summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Christopher Rollins made an unannounced required Annual inspection to Real Alternatives (Side by Side) Administrative office. LPA met with Rebecca Hathorn Administrator and Ahnjolique Haskins Program Director (PD). The Transitional Housing Placement Plus Foster Care program (THP-FC) services non-minors dependents. At 11: AM, LPA did a walk through inspection with Administrator and PD of the office. The office has sufficient space for confidential meetings, all participant files and staff files are located in a locked cabinet in a secure location. The agency has their license posted in their office. The office is in compliance with Community Care Licensing (CCL) regulations. LPA spoke with Administrator and PD about the residential units. Administrator stated that all residential units have at least one toilet, sink and tub in working order. Administrator stated that all disinfectants and cleaning supplies are locked up and inaccessible. Administrator notified LPA that the program provides all participants with household essentials and that there are no weapons or firearms stored in the housing units. At 11: AM, LPA reviewed 6 participants files with Administrator and PD. LPA observed Participants files to be complete and found no deficiencies. All documents are complete and up to date. At 12: PM LPA observed 6 staff files with Administrator and PD. LPA observed all 6 staff files to be complete, all documentation is up to date and all staff training were up to date/current. At 1: PM LPA conducted staff interviews with 2 staff. During inspection, LPA received a updated copy of the LIC Personnel Report to maintain their file current. LPA receive an updated list of the Participant Residential Units and LPA reviewed the program Certificate of Compliance for all apartments. A review of Licensing Information System on December 15, 2021 indicates that all facility staff associated to the facility had DOJ, FBI and child abuse index check clearances. Per Title Regulations, no deficiencies were cited during this inspection. Exit interview conducted and a copy of the report was left at the facility. .

met_with: Rebecca Hathorn-Administrator and Ahnjolique Haskins- Program Director


state: CA

facility_name: REAL ALTERNATIVES

summary: Facility Evaluation

raw_content:
Narrative:
On 3/8/22 at 1: PM Licensing Program Analyst's (LPA) Alyssa Ng and Isabel Mendoza made an unannounced case management inspection at the above facility. The purpose for this inspection is to conduct a case management and follow-up on three incident reports that occurred on 2/2/22, 2/18/22, and 2/21/22. All three incident reports were submitted to Community Care Licensing (CCL) on Friday 3/4/22. LPA also recommended Ahnjolique Program Director to submit only the LIC 624LE or to use only one form when sending in an IR. Due to the lack of information LPA's needed to gather additional information. 1.Incident report involves (P1) (please refer to LIC 811, dated 3/8/22 for confidential names). On 2/2/22 (P1's) apartment was raided, and (P1) was arrested. During inspection, LPA's interviewed (P1's) case manager regarding the incident and obtained copies of case notes, staff phone numbers. It was learned that (P1's) apartment was raided by Oakland Police Department, and the raid occurred because of (P1)'s roommate (P2). (P2) had a warrant for his arrest, and the facility does not have any additional information regarding the warrant. LPA will follow-up with Oakland Police Department. During inspection, Director submitted a copy of incident report pertaining to (P2). Program Director informed LPA that the incident report was submitted to CCL on 2/7/22. However, LPA was unable to confirm and will follow-up with the facility if needed. At this time, (P1's) bed closed on 2/10/22 per probation officers request, and (P2) bed closed on 2/8/22. The facility was last in contact with the (P2) on 2/3/22. 2. Incident report involves (P3). On 2/21/22 neighbors reported to property manager of loud noises/yelling and a knock on the door from P3's girlfriend crying and scared. P3 was ----CONT. ON 809C-------- arrested and released the following day. Program Director told LPA that facility could not find an open bed and therefore, exited the program on 2/22/22. The facility submitted on (2.25.22). Community Care Licensing did not receive IR until 3/4/2022. 3. Incident report involves P4 getting arrested and taken to Santa Rita jail. Program Director told LPA that P4 was released due to it being the wrong person. Program Director was on leave until the 2/22/22 and approved the IR's. Facility will send follow up incident reports, needs and service plans and Case Manager notes for each client no later than Monday (3/14/22) and updated IR's with more information regarding the incident(s). An exit interview was conducted and a copy of this report was sent to the Program Director.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Ahnjolique Haskins


summary: Facility Evaluation

raw_content:
Narrative:
On 07/06/2022 at 11: AM, Licensing Program Analysts (LPA's) Alyssa Ng and George Karkazis conducted a visit to the main office of the above facility. On 07/05/2022, LPA Ng was informed that an 20 year old client of the facility had died from being shot multiple times in the back on 07/01/2022. LPA met with Bonnie Meyer, Housing Service Manager (HSM). LPA Ng collected copies of the Transitional Independent Living Plan, the client's progress notes, case plan goals for client and roommate, and any other information regarding the client. LPA also discussed with HSM what steps the facility is taking to help staff and youth process the incident. Clinical Case Manager and Youth Specialist were also in attendance. HSM discussed the plan following the incident. The facility is providing and will continue to provide grief counseling to clients and staff. Facility has also provided extra support to clients by utilizing therapeutic services, etc. There is a session scheduled to debrief and discuss the next steps for the staff, and more resources being provided to the clients. The facility is also working with the county worker to coordinate a meeting with the client's family to collect their belongings. LPA conducted an exit interview with Bonnie Meyer, Housing Service Manager at 12: PM. Facility will provide updates on what was discussed during the debriefing meeting and when the family collects the client's belongings.

met_with: Bonnie Meyer


summary: Facility Evaluation - 2 deficiencies

raw_content:
Narrative:
Licensing Program Analyst (LPA) Jonathan Medina conducted an unannounced required annual inspection of the Real Alternatives (Side by Side) administrative office. LPA met with Program Manager De'Misha Barker. The Transitional Housing Placement Plus Foster Care (THP-FC) program serves non-minor dependents. During the inspection, LPA received an updated copy of the LIC Personnel Report to ensure the facility's records remain current. LPA also obtained an updated list of the Participant Residential Units. A review of the Guardian background check system on March 19, 2025, confirmed that all facility staff associated with the program had cleared DOJ, FBI, and Child Abuse Index checks. At 10: AM, LPA conducted a walkthrough inspection of the office with the Program Manager. The office has sufficient space for confidential meetings, and the agency's license is prominently posted. LPA observed a designated room where clients can relax, a clothing room where clients can select items, and another room where clients can pick up personal hygiene products and contraceptives. No deficiencies were observed. At 11: AM, LPA reviewed five staff files. The program is paperless and utilizes Paylocity to upload staff documents and Relias to track staff training. During this review, LPA identified two deficiencies in the CARE tool assessment. Specifically, some personnel folders were missing documentation of past work experience and job duties. Additionally, certain required staff training sessions had not been completed to meet regulatory requirements. Please refer to the LIC 809-D for details. Continues on LIC 809-C. At 1: PM, LPA reviewed five client files with the Program Manager. Client files have also been converted to a paperless system using a program called TIER. During the review, LPA identified four deficiencies, including missing Health and Education Passports or equivalent documentation, the absence of immunization records, missing required signatures in Needs and Services Plans, and outdated Transitional Independent Living Plans (TILPs). Please refer to the LIC 809-D for further details. At 2: PM, LPA began but did not complete the operational requirements section of the CARE tool. One technical violation was observed regarding the specification of clients' ambulatory status. LPA will return on another date to complete the inspection. As a result of today's inspection, seven deficiencies are being cited in accordance with the California Code of Regulations (CCR) and Interim Licensing Standards (ILS), 86066(a), 86065(f)(3), 86270(a)(2)(B), 86270(a)(2)(B)(1), 86268.3(d), 86068.3(a), and 86069(b)(1) . See LIC 809-D pages for details. An exit interview was conducted, during which the report and appeal rights were discussed and provided to Facility Manager De'Misha Barker.

Deficiencies:
86066(a): Personnel Records

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information
86068.3(a): Modifications to Needs and Services and Transitional Independent Living Plans

(a) The needs and services plan and TILP specified in Section 86168.2 shall be reviewed at least every six months to determine the following

met_with: De'misha Barker - Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 03/26/2025 at 10: AM, Licensing Program Analyst (LPA) Jonathan Medina conducted an unannounced visit to complete the required two-year inspection of the Real Alternatives (Side by Side) administrative office. LPA met with De'Misha Barker, Program Manager. At 10: AM, LPA reviewed the Operations section of the CARE tool. The program currently has 15 units with a capacity of 30, currently serving 21 clients. No deficiencies were observed, and all records were well maintained digitally. At 11: AM, LPA reviewed the facility's Disaster Preparedness section of the CARE tool. The program maintains client files digitally, making them easily accessible to all staff members in the event of an emergency. Staff also utilize a mobile application called M Copilot, which stores all client-specific documents, including emergency contacts, date of birth, social worker contact information, and bedroom location. Additionally, personal documents such as Needs and Services Plans and TILPs are stored in a computer application called TIER. The facility did not have records of quarterly drills available for review upon request. Please refer to the LIC809-D page for further details. Two technical violations were also noted in this section of the CARE tool regarding the location of the water shutoff valve and the description of how the emergency generator should be used. As a result of today's visit, one deficiency is being cited in accordance with Health and Safety Code (HSC) §1565(c). An exit interview was conducted, appeal rights were discussed, and a copy of this report was provided to Facility Manager De'Misha Barker.


