raw_content:
Narrative:
The investigation revealed that African American male staff were racially profiled, identified as Jamaican and accused of selling marijuana to Ref. #1. The Administrator denied that there were any Jamaicans working at the facility. Interviews did not provide any names of staff allegedly selling marijuana. Ref. #1 denied that the CEO handled Ref. #1 in a rough manner and denied observing staff place their hands on any other clients. Considering that Ref. #1 denied a personal rights violation about being handled roughly there was no special incident to report. A review of previous interviews of Ref. #1 indicated that staff may be annoying or rude, but Ref. #1 made no comments of violation of personal rights. The LPA reviewed Special Incident Reports and Needs and Services Plans for Ref. #1. The investigation revealed that the P.O. had no concerns about the facility. It revealed that the P.O. made unannounced visits to the facility and indicated that the facility is good about reporting. The LPA was unable to corroborate the allegations. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that alleged violations occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding these allegation. A copy of this complaint was provided to the facility representative.

Investigation Findings:
13On April 9, 2022 at 11:45 a.m., Licensing Program Analyst (LPA), Karen McGee, delivered the findings of a complaint investigation. The LPA met with Administrator, Melissa Williams. On September 10, 2021, the Monterey Park Children's Regional Program (MPCRP) received a complaint with the above mentioned allegations. The investigation included confidential interviews, that consisted of, but were not limited to the: Administrator at the facility on November 15, 2021, the client's (see Confidential Names, LIC Ref. #1 dated April 9, 2022) Probation Officer (P.O.) via telephone on March 23, 2022 and Ref. #1 at the facility on March 24, 2022. The investigation revealed that the allegation was denied by all the witnesses. The investigation revealed that Ref. #1 had gotten into trouble at school for smoking marijuana and based upon Ref. #1's admission had gotten caught by staff at the facility for attempting to smoke marijuana and had it confiscated. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Karen McGee 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 32-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, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WENDELL HOUSEFACILITY NUMBER: VISIT DATE: 04/09/2022

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

met_with: Melissa Williams


state: CA

facility_name: WENDELL HOUSE

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Investigator Rippe conducted confidential interviews of the following: Facility Personnel on 12/5/22, 12/20/22, 1/4/23, 2/8/23, 2/16/23, 2/21/23 and 3/1/23; Bakersfield Police Department (BPD) Detective on 1/9/23, three clients on 1/12/23, and the Facility Administrator on 3/1/23. Follow up interviews were conducted as needed, between 12/7/22 and 3/2/23. It was alleged that facility staff did not prevent client from being sexually abused while in care. Confidential interviews reveal that two incompatible clients were placed in the same bedroom as roommates. Issues related to difference in ages, behaviors and background information were discussed with the Administrator by multiple staff prior to placement of client (C1) at the facility (see Confidential Names Form dated 5/8/23). There was also a dangerous sexual propensity noted on the other client's (C2) Needs and Services Plan. Administrator still placed client (C1) with client (C2) in the same bedroom despite recommendation not to, citing that room changes would be too disruptive to other clients. There was no safety plan implemented. A few weeks after placement, client (C1) reported being sexually assaulted by client (C2). Details of the incident were disclosed by client (C1) to two staff and then later, to law enforcement. The incident was not reported by client (C1) right away due to threats made by the other client (C2). Administrator made room changes after the incident however, client (C1) was removed from placement. Other clients in placement were also removed after a report that client (C2) had inappropriately touched other clients in placement. Client (C2) denied the allegation. The Administrator denied being advised by any staff about the incompatibility of clients (C1 and C2). Other related parties gave consistent information when interviewed. Based on information obtained by Investigator Rippe from confidential interviews and records reviewed, there is a preponderance of evidence to support the allegation therefore, the allegation is substantiated. A deficiency citation is issued under California Code of Regulations (CCR) 80078(a) Responsibility of Providing Care and Supervision. This violation poses a potential health, safety, or personal rights risk to clients in care. A Plan of Correction was discussed with the facility representative. Copies of the following reports were provided at the conclusion of the inspection: LIC 9099, LIC 9099-C, LIC 9099-D and LIC 811. Appeal Rights Forms were provided and explained. Per new Civil Penalty laws, Health and Safety (H&S) Code section 1548(E), a civil penalty determination is under review due to the substantiated allegation.

Investigation Findings:
13On May 8, 2023 at 10:00AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted an unannounced complaint inspection at the facility. LPA met with the facility representative named above. The purpose of the inspection is to deliver the finding for the above allegation. The investigation was conducted by the Department's Investigations Branch (IB), assigned to Investigator Elisia Rippe. The investigation into the allegation includes the following: On 12/5/22, Investigator Rippe conducted an inspection at the facility and obtained an in-house incident report, staff schedule and client roster. Special Investigator Assistant (SIA) Monica Lopez requested for a copy of the police report on 12/5/22 and the Child Welfare Services (CWS) report pertaining to the allegation and medical reports on 12/6/22. On 12/7/22, LPA Joshua Rarela completed a file review which includes the emergency referral report, incident report, law enforcement contact reports and history of complaints; the reports were provided to IB. Additional pertinent records were requested and obtained by IB from the facility and other agencies on various dates between 12/7/22 to 3/2/23. All records obtained were reviewed by Investigator Rippe. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto 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 32-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, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WENDELL HOUSEFACILITY NUMBER: VISIT DATE: 05/08/2023

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

report_type: Complaint Investigation

met_with: Melissa Williams, Administrator

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Investigation revealed the following: It was alleged staff threatened resident with physical violence. Staff had similar statements and denied the allegation. Staff stated that one child has threatened staff and other children in the home, however staff denied that any staff threatened a child with physical violence or observed anyone being violent with any child. Interviews conducted with children had similar statements and denied the allegation. Children stated that they did not hear any staff threaten any children. One child stated they recalled hearing a story from another child of a staff making threats, however, child was unable to identify what staff and refused to speak of what child made statement. It was also alleged, staff called resident degrading names. Staff had similar statements and denied the allegation. Staff stated that they do not call children degrading names but have been called degrading names by children. Staff stated that some children use foul language and that it is protocol to redirect children to use better words when speaking to peers and staff. Children also had similar statements and denied the allegation. Children stated that they did not recall anyone calling them out of their name or anyone making derogatory statements. One child stated that they heard of a staff calling someone out of their name but was unable to identify which staff, when and where statement was made or in what context. Documents reviewed identified no issues with staff invoking physical violence or calling anyone a derogatory name. Although the allegations may have happened or may be true there is not a preponderance of evidence to support that the allegations did or did not happen. Therefore, this complaint is being closed Unsubstantiated. Exit interview was completed, no deficiencies cited, and a copy of this report was emailed to Administrator for review and signature.

Investigation Findings:
13On 6/7/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Wendell House facility for the purpose of delivering findings to the above identified complaint investigation. LPA met with Administrator and discussed the above findings. Investigation consisted of the following: On 4/13/ LPA met with and interviewed Director, two (2) facility managers and one (1) child. LPA obtained copies of current staff/ client roster, 2 incident reports, contact notes. LPA requested copies of three (3) children's needs and service plans, intake packet including the house rules, and any complaints or incidents regarding children being threatened or initiating or enticing fights with children or staff. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Dawn Mahecha 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 32-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, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WENDELL HOUSEFACILITY NUMBER: VISIT DATE: 06/07/2023

