summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Statements indicated that once outside A1 punched C2 in face and A1 and C2 engaged in a physical altercation. Statements indicated that C2 was removed from on top of A1. Once separated A1 approached C2 and began to engage in physical altercation again. A1 and C2 were separated again and C2 was taken into the restaurant and A1 remained outside with S1. Statements indicated that law enforcement was called, however there were no statements to indicate that law enforcement arrived at the location after the physical altercation. Incident Report submitted on November 29, 2024, indicates that facility staff and clients gathered at El Toritos. El Toritos guest confronted C2 and went outside and engaged in physical altercation. Incident Report did not include a detailed narrative describing the incident and events leading up to the incident. Facility cited for violation of California Code of Regulations, Title Division Six, regulation 80078 (a) Responsibility for Providing Care and Supervision and Interim Licensing Standards, Article 06, regulation 87061 (i)(2) Reporting Requirements. Facility staff did not prevent C2 from engaging in a physical altercation and did not report all details pertaining to incident. An exit interview was conducted, and a copy of this report will be provided to Joseph Alvarado, Administrator.

Investigation Findings:
13On February 3, 2025, at 1pm, Licensing Program Analyst (LPA), Donald Martin arrived at the above facility for the purpose of concluding a complaint investigation. During the investigation LPA conducted confidential interviews and reviewed documentary evidence. Statements indicated that nine facility staff and three clients celebrated Thanksgiving at El Toritos located in Palmdale. Staff 1 (S1) attended celebration with boyfriend Adult 1 (A1). Statements indicated that A1 motioned to Child 1 (C1) to leave the dinner table. A1 and C1 were observed talking near the bathrooms. Statements indicated that when C1 returned to the dinner table, C1 sat between Staff 3 (S3) and Child 2 (C2). Statements indicated that C1 and C2 engaged in a conversation and A1 from across the table stated, "Watch your mouth." A1 began to challenge C1 to go outside. Statements indicated that facility staff were present and overheard the conversation between A1 and C1. C2 intervenes and went outside on C1's behalf. Statements indicated that staff present attempted to verbally stop C2 from going outside. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Donald C Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: ANYTHING IS POSSIBLE FOUNDATIONFACILITY NUMBER: VISIT DATE: 02/03/2025

met_with: Joseph alvarez-Administrator


state: CA

facility_name: ANYTHING IS POSSIBLE FOUNDATION

summary: Facility Evaluation

raw_content:
Narrative:
On April 17, 2024 at 9:30am Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of conducting a Pre-Licensing inspection. LPA met with Administrator, Joseph Alvarado and was allowed into the facility. Administrator, Joseph Alvarado conducted the walk through with LPA inside and out of the facility. The facility is a two story home with 3 bedrooms and 3 bathrooms. The facility will be licensed to care for six clients, ages 12-17 years, ambulatory only. The facility layout is as follows : All three bedrooms are located upstairs in the home. Bedroom #1 is equip with two twin beds, one dresser, two storage ottomans and a large closet. Bedroom #2 is equip with two twin matresses, two ottomans, and a large closet. Note: Bedroom is missing two bed frames and the dresser. Bedroom #3 is equip with two twin beds, two ottomans and a large closet. Note: Bedroom is missing a dresser. Separating the bedrooms upstairs is a seated area with a large desk and seating for clients to do homework. There is a full bathroom in the hallway that is clean and in good repair. The bathroom will be used for all three bedrooms. The Therapy office is located next to bedroom #1. It is equip with a TV, computer, seating area and a full bathroom which was clean and in good repair. The Kitchen area has a microwave refrigerator, dish washer and stove with 4 working burners. The island has a seated area with a covered trash can. The Living room has a large sectional couch with two additional chairs. The fireplace is covered, locked and gas is turned off and inaccessible to the clients. There is a TV inside of a large media stand. The Dining room is located by the entrance. There is a large table with seating for clients and staff. The Laundry room is located in the hallway. It is equip with a washer and dryer and a locked closet where the facility cleaning supplies are kept. Cont 809-C Adjacent to the laundry room is a full bathroom which was clean and in good working condition. In the same hallway is a locked closet which will be used for storage and a separate locked closet for medication. The Shut Off Valves are located in the backyard of the home. The Backyard was clean, in order and free of debris and sharp objects. The Garage has workout equipment for the clients and two desks for staff usage. The facility vehicle Kia SUV registered until July 2024. Administrator was informed that car insurance must be in place before the license can be issued. The overall home is in good repair. LPA discussed the missing items in the home that need to be in place and staff association/clearances before a license can be issued. Administrator, Joseph Alvarado was informed that either a signal system or staff coverage upstairs when clients are present is mandatory. Nothing further to report at this time.

report_type: Facility Evaluation

visit_type: Prelicensing

met_with: Joseph Alvarado


summary: Facility Evaluation

raw_content:
Narrative:
On July 1, 2024 at 10:30am Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of conducting a Post-Licensing inspection. LPA met with Administrator, Joseph Alvarado and was allowed into the facility. Administrator, S2 conducted the walk through with LPA inside and out of the facility. The facility is a two story home with 3 bedrooms and 3 bathrooms. The facility is licensed to care for six clients, ages 12-17 years, ambulatory only. The facility layout is as follows : All three bedrooms are located upstairs in the home. Bedroom #1 is equip with two twin beds, two dressers, two storage ottomans and a large closet. Bedroom #2 is equip with two twin beds, two ottomans, two dressers and a large closet. Bedroom #3 is equip with two twin beds, two ottomans, two dressers and a large closet. Separating the bedrooms upstairs is a seated area with a large desk and seating for clients to do homework. There is a full bathroom in the hallway that is clean and in good repair. The bathroom will be used for all three bedrooms. The Office is located next to bedroom #1. It is equip with a TV, computer, seating area and a full bathroom which was clean and in good repair. The office is also used for Therapy sessions. The Kitchen area has a microwave refrigerator, dish washer and stove with 4 working burners. The island has a seated area with a covered trash can. There was sufficient supply of perishable and non-perishable food at the time of the visit. The Living room has a large sectional couch with two additional chairs. The fireplace is covered, locked and gas is turned off and inaccessible to the clients. There is a TV inside of a large media stand. The Dining room is located by the entrance. There is a large table with seating for clients and staff. The Laundry room is located in the hallway. It is equip with a washer and dryer and a locked closet where the facility cleaning supplies are kept. Cont 809-C Adjacent to the laundry room is a full bathroom which was clean and in good working condition. across from the bathroom is a locked closet that contains games for the clients use. In the same hallway is a locked closet which will be used for sharps and a locked cabinet used for medication. The Shut Off Valves are located in the backyard of the home the front of the home. The Backyard was clean, in order and free of debris and sharp objects. The Garage has workout equipment for the clients and two desks for staff usage. Note: Licensee was notified that unless approved by the fire clearance, the garage can only be used for vehicle and some storage. LPA will check the fire clearance when he returns to the office. The facility vehicle Kia SUV registered until July 2024. Staff was reminded that staff must be located upstairs when clients are in the upstairs area. Supervision and ratio must be kept if clients reside both upstairs and downstairs at all times. LPA reviewed S1 and S2 files and C1 and C2. Clients and staff are all new. Licensee is awaiting some documents for staff and clients. The overall home is in good repair. There were no deficiencies cited at the time of the visit.

met_with: Joseph Alvarado-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On December 26, 2024 at 2:30pm Licensing Program Analyst (LPA) Donald Martin arrived at the above facility. The purpose of the visit is to conduct a Case Management investigation. LPA was met by Staff #1 (S1) Administrator, Joseph Alvarado and allowed into the facility. On December 17, 2024 the department received incident report #1198555 stating that on December 16, 2024 the keys to the facility were missing and C1's medication had been stolen from the locked medication closet. S1 stated that the medication has yet to be recovered and C1 is still without medication. The keys have since been located. During the investigation, LPA learned that two of the clients in care are 18yrs of age. The facility is equip to house Non-Minor Dependents, however there is no waiver on file with the department. S1 has been advised to submit a waiver request to LPA as soon as possible. S1 has been advised to contact each clients social worker/probation officers and discuss the reasons for the need for the waiver first. Further investigation is needed to conclude this Case Management investigation. No deficiencies were cited at the time of the visit.

