, emergency intervention records, staff training records, and other records as it pertains to the annual inspection. LPA Hill also interviewed one staff during the inspection. LPA Hill was unable to use the electronic inspection tool during this inspection as it was not available and/or inaccessible during the inspection. LPA Hill utilized a manual care tool document. LPA Hill observed that none of the youth in this facility have the parent/guardian written authorization for administration of psychotropic medication as required and LPA Hill did issue a citation related to this requirement. LPA Hill cited the facility per 84070(b)(12) Children's Records which requires a written authorization of the child's parent or guardian, for each psychotropic medication as four out of four youth lack this document in their files. During the inspection of the records, LPA Hill observed that the facility does not have a separate discipline policy for parent/guardian to sign when youth are admitted to the facility. LPA Hill did issue an Technical Violation for this requirement during the inspection. In addition, during the review of facility records, LPA Hill observed that the restraint log does not indicate a duration of the restraint which is required by regulation. LPA Hill did issue an Technical Violation for this as the facility did not have this on the restraint log for this facility. Exit interview conducted with Ms. Chavez and documents were provided including appeal rights.

met_with: Alyson Chavez, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced case management inspection on 5/9/24 at 10: AM and met with Jose Navarrete, TITLE to discuss an incident that occurred at the facility. LPA Hill informed Mr. Navarrete that the inspection is related to an incident report dated 5/6/24 where C1's (see LIC811 dated 5/9/24) medication that was picked up by staff did not arrive at the facility and was not checked in at the facility, causing a youth to miss one dose of their medication on 5/6/24. LPA Hill interviewed Savannah Germond, Health Services Supervisor, and they confirmed that the medication was reordered as requested by Evelyn Calderon, Administrator on 4/29/24 and was received at the agency on 4/30/24. Ms. Germond states that upon receipt and check-in, the medication was placed in the medication box at the agency to be transported back to the facility at the end of the day on 4/30/24. When youth ran out of their medication on 5/6/24, staff looked for the refill but could not locate it. LPA Hill interviewed Ms. Calderon, the administrator, who states that on 4/30/24, they did not arrive at the facility with C1's medications and confirms only receipt of another youth's medications. LPA Hill also interviewed Mr. Navarrete and it was confirmed that they reviewed the cameras in residence for 4/30/24 and it does not show any youth approaching medication the medication box when arriving at residence and staff that were not authorized to handle medications touched the medication box. LPA Hill did recommend that the facility update policies and procedures to include signature of staff to confirm receipt of medications that are to go to the house rather than Health Services staff placing the medication in the medication box only, see LIC Advisory Notes - Technical Assistance. Exit interview conducted and documentation was provided.

met_with: Josea Navarrete, TITLE


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced case management inspection on 7/18/24 at 2: PM and initially met with Jose Navarrete, Residential Manager. Mr. Navarrete informed LPA Hill that the administrator of the home is not present at this time so LPA Hill worked with Mr. Navarrete to discuss incident reports. LPA Hill discussed the following incidents with Mr. Navarrete: 6/27/24 - LPA Hill discussed the incident involving youth in the home. The incident report details the events of the incident, including staff's ability to "keep [C3 and C2] separated" and "in different spaces of the house. The report goes on to say that while separated, S1 went out to call law enforcement. LPA Hill advised that contacting law enforcement should only be when there is an immediate threat (see Technical Violation given dated 7/18/24). Mr. Navarrete states that the agency trainer sent out a reminder about how/when to contact law enforcement. This document dated 7/11/24 was sent by the agency trainer, Richard Kartchner. LPA Hill obtained a copy of this document and it meets Community Care Licensing's standards for contacting law enforcement protocol. Combining Houses. LPA Hill in general spoke to Anna Gleason, CEO about combining houses and when the agency is doing this. Ms. Gleason states that when census is low, due to youth going home on home passes on the weekend, they combine the houses in an effort to alleviate staffing issues that they experience on weekends. Ms. Gleason states they do notifications to placing agency when any youth is to be moved and get permission prior to proceeding. In addition, Ms. Gleason states that they do compatibility assessments of the youth to ensure youth will get along. In addition, no child welfare youth is ever placed in one of the agency's group home(s). LPA Hill informed that CCL is never provided an incident report about the houses combining and that this is necessary to ensure CCL knows where youth are and when houses are not operating during any length of time. Ms. Gleason states that moving incident reports will be provided. Exit interview was conducted and documentation was provided.

met_with: Jose Navarrete, Residential Manager


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) Tamara Hill and Brittany Crass made an announced collateral inspection on 8/28/24 at 12: PM and met with Alyson Chavez, Administrator of Summitview Child & Family Services - Lotus. LPAs conducted the announced inspection on this date for the purposes of interviewing two youth in attendance for educational purposes from another facility. LPAs were able to interview two youth and two staff during the inspection. Exit interview with Ms. Chavez and document was provided. No citations were issued. End of documentation.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced collateral inspection on 9/18/24 at 11: AM and met with Haley Randle, Director of Youth Residential Programs. LPA Hill made the collateral inspection to the facility to conduct interviews with staff and clients in care relating to two of the agency's other facilities. This facility, while they do not have clients in care at this time, is being utilized for schooling and groups at this time. LPA Hill was able to conduct interviews of staff and clients during the collateral inspection. This document is being provided to document those interviews only. Exit interview conducted with Ms. Randle and documents were provided.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced case management inspection on 1/15/25 at 4: PM and met with Haley Randle, Director of Youth Residential Programs to discuss the incident reports as follows: LPA Hill discussed that incident reports, dated 11/17/24 and 11/19/24, both indicate there were medication errors for youth (C1 and C2) in care. LPA Hill discussed that the incident reports failed to identify staff(s) who made the error(s) and failed to indicate if staff were retrained on medication administration procedures or counseled on medication administration subsequent the discovery of the errors made. LPA Hill requested proof that staff were counseled and/or provided additional training as required. LPA Hill did issue an advisory to the agency on this date indicating that when documenting errors made, the facility should be documenting what the agency is doing to ensure that errors are addressed appropriately and how they are preventing future violations, i.e., that training has been provided or that staff are being counseled appropriately. Exit interview was conducted and documentation was provided.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill conducted an unannounced case management inspection on 2/6/25 at 2: PM to the administrative offices for the agency and met with Haley Randle, Director of Youth Residential Programs to discuss incident reports. LPA met with Ms. Randle about an incident that occurred on 11/25/24 where C1 was able to gain access to the facility's medication cabinet. Staff interview indicated that it is possible for youth to open the cabinet if they pull hard enough on the handles on the cabinet. While C1 and all other youth in care were kept safe by staff restraining C1 to prevent C1 from gaining access, the agency is going to evaluate the safety and efficiency of the medication cabinet to ensure this does not happen in the future. A written statement of the assessment shall be provided to Licensing to verify that this was review was completed. No citations were issued and document was provided.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill conducted an unannounced case management inspection on 3/7/25 at 11: AM and met with Haley Randle, Director of Youth Residential Programs, to discuss an incident report. LPA Hill conducted the inspection to discuss an incident report dated 2/27/25 regarding a staff interaction. LPA Hill learned that the agency had conducted interviews with one staff person and a youth in care but had not formally documented any counseling with staff regarding the incident. LPA Hill observed the agency is preparing for an Open House to commemorate their move to their new administrative office and schooling program. LPA Hill informed the agency that further investigation is needed regarding this incident. End of documentation regarding this incident.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill conducted a case management inspection on 5/1/25 at 9: AM and met with Haley Randle, Director or Youth Residential Programs. LPA Hill discussed an incident report dated 12/24/24 and followed up on 3/7/25 in which C1 (see LIC811 dated 5/1/25) reported feeling uncomfortable around S1. LPA Hill interviewed C1 and S1. S1 acknowledged two instances where their actions were perceived as not being welcomed but not inappropriate and since then has made changes regarding their interactions with all youth. S1 states that as soon as the agency brought the issue to their attention and discussed the perception of the youth with them, they immediately changed their interactions with other youth as well. As a result of the interviews conducted and documentation received, this concludes the case management investigation regarding this incident and no further investigation or follow up is needed at this time. LPA Hill provided documentation to the agency and an exit interview was conducted.

