summary: Facility Evaluation

raw_content:
Narrative:
On 3/25/2025 at 9: AM Licensing Program Analyst (LPA) Tatyana Shulz and Licensing Program Manager (LPM) Rosa Rodriguez made an announced visit with the purpose of conducting a follow up pre-licensing/relocation inspection to the above facility. LPA and LPM met with Administrator, Ian Longue and a walk through of the interior and exterior was completed. Physical Plant LPA and LPM entered from the front door into the Living Room that has 2 couches, 1 side table, 1 coffee table and a closet nook with shelving and hanger space. There is a dining room with a table and 4 chairs and a bench next to the kitchen area. The kitchen has a working stove top, microwave, dish washer, toaster, refrigerator and sharps are kept locked under the sink. There are 3 bedrooms all of them equipped with 2 twin beds, a closet and foldable shelving units. Room 1 is an office area with 4 desks, a closet that houses a secure cabinet that will hold the client's medications and files with a window that has been secured to prevent break ins and a bathroom with a working sink, shower, and toilet. Room 2 is the living room/common area with 1 couch, 1 chair and a bookshelf with arts and crafts supplies, all furniture is in good repair. There is one full bathroom leading to the client bedrooms with a working toilet and running warm water with a temperature of 113 degrees. Continue to LIC 809-C The backyard is gated, with ample space for the clients to move about and a gardening service that comes by for maintenance every 2 weeks. The facility has a Kia to be used to transport clients the facility plans on acquiring a second facility vehicle. Once the new vehicle has been attained the information will be provided to the LPA. There is a garage with bins that have spare clothes, toys, arts and crafts materials, cleaning supplies, a washer and dryer unit and the First Aid kit. The following required documents will be posted by the licensee in the common area, Emergency Disaster Plan, Personal Rights, See Something Say Something Flyer, Complaint contact numbers and license once granted. Licensee will submit a picture to LPA to prove that the required documents are posted in the common area. Disinfectants/cleaning solutions are inaccessible to children in care and kept in the locked garage. Refrigerator temperature is at or below 45 degrees F. With nonperishable foods one week and fresh perishable foods three days minimum. There are plates, cups and cooking supplies ready for clients. A working telephone is available at the facility. Smoke detectors and carbon monoxide are in working order. Hot Water between 105-120-degree F. Fire Extinguishers are up to date and in working order. Toilets, wash basins and shower fixtures in good repair, no leaks and there is hot water accessible. Soap and Paper towels are available to clients. Bedroom-required linen and furnishings are fully stocked. The facility is free of vermin. The fire clearance for the facility was granted on 3/18/2025. Deficiencies that were observed during the initial pre licensing inspection on 2/18/2025 have been fixed. · Room numbers were added to clients bedrooms. · Bedroom screens have been installed. · Refrigerator has been installed. · The office closet window has been secured with brackets and has been made inaccessible. · Foldable drawers are accessible to the clients. · Water temperature was lowered to 113 degrees Continue to LIC 809-C ·Perishable food are available for 3 days and Nonperishable for 7 days. · Sealed containers for leftover food is available. · 4 chairs and a bench are available for client use at the dining table. · Garage shelving is organized and made inaccessible to clients. In addition, the licensee shall have an area for clients and their representative to file grievances when needed. Licensee will show proof to the LPA of a grievance box/designated area. Per licensee they will begin accepting clients towards the second week of April. CCL will be notified when the facility is ready for operation. No CareTool was available for this type of inspection. An exit interview was conducted with Administrator, Ian Longue and a copy of this report will be provided to the facility.

met_with: Ian Longue- Adminisrator


state: CA

facility_name: PROGRESS RANCH WELCOME CENTER

summary: Facility Evaluation

raw_content:
Narrative:
On May 23, 2025 at 12: PM Licensing Program Analyst (LPA) Sarina Buchannan arrived unannounced at the above facility for the purpose of conducting a case management inspection to follow up regarding an incident report. LPA met with Hans Owhowho, Lead Staff, who assisted LPA Buchannan with the inspection. LPA conducted a walk through of the facility. On March 22, CCL received an incident report dated May 15, 2025 in which a client had gotten into an altercation with another peer. LPA requested the following documentation: Client Roster, Staff Roster, Staff Schedule, Staff Contact information, and Needs and Services Plans. LPA conducted 3 staff interviews during today's visit. This case management will remain open. Further investigation is needed. Exit interview conducted. A copy of this report was provided to Ian Longue, Facility Administrator and Alyssum Maguire, Executive Director via email. LPA was unable to provide a physical copy of report due to technical issues with their printer.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Hans Owhowho, Lead Staff


summary: Facility Evaluation

raw_content:
Narrative:
On May 23, 2025 at 12: PM Licensing Program Analyst (LPA) Sarina Buchannan arrived at the above Facility and was greeted by Han Owhowho, Lead Staff, who granted LPA access. LPA conducted a tour of the inside and outside of the facility where LPA observed the following deficiencies. 4 window screens were missing from 3 client bedrooms and 1 client bathroom. 1 client bedroom was missing their curtain rod. LPA observed the staff pick up all the missing window screens and the curtain rod was in the clients bedroom. Staff also stated that they called the facilities maintenance worker to fix the screens and curtain rod prior to LPAs arrival and that they would be fixed the same day. LPA observed the call log as evidence that the work order was placed. This case management will remain open, until facility provides proof of completed repairs. Exit interview conducted. A copy of this report was provided to Ian Longue, Facility Administrator and Alyssum Maguire, Executive Director via email. LPA was unable to provide a physical copy of report due to technical issues with their printer.


summary: Facility Evaluation

raw_content:
Narrative:
On June 5, 2025, at approximately 11: AM Licensing Program Analyst (LPA) Orlando Areizaga made an announced visit with the purpose of conducting a closure inspection to the above facility on behalf of LPA Sarina Buchannan. LPA met with Administrator, Ian Longue and conducted a walk through of the interior and exterior of the facility. LPA observed the following: · 1 living room, 1 kitchen, 3 bedrooms, 2 bathrooms, 1 office, garage, and outdoor area. · The home was furnished, per Administrator that is how the facility came. · Closets were empty · An assortment of donated clothing in the garage · There were no signs of clients living at the facility · Two copies of the license were retrieved. During the inspection LPA observed a stack of folders on the desk, which were client's folders collected by the Administrator who indicated that the folders must have been left behind. This facility will be closed effective June 5, 2025. An exit interview was conducted with Administrator, Ian Longue and a copy of this report will be sent to Executive Director, Alyssum Maguire via email.

met_with: Administrator, Ian Longue


summary: Facility Evaluation

raw_content:
Narrative:
On June 26, 2025 at 12: PM Licensing Program Analyst (LPA) Sarina Buchannan arrived at Progress Ranch Welcome Center II (Kenneth) to close this case management that was initially open at Progress Ranch Welcome Center (Mariposa) on May 23, 2025. LPA conducted a tour of the inside and outside of the Progress Ranch Welcome Center II (Kenneth). On May 22, CCL received an incident report dated May 15, 2025 in which a client had gotten into an altercation with another peer. LPA requested the following documentation: Client Roster, Staff Roster, Staff Schedule, and Staff Contact information. Based on interviews conducted and documentation obtained it was confirmed that the clients in care had gotten into an altercation, but staff did follow the appropriate procedure to ensure the health and safety of the clients. Staff attempted to deescalate clients on multiple occasions throughout the incident using both proximity support as well as verbal techniques. Staff also used the approved emergency intervention plan by following the clients and communicating among each other to determine the best way to respond. In addition, staff followed protocol on reporting requirements. LPA was unable to interview both clients in question regarding the incident. This case management that was initially opened on 5/23/25 is now closed. No further investigation is needed. Exit interview conducted. A copy of this report was provided to Meghan Reedy, Clinical Supervisor.