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
mitigate the concern. Additional interviews with the clients, and LPA Valencia's review of records indicates staff had been providing consistent supportive services to ensure the client's safety. CMs documented that they were meeting with the clients at least weekly to make sure all clients felt safe and encouraged them to reach out to Law Enforcement (LE) in emergency situations. All clients are adults and learning how to become independent. Based on interviews conducted by LPAs Valencia and Vallejo, and records reviewed, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. A signed copy of this LIC-9099 report, the LIC-9099C, and appeal rights were provided to the facility. An exit interview was conducted.

Investigation Findings:
13Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Morgan Douglas, Program Coordinator. LPA Misty Valencia conducted the complaint investigation. LPA Valencia initiated the investigation with the facility on 01/13/2025 and met with Pat Sweeney, Administrator and conducted a Health and Safety Inspection of one of the apartments. During the course of the investigation, LPAs Misty Valencia, Yesenia Vallejo, and Licensing Program Manager (LPM) Hillary Hall conducted the complaint investigation. LPA Valencia and LPA Vallejo and LPM Hall interviewed three clients, two witnesses, two county social workers (CSW), one county social worker supervisor (CSWS), two case managers (CM) and Administrator (Admin). LPA Valencia reviewed records including Needs and Services Plans for all clients, CM case notes for all clients, prior complaint history, Serious Incident Reports, and lease agreements for all four clients. It was alleged that the Facility did not ensure client safety. One client voiced that they were feeling unsafe to the CM. The CM immediately responded to the concern and searched the home to address and UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Wendy Brown 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: REDWOOD COMMUNITY ACTION AGENCY THPP/THP+FCFACILITY NUMBER: VISIT DATE: 02/13/2025

report_type: Complaint Investigation

met_with: Morgan Douglas, Program Coordinator

complaint_status: unsubstantiated


facility_name: REDWOOD COMMUNITY ACTION AGENCY THPP/THP+FC

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPA) Katherine Deaton and Kellie McKinley conducted an annual inspection at the facility address located above. The LPAs reviewed all participant records and found signed copies of personal rights and all school records, immunization records, and medical records that were provided. Current, signed Certificates of Compliance were also found in the participant files. The LPAs then conducted a facility inspection of the Administrative office located at G St, Eureka, CA. The facility is clean, safe, and sanitary. The LPAs reviewed all staff records. Personnel meet education and experience requirements. Annual evaluations are maintained. Staff have appropriate background and Child Abuse Central Index checks on file. LPA Deaton found that two staff records that had vehicle insurance information that recently expired. LPA Deaton received current vehicle insurance information following the in-person inspection. LPA Deaton contacted Pat Sweeney, Administrator (AD). AD stated that there is one Transitional Housing Placement Provider (THPP) Participant with a child residing in their living unit; the THPP and participant are aware that disinfectants / poisons are to be kept inaccessible to the child. All participant living units have at least one toilet, sink and tub or shower in working order. Participants and their minor children are provided with household essentials. There are no firearms stored in THPP participant living units. There are no participants who are non-ambulatory; licensee is aware of the fire clearance requirement. The THPP administrative office and participant living units have telephone service. No citations were issued throughout the course of this investigation.

visit_type: Annual

met_with: Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 4/10/ Licensing Program Analyst (LPA) Kellie McKinley met with Administrator to conduct a death investigation. LPA inspected the facility. The facility walkways and hall ways were free and clear of obstructions. The fire extinguisher were current on inspections. The bathrooms were found clean and sanitary. The water temperature was found to be within the require limits. There are several office spaces within the facility all organized and some with storage of facility equipment. The facility has a working phone line. The smoke and carbon monoxide detectors are in function order. The first Aid kit contained the required supplies. The kitchen area was found clean with no dishes in the sink and the counter only with kitchen equipment. The garbage's are covered with lids. Food supplies are sufficient for 3-5 days and dry goods for 5-7 days. LPA interviewed the administrator and the case manager for C1. LPA collected documentation found pertinent to the investigation of C1's death. The autopsy was conducted on 4/07/2023. The coroner found nothing from the autopsy to determine cause of death. Information was shared by Administrator via his contact with the coroner. The coroner collected many documents and medications while at C1's apartments for the investigation. A toxicology report was requested by the coroner. The toxicology report should be completed with 6 to 8 weeks time. An exit interview was conducted and a copy of this report electronically sent to the administrator. Further investigation is needed to determine the cause of death. (NOTE:Original completed 4/10/2023 and not saved in system- this is a copy of the original)

met_with: Patt Sweeney - Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 6/20/2023 at 10: AM Licensing Program Analyst (LPA) Kellie McKinley met with Administrator Patt Sweeney via Zoom for the purpose of a case management regarding the death of a client. During the course of the case management investigation, LPA McKinley reviewed the coroner's report and Law enforcement records. interviewed the administrator, the case manager, and the client's County Social Worker. LPA McKinley and Licensing Program Manager (LPM) Hillary Hall received a copy of the coroners report on 6/6/2023 which stated the reason for the client's death. No foul play is suspected. No citation is being issued. An exit interview was conducted. A signed copy of this report was provided to the facility.

met_with: Patt Sweeney- Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 7/19/23, Licensing Program Analyst (LPA) Lyta Vue arrived unannounced at the facility and met with Patrick Sweeney, Program Manager. The purpose of the visit was to conduct a Required Annual Inspection of the facility. The last Annual inspection for the facility was on 6/28/21. LPA utilized the CARE Tool to complete the Annual inspection. LPA conducted an inspection of the physical plant and checked for all necessary requirements. The facility was clean and organized and maintained an acceptable room temperature. The facility has five offices for social workers and two confidential interview/visitation rooms. LPA observed the proper postings including: facility license, complaint hotline, personal rights, and emergency disaster plan. The restrooms for clients and staff were clean. Smoke alarms were in working order, fire extinguishers were current, and a first aid kit was fully stocked. Evacuation drills for the facility were completed quarterly. LPA observed client files were stored in locked filing cabinets and in locked offices. The facility has no outstanding fees. The facility has no minor clients and Non-Minor Dependent clients. Clients live in either mentor homes or remote site apartments. No client resides more than two hours from the facility. The facility employs two Case Managers, one program Coordinator, and one of Supervisors/Program Manager. LPA reviewed 4 staff personnel files. All 4 staff completed criminal record clearances and met minimum education and experience qualifications which 2 are Case Managers. All First Aid and CPR certifications were up to date for all 4 staff personnel which 2 are Case Managers. LPA interviewed 3 staff personnel which 2 are Case Managers. 1 staff personnel was not present. One Case Worker personnel indicated they did not have more than 12 clients on their caseload. LPA reviewed 2 client files. All clients had signed Admission Agreements. Client files had current Needs and Service Plans, signed by the client and placing agency. Needs and Services Plan detailed adequate supportive services the facility offers to the clients. (*For facilities with minors, indicate whether CHDP Physical, dental, and JV 220 are current.) Continued on 809c No citations were given on this date. A signed copy of this LIC-809 (and LIC-809C) report was provided to the Program Manager (PM). An exit interview was conducted. Appeal rights were provided (if applicable)

met_with: Patrick Sweeney, Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 06/24/25, Licensing Program Analysts (LPAs) Lyta Vue and Kellie McKinley arrived unannounced at the facility and met with Patrick Sweeney, Program Manager (PM). The purpose of the visit was to conduct a Required Bi-Annual Inspection of the facility. The last Annual inspection for the facility was on 07/19/23. LPAs utilized the CARE Tool to complete the Annual inspection. LPAs conducted an inspection of the physical plant and checked for all necessary requirements. The facility was clean and organized and maintained an acceptable room temperature. The facility has two (2) offices for Case Managers and one (1) confidential interview/visitation room. LPAs observed the proper postings including facility license, complaint hotline, and emergency disaster plan. The restrooms for clients and staff were clean. Smoke alarms were in working order, fire extinguishers were current and expire August 2025, and a first aid kit was fully stocked. Evacuation drills for the facility were completed quarterly. LPAs observed client files were stored in a locked file in a locked office. The facility has no outstanding fees. The facility has two (2) Non-Minor Dependent clients. Clients live in offsite apartments. No client resides more than two hours from the facility. The facility employs two (2) Case Managers (CM), and one (1) Program Manager. Annual Report continued on 809c LPAs reviewed two (2) Case Managers and one (1) Program Manager personnel files. Case Managers/Staff personnel had completed criminal record clearances and met minimum education and experience qualifications. All First Aid and CPR certifications were up to date for Case Managers and Program Manager personnel. LPAs reviewed two (2) client files. All clients had signed Admission Agreements. Client files had current Needs and Service Plans, signed by the clients and placing agency. Needs and Services Plan detailed adequate supportive services the facility offers to the clients. No citations were given on this date. A signed copy of this LIC-809 and LIC-809C report was provided to Pat Sweeney, Program Manager (PM). An exit interview was conducted.