met_with: Haley Randle, Director Youth Residential Programs


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill conducted an annual inspection at the facility on 6/6/25 at 12: AM and met with Evi Calderon, Administrator who assisted in the physical plant inspection. LPA Hill toured the facility inside and out and observed that the facility is in substantial compliance during the inspection. LPA Hill observed the following: Client bedrooms - while not all the rooms were not tidy, there was no observed violations in the rooms. LPA Hill did not observed unsanitary conditions in the rooms, just clothing not put away and on the floor. Client beds had the required coverings, blankets, and pillows. Restrooms - all restrooms were clean safe and sanitary. Restrooms had the required toilet paper, paper towels, soap and sanitary products for clients in care. LPA Hill also observed that the restrooms were equipped with hot water and all faucets were functioning and toilet flushes. The facility had two days' perishable food supply and seven day food supply as required. The facility was a comfortable temperature. Fire extinguishers had the required tags and appeared to be functional as they were in the green. Smoke detectors were functioning and carbon monoxide detector was present and functioning. Medications and first aid supplies were stored appropriately and locked as were chemicals and cleaning supplies. Facility had the required postings with the exception of the Ombudsperson poster (facility issued an Advisory Note). Postings included Personal Rights, license, grievance/complaints, etc) LPA Hill concluded the inspection at the agency administrative office and obtained copies of the board meeting minutes for the previous 12 months. Annual inspection to be concluded another date and time. Documentation of this inspection was provided and exit interview was conducted.

met_with: Evi Calderon, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill conducted an unannounced case management inspection on 5/21/25 at 12: PM and met with Haley Randle, Director of Youth Residential Programs. LPA Hill conducted the inspection for the purposes of discussing an incident report dated 4/29/25 for C1 (see LIC811 dated 5/21/25). LPA Hill questioned Ms. Randle about the date of the incident and while reviewing incident reports received, did not see the full incident report had been sent to Licensing. In discussing this with Ms. Randle, it was discovered that this full incident report was not provided to Licensing but the initial report was provided on 4/30/25. The incident report in question involved S1 driving or attempting to drive off the property with C2 on the back of the vehicle. This incident involved law enforcement but was not reported to Licensing as required. As a result of this, LPA Hill cited the facility for not following the reporting requirements spelled out per Title Regulation Section 80061(b) as the agency did not provide the incident report(s) as required. Exit interview was conducted with Ms. Randle and documentation provided, along with appeal rights.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced case management inspection on 3/20/24 at 2: PM and met with Haley Randle, Director of Youth Residential Programs to discuss an incident related to a complaint investigation. LPA Hill informed Ms. Randle that the incident is related to complaint number 23-CR-20240117092751 in which a client alleged an inappropriate interaction with staff. LPA Hill reviewed video camera footage available and observed that the C1 and S1 did have a tussle in the facility that appeared to be mutual and not combative in nature. LPA Hill discussed the interaction with C1 who stated that they were playing around in the living room and wrestling and that this was normal for C1 and S1 to engage in this manner. LPA Hill interviewed S1 who reported the same. LPA Hill questioned S1 about the program policies and while S1 was aware that the agency policy prohibits contact with clients in this manner, the administrator of the home knew that C1 and S1 interacted in this manner but said nothing about it. LPA Hill discussed this with Ms. Randle during the inspection today and did inform Ms. Randle that because the facility did not adhere to the facility's program statement by placing hands on a youth in care, particularly the discipline and emergency intervention policies by wrestling with youth in the facility. LPA Hill informed the agency that they would be cited per Title Regulations, Group Home Regulations, 84072(d)(10) Personal Rights in that youth have a right to dignity in their relationships with staff and 80022(k) Plan of Operation in that S1 did not adhere to the plan of operation by placing hands on youth when the youth was not a danger to themselves or others. LPA Hill conducted an exit interview and documentation, along with appeal rights were provided to Ms. Randle.


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews revealed that one of the ten individuals interviewed for this complaint states the staff threaten youth with this type of consequence for refusal to take their medications or sit on the couch or kitchen table during the medication pass protocol approved by the Department. Nine of the ten confidential interviews all confirmed that youth have a right to refuse their medication without consequence. The allegation that staff speak inappropriately to minors in care is related to staff raising their voices at youth in care, calling youth names, and making rude or belittling remarks about youth in care. Confidential interviews revealed that staff do, at times, raise their voice when speaking to youth in care to get youths' attention when they are being loud or needing redirected. Confidential interviews revealed staff are taught to speak to the youth in an elevated voice only to get the youths' immediate attention, and they are not to continue to yell at youth. Regarding the allegation of being rude to youths in care, calling youth names, or making belittling remarks about youth in care, only one youth confirmed that this happened while in the facility. Youths in care did confirm that one staff and one youth don't get along, as evidenced by observed "negative interactions" between youth and staff, but none of the interviews could explain what "negative interactions" meant. Confidential interviews support that staff was not disrespectful to youth and other confidential interviews denied any rude remarks or belittling comments about any youths in care. As a result of the interviews conducted and documentation reviewed as part of this investigation, the allegations that staff threatened to withhold minor's medication and that staff spoke to minor in an inappropriate manner are UNSUBSTANTIATED at this time meaning the allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview was conducted and documentation was provided.

Investigation Findings:
13Licensing Program Manageer (LPM) Tamara Hill conducted a complaint inspection on 3/4/36 at 2: PM to deliver findings related to this complaint investigation and met with Haley Randle, Director of Residential Programs. LPM Hill informed NAME that the complaint investigation was conducted with LPA Aleza Ruiz and included an initial health and safety inspection on 11/20/25 and subsequent inspections on 11/21/25 and 1/21/26. LPA Ruiz conducted 10 confidential interviews with staff and clients in care. LPA Ruiz also obtained and reviewed records regarding staff training, needs and services for youth in care, and other staff records. The allegation that staff threatened to withhold minor's medication is related to staff telling youth that if they do not take their medication, they would have early bedtime or another suitable consequence for not taking their medication. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Danielle Walker-Flores LICENSING EVALUATOR NAME: Tamara Jensen-Hill 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: SUMMITVIEW CHILD & FAMILY SERVICES - PIONEERFACILITY NUMBER: VISIT DATE: 03/04/2026

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

report_type: Complaint Investigation

complaint_status: unsubstantiated


facility_name: SUMMITVIEW CHILD & FAMILY SERVICES - VISTA

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) Tamara Hill and Monica Roberts made an announced pre-licensing inspection on 12/8/22 at 11: AM and met with Haley Randle, Director of Youth Residential Programs to tour the facility inside and outside. LPAs toured the facility inside and outside and observed that the facility was safe and sanitary. LPAs observed that the air conditioning unit is not inaccessible to the facility and the facility was given an advisory to have the facility make that inaccessible to the clients in care. LPAs observed that there is one fire extinguisher and it was last inspected 1/21/22. LPAs observed that the fire alarms and carbon monoxide detectors were functioning as required. LPAs observed that there are three dual occupancy rooms in the facility that are equipped with the required beds, bedding, storage areas and closet space as required. LPAs observed that there are two bathrooms in the facility and while the water was not hot enough upon initial inspection, the water temperature was adjusted and read 105 degrees Fahrenheit upon completion of the inspection. LPAs observed that the medication cabinet is located in the kitchen area and observed that the cabinet is locked and not accessible to any clients in care. LPAs observed that there is a medication refrigerator in the garage for any clients that need refrigerated medications. LPAs did not observe any citations or other issues of concern and is recommending that the facility be issued their license pending manager approval. Exit interview with Ms. Randle and documents were provided at the conclusion of the inspection.

visit_type: Prelicensing


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill conducted an unannounced post licensing inspection on 4/27/23 at 11: AM and met with Jose Navarrete, Administrator who assisted with the physical plant inspection. LPA Hill toured the facility inside and out and observed that the facility was clean and sanitary. LPA Hill observed that the client bedrooms had the required furniture and storage requirements for the clients in care and had the appropriate beds and bedding as required by the regulations. LPA Hill observed that the smoke detectors and carbon monoxide detectors were functioning as required. LPA Hill observed that the fire extinguishers were present, charged and inspected as required. LPA Hill observed that the facility had the required amount of perishable and nonperishable food in the facility. LPA Hill did check expiration dates on the foods in the pantry and did not observe any expired foods. LPA Hill observed hot water in both bathrooms and showers, toilets and sinks all functioned as required. LPA Hill observed that the kitchen had all of the required cooking items and cutlery required for the clients in care. LPA Hill asked for a written plan to remove the downed trees, tree rounds, and other green waste from the trees that have fallen in the yard throughout the winter. LPA Hill also asked about the large sharps trash bin that is located near the shed and how the facility could better secure it to ensure youth do not have access. This bin is as big as the normal trash containers and has an opening on top where, if youth tip it upside down, the items would/could fall out, easily giving access to what is inside. LPA Hill did not observe any violations at the facility during the physical plant inspection. File review was conducted at Golden Plaza for the remainder of the post licensing inspection. Exit interview conducted with Mr. Navarrete.

