summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Danny Macias (LPA) traveled to Elite Scoffied STRTP and met with Program Director (PD) Jennifer Duarte to conduct a quarterly non-compliance inspection. Training The STRTP has provided training to all staff on personal rights, documentation and reporting requirements, emergency intervention plan, responsibility for care and supervision, and trauma informed care on a monthly basis. Documentation of training was provided to LPA and is also kept in the staff files. Reporting Requirements The STRTP has ensured all law enforcement contacts are submitted to Community Care Licensing (CCL) on LIC624LE, or an equivalent form with all required information. Administration The STRTP has developed an internal process for Incident Reporting. Hiring Practices LPA reviewed 2 staff files and personnel meets regulatory qualifications without exceptions and are receiving training that complies with regulations prior to being left alone with clients. continued... LPA conducted a physical plant inspection of the facility. The facility met all regulatory requirements. LPA observed facility to be clean, safe, sanitary and in good repair. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed and are in good repair. Facility vehicle keys are properly stored and locked, inaccessible to clients. A review of the Licensing Information System on this date indicates that all facility staff are associated to the STRTP and had DOJ, FBI, and child abuse index check clearances. The STRTP is being issued a Technical Violation under Title 22, Division 6, Chapter 1, Article 06, 80061(b) Reporting Requirements. An exit interview was conducted and a copy of this report was left with Jennifer Duarte at the conclusion.


state: CA

facility_name: ELITE FAMILY SYSTEMS, INC- SCOFFIELD HOME

summary: Facility Evaluation

raw_content:
Narrative:
On July 2, 2025, Licensing Program Analysts (LPAs) Danny Macias and Briana Placencia conducted an unannounced case management inspection at the above facility. LPAs met with Chief Operations Officer (COO) Bill Sneed. Based on record review, the facility failed to provide incident reports within the allotted time frame to Community Care Licensing. The Department determined this to be an immediate risk to the health and safety of clients in care at this time, therefore the STRTP is being issued a deficiency under Code of Regulations (CCR), Title 22, 80061(b) Reporting Requirements on the attached LIC809-D. An exit interview was conducted, and a copy of the report and appeal rights were left with Bill Sneed at the conclusion.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Bill Sneed


summary: Facility Evaluation

raw_content:
Narrative:
On May 18, Licensing Program Analyst (LPA) Lidia Tinoco conducted a Tele-Visit Case Management inspection with the Elite Family Systems and met with Bill Sneed. The purpose of the inspection was to discuss information discovered during the investigation of a complaint. During the investigation it was discovered that in January 2021 the agency was experiencing a shortage of staff, at the Scoffield House, the staff ratio was 2 staff to 6 children. On 1/26/21 a child in the home was restrained by a staff and an untrained staff observed the restraint which resulted in injury. When LPA asked staff if it was a choice to reach out to another house for help it was stated that it was not an option due to being short staffed. Per Bill this information is not true, and it was a possibility to reach out to other staff for support. While LPA reviewed the incident reports for 1/26/ LPA observed that there was missing pertinent information in the report. LPA addressed these concerns with Bill Sneed. Bill and LPA Tinoco discussed the information that needs to be included in incident reports, Bill stated he will be making those corrections by retraining staff. The Department determined this to be an immediate risk to health and safety of the children in care at this time, therefore the Facility was cited for The Interim Licensing Standard (ILS) Chapter 7. Version 3. Articles 1 through 10. The Agency is being cited for violations of Sections 87095.65(a)(1) Emergency Intervention Staff Training and 87095.61(b) Documentation and Reporting Requirements. Due to COVID- An exit interview was conducted over the phone, and a copy of the report and appeal rights were provided to the facility via email. Signatures were also requested via email and will be documented on an LIC812.


summary: Facility Evaluation

raw_content:
Narrative:
Complaint Specialist C.K. Kinney(CS) conducted a Case Management Inspection to discuss information related to LIC 624-LE Law Enforcement Contact Report with Date of Incident May 19, 2021. Mr. Sneed responded to the COVID- Screening questions and CS was allowed entrance into the offices. Interview of staff revealed a violation of Interim Licensing Standards. this facility is being cited for violation of Short-term Therapeutic Residential Treatment Program Interim Licensing Standards version 3. Article Section 87072(d)(11) Personal rights. Copy of this report and LIC Appeal Rights left at Elite Family Systems at conclusion of inspection.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Tamara Melikian on 02/18/2022 at 10:00AM. During the inspection, LPA Melikian met with Tim Matthews, Program Director and Stacy Catanzarite, Case Manager and inspected the facility inside and out. LPA reviewed four children's records on site at the facility at 10:30AM. LPA reviewed two staff personnel records on site at the facility at 11:00AM. LPA reviewed 4 children's psychotropic medications and medication records at 11:25AM. LPA interviewed one staff at 11:45AM. The other staff was unavailable at the last minute so the interview will be conducted at a later date. LPA interviewed one child currently taking psychotropic medication at 12:00PM. The other children refused while another child was in school on this date and will be interviewed at a later date. LPA conducted exit interview with Stacy Catanzarite, Case Manager at 12:30PM. LPA provided the summary report to Stacy Catanzarite, Case Manager upon completion. Deficiency on the attached page.

met_with: Stacy Catanzarite, Tim Matthews


summary: Facility Evaluation

raw_content:
Narrative:
On March 2, 2023, Licensing Program Analyst (LPA) Daiquiri Boyd made an unannounced visit to Scoffield Home and met with MHRS and Designee Facility Administrator, Janelle Sicairos. Upon review of client files, LPA found client files to be missing documents. Deficiencies were issued on this day.

met_with: Janelle Sicairos


summary: Facility Evaluation

raw_content:
Narrative:
On 4/7/ Licensing Program Analyst (LPA) Daiquiri Boyd visited the Short Term Therapeutic Program (STRTP) Elite Scoffield Home. During this visit, LPA conducted a physical inspection of the home. LPA met with MHRS Janelle Sicairos and discussed a prior incident in the home and LPA Boyd notified Janelle that a deficiency was being issued. An incident occurred in the home in which staff was speaking with a client who was refusing to get off of the floor and the staff began to push on client's body with his foot in effort to get client to comply. A deficiency is being for Personal Rights violation 87072(c)(11) from Interim Licensing Standards (ILS). An exit interview was conducted and a copy of the Appeal Rights were provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analyst (LPA) Rachel Bruce conducted a case management visit at the STRTP and met with Janelle Sicairos, Mental Health Specialist. The purpose of the meeting was to discuss the necessity to report incidents timely to remain in compliance. Two recent incident reports received in the Community Care Licensing (CCL) incident mailbox were beyond the seven day deadline. 1- August 5, 2023 was the date of the occurrence and it was signed and reviewed by overnight staff and administration on that date, however it was not sent to CCL until August 14, 2023. 2- August 4, 2023 was the date of occurrence and it was signed and reviewed by overnight and administration on August 5, 2023 however it was not sent to CCL until August 14, 2023. Based on the above, a citation is being issued for not being in compliance General Licensing Standards are being cited on the attached LIC809D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Danny Macias (LPA) traveled to Elite Scoffied STRTP and met with Program Director (PD) Jennifer Duarte, Assistant Program Director (S1) Eddie Perez and Facility Administrator (S2) Richard Padilla to conduct a Case Management Inspection related to an incident report dated 2-2-26. LPA discussed staff supervision procedures. (see 812) There are no deficiencies at this time. A copy of this report was left with Richard Padilla at the conclusion.

met_with: Richard Padilla


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Danny Macias (LPA) traveled to Elite Scoffied STRTP and met with Program Director (PD) Jennifer Duarte to conduct a quarterly non-compliance inspection. Training The STRTP has provided training to all staff on personal rights, documentation and reporting requirements, emergency intervention plan, responsibility for care and supervision, and trauma informed care on a monthly basis. Documentation of training was provided to LPA and is also kept in the staff files. Reporting Requirements The STRTP has ensured all law enforcement contacts are submitted to Community Care Licensing (CCL) on LIC624LE, or an equivalent form with all required information. Administration The STRTP continues to develop and update their internal process for Incident Reporting. Hiring Practices LPA reviewed 2 staff files and personnel meets regulatory qualifications without exceptions and are receiving training that complies with regulations prior to being left alone with clients. continued... LPA conducted a physical plant inspection of the facility. The facility met all regulatory requirements. LPA observed facility to be clean, safe, sanitary and in good repair. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed and are in good repair. Facility vehicle keys are properly stored and locked, inaccessible to clients. A review of the Licensing Information System on this date indicates that all facility staff are associated to the STRTP and had DOJ, FBI, and child abuse index check clearances. An exit interview was conducted and a copy of this report was left with Jennifer Duarte at the conclusion.