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On Tuesday, April 28th 2026, at 02: PM Licensing Program Analyst (LPA) Olena Maico made an unannounced visit to the above facility for the purpose of a case management inspection to inform the facility no citation will be issued. The purpose of the inspection is to follow-up on a Special Incident Report (SIR) received by the Department on November 19th,2025 and the complaint that was generated by the same incident report. An investigation was completed on the reported SIR and allegations were determined to be unsubstantiated. This report serves as notification that the Case Management is closed by the Department. No deficiencies issued during the visit and no further follow up needed. Copy of this report was provided to the facility representative.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Juan Aguayo, Facility Manager


facility_name: YOSEMITE TREATMENT CENTER

raw_content:
Narrative:
During the months of July-September 2024, 11 (24)hour serious incident reports were submitted to the Department without corresponding final reports being submitted. There were five incidents involving restraints which were not reported to the Department. Four staff were unable to explain to the LPA what the process is to report incidents. Based on LPA's observations, interviews which were conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated. Three citations are being issued for violating Title 22, Division 6, Section 80028(a): Responsibility for Providing Care and Supervision, Interim Licensing Standards (ILS) Section 87072(c)(17): Personal Rights, and Title 22, Division 6, Section 80061(b). A signed copy of this LIC-9099 report, the LIC-9099C, and LIC-9099D were provided to the facility. An exit interview was conducted. Appeal rights were provided. Regarding allegations of staff not addressing minors' health care needs, interviews with staff and clients indicated the facility has a medic on site. However, some interviews denied medical care as being available for clients when asked. Staff and clients reported that clients had access to three meals and a snack daily, but statements differed regarding the quality and quantity of the snacks, and the process for how to address when a client misses a meal. One staff reported that if a client acts up, they are not given a meal. Interviews and record review were inconsistent regarding the allegations that staff inappropriately restrained a minor resulting in injuries, and staff handled minor in a rough manner. One staff reported observing another staff push a client against a wall, however, no clients interviewed corroborated this statement. Regarding the allegation of staff hitting a minor with a vehicle resulting in injuries, interviews were inconsistent. One client reported having stolen a golf cart at the facility, but not getting injured. No incident report was submitted to confirm any other client or staff involvement. Regarding the allegation of staff not intervening when a minor engaged in self-harm, interviews were inconsistent. An incident did occur in the stabilization room involving electrical wiring. Client and staff interviews provided inconsistent statements regarding whether the wiring was exposed or not, and accessible to clients. Based on LPA's observations, interviews which were conducted, and records reviewed, although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove the violations did, or did not, occur. Therefore, the allegations are UNSUBSTANTIATED. A signed copy of this LIC-9099 report, the LIC-9099C, and appeal rights were provided to the facility. An exit interview was conducted.

Investigation Findings:
13Licensing Program Analyst (LPA) Tina Thorn arrived unannounced at the facility on 12.19.24 for the purpose of delivering findings for the complaint investigation. LPA met with NAME, TITLE. LPA Thorn and LPA Lyta Vue conducted the complaint investigation. LPA opened the investigation with the facility on 10.11.24 and met with Paige Woodard, Program Director and conducted a Health and Safety Inspection. During the course of the investigation, LPA interviewed One Probation Officer, Three staff, and one client. LPA reviewed records including: Needs and Services Plan for one client, Intake form for one client, LIC 500, Placing Agency Contacts, Staff Training Log, and Incident Reports, and a video. Regarding a lack of supervision for the client the facility submitted an incident report stating that a staff was disciplined for sleeping on night shift. It was alleged that staff made inappropriate comments toward the minors. Client and three staff interviews corroborated that on occasion, staff speak inappropriately to the clients, or with a derogatory tone. Two staff spoke of this being an ongoing problem and staff need more training. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Tina Thorn LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: YOSEMITE TREATMENT CENTERFACILITY NUMBER: VISIT DATE: 12/19/2024

met_with: Paige Woodard, Program Director


raw_content:
Narrative:
It was alleged that a minor was sexually abused in care by another minor. All confidential interviews with staff and 5 of 6 youth interviewed indicate that they had no knowledge of this incident. Those staff and youth interviewed stated that neither minor had reported any concerns or complaints about being sexually harassed or abused by another youth in care. Records reviewed showed no indications of concerns or complaints being brought to staffs' attention and that both minors ran away from the facility. Three confidential interviews revealed that both youths stated that they hated being at the facility and would often talk about leaving on their own. Six of Seven staff interviewed explained supervision to be appropriate and that protocol about supervision was in place and being followed. Based on LPA's interviews which were conducted, and records reviewed, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. A signed copy of this LIC-9099 report, the LIC-9099C, and appeal rights were provided to the facility. An exit interview was conducted.

Investigation Findings:
On 08.28. Licensing Program Analyst (LPA) NAME arrived unannounced at the facility on for the purpose of delivering findings for the complaint investigation. LPA met with Paige Woodard, Program Director. LPA Thorn conducted the complaint investigation. LPA opened the investigation with the facility on 06.12.25 and met with Paige Woodard, Program Director. During the course of the investigation, LPA interviewed 6 youth and 8 staff. LPM Hillary Hall conducted one other confidential interview. LPA reviewed records from the facility including Placement Roster, prior complaint history, Serious Incident Reports, CFT notes, and case notes for 2 youth, and LIC 500. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Tina Thorn LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: YOSEMITE TREATMENT CENTERFACILITY NUMBER: VISIT DATE: 08/28/2025


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 1/16/2024, Licensing Program Analyst (LPA) Tina Thorn and Licensing Program Manager (LPM) Hillary Hall arrived unannounced at the facility and met with Paige Woodard, Administrator. The purpose of the visit was to conduct a Required, Two year Annual Inspection of the facility. The facility was licensed 12/22/2022. LPA and LPM utilized the CARE Tool to complete the inspection. LPA conducted an inspection of the physical plant, and checked for all necessary requirements. The facility was clean and organized, and maintained an acceptable room temperature. The facility is on a large campus with many buildings. Each client has their own bedroom in a dorm like setting. The dorm has 6 client bathrooms. All bathrooms were observed to be clean and fully functioning. The dining hall is separate from the dorms. Each client had a closet and dresser in good repair. Mattresses and bedding were observed to be clean. Clients were able to decorate their rooms with their personal belongings. The facility has a properly fenced pool, and opportunities for clients to access sports equipment. LPA observed the proper postings including: facility license, complaint hotline, client personal rights, and emergency disaster plan. Smoke alarms, fire extinguishers and a first aid kit were observed to be current and within regulations. LPA observed the kitchen to have 3 restaurant sized refrigerators and freezers with at least 2 days of perishable food and 7 days of non-perishable food on hand. LPA observed client medications were stored in a locked file cabinet in the locked office. Client files are primarily electronic with paper files for clients locked in the Head of Service's office. The facility has no outstanding fees. The facility currently has 16 clients, with a licensed maximum capacity of 16. Staff to client ratio is 1 to 4. LPA reviewed 5 staff files. Staff clearances were reviewed and all staff had required initial and annual training. All First Aid and CPR certifications were up to date for staff. LPA interviewed three staff on site. Continued on 809C Continued from LPA Thorn interviewed three clients. LPM reviewed five client files. All clients had signed Admission Agreements on file. Needs and Service Plans (NSP) for clients were reviewed. Three out of five clients did not have an initial NSP completed within 30 days. Five out of five clients' NSP were not updated every 30 days. Some NSP were duplicated. Four out of five NSP were not signed by the client. Five out of five NSP were not signed by the authorized representative. The facility did not have evidence of attempting to obtain signatures from authorized representatives. Clients were current on CHDP physical exams and dental exams. Clients prescribed psychotropic medications had current JV-220's on file. Facility is issued three citations per Interim Licensing Standard Sections 87070(c)(1) Children's Records, 87068.2(a) Needs and Service Plans, and Section 87068.3(a) Modifications to Needs and Service Plans A signed copy of this LIC-809, LIC-809C, and LIC 809D, report was provided to the Administrator. An exit interview was conducted. Appeal rights were provided

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

(a) The needs and services plan specified in Section 87068.2 shall be updated at least every 30 days to determine the following

visit_type: Annual

met_with: Paige Woodard, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 05.23. Licensing Program Analyst (LPA) Tina Thorn arrived at facility unannounced for the purpose of a Case Management regarding a record review and met with Program Director. LPA interviewed Program Director and placing agency regarding timely medical records for youth. Program Director had indicated that there was a delay in obtaining the needed exams due to problems they have been having with both insurance coverage payments and delays due to providers not being able to schedule out appointments for clients within the 30 days. Program Director agreed to CC LPA on all emails sent to probation around this issue and to send a list of all clients who are being affected by the delay. A plan to mitigate the lack of timely exams has been implemented. No citations issued at this time.

met_with: Paige Woodard,Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On 06.20. Licensing Program Analyst (LPA) Tina Thorn arrived unannounced for a case management inspection for the purpose of following up on a Serious Incident Report. LPA met with Courtney Costello, Head Of Service and Paige Woodard, Program Director and reviewed the file for one client and interviewed the administrator and client. No citation was issued at this time

met_with: Courtney Costello, Head of Service, Paige Woodard, Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On 12.03.25, Licensing Program Analysts (LPAs) Tina Thorn and Lyta Vue arrived unannounced at the facility and met with Paige Woodard, Program Director and Eddie McCall, Program Manager. The purpose of the visit was to conduct a Required, two-year Annual Inspection of the facility. The facility was licensed on 12.23.22. LPAs utilized the CARE Tool to complete the inspection. LPAs conducted an inspection of the physical plant and checked for all necessary requirements. The facility was clean and organized and maintained an acceptable room temperature. The facility is on a large campus with many buildings. There are no clients sharing a bedroom in the dorm- like setting. The facility has 2 client bathrooms. All bathrooms were observed to be clean and fully functioning. Each client had a closet and dresser in good repair. Mattresses and bedding were observed to be clean. Clients were able to decorate their rooms with their personal belongings. The facility has a properly fenced pool, and opportunities for clients to access sports equipment. LPAs observed the proper postings including facility license, complaint hotline, client personal rights, and emergency disaster plan. Smoke alarms, fire extinguishers and a first aid kit were observed to be current and within regulations. LPAs observed the kitchen and dining hall to be clean and well-stocked. There are 3 restaurant sized refrigerators and freezers with at least 10 days of perishable food and a months supply of non-perishable food on hand. LPAs observed client medications were stored in a locked file cabinet in the locked medical office. Client files are primarily electronic with paper files for clients locked in the Head of Service's office. The facility has no outstanding fees. ***Note: The inspection was not completed on 12.03.25. Inspection will be completed on 12.04.25.