met_with: Jose Navarrete, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced collateral inspection at Golden Plaza, administrative offices for Summitview Child and Family Services on 4/28/23 at 8: AM, and met with Haley Randle, Director of Youth Residential Programs. LPA Hill conducted this case management inspection to review files for staff and clients LPA Hill did note that while conducting the physical plant inspection at the facility, there is naloxone which is an over the counter medication which rapidly reverses an opioid overdose should a client in care be experiencing one. LPA Hill did advise the facility that per Provider Information Notice (PIN) 21-12-CRP, the facility is required to obtain a waiver to have/use this medication when/if a client is experiencing any signs or symptoms of an opioid overdose. Ms. Randle states that she will ensure that the waiver is submitted to Licensing as soon as possible as they do keep this in the first aid kit. In addition, the facility shall ensure that it is addressed with the primary physician in that it needs to be specified in the clients' PRN medication list maintained in the individual client files. LPA Hill did remind the facility that they are to keep at the facility, all licensing reports for a minimum of three years per Health and Safety Code, Section 1538.5(a)(3). LPA Hill reviewed staff and client files and did not issue any violations during the inspection but did issue three technical violations during the inspection for discharge policies, psychotropic medication logs that require date of the prescription rather than date medication is filled, and the requirement to maintain a list of individual(s) allowed to visit with youth while in care are all required. Exit interview was conducted and documentation was provided to Ms. Randle.

met_with: Haley Randle, Director of Youth Res Programs


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced case management inspection on 5/25/23 at 2: PM and met with Anna Gleason, CEO and Jose Navarrete, Administrator, to discuss incident reports LPA Hill informed Mr. Navarrete and Ms. Gleason that the following incident reports were of concerns and for the following reasons: * 5/2/ The incident report details a "decision" being made to allow C1 (see LIC811 dated 5/25/23) to sleep on a couch for the night due to a situation with C1's roommate. LPA explained to the facility that sleeping in rooms that are not designated for youth to sleep in are violations in that 84087(b)(4) Building and Grounds clearly states that no rooms commonly used for other purposes shall be used as a bedroom. * 5/6/ C2 was not administered a prescribed medication. The report does not indicate who the staff was, the date of the re-training or date of any applicable write up for the medication error. * 5/7/ Incident report indicates that C3 was having an issue with their roommate so youth was placed in the therapy room for the night. LPA Hill informed the agency that indicating what was done to encourage youth to sleep in their own room, contact with the supervisor for permission, follow up the day after - what efforts were made the following day to mitigate the situation and were youth assessed to ensure that they remain compatible to continue to share rooms. LPA Hill requested that an update for this incident be provided to Licensing by 5/30/23. Exit interview was conducted and documents were provided.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced case management inspection on 7/13/23 at 12: PM and met with Haley Randle, Director of Youth Residential Programs. LPA Hill discussed incident report dated 7/11/23 for C1 (see LIC811 dated 7/13/23) in which C1 ingested a product other than food. LPA Hill informed the facility that additional information is necessary and interviews need to be conducted on a later date. LPA Hill did obtain placement information related to C1 and requested that the agency provide the needs and services upon completion as youth was admitted less than 30 days prior to this date. Exit interview conducted with Ms. Randle and documents provided.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced complaint inspection to the administrative offices for Summitview on 10/12/23 at 2: PM and met with Haley Randle, Director of Youth Residential Programs. LPA Hill discussed incident reports with following incident reports with Danielle Bingle, administrator: * 9/25/ Inappropriate cell phone use in the home resulting in a video chat with S1 previous staff. LPA Hill requested documentation related to correspondence with the staff person following this incident. * 8/24/ The incident is related to staff contacting parent/guardian to conduct a room search following C1 (see LIC811 dated 10/12/23) leaving the facility unauthorized. LPA Hill advised Ms. Bingle about obtaining authorization to conduct a room search without C1's knowledge. * 8/1/ This incident is related to C2 sleeping in a common area, not their bed. LPA Hill cautioned that youth sleeping in unauthorized areas could be a violation of Title 22 and/or the fire clearance. * 7/30/ This incident report was discussed only due to a note about precipitating indicators not being clear for the date of these indicators. This was clarified during the inspection to be the same date as the incident. * 7/24/ This incident report is related to a verbal altercation between C3 and C4 in which C4 partially broke a window in the facility. The outer side of the window did break but the screen held everything in place and there was no danger to the youth in care. The following day the window was replaced. * 7/11/ This incident details that C5 ingested acrylic paint stored in the garage where accessible to youth. Ms. Bingle reports following this incident, all such items were moved to a locked cabinet to ensure that youth do not have access. * 7/9/ This 24 hour incident report details that C2 was placed in a restraint but there is no detail about why the youth was restrained. LPA Hill advised Ms. Bingle that additional information needs to be on the reports to ensure that Licensing can see clearly the need for the restraint. No citations were issued, exit interview was conducted and document provided to Ms. Randle.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced annual inspection to the facility on 1/18/24 at 10: AM and met with Jose Navarette, Residential Manager. LPA Hill conducted the inspection at the facility to inspect the physical plant of the facility. LPA Hill observed that the facility was clean, safe and sanitary during the inspection. LPA Hill observed that the facility has two dual occupancy client rooms two single occupancy client rooms. All clients rooms had the bedroom furniture as required. LPA Hill did advise the facility to document when youth do not want top sheets on their beds as many are resistant to this. LPA Hill observed that beds several of the youths' belongings to be lumped in the closets on the floor and not hung nor were there hangers available for youth. LPA Hill advised the facility to provide additional hangers to youth to allow them to hang their clothing items. LPA Hill observed that the facility had the carbon monoxide detector in the hallway and that it was functioning as required. LPA Hill tested all of the smoke detectors in the home and all were functioning as required. LPA Hill observed that the fire extinguisher was last inspected on 2/15/23. LPA Hill toured the facility and observed that there are two restrooms in the facility that were clean and well stocked with toileting supplies and that the toilets flushed as required, the two showers were functioning as required and that the sinks in the bathroom and kitchen all had running hot water. LPA Hill observed paper towels in the restrooms and no common towels in the restrooms. LPA Hill observed that there was only oranges for snacks available for youth and that other snack items were not accessible to youth in care. LPA Hill observed that the facility did not have a list of snack items available to youth and did suggest that a list of snack items allowed be placed on the refrigerator for all youth to see and be able to obtain and/or make as it was discovered during conversation that other items such as cheese, quesadillas, yogurts, etc. were available to youth. Exit interview was conducted and inspection to continue at the administrative office.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced case management annual continuation inspection on 1/19/24 at 9:30 am to the administrative offices for Summitview Child and Family Services and met with Sarah Rodriguez, Administrator who facilitated the records review during today's inspection. LPA Hill conducted this inspection to review staff and client records, emergency intervention records, staff training records, and other records as it pertains to the annual inspection. LPA Hill also interviewed one staff during the inspection. During the inspection of the records, LPA Hill observed that the facility does not have a separate discipline policy for parent/guardian to sign when youth are admitted to the facility. LPA Hill did issue an Technical Violation for this requirement during the inspection. In addition, during the review of facility records, LPA Hill observed that the restraint log does not indicate a duration of the restraint which is required by regulation. LPA Hill did issue an Technical Violation for this as the facility did not have this on the restraint log for this facility. Exit interview conducted with Ms. Chavez and documents were provided.

