facility_name: ENNEAD THPP/NMD

summary: Facility Evaluation

raw_content:
Narrative:
On February 3, 2022, from 9:00AM to 11:30AM Licensed Program Analyst, Yuvi Diaz (LPA) and License Program Manager, Rosa Rodriguez (LPM) conducted a virtual meeting via Teams with Jason Cunningham, CEO and Mehwish Khan, Administrator. The purpose of this meeting was to conduct Component II of the application. LPA Diaz and LPM Rodriguez went over the following sections of the Program Statement with the applicants: Application for a Community Care Facility (LIC 200), Orientation Certificate, THPP for minor foster children and Nonminor Dependents, Applicant Information (LIC 215), Administrative Organization (LIC 309), Affidavit Regarding Client Cash Resources (LIC 400), Surety Bond (LIC 402), Monthly Operating Budget (LIC 401), Supplemental Financial Information (LIC 401A), Balance Sheet (LIC 403), Balance Sheet Supplemental Schedule (403A), Financial Information Release and Verification (LIC 404), Personnel Report (LIC 500), Personnel Record (LIC 501), Health Screening Report - Facility Personnel (LIC 503), Criminal Record Statement (LIC 508), Emergency Disaster Plan (LIC 610C), Control of Real Property Application or Documentation of Accreditation (not required for THPP), Administrative Office and Subadministrative Office Location(s), Admission Policies and Procedures Regarding Acceptance of Participants, Health Related Services Personal Rights, Admission Agreement/ Participant Contract, Administrative Organization, Staffing Plan, Sketch(es) of Building(s), Report Continues on LIC 809-C Transportation Arrangements, Safeguards for Cash Resources, Personal Property & Valuables, Consultant and Community Resources, Family Visitation Policies, Program Goals, Description of Youth to be Served, Admission Criteria, Removal Policies and Procedures, Staff/Volunteer Training Plan, Monitoring THPP Participants, Procedures for Responding to Complaints and Emergencies on a 24-hour Basis, Allowance Procedures, Utilities, Telephone, Rent Payments and Monitoring Procedures, Program Policies, Living Unit Furnishings, Participant Records, Education Options, Needs And Services Plans/ Transitional Independent Living Plans (TILP), Reporting Requirements/Incident Reporting/Law Enforcement Involvement/ Child Abuse Reporting, Self Sufficiency, Certificate of Compliance, Core Services and Supports Applicants will have the final revisions completed and submitted to LPA Diaz by February 18, 2022. Component III has been scheduled for March 4, 2022. LPA Diaz and LPM Rodriguez thanked applicants for their time.

met_with: Jason Cunningha and Mehwish Khan


state: CA

summary: Facility Evaluation

raw_content:
Narrative:
On March 4, 2022 at 9:22am, Licensed Program Analysts (LPA) Yuvi Diaz, and Jacqueline Carmona and License Program Manager (LPM) Rosa Rodriguez conducted a Pre-Licensing inspection and the Component III during today's inspection. LPAs and LPM toured the facility. Facility is a single home and consists of two bedroom, two bathrooms, living room, kitchen, dining room, and small backyard. Fire alarms and carbon monoxide were tested. First aid kit was checked and complete. Upon the inspection, LPAs and LPM found out that Executive Director is living in the Administrative Office/home. LPM informed the ED that ED was not allow to live in the home once the home was licensed as the THPP Administrative Office. The Executive Director and Administrator informed the LPAs and LPM that they will find an office location for the Administrative Office instead. Once the new office is rented, they will notify the LPA and submit all the revised required forms with the new address. LPAs and LPM went over the Children Records forms and Personal Records forms to ensure the applicants know which forms they are required to use. Once Executive Director and Administrator find an office location LPA will conduct another Pre-Licensing inspection to the new location. Care Tool was completed.The following domains were completed:physical plant, operations, disaster, and preparedness. An exit interview was conducted with Executive Director, Jason Cunningham, and Administrator, Mehwish Khan. A coy of this report was emailed.

report_type: Facility Evaluation

visit_type: Prelicensing

met_with: Jason Cunningham, Executive Director, and Mehwish Khan, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On March 25, 2022 at 10AM License Program Analyst (LPA) Yuvi Diaz conducted a Pre-Licensing inspection. LPA Diaz met with Jason Cunningham, Executive Director and Mehwish Khan, Administrator who assisted with this inspection. LPA toured the new location. Administrative office is located in a two story building. Upon entering the building there is a receptionist area, to right there is a stair case the leads to the second floor, the left side also has a stair case that leads to the second floor, there are 4 exit doors, fire extinguishers are up to date. there are public restrooms in the building, and two conference rooms that can be used for private meetings. The suite has two desk with computers, locked file cabinet where private files will be kept, two sitting chairs, table, and first aid is stocked. The building and suite are clean, safe, and sanitary. The conference room have a code to get into for privacy. LPA Diaz was unable to open pre-licensing report because pre-licensing was initiated on a different location. An exit interview was conducted with Executive Director, Jason Cunningham, and Administrator, Mehwish Khan. A coy of this report was emailed.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On July 27, 2022 at 1:37PM License Program Analyst (LPA) Yuvi Diaz conducted a Post-Licensing inspection. LPA Diaz met with Jason Cunningham, Executive Director and Mehwish Khan, Administrator who assisted with this inspection. LPA toured the Administrative office is located in a two story building. Upon entering the building there is a receptionist area, to right there is a stair case the leads to the second floor, the left side also has a stair case that leads to the second floor, there are 4 exit doors, fire extinguishers are up to date. there are public restrooms in the building, and two conference rooms that can be used for private meetings. The suite has two desk with computers, locked file cabinet where private files will be kept, two sitting chairs, table, and first aid is stocked. The building and suite are clean, safe, and sanitary. The conference room have a code to get into for privacy. The following following documents were posted: COVID- Poster, License, Personal Rights, and Emergency Disaster Plan. At this time the facility has no placement's. All posting requirements are met and all appropriate forms will be used once there are participants. An exit interview was conducted with Executive Director, Jason Cunningham, and Administrator, Mehwish Khan. A coy of this report was emailed.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Yuvi Diaz made an unannounced annual inspection on March 21, 2023, at 10:30AM. During the inspection LPA Diaz met with Jason Cunningham, Executive Director and Mehwish Khan, Administrator who assisted with this inspection. LPA Diaz conducted a walk through the administrative office is located in a two-story building. Upon entering the building there is a receptionist area, to right there is a staircase the leads to the second floor, the left side also has a staircase that leads to the second floor, there are 4 exit doors, fire extinguishers are up to date. there are public restrooms in the building, and two conference rooms that can be used for private meetings. The suite has two desks with computers, locked file cabinet where private files will be kept, two sitting chairs, table, and first aid is stocked. The building and suite are clean, safe, and sanitary. The conference room have a code to get into for privacy. The following documents were posted: COVID- Poster, License, Personal Rights, and Emergency Disaster Plan. At this time the facility has five placement's. LPA Diaz inspected and/or reviewed the following: Physical Plant: Posting of license, Personal Rights, First Aid Kit fully stocked, administrative office is within two hours of participants living areas, files are in a secure area, and has an area for private interviews or meetings Operations: Board minutes reviewed, plan of operations reviewed, certificate of compliance reviewed, and register of participants reviewed. Disaster Preparedness: Disaster and mass casualty plan updated and available. Quarterly Drills conducted and documented. Disaster preparedness supplies verified. Staffing/Volunteers: Number of Staff files reviewed two, Executive Director and Administrator. Criminal record clearances verified. First Aid Certificate, Certified Administrators certificate valid and current, Job title/qualification verified, and Hours required training verified. Client Records: LPA Diaz reviewed four client records. Current needs and service plan with all the information required. Medical history and TLP. The following items were reviewed for compliance in the regional office prior to the facility inspection: · Annual fees due of $908 due on March 26, 2023. Both Executive Director and Administrator are aware. · Administrator Certificate up to date. · Emergency Disaster Plan (per H&S Code 1565) up to date. · Personnel Roster, Facility Sketch, LIC 500, LIC 610C and LIC 308 · Waivers and Exceptions: None at the moment. No deficiencies noted at this time. An exit interview was conducted with Jason Cunningham, Executive Director and Mehwish Khan, Administrator and a copy of this report was provided