met_with: Eddie McCall, Program Manager and Paige Woodard, Program Director


summary: Facility Evaluation

raw_content:
Narrative:
The facility currently has 12 clients, with a licensed maximum capacity of 16. Staff to client ratio is 1 to 4. LPAs reviewed 10 staff files. Staff files had completed criminal record clearances, and all required initial and annual training. All First Aid and CPR certifications were up to date for staff. LPAs reviewed 5 client files. All clients have signed Admission Agreements on file. One of five clients did not have an initial NSP completed within 30 days. Needs and Services Plans detailed adequate supportive services that the facility offers to the clients. Clients were current on physical and dental exams. Review of 5 client files showed 4 of 5 clients were taking court ordered psychotropic medications and had current JV-220's on file. LPA interviewed 4 clients and 3 staff. Facility is issued a citation per Interim Licensing Standard Sections 87070(c)(1), Children's Records A signed copy of this LIC-809, LIC 809C, and 809D report were provided to Administrator An exit interview was conducted.


raw_content:
Narrative:
Staff interviews indicated that clients stay in this room until the treatment team deems the client is able to integrate back into the program. All youth interviewed indicated that the room is used to de-escalate but the youth weren't aware of a set time period to remain in the room. One staff member indicated that the youth can remain in the room for up to 5 days, however, they are allowed to leave the room to eat and sleep. Staff interviews were consistent that while youth were in the room, they are supervised by at least one member of staff and visited by members of their treatment team, given schoolwork, and taken outside for exercise. LPA reviewed records and there were no policies and procedures regarding the treatment room. LPA observed the treatment room to meet the definition of a Protective Separation Room, but no Protective Separation room was mentioned in the Program Statement. It was alleged that youth do not receive adequate food supply. Records reviewed showed facility's strict adherence to the National School Lunch food program. However, the National School lunch food program was not described or approved in the facility's approved Program Statement. One youth and one staff interviewed stated that there is not an adequate supply of food for the served population. One youth reported wanting more food, at which time their authorized representative mailed additional food supplements to the youth. Facility staff denied the youth from receiving or consuming the mailed food, without providing any written policies as to why the additional food was prohibited. Interviews were consistent that fruit is the only snack offered to the youth on weekends, which was not described in the Program Statement Two citations are being issued for violating Interim Licensing Standards (ILS) Section 87095.23 (a)(3) Protective Separation Room, Interim Licensing Standards (ILS) 87022 (e) Plan of Operation A signed copy of this LIC-9099 report, LIC-9099C, and LIC-9099D were provided to the facility. An exit interview was conducted. Appeal rights were provided. Continued D Page Two youths stated that the calls were not private, with one youth indicating that a private call can be made upon request. All staff interviewed indicated that youth can request a private call and that staff will readily facilitate that opportunity. It was alleged that staff do not allow minors to get haircuts. All who were interviewed indicated that there is an opportunity provided twice per month for each youth to get a haircut. Interviews were inconsistent, however, with 2 youth and 2 staff indicating that certain types of haircuts are not permitted. No records were provided from the facility to support the assertion that a barber comes on site twice a month to do haircuts. The facility program statement did not detail policies regarding prohibiting certain types of haircuts. It was alleged that staff open youths' mail. Interviews were consistent that it is policy for staff to be present when youth open their mail to check for unallowed items but that this is done in front of the youth and that the staff do not read the youth's mail. Records reviewed showed that it is not policy for staff to read a youth's mail. There was an allegation that staff inappropriately restrained youth. All four youth interviewed, and all staff interviewed, corroborate that restraints are used appropriately and that there are policies in place to ensure they are done safely. LPA reviewed records and no incident reports documented any injuries caused by a restraint. Based on LPA's interviews which were conducted and records reviewed, although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove the violations did, or did not, occur. Therefore, the allegations are UNSUBSTANTIATED. A signed copy of this LIC-9099 report, the LIC-9099C, and appeal rights were provided to the facility. An exit interview was conducted.

Investigation Findings:
13Licensing Program Analyst (LPA) Tina Thorn arrived unannounced at the facility on 01.05.26 for the purpose of delivering findings for the complaint investigation. LPA met with Paige Woodard, Program Director. LPA Thorn conducted the complaint investigation. LPA initiated the investigation with the facility on 10.17.25 and met with Paige Woodard, Program Director, and conducted a Health and Safety Inspection. During the course of the investigation, LPA interviewed 4 youths, 8 staff, and 3 other confidential individuals. LPA reviewed records including LIC 500, client roster, staff contact information, Placing Agency contact information, Needs and Services Plan, case notes, and Child Family Team meeting notes for 1 client. Program Statement and Plan of Operations, as well as food services documents were also reviewed. It was alleged that staff isolate clients for extended periods of time. Interviews with staff were consistent that the treatment room was used as a space to help clients de-escalate when their behavior poses a safety risk to themselves or others. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Tina Thorn LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: YOSEMITE TREATMENT CENTERFACILITY NUMBER: VISIT DATE: 01/05/2026


summary: Facility Evaluation

raw_content:
Narrative:
IR-2695 follow-up On 02.25. Licensing Program Analyst (LPA) arrived at the facility to follow-up on a reported concern about conduct of one staff. LPA conducted one interview and reviewed video footage of the incident, and determined there were no regulatory violations. No citation is being issued due to the facility's actions. Exit interview was conducted and a copy of this 809 report was given to the facility


facility_name: YOUTH ACCEPTANCE 1

raw_content:
Investigation Findings:
13On this date, Licensing Program Analyst (LPA) Lourey Bartolome conducted a complaint inspection for the purpose of delivering the findings for the above complaint allegation. LPA spoke with Administrator Dorothy Shanklin. During the course of the investigation, Community Care Licensing (CCL) conducted interviews and review of documentation. Based on interviews and documentation, staff could of prevented inappropriate sexual interaction between youth and physical altercation between . Staff did not conduct the nightly checks and staff were not supervising the clients to prevent the above allegations from happening. Therefore the above allegations are substantiated. Type A: This poses an immediate health and safety risk to clients in care. Facility was cited for Title 22, Section 80078(a) Responsibility for Providing Care and Supervision SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Melanie Krage LICENSING EVALUATOR NAME: Lourey Bartolome 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: YOUTH ACCEPTANCE 1FACILITY NUMBER: 107203239

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

met_with: Dorothy Shanklin


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13On this date, Licensing Program Analyst (LPA) Lisa Slusher conducted a complaint inspection for the purpose of delivering the findings for the above complaint allegations. LPA spoke with Administrator Dorothy Shanklin. During the course of the investigation, Community Care Licensing (CCL) conducted interviews and review of documentation. Based on interviews and documentation, clients have on multiple occasions been picked up late from school. On at least one occasion, client's journal was read by staff and pages were torn out. Clients have been brought religious pamphlets to read. During an incident in August of 2021, C2 (See LIC 811) pushed a table, hitting S1 in the chest. S1 became upset and threatened to break the nose of C2. Interviews conducted note that youth were not allowed a cell phone until level 4. There are no notations regarding cell phones in needs and services plans. Type A: This poses an immediate health and safety risk to clients in care. Facility was cited for Title 22, Section 80078(a) Responsibility for Providing Care and Supervision and 87072(c) Personal Rights. A civil penalty is assessed on this date. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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: YOUTH ACCEPTANCE 1FACILITY NUMBER: 107203239

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


raw_content:
Investigation Findings:
13On December 3, Liicensing Program Analyst (LPA) Lisa Slusher conducted a follow-up complaint inspection at Youth Accep. The purpose of the inspection was to deliver the findings for the above complaint allegations. LPA Slusher interviewed staff, clients and reviewed pertinent documents. Based on interviews conducted and information gathered, there were some discrepancies found. 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. A copy of this report and appeal rights were emailed to facility Administrator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2


summary: Complaint Investigation - Substantiated - 2 deficiencies - 1 allegation

raw_content:
Narrative:
Administrator, based on interviews and admission, has not been present at the facility a minimum of 20 hours per week. Staff person #1 (See LIC 811) did not have a fingerprint clearance prior to working with youth in the facility. Type A: This poses an immediate health and safety risk to clients in care. Type B: This poses a potential threat to the health, safety or personal rights of clients in care. Based on the LPA's observations, interviews, records review, the preponderance of evidence standard has been met, therefore, the above allegations are found to be substantiated. A copy of the report and Appeal Rights was provided to the agency. Facility was cited for The Interim Licensing Standard (ILS) Chapter 7. Version 3. Articles 1 through 10. The Agency is being cited for violations of Section 87072(c) Personal Rights, 87064 (a) Administrator Qualifications, 87078(b) Responsibility for Providing Care and Supervision, 87095.24(a) Runaway Plan, 87065.5(a) Direct Care Ratios, 80019(c) Criminal Record Clearance.

