facility_name: ENDLESS POSSIBILITIES SERVICES II

raw_content:
Narrative:
The LPA was unable to corroborate the allegation. There was no preponderance of the evidence to substantiate the allegation. So, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated. There are no deficiencies to be cited regarding this allegation. A copy of this complaint was emailed to the facility representative.

Investigation Findings:
On April 27, 2023 at 4:35 p.m., Licensing Program Analyst (LPA), Karen McGee, delivered the findings of a complaint investigation to the facility. The LPA met with the Lead Staff, David Lofty. On January 23, 2023, the Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegations. Confidential interviews were conducted that included, but were not limited to: the Administrator and two clients (see Confidential Names, LIC Ref. #1 dated April 27, 2023) at the facility on February 1, 2023. The LPA conducted a telephone interview with the County Social Worker (CSW) on April 25, 2023. The LPA reviewed the clients Individual Behavior Support Plans and Special Incident Reports. The investigation revealed statements that Ref. #2 attempts to go into Ref. #1's bedroom and attack Ref. #1 and punch #1. There were no disclosures that Ref. #2 threw a shoe at Ref. #1 and the staff did not intercede. Ref. #2 denied the allegation and denied getting into fights with Ref. #1. The investigation revealed that the clients do not share a bedroom. It revealed that staff are CPI trained and separate the children when they are having differences. It revealed that law enforcement is called when necessary. The CSW has no concerns about the facility at this time. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: ENDLESS POSSIBILITIES SERVICES IIFACILITY NUMBER: VISIT DATE: 04/27/2023

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

met_with: David Lofty


state: CA

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
The Following Allegation was reported: 1. The staff are using an inappropriate form of punishment with minors in care. The Staff (S1, S2, and S3) denied the allegations, stating that all team members are trained in trauma-informed care and understand the importance of creating a safe and healthy environment within the group home. They explained that during behavioral incidents, staff utilize verbal redirection and provide positive reinforcement on a daily and weekly basis, implementing a point system where clients can earn points every forty-five minutes for demonstrating appropriate behavior. The Staff asserted that they have neither seen nor heard of any staff member denying clients water or using it as a form of punishment. Instead, they highlighted that staff actively encourage hydration, awarding clients points for each glass of water consumed, which can be exchanged daily or at the end of the week for various special privileges, including outings to their favorite restaurants. Furthermore, the account given by C2 corroborated the above information, indicating that they are receiving adequate support from the staff and feel safe residing in the facility. The statement obtained from CSW affirmed that they have no concerns regarding the care and supervision provided to their client, and their client has not reported any incidents of misconduct by the facility staff. Therefore, based on the information received, the above allegation(s) are determined to be unsubstantiated. Although the allegation(s) may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred, therefore, the allegation(s) are found to be unsubstantiated. Appeal Rights were provided and discussed with the STRTP Administrator. There are no deficiencies to be cited at this time. An exit interview was conducted, and a copy of the report along with the (LIC 811) was left with the Group Home Administrator Assistant.

Investigation Findings:
13On April 4, 2025, at 11: AM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection at the above group home and met with the Group Home Administrator Assistant Karina Lopez. The inspection aimed to deliver the findings regarding the complaint allegation(s). On November 11, 2024, 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): The staff are using an inappropriate form of punishment with minors in care. Licensing Program Analyst (LPA) Moroney conducted an investigation into the previously mentioned allegation(s). This investigation encompassed a thorough examination of various records, including the children's needs and services plans, medical documentation, incident reports, restraint logs, and interviews with three staff members: S1 on November 15, 2024; S2, S3 on November 18, 2024; 1 of Clients C2 on November 18, 2024, ( No statement was obtained from C2 due to declining to be interviewed), and Kern County Social Worker (CSW) on December 17, 2024. (Refer to Confidential Names Form LIC 811, dated April 4, 2025.) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: ENDLESS POSSIBILITIES SERVICES IIFACILITY NUMBER: VISIT DATE: 04/04/2025

