raw_content:
Narrative:
Confidential interviews and documentary evidence revealed a lack of evidence to substantiate the reported allegations as statements obtained revealed no proof to support claims that Staff allow minors to have access to felony drugs and that Staff did not safeguard minor's personal belongings. Statements revealed allegations were fabricated and false. The information obtained did not support or promote the investigation, thus the allegations are determined unsubstantiated as evidence obtained was not sufficient to substantiate the alleged. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. There are no deficiencies cited at this time. Exit interview completed. A copy of this report and LIC811 was provided to Facility Administrator.

Investigation Findings:
13On 4/30/2025, at 1: PM, Licensing Program Analyst (LPA), Regina Martin conducted a subsequent complaint inspection to deliver findings concerning the above-mentioned allegations. LPA Martin met with Paulette Poutre, Administrator to discuss the investigative outcome. On 2/12/2025, Community Care Licensing Division (CCLD) received a complaint referral alleging that Staff allow minors to have access to felony drugs and that Staff did not safeguard minor's personal belongings. The allegations were referred and investigated jointly with CCLD Investigations Branch and LPA Regina Martin. On 2/13/2025, Investigator Douglas Real conducted a confidential interview with Youth (Y1). The investigation further included interview with Facility Administrator, review of client records, review of facility file history as well as, observation of facility grounds and storage space. (Continued on page 9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Regina Martin 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 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 04/30/2025

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


state: CA

facility_name: GUIDING OUR YOUTH

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13On May16,2025, 2025, at 13:50pm, Licensing Program Analyst (LPA) Nestor Gomez made an unannounced inspection to the above facility for the purpose of concluding the investigation on the above allegation and deliver the findings. LPA spoke with (S1) Alysan Aachen and together, discussed the investigative findings. During the investigative process by Licensing program Analyst (LPA), Nestor Gomez, all relevant parties have been accounted for and interviewed. Clients involved refused an interview with LPA. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. No deficiencies are being cited at this time. Exit Interview conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Nestor Gomez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

report_type: Complaint Investigation

met_with: Alysan Aachen - Residential Couselor

complaint_status: unsubstantiated


raw_content:
Investigation Findings:
13On 9/9/25 at 4:00PM, Licensing Program Analyst (LPA) Wendely Moodie-Naranjo and Licensing Program Manager (LPM) Kevin Sauk made an unannounced inspection to the above-listed facility for the purpose of concluding a complaint investigation on the above allegation and deliver the findings. Licensing staff spoke with Brenda Flores-Residencial Counselor/Facility Manager, and together, discussed the investigative finding.During the investigative process by Licensing program Analyst (LPA), Moodie-Naranjo, all relevant parties have been accounted for. During the investigative process, LPA obtained information regarding all staff working within the facility and organization. Statements obtained did not support clear evidence: Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. No deficiencies are being cited at this time. Exit Interview conducted, and a printed copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Wendely Moodie-Naranjo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Brenda Flores- Residencial Counselor/Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 04/05/2022 at 10:00AM, Licensing Program Analysts (LPAs), Olivia Rosas and Nancy O'Connell made an unannounced visit to Guiding Our Youth for the purpose of conducting an Annual inspection. LPA Rosas and O'Conell met with Staff#1(S1) who granted access to the facility and an inspection of the facility was conducted together. Individuals mention in this report are identify on the Confidential Names List (LIC811) dated 04/05/22. LPA met with Staff#1 (S1), who granted access into the home, and who provided a tour of the entire physical plant. This facility has a provisional Short Term Residential Therapeutic Program (STRTP) license to provide care and supervision for six (6) female children ages 13-17 years old, Ambulatory only. There is no pool or bodies of water on the premises. The facility currently has Accreditation with CARF International dated 09/24/2021 and with expiration date of 09/20/2021. The facility is in the process of obtaining a Mental Health Program Approval contract with the Department of Health Care Services and Ventura County. Staff confirmed that there are no firearms or dangerous weapons in the facility. The facility is current with their annual fees. LPA Rosas inspected the following: This is a one (1) story (STRP) Short Term Residential Therapeutic Program, located in a residential neighborhood. This is a (3) three bedroom, (2) two bathroom, single story family residence that includes a living room, dining area, kitchen, detached staff office, backyard, and an attached garage for storage. There are two (2) facility vehicles parked outside inspected to be in good operating condition. Outdoor Area: There was no swimming pool or bodies of water on the premises. The activity space is free of hazard materials and debris. LPA observed a staff displayed the utility shut-off valves. The facility is surrounded by wooden fence and is observed to be good condition. Report continues on LIC 809-C Page 1 of Laundry Room: The laundry room is located next to the garage. The laundry is equipped with a washer and dryer unit that was observed to be in good condition. The laundry detergent is made inaccessible to the children and is disputed according to the load of the laundry. Disinfectants and chemicals are locked in cabinets made inaccessible. The garage is kept locked and only used when staff is present with youth. Garage: The attached two car garage is used as storage and is kept locked. There are two (2) vehicles available to transport youths; make and model are a Nissan Centra, and Hyundai. The vehicle has full coverage auto insurance with HUB International Insurance Services Inc. Dining Area/Kitchen/Family Room (Den): There is adequate furniture which appears to be in good condition. There is a television. One table and island with stools next to the Kitchen: There is a gas stove/oven with four (4) burners, all operating. There is a dishwasher, microwave, refrigerator with freezer and a toaster oven. LPA observed adequate perishable/nonperishable food supplies. The facility supplies a staple nonperishable food for a minimum of one week and fresh perishable foods for a minimum of two days shall be maintained on the premises. Sharp knives, disinfectants/cleaning solutions made inaccessible to the children locked in the staff office and closet by the kitchen. Water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. Living Room: There is adequate furniture which appears to be in good condition. The living room has dining table and television. Additional disinfectants, chemicals, hygiene supplies and medication are locked in storage closet in the living room making inaccessible. Staff Office: The detached garage is used as staff office. The office is equipped office furniture (i.e desk, computers, printers). Additional medication is kept locked inside of the staff office. The client and staff files are kept in a locked in file cabinet. LPA observed a key locked closet that stored hygiene supplies, cleaning solutions, and medication. Bedroom # 1: Occupied by two (2) clients, the bedroom is equipped two (2) twin sized beds, comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) wall closet. There is adequate lighting and the windows have horizontal slide locked with curtains observed to be in good condition. This bedroom was a bathroom. Page 2 of Bedroom # 2: Currently occupied by one (1) client, has two (2) twin sized beds and comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) walk in closet. There is adequate lighting and the windows have horizontal slide locked with curtains observed to be in good condition. Bathrooms: There are two (2) bathrooms. Bathroom #1 is the common bathroom for the clients. It is a full-sized bathroom with a toilet, sink, and tub/showers. Bathroom #2 is located inside of Bedroom#1 is full-sized bathroom with a toilet, sink, and shower. Water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. During the facility was inspected, the following was observed: LPA observed a key locked closet that stored hygiene supplies, and cleaning solutions. All windows were in good condition with screens and blinds. There were no security bars on the windows. There are two (2) fire extinguishers and was fully charged and carbon monoxide detectors were working properly in the facility. LPA observed ample towels and linen closet. The passageways and porches are unobstructed. All posting requirements were met, (food menu, regulations, licenses, emergency disaster plan, Children's Personal Rights, and Ombudsman). The home has a working telephone and youths can use the telephone unless restricted by court order. The Emergency Evacuation Plan is posted. All posting requirements were met. LPA observed several First Aid Kit complete with scissors, tweezers, thermometer, gauzes, antiseptic and a 1st Aid Manual in the staff office. All posting requirements were met. Children will be accorded personal rights. The facility current License, Ombudsperson Grievances and Personal Rights; are posted on the wall. Children are not restricted to make phones calls based on the court and or authorized representative. The lounge is utilized for clients to make phones calls and the Phone Call Log is kept near the facility phone. LPA observed the child's Needs and Services plans kept in client's personal file; (filed in an individual binder). Children are accompanied to outside extracurricular activities and social events and alternate activities have been implemented. LPA Rosas reviewed following during the inspection: LPA Rosas requested the following forms for review, Register of Youth (LIC 9020), Current Census, Personnel Report (LIC 500), Emergency Disaster Plan (LIC610C), Emergency Disaster Plan including log that drills were conducted every six months. In addition written menus, staff weekly schedule, and The accreditation CARF International Commission approval certificate. Page 3 of Staff Records Review: Facility files are not located on site. LPA ensured Administrator Certificate was current. LPA reviewed the Personnel Report (LIC 500) and confirmed that Direct Care Staff Ratio present for the five (5) clients in placement. LPA confirmed that All staff have required criminal record clearance. DOJ, FBI and Child Abuse Response, which meet qualification. The Administrator provided evidence of staff training transcripts stored RELIAS Training Program with a schedule to complete Hours of training for various topics including Trauma Informed and CSEC training. LPA Rosas was not able to complete staff file review and will need to return to complete. Clients Records Review: LPA reviewed one (1) client records which meet qualification. LPA Reviewed Consent forms, completed by the child's authorized representative(s), to permit the facility to authorize medical care. LPA review copy psychotropic medication log. Record of client cash resources and allowance. The needs and services plan, Admission Agreement, Health History, and Personal Rights. Staff Interviews: LPA conducted a confidential interview with two (2) on duty staff. Client Interviews: LPA conducted confidential interviews with two (2) of the five (5) clients according to the census willing to be interviewed. A review of Facility's Personnel Report Summary on 04/05/2022 indicates that all personnel have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. LPA Rosas by email send the following PINS to S PIN 20-17-CRP: New Background Check Requirements, Assembly Bill 819 (Chapter 777, Statutes of 2019), PIN 21-20-CRP: Statewide Launch of New Inspection Tools for Children's Residential Licensees, PIN 21-05-CRP: The Family Urgent Response System (FURS), Medications Guide TSP 2017-03 (version 08/23/21). Advisory Technical Violation was given for 87070(b)(13)(F) medication log shall document and maintained. (b) The following information regarding the child shall be obtained and maintained in the child's record: (13) A separate log for each psychotropic medication prescribed to a child documenting all of the following: (F) The date and time of each dose taken by the child. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.