Investigation Findings:
13Licensing Program Analysts (LPAs) Lisa Slusher and Tamara Melikian conducted a follow-up complaint inspection with the above facility. Analysts met with Administrator Dorothy Shanklin. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, Community Care Licensing (CCL) conducted interviews with facility staff and foster youth and other interested parties as well as conducted a review of records including incident reports and police reports. The information obtained during the investigation substantiates the allegations. A review of the staff schedule notes only one staff person between 7:00 and 8:00am and only one staff member between 9:00 and 10:00 pm consistently. Interviews and staff schedule indicate other times when the facility has not met appropriate ratios. A review of needs and services plans for C1, C3 and C5 indicates a need for 1: Staffing. Additionally, several incident reports indicate as follow up that the facility is adding 1:1 staffing. The youth served by the facility have a high incident of suicidal ideations and attempts. Facility is not meeting the needs of these youth. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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: YOUTH ACCEPTANCE 1FACILITY NUMBER: 107203239

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

Deficiencies:
87065.5: (1) 	During the hours of 7 am to 10 pm, there shall be one awake and on duty direct care staff for every three children, or fraction thereof, present, at a minimum.1
2
3
4
5
6
7Per Administrator, Schedules have been updated to reflect appropriate ratios. Schedule provided to LPA on this date.
8
9
10
11
12
13
14
87095.241: (1)	Runaway child(ren).

title: Direct Care Staff/Child Ratios	(a) 	In a facility with a licensed capacity of six or fewer children, there shall be coverage by direct care staff as follows

title:
2
3
4
5
6
787095.24	Runaway Plan
(a)	The licensee must develop, maintain and, when necessary, execute a written runaway plan. The runaway plan must describe how staff will respond to the following

description: (1)	Runaway child(ren).


raw_content:
Investigation Findings:
13On the above date, LPAs (Licensing Program Analysts) Lisa Slusher and Tamara Melikian met with Administrator Dorothy Shanklin for the purpose of delivering the findings for the above noted complaint. During the investigation, LPA reviewed placement and file documents, receipts and conducted interviews. C1 was discharged from the facility in May of A P-EBT card was mailed to the facility in early August of 2021 in the amount of $1234.00. Receipts and other records confirm that the EBT card was utilized to pay for facility groceries in September of 2021, December of 2021, January of 2022 and February of 2022. The facility utilized more than $500 of the P-EBT funds. P-EBT funds are for the use of the recipient only. The facility failed to return the card to C1 and instead comingled client's funds with facility funds. Based on the evidence above, the allegation is Substantiated. A citation is issued for CCR, Title 22, Division 6 section 80026(e). SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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: YOUTH ACCEPTANCE 1FACILITY NUMBER: 107203239


raw_content:
Investigation Findings:
13On the above date, LPAs (Licensing Program Analysts) Lisa Slusher and Tamara Melikian met with Administrator Dorothy Shanklin for the purpose of delivering the findings for the above noted complaint. During the investigation, LPA reviewed placement and file documents, and conducted interviews and reviewed other documentation. On or about 3/1/22 the iPad utilized by C1 for Interpretation was confiscated while doing room searches. This poses a threat to client health and safety. The facility is cited on this date for a violation of CCR title 22, Division STRTP ILS section 87072(c). This section was previously cited on 12/21/21 and 3/16/22. A civil penalty is also assessed on this date. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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: YOUTH ACCEPTANCE 1FACILITY NUMBER: 107203239


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On the above date, LPAs (Licensing Program Analysts) Lisa Slusher and Tamara Melikian met with Administrator Dorothy Shanklin for the purpose of delivering the findings for the above noted complaint. During the investigation, LPA reviewed placement and file documents, and conducted interviews. C1 has maintained a relationship with a former staff person. No documentation indicates that the county has prohibited C1 from contacting this individual, and contact is not limited in a needs and services plan. Based on the evidence above, the allegation is Substantiated. A citation is issued for CCR, Title 22, Division STRTP ILS 87072(c)(8). SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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: YOUTH ACCEPTANCE 1FACILITY NUMBER: 107203239

met_with: Dorothy Shanklin, Jeffrey Johnson


raw_content:
Investigation Findings:
13Licensing Program Analysts (LPAs) Lisa Slusher and Tamara Melikian conducted a follow-up complaint inspection with the Short Term Residential Theraputic Program (STRTP) and met with Dorothy Shanklin. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation, LPA Slusher conducted interviews with clients, staff, and others. The interviews and document review indicated that although the individual has been present in the agency office and had incidental client contact, it is not clear that the contact rises to a standard of requiring a criminal record clearance. Although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove the above allegation; therefore, the allegation is unsubstantiated. LPA provided a copy of the report to the STRTP. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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


facility_name: YOUTH CONNECT LA ENTERPRISES

summary: Facility Evaluation

raw_content:
Narrative:
On June 4,2025 at 10: AM, Licensing Program Analysts (LPAs) Guadalupe Munoz and Gilbert Marquez conducted and announced pre-licensing inspection and completed Component III. LPAs met with Executive Directors, Tamika Boyce, Marie Thomas, and Anthony Wagner, The facility is a five bedroom two bathroom single-family, single-story home with an in ground pool and with an attached garage. The applicant is applying for a Short Term Residential Therapeutic Program (STRTP) with the capacity of six ambulatory clients aged between 6-17 years old. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris. There is adequate indoor and outdoor activity space. Clients will use a cordless telephone to make and receive confidential telephone calls. The facility smoke detectors and carbon monoxide detectors tested and were observed to be in working order; the fire extinguishers are properly charged and serviced. The facility has a first aid kit that needs a thermometer. The applicants stated there were no weapons in the facility. Disinfectants and cleaning solutions will be stored and locked in the garage. Sharp knives will be stored in a locked in garage cabinet. Medication will be locked and stored in a cabinet in the staff office. ****** The following required forms need to be posted in the facility: Personal Rights form, Foster Care Ombudsmen Poster and LIC Emergency Disaster Plan, and Grievance Policy. The facility is set up as follows The entry hallway leads to an open living room that flows into the dining area and attached kitchen. There is a an open study area for clients that has two desks and will be equipped with one shared computer for clients. At the back of the home is a multi purpose room that will be used for family visits and private meetings. All shared living spaces have furniture in good condition. At the rear of the home is the pool. It is an enclosed structure that can be accessed through a sliding glass door. Facility is pending having pool secured in compliance with Title Regulations. There are three client bedrooms that are designated for two clients per room with twin sized beds dresser and closet space for each client. Bedroom #1 is designated as the staff office and will house client files, staff files and centrally stored medication. Bedroom #2 is: designated for two clients, with two twin beds, built in dresser drawers and two closet spaces. Bedroom #3 is designated for two clients, two twin beds, built in dresser drawers and two closet spaces. Bedroom #4 is designated for two clients, two twin beds, two plastic dressers with three drawers each and closet space. Bedroom #5 is designated as a multi purpose room that can be used for family visitation and private therapy sessions. Each room has adequate clean linens, pillows, blankets, comforters, mattress pads, and mattresses. and a medication office. LPAs observed the following areas that need to be corrected: Posting the required forms and information Closet Light fixtures need chains to turn on Individual Lock boxes for the storage of contraceptives for clients Seven days of nonperishable food Locked Personal Storage area for clients Pool cover/safety latch Window screens for the pool area windows Based on the facility pre-licensing inspection, the facility will make the corrections and LPA Munoz will return on Thursday June 19, 2025 to complete pre licensing inspection. All special incident reports (SIR's) will be sent via e-mail to: cclpaccr@dss.ca.gov. The reporting requirements were reviewed with the Applicant on this date. LPA explained that once the license is approved, all employees shall have an approved criminal record clearance for CCL and be associated to this facility. LPAs conducted exit interview with Executive Directors, Tamika Boyce and Marie Thomas. LPA provided Executive Directors with copies of this report.

