facility_name: ASTON REID LLC

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cynthia Robinson and Licensing Program Manager (LPM) Cheraki Davis met with Licensee Angel and Karla Vivas to conduct a meeting to discuss and review the Group Home Program Statement submitted to Community Care Licensing. During the meeting, the following was discussed: Application and Supporting Documents, Plan of Operation, Program Statement, Prudent Parenting, Control of Property, and Administrator Qualifications. After review of the Plan of Operation/ Program Statement LPA Cynthia observed the following: Application and Supporting Documentation (LIC 281E) 1. Application for a Community Care Facility (LIC 200) Meets Standards 2. Orientation Certificate (Reference CCR § 80018(b))- Meets Standards 3. Applicant Information (LIC 215) - Meets Standards 4. Designation of Facility Responsibility (LIC 308) (Reference CCR § 80064) Meets Standards 5. Administrative Organization (LIC 309)- Meets standards 6. Affidavit Regarding Client Cash Resources (LIC 400) (Reference HSC § CCR § 80018)- Meets Standards 7. Estimated Operating Budget (LIC 401) (Reference HSC § 1520(c) CCR § 80018- Meets Standards 8. Supplemental Financial Information (LIC 401A) (Reference HSC § 1520(c) CCR § 80018)- Meets Standards 9. Surety Bond (LIC 402) (Reference CCR § 80018(d))- Does Not Meet Standards Surety Bond form not completed- Missing Surety Bond Company signature with seal/laser 10. Balance Sheet (LIC 403) (Reference HSC § 1520(c), CCR § 80018)- Meets Standards 11. Balance Sheet supplemental Schedule (LIC 403A) (Reference HSC § 1520(c), CCR § 80018)- Meets Standards 12. Financial Information Release and Verification (LIC 404) (Reference HSC § 1520(c), CCR § 80018) Does not Meet Standards. Not signed and returned from financial institution 13. Personnel Report (LIC 500) (Reference HSC § 1522, CCR § 80018)- Meets Standards 14. Personnel Record (LIC 501) (Reference HSC § 1522, CCR § 80018)- Meets Standards 15. Health Screening Personnel (LIC 503) (Reference CCR § 80018(d))- Meets Standards 16. Emergency Disaster Plan (LIC 610C) (Reference CCR § 80023)- Meets Standards 17. Fire Inspection Authority (LIC 9054) (Reference CCR § 80018(d)), CCR § 87018(d))- Does not Meet Standards. Missing fire clearance 16. First Aid Certificate- Meets Standards Section A: Program Description- Does Not Meet Standards Purpose, Methods, Goals - Section 3 1. Statement of philosophy, purpose, goals, and program methods (what the program will provide for the children and how this will be accomplished) Does not meet standard. Not detailed enough, please provide more of a narrative for this section. 2. How will clients be assessed for entry into the facility Does not meet standard. Please be more specific who will be conducting the assessment, what staff positions and how assessments will be conducted. 3. Days and hours of operation Does not meet standard. Please provide this information. 4. Description of basic services (description of services and treatments that will be provided in the facility) Does not meet standard. Missing information. 5. Description of optional services Does not meet standard. Missing information. 6. Procedures for medical emergencies Does not meet standard. Missing Information. 7. What type of treatment will be provided Meets standard. 8. How results or outcomes will be measured and how often Meets standard. **Please provide this section in a more narrative read as right now it reads in bullet points. This section needs to be more thorough and detailed. Planned Activities/ Use of Community Resources- Section Meets Standards 1. Plan of activities (indoor/ outdoor activities) Please submit a monthly schedule. 2. Who is involved (how is it determined what youth can participate?) Does not meet standard. Please include when discipline is applied and when clients are not able to participate. 3. Who conducts the activity Meets standard. 4. Plan for individual child and group interaction activities Meets standard. 5. Social, education, and recreational activity schedule Meets standard. 6. List of community resources used by the facility Meets standard. 7. Educational activities and services (special education, use of public/private schools, on grounds school and tutoring if applicable) Meets standard. **Please have this section be more narrative Special Services/ Programs Offered- Section 5 1. Describe any special services or programs which will be offered Meets standard 2. If the program provides vocational trainings, describe: Meets standard Medical/ Dental - Section 6 1. Medical assessment, physical examination requirements, including TB test Does not meet standard. Please be more detailed- refer to Title 22- 80069 and 84069.1 (Immunizations- children are to receive vaccinations within 30 days of placement if not provided) 2. Use of Medication Administration Records (MAR LIC 622A) and Psychotropic Medication Administration Records (PMAR LIC 622B) Does not meet standard. Missing. Please reference Title 22 80075 (Health Related Services). 3. Medication procedures (handling and assisting children with self-administered medications Does not meet standard. Be more detailed on what staff will be handling medication procedures and assisting children. 4. Medical, Psychiatric and psychological reports that identify special needs of children diagnosed as mentally disordered or developmentally disabled. Does not meet standard. Missing Title 22 80075 (Health Related Services). 5. Medical and dental insurance coverage information, or information regarding the agency or person responsible for medical and dental costs Does not meet standard. Missing Title 22 80075 (Health Related Services). 6. Consent forms, completed by the child's authorized representative(s), to permit the facility to authorize medical care Does not meet standard. Missing Title 22 84070(b)(13) (Children's Record). 7. Procedures for identifying/ handling medical, dental and psychiatric emergencies. Does not meet standard. Please be more thorough. 8. A copy of the current court order, or written authorization of the child's parent or guardian, for each psychotropic medication, as defined in Section 84001 (p)(4). Does not meet standard. Missing. 9. A copy of the standard appraisal form, court order, or written authorization of the child's parent or guardian, for each psychotropic medication Does not meet standard. Missing Title 22 84068.1 (b)(1)(C) and 84001 (p)(4). Transporting - Section 7 1. Describe arrangements for transporting children to and from school, activities provided outside the facilities and medical/dental appointments Meets standard 2. Specify how the program will ensure that vehicles used to transport children are maintained in safe operation condition Meets standard 3. Specify how the program will ensure that vehicle registration and insurance will be maintained Meets standard 4. Specify how the program will ensure that only appropriately licensed program staff and volunteers will transport children. Meets standard 5. Will the facility maintain a vehicle owned by the facility or will staff utilize their own vehicles to transport children Does not meet standard. Missing. 6. How the facility will ensure that no vehicle utilized for transport of client will have been smoked in (weather at rest or in motion) Does not meet standard. Missing. Transportation (b) The licensee and their staff are prohibited from smoking a tobacco product, or permitting any person from smoking a tobacco product in a motor vehicle that is regularly used to transport children, regardless of when the children are present. This prohibition applies when the motor vehicle is moving or at rest 7. How the facility is going to ensure the use of restraint systems as necessary (i.e. car seats for younger children) Does not meet standard. Missing. B: Admission/ Assessment Admission/ Intake - Section Does not meet standard *Please refer to 84068. Intake Procedures 1. Staff position responsible for intake Meets standard. Please move this information at the top of the section to show that the Administrator will be the one to complete Admission/ Intake. 2. Persons accepted for care Does not meet standard. Please specify what type of population the Group Home will be accepting for care. 3. Age Range Does not meet standard. Please specify an age range that the Group Home will or will not be accepting. 4. Compatibility Determination Does not meet standard. Please provide information on how the client will be assessed for compatibility determination. 5. Criteria for determining appropriateness. Does not meet standard. Missing. 6. Clients' rights/ Personal rights (process of informing clients of their rights, providing copies to responsible parties'/placement/ families) Does not meet standard. Missing - Please refer to 84068. Intake Procedures. 7. Pre-Admission appraisal plan Does not meet standard. Missing - Please refer to 84068. Intake Procedures. 8. Sign in-sign out procedures Does not meet standard. Missing. 9. Admission Agreement - (Regional Center Agreement being used) Does not meet standard. Missing- Please refer to 84068. Intake Procedures. 10. Licensing Agency Rights Does not meet standard. Missing. Needs and Services Plans/Assessment - Section 9 1. Development, Review & Implementation Procedures (identification of needs and services to meet those needs, how initial and modified needs and services implemented) Please be more specific on what will the needs and services plan will include. Please review 84068. Needs and Services Plan. 2. How client and authorized representatives be utilized un developing, updating and modifying the needs and services plan Does not meet standard. Please be more specific. Please review 84068. Needs and Services Plan. 3. How the facility will ensure that the services meet the individual treatment needs Does not meet standard. Please be more specific. 4. How will the facility ensure that client's voice is heard. Does not meet standard. Not defined enough. Please include 84068.2 (d) Needs and Services Plan - (d) The licensee shall ensure that the child and their authorized representative(s) are offered the opportunity to participate in the development of the needs and services plan. 5. How will the facility ensure that the needs identified are consistent with Regional Center IPP Does not meet standard. Missing. 6. Procedures for reviewing and evaluating needs and services (how often and what happens when it is identified that a change is needed). Does not meet standard. Missing. Discharge/Removal - Section 10 1. Written policies and procedures governing child's removal and/or discharge Does not meet standard. Missing- Please refer to 84068. Removal and/or Discharge Procedures. 2. Policies and procedures being provided to children and authorized representative(s) Does not meet standard. Missing- Please refer to 84068. Removal and/or Discharge Procedures. 3. Signed policies & procedures maintained in the child's record Does not meet standard. Missing- Please refer to 84068. Removal and/or Discharge Procedures. 4. Emergency removal or discharge policies (timelines included) Does not meet standard. Missing specific timeline. 5. Planned removal or discharge policies (timelines included) Does not meet standard. Missing specific timeline. 6. Written Removal/ Discharge record developed and maintained by social work staff Does not meet standard. Missing- Please refer to 84068. Removal and/or Discharge Procedures. Visitation Rules & Policy - Section 11 1. How provider will ensure successful communication and visitation with family, friends and other involved in client's life Does not meet standard. Missing. 2. When and under what circumstances are visits allowed in the facility by family/ friends Does not meet standard. Please refer to Title CCR Personal Rights (d)(8) (8) To have visitors visit privately during waking hours without prior notice, provided that such visitations do not infringe upon the rights of other children; do not disrupt planned activities; and are not prohibited by court order or by the child's authorized representative(s). (A) The child has the right to private visits and contact with the following: 1. Siblings, family members, and relatives. Visits by the child's siblings, family members, and relatives can only be prohibited by court order. 2. Authorized Representative. 3. Other visitors. (B) Rules regarding visitation hours, sign-in rules and visiting rooms can be established but shall apply to all visitors. 3. Home visits/ Overnight visit policies Meets standard. 4. When are visits NOT permitted Does not meet standard. Missing- Please refer to Personal Rights (d)(8).) 5. Visitation policy will be posted Does not meet standard. Missing. Please refer to the Title CCR, 84072(d)(8)(A). 6. Visitation privacy Does not meet standard. Please refer to Title CCR, 84072 (d)(8)(A) House Rules - Section 12 1. Policy of allowing children to be unsupervised away from the facility including issuing passes to children Meets standard. 2. Curfew (school nights, weekends, holidays or other times) Meets standard. 3. Dating other children in placement Meets standard. 