facility_name: REDWOOD COMMUNITY SERVICES, INC

summary: Facility Evaluation

raw_content:
Narrative:
On 9/28/22, Licensing Program Analyst (LPA) Brian Bertoli conducted a pre-licensing inspection at the Transitional Housing Placement Program (THPP) for purposes of a change of location. Note that LPA was not able to enter visit on the day it occurred due to not being able to access the Pre-licensing Visit Type. LPA Bertoli met with Program Managers Lorraine Montano and Samantha Stafford and inspected the facility. The office is conveniently located for the public. This location previously housed the RCS Foster Family Agency and Adoptions Agency. The office has a reception area, multiple private offices, and conference room/training room (all of which can be also be used for confidential meetings). There is adequate parking available. Emergency Disaster Plan will be revised to show THPP. License will be posted as soon as issued. Masks and hand sanitizer are available. All files will be kept confidential and locked in the office and separated from visiting areas. Personnel files are stored securely at the administrative office on S Orchard St in Ukiah. Telephones, computers, fax and copying machines are operable. There are two all-gender bathrooms. Fire extinguishers are current. There are fire sprinklers, smoke detectors, and carbon monoxide detectors. A complete first aid kit is readily accessible. A Redwood Community Services sign is posted outside of the office. Prior to today's visit, the application for the relocation was received and reviewed by LPA Bertoli. An updated LIC 500 has been submitted. No deficiencies in the Physical Plant during today's inspection. Due to recent completion of the THPP Annual Inspection, no files were reviewed and no interviews completed. LPA Bertoli determined that the facility meets Title 22 regulations for the operations of a THPP. An exit interview was conducted and a copy of this report was given to the facility. LPA Bertoli will submit the application for license and forward to the facility when issued.

visit_type: Prelicensing

met_with: Lorraine Montano and Samantha Stafford


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Brian Bertoli conducted a post-licensing inspection at the Transitional Housing Placement Program (THPP). The new license was generated by a change of location. LPA Bertoli met with Program Manager Samantha Stafford and inspected the facility. The office is conveniently located for the public. This location previously housed the RCS Foster Family Agency and Adoptions Agency. The office has a reception area, multiple private offices, and conference room/training room (all of which can be also be used for confidential meetings). There are two all-gender bathrooms. Fire extinguishers are current. There are fire sprinklers, smoke detectors, and carbon monoxide detectors. A complete first aid kit is readily accessible. A Redwood Community Services sign is posted outside of the office. There is adequate parking available. Emergency Disaster Plan and License are posted. Masks and hand sanitizer are available. All files will be kept confidential and locked in the office and separated from visiting areas. Personnel files are stored securely at the administrative office on South Orchard St in Ukiah. Telephones, computers, fax and copying machines are operable. An updated LIC 500 has been submitted and all staff have appropriate clearance. No deficiencies were cited at today's inspection. An exit interview was conducted and a copy of this report was given to the facility.

met_with: Samantha Stafford


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst Brian Bertoli conducted an unannounced visit to the THPP/THPP+NMD Administrative office to conduct an Annual/Required inspection. LPA met with Program Specialist Coni Shepard and Program Manager Samantha Stafford, who assisted with the inspection. The THPP has a capacity of 12 and services both THPP and THPP+NMD participants and THPP Plus contracted through the County. There is currently one participant in care (no minors and one Non-Minor Dependent). The facility uses a remote site model and currently has apartment units. LPA inspected the THPP office, which is one story. It has a reception area, multiple private offices, restroom, and a conference room. Files are stored in a locking cabinet in a locked room. The license and Emergency Disaster Plan (LIC610C) forms are posted. LPA completed a Care Tools inspection and reviewed participant records - one Non-Minor Dependent. The participant file is acceptable. LPA Bertoli conducted three staff interviews at the facility and three record reviews (at the Administrative Office on S Orchard St.). Advisory Notes were issued for the Needs and Services Plan missing projected date for completing the program and for the Health Assessment. No Title 22 deficiencies are being cited at this time. An exit interview was conducted and a copy of this report was left with the facility.

met_with: Samantha Stafford and Coni Shepard


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst Brian Bertoli conducted an unannounced visit to the THPP/THPP+NMD Administrative office to conduct an Annual/Required inspection. LPA met with Program Specialist Coni Shepard and Program Manager Samantha Stafford, who assisted with the inspection. The THPP has a capacity of 12 and services both THPP and THPP+NMD participants and THPP Plus contracted through the County. There are currently no participants in care. The facility uses a remote site model and currently has apartment units. LPA inspected the THPP office, which is one story. It has a reception area, multiple private offices, restrooms, and a conference room. Files are stored in a locking cabinet in a locked room. The license and Emergency Disaster Plan (LIC610C) forms are posted. LPA completed a Care Tools inspection and conducted staff interviews at the facility and record reviews (assisted by HR Director Pamela Lucas at the Administrative Office on S Orchard St.). All files were acceptable. No Title 22 deficiencies are being cited at this time. An exit interview was conducted and a copy of this report was left with the facility.

met_with: Coni Shepard, Samantha Stafford and Pamela Lucas


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst Brian Bertoli conducted an unannounced inspection to the THPP/THP+FC Administrative office to conduct an Annual/Required inspection. LPA met with Administrative Specialist Coni Shepard, who assisted with the inspection. Program Manager Billie Wyant was present for a brief discussion. The THPP has a capacity of 12 and service both THPP and THPP+FC participants and THPP Plus contracted through the County. There are currently 5 participants in care (no minors and Non-minor Dependents). The facility uses a remote site model and currently has apartment units. LPA reviewed all Certificate of Compliances and they were valid. LPA inspected the THPP office, which is one story. It has a reception area, multiple private offices, lunch room, restroom, and a conference room. Files are stored in a locking cabinet in a locked office. The license and Emergency Disaster Plan (LIC610C) forms are posted. LPA's reviewed participant records - Non-Minor Dependents. All participant files are acceptable. Staff records are maintained at the administrative office at S Orchard Ave, Ukiah. Facility was able to coordinate with Karina Gonzalez in Human Resources to acquire staff records promptly electronically. A review of Licensing Information System on June 23, 2021, indicates that all facility staff reviewed were associated to the facility had DOJ, FBI and child abuse index check clearances. During inspection, LPA's reviewed 5 staff files and all files were complete and had all required documents and required training. There were no Title 22 deficiencies cited during todays inspection. Exit interview was conducted and a copy of the report was left at the facility .

met_with: Coni Shepard


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst Brian Bertoli conducted an unannounced inspection to the THPP/THP+FC Administrative office to conduct an Annual/Required inspection. LPA met with Program Specialist Coni Shepard, who assisted with the inspection. Program Manager Samantha Stafford participated as well. The THPP has a capacity of 12 and services both THPP and THPP+FC participants and THPP Plus contracted through the County. There are currently 3 participants in care (no minors and Non-minor Dependents). The facility uses a remote site model and currently has apartment units. LPA reviewed all Certificates of Compliance and they were valid. LPA inspected the THPP office, which is one story. It has a reception area, multiple private offices, lunch room, restroom, and a conference room. Files are stored in a locking cabinet in a locked office. The license and Emergency Disaster Plan (LIC610C) forms are posted. LPA reviewed participant records - Non-Minor Dependents. All participant files are acceptable. LPA Bertoli conducted 5 staff interviews. Staff records will be reviewed at a later date. An Advisory Note was given for CCR Section 86069 (a) Participant Medical Assessments. There were no Title 22 deficiencies cited during todays inspection. An exit interview was conducted and a copy of the report was left with the facility.

met_with: Coni Shepard and Samantha Stafford


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst Brian Bertoli conducted an unannounced inspection to the THPP/THP+FC to continue an Annual/Required inspection. LPA met with HR Coordinator Karina Gonzalez. Program Manager Samantha Stafford participated as well. LPA Bertoli reviewed 5 staff files at the Administrative Office on S Orchard St in Ukiah. All files were acceptable. This completes the Annual Inspection. No deficiencies were cited on this visit. An exit interview was conducted and a copy of the report was left with the facility.

met_with: Karina Gonzalez and Samantha Stafford


facility_name: REMI VISTA THPP/THP+FC CRESCENT CITY

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Katherine Deaton conducted an annual inspection at the facility address located above using the CARES Inspection Tool. The facility is clean, safe, and sanitary. The LPA conducted one staff interview. The facility has no clients in care; this location provides community-based counseling services. The LPA initiated the Physical Plant, Operational Requirements, Disaster Preparedness, and staff file reviews. Due to time constraints this inspection will be completed at a later date. No citations have been issued.

met_with: Becky Bohannon


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Katherine Deaton continued the annual inspection at the facility address located above using the CARE Inspection Tool. The facility has no clients in care; this location provides community-based counseling services. The LPA completed the Physical Plant, Operational Requirements, Disaster Preparedness, and staff file reviews. Advisory Note - Technical Violations were issued for Title Section 86065(a)(1)(A) and Health and Safety Code Section 1565(c). See attached LIC9102 reports. The LPA conducted exit interviews with Rebecca Bohannon, Office Manager and Troy Foster, Quality Assurance Officer. No citations were issued throughout the course of this inspection.

met_with: Rebecca Bohannon


facility_name: RENAISSANCE PRIDE

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Evidence indicated that NMD1 was diagnosed with a medical skin condition prior to placement and there was no evidence that NMD1 skin irritation was due to the conditions of the water in the bathroom in the unit. NMD1 remains as a resident in the unit. Due to lack of evidence obtained during the investigation, LPA determines that the allegations are Unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that a violation occurred. There are no deficiencies cited at this time. An exit interview was conducted and a copy of this report was left at the Administrative office with the Youth Advocate Ndidi Chikezie

Investigation Findings:
13On June 14, 2024, at 10: AM, Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit to conclude the complaint investigation. Prior to entering the facility LPA Gray conducted a health and safety risk assessment. During the investigation, LPA Gray conducted confidential interviews and reviewed documentary evidence. Based on confidential interviews, review of documentary evidence, and observation of the bathroom in the unit there is no evidence or witnesses to support a physical plant violation occurred. Licensee denied the allegations.Statements indicated that staff addressed the report of mold present in the bathroom, took precautionary measures, and temporary relocated the Non-Minor Dependent (NMD1) while the unit was being inspected by maintenance staff for mold. LPA toured the bathroom during the investigation and no mold was observed. Bathroom was observed to be free of hazards and sanitary. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray 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: RENAISSANCE PRIDEFACILITY NUMBER: VISIT DATE: 06/14/2024