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On February 26, 2024, at approximately 09: AM, Licensing Program Analysts (LPAs) Farhaan Sarangi, Tatyana Shultz and Licensing Program Manager (LPM) Rosa Rodriguez arrived unannounced at Ennead THP/NMD administrative office which is located in a two-story building for the purpose of conducting an Annual/Required Inspection. LPA was greeted at the door by Executive Director, Jason Cunningham, and was granted access into the facility. LPAs and LPM along with the Executive Director toured the Administrative Office. LPAs and LPM observed the office to be clean and at a comfortable temperature with all exits free from obstruction. Upon entering the building there, is a receptionist area, to the right there is a staircase the leads to the second floor, the left side also has a staircase that also leads to the second floor, there are 4 exit doors, fire extinguishers are up to date. There are public restrooms in the building, and two conference rooms that can be used for private meetings. The suite has two desks with computers, locked file cabinet where private files will be kept, two sitting chairs and table. First Aid Kit was inspected and found to be appropriate at the time of the inspection. The building and suite are clean, safe, and sanitary. The conference room have a code to get into for privacy. The following documents were posted: License, Personal Rights, and Emergency Disaster Plan. Currently the facility has 5 placement's. Administrative office is within two hours of participants living areas, files are in a secure area, and has an area for private interviews or meetings. LPAs and LPM toured a client apartment and made observations (See LIC 812-Client Apartment Observation). The backyard was observed to have a shopping cart along with a rug (See LIC 9102-Technical Violation). LPAs and LPM also observed the window screen in 1 of 2 bedrooms had no window screen (See LIC 9102-Technical Violation). (Report continued on LIC 809C) LPAs and LPM reviewed two staff files and 5 client records. Executive Director and Administrator client files were reviewed, Criminal record clearances were verified. First Aid Certificate, Certified Administrators certificate valid and current, Job title/qualification verified, and Hours required training verified. Client Records consisted of needs and service plan with all the information required. Medical history and TILP were updated. During the inspection, two staff and one participant were interviewed. LPA requested the following documents to be sent: LIC 500- Personnel Report LIC 308- Designation of Responsibility LIC 309- Administrative Organization LIC 400- Affidavit regarding Client Cash Resources Most up-to-date Liability insurance Control of Property Register of Clients No deficiencies were cited at this time. An exit interview was conducted with Jason Cunningham, Executive Director and Mehwish Khan, Administrator and a copy of this report was signed and given to the Executive Director.

met_with: Program Administrator, Meswish Khan Executive Director, Jason Cunningham


summary: Facility Evaluation

raw_content:
Narrative:
On March 13, 2025 at approximately 9: AM, Licensing Program Analysts (LPAs) Zaria Turner and Tatyana Shulz, made an unannounced visit with the purpose of conducting an annual inspection to the above Transitional Housing Placement Program. LPAs Turner and Shulz met with Administrator, Meswish Khan, and a walk through of the interior and exterior was completed. LPAs conducted a walk though of the interior and exterior of the facility. The facility was clean, safe and kept free of obstruction. LPAs observed the posting of License, Personal Rights, and Emergency Disaster Plan. The facility consists a receptionist area, to the right there is a staircase the leads to the second floor, the left side also has a staircase that also leads to the second floor, there are 4 exit doors, fire extinguishers are up to date. There are public restrooms in the building, and two conference rooms that can be used for private meetings. The suite has two desks with computers, locked file cabinet where private files will be kept, two sitting chairs and table. First Aid Kit was inspected and found to be appropriate at the time of the inspection. The conference room has a code to get into for privacy. Currently the facility has 5 placement's. Administrative office is within two hours of participants living areas. Continue summary of inspection on 809-C The following domains were also reviewed during today's inspection, Physical Plant, Operation, Emergency Disaster Preparedness, and Staff and Client Records. A total of two staff files and 5 client files were reviewed. LPAs conducted two staff interviews. A review of the Licensing Information System indicates the facility is up to date on their facility annual fees. A deficiency was assessed during today's inspection. (See LIC 809-D) An exit interview was conducted with Meswish Khan, Administrator, and a copy of this report and the Appeal Rights were provided during today's inspection.

met_with: Meswish Khan, Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On March 13, 2025 at approximately 9: AM, Licensing Program Analyst (LPAs) Zaria Turner and Tatyana Shulz, made an unannounced visit to the above Transitional Housing Placement Program. LPA Turner and LPA Shulz met with Executive Director, Jason Cunningham. LPA Turner and LPA Shulz arrived at approximately 9:30AM. LPAs were unable to contact the administrator due to the number on file being disconnected. LPAs left several voice mails and an email at approximately 10: AM. LPAs were able to contact Executive Director, Jason Cunningham at approximately 10: AM. The Executive Director stated they were unable to meet the LPAs at the office until after 11: AM. Facility Administrator, Meswish Khan contacted LPAs at approximately 11: AM and informed LPAs that they would be arriving in an hour and forty minutes. The Executive Director, Jason Cunningham arrived at the office and conducted a tour of the facility at 11: AM. The Executive Director was unable to assist LPAs in conducting the annual inspection and left the facility at 11: AM. The Executive Director contacted the Facility Administrator, and let LPAs know the Facility Administrator would be arriving at the facility at approximately 12: PM. LPAs Turner observed the following deficiencies: Mobile phone number on file is disconnected. Staff were not readily available until 12: PM when regular business hours are from 8AM to 5PM. (See LIC 809-D) An exit interview conducted and a copy of this report was left with Meswish Khan, Facility Administrator.

met_with: Executive Director, Jason Cunningham


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
During the investigation LPA Turner was informed that the participant had accumulated a contingency fund over time. Some of the funds were used to repair multiple damages to the home that had been caused by the participant. This was not an act of financial abuse, but a reasonable and necessary decision to ensure the property remained safe and livable for future participants. The licensee made efforts to maintain a clean and healthy home for the participants. The participant failed to maintain these standards, which led to the deterioration of the living conditions. The licensee took appropriate measures to provide the participant with the security tools and resources necessary to ensure their safety. However, the participant damaged certain tools and failed to use them properly, which ultimately resulted in an unsafe living environment. Lastly, LPA Turner was notified by the licensee that they found the participant's mail had been left behind after the participant left. The licensee retrieved the mail and reached out to the participant, informing them that the mail was available for pickup as evidenced through text messages. There was no attempt to withhold or retain the mail from the participant. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, a copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On February 26, 2026 at approximately 10: AM, Licensing Program Analyst (LPA) Zaria Turner made an unannounced visit to deliver findings to the above facility and met with Executive Director, Jason Cunningham. Prior to the meeting LPA Turner and LPA Buchannan initiated the complaint investigation on December 10, 2026. No deficiencies were cited during that inspection. LPA Turner requested the following documents: LIC 500, staff contact sheet, client roster, placement agreement, lease/housing agreement, move-in/move-out records, contingency fund records, maintenance/pest records, photos of property damage, invoice provided to resident, communication between resident and facility, and withheld mail. LPA Turner and LPA Buchannan conducted three interviews between December 8, 2026 and December 10, 2026. Based on evidence obtained and confidential interviews conducted during the investigation process the above allegations cannot be substantiated because there were inconsistent statements throughout the investigation process. Report continued on LIC UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Connie Goldie LICENSING EVALUATOR NAME: Zaria Turner LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: ENNEAD THPP/NMDFACILITY NUMBER: VISIT DATE: 02/26/2026

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

report_type: Complaint Investigation

met_with: Jason Cunningham, Executive Director

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On March 19, Licensing Program Analysts (LPA) Sarina Buchannan made an unannounced visit with the purpose of conducting an annual inspection to the above Transitional Housing Placement Program. LPA met with Jason Cunningham, Licensee, and Mehwish Khan, Administrator, and a walk through of the interior and exterior was completed. LPA conducted a walk though of the Administrative Office which was clean, safe and kept free of obstruction. LPA observed the posting of License, Personal Rights, and Emergency Disaster Plan. The office is located inside of a building. When entering the building there is a receptionist area. There are staircases that lead to the second floor. There are 4 exit doors, fire extinguishers are up to date. There are public restrooms in the building, and two conference rooms that can be used for private meetings. The suite has two desks with computers, locked file cabinet where private files will be kept, two sitting chairs and table. First Aid Kit fully stocked. The conference room has a code to get into for privacy. Currently the facility has one client in placement. Administrative office is within two hours of participants living areas. The following domains were also reviewed during today's inspection, Physical Plant, Operation, Emergency Disaster Preparedness, and Staff and Client Records. A total of two staff files and two client files were reviewed. LPA conducted two staff interviews, no concerns for follow up were noted. A review of the Licensing Information System indicates the facility has fees due on April 26, 2026. An exit interview was conducted with Jason Cunningham, Licensee and Meswish Khan, Administrator, and a copy of this report were provided during today's inspection.

met_with: Jason Cunningham, Licensee, Mehwish Khan, Administrator


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Continuation from Based on the evidence gained, and statements in interviews the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC9099D.

Investigation Findings:
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: Administrator- Melody King


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
photos and text messages during record review. The facility verified the maintenance worker is not directly employed by the facility, but the facility was aware of the maintenance workers derogatory comments and violation of confidentiality. Conflicting information was provided by facility staff regarding whether timely follow up was done with the Property Management company and maintenance worker. On 4/3/2024, Licensing Program Manager (LPM) Hillary Hall conducted an interview with facility Operations Manager Zach Anderson. Anderson indicated he had a conversation with the Property Management company regarding the inappropriate conduct of the maintenance worker, but could not recall the date of the conversation. Anderson indicated additional follow up will occur with the facility and Property Management company to ensure no further inappropriate conduct by maintenance staff occurs. Based on LPA's observations, interviews which were conducted, and records reviewed, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. A signed copy of this LIC-9099 report and the LIC-9099C were provided to the facility. An exit interview was conducted. Appeal rights were provided.