met_with: Sarah Rodriguez, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced case management inspection on 5/9/24 at 10: AM and met with Jose Navarrete, Residential Manager to discuss an incident that occurred at the facility. LPA Hill informed Mr. Navarrete that the inspection is related to an incident report dated 5/7/24 detailing how C3 (see LIC811 dated 5924) reported to S3 that C1 and C2 had engaged inappropriately while seated on the couch on 5/6/24. When asked about an incident report from S1 or S2, it was reported that neither of these staff did an incident report detailing any inappropriate contact between C1 and C2 on 5/6/24 by these staff while in supervision of the youth. LPA Hill did bring to Mr. Navarrete's attention that the incident report only has the data information about C1 and C2 but details that C3 is the client who disclosed feeling uncomfortable about the inappropriate contact between C1 and C2. LPA Hill asked that the incident report be updated to include C3's information as required. According to the incident report received and via video review conducted by Haley Randle, Director of Youth Residential Programs, the cameras were reviewed from the evening of 5/6/24 indicating that C1 and C2 were seated close to one another and an inappropriate interaction does appear to happen between C1 and C2 while seated on the couch despite the youths' denials. Staff were not working during the inspection so staff could not be interviewed. LPA Hill did interview C1, C2, and C3 while at the agency. LPA Hill learned that C2 was moved to another house to ensure the health and safety for C1 and C2. LPA Hill informed Mr. Navarrete that further investigation is needed at this time. Exit interview was conducted and documentation was provided.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced case management inspection on 5/16/24 at 11: AM and met with Haley Randle, Director of Youth Residential Programs. LPA Hill informed Ms. Randle that this inspection is a follow up to an inspection conducted on 5/9/24 where two youth in care were allegedly inappropriate while on the couch together at the facility. LPA Hill interviewed two youth involved in this incident and two staff supervising the youth. LPA Hill did not observe a lack of supervision. LPA Hill obtained counseling notes for the staff that were supervising youth as they were counseled on what other things they could do during supervision to ensure that youth are appropriately interacting. This concludes the case management for this incident and no further investigation is needed at this time. Exit interview was conducted with Ms. Randle and documentation was provided.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill conducted an unannounced case management inspection on 2/6/25 at 2: PM to the administrative offices for the agency and met with Haley Randle, Director of Youth Residential Programs to discuss incident reports. LPA Hill spoke to staff about a medication error that occurred on 1/26/25 in which C1 (see LIC811 dated 2/6/25) left the facility for a home visit but one of their prescribed medications was not sent home with C1 as required. The medication's box was sent home with the other medications but the actual medication was not in the box. LPA spoke with the facility administrator, Evelyn Calderon that states the error was discussed with S1 and counseling note was provided as well as additional training. LPA Hill advised the agency that the number of medication errors are becoming alarming and the agency needs to be reviewing policies and procedures to ensure that future medication training meets the expectations so as to lessen incidents related to medication errors. LPA Hill also spoke to staff about another incident that occurred on 1/26/25 involving C2 in which it was alleged that C2 inappropriately touched S2 at the facility. S2 no longer works for the agency. This investigation is ongoing and no determination was provided at this time. LPA advised the agency that further investigation is needed at this time. Exit interview was conducted and document was provided.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill conducted an unannounced complaint inspection on 5/8/25 at 1: PM and met with Anna Gleason, CEO, and Haley Randle, Director of Youth Residential Programs. LPA Hill conducted the case management inspection at the administrative location as the youth are still in school at this time to discuss an incident report dated 5/1/25. LPA Hill was unable to interview C1 (see LIC811 dated 5/8/25) as C1 has been exited from the program as of 5/1/25 due to another threat of violence and the agency contacting law enforcement. C1 was detained on 5/1/25 by law enforcement and did not return to the facility. In discussing this incident, LPA Hill was made aware that there has been a lot going on with C1 in the days leading up to C1's removal. Agency provided that C1 had demonstrated knowledge and ability to obtain and have access to weapons and due to C1's threats of violence towards the staff and other youth in care, the agency gave immediate notice on C1 to be removed. When C1 was arrested for another incident on 5/1/25, the agency did not allow C1 to return. Agency reports they felt C1 was an immediate health and safety risk to other clients in the facility and for that, they could not allow C1 to return. Exit interview conducted and document was provided.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill conducted an annual inspection at the facility on 6/6/25 at 12: AM and met initially with Carli Stallings, Mental Health Specialist II and later Evi Calderon, Administrator who assisted in the physical plant inspection. LPA Hill toured the facility inside and out and observed that the facility is in substantial compliance during the inspection. LPA Hill observed the following: Client bedrooms - All client rooms were very tidy, organized and clean. LPA Hill did observed client beds had the required coverings, blankets, and pillows and were very organized. Restrooms - all restrooms were clean safe and sanitary. Restrooms had the required toilet paper, paper towels, soap and sanitary products for clients in care. LPA Hill also observed that the restrooms were equipped with hot water and all faucets were functioning and toilet flushes. The facility had two days' perishable food supply and seven day food supply as required. The facility was a comfortable temperature. Fire extinguishers had the required tags and appeared to be functional as they were in the green. Smoke detectors were functioning and carbon monoxide detector was present and functioning. Medications and first aid supplies were stored appropriately and locked as were chemicals and cleaning supplies. Facility had the required postings with the exception of the Ombudsperson poster (facility issued an Advisory Note). Postings included Personal Rights, license, grievance/complaints, etc). LPA also observed that the facility did not have the proper carbon monoxide detector in the house. It was in the garage. (Advisory given to relocate to the hallway or install another as required.) LPA Hill concluded the inspection at the agency administrative office and obtained copies of the board meeting minutes for the previous 12 months. Annual inspection to be concluded another date and time. Documentation of this inspection was provided and exit interview was conducted.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Aleza Ruiz conducted an unannounced complaint inspection on 10/29/25 at 10: AM and met with Haley Randle, Director of Youth Residential Programs. LPA Ruiz conducted the case management inspection at the facility regarding an incident report dated 10/22/2025. In discussing this incident, LPA Ruiz was made aware there are a total of 10 new staff members at the facility and staff have recently all been changed to shift work at the facility approximately 3 months ago. Due to this, facility staff are now working new times on their shifts and are not likely used to their shift times therefore medications are being missed. Currently, there are reminders being sent by supervisors at medication times to remind staff to pass medication. LPA also observed several postings of medication times throughout the facility. Staff are being given medication retraining when there are medication errors, there also has been an agency-wide medication training held in September of 2025. Currently, staff retraining on medication has not been done at a steady rate due to facilitators not being able to hold the retraining. Moving forward, the facility will be able to delegate the medication retraining across supervisors and administrators to ensure all training is complete. Regarding the staff specific to this incident report, 1 staff has successfully been retrained on medications and the other staff is part time however will not be able to work a shift until their medication retraining is complete. Exit interview conducted and document was provided.

met_with: Haley Randle, Director of Residential Programs


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Aleza Ruiz conducted an unannounced case management inspection on 11/20/25 at 2: PM regarding an incident report dated 10/16/2025 that may have involved a youth recording other youth at the facility. This video was uploaded to Tiktok that resulted in the video going viral. LPA met with Anna Gleason, CEO. No citations were given on this date. A signed copy of this LIC-809 report was provided to Ana Gleason, CEO. An exit interview was conducted.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Aleza Ruiz conducted an unannounced case management inspection on 11/21/25 at 10: AM to continue follow up regarding a prior case management on 11/20/2025. LPA attempted to interview 1 youth regarding the incident report received by the department, 1 youth declined to be interviewed. No citations were given on this date. A signed copy of this LIC-809 report was provided to Anna Gleason, CEO. An exit interview was conducted.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill conducted a case management inspection on 5/1/25 at 9: AM and met with Haley Randle, Director Youth Residential Programs. LPA Hill discussed an incident dated 4/25/25 in which C1 (see LIC811 dated 5/1/25) was not provided transportation to a medical appointment due to staffing shortage and transportation issues. As a result of the incident report documenting that C1 was not taken to the doctor to address a medical issue, the facility was cited for Title Regulation, Section 87075(h) Health Related Services as the licensee shall ensure that the staff provide services including transportation to medical services but they failed to get C1 to a their doctor appointment on 4/25/25. LPA Hill provided documentation to the agency and an exit interview was conducted.