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

report_type: Complaint Investigation

met_with: Karina Lopez

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On 04/20/21 at 11: A.M, Licensing Program Analyst (LPA) Janeth Chavez conducted an announced Pre-licensing inspection and Component lll at the above facility address. This was a virtual inspection conducted via FaceTime. This facility will be an Enhanced Behavioral Support Home (EBSH) of Endless Possibilities Services Inc. LPA met Susana Rodriguez, who will be the Administrator for this facility. The Administrator provided a virtual tour to LPA of the facility. This is a one-story home that has 4 bedrooms and 4 bathrooms, laundry room and attached garage. Inside the home the following was observed: The staff schedule, Emergency Disaster Plan and Foster Youth Rights and facility menu was posted on the wall by the entrance area. The facility has a designated staff office located inside the home. There is a locking file cabinet, table and chair inside the staff office. There is a living room, dining and kitchen area. There were sofas and a TV in the living room and there were tables and chairs in the dining area. Each bedroom has one bed with beddings, linens, drawers and closet space for the clients' use. The first aid kit was observed to be new, complete and is in the kitchen area. The home has working telephones. There were working smoke/carbon monoxide detectors in the laundry room dining area, living room, hallway and in each bedroom. There were automatic sprinklers in the facility. The centralized heating and air were in working condition. All cleaning solutions were observed locked under the kitchen sink cabinet. All medication will be stored in a locked cabinet in the kitchen area. All client and facility files will be stored in a locked cabinet in the staff office. There is a refrigerator, stove, kitchen utensils, plates and dinnerware in the kitchen drawers. The facility is ready to accept clients after the facility is licensed. Prior to today's inspection the facility received fire clearance on 2/12/21. An exit interview was conducted, and a copy of the report was provided to the applicant.

report_type: Facility Evaluation

visit_type: Prelicensing

met_with: Susana Rodriguez


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced case management inspection was conducted by Licensing Program Analyst (LPA) Janeth Chavez at the above-named facility on 02/15/2022 at 12: PM. LPA met and toured the facility with Susana Rodriguez, Administrator and Brianna Rodriguez, Assistant Administrator. There are no clients placed by Kern Regional Center in the facility. This facility is a single-story home and consists of the following: Four (4) bedrooms, 2 full bathrooms, two (2) half bathrooms, formal living room area, 2 family rooms, leisure room, dining room, kitchen, one (1) staff office, attached garage, laundry room, front yard, backyard and swimming pool. LPA observed an in-ground pool located in the backyard. The pool is enclosed by an iron fence that is 66-inches high and does not obscure the pool from view. There are two gates that swing away from the pool area that lock with a key. However, the gates do not have a self-latching or self-closing device. The facility will be installing the self-latching/self-closing device on the two gates and a pool cover. The administrator will have the self-latching/self-closing and pool cover by March 1, 2022. LPA will conduct another inspection once the corrections have been made. An exit interview was conducted, and a copy of this report was provided to Administrator, Susana Rodriguez.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
A case management inspection was conducted by Licensing Program Analyst (LPA) Janeth Chavez at the above-named facility on 03/15/2022 at 12: PM. LPA met and toured the facility with Brianna Rodriguez, Assistant Administrator. There are no clients placed by Kern Regional Center in the facility. The purpose of this visit is to inspect that the corrections have been made to the in-ground pool area located in the backyard. LPA observed the pool enclosed by an iron fence. LPA observed and tested the two gates that swing away from the pool area. LPA observed and tested the self-latching and self-closing devices for the gates and are in working condition. The corrections have been made to the gates in the pool area. There are no deficiencies cited on today's date. An exit interview was conducted, and a copy of this report was provided to Administrator, Brianna Rodriguez.