Investigation Findings:
13Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation, and met with Rayna Harkness, Office Manager. LPA Melinda Pope conducted the complaint investigation. LPA Pope opened the investigation with the facility on 1/30/24 and two staff were interviewed. During the course of the investigation, LPA Pope conducted additional interviews with two staff members, one THP participant, and one children's services social worker. LPA Pope reviewed records from the facility including: LIC 500, participant file and lease agreement, Notice to Enter, Day Contract, Serious Incident reports, and Copies of Text Messages and Photos. A THP participant gave permission for a maintenance worker contracted by the facility's Property Management company, to service their remote housing unit. The maintenance worker then took photos of the unit and texted derogatory comments about the participant to another participant. LPA Pope observed the UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Wendy Brown 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: ENVIRONMENTAL ALTERNATIVE THPP/THP+FC-SUSANVILLEFACILITY NUMBER: VISIT DATE: 04/03/2024

met_with: Rayna Harkness, Office Manager


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Hillary Hall conducted an unannounced annual inspection at the facility, located at Main St., Susanville, CA on 02/10/2022 at 9 am. LPA met with Rayna Harkness, Office Manager, who assisted with the inspection. Also present during the inspection were three social workers/case managers. LPA completed the inspection at 2:30pm. LPA completed the inspection using the CARE tool. LPA toured the facility and found the facility clean and safe for residents and visitors. LPA observed the license is posted in a prominent area. LPA observed the personal rights poster and complaints poster posted as required. LPA observed two restrooms available for staff, clients, and visitors, fully equipped with necessary supplies. LPA observed private space for conducting interviews, both upstairs and downstairs. The facility had fire extinguishers mounted that were last updated on 02/01/ LPA observed locking file cabinets for confidential client files. Staff files are kept electronically. The temperature in the facility was comfortable. LPA reviewed all six client files and interviewed two social workers. The third social worker was not available for an interview. LPA reviewed relevant information in staff files electronically. LPA did not observe any deficiencies during this inspection. Exit interview was conducted with the Office Manager. A signed copy of this LIC-809 and LIC-9102AN were provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Lyta Vue arrived unannounced at the facility on 1/17/24 at 9: AM. LPA rang the doorbell and no one was there. LPA made a call to the phone number but no one picked up. LPA called the EA-Quincy and was told the staff who was on duty was at a training. LPA will attempt at a later date.


summary: Facility Evaluation

raw_content:
Narrative:
On 1/18/24, Licensing Program Analyst (LPA) Lyta Vue arrived unannounced at the facility and met with Rayna Harkness, Office Manager. The purpose of the visit was to conduct a Required Annual Inspection of the facility. The last Annual inspection for the facility was on 2/10/22. LPA utilized the CARE Tool to complete the Annual inspection. LPA conducted an inspection of the physical plant and checked for all necessary requirements. The facility was clean and organized and maintained an acceptable room temperature. The facility has 2 offices for social workers and 1 confidential interview/visitation room. LPA observed the proper postings including facility license, complaint hotline, and emergency disaster plan. The restrooms for clients and staff were clean. Smoke alarms and carbon monoxide detectors were in working order, the 2 fire extinguishers were current up to July 2024, and a first aid kit was fully stocked. Evacuation drills for the facility were completed quarterly. LPA observed client files stored in a locked filing cabinet in the Office Manager's office and electronically with password. The facility has no outstanding fees. The facility has four (4) Non-Minor Dependent clients. Clients live in remote site apartments. No client resides more than two hours from the facility. The facility employs Social Worker, Supervisor, and Office Manager. LPA reviewed 3 personnel staff files. All three staff had completed criminal record clearances and both the Social Worker, and the Social Worker Supervisor met minimum education experience qualifications. All First Aid and CPR certifications were up to date for all staff personnel. LPA interviewed 1 staff personnel. Staff personnel indicated Social Worker does not have more than THP clients on their caseload. LPA reviewed four client files. All clients had signed Admission Agreements. Client files had current Needs and Service Plans, signed by the client and placing agency. Needs and Services Plan detailed adequate supportive services the facility offers to the clients. Report continued on 812c No citations were given on this date. A signed copy of this LIC-809 (and LIC-809C) report was provided to Rayna Harkness, Office Manager. An exit interview was conducted. End of report.


summary: Facility Evaluation

raw_content:
Narrative:
On 02/12/26, Licensing Program Analysts (LPAs) Lyta Vue and Misty Valencia arrived unannounced at the facility and met with Rayna Harkness, Office Manager and Gina Dwyer, Supervisor. The purpose of the visit was to conduct a Required Bi-Annual Inspection of the facility. The last Annual inspection for the facility was on 01/18/24. LPA utilized the CARE Tool to complete the Annual inspection. LPA conducted an inspection of the physical plant and checked for all necessary requirements. The facility was clean and organized and maintained an acceptable room temperature. The facility has 2 offices for social workers and 1 confidential interview/visitation room. LPA observed the proper postings including facility license, complaint hotline, and emergency disaster plan. Accreditation will expire on 08/31/27. The restrooms for clients and staff were clean. Smoke alarms and carbon monoxide detectors were in working order, the 2 fire extinguishers were current up to July 2026, and a first aid kit was fully stocked. Evacuation drills for the facility were completed quarterly. LPA observed client files stored in a locked filing cabinet in the Office Manager's office and electronically with password. The facility has no outstanding fees. The facility has five (5) Non-Minor Dependent clients. Clients live in either remote-site apartments or houses. No client resides more than two hours from the facility. The facility employs one (1) Social Worker and one (1) Social Worker Supervisor. Annual Report continued on 809c LPA reviewed one (1) Social Worker and one (1) Social Worker Supervisor personnel files. Social work personnel had completed criminal record clearances and met minimum education and experience qualifications. All First Aid and CPR certifications were up to date for Social Worker personnel. LPA interviewed two (2) social worker personnel. Social work personnel indicated they did not have more than 12 clients on their caseload. LPA reviewed five (5) client files. All clients had signed Admission Agreements. Client files had current Needs and Service Plans, signed by the client and placing agency. Needs and Services Plan detailed adequate supportive services the facility offers to the clients. No citations were given on this date. A signed copy of this LIC-809 report was provided to the Office Manager. An exit interview was conducted.


raw_content:
Narrative:
Discussions between C1 and RP were about multiple sexual partners, attraction(s) between C1 and RP, "love being expansive and impossible to compartmentalize", being "fluid and undefinable at times", and C1 or RP having emotionally involved communications between them. One of the messages uncovered stated "we have a connection & we care about each other". The allegation that RP engaged in conduct that is inimical to the health, morals, welfare, or safety of clients in the facility is related to this inappropriate contact, conversations and communications between C1 and RP. In addition, Investigator Burton received information that C1 and RP were found by a third party sleeping clothed together in the same bed at least one time and a picture showing that C1 and RP in clothes and in bed together (not the same incidents). RP was told that C1 may have had a crush on RP but RP did not stop the inappropriate messages or communications and even admitted that communications between C1 and RP were emotionally involved. As a result of the interviews conducted, documentation reviewed and investigation conducted, the allegation that resource parent had an inappropriate relationship with client in care and resource parent engaged in conduct that is inimical to the health, morals, welfare, or safety of clients in the facility are SUBSTANTIATED at this time meaning that the allegation is valid because the preponderance of the evidence standard has been met. Facility cited for violation of California Code of Regulations, Title Division Six, regulation 84072(d) Personal Rights. Investigation shows that RP carried on an inappropriate relationship with C1 that appeared to be emotionally abusive in nature. These discussions included content of a sexual nature and were inappropriate as the nature of the relationship was that of care provider/mentor and youth in care. Facility cited for violation of Health and Safety §1569.58(a)(2) Officers, directors and employees of licensed facility... Investigation shows that staff engaged in conduct that is inimical to the health, morals, welfare or safety of an individual in or receiving services from the facility, or the people of the State of California as it relates to the inappropriate contact, conversations and communications between C1 and RP. Exit interview conducted with Kitty Cannon and document provided. When interviewed, C1 alleged that the relationship between C1 and RP was "intimate and very sexual" but denied there was sexual intercourse or penetration or other contact of a sexual nature. C1 denied that C1 and RP ever kissed but did make statements about inappropriate touching over the clothing that could not be corroborated. As a result of the interviews conducted, documentation reviewed and investigation conducted, the allegation that resource parent had an inappropriate sexual relationship with a client in care is UNSUBSTANTIATED at this time meaning that the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview was conducted and documentation was provided to Kitty Cannon.