met_with: Jennifer Duarte


summary: Facility Evaluation

raw_content:
Narrative:
On February 26, 2026, Licensing Program Analyst (LPA) Danny Macias traveled to Elite Family Systems Short Term Residential Therapeutic Program (STRTP) main office to conduct an unannounced inspection and met with Program Director Jennifer Duarte. The purpose of the inspection was to discuss Admission Determination Procedures with the STRTP. (see 812) An exit interview was conducted and a copy of this report was left with Jennifer Duarte.


summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On February 26, 2026, Licensing Program Analyst (LPA) Danny Macias traveled to Elite Family Systems Short Term Residential Therapeutic Program (STRTP) main office to conduct an unannounced inspection and met with Program Director Jennifer Duarte. The purpose of the inspection was to deliver findings for the above complaint allegation. During the investigation, LPA conducted confidential interviews, records review and reviewed supporting documents provided by the facility. Based on confidential interviews and records reviewed, the department has made the following determination. 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. No deficiencies or citations issued. A review of the Licensing Information System on this date indicates that all facility staff are associated to the STRTP and had DOJ, FBI, and child abuse index check clearances. An exit interview was conducted and a copy of this report was left with Jennifer Duarte. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Danny Macias LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

report_type: Complaint Investigation

complaint_status: unsubstantiated


facility_name: ELITE FAMILY SYSTEMS, INC.- LESLIE HOME

raw_content:
Narrative:
Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are deemed to be UNSUBSTANTIATED at this time. A copy of this report was discussed and provided to Stacy Catanzarite along with appeal rights.

Investigation Findings:
13On January 3, 2022, Licensing Program Analyst (LPA) Rachel Bruce conducted a follow up complaint inspection at Leslie Home and met with Stacy Catanzarite, Facility Manager. The purpose of the visit was to deliver the findings for the above complaint allegations. On October 5, 2021, the above allegations were referred to Community Care Licensing for investigation. The investigation included interviews with the Clients and Staff as well as a review of the client's records and an inspection of the STRTP. The complaint alleged that a client in care was inappropriately restrained, and denied a meal as a form of punishment. The Clients and staff interviewed provided conflicting information regarding the above issues. There were no witnesses to the restraint besides the client and staff directly involved and no other clients could attest to whether or not a meal was denied. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Rachel A Bruce LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: ELITE FAMILY SYSTEMS, INC.- LESLIE HOMEFACILITY NUMBER: VISIT DATE: 01/03/2022

met_with: Stacy Catanzarite, Facility Manager


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Rachel Bruce conducted a follow-up complaint inspection to the STRTP administration office and met with Tim Mathews, Director. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation, Community Care Licensing (CCL) conducted interviews with clients and staff as well as a review of personnel and client records. The information obtained during the investigation substantiated the allegation that a client in care was threatened by a staff member. Type A: This poses an immediate health and safety risk to clients in care. Based on the LPA's observations, interviews and records review the preponderance of evidence standard has been met, therefore, the above allegation is found to be substantiated. A copy of the report and Appeal Rights was provided to the FFA. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Rachel A Bruce LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: ELITE FAMILY SYSTEMS, INC.- LESLIE HOMEFACILITY NUMBER: 507003893

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

met_with: Tim Mathews, Director


raw_content:
Investigation Findings:
13On October 17, 2023, Licensing Program Analyst (LPA) Rachel Bruce conducted a follow-up complaint inspection with the Short Term Residential Therapeutic Program (STRTP) and met with Administrator, Alvaro Juarez. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation, LPA Bruce conducted confidential interviews, reviewed client documentation, and conducted an inspection of the facility. The investigation revealed conflicting information regarding whether or not there is lack of supervision. Although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove the above allegation occurred, therefore, the allegation is found to be UNSUBSTANTIATED LPA provided a copy of the report to the STRTP. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Rachel A Bruce LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

met_with: Alvaro Juarez, Administrator


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Daiquiri Boyd conducted an unannounced visit to the Short Term Residential Therapeutic Program (STRTP) to deliver the findings of the above allegation and met with Administrator, Alvaro Juarez. The above allegation was referred to Community Care Licensing for investigation. The investigation included interviews and a review of facility and placed children's records. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are UNSUBSTANTIATED at this time. A copy of this report was discussed and provided along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Daiquiri Boyd LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

met_with: Alvaro Juarez


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Daiquiri Boyd conducted an unannounced visit to the Short Term Residential Therapeutic Program (STRTP) to deliver the findings of the above allegations and met with, Case Manager, Jennifer Duarte. The above allegations were referred to Community Care Licensing for investigation. The investigation included interviews and a review of facility records. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation occurred. Therefore, the allegation are UNSUBSTANTIATED at this time. A copy of this report was provided to STRTP. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Daiquiri Boyd LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) and Licensing Program Analyst Danny Macias(LPA) traveled to Elite Family Systems offices and met with Bill Sneed to deliver finding of investigation. CS conducted investigation that included review of documentation and confidential interviews. Based in inconsistencies in the information obtained a preponderance of the evidence could not be found. Although the allegations may or may not be valid, without a preponderance of the evidence the allegations are deemed unsubstantiated. No deficiencies observed or cited. Copy of this report, LIC Confidential Names and LIC Appeal Rights left at the agency at conclusion of inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to Elite Family Systems Leslie Home and met with Jennifer Duarte to deliver findings of investigation. CS conducted investigation that included review of documentation and confidential interviews. Based on information obtained a preponderance of the evidence was found that staff handled minors in rough manner during restraints. Allegation is substantiated. This facility is being cited for violation of Interim Licensing Standards for STRTP Version 5 section 87095.01(a)(4) Emergency Interventions Prohibition. Copy of this report, ILS citation, LIC Confidential Names and LIC Appeal Rights left at the facility at conclusion of inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 06/21/2024 and conducted by Evaluator Charles Kinney PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:ELITE FAMILY SYSTEMS, INC.- LESLIE HOMEFACILITY NUMBER: ADMINISTRATOR:ALVARO JUAREZFACILITY TYPE: ADDRESS: LESLIE LANETELEPHONE: (209) 531- CITY:CERESSTATE: CAZIP CODE: CAPACITY:6CENSUS: 4DATE: 10/16/ UNANNOUNCEDTIME BEGAN: 10: AM MET WITH:Erick Nunez and Jennifer DuarteTIME COMPLETED:11: AM 9Staff use inappropriate forms of discipline with minors. Staff do not provide fair and equal treatment among minors. Staff do not prevent inappropriate interactions between minors. Staff do not provide minors with adequate food. Staff mismanage minors' medications. INVESTIGATION FINDINGS: 13Complaint Specialist C.K. Kinney(CS) traveled to Elite Family Systems Leslie Home and met with Jennifer Duarte to deliver finding of investigation. CS conducted investigation that included review of documentation and confidential interviews. Based in inconsistencies in the information obtained a preponderance of the evidence could not be found. Although the allegations may or may not be valid, without a preponderance of the evidence the allegations are deemed unsubstantiated. Copy of this report, LIC Confidential Names and LIC Appeal Rights left at the agency at conclusion of inspection UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: ELITE FAMILY SYSTEMS, INC.- LESLIE HOMEFACILITY NUMBER: 507003893

met_with: Erick Nunez and Jennifer Duarte


raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to Elite Family Systems Leslie Home and met with Jennifer Duarte to deliver findings of investigation. CS conducted investigation that included review of documentation and confidential interviews. Based on information obtained a preponderance of the evidence was found that staff handled minors in rough manner during restraints. Allegation is substantiated. This facility is being cited for violation of Interim Licensing Standards for STRTP Version 5 section 87095.01(a)(4) Emergency Interventions Prohibition. Copy of this report, ILS citation, LIC Confidential Names and LIC Appeal Rights left at the facility at conclusion of inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: ELITE FAMILY SYSTEMS, INC.- LESLIE HOMEFACILITY NUMBER: 507003893