report_type: Facility Evaluation

visit_type: Annual

met_with: Staff#1 (S1)


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) David Torres conducted a case management inspection April 12, 2022 at 9:16 am based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 10 out of Direct Care Staff and 5 out of 5 youth files were reviewed. 4 out of Direct Care Staff and 3 out of 5 youth were interviewed. (See the Confidential Names List, LIC 811, dated April 12, 2022). The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, youth case plans, quarterly assessments, and crisis intervention plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA David Torres observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Paulette Poutre, Administrator.

visit_type: Case Management

met_with: Paulette Poutre, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 05/19/2022 at 9:00AM, Licensing Program Analyst (LPA), Olivia Rosas made an unannounced visit to Guiding Our Youth for the purpose of a Case Management Annual Continuation Inspection. LPA Rosas met with Staff#1(S1) who granted access to the facility. Individuals mention in this report are identify on the Confidential Names List (LIC811) dated 05/19/2022. LPA reviewed following during the inspection: Staff Records Review: LPA reviewed five (5) staff records stored in individual personnel file provided by S1. LPA ensured to thoroughly review the records of the primary active staff (i.e The Program Administrator, Facility Manager, Head of Service, Direct Care Staff). Staff files had proof of completion of cardiopulmonary resuscitation (CPR) and first aid training from an accredited training program. Files contained required licensing forms, qualifications, employee handbook, and job description. The facility provided evidence of staff training transcripts stored in RELIAS Training Program with a schedule to complete Hours of training for various topics including Trauma Informed and CSEC training. LPA reviewed the Personnel Report (LIC 500) and confirmed that Direct Care Staff Ratio present for the six (6) clients in placement. Facility Administrator is on the premises for a minimum of 20 hours per week. A review of Facility's Personnel Report Summary on 05/18/2021 indicates that all personnel have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was email to S1 for signature.


summary: Facility Evaluation

raw_content:
Narrative:
On 09/29/2022 at 11:30AM, Licensing Program Analyst (LPA), Olivia Rosas made an unannounced visit to Guiding Our Youth for the purpose of conducting Post-Licensing inspection. LPA Rosas met with Staff#1(S1) who granted access to the facility and an inspection of the facility was conducted together. Individuals mention in this report are identify on the Confidential Names List (LIC811) dated 09/29/22. LPA met with Staff#1 (S1), who granted access into the home, and who provided a tour of the entire physical plant. This facility has a provisional Short Term Residential Therapeutic Program (STRTP) license to provide care and supervision for six (6) female children ages 13-17 years old, Ambulatory only. There is no pool or bodies of water on the premises. The facility currently has Accreditation with CARF International dated 09/24/2021 and with an expiration date of 09/20/2024. The facility has active Mental Health Program Approval contract with the Department of Health Care Services and Ventura County with an expiration date of 05/27/2023. Staff confirmed that there are no firearms or dangerous weapons in the facility. The facility is current with their annual fees. LPA Rosas inspected the following: This is a one (1) story (STRP) Short Term Residential Therapeutic Program, located in a residential neighborhood. This is a (3) three bedroom, (2) two bathroom, single story family residence that includes a living room, dining area, kitchen, detached staff office, backyard, and an attached garage for storage. There are two (2) facility vehicles parked outside inspected to be in good operating condition. Outdoor Area: There was no swimming pool or bodies of water on the premises. The activity space is free of hazard materials and debris. LPA observed a staff displayed the utility shut-off valves. The facility is surrounded by brick fence and is observed to be good condition. Report continues on LIC 809-C Page 1 of Laundry Room: The laundry room is located next to the garage and living room. The laundry is equipped with a washer and dryer unit that was observed to be in good condition. The laundry detergent is made inaccessible to the children and is disputed according to the load of the laundry. Disinfectants and chemicals are locked in cabinets made inaccessible. The garage is kept locked and only used when staff is present with youth. Garage: The attached two car garage is used as storage and is kept locked. There are two (2) vehicles available to transport youths; make and model are a Nissan Centra, and Hyundai. The vehicle has full coverage auto insurance with HUB International Insurance Services Inc. Dining Area/Kitchen/Family Room (Den): There is adequate furniture which appears to be in good condition. There is a television. The kitchen island is used with stools next to the Kitchen: There is a gas stove/oven with four (4) burners, all operating. There is microwave, refrigerator with freezer and a toaster oven. LPA observed adequate perishable/nonperishable food supplies. The facility supplies a staple nonperishable food for a minimum of one week and fresh perishable foods for a minimum of two days shall be maintained on the premises. Sharp knives, disinfectants/cleaning solutions made inaccessible to the children locked in the staff office and closet by the kitchen. Water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. Living Room: There is adequate furniture which appears to be in good condition. The living room has dining table and television. Additional disinfectants, chemicals, hygiene supplies and medication are locked in storage closet in the living room making inaccessible. Staff Office: The detached garage is used as staff office. The office is equipped office furniture (i.e desk, computers, printers). Additional medication is kept locked inside of the staff office. The client and staff files are kept in a locked in file cabinet. LPA observed a key locked closet that stored hygiene supplies, cleaning solutions, and medication. Bedroom # 1: Occupied by two (2) clients, the bedroom is equipped two (2) twin sized beds, comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) wall closet. There is adequate lighting and the windows have horizontal slide locked with curtains observed to be in good condition. This bedroom was a bathroom. Page 2 of Staff Records Review: Facility files are not located on site. LPA ensured Administrator Certificate was current. LPA reviewed the Personnel Report (LIC 500) and confirmed that Direct Care Staff Ratio present for the five (5) clients in placement. LPA confirmed that All staff have required criminal record clearance. DOJ, FBI and Child Abuse Response, which meet qualification. The Administrator provided evidence of staff training transcripts stored RELIAS Training Program with a schedule to complete Hours of training for various topics including Trauma Informed and CSEC training. LPA Rosas was not able to complete staff file review and will need to return to complete. Clients Records Review: LPA reviewed one (1) client records which meet qualification. LPA Reviewed Consent forms, completed by the child's authorized representative(s), to permit the facility to authorize medical care. LPA review copy psychotropic medication log. Record of client cash resources and allowance. The needs and services plan, Admission Agreement, Health History, and Personal Rights. Staff Interviews: LPA conducted a confidential interview with two (2) on duty staff. Client Interviews: LPA was not able to interview clients because they were not present during the inspection. A review of Facility's Personnel Report Summary on 09/28/2022 indicates that all personnel have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility. Bedroom # 2: Currently occupied by one (1) client, has two (2) twin sized beds and comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) walk in closet. There is adequate lighting and the windows have horizontal slide locked with curtains observed to be in good condition. Bathrooms: There are two (2) bathrooms. Bathroom #1 is the common bathroom for the clients. It is a full-sized bathroom with a toilet, sink, and tub/showers. Bathroom #2 is located inside of Bedroom#1 is full-sized bathroom with a toilet, sink, and shower. Water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. During the facility was inspected, the following was observed: LPA observed a key locked closet that stored hygiene supplies, and cleaning solutions. All windows were in good condition with screens and blinds. There were no security bars on the windows. There are two (2) fire extinguishers and was fully charged and carbon monoxide detectors were working properly in the facility. LPA observed ample towels and linen closet. The passageways and porches are unobstructed. All posting requirements were met, (food menu, regulations, licenses, emergency disaster plan, Children's Personal Rights, and Ombudsman). The home has a working telephone and youths can use the telephone unless restricted by court order. The Emergency Evacuation Plan is posted. All posting requirements were met. LPA observed several First Aid Kit complete with scissors, tweezers, thermometer, gauzes, antiseptic and a 1st Aid Manual in the staff office and medication closet in the house. All posting requirements were met. Children will be accorded personal rights. The facility current License, Ombudsperson Grievances and Personal Rights; are posted on the wall. Children are not restricted to make phones calls based on the court and or authorized representative. The lounge is utilized for clients to make phones calls and the Phone Call Log is kept near the facility phone. LPA observed the child's Needs and Services plans kept in client's personal file; (filed in an individual binder). Children are accompanied to outside extracurricular activities and social events and alternate activities have been implemented. LPA Rosas reviewed following during the inspection: LPA Rosas requested the following forms for review, Register of Youth (LIC 9020), Current Census, Personnel Report (LIC 500), The accreditation CARF International Commission approval certificate and Mental Health Certificate. Page 3 of 4