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

met_with: Youth Advocate Ndidi Chikezie


summary: Facility Evaluation

raw_content:
Narrative:
On 05/26/2022 at 10am, Licensing Program Analyst (LPA) Bernice Karnsrithong arrived at the facility office for the purpose of conducting a Case Management-Incident that occurred on 05/02/2022. Health and safety risk assessment were conducted upon arriving at the facility. LPA Karnsrithong met with Olivia Ofomata, Youth Advocate and Office Manager. The current census is twenty-eight (28). A Special Incident Report (SIR) #810620 dated 05/02/2022 stated that a client had seizures on April 27, 2022 and was taken to the hospital for medical treatment. SIR indicated that this was caused due to client stopping to take her psychotropic medication. During the visit, LPA Karnsrithong conducted one (1) staff interview and reviewed documentary evidences. At this time, not all parties are available and additional time is needed for this case management. There are no deficiencies cited at this time. Exit interview was conducted with Olivia Ofomata and a copy of this report will be provided.

met_with: Youth Advocate/Office Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 06/07/2022 at 9am, Licensing Program Analyst (LPA) Bernice Karnsrithong arrived at Renaissance Pride Main Office for the purpose of delivering Case Management-Incident findings. LPA Karnsrithong met with Olivia Ofomata, Office Manager and Youth Advocate for the agency. Health and safety risk assessment were conducted upon arriving the main office. A special incident report (SIR) #810620 dated 05/02/2022 stated that a client was taken to the hospital/urgent care to seek medical treatment. During the case management, LPA Karnsrithong has conducted confidential interviews and reviewed documentary evidences. Statements were consistent that client seek medical treatment from symptoms resulting from stopping her psychotropic medications. There was no evidence to corroborate that staff are not complying with emergency intervention procedures. This agency has conducted a case management-incident and has found that the case management was unfounded, meaning that the allegation is false, could not have happened and/or is without a reasonable basis. There are no deficiencies cited at this time. Exit interview was conducted with Olivia Ofomata, Office Manager/ Youth Advocate and a copy of this report will be provided to the facility.

met_with: Olivia Ofomata, Office Manager/Youth Advocate


summary: Facility Evaluation

raw_content:
Narrative:
On 11/16/2022, Licensing Program Analyst (LPA) C. White arrived at the above location for the purpose of conducting a 2-Year Required Inspection of the Transitional Housing Placement Administrative Office. LPA met with Executive Director, Chris Onyegbaduo. LPA was granted access and toured the entire facility. The program is licensed to provide THPP services to children 16-17 years old and THP+FC Services to Non Minor Dependents up to 49 beds. The current census is 33. This facility is located in a multilevel office building. The facility has 4 separate office rooms, a receptionist area, a waiting room, and a bathroom. The office rooms are set up as follows: Upon entering the office there is a waiting room area available for clients/visitors which is equipped with 2 couches, a coffee table and a small side table. There is a receptionist area, utilized by the facility manager. The office has a bathroom, and 4 separate rooms. Office room #1: is equipped with locked storage cabinets used to store client files. The room remains locked at all times. Office room #2: is used as the staff break room. Office room #: is equipped with a desk, chair, and a computer. The room is used by case managers and clients should they need computer access. Office room #4: is equipped with a large table and seating for at least 10 people. The room is used as a conference room for both staff and client meetings. Report continued on LIC 809C. This program utilizes the remote site housing model and ensures the following services will be applicable: 1.) Participants have their own bedroom; 2.) No more than two participants share a bathroom: 3.) No more than two participants share a refrigerator; 4.) On-site supervisor available 24/7 to support, assist and oversee the needs of the participants: 5.) Assigned Social Workers assist and meet with participants a minimum of once a week (face-to-face); and 6.) Supervision, if needed, for the distribution of prescription medication. The organization also utilizes the iTrack system to report Special Incidents to CCL. A total of four (4) client files were reviewed. All Client Records are current and contained the required documentation including: Admission Agreements, Allowance Logs, Savings Deposit records, Receipts, Needs and Services Plans, Personal Rights forms. A total of five (5) staff files were reviewed. All staff files contained caregiver background checks, criminal record and child abuse index check clearances, and current First Aid/CPR cards. Personnel Files are maintained on-site. LPA obtained a copy of the facility personnel report, LIC 500. The facility operates within license conditions and limitations including capacity limitations. LPA will return at a later date to conduct staff and client interviews. No deficiencies were observed or cited at the time of this inspection. A copy of this report was left at the with the Executive Director.

met_with: Executive Director, Chris Onyegbaduo


summary: Facility Evaluation

raw_content:
Narrative:
On February 2, 2023, Licensing Program Analyst (LPA) Charmetha White arrived at the above location for the purpose of conducting a Case Management Annual Continuation visit. LPA met with Facility Administrator, Chris Onyegbaduo and was granted access to the facility. LPA informed the Administrator, three of the facility's remote THPP sites would be inspected on this day, for compliance with Title Regulations. The Administrator provided the following three addresses. Site #1: E. Arrow Hwy Unit # Covina, CA. Site #2: E. Arrow Hwy Unit # Covina, CA. Site #3: E. Badillo Street Covina, CA. Administrator, agreed to meet LPA at each site to grant access to the units for inspection. LPA inspected all three units and found each unit to be clean and in good repair. No deficiencies were observed or cited. A copy of this report was left with the Administrator.

met_with: Administrator, Chris Onyegbaduo


summary: Facility Evaluation

raw_content:
Narrative:
On 11/25/2025, Licensing Program Analyst (LPA) C. White arrived at the above location for the purpose of conducting a 2-Year Required Inspection of the Transitional Housing Placement Administrative Office. LPA met with Executive Director, Chris Onyegbaduo. LPA was granted access and toured the entire facility. The program is licensed to provide THPP services to children 16-17 years old and THP+FC Services to Non Minor Dependents up to 49 beds. The current census is 31. This facility is located in a multilevel office building. The facility has 4 separate office rooms, a receptionist area, a waiting room, and a bathroom. The office rooms are set up as follows: Upon entering the facility there is a waiting room area available for clients/visitors which is equipped with 2 couches, a coffee table and a small side table. To the right of the doorway a receptionist area, utilized by the facility manager. Straight in front of the waiting area is a short hallway; on the right side of the hallway is the facility bathroom, and along the hallway are 4 separate rooms. Office room #1: is closest to the bathroom; it is equipped with locked storage cabinets and utilized for client files and the room remains locked at all times. Office room #2: is used as for storage. Office room #3: is equipped with a desk, chair, and a computer. The room is used by the administrator and clients should they need computer access. Report continued on LIC 809C. (Page 1 of 2) Office room #4: is equipped with a large table and seating for at least 10 people. The room is used as a conference room for both staff and client meetings. This organization uses the remote site housing model and ensures the following services will be applicable: 1.) Participants will have their own bedroom; 2.) No more than two participants will share a bathroom: 3.) No more than two participants will share a refrigerator; 4.) There is a supervisor available 24/7 to support, assist and oversee any needs of the participants: 5.) Assigned Social Worker to assist and meet with participants a minimum of one time per week in person with daily contact; and 6.) Supervision, if needed, with the distribution of any prescription medication. The organization utilizes the iTrack system to report Special Incidents to CCL. LPA reviewed a total of five (5) client files. All Client Records are current and contained the required documentation including: Admission Agreements, Allowance Logs, Savings Deposit records, Receipts, TILP, Personal Rights forms. LPA reviewed a total of five (5) staff files. All staff files show that staff meet qualifications and regulatory requirements. Personnel files contained caregiver background checks, criminal record and child abuse index check clearances, and current First Aid/CPR cards. Personnel Files are maintained on-site. LPA obtained a copy of the facility personnel report, LIC 500. The facility operates within license conditions and limitations including capacity limitations. No deficiencies were observed or cited at the time of this inspection. A copy of this report was left at the with the Executive Director. (Page 2 of 2)

met_with: Chris Onyebanduo - Executive Director


summary: Facility Evaluation

raw_content:
Narrative:
On December 11, 2025, Licensing Program Analyst (LPA) C. White arrived at the above location for the purpose of conducting a Case Management Annual Continuation visit. LPA met with Executive Director, Chris Onyegbaduo and was granted access to the facility. LPA informed the Administrator, two of the facility's remote THPP sites would be inspected on this day, for compliance with Title Regulations. The Administrator provided the following three addresses. Site #1: S Manhattan Pl. Los Angeles, CA. Site #2: W. 126th Street Apt. A Hawthorne, CA. Administrator, agreed to meet LPA at each site to grant access to the units for inspection. LPA inspected both units and found each unit to be clean and in good repair. No deficiencies were observed or cited. A copy of this report was emailed to the Executive Director.


summary: Complaint Investigation - Unsubstantiated - 1 deficiency - 1 allegation

raw_content:
Narrative:
Based on the clients concerns and history, increased supervision and support should have been provided to clients. It was confirmed that there was alcohol in the facility in the refrigerator that belonged to facility staff. The preponderance of evidence has been met, therefore these allegations are substantiated. California Code of Regulations Title 22, Division 6, and Interim Licensing Standards (ILS), sections 86278(a) responsibility for providing care and supervision, 86187(f) buildings and grounds, 86172(b)(2) Personal Rights, are being cited on the attached LIC9099D. An exit interview was conducted, appeal rights were given, and a copy of this report was left with Licensee Kimberly Graves.