met_with: Haley Randle, Direcot or Youth Residential Programs


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced case management inspection on 4/13/23 at 9:30 am and met with Haley Randle, Director of Youth Residential Programs to discuss incident reports and lack of full reports being received. LPA Hill discussed an incident report dated 3/13/23 where a C1 was discharged from a medical center and returned to the facility but there is no indication on the 24 hour report as to what C1 went to the hospital for or how long they were at the hospital. LPA Hill informed Ms. Randle that the 24 hour needs to have the necessary documentation detailing reason for hospitalization and necessary timelines. LPA Hill discussed incident reports dated 3/13/23 for C1, 3/17/23 for C3, and 3/20/23 for C2 that 24 hour reports were received but no full reports were received within the required timeline of seven days as required in 80061(b) as "a written report containing the information specified...shall be submitted to the licensing agency within seven days following the occurrence of such event." LPA informed Ms. Randle that the Department still has to cite for not providing the full written report as described. LPA Hill did receive the full report for the 4/13/23 incident while at the administrative office today. The agency shall provide the other reports detailed by 4/14/23 to LPA Hill and the incident report inbox. LPA Hill discussed an incident report dated 4/3/23 for C2 where C2 left the facility undetected and was observed to have obtained an alcohol bottle and be on a local public school grounds before being found by facility staff. The full report does not have details about what transpired or what was observed as to why the alcohol bottle was not searched for, was youth taken to a medical center for medical clearance for being under the influence, etc. LPA Hill requested that the additional information be added to the report and the report be resubmitted to Licensing. Another report discussed during the case management inspection was a report dated 3/6/23 for C4 where C4 was found to have written a "poem" while in school indicating a plan to "shoot up" the nonpublic school location and/or "spray kids with mace". LPA Hill learned that a placement preservation child and family team meeting was held 3/8/23 and 3/23/23 and when other supports were not successful, youth was given a 14 day notice on 3/24/23. Youth was discharged the same day. LPA Hill discussed medication incident reports received since January 1, 2023, detailing medication errors due to medications not being picked up, staff forgetting to administer at time(s) prescribed by doctors or other errors. LPA Hill informed Ms. Randle that the Department is not concerned for medication errors due to pharmacy not having medications but errors that are within the control of Summitview and staff, are of concern. LPA Hill asked Ms. Randle how the facility has addressed this issue to ensure that there are no medication errors due to staffing and/or Summitview not having the prescribed medications on site. Ms. Randle states that medication training was conducted with all residential staff and the Department has begun to track for medication patterns and any staff responsible for medication errors will be retrained immediately and/or corrective actions conducted with said staff. Health services have met with transporters to ensure that refills and notifications are sent to transporters a minimum of seven to ten days prior to medications running out and refill requests are completed. Controlled medications are counted daily and other medications are counted twice weekly. When these counts happen, staff are to notify Health Services for refill of medications in an effort to prevent the facility from running out medications. Exit interview was conducted with Ms. Randle and documents, including appeal rights were provided.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced case management inspection on 1/15/25 at 4: PM and met with Haley Randle, Director of Youth Residential Programs to discuss the incident reports as follows: LPA Hill discussed incident reports, dated 12/27/24, 12/27/24, and 12/30/24, as follows: 12/27/24 - this incident report details that C1 returned to the facility following a home pass with family, without their medications. LPA Hill asked the facility about sign-in procedures. LPA Hill informed the agency that youth should not be dropped off without properly conducting a check-in procedure to ensure that all items needing to be present is and to ensure that youth are not arriving to the agency with contraband. 12/27/24 - this incident report details room searches being conducted due to suspicions of multiple youth being in possession of alcohol. The incident report details other items confiscated as a result of the room searches. LPA Hill reminded the agency that while room searches due to probable cause may be warranted, the agency should be documenting on the incident reports that consent was obtained from the youths' parent/guardian as appropriate. 12/30/24 - this incident report details that C2 was not administered medications for several days, including 12/26/24, 12/27/24, and 12/29/24, but does not indicate a reason why the medication was not administered. As a result of the medication not being administered as prescribed, the facility was cited for violation of Title General Regulation number 80075(b) Health Related Services as you are to be assisted as needed with self-administration of medications and this was not done as evidenced by C2 missing multiple day(s) and/or doses of their medication(s). Exit interview was conducted and documents were provided along with appeal rights.


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
LPA was made aware that while the facility has an alarm system for all doors and windows, there was a set of French doors and a bathroom window in a youth bedroom that was not connected to the house alarm system at the time of this incident. This left these avenues open for youth access without notifying staff. Staff were reportedly not in the vicinity of the youths' rooms at the time of the incident and not aware that youth were engaged in the inappropriate interaction until it was reported to the facility staff. Upon records review, LPA Ruiz requested youth needs and services plans however the needs and services plan provided did not mention either youth involved having "out of staff sight time." Though it was mentioned in many interviews one youth was exercising "out of staff sight time" this was not reflected in the records, leaving the youth simply to be without supervision at the time of the incident. Based on LPA Ruiz's interviews which were conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation are found to be Substantiated. Citation is being issued for violating Title Section 80078(a) A signed copy of this LIC-9099 report, the LIC-9099C, and LIC-9099D were provided to the facility. An exit interview was conducted. Appeal rights were provided.

Investigation Findings:
13Licensing Program Analyst (LPA) Michelle Silvas, arrived unannounced at the Administrative office on this date for the purpose of delivering findings for the complaint investigation. LPA met with Haley Randle, DIrector of Residential Programs. LPA Aleza Ruiz conducted the complaint investigation. LPA Ruiz initiated the investigation with the facility on 10/29/2025 and met with Haley Randle, Director of Residential Programs, to conduct a Health and Safety Inspection. During the investigation, LPA interviewed five staff and two minors and one additional adult. LPA Ruiz reviewed records including Placement Roster, prior complaint history, Serious Incident Reports, internal investigation notes, and Needs and Service Plans for youth. Regarding the allegation of staff did not prevent clients from engaging in inappropriate interactions when conducting confidential interviews, four individuals stated one youth involved in the incident had out earned the privilege "out of staff sight time" as a coping mechanism when escalated. One individual stated that supervision is one of the facility's top priorities and not sure how this could have happened due to how well staff typically supervise the youth. Continue LIC 9099-C SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Jensen-Hill LICENSING EVALUATOR NAME: Michelle Silvas 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: SUMMITVIEW CHILD & FAMILY SERVICES - VISTAFACILITY NUMBER: VISIT DATE: 02/25/2026

complaint_status: SUBSTANTIATED


facility_name: SUNOL HILLS AT FREMONT

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Based on LPAs observations and interviews which were conducted and record review(s), the facility did not follow their Plan of Operation staffing ratio of 1 to 3. The preponderance of evidence standard has been met, therefore the above allegation- Not enough staffing in the facility is found to be SUBSTANTIATED. California Code of Regulations (CCR) 80022(k) - Plan of Operation. See attached LIC9099D for details. Additionally, due to the substantiated allegations above, and based on interviews with staff, there is a preponderance of evidence to prove that the facility is kept at an uncomfortable temperature for clients and staff. Therefore, the allegations are SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 & Chapter 1, Furniture, Fixture, Equipment, and Supplies, 80088(a)(1), and are being cited on the attached LIC 9099D. An exit interview was conducted, appeal rights provided and discussed, and a copy of this report was sign by Blue Pujol, Facility Manager and emailed to Administrator.

Investigation Findings:
13Licensing Program Analyst (LPA) Alyssa Ng conducted a complaint inspection with Sunol Hills at Fremont and spoke with Blue Pujol, Facility Manager. The purpose of the inspection was to deliver the findings for the above complaint allegations. During investigation, incident reports and records were reviewed, and confidential interviews were conducted. Based on interviews and records review, facility was not within their program statements' ratio of 1:3 during the times of 10pm to 7 am. In February, facility was out of ratio 16 out of the 28 days. In March, the facility was out of ratio 17 out of 31 days. Facility has clients with AWOL behavior that require additional staff to follow and redirect clients back to the facility. Additionally, LPA Ng received a picture of the facilities thermostat dated January 2nd and recorded 54 degrees. LPA Ng measured the temperature in each room of the facility on 2/9/2022 and three out of six bedrooms and dining area measured below the minimum of 68 degrees F. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, TRAEGER AVE., SUITE FACILITY NAME: SUNOL HILLS AT FREMONTFACILITY NUMBER: VISIT DATE: 04/11/2022

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

met_with: Blue Pujol


raw_content:
Narrative:
LPA Fremont measured the water temperature on 3/15/22 and it was 103.5 degrees F which does not meet the minimum requirement of 105 degrees F. There is a preponderance of evidence to prove that the facility failed to provide running hot water. Therefore, the allegations are SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 & Chapter 1, Furniture, Fixture, Equipment, and Supplies, 80088(e)(1), and are being cited on the attached LIC 9099D. Based on LPAs observations and interviews which were conducted and record review(s), the facility did not follow their Plan of Operation staffing ratio of 1 to 3. The preponderance of evidence standard has been met, therefore the above allegation- insufficient staffing to meet clients' needs is found to be SUBSTANTIATED. California Code of Regulations (CCR) 80022(k) - Plan of Operation. See attached LIC9099D for details. Additionally, LPA reviewed incident reports that were submitted to CCL late and found that there were a few AWOLS and one staff during the times of 10pm to 7 am. The census of the facility can go up to six at a time. Facility has clients with AWOL behavior/Suicidal Ideation that require additional staff to follow and redirect clients back to the facility. The preponderance of evidence standard has been met, therefore the above allegation- insufficient staffing to meet clients' needs is found to be SUBSTANTIATED. California Code of Regulations (CCR) 80078(a) - Providing Care and Supervision. See attached LIC9099D for details. Lastly, during confidential interviews and documents reviewed, it was disclosed that staff were not properly trained in running certain programs. Art therapy is conducted with a licensed clinician or therapist. While LPA Ng and LPA Fremont were at listed facility, Art therapy was being conducted. It was observed that it was not run by a licensed clinician or therapist. Therefore, the above allegation- staff not trained is found to be SUBSTATIATED. California Code of Regulations, Title 22, Division 6 & Chapter 1, California Code of Regulations, 84078(b) are being cited on the attached LIC 9099D. An exit interview was conducted, appeal rights provided and discussed, and a copy of this report was emailed to the Administrator.