4. Completing homework (engaging in tutoring, etc.) Does not meet standard. Please be more specific- will the GH have a dedicated time for homework? 5. Chores and cleaning of own personal space Does not meet standard. Missing chores. Please refer to Personal Rights 84072 - This is missing from house rules 6. Dress Code Does not meet standard. Violates Personal Rights- please refer to 84072(9)(A) and update. 7. Prohibited Behaviors Please include Child's personal rights. 8. Use of electronic devises (times when not permitted) Does not meet standard. Violates personal rights- please update. 9. Reasonable and Prudent Parent Standard Application Does not meet standard. Missing. Please refer to Title CCR Reasonable and Prudent Parent Standard. C. General Policies Affecting Children Placed Discipline Policies- Section 13 1. Positive discipline policies- other discipline permitted. Does not meet standard. Please be more descriptive and detailed. 2. Conditions of use of Discipline (and what types) Does not meet standard. Please include if GH will include this in their intake procedures and who will receive this information. 3. Type of Discipline NOT permitted. Does not meet standard. Please include all of Title CCR 84072 (d)(19) 4. Discipline policies provided to Placing Agency Does not meet standard. Missing. Emergency Intervention Plan - Section 14 1. Calls to Law Enforcement- when or how to involve Does not meet standard. Missing. 2. What early interventions, techniques (including manual restraints), situations in which techniques will be used, maximum time limits, when techniques NOT used, Does not meet standard. Missing. 3. Emergency Interventions- Reasons for Use (CPI/ ProACT) * CLARIFY IS GH WILL BE RECEIVING AGGRESSIVE CLIENTS Does not meet standard. Missing. 4. Assessment of underlying or unknown medical or physical condition precluding use of restraints Does not meet standard. Missing. 5. Techniques of group and individual behavior management Does not meet standard. Missing. 6. Methods for de-escalating volatile situations Does not meet standard. Missing. 7. Alternative methods of handling aggressive and assaultive behavior Does not meet standard. Missing. 8. Techniques for returning the child to planned activity following an emergency intervention Does not meet standard. Missing. 9. Name and qualifications of the individual who designed the Emergency Intervention Does not meet standard. Missing. 10. NO USE OF MANUAL RESTRAINTS- how will facility respond to crisis? Does not meet standard. Missing. Does not meet standards. Please refer to Title CCR, 84300, 84300.1 and 84322. Please review those regulations and provide in depth description of the EIP. There is some discrepancy in the discipline regarding section 13- it stated that you would be using CPI techniques but it was also stated that the staff will be trained for CPI in section 14. Please update sections accordingly. Runaway Plan - Section 15 1. When and how client's absence first noted. Does not meet standard. Missing. Please refer to Title CCR 84061 (h)(7) 2. How will you document circumstances surrounding the client's absence? Does not meet standard. Missing. Please refer to Title CCR 84061 (h)(7) 3. What actions will be taken to prevent the runaway- please describe interventions utilized, if any? Does not meet standard. Missing. Please refer to Title CCR 84061 (h)(7) 4. What will be the continuum of interventions that will be taken? Does not meet standard. Please explain what interventions the facility will be taking for the client. 5. Please describe what actions will be taken to locate the client. Does not meet standard. Please provide more details. 6. Describe what will be included in the post incident review and use of manual restraints. Does not meet standard. Missing. Please refer to Title CCR 84061 7. How will you include Law Enforcement involvement Does not meet standard. Not detailed enough. 8. What notifications will be made and to whom? Does not meet standard. Not detailed enough. 9. What is the runaway training plan Does not meet standard. Not detailed enough. Children's Complaint/Grievance Procedures - Section 16 1. How are clients informed of their right to file a complaint or grievance Does not meet standard. Missing. 2. Where are Complaint/Grievance forms kept for easy access Does not meet standard. Please be more specific on where the forms will be kept and how many places (i.e. 2 form boxes, one in staff room and one in the living room). 3. How do clients file a Complaint/Grievance Does not meet standard. Please explain the steps that are needed for clients to file a form. 4. How will facility respond to Complaint/Grievance Does not meet standard. Missing. 5. How will clients and their authorized representatives and staff receive copies of the written complaint/grievance procedures and sign for it Please include where this signed form will be kept. Please review Title CCR 84072 & 84072.2 and update the section. Handling Children's Funds, Allowances, and Salaries - Section 17 1. Policies and Procedures for handling client funds/ Allowances/ Salaries Please be more specific on what position will be handling allowances (no generalized answers on positions responsible) and refer to Title CCR 84062. Refer to Personal Rights to ensure that there are no violations of personal rights and include this in the policy. 2. Allowance policy (including amount paid and how often) Does not meet standard. Please include that the allowance is to be age appropriate. 3. Clients sign for monies withdrawn or provided. Does not meet standard. Please update to include that clients and staff will sign on documentation to show that withdrawal was made. 4. Accurate records maintained for payments from client money (receipts maintained) Does not meet standard. Please include that all receipts regarding the allowance will be maintained and collected on file. 5. Not comingled with Licensee funds Does not meet standard. Missing. 6. Other requirements for handling cash resources upon discharge Does not meet standard. Missing. Chores - Section 18 1. Expectation of chores in the facility Meets standard. 2. Are chores paid or unpaid Does not meet standard. Missing. 3. How are clients notified about earned chores monies Applicable if chores are paid. Please clarify. Nutrition/Sample Menu - Section 19 1. Provide a sample menu that includes a week's worth of planned meals, including snacks from the four basic food groups, portion sizes, and times meals are served Does not meet standard. Missing snack option between breakfast and lunch and missing weekend option for the menu. Please include 7-day menu meal. Refer to Title CCR 80076. 2. Describe any provisions available for children with special dietary needs Does not meet standard. Please refer to Title CCR 80076(a)(5)(6). Clothing & Incidentals - Section 20 1. How will the facility ensure quantity and quality clothing necessary based on seasons Meets standard 2. How will the facility ensure that clothes are age-appropriate Does not meet standard. Please refer to Personal rights 84072 (d)(9) 3. How does client have a say in the choice of articles of clothing Does not meet standard. Missing. 4. Incidentals needed by client- how is it determined/obtained Meets standard. 5. Personal hygiene items (what is provided and what are optional) Does not meet standard. Please provide more specifics. D. Staffing/Administrative Organization Staff Schedule - Section 21 1. Work hours/ shifts Meets standard. LIC 500 submitted. 2. How many hours per week is the administrator required to be present Does not meet standard. Missing. Please note that this section states the Admin will be at the facility for 8 hours 7 days a week but the time on LIC 500 states 7pm-7am (12 hours)- please clarify correct number of hours weekly. 3. How many facilities will the administrator oversee Meets standard. 4. Provide a staff work schedule for each facility site which includes names, classifications, days and hours worked. Does not meet standard. Please see Title CCR 84065 (d) for Personnel Requirements with Facility Manager and update. Staff Qualifications - Section 22 1. Minimum Qualifications for each staff position listed on the LIC Does not meet standard. Missing. 2. Abuse reporting requirements Does not meet standard. Missing. 3. Number of hours the facility administrator will be at the facility performing administrative functions (not the same as section 21) Does not meet standard. Missing. Job Descriptions - Section 23 1. Provide complete description for all positions listed on LIC Meets standard. 2. Duties and responsibilities Meets standard. 3. Minimum qualifications Does not meet standards. Missing for all job types. 4. Special skills needed to perform their job. Meets standard. 5. Lines of supervision Does not meet standards. Missing. 6. Provide Job Descriptions for each classification to be used by the program. Each job description must include, duties and responsibilities, minimum qualifications, special skills needed to perform the job, lines of supervision. Does not meet standard. Please have the sections (duties/responsibilities, minimum qualifications, skills) in clear different sections - the qualifications and skills are as one currently. Please refer to Title CCR 8405 for Personnel Requirements for job qualifications. Inservice Training for Staff - Section 24 1. Complete description of the training plan to include initial and annual training for all positions Does not meet standard. It is stated that the 24 hours are to be completed in 180 days of hire- this is to be completed for all childcare staff within 90 days of hire. Annual training section not detailed enough and does not include annual training hours. Please refer to Title CCR 84065. 2. Which staff will be trained, how determined, and who will train Does not meet standard. Training is not explained who will be training new staff and does not meet the requirements for Title CCR 84065. 3. Topics covered (submit one month training schedule) and length of each training Does not meet standard. Missing. 4. How special training needs are identified and then training met to address. Does not meet standard. Missing. 5. Facility manager training plan (and required documentation therein) Does not meet standard. Missing. Please refer to Title CCR 84065 (h)- (k) *Please be more specific with this section overall. Administration - Section 25 1. Names, addresses (business and residence) and telephone numbers of all corporate officers or partners, as appropriate Meets standard. 2. Names of all members of the Board of Directors Does not meet standard. Please provide a separate sheet in writing including Board of Directors information. 3. Names and positions of any paid staff who are board members or related to board members Does not meet standard. Please provide on a separate sheet in writing this information aside from LIC 309. 4. A current organizational chart which shows lines of administrative authority Does not meet standard. Missing. 5. Copies of the articles of incorporation and bylaws Does not meet standard. Missing. 6. If facility is a partnership, provide a copy of the Partnership Agreement Meets standard. N/A. Volunteers - Section 26 1. Will volunteers be utilized by the program Meets standard. Please add statement "Aston Reid will accept volunteers" as this is currently missing if this is your choice to have volunteers. 2. What will the volunteer(s) be doing in the facility Does not meet standard. Missing- please have a detailed plan on what the volunteers will be doing. 3. What training will the volunteer(s) need in order to be in the facility Does not meet standard. Missing- please provide detailed plan on when the training is occurring, who is providing the training and when will the training be taken and how many hours. 4. Policy regarding volunteer(s) being alone with clients or providing care or supervision to clients Does not meet standard. Missing- please provide. *Please refer to Title CCR 8065 (c-d), 8066 (b) for volunteer requirements Control of Real Property - Section 27 1. Provide the name(s) and address(es) of the property owner(s) for each group home facility Meets standard 2. Provide a copy if the Deed(s) or Property Tax Bill(s) as proof of property ownership Meets standard 3. If not property is leased or rented, provide a copy of the lease(s) or rental agreement(s). The agreement must not preclude the use of the property as a group home Meets standard Facility Sketch - Section 28 1. Dimensions of all rooms and designated use must be clearly stated Does not meet standard. Missing dimensions for all spaces in the house and rooms not labeled for use. 2. Number of children per bedroom Does not meet standard. Missing. 3. Bedrooms labeled as non ambulatory or ambulatory Does not meet standard. Missing. 4. All indoor and outdoor space used by clients to be labeled accordingly Meets standard. Board of Directors Statement - Section 29 1. Provide a copy of the signed Board of Directors Statement (LIC 9165) from each member of your board of directors. Meets standard Please submit revisions by 09/20/2024. Physical copies will be filed with original signatures.