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Danny Macias conducted an unannounced visit to the Short Term Residential Therapeutic Program (STRTP) in order to deliver the findings of the above allegation and met with Intake Specialist Lucero Villicana-Tellez. On December 2, 2024, the above allegation was referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, confidential interviews, and review of records. Based on the investigation conducted, the department found that there was conflicting information regarding this issue. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation occurred. Therefore, the allegation is Unsubstantiated at this time. An exit interview was conducted and a copy of this report and appeal rights was left with Lucero Villicana-Tellez at the conclusion. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Danny Macias LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Lucero Villicana-Tellez


raw_content:
Investigation Findings:
13On May 22, 2025, Licensing Program Analyst (LPA) Danny Macias conducted an unannounced visit to the Short Term Residential Therapeutic Program (STRTP) in order to deliver the findings of the above allegation and met with Program Director (PD) Jennifer Duarte. On April 3, 2025, the above allegation was referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, confidential interviews, and review of records. Based on the investigation conducted, the department found that there was conflicting information regarding this issue. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation occurred. Therefore, the allegation is USUBSTANTIATED at this time. An exit interview was conducted and a copy of this report and appeal rights was left with Jennifer Duarte at the conclusion. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Danny Macias LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13On September 4, 2025, Licensing Program Analyst (LPA) Danny Macias conducted an unannounced visit to the Short Term Residential Therapeutic Program (STRTP) in order to deliver the findings of the above allegations and met with Facility Administrator (AD) Alvaro Juarez. On July 2, 2025, the above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, confidential interviews, and review of records. Based on the investigation conducted, the department found that there was conflicting information regarding these allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are USUBSTANTIATED at this time. An exit interview was conducted and a copy of this report and appeal rights was left with Alvaro Juarez at the conclusion. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Danny Macias LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On September 9, 2025, Licensing Program Analyst (LPA) Danny Macias conducted a complaint inspection at the STRTP and met with Chief Operations Officer (COO) Bill Sneed. The purpose of the inspection was to deliver the findings of the above complaint allegation. LPA conducted an investigation that included review of documentation and confidential interviews. Based on the information obtained, a preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. This facility is being cited for violation of Code of Regulations (CCR), Title 22, Division 6, Chapter 1, Article 06, 80061(b) Reporting Requirements on the attached LIC809-D. In addition, the facility is being issued a civil penalty for repeat violation. An exit interview was conducted and a copy of this report, deficiency citation and appeal rights was left with Bill Sneed at the conclusion. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Danny Macias LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: ELITE FAMILY SYSTEMS, INC.- LESLIE HOMEFACILITY NUMBER: 507003893

complaint_status: SUBSTANTIATED


summary: Facility Evaluation

raw_content:
Narrative:
Complaint Specialist C.K. Kinney(CS) traveled to Elite Family Systems offices to conduct an annual inspection of this facility. CS met with Bill Sneed to conduct the inspection. CS conducted entrance interview, reviewed 6 client and 3 staff files. All required documents are in all of the clients files. CS also traveled to Leslie Home to conduct inspection of the facility. The home is licensed to serve six clients. Currently in placement are six clients. CS toured the facility and observed it to be clean, safe, sanitary and in good repair. CS observed the facility license, the menu, client's personal rights, and other forms posted on the walls throughout the facility. The facility was free of pests. CS interviewed 4 clients and three staff. There is a pool on the property, properly fenced and secured. There are no weapons at the facility. No deficiencies were cited during this inspection. Exit interview conducted and a copy of the report was left at the facility.

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Joel Segura conducted an announced inspection to the facility for the purpose of conducting a psychotropic medication inspection. LPA Segura met with Administrator Jaime Puga and both toured the facility inside and out. The STRTP is licensed to serve six clients, ages 7 - 17 years old and non-minor dependents. Currently in placement are five clients. All of whom are taking psychotropic medication; LPA only reviewed files for four clients as one has been placed less than 30 days. At approximately 9:45am LPA Segura began to review four client files. The administrator Jaime Puga assisted LPA Segura with reviewing the files. In the course of reviewing client files LPA Segura noted that the facility is not including services the child is receiving from the facility such as group therapy, this was found to be the case for all four clients. The facility however, is noting when children attend outside mental health services in the client file. See advisory note. At approximately 11:30am LPA Segura and Administrator Puga conducted a medication count and found it to be in compliance. LPA counted medication based on the centrally stored log start dates. The facility receives bubble packs from the pharmacy which made observing and count of the pills easier. Continued on 809C Interviews were conducted with two staff, facility managers S2 and S3 and administrator Puga (Staff 2, 3, see confidential Names list, LIC 811 dated 09/29/21; includes names for four children subject to this review). Interviews with S2 and S3 occurred at approximately 12:30pm and interview with C2 occurred at approximately 1pm; Interviews with C1, C3, and C4 ocurred at approximatley 2:45pm. There were no deficiencies noted at today's evaluation. Exit interview conducted and a copy of the report was left with Jaime Puga.

met_with: Jaime Puga


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Michelle P. Kyane conducted a case management inspection on 05/26/2022 based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 7 out of Direct Care Staff and 2 out of 4 youth files were reviewed. 3 out of Direct Care Staff and 2 out of 4 youth were interviewed. (See the Confidential Names List, LIC 811, 05/26/2022). The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, youth case plans, quarterly assessments, and crisis intervention plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Kyane observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Alvaro Juarez, Facility Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On June 7, 2022, Licensing Program Analyst (LPA) Jessica Rodriguez arrived at the Short Term Residential Facility (STRTP) to conduct an interview. LPA was able to conduct an interview with Client 1 (See attached confidential names 811). LPA was unable to leave a report due to technical difficulties. Report generated and emailed to Facility Manager, Lucero Villacana-Tellez for signature.


summary: Facility Evaluation

raw_content:
Narrative:
On 11/09/2022, Licensing Program Analyst (LPA) Vanessa Galvan traveled to Elite Leslie Home in Ceres, CA to conduct an announced SB Psychotropic Medication Inspection at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Galvan met with Administrator Alvaro Juarez. At 9: AM LPA inspected the facility inside and out. LPA observed the following during the inspection. All medication, knives, and disinfectants locked. All medications are stored in a lock container inside a locked cabinet. All required documentation is posted and accessible for both staff and client to review. The facility is clean and in good sanitary conditions. Each client is provided a bed, linens, and storage space in their bedrooms. The facility has three days of perishables and seven days of non-perishable. The facility's refrigerator, freezer, and water temperature are all at a safe temperature range. The front and back outdoor areas are free from dangers and hazards. At 10: AM LPA reviewed two client files on site at the facility. At 11: AM LPA reviewed two client medications, medication records, and PMARs. At 12: PM LPA reviewed one Administrator and one staff file on site at the facility. At 1: PM LPA interviewed two staff on site to discuss the facility's psychotropic medication management, policies and procedures of operation. At 1: PM LPA interviewed two clients currently prescribed psychotropic medication and ward of the courts. Continued on Page 2... Continued from Page 1... LPA conducted exit interview with Administrator Alvaro Juarez at 2: PM. No deficiencies were observed and cited on today's visit. A copy of this report was left with Alvaro Juarez at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On 12/19/22, Licensing Program Analysts (LPA) Daiquiri Boyd and Briana Placencia conducted an unannounced annual inspection following a pre-visit Covid Assessment. Met at the facility by Facility Administrator Alvaro Juarez 1. Facility Grounds were inspected. 2. Outdoor space observed and found to be in good repair. Facility has a swimming pool behind a locked chain link fence. 3. Chemicals were stored in locked closets/cabinets. 4. Locked and centrally stored medications were observed on this date 5. First aid kit complete with appropriate manual was present upon inspection. 6. Adequate storage space observed. 7. Individual beds in good repair observed. 8. The house has 3 bedrooms, single or double occupancy, all located on one single level. Bedrooms are accommodating of all required furnishings. 9. Adequate food storage space observed. 2 days of perishable foods and 7 days of non-perishable foods observed 10. Weekly menu observed 11. Dining room observed. Table and seating provided for all clients.. 12. Facility has two full restrooms, both for client use. Water temperature was within the regulatory range. 13. Licensee has a vehicle for use at the facility. insurance and registration are both current. Client files- 4 out of 6 were reviewed. All 6 clients were interviewed. Annual Inspection to be continued at a later date. No citations issued at this time.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 12/20/22, Licensing Program Analysts (LPA) Daiquiri Boyd and Briana Placencia conducted a continuation of the annual inspection following a pre-visit Covid Assessment. Met by Lucero Villicia-Telez, Administrator Alvaro Juarez was ill and not at work on this day. LPAs completed the client file review and completed one staff interview. Client files were found to be in order. Citations and Technical Advisories were issued on today's visit. A copy of this report was left at the facility. LPAs will complete this inspection at the Elite Agency office to complete the staff file inspection.