Investigation Findings:
13Licensing Program Analyst (LPA) Alyssa Ng conducted a complaint inspection with Sunol Hills at Fremont and spoke with Blue Pujol, Facility Manager. The purpose of the inspection was to deliver the findings for the above complaint allegations. During investigation, incident reports and records were reviewed, and confidential interviews were conducted, facility did not submit incident reports within the required time frame. A facility walk-through conducted on 3/25/2022, and the water temperature was measured to be 103.5 degrees. Staff disclosed that the Dialectical Behavior Therapy (DBT) and Art Therapy they provide clients are not run by trained staff. Based on interviews and records review, facility was not within their program statements' ratio of 1:3 during the times of 10pm to 7 am. In February, facility was approximately out of ratio 16 out of the 28 days. In March, the facility was approximately out of ratio 17 out of 31 days. Facility has clients with AWOL behavior/Suicidal Ideation that require additional staff to follow and redirect clients back to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, TRAEGER AVE., SUITE FACILITY NAME: SUNOL HILLS AT FREMONTFACILITY NUMBER: VISIT DATE: 04/11/2022

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


summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Alyssa Ng conducted a complaint inspection with Sunol Hills at Fremont and spoke with Blue Pujol. The purpose of the inspection was to deliver the findings for the above complaint allegations. During Investigation, a walk-through of the facility was conducted on 3/25/22 and measured 68 degrees F which meets the minimum requirement. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that facility failed to provide a comfortable temperature to clients in care. Therefore, the above allegations are UNSUBSTANTIATED. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Based on LPA's interview with Administrator and record review(s), the preponderance of evidence standard has been met, therefore the above allegation, Fingerprint was not cleared before staff started working is found to be SUBSTANTIATED. An immediate Civil Penalty was assessed, and facility is being cited for violation of California Code of Regulations (CCR), Title 22, Division 6 & Chapter 1: 80019(e)(1): Criminal Record Clearance. See attached LIC9099D for details. An exit interview was conducted, appeal rights provided and discussed, and a copy of this report was given to Adriana Elias, Facility Manager.

Investigation Findings:
13Licensing Program Analyst (LPA) Alyssa Ng conducted a complaint inspection with Sunol Hills at Fremont and spoke with Adriana Elias, Facility Manager. The purpose of the inspection was to deliver the findings for the above complaint allegation. During investigation, records were reviewed, facility did not ensure fingerprinting was cleared before staff started working. Based on a review of the Licensing Information System (LIS), Guardian, facility roster and facility staff schedule, it was discovered that 1 staff started working at the facility before the live scan was sent and processed. The staff hire date was on 4/5/2021. The staff live scan was cleared on 11/20/2021. The date that the staff was onsite, and working was on 10/21/2021. This meant the staff was working for a month before getting their background and fingerprints cleared. --------Cont. ON LIC9099C----- SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, TRAEGER AVE., SUITE FACILITY NAME: SUNOL HILLS AT FREMONTFACILITY NUMBER: VISIT DATE: 06/09/2022

met_with: Adriana Elias


raw_content:
Narrative:
Based on LPA's interviews and record review, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur. Therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left with Arian Cuevas, Facility Manager whose signature on this form confirms receipt.

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

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

met_with: Arian Cuevas - Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On Wednesday January 26, 2022 at 11: AM Licensing Program Analysts (LPA) Alyssa Ng and Karmen Balhotra made an unannounced inspection to conduct an annual required inspection. LPA met with Clarissa Joseph, Program Administrator. The facility has a census of five clients and two staff. The facility is clean, safe and sanitary and in good repair. All passageways are unobstructed. There are six rooms and three bathrooms. The garage and a part of the backyard were inaccessible to clients. There are no pools or bodies of water. All disinfectants, cleaning solutions and poisons are located in kitchen and are not accessible to the residents. There are no firearms in the facility and all sharps are inaccessible to clients in care. The inspected bedrooms were furnished accordingly. The kitchen is clean and sanitary. The facility has sufficient two day perishable and seven day nonperishable food supply. Medications are located in the staff office and are locked. Medication that needed refrigeration was locked as well. Medication binder was inspected and complete. The facility has Personal Rights and Emergency Disaster Plans are posted and in clear view. LPA Ng and Balhotra reviewed all 5 client files and were found to be complete. LPA's interviewed two clients. A review of Guardian Background Check System printed on January 26, 2022 indicated that all facility staff have DOJ, FBI and child abuse index check clearances (CAIC). LPA Ng was unable to finish the annual inspection at this time. LPA Ng will come back to do a review of staff files, required documentation and complete the inspection. No deficiencies were observed today. A copy of this report was left with Administrator.

met_with: Clarissa Joseph


summary: Facility Evaluation

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Narrative:
On Thursday February 3, 2022 at 9: AM Licensing Program Analyst (LPA) Alyssa Ng made an unannounced inspection to finish the annual required inspection. LPA met with Katherine Day (Facility Manager) The facility has a census of six clients and three staff. LPA Ng met with Administrator Clarissa Joseph via google meet. Clarissa showed LPA Ng all the staff files and on-going training. All staff files and other documents are on their own system. Staff training hours meet the minimum requirements, A review of Guardian Background Check System indicate that all facility staff have DOJ, FBI and child abuse index check clearances (CAIC). LPA Ng interviewed 2 staff. No deficiencies were cited and a copy of this report has been left with the Facility Manager, Katherine Day.

met_with: Katherine Day


summary: Facility Evaluation

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Narrative:
On Tuesday January 17, 2023 at 10: AM Licensing Program Analyst (LPA) Alyssa Ng made an unannounced inspection to conduct an annual required inspection. LPA met with Katherine Day, Facility Manager. The facility has a census of 4 clients and 3 staff. The facility is clean, safe and sanitary and in good repair. All passageways are unobstructed. There are six rooms and three bathrooms. The garage and a part of the backyard were inaccessible to clients. There are no pools or bodies of water. All disinfectants, cleaning solutions and poisons are located in kitchen and are not accessible to the residents. There are no firearms in the facility and all sharps are inaccessible to clients in care. The inspected bedrooms were furnished accordingly. Extra linen is located in the hallway. The kitchen is clean and sanitary. The facility has sufficient two day perishable and seven day nonperishable food supply. Medications are located in the staff office and are locked. Thermostat and water temperature was at 74 degrees F and 129. F. Caution signs were posted at every sink. Medication that needed refrigeration was locked as well. Medication binder was inspected and complete. The facility has Personal Rights and Emergency Disaster Plans are posted and in clear view. LPA Ng did not review any client files nor conducted any client interviews due to clients being there less than thirty days. A review of Guardian Background Check System printed on January 17, 2023 indicated that all facility staff have DOJ, FBI and child abuse index check clearances (CAIC). All staff files and other documents are on their own system. Staff training hours meet the minimum requirements. No deficiencies were cited today. A copy of this report was given to Daria Gershkovitch, Program Administrator.


summary: Facility Evaluation

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Narrative:
On 1-19-24 9:54AM, Licensing Program Analysts George Karkazis conducted an unannounced Annual/Random inspection at listed facility. LPA's met with Amanda Lopez,Interim Program Administrator and toured the facility inside and out. Safety precautions were taken including screening call and mask wearing. The Group Home is licensed to serve 6 clients. Present during the inspection were 4 staff and 5 clients. At 10:10AM LPA Karkazis reviewed client and staff files. Both staff and client files were complete and in good order. At 12:16PM, LPA Karkazis toured the facility. LPA Karkazis observed 6 bedrooms and 3 bathrooms. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPA Karkazis tested the water temperature and found it to be 118 degrees which is in range. The thermostat read 70 degrees which is within range. Sharps were locked and chemicals were safely stored. There were two days of perishable foods and seven days non-perishable foods present. The medication was also stored and locked in the Administrator's Office, in a locked cabinet. The facility is in good repair and clean. LPA Karkazis interviewed 3 staff and 2 clients. At 1:03PM LPA Karkazis toured the backyard. There were no open bodies of water. The backyard was in good repair and clean. At this time there were no deficiencies. An exit interview was conducted, appeal rights discussed and a copy of this report was given to Amanda Lopez, Interim Program Administrator.