met_with: Licensee Angel and Karla Vivas


state: CA

summary: Facility Evaluation

raw_content:
Narrative:
On December 6, 2024, at 9: AM, Licensing Program Analyst's (LPA's) Cynthia Robinson and Jessica Peete and Licensing Program Manager (LPM) Cheraki Davis conducted an announced pre-licensing inspection. The Licensee above submitted a Group Home (GH) application. Presently there are no clients in care at the proposed new location. The pre-licensing inspection was conducted with Applicants, Angel Vivas, and Karla Vivas. The facility is located in a gated community that is required to enter a gate code. The facility is a two-story home with four bedrooms and three bathrooms, one loft and one nook and a three-car garage. There is one bedroom (bedroom #1) that will be used for clients and one full bathroom (bathroom #1) downstairs that will be available for client use. The facility has a living room and dining room in the kitchen area with a large dining room table. The nook is located by the garage entry and will be used as a staff office. There is one smoke detector and carbon monoxide combination located in the hallway adjacent to the kitchen and bedroom #1. There is a landline telephone that is in working order that will be available to clients. There was an observable hazard (balls, toys, etc.) in the kitchen sliding door exit leading to the backyard. LPA advised Applicants to remove the hazard. There were no observable hazards or obstructions by the other walkways and entries/exits. There is one sliding door exit in the dining room/living room and one sliding door exit in the kitchen leading to the backyard. There are no pools of bodies of water present. The backyard has a covered patio with a portable basketball hoop, a portable canopy, patio furniture, and two visible cameras. The central ac unit is in the backyard behind the house located on the left side of the house. The Applicant has a working fire extinguisher located by the garage entry. The garage will be made inaccessible to clients. The Applicants has sufficient dishes, cups and silverware for client use and the gas stove is in working order. The facility holds a loft upstairs that will be in use for client's leisure and recreation space. LPA observed age-appropriate books, games, and puzzle for clients. There are three bedrooms upstairs (bedroom #2, bedroom #3 and bedroom #4) and two bathrooms upstairs (bathroom #2 and bathroom #3 which is in bedroom #4). The bedrooms will be arranged so that no more than two clients are in a room, and there will be one client per bed. There is a laundry room upstairs that has storage space, and Applicants plans on putting a lock on the door to hold chemicals and cleaning products. The Applicants was advised that all individual beds must be in good repair, equipped with good springs, clean mattresses, and pillows. LPA tested the water and it read at 107 degrees Fahrenheit. The Applicants was advised that the hot water should measure within 105 degrees Fahrenheit and 120 degrees Fahrenheit. The following deficiencies were observed: The kitchen fridge was observed to have two bottles of alcohol that will be thrown away. There were cleaning supplies observed to be unlocked underneath the sink and knives were accessible on the counter tops and in cabinet drawers. Medications were observed in an unlock cabinet spaces and pantry closet. Applicants has planned to move the knives in a lock box paced in the kitchen pantry and medication will be centrally stored and inaccessible to clients in the lock closet under the stairs placed in a secure lock box. The bedrooms are not fully furnished due to missing dressers. Licensee advised to have appropriate storage space for client's belongings before operation. There are cameras in the bedrooms and the facility has locks on all windows. Licensee was advised to remove all locks on windows and remove the cameras out of the bedrooms. There were missing nonslip rugs and paper towels in all bathrooms. The facility is missing all required posting, including food menu, foster rights, and complaint procedures to follow CCL regulations. Applicants was advised to ensure all posting will be posted in a visible location. Cleaning solutions were observed in the bathroom #3. There were missing pillows in bedroom #1. Applicants was advised to not have a locked facility due to the front door being locked from the inside. It should be noted that the Applicants is still in the process of moving and a lot of personal belongings were observed. Firearms were stored in a lock safe utility box located in a closet under the stairs and will be removed as well. Applicants stated that they plan to remove all personal belongings by January 2025. The facility was advised that the plan of corrections is due January 31, 2025. After the above stated deficiencies are corrected in-person, a final file review will be conducted, and the facility will be submitted for licensure. Pre-Licensing inspection was completed, and a copy of this report was given to the Applicant, Angel Vivas.