visit_type: Prelicensing


summary: Facility Evaluation

raw_content:
Narrative:
On August 19,2025 at 9: AM, Licensing Program Analysts (LPAs) Guadalupe Munoz arrived for an announced pre-licensing inspection. LPA met with Executive Directors, Tamika Boyce, Marie Thomas, and STRTP Administrator, Dr.Peter Airwele, and Social Worker, Brandon Washington. In addition, Orange County Social Services STRTP Monitor/Liaison was present during the inspection to provide placement information to the licensee. The purpose of the visit is to follow up on the corrections needed to complete the pre license process. Based on the facility pre-licensing inspection conducted on June 4,2025, the facility needed to make the following corrections to complete pre licensing inspection. LPA observed the following areas that need to be corrected: Posting the required forms and information Closet Light fixtures need chains to turn on Individual Lock boxes for the storage of contraceptives for clients Seven days of nonperishable food Locked Personal Storage area for clients Pool cover/safety latch Window screens for the pool area windows All of the above items identified were corrected and meet Interim Licensing Standards version 5 (ILSv5) requirements. All special incident reports (SIR's) will be sent via e-mail to: cclpaccr@dss.ca.gov. The reporting requirements were reviewed with the Applicant on this date. LPA explained that once the license is approved, all employees shall have an approved criminal record clearance for CCL and be associated to this facility. LPAs conducted exit interview with Executive Directors, Tamika Boyce and Marie Thomas. LPA provided Executive Directors with copies of this report.

met_with: Tamika Boyce, Executive Director


summary: Facility Evaluation

raw_content:
Narrative:
On September 4, 2025 at 9: AM, Licensing Program Analysts (LPA) Guadalupe Munoz arrived for an announced pre-licensing inspection. LPA met with Executive Directors, Tamika Boyce, Marie Thomas. The purpose of the visit is to follow up on the corrections needed to complete the pre license process. LPA observed the following areas that need to be corrected; Pool cover needed to secured to the ground. On this date, LPA observed pool cover to be secure and LPA observed Executive Director, Marie Thomas walk across pool cover safely. LPA reminded Applicant that special incident reports (SIR's) will be sent via e-mail to: cclpaccr@dss.ca.gov. The reporting requirements were reviewed with the Applicant on this date. LPA explained that once the license is approved, all employees shall have an approved criminal record clearance for CCL and be associated to this facility. LPA conducted exit interview with Executive Directors, Tamika Boyce and Marie Thomas. LPA provided Executive Directors with copies of this report.

met_with: Tamika Boyce


summary: Facility Evaluation

raw_content:
Narrative:
On December 15, 2025 at 10: AM, Licensing Program Analysts (LPAs) Guadalupe Munoz conducted and unannounced post licensing inspection. LPA met with Executive Director, Tamika Boyce. The facility is a Short Term Residential Therapeutic Program (STRTP) with the capacity of six ambulatory clients aged between 6-17 years old and non minor dependents . Currently there are no clients placed at STRTP. The facility is a five bedroom two bathroom single-family, single-story home with an in ground pool and with an attached garage. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris. In ground pool has pool cover and there is adequate indoor and outdoor activity space. Clients will use a cordless telephone to make and receive confidential telephone calls. The facility smoke detectors and carbon monoxide detectors tested and were observed to be in working order; the fire extinguishers are properly charged and serviced. The facility has a first aid kit. The applicants stated there were no weapons in the facility. Disinfectants and cleaning solutions will be stored and locked in the garage. Sharp knives are stored in a locked in garage cabinet. Medication will be locked and stored in a cabinet in the staff office. The following required were posted in the facility: Personal Rights form, Foster Care Ombudsmen Poster and LIC Emergency Disaster Plan, and Grievance Policy. ****** The facility is set up as follows The entry hallway leads to an open living room that flows into the dining area and attached kitchen. There is a an open study area for clients that has two desks and will be equipped with one shared computer for clients. At the back of the home is a multi purpose room that will be used for family visits and private meetings. All shared living spaces have furniture in good condition. At the rear of the home is the pool. It is an enclosed structure that can be accessed through a sliding glass door and secured with a pool cover that meets Title 22 regulations. . There are three client bedrooms that are designated for two clients per room with twin sized beds dresser and closet space for each client. Bedroom #1 is designated as the staff office and will house client files, staff files and centrally stored medication. Bedroom #2 is: designated for two clients, with two twin beds, built in dresser drawers and two closet spaces. Bedroom #3 is designated for two clients, two twin beds, built in dresser drawers and two closet spaces. Bedroom #4 is designated for two clients, two twin beds, two plastic dressers with three drawers each and closet space. Bedroom #5 is designated as a multi purpose room that can be used for family visitation and private therapy sessions. Each room has adequate clean linens, pillows, blankets, comforters, mattress pads, and mattresses. and a medication office. LPA conducted exit interview and provided copies of this report to Executive Director, Tamika Boyce. .


facility_name: YOUTH DEVELOPMENT CENTER

raw_content:
Narrative:
During the investigation, confidential interviews revealed no clients are ever denied court mandated visits and staff often encourages clients to attend all visits. Furthermore, confidential interviews stated when facility does not have enough staff to transport clients to visits, staff will call the house administrator and administrator will have staff from a sister facility go to the facility so the staff is within ratio and the staff can transport clients to visits. Confidential interviews revealed any time any client goes on a visit it is documented in client files. Confidential interviews revealed C5 just had a visit with family. Per confidential interview, it is still being alleged minors are denied visitations due to staff shortage. Based on interviews conducted, record reviews and information obtained, the allegation that minor denied visitations may have occurred, however, it is not supported or proven by evidence. Therefore, this allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report was provided to facility representative.

Investigation Findings:
13On January 4, 2022 at 10: AM, Licensing Program Analyst (LPA), Lisi Leon, met with Youth Development Center, Social Worker/Head of Service, Shayla Parra, to deliver the finding for the above stated allegation regarding the Short Term Residential Therapeutic Program (STRTP). LPA was given verbal authorization by Division Head of Residential Care, LaDonna Robinson to have Shayla Parra sign and receive LIC9099. LPA Ronnesha Fountain conducted safety and health inspection on January 11, 2022 and no immediate health or safety concerns were observed. On November 03, 2022, LPA Leon conducted interviews with one Lead Facility Manager (S1), and one Client #5 (C5). On December 30, 2022, LPA Leon conducted interviews with one county social worker (CSW3) and three staff (Staff #2 - S2, Staff #4 - S4, Staff #3 - S3) and attempted interviews with four county social workers and four clients. LPA Leon obtained copies of the facility roster including schedules and reviewed client records. It was alleged minor denied visitations. Specifically, it was reported minor has court mandated visits and staff will not take him because minor did not clean minor's room. ***Continued on 9099-C*** UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Lisi Leon 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 19-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, MAIN ST., SUITE FACILITY NAME: YOUTH DEVELOPMENT CENTERFACILITY NUMBER: VISIT DATE: 01/04/2023

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


raw_content:
Narrative:
On December 1, 2023, Community Care Licensing (CCL) received a complaint alleging that minors had access to drugs while in care. Specifically, it was reported that three clients (C2, C3, C5) were all under the influence of drugs and alcohol. Confidential interviews stated that C3 tested positive for Benzodiazepines "Benzos" at the hospital. Confidential interviews could not confirm whether or not the Benzos were accessed at the facility. Confidential interviews stated further that C2, C3, and C5 tested positive for alcohol intoxication while at the hospital. Confidential interviews continued stating that once staff was aware of the clients condition they monitored clients and sought medical attention for C2, C3, and C5's physical conditions. Confidential interviews could not confirm where or when the clients had access to alcohol. Confidential interviews could not confirm or dispute the allegation. Based on confidential interviews the preponderance of evidence standard has not been met and the allegations that C1, C2, and C3 had access to drugs while in care, may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time.