met_with: Brianna Rodriguez


summary: Facility Evaluation

raw_content:
Narrative:
On 05/17/22 at 11: A.M, Licensing Program Analyst (LPA) Janeth Chavez conducted an unannounced Post - Licensing inspection to the facility. There are 2 staff present in the facility upon arrival. LPA toured the facility together with the Assistant Administrator. Currently, there is only one placement in the home. This facility is a single-story home and consists of the following: Four (4) bedrooms, 2 full bathrooms, two (2) half bathrooms, formal living room area, 2 family rooms, leisure room, dining room, kitchen, staff office, attached garage, laundry room, front yard, backyard and swimming pool. The in-ground pool area located in the backyard is enclosed by an iron fence. The swimming pool meets Title Regulations. The following was observed by LPA: Staff schedule, Emergency Disaster Plan and Foster Youth Rights and facility menu. Each bedroom has one bed with beddings, linens, drawers and closet space for the clients' use. The first aid kit was observed to be complete. There are working smoke/carbon monoxide detectors in the staff office, dining room, living room, 2 hallway, and one in each bedroom. There are automatic sprinklers in the facility. The water temperature was tested using a digital thermometer and registered 110 degrees Fahrenheit; within the temperature allowed by Title Regulations. The centralized heating and a/c are working. All cleaning solutions are locked in the drawer next to the kitchen sink and the knives are kept locked under the sink. All medications are kept locked in the kitchen bottom cabinet. The delayed egress doors were tested and working. LPA reviewed 2 staff and 1 client files. All the reviewed staff files have the training and Registered Behavioral Technician (RBT) certification required under Title Regulations. The first client was recently placed on 04/28/22. There were no deficiencies cited during the inspection. An exit interview was conducted and copy of the reports were provided to the administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On March 7, 2023 at 11: AM, Licensing Program Analyst (LPA) Janeth Chavez, conducted an annual inspection to the facility and met with Susana Rodriguez, Administrator. The facility is a one-story home with four bedrooms and four bathrooms, staff office and attached garage. Currently there are two clients placed in the facility. At the time of LPA's arrival, there was one client sleeping in the facility. During the inspection, the administrator provided to LPA the roster of clients, Personnel Report, Emergency Disaster Plan & Emergency Drill log. Physical Plant: LPA observed the following: the posted license, emergency disaster plan, personnel schedule, client personal rights, and grievance procedure. The disinfectants, cleaning solutions, sharp objects are locked and inaccessible to clients. The facility maintains supplies of non-perishable foods for at least a week and fresh perishable foods for at least two days. Each bedroom has a single bed in good repair with clean sheets, linens, drawer space, and closet space. There are extra linens, adequate towels and hygiene supplies available for each client. Only one client sleeps in each bedroom. No bedroom is used for other purposes other than a bedroom. The window screens are in good repair and free of dirt. There are lights in all the rooms and throughout the facility. The faucets used by clients deliver hot water (114 degrees Fahrenheit). All medications are stored in the blue file cabinet and are locked with a key. There is a working telephone for clients to use. The first aid kit was complete and readily available. There are working smoke/carbon monoxide detectors in the facility. The delayed egress doors are properly working. All indoor and outdoor passageways are unobstructed. This facility is a single-story home and consists of the following: Four (4) bedrooms, 2 full bathrooms, two (2) half bathrooms, formal living room area, 2 family rooms, leisure room, dining room, kitchen, one (1) staff office, attached garage, laundry room, front yard, backyard and swimming pool. LPA observed an in-ground pool located in the backyard. The pool is enclosed by an iron fence that is 66-inches high and does not obscure the pool from view. There are two gates that swing away from the pool area that lock with a key. The gates are self-latching. The pool meets state regulations. Staff Records At 01: PM, LPA reviewed three staff records. The staff records are available to LPA to inspect and audit upon request. All staff subject to criminal records review have been fingerprinted and cleared. There is documentation of the required education and experience requirements and training in the personnel file. Client Record At around 2:00pm, LPA reviewed two client records. All client records are available to LPA to audit and inspect upon request. The client records contain the required information including, but not limited to, consent forms, Individual Program Plan (IPP), medical assessment, safeguards for cash resources, personal property and valuables, personal rights forms, and medication administration records. During the time of inspection, LPA interviewed two staff and attempted to interview one client. There are no deficiencies cited during today's inspection. An exit interview was conducted and a copy of LIC 809, LIC 809C & LIC 811s were provided to the administrator.