Deficiencies:
87095.61(f): Documentation and Reporting Requirements

(f) The licensee must maintain a monthly log of each use of manual restraints. The log must include

met_with: Lucero Villicia-Telez


summary: Facility Evaluation

raw_content:
Narrative:
On 12/20/22, Licensing Program Analysts (LPA) Daiquiri Boyd and Briana Placencia visited the main office of Elite Family Services for the purpose of reviewing staff files. LPAs were met by Tammy Scoffield. LPAs reviewed five staff files. Technical Violation and Advisories were issued on this date.

met_with: Tammy Scoffield


summary: Facility Evaluation

raw_content:
Narrative:
On July 11, 2023, Licensing Program Analyst (LPA) Daiquiri Boyd made an unannounced visit to the Short Term Residential Therapeutic Program (STRTP) Leslie Home for the purpose of an Annual Inspection. LPA was met on this day by Administrator Alvaro Juarez. LPA toured the facility inside and out. LPA observed water temperature to be within regulation at 117 degrees Fahrenheit. The facility is maintained at a comfortable temperature of 75 degrees Fahrenheit. All trash cans are covered. Centrally stored medications are maintained in a locked box within a locked cabinet. There is a dedicated refrigerator that would store medication if needed, locked in the office. Toxic chemicals are kept locked. Fire extinguisher is properly charged and was last serviced June 13, 2023. Individual beds were observed with appropriate clean linens and are in good repair. Closet space for hanging clothes was adequate and drawers were provided There is at least one week supply of nonperishable and a two day supply of perishable foods. Facility has cameras in common areas of the facility. No firearms or weapons are allowed in the facility. Swimming pool is located in the back yard and is secured with a chain link fence and a locking gate as per regulation. Life saving devices are located at the pool entrance. LPA will complete this inspection at a later time. No deficiencies were cited on this day. A copy of this report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On July 12, 2023, Licensing Program Analyst (LPA) Daiquiri Boyd made an unannounced visit to the Short Term Residential Therapeutic Program (STRTP) Elite Leslie Home for the purpose of continuing the Annual inspection. LPA was met by Administrator Alvaro Juarez. LPA reviewed client medications and medication binders for four clients. No deficiencies found. LPA reviewed client binders for four clients, will continue tomorrow. LPA No deficiencies cited on this day. A copy of this report was left at the STRTP.


summary: Facility Evaluation

raw_content:
Narrative:
On July 13, 2023, Licensing Program Analyst (LPA) Daiquiri Boyd made an unannounced visit to the Short Term Residential Therapeutic Program (STRTP) Elite Leslie Home for the purpose of continuing the Annual inspection. LPA was met by Administrator Alvaro Juarez. LPA completed looking at client binders. Two clients were found to have JV220's that had expired and a deficiency was cited. LPA tested all smoke alarms and carbon monoxide detectors and all were found to be in working order. Three Staff and three client interviews were conducted.


summary: Facility Evaluation

raw_content:
Narrative:
On July 17, 2023, Licensing Program Analyst (LPA) Daiquiri Boyd made an unannounced visit to the main office of Elite Family Services for the purpose of continuing the Annual Inspection. LPA was met by office staff Micah Santos. Tammy Scoffield came into the office and provided the staff files and training documentation. LPA reviewed staff files and staff training documentation. No deficiencies cited on this day.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Daiquiri Boyd met with Case Manager, Jennifer Duarte to follow up on a case management for Elite Leslie Home. LPA spoke separately with Administrator Alvaro Juarez. LPA discussed the events that happened with a client in care on 11/1/2023. Client was offered counseling and options and client was refusing any assistance. Staff gave client multiple options for reporting any issues and client still refused. Allegations that client was making, staff found to be unfounded with no observation of events or foundation behind the allegations.


summary: Facility Evaluation - 2 deficiencies

raw_content:
Narrative:
On the above date, Licensing Program Analysts (LPA) Danny Macias, Lisa Slusher and Olivia Medrano travelled to the facility listed above to conduct an Annual Inspection. Met at the facility by staff Alexia Magana with no clients present. Program Director Jennifer Duarte arrived a short time later, Alvaro Juarez arrived at 1:30 pm . The facility is accredited through CARF and their accreditation through Jan 31. 2025 1. Facility Grounds are well kept with adequate activity space and supplies. 2. Adequate indoor activity space and items observed. 3. Cleaning solutions stored in locked cabinets. 4. Locked and centrally stored medications observed. Licensee has made provisions for contraceptives to be held in individually locked containers by clients. Observed medication logs and discussed procedures for psychotropic medications. 5. First aid kit complete with appropriate manual observed. 6. Adequate storage space observed. 7. Individual beds in good repair observed. 8. The house has 3 bedrooms, double occupancy all located on one single level. Bedrooms are accommodating of all required furnishings. 9. Adequate food storage space observed. Supply of two days of perishable foods and a week of nonperishable foods observed upon inspection. 10. Weekly menu posted and accessible to clients. 11. Dining room equipped with large table and chairs accommodating of all clients. 12. Facility has two full restrooms in the house for client use, both are operable 13. Facility has no animals or firearms personnel files reviewed, 3 client records reviewed. LPA requests the following updated forms/items: LIC 308, Designation of facility responsibility; LIC 309, Administrative Organization; LIC 400, Affadavit regarding client cash resources; LIC 500, personnel report; LIC 610, Emergency Disaster plan; LIC 9020, client roster; current lease agreement/control of property**. Verification of Extended Accreditation by 11/22/24. Board meeting minutes for 2024 to be submitted as well.

Deficiencies:
87068.3(a): Modifications to The Needs And Services Plan

(a) The needs and services plan as described Sections 87068.2 and 87068.22, shall be updated at least every 30 days to determine the following
87088(b): Fixtures, Furniture, Equipment, and Supplies

(b) As a condition of licensure, toilets, wash basin, bath and shower fixtures shall, at a minimum, meet the following requirements