summary: Facility Evaluation

raw_content:
Narrative:
On May 5, 2023, at 12: PM, Licensing Program Analyst (LPA),Christine Wilson made an unannounced visit to Guiding Our Youth Short Term Residential Therapeutic Program (STRTP) for the purpose of conducting an Annual inspection. LPA Wilson met with Case Manager (CM) who granted access to the facility and an inspection of the facility was conducted together. (3) staff (CM, S1, and S2) were on site. (2) client residents (C1, C2), were at the facility and (1) client resident (C3) was at school. and Individuals mention in this report are identify on the Confidential Names List (LIC811) dated 05/05/2023. LPA Wilson met with Staff#1 (CM), who granted access into the home, and who provided a tour of the entire physical plant. This facility has a provisional Short Term Residential Therapeutic Program (STRTP) license to provide care and supervision for six (6) female children ages 13-17 years old, Ambulatory only. There is no pool or bodies of water on the premises. The facility has obtained a Mental Health Program Approval contract with the Department of Health Care Services and Ventura County. Staff confirmed that there are no firearms or dangerous weapons in the facility. There are no functional cameras in the facility. The facility is current with their annual fees. (Page 1 of 4) LPA Wilson inspected the following: This is a one (1) story (STRP) Short Term Residential Therapeutic Program, located in a residential neighborhood. This is a three (3) three-bedroom, two (2) bathrooms, one (1) staff office in single story family residence that includes a living room, dining area, kitchen, backyard, and an attached garage used for storage and laundry service. There is an unattached storage shed. There are two (2) facility vehicles parked outside inspected to be in good operating condition, and with current insurance and registration. Report continues on LIC 809-C Page 2 of 4 . (Page 2 of 3) During the facility was inspected, the following was observed: LPA observed a key locked closet that stored hygiene supplies, and cleaning solutions. All windows were in good condition. Windows had screens and blinds. There were no security bars on the windows. There are three (3) fire extinguishers and was fully charged and carbon monoxide detectors were working properly in the facility. LPA observed ample towels and linen closet. Outdoor Area: There was no swimming pool or bodies of water on the premises. The activity space is free of hazard materials and debris. LPA observed a staff displayed the utility shut-off valves. The facility is surrounded by brick fence observed to be good condition. The passageways and porches are unobstructed. Laundry Area: The washer and dryer units are located next to the kitchen in the attached garage. The laundry is equipped with a washer and dryer unit that was observed to be in good condition. The laundry detergent is made inaccessible to the children and is disputed according to the load of the laundry. Disinfectants and chemicals are locked and made inaccessible to clients in the staff office. Dining Area/Kitchen: The dining/kitchen area has a bar table with bar stools, where clients were doing art and studying. There is adequate furniture which appears to be in good condition. The living "communal" room has a small table and television. The facility has one living "communal" room area used for recreating and activity room, which provide the necessary space and/or separation to promote and facilitate the program of planned activities and to prevent such activities from interfering with other functions. The living area has game board games, books, DVDs, and magazines.. Kitchen: There is a gas stove/oven with four (5) burners, all operating. There is a dishwasher, microwave, refrigerator with freezer and a toaster oven. LPA Wilson observed adequate perishable/nonperishable food supplies. The facility supplies a staple nonperishable food for a minimum of one week and fresh perishable foods for a minimum of two days maintained on the premises. Sharp knives, disinfectants/cleaning solutions made inaccessible to the youth locked in the hall closet with medications. Water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees fahrenheit. Bedrooms: There are (3) bedrooms in the facility with space for (2) clients in each. At the time of this report, each of the (3) clients placed have their own bedroom. (Report Continues on LIC809-C Page 3 of 3) (Page 3 of 3) Bedroom 1: (2) beds and sleeps (1) client (C2), equipped with two twin-size beds and dresser. Bedroom 2:(2) beds and sleeps (1) client (C1), equipped with two twin-size beds and dresser. Bedroom 3: (2) beds and sleeps (1) client (C3), equipped with two twin-size beds and dresser. Window screen in disrepair. Bathroom 2: On-Suite bathroom for bedroom 3. sink, toilet, lights observed to be in good working condition. Staff Office: The office is equipped office furniture (i.e desk, computers, printers). Medication is kept locked inside of the staff office. The client and staff files are kept in a locked in file cabinet. LPA observed a key locked closet that stored hygiene supplies, cleaning solutions, and medication. Additional disinfectants, chemicals, hygiene supplies and medication are locked in storage closet in the living room making inaccessible. The office has additional a deep freezer for food. LPA observed overstock of nonperishable food, frozen food, snacks, and supplies. LPA Wilson reviewed following during the inspection: LPA Wilson requested the following forms for review, Register of Youth (LIC 9020), Current Census, Personnel Report (LIC 500), Emergency Disaster Plan (LIC610C), Emergency Intervention Plan, vehicles registration and auto insurance. In addition, written menus, staff weekly and schedule. Staff Interviews: Staff interviews were conducted with (CM, S1 and S2) LPA Wilson will need to return to facility to complete the staff file review. Client Interviews: Client interviews were conducted with (C1, and C2) LPA Wilson will need to return to facility to complete the client file review. A review of Facility's Personnel Report Summary on 05/05/2023 indicates that all personnel have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. There were no deficiencies observed or cited at this time. LPA Wilson observed a window screen in bedroom 3 in disrepair. A Technical Advisory is given on this day. Furniture, Fixtures, Equipment, and Supplies (b) All window screens shall be in good repair and be free of insects, dirt and other debris. Exit interview was conducted with S3 and a copy of this report was left at the facility.

met_with: Case Manager (CM)


summary: Facility Evaluation

raw_content:
Narrative:
On 05/09/2023 at 8:41am, Licensing Program Analyst (LPA) Christine Wilson conducted an unannounced inspection, at the above-said facility,Guiding Our Youth Short Term Residential Therapeutic Program (STRTP) for the purpose of conducting an Annual inspection. LPA Wilson met with Case Manager (CM) who granted access to the facility and an inspection of the facility files was conducted together. (2) staff (CM, S1) were on site. (1) client residents (C3, was at the facility and (2) client residents (C1 and C2) were at school. Individuals mention in this report are identify on the Confidential Names List (LIC811) dated 05/09/2023. LPA Wilson conducted the file review for three clients (C1, C2, C3), and four staff (CM, S2, S3, and S4).. [See Confidential Names form (LIC811), dated 05/09/2023, for names.] Operational Requirements: LPA Wilson observed that non-discriminatory notice, facility license, notice of problem resoution, activity calendar, daily chore list, evening schedule, foster youth bill of rights, facility sketch floor plan, emergency plan, crisis hot line contacts, Covid-19 resource important phone numbers and weekly group schedule were posted upon entrance to the facility. Disaster Preparedness: LPA Wilson observed written procedures to address storage and preservation o f medications, training on emergency procedures, monthly emergency drills, a disaster and mass casualty plan, a roster and contact information for clients and vehicles for evacuation. Emergency Intervention:Restraints are not used in the facility. Staffing Records: A review of records shows that all staff have FBI, DOJ and Child Abuse Index Check clearances, educational transcripts, first aid/cpr certification and identification. Client Records: A review of records shows that all clients have a Needs and Services Plan, placement agency forms, intake packet, mental health documents, medical forms, court documents, educational documents, incident reports and financial documentation of allowance (Continued on 819C page 2of 2) (Page 2 of 2) Core Theraputic Services: All clients receive core theraputic, psychiatric and medical services, as part of their needs and services plan. Special Health Care Needs:There are no clients with special health care needs PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, and Short Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS), Chapter 7. Version 3, No deficiencies were cited at this time. Four (4) Technical Advisories will be given on this day.(See LIC809-D) ILS 87070 (b)(11) (1 out of 3) Child's legal guardian signature required to complete consent form. Consent may not be given by telephone. ILS 87070 (c )(1) (2) out of (3) clients NSP not signed by the child. ILS 87068.2(b)(6) (3 out of 3) do not include visitation and any limitations and other visits inside and outside the facility. ILS 87065.1(e )(1) Training hours date range 1/1/2022 - 12/31/2023 (1 out of 28) direct care staff completed a minimum of 40 hrs. of annual training. Exit interview was conducted, and a copy of this report was left with the Facility Administrator (FA).