met_with: Meghan Reedy, Clincial Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On June 26, 2025 at 12: PM Licensing Program Analyst (LPA) Sarina Buchannan arrived at Progress Ranch Welcome Center II (Kenneth) to close this case management that was initially open at Progress Ranch Welcome Center (Mariposa) on May 23, 2025. LPA conducted a tour of the inside and outside of the Progress Ranch Welcome Center II (Kenneth). On May 23, LPA observed the following deficiencies at Progress Ranch Welcome Center (Mariposa): · 4 window screens were missing from 3 client bedrooms and 1 client bathroom. · 1 client bedroom was missing their curtain rod On June 5, LPA Orlando Areizaga made an announced visit to Progress Ranch Welcome Center (Mariposa) for the purpose of conducting a closure inspection and observed no clients to be present and the facility to be in good repair. This facility was also closed on June 5, 2025 therefore this case management was closed without confirming a plan of correction. Exit interview conducted. A copy of this report was provided to Meghan Reedy at Progress Ranch Welcome Center II (Kenneth).

met_with: Clinical Supervisor, Meghan Reedy


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
No other youth reported that Shelter staff, either in general or particularly the two mental health workers, were bullying clients-contrary to part of a youth's statement about staff. There was only one other youth who was a supposed witness to the incident but this youth provided inconsistent details about the alleged rough handling of the purported victim-that youth also stated that they only got glimpses of the incident that took place in a client's bedroom and that they were only walking by the opened door of the room. There was enough corroboration between obtained statements and an incident report to support the staff's claim that while some physical restraint was applied on the youth in question, this was done within the context of that youth attempting to harm themselves with a piece or pieces of broken glass. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is Unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility.

Investigation Findings:
13On 09/23/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this TSCF (Temporary Shelter Care Facility) to close the complaint investigation. LPA met with Ian Longue, Co-Administrator, to whom the following findings were delivered: LPA investigated an allegation that Staff handled minor in a rough manner. LPA opened the investigation on 05/15/2024, during which time a walkthrough of the Shelter's building & grounds was done-inside and out. Throughout the course of the investigation four youth, four direct-care staff, and one case-carrying county social worker were interviewed. Records reviewed as part of the investigation were a youth's intake documents as well as staff training records, and submitted unusual or special incident reports from the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTERFACILITY NUMBER: VISIT DATE: 09/23/2024

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

report_type: Complaint Investigation

met_with: Ian Longue

complaint_status: unsubstantiated


raw_content:
Narrative:
There was no consensus as to the identity of an individual seen in a video recording to be holding a youth by the wrist and dragging the youth out of the bedroom. The video cannot be placed in a moment in time as no timestamp information was retrieved from the video file. The youth being dragged could not recall who the other individuals in the video were, nor could the youth remember what was happening in the video. This youth did state that, though it happened a lot, whenever they were placed in a manual restraint, they "probably deserved it." It was clear to this LPA that the individuals in the video were laughing, indicative of it being more of a playful situation rather than something egregious, punitive, or abusive in any way. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore the allegations are Unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility.

Investigation Findings:
13On 09/23/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this TSCF (Temporary Shelter Care Facility) to close the complaint investigation. LPA met with Ian Longue, Co-Administrator, to whom the following findings were delivered: UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTERFACILITY NUMBER: VISIT DATE: 09/23/2024

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


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
No other interviewed youth corroborated the purported improper or unjustified search of a particular minor's personal belongings, nor did any interviewee (children and staff alike) report that they had ever seen a client's personal items left strewn about after a direct-care staffer's apparent search of the inside of that youth's bag. Statements gathered from interviews with staff were individually conducted in separate places and times-with consistent descriptions of the facility's protocol concerning searches of clients' personal property and rooms: that there is no blanket search policy and that they are only done when there is, or has been, reasonable suspicion that a minor has, in their possession, prohibited and/or illicit substances and paraphernalia or any other manner of potentially hazardous items. In regard to accusations of staff speaking to minors inappropriately, and staff not treating youth with dignity and respect, no additional clarifying details were provided by youth as to what was said by whom, when and where these instances took place, and/or how staff went about in doing these things-no other witnesses were named and youth did not provide more specific times in which these violations allegedly happened. Overall, there were inconsistent statements obtained throughout the investigation process; therefore, the above allegations cannot be substantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are Unsubstantiated. Exit interview conducted and a copy of this report, and of the Appeal Rights, is being provided to the facility.

Investigation Findings:
13On 12/04/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this TSCF (Temporary Shelter Care Facility) for the purpose of closing a complaint investigation. LPA met with Ian Longue, Acting Administrator, to whom the following report was delivered: On 07/03/ LPA opened the investigation onsite at the TSCF during which time a tour of the interior and exterior areas of the facility's physical plant was conducted-no Homes & Grounds deficiencies were observed. Documentation requested from the Shelter were staff training records as well as intake documents for a particular youth. During the course of the investigation, multiple youth (current and former placements) were interviewed in addition to Progress Ranch direct-care staffers. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTERFACILITY NUMBER: VISIT DATE: 12/04/2024


raw_content:
Narrative:
on the said client. As for the allegation that a minor was locked out of the facility, staff interviews were consistent in describing a particular incident in which a youth was being prompted to re-enter the facility safely: that said youth was attempting to climb in through a bedroom window-this was discouraged by staff due to the risk of the client cutting or scratching themselves. In addition, there was an unknown adult individual who accompanied the youth back to the facility and with whom the facility was unfamiliar. According to statements from multiple staff, the facility was merely gate-keeping to ensure that an unknown stranger would not come into the facility-which was deemed an apparent risk if they had let the youth back in at that moment. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are Unsubstantiated. Exit interview conducted and a copy of this report, and of the Appeal Rights, is being provided to the facility.

Investigation Findings:
13On 01/16/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this TSCF (Temporary Shelter Care Facility) to close the investigation and deliver its findings. LPA met with Executive Director Alyssum Maguire and the following report was discussed: LPA opened the complaint on 10/09/2024 at the facility, during which time a tour of the interior and exterior areas of the Shelter's physical plant was conducted; LPA also interviewed staff on this day. Additional interviews were conducted with clients, County personnel, and more staff. Submitted incident reports, County referral documentation, and client records were reviewed as part of the investigation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTERFACILITY NUMBER: VISIT DATE: 01/16/2025

met_with: Alyssum Maguire


raw_content:
Narrative:
facility staff were being disruptive to a youth during a virtual care team meeting. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is Unsubstantiated. Exit interview conducted and a copy of this report, and of the Appeal Rights, is being provided to the facility.

Investigation Findings:
13On 01./16/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this TSCF (Temporary Shelter Care Facility) to close the investigation and deliver its findings. LPA met with Executive Director Alyssum Maguire and the following report was discussed: LPA opened the complaint on 09/11/2024 at the facility, during which time a tour of the interior and exterior areas of the Shelter's physical plant was conducted. LPA also interviewed staff and clients; records reviewed as part of the investigation included a hospital visit summary, an admission agreement, and authorization forms. Additional interviews were conducted with former staff-people, youth' authorized representatives, County personnel, and Wraparound service providers. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTERFACILITY NUMBER: VISIT DATE: 01/16/2025


raw_content:
Narrative:
taken as yelling to minors, for example-there was no consensus on what specific inappropriate comments were made about, or directed to, a youth. Similarly, statements from interviewees were not consistent about whether facility staff yells at minors (for no good reason) or if particular staff-people were only trying to be firm in prompting or redirecting non-compliant clients. As for the facility taking a youth to emergency or urgent care, though the client's legal guardian ultimately did not agree that it was necessary, signed Consent to Treat or Medical Authorization forms were obtained by the facility; as such, it was within Progress Ranch's scope of authority to have the minor at least be evaluated-however, the facility could have better communicated and/or collaborated with that minor's guardian. Regarding the transportation of a minor to extra curricular activities, there was enough indication that this had been done by the facility to a reasonable extent up until a point wherein the facility decided to not continue supporting the youth's attendance to after-school activities due to that client not being honest about what they actually wanted to do when they got to school. According to corroborating staff statements, the school and the facility were in agreement on discontinuing transportation for the youth to extra-curricular activities due to the safety risk involved (the youth would have effectively been unaccounted for because they were not doing what they stated they would or they would not be where they initially claimed they would be). Finally, not enough corroborating youth spoke to not being allowed to use a phone in the facility-a number of staff and children did speak to a "lights out" house rule in which phone use is restricted after a certain time at night to allow for quiet time and sleep throughout the facility. Overall, there were inconsistent statements throughout the investigation process and there were not enough witnesses to corroborate the allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are Unsubstantiated. Exit interview conducted and a copy of this report, and of the Appeal Rights, is being provided to the facility.