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On January 24, 2025, at 11:30 a.m., Licensing Program Analyst (LPA) John Bonilla conducted an unannounced Annual/Required inspection at Endless Possibilities II, an Enhanced Behavioral Supports Home (EBSH). LPA met with Brianna Hendrick, Co-Administrator. During this inspection, a tour of the facility was conducted, and LPA reviewed the following domains in the Compliance And Regulation Enforcement (CARE) Tool: Physical Plant, Operational Requirements, Disaster Preparedness, and Emergency Intervention Plan. LPA also attempted to interview one (1) client. Physical Plant: The license is posted in a prominent, publicly accessible location in the facility. Disinfectants, cleaning solutions are locked under the kitchen sink and sharps are locked in the kitchen. Facility has non-perishable foods for at least one week and perishable foods for at least two days. Facility provides at least three(3) meals per day. Medications are centrally stored and locked in kitchen. All kitchen, food preparation, and storage areas are kept clean and free of rodents and other vermin. Facility has one or more carbon monoxide detectors in the facility. Facility provides basic laundry services. Room temperatures are maintained at 73 degrees F. The hot water temperature was within the required range. All toilets, hand washing and bathing facilities are maintained in safe and sanitary operating condition and meet the requirements. All clients have their own bedroom. All beds are in good repair; equipped with good springs and a clean mattress; and supplied with pillows which are clean and in good repair. Facility provides age-appropriate clothing items and hygiene products. Overall, facility is clean, safe sanitary and in good repair. Operational Requirements: Facility maintains a current, written plan of operation that meets licensing standards. Facility maintains a register of clients and the register is available upon request. Facility maintains and implements written complaint procedures. ... Disaster Preparedness Plan: Facility maintains a current, written disaster and mass casualty plan of action. Facility conducts disaster drill at least every month for each shift. The drills are documented, and the documentation is maintained in the facility for at least a year. Facility maintains an emergency and disaster plan, register of clients, Needs and Services Plan for each client, medication records, and contact information for each client's responsible party and physician. Emergency Intervention Plan: Facility maintains a monthly log of each use of manual restraints that contains all required information. The log is available for review by the Department upon request. LPA observed documentation of Emergency Intervention Training and on-going training. During today's inspection, the EBSH was issued two (2) type B deficiencies (see LIC809-D) and four (4) Advisory Notes/Technical Violations (see LIC9102TVs). An exit interview was conducted A signed copy of this report, LIC Confidential names list dated 01/24/25, LIC809-D, LIC9102TVs, and appeal rights were provided to Brianna Hendrick. A follow-up is required to complete inspection.

met_with: Brianna Hendrick, Co-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On February 26, 2025, at 10:45 a.m., Licensing Program Analyst (LPA) John Bonilla conducted an unannounced follow-up inspection at Endless Possibilities Services II for the purpose of concluding an Annual inspection. LPA met with Brianna Hendrick, Co-Administrator. During this inspection, LPA reviewed the following domains in the Compliance And Regulation Enforcement (CARE) Tool: Clients Records, and Staffing Records. LPA interviewed one staff. Staffing Records: LPA reviewed three staff records. The staff records are available to LPA to inspect and audit upon request. All staff subject to criminal records review have been fingerprinted and cleared. There is documentation of the required education and experience requirements and training in the personnel file. Clients Record: LPA reviewed two client records. All client records are available to LPA to audit and inspect upon request. The client records contain the required information including, but not limited to, consent forms, Individual Program Plan (IPP), medical assessment, safeguards for cash resources, personal property and valuables, personal rights forms, and medication administration records. One deficiency and three technical advisories were issued during this inspection. See LIC809-D and LIC9102-TA pages. Exit interview conducted. A signed copy of all licensing reports were provided to Ms. Hendrick. Appeal rights explained and provided. No further follow-up required.