Investigation Findings:
13Licensing Program Analyst (LPA) Danielle Walker-Flores made an unannounced complaint inspection on 12/30/21 and met with Kitty Cannon, Office Manager to discuss the findings of the complaint allegations. LPA informed Kitty Cannon that the complaint investigation included an initial inspection of the facility on 9/23/2021 by LPA Walker-Flores. However, files were unable to be reviewed due to a lack of documentation provided by the agency. Investigator Shannan Borton, Investigations Branch, conducted this complaint investigation. A review of documentation provided by another facility for resource parent, (RP, see confidential names list titled 12/30/21) was conducted. This resource parent was employed at a group home where they were introduced to the client. Interviews were conducted for current staff and clients, and other individuals relevant to the investigation from 8/6/21 through 10/21/21. LPA informed Kitty Cannon that the allegation that RP had an inappropriate relationship with a client in care is related to the relationship between C1 and RP. Investigation shows that RP and their partner allowed C1 to move into their home through an independent living arrangement overseen by this agency. While C1 was in the home, investigation showed that there was inappropriate contact and conversations between C1 and RP as demonstrated by text messages and photos obtained by the investigator. Continued on 9099C SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Daniel Allmon LICENSING EVALUATOR NAME: Danielle Walker LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: ENVIRONMENTAL ALTERNATIVES-GRASS VALLEYTHPP/THP+FCFACILITY NUMBER: VISIT DATE: 12/30/2021

met_with: Kitty Cannon - Office Manager


narrative: Continuation from Based on the evidence gained, and statements in interviews the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC9099D.

investigation_findings: 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:


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) Robyn Word and Tina Thorn made an unannounced annual inspection on 4/26/2023 at 9: AM and met with Katelyn Pomeroy- Social Worker and Administrator Melody King and toured the agency inside and out. The THP+FC is in a shopping plaza. The THP+FC shares an office with the Foster Family Agency and CalAim. THP+FC files/records are in the front office and kept in locked file cabinet. License is posted for Transitional Housing Placement Program. LPA observed that the disaster plan is posted as required. Bathroom facilities are available for client and visitor use and appeared to be clean and sanitary as required. LPA observed office space for private interviews as necessary. LPA observed the temperature of the office space to be comfortable. Fire extinguisher is mounted and tagged as inspected on July 25, 2022. THP+FC is licensed to serve 62 clients, ages 18-21. Clients are housed throughout different counties. There are currently 6 clients in the THP+FC program and 1 staff/ Case Worker assigned to the 6 placements. The office area is clean. The LPAs did observe water damage on the ceiling area. The Administrator stated that a maintenance request was sent to the building manager on 4/10/23. LPA's requested proof of follow-up with Property Manager within 30 days. LPA reviewed 3 of the 6 client files, and staff files including the Case Worker file and the Administrator file. Staff and client files are secured. The copy of license is posted. A review of records indicate staff have criminal record and child abuse clearance. CPR and First Aid certification and training hours are complete. There are no title 22 deficiencies cited during today's inspection. An exit interview was conducted, and a copy of this report was left at the facility


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 05/22/2025, Licensing Program Analyst (LPA) Yesenia Vallejo, and LPA Aleza Ruiz arrived unannounced at the facility and met with Abby Hoekstra, Office Manager. The purpose of this visit was to conduct a required Bi-Annual Inspection of the facility. The last Bi-Annual inspection for the facility was on 04/26/2023. LPA utilized the CARE Tool to complete the inspection. LPA conducted an inspection of the physical plant and checked for all necessary requirements. The facility was clean and organized and maintained an acceptable room temperature. The facility has three offices for social workers/case managers and two confidential interview/visitation rooms on the second floor. LPA observed the proper postings including, facility license, complaint hotline, and emergency disaster plan. The restrooms for clients and staff were clean. Fire extinguishers were current, and a first aid kit was fully stocked. Evacuation drills for the facility were completed quarterly. LPA observed client files were stored electronically with password protection. The facility has no outstanding fees. The facility has three Non-Minor Dependent clients. Clients live in either host homes or remote site apartments. No client resides more than two hours from the facility. The facility employs one Case Manager, and one Supervisor/Program Manager. LPA reviewed one Case manager personnel files, and one Supervisor/Program Manager files. Both personnel had completed criminal record clearances and met minimum education and experience qualifications. All First Aid and CPR certifications were up to date for each personnel. LPA was unable to interview Case Manger as they're out on leave. LPA was unable to interview Supervisor/Program Manager due to being out of office during time of inspection. LPA will conduct a phone interview. LPA reviewed three client files. All clients had signed Admission Agreements. Client files had current Needs and Service Plans, signed by the client and placing agency. Needs and Services Plan detailed adequate supportive services the facility offers to the clients. Facility is issued two citations per CCR 86065(f)(4) and 86064(h). A signed copy of this LIC-809, LIC-809C and LIC809D report was provided to Abby Hoekstra, Office Manager. An exit interview was conducted. Appeal Rights were provided.

Deficiencies:
86064(h): (h) The administrator shall complete training related to the sexual and reproductive rights of children in foster care that includes the following topics

met_with: Abby Hoekstra- Office Manager


raw_content:
Narrative:
In LPA's review of the Premise Report, collected from the Sacramento Sheriff's Department, it lists out all Calls for Service made by members of the public, at or tied to the apartment complex address, from January 2020 through Present 2023. There were 280 total calls for service, some of which were four for shots fired, two assault, one sexual assault, 15 battery, six assault with a deadly weapon, 90 disturbances, four threats with a gun or other weapon, three threats, five burglary, one petty theft, one grand theft, one auto theft, three vandalism, four trespassing, two suspicious vehicles, and eight suspicious circumstances. These records only show what kind of call was made, not where the violation occurred, so it is possible not all of these events occurred at the apartment complex, however were reported by individuals at the complex, or about individuals at the complex. In LPA's review of the Case Notes provided, LPA found instances where maintenance was needed for minor issues, such as the heater pilot being out and a broken closet door, and the EA Case Manager (CM) assisted the client in getting those problems fixed. There were no concerns reported about insect issues. In Case Notes from 2020, when the client was first placed in November 2020, the client was not happy with the apartment due to safety concerns about personal conflicts with individuals in the community, and requested a change. EA then moved the client to the apartments the client then resided in from December 2020 to February 2023, to ensure the client felt safe. More current Case Notes from 2023 also detail how CM was helping the client get what they needed in regard to school, employment, and certifications. There were many entries which detailed all of CM's efforts in working with the client on getting the client an apartment they wanted, and supporting the client through their decisions. In several case notes it shows that CM was working on getting the client into another apartment of their choosing in 2023, however the client was indecisive about where the client actually wanted to live, whether it be with EA, a SILP, or with their spouse. The apartment the client was thinking about choosing was also out of EA's reasonable price range. The client went ahead with moving plans without speaking to, or working with EA at times, which led C1 to voluntarily leaving EA. Most recently, on 4/23/2023, the client submitted an inquiry about coming back to EA. LPA also observed the environment of the apartments. LPA did observe a bullet hole in the hallway of one of the buildings, pointed out to LPA by a tenant. This tenant stated that had been there since before the tenant lived there, which is over four years ago. LPA also observed one bullet hole in the face of the building to the right of the vending machines, and a bullet mark on the vending machine cage itself. It is unclear when those marks were made. LPA observed many children out and playing together, as well as several adults going about their business. LPA observed all individuals to appear homed, and non-suspicious. LPA did not observe any criminal activity while she was at the apartment complex. When LPA conducted interviews with the six randomly selected tenants, LPA could observe the apartments, to varying degrees whether LPA went inside or not, and observed all spaces to be modernized, and in good condition. LPA did not observe any bugs or other pests. When LPA did a walk-through of the apartment unit related to this complaint specifically, LPA also observed it to be clean, semi-modernized, and without bugs or other pests. Confidential interviews conducted revealed the following: In LPA's interviews with the Intake Workers, Director, Case Manager, and Social Work Supervisor, it was confirmed that it is the client's choice to accept an apartment, and if they do not approve of it, EA will work to find a better match for the client. During LPA's interview with the Case Manager, he stated he never observed any insects. LPA Burgess and LPA Monica Roberts requested in total three times, the photographic evidence from the individual involved, of the insects which were alleged to have been in the apartment, however LPA never received them. In LPA's interview with the Property Manager (PM), there were no records of insects being reported as an issue in the client's unit, however, the PM also stated that they will do regular preventative insect spraying. All six randomly-selected tenants, and the one current EA client, that LPA interviewed stated they felt safe at the apartment, and some reported small issue with children running around with trash, or the homeless coming into the complex. PM also stated that all issues that were reported to her by the client were addressed by maintenance. PM stated that the area is a rough area, but has improved since she has come to the complex in May of 2021, and they have gotten new tenants. In LPA's interview with the Deputy, it was confirmed that the area is a, "dangerous," area with drugs, gangs, homelessness, poverty, and struggles; however, many areas of Sacramento are like that, and at the same time, you will see children walking home from school, and regular non-criminal daily life. Additionally, the Deputy explained that the clients are adults and can choose whether or not to live there. LPA was also made aware in this interview that bullet holes/shootings happen in all areas of Sacramento, not only apartments such as this one. Based on all information collected and interviews conducted, LPA found that the area the apartment is in does have crime and dangers, however that is common in other areas as well. LPA learned that tenants feel safe, and Property Management addresses concerns. LPA found that EA Case Manager worked to support and assist the client in meeting their needs and helping them to get what they want as well. LPA also found that the clients have the final say-so in where they will be placed and can reject a placement, as well as EA will move them if they feel unsafe. LPA was informed there were cockroaches in the apartment by one individual, however saw no evidence of this, and did not receive evidence to prove such. 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. An exit interview was conducted with SWS and a copy of this report and appeal rights was left with her.