Investigation Findings:
13On 01/16/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this TSCF (Temporary Shelter Care Facility) to close the investigation and deliver its findings. LPA met with Alyssum Maguire, Executive Director, and the following report was discussed: LPA opened the complaint on 09/11/2024 at the facility, during which time a tour of the interior and exterior areas of the Shelter's physical plant was conducted. LPA also interviewed staff and clients; records reviewed as part of the investigation included a hospital visit summary, an admission agreement, and authorization forms. Additional interviews were conducted with former staff-people, youth' authorized representatives, County personnel, and Wraparound service providers. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTERFACILITY NUMBER: VISIT DATE: 01/16/2025

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


raw_content:
Narrative:
On 11/25/ LPA requested staff training hours and was only provided CPI, Ukeru, and First Aid. In addition, LPA Buchannan requested staff training logs on 12/3/24 and the facility was not able to produce training documentation requested. 6 out of 11 staff and client confidential interviews confirmed that staff had no trauma informed training which resulted in inappropriate interactions between clients and staff at the facility. It was also confirmed by the Facility Administrator that staff were interacting inappropriately with youth which resulted in the Facility terminating staff between 11/8/24 and 2/13/25. Based on LPAs interviews which were conducted and record review, The Preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee. Statements obtained during confidential interviews were inconsistent and could not establish whether the facility was or was not in ratio. 6 out of 11 confidential interviews stated that the facility does not operate out of ratio. LPA was informed that there was a large number of staff terminated which affected scheduling and resulted in the facility occasionally operating at the minimum ratio requirements. LPA could not establish if the facility operated below required ratio during this time. Additionally, LPA also observed the facility to be in ratio during their inspection on 11/25/24 and during all subsequent inspections. 8 out of 11 confidential interviews also stated that they felt staffing was adequate to ensure clients needs were met. Statements obtained during interviews stated that even when staffing was low the facility was able to adjust to meet clients need by having staff on call or having an administrator arrive at the facility to cover a shift. Also, 3 out of 4 clients stated they felt there was an adequate number of staff to meet their needs. Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On February 10, 2025 at 3: PM Licensing Program Analyst (LPA) ) Sarina Buchannan made an unannounced visit to deliver findings to Progress Ranch Welcome Center 2 and met with Ian Longue, Facility Administrator. LPA was unable to visit Progress Ranch Welcome Center due to the facility moving locations. Prior to the meeting LPA Sarina Buchannan conducted the 10-day inspection of the facility on 11/25/2024. LPA Buchannan requested the following documents: Staff Roster, Client Roster, Staff Schedule, Staff Training Hours, Medication Administration Records, and Staff contact information. LPA Buchannan attempted 1 confidential interview and conducted 11 interviews between 11/21/2024-2/4/2025. Based on evidence obtained and confidential interviews conducted during the investigation process the above allegation is substantiated. (report continued on LIC 809C) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Sarina Buchannan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTERFACILITY NUMBER: VISIT DATE: 02/10/2025

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:

met_with: Ian Longue, Facility Administrator


raw_content:
Narrative:
Based on evidence obtained and confidential interviews conducted during the investigation process the allegations above have been substantiated. LPA received video footage dated 11/08/2024 of staff members speaking inappropriately while on shift as well as, throwing objects at clients in care. 8 out of 14 confidential interviews also state that they have witnessed staff belittle, yell, and intimidate clients in care. LPA received the separation paperwork dated 11/08/2024 for the staff involved in these incidents. Based on LPAs observations and interviews which were conducted and records review, the preponderance of evidence standard has been met, therefore the above allegations is found to be SUBSTANTIATED. Title Standards are being cited on the attached LIC 9099D. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee. Based on evidence obtained and confidential interviews conducted during the investigation process the allegations above cannot be substantiated due to conflicting statements. 12 out of 14 confidential interviews state that they have not seen staff smoking marijuana on facility grounds. 10 out of 14 confidential interviews also stated that they have not witnessed staff allowing clients to smoke marijuana inside the facility but rather they have a strict policy of confiscating all paraphernalia brought into the facility. Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On February 28, 2025 at 1:18pm Licensing Program Analyst (LPA) Tatyana Shulz made an unannounced visit to deliver findings to the above Temporary Shelter Care Facility (TSCF) and met with Patrick Kent, Team Lead. Prior to the meeting LPA Shulz, conducted the 10-day inspection of the facility on 11/15/2024. No deficiencies were cited during that inspection. LPA Shulz requested, Staff Roster, Client Roster, Staff Schedule, Staff Training Hours, Initial Intakes, Termination Letters and resource contacts for staff and other parties involved. LPA Shulz attempted 2 interviews and conducted 14 interviews between 11/15/2024-2/26/2025. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Tatyana Shulz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTERFACILITY NUMBER: VISIT DATE: 02/28/2025

met_with: Patrick Kent- Team Lead


facility_name: PROGRESS RANCH WELCOME CENTER II

raw_content:
Narrative:
Based on evidence gathered and confidential interviews conducted during the investigation, the allegations above cannot be substantiated. Statements obtained during confidential interviews were inconsistent and could not clearly establish whether the facility staff did or did not prevent bullying among clients in care. 7 out of 10 confidential interviews stated that staff did prevent clients from being bullied. LPA was informed that one client was involved in multiple verbal altercations, however, this client was also frequently instigating conflict with peers. LPA was unable to determine that any one client was being targeted more than others. Also, interviews stated that staff did attempt to prevent bullying by giving the client their own personal room, maintaining physical distance between clients during high-risk situations, and to use verbal de-escalation techniques. 7 out of 10 confidential interviews also stated that staff did not handle clients in a rough manner. Witness statements obtained during interviews indicated that during an altercation between two clients, a staff member struck a client with their elbow while attempting to manage the situation. Statements also described the incident as accidental with no evidence suggestions intentional harm. Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On May 15, 2025 at 3: PM Licensing Program Analyst (LPA) Sarina Buchannan made an unannounced visit to deliver findings to the above Temporary Shelter Care Facility (TSCF) and met with Imani Richardson, Lead Staff. LPA conducted a walkthrough of the interior and exterior of the facility. Prior to the meeting LPA Sarina Buchannan conducted the 10-day inspection of the TSCF on 02/28/2025. LPA Buchannan requested the following documents: Client Roster (LIC 9020), Staff Roster (LIC 500), Staff Schedule for Month of February, Staff Contact Information, Client Face Sheets, Needs and Services Plans, County Intake Form with Compatibility information, Staff Training, and Disciplinary log for staff in question. Between 02/28/2025 and 05/15/2025, LPA Buchannan attempted 1 confidential interview and conducted 8 interviews, while LPA Tatyana Shulz conducted 2 confidential interviews. (report continued on LIC 9099C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Sarina Buchannan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTER IIFACILITY NUMBER: VISIT DATE: 05/15/2025

met_with: Imani Richardson, Lead Staff


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
Seven out of the eight interviews conducted confirmed the allegations staff engaged in a physical and verbal altercation with minor and staff did not allow minor to leave bedroom did not occur. During the investigation LPA Turner was informed during the day of the incident the client in care was repeatedly turning the stove on and off while staff were in the kitchen baking cookies. Staff appropriately intervened by advising the minor not to touch the oven to prevent potential burns or other injuries. At no point did staff use physical force or act inappropriately in response to the clients behavior. Staff stated that the client was attempting to provoke a confrontation with staff members and was verbally trying to escalate the incident. Staff advised that the client exit the kitchen. The client informed LPA Turner that they chose to go to their room and that staff did not force them to go or to stay in their room. During the interviews conducted LPA Turner was notified by other clients in care that they have had no physical or verbal altercations with the staff and that the staff remain professional. Staff and clients stated that this client tends to make false allegations often and attempts to engage in physical and verbal altercations with staff and clients in care. Lastly, the client recanted their statement that staff members kept them in their room. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, a copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On May 30, 2025 at approximately 11: AM, Licensing Program Analyst (LPA) Zaria Turner made an unannounced visit to deliver findings to the above facility and met with House Supervisor, Mariza Romero. Prior to the meeting LPA Turner initiated the complaint investigation on March 11, 2025. No deficiencies were cited during that inspection. LPA Turner requested the following documents: Staff and Client Roster, Staff Schedule, Staff Contact Information, Client Face Sheets, Safety Plans, SIRs, Disciplinary Logs, and Staff Training. LPA Turner and LPA Buchannan conducted eight interviews between March 11, 2025 and May 6, 2025. Based on evidence obtained and confidential interviews conducted during the investigation process the above allegations cannot be substantiated because there were inconsistent statements throughout the investigation process. Report continued on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Zaria Turner LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTER IIFACILITY NUMBER: VISIT DATE: 05/30/2025