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

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

met_with: Jacquline Gonzales Lead Facility Manager


raw_content:
Narrative:
(Continued from LIC9099) Video evidence was shared with Community Care Licensing (CCL) that showed the side/back view of a woman driving with two teens; one in the rear seat, and one in the passenger seat of the vehicle, used to transport clients. One of the teens was smoking what looked like a vape pen and blowing smoke. There was writing on the screen of their cell phone which said, "Staff Come Through." The identity of the woman seen in the video was verified, by Community Access Network Administrator, as FSC. FSC was engaged in vaping in the company car while minors in care were present, and FSC's employment was terminated on April 5, 2024. Based on confidential interviews and recorded video, the allegation that Staff engaged in vaping with minors while in care is SUBSTANTIATED. The preponderance of the evidence standard has been met. The facility is being cited for violation of Interim Licensing Standard, Version 5, Section 87074 (b) Transportation. An exit interview was conducted. Copies of this report, LIC 9099D, and appeal rights were explained and given to Jacqueline Gonzalez, Lead Facility Manager, on this date.

Investigation Findings:
13On September 24, 2024, at 12: PM, Licensing Program Analyst (LPA) Cynthia Velasquez met with Youth Development Center (STRTP) Jacqueline Gonzalez, Lead Facility Manager (LFM), to deliver the finding for the above complaint allegation. On 04/11/2024, LPA Jessica Peete conducted a health and safety inspection at the STRTP; no immediate health and safety hazards were observed. The investigation included interviews with Staff, Children (C1-C6), and Former Staff Counselor (FSC) of STRTP. LPA obtained documents pertinent to the investigation. On April 5, 2024, Community Care Licensing received an allegation that Former Staff Counselor (FSC) engaged in vaping with minors while in care. Per confidential interviews, staff deny engaging in substance or any type of smoking with minors while in care. Other confidential interviews concluded that staff deter youth in care from smoking. (Continued on 9099-C) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Cynthia Ann Velasquez 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 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: YOUTH DEVELOPMENT CENTERFACILITY NUMBER: VISIT DATE: 09/24/2024

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


raw_content:
Narrative:
Continued from LIC They went about their day and did not see anything suspicious. Additional confidential interview reported that the behavior of staff could have been taken as flirtatious by minor in care but was not sure of minor's interpretation. Other confidential interview revealed that staff did not engage in inappropriate interactions with minor(s) in care. According to confidential interview, the staff's kindness must have been taken for a weakness, and the tattoo may have signified Jesus, but they were not sure. Confidential interview indicated that staff tries to be nice towards all youth in care, as it is what the job entails. Youth in care are emotional and go through issues, and staff try to be there for them to talk through situations if needed. Other confidential interviews revealed that they were shocked at the allegations. According to confidential interviews, the staff were all spoken to regarding their classifications and how to maintain dealings with youth so that it is not misinterpreted. Additional confidential interviews reported that there was no favoritism among staff and youth. They were unaware of any problems or inappropriate behaviors occurring between clients or staff. Based on confidential interviews, the allegation that facility staff engaged in inappropriate interactions with minors in care may have occurred or is true, however there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the allegation that facility staff engaged in inappropriate interactions with minors in care is unsubstantiated. A copy of this report and appeal rights were discussed and provided to Youth Development Center Lead Facility Manager, Jacqueline Gonzalez.

Investigation Findings:
13On April 3, 2025, at 12: PM, Licensing Program Analyst (LPA) Cynthia Velasquez met with Youth Development Center's Lead Facility Manager, Jacqueline Gonzalez, to deliver the findings for the above complaint allegation. On 11/12/24, LPA inspected the facility; no immediate health and safety hazards were observed. The investigation included interviews with Staff (S1-S6), and Foster Children (C1-C6). Pertinent documents and rosters were gathered. On November 5, 2024, the Department received allegation that facility staff engaged in inappropriate interactions with a minor. Specifically, reporting party stated that staff was grooming a client while in care. Also reported was that minor received a tattoo of an initial intending to represent staff's name. It was reported that the staff and client spent a suspicious amount of time in a one-on-one setting as well. Confidential interview reported that it was unknown if staff was behaving inappropriately with minor while in care. (Continued on LIC9099C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Cynthia Ann Velasquez 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 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: YOUTH DEVELOPMENT CENTERFACILITY NUMBER: VISIT DATE: 04/03/2025

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

met_with: Jacqueline Gonzalez, Lead Facility Manager


raw_content:
Narrative:
It was stated during confidential interviews that C1 pretends to be something that they are not, and once confronted by other clients, they get scared and cry to staff. According to confidential interviews, staff was increased during nocturnal hours to provide additional supervision, as it was alleged that it was during the nighttime that the problems mostly occurred. The investigation did not produce evidence to indicate that altercations occurred due to lack of adequate supervision. Based on confidential interviews, the allegation that staff do not provide adequate supervision resulting in minors engaging in physical altercations with other minors may have occurred or is valid, however, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the above allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report along with appeal rights were discussed and provided to Jacqueline Gonzalez, Lead Facility Manager.

Investigation Findings:
13On June 24, 2025, Licensing Program Analyst (LPA) Cynthia Velasquez arrived unannounced to deliver findings regarding the allegation above. On February 7, 2025, the Department received allegation that staff do not provide adequate supervision resulting in minors engaging in physical altercations with other minors. It was reported that Client 1(C1) was being hit and slapped by other clients when staff were not looking. On February 11, 2025, LPA Velasquez initiated an investigation for the above allegation. LPA conducted a health and safety inspection of the facility and there were no concerns at the time. During this investigation, confidential Interviews were conducted of staff and clients. Documents pertaining to personnel and clients were also used as part of this investigation. Confidential interviews revealed that C1 would often initiate altercations. Other confidential interviews confirmed that C1 agitated others claiming to have ties to a gang. Consistent interviews reported that C1 was the cause of most of the arguments in the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Cynthia Ann Velasquez 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 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: YOUTH DEVELOPMENT CENTERFACILITY NUMBER: VISIT DATE: 06/24/2025


summary: Facility Evaluation

raw_content:
Narrative:
On December 29, 2022 at 08: AM, Licensing Program Analyst's (LPA's) Darlene Almaraz-Oseguera and Lisi Leon arrived at Youth Development Center Therapeutic Program (STRTP). LPA was greeted and granted access by facility Administrator Christopher Fowler (FA). The purpose of the visit is to conduct an annual inspection of the facility. There were four clients and two staff present during this inspection. Appropriate staff/client ratios were verified during the inspection. Mr. Fowler led the physical inspection of the facility with LPA's. The facility consists of four bedrooms and three bathrooms. One bedroom is used as the staff office and has a restroom inside that is also available for clients to use. There also a separate office that is used for therapy sessions. The facility has a dining area, a kitchen area, a living room, a staff office, laundry room, playroom and a garage. The laundry room is located off the hallway. All bedrooms have individual beds and drawer space for each client. The facility ensures that there is one client per bed with appropriate linens, pillows, comforters, and mattresses in good repair. All the bedroom windows have the screens. Facility grounds are clean and free of debris and observable hazards. There were no bodies of water. There is adequate indoor and outdoor activity space. Televisions, a computer, board games, video gaming console, workout equipment, and books, were observed for client's recreation time. There is an activities calendar posted and staff are getting back to scheduling outings and outside activities. Carbon monoxide detector is in appropriate working order and facility smoke detectors are also in working order. Fire extinguisher is properly charged and serviced. The facility maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. There is an extra freezer and refrigerator in the laundry room. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Medications are stored in a locked box within a locked closet in the staff office. The hot water in the staff and client restrooms was deemed to be at a safe temperature. Per facility staff, there are no firearms or weapons in the facility. Continued on page Chemicals and/or poisons are locked in a cabinet in the laundry room. Sharp objects/knives are stored in a locked box in the locked closet in the hallway. First Aid Kits are also stored in the hallway closet and in the staff office. closet and are complete. A First Aid Manual was also available. Medications were stored in a locked box in the hallway closet. It was observed that the licensee has cameras in common areas of the facility as well as the staff office, outside facing the front door and in the backyard facing the windows and side wall. There is an exception on file for the facility to use the cameras and the facility continues to meet the terms and conditions of the exception. Client files are kept in a locked file cabinet within the staff office. LPA's reviewed four client files during time of inspection. All four of the client files reviews had required documents in the file. LPA's also reviewed five staff files and all of the files were complete and had had all required documents. All staff that work at the facility have Department of Justice and Child Abuse Clearance Index clearances, CPR/First aid and training hours. Based on the facility inspection and file reviews this date, are no deficiencies found at this time. Exit interview conducted and a copy of this report was reviewed and given to facility representative Christopher Fowler.