summary: Facility Evaluation

raw_content:
Narrative:
On August 11 2023 at 8:30AM Licensing Program Analysts (LPAs) Rosslyn Gray and Zena Phillips made an announced visit at GUIDING OUR YOUTH-STRTP CASARIN Facility to conduct the Psychotropic Case Medication Inspection. LPAs conducted a Health and safety risk assessment upon arriving at the facility. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs Gray and Phillips met with the Administrator Paulette Poutre and inspected the facility inside and out. LPAs conducted a brief walk through of the entire physical plant inside and out. LPAs reviewed one (1) of child's psychotropic medications and medication records. LPAs interviewed one(1) children currently prescribed psychotropic medication. LPAs reviewed three (3) staff personnel files on site at the facility. LPAs interviewed three (3) of staff on site to discuss the facilities policies and procedures of operation. The Administrator provided a physical hard copy of the psychotropic medication training topics during the training for for LPA's to review. No deficiency were cited per Interim Licensing Standards for STRTP Version 4. An exit interview was conducted, and a copy of this report was left with the Administrator Paulette Poutre.

met_with: Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On July 31, 2024 at 10:29am, Licensing Program Analyst (LPA) Christine Wilson made an unannounced visit to the above listed facility for the purpose of conducting an case management inspection. LPA Wilson was greeted by Clients (C1) followed by (C2) who left the front door open, providing LPA Wilson with access to the home. There was one housekeeper (HK) in the home with (4) clients. LPA Wilson asked which staff were in the home. (C1) stated staff were outside and pointed to the backyard. LPA Wilson walked into the backyard, where LPA was greeted by the Facility Manager (FM ), who stated she and staff (CM) were in the detached office. LPA Wilson obtained documents: Shift Notes 7/20/24 and 7/21/24, email dated 07/24/24 from (FS), SIR dated 07/18/24, 07/20/24, hospital Release Form, and reviewed client file for (C1). LPA Wilson conducted confidential interviews with clients (C1, C2, C3 ) and staff (FM). LPA made a phonecall to (HOS) and requested staff fingerprints and identification of the housekeeper (HK) which will be sent by email. Further investigation is required in order to resolve the case management; once completed, LPA will return to deliver and discuss the findings. LPA discussed staff ratios with (FM) (LIC9102). There are no deficiencies cited at this time. Exit Interview conducted, and a copy of this report was emailed to the facility manager.

met_with: Facility Manager (FM)


summary: Facility Evaluation

raw_content:
Narrative:
On October 1, 2024 at 1:00 pm, Licensing Program Analyst (LPA) Christine Wilson made an unannounced visit to the above listed facility, in order to conclude a case management inspection, which began on July 31, 2024. LPA Wilson was met by (CM6) who allowed entry to the facility. During the course of the case management investigation, it was revealed there was not a lack of supervision by staff for child (C1) who had absconded from the home over several days, and which resulted in client being raped by (4) male individuals, which occurred while client was on runaway status. There are no deficiencies to be cited. An exit interview was conducted, a copy of this report was left with the licensee, whose signature on this form confirms receipt.

met_with: Case Manager


summary: Facility Evaluation

raw_content:
Narrative:
On February 6, 2025, Licensing Program Analyst (LPA) Nancy O'Connell and Licensing Program Manager (LPM) Kevin Sauk, scheduled and met with the facility licensee, administrator, and management team for an Informal Office meeting, held at the Woodland Hills Regional Office. The purpose of the meeting was to gain clarification about the current state of operation, as well as address concerns related to various concerns and complaints received within the Department. Community Care Licensing Division staff in attendance: Bernice Karnsrithong, Children's Residential Regional Manager (RM), Community Care Licensing Division (CCLD) Kevin Sauk, Licensing Children's Residential Program Manager (LPM), Community Care Licensing Division (CCLD) Nancy O'Connell, Children's Residential Licensing Program Analyst (LPA), Community Care Licensing Division (CCLD) Guiding Our Youth staff in attendance: Andrew Lang- Licensee. Paulette Poutre, Facility Administrator. Melissa Kagen, Head of Service. Maral Saltanian, staff. Madison Hall, staff. Kathleen Burrell, staff. Tessa Koziol, staff Introductions were conducted and LPM Sauk provided a copy of the meeting agenda to all in attendance. The following topics were addressed: Staff Roles, Staff Schedule, Inspection Authority, Care and Supervision, Emergency Intervention Plan, and Staff training. LPM Sauk provided general information about the applicable regulations related to aforementioned topics, and obtained clarification on facility policies and procedures. Facility staff provided responses to all topics addressed and were in agreement to provide information requested by the Department, update the facility program statement as needed and adhere to regulatory requirements. CCLD informed staff that reports would be generated and sent for review and signature.

met_with: Andrew Lang, Licensee


summary: Facility Evaluation

raw_content:
Narrative:
On April 10, 2025 at 11: AM Licensing Program Analysts LPA, Kenrick Ellis made an announced visit to Guiding Our Youth STRTP to conduct the Psychotropic Case Medication Inspection. LPA conducted a Health and safety risk assessment upon arriving at the facility. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9(a)(2). During the inspection, LPA Kenrick Ellis met with the Administrator, Paulette Poutre and conducted a brief walk through of the physical plant inside and out. LPA did not review client files or conduct client interview at the facility. Client on psychotropic medication has been at the facility for less than Days. LPA reviewed three staff personnel files on site at the facility. LPA interviewed two staff on site at the facility. LPA reviewed the LIC500 to confirm the shift which starts in the evening and ends early morning and reviewed the staff Criminal Records Clearances. The Administrator provided a physical hard copy of the psychotropic medication training topics during the training for LPA's to review. No deficiencies were cited per Interim Licensing Standards for STRTP Version 5. An exit interview was conducted, and a copy of this report was left with the Administrator,.


summary: Facility Evaluation

raw_content:
Narrative:
On 4/22/25 at 9:00am, Licensing Program Analyst (LPA) Nancy O'Connell and Licensing Program Manager (LPM), Kevin Sauk arrived at the above-listed facility, for the purpose of conducting an Annual Inspection. LPA and LPM met with Paulette Poutre, Facility Administrator, who granted access into the facility, and together, toured the home both inside and out. LPA requested a copy of the LIC500 and client roster upon arrival. Overview: This is a one story home, located in a residential area. The facility is licensed to care for six (6) female children ages 13-17 years, ambulatory only. There are no bodies of water on the premises. There are no cameras functional cameras used in the facility. The client receives services on site but attend school in the community. LPA/LPM observed the following: Front of facility- this area has an unobstructed walkway, a front lawn, and a driveway. The pathway was clear and free from tripping hazards. Entryway/living room- area contains facility postings including personal rights, and the facility license. Continued on LIC809C Kitchen- contains refrigerator, stove, microwave, enough utensils/plates/cups for 6 residents. Refrigerator was observed to contain enough perishables to meet requirement. Pantry cabinets in kitchen and garage contained enough non-perishables for required duration. There is a trashcan with a lid. There is a menu posted and dated. There is fruit available on the kitchen counter along with snacks in the cabinets. LPA inquired about the location of sharps and observed knives to be secured in the med closet. Living Room- contains a couch and enough seating for 6 residents, and a tv. This area is utilized for relaxation and leisure activities. Dining Area/countertop- contains tabletop counter and can support seating for up to 6 residents. This space is located near the living room. Bedroom #1 - equipped with one twin size bed, drawers, dresser space and lighting was adequate in each bedroom. Bedroom #2 - equipped with two twin size beds, drawers, dresser space and lighting was adequate in the bedroom. Bedroom #3 - equipped with two twin size beds, drawers, dresser space and lighting was adequate in each bedroom. This room has an adjoining bathroom that is only reserved for clients residing in bedroom #3. Garage- located adjacent to the living room. This area is locked and can be utilized as additional activity/storage space. There is a washer and dryer and laundry chemicals. LPA observed laundry chemicals to be locked and secured. Clients are not allowed to be in this space unsupervised. Staff office- located in detached garage. This area contains two computers, desks, a table, chairs, and printer. This space shares a wall and adjoining door that provides access to another facility associated with the licensee. Staff report that the space is secured and each facility is kept separate. Backyard- there is a large backyard space that is enclosed and utilized for recreation and relaxation. There is grass, an area for gardening, and a picnic bench with seating positioned Continued on LIC809C. underneath an awning. During the time of inspection, LPA observed that there were metal objects laying on the ground adjacent to a SUV vehicle. LPA inquired about the metal objects and reason for their placement, and FA communicated that the metal objects are car parts belonging to the non-operational vehicle. Medication station/closet- The First Aid Kit was fully stocked. Medications were observed to be secured and staff report that only authorized personnel have access to the medication. There was a carbon monoxide alarm in the home which was tested and in working order. The smoke detectors were also tested, and they all appeared to be in working order. LPA observed several fire extinguishers located throughout the facility and fully charged. LPA reviewed the employee roster (LIC500) and verified that all staff have obtained a criminal background clearance. Facility operates within license conditions and limitations including capacity limitations. LPA observed the facility vehicle ( vehicle #1, Hyundai Elantra) and verified that the insurance and registration was present in the vehicles and current. LPA/LPM observed that the rear left brake light was non functional during inspection. LPA asked FA if she was aware of the brake light not workign and she communicated that she was not aware. During the time of the inspection LPA O'Connell conducted confidential interviews with FA, C1 and C1, and C2. C4 declined to be interviewed and C3 was not available in the facility. [See Confidential Names form (LIC811), dated 4/22/25, for names]. Per California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulation, and STRTP Interim Licensing Standards (ILS) Version 5, there are two deficiencies cited during this inspection. See LIC809D for details. Due to time constraints, LPA O'Connell will return to complete the Annual inspection. An exit interview was conducted and a copy of this report was provided to the facility administrator via email.