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 90

met_with: Mariza Romero, House Supervisor


raw_content:
Narrative:
Six out of seven interviews conducted confirmed the allegation staff do not prevent minor(s) from harming other minor while in care was false. During the investigation LPA Turner was informed that staff members took immediate steps to de escalate the situation between all the clients in care. The client in care was being argumentative and confrontational towards staff members causing the other clients in care to engage in a verbal dispute. Staff are aware of the tension between the clients in care and tried to prevent them from engaging in verbal and physical altercations. Staff members positioned themselves between the clients. Staff members sustained some injuries while trying to block and restrain clients in care. Lastly, during interviews LPA Turner was notified that the clients in care struggle to get along with each other and that staff take preventative measures to separate them during outings and provide them their own space so that they stay away from engaging in any altercations with each other. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted, a copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On May 30, 2025 at approximately 11: AM, Licensing Program Analyst (LPA) Zaria Turner made an unannounced visit to deliver findings to the above facility and met with House Supervisor, Mariza Romero. Prior to the meeting LPA Turner initiated the complaint investigation on March 11, 2025. No deficiencies were cited during that inspection. LPA Turner requested the following documents: Staff and Client Roster, Staff Schedule, Staff Contact Information, Client Face Sheets, Safety Plans, SIRs, Disciplinary Logs, and Staff Training. LPA Turner and LPA Buchannan conducted seven interviews between March 11, 2025 and April 17, 2025. Based on evidence obtained and confidential interviews conducted during the investigation process the above allegation cannot be substantiated because there were inconsistent statements throughout the investigation process. Report continued on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Zaria Turner LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTER IIFACILITY NUMBER: VISIT DATE: 05/30/2025

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 90


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Documentation obtained shows that on 01/17/ Community Care Licensing (CCL) was informed that there were 8 staff members who were not background cleared who were providing care and supervision to clients in care, also the facility confirmed on 01/17/2025 that they would follow up to obtain clearances. However, on 03/06/ Community Care Licensing (CCL) reached out to the facility to inform them that a Guardian review found that there were staff who were still not cleared and associated to the facility but were providing care and supervision to clients in care. It was confirmed by CCL staff that there were 16 staff who did not have eligible clearances, and the provider was aware that 5 of those staff did not have clearances from the previous communication with CCL on 01/17/2025. LPA confirmed from a Guardian review that Staff 1 (S1) was on the schedule starting 01/13/2025 until 02/19/2025 but did not have an eligible clearance until 03/24/2025. Although LPA was informed that S1 was removed from the schedule and not allowed to work the floor on 02/19/2025, LPA Tatyana Shulz encountered S1 at the facility during their visit on 02/28/2025 despite not being on the schedule for that day. Therefore, it was confirmed S1 was providing care and supervision without a background clearance. In addition, Staff 2 (S2) was not background cleared until 04/03/2025 and the staff schedule shows that S2 started working with clients weekly starting from 02/19/2025 until 04/19/2025. Also, LPA Tatyana Shulz interviewed S2 on 02/28/2025 while at their visit prior to them having an eligible clearance. Staff 3 (S3) did not have an eligible background clearance until 03/26/2025 but the schedule shows S3 started working on 01/27/2025 through 04/19/2025. Staff 4, (S4) was not cleared until 03/26/2025 and was on the schedule from 01/13/2025 through 04/14/2025. Lastly, Staff 5 (S5) was put on the schedule on 01/30/2025 through 04/12/2025 and as of 06/26/2025, S5 does not have an eligible clearance. Based on LPAs interviews which were conducted and record review, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED, and a Civil Penalty has been assessed for $ 500 per staff which is a total of $ 2,500. Exit interview conducted, copy of this report, civil penalty, and the Appeal Rights were discussed and provided to the licensee during today's inspection.

Investigation Findings:
13On June 26, 2025 at 12: PM Licensing Program Analyst (LPA) Sarina Buchannan made an unannounced visit to deliver findings to the above Temporary Shelter Care Facility (TSCF) and met with Alyssum Maguire. LPA conducted a walkthrough of the interior and exterior of the facility and no deficiencies were noted. Prior to the meeting LPA Sarina Buchannan conducted the 10-day inspection of the TSCF on 04/17/2025. LPA Buchannan requested the following documents: Client Roster (LIC 9020), Staff Roster (LIC 500), Staff schedule for the January 2025 to April 2025, Staff contact information, and most recent board meeting minutes. LPA Buchannan conducted 13 confidential interviews and attempted 1 interview between 04/15/2024-06/24/2025. Based on evidence obtained and confidential interviews conducted during the investigation process the above allegation is substantiated. (report continued on LIC 9099C) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Sarina Buchannan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTER IIFACILITY NUMBER: VISIT DATE: 06/26/2025

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

met_with: Alyssum Maguire, Executive Director

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
Statements obtained during confidential interviews were inconsistent and could not clearly establish whether the facility staff did or did not use inappropriate language in front of clients. 6 out of 9 confidential interviews stated that staff do not use inappropriate language in front of clients in care. LPA was unable to determine that staff were purposefully using inappropriate language while clients were present. It was discovered that on very few occasions some staff and clients had overheard staff using profanity, but it had not been done purposefully and the staff apologized to the clients for the language. 8 out of 9 confidential interviews also stated that staff do not speak in an inappropriate manner to clients in care. Although staff had been heard by multiple people to have used profanity while clients where present LPA was unable to prove that it was directed at clients. Lastly, the staff in question does not have any disciplinary record during the length of their employment. Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the Meghan Reedy, Clinical Supervisor.

Investigation Findings:
13On June 26, 2025 at 12: PM Licensing Program Analyst (LPA) Sarina Buchannan made an unannounced visit to deliver findings to the above Temporary Shelter Care Facility (TSCF) and met with Meghan Reedy, Clinical Supervisor. LPA conducted a walkthrough of the interior and exterior of the facility. Prior to the meeting LPA Sarina Buchannan conducted the 10-day inspection of the TSCF on 05/01/2025. LPA Buchannan requested the following documents: Client Roster (LIC 9020), Staff Roster (LIC 500), Staff Schedule for Month of April, and Staff Contact Information. LPA Buchannan conducted 8 confidential interviews between 04/23/2025 - 06/23/2025. Based on evidence gathered and confidential interviews conducted during the investigation, the allegations above cannot be substantiated. (report continued on LIC 9099C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Sarina Buchannan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTER IIFACILITY NUMBER: VISIT DATE: 06/26/2025

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

met_with: Meghan Reedy, Clinical Supervisor


raw_content:
Narrative:
Statements obtained during confidential interviews were inconsistent and could not establish if staff engaged in a physical altercation with clients in care. 7 out of 9 confidential interviews stated that staff did not engage in physical altercation with clients in care. LPA was able to confirm that an incident took place in which a client and two staff members engaged in a confrontation, but LPA could not confirm that the incident became physical. LPA also confirmed that 3 out of 4 clients placed have never witnessed or been involved in any physical altercations with staff during their time in the placement. One of the staff members who witnessed the incident stated that one staff had placed their hand over the client's hand to prevent the client from shutting the other staff member inside the closet. LPA was unable to obtain any witnesses that could confirm that the incident escalated to a physical altercation. Also, the staff in question does not have any disciplinary record during the length of their employment. Although the allegation may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the Meghan Reedy, Clinical Supervisor.