visit_type: Case Management


facility_name: ARBOR HOUSE

summary: Complaint Investigation - Substantiated - 3 allegations

raw_content:
Investigation Findings:
13Licensing Program Analysts (LPAs) Lidia Tinoco conducted a complaint inspection at Creative Alternatives main office in Merced, and met with Director, Brandi Boehme the purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, Community Care Licensing (CCL) conducted interviews with facility staff and foster youth as well as conducted a review of records. The information obtained during the interviews indicated that the Group home staff (S2, See LIC Confidential Names List) made the decision to go hands on when a child was not being a harm to himself or others, which resulted in the child being hurt by said staff. Type A: This poses an immediate health and safety risk to clients in care. Based on the LPA's observations, interviews, records review, the preponderance of evidence standard has been met, therefore, the above allegations are found to be substantiated. A copy of the report and Appeal Rights was provided to the agency. Facility was cited for The Interim Licensing Standard (ILS) Chapter 7. Version 3. Articles 1 through 10. The Agency is being cited for violations of Section 87072(d)(11) Personal Rights. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco 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 24-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, E SHAW AVE FACILITY NAME: ARBOR HOUSEFACILITY NUMBER: 507002607

Allegations:
- SubstantiatedEstimated Days of Completion:
- Estimated Days of Completion:
- Estimated Days of Completion: 0

report_type: Complaint Investigation

met_with: Brandi Boehme

complaint_status: SUBSTANTIATED


summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analyst (LPA) Lidia Tinoco traveled to the Creative Alternatives Main Office in Merced and conducted an unannounced Case Management for the Arbor House and met with Director Brandi Boheme. The purpose of the inspection is to discuss multiple incident reports regarding medication errors by Staff. LPA Tinoco reviewed incident reports from the Arbor House facility. It was discovered that there have been 8 medication errors due to staff for this facility (See LIC812 for details) in 2021. LPA Tinoco discussed with Director Brandi the concerns with the amount of incident reports regarding medication errors being received, LPA also addressed what the licensee has been done at the agency level to prevent this from happening, and what the ongoing plans are moving forward to minimize these incidents. Director Brandi stated that a company wide training on administration of medication. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced annual inspection was conducted by Licensing Program Analyst (LPA) Lidia Tinoco traveled to the Arbor House STRTP in Merced, CA. LPA met with Administrator, Angelica Espinoza and inspected the facility, inside and out. A physical plant inspection was completed and included the following checks. Facility grounds are clean and free of debris. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 75 degrees. All facility smoke detectors and carbon monoxide detectors are in appropriate working order. Facility maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. All required forms are posted. Four out of five Clients are currently taking psychotropic medications, facility has the ability to keep Medications locked and centrally stored. Individual beds were observed with appropriate clean linens and are in good repair. Licensee has obtained Mental Health Certification Including the following: Mental Health Program Approval valid through September 24, 2021, a review was conducted on August 16-23, 2021 and have not been issued. Licensee has obtained National Accreditation through CARF valid through February 02, 2022. The facility has a county contract effective September 1, 2019 with no noted expiration date. Medical Certification valid through August 01, 2022. No firearms or weapons are allowed in the facility. Facility appears to be meeting the terms and conditions of their license. LPA's reviewed client files and conducted staff and client interviews. No Deficiencies were cited on today's visit. A copy of this report was left with Angelica Espinoza.

visit_type: Annual

met_with: Angelica Espinoza


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA), Lidia Tinoco traveled to the Creative Alternatives main office in order to continue conducting the Annual Inspection for Arbor House STRTP and met with Program Director, Brandi Boehme. LPA's conducted 11 staff file reviews. No other deficiencies were cited. A copy of this report was left with Brandi Boehme at the conclusion of inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analysts (LPA's), Lidia Tinoco and Vanessa Galvan traveled to Arbor House and met with Administrator Angelica Espinoza in order to get signatures.


facility_name: ARISE FOR GIRLS LOS ANGELES

summary: Facility Evaluation

raw_content:
Narrative:
On October 31, 2024, at 10: AM, Component II of the application process for Arise For Girls Los Angeles located at W. 83rd Place Los Angeles, CA. 90044 was held at the El Segundo Children's Residential Regional Office in El Segundo. Attending Component II were the following individuals: Licensing Program Analyst (LPA), Charmetha White, Applicant, Monique McClendon, and Proposed Administrator Yvonne Robinson. The following incomplete application forms were discussed at the meeting: New Administrator documents Note: The New Administrator documents will have to be reviewed and approved before, Yvonne Robinson and be approved as the Administrator for this facility. Personnel Report (LIC 500) STRTP Orientation Certificate CPR certificate New Facility Sketch New LIC Designation of Facility of Responsibility Program Statement was reviewed and discussed. Pre-Licensing Inspection will be scheduled for a future date, as applicant is waiting for contractor to complete work on secondary door, as required by the Fire Department. A copy of this report was issued to the Applicant, Monique McClendon.

met_with: Applicant - Monique McClendon


facility_name: ARS-BERKELEY

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On September 28, 2022, Licensing Program Analyst (LPA) Jessica Rodriguez conducted a complaint inspection and spoke with Associate Division Director, Kim Franck. The complaint inspection was conducted at the main office located at Youngstown Road Turlock, CA 95380, due to the temporary closure of ARS Berkeley. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA Eduardo Barragan toured the facility, reviewed documents, and interviewed staff and clients. Based on the investigation, licensee did all that was legally allowed to ensure that the personal rights and safety of all the clients were protected. Licensee provided specific measures in place to better manage the youth's behavior and decrease the threat of personal rights violations against the other clients in the facility and implemented several actions to alleviate the impact of the youth's behavior on the other clients. Therefore, the allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. An exit interview was conducted and a copy of this report and appeal rights were provided to Kim Franck. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Jessica Rodriguez 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 STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 05/12/2021 and conducted by Evaluator Eduardo Barragan PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:ARS-BERKELEYFACILITY NUMBER: ADMINISTRATOR:ANA VALDOVINOSFACILITY TYPE: ADDRESS: BERKELEYTELEPHONE: (209) 667- CITY:TURLOCKSTATE: CAZIP CODE: CAPACITY:6CENSUS: 3DATE: 07/23/ UNANNOUNCEDTIME BEGAN: 09: AM MET WITH:Kim FranckTIME COMPLETED:12: PM 9Staff did not prevent minor from engaging in inappropriate behaviors INVESTIGATION FINDINGS: 13On July 23, 2021, Licensing Program Analyst (LPA) Eduardo Barragan conducted a complaint inspection at ARS-Berkeley and met with Kim Franck. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging "staff did not prevent minor from engaging in inappropriate behaviors." LPA Barragan spoke with staff, clients and reviewed other predominant documents. Based on documents reviewed, an inspection, and conversations with staff and clients, all the information that was gathered was conflicting. "Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED." An exit interview was conducted with Kim Franck. A copy of this report and appeal rights were provided to Kim Franck. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Eduardo Barragan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 3 of Control Number 24-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, E SHAW AVE FACILITY NAME: ARS-BERKELEYFACILITY NUMBER: 500311568

met_with: Kim Franck

complaint_status: unsubstantiated


raw_content:
Investigation Findings:
13On September 28, 2022, Licensing Program Analyst (LPA) Jessica Rodriguez conducted a complaint inspection and spoke with Associate Division Director, Kim Franck. The complaint inspection was conducted at the main office located at Youngstown Road Turlock, CA 95380, due to the temporary closure of ARS Berkeley. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA Eduardo Barragan toured the facility, reviewed documents, and interviewed staff and clients. Based on the investigation, licensee did all that was legally allowed to ensure that the personal rights and safety of all the clients were protected. Licensee provided specific measures in place to better manage the youth's behavior and decrease the threat of personal rights violations against the other clients in the facility and implemented several actions to alleviate the impact of the youth's behavior on the other clients. Therefore, the allegations are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. An exit interview was conducted and a copy of this report and appeal rights were provided to Kim Franck. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Jessica Rodriguez 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 24-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, E SHAW AVE FACILITY NAME: ARS-BERKELEYFACILITY NUMBER: 500311568