summary: Facility Evaluation

raw_content:
Narrative:
On July 29, 2024, at 9: AM, Licensing Program Analysts (LPAs) Gilbert Gutierrez and Brent Lockhart conducted a case management inspection to check on the physical plant of the facility and met Lead Staff Supervisor, Travis Bates. The facility is a one-story home with four bedrooms and four bathrooms, staff office and attached garage. Currently there are two clients placed in the facility. Physical Plant LPAs together with Lead Staff Supervisor toured the facility inside and out. LPAs observed the following: the posted license, emergency disaster plan, personnel schedule, client personal rights, and grievance procedure. The disinfectants, cleaning solutions, sharp objects were locked and inaccessible to the clients. The facility has non-perishable foods for at least seven (7) days and perishable foods for at least two (2) days. Each bedroom has a single bed in good repair with clean sheets and linens and at least three (3) drawers and closet space for the client's clothing. Only one client sleeps in a room. There were extra linens, towels, and hygiene supplies in the cabinet(s). No room commonly used for other purposes was being used as a bedroom. There were lights in all the rooms and throughout the facility. The faucets for children's use deliver hot water within temperature allowed by regulations. All medications were stored locked in the cabinet. There was a working telephone. The first aid kit was complete. The smoke/carbon monoxide detectors and delayed egress doors were tested and in working order. The video cameras were focused only on the common areas of the facility. All indoor and outdoor passageways were unobstructed. At the time of the inspection, LPAs observed the gate of the pool fence does not self-close. A deficiency citation was issued at the time of the inspection. A copy of the LIC 809, LIC 809D, and LIC 811s were provided to the facility representative.

met_with: Travis Bates


summary: Facility Evaluation

raw_content:
Narrative:
On January 28, 2026, at 10:30 a.m., Licensing Program Analysts (LPA) John Bonilla and Ashley Ruacho conducted an unannounced Annual/Required inspection at Endless Possibilities II, an Enhanced Behavioral Supports Home (EBSH). LPAs met with Susana Rodriguez, Administrator. During this inspection, a tour of the facility was conducted, and LPAs reviewed the following domains in the Compliance And Regulation Enforcement (CARE) Tool: Physical Plant, Operational Requirements, Disaster Preparedness, and Emergency Intervention Plan. Physical Plant: The license is posted in a prominent, publicly accessible location in the facility. Disinfectants, cleaning solutions are locked under the kitchen sink and sharps are locked in the garage. Facility has non-perishable foods for at least one week and perishable foods for at least two days. Facility provides at least three(3) meals per day. Medications are centrally stored and locked in kitchen. All kitchen, food preparation, and storage areas are kept clean and free of rodents and other vermin. Facility has one or more carbon monoxide detectors in the facility. Facility provides basic laundry services. Room temperatures are maintained at 73 degrees F. The hot water temperature was within the required range, reading 109.9 degrees. All toilets, hand washing and bathing facilities are maintained in safe and sanitary operating condition and meet the requirements. All clients have their own bedroom. All beds are in good repair; equipped with good springs and a clean mattress; and supplied with pillows which are clean and in good repair. Facility provides age-appropriate clothing items and hygiene products. Overall, facility is clean, safe sanitary and in good repair. ... Operational Requirements: Facility maintains a current, written plan of operation that meets licensing standards. Facility maintains a register of clients and the register is available upon request. Facility maintains and implements written complaint procedures. Disaster Preparedness Plan: Facility maintains a current, written disaster and mass casualty plan of action. Facility conducts disaster drills at least every month for each shift. The drills are documented, and the documentation is maintained in the facility for at least a year. Facility maintains an emergency and disaster plan, register of clients, Needs and Services Plan for each client, medication records, and contact information for each client's responsible party and physician. Emergency Intervention Plan: Facility maintains a monthly log of each use of manual restraints. The log is available for review by the Department upon request. LPA observed documentation of Emergency Intervention Training and on-going training. During today's inspection, the EBSH was issued three (3) Advisory Notes/Technical Violations (see LIC9102TVs). An exit interview was conducted A signed copy of this report, LIC Confidential names list dated 01/28/26, LIC9102TVs, and appeal rights were provided to Susana Rodriguez. A follow-up is required to complete inspection.