Investigation Findings:
13On June 26, 2025 at 12: PM Licensing Program Analyst (LPA) Sarina Buchannan made an unannounced visit to deliver findings to the above Temporary Shelter Care Facility (TSCF) and met with Meghan Reedy, Clinical Supervisor. LPA conducted a walkthrough of the interior and exterior of the facility. Prior to the meeting LPA Sarina Buchannan conducted the 10-day inspection of the TSCF on 05/01/2025. LPA Buchannan requested the following documents: Client Roster (LIC 9020), Staff Roster (LIC 500), Staff Schedule for Month of April, and Staff Contact Information. LPA Buchannan conducted 9 confidential interviews between 04/25/2025 - 06/23/2025. Based on evidence gathered and confidential interviews conducted during the investigation, the allegation above cannot be substantiated. (report continued on LIC 9099C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Sarina Buchannan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTER IIFACILITY NUMBER: VISIT DATE: 06/26/2025

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


raw_content:
Narrative:
Based on evidence gathered and confidential interviews conducted during the investigation, the allegations above cannot be substantiated because there were inconsistent statements during the interview process and could not establish that staff do not provide a safe environment for minors in care. 6 out of 8 confidential interviews also stated that staff do provide a safe environment. In addition, it was confirmed by the client that they felt safe during their time in placement. 6 out of 8 confidential interviews stated that staff at the facility do report incidents to the appropriate parties in a timely manner. LPA confirmed that an incident took place in which a client wrote a letter which contained reportable information. However, LPA was unable to establish that the staff who obtained the letter had knowledge of its contents prior to giving it to the facility administrator. Also, LPA was able to confirm the letter was given to the County Social Worker, but it could not be determined whether there was a significant delay from when staff obtained the letter to when it was reported. Lastly, the client stated it was known information and had already been reported to appropriate parties in the past. Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, a copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On July 29, 2025 at 3:00pm Licensing Program Analyst (LPA) Tatyana Shulz made a visit to the Progress Ranch Headquarters and met with Ian Longue, Former Administrator. LPA delivered findings at the alternate location due to the facility being closed. Prior to the meeting LPA Sarina Buchannan conducted the 10-day inspection of the TSCF on 05/01/2025. LPA Buchannan requested the following documents: Client Roster (LIC 9020), Staff Roster (LIC 500), Staff Schedule, Staff Contact Information, and any case notes related to the incident. LPA Buchannan conducted 8 confidential interviews between 04/29/2025 and 07/23/2025. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Tatyana Shulz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTER IIFACILITY NUMBER: VISIT DATE: 07/29/2025

met_with: Ian Longue- Former Administrator


raw_content:
Narrative:
Based on evidence gathered and confidential interviews conducted during the investigation, the above allegation cannot be substantiated. Statements obtained during confidential interviews were inconsistent and could not clearly establish whether staff did or did not push a minor in care. 8 out of 10 confidential interviews stated that staff did not push a minor in care. LPA was informed that an incident occurred on May 19, 2025, where a staff member was unable to leave a room due to a client blocking the doorway. It was also reported that to exit the room the staff member squeezed underneath the client's arm causing them to bump into the client. LPA was unable to determine if the bump was or was not accidental. In addition, 2 out of 3 individuals who witnessed the incident said the staff did not push or use their hands. Lastly, LPA was unable to obtain any physical evidence, and the facility has no disciplinary concerns for the staff involved. Although the allegation may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On August 18, 2025 at 01:00PM Licensing Program Analyst (LPA) Sarina Buchannan made a visit to the Progress Ranch Headquarters and met with Ian Longue, Former Administrator. LPA delivered findings at the alternate location due to the facility being closed. Prior to the meeting LPA Sarina Buchannan conducted the 10-day inspection of the TSCF on 05/23/2025. LPA Buchannan requested the following documents: Client Roster (LIC 9020), Staff Roster (LIC 500), staff contact information, staff schedule (May), and end of shift report (5/19/2025). LPA Buchannan attempted 1 confidential interview and conducted 10 interviews between 05/23/2025 and 06/26/2025. (report continued on LIC 9099C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Connie Goldie LICENSING EVALUATOR NAME: Sarina Buchannan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTER IIFACILITY NUMBER: VISIT DATE: 08/18/2025


raw_content:
Narrative:
One youth was listed on the placement roster as having been at the Sacramento Welcome Home- Madison facility for about one month, with extended absences during that time. When the youth exited placement at Madison, personal items were reported as missing. The youth had been placed at a different facility for several months prior to Madison and some of their personal property had been documented as left behind at this location. The youth did not provide details regarding personal property missing from Madison. The county social worker and CASA Worker believed all the youth's personal property from Madison had been retrieved and that photos were taken of those items. However, there were no records to match the items reported missing, and whether they were not safeguarded by Madison, or if these were the items missing from the prior placement. Case notes for Y1 indicate that during the 4 days that Y1 was enrolled in school, rides were offered. Y1 attended school on 3 of 4 days. On one day youth missed a ride with the Family Service Worker who arrived earlier to take youth to school. By the time youth got up there was no transportation available. When Y1 got up later in the morning Y1 would yell at staff about staff not waking Y1 up, however case notes indicate that staff attempted to wake youth on all 4 days. Case notes also indicate that a Family Service Worker was assigned to take Y1 to school on each day of enrollment. Based on LPA's interviews which were conducted, 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 are 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) Tina Thorn arrived unannounced at the facility on 03.07.25 for the purpose of delivering findings for the complaint investigation. LPA met with Rashenda Williams, Engagement Social Worker. LPA Thorn, Licensing Program Manager (LPM) Hillary Hall, and LPA Misty Valencia conducted the complaint investigation. LPM Hall opened the investigation with the facility on 12.20.24 and met with Brittany Taylor, Engagement Social Worker and Danielle Chan, Supervisor and conducted a Health and Safety Inspection. During the course of the investigation, LPM interviewed reporting party and 2 staff. LPA Valencia interviewed 1 county social worker, and LPA Thorn interviewed 1 youth, 4 staff, a CASA Worker, and a Facilities Administrator Officer. LPA reviewed records from the facility including social worker case notes, prior complaint history, Serious Incident Reports, Facility Program Statement, and Facility youth inventory log. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Tina Thorn LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: SACRAMENTO WELCOME HOME (SWH)-MADISON HOUSEFACILITY NUMBER: VISIT DATE: 03/07/2025

met_with: Rashenda Williams, Engagement Social Worker, Worker of the Day


raw_content:
Narrative:
It was alleged that reporting requirements are not being met in relation to restraints not being documented and submitted to the department. Staff interviewed stated that they understand the procedure and that it is a mandatory part of their job to report any restraints that occur during the staff member's shift. Six out of Seven Interviews reported that all incidents of restraints had been documented and submitted timely to the department. LPA reviewed records and not all staff have completed the incident reporting training. Based on LPA's interviews which were conducted, and records reviewed, although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove the violations did, or did not, occur. Therefore, the allegations are 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) Tina Thorn arrived unannounced at the facility on 04.01.25 for the purpose of delivering findings for the complaint investigation. LPA met with Tamika Hardy, Child Development Supervisor. LPA Thorn conducted the complaint investigation. LPA opened the investigation with the facility on 01.14.25 and met with Kaeley Vang, Facility Manager and conducted a Health and Safety Inspection. During the course of the investigation, LPA interviewed 2 youth, one County Social Worker, and four Staff. LPA reviewed records from the facility including Placement Roster, Training logs, County Social worker case notes, Serious Incident Reports, and prior complaint history. It was alleged that restraints were being used. Six out of seven confidential interviews reported that no restraints have been used. One confidential interview indicated there were physical interventions being used with the youth. Inconsistent statements were provided regarding whether these physical interventions rose to the level of restraint. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Tina Thorn LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: SACRAMENTO WELCOME HOME (SWH)-MADISON HOUSEFACILITY NUMBER: VISIT DATE: 04/01/2025


raw_content:
Narrative:
Staff interviewed stated they communicate with youth about safety and making healthy choices and provide harm reduction strategies when youth are determined to participate in unsafe activities. Upon observation of drug use, staff attempt to confiscate contraband. There was not enough evidence to clearly and directly attribute these instances to a lack of supervision on the part of facility staff. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated." An exit interview was conducted. A copy of all reports and appeal rights were discussed and provided to the facility.