met_with: Alexia Magana,Jennifer Duarte, Alvaro Juarez


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Reyna Martinez and Briana Placencia on December 4, 2024, at 11: A.M. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Alvaro Juarez, Administrator and inspected the facility inside and out. LPAs reviewed 2 child's records and 2 staff personnel files on site at the facility. LPAs reviewed 2 child's psychotropic medications and medication records. LPAs interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPAs interviewed no children currently psychotropic medication as they were in school at this time. LPAs will attempt interview with children at a later time. LPAs provided a copy of the licensing report to Administrator, Alvaro Juarez. No deficiencies are being cited at this time. LPAs conducted exit interview with Alvaro Juarez, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Danny Macias (LPA) traveled to Elite Leslie STRTP and met with Program Director Jennifer Duarte to conduct Case Management Inspections related to incident report dated 12/20/24 (incident log 0001351-FN). LPA conducted confidential interviews and reviewed documentation. Due to insufficient information available at this time, incident needs further investigation. A copy of this report and Confidential Names were left at facility at the end of investigation.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced annual inspection was conducted by Licensing Program Analyst (LPA) Reyna Martinez. LPA met with Jennifer Duarte, Program Director and inspected the facility, inside and out. LPA provided the Program Director the entrance checklist and requested the necessary documents. Licensee's CARF Accreditation is valid until October 31, 2027 and the MHPA was is approved until April 30, 2028. There are no firearms or weapons are allowed in the facility. Swimming pool is located in the back yard and is secured with a chain link fence and a locking gate as per regulation. Life saving devices are located at the pool entrance. A physical plant was inspected and included the following checks: There is adequate indoor and outdoor activity space observed. The facility is maintained at 74 degrees and the water temperature was at 117 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced on June 1, 2025. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed with clean linens, and are in good repair. LPAs reviewed Board meeting minutes dated May 13, 2025. LPA discussed with Program Director the requirements for the biannual review of the EIP that will be submitted to the department for review. Appropriate staff/client ratios were verified during this inspection. The facility employs 1 administrator, 9 facility manager's, 1 case manager, 1 clinician/social worker, and 1 mental health rehabilitation specialist. 5 staff files were reviewed and meet all regulatory requirements. 2 staff were available to be interviewed. 5 records of clients were reviewed. 2 clients were available for interview, 3 clients declined to be interview. No Deficiencies were cited on today's visit. A copy of this report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On August 12, 2025, a Non-compliance conference was held at the Fresno Children's Residential Program, Fresno Office. Present with Community Care Licensing are Regional Manager Nelson Martinez, Licensing Program Manager Tamara Melikian, Licensing Program Manager Lourey Bartolome and Licensing Program Analyst Danny Macias. Present with Elite Family Services is Chief Operations Officer (COO) Bill Sneed and Program Director (PD) Jennifer Duarte. The purpose of the conference is to address deficiencies assessed at the facility and a plan for compliance. Facility will be training STRTP staff on incident reporting and implementing a process to submit incident reports in a timely manner. In addition, the services of the Technical Support Program and Systems of Care were offered and the licensee is interested in these support systems. A copy of this report was left with COO Bill Sneed.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Reyna Martinez on October 20, 2025, at 11: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA met with Alvaro Juarez, Administrator and inspected the facility inside and out. LPA reviewed 2 child's records and 2 staff personnel files on site at the facility. LPA reviewed 2 child's psychotropic medications and medication records. LPA interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 0 child currently on psychotropic medication, as children are in school. LPA will attempt to interview children at a later time. LPA provided a copy of the licensing report to Alvaro Juarez, Administrator. No deficiencies are being cited at this time. LPA conducted exit interview with Alvaro Juarez, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Danny Macias (LPA) traveled to Elite Leslie STRTP and met with Program Director (PD) Jennifer Duarte to conduct a quarterly non-compliance inspection. Training The STRTP has provided training to all staff on personal rights, documentation and reporting requirements, emergency intervention plan, responsibility for care and supervision, and trauma informed care on a monthly basis. Documentation of training was provided to LPA and is also kept in the staff files. Reporting Requirements The STRTP has ensured all law enforcement contacts are submitted to Community Care Licensing (CCL) on LIC624LE, or an equivalent form with all required information. Administration The STRTP has developed an internal process for Incident Reporting. Hiring Practices LPA reviewed 2 staff files and personnel meets regulatory qualifications without exceptions and are receiving training that complies with regulations prior to being left alone with clients. continued... LPA conducted a physical plant inspection of the facility. The facility met all regulatory requirements. LPA observed facility to be clean, safe, sanitary and in good repair. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed and are in good repair. Facility vehicle keys are properly stored and locked, inaccessible to clients. A review of the Licensing Information System on this date indicates that all facility staff are associated to the STRTP and had DOJ, FBI, and child abuse index check clearances. The STRTP is being issued a Technical Violation under Title 22, Division 6, Chapter 1, Article 06, 80061(b) Reporting Requirements. An exit interview was conducted and a copy of this report was left with Jennifer Duarte at the conclusion.


summary: Facility Evaluation


summary: Facility Evaluation

raw_content:
Narrative:
On July 2, 2025, Licensing Program Analysts (LPAs) Danny Macias and Briana Placencia conducted an unannounced case management inspection at the above facility. LPAs met with Chief Operations Officer (COO) Bill Sneed. Based on record review, the facility failed to provide incident reports within the allotted time frame to Community Care Licensing. The Department determined this to be an immediate risk to the health and safety of clients in care at this time, therefore the STRTP is being issued a deficiency under Code of Regulations (CCR), Title 22, 80061(b) Reporting Requirements on the attached LIC809-D. An exit interview was conducted, and a copy of the report and appeal rights were left with Bill Sneed at the conclusion.


summary: Facility Evaluation

raw_content:
Narrative:
On 01/26/ Licensing Program Analyst (LPA) Daiquiri Boyd made an unannounced visit to the Short Term Residential Therapeutic Program (STRTP) Elite Leslie Home. During the visit LPA inspected the facility. LPA found there to be frozen meat in an unlabeled container in the freezer. LPA found dented and/or damaged cans in the pantry. Citation was issued on this date.


summary: Facility Evaluation

raw_content:
Narrative:
On May 2, Licensing Program Analyst (LPA) Daiquiri Boyd made an unannounced visit to the Short Term Residential Therapeutic Program (STRTP) Elite Leslie Home. LPA met with Alvaro Juarez. LPA reviewed client files. As a result of the file review, it was found that in four out of four client files reviewed, there were no signatures from client or placing county or authorized representatives on the Needs and Service Plan. See LIC 811 for confidential names list. Type B citation was issued on this day. Copy of this report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On June 26, 2024, Licensing Program Analyst (LPA) Daiquiri Boyd visited the Short Term Residential Therapeutic Program (STRTP) Elite Family Systems Leslie Home for the purpose of a Case Management, discussing incident reports that had been submitted for the facility. LPA discussed restraints and procedures for talking to clients when they may be escalating and attempting to runaway. LPA discussed the procedure for writing incident reports and ensuring that all staff that observe an incident should be listed on the incident report as well. LPA also discussed missed medications and the procedures for daily medication dispensing. Procedures were discussed with Administrator Alavaro Juarez and Assistant Program Director Jennifer Duarte. An exit interview was conducted and a copy of the report was provided. Citation was issued on this day.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Danny Macias (LPA) traveled to Elite Leslie STRTP and met with Program Director (PD) Jennifer Duarte to conduct a quarterly non-compliance inspection. Training The STRTP has provided training to all staff on personal rights, documentation and reporting requirements, emergency intervention plan, responsibility for care and supervision, and trauma informed care on a monthly basis. Documentation of training was provided to LPA and is also kept in the staff files. Reporting Requirements The STRTP has ensured all law enforcement contacts are submitted to Community Care Licensing (CCL) on LIC624LE, or an equivalent form with all required information. Administration The STRTP continues to develop and update their internal process for Incident Reporting. Hiring Practices LPA reviewed 2 staff files and personnel meets regulatory qualifications without exceptions and are receiving training that complies with regulations prior to being left alone with clients. continued... LPA conducted a physical plant inspection of the facility. The facility met all regulatory requirements. LPA observed facility to be clean, safe, sanitary and in good repair. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed and are in good repair. Facility vehicle keys are properly stored and locked, inaccessible to clients. A review of the Licensing Information System on this date indicates that all facility staff are associated to the STRTP and had DOJ, FBI, and child abuse index check clearances. An exit interview was conducted and a copy of this report was left with Jennifer Duarte at the conclusion.


summary: Facility Evaluation

raw_content:
Narrative:
On February 26, 2026, Licensing Program Analyst (LPA) Danny Macias traveled to Elite Family Systems Short Term Residential Therapeutic Program (STRTP) main office to conduct an unannounced inspection and met with Program Director Jennifer Duarte. The purpose of the inspection was to discuss Admission Determination Procedures with the STRTP. (see 812) An exit interview was conducted and a copy of this report was left with Jennifer Duarte.


raw_content:
Investigation Findings:
13On February 26, 2026, Licensing Program Analyst (LPA) Danny Macias traveled to Elite Family Systems Short Term Residential Therapeutic Program (STRTP) main office to conduct an unannounced inspection and met with Program Director Jennifer Duarte. The purpose of the inspection was to deliver findings for the above complaint allegation. During the investigation, LPA conducted confidential interviews, records review and reviewed supporting documents provided by the facility. Based on confidential interviews and records reviewed, the department has made the following determination. 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. No deficiencies or citations issued. A review of the Licensing Information System on this date indicates that all facility staff are associated to the STRTP and had DOJ, FBI, and child abuse index check clearances. An exit interview was conducted and a copy of this report was left with Jennifer Duarte. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Danny Macias LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


facility_name: ELYSIAN

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

met_with: Senior Human Services Care Counselor Julia Barboza


investigation_findings: UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:


met_with: Administrator Aimee Salazar


raw_content:
Investigation Findings:
13On 12/27/2023 at 12: PM Licensing Program Analysts (LPA),Celeste Aparicio,made an unannounced inspection to the facility for the purpose of delivering findings from a complaint investigation. LPA met with Senior Human Services Care Counselor, Julia Barboza, to informed them on the purpose of this visit. Although the allegation may have happened or is valid, based on LPA's observations and interviews, there is not a preponderance of the evidence to prove the alleged violation did or did not occur. Therefore, the allegation is unsubstantiated. An exit interview was conducted, appeal rights were provided, and a copy of this report was provided to the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lidia Tinoco LICENSING EVALUATOR NAME: Celeste Aparicio LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