met_with: Paulette Poutre, Facility Administrator (FA)


summary: Facility Evaluation

raw_content:
Narrative:
On 4/22/25 at 9:00am, Licensing Program Analyst (LPA) Nancy O'Connell and Licensing Program Manager (LPM), Kevin Sauk arrived at the above-listed facility, for the purpose of conducting an Annual-Continuation Inspection. LPA and LPM met with Emerald Wade, Residential Counselor (RC) Madison Hall, Mental Health Practitioner (MHP), who provided access to facility records. LPA met with MHP and informed her that the purpose of the visit is to continue the Annual inspection in addition to interviewing clients and staff. LPA inquired about the current census, requested the Register of Clients, and a staff roster. LPA reviewed the following sections of the STRTP ILS sections: Client records, and staff records. LPA requested to interview selected clients and staff in the home [See Confidential Names form (LIC811), dated 4/25/25, for names]. Facility staff, Clinical Director (CD), communicated to LPM that staff files would not be available for review today during normal business hours. LPM communicated that a future unannounced annual continuation inspection will be conducted to finalize the Annual Inspection. Staff Interviews: LPA conducted a confidential interviews with two (2) on duty staff- DSP 1, and DSP2. Client file reviews: LPA reviewed three (3) clients records for C1, C2, and C Review revealed that there were missing signatures on the intake policies, discipline, complaint procedures documents for C1, C2, and C4.MHP communicated that she was unaware of reason for missing signature. Per California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulation, and STRTP Interim Licensing Standards (ILS) Version 5, there are 2 deficiencies cited during this inspection. See LIC809D for details. LPA and LPM will return on a different day to complete the annual inspection. An exit interview was conducted and a copy of this report was provided to the facility administrator via email.

met_with: Emerald Wade, Residential Counselor (RC), and Madison Hall, Mental Health Practitioner (MHP)


summary: Facility Evaluation

raw_content:
Narrative:
On 5-15-/25 at 9:00am, Licensing Program Analyst (LPA) Nancy O'Connell, Wendy Moodie-Naranjo and Licensing Program Manager (LPM), Kevin Sauk arrived at the above-listed facility, for the purpose of conducting an Annual-Continuation Inspection. LPA and LPM met with Paulette Poutre, Facility Administrator, who granted access into the facility. LPA met with FA and informed her that the purpose of the visit is to complete the Annual inspection and review staff files. LPA inquired about the current census, and requested the Register of Clients, and a staff roster. LPA identified four (4) staff files for review [See Confidential Names form (LIC811), dated 5/15/25, for names]. LPA reviewed and completed the the following sections of the STRTP Care Tool: Emergency Intervention. Staff file review: LPA reviewed on four (4) staff records. Per California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulation, and STRTP Interim Licensing Standards (ILS) Version 5, there is two deficiencies cited during this inspection. See LIC809D for details. An exit interview was conducted and a copy of this report was provided to the facility administrator via email.


raw_content:
Investigation Findings:
13On November 21,2025, at 13:03 pm, Licensing Program Analyst (LPA) Wendely Moodie-Naranjo made an unannounced inspection to the above facility for the purpose of concluding the investigation on the above allegation and deliver the findings. LPA spoke with (FM) Alysan Aachen Martinez and together, discussed the investigative findings. During the investigative process by Licensing program Analyst (LPA), Wendely Moodie-Naranjo, all relevant parties have been accounted for and interviewed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. No deficiencies are being cited at this time. Exit Interview conducted, and a copy of this report will be sent electronically to the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Wendely Moodie-Naranjo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Alysan Aachen Martinez-MHP/Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 03/18/2026 at 09:00AM, Licensing Program Analyst (LPA) Wendely Moodie-Naranjo made an unannounced inspection to the above-listed facility for the purpose of conducting a case management inspection. Upon arrival, LPA was greeted by Christjen Harmon, Facility Manager (FM) who granted LPA access to the facility. The purpose of the inspection is to conduct a case management inspection to investigate a self reported incident that occurred on March 9, 2026. LPA and staff discussed the allegation. During today's inspection, LPA interviewed the Facility Manager (FM), and obtained copies of that LIC 500 and Client roster. Further investigation is needed to determine whether any violation have occurred. Clients in care at school unable to interview. PER California Code Regulation, there are no deficiencies to be cited at this time. Exit Interview conducted, and a copy of this report will be sent electronically to Facility Administrators.

met_with: Christjen Harmon-Facility Manager CM0002762-FN


raw_content:
Narrative:
During the investigation confidential interviews were conducted with C1, other clients placed in the facility, facility staff and collateral contacts. Medical records, facility records, and Simi Valley Police Department (SVPD) records were obtained and reviewed. It was revealed that C1 had approximately 10 self-harming incidents while residing in the facility between August 2025 and October 2025. One of those incidents occurred on 09/18/2025 and carried over into 09/19/2025. It was reported that during this incident C1 threatened to kill C1 by wrapping a cord around C1's neck and was left unattended while waiting for SVPD to arrive in front of the home. On 09/25/2025 it was revealed that C1 was found in C1's room under the covers with cords wrapped around C1's neck by facility staff. Staff 1 (S1) indicated that C1 had been expressing wanting to harm C1 throughout the day leading up to C1's self-strangulation. S1 reported that S1 left C1 alone for five minutes to give C1 time to decompress. C1 had access to charging cords in C1 room and facility staff did not monitor C1 after C1 expressed intent to self-harm minutes earlier. During confidential interviews, all staff reported that they must increase monitoring and always keep an eye on residents when they exhibit self-harm behaviors. In both the 09/19/2025 and 09/25/2025 incidents, this did not occur. A review of facility policy revealed that "During crises, when a Youth is determined to be danger-to-self, danger-to-others, or gravely disabled, the STRTP will follow the Pro-ACT curriculum to employ the hands-on approach or restraint, in accordance with the specific guidelines therein." During confidential interviews it was revealed that facility called SVPD and did not attempt to remove the phone cords or physically stop C1 from strangling C1. C1 was placed on a 5585 hold for danger to self. It was revealed that facility staff did not intervene during C1's strangulation attempts and did not follow their increased monitoring protocols. The allegation is Substantiated, meaning the investigation concluded that based on a preponderance of the evidence the allegation occurred. This poses an immediate health, safety, and personal rights risk of harm to children placed in care. Facility is cited for violation of California Code of Regulations, Title Division Six, Chapter 1 regulation 80078 (A) Responsibility for Providing Care and Supervision. A copy of this report, and appeal rights were discussed and provided to Facility Manager and Administrator. Medical records from Simi Valley Adventist and Special Incident Reports from the facility were obtained and reviewed. It was revealed that C1 was taken to Simi Valley Adventist by Simi Valley Police Department (SVPD) following a self-harm attempt on 09/25/2025. It was revealed that C1 was placed on a 5585 hold. During confidential interviews it was not indicated that facility staff refused to accompany C1 or did not pick C1 up from the hospital. During a review of documentation, it was indicated that C1 was transferred to a psychiatric hospital after being medically cleared. It was indicated that C1 was eventually picked up by facility staff and returned to the facility on 10/01/2025. It was reported that C1 had multiple hospitalizations after returning to the facility and was subsequently discharged to a youth detention probation facility. The allegations are determined to be Unsubstantiated. A finding that is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. There are no deficiencies cited per California Code of Regulations, Title 22, at this time. A copy of this report was provided to the Facility Manager and Facility Administrator via email.