report_type: Facility Evaluation

visit_type: Prelicensing

met_with: Applicant, Angel Vivas


summary: Facility Evaluation

raw_content:
Narrative:
On February 6, 2024, at AM, Licensing Program Analyst (LPA) Cynthia Robinson conducted an announced pre-licensing inspection follow up. The applicant above submitted a Group Home (GH) application. Presently there are no clients in care at the proposed new location. LPA's visit is to clear the previous deficiencies that was noted on the Pre-Licensing visit on December 6, 2024. The following deficiencies were notated on December 6, 2024. The kitchen fridge was observed to have two bottles of alcohol that will be thrown away. There were cleaning supplies observed to be unlocked underneath the sink and knives were accessible on the counter tops and in cabinet drawers. Medications were observed in an unlock cabinet spaces and pantry closet. Applicants has planned to move the knives in a lock box placed in the kitchen pantry and medication will be centrally stored and inaccessible to clients in the lock closet under the stairs placed in a secure lock box. The bedrooms are not fully furnished due to missing dressers. Licensee advised to have appropriate storage space for client's belongings before operation. There are cameras in the bedrooms and the facility has locks on all windows. Licensee was advised to remove all locks on windows and remove the cameras out of the bedrooms. There were missing nonslip rugs and paper towels in all bathrooms. The facility is missing all required posting, including food menu, foster rights, and complaint procedures to follow CCL regulations. Applicants was advised to ensure all posting will be posted in a visible location. Cleaning solutions were observed in the bathroom #3. There were missing pillows in bedroom #1. Applicants was advised to not have a locked facility due to the front door being locked from the inside. (Continued on LIC 809C...) The following changes have been made from LPA observations; the applicants have removed all alcohol from the facility. Additionally, the cleaning supplies, medication and knives have been moved from the kitchen and made inaccessible for the clients in locked boxes that are placed in the garage which has been made inaccessible to clients. The bedrooms are still not fully furnished due to missing drawer spaces. Licensee is made aware and will have the drawer spaces for the next visit. Additionally, there are no more cameras in the bedrooms and only in the common areas. All locks have been removed from all windows. All bathrooms had nonslip rugs and paper towels. The facility has the required posting, including food menu, foster rights, and complaint procedures to follow CLL regulations in a visible location. All pillows were present for the bedrooms. The lock was removed from the front door making it accessible for clients to leave facility. Previous visit Applicants had a firearm safe with firearms inside that was located in the closet under the stairs that has now been completely removed from the facility and there no firearms present. It should be noted that the applicants were still residing in the group home at the time of the first Pre-Licensing visit on December 6, 2024, and as of today's date the Applicants still reside in the home and have created a move out date from the Group Home on February 21, 2025. LPA will return to the Group Home to verify that the applicant's have completely moved out of the Group Home before issuing provisional license. Pre-Licensing inspection follow up was completed, and a copy of this report was given to the Applicant, Angel Vivas.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On February 24, 2024, at AM, Licensing Program Analyst (LPA) Cynthia Robinson conducted an announced pre-licensing inspection follow up. The applicant above submitted a Group Home (GH) application. Presently there are no clients in care at the proposed new location. LPA's visit is to clear the previous deficiencies that was noted on the Pre-Licensing visit on December 6, 2024. The following deficiencies were notated on February 6, 2025. The applicants did not have sufficient drawer space allowing for private belongings to be stored. As of today's date, the applicant did have sufficient storage for all bedrooms so that prospective clients will have drawer space for private belongings. The applicants were still residing in the group home at the time of the first Pre-Licensing follow up visit on February 6, 2025. As of today's date on February 24, 2025 the Applicants no longer reside in the home and have moved out officially since February 17, 2025. The applicant is currently licensed for four clients but have submitted a capacity increase from four to six. The facility holds space for six clients. LPA will submit LIC 200 to office support staff to contact the prospective Fire Marshall for capacity increase. The facility will only accept ambulatory and minor clients. The facility will accept clients from Inland Regional Center and the County. After a final review, the facility will be submitted for licensure. Pre-Licensing inspection follow up was completed, and a copy of this report was given to the Applicant, Angel Vivas.

met_with: Angel Vivas, Applicant


summary: Facility Evaluation

raw_content:
Narrative:
On November 21, 2025, at 10:30am, Licensing Program Analysts (LPAs), Cynthia Robinson and Jessica Peete arrived unannounced at the above facility for the purpose of conducting post-licensing inspection at the facility. LPAs were greeted by facility administrator Angel Vivas and Karla Vivas, Facility Manager. The Group Home (GH) is approved capacity of six and has the fire clearance for the approved capacity. There are currently no staff or clients in care at this moment. The facility is located in a gated community that requires a gate code to enter. The facility is a two-story home with four bedrooms and three bathrooms, one loft and one nook and a three-car garage. There is one bedroom (bedroom #1) that will be used for one client and one full bathroom (bathroom #1) downstairs that will be available for client use. The facility has a living room and dining room in the kitchen area with a large dining room table. The nook is located by the garage entry and will be used as a staff office. The smoke and carbon monoxide combination detectors were tested and are in working order. There is a landline telephone that is in working order that will be available to clients. There are three bedrooms upstairs (bedroom #2, bedroom #3 and bedroom #4) and two bathrooms upstairs (bathroom #2 and bathroom #3 which is in bedroom #4). The bedrooms will be arranged so that no more than two clients are in a room, and there will be one client per bed. Bedroom #1 located downstairs was observed to be utilized for personal belongings storage and did not have the required linen making bedroom #1 not readily available for clients. Additionally, Bedroom #4 located upstairs was observed to have one twin bed and one king size bed. The twin size bed did not have the appropriate linens for client use. Additionally, there was a king-size mattress on the floor lying next to a broken bed frame that was not in use. Based on these observations this room was not ready for client occupancy. (Continued on LIC 809C...) The laundry room is located upstairs, has ample storage space and contains chemicals cleaners and client toiletries. The room is kept locked and inaccessible to clients without staff assistance. Per the Administrator's statement, client toiletries are available upon request and as needed. Medication is centrally stored in a locked box located in the pantry. Knives are kept in a locked box located in the garage made inaccessible to clients. LPA tested the water, and it read between 105 - 120 degrees Fahrenheit. There is one sliding door exit in the dining room/living room and one sliding door exit in the kitchen, both exits leading to the backyard. LPA observed a ladder, Christmas tree, and various other objects obstructing the exits to the backyard. There are no pools of bodies of water present. The backyard has a covered patio with a portable basketball hoop, a portable canopy, patio furniture, and two cameras that have view of the perimeter of the home. The cameras do not face the bedroom windows or areas where clients will meet with visitors. Inside the home, there are cameras present in the common area's located in the kitchen, living, and entry way. Per Administrator statement, the cameras do have access to sound. LPA Robinson advised Administrator that cameras must have their audio disabled, muted or turned down so that they cannot capture private conversations between residents, staff, or visitors. LPA Robinson provided Licensee the Provider Information Notice (PIN) 24-09-CRP. LPA did not review staff or client files, as there are currently no staff or clients present at the facility. However, LPA advised the Administrator regarding the required staff background check process and staff-to-client ratio requirements. LPA reminded the Administrator that all facility staff must have a completed and cleared background check prior to having any contact with children in care. The facility has one sedan that seats five present available for transportation for clients and is in good working condition. Per Licensee, they are planning on purchasing a van soon for the transportation of clients and will not accept more than three clients until the van or second vehicle will be purchased. It should be noted the Administrator's personal belongings are still present in the GH throughout the home. Per Administrator's statement, all personal belongings will be removed from the home prior to receiving clients. (Continued on LIC 809C...) Based on LPA's observations, the facility is being cited for Title 22, Division 6 of the California Code of Regulations, Section 84088(c)(1) due to the broken bedframe in Bedroom #4. Additionally, the facility is being cited for Title 22, Division 6 of the California Code of Regulations Section 80087(c) due to the obstructed exit leading to the backyard. Please refer to LIC 809D for more information. Exit interview conducted, LIC 809 and LIC 809D and appeal rights and a copy of this report was provided to facility.