Investigation Findings:
13On 10/19/22 at 12: PM, Licensing Program Analyst (LPA) Alyssa Ng conducted an unannounced inspection to the above facility. The purpose of this inspection is to deliver the findings for the above complaint allegations. LPA Ng met with Licensee Kimberly Graves who assisted with the inspection. Based on confidential interviews conducted by LPA Belfield, obtained supportive documentation to include but not limit, staff schedule, client roster, incident reports, staff and client communications, and copies of client files. It was confirmed that client was experiencing threatening behaviors and suffered emotionally from another client in the facility. It was confirmed that facility staff smokes on the facility premises. ----------Cont. on 9099C------------------- SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, TRAEGER AVE., Suite San Bruno, CA Facility Name: R.Y.S.E. RAISING YOUTH TO STRIVE FOR EXCELLENCEFACILITY NUMBER: VISIT DATE: 10/19/2022

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

Deficiencies:
86187(f): infliction of pain: humiliation: intimidation: ridicule: coercion: threat: physical, sexual, emotional mental, or other abuse....

met_with: Kimberly Graves

title:
The licensee shall prohibit smoking in the facility and on the grounds of the facility.
This requirement was not met as evidenced by,1
2
3
4
5
6
7Facility Staff will not smoke on the facility premises.
8
9
10
11
12
13
14 It was confirmed that facility staff smokes on the facility premises and although clients were told not to smoke in the facility, the facility staff did not follow this rule. This poses a potential health, safety, or personal rights risk to the clients in care.8
9
10
11
12
13
14
Deficiency Dismissed
Type B
11/19/2022
Section Cited
CCR
86172(b)(2)1
2
3
4
5
6
7Personal Rights 86172(b)(2) To be free from corporal or unusual punishment


facility_name: R.Y.S.E. RAISING YOUTH TO STRIVE FOR EXCELLENCE

summary: Facility Evaluation

raw_content:
Narrative:
On 10/19/22 at 10: AM, Licensing Program Analyst (LPA) Alyssa Ng made an unannounced required two year inspection to Raising Youth To Strive For Excellence (R.Y.S.E) Administrative office. LPA met with Kimberly Graves, Licensee. Currently, there are no clients in care. At 10: AM, LPA did a walk through inspection with Administrator of the office. The office has sufficient space for meetings, all participant files and staff files are located in a locked cabinet in a secure location. The agency has their license posted in their office. The office is in compliance with Community Care Licensing (CCL) regulations. LPA spoke with Administrator about the residential unit. Administrator stated that the residential unit has all working toilets, sinks and tubs. Administrator notified LPA that the program provides all participants with household essentials. At 11: AM, LPA reviewed 3 participants files with Administrator. LPA observed all 3 participants files to be complete and found no deficiencies. All documents are complete and up to date. At 11: AM LPA observed 2 staff files to be complete, all documentation is up to date and all staff training were up to date/current. LPA Ng interviewed 2 staff. During inspection, LPA requested a updated copy of the LIC Personnel Report to maintain their current filet. A review of Licensing Information System on October 19th, 2022 indicates that all facility staff associated to the facility had DOJ, FBI and child abuse index check clearances. Per Title Regulations, no deficiencies were cited during this inspection. Exit interview conducted and a copy of the report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Visit was attempted on 10/25/23 at AM. LPA will return at a later date to conduct annual. See LIC 812 pertaining to attempted visit.


summary: Facility Evaluation

raw_content:
Narrative:
On 11/2/23 at 11: AM, Licensing Program Analyst (LPA) Brenda Rodriguez and Licensing Program Analyst (LPA) Paul Simien conducted an unannounced visit to the above facility. The purpose of this visit was to complete the required annual inspection. LPA's met with Kimberley Graves, Administrator (ADM), at the above facility to conduct the required annual inspection. LPA Rodriguez and LPA Simien reviewed five staff, conducted physical plant inspection, and reviewed the disaster preparedness plan. All personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. Personnel Files are maintained on-site in locked cabinets. LPA's reviewed the facilities operations, disaster preparedness plan. LPA discussed the following with the Administrator: staff files, disaster preparedness plan, operations, and Compliance Certification requirements. No staff present to conduct interviews The inspection is complete. Four technical violations and two technical assistance were cited at this time. LPAs conducted an exit interview, and a copy of this document was emailed to ADM. Note this document was signed by licensee on 11/7 due to a save conflict with the original document.

met_with: Administrator: Kimberly Graves


summary: Facility Evaluation

raw_content:
Narrative:
Visit was attempted on 12/18/234 at AM. LPA will return at a later date to conduct annual. See LIC 812 pertaining to attempted visit.


summary: Facility Evaluation

raw_content:
Narrative:
On 11/13/2025 at 12: PM, Licensing Program Analyst (LPA) Brenda Rodriguez conducted an unannounced visit to the above facility. The purpose of this visit was to complete the required Annual Inspection. LPA Rodriguez met with Administrator Kimberly Graves, at the above facility to conduct the required annual inspection. There are no clients in care at the moment. LPA Rodriguez conducted the physical plant inspection, reviewed plan of operations plan and reviewed the disaster preparedness plan binder. Personnel Files are maintained on-site in locked cabinets. LPA Rodriguez discussed the following with the Administrator: disaster preparedness plan, and plan of operations plan. LPA Rodriguez reviewed one (1) staff file. LPA Rodriguez conducted one (1) confidential staff interview. The required Annual Inspection is complete. No deficiencies were cited. An exit interview was conducted, and a copy of this report was given to Administrator Kimberly Graves, whose signature on this form confirms receipt.

met_with: Kimberly Graves, Administrator


facility_name: SAFE STEPS YOUTH PROGRAM

summary: Facility Evaluation

raw_content:
Narrative:
On 7/10/25, an informal office meeting was held with the applicant to discuss the facility site and grounds. The meeting was held virtually over Microsoft Teams. Representing the applicant was Chief Program Officer Helen Ayala. Representing Community Care Licensing were Regional Manager Helga Wong, Licensing Program Manager Isabel Diego, Licensing Program Manager Joel Segura, and Licensing Program Analyst Mariah Hawkins. The following items were discussed: - The applicant's current utilization of the propose facility site. - The applicant's plan for how the site will be utilized upon licensure of the transitional housing placement program. - The applicant's current and planned utilization of the neighboring facility site. An exit interview was conducted, and a copy of this report was emailed to Helen Ayala, who agreed to return a signed copy to Licensing Program Analyst Mariah Hawkins.

met_with: Helen Ayala, Chief Program Officer


facility_name: SAN DIEGO YOUTH SERVICES

raw_content:
Narrative:
on a consistent basis. Agency administration stated checks were conducted weekly and no evidence of the child living in the unit was obtained. It was corroborated that an individual was seen on camera entering and exiting out of the unit. It was also reported that a backpack, not belonging to either client, was in the unit. Due to being unable to interview clients, LPA Harris was unable to determine if the child was residing in the unit. It was also reported that participants were engaging in drug activity and storing firearms in the unit. Due to welfare check conducted in order to find the child on AWOL status, it was reported that drug paraphernalia and a firearm was found in the home. Administrators stated there were no contraband found in the home. It was stated that a bottle of medication was found, but not able to determine if the medication was prescribed. Administrators denied that a firearm was found, but other support staff said there was a firearm present during the inspection. Again, LPA Harris was unable to obtain additional information regarding the allegation due to the inability to interview clients. Based on interviews and information obtained, participants are allowing an authorized minor to reside in the living unit, engaging in drug activity at the living unit, and storing firearms at the living unit, may or may not have occurred; therefore, the allegations are unsubstantiated at this time.

Investigation Findings:
13On December 20, 2021, at 11: AM, Licensing Program Analyst (LPA) Jazmond Harris met with Youth Advocate, Kate Perterson to deliver the findings for the investigation pertaining to the listed allegations. Program Coordinator, Berenice Perez was contacted via phone. LPA Carol Anderson initiated the investigation on June 16, 2021 and attempted to interview Client #1 and Client #2 (See Confidential Names List (LIC 811) dated December 20, 2021, however; whereabouts of clients are unknown at this time. During the investigation, LPA Harris conducted interviews with Administrator, Case Manager, Support Staff, and County Social Worker. LPA Harris was also unable to interview Client #1, Client #2, and assigned social workers. On June 14, 2021, Community Care Licensing (CCL) received information which stated participants are allowing an authorized minor to reside in the living unit, engaging in drug activity at the living unit, and storing firearms at the living unit. It was reported that a child was residing in the home with clients. It was reported that information had been obtained that a child who was reported on AWOL (absent without leave) status was living in the unit. It was reported that the child was seen on surveillance entering and exiting the unit UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Jazmond D Harris 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: SAN DIEGO YOUTH SERVICESFACILITY NUMBER: VISIT DATE: 12/20/2021

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

met_with: Youth Advocate-Kate Peterson


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
Confidential interviews indicated C1 would not sleep at the apartment complex for consecutive days. Confidential interviews indicated C1 would be gone for 10 days and wouldn't take out their trash to the apartment complex dumpster. Confidential interviews also indicated C1 refused for their unit to be fumigated. Regarding the allegation non- minor is not provided unit keys, it was reported that C1 never received a key to their door. During the investigation, confidential interviews indicated C1 requested for keys two times and the facility offered a keypad lock for C1 and C1 refused. Documents reviewed indicated a request was submitted for keys. LPA received conflicting information. Regarding the allegation that a non- minor is being evicted. Confidential interviews and record review indicated C1 was placed on a 14-day supportive plan to avoid eviction and a 30-day notice to terminate tenancy. Confidential interviews disclosed that C1 was being evicted for failing to follow the program housing guidelines such as meeting with case worker on a weekly basis, maintaining full time productivity of a minimum of 32 hours a week of school or work, making rental payments, no pets at apartment complex, safe behavior guidelines and visitor restrictions. The confidential interviews continued stating that C1 would miss meetings with case manager and C1 was not enrolled in school nor employed. Additional confidential interviews reported that C1 was interested in joining the military and was speaking with a recruiter. Confidential interviews indicated C1 was behind on their rent and C1 had a dog on site which was not allowed unless proper documentation was submitted to the program. Confidential interviews revealed conflicting statements. Based on confidential interviews and record review, the allegations that C1's unit has pests, C1 is not provided unit keys, and C1 is being evicted, may have occurred, however, there was not a preponderance of evidence to support or deny the allegations. Therefore, the above allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this signed report was provided to Jose Ayala, Program Manager.