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

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

met_with: Christjen Harmon, Residential Counselor/Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 04/17/26, at 9: AM, LPA Wendely Moodie-Naranjo arrived at the Guiding Our Youth facility located at Casarin Ave, Simi Valley, CA 93065 and conducted a Collateral visit. LPA Moodie-Naranjo meet with staff (S1 and S2). The purpose of the visit was to interview C1 in connection with a complaint against another facility. During the time of the inspection LPA Moodie-Naranjo conducted confidential interviews with S1, S2 and C1[See Confidential Names form (LIC811), dated 04/17/26, for names]. LPA Moodie-Naranjo requested copies of the client roster, and LIC500. Client and Staff (S1, S2 and C1) were interviewed regarding securing client's personal property when away, reporting requirements and items damaged at the facility being replaced in a timely manner. During LPA's arrival (C1) she was asleep but later, she accepted the interview. Staff and C1 were thanked for their time and interview. PER California Code Regulation, there are no deficiencies to be cited at this time. Exit Interview conducted, and a copy of this report was sent to the facility.

met_with: Jade DeBruyn and Cami Lida-Facility Managers


summary: Facility Evaluation

raw_content:
Narrative:
On 04/15/2026 at 10:00am, Licensing Program Analyst (LPA) Wendely Moodie-Naranjo, Kevin Sauk, Licensing Program Manager (LPM), Licensing Program Analyst (LPA) Olivia Rosas and Licensing Program Analyst (LPA) Andrew Upshaw met with GOY and FTF management Andrew Lang, Licensee, Paulette Poutre, Facility Administrator (GOY-Casarin), Melissa Kagen, Head of Services. Maral Sultanian, Clinical Director-COO, Madison Hall, Facility Administrator (GOY-Cutler), Kathleen Burrell, Case Manager-LCSW and On-Call management, Tessa Koziol, Facility Administrator (For the Future) and Salpy Boyajian,Chief Executive Officer (CEO) for the purpose of conducting an informal meeting. The meeting was held at the Children's Residential local unit office located at Ventura Blvd, Suite Woodland Hills, Ca 91364. Introductions were conducted and LPM Sauk provided a copy of the meeting agenda to all who were in attendance. The following topics were addressed: Law Enforcement (LE) Contact, statistics, Runaway Plan, Emergency Intervention Plan and "Hands Off" Policy, transportation after an unauthorized absence. CCL Inspection Authority and access to client records upon demand during normal business hours. LPM Sauk provided general information about the applicable regulations related to aforementioned topics and obtained clarification on facility policies and procedures. Facility staff provided responses to all topics addressed and agreed to provide information requested by the Department, update the facility program statement as needed and adhere to regulatory requirements. Licensing Staff inquired about Status of MHPA CCLD informed staff that reports would be generated and sent for review and signature.

met_with: Andrew Lang, Licensee, Paulette Poutre, Facility Administrator (GOY-Casarin), Melissa Kagen, Head of Services. Maral Sultanian, Clinical Director-COO, Madison Hall, Facility Administrator (GOY-Cutler), Kathleen Burrell, Case Manager-LCSW and On-Call management, Tessa Koziol, Facility Administrator,Salpy Boyajian,CEO


facility_name: HALCYON HOUSE

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

raw_content:
Narrative:
Based on confidential interviews, review of the internal investigation, and review of the Sheriff's Office's report, four clients stated that the staff member did share marijuana and nicotine vape pens within the facility/facilities - three of the interviewed claimed that this was done specifically within Halcyon House. The accused staff member denies sharing the vape pens, but during their interview with Law Enforcement stated that they had not reported all of the times that they found youth using vape pens or after confiscating vape pens. Based on the recorded first-hand accounts, the allegations that staff member brought vape pens into the facility and the allegation that a staff member shared their vape with clients have met the preponderance of doubt and this allegation are substantiated. LPA delivered a citation for STRTP Interim Licensing Standards Version 4 87065.2(b) Personnel Duties (see LIC9099D). LPA delivered appeal rights and devised a Plan of Correction with Britteny Raynor, Program Manager. LPA conducted an exit interview with Britteny Raynor, Program Manager, at 12:50PM, whose signature confirms the receipt of this document.

Investigation Findings:
13On 11/3/2022 at 1:30PM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the listed licensed agency. The purpose of this visit was to deliver the findings for the above allegation. LPA met with Joetsna Jocy Vidal. This complaint involves a staff member that was employed at another faciltity as well, there is crossover in the investigation. During the course of the investigation(s), LPA Hood conducted ten confidential interviews. LPA reviewed notes from an internal investigation, daily logs for all clients, alleged victim's Needs and Services Plan, and incident reports. In conjuction with the Community Care Licensing (CCL) investigation, the Santa Cruz Sheriff's Office conducted their own investigation. LPA Hood reviewed the redacted warrant request that the Sherriff's Office sent to the District Attorney. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood 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 26-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, N. First Street, Ste. FACILITY NAME: HALCYON HOUSEFACILITY NUMBER: VISIT DATE: 11/03/2022

Allegations:
- SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion: Based on record review and confidential interviews, staff member allowed for youth to smoke within the facility and shared marijuana and nicotine vape pens with clients in care.

Deficiencies:
87065.2(b): Direct care staff shall...  Supervision, protection, and care of children at all times... duties that may be necessary to ensure the health and safety of children in the facility.

met_with: Jeotsna Jocy Vidal

complaint_status: SUBSTANTIATED

title: Personnel Duties


raw_content:
Narrative:
Based on confidential interviews, review of the internal investigation, and review of the Sheriff's Office's report, one client alleges that they had an inappropriate, romantic and sexual, relationship with a staff member. Two clients allege that they had heard about inappropriate conduct done by the staff member, but none of the interviewees had viewed inappropriate behavior. Based on interviews, there was an allegation that the staff member gave a client a "hickey" during an outing in January 2022. This coincides with a movie outing that both the staff member and client attended. In daily log notes, staff documented seeing a red "hickey"-like mark on the client, but at the time client would not disclose how they received the mark. The accused staff member denies an inappropriate relationship during the internal investigation and an interview with Law Enforcement. Based on record review and confidential interviews, there is only one first-hand account of the relationship. Based on the information available at the time, the allegation that a staff member had an inappropriate relationship with a minor may or may not have occurred. This allegation has not met the preponderance of doubt and is therefore deemed unsubstantiated. LPA conducted an exit interview with Britteny Raynor, Program Manager, at 12:50PM, whose signature confirms the receipt of this document.

Investigation Findings:
13On 11/3/2022 at 1:30PM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the listed licensed agency. The purpose of this visit was to deliver the findings for the above allegation. LPA met with Joetsna Jocy Vidal. This complaint involves a staff member that was employed at another faciltity as well, there is crossover in the investigation. During the course of the investigation(s), LPA Hood conducted ten confidential interviews. LPA reviewed notes from an internal investigation, daily logs for all clients, alleged victim's Needs and Services Plan, and incident reports. In conjuction with the Community Care Licensing (CCL) investigation, the Santa Cruz Sheriff's Office conducted their own investigation. LPA Hood reviewed the redacted warrant request that the Sherriff's Office sent to the District Attorney. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood 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 26-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, N. First Street, Ste. FACILITY NAME: HALCYON HOUSEFACILITY NUMBER: VISIT DATE: 11/03/2022

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


raw_content:
Narrative:
Based on confidential interviews, five out of six interviewees state that staff prevent youth from physically fighting in care. The allegations that staff did not react in trauma-informed manner in emergency intervention situation, a staff member offered weed to a minor in care, and that staff do not prevent youth from fighting in care may or may not be true. The allegations have not met the preponderance of doubt, and therefore the allegations are unsubstantiated. LPA conducted and exit interview with Jocey Vidal, Residential Counselor, at 1:50PM whose signature confirms the receipt of this document.

Investigation Findings:
13On 12/14/2022 at 1:20PM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the licensed facility. The purpose of this visit was to deliver the findings for the listed allegations. During the course of the investigation, LPA conducted six confidential interviews. LPA reviewed training records, staff background clearance, clients files, facility Program Statement, and incident reports. Based on record review and confidetnial interviews, staff is trained in and consistently utilizing trauma-informed practicies during emergency situations. Based on confidential interviews, the staff alleged to offer weed to minor in care denies the allegations and explained that the youth discussed marijuana with them, but they declined the conversation. The reporting party declined to say which client this was, but the staff involved said they were aware of the situation at hand and the allegation may have been a misunderstanding. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood 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 26-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, N. First Street, Ste. FACILITY NAME: HALCYON HOUSEFACILITY NUMBER: VISIT DATE: 12/14/2022

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

met_with: Brianda Chavez


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
The Santa Cruz County District Attorney accepted the case and there is currently a criminal case pending regarding the staff member in question. The staff member was previously found to allow vape pens in the facility, which was previously substantiated and cited on in Complaint: 26-CR-20220217124844. Based on the MDI and the acceptance of the criminal case, the allegations that a staff member had inappropriate contact with a client has met the preponderance of the doubt and the allegation is substantiated. LPA delivered a Type A citation for Health and Safety Code 1568.092 (see LIC 9099D). LPA conducted an exit interview and provided appeal rights to Britteny Raynor, Program Manager at 2:35PM whose signature confirms the receipt of this document.