met_with: Susana Rodriguez, Administrator


facility_name: GOGIAN HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
On August 19, 2025, at 9: AM, Licensing Program Analyst (LPA), Angelina Garibaldo conducted an announced pre-licensing inspection at Gogian House Enhanced Behavioral Support Home (EBSH). LPA met with licensee Mary Watson, Chief Executive Officer, David Bernstein and Administrator Annamaria Ramos toured the home. Physical Plant This facility is in a quiet residential community. The facility consists of bedrooms (4) bedrooms, (2) bathrooms, (1) half bathroom, kitchen, Living room, office, a 3-car garage, and a backyard. Overall, LPA observed the home back yard to be sanitary and in excellent condition. Passageways are free from obstruction. Facilities smoke and carbon monoxide were tested and in working order. Facility has delayed egress system installed on front and back yard gates. Fixtures, Furniture, Equipment, and Supplies The home has toilets and wash basins for clients' use. Client bedrooms were observed to be clean, orderly, and contained full beds and desks. LPA observed clean pillows, bed sheets and blankets. The client's bedroom has an adequate closet and drawer space to accommodate the client's clothing and personal belongings. Knives are kept in a locked drawer in the kitchen and cleaning supplies in a locked cabinet under the sink in the kitchen. Additional supplies, linens, emergency supplies and water are kept in locked cabinets in the garage. Heath Related Services and Record Keeping The medications will be stored in a locked cabinet off the dining room. First aid kits were available for review, one located in a medication station, and two located in the garage. Client files will be kept in locked cabinets in the hallway; staff files are maintained at the main facility headquarters. Prior to being licensed the following are still pending: Approval of the Plan of Operation by Disability Determination Services (DDS). Review of Plan Operation by Community Care Licensing (if revisions are made by DDS). Complication of Component 3. An exit interview was conducted, and a copy of this form was emailed to Mary Watson.

met_with: Mary Watson, David Bernstein-CEO, and Administrator Annamaria Ramos.


summary: Facility Evaluation

raw_content:
Narrative:
A Component III meeting was conducted at the Monterey Park Children's Residential Regional Office. Licensing Program Analyst (LPA). Angelina Garibaldo met with Applicant, Mary Watson and Administrator, Anamaria Ramos and Back up Administrator,,Froilan Quintero. During the meeting continuing requirements for Group Homes were discussed. The purpose of Component III is to familiarize applicants with general Rules and Regulations, prepare the applicants on how to maintain and operate their facility, provide information to avoid potential problem areas, provide clear description of Licensing Program Analyst's (LPA) role in operation of facility, and provide clear description of Civil Penalties. LPA Garibaldo requested orientation documents to sign Component II and Component III. The document was signed and given to the applicant and placed in the application file. An exit interview was conducted and a copy of this report LIC809 and a copy of the Small Family Home (SFH) Component III handout was provided. *Prior to being licensed the following are still pending: Approval of the Plan of Operation by Disability Determination Services (DDS). Review of Plan Operation by Community Care Licensing (if revisions are made by DDS).

met_with: May Watson- Applicant and Anamaria Ramos- Administrator and Froilan Quintero


summary: Facility Evaluation

raw_content:
Narrative:
On February 24, 2026, Licensing Program Analyst (LPA) conducted an unannounced inspection at Enhanced Behavioral Support home (EBSH) facility and met with the Administrator Anamaria Ramos. The purpose of the inspection was to conduct a post licensing visit. This EBSH is licensed to serve four (4) ambulatory children aged 12-17 with developmental disabilities, requiring enhanced behavioral support. LPA Garibaldo requested via e-mail prior to the inspection and reviewed a copy of an updated Personnel Report (LIC 500), The Register of Facility Clients LIC 9020, and LIC 610C. During the visit LPA requested and reviewed Board Meeting Minutes, Emergency Disaster Drill log, restraint log. LPA along with the facility staff conducted a tour of the facility. There is currently 1 (one) resident residing in the home. The following was observed during the inspection: Physical Plan This facility is a one story home located in a quiet residential community. The facility consists of bedrooms (4) bedrooms, (3) bathrooms, kitchen, Living room, office, a 3-car garage, and a backyard and an approved delayed egress system. Cont... Bedroom (1) one is occupied by resident (1) and other bedrooms are ready for future placement's and in compliance with all regulations. The facility. LPA observed the following on the first floor: Four (4) bedrooms, kitchen, dining room with table and 8 chairs, a wet bar area used as medication storage and distribution, 1 staff office, 3 bathrooms, living room with the TV and couches for residents to use, the backyard with table and chairs, and a 3-car garage. The Facility License is posted in plain view in the living room. The kitchen has counter with three stools, working fridge, stove, microwave, sink. LPA observed plenty of perishable and non-perishable foods. LPA also observed the menu posted on the wall in the kitchen. Menu was available for review. LPA observed, License posted, Emergency Disaster Plan, Persons with Disabilities Rights poster, and weekly and daily activities list posted in hall way. Temperature inside the facility was 68 degrees F. The following bedroom arrangements were noted: all bedrooms have one full bed, storage dresser, night stand, desk, closet and plenty of room for the clients to use. LPA observed 3 bathrooms at the facility with the working sink, shower and toilet. The facility is clean and sanitary and in good repair. LPA observed screens in good condition on all the windows. Operations The facility has an activity calendar hung in entryway, LPA Garibaldo was able to review board meeting minutes. Disaster Preparedness and Emergency Intervention The facility has the Emergency Disaster Plan posted at the facility with the phone numbers and e-mails. The facility was able to provide their emergency drill binder to include drills for fire and earthquake. LPA reviewed manual restraints log. Client files LPA reviewed one resident (1) file. LPA observed admission agreement, information for the medical and dental providers, medical and dental records, medication administration logs, copies of the IPPs, vaccination and TB test records. Staff files LPA reviewed 4 (four) staff files. LPA reviewed the criminal record clearances, and training LPA issued two Technical Assistance and three Technical Violations to the facility. No deficiencies issued at the time of inspection. The copy of this report and LIC 811 was given to the facility Administrator. An exit interview was conducted, and a signed copy of this report was provided to the facility representative along with LIC 809 report.