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On July 23, 2021, Licensing Program Analyst (LPA) Eduardo Barragan conducted a complaint inspection at ARS-Berkeley and met with Kim Franck. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA toured the facility, reviewed documents, interviewed staff and clients. While conducting the tele-inspection, LPA noted that C1's bed was missing the bedding. LPA Barragan asked S1 and S2 why C1's bedding was missing. S2 stated that C1's bedding was missing because C1 was sleeping on the couch in the living room. S2 elaborated that C1 was sleeping in the living room because he was scared and felt threatened by C2 due to C2 threatening to cause physical harm to C1 due to his sexuality. S2 elaborated that C2 had threatened C1 on more than one occasion, which resulted in C1 being to scared to sleep with C2. Staff stated that C1 had been sleeping in the living room. Interviews with other staff, clients and record review confirmed this information as well. "Based on LPA's observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D.") Due to the deficiency listed above one deficiency is being cited on today's visit. An exit interview was conducted with Kim Franck. A copy of the report and appeal rights were provided to Kim Franck. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Eduardo Barragan 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 24-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, E SHAW AVE FACILITY NAME: ARS-BERKELEYFACILITY NUMBER: 500311568


summary: Facility Evaluation

raw_content:
Narrative:
On March 27, 2021, Licensing Program Analyst (LPA) Eduardo Barragan conducted a unannounced case management inspection to ARS-Berkeley. LPA Barragan had Adriana Dominguez, staff member give him a tour of the facility. Administrator Kim Franck showed up to the facility as well while the tour was being conducted LPA Barragan toured the Facility inside and out. LPA Barragan took pictures of the facility for documentation as well. An exit interview was conducted with Kim Franck and Adriana Dominguez.

met_with: Adriana Dominguez


summary: Facility Evaluation

raw_content:
Narrative:
On June 10, 2021, Licensing Program Analyst (LPA) Eduardo Barragan conducted an unannounced Case-Management at ARS-Berkeley. LPA Barragan conducted the unannounced case management visit in order to speak with a few staff. No deficiency were cited on todays visit.


summary: Facility Evaluation

raw_content:
Narrative:
On July 23, 2021, Licensing Program Analyst (LPA) Eduardo Barragan conducted an unannounced case management inspection at ARS-Berkeley in order to address an issue. LPA Barragan met with Kim Franck. After speaking with staff, it was brought to LPA Barragan's attention that C1 was smoking inside of the Short Term Residential Therapeutic Program (STRTP). Staff stated that C1 would smoke so much in the STRTP that the house would smell like marijuana and cigarets. Staff stated that the STRTP would smell so much like marijuana and cigarets that the other clients would complain. The clients confirmed this information as well. LPA Barragan notified the agency that a repeated violations would result in the citation of a deficiency. No citations are being issued on todays visit. A copy of this report and appeal rights were provided to Kim Franck.


summary: Facility Evaluation

raw_content:
Narrative:
On August 25, 2021, Licensing Program Analyst (LPA) Eduardo Barragan and Licensing Program Manager (LPM) Juanita Arroyo conducted an unannounced annual required inspection at this facility. LPA and LPM were met at the facility by two Program Managers Eduardo Perez and Stefanie Goloiang. An inspection of the facility was conducted and the following was observed: No clients were residing in the home; therefore, no client nor staff files were inspected on this date. The Licensee stated that they have this facility closed at the moment due to repairs. The Licensee stated that they are changing the floor and the window in bedroom 2. The facility was inspected indoors and outdoors. Hot water temperature measured at 106 degrees. LPA Barragan observed that there were no supply of perishables and non-perishables. The Licensee stated that they are not sure when this home is going to end up opening back-up. LPA observed adequate supply of furnishings, linen and storage space for clients. Cleaning chemicals inaccessible to clients. There are no pets at the facility. Per the two Program Mangers, there are no weapons at the facility. There are no bodies of water at the facility. There have been five deficiencies in the prior 12 months. No deficiency were noted during this inspection. LPA left a copy at the facility. The visit was then concluded.

met_with: Eduardo Perez and Stefanie Goloiang


summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analyst (LPA) Jessica Rodriguez conducted an unannounced case management and spoke with Associate Division Director, Kim Franck. The case management was conducted at the main office located at Youngstown Road Turlock, CA 95380, due to the temporary closure of ARS Berkeley. The purpose of the inspection was to obtain information on the status of the facility and what the agency's plans are for the facility. Director, Kim Franck advised at this time the STRTP will remained temporarily closed. The agency is attempting to locate a new property. Once a property is purchased the agency will be requesting a transfer of license to the new location. There are currently no clients at the STRTP and there have not been any clients since February 2021. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Administrator Kim Franck.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Lisa Slusher travelled to the facility listed above to conduct an Annual Inspection. Facility does not have any residents placed, and has not for 18 months. Facility is under construction. Facility will require an inspection prior to youth being placed. LPA conducted a cursory physical plant inspection. No deficiencies noted on this date.


summary: Facility Evaluation

raw_content:
Narrative:
On May 13, 2021, Licensing Program Analyst (LPA) Eduardo Barragan initiated an unannounced tele-inspection at ARS-Berkeley. While conducting the tele-inspection, LPA Barragan noted a deficiency had been occurring since 05/10/2021 and hadn't been appropriately corrected. LPA Barragan spoke with Kim Franck, Administrator and a staff member, by FaceTime in response to COVID-19. While conducting the tele-inspection, LPA noted that C1's bed was missing the bedding. LPA Barragan asked S1 and S2 why C1's bedding was missing. S2 stated that C1's bedding was missing because C1 was sleeping on the couch in the living room. S2 elaborated that C1 was sleeping in the living room because he was scared and felt threatened by C2 due to C2 threatening to cause physical harm to C1 due to his sexuality. S2 elaborated that C2 had threatened C1 on more than one occasion, which resulted in C1 being scared to sleep with C2. S2 stated that staff was aware that C1 was intimidated and threatened by his roommate (C2). Therefore, C1 had been sleeping in the living room since Monday, 5/10/2021. On May 14, 2021, LPA Barragan followed up with additional clients and staff members regarding this manner. Staff admitted that they had heard C2 saying "where I come from, we kill people who are gay. You don't want to know what I would do to you." Staff stated that C2 was saying this to C1 and C3. Conversations with other clients confirmed this information as well. Staff members and clients stated that this is one of the reasons C1 is to scared to sleep in his room with C2. One citations is being issued on today's tele-phone call. A copy of this report and appeal rights were emailed to Kim Franck in order to obtain a signature.


summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analyst (LPA) Jessica Rodriguez conducted an unannounced Case Management and spoke with Associate Division Director, Kim Franck The purpose of the Case Management was to discuss an incident that occurred in the facility. Through record review and interviews, LPA obtained information there was a violation of personal rights towards one of the clients in care. Based on the information obtained, the facility is being cited for a violation of Interim Licensing Standards on the attached LIC 9099D. A copy of this report and appeal rights were provided to Associate Division Director for signature.