Investigation Findings:
13On 3/1/2023 at 2:25PM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the licensed agency. The purpose of this visit is to deliver findings for the listed allegation. LPA met with Program Manager, Britteny Raynor. The findings for these allegations were initially delivered as unsubstantiated on 11/3/2022. During the course of the investigation(s), LPA Hood conducted ten confidential interviews. LPA reviewed notes from an internal investigation, daily logs for all clients, alleged victim's Needs and Services Plan, and incident reports. A Multi-Disciplinary Child Interviews (MDI) was conducted by the Santa Cruz County Sheriff's Department with the client involved. The testimony in the MDI was congruent with the interview LPA Hood conducted with the involved client, and there was more inculpatory testimony delivered during the MDI. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood 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 26-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, N. First Street, Ste. FACILITY NAME: HALCYON HOUSEFACILITY NUMBER: VISIT DATE: 03/01/2023

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

met_with: Britteny Raynor


raw_content:
Investigation Findings:
13At 10: AM on 9/11/ Licensing Program Analyst (LPA) Paul Simien made an unannounced visit to Abeona House to inform them of the findings for the above listed allegations. LPA met with Emma Spillner. Based on confidential interviews conducted it was determined that the allegations listed above are Unsubstantiated. Based on witnesses interviewed, it was determind that the facility used the prudent parenting standard when denying phone call and extracurricular activities to client. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. As a result of this visit, there were no title 22 deficiencies observed. Exit interview was conducted and a copy of this report was provided to Emma Spillner UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Joel Segura LICENSING EVALUATOR NAME: Paul Simien LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Emma Spillner


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Michelle Kyane and Licensing Program Manager Angela King conducted a case management inspection on September 22, 2021 at 10: AM, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. 4 of 16 direct care staff and 6 of 6 youth files as identified on the LIC 811 confidential names dated September 22, 2021, were reviewed. 2 of 16 direct care staff and 5 of 6 youth were also interviewed. The Plan of Operation including policies and procedure were reviewed. A copy of this report was discussed and provided to Noelle Kinder, Administrator."

met_with: Noelle Kinder


summary: Facility Evaluation

raw_content:
Narrative:
On October 26, 2021, at 10: AM Licensing Program Analyst (LPA) Oquendo conducted an unannounced inspection to the facility for the purpose of conducting an Annual inspection. LPA Oquendo met with Residential Counselor (RC) - Annie Sampson. RC and LPA toured the facility, inside and out. The facility is licensed to serve six clients, ages 12-17 years. Currently in placement are six clients. All six of the clients were at school during the inspection. This facility is a two story house that consists of 4 client bedrooms and 3 bathrooms. LPA Oquendo observed at the time of this inspection, the facility to be clean, safe, and sanitary. All fire alarms, and carbon monoxide detectors were in good working condition, and the fire extinguisher is current. This LPA reviewed the staff and client files, medication logs, and they had the necessary forms. The files are kept locked to ensure confidentiality. Food supply, linens and fire extinguisher were observed. There is sufficient perishable food for over two days and nonperishable food for over seven days. Toxins and sharps are properly stored. Medication storage and procedures were also reviewed. The following documents are posted in the facility: facility license, emergency disaster plan, facility sketch, menu, activity calendar and personal rights. The hot water temperature was at (Kitchen Sink - 105, downstairs bathroom 105, and upstairs bathroom 106 degrees). Facility has no firearms or bodies of water at the facility which meets title 22 regulations. There are currently no exceptions on file, and there have not been any deficiencies cited in the past year. A review of Licensing Information System on October 26, 2021 indicates that all facility staff are associated to the facility had DOJ, FBI, and child abuse index check clearances. The annual inspection for this facility will continue on another date.

met_with: Annie Sampson


summary: Facility Evaluation

raw_content:
Narrative:
On October 27, 2021, at 10: AM Licensing Program Analyst (LPA) Oquendo conducted an unannounced inspection to the facility for the purpose of conducting an Annual inspection. LPA Oquendo met with Residential Counselor (RC) - Brianda Chavez. RC and LPA toured the remainder the facility. The facility is licensed to serve six clients, ages 12-17 years. There are currently six clients in placement. Some clients were present at the facility and preparing to go to school. LPA conducted interviews with clients and staff. At the time of this visit one Technical Violation was cited as per Interim Licensing Standards (ILS), Title 22, Division 6. An exit interview was conducted, and a copy of this report was left with RC, whose signature is on this form.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPA) Shikya Belfield conducted an announced inspection at the above facility on 11/3/2021 at 9: AM. During the inspection, LPA Belfield met with administrator Noelle Kinder, who assisted with the inspection. Also present during this inspection were two clients and two other staff. The purpose of this visit, is to observe and inspect a bedroom addition that was built. During a walk through LPA Belfield observed a two bedroom addition that had been built on to the side of the house. One new bedroom gives the program the opportunity to offer two clients at any given time, their own bedroom. The second bedroom is being utilized as an additional office space for the staff. LPA Belfield and Administrator Noelle Kinder conducted a walk through of the facility and photos were taken. A fire inspection was completed and approved. There were no violations California Code of Regulations, Title 22, Division Six, Interim Licensing Standards cited during this inspection. An exit interview was conducted and copy of this report was left with Administrator Noelle Kinder and Davina Polonco.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPA), Selena Hood and Licensing Program Manager (LPM), Carolyn Flynn on 12/03/2021 at 12: PM. During the inspection, LPA Hood and LPM Flynn met with Jess Macintire, Medical Liaison in the staff office. At the time of the inspection, three staff and two clients were present. LPA and LPM reviewed six of child's records on site at the facility at 12: PM. LPA and LPM reviewed two of the staff personnel files on site at the facility at 12: PM. LPA and LPM interviewed one staff on site at 3: PM. Medical Liaison, Jess Macintire, conducted a pill count for one client while being observed by LPA and LPM at 4: PM. LPA and LPM reviewed six children's psychotropic medications and medication records. LPA and LPM provided the Summary Report to Jess Macintire, Medical Liaison, upon completion. This inspection is not complete and needs further review. No deficiencies are being cited at this time. LPA and LPM conducted exit interview with Jess Macintire, Medical Liaison at 4:30pm.

met_with: Jess Macinitire


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Selena Hood and Licensing Program Manager (LPM) Carolyn Flynn on 12/20/2021 at 10:00AM. During the inspection, LPA met with Norhan Abolail, Residential Counselor and inspected the facility inside and out. Five clients and two staff members were present. During the tour of the facility, LPA Hood observed the medication cabinet, medication bottles and the office holding medications were locked. LPA Hood also observed a pill count for five residents, the sixth was conducted last visit on 12/13/2021. LPA reviewed 6 client's records on site at the facility on 12/13/2021. During the review of children's records, LPA Hood and LPM Flynn observed 5 out of 6 children did not have a signature on their Needs and Service Plan. During interviews on 12/20/21 with clients, one of the two interviewed clients said that they were not given the opportunity to sign their Needs and Services Plan. This is a violation of STRTP ILS 87068.2(d), documented on LIC9102. Continued on LIC 809C... LPA reviewed three staff personnel files on site at the facility on 12/13/2021. LPA interviewed two staff on site on 12/20/2021 at 11:30AM. LPA interviewed two clients currently taking psychotropic medication at between 10:30AM and 1:30PM. One client was on a family leave and three clients refused an interview. LPA conducted exit interview with Norhan Abolail, Residential Counselor at 2:00PM. LPA also provided the Summary Report to Davina Polanco, Director, and Noelle Kinder, Administrator through email. No Title Deficiencies were cited at this time. One technical violation was given.

met_with: Norhan Abolail


summary: Facility Evaluation

raw_content:
Narrative:
On 8/30/2022 at 10:30AM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the above facility. The purpose of this visit was to finish the required annual inspection. LPA met with Noelle Kinder, Program Manager, who assisted in obtaining the files. At the time of the visit there were two clients and four staff members present. LPA reviewed ten staff files. LPA also interviewed one staff member. No Title 22 deficiencies were cited during this inspection. LPA conducted an exit interview with Noelle Kinder, Program Manager, at 12:20PM whose signature confirms the receipt of this document.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts Michelle Kyane conducted a case management inspection on September 15, 2022 at 11:05AM, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 7 out of Direct Care Staff and 5 out of 6 youth files were reviewed. 2 out of Direct Care Staff and 3 out of 6 youth were interviewed. (See the Confidential Names List, LIC 811, dated September 15, 2022. The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, youth case plans, quarterly assessments, and crisis intervention plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Kyane observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on emergency intervention as required. The licensee is contacting law enforcement in accordance to their emergency intervention plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Noelle Kinder


summary: Facility Evaluation

raw_content:
Narrative:
On 11/4/2022 at 11:02AM, Licensing Program Analyst (LPA) Selena Hood conducted an announced visit to the facility. The purpose of this visit was to conduct a Psychotropic Medications Inspection. LPA met with Jess Macintire, Medical Liaison. At the time of the inspection, there were two staff present and no clients in the facility. The facility currently has three clients, all three clients are prescribed psychotropic medications. LPA reviewed the three clients' files and their mental health binders. LPA observed Medical Liaison while conducting the pill count. There were no issues with the pill count. LPA reviewed the centrally stored medication binder and the Psychotropic Medication Administration Records (PMAR). LPA interviewed two staff members while in the facility. At 12:40PM, LPA Hood traveled to North St. Aptos, CA 95003 where the staff files were kept. LPA met with April Pao, Program Manager, at 12:58PM, who assisted with obtaining the staff files. LPA reviewed five staff files and the training record. No citations were delivered during this visit. This inspection is not completed at this time, and LPA will return to the facility in order to conduct client interviews. LPA conducted an exit interview with April Pao, Program Manager, at 1:40PM whose signature confirms the receipt of this document.