met_with: Angel Vivas, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On March 20, 2026, at 10:08am, Licensing Program Analyst (LPA), Cynthia Robinson arrived unannounced at the above facility for the purpose of conducting Annual Required inspection at the facility. LPA were greeted by facility administrator Angel Vivas and Karla Vivas, Facility Manager. The Group Home (GH) is approved capacity of six and has the fire clearance for the approved capacity. There are currently no clients in care at this moment The facility is in a gated community that requires a gate code to enter. The facility is a two-story home with four bedrooms and three bathrooms, one loft and one nook and a three-car garage. There is one bedroom (bedroom #1) that will be used for one client and one full bathroom (bathroom #1) downstairs that will be available for client use. The facility has a living room and dining room in the kitchen area with a large dining room table. The nook is located by the garage entry and will be used as a staff office. The smoke and carbon monoxide combination detectors were tested and are in working order. There is a landline telephone that is in working order that will be available to clients. There are three bedrooms upstairs (bedroom #2, bedroom #3 and bedroom #4) and two bathrooms upstairs (bathroom #2 and bathroom #3 which is in bedroom #4). The bedrooms will be arranged so that no more than two clients are in a room, and there will be one client per bed. The laundry room is located upstairs, has ample storage space and contains chemicals cleaners and client toiletries. The room is kept locked and inaccessible to clients without staff assistance. Per the Administrator's statement, client toiletries are available upon request and as needed. Medications will be centrally stored in a locked box located in the pantry. Knives are kept in a locked box located in the garage made inaccessible to clients. There were no deficiencies observed for the physical plant. (Continued on LIC 9099C...) LPA did not review staff or client files, as there are currently no staff or clients present at the facility. Per Licensee, the facility is currently in the process to be vendorized with Inland Regional Center (IRC) to start accepting clients. LPA reminded the Licensee regarding the required staff background check process and staff-to-client ratio requirements along with staff training requirements. LPA reminded Licensee of submitting Special Incident Reports to Regional Office email and provided the email. LPA also reminded Licensee to review the disaster plan annually and ensure that the client rosters are updated. At this time, no deficiencies were observed. Exit interview conducted, LIC 809 and appeal rights and a copy of this report was provided to the Licensee, Angel Vivas.

visit_type: Annual

met_with: Licensee, Angel Vivas


facility_name: AUSTIN PLACE

summary: Facility Evaluation

raw_content:
Narrative:
On 6/16/ Licensing Program Analyst (LPA) Reagan Cohen conducted the Component II - Face to Face Interview with Applicants Pamela Dixon & Luther Waters. Application and program statement was reviewed and discussed with Applicants. The applicants will oversee a Group Home Austin Place. The following documents were received and verified by LPA: 1. LPA verified the orientation certificate for Component I. 2. LPA made a copy of Licensee's ID for the records. 3. LPA observed that the criminal record clearance is pending for Luther Waters, and advised applicants that Pamela Dixon has not been cleared yet. 4. LPA reviewed the Program Design which was out of compliance with Group Home Regulations and General Licensing Requirements. Applicant will refer to application instructions to revise and adhere to Section B Documents: B7-B9. Licensee will provide more details when revising B7: Facility Program Description, including: adding more specifics about reasons for discharge and procedures, adding specific community resource examples for Activities, and adding the "maintenance of clients cash resources" in Basic Services. Licensee Licensee will provide more details when revising B8: Rules of Discipline including adding specific discipline tactics and practices for clients (Licensee can also include positive incentive structures) and specific reasons for discharging a client. Licensee will provide more details when revising B9: Admission Policies including, adding a sample admission form, adding a section about the pre-appraisal plan, changing the ISP's to be created by the Social Workers, and updating the program statement if needed. Licensee will also add sections that cover "Visitations, Program Modifications, Transportation, Facility phone, Mail, Children's Rights, and Clothing/Incidentals." LPA application and Program Design and returned to applicant for revision. Applicant will submit updated Program Design by 6/20/25. LPA scheduled a Pre-Licensing visit for Austin Place for 7/1/25. A copy of this report was given to the applicants. Exit interview completed.

met_with: Applicants Pamela Dixon & Luther Waters


summary: Facility Evaluation

raw_content:
Narrative:
On 7/1/25, Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility, for the purpose of conducting a Pre- licensing inspection for a Group Home License. LPA met with applicants Luther Waters and Pamela Dixon, who granted access into the home. The applicant and LPA toured the facility both inside and out. Applicant is requesting to be licensed for 4 clients ages 15-17 ambulatory only. The home was inspected and the following was observed: This is a one-story house, with a front yard, backyard, a separate unit and garage in the back. There are working duel smoke/carbon monoxide detector in every bedroom. They are synched throughout the house. Living Room: There is adequate lighting and air conditioning. There is a TV. There is a sofa with adequate seating. The living room leads to the kitchen/dinning area and to the bedrooms which are lined along the side. There is a decommissioned fire place with no gas line, no place for fire wood, and a blocked chimney. Bedroom #1: For clients. There is one bed. There is adequate lighting and a ceiling fan. There is a TV. There is adequate closet storage space and two dressers one small and one medium. Storage space is filled with extra towels. There are two windows in working order. There is a hamper for dirty cloths and a container with basic toiletries. Bedroom #2: For clients. There is one bed. There is adequate lighting and a ceiling fan. There is a TV. There is adequate closet storage space and two dressers one small and one medium. Storage space is filled with extra towels. There is one window in working order. There is a hamper for dirty cloths and a container with basic toiletries. Bathroom #1: is located off next to bedroom#2. It is clear of all cleaning solutions with a working toilet, dual sinks, and shower. Water temp was measured to be 110 degrees F. Bedroom #3: For clients. There is one bed. There is adequate lighting and a ceiling fan. There is a TV. There is adequate closet storage space and two dressers one small and one medium. Storage space is filled with extra towels. There is one window in working order. There is a hamper for dirty cloths and a container with basic toiletries. Bedroom #4: For clients. There is one bed. There is adequate lighting and a ceiling fan. There is a TV. There is adequate closet storage space and two dressers one small and one medium. Storage space is filled with extra towels. There is one window in working order. There is a hamper for dirty cloths and a container with basic toiletries. There is a sliding glass door that leads to the back yard, the door will be kept unlocked. There is a fuse box that applicants must make inaccessible to clients. Bathroom #2: is located off next to bedroom #4. It is clear of all cleaning solutions with a working toilet, sink, and open shower. Water temp was measured to be 110 degrees F. Kitchen/Dinning Room: Is equipped with an operable 4 burner stove, dish washer, and refrigerator/freezer. Applicant locked sharps and cleaning solutions under the sink to be inaccessible to clients in care. There is dinning counter with adequate seating. There is an adequate amount of cups, plates, bowls, and utensils. Applicant stocked fridge and freezer with and adequate amount of perishable and non-perishable food. The First Aid is in the kitchen and was checked to be complete with scissors, tweezers, thermometer, gauzes, bandages, and antiseptic solution. There is also a first aid manual and 2 emergency kits. There is a fire Extinguisher fully charged and available in the kitchen. Extra linens and towels are stored in the kitchen. There is water access from the fridge and bottled water. Client medication, client & staff files, facility plan of operation & program statement will be stored in a cabinet in the kitchen. Laundry Room: There is a laundry room next to the kitchen. There is a washer and dryer unit. There is a fully charged fire extinguisher. Bathroom #3: is a half bath located off next to the laundry room. It is clear of all cleaning solutions with a working toilet and sink. Water temp was measured to be 110 degrees F. Out Side: Front Yard: There is a front yard with adequate space for clients to hang out. Backyard: There is a back yard with a basketball court. There is a shaded area that will have outdoor seating. There is a side path that leads to the front yard. There is a separate unit in the back that applicants will use as an office and has been made inaccessible to clients. There is also a garage that applicants have made inaccessible. LPA observed facility vehicle to be in working order. The vehicle is up to date on insurance and insured by Berkshire-Hathaway specialty insurance. LPA and applicant discussed next step component three meeting. LPA will email applicants about meeting in person or having a scheduled zoom orientation. Exit interview was conducted and a copy of this report was given to the applicants.