Investigation Findings:
13Licensing Program Analyst (LPA) Tina Thorn and Connie Goldie arrived at shelter to conduct an unannounced complaint investigation inspection on 04.25.2025 at 3: PM. LPA Thorn spoke with Danielle Chan, Engagement Supervisor and Mike Gilbert Engagement Social Worker to discuss the findings of the complaint investigation and allegation stated above. The initial 10-day complaint investigation inspection was conducted by LPA Tina Thorn on 02/05/2025. At the shelter, LPA Thorn obtained the following documentation: PMIs (Placement Matching Information), Youth Intake Screening Tools, Health & Education Passports, Daily Progress Logs, and a youth's Care & Goal Plan as well as a Safety Plan. During the investigation, eighteen confidential interviews were conducted between 02/05/2025 and 04/23/2025. The Department investigated the allegation, "Staff did not provide adequate supervision to ensure safety of youth." All interviewed youth admitted to being exposed to vaping and/or marijuana use in the facility. There was also substantial corroboration through obtained statements that youth were exposed to, or possibly even recruited for, CSEC (Commercially Sexually Exploited Children) activities. Continued 9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Tina Thorn LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: SACRAMENTO WELCOME HOME (SWH)-MADISON HOUSEFACILITY NUMBER: VISIT DATE: 04/25/2025

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

met_with: Danielle Chan, Engagement Supervisor by phone and Mike Gilbert, Engagement Social Worker


facility_name: SACRAMENTO WELCOME HOME (SWH)-MADISON HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
On 07/29/ Licensing Program Analyst (LPA) Chad Cabigon conducted a Prelicensing Inspection at this location as a result of a change of location. LPA met with Administrator Cathi Johnson. LPA was given a tour of the interior and exterior areas of the facility's physical plant. The facility has three shared client bedrooms with each room having two beds and containing the required furnishings observed to be in good repair--additional drawer space for clients' personal belongings will be moved with the clients from the Sacramento Welcome Home - Hilltop House after licensure of this location. There is one shared full bathroom in the hallway off of which all of the client bedrooms are situated. There is an additional en suite full bathroom in one of the client bedrooms. All the bathrooms were in good repair, with toilets that flushed and fixtures that provided hot water that was within the required temperature range. Refrigerator and freezer units were all observed to be in good working condition. There is also sufficient storage space for dried good or non-perishable items. Also observed within two secured staff offices were lockable cabinets for confidential files and medications. There are securable cabinets in a designated staff bathroom where potentially hazardous cleaning agents and chemicals are to be stored appropriately--away from areas where food preparation is done. The thermostat read a temperature that was within the required range. The backyard was found to not have any potentially hazardous areas or items; the pathways are unobstructed. A copy of this report is being provided to Ms. Johnson..

visit_type: Prelicensing

met_with: Cathi Johnson


summary: Facility Evaluation

raw_content:
Narrative:
On 09/10/2024, at 11: AM, Regional Manager, Margo Castaneda, Licensing Program Managers, (LPMs) Jodean Hall, Hillary Hall, and Rosa Rodriguez and Licensing Program Analysts, (LPAs) Connie Goldie, Tina Thorn and Chad Cabigon conducted an in-person Office Meeting. Present from Sacramento County's Chicago House, Pasadena and Hilltop/Madison Temporary Shelter Care Facility Homes is Cathy Johnson, Division Manger, Alondra Neira, Program Planner, CPS, Veronica Carrillo, Program Manager, CPSU, Tashna Ward, Program Manager Alicia Wasklewicz, CPS Planner. Present from Systems of Care is Ashley Bray, Staff Services Manager II and Kayla Haith, Health Program Specialist II. The purpose of the meeting is to discuss CCL's concern regarding issues around the non-compliance in the facilities and to collaborate and problem solve together for the success of the programs. The primary areas of concern discussed, and outcomes provided include the following: ·Administrator/ Designation of Authority o It was discussed that a qualified administrator shall be on the premises for the number of hours necessary to manage and administer the facility in compliance with applicable laws and regulations. There needs to be someone readily available for the responsibilities and over site of all three facilities. There also needs to be staff designated to act on the administrator's behalf in the overall management of the facility when the administrator is not at the facility. These designees also need to be able to provide plan of corrections on site during an inspection. o CCL requested a written plan by 9/25/2024. Continued on LIC809C · Reporting Requirements o CCL is receiving 24-hour notifications as required but, the full reports continue to be received past the regulatory requirement of seven days following the incident. o County staff communicated that they have streamlined the approval process to become compliant with full report. o CCL requested a written plan by 9/25/2024. · Training opportunities o CCL identified training concerns in the following areas: emergency intervention procedures, personal rights, medication, and job descriptions. o CCL offered training support by CCL staff and the Ombudsperson office. · Services Provided o Child specific services, Intake Assessment, CFT's and community resources are some of the services being provided. o Further collaboration will be ongoing. · Additional items discussed: o CCL suggested that a copy of Title 22 regulations, the Program Statement and a copy of the policies and procedures be located at the facility and available to staff. o The County shared that they are in the process of creating an employee handbook. o Administrator shared that two additional supervisors are being added which will provide supervision in the homes for all shifts. Written plans shall be submitted by email to all CCL attendees. A copy of this report was emailed to Cathy Johnson, Division Manager for signature.

met_with: Kathy Johnson, Division Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 09/13/24 at 9: AM, Licensing Program Analyst, (LPA) Tina Thorn conducted a Post-Licensing inspection. LPA Thorn met with LaShon Tate, Engagement Social Worker Supervisor, who assisted with this inspection. Upon arrival, 4 staff, 2 youth and a security guard are present in the facility. LPA toured the facility with LaShon Tate. Upon entering the home there is a receptionist area with a security officer present. LPA observed a dining room table with six chairs to the right of the family room area which provides adequate seating for children. A current menu was posted on a bulletin board in the dining area. The kitchen was observed to have a sink with no dirty dishes and appliances that are in good working order. Perishable and non-perishable foods available exceeded the minimum requirements. LPA requested Supervisor to open a locked door that is attached to the main living room. This was a small, secured room that had locked medication and sharps. LPA observed plates, cups and cutlery adequate for the capacity of the home. The garage of the home is where the facility stores extra hygiene products, youth belongings, and household items like games and activities. There is a locked storage room attached to the dining room that has extra bedding, food, and small appliances. A small office is located in a locked room attached to family room. The family room has a table with 4 chairs, a couch and television. There are 3 bathrooms, one for staff, one for clients and one that is attached to a bedroom that is locked and not used. The family room space has clear pathways and comfortable seating for the youth in the home. The three bathrooms observed have soap, paper towels and hygiene products available. LPA observed the outside area to be free of debris. There is an unattached room outside of the house that is locked. It is being used for youth to meet with their service providers. The hallway closet was observed to have linens. Two bedrooms were observed to have beds and storage space as required. A third dual bedroom was observed to not have any youth and currently isn't being used. LPA conducted two staff interviews. LPA will return to complete Post Licensing Inspection on a subsequent visit. An exit interview was conducted with LaShon Tate, Engagement Social Worker Supervisor. A copy of this report was provided.