summary: Facility Evaluation

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Narrative:
On 11/22/ Licensing Program Analyst (LPA) Jonathan Medina conducted a case management visit to follow-up on a submitted incident report (IR). LPA met with Facility Manager Adriana Elias and informed of the purpose of the visit. An IR was submitted for an incident that occurred on 11/16/2024. Per the IR, a client was noticeably upset and crying then disclosed other clients were being mean to him which subsequently led to his decision to leave the program. During todays visit, Facility Manager further explained that the client had a clash of personalities with the other clients. Various group activities to implement mindfulness, empathy for one another, and reminding everyone that the facility is a safe space was done frequently. Due to no further danger to other residents personal rights, administrator determined no further action needed. LPA conducted confidential interviews with 1 client and 3 staff to obtain more details on the IR. LPA also did a walk through of the facility and found it to be clean and in good repair, An exit interview was conducted and no deficiencies cited during today's inspection. A copy of the report was left with the Facility Manager.

met_with: Facility Manager - Adriana Elias


summary: Facility Evaluation

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Narrative:
On January 17, 2025, at 9: AM, Licensing Program Analyst (LPA) Jonathan Medina conducted an unannounced annual/random inspection at the listed facility. LPA Medina met with Amanda Lopez, Interim Program Administrator, and toured the facility inside and out. The group home is licensed to serve six clients. Present during the inspection were three staff members and four clients. LPA Medina reviewed client and staff files, finding them complete and in good order. During the facility tour, LPA observed six bedrooms and three bathrooms. Facility documents, including the license, personal rights poster, facility sketch, meal menu, and other required forms, were properly posted throughout the premises. LPA Medina tested the water temperature, which measured 118°F-within the acceptable range. The thermostat displayed a temperature of 70°F, also within the appropriate range. Sharps were securely locked, and chemicals were safely stored. The facility maintained the required food supplies, including two days of perishable food and seven days of non-perishable food. Medications were stored and locked in the Administrator's Office within a secured cabinet. The facility was clean, well-maintained, and in good repair. The backyard was also inspected and found to be clean, in good repair, and free of open bodies of water. Activities for clients such as basketball and soccer were available as well as areas for relaxation. LPA Medina thoroughly reviewed the facility's operational requirements, disaster preparedness plan, and emergency intervention plan. All documentation was complete and up to date. Interviews were conducted with three staff members and two clients. At this time, no deficiencies were observed. An exit interview was conducted and a copy of the report was provided to Amanda Lopez, Interim Program Administrator.

met_with: Amanda Lopez - Facility Manager


summary: Facility Evaluation

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Narrative:
Control Number: 0001741-FN On 05/14/ Licensing Program Analyst (LPA) Simran Nayyar conducted an unannounced case management for the facility listed above to follow-up on a submitted incident report (IR). LPA met with Malika Singh, Interim Program Administrator and informed them the purpose of the visit. An Incident Report (IR) was submitted regarding an event that occurred on 05/09/25. According to the IR, one medication was accidentally administered twice to a client, and one medication was completely missed. During this inspection, the LPA reviewed the client's medication files related to the incident. A copy of the staff schedules as well as the Medication Administration Record (MAR), was also obtained. LPA conducted confidential interviews with (3) staff and (1) client to obtain more details on the IR. The Interim Program Administrator demonstrated full knowledge of the error and confirmed that appropriate follow-up procedures were implemented. (2) staff will be on probation for 2 weeks due to the mishap, they will also be retrained on medication, and supervised during their shifts from now on forward. LPA also did a walk through of the facility and found it to be clean and in good repair. At this time (1) Technical Violation is being issued today to ensure the staff that made the error get re-trained on medication administration. An exit interview was conducted and a copy of the report along with appeal of rights was left with the Malika Singh, Interim Program Administrator whose signature on this form confirms receipt.


summary: Facility Evaluation

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Narrative:
On January 7th, 2026 at 9:40AM, Licensing Program Analyst (LPA) Hanako Primer conducted an unannounced Annual Inspection at the listed facility. LPA met with Giselle Banuelos, Assistant Program Administrator and toured the facility inside and out. The group home is licensed to serve six clients. Present during the inspection were two staff and three clients. The clients left on an outing during the inspection. LPA reviewed three client files. LPA inspected client Psychotropic Medication Administration Records, admission agreements, medical records and assessment, immunization record, client rights, grievance procedure, house rules, etc. LPA found that three out of three needs and services plans did not have parent or client signatures. Based on record review, LPA issued one Technical Violation under California Code of Regulations 84070(c)(1) Children's Records. See attached LIC9102 form. LPA Primer toured the facility. LPA observed six bedrooms and three bathrooms. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPA tested the water temperature and found it to be 115 degrees which is in range. The thermostat read 70 degrees which is within range. Sharps were locked and chemicals were safely stored. There were two days of perishable foods and seven days non-perishable foods present. The medication was stored and locked in clinician's office. The facility is in good repair and clean. LPA toured the backyard. There were no open bodies of water. The backyard was in good repair and clean. LPA interviewed one staff. There were no citations issued at this time. An exit interview was conducted, and a copy of this report was given to Giselle Banuelos, Assistant Program Administrator.

met_with: Giselle Banuelos - Assistant Program Administrator


summary: Facility Evaluation

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Narrative:
On January 9th, 2026 at 10:25AM, Licensing Program Analyst (LPA) Hanako Primer conducted an unannounced Annual Inspection continuation at the listed facility. LPA met with Arian Cuevas, Facility Manager and Francesca Villanueva, Facility Manager. The group home is licensed to serve six clients. Present during the inspection were two staff and three clients. LPA reviewed five staff files. LPA inspected employee health screening records, TB tests, LIC500, CPR certificates, HIPAA trainings, mandated reporter trainings, and other staff training records. Staff records were separate and complete. LPA interviewed one staff member and two clients. At this time there were no deficiencies. An exit interview was conducted, and a copy of this report was given to Francesca Villanueva, Facility Manager.


summary: Facility Evaluation

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Narrative:
On October 6th, 2025 at 11:10AM, Licensing Program Analyst (LPA) Hanako Primer conducted a case management inspection at the facility. LPA met with Giselle Banuelos, Facility Manager, and informed them of the purpose of the visit. At the time of the visit, there were six clients at the facility. LPA observed multiple unusual incidents which the facility did not report to Community Care Licensing. LPA issued one Type B citation under 80061(b) Reporting Requirements. An exit interview was conducted, appeal rights discussed, and a copy of this report was left Giselle Banuelos, whose signature on this form confirms receipt.

met_with: Giselle Banuelos - Facility Manager


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Alyssa Ng conducted an unannounced case management inspection with Sunol Hills at Fremont and spoke with Blue Pujol, Facility Manager . The purpose of the inspection was to follow up on why incident reports not being submitted on time for 2021 and 2022. LPA Ng reviewed incident reports that have been sent in by the listed facility and found two IR's submitted to CCL for 2021. During confidential interviews, LPA Ng asked staff if there have been only two incidents for 2021 and stated that there has been more than 2. As for 2022 incident reports, 3 were sent to the CCL. LPA asked the administrator why none these incidents were reported to the department. Administrator stated it was the old Program Administrators job and was fired for not doing their duties. Facility cited for violation of California Code of Regulations, Title 22, Division Six, Section 80061(b) Reporting Requirements. An exit interview was conducted, appeal rights provided, and sent to the Administrator.