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

met_with: Julia Barboza


raw_content:
Investigation Findings:
13On 01/10/24 at 04:34PM Licensing Program Analysts (LPA's) Celeste Aparicio made an unannounced inspection to the facility for the purpose of delivering findings from a complaint investigation. LPA met with Administrator, Aimee Salazar and informed them on the purpose of this visit. Although the allegation may have happened or is valid, based on LPA's observations and interviews, there is not a preponderance of the evidence to prove the alleged violation did or did not occur. Therefore, the allegation is unsubstantiated. An exit interview was conducted and a copy of this report was provided to the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lidia Tinoco LICENSING EVALUATOR NAME: Celeste Aparicio LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Aimee Salazar


raw_content:
Investigation Findings:
13On 03/05/2024 at 12:10PM, Licensing Program Analysts (LPA's) Celeste Aparicio and Jasmine Cardeno made an unannounced inspection to the facility for the purpose of delivering findings from a complaint investigation. LPA's met with Administrator, Aimee Salazar and informed her on the purpose of this inspection. Although the allegations may have happened or are valid, based on LPA's observations, interviews, and records review there is not a preponderance of the evidence to prove the alleged violations did or did not occur. Therefore, the allegationa are unsubstantiated. Exit interview was conducted and a copy of this report was printed and left with Administrator Aimee Salazar, whose signature on this form confirms receipt of these documents. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Celeste Aparicio LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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


summary: Facility Evaluation

raw_content:
Narrative:
On Tuesday October 26, 2021 at 8: AM Licensing Program Analysts (LPA) Isabel Mendoza made an unannounced inspection to conduct an annual required inspection. LPA met with Administrator Saila Martinez. The facility has a census of three clients. Two clients were at school, and one client 51/50. At 08: AM LPA Mendoza conducted a walk thru. The facility is clean, safe and sanitary and in good repair. All passageways are unobstructed. There are no pools or bodies of water. All disinfectants, cleaning solutions and poisons are locked. Per Administrator there are no firearms in the facility. The inspected bedrooms were furnished accordingly. The kitchen is clean and sanitary. Menus are posted in the kitchen area. The facility has sufficient two day perishable and seven day nonperishable food supply. The facility has Personal Rights, Foster Youth Rights, and Emergency Disaster Plans posted and in clear view. At 09: AM LPA Mendoza inspected the medication binder. Currently one client is on psychotropic medication. The facility has all required documents and medications are kept locked in the staff office. At AM, LPA Mendoza reviewed all three client files, and all files were complete. At 10: AM LPA Mendoza reviewed 10 staff files at the facility and staff training. All staff files had everything in personnel file, except TB test results. [ Please Cont. To Lic 809-c.] All TB test results are located at the San Mateo County Building, located at ( Davis Drive, Belmont, CA). After staff file and training review LPA Mendoza went to county office to review TB test results. All TB test were complete and on file. LPA interviewed two staff members. All staff training hours meet the minimum requirements. During inspection, LPA obtained a copy of LIC 500, LIC 610. No deficiencies were cited during todays inspection. An exit interview was conducted and a copy of this report was left with the Administrator.

met_with: Administrator- Saila Martinez


summary: Facility Evaluation

raw_content:
Narrative:
On Wednesday, March 09, 2022, at 9: AM, Licensing Program Analyst (LPA) Isabel Mendoza made a case management visit to the facility regarding Special Incident Report (SIR) that was submitted to Community Care Licensing on March 2, 2022, regarding staff member refusing a client a snack. LPA Mendoza met with Administrator, Saila Martinez and Senior Human Services Care Counselor, Aimee Salazar-Nunez. The purpose of today's inspection was to gather additional information and interview the Administrator, staff members, and (C1). The SIR dated (02/25/22) stated that Client #1 (C1) (see Confidential Names form (LIC 811), dated March 09, 2022}) asked for a bag of chips from (S1). (S1) refused to give (C1) a bag of chips because (C1) had a bag 30 minutes prior and had breakfast. Which then resulted in (C1) becoming escalated. During inspection, LPA obtained a copy of the facilities food menu, and inspected the facility kitchen. The facility has snacks available at all time. LPA interviewed staff members, and (C1). Also, observed (C1's) destructive behavior of self inflicting. LPA also obtained copies of (C1's) Needs and Service Plan, Safety Plan, Mental Health Review, (C1) behavior plan, Staff shift notes from 2/25-3/8/22. Based on interviews and documentation, (C1) is particular about his food and its presentation. In addition, would prefer to eat unhealthy food and chips for all meals of the day. The facility developed a plan for (C1) to have spicy chips three times a day after eating each meal. However, on multiple occasions (C1) has refused to eat and would exhibit destructive behavior and become escalated. The facility has been working very closely with (C1's) authorized rep and clinical treatment team. In addition, has weekly meetings with all parties regarding (C1)'s behaviors and needs. No deficiencies cited during todays inspection. An exit interview was conducted and a copy of the report was left with the Administrator.

met_with: Saila Martinez- Administrator, Senior Human Services Care Counselor, Aimee Salazar-Nunez


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Alyssa Ng on 6/7/2022 at 10:30AM. During the inspection, LPA Ng met with Aimee Salazar, Administrator and inspected the facility inside and out. LPA reviewed 1 of child's records on site at the facility at 11: AM. LPA reviewed 3 of staff personnel files on site at the facility at 11: AM. LPA reviewed 1 of child's psychotropic medications and medication records at 12: PM. LPA interviewed 2 of staff on site at 12: PM. LPA interviewed 0 of children currently taking psychotropic medication at 11: AM. There is one client in care and they are currently in summer school. LPA conducted exit interview with Aimee Salazar, Administrator at 12: PM. LPA provided the Summary Report to Aimee Salazar, Administrator upon completion. No deficiencies are being cited at this time. LPA conducted exit interview with Aimee Salazar, Administrator at 1: PM.


summary: Facility Evaluation

raw_content:
Narrative:
On 4/7/2023 at 10:20AM, Licensing Program Analyst (LPA) Selena Hood conducted an announced visit to the licensed facility. The purpose of this visit was to conduct the SB Psychotropic Medications Inspection. LPA met with Aimee Salazar, Administrator, and Julia Barboza, Senior Human Services Care Counselor, who assisted with a tour of the facility. LPA observed the facility to have six bedrooms. The facility was sufficiently stocked with fresh and frozen foods. The facility was observed to be clean, tidy, and in good repair. LPA was shown the locked medication storage cabinet. The facility currently has a census of four clients. All four clients are currently prescribed psychotropic medications, one client is over 18 years old. At the time of the inspection, there were three staff members and one client present. LPA reviewed five staff files. LPA reviewed three client files. LPA reviewed the centrally stored medications binder. LPA interviewed two staff members. LPA interviewed one client. LPA conducted a pill count with Aimee Salazar and Julia Barboza. No deficiencies were cited at this time. This inspection is not complete as LPA needs to interview three other clients. LPA conducted an exit interview with Aimee Salazar, Administrator at 2:45PM whose signature confirms the receipt of this document.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date Licensing Program Analyst (LPA), Celeste Aparicio made an unannounced visit to the facility and met with Administrator Aimee Salazar. During a walk through of the facility on 12/01/23, LPA noticed the facility had no posted schedule of planned activities in a central location accessible to children, relatives, and representatives of placement. On 01/03/ LPA issued a Technical Assistance for Planned Activities 87079(e). LPA and Administrator discussed calendar activities throughout the week and trauma informed care. Administrator stated she will meet with the team next week to discuss these topics. A copy of this report was provided at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On 04/03/24 at 11:15AM, Licensing Program Analyst (LPA) Celeste Aparicio made an unannounced visit to the facility for the purpose of conducting a case management to follow up on an incident report that was received by the Department. LPA met with Administrator Aimee Salazar who helped facilitate the inspection and was informed on the purpose of this visit. LPA conducted an interview with the Administrator, a walk through of the facility, requested documentation, and attempted to interview youth regarding the incident. No citations were issued during this visit. An exit interview was conducted, and a copy of this report was provided to Administrator Aimee Salazar, whose signature on this form confirms receipt.