summary: Facility Evaluation

raw_content:
Narrative:
On 10/08/ Community Care Licensing (CCL) and the County of Sacramento held the monthly Sacramento Welcome Home (SWH) TSCF (Temporary Shelter Care Facility) collaborative meeting over Microsoft Teams. In attendance were Cathi Johnson, Ali Neira, Alicia Wasklewics, and Tashna Ward from the County and, from CCL, Rosa Rodriguez, Jodean Hall, Hillary Hall, Connie Goldie, and Chad Cabigon. After introductions, the following was covered: CCL acknowledged and thanked the County for the submission of its Written Plan, received by CCL on 09/25/2024, in response to the items covered during the first collaborative meeting held on 09/10/2024. The County has since assigned two new program supervisors to the SWH locations and is looking to fill a third supervisor position pending the Sacramento County Board of Supervisors' approval which is expected to pass on 11/05/2024, bringing the total number of program supervisors to five (currently, there are four). Regarding the plan to re-designate an administrator, it was noted that Alicia Wasklewics is set to go through the administrator training/certification at the end of this month (October, 2024). CCL clarified that the required facility manager designation is specific to each shift per House/location when children are present. Being that there are only four supervisors covering all the Houses, there are times when no supervisor is available at a given location. The County stated that they have implemented an assigned Worker of the Day or "WOD" to cover those locations and/or times when a program supervisor is not available. CCL requested that on the schedules (on the LIC 500 or Personnel Report) it is specified who the WODs and supervisors are and that those designated are spelled out as 'facility managers', that all other CCL-required positions are spelled out (including, for example, Administrator) under the "Job Title," and that an updated form be submitted for each location by October 31, 2024. The County stated that some of the limitation(s) in properly reflecting these positions may be due to the need to have it cleared by the staff's union beforehand and that, relatedly, the same constraint(s) may be affecting the finalizing of job duty statements for care staff to acknowledge. (, 809-c) (PAGE 2) Also discussed were the missing full or seven-day reports which are the follow-up reports to the County's 24-hour notifications. Per the County, management is paying close attention to the October reports to ensure compliance: the 24-hour reports are being done in a timely manner but the intermediate step involving a supervisor de-brief is where the reports are getting held up. The County are actively working on a pilot program set to start at the end of November or the beginning of December, 2024, which is meant to help track reports through a more automated system. It is CCL's expectation that the outstanding full or seven-day reports for previously-submitted 24-hour notifications (for September, 2024) will also be submitted to CCL by October 31, 2024-the number of missing full or seven-day reports are as follows: Pasadena House - 11; Madison - 27, and Chicago - 10 (for a total of 48). It is also CCL's expectation that an immediate correction plan be put in place to be in compliance with Title Regulations. Regarding training requirements-specifically, Section 84065(i)(1)(D) which discusses the need for an assessment of the efficacy of training-CCL noted, based on interviews, that direct-care staff may not have a sufficient understanding of the training topics covered despite having received the training. CCL advised that post-testing or return demonstrations to assess for competency may be developed by the County, themselves, so long as those assessments are documented in each staffer's file. The County stated that management will check-in with the supervisors about this protocol and also added that the supervisors do meet with their staff every month, are probably doing at least some type of performance evaluations, and that they may just need to do better at documenting. CCL is requesting an implementation plan to be compliant with Title Regulations, and that this plan should be submitted by October 31, 2024. Additional training support: CCL advised that the Ombudsperson's Office only provides training on the Foster Youth Bill of Rights but not on anything more specific like medications, for example. CCL provided the Ombudsperson's Office portal and link to sign up for Bill of Rights training. The County asked if CCL, apart from the Ombudsperson's Office, provides more topic-specific training-CCL advised that it does and that this training will be scheduled for the County by the end of November or the beginning of December, 2024. On the SWH Program Statement being made accessible to staff: the County stated that they are still working on the employee handbook-along with this process the care staff have been given electronic access to the Title 22/Interim Licensing Standards (ILS) Regulations digitally and parts of the Program Statement on which staff get trained. (, 809-c) (PAGE 3) Regarding the POC for the Personal Rights citation on the Chicago House on inventory check/searches. The POC was submitted to CCL on 10/03/2024, this procedure is still under review by CCL. Regarding the POC for the Personal Rights citation on the Madison House, the County will check on the progress of training for staff which is expected to be completed by 10/11/2024. Regarding the POC for the overcapacity citation on the Pasadena House, this POC was submitted to CCL on 10/02/2024 and is still under review. A copy of this report is being emailed to the County for signature.


summary: Facility Evaluation

raw_content:
Narrative:
On 12/10/2024, Community Care Licensing (CCL) and the County of Sacramento held the monthly Sacramento Welcome Home (SWH) TSCF (Temporary Shelter Care Facility) collaborative meeting over Microsoft Teams. In attendance from the County were: Cathi Johnson, Ali Neira, Alicia Wasklewicz,, and Veronica Carrillo. Attending from CCL: Margo Castaneda, Regional Manager (RM), Rosa Rodriguez, Licensing Program Manager (LPM), Jodean Hall, LPM, Hillary Hall, LPM, Connie Goldie, Licensing Program Analyst (LPA), Tina Thorn (LPA), and Chad Cabigon, LPA. Also present was Kelley Hartman and Alicia Bernstein from Systems of Care (SOC.) After introductions, the following was discussed: The County and CCL acknowledged what has been going well for them and for each facility. The County noted that operating two rather than three homes has been going well. CCL shared that all three locations were reported to have had great communication and LPAs have observed staff engaging with the youth. Alicia Wasklewics passed the Administrator Certification test and completed her background clearance. An expedited request will be sent by RM once paperwork is submitted. County plans to hire one more staff to meet the goal of having six supervisors. The LIC 500 will reflect a Worker of the Day (WOD), who meets Facility Manager qualifications. WOD will be present when a supervisor is not. There will be a WOD at each house during each shift. The County agreed to send a list of qualified facility managers for each facility as well as the staff schedules. The LIC 500 is to be sent to CCL by 12/11/24. CCL shared the staff training records submitted do not match the Program Statement and clarity is needed on the initial training versus annual training. The County said they would revise their program statement training requirements. CCL addressed a recent Incident Report (IR) involving a manual restraint. The County stated that while all staff are in the process of restrain training, restraints will always be a last resort. The County used the information provided by CCL regarding medication training and Personal Rights to create a self-paced training for the staff. The County has implemented information from the medication training and incorporated the new MARS form. The County is developing a staff training template and will send updated staff training records by 12/11/24. CCL requested information on the security guards at the facilities and the lack of security personnel mentioned in their Program Statement. CCL requested the security complete training on mandated reporting and Trauma Informed Care. CCL requested updates to the Program Statement on how the security is Trauma Informed and their level of engagement with staff and clients. Due date for Program Statement Update: January 11, CCL shared incident reporting by the County has improved in timeliness. The County is developing a system to track Incident Reports. Until development is complete, the County supervisor has created a schedule to review IRs. Monitoring Youth personal property and conducting searches was discussed. The County agreed to update the program statement to reflect and describe the Youth personal property log. The County will send CCL the Prudent Parent Activation form and Youth Care and Goal Plan. Inventories, not searches, are currently being conducted. The County explained that the inventory checks are a case-by-case. CCL recommended that the Youth Care and Goal Plan have an area in which client's history of substance use should be included to better predict the use of Prudent Parent Activation. The County provided updates on their Home-Based Shelter Program, which is near capacity. Next Meeting schedule for January 14, 2025.

met_with: Cathi Johnson, Ali Neira, Alicia Wasklewicz, Veronica Carrillo, Kelley Hartman, and Alicia Bernstein