Investigation Findings:
13On March 21, 2024, at 10: AM, Licensing Program Analyst (LPA) Lucero Jauregui conducted an unannounced complaint inspection and met with Jose Ayala, Program Manager. The purpose of the inspection is to deliver the finding for the above allegations. LPA conducted an inspection of the facility on September 19, 2023, and no deficiency were noted. During the investigation, LPA conducted two staff interviews (S1- S2), one client interview (C1), and obtained housing debrief log dated 9/11/23, pest control invoice, 14-day contract dated 8/21/23 and 30-day notice dated 9/7/23. On September 15, 2023, Community Care Licensing (CCL) received the allegations that non-minor's unit has pests, non-minor is not provided unit keys, and non-minor is being evicted. Regarding the allegation of non- minor's unit has pests, it was specifically reported the apartment complex is infested with cockroaches and the infestation was not resolved even after an exterminator came in. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: LUCERO JAUREGUI 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: SAN DIEGO YOUTH SERVICESFACILITY NUMBER: VISIT DATE: 03/21/2024

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 0

met_with: Jose Ayala, Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 7/07/21 at 9: AM, Licensing Program Analyst (LPA) Daniel Mena and Licensing Program Manager (LPM) Natasha Dunlap conducted an unannounced required annual inspection. LPA Mena met with Program Manger, Jasmine Trammell. LPA Mena and LPM Dunlap inspected the administrative office. The facility is licensed to provide Transitional Housing Placement (THP) services for Nonminor Dependents (NMD). The facility provides care for 30 participants ages eighteen (18) through twenty-one (21) years old. There are currently 24 participants residing in the program, which included remote sites in San Diego County.The Administrative Office is located at Spring Drive, Spring Valley, CA 91977. The administrative office is in a portable on San Diego Youth Services (SDYS) property in room #29. The facility has three offices within the portable. Office #1 is the Program Administrator office. Office #2 is the file room and Program Assistant. Office #3 is the Program Coordinator. The Youth Advocates' desks are located in main area of the portable. The administrative offices have working telephone. The facility has an additional room for meetings, interviews and orientation. The facility also is able to reserve larger conference rooms on the property. The participants' files (See Confidential Name List, LIC 811, date: 07/07/21) are stored and locked in a cabinet located in office #2. The participants' files were review. The participants' files were complete. Staff files are located off-site in the main administration building. Copies of staff files were provided and reviewed. There were no deficiencies observed on this date in accordance to Title 22, Division 6 of the California Code of Regulations. An Exit interview was conducted and a copy of this report was provided to Program Manager.

met_with: Jasmine Trammell


summary: Facility Evaluation

raw_content:
Narrative:
On March 27, 2023, at 9: AM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced inspection at the above facility. LPA Meza-Gonzalez met with Case Manager (CM) Ashley Parra and Program Manager (PM) Berenice Perez. The purpose of the inspection is to conduct a random annual. The facility is licensed to provide transitional housing placement plus foster care for non-minor dependents for 30 participants ages eighteen (18) through twenty-one (21) years old. There are currently 13 participants in the program. The Administrative Office is located at Spring Drive, Spring Valley, CA 91977. The administrative office is in a portable on San Diego Youth Services (SDYS) property in room #29. LPA Meza - Gonzalez inspected the administrative office. The facility has three offices within the portable bungalow. Office #1 is the Program Coordinator's office. Office #2 is the file room and Program Assistant's Office. Office #3 is the Program Administrator's office The Youth Advocates' desks are located in the main area of the bungalow. The administrative offices have working telephones. The facility also is able to reserve conference rooms on the property for meetings, interviews, and orientation with receptions services. The participants' files (See Confidential Name List, LIC 811, date: March 27, 2023) are stored and locked in a cabinet located in office #2. Five participants' files were reviewed. The participants' files were complete. Staff files are located off-site in the main administration building. The staff files were brought to the facility. Five staff files were reviewed. The staff files were complete. LPA Meza-Gonzalez conducted one staff interview due to one staff was present. There were no deficiencies observed on this date in accordance with Title 22, Division 6 of the California Code of Regulations. An Exit interview was conducted and a copy of this report was provided to PM Perez.

met_with: Ashley Parra and Berenice Perez


summary: Facility Evaluation

raw_content:
Narrative:
On February 25, 2025 at 10: AM, Licensing Program Analyst (LPA) Lucero Jauregui met with Haley Veniegas, Director of Services and Jose Ayala, Program Manager , to conduct a change in relocation/pre-licensing inspection. The previous license #374603938 location Spring Drive, Spring Valley, CA 91977. The office is conveniently located for the public. The office space area has a waiting area, confidential case meeting space, program manager office, and case workers office space. LPA observed Emergency Disaster Plan, Personal Rights, and Grievances posted in a prominent area for participants to view. License will be posted as soon as it is issued. Participants files are locked in file cabinets and accessible electronically. Staff files are maintained electronically and accessible for review. Telephone is accessible in program managers office. Fire extinguisher is properly charged. A first aid kit is located in the case meeting office. The bathrooms are located outside the suite. The facility has demonstrated compliance with Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was provided to Haley Veniegas, Director of Services.

met_with: Haley Veniegas, Director of Services & Jose Ayala, Program Manager


facility_name: SBCS -TROLLEY TRESTLE TRANSITIONAL LIVING PROGRAM

summary: Facility Evaluation

raw_content:
Narrative:
On 09/28/2021 at 09:30 a.m., Licensing Program Manager (LPM Ann Valenzuela and Licensing Program Analyst (LPA) Marisol Lopez conducted an unannounced inspection for the purpose of conducting a required annual. LPM and LPA met with Facility Administrator Xavier Martinez and conducted an inspection of the facility. The facility is licensed to provide Transitional housing placement plus foster care (THP+FC) services for 27 participants to non-minor dependents. LPA and LPM inspected both indoor and outdoor areas of the facility. The facility has 15 participants in care. The facility administrative office is located on site. Facility utilizes apartment complex housing model and has 17 apartment homes. There are ten apartment homes that have two bedrooms and seven apartment homes that have 1 bedroom on two different sites. Files are located in locked file cabinets within locked offices. There are no physical plant deficiencies. Staffing: The agency employee's the following assigned staff under the THP program. Program Director/Administrator, Program Coordinator/Social Worker Supervisor, Housing Coordinator; Case manager/Social Worker and Resident Manager. All employees have the required experience, and training for their current job employment. LPM and LPA reviewed 5 staff files and Non-minor dependent files. During the review, 1 out of 5 staff (S1) did not maintain a criminal record clearance in the staff file as required, all personnel records are not maintained at facility site, 5 out of 5 staff (S1-S5) files are missing a completed Child Abuse Central Index check (LIC 198A) and a Criminal Record Statement (LIC508). All staff files met the minimum qualifications for training requirements. The facility provided a list of clients and certified apartment information, current Personnel Report (LIC 500), Designation of Facility Responsibility (LIC 308) and all staff have current CPR certificates on file. (see continuation form LIC 9099-C dated 09/28/21) The non-minor dependent files were complete and included a signed Needs and Service plan, Transitional Independent Living Plan (TILP) and case progress notes were current. All client files reviewed were complete and had the requirement documents. Based on LPM and LPA's records review, the facility is cited under Title 22, Division 6, Chapter Criminal Record Clearance section 80019(d), 80019(j),Child Abuse Central Index section 80019.2(b) and Personnel Records section 80066(e). An exit interview was conducted, and a copy of this report was given the Program Administrator Xavier Martinez.