facility_name: SUNPOINT HOME

summary: Facility Evaluation

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Narrative:
On Wednesday October 20, Licensing Program Analysts (LPA) Isabel Mendoza made an unannounced inspection to conduct an annual required inspection. LPA met with Administrator Anne Marie Soler. The facility has a census of four clients. One client was present during LPA Mendoza's inspection. LPA was unable to interview client due to client being non-verbal. However, LPA observed client to be in good spirit. LPA interviewed one staff member. The facility is clean, safe and sanitary and in good repair. All passageways are unobstructed. There are no pools or bodies of water. All disinfectants, cleaning solutions and poisons are located in kitchen and are not accessible to the residents. Per Administrator Soler there are no firearms in the facility. The inspected bedrooms were furnished accordingly. The kitchen is clean and sanitary. The water temperature measured 114 degrees. The facility has sufficient two day perishable and seven day nonperishable food supply. Medications are located in the staff office and are locked. Medication binder was inspected and complete. LPA advised the facility to use LIC B to ensure that the psychotropic MAR has all required items. Currently, the MAR is missing Quantity Prescribed, prescription filled date, prescription number, and number of refills. However, all this information is listed on the Centrally Stored Medication Log. The Administrator will add these items to all psychotropic MARs. The facility has Personal Rights and Emergency Disaster Plans are posted and in clear view. At 9: AM, LPA Mendoza All client files were reviewed and were all complete. LPA advised the facility for the clients that are unable to sign any LIC forms because of their developmental disability to include a note in the signature line. Also, requested the facility to submit an age-exception for (C1), please refer to LIC 811, dated 10/20/21 for confidential names. If the youth is going to remain in the facility on or before his 23rd birthday. At 11: AM LPA Mendoza reviewed six staff files and had all required documentation. Staff training hours meet the minimum requirements, A review of Guardian Background Check System printed on October 19, 2021 indicate that all facility staff have DOJ, FBI and child abuse index check clearances (CAIC). During the inspection LPA requested an updated LIC 500 staff schedule, LIC Emergency Disaster Plan, and copy of your Administrator Certificate. Administrator will submit no later than Monday 10/25/21. No deficiencies were observed today. A copy of this report was left with Administrator.

met_with: Anne Soler- Administrator


summary: Facility Evaluation

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Narrative:
On 11/9/22 at 1:45PM, Licensing Program Analyst (LPA) Mariah Hawkins made a visit to the facility for a required annual inspection. LPA met with Administrator Anne Marie Soler and informed of the purpose of the visit. LPA used the CARE Inspection Tool to complete this inspection. LPA conducted a tour of the facility and grounds and obtained updated copies of staff schedule and resident roster. The facility is clean and organized. The kitchen and bathrooms are sanitary. Each resident has their own bedroom with personal storage space and clean linens. Medications are stored where inaccessible to residents. Sharps and chemicals are locked and inaccessible to residents. LPA conducted three staff interviews and four resident observations. Residents appear clean, dressed in well-fitting clothes, and engaging comfortably and well with staff. File reviews showed complete files. LPA requested the following be submitted to LPA by 10/11/22: Exception request for R1 (See LIC Confidential Names); 30-day notice for R2. No citations were issued at today's inspection. An exit interview was conducted, appeal rights discussed, and a copy of this report was left with Administrator Anne Marie Soler, whose signature on this form confirms receipt.

met_with: Administrator Anne Marie Soler


summary: Facility Evaluation

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Narrative:
On Thursday, May 4th, 2023 (05/04/2023), an office meeting was held with the licensee to discuss the licensee's plan to transition the facility into an adult residential facility (ARF). In attendance were Licensing Program Manager (LPM) Isabel Diego, Licensing Program Analyst (LPA) Mariah Hawkins, Administrator Anne Marie Soler, and Golden Gate Regional Center (GGRC) Social Worker Angela Raffin. The facility currently has four residents in care whose ages are 18, 18, 22, and 24. Age exceptions have been granted for two residents, expiring in April 2027. The age exceptions for the other two residents have expired or will expire soon. One expired in August 2022, and one was extended until the end of May 2023. The licensee initially planned to acquire a new property for the ARF but has since determined the better plan is to transition this facility into an ARF. The licensee has provided evidence of support from GGRC for their plans to open an ARF and agrees to provide the licensing agency with the following: 1) By Friday 6/30/23, the licensee will submit their ARF application to the CCLD Adult & Senior Care Program Centralized Application Bureau. 2) Following submission of the ARF application, the licensee will let send LPA the assigned license number for the ARF application. 3) The licensee will continue to provide periodic updates until the ARF has been licensed. A copy of this report was provided to Administrator Anne Marie Soler, whose signature on this form confirms receipt.


summary: Facility Evaluation

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Narrative:
On 11/20/23 at 2: PM Licensing Program Analyst (LPA) Celeste Aparicio and Licensing Program Manager (LPM) Lidia Tinoco made an unannounced annual inspection. LPA and LPM met with Administrator Anne Soler and inspected the facility, inside and out. Centrally stored medications are maintained in a locked cabinet. Sharps and Toxic chemicals are kept locked. The facility has a written emergency disaster plan. Individual beds were observed with appropriate clean linens and are in good repair. There is at least one-week supply of nonperishable and a two-day supply of perishable foods. The facility is maintained at 69 degrees. Facility has cameras in common areas of the facility. No firearms or weapons are allowed in the facility. The Administrator shared the plan to convert the facility into an adult home and is pending program statement approval and fire clearance. The residents at the facility are non-verbal, LPA was unable to conduct interviews. At this time the inspection is not complete, LPA and LPM will return to complete the inspection. No deficiencies were cited at this time. LPA conducted an exit interview with Anne Solner, Administrator, at 4: PM. A copy of this report was provided at the completion of this inspection.

met_with: Anne Soler


summary: Facility Evaluation

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Narrative:
On November 21, 2023 an unannounced annual inspection was conducted by Licensing Program Analyst (LPA), Celeste Aparicio and Licensing Program Manager (LPM) Lidia Tinoco at Sunpoint Home. At 11:00am, LPA arrived at the facility and met with the Administrator, Anne Soler. LPA informed Administrator that the purpose of this visit was to complete an annual inspection and review records. During the visit, LPA reviewed the disaster preparedness plan, emergency intervention plan, client files, and staff files. LPA conducted three staff interviews and was unable to interview clients because they are Non-verbal. Records of personnel/ staff members were reviewed to ensure staff meet regulatory requirements. All personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. Personnel Files are maintained on-site in a secure location. 4 client files and 4 staff files were reviewed. No deficiencies were observed or cited at this time. LPA conducted an exit interview with Anne Solner, Administrator, at 3: PM. A copy of this report was provided at the completion of this inspection.


facility_name: SUNRISE HOME

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Investigation Findings:
13Licensing Program Analyst (LPA) Shikya Belfield made an unannounced inspection to the above facility 11: AM on 5/17/2023. LPA Belfield met with Adminsitrator Juvy Golub and facility manager Mark Pons who assisted with the inspection. The purpose of this inspection is to inform the facility representative of the findings regarding the above allegation. Based on confidential interviews conducted, obtained documentation, and facility observation. It is confirmed that a safety locking device was used on at least one bedroom in the home where two clients share a room. The preponderance of the evidence has been met, therefore this allegation is Substantiated. Facility is being cited for violation of the California Code of Regulations, Title 22, Division Six, Section 84072(d)(14) Personal Rights, as described on the following form LIC D. Facility issued Civil Penalty. An exit interview was conducted and a copy of this form along with appeal rights was left with administrator Golub and Facility manager Pons. 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: SUNRISE HOMEFACILITY NUMBER: 075650123

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

met_with: Juvy Golub


summary: Complaint Investigation - Substantiated

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Narrative:
PAGE The preponderance of evidence standard has been met, and therefore the above allegations are found to be substantiated. LPA is issuing citations of Health and Safety Code Section 1558 and California Code of Regulations, Title 22, Section Personal Rights. See attached LIC 9099-D. An exit interview was conducted, and a copy of this report and the licensee's appeal rights were provided to Facility Manager Rahanat Abubakar, whose signature on this form confirms receipt.

Investigation Findings:
13On 11/7/24, Licensing Program Analyst (LPA) Mariah Hawkins conducted a complaint investigation visit regarding the above allegations. LPA met with Administrator Juvy Golub and Facility Manager Rahanat Abubakar and informed of the purpose of the visit. During visit, LPA conducted confidential interviews with 6 staff. LPA observed the involved resident in care. This involved resident is nonverbal. All others residents were at school and are also nonverbal. Video evidence submitted with the complaint was played for Administrator and Facility Manager, who confirmed the staff and resident captured in the video. The video captures staff S1 push a resident against a wall and punch the resident's chest area. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego 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 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 RO, TRAEGER AVE., SUITE FACILITY NAME: SUNRISE HOMEFACILITY NUMBER: VISIT DATE: 11/07/2024

met_with: Administrator Juvy Golub, Facility Manager Rahanat Abubakar