facility_name: ARS-CAMPUS

summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On May 14, 2021, Licensing Program Analyst (LPA) Eduardo Barragan conducted a complaint inspection at ARS-Campus and met with Kim Franck. The purpose of the inspection was to open the complaint investigation and to also deliver the findings for the above complaint allegations. During the investigation, LPA Barragan reviewed documents, interviewed staff and Clients. After conducting interviews and a file review, it was brought to LPA Barragan's attention that S1 did not have PRO-ACT training. S1 admitted that she did restrain C1 because staff needed her assistance. Interviews with staff members confirmed this information as well. After conducting interviews, it was it was brought to LPA Barragan's attention that S2 was notifed over three times by phone that staff needed extra assistance from the Shierff's Department, due to C1 exhibiting unsafe behaviors. S2 stated that she advised staff that she was on her way to help assist them with the restraints prior to staff contacting the Shierff's Department. S2 stated that she did not arrive to ARS-Campus until 30 to 45 minutes after the first call. Interviews with staff confirmed this information as well. "Based on LPA's observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D.") Due to the deficiency listed above two deficiency is being cited on todays visit. An exit interview was conducted with Kim Franck. A copy of the report and appeal rights were emailed to Kim Franck. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Eduardo Barragan 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 24-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, E SHAW AVE FACILITY NAME: ARS-CAMPUSFACILITY NUMBER: 500310324


raw_content:
Investigation Findings:
13On November 19, 2021, Licensing Program Analyst (LPA) Eduardo Barragan conducted a complaint inspection at ARS-Campus and met with Kim Franck and Eduardo Perez. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging "Staff physically abuses residents." LPA Barragan spoke with staff, clients and reviewed other predominant documents. Based on documents reviewed, an inspection, and conversations with staff and clients, all the information that was gathered was conflicting. "Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED." An exit interview was conducted with Kim Franck and Eduardo Perez. A copy of this report and appeal rights were provided to Kim Franck. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Eduardo Barragan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

met_with: Kim Franck and Eduardo Perez


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Vanessa Galvan conducted a complaint inspection at Aspiranet Residential Services (ARS)-Campus, Short-Term Residential Therapeutic Program in Turlock, CA to deliver the findings of the above allegations and met with the Director, Kim Franck. The above allegation was referred to Community Care Licensing for an investigation. The investigation included an inspection of the facility, interviews with County Social Workers, Clients, Facility Staff, House Manager and a review of client records. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the allegations occurred. Therefore, the allegations are deemed UNSUBSTANTIATED No deficiencies observed or cited during this inspection. A copy of this report was discussed and provided to Kim Franck along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Jessica Rodriguez conducted a complaint inspection and met with Core Program Director, Stephanie Golling. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted confidential interviews, a record review, and reviewed supporting documents provided by the agency. Based on the information obtained during the interview and record review process a preponderance of the evidence that the allegation occurred as reported could not be found. Although the allegation may or may not have happened, or is not valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. An exit interview was conducted, and a copy of this report and appeal rights were provided to the Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Jessica Rodriguez 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

met_with: Stephanie Golling


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Jessica Rodriguez conducted a complaint inspection and met with Core Program Director, Kim Franck. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted confidential interviews, a record review, and reviewed supporting documents provided by the agency. Based on the information obtained during the interview and record review process a preponderance of the evidence that the allegation occurred as reported could not be found. Although the allegation may or may not have happened, or is not valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. An exit interview was conducted, and a copy of this report and appeal rights were provided to the Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Jessica Rodriguez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


met_with: Stefanie Golling

investigation_findings: 13Licensing Program Analyst (LPA) Jessica Rodriguez conducted a complaint inspection and met with Core Program Director, Stephanie Golling. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted confidential interviews, a record review, and reviewed supporting documents provided by the agency. Based on the information obtained during the interview and record review process a preponderance of the evidence that the allegation occurred as reported could not be found. Although the allegation may or may not have happened, or is not valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. An exit interview was conducted, and a copy of this report and appeal rights were provided to the Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Jessica Rodriguez 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


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Jessica Rodriguez conducted a complaint inspection and met with Core Program Director, Stephanie Golling. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted confidential interviews, a record review, and reviewed supporting documents provided by the agency. Based on the information obtained during the interview and record review process a preponderance of the evidence that the allegations occurred as reported could not be found. Although the allegations may or may not have happened, or are not valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. An exit interview was conducted, and a copy of this report and appeal rights were provided to the Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Jessica Rodriguez 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


raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to ARS Campus and met with Kimberly Franck to deliver findings of investigation. CS and Investigator Munoz conducted investigation that included review of documentation and confidential interviews. Due to inconsistencies in the information received a preponderance of the evidence could not be obtained. Although the allegations may or may not be valid, without a preponderance of the evidence the allegation is deemed Unsubstantiated. No deficiencies observed or cited during this inspection. Copy of this report LIC Confidential Names and LIC Appeal Rights left at the facility at conclusion of inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Kimberly Franck


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Sonia Sanchez conducted a complaint inspection and met with Kim Franck, Associate Division Director. The purpose of the inspection was to deliver the findings for the above complaint allegation. Based on interviews it was determined that minor is not being accorded dignity in their personal relationship with staff. Based on the LPA's confidential interviews and records review which were conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be substantiated. A deficiency is being cited for the Interim Licensing Standards (ILS) Chapter 8.8, Articles 6, Section 87072(15) Personal Rights. A copy of the report and Appeal Rights were discussed and provided to Kim Franck at the STRTP. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Sonia Sanchez 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: ARS-CAMPUSFACILITY NUMBER: 500310324


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Sonia Sanchez conducted a complaint inspection and met with Kim Franck, Associate Division Director. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging staff did not prevent inappropriate interactinos between minors in care. LPA conducted interviews and obtained documentation. There were inconsistencies in the confidential interviews. Although the allegations may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegations is unsubstantiated. An exit interview was conducted, and a copy of this report was discussed and left at the facility with Kim Franck, Associate Division Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Sonia Sanchez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


summary: Facility Evaluation

raw_content:
Narrative:
On June 28, 2021, Licensing Program Analyst (LPA) Eduardo Barragan arrived at ARS-Campus to drop off some PPE supplies. 350 masks were dropped off. No deficiency were observed nor cited on todays visit.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Joel Segura conducted an announced Psychotropic Medication inspection at the facility. LPA Segura met with Program Supervisor Mariel Figueroa and both toured the facility, inside and out. The group home is licensed to serve thirty four clients, ages 10-17 years old and non minor dependents. Currently in placement are four clients. Present during this inspection was two client and and two staff. LPA Segura and Mariel attempted to conduct a site inspection at the home at 10:30am; however, LPAs presence in the facility caused client to become dis-regulated and began to engage in property destruction. LPA and Mariel exited the facility and returned to the office to initiate the child file review. at 10: LPA Segura reviewed one child file. Note only one minor in the home is currently taking psychotropic medication. LPA found information in the child file is in compliance with Interim Licensing Standards (ILS). At approximately 11:30am LPA Segura conducted a medication count and inspection of Psychotropic Medication Administrator Records (PMAR) for C1 (Child 1, see confidential names list LIC 811 dated 09/13/21). LPA found medication count to be in compliance; however, LPA did observe that the facility was previously using a facility specific PMAR and switched for the month of September to a pharmacy provided PMAR. The pharmacy provided PMAR is missing date of prescription, quantity and number of refills as required by the Interim Licensing Standards. See Technical Violation Advisory note LIC 9102. LPA conducted three staff interviews on todays date. One child interview was also conducted. Note the facility agreed to submit staff training records by the 09/15/21 via email to LPA Segura. On today's inspection the agency is also undergoing an annual inspection at a different licensed site. A review of Guardian system on September 13, 2021 indicates that all three staff interviewed today are associated to the facility and received criminal record clearances. There was a deficiency found but was not cited today's evaluation; however, a technical violation advisory note was issued. Exit interview conducted and a copy of the report was left with Mariel Figueroa.

met_with: Mariel Figueroa


summary: Facility Evaluation

raw_content:
Narrative:
On 09/29/2021, Licensing Program Analyst (LPA) Eduardo Barragan travelled to ARS-Campus to conduct an Annual inspection. LPA Barragan met by Stefanie Golling, Administrator and Kim Franck, Associate Division Director. An inspection of the facility was conducted, and the following was observed: There are currently four clients in placement. LPA toured the facility indoors and outdoors. The fire extinguisher was charged and up to date. Hot water temperatures last measured up to 106 degrees in all five homes. LPA observed adequate supply of non-perishables. LPA observed adequate supply of furnishings, linen and storage space for clients. Cleaning chemicals were inaccessible to clients. Medication area was centrally stored and locked. There are no pets at the facility. Per the Administrators, there are no weapons at the facility. There were two pools at the facility, but they were locked and fences accordingly. LPA Barragan reviewed the staff and client's files on this date. Continued... LPA Barragan Inspected 5 houses that are all licensed under the same facility number (500310324) under the facility name of ARS-Campus 1. Smith house is only house that has clients currently reside in. 2. Brown house is being utilized as the clinician's office 3. Deans house is being utilized as the support counselor's office 4. Varsity house is currently not being utilized nor do any residents reside in this house 5. Hignal House is currently not being utilized nor do any residents reside in this house No deficiencies were cited on this date. A copy of this report and appeal rights were provided to Kim Franck. LPA Barragan conducted an exit interview with Kim Franck.