met_with: Xavier Martinez


summary: Facility Evaluation

raw_content:
Narrative:
On April 6, 2023, at 11: AM, Licensing Program Analysts (LPAs) Gloria Meza-Gonzalez and Lucero Jauregui conducted an unannounced inspection. LPAs Meza-Gonzalez and Jauregui met with Program Administrator (PA) Xavier Martinez. The purpose of the inspection is to conduct a random annual inspection. The facility is licensed to provide Transitional housing placement plus foster care (THP+FC) services for 27 participants to non-minor dependents. There are currently 10 participants in care. LPAs Meza-Gonzalez and Jauregui inspected both indoor and outdoor areas of the facility with PA Martinez. The facility administrative office is located on-site. The facility utilizes an apartment complex housing model and has apartment homes. There are ten apartment homes that have two bedrooms and seven apartment homes that have 1 bedroom on two different sites. The facility has two offices, Administrative office and housing office. The Program Administrator is located in the administrative office. The staff files are in a locked cabinets. The participate files are located housing office locked in filing cabinets within a locked office. There are no physical plant deficiencies. The agency employs the following assigned staff under the THP program. Program Administrator, Housing Coordinator; Case Manager. LPA Jauregui reviewed three staff files. LPA Jauregui observed the staff files met the minimum qualifications for training requirements. LPA Jauregui observed that all employees have the required experience and training for their current job employment. LPA Meza-Gonzalez conducted two staff interviews. See page 2 - LIC809C LPAs Meza-Gonzalez and Jauregui reviewed five participants files (see confidential name list, LIC811, dated: April 6, 2023). The non-minor dependent files were complete and included a signed Needs and Service plan, Transitional Independent Living Plan (TILP) and case progress notes were current. LPAs Meza-Gonzalez and Jauregui observed the participants files reviewed were complete and had the requirement documents. There were no deficiencies observed on this date in accordance with Title 22, Division 6 of the California Code of Regulations. An Exit interview was conducted and a copy of this report was provided to PA Martinez.


summary: Facility Evaluation

raw_content:
Narrative:
On October 15, 2024, at 11: AM, Licensing Program Analyst (LPA) Lucero Jauregui conducted an unannounced inspection at the facility and met with Hillary Sloan, Program Administrator. The purpose of the inspection is to conduct a case management. On October 10, 2024 the Department received a report regarding alleged abuse and neglect to a client in care. LPA Jauregui conducted one staff interview, one client interview, obtained Special Incident Reports and reviewed maintenance requests. Based on information gathered, further information is needed and the case management will be extended. An exit interview was conducted and copy of this report was provided to Hillary Sloan, Program Administrator.

met_with: Hillary Sloan, Program Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On September 25, 2025, at 9: AM, Licensing Program Analyst (LPA) Lucero Jauregui conducted an unannounced inspection. LPA Jauregui met with Youth in Transition Director Hillary Sloan and Housing Coordinator Shomari Bond. The purpose of the inspection is to conduct an annual inspection. The facility is licensed to provide Transitional housing placement plus foster care (THP+FC) services for 27 participants to non-minor dependents. There are currently 19 participants in care. LPA inspected the areas of the facility with Shomari Bond. The facility administrative office is located on-site. The facility utilizes an apartment complex housing model and has apartment homes. There are ten apartment homes that have two bedrooms and seven apartment homes that have 1 bedroom on two different sites. The facility has two offices, Administrative office and housing office. The Youth is Transition Director is located in the administrative office. The staff files are maintained by Human Resources and were made accessible electronically. The participant files are located in the housing office locked in filing cabinets. The agency employs the following assigned staff under the THP program. Youth in Transition Director, Housing Coordinator; and Case Managers. LPA Jauregui reviewed five staff files (S1-S5) and conducted two staff interviews. LPA Jauregui observed the staff files met the minimum qualifications for training requirements. LPA Jauregui observed that all employees have the required experience and training for their current job employment. Continued.... LPA reviewed six participants files (P1-P6) (see confidential name list, LIC811, dated: September 25, 2025). The non-minor dependent files were complete and included a signed Needs and Service plan, Transitional Independent Living Plan (TILP) and case progress notes. LPA observed the following items posted: Facility License, Facility Sketch, Text Hotline numbers, Phone Helpline numbers, Childcare Assistance bulletins, Emergency Evacuation checklist, LGBTQ Support schedule, Event bulletins and seventeen cameras in common areas of the facility. Based on today's review there are no deficiencies observed at this time. An exit interview was conducted and due to printer difficulties a copy of this report was emailed to to Hillary Sloan.

met_with: Hillary Sloan, Youth in Transition Director and Shomari Bond, Housing Coordinator


facility_name: SIERRA NEVADA CONNECTIONS

summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On January 7, 2022, Licensing Program Analyst (LPA) Hillary Hall arrived unannounced at the facility for the purpose of completing an Annual inspection for the Sierra Nevada Connections Transitional Housing Placement THPP/THP facility. On 12/16/2021, Licensing Program Analyst (LPA) Hillary Hall and Danielle Walker-Flores arrived unannounced at the above facility for an Annual Inspection of the Foster Family Agency, housed at the same address as the Transitional Housing facility. LPA's conducted a facility inspection using the CARE tool on 12/16/21. Facility was clean and organized. First Aid kit was complete. Private rooms were available for interviews. Kitchen and bathroom facilities were in good repair. Facility was not re-inspected on this date. The THPP/THP +FC facility has been licensed since 12/07/2020. As of 1/7/2022, the facility has two non-minor dependent clients. Both clients reside in a host home model placement. LPA Hall interviewed three staff between 12/16-12/17/21 who work with THP clients. LPA's Hall and Walker-Flores reviewed two staff files who work with THP clients on 12/16/21. On 1/7/2021, LPA Hall reviewed two THP client files. During the file review, LPA observed Needs and Services Treatment Plans and Updates were missing for two out of two clients. One client was placed in March 2021 and the other client was placed in August 2021. Facility is being cited for California Code of Regulations Section 86168.2(a): Needs and Services and Transitional Independent Living Plan: At the time of placement, the THPP social work personnel in consultation with the authorized representative shall commence a needs and services plan for each participant. One THP client was residing over 3 hours drive from the facility (188 miles). Continued on 809C Continued from Facility is being cited for California Code of Regulations Section 86178(c): Responsibility for Providing Care and Supervision: No social work staff shall have participants who are located more than two hours' travel by automobile from the THPP office in their caseload. Medical and dental records were missing for one THP client. Facility is being cited for California Code of Regulations Section 86069: Participant Medical Assessments: (a) Prior to or within 30 calendar days following the acceptance of a participant, the licensee shall obtain a written medical assessment of the participant, as specified in Section 80069(b), which enables the licensee to determine his/her ability to provide necessary health related services to the participant. The assessment shall be used in developing the Needs and Services Plan. A signed copy of the LIC-809, LIC-809C, and LIC-809D were provided to the facility. Exit interview was conducted and appeal rights were provided.

Deficiencies:
86168.2(a): Needs and Services and Transitional Independent Living Plan (TILP)

(a) At the time of placement, the THPP social work personnel in consultation with the authorized representative shall commence a needs and services plan for each participant. The needs and services plan describes the following

met_with: Joy Amaro Executive Director


facility_name: SIERRA QUEST TRANSITION PROGRAM

summary: Facility Evaluation

raw_content:
Narrative:
Complaint Specialist C.K. Kinney(CS) traveled to the Sierra Quest Campus and met with Associate Clinical Social Worker/THP Social Work Supervisor Carrie Maddox(S1), to conduct Annual Inspection. CS conducted entrance interview, reviewed files and discussed the program with S1. CS observed documentation that demonstrates the residential unit has all physical plant requirements, and the participants are provided required essentials. CS. reviewed Participant file and found all required documentation. No deficiencies were observed or cited during this inspection. CS requested S1 to provide updated copies of LIC Personnel Report, LIC Administrative Organization, Current Leases, Minutes of last Board Meeting. Copy of this report emailed to S1 for signature and return.

met_with: Carrie Maddox


summary: Facility Evaluation

raw_content:
Narrative:
On 05/03/2022, an unannounced annual inspection is conducted by Licensing Program Analyst (LPA) Tamara Melikian. Met at the THPP office by Administrator Scott Seymour. Currently the program is staffed by the Administrator, a Therapist/Supervising social worker and a case manager. At 12:00PM, participant files and staffing files reviewed. At 12:45PM, an interview of S1 was conducted. Licensee will submit an updated LIC 309 and LIC 500 (Personnel Report). There are no deficiencies to be cited on this date. A copy of this report is left with the Executive Director.

met_with: Scott Seymour


summary: Facility Evaluation

raw_content:
Narrative:
On 04/11/2024, an unannounced annual inspection is conducted by Licensing Program Analyst (LPA) Tamara Melikian. Met at the THPP office by Administrator Scott Seymour. Currently the program is staffed by the Administrator, a Therapist/Supervising social worker and a case manager. At 9:00AM, staffing files were inspected. There are currently no participants in placement. At 9:50AM, an interview of S3 was conducted. Licensee will submit an updated LIC 309 and LIC 500 (Personnel Report). There are no deficiencies to be cited on this date. A copy of this report is left with the Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 06/17/2025, an unannounced annual inspection is conducted by Licensing Program Analysts (LPAs) Reyna Martinez and Angelica Borja. Met at the THPP office by Executive Director, Scott Seymour. Currently the program is staffed by the Administrator, a Therapist/Supervising social worker and a case manager. Staff files were inspected. There are currently no participants in placement. An interview was conducted with one staff. Licensee will submit an LIC 500 (Personnel Report). There are no deficiencies to be cited on this date. A copy of this report is left with the Administrator.