met_with: Anamaria Ramos -Administraor


facility_name: HEALTHY YOUTH AND FAMILIES HOME

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On this date, Licensing Program Analyst (LPA) Leslie Inouye conducted a complaint inspection for the Group Home, Healthy Youth and Families Home for the purpose of delivering the findings for the above complaint allegation. LPA met with facility administrator Nicole Threatt. During the course of investigating the allegation, LPA conducted interviews with staff members and the child (#1), conducted a record review and obtained information. The interviews from staff were consistent that all allegations were denied. Client #2 when interviewed was inconsistent when asked about the allegations. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the above allegation occurred, therefore the above allegation is unsubstantiated UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lidia Tinoco LICENSING EVALUATOR NAME: Les Inouye LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Nicole Threatt


raw_content:
Investigation Findings:
13On this date, Licensing Program Analysts (LPAs) Lisa Slusher and Olivia Medrano conducted a complaint inspection for the Group Home, Healthy Youth and Families Home for the purpose of delivering the findings for the above complaint allegation. LPA met with facility administrator Nicole Threatt. During the course of investigating the allegation, LPA conducted interviews with staff members and others. LPAs were unable to locate client for interview, conducted a record review and obtained information. The interviews conducted revealed inconsistent information regarding the above allegation. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the above allegation occurred, therefore the above allegation is unsubstantiated UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Nicole Threatt Jasso


raw_content:
Investigation Findings:
13On this date, Licensing Program Analysts (LPAs) Lisa Slusher and Olivia Medrano conducted a complaint inspection for the Group Home, Healthy Youth and Families Home for the purpose of delivering the findings for the above complaint allegation. LPA met with facility administrator Nicole Threatt. During the course of investigating the allegation, LPA conducted interviews with staff members, client and others. LPAs conducted a record review and obtd information. The interviews conducted revealed inconsistent information regarding the above allegation. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the above allegation occurred, therefore the above allegation is unsubstantiated UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13On September 3, 2025, Licensing Program Analyst (LPA), Olivia Medrano traveled to Healthy Youth and Families GH located in Fresno, CA to conduct an unannounced complaint inspection and met with Jazmin Serna Mares, DSP. The purpose of the inspection was to deliver the finding for the above complaint allegation. The Department has investigated the complaint alleging staff inappropriately restrained minor resulting in injury. During the course of the investigation, LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. It was determined that although the allegation may have happened, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to the GH at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Olivia Medrano LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Jazmin Serna Mares


summary: Facility Evaluation

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Narrative:
On the date above Licensing Program Analyst (LPA) Les Inouye and Licensing Program Manager (LPM) Lou Bartolome arrived at the facility for a Pre Physical Plant Inspection and we were met by Allen Azizian, Nicole Treatt and Aaron Olsen. The interior and exterior facility was toured. These issues are identified as to be updated/corrected prior to the Pre licensing inspection scheduled on Monday, January 29, 2024. Interior: 1)Captains