met_with: Kim Franck and Stefanie Goloiang


summary: Facility Evaluation

raw_content:
Narrative:
On October 22, 2021, Licensing Program Analyst (LPA) Eduardo Barragan was leaving ARS-Campus and noted that Chris Doria, Social Worker and Zach Abbott, Clinician were verbally redirecting three residents. These two staff were redirect the three residents to get them to stop smoking weed out of an apple. The two staff were asking the residents to stop, they were encouraging the residents to turn in the contraband and reminding the residents of how it's unsafe to be smoking.

met_with: Zach Abbott and Chris Doria


summary: Facility Evaluation

raw_content:
Narrative:
On November 1, 2021, Licensing Program Analyst (LPA) Eduardo Barragan went to ARS-Campus in order to review a staff file in order to complete the psychotropic inspection for ARS-Linwood. LPA Barragan reviewed one staff file and noted that there were no deficiency's with the staff file. No citations are being issued at this moment. A copy of this report and appeal rights were provided to Kim Franck, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On November 1, 2021, Licensing Program Analyst (LPA) Eduardo Barragan came to ARS-Campus in order to address a concern with Kim Franck and to speak with one Social Worker.


summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analyst (LPA) Cynthia Galindo conducted an unannounced case management at ARS-Campus and met with Kimberly Franck to discuss an incident report that occurred on 12/12/2021. LPA discussed the incident with Kimberly and confirmed the incident did occur. Administrator provided LPA proof that the staff were counseled and received additional training. Based on the information obtained, LPA is issuing a technical violation. Additionally, LPA delivered a box of masks as requested. A copy of this report is left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Corina Carrillo and Licensing Program Manager Angela King conducted a case management inspection September 7, 2022 based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 10 out of Direct Care Staff and 9 out of 9 youth files were reviewed. 4 out of Direct Care Staff and 5 out of 9 youth were interviewed. (See the Confidential Names List, LIC 811, September 7, 2022). The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments and Patterns of Escalation & Progressive Support Plan, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. Licensing Program Manager Angela King observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Administrator Kim Franck.


summary: Facility Evaluation

raw_content:
Narrative:
On this this date, Licensing Program Analyst's (LPA) Briana Placencia and Jessica Rodriguez arrived at the facility for the purpose of conducting an Annual/Random inspection. LPA's met with Associate Division Director, Kim Franck. A tour of the facilities were conducted. Aspiranet Residential Services (ARS) Campus currently has two open homes. Smith has a census of 5 clients and Brown has a census of 4 clients. The campus has two additional homes; one being occupied by Behavioral Health staff and one being utilized for storage. A physical plant inspection was completed and included the following: facility grounds are clean and free of debris; adequate indoor and outdoor activity space and materials observed. The facilities are maintained at 70 degrees. All facility smoke detectors and carbon monoxide detectors are in working order. While conducting an audit of the food, LPA's did find two cans of expired food (which were immediately disposed of). All other foods had expiration dates if 2024. Facility keeps a two days supply of perishable foods and a two week supply of nonperishable foods. All required forms are posted. Facility has the ability to keep medications locked and centrally stored. Individual beds were observed with appropriate clean lines and are in good repair. There are currently Director/Managers, Administrative Assistants, Social Workers, Compliance Specialist, Clinicians, Support Counselors and Youth Care Professionals. LPA's reviewed 5 client and 5 staff files, both of which were reviewed digitally. LPA's were also provided hard copies to review some of the documentation requested. A review of Licensing Information System on September 21, 2022, indicates that all facility staff associated to the agency has DOJ, FBI, and child abuse index check clearances. One staff is currently "pending" but was cleared prior in 2017. This was due to staff residing in another state. Cont on 809C.. cont... LPAs interviewed three clients; two clients refused to be interviewed. LPA's interviewed five staff. The facility currently holds a Mental Health Program Approval valid through February 23, 2023. Licensee has obtained National Accreditation through The Joint Commission valid through March 26, 2025. The facility has a county contract valid through July, 2023. ARS campus had and annual inspection on 9/16/2022 from the Stanislaus County Sheriffs office for their annual fire and life safety inspection. No firearms or weapons are allowed in the facility. There are two pools on site; however, only one pool is utilized. Both pools are fenced and locked. A copy of this report was provided to the Division Director.


summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analyst (LPA) Jessica Rodriguez conducted an unannounced case management at ARS-Campus and met with Associate Division Director, Kim Franck to discuss an incident that occurred on 12/09/2022. LPA arrived at the facility to retrieve the incident report as the agency has been having ongoing issues with their system and are having issues with sending incident reports to licensing (and other outside parties) at this time. The agency has attempted to send licensing reports using different means; without success. Supervising Social Worker (SWS), Mariel Figueroa provided LPA with instructions on opening encrypted emails as she has been able to send them encrypted but licensing has been unable to open them. SWS also discussed with LPA other possible ways they will be attempting to get the reports to licensing. LPA was able to review the incident report from the incident on SWS's computer. LPA discussed the incident with Director, Kim to obtain additional information regarding search policies/procedures when clients return from home visits. LPA attempted to obtained Needs and Services Plans; however, was unsuccessful again due to the agency's system issues. LPA was able to verify the staff contact information they have is current. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Administrator Kim Franck.


summary: Facility Evaluation

raw_content:
Narrative:
Complaint Specialist C.K. Kinney(CS) traveled to ARS Campus and met with Kimberly Franck to deliver amended Complaint Report. No deficiencies observed or cited. Copy of this report left at the facility at conclusion of inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analyst (LPA) Jessica Rodriguez conducted an unannounced case management at ARS-Campus and met with Core Program Director, Stefanie Golling to discuss an incident that occurred on 07/18/2023. LPA discussed the incident with Core Program Director, Stefanie Golling and Core Program Manager, Eduardo Perez to obtain additional information regarding search policies/procedures when clients are initially placed in the facility. Additionally, search policies/procedures regarding room searches were discussed. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Core Program Director.


summary: Facility Evaluation

raw_content:
Narrative:
On this this date, Licensing Program Analyst (LPA) Jessica Rodriguez arrived at the facility for the purpose of conducting an Annual/Random inspection. LPA met with Associate Division Director, Kim Franck. A tour of the facilities was conducted. Aspiranet Residential Services (ARS) Campus currently has three open homes. The campus has two additional homes; one is being repaired and one being utilized for storage. A physical plant inspection of the facility was conducted and the following was observed: facility grounds are clean and free of debris; there are five broken windows between the homes; however, work orders have already been submitted; adequate indoor and outdoor activity space and materials observed. The facilities are maintained at 70 degrees. All facility smoke detectors and carbon monoxide detectors are in working order. Facility maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. All required forms are posted. Facility has the ability to keep medications locked and centrally stored. Individual beds were observed with appropriate clean lines and are in good repair. No firearms or weapons are allowed in the facility. There are two pools on site; however, only one pool is utilized. Both pools are fenced and locked. A review of Licensing Information System on September 27, 2023, indicates that all facility staff associated to the agency have DOJ, FBI, and child abuse index check clearances. LPA reviewed 5 client and 5 staff files, both of which were reviewed digitally. LPA was also provided hard copies to review some of the documentation requested. LPA interviewed two clients; one client refused to be interviewed, and two clients were not at the facility. LPA interviewed five staff. The facility currently holds a Mental Health Program Approval valid through February 25, 2024. Licensee has obtained National Accreditation through The Joint Commission valid through March 26, 2025. ARS campus had and annual inspection on 09/06/2023 from the Stanislaus County Sheriffs office for their annual fire and life safety inspection. Continued on Page 2... Continued from Page 1... There are no deficiencies to be cited on this date. One technical advisory was issued. An exit interview was conducted and a copy of the report was provided to the Division Director.