Investigation Findings:
13Licensing Program Analyst (LPA) Alyssa Burgess made an unannounced complaint investigation inspection at the agency and met with Social Work Supervisor (SWS), who assisted with the inspection. LPA investigated this complaint by observing the apartment's environment, reviewing Case Notes, Lease Agreement, Police Premise Reports, Emails, and by conducting confidential interviews with the Reporting Party, a current client, six randomly selected tenants in the apartment complex, the Property Manager, a Deputy from the Sacramento Sheriff's Department, the Social Work Supervisor, THPP Director, Case Manager, and two Intake Workers on 3/16/2023, 4/3/2023, 4/5/2023, 4/10/2023, 4/11/2023, 4/17/2023, 4/25/2023, 4/26/2023, and 4/27/2023. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Alyssa M Burgess LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: ENVIRONMENTAL ALTERNATIVES-SAC THPP/THP+FCFACILITY NUMBER: VISIT DATE: 05/05/2023

met_with: Jamie Cobabe


raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. A copy of this report and appeal rights was left with the facility. End of report.

Investigation Findings:
13On 5/26/203, at 10:25 a.m., Licensing Program Analyst (LPA) Monica Roberts conducted an unannounced inspection at this agnecy to close this complaint investigation and deliver the findings. LPA was met by Kathleen Cannon, Office Manager, with whom the report was discussed. LPA discussed the information collected that helped form this decision. On 4/26/2023, LPA Roberts collected the needs and services plan, client face sheet, client P&I ledger and a copy of the house agreement from the agency. Interviews were conducted with the following: Agency Social Workers on 5/12/2023, County Social Worker on 5/15/2023, and Child 1 (C1) and her neighbors on 5/19/2023. (See LIC811s for details). Although C1 stated that she tried to pick up her money at the agency, there is an agreed upon time to receive her money and she admits that she is not showing up at that time. Agency states that they are not always available to dispense money and therefore that is why they have the system in place that they do, however per the signed agreement, they follow through. C1 agrees with this. (Continued on LIC 9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Monica Roberts LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION NO. Cal Cr/res., Natomas Park Dr., STE FACILITY NAME: ENVIRONMENTAL ALTERNATIVES-SAC THPP/THP+FCFACILITY NUMBER: VISIT DATE: 05/26/2023


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Alyssa Burgess made an announced Prelicensing Inspection at the agency and met with THP Director (TD) Jenna Bethancourt, who assisted with the inspection. The agency is relocating from their Woodland THPP Office. The office is located in an office building. The THPP will continue to serve up to 150 participants. Once licensed, the agency will convert licensed information over to current placements. TD confirmed knowledge that all units must be within a 2-hour drive from this office. The program plans to utilize remote sites and host-homes. LPA, TD, and Office Manager Asifa Ali conducted a walk-through of the agency. LPA observed a lobby, and a side office area, three visits rooms, two kitchens, four bathrooms, two conference rooms, one file room, one lounge, five office work spaces, two storage garages/warehouses, and one storage closet. LPA observed all spaces to be clean, free of hazards, and equipped adequately with all needed supplies. LPA observed there to be multiple carbon monoxide detectors and smoke detectors, and three fire extinguishers which are up to date. LPA observed the file cabinets to be locked, which is where the agency will store client and staff records. LPA observed five first aid kits in the office. All sharps, and chemicals/cleaning solutions are locked. LPA observed posted childrens' rights, the complaint/grievance policy and forms posted. LPA observed no deficiencies. The agency has submitted all required documents for the relocation. The agency is ready for licensure, dated 3/23/2022. An exit interview was conducted with TD and a copy of this report was emailed to her with a read receipt, which will serve as the record of receipt.

met_with: Jenna Bethancourt


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Alyssa Burgess made an unannounced Post Licensing Inspection at the agency and met with Agency Social Worker Supervisor (SWS) Jamie Cobabe, who assisted with the inspection. LPA and SWS conducted a walk-through of the facility and LPA observed: two conference rooms, one file room, seven office spaces, two storage areas, one pantry, two kitchens, three visitation rooms, a staff lounge, the lobby, and four bathrooms. LPA observed no deficiencies. All fire extinguishers were in date and charged. All client files were locked. All areas of the building were clean, in good repair, and had no obstructions in the walkways. There are working smoke detectors. LPA reviewed five staff files and five client files. LPA found that 8 of 15 staff who work at this THPP license are not associated to the license. However, all 15 are DOJ/FBI/CACI cleared and associated to the agency's Sacramento FFA license. LPA found that all other staff requirements were met. For client files LPA found that the Administrator does not sign the Needs and Services Plans as required. One out of five NSPs were out of date, and the one that was out of date, was being drafted. All other requirements for client files were met. LPA interviewed two Social Workers, one Case Manager, and one Social Work Supervisor. On this date the agency is being cited for violations of the California Code of Regulations, Title 22, Section 86019(e)(2) and Health and Safety Code (HSC) 1565(a)(7). An exit interview was conducted with SWS and a copy of this report, appeal rights, and confidential names list was left with her.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Alyssa Burgess made an unannounced Annual Inspection at the agency and met with Agency Social Worker Supervisor (SWS) Jamie Cobabe, who assisted with the inspection. LPA and SWS conducted a walk-through of the facility and LPA observed: two conference rooms, one file room, seven office spaces, two storage areas, one pantry, two kitchens, three visitation rooms, a staff lounge, the lobby, and four bathrooms. LPA observed no deficiencies. All fire extinguishers were in date and charged. All client files were locked. All areas of the building were clean, in good repair, and had no obstructions in the walkways. There are working smoke detectors. LPA reviewed five staff files and five client files. LPA found that 8 of 15 staff who work at this THPP license are not associated to the license. However, all 15 are DOJ/FBI/CACI cleared and associated to the agency's Sacramento FFA license. LPA found that all other staff requirements were met. For client files LPA found that the Administrator does not sign the Needs and Services Plans as required. One out of five NSPs were out of date, and the one that was out of date, was being drafted. All other requirements for client files were met. LPA interviewed two Social Workers, one Case Manager, and one Social Work Supervisor. On this date the agency was cited for violations of the California Code of Regulations, Title 22, Section 86019(e)(2) and Health and Safety Code (HSC) 1565(a)(7). All citations and advisory notes are reflected in the 809 for the Post Licensing, issued on the same date. An exit interview was conducted with SWS and a copy of this report, appeal rights, and confidential names list was left with her.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Alyssa Burgess made an unannounced case management inspection regarding an Incident Report that occurred on 4/7/2023 and was submitted to CCL by the agency on 4/10/2023. LPA spoke with Social Work Supervisor (SWS) Jamie Cobabe and Case Manager (CM) Wendy Sanchez-Rico about the incident. LPA collected a client's Needs and Services Plan, staff information, and client information. Further information is needed in order to resolve this case management. LPA conducted an exit interview with SWS and left a copy of this report with her.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Alyssa Burgess made an announced Case Management inspection at the facility to interview Director Jenna Bethancourt, regarding an Incident Report that occurred on 4/7/2023 and was submitted to CCL by the agency on 4/10/2023. LPA first opened this CM inspection on 4/17/2023. LPA interviewed Director and collected client documents. Further information is needed in order to resolve this case management. LPA conducted an exit interview with Director and gave a copy of this report to her.