summary: Facility Evaluation

raw_content:
Narrative:
On 05/24/24 at 11: AM Licensing Program Analyst (LPA) made an unannounced inspection to the facility for the purpose of conducting a case management visit to follow up on an incident report received by the Department for an incident that occurred on 04/17/24. Upon reviewing the incident report and conducting confidential interviews, Licensing Program Analyst (LPA) Celeste Aparicio observed that staff violated a resident's personal rights by locking a youth in a room of the facility. LPA determined that the facility acted appropriately in referring the involved staff to the Employee Assistance Program and having a discussion with the staff about the concerns around their actions. During the review LPA identified an area in which a technical assistance advisory may be beneficial regarding personal rights for clients in care. See LIC 9102 dated 05/09/24. An exit interview was conducted, and a copy of this report was left with Administrator Aimee Salazar, whose signature on this form confirms receipt.


summary: Facility Evaluation

raw_content:
Narrative:
On 5/30/24, Licensing Program Analyst (LPA) Mariah Hawkins conducted a required 2-year inspection. LPA met with Administrator Aimee Salazar-Nunez and Senior Human Services Care Counselor Julia Barboza and informed of the purpose of the visit. The CARE Inspection Tool was used to complete this inspection. There are no children in care, and no children have been in care in the past 30 days. LPA toured the facility site and grounds and reviewed 5 personnel files, including files for management staff, daytime care staff, and overnight care staff. LPA observed the facility site and grounds to be in safe condition, and dangerous items were observed to be inaccessible to residents. All files were observed to be complete with all staff having met training requirements from 2023 to 2024. LPA obtained a current LIC 500 and observed all staff listed to be on the Guardian background clearance roster. However, four staff members were observed to not have a LIC 508 uploaded to the Guardian site but did have a LIC 508 in the personnel files. LPA discussed with Administrator and demonstrated where to locate the current version of the LIC 508 and LIC 508D forms on the licensing website, how to upload the form to the Guardian site, and how to check for eligibility status on the Guardian roster. See LIC 9102. No deficiency citations were issued at today's visit. An exit interview was conducted, appeal rights were discussed, and a copy of this report was left with Administrator.

met_with: Administrator Aimee Salazar-Nunez; Senior Human Services Care Counselor Julia Barboza


summary: Facility Evaluation

raw_content:
Narrative:
On 6/14/24, Licensing Program Analyst (LPA) Mariah Hawkins conducted a case management to continue the 2-year inspection initiated on 5/30/24. LPA met with Administrator Aimee Salazar-Nunez and informed of the purpose of the visit. There are no residents in care. LPA obtained phone number(s) for staff and conducted interviews prior to today's visit. LPA discussed the upcoming due date for the next emergency intervention biannual review and confirmed the Department's receipt of the facility's last biannual review in February. No deficiencies were observed. An exit interview was conducted, appeal rights were discussed, and a copy of this report was left with Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 5/1/25, Licensing Program Analyst (LPA) Mariah Hawkins conducted a case management visit to the facility. LPA met with Administrator Aimee Salazar Nunez and informed of the purpose of the visit. The purpose of the visit was to follow-up on a submitted incident report (IR). Per the IR, a client in care disclosed a personal rights violation involving another client in care. LPA discussed the IR and attachments submitted to LPA with Administrator. LPA informed Administrator that the licensing agency's investigation into the matter would be conducted fully or in part by the agency's Investigations Bureau (IB) and that another investigator may be contacting the facility. LPA obtained copies of relevant documents at visit. Further investigation is needed in order to resolve this matter. An exit interview was conducted, and a copy of this report and licensee's rights were provided to Administrator.

met_with: Administrator Aimee Salazar-Nunez


summary: Facility Evaluation

raw_content:
Narrative:
On 10/22/25, Licensing Program Analyst (LPA) Mariah Hawkins conducted a case management visit at the facility. LPA arrived at 3:45PM and met with Administrator Aimee Salazar. LPA identified self and explained the purpose of the visit. Purpose The purpose of the visit was to follow-up on an incident report (IR) submitted in April 2025. An initial visit regarding this IR was conducted on 5/1/25. Per the IR, staff received a report from a confidential party wherein an allegation was made that a client assaulted another client. The confidential details in the IR were discussed with Administrator at today's visit. Findings The allegation was investigated by the Community Care Licensing Division's Investigations Branch (IB) and reviewed by LPA. The investigation found that statements were inconsistent and conflicted with other statements and records. Although the allegation may have happened or is valid, based on confidential interviews, observations, and record review, there is not a preponderance of the evidence to prove the alleged violation did or did not occur. Therefore, the allegation is unsubstantiated. Conclusion No deficiencies or violations were observed. No citations or advisories were issued at today's visit. An exit interview was conducted, and a copy of this report and the licensee's appeal rights were provided to Administrator, whose signature on this form confirms receipt.


summary: Facility Evaluation

raw_content:
Narrative:
On January 26th, 2026, at 12: PM, Licensing Program Analyst (LPA) Cole Oliver conducted an unannounced case management visit to the facility. The purpose of this visit was to follow up on an incident report received by the Department. LPA met with Administrator,Aimee Salazar who assisted with the visit. A physical plant of the facility was conducted. During the visit, there was four (4) staff members and two (2) client present at the facility. During the visit, LPA interviewed one (1) client and two (2) staff members. LPA Oliver requested the following documentation via email: - LIC500 - Four (4) staff training files Files will be emailed to LPA Oliver before 5: PM on 01/26/2026. No deficiencies were observed or cited at this time. Addition details (Refer to LIC812) An exit interview was conducted, and a copy of this report was provided to Administrator, Aimee Salazar, whose signature confirms receipt.

met_with: Administrator, Aimee Salazar


summary: Facility Evaluation

raw_content:
Narrative:
On Wednesday, March 4th 2026, Licensing Program Analyst (LPA) Mariah Hawkins visited the facility for a case management inspection as follow-up to a submitted incident report. LPA met with Administrator Aimee Salazar and informed of the purpose of the visit. Per the incident report, a resident made an accusation against a staff member. LPA discussed the incident report with Administrator and gathered school and work schedule details and contact information for the involved parties. LPA conducted six confidential interviews with involved and witness staff and residents. In interview with involved resident(s), the accusation was recanted. Based on confidential interviews, observations, and record review, no deficiencies or violations related to the incident report were found. An exit interview was conducted, and a copy of this report was provided to Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Hanako Primer on April 15th, 2026 at 10:40AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Primer met with Aimee Salazar, Administrator, and inspected the facility inside and out. At the time of the inspection, there were no clients prescribed psychotropic medications placed at the facility. LPA conducted a physical plant inspection of the facility. LPA reviewed five staff personnel files on site at the facility. LPA interviewed two staff on site to discuss the facilities policies and procedures of operation. LPA provided a copy of this licensing report to Aimee Salazar, Administrator. No deficiencies were issued at this time. LPA conducted exit interview with Aimee Salazar, Administrator.

met_with: Aimee Salazar - Administrator


facility_name: EMBOLDEN YOUTH SERVICES - IRIS HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
On July 17, 2025, at 2: PM, Component II of the application process for Embolden Youth Service - Iris House located at W. 95th Street Los Angeles, CA. 90044 was held at the El Segundo Children's Residential Regional Office in El Segundo. Attending Component II were the following individuals: Licensing Program Analyst (LPA), Charmetha White, Applicant, Kendra Bolden. The following incomplete application forms were discussed at the meeting: · Personnel Report (LIC 500) · Guardian Association · Emergency Disaster Plan (LIC 610) · Criminal Clearance Transfer · New Administrator Requirements · STRTP Orientation Certificate · Financial Responsibility Program Statement was reviewed and discussed. Pre-Licensing Inspection will be scheduled for a future date, as applicant is waiting for smoke detectors fully installed. A copy of this report was issued to the Applicant, Kendra Bolden.