summary: Facility Evaluation

raw_content:
Narrative:
Complaint Specialist C.K. Kinney(CS) traveled to ARS Campus and met with Stefanie Golling to conduct a collateral inspection. CS explained purpose of the visit and conducted confidential interviews. No deficiencies observed or cited. Copy of this report left at the facility at conclusion of inspection.


summary: Facility Evaluation

raw_content:
Narrative:
Complaint Specialist C.K. Kinney(CS) traveled to ARS Campus and me with Kimberly Franck for the purpose of conducting a collateral visit. CS explained purpose of interviewing a client related to a complaint for a prior facility. No deficiencies observed or cited. Copy of this report left at ARS Campus at conclusion of inspection.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Tamara Melikian on May 2, 2024 at 9:20AM. This case management inspection is conducted pursuant to Health and Safety Code 1538.9(a)(2). During the inspection, LPA met with Kim Franck, Administrator and inspected the facility inside and out. LPA reviewed 5 childrens records and 2 staff personnel files on site at the facility. LPA reviewed 5 childrens psychotropic medications and medication records. LPA interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 2 children currently prescribed psychotropic medication, 2 children refused and 1 child was at school and will be interviewed at a later time. LPA provided a copy of the licensing report to Kim Franck, Administrator. No deficiencies are being cited at this time. LPA conducted exit interview with Kim Franck, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On August 15, 2024, Licensing Program Analysts (LPAs) Sonia Sanchez and Briana Placencia conducted an unannounced random inspection at ARS Campus STRTP located in Turlock, CA. LPAs met with Associate Division Director/Administrator Kim Franck. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at the following degrees: Brown Cottage 72, Deans 71, Varsity 72, and Smith 69. All facility smoke detectors are in appropriate working order, fire extinguishers are properly charged and serviced on August 5, 2024. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. The facility is accredited through Joint Commission with accreditation through March 2025, and they are approved through Stanislaus County Department of Behavioral Health through February 25, 2025. No firearms or weapons are observed in the facility. There is a pool at the facility. LPAs reviewed 5 client files, and 6 staff files. LPAs interviewed 2 staff and 2 clients. LPAs discussed the medication log, all required forms, intake process, needs and services plan, disaster preparedness plan and emergency intervention plan. Deficiencies are being cited on today's visit, include three type B violations and one technical advisory. A copy of this report was left at the facility at the conclusion of today's inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On August 15 2024, Licensing Program Analysts (LPAs) Sonia Sanchez and Briana Placencia conducted a Case Management inspection at ARS-Campus and met with Stefanie Golling. The purpose of the inspection was to discuss concerns with and incident report (FN-0000852) sent to Community Care Licensing (CCL) with the incident date of 07/20/2024, regarding a foster child #1 (see 811- Ref #1) was in a physical altercation with other youth in the home. According to the Debriefing Notes provided to CCL from ARS-Campus, the three staff members were in the staff office at the time of the incident. LPAs determined this to be a risk to health and safety of the clients in care, therefore licensee is being issued a Technical violation.

met_with: Stefanie Golling, Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analysts (LPAs) Sonia Sanchez and Charles Kinney conducted a case management visit for the purpose of amending the deficiency page dated 08/15/2024, at the ARS Campus and met with Mariel Figueroa. The review of the Inspection Tool was completed and deficiency will be removed since ARS Campus had already submitted work orders to replace/fix the below issues. Due to system restrictions we are unable to amend the LIC809-D page to remove the Buildings and Grounds deficiency. Brown House - Front window broken and boarded up. (Work order verified). Dean Cottage - Hole in wood floorings. Varsity Cottage - Bedroom #1 door cracked and hole in wall. Microwave missing door. Oven missing knob. Broken dresser drawer in storage room. Smith - 3 broken windows boarded up at front of house. Kitchen cabinet broken/sliced. (work order in). Bedroom #5 broken door. Which poses a potential health, safety or personal rights risk to persons in care. An exit interview was conducted, and a copy of this report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analysts (LPAs) Sonia Sanchez and Miriam Flores conducted a case management inspection at ARS-Campus in Turlock. LPA met with the Program Director Stefanie Golling to discuss a recently submitted incident report for C1 (See LIC 811 date of incident 1/27/25 and 1/22/2025). File review was conducted. No deficiencies noted in areas observed. Exit interview was conducted with Program Director and a copy of this report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Sonia Sanchezz conducted an unannounced case management inspection at the above agency. Met at the agency by Kim Franck, Associate Division Director (AD). The purpose of the inspection is to follow up on the incident that occurred on July 6, 2025 with Client #1 and Client #2 (see LIC-811 dated 07/17/2025). LPA conducted interviews with Client #1 and Client #2 and spoke with AD. The incident and supervision were discussed with AD. Client #1 and Client #2 were moved into their own cottage after the incident. If further actions are needed, LPA will address at a later time. There were no deficiencies to be cited on this date. A copy of this report was given to Kim Franck on this date.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Briana Placencia on November 17, 2025 at 9:45am. This case management inspection is conducted pursuant to Health and Safety Code 1538.9(a)(2). During the inspection, LPA met with Kim Franck, Associate Division Director and inspected the facilities inside and out. LPA reviewed 5 child records and 2 staff personnel files on site at the facility. LPA reviewed 5 child's psychotropic medications and medication records. LPA interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 2 youth at the facility. LPA will interview the other youth at a later time. LPA provided a copy of the licensing report to Kim Franck, Associate Division Director. No deficiencies are being cited at this time. LPA conducted an exit interview with Kim Franck, Associate Division Director.


summary: Facility Evaluation

raw_content:
Narrative:
On November 2, 2021, Licensing Program Analyst (LPA) Eduardo Barragan conducted an unannounced case management with ARS-Campus to discuss a deficiency. This unannounced case management visit was done by the phone. LPA Barragan spoke with clients, staff and a social worker regarding an incident that was brought to LPA Barragan's attention. LPA Barragan was notified that S1 slammed C1 to the floor. This information was confirmed by staff and clients. Staff, a Social worker and a client confirmed that C1 did go get medical attention, due to C1's back being injured from S1 . Additionally, S1 did not follow the program statement and conducted the restrain alone. Interviews with clients, staff and a social worker confirmed that C1 was laying on his back with S1 being on top of C1, while restraining C1. LPA Barragan went to ARS-Campus on 11/01/2021, to address this manner and informed the facility that a citation would be issued. LPA Barragan informed the facility that due to time and the nature of the restraint he wanted to address the concern that day (11/01/2021). Two deficiency is being cited on today's tele-visit. An exit interview was conducted and plans of correction were discussed. A copy of this report was emailed to Kim Franck in order to obtain a signature at ARS-Campus at the conclusion of the call.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Jessica Rodriguez on May 23, 2023, at 9: A.M. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9(a)(2). During the inspection, LPA Rodriguez met with Associate Division Director, Kim Franck and inspected the facility inside and out. LPA reviewed 2 of 5 child's records and 2 of 2 staff personnel files on site at the facility. LPA reviewed 2 of 5 child's psychotropic medications and medication records. LPA interviewed 2 of 2 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 2 of 2 children currently prescribed psychotropic medication. During the inspection LPA observed deficiencies (see attached 809D), plan of corrections were discussed and appeal rights were provided. LPA provided a copy of this licensing report to Associate Division Director, Kim Franck.


summary: Facility Evaluation

raw_content:
Narrative:
On August 14, 2023, Licensing Program Analyst (LPA) Jessica Rodriguez traveled to ARS-Campus located in Turlock, CA, and met with Core Program Manager, Eduardo Perez. The purpose of this unannounced inspection is to conduct a Case Management regarding a late incident report that the facility submitted to Community Care Licensing. On July 27, 2023, the facility submitted an incident report for an incident that occurred from July 2- July 5, 2023. Based on the LPA's investigation and observation, it was determined that the facility has failed to submit an Incident Report within the seven days the incident occurred. The facility is being cited for violation of the California Code of Regulations, Title 22, Division 6, regulation 80061(b) Reporting Requirements. An exit interview was conducted to discuss this report and appeal rights. A copy of this report and appeal rights were provided to Core Program Manager, Eduardo Perez, at the conclusion of the inspection.