summary: Facility Evaluation

raw_content:
Narrative:
On 3/7/24, LPA Uchenna Ajaero received the following report and discussed it with the LPA. Per LPM, Jodean Hall, this investigation will be handled with a follow up phone call. DESCRIBE EVENT OR INCIDENT (INCLUDE DATE, TIME, LOCATION, PERPETRATOR, NATURE OF INCIDENT, ANY ANTECEDENTS LEADING UP TO INCIDENT AND HOW CLIENTS WERE AFFECTED, INCLUDING ANY INJURIES The client was in THP placement at the Renew on Coloma apartment complex. Maintenance was repairing the dishwasher and had the heater running to try to assess why the heater was not working. The client shared that the heater caught fire and it disintegrated on its own. Fire did not create further damage. Fire department or LE was not called. Maintenace removed the smoke detector from the ceiling and told client that he would come back to repair the heater at another time. 3/ LPA Ajaero contacted the SW and was told the property management office has submitted a request to have the unit fixed. 3/ ASW Nicole contacted LPA and stated the unit has been fixed and the client is settled in the apartment. End of report.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Alyssa Burgess made an unannounced case management inspection regarding an Incident Report (IR) that occurred on 4/7/2023 and was submitted to CCL by the agency on 4/10/2023. LPA met with Case Manager Wendy Sanchez, who assisted with the inspection. The IR reported that on 4/7/2023 client's (C1 - See Confidential Names List dated 5/15/2023) EA Case Manager (CM) called Adult Protective Services for C1 due to C1 living in filth with rotting food, unwashed clothes, and trash throughout C1's apartment. The CM that was present reported bad smells in the apartment. C1 was non-coherent and could not verbally communicate. C1 had been neglecting C1's basic needs, and EA was unsure if C1 was eating, maintaining personal hygiene, or their healthcare. LPA conducted an investigation into whether Environmental Alternatives - SAC THPP/THP+FC (EA) was an appropriate placement for C1 or not, by conducting confidential interviews with the County Social Worker, EA's Social Work Supervisor, EA's Case Manager, EA's THPP Director, and EA's Intake Coordinator on 4/17/2023, 4/26/2023, 5/11/2023, and 5/18/2023. LPA also collected and reviewed C1's Pre-Placement Questionnaire (PPQ), "New-Add" email, other emails, Needs and Services Plan, pictures, and TILP. Based on the records reviewed, LPA found that C1 was placed with EA on 11/15/2022, after leaving a mental health facility by 11/10/2022. In C1's PPQ, it notes that C1 has a, "low level of functioning or ability to be independent," in the area of taking C1's medication for C1's mental health. It also states that C1 had been 5150'd on 10/11/2022, and then went to another mental health facility afterwards, where C1 lived until C1 was placed with EA. C1 has had suicidal behavior or thoughts before, but there were no additional details provided. The PPQ states C1 has a need for intensive mental health or wrap services, however none were described. The PPQ acknowledged that C1 most likely is on psychotropic medication, however C1 refuses to take C1's medications. Additionally, C1 has not developed positive anger management and coping skills, and no further details were provided. C1 struggles with impulse control and has no positive lifelong connections. C1 does not demonstrate positive relationship skills with peers, and no details were provided. C1 has had major behavioral episodes, for which C1 was placed in a mental health hospital. C1 has a history of substance abuse and ongoing substance abuse issues in that C1 has admitted to using meth, "and whatever else [C1] can get ahold of." C1 has threatened a roommate with a knife in the past. C1 is receiving mental health services, however refuses to cooperate with utilizing those services. C1 was placed in a specialized apartment which has on-site case managers of sorts, which are not affiliated with EA who provide additional support to clients and work with EA's Case Managers, though the level in which they do this was not made clear. During an interview, it was confirmed that C1 had drug paraphernalia (crack pipe and bong) in C1's apartment, located when EA had the apartment cleaned when C1 went to the hospital. Another crack pipe was located in C1's apartment previously on 3/1/2023 as well. During interviews it was confirmed that C1 continuously struggled with maintaining their apartment, never was compliant in managing their mental health or adhering to the program, and that both EA and the specialized apartment could not meet C1's needs. Most recently C1 was released from hospitalization on 4/28/2023, then re-hospitalized on 5/3/2023 for hallucinating, and returned to placement on 5/16/2023. EA CM observed C1 to be high on 5/16/2023 on something other than marijuana. During LPA's interviews, LPA asked why EA gave C1 placement knowing C1's unmanaged mental health, recent hospitalizations, unmanaged drug-use, and general inability to care for themself. LPA was informed it was essentially a, "favor," to the County, who was struggling to find placement for the client, and to build a positive relationship with the County. During multiple interviews it was confirmed that EA cannot meet the needs of C1. EA has accepted C1 back into the program after discharge from the hospital on a Behavioral Contract, signed by C1 on 5/1/2023, requiring C1 to be compliant in managing C1's mental health services and medications. However, this should have been the standard since the beginning of C1's placement. Based on an interview, C1 is still not being compliant in their program or addressing their mental health and drug use. LPA reviewed C1's Needs and Services Plan which details mental health management as C1's main need to focus on and that, "it is recommended that this client be placed in a transitional housing program with more support and assistance to help with the client's mental health needs. The current placement is not ideal for the client's needs." Since being in placement, C1 has been hospitalized two times, however there has been more than four 5150's. THPPs are the least-restrictive facility type in the Children's Residential Program. Based on all information collected and interviews conducted, LPA has found that C1's placement in EA's THPP was inappropriate and detrimental to their well-being. On this date, the facility is being cited for a violation of the AB Interim Licensing Standards for Nonminor Dependents in Foster Care, Chapter 7, Transitional Housing Placement Program, Version 2, Section 86278(a) - Responsibility for Providing Care and Supervision. An exit interview was conducted with CM and a copy of this report and appeal rights was left with CM.

met_with: Wendy Sanchez


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Alyssa Burgess made an unannounced Case Management Inspection at the facility and met with Office Manager (OM) Brittany Johnson who assisted with the inspection. On 3/16/2023, LPA conducted a Post-Licensing inspection and cited the agency for a violation of the California Code of Regulations, Title 22, Section 86019(e)(2) which stated: (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1522 shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 86019(f) or... This requirement is not met as evidenced by: Based on records review, the licensee did not comply with the section cited above in 8 out of 15 staff which poses an immediate health, safety or personal rights risk to persons in care. Civil penalty was assessed. The agency appealed this citation and civil penalty. After review and consideration, the citation and civil penalty were upheld, however, the Department agreed to downgrade the Type-A citation to a Type-B citation. LPA is re-citing the citation as a Type-B, and the Type-A citation will be dismissed. The agency has already cleared this deficiency as required. An exit interview was conducted with OM, and a copy of this report and citation clearance letter was left with her.

met_with: Brittany Johnson


raw_content:
Narrative:
Interviews and documents reviewed are also consistent that the apartment was in good repair at the time of placement. The challenge is how the agency handled the problems that happened afterwards. CSW, NMD and RP state that the agency did not act in a timely manner and that put NMD and her children in danger. However, Interviews with PM and ASW indicate that the agency put a request to address the problems right away. In addition, PM shared that NMD refused entry into her apartment when maintenance crew arrived at the location. The agency also disclosed that they will pay NMD's relocation fees and return all NMD's savings to her. Based on LPA's observation, interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the allege violations did or did not occur. Not tile 22 regulations were cited during today's inspections. A copy of this report was left at the agency.

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

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

met_with: Jamie George, THP Case Manager/FFA Social Worker


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) made an unannounced visit to the facility to conduct case management inspection regarding an incident report received by the Department on 6/25/2021. LPA met with Miranda Benavidez, Case Manager (CM), who assisted with the inspection. The incident which occurred on 6/17/2021 involved a client of the THPP attempting suicide by cutting both of her wrists with a knife while in the apartment. The client's fiance was also present in the apartment. Law enforcement, the fire department, and ambulance were on the scene. The client was taken to the hospital and treated, then was placed on a 5150 hold. Law enforcement believed there to be domestic violence from the fiance to the client. The agency wrote in the IR the fiance will no longer be allowed in the apartment. LPA asked questions regarding: 1. How is, and where is, the client currently. 2. How will the agency ensure the client's fiance is not present. 3. How will the agency ensure the client's safety. 4. Is this a proper placement of the client. 5. What oversight and support is provided for this client. 6. What is the agency's future plans for this client. CM stated that she has been contacting the client weekly to check in. CM also called in a wellness check, and conducted a wellness check herself, after the incident. The client is back at the apartment, and the fiance is not allowed on the property, however they were spotted off property engaged in an argument on 6/23/2021. CM, the County Social Worker, and the client will be meeting on 7/8/2021 to discuss safety plan and safety measures to take. In the meantime, LPA has advised CM to make contact with the client daily by phone to ensure she is safe. CM is also going to be getting the client into therapy as well as in contact with WEAVE for support with domestic violence. At 2: PM an exit interview was conducted with CM and a copy of this report will be emailed to CM with a read receipt which will serve as her signature.

met_with: Miranda Benavidez


summary: Facility Evaluation

raw_content:
Narrative:
On September 23, Licensed Program Analyst Chad Cabigon (LPA), and Yuvi Diaz (LPA) conducted an announced case management inspection due to a death report received byThe Department on September 22, 2021. LPAs obtain copies of the participant's entire THP file. Phone interview was conducted with the assigned Program Case Manager, Ellie Fanaika. Further investigation is required.

met_with: Bianca Ruiz


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Alyssa Burgess made an unannounced annual inspection at the agency and met with Office Manager (OM) Donna Massey, who assisted with this inspection. The facility utilizes their Sacramento FFA office as a satellite office for this license, where the majority of clients are assisted from. Only two clients are in care out of this office. As the files are electronic LPA was able to access them from the licensed location. LPA utilized the CARE Tool for this inspection. LPA conducted a walk-through of the agency with (OM) and LPA observed no deficiencies. LPA reviewed 14 client files, and 10 staff files. LPA found that all clients reviewed did not have any health screenings or TB tests on file, however, all clients are Non-Minor Dependents and are not required to share medical information with the agency. LPA found that one client did not have a Needs and Services Plan in the file as required after 30 days in placement. One client (C7) was missing their NSP, but today is the 30th day, so LPA advised the facility to ensure they include the NSP for that client in their file. Client C6 should have their NSP in file, and a Type B Citation was issued for that deficiency. There were no other issues found in client files. For the staff files, LPA found that no file had any of the staffs' duties described, and a Technical Violation was issued for that. No other issues were found during this inspection. On this date, the facility is being cited for a violation of the California Code of Regulations, Title 22, Division 6, Chapter 7, Section 86068.2(c), Type B. Additionally, LPA issued an advisory note regarding the address and facility information that the agency puts on their incident reports for this license. An exit interview was conducted with OM, and a copy of this report, along with appeal rights and a confidential names list, was emailed to her with a read receipt, which will serve as the record of receipt.