met_with: Christopher Fowler


summary: Facility Evaluation

raw_content:
Narrative:
On January 04, 2023, Licensing Program Analyst (LPA), Lisi Leon made an unannounced case management inspection for the purpose of reviewing a special incident report (SIR) that was received by Community Care Licensing (CCL) on December 06, 2022 involving Client #1 (C1). LPA obtained verbal authorization from Division Head of Residential Care, LaDonna Robinson to have Social Worker/Head of Service Shayla Parra to sign LIC809 and receive document. LPA Leon met with Social Worker/Head of Service, Shayla Parra, regarding this incident. Additional time is needed for the review at this time. A copy of this report was discussed and given to facility representative


summary: Facility Evaluation

raw_content:
Narrative:
On January 04, 2023, Licensing Program Analyst (LPA), Lisi Leon made an unannounced case management inspection to address the following issues and concerns during the review of the incident that occurred on or around January 07, 2022. LPA obtained verbal authorization from Division Head of Residential Care, LaDonna Robinson to have Social Worker/Head of Service Shayla Parra to sign LIC809/LIC9102 and receive document. LPA Leon requested copies of visitation logs for all clients on December 13, 2022 and December 28, 2022 and as of this date the information has not been provided to licensing. Therefore the facility is going to be issued a technical violation per Title Regulations, Short Term Residential Therapeutic Program, Article 6, Section 80070(d), Client Records. Documents need to be available to licensing upon demand. A copy of this report was discussed and given to facility representative


facility_name: YOUTH HOMES - ANDERSON

summary: Facility Evaluation

raw_content:
Narrative:
On 3/4/222 at 11: AM, LPA Alyssa Ng met with Ronnie Mabou, Director of Compliance and Operations at Youth Homes East Bay to discuss the opening of Anderson and their Non-Compliance Plan going forward. Ronnie says that Anderson will be ready to open once their Plan of Operations is finalized by CCL. In October 2020, Youth Homes - Andersen met with Community Care Licensing (CCL) representatives for a Noncompliance Conference. The purpose of the Noncompliance Conference was to address the following issues: 1. Client Supervision and Staff Ratios 2. Staff Training 3. Needs and Services Plans 4. Administration. During this time, Anderson closed their facility dated 4/6/2021 due to lack of staffing and COVID. Youth homes had enough beds at their sister facilities East Bay and Pryor. When Pryor closed, clients were able to move to East Bay. After discussing the opening of Anderson, the Licensee will submit the LIC500 on the 20th of every month. LPA will ask randomly ask for at least two days of the following items per month; 15 minute room checks logs including names of the staff who preformed checks and overnight shift notes. Staff Training: Youth Homes has established a Training Plan for all staff to be completed by 10/01/2020 and addresses the following topics: Mandated Reporting (Laws and Regulations, Procedures and Timeframes for reporting, understanding physical and sexual abuse) Unconscious Bias Trauma-Informed Care ------ Continued on LIC C---------- Aces (Adverse Childhood Experiences) STRTP Regulations Prudent Parent Standards Incident Reporting requirements, AB When Anderson opens, the Licensee will submit a schedule of all upcoming trainings at the home, including the names of the trainers and an agenda for each training. Needs and Services Plans: Licensee will conduct in depth evaluations of each client upon admission, taking into account each clients past history. The licensee will develop individualized and personalized Needs and Services Plans for each client that address each clients particular needs and treatment goals. The Clinical Team is providing training re: Needs and Services Plans, going through each client's treatment and crisis plans in conjunction with the child's treatment team to make sure each section of the Needs and Services is tailored to each child and includes a plan to transition each child to a lower level of care. When Anderson opens, the licensee will conduct and submit to CCL quarterly audits of Needs and Services Plans to check for accuracy, completion, and to ensure that each client's plan is personalized to them individually. The Licensee will also submit 3 random Needs and Services Plans to LPA Ng for Review by the 20th of every month. Administration: Licensee will ensure that the program administrator is present at the home for at least 20 hours per week during normal business hours. On a quarterly basis, the licensee agrees to submit the following to LPA Ng: 1. Executive Board meeting minutes. 2. Weekly staff meeting minutes, to include a log of each direct care staff signing off confirming they have reviewed each client's Needs and Services Plans each week. Upon the request of the Licensee, CCL will request a Technical Support Program (TSP) visit at the home.

met_with: Ronnie Mabou


summary: Facility Evaluation

raw_content:
Narrative:
On 8/10/222 at 1: PM , Licensing Program Analysts (LPA) Alyssa Ng and George Karkazis met with Ronnie Mabou, Administrator at Youth Homes Anderson and discussed their Non-Compliance Plan going forward. Anderson plans on opening in September. After discussing the opening of Anderson, the Licensee will submit the LIC500 before opening and on the 20th of every month. LPA will ask randomly ask for at least two days of the following items per month; 15 minute room checks logs including names of the staff who performed checks and overnight shift notes. LPA Ng discussed staff having required training before working at Anderson. The required training mist include the following topics: · Mandated Reporting (Laws and Regulations, Procedures and Time frames for reporting, understanding physical and sexual abuse) · Unconscious Bias · Trauma-Informed Care · Aces (Adverse Childhood Experiences) · STRTP Regulations · Prudent Parent Standards · Incident Reporting requirements, AB 388 · When Anderson opens, the Licensee will submit a schedule of all upcoming training's at the home, including the names of the trainers and an agenda for each training. Needs and Services Plans: · Licensee will conduct in depth evaluations of each client upon admission, taking into account each client past history. The licensee will develop individualized and personalized Needs and Services Plans for each client that address each client's particular needs and treatment goals. · The Clinical Team is providing training re: Needs and Services Plans, going through each client's treatment and crisis plans in conjunction with the child's treatment team to make sure each section of the Needs and Services is tailored to each child and includes a plan to transition each child to a lower level of care. · When Anderson opens, the licensee will conduct and submit to CCL quarterly audits of Needs and Services Plans to check for accuracy, completion, and to ensure that each client's plan is personalized to them individually. · The Licensee will also submit 3 random Needs and Services Plans to LPA Ng for Review by the 20th of every month. Administration: · Licensee will ensure that the program administrator is present at the home for at least 20 hours per week during normal business hours. Administrator Ronnie told LPA Ng that Kendra Sheldon will be the new Administrator but Ronnie will be the Interim Administrator until Kendra completes her certificate, training's, and on boarding. · On a quarterly basis, the licensee agrees to submit the following to LPA Ng: 1. Executive Board meeting minutes. 2. Weekly staff meeting minutes, to include a log of each direct care staff signing off confirming they have reviewed each client's Needs and Services Plans each week. LPA Ng told Administrator to send CCL needs and service plans when completed, completed trainings, and board meeting minutes closer to Anderson's opening date. A Technical Support Program (TSP) was discussed. Licensee will let LPA Ng know if they need TSP. No deficiencies were cited. A copy of this report was given to Ronnie Mabou, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 9/21/222 at 10: AM , Licensing Program Analyst (LPA) Alyssa Ng met with Ronnie Mabou, Administrator at Youth Homes Anderson. The purpose of the visit was to do a facility walk-through due to clients getting moved from Youth Home East Bay Shelter. The facility placed the clients at Anderson on September 10th due to a fire incident. During the transition, all parties were informed including client's social workers and CCL was notified. At 10: AM, Administrator Ronnie and LPA Ng did a walk-through of the facility. LPA inspected the interior and exterior of the facility and grounds. There are no bodies of water or hazards on the grounds. The room and hot water temperatures are maintained within permitted ranges at F and 115. F. Food supply meets the 7 day nonperishable, 2 day perishable supply mandate for all residents in care. The food storage is kept locked at night, the freezers are always locked, but residents always have access to water, milk, fruit, and makings for sandwiches. The residents also have access to an unlocked fridge freezer for snacks and frozen juice. First aid kit was inspected and observed to be complete. Smoke detectors were tested and are functioning. The house and grounds are well maintained. All bedrooms have clean linens and mattress pads. Knives and chemicals are locked and inaccessible to residents in care. During the walk-through, LPA observed holes in a clients room. LPA Ng was notified prior regarding the property damage. The holes were observed to be covered with duck tape and Administrator provided a work order. Repair is scheduled for tomorrow. LPA Ng also reminded Administrator that now that the facility has clients, the Non-Compliance submissions will begin. As a reminder, the LIC 500 and 3 random Needs and Service Plans will be sent to LPA NG every 20th of every month. LPA will ask randomly ask for at least two days of the following items per month; 15 minute room checks logs including names of the staff who performed checks and overnight shift notes. The administrator will also conduct and submit to CCL quarterly audits of Needs and Services Plans to check for accuracy, completion, and to ensure that each client's plan is personalized to them individually. Submissions will start in October as staff and clients are still transitioning to Anderson House. On a quarterly basis, the licensee agrees to submit the following to LPA Ng: 1. Executive Board meeting minutes. 2. Weekly staff meeting minutes, to include a log of each direct care staff signing off confirming they have reviewed each client's Needs and Services Plans each week. No deficiencies were cited today. An exit interview was conducted and a copy of this report was given to Ronnie Mabou, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 10/26/2022 at 10: AM, Licensing Program Analyst (LPA) Alyssa Ng conducted an unannounced case management inspection with listed facility and spoke with Ronnie Mabou, Administrator. The purpose of the inspection was to follow up on an incident report. LPA Ng reviewed an incident report dated 10/16/22. The incident, aggressive act towards staff over a hygiene product resulted in client being placed in a hold. During a tour of the facility, it was observed where hygiene products are stored. LPA reviewed distribution of hygiene protocols and escalation procedures to ensure that safety measure were followed. No concerns were observed during the inspection. No deficiencies were cited, an exit interview was conducted, and a copy of this report was left with Administrator Ronnie Mabou, whose signature on this form confirms receipt.