met_with: Luther Waters & Pamela Dixon


summary: Facility Evaluation

raw_content:
Narrative:
On 3/2/25, Licensing Program Analyst (LPA) Reagan Cohen and LPM Lakescia Smith arrived at the above facility, for the purpose of conducting a Pre- licensing continuation inspection for a Group Home License. LPA/LPM met with applicant Luther Waters, who granted access into the home. The applicant and LPA toured the facility. Applicant is requesting to be licensed for 4 clients. The home was inspected and the following was observed: Back House: LPA and LPM toured the back house which has a separate address from the front house/main facility building. The back house is intended to be used as an office space for staff trainings/meetings. No clients will reside in the back house. The back hose includes 1 bedroom, a living room, storage area, and a kitchenette. There are no beds in the rooms, there is a stove and a refrigerator in the kitchenette, and a laundry unit in the storage area. Main House: LPA and LPM observed that bedroom #4 which has a sliding glass door is missing curtains to provide privacy. Applicant said they would add curtains, take a picture, and send it as proof to LPA. LPA and LPM also requested proof for audio chime alarm for exit doors. Applicant will send over a video of the chimes working as proof. LPA and LPM will inquirer about the lack of a dinning table and see in the kitchen counter is sufficient. LPA and LPM will also het back to applicant on if the back house because of its separate address will require its own fire clearance. Exit Interview Conducted a copy of this report was given to the applicant.

met_with: Luther Waters Applicant


facility_name: AUTISM ASHRAM AWAAZ

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA), Lidia Tinoco conducted an unannounced visit to the Autism Ashram Awaaz Group Home in order to deliver the findings of the above allegation and met with Assistant Administrator, Maria Brambila. On August 6, 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 not sufficient information to prove that staff engaged in inappropriate behaviors with a minor. 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 Unsubstantiated at this time. A copy of this report was provided at the conclusion of the inspection along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 08/06/2025 and conducted by Evaluator Lidia Tinoco COMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:AUTISM ASHRAM AWAAZFACILITY NUMBER: ADMINISTRATOR:BRIAN FREITASFACILITY TYPE: ADDRESS: WEST LINWOOD AVENUETELEPHONE: (209) 552- CITY:TURLOCKSTATE: CAZIP CODE: CAPACITY:4CENSUS: 4DATE: 10/16/ UNANNOUNCEDTIME BEGAN: 10: AM MET WITH:Maria BrambilaTIME COMPLETED:12: PM 9Facility did not report incident timely INVESTIGATION FINDINGS: 13On the above date, Licensing Program Analyst (LPA), Lidia Tinoco conducted an unannounced visit to the Autism Ashram Awaaz Group Home in order to deliver the findings of the above allegation and met with Assistant Administrator, Maria Brambila. On August 6, 2025, the above allegations 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 information obtained, there is a preponderance of the evidence to prove that the facility failed to report an incident timely, therefore these allegations are Substantiated. The Facility was cited for the California Code of Regulations (CCR), Chapter 1, Section 80061(b)(1)(E) Reporting Requirements. See LIC9099D. Plans of Corrections were reviewed and developed with Maria Brambila. A copy of this report and appeal rights were provided at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: AUTISM ASHRAM AWAAZFACILITY NUMBER: 507207209

report_type: Complaint Investigation

met_with: Maria Brambila

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On the date above a pre licensing visit was conducted at Autism Ashram Awaz by Licensing Program analyst (LPA) Les Inouye. I was met by Administrator Brian Freitas and Licensee Anna Peri. A discussion on the required documents took place and all forms requested were received and reviewed. A review of the Physical Plant was conducted including the Indoor Activity Space, Fixtures Furniture Equipment and Supplies and Outdoor Activity Space. Kitchen was clean and non-perishable items were observed in the kitchen. Bedrooms were observed, 4 single occupancy for a capacity of four. Two client rooms down stairs sharing a common bathroom. Two single occupancy rooms upstairs. All rooms were appropriately furnished with storage area was observed. All chemicals and cleaning supplies were locked and secured. Smoke Alarms and Carbon Monoxide detectors were observed and operating. Hot water temperature was measured at 110 degrees. Back yard -there is no pool or hot tub, large yard consisted of a lawn area with covered patio area. Storage building was observed and shall be locked. No staff are hired at this time. The physical plant review was observed to be clean, safe, and free of hazards. Facility will secure doorway to the crawl space containing the hot water heater and AC unit. The upstairs storage area has a panel that shall be secured to keep the area free of nails and wires. At this time Regional Center Program Design is being reviewed. Applicant shall notify CCL when the crawl space and panel is secured. A final Review by CCL will be completed and LPA will notify Applicant of any updates or approval of license.

met_with: Brian Freitas and Anna Peri


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, LPA (Licensing Program Analyst) Lisa Slusher conducted a post licensing inspection. Met at the facility by Administrator Brian Freitas. An annual inspection is also conducted on this date. See LIC 809 on this date. The licensee is still in the vendorization process with Valley Mountain Regional Center and will keep LPA Leslie Inouye appraised of their progress toward completion. LPA received a copy of the current Administrator Certificate for Brian Freitas on this date.

met_with: Brian Freitas


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Lisa Slusher travelled to the facility listed above to conduct an annual inspection. Facility Inspection conducted. 1. Facility Grounds are free of hazard. 2. Adequate indoor and outdoor activity space and materials observed. 3. Chemicals appropriately locked. 4. Locked and centrally stored medications observed. Observed medication logs and discussed procedures for psychotropic medications. 5. First aid kit complete with appropriate manual observed. 6. Adequate storage space observed. 7. Individual beds in good repair observed. 8. The house has 4 bedrooms, single occupancy, located on two levels , all are equipped with required furnishings. The bedrooms on the first floor share a bathroom, and the licensee is aware that bathroom is only for the use of the youth who reside in those rooms. 9. Adequate food storage space observed. Menu is posted and accessible to youth. 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.No firearms or weapons are allowed in the facility. The following items were discussed and reviewed by LPA during Inspection. Provisional license will be extended through the 18 month mark, due to the facility not having placement of youth during first 12 months. Updated Administrator Certification received during inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA), Lidia Tinoco arrived at the Autism Ashram AWAAZ Group Home for the purpose of conducting an Annual Inspection and met with Administrator, Brian Freitas and House Manager, Dalia Martinez and inspected the facility, inside and out. The facility currently has no clients in placement and has not had clients in placement since licensed. Facility has the ability to maintain Centrally stored medications in a locked cabinet. Sharps and Toxic chemicals are kept locked. The facility has a written emergency disaster plan. Facility smoke detectors were tested and appear to be in appropriate working order, fire extinguisher is properly charged. The house has 4 bedrooms, single occupancy, located on two levels, all are equipped with required furnishings. The bedrooms on the first floor share a bathroom, and the licensee is aware that bathroom is only for the use of the youth who reside in those rooms. Two cameras were observed outside of the facility. LPA Tinoco discussed and provided the PIN 24-09-CRP to the licensee. No firearms or weapons are allowed in the facility. Personnel Files will be maintained on-site. There were no deficiencies to be cited on this date. A copy of this report was provided at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA), Lidia Tinoco arrived at the Autism Ashram AWAAZ Group Home for the purpose of conducting an Annual Inspection and met with Administrator, Brian Freitas and House Manager, Maria Brambila and inspected the facility, inside and out. The facility currently has 4 clients in placement. LPA Reviewed 4 client files. Facility has the ability to maintain Centrally stored medications in a locked cabinet. Sharps and Toxic chemicals are kept locked. The facility has a written emergency disaster plan. Facility smoke detectors were tested and appear to be in appropriate working order, fire extinguisher is properly charged. The house has 4 bedrooms, single occupancy, located on two levels, all are equipped with required furnishings. The staff office is located down stairs and has a bathroom. LPA Tinoco and Administrator discussed the process for change of Administrator and LPA provided the requirements. LPA Tinoco also addressed C3 and C4's (See LIC Confidential Names List) placement plan as they turn 18. No firearms or weapons are allowed in the facility. 3 type B deficiencies were cited on this date. LPA Tinoco will complete this annual on a later date including Staff and Client interviews and the Staff file review. This report was provided and discussed at the conclusion of the inspection.


summary: Facility Evaluation - 3 deficiencies

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA), Lidia Tinoco arrived at the Autism Ashram AWAAZ Group Home for the purpose of conducting an Annual Continuation Inspection and met with Administrator, Brian Freitas. LPA Tinoco reviewed 5 staff files, interviewed available staff and interviewed 3 youth in care. On this date, LPA Tinoco observed that a deficiency cited on 05/30/25 had been addressed. As of todays date, POC are still pending for two deficiencies, POC due 06/06/25. LPA provided regulation section Reporting Requirements and Personnel Requirements. LPA also discussed supervision. LPA Tinoco issued Technical Assistance and 7 deficiencies on this date. Plans of correction were discussed and developed with Administrator Brian Freitas. A copy of this report was provided on this date along with appeal rights.