met_with: Applicant - Kendra Bolden


summary: Facility Evaluation

raw_content:
Narrative:
On August 7, 2025, Licensing Program Analyst (LPA) C. White arrived at the above location for the purpose of conducting a Pre-Licensing Inspection. LPA was met by Applicant, Kendra Bolden. The facility is requesting to be licensed as a Short-Term Residential Program to provide to provide care and supervision to six (6) female children, ages 13-17 years old, ambulatory only. The facility will also provide services to non-minor dependents. Currently the census is zero (0). The home is set up as follows: This is a single story 3 bedroom, 2 bathroom, home located in a residential area. The home consists of a living room, dining room, kitchen, laundry area, a backyard, and a detached garage. Living room: is equipped two (2) sofas, a lounge chair, two (2)chairs, a coffee table, two (2) end tables with lamps, a mounted flat screen TV, a entry way table equipped with a printer and a small lamp. Dining room: is equipped with a wooden table and six (6) chairs. There is also a small bookshelf that contains board games. Kitchen: is equipped with a refrigerator/freezer, a five (5) burner gas stove (all burners were operational at the time of the inspection), and a microwave. Sharp knives are kept locked in a cabinet located under the kitchen sink. LPA observed a covered trash can, ample plates, cups, and eating utensils. LPA observed ample nonperishable food items in the pantry. The applicant will ensure that three (3) nutritious meals and snacks will be provided to clients in care. Report continued on LIC 809C (Page 1 of 3) Laundry area: is located off of the kitchen. The area has a washer, dryer, locked cabinets, and a door leading to the backyard. This area also contains a hot water heater. (Note: Hot water heater needs to have a secured framed separation). Backyard: Contains a sitting area for private visitation purposes. Detached garage: is equipped with two (2) desks, chairs, a table and multiple seating. This area will be utilized by Facility staff and the Mental Health Team. Bedrooms: A, B, and C: are equipped with two (2) twin beds, drawers, and ample closet space. All bedrooms have a ceiling fan/working light, and security bars. The security bar emergency latches were tested and found to be operational at the time of this inspection. Bathroom #1: is located in the hallway near the back of the home, between bedroom C and bedroom B. The bathroom contains a toilet, sink, and a tub/shower combination. Bathroom #2: is located in the hallway near the front of the home, between bedroom B and bedroom A. The bathroom contains a toilet, sink, and a tub/shower combination. All bathrooms were checked and found to be in working order. Vehicle: Applicant does not currently have a facility vehicle. LPA observed the facility to have two (2) regulation fire extinguishers. The facility has a working telephone. Extra linens are stored in hallway cabinets. The smoke alarm and carbon monoxide detectors were tested and found to be in working order. The First Aid kit was checked and found to be complete with scissors, tweezers, thermometer, gauzes, antiseptics, and First Aid Manual Guide. Disinfectants and cleaning solutions are kept in a locked cabinet in the laundry area. Medications will be kept in a locked cabinet in the staffing office. Medications requiring refrigeration will be kept in a combination lock box in the refrigerator. There are no firearms or dangerous weapons in the facility. There are no bodies of water on the premises. Report continued on LIC 809C (Page 2 of 3) LPA observed the home to be clean, safe, and sanitary. Passageways, stairways, inclines, ramps and open porches are unobstructed. The backyard is fenced in, both were clean and free of debris. Clients and Staff Records will be stored in locked file cabinets located in the staffing office. LPA's informed Applicant, Kendra Bolden, that the following needs to be fixed prior to licensure: 1. Facility Vehicle 2. Thermometer for freezer & fridge 3.) Frame for Hot Water Heater 4.) Completed LIC 610C This concludes the pre licensing inspection. An exit interview was conducted. A copy of this report was emailed to the applicant, Kendra Bolden. (Page 3 of 3)

visit_type: Prelicensing


summary: Facility Evaluation

raw_content:
Narrative:
On September 19, 2025, Licensing Program Analyst (LPA) C. White made an announced visit to Embolden Youth Services - Iris House for the purpose of completing the STRTP Pre-Licensing Inspection. LPA met with Applicant, Kendra Bolden and was granted access to the facility. This facility is requesting to be licensed to provide care and supervision to six (6) female children, ages 13-17 years old, ambulatory only. The facility will also provide services to non-minor dependents. Currently the census is zero (0). The facility is set up as follows: This is a single-story 3 bedroom, 2 bathroom home located in a residential neighborhood. The home has living room, dining room, kitchen, laundry area, backyard, and a detached garage. Living room: Is equipped with two (2) sofas, a lounge chair, a coffee table, two (2) end tables with lamps, a mounted TV, and an entry way table. Dining room: Is equipped with a wooden table with six (6) chairs, and a small bookshelf with board games. Kitchen: Is equipped with an a five (5) burner gas stove (all burners were working at the time of the inspection), refrigerator/freezer, and a microwave. LPA observed a covered trash can, ample plates, cups, and eating utensils. Sharp knives are stored in a locked cabinet located under the kitchen sink. The home has ample nonperishable food items in the pantry. The applicant will ensure that clients in care are provided with three (3) nutritious meals and snacks. Laundry area: located off of the kitchen is equipped with a washer, dryer, locked cabinets, a door leading to the backyard, and an enclosed secured hot water heater. Backyard: Contains a covered sitting area for private visitation purposes. Detached garage: will be used as a staffing office for facility staff and the Mental Health Team, equipped with two (2) desks, chairs, a table and multiple seating. Bedrooms: A, B, and C: are equipped with two (2) twin beds, drawers, and closet space. All bedrooms have a ceiling fan/working light, and security bars. The security bar emergency latches were tested and found to be operational at the time of this inspection. Report continued on LIC 809C (Page 1 of 2) Bathroom #1: is located in the hallway near the back of the home, between bedroom C and bedroom B. The bathroom contains a toilet, sink, and a tub/shower combination. Bathroom #2: is located in the hallway near the front of the home, between bedroom B and bedroom A. The bathroom contains a toilet, sink, and a tub/shower combination. All bathrooms were checked and found to be in working order. Vehicle: The facility has a Dodge Caravan to transport youth to appointments and offsite extra curriculum recreational activities. LPA inspected the vehicle and found the horn, lights, and all seat belts in working order. LPA observed the vehicle to have valid car registration through June 2026 and car insurance with Farmers Insurance. LPA observed the facility to have two (2) regulation fire extinguishers. The facility has a working telephone. Extra linens are stored in hallway cabinets. The smoke alarm and carbon monoxide detectors were tested and found to be in working order. The First Aid kit was checked and found to be complete with scissors, tweezers, thermometer, gauzes, antiseptics, and First Aid Manual Guide. Disinfectants and cleaning solutions are kept in a locked cabinet in the laundry area. Medications will be kept in a locked cabinet in the staffing office. Medications requiring refrigeration will be kept in a combination lock box in the refrigerator. There are no firearms or dangerous weapons in the facility. There are no bodies of water on the premises. LPA observed the facility to be clean, safe, and sanitary. Passageways and porch were unobstructed. The front and back yard were free of debris and hazardous material. LPA observed the electrical shut off valve and the gas shut off valve are located on the left side of the home near Bedroom A, and the water shut off valve is located in the front of the home. The following was discussed with the facility Administrator: Children will be accorded personal rights. Children in care will be supported, encouraged to participate in extracurricular activities. Children in care will be able to contact the licensing agency. Children will be supervised & protected at all times. Children will be accorded dignity in personal relationships with others in the home. Children will not be restricted in telephone use except by court order. The Applicant will provide and ensure three nutritious meals, snacks, and special diets. The Applicant will ensure to have written authorization to obtain medical and dental care. The Applicant will ensure to have personal rights forms in children's files. Applicant acknowledges abuse reporting requirements. Staff working in the facility will have DOJ/FBI criminal record clearances, and Child Abuse Index Checks. Facility will operate within license conditions & limitations including capacity limit. Facility meets posting requirements and emergency telephone numbers are in a prominent location. LPA concluded the Pre license Inspection. An Exit interview was conducted, and a copy of this report was left at the facility with the Applicant. (Page 2 of 2)


summary: Facility Evaluation

raw_content:
Narrative:
On September 24, 2025, at 10: AM, Component III of the application process for Embolden Youth Services - Iris House was held at the El Segundo Children's Residential Regional Office in El Segundo. In attendance for the Component III was the following individuals: Licensing Program Analyst (LPA), C. White and Applicant, Kendra Bolden. Component III Orientation Summary The purpose of the Component III Orientation was to review program-specific regulatory requirements, discuss operational responsibilities, and ensure the applicant and key personnel fully understand the ongoing compliance expectations outlined in the California Code of Regulations, Title 22, and the Interim Licensing Standards for STRTP. The topics discussed included, but were not limited to staff qualifications, client personal rights, incident reporting procedures, documentation requirements, emergency intervention protocols, and the importance of maintaining full regulatory compliance across all operational areas of the facility. The Applicant was advised that Component III is a mandatory requirement in the STRTP licensing process. The applicant demonstrated understanding of the material presented and was reminded to contact the Department with any future questions or concerns. A copy of this report was provided to the Applicant.