met_with: Eduardo Perez


summary: Facility Evaluation

raw_content:
Narrative:
On October 9, 2023, Licensing Program Analyst (LPA) Jessica Rodriguez traveled to ARS-Campus located in Turlock, CA, and met with Program Director, Stefanie Golling. The purpose of this unannounced inspection is to conduct a Case Management regarding an incident that occurred on 06/30/2023. Confidential interviews (see attached 812's) and a record review revealed that a violation of personal rights occurred. The facility is being cited for violation of Interim Licensing Standards (ILS) 87072(c) Personal Rights. An exit interview was conducted to discuss this report and appeal rights. A copy of this report and appeal rights were provided to Program Director, Stefanie Golling, at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analyst's (LPAs) Reyna Martinez and Sonia Sanchez conducted a case management visit at the FFA and met with Kim Franck. The purpose of the meeting was to discuss an incident report emailed to Community Care Licensing (CCL) on May 12, 2024. LPA confirmed the details of the incident that occurred on April 5, 2024 with Client (C1) and Staff (S1) (see LIC811 attached). Based on the information obtained, the STRTP is being issued a citation for Interim Licensing Standards, Section 87072(c)(1) Personal Rights on the attached LIC809D page. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On 03/26/2026, Licensing Program Analyst (LPA) Sonia Sanchez conducted an unannounced case management inspection at the above agency. Met at the agency by Kim Franck, Associate Division Director (ADD) and Mariel Figuero, Program Director (PD). The purpose of the inspection is to follow up on three incident's that occurred on the following dates with the following specifics: 2738-FN On 02/26/2026 and 03/03/2026, Client 1 (see LIC-811, dated 03/26/2026) had two medication errors at the off campus school located in Lodi, CA. PD and ADD contacted the school to address the issue and spoke with school personnel, staff 1(see LIC-811, dated 03/26/2026) also contacted the school via email to provide a more detailed clarification on medication with dosage, etc. LPA was provided with copy of the email communication via email. 2789-FN On 03/10/2026, Client 2 (see LIC-811, dated 03/26/2026) was transported to the Emergency Room (ER) due to having shortage of breath and not having a full dose of their inhaler. After discussing with ADD and PD, LPA was informed the night prior to the incident, C2 continuously pumped out entire inhaler, wasting the content of the inhaler. PD advised LPA, C2 was given a breathing treatment at the ER and was issued a new prescription for an inhaler, which has since been picked up by staff. 2749-FN On 02/27/2026, there was a breach in confidentiality, when Client 3's (see LIC-811, dated 03/26/2026) medication was exposed to unauthorized persons. See 809- C Continued from page 1... Based on record review and staff interview, Client's medication was placed in a storage container by Staff (S2), once the container was deemed to be too small, maintenance staff stored the container in a locked storage area on STRTP grounds before returning the container to Home Depot the following morning. Home Depot then contacted the pharmacy listed on the medication pack, which in turn contacted the STRTP to advise the medication was still in the container. STRTP Staff immediately reported to the store to retrieve the medication. The medication was ultimately replaced with a new bubble pack as a safety precaution, and the old bubble pack was destroyed of properly. LPA has discussed all three incidents, as well as this report with ADD and PD. A copy of this report will be left at the agency with ADD at the conclusion of the inspection.


facility_name: ARS-LINWOOD

raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to ARS Linwood and met David Boehme with to conduct investigation. CS conducted entrance interview, confidential interviews and delivered findings of investigation. Investigator Barragan and CS conducted investigation that included review of documentation, and confidential interviews. Due to inconsistencies in the information received a preponderance of the evidence could not be found that the allegations occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. No deficiencies observed or cited. Copy of this report and LIC Appeal Rights left at the facility at conclusion of inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: David Boehme


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Jessica Rodriguez conducted a complaint inspection and met with Core Program Manager, Eduardo Perez. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted confidential interviews, a record review, and reviewed supporting documents provided by the agency. Based on the information obtained during the interview and record review process a preponderance of the evidence that the allegation occurred as reported could not be found. Although the allegation may or may not have happened, or is not valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. An exit interview was conducted, and a copy of this report and appeal rights were provided to the Program Manager. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Jessica Rodriguez 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 - 1 allegation

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analysts (LPA's) Sonia Sanchez and Reyna Martinez conducted a complaint inspection and met with David Boehme. The purpose of the inspection was to deliver the findings for the above complaint allegation to the STRTP. Based on interviews it was determined that staff provided nicotine products to minor in care. Based on the LPA's observations, confidential interviews and records review which were conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be substantiated. A deficiency is being cited for the Interim Licensing Standards (ILS) Section 87072(c)(1) Personal Rights on the attached LIC 9099-D Page. A copy of the report and Appeal Rights was provided to the FFA. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Sonia Sanchez 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: ARS-LINWOODFACILITY NUMBER: 500314443

Allegations:
- Based on confidential interviews, staff (S2) provided clients in home with nicotine products, which poses an immediate health, safety or personal rights risk to persons in care.


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Sonia Sanchez conducted a complaint inspection and met with Kim Franck, Associate Division Director. The purpose of the inspection was to deliver the findings for the above complaint allegation. Based on interviews and record review it was determined STRTP staff took minor to a house party and left minor there. Based on the LPA's confidential interviews and record review which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. A deficiency is being cited for the General Licensing Requirements Chapter 1, Article 6, Section 80065(a) Personnel Requirements. An exit interview was conducted and a copy of this report, LIC 9099-D, and Appeal Rights were discussed and left with Kim Franck at the STRTP. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Sonia Sanchez 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 STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 05/21/2025 and conducted by Evaluator Sonia Sanchez PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:ARS-LINWOODFACILITY NUMBER: ADMINISTRATOR:STEFANIE GOLLINGFACILITY TYPE: ADDRESS: W. LINWOODTELEPHONE: (209) 668- CITY:TURLOCKSTATE: CAZIP CODE: CAPACITY:6CENSUS: 2DATE: 06/24/ UNANNOUNCEDTIME BEGAN: 02: PM MET WITH:Kim Franck, Associate Division Director TIME COMPLETED:03: PM 9Staff did not report AWOL to authorized representatives Staff did not transport minor back to mother's home after party INVESTIGATION FINDINGS: 13On the above date, Licensing Program Analyst (LPA) Sonia Sanchez conducted a complaint inspection and met with Kim Franck, Associate Division Director. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the complaint alleging Staff did not report AWOL to authorized representatives and Staff did not transport minor back to mother's home after party. LPA conducted interviews and obtained documentation. There were inconsistencies in the confidential interviews. Although the allegations may have happened or is valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, and a copy of this report and Appeal Rights were discussed and left with Kim Franck at the STRTP. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Sonia Sanchez 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: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: ARS-LINWOODFACILITY NUMBER: 500314443

met_with: Kim Franck, Associate Division Director


summary: Facility Evaluation

raw_content:
Narrative:
On 09/13/2021, Licensing Program Analyst (LPA) Eduardo Barragan travelled to the above facility to conduct an Annual inspection. LPA Barragan met by Stefanie Golling, Administrator and David Boehme, Youth Care Professional 2. An inspection of the facility was conducted and the following was observed: There are currently six clients in placement. LPA toured the facility indoors and outdoors. Fire extinguisher was charged and up to date. Hot water temperature last measured at 107 degrees. LPA observed adequate supply of non-perishables. LPA observed adequate supply of furnishings, linen and storage space for clients. Cleaning chemicals were inaccessible to clients. Medication area was centrally stored and locked. There are no pets at the facility. Per the Administrator, there are no weapons at the facility. There was a pool at the facility and it was locked and fences accordingly. There have been no deficiencies in the prior 12 months. No deficiencies were cited at this moment. LPA will return to the facility at a later date/time in order to complete the annual inspection. LPA conducted and exit interview with Stefanie Golling, Administrator and David Boehme, Youth Care Professional 2. (YCP2)

met_with: David Boehme and Stefanie Golling.