Deficiencies:
80066(a): Personnel Records

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information
84065(d): Personnel Requirements

(d) The licensee shall designate at least one facility manager to be present at the facility at all times when children are present
84065(i): Personnel Requirements

(i) Notwithstanding Sections 80065(f)(1) through (6), new child care staff hired on or after July 1, 1999, shall complete a minimum of 24 hours of initial training comprised of the 8 and 16-hour training as specified in (1) and (2) below


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA), Lidia Tinoco arrived at the Autism Ashram Awaaz Group Home for the purpose of conducting a Plan of Correction visit. LPA Tinoco met with Administrator, Brian Freitas. LPA Tinoco conducted a review of 5 staff files and Client file to verify for completeness. LPA cleared 8 deficiencies on today's visit. 2 plan of corrections are still pending as of today's date and will be submitted to LPA Tinoco via email no later than close of business day Friday, July 11, 2025. LPA provided clearance letters for deficiencies cleared on today's date. A copy of this report was provided at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA), Lidia Tinoco met with Administrator, Brian Freitas for the purpose of conducting a Case Management regarding an incident that occurred on May 22, 2025. The incident involving C1, C2 and S1 (See LIC Confidential Names List). The incident involved C1 and C2 escalating and exhibiting dangerous behaviors which S1 tried to manage as the only staff on shift. Per Administrator, the facility was within ratio as they are a 1 staff per two client facility. Administrator also expressed that they were actively hiring staff at the time but did not have staff to pull from. Due to this incident, Administrator developed a plan for Regional Center on how they would manage these issues moving forward which includes having two staff members present during waking hours while these youth are in placement. Plan was provided to LPA Tinoco on this date. Furthermore, agency has requested from Regional Center a one on one staff for C1 due to the behaviors. The plan is currently pending. All documentation discussed was provided to LPA Tinoco. A technical violation was issued on todays date. A copy of this report was discussed an provided at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA), Lidia Tinoco conducted a case management inspection at the Autism Ashram Awaaz Group Home and met with Assistant Administrator, Maria Brambila. LPA Tinoco addressed with Maria Brambila the following: Facility Vehicle - LPA Tinoco was informed that the air conditioning of the facility van has been in disrepair for a few months. The agency has put the following plan in place, running errands early in the morning, or taking public transportation if the youth choose to. LPA Tinoco requested an update by no later than Wednesday, September 10, 2025. Broken window located in the upstairs bathroom - LPA Tinoco was informed that the bathroom window had been broken by a youth in placement. Per Maria, the glass was cleaned up and the window was covered up. LPA Tinoco requested a copy of the work order and a plan to fix the window timely. LPA Tinoco requested an update by no later than Wednesday, September 10, 2025. Additionally, LPA Tinoco addressed and reminded the facility representative that their license is for ages 7-17 and provisions must be made for a transition plan of youth turning 18. Two Technical Violations were issued along with a Technical Assistance. A copy of this report was provided at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA), Lidia Tinoco conducted a Case Management Inspection at the Autism Ashram Awaaz Group Home and met with Assistant Administrator, Maria Brambila. LPA Tinoco delivered the Facility License and provided it to Maria Brambila. LPA reminded the agency of the following posting requirements: California Code of Regulations 84009 (a) - (a) The license shall be posted in a prominent, publicly accessible location in the facility. A copy of this report was provided at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA), Lidia Tinoco conducted an unannounced visit to the Autism Ashram Awaaz Group Home to conduct a Case Management Inspection met with Assistant Administrator, Maria Brambila. LPA Tinoco discussed the following California Code of Regulations with the facility representative: From Chapter 1 - Reporting Requirements Inspection Authority of the Licensing Agency From Chapter 5 - 84065. Personnel Duties LPA Provided copies of the regulations discussed. Additionally, LPA Tinoco offered the agency an opportunity to request for assistance with the departments Technical Support unit and agency expressed interest in moving forward with the TSP referral. The Facility was cited for the California Code of Regulations (CCR), Chapter 1, Section 80061(a) Reporting Requirements. See LIC9099D. A copy of this report along with appeal rights was provided to the facility representative at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On January 28, 2026, Licensing Program Analyst (LPA), Melissa Renovato arrived at Autism Ashram Awaaz Group Home for the purpose of conducting an unannounced Case Management inspection and met with Maria Brambila, Assistant Administrator. The purpose of the inspection was to discuss an incident that was discovered during a complaint investigation. On October 30, 2025, Community Care Licensing received an incident report which described an incident that occurred regarding C1 obtaining an ice cream from the staff freezer without prior permission and then becoming upset when S1 told C1 that they needed to ask for permission before getting anything from the staff freezer. The incident report did not note this but during an interview with S1, S1 described the incident and stated that at one point, S1 was blocking C1 from coming downstairs until law enforcement arrived. The Department determined this to be an immediate risk to health and safety of the children in care at this time, therefore General Licensing Requirements, Chapter Article Continuing Requirements, Personal Rights 80072(3) is being cited on the attached LIC809D. An exit interview was conducted, and a copy of the report and appeal rights were provided at the conclusion of the inspection.


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13On January 28, 2026 at 11:00am, Licensing Program Analyst (LPA), Melissa Renovato conducted an unannounced visit to the Autism Ashram Awaaz Group Home in order to deliver the findings of the above allegations and met Maria Brambila, Assistant Administrator. On November 7, 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. LPA Renovato conducted 7 staff interviews and 4 client interviews. Based on the investigation conducted the department found that there was conflicting information regarding these issues. 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 Unsubstantiated at this time. A copy of this report was provided at the conclusion of the inspection along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Melissa Renovato 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: Complaint Investigation - Substantiated - 1 deficiency

raw_content:
Narrative:
Continued from 9099... Amanda was able to make contact with Maria Brambila, Associate Administrator, to get permission to sign on their behalf. Plans of Corrections were reviewed and developed with Maria Brambila via phone. A copy of this report and appeal rights were provided at the conclusion of the inspection.

Investigation Findings:
13On February 3, 2026, Licensing Program Analyst (LPA), Melissa Renovato conducted an unannounced visit to Autism Ashram Awaaz Group Home in order to deliver the findings of the above allegation and met Amanda Magana, House Manager. On December 3, 2025, the above allegation was referred to Community Care Licensing for investigation. The Department has investigated the above complaint allegation. During the course of the investigation, LPA conducted confidential interviews, facility inspection, and file review. Based on information obtained and confidential interviews, it was determined that S3 and S4 remained in the staff vehicle during an outing to the park which resulted in C1 smoking marijuana. Based on the information obtained, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. The agency is being cited for Group Home Chapter 5. Continuing Requirements, Personnel Duties 84065.2(b)(1). See Attached LIC 9099D for further information. Continued on 9099-C... SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Melissa Renovato 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: AUTISM ASHRAM AWAAZFACILITY NUMBER: 507207209

Deficiencies:
84065.2: (1) Supervision, protection and care of children individually and in groups at all times.

met_with: Amanda Magana

complaint_status: SUBSTANTIATED

title: Personnel Duties (b) Child care staff shall perform the following duties


summary: Facility Evaluation

raw_content:
Narrative:
On March 11, 2026, Licensing Program Analyst (LPA), Melissa Renovato arrived at Autism Ashram Group Home for the purpose of conducting an unannounced Case Management inspection and met with Maria Brambila, Associate Administrator. The purpose of the inspection was to discuss information obtained during a complaint investigation. On January 14, 2026, LPA received end of shift notes that revealed S2 documented that during their shift, an interaction with C1 resulted in S2 speaking to C1 in a way that was not trauma informed. (See LIC-811 for confidential names list) The Department determined this to be an immediate risk to health and safety of the children in care at this time, therefore California Code of Regulations, Group Home Chapter 6, Section Personal Rights is being cited on the attached LIC809D. An exit interview was conducted, and a copy of the report and appeal rights were provided at the conclusion of the inspection.