summary: Facility Evaluation

raw_content:
Narrative:
On 1/20/23 at 1: PM, Licensing Program Analyst (LPA) Alyssa Ng met went to listed facility for the purpose of conducting a Noncompliance Case Management Inspection. LPA met with Administrator Ronnie Mabou, who helped facilitate this inspection. In October 2020, Youth Homes - Andersen met with Community Care Licensing (CCL) representatives for a Noncompliance Conference. The purpose of the Noncompliance Conference was to address the following issues: 1. Client Supervision and Staff Ratios 2. Staff Training 3. Needs and Services Plans 4. Administration. In April of 2021, Youth Homes made the decision to temporarily close due to staffing issues. LPA Ng made a visit to Youth Homes- Anderson back in August of 2022 for a timeline for an anticipated open date / update on the facility. In September of 2022, Youth Homes Director of Operational Compliance and Services Ronnie Mabou notified LPA Ng that they have moved clients from Youth Homes East Bay to Youth Homes- Anderson due to a incident involving a fire. Youth Homes decided to forfeit the East Bay License so the clients stayed at Anderson permanently. --------Cont. ON 809C---------- Needs and Services Plans: · Licensee will conduct in depth evaluations of each client upon admission, taking into account each client past history. The licensee will develop individualized and personalized Needs and Services Plans for each client that address each client's particular needs and treatment goals. · The Clinical Team is providing training re: Needs and Services Plans, going through each client's treatment and crisis plans in conjunction with the child's treatment team to make sure each section of the Needs and Services is tailored to each child and includes a plan to transition each child to a lower level of care. · The Licensee will also submit 3 random Needs and Services Plans to LPA Ng for Review by the 20th of every month. Administration: · Licensee will ensure that the program administrator is present at the home for at least 20 hours per week during normal business hours. Ronnie Mabou is still the interim Administrator until Kendra Sheldon receives her Administrator certificate. As part of the Non-Compliance, LPA Ng reviewed the following: - Current LIC500 to ensure staffing meets the needs of the residents in care. - Needs and Service Plans for all clients to ensure accuracy and completion. LPA Ng requested: 1. Executive Board meeting minutes. 2. Weekly staff meeting minutes, to include a log of each direct care staff signing off confirming they have reviewed each client's Needs and Services Plans each week. Due date for the documents will be on 1/27/23 at 4: PM. No deficiencies were cited today. An exit interview was conducted and a copy of this report was given to Ronnie Mabou, Administrator.

met_with: Ronnie Mabou and Kendra Sheldon


summary: Facility Evaluation

raw_content:
Narrative:
On 1/20/23 at 10: AM, Licensing Program Analyst (LPA) Alyssa Ng made an unannounced annual/required inspection to listed facility and met with Ronnie Mabou, Administrator. The facility is licensed for six residents, and currently in placement are 4 clients. During this inspection, 3 clients and 6 staff were present in the home. Safety precautions were taken, including screening call, hand hygiene, and mask-wearing. LPA Ng toured the facility inside and out. The facility is a three story home and has 4 client bedrooms. All client bedrooms were equipped with comfortable furnishings which included ample storage space for clients' belongings and full sized beds. Each bedroom has drawers for extra storage space. Client bathroom was clean and furnished with hygiene supplies for each client. The water temperature measured 124.5 degrees F. The thermostat measured 71 degrees. The facility is clean, safe and sanitary. The kitchen was observed to be clean and free of hazards or chemicals. Sharps were located in a locked cabinet in the staff office. Extra linens are located in a closet in the hallway. The weekly menu was posted in the kitchen. LPA's observed at least 2 days of perishable foods and 7 days of nonperishable foods. The smoke detectors are in working order. No bodies of water on the premises. All walkways were free from debris or hazards. LPA Ng interviewed 2 staff and 1 client. LPA toured the backyard and observed it to be free from hazards. The backyard is surrounded by a wooden fence with locked gates. The facility has a centralized AC unit in the side yard which is inaccessible to clients. All client records complete with all of the required documentation. The facility had a separate file for each staff. All files were present except for one staff's TB test and three staff Child Abuse Index Check (LIC 198). LPA also found that all clients has their own separate binder of all required documents. Each psychotropic medication was did have its own Psychotropic Medication Administration Record (PMAR). All medications were consistent with these records. Staff has a centralized binder that contained their training, qualifications, and other personal information. LPA looked through all binders and were complete with all the required documentation. Resident and staff records were observed to be complete and the facility in compliance, with only the following exception: LPA Ng reviewed staff records and found staff did not have the Child Abuse Index Check (LIC198). Facility was cited under California Code Of Regulations, Title 22, Chapter 6, Section Personnel Records and 80019. Child Abuse Central Index. At this time, 2 deficiencies was cited. An exit interview was conducted, and a copy of this report was given to Ronnie Mabou, Administrator .


summary: Facility Evaluation

raw_content:
Narrative:
On 05/16/23 at 11: AM, Licensing Program Analyst (LPA) Alyssa Ng met went to listed facility for the purpose of conducting a Noncompliance Case Management Inspection. LPA met with Kendra Sheldon, Administrator and Ronnie Mabou, Director of Operational Compliance and Services who helped facilitate this inspection. The purpose of the Noncompliance Conference was to address the following issues: 1. Client Supervision and Staff Ratios 2. Staff Training 3. Needs and Services Plans 4. Administration. In April of 2021, Youth Homes made the decision to temporarily close due to staffing issues. In September of 2022, Youth Homes Director of Operational Compliance and Services Ronnie Mabou notified LPA Ng that they have moved clients from Youth Homes East Bay to Youth Homes- Anderson due to a incident involving a fire. Youth Homes decided to forfeit the East Bay License, so the clients stayed at Anderson permanently. As part of the Non-Compliance, LPA Ng reviewed the following: -Signed Needs and Service Plans -Shift logs (AM, PM) -Staff meeting topics -Updated LIC500 - Planned activities for all clients This Non-Compliance is expected to end in March of 2024 due to the temporary closure in April of 2021. No deficiencies were cited today. An exit interview was conducted, and a copy of this report was given to Kendra Sheldon, Administrator.

met_with: Kendra Sheldon and Ronnie Mabou


summary: Facility Evaluation

raw_content:
Narrative:
On 09/07/23 at 11: AM, Licensing Program Analyst (LPA) Alyssa Ng met with Kendra Sheldon, Administrator and Ronnie Mabou, Director of Operational Compliance and Services for the purpose of conducting a Noncompliance Case Management Inspection. LPA Ng met at listed facilities sister facility "Cherry Lane" due to a waiver issued by CCL that is dated 8/29/23. Listed facility is temporarily relocating their youth to Cherry Lane while repairs are being done for Andersen house. *Please note that although the youth are getting relocated to Cherry Lane , they are still under Andersen placement.* Administrator does not have a timeline yet but will get in contact with a contractor next week regarding repairs. The purpose of the Noncompliance Conference was to address the following issues: 1. Client Supervision and Staff Ratios 2. Staff Training 3. Needs and Services Plans 4. Administration In April of 2021, Youth Homes made the decision to temporarily close due to staffing issues. In September of 2022, Youth Homes Director of Operational Compliance and Services Ronnie Mabou notified LPA Ng that they have moved clients from Youth Homes East Bay to Youth Homes- Anderson due to a incident involving a fire. Youth Homes decided to forfeit the East Bay License, so the clients stayed at Anderson permanently. As part of the Non-Compliance, LPA Ng reviewed the following: -Signed Needs and Service Plans ------- CONT. ON 809C------- -Shift logs (AM, PM) -Staff meeting topics -Updated LIC500 - Planned activities for all clients This Non-Compliance is expected to end in March of 2024 due to the temporary closure in April of 2021. No deficiencies were cited today. An exit interview was conducted, and a copy of this report was given to Kendra Sheldon, Administrator.