met_with: Donne Massey


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Alyssa Burgess conducted an unannounced case management inspection at the agency and met with Donna Massey, Office Manager (OM1), who assisted with the inspection. LPA is investigating a Child Abuse Clearance Index (CACI) hit that occurred for an individual connected to this agency (P1 - See LIC811). OM contacted her supervisor and the Sacramento office to find out if P1 is in any way involved with the agency. OM1 contacted individuals with the agency and found that P1 is a prospective roommate of a THPP client with this license, but based out of the satellite Sacramento office location. LPA spoke with Asifa Ali, Office Manager (OM2), who checked with the assigned case worker and found that P1 is the boyfriend of the client who has not moved in yet, awaiting fingerprint clearance. There is no paperwork for LPA to collect as the agency is awaiting the clearance before allowing P1 to move in. Further investigation is needed to conclude this case management. LPA conducted an exit interview with OM1 and a copy of this report and LIC811 was emailed to her with a read receipt which will serve as the record of receipt.

met_with: Donna Massey


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Alyssa Burgess made an unannounced case management inspection at the agency and met with Social Worker Supervisor (SWS) Mercedes Robinson, who assisted with this inspection. On 10/25/2021, CCL received an incident report which stated during the rain storm on 10/24/2021, portions of the apartment the participant lived it were severely damaged and unlivable. The participant was offered to stay in a hotel by the THPP until a remedy could be made for the apartment, however the participant found housing through a family member. LPA asked about the safety measures that were put in place for this client, and how the agency made sure the alternative residence was a safe space for the client. SWS stated the ASW inspected the home during move-in, and all was compliant. LPA also asked about the furnishings and equipment in the new residence, which SWS stated that the participant has everything he needs. LPA asked about the financial support the participant receives and if it was lowered. SWS confirmed that the participant gets no less financial support because of this move. The client intends to live at the new residence for the remainder of his time with the THPP. The new home is also within the required distance of the THPP. SWS stated that all paperwork was updated. LPA found that the THPP met the participant's needs and no further investigation is required. An exit interview was conducted with SWS and a copy of this report was emailed to her with a read receipt which will serve as the record of receipt.

met_with: Mercedes Robinson


summary: Facility Evaluation

raw_content:
Narrative:
On 01/12/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection in the Environmental Alternatives (EA) - Sacramento THPP (Transitional Housing Placement Program) office located at Northgate Blvd., Sacramento 95834; the purpose of which was to formally close a case management inspection that was conducted on 12/07/2020. That inspection was regarding the deaths of two THPP participants for whom services were provided under the now-closed THPP license that was attached to the office address at Cottonwood Street, Woodland. As part of the 2020 case management inspection, LPA interviewed EA personnel and other individuals who were either involved in the deceased clients' cases or had knowledge of the matter. LPA also reviewed relevant records. No deficiencies were cited as a result of the case management inspection. A copy of this report is being provided to EA.

met_with: Kitty Cannon, Office Manager


raw_content:
Narrative:
Confidential interviews were completed on 06/19/24, 08/28/24, 09/16/24. LPA Martinez attempted to interview FY1 on 07/26/24, 08/26/24, and 09/04/24. Despite these multiple attempts, no statements were successfully gathered from FY1. 1. Failure to Provide Reasonable Accommodations and Adequate Support Confidential interviews revealed that FY1 was assisted in starting the application process for housing. FY1 application was initially denied due to concerns about FY1 communication style and behavior. The decision was later reconsidered, leading to an offer of housing. Interviews also disclosed evidence from FY1 indicating FY1 decision not to move forward with the placement. FY1 was not an official client but was being considered for placement LPA Martinez attempted to interview FY1 on 07/26/24, 08/26/24, and 09/04/24. Despite these multiple attempts, no statements were successfully gathered from FY1. 2.Discrimination and Retaliation Against the Client Confidential interviews revealed no direct evidence of discrimination or retaliation. FY1 was not an official client but was being considered for placement. FY1 application was initially denied due to concerns about communication style and behavior.The decision was later reconsidered by the THPP leading to an offer of housing. Interviews also disclosed evidence from FY1 indicating decision not to move forward with the placement. LPA Martinez attempted to interview FY1 on 07/26/24, 08/26/24, and 09/04/24. Despite these multiple attempts, no statements were successfully gathered from FY1. Based on the confidential interviews and records reviewed, the complaint against the THPP is unsubstantiated. An unsubstantiated determination means the allegation lacks a preponderance of the evidence to prove that the violation occurred. There are no deficiencies to be cited at this time. LPA Martinez conducted an exit interview and provided a signed LIC 9099 to the STRTP representative.

Investigation Findings:
13On 09/20/24, Licensing Program Analyst (LPA) Joe Martinez conducted a follow-up complaint inspection at the Short Term Residential Therapeutic Program (STRTP).LPA Martinez met with the facility representative named above. The purpose of the inspection is to deliver the finding for the above allegations. On 06/18/24, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): 1.Failure to Provide Reasonable Accommodations and Adequate Support 2.Discrimination and Retaliation Against the Client LPA Martinez investigated the above allegation. The investigation included a review of records and confidential interviews, but it was not limited to these. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Joe Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: ENVIRONMENTAL ALTERNATIVES DBA EA FAMILY SERVICESFACILITY NUMBER: VISIT DATE: 09/20/2024

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

met_with: Veronica Lopez


facility_name: ENVIRONMENTAL ALTERNATIVES DBA EA FAMILY SERVICES

summary: Facility Evaluation

raw_content:
Narrative:
On March 30, 2023 at approximately 1: PM, Licensing Program Analyst (LPA) Raymond Wu conducted a virtual Component II session via Zoom with applicant, Environmental Alternatives. Present at the meeting from Environmental Alternatives were Jenna Bethancourt, THP Program Director and Kylie Martinez, Social Worker Supervisor. During the meeting the following items were discussed and requested: 1. LIC 308 - Add K. Martinez to LIC 308 as an individual with administrative responsibility 2. Board Resolution regarding the LIC 308 above 3. County Letter of Support Aspects such as housing locations, continuing requirements, and more were also discussed. The Pre-Licensing inspection is tentatively scheduled for Thursday, April 06, 2023. An exit interview was conducted and a copy of this report was provided to the applicant.

met_with: Jenna Bethancourt, THP Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On April 06, 2023 at approximately 10: AM, Licensing Program Analysts (LPAs) Raymond Wu and Joe Martinez conducted a pre-licensing inspection and Component III meeting at the facility. The THPP is located in the CityServe non-profit building. LPA met Kylie Martinez, Social Worker Supervisor. The program will use host families, long-term hotel units, and apartment units to place Non-Minor Dependent (NMD) participants. . Licensee will inform CCL prior to the first client moving into a living unit. A tour of the office was conducted. LPA observed the following: the office is located in a secured suite inside a large building that is professionally maintained. There is an attendant in the lobby to assist and direct visitors. The office has multiple private rooms to meet with clients. Staff members have desks, cubicles, and the necessary equipment to perform their duties. There are bathrooms for staff and client use as well as a kitchen area. Hazardous items are secured and locked away. There are file cabinets in place to secure staff and client files. Fire extinguishers and a centralized fire sprinkler system are in place. The building has a dedicated security team that patrols the exterior and interior of the building. LPAs observed the facility to be in good repair, well-equipped, and ready for operation. A Component III meeting was also held and best practices and common regulations were discussed with the applicant. An exit interview was conducted and a copy of the report was provided to the agency.


summary: Facility Evaluation

raw_content:
Narrative:
On September 07, 2023 at approximately 11: AM, Licensing Program Analyst (LPA) Raymond Wu conducted a post-licensing inspection at the facility. The THPP is located in the CityServe non-profit building. LPA met Yoana Andrade, Case Manager. The program uses host families, long-term hotel units, and apartment units to place Non-Minor Dependent (NMD) participants. A tour of the office was conducted. LPA observed the following: the office is located in a secured suite inside a large building that is professionally maintained. There is an attendant in the lobby to assist and direct visitors. The office has multiple private rooms to meet with clients. Staff members have desks, cubicles, and the necessary equipment to perform their duties. There are bathrooms for staff and client use as well as a kitchen area. Hazardous items are secured and locked away. There are file cabinets in place to secure staff and client files. Fire extinguishers and a centralized fire sprinkler system are in place. The building has a dedicated security team that patrols the exterior and interior of the building. Currently, clients are situated in an extended stay hotel that is approximately 8 minutes away from the office. Construction of apartments that are right next to the office is currently underway and clients will move to these apartments in the near future. A walk-through of a client unit was toured and no immediate concerns were observed. There is an on-site office that Case Managers utilize at the hotel. A review of client and staff records were conducted. The facility utilizes a digital filing system and all required documents for clients and staff were present. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to the Licensee.