facility_name: SACRAMENTO WELCOME HOME (SWH)-MARIPOSA HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
On 07/15/ Licensing Program Analyst (LPA) Chad Cabigon conducted a Prelicensing Inspection of this property. Present were County of Sacramento DCFAS (Department of Child, Family, and Adult Services) Division Manager Cathi Johnson and Administrative Services Officer Diana Rethford. LPA was given a tour of the interior and exterior areas of the facility grounds; the findings of the inspection are as follows: The property has two common living areas adjacent to each other with ample couch seating. The house has three bedrooms for clients, each was furnished with two beds & mattresses, beddings & linens, and personal storage space in the form of stowable under-bed rolling bins all found to be in good condition. Each bedroom also had a working light fixture and a smoke detector that appeared to be in working order. There is one shared bathroom for clients' use-there is one toilet in good repair, a vanity and a bathtub shower whose fixtures provided hot water. There is a dining table in an area next to the kitchen; a working refrigerator maintained a temperature of 38 degrees F with a freezer that maintained a temperature of 0 degrees F. There is an extra freezer in the garage whose temperature was also kept at 0 degrees F. Per Ms. Johnson, an additional refrigerator will be obtained to ensure accommodation of the required perishables at capacity. There is a dedicated staff office that was securable, within which were lockable file cabinets for confidential files and storage for centrally-stored medications that can also be secured. The property has a working landline located within the staff office. The dwelling has centralized air and a thermostat located in the bedroom hallway that displayed a room temperature of 77 degrees F. The washer and dryer were located in the garage, and within which chemicals and other potentially dangerous liquids will be stored. The backyard outdoor space included a covered patio with seating and a bench or picnic table found to be in good condition. There was a pile of loose branches on the far end of the lawn that is to be cleared, otherwise, there were no potentially hazardous items or areas observed. (, 809-c) The following was communicated to Ms. Johnson and Ms. Rethford: all waste bins shall have covers; an inordinate amount of house flies observed during the inspection is to be addressed; required beddings and linens are to be in place; the weekly menu, foster youth rights (to be provided by Licensing), the Disaster or Mass Casualty Plan, and complaint procedures are to be posted conspicuously at the appropriate areas; the hot water out of the bathtub fixture was 130 degrees F-this needs to be adjusted and maintained between 105 - 120 degrees F. A subsequent onsite inspection is necessary to re-evaluate this property's readiness to serve clients. County of Sacramento is to inform LPA once the property is ready for the follow-up inspection. A copy of this report is being provided to Ms. Johnson.

met_with: Cathi Johnson, Diana Rethford


summary: Facility Evaluation

raw_content:
Narrative:
On 08/08/ Licensing Program Analyst (LPA) Chad Cabigon conducted a follow-up onsite walkthrough of this property to complete the Prelicensing Inspection. LPA met with County of Sacramento DCFAS (Department of Child, Family, and Adult Services) Division Manager Cathi Johnson, Program Manager Alicia Wasklewicz , and Administrative Services Officer Diana Rethford. The hot water temperature out of the bathtub shower fixture was 105 degrees F; no house flies were observed, all waste bins had covers in place; required beddings and linens for all the beds in clients' rooms were in place and each bedroom had the required storage space for personal belongings; the backyard did not have any potentially hazardous areas or items; the Disaster/Mass Casualty Plan and a weekly food menu were posted; the facility has perishable food sufficient for at least three days. The provisional Temporary Shelter Care License will be issued effective 08/11/2025. The County plans on housing clients at this location starting that date. A copy of this report is being provided to the County of Sacramento.

met_with: Cathi Johnson, Alicia Wasklewicz, Diana Rethford


summary: Facility Evaluation

raw_content:
Narrative:
On 9/25/2025 at approximately 12:30pm Licensing Program Analyst (LPA) Tatyana Shulz conducted an Informal Meeting with Sacramento county staff for the purposes of discussing the 0- Program Statement Review. Present during the meeting was LPA Tatyana Shulz, Licensing Program Managers (LPMs) Connie Goldie and Tamara Hill, Regional Manager (RM) Margo Castaneda, and county staff Catherine Johnson, Alondra Neira, and Alicia Wasklewicz. Below is a summary of the topics that were discussed and agreed upon: Facility Manager Training: LPA Shulz will review the approved training section of the Program Statement and determine whether the supplemental training section for the 0-6 population will cover the specific course work that state regulation requires. Physical Plant: LPA Shulz requested the county supply an Emergency Intervention Plan and Safety Plan for the 0-6 population stating how the facility will respond during a natural disaster and when there are escalated behaviors present in the home. Highlighting how they will ensure the safety of the younger population. The county agreed to provide an updated LIC999 referencing specific play areas designated for the under 6 population, a safety plan and an emergency intervention plan specific to ages 0-6 years.

met_with: Catherin Johnson- County Representative


raw_content:
Narrative:
Based on the evidence gathered and confidential interviews conducted, the above allegation cannot be substantiated. While three individuals interviewed stated that staff supervision did not ensure safety, the remaining ten interviews were inconsistent and did not support that claim. It was confirmed that on 09/03/2025, at approximately 3:30 a.m., staff were conducting room checks and discovered an unknown individual hiding under a client's bed, and another individual was witnessed exiting through a client's window. Immediately following the discovery, facility staff took appropriate action by contacting law enforcement, notifying facility supervisors, and speaking to the youth present. Additionally, the facility completed and submitted an incident report to the appropriate parties in a timely manner. Due to ongoing safety concerns, law enforcement was contacted two additional times, and on both occasions, supervisory staff assisted law enforcement with a thorough search of the property and surrounding areas. During the second search, a supervisor located the safety concern. In addition, all personnel interviewed consistently reported that room checks are conducted every thirty minutes, and all staff present on the night of the incident confirmed that these checks were routinely conducted during that shift. Lastly, county social workers and staff reported that youth present during the incident never expressed concerns regarding safety due to lack of supervision by staff. Although the allegation may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is UNSUBSTANTIATED. An exit interview was conducted. A copy of this report and the Appeal Rights were discussed with and provided to the Anne Yang, Worker of the Day.

Investigation Findings:
13On November 26, 2025, Licensing Program Analyst (LPA) Sarina Buchannan made an unannounced visit to deliver findings at the above location and met with Anne Yang, Worker of the Day. LPA conducted a walk-through of the facility; no deficiencies were observed. Prior to this meeting, LPA Buchannan conducted a 10-day inspection of the TSCF on 09/11/2025, followed by a subsequent inspection on 11/04/2025. During the inspections, LPA requested the following documents: staff roster, client census, client face sheets, staff schedule, staff contact information, related incident reports, room check form, and a summary of the incident email thread. LPA Buchannan attempted one confidential interview and conducted thirteen confidential interviews between 09/05/2025 and 11/24/2025. (report continued on LIC 9099C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Connie Goldie LICENSING EVALUATOR NAME: Sarina Buchannan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: SACRAMENTO WELCOME HOME (SWH)-MARIPOSA HOUSEFACILITY NUMBER: VISIT DATE: 11/26/2025

met_with: Anne Yang, Worker of the Day


summary: Facility Evaluation

raw_content:
Narrative:
On December 11, 2025, at 2: PM, Community Care Licensing (CCL) - Children's Residential Assistant Program Administrator Margo Castaneda, Regional Manager Danielle Walker-Flores, Licensing Program Manager (LPM) Connie Goldie, Licensing Program Analyst (LPA) Chad Cabigon, and Licensing Program Analyst (LPA) Orlando Areizaga conducted an Informal Meeting in the Sacramento Regional Office with Sacramento County Department of Child, Family and Adult Services' Deputy Director Melissa Lloyd, Division Manager Cathi Johnson, and Sacramento Welcome Home (SWH) Administrator Alicia Wasklewics. Also in attendance were Provider Policy Implementation Unit Manager Alicia Bernstein and Policy Analyst Levi Huser from CDSS' System of Care Branch. The purpose of the meeting was to discuss compliance concerns. The following areas of concern were addressed: staffing, staff training, accessibility of staff records, completeness of children's records, and overcapacity. The operations of the facility were discussed and additional action plan documentation was provided by Sacramento County. Action Plans include the following: Staffing: the facility is hiring additional staff for each location. Training expectations: overtime social worker staff are undergoing the required direct-care staff training; Alicia is to send training logs for staff who have training that are still outstanding by 12/24/25. (Continued on 809c) *the language on this page is an amendment of part of a report issued on 12/11/2025. Staff records: Alicia is to be the point person for access to personnel files. SWH staff who receive Community Care Licensing (CCL) personnel during onsite inspections are to contact Alicia for any staff records request. Children's records: The Worker of the Day (WOD) position was never discontinued, only decentralized; SWH is reinforcing the role by having the WOD per shift be responsible for client intake to the completion of a client's file within 24 hours. Alicia to send new checklist(s)/form(s) that are to be used by SWH staff as templates to ensure completion of client records. Overcapacity: SWH will provide CCL a collaborative plan for how overcapacity will be addressed through partnerships with other licensed facilities. A copy of this report is being provided to Sacramento County Division Manager Cathi Johnson.

met_with: Melissa Lloyd, Cathi Johnson, Alicia Wasklewics