met_with: Jess Macintire


summary: Facility Evaluation

raw_content:
Narrative:
On 11/10/2022 at 4:45PM, Licensing Program Analyst (LPA) Selena Hood conducted an announced visit to the facility. The purpose of this visit was to finish the Psychotropic Medications Inspection and interview the clients. LPA met with Britteny Raynor, Program Manager. At the time of the inspection, there were seven staff present and three clients in the facility. The facility currently has three clients, all three clients are prescribed psychotropic medications. LPA interviewed two client, the other one client declined to interview. LPA conducted an exit interview with Britteny Raynor, Program Manager, at 5: PM whose signature confirms the receipt of this document.


summary: Facility Evaluation

raw_content:
Narrative:
On 10/11/2023 at 10: AM Licensing Program Analyst (LPA) Shikya Belfield, LPA Celest Aparicio, and Student Assistant Jasmine Cardena, conducted an unannounced inspection to the above licensed facility. The purpose of this visit is to conduct a case management inspection regarding an incident report received by the department regarding C1 (see LIC 811 dated 10/11/23). According to the report received, C1 was on awol from the facility and reported that they were sexually assaulted. LPA met with staff Joise Vidal who assisted with this inspection. A tour was conducted of the facility with staff Vidal. During a walk through of the facility LPA observed that one of the clients bedrooms had a missing socket plug. Staff stated that the room had been recently painted and the cover was taken off. Technical Advisory issued. LPA Belfield requested the following documents from staff Vidal: needs and service plan of C1, staff roster, and client roster. LPA also requested information on a past client whose name was unknown at the time of this inspection, but was later found by staff Vidal. Due to interviews that need to be conducted and more information that is needed, the inspection cannot be completed at this time and will be completed at a later date. Technical Advisory issued for buildings and grounds section 80078(a) of the Interim Licensing Standards. No violations were cited during this inspection. An exit interview was conducted a copy of this report will be sent to staff Vidal and Administrator Noelle Kinder.

met_with: Josie Vidal


summary: Facility Evaluation

raw_content:
Narrative:
On 11/22/2023 at 10:10AM, Licensing Program Analyst (LPA) Shikya Belfield and Celeste Apricio conducted an announced visit to the above facility. The purpose of this visit was to conduct a Psychotropic Medications Inspection. LPA's met with Alana Schoen, who is the Medical Liaison for the facility. At the time of the inspection, there were two staff present and two clients in the facility. The facility currently has four clients, all three clients are prescribed psychotropic medications. LPA reviewed the three clients' files, Interviewed one client ( two clients were on home visits for the holidays), reviewed two staff files and interviewed two staff files. LPA observed Medical Liaison while conducting the pill count. There were no issues with the pill count. LPA reviewed the centrally stored medication and the Psychotropic Medication Administration Records (PMAR) Binder for three clients. LPA reviewed two staff files and the training record. No citations were delivered during this visit. An exit interview was conducted a copy of this report will be sent to medical Liaison Alana Schoen.

met_with: Alana Schoen


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Paul Simien made an unannounced visit to the above listed facility. The purpose of this visit was to conduct a Case Management inspection. LPA discussed this with Britteny Raynor, Program Manager (PM) at 11: AM on 12/11/24. This case management was opened to discuss incident reports the department received on 12/3/24 and 12/5/24 regarding a sexual incident between clients . Please see LIC 812 for details. Exit interview was conducted and a copy of this report was provided to Britteny Raynor, PM whose signature on this form confirm receipt of these documents.

met_with: Britteny Raynor, Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 1/8/25 at 11: AM, Licensing Program Analysts (LPA) Paul Simien and Simran Nayyar conducted an unannounced visit to the above listed facility. The purpose of this visit was to conduct the required annual inspection. LPA met with Britteny Raynor, Program Manager (PM), at the above facility to conduct the required annual inspection. LPAs reviewed two client files. At this time the inspection is not complete, LPAs will return to complete the inspection. No deficiencies were cited at this time. LPA conducted an exit interview with PM


summary: Facility Evaluation

raw_content:
Narrative:
On 1/27/25 at 10: AM, Licensing Program Analysts (LPA) Paul Simien and Simran Nayyar conducted an unannounced visit to the above listed facility. The purpose of this visit was to conduct the required annual inspection. LPA met with Britteny Raynor, Program Manager (PM), at the above facility to conduct the required annual inspection. LPAs reviewed two client files. LPAs completed Physical Plant section of the CARE Tools. At this time the inspection is not complete, LPAs will return to complete the inspection. No deficiencies were cited at this time. LPA conducted an exit interview with PM


summary: Facility Evaluation

raw_content:
Narrative:
On 1/30/25 at 10: AM, Licensing Program Analysts (LPA) Paul Simien and Simran Nayyar conducted an unannounced visit to the above listed facility. The purpose of this visit was to conduct the required annual inspection. LPA met with Britteny Raynor, Program Manager (PM), at the above facility to conduct the required annual inspection. LPAs completed Operational Requirements, Disaster Preparedness, Emergency Intervention Plan, Staffing Records, Client Records, and Core/Therapeutic Services sections of the CARE Tools. At this time the inspection is complete. No deficiencies were cited at this time. LPA conducted an exit interview with PM


summary: Facility Evaluation

raw_content:
Narrative:
This LIC 809 was created due to LPA not hitting the complete inspection button before final saving the previous LIC Administrator signature is below to confirm facility was aware of this error.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Paul Simien made an announced visit to the above listed facility to conduct a closure inspection. LPA met with Davina Polanco, Executive Director at 9: AM on 5/16/25. LPA Simien toured the facility and observed zero clients in care residing at the facility. Facility was cleared of client items. Davina Polanco, Executive Director surrendered the facility licence to LPA Simien. As a result of this visit, there were no title 22 deficiencies observed. Exit interview was conducted and a copy of this report was emailed to Davina Polanco, Executive Director.

met_with: Davina Polanco, Executive Director


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
Licensing Program Analyst (LPA) Paul Simien made an unannounced visit to the above listed facility office. The purpose of this visit was to conduct a Case Management inspection. LPA discussed this with Noelle Kinder, Administrative Coordinator (AC) at 11: AM on 12/13/24. This case management was opened to discuss incident reports the department received on 12/3/24 and 12/5/24 regarding a sexual incident between clients. Based on confidential interviews conducted it was determined that the facility at times did not provide adequate supervision to clients. As a result of this visit, there is one Interim Licensing Standards Ver.5 violation (87065. Personal Duties (b)(1)). The facility will be cited (see 809-Ds for details). Appeal rights were discussed and provided. Exit interview was conducted and a copy of this report was provided to Noelle Kinder, AC.

Deficiencies:
87065.2: (1) Supervision, protection and care of children individually and in groups at all times.

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


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Paul Simien made an unannounced visit to the above listed facility office. The purpose of this visit was to conduct a Case Management inspection. LPA discussed this with Britteny Raynor, Program Manager (PM) at 11: AM on 1/8/25. This case management was opened to discuss an incident report the department received on 1/2/25 stating that while a client was escalated, they requested to call their social worker, but facility denied request to call Authorized Representative. This is a violation of the client's personal rights. As a result of this visit, there is one Interim Licensing Standards Ver.5 violation ( Personal Rights (c)(12)(C)). The facility will be cited (see 809-Ds for details). Appeal rights were discussed and provided. Exit interview was conducted and a copy of this report was provided to PM


facility_name: HANNA CENTER

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Monica Pavia scheduled a Technical Assistance (TA) meeting, via Teams, on above date and time. Attendees to the meeting were: Isabel Diego, Marjana Jackson, Ansar Muhammad, Scott Singer, Jeremiah Presinal, Noeli Zamora and Dan Thorne. The Notice of Incomplete Application sent to Hanna Center on June 19, 2024, was discussed. The following sections were provided with specific clarification. Plan of Operation: Section A - Purpose and Goals (LPA to send copy to SOC analyst) Program Statement: 12 - Participation of Family Members on Treatment and Outreach to Family - standards met 21 - Mental Health Program Approval - specific clarification 22 - Nursing Services - specific clarification Any questions will be directed to LPA Monica Pavia. The estimated re-submission of the Plan of Operation/Program Statement is Friday, July 12, 2024. A copy of this report will be emailed to Scott Singer with a request for signature and to be sent back for the file.

met_with: Scott Singer