met_with: Yoana Andrade, Case Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 5/2/24, Licensing Program Analyst (LPA) Claudia Portillo conducted an unannounced inspection at the facility and met with the representative above. LPA spoke to Kylie Martinez, Social Worker Supervisor (SWS) over the phone regarding a Special Incident Report (SIR) that was submitted to Community Care Licensing (CCL) on March 29, 2024. The SIR stated that Non-Minor Dependent (NMD) #1 (C1) (see confidential names form LIC 811) was raped by her boyfriend in her apartment. Census: Children 37. Based on an interview conducted with the SWS and record review (SIR), the NMD had placed a restraining order against her boyfriend, but the status of the restraining order is still pending. The Agency staff had offered the NMD medical care and support services such as domestic violence programs in which she refuse to attend. The NMD is still residing in her apartment unit and has been informed to contact her social worker, any other staff or law enforcement in case she feels unsafe. The agency is in constant contact with the NMD to ensure she feels safe. At this current moment, the boyfriend remains in jail. SWS will provide LPA with copies of the contact notes, NSP and any additional documents to support this case management via email. No further follow-up required. A technical advisory was issued for reporting requirements A copy of LIC 809 and LIC 811 was provided to the facility representative above.

met_with: Veronica Lopez, Office Manager


summary: Facility Evaluation

raw_content:
Narrative:
On July 29, 2024, at 1: PM, Licensing Program Analysts (LPAs) Gilbert Gutierrez and Brent Lockhart conducted a case management inspection to the Transitional Housing Placement Program (THPP) Office and met Office Manager, Veronica Lopez. The purpose of the inspection was to provide the amended LIC 809 with deficiency and civil penalty assessment issued to licensee on 05/16/24 due to staff (S4) see LIC 811 (Confidential Names List) has no clearance transfer and not associated to the THPP. On May 28, 2024, the Department received the appeal letter from licensee and upon management review determined that staff S4 was associated to licensee's Foster Family Agency (FFA) on 11/07/23 and then to the THPP on 05/17/24, after the inspection. Based on the information, the deficiency citation and civil penalty assessment was dismissed. In lieu of the deficiency, an advisory note is hereby issued to licensee. The amended report will read as follows: PHYSICAL PLANT The facility license is posted in a prominent location. All participant records are maintained in a secure area or locked file cabinets in the administrative office. The administrative office has telephone service on the premises. OPERATIONAL REQUIREMENTS The facility maintains a register of participants available upon request. The facility is currently operating within licensing regulations. DISASTER PREPAREDNESS The facility has an emergency and disaster plan for the THPP NMD participants. The emergency plan shall include emergency information, instructions, and telephone numbers, including a 24-hour emergency number for the licensee and the participant's responsible party. STAFF RECORDS There is a total of nine (9) staff; three (3) of which are full time case managers and one (1) social worker supervisor. Staff records are available upon request. The agency complies with client to social worker ratio. The Program Director of placement program meets the education and experience requirements, completed the required training, file contains the Statement acknowledging requirement to report child abuse, fingerprint, and child abuse index check clearances and current with CPR and first aid. CLIENT RECORDS The facility currently has thirty-six (36) transitional housing placement participants ages 18-21 years old. The facility ensured the participants record are maintained locked on site in the THPP office. At the time of the inspection, participant 3's NSP was not signed by her and by her authorized representative. LPAs reviewed five (5) personnel records, five (5) participant's record (refer to Confidential Names form LIC 811 dated 05/16/24) and interviewed two (2) staff. An exit interview was conducted and a copy of the amended LIC 809, LIC 809C and LIC 9102TV were provided to the facility representative. A deficiency citation was issued at the time of the inspection.

met_with: Kylie Martinez, Veronica Lopez


summary: Facility Evaluation

raw_content:
Narrative:
On May 1, 2024, at 9: AM, Licensing Program Analyst (LPA) Gilbert Gutierrez conducted a case management inspection at the Transitional Housing Program (THP) Office and met Office Manager, Veronica Lopez. The purpose of the inspection was to amend the LIC 809 with deficiency citation issued to the facility on 02/28/24. On 01/24/24, a Special Incident Report (SIR) was received by the Department. The SIR indicated that on 12/30/23, participant reference #1 (P1) see Confidential Names List (LIC 811) was arguing with his girlfriend at the apartment complex and the police was called. This resulted with participant being arrested but then let go. The participant was not charged. P1's authorized representative was notified. P1 was placed in a 30-behavior contract and his girlfriend was not allowed in the apartment. LPA reviewed the client file. LPA gathered the information from the case manager (CM) that she found out about the incident from the property manager, which was not indicated on the incident report. P1 denied the incident. CM visits the apartment weekly however, P1 canceled the meeting after the incident happened. There was no update regarding the incident as P1 was not charged. Based on the information gathered, CM found out about the incident on 01/19/24 and sent the report to the Department on 01/24/24. No other information provided to LPA. After the Department received more information from licensee and upon further review, it was found that the facility notified the Department via email on 01/19/24 regarding the incident. Therefore, the citation is rescinded. An exit interview was conducted and a copy of the amended LIC 809 and LIC 9102TA were provided to the facility representative. No deficiency citation was issued at the time of the inspection.


facility_name: ENVIRONMENTAL ALTERNATIVES DBA: EA FAMILY SERVICES

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Robyn Word made an announced pre-licensing inspection on 1/10/21 at 1: PM and met with Lee Peters, Office Manager. LPA toured the office space that will be jointly used for Foster Family Agencies and Transitional Housing Placement Programs. LPA observed the main office to have a reception area and a file area where all of the files are locked and inaccessible to individuals without keys. LPA observed that there is an adequate amount of privacy for interviews and office meeting space as well as storage. There is an office space for Social Workers. LPA observed eight smoke detectors in the office space. The facility has provided a program statement that has been approved. The agency is ready to be licensed for the Transitional Housing Program at this time. The Transitional Housing Program will serve nonminor dependents this is the population to be served with this license at this time. Exit interview was conducted and documentation was provided to the Office Manager.

met_with: Lee Peters, Office Manager.


raw_content:
Narrative:
LPA observed minor repairs needed inside client's apartment, which could be addressed by the management company and were not a health or safety issue for the client. The heater was not functioning for several weeks, but the ASW and management company addressed it. The client was given a portable heater until the heater was repaired. The ASW was responsive to the calls from the client and assisted by contacting the apartment management company on several occasions for the client. The agency addressed the client's minor pest control problem by ensuring there were two separate visits to the unit by a pest control company. In addition, the ASW dropped off several cans of bugs spray to the client. The client never contacted the property management company regarding the minor repairs needed. Work orders placed were done so by the ASW and were regarding the heater and pests. It is unclear if client was aware they were responsible for contacting the property management company for maintenance. Based on LPA's observations, interviews which were conducted, and records reviewed, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. No citation were given. A copy of this report was electronically sent at the time of the visit. An exit interview was conducted.

Investigation Findings:
13On 7/13/2023 at 1: PM Licensing Program Analyst (LPA) Kellie McKinley arrived unannounced and met with Reese Howell Offcie manger for the purpose of delivering the complaint findings into the allegations listed above. LPA delivered findings in person to Shasta St, Redding, CA 96001. On 4/18/ LPA McKinley conducted an unannounced complaint investigation and interviewed Naomi Hatch, Agency Social Worker. LPA discussed the allegations and requested the following documents: Needs and Services, Case Notes, accounting records, copies of Transitional Housing Placement agreement and placement agency agreements for five clients. LPA inspected the client's apartment on 4/18/2023. During the investigation, LPA interviewed the reporting party, one client, two facility staff, two county social workers, and three property management staff. LPA conducted a records review. continued on 9099- C page UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Kellie McKinley 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: ENVIRONMENTAL ALTERNATIVES THPP/THP+FC-REDDINGFACILITY NUMBER: VISIT DATE: 07/13/2023

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

met_with: Reese Howell - Office Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 1/23/23, Licensing Program Analyst (LPA), Uchenna Ajaero, made an unannounced Annual Required Inspection visit to the agency. However, FAS did not provide the option for the Annual Required button in the 'Type of Visit' Window. Therefore, the Case management - Annual Continuation button was utilized for this Annual Required Inspection. LPM, Jodean Hall was notified. LPA met Dale Giddings, Social Worker Supervisor, (SWS) and Naomi Hatch, Agency Social Worker (ASW) and informed them of the purpose of the visit. LPA Ajaero inspected and reviewed Postings of facility license, Personal Rights Poster, Toilets, wash basin, bath and shower fixtures appeared to be in good repair, no leaks and delivering hot water. LPA observed there to be soap and paper towels available in the bathrooms. The Office was clean and organized. The LPA reviewed records for the THP program. The agency uses a computer database for record keeping. The Agency HR Supervisor, Sara Bodenham issued a log in ID and password for LPA to access files. THPP records show that staff members meet education and experience requirements, as listed in the LIC 859. Currently there are two THPP clients admitted. Agency Social Worker (ASW) Naomi Hatch stated that due to the fact that these youths are between the ages of 18 through 25 years, they retain the right to what documents they provide the Agency. Tthey have 2 other clients whose admission is still pending. Clients are provided accommodation at apartments. The agency is contacted by either the youth, probation officers and or County Case Workers. The apartments are in Redding, California. LPA is not inspecting them at this time. No citation was issued at this time. Exit interview was conducted. LPA provided a copy of this report to Dale Giddings, Social Worker Supervisor

met_with: Dale Giddings, Social Worker Supervisor