facility_name: SOFIYA'S VILLAGE

summary: Facility Evaluation

raw_content:
Narrative:
On May 6, 2025, Licensing Program Analyst (LPA) Briana Placencia traveled to Sofiya's Village THPP located in Modesto CA. LPA was met by Licensee Nattaly Valenzuela-Meza and Facility Manager Joy Burgner, for the purpose of a scheduled pre-licensing inspection for the THPP. A general overview of their program and a tour of the facility was provided. The facility is a two story residence with three bedrooms, the bedrooms have all required furnishings, the facility has three restrooms and one office. Facility is to ensure water temperature is maintained between 105 and 120 degrees. LPA observed fixtures and furniture, equipment and supplies necessary for this operation. LPA observed locked cabinets for client and staff files in order to ensure confidentiality. There is ample confidential space for meeting with clients on an as needed basis. The facility does have a pool on site and meets regulatory standards. The agency employs one administrator, and one facility manager. The facility is equipped with a first aid kit and a fire extinguisher. All required LIC forms and personal rights are posted in a common area. The THPP has set up a guardian account and will need to associate the facility manager and submit the required documents to LPA Placencia. Items discussed were the access to cameras on property. The hot water temperature. Possibility of off-site office space to free up the fourth room. LPA discussed daily ongoing functions including incident reporting. LPA also discussed that Licensee should obtain a telephone for the clients use. The above licensee meets the requirements to be licensed as a THPP in Stanislaus County, with the ability to place participants within a two hour radius. On a quarterly basis, facility is to submit a roster of THPP clients that includes client names, dates of birth, county worker and current address of placement. A copy of this report was provided to the Licensee.

met_with: Nattaly Valenzuela-Meza


summary: Facility Evaluation

raw_content:
Narrative:
On September 9, 2025, Licensing Program Analysts (LPAs) Briana Placencia and Melissa Renovato traveled to Sofiya's Village in Modesto CA, and met with Facility Manager Joy Burgner. The purpose of the inspection is to conduct a post-licensing inspection. LPAs conducted a physical plant inspection and included the following observation and checks: client and staff files are kept in locked filing cabinets. The agency has adequate confidential meeting space, space for Social Worker and Case Manager to complete job duties. The facility has a current copy of the license, Facility Sketch, Client Personal Rights, posted in a common area. The agency has a client register roster LIC 9120, with all required information. The agency's office is located on facility grounds at this time. The agency employs (1) Executive Director/Administrator, (1) Program Manager (2) Facility Managers/Case Managers, and (1) Administrative Assistant. LPAs reviewed five staff files and one client file. The facility is being issued five Technical Assistance (TA) at todays inspection. A copy of this report and TAs were provided Joy Burgner at the conclusion of the inspection.

met_with: Joy Burgner


summary: Facility Evaluation

raw_content:
Narrative:
On January 8, 2026, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Sofiya's Village THPP and met with Jessica Chavez- Program Administrator. The purpose of this inspection was to discuss concerns with an incident report that was sent into the Department on December 9, 2025, the incident in question happened on 12/08/2025. LPA conducted an interview with Program Administrator (PA) (See LIC 812). According to PA the charges were dropped for all the clients (See LIC 811) and this incident did not happen at the licensed facility. It was determined this was an isolated incident and there was no citation warranted. A copy of this report was left at the facility.

met_with: Jessica Chavez-Program Administrator


raw_content:
Narrative:
issues were taken care of. It was advised that Client #1 disclosed that there were no issues with safety and Client #1 just desired to be in the apartment without a roommate. Confidential interviews stated that there were several concerns of Client#1's needs not being met issues and they were never addressed by involved representatives. Other confidential interviews stated that there were no issues or concerns; all issues were fabricated. The CSW stated that there were no concerns as the case manager did their best to rectify all issues. LPA received inconsistent information regarding the allegation. It was also reported that Client #1 did not receive their allowance. Administration stated that case manager and Client #1 had scheduled times to distribute allowance. Administration stated that Client #1 would not make themselves available to receive the allowance. Confidential interviews stated that case manager refused to provide allowance. Other confidential interviews stated there were no issues with receiving allowance on time. CSW stated Client #1 complained that allowance was delayed multiple times. CSW stated the only time she was advised of a delay was allowance was distributed on November 18, but was received on November 19. The CSW stated there were no issues or concerns regarding the allowance. Based on interviews and information obtained, clients needs are not being met and facility staff withheld client's funds may or may not have occurred; therefore, the allegations are unsubstantiated at this time. Exit interview conducted and a copy of the report will be provided to the facility.

Investigation Findings:
13On June 24, 2021, at 11: AM, Licensing Program Analyst (LPA) Jazmond Harris met with Administrator, Jehna Barnes to deliver the findings for the investigation pertaining to the listed allegations. On November 25, 2020, at 3: PM, LPA Marisol Lopez initiated the complaint investigation with Administrator and no immediate deficiencies were noted. LPA Lopez conducted interviews with Administrator, Client #1 and Client #2 (See Confidential Names List (LIC 811) dated June 25, 2021.) LPA Harris conducted a subsequent interview with Administrator and County Social Worker, Jahara Tinsley. Client and facility records were reviewed. On November 23, 2020, It was reported to Community Care Licensing that Client #1's needs are not being met and Facility staff withheld funds. It was reported that Client #1 was repeatedly threatened by Client #2. It was also reported that Client #1 advised the Case Manager, Ruby Pena of the concerns, but "nothing was done." It was also advised that law enforcement responded to the home and only a report was taken. Information obtained from facility representatives stated that Client #1 did advise staff of concerns, but the UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Jazmond D Harris 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: STABILITY THROUGH ENHANCED PEER SUPPORT S.T.E.P.SFACILITY NUMBER: VISIT DATE: 06/24/2021

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

met_with: Administrator-Jehna Barnes


raw_content:
Narrative:
Based on interviews and record reviews the allegations that C1 threatened C2, and the apartment unit was in disrepair, may have occurred, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Jehna Barnes.

Investigation Findings:
13On July 02, 2021 at 10:00 am, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegations. LPA Marisol Lopez conducted a tele-inspection on November 25, 2020 at 2:30 pm and no immediate deficiencies were observed. Two of two clients, three staff (S1, S2, S3) and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that C1 threatened C2 and the apartment unit was in disrepair. Confidential staff interviews reported that C1 did not threatened C2 but C1 simply just did not like C2. Confidential interviews reported that staff offered C1 to be moved to another apartment unit but C1 refused. Confidential interviews also reported that maintenance was called out to fix the air conditioner and the clogged kitchen sink. There were no type of pest observed inside the apartment unit and maintenance does spray for ants and bugs monthly. LPA received conflicting information regarding all of the allegations listed above. The interviews that were provided to the LPA were not consistent and did not provide any further specific details regarding C1 threatened C2 and the apartment unit was in disrepair. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: STABILITY THROUGH ENHANCED PEER SUPPORT S.T.E.P.SFACILITY NUMBER: VISIT DATE: 07/02/2021

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

met_with: Jehna Barnes


facility_name: STABILITY THROUGH ENHANCED PEER SUPPORT S.T.E.P.S

summary: Facility Evaluation

raw_content:
Narrative:
On 10/14/2021 at 9: AM, Licensing Program Analyst (LPA) Marisol Lopez conducted an unannounced inspection at the facility. LPA met with Program Administrator (P1) Joanna Corona. The purpose of the inspection is to conduct a required annual inspection. LPA reviewed physical plant, operational requirements, disaster preparedness, five of five staff files and one of ten client files (see confidential name list, LIC811, dated 10/14/2021). All staff files had the required forms per regulations requirements. The staff and client files are stored and locked in a cabinet in the office. Due to time constraints, the annual inspection is being extended for staff interviews and clients file reviews. LPA conducted 0 of 5 staff interviews and 1 of 10 client file reviews. An exit interview was conducted and this report and LIC 811 was reviewed with Program Administrator Joanna Corona and a copy of this report was provided.

met_with: Joanna Corona


summary: Facility Evaluation

raw_content:
Narrative:
On 10/15/2021 at 4: PM, Licensing Program Analyst (LPA) Marisol Lopez conducted an unannounced inspection at the facility. LPA met with Program Administrator (P1) Joanna Corona. The purpose of the inspection is to conduct a post-licensing inspection. LPA completed an annual/post-licensing inspection and reviewed physical plant, operational requirements, disaster preparedness, completed five of five staff interviews, five of five staff file reviews and ten of ten client file reviews (see confidential name list, LIC811, dated 10/15/2021). All staff files had the required forms per regulations requirements. The staff and client files are stored and locked in a cabinet in the office. An exit interview was conducted and this report and LIC 811 was reviewed with Program Administrator Joanna Corona and a copy of this report was provided.


summary: Facility Evaluation

raw_content:
Narrative:
On 10/15/2021 at 09: AM, Licensing Program Analyst (LPA) Marisol Lopez conducted an unannounced inspection at the facility. LPA met with Program Administrator (P1) Joanna Corona. The purpose of the inspection is to conduct a required annual inspection. LPA completed five of five staff interviews and ten of ten clients file reviews.(see confidential name list, LIC811, dated 10/15/2021). All staff interviews were completed and client files have the required forms per regulations requirements. The staff and client files are stored and locked in a cabinet in the office. An exit interview was conducted and this report and LIC 811 was reviewed with Program Administrator Joanna Corona and a copy of this report was provided.


summary: Facility Evaluation

raw_content:
Narrative:
On May 18, 2023 at 1: PM Licensing Program Analyst (LPA) Lucero Jauregui arrived unannounced to the facility to conduct an annual inspection. LPA met with Verenna Huerta Administrator. Due to technical difficulties with care tool LPA was not able to conduct inspection. An exit interview was conducted and copy of this report was provided to Verenna Huerta, Administrator.

met_with: Verenna Huerta, Administrator