summary: Facility Evaluation

raw_content:
Narrative:
On 09/17/2021, Licensing Program Analyst (LPA) Eduardo Barragan travelled to the above facility to conduct an Annual inspection. LPA Barragan met by Stefanie Golling, Administrator in order to complete the annual inspection. LPA Barragan reviewed the staff and client files on this date. No citation is being issued on todays visit. A copy of this report and appeal rights were provided to Stefanie Golling, Administrator. LPA Barragan conducted and exit interview with Stefanie Golling, Administrator.

met_with: Stefanie Golling.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, Kate Mensah conducted a Case Management Inspection on September 23, 2021, at 10: AM, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code Section 1538.7. 4 out of Direct Care Staff and 5 out of 5 youth files as identified on the LIC Confidential Names dated September 23, 2021, were reviewed. 2 out of the Direct Care Staff and 3 out of 5 youth were also interviewed. The Plan of Operation including policies and procedures were reviewed. A copy of this report was discussed and provided to Kim Franck, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On September 29, 2021, Licensing Program Analyst (LPA) Eduardo Barragan conducted and unannounced case management inspection at ARS-Linwood to discus and incident that was reported to Community Care Licensing on 9/27/2021. LPA Barragan spoke with Mariel Figueroa. An incident was discussed where two clients interacted in inappropriate behavior (see 811 for names). The Licensee stated that Law Enforcement conducted their own investigation and that both youth's stories did not align. The Licensee stated that Law Enforcement did not find any physical marks that could indicate that the client had blacked out. The Licensee stated that one of the youth was removed immediately and both clients were offered services with their clinicians daily. There are no deficiencies to be cited on this date. A copy of this report and appeal rights was provided to Mariel Figueroa.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Eduardo Barragan on 11/1/2021 at 9 am. During the inspection, LPA Barragan met with David Boehme, Youth Care Professional 2. LPA inspected the facility inside and out. LPA interviewed 1 of staff on site at 9:40 am. LPA conducted exit interview with David Boehme, Youth Care Professional 2, at 10:20 am. LPA provided the Summary Report to David Boehme, Youth Care Professional 2, upon completion. LPA Barragan in traveling to the main office in order to complete this inspection. LPA Barragan will return to the facility shortly in order to complete the psychotropic inspection. No deficiency's were noted at the moment.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Eduardo Barragan on 11/1/2021 at 11:25 am. During the inspection, LPA Barragan met with David Boehme, Youth Care Professional 2 and inspected the facility inside and out. LPA reviewed 4 of child's records on site at the facility. LPA reviewed 4 of child's psychotropic medications and medication records. LPA interviewed 4 of children currently taking psychotropic medications. No deficiency's were noted on this date; however, one technical violation was administered. LPA conducted exit interview with David Boehme, Youth Care Professional 2, at 3:15 pm. LPA provided the Summary Report to David Boehme, Youth Care Professional 2, upon completion.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Corina Carrillo conducted a case management inspection September 14, 2022 based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 10 out of Direct Care Staff and 5 out of 5 youth files were reviewed. 2 out of Direct Care Staff and 3 out of 5 youth were interviewed. (See the Confidential Names List, LIC 811, September 14, 2022). The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments and Patterns of Escalation & Progressive Support Plan, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. Licensing Program Analyst Corina Carrillo observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Administrator Kim Franck.

met_with: KIm Franck


summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analyst (LPA) Jessica Rodriguez arrived at the Short Term Residential Therapeutic Program (STRTP) for the purpose of conducting an interview with C1 (see attached 811).

met_with: Gabriela Legaspi


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Lisa Slusher travelled to the facility listed above to conduct an Annual Inspection. Met at the facility at 8:30 am by Fernando/Abdon Jiminez, and Associate division director Kim Franck arrived a short time later . A physical plant inspection was conducted with staff Fernando. facility has current Mental Health Program Approval through Stanislaus county expiring in February 2025. The facility is accredited through TJC and their accreditation expires March 25l, 2025. 1. Facility Grounds do not appear well-kept, with visible weeds and little outdoor activity space . Facility pool is appropriately fenced and maintained. 2. Adequate indoor activity . 3. Cleaning solutions stored in locked cabinets. Aerosol air fresheners and other aerosol items were observed in client bedrooms. 4. Locked and centrally stored medications observed. Licensee has made provisions for contraceptives to be held in individually locked containers by clients. Observed medication logs and discussed procedures for psychotropic medications. 5. First aid kit complete with appropriate manual observed. 6. Adequate storage space observed. 7. Individual beds in good repair observed. 8. The house has 4 bedrooms, a mixture of single and double occupancy all located on one single level. Bedrooms are accommodating of all required furnishings. 9. Adequate food storage space observed. Supply of two days of perishable foods and a week of nonperishable foods observed upon inspection. 10. Weekly menu posted and accessible to clients. 11.Dining room equipped with large table and chairs accommodating of all clients. 12.Facility has two full restrooms in the house for client use, both are operable 13. Facility has no animals or firearms personnel files reviewed. LPA requests the following updated forms/items: LIC 308, Designation of facility responsibility; LIC 309, Administrative Organization; LIC 400, Affadavit regarding client cash resources; LIC 500, personnel report; LIC 610, Emergency Disaster plan; LIC 9020, client roster; current lease agreement/control of property

met_with: Fernando/Abdon Jimenez, Kim Franck


summary: Facility Evaluation

raw_content:
Narrative:
On October 15, 2024, Complaint Specialist C.K. Kinney(CS) and Licensing Program Analyst Sonia Sanchez(LPA) traveled to ARS Campus and met with Mariel Figueroa to conduct a Case Management Inspection. Purpose of inspection is to deliver Amended findings for upheld appeal for Complaint 24-CR-20240702145545. No deficiencies observed or cited during this inspection. Copy of this report, amended Complaint report, LIC Confidential Names left at ARS Campus at conclusion of inspection .


summary: Facility Evaluation

raw_content:
Narrative:
Toriano Jones - DOB 12/06/2007 - Client (C1) Daisy Covarrubias - Therapeutic Youth Counselor - Staff (S1) David Boehme - Therapeutic Youth Counselor - Staff (S2) On the above date, Licensing Program Analyst Sonia Sanchez, met with Mariel Figueroa, Program Director (PD), of ARS - Linwood Cottage STRTP in regard to an Incident Report that was sent to CCL Fresno Incidents email box on 11/27/2024. The report referenced a missed morning medication dosage for C1 due to staff error (S1 and S2) on 11/20/2024. PD informed LPA that S1 and S2 received verbal counseling by Josh Jones, Intensive Care Coordinator on 11/20/2024 and will be retrained on medication modules 1 and 2, which will be completed by 12/10/2024, proof of training will be sent to LPA by 12/13/2024 via email.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Briana Placencia on October 29, 2025 at 9:45am. This case management inspection is conducted pursuant to Health and Safety Code 1538.9(a)(2). During the inspection, LPA met with Kim Franck, Associate Division Director and inspected the facility inside and out. LPA reviewed 1 child record and 2 staff personnel files on site at the facility. LPA reviewed 1 child's psychotropic medications and medication records. LPA interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPA was unable to interview any youth as they were not present. LPA will interview the youth at a later time. LPA provided a copy of the licensing report to Kim Franck, Associate Division Director. No deficiencies are being cited at this time. LPA conducted an exit interview with Kim Franck, Associate Division Director.

met_with: Kim Franck


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Briana Placencia on November 12, 2025 at 10:30am. This case management inspection is conducted pursuant to Health and Safety Code 1538.9(a)(2). LPA initially conducted the inspection on October 29, 2025, but was unable to interview C1 at that time. LPA interviewed one youth on this date. LPA provided a copy of the licensing report to Angie Rodin- Therapeutic Youth Counselor. No deficiencies are being cited at this time. LPA conducted an exit interview with Angie Rodin- Therapeutic Youth Counselor