raw_content:
Investigation Findings:
13On March 11, 2026, Licensing Program Analyst (LPA), Melissa Renovato conducted an unannounced visit to the Autism Ashram Group Home in order to deliver the findings of the above allegation and met Maria Brambila, Associate Administrator. On January 27, 2026, 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 confidential interviews, it was determined that S2 does not allow clients to utilize the phone if they are having a behavior. (See LIC-811 for confidential names list) Based on the information obtained, there is a preponderance of the evidence to prove the above allegation occurred therefore this allegation is Substantiated. The Facility was cited for California Code of Regulations, Group Homes Chapter 5, Section Personal Rights. See LIC9099D. Plans of Corrections were reviewed and developed with Maria Brambila. A copy of this report and appeal rights were provided at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Melissa Renovato 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: AUTISM ASHRAM AWAAZFACILITY NUMBER: 507207209


raw_content:
Investigation Findings:
13On March 11, 2026, Licensing Program Analyst (LPA), Melissa Renovato conducted an unannounced visit to the Autism Ashram Group Home in order to deliver the findings of the above allegation and met Maria Brambila, Associate Administrator. On Januray 28, 2026, 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. A copy of this report was provided at the conclusion of the inspection along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Melissa Renovato 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 March 11, 2026, Licensing Program Analyst (LPA), Melissa Renovato conducted an unannounced visit to the Autism Ashram Group Home in order to deliver the findings of the above allegation and met Maria Brambila, Associate Administrator. On February 5, 2026, 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 these issues. 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. A copy of this report was provided at the conclusion of the inspection along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Melissa Renovato 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 March 18, 2026, Licensing Program Analyst (LPA), Melissa Renovato conducted an unannounced visit to the Autism Ashram Awaaz Group Home in order to deliver the findings of the above allegations and met Maria Brambila, Associate Administrator. On February 5, 2026, 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 issues. 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 Unsubstantiated at this time. A copy of this report was provided at the conclusion of the inspection along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Melissa Renovato LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA), Lidia Tinoco arrived at the Autism Ashram AWAAZ Group Home for the purpose of conducting an Annual Required Inspection and met with House Manager, Amanda Magana. The agency currently has 1 client in placement. 1 client file and 6 staff files were reviewed. 1 confidential interview was conducted. A Guardian check conducted on 4/22/26 confirmed that all the staff listed on the LIC500 are fingerprint cleared and associated to the facility. LPA Tinoco and House Manager Amanda conducted a walk through inspection of the facility. The house has 4 bedrooms, single occupancy, located on two levels, all are equipped with required furnishings. The staff office is located down stairs and has a bathroom. Facility has the ability to maintain Centrally stored medications in a locked cabinet. Sharps and Toxic chemicals are kept locked. The facility has a written emergency disaster plan. No firearms or weapons are allowed in the facility. Technical Assistance and Technical Violation were issued. 1 type B deficiency was cited on today's date for CCR (California Code of Regulations) 84070(b)(15) Children's Records. A copy of this report along with appeal rights was provided at the conclusion of the inspection.


facility_name: AVANCARE GROUP HOMES-SUNSET

summary: Facility Evaluation

raw_content:
Narrative:
On Thursday 1/20/22 at 10:27AM, Licensing Program Analyst (LPA) Mariah Hawkins made a visit to the facility for a required annual inspection. Safety precautions were taken, including screening call, N95 masks and face coverings, and hand washing/sanitizing/gloves. LPA met with Facility Manager Cesar Redoloso and informed of the purpose of the visit. LPA used the CARE Inspection Tool to conduct the inspection. There are three residents in care, and all were at school during the visit. The facility is a house in a residential neighborhood and has three double-occupancy resident bedrooms and one staff room, two bathrooms, kitchen/dining/living space and outdoor activity space. Beds were observed to be in good condition and fitted with clean linens and mattress pads. The facility is clean and sanitary. There were no bodies of water or hazards, and per Facility Manager, there were no firearms on the premises. Room and hot water temperatures measured within permitted ranges, at F and 112. F, respectively. The first aid kit was observed to be complete. During the file review, LPA observed that staff S1, S2, S3, and S4 (See LIC Confidential Names) did not have 20 hours of annual training documented and maintained in the staff records. Per FM, in-house training is provided, but the facility was not aware that this training counted toward the training requirement as Regional Center had previously informed the facility that only outside training counted. LPA read the Title 22 regulations on the annual training requirement. LPA issued a citation of California Code of Regulations, Title 22, Section Personnel Requirements. See LIC9099-D attached. See attached (4) advisories issued for the following: (1) 80071: Register of Clients was not current with current residents, including one discharged resident and excluding one admitted resident 80071; (2) 84072.2: Complaint procedures were available in resident records but not visibly posted in facility; (3) 84070: Psychotropic medications for residents R2 and R3 (See LIC Confidential Names) were properly documented but not logged separately for the month of January 2022, while they were logged separately on the Psychotropic Medication Administration Record in December 2021; (4) 80070: Resident R2's file was missing an inventory of personal belongings. An exit interview was conducted, appeal rights provided, and a copy of this report provided to Facility Manager Cesar Redoloso, whose signature on this form confirms receipt.

met_with: Facility Manager Cesar Redoloso


summary: Facility Evaluation

raw_content:
Narrative:
On Thursday, February 17, 2022 (02/17/2022) at 11:30AM, a scheduled Office Tele-Meeting was conducted with the facility. In attendance were Licensing Program Manager (LPM) Helga Wong, Licensing Program Analyst (LPA) Mariah Hawkins, Licensee Filipina Cruz, and Facility Manager Cesar Redoloso. The purpose of the meeting was to discuss the facility's recent age exception requests and planned transition to an Adult Residential Facility (ARF). Licensee and Facility Manager confirmed that the residents in care will be turning 18 soon and that they will remain in care. Licensee agreed to submit a formal letter stating their intent to transition to an ARF. The letter is to include Licensee's plan for the submission of the ARF application and the date by which they will have submitted the application. This letter will be submitted to LPA Hawkins by Tuesday 2/22/22. A copy of this report was provided to Licensee Cruz and Facility Manager Redoloso, whose signature on this form confirms receipt.

met_with: Licensee Filipina Cruz, Facility Manager Cesar Redoloso


summary: Facility Evaluation

raw_content:
Narrative:
On 12-9-22 10:45AM, Licensing Program Analysts(LPA) George Karkazis and Alyssa Ng conducted an unannounced Annual/Random inspection at listed facility. LPA's met with Jose Solancho, Direct Care Support, and toured the facility inside and out. Safety precautions were taken including screening call and mask wearing. The Group Home is licensed to serve 3 clients. At 10: Cesar Redoloso, Facility Manager arrived. Present during the inspection were two staff and no clients. At 11:03AM, LPA Karkazis and Ng reviewed client and staff files. All of the necessary forms were present, all files were complete and in order. At 12:21PM, LPA Karkazis and Ng toured the facility. LPA Karkazis observed four bedrooms and two bathrooms. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPA Karkazis tested the water temperature and found it to be 111.2 degrees which is in range. The thermostat read 68 degrees which is within range. Sharps were locked and safely stored. There were two days of perishable foods and seven days non-perishable foods present. The medication was also stored and locked under the counter in a cabinet. The facility is in good repair and clean. LPA Karkazis interviewed two staff and no clients. At 1:39PM, LPA Karkazis and Ng toured the backyard. There were no open bodies of water. The backyard was in good repair and clean. continued on LIC 809-C continued fro LIC At this time there were three citations and one Technical Advisory. California Code Of Regulations, Buildings and Grounds 84487(s)(3) LPA Karkazis witnessed two cans of disinfectant under the sink in a cabinet without a lock. California Code of Regulations 80087(g) Buildings and Grounds LPA Karkazis witnessed shaving clippers in client's room. California Code of Regulations 84072.2 (a)(3) Complaint Procedures- LPA Karkazis witnessed that Complaint Procedures were not posted in a visible area. Technical Advisory- 84470(b)- LPA witnessed weight record for client on the kitchen calendar, not in file. An exit interview was conducted, appeal rights discussed and a copy of this report was given to Cesar Redoloso, Facility Manager.

met_with: Jose Solancho, Direct Care Support


summary: Facility Evaluation

raw_content:
Narrative:
On 1/25/23, Licensing Program Analyst (LPA) Mariah Hawkins conducted a case management visit regarding the facility closure. LPA met with Facility Manager Cesar Redoloso over the phone, facilitated by direct care staff, and informed of the purpose of the visit. A screening contact was prior to visit as well. The facility is transitioning from a group home facility to an adult residential facility. LPA confirmed at visit that the facility has completed their component 3 pre-licensing inspection but has not yet received licensure. Facility Manager agreed to notify LPA when the adult residential facility license is received so a follow-up inspection can be made. There are no deficiencies cited at this visit. An exit interview was conducted, and a copy of this report provided to Facility Manager Cesar Redoloso, whose signature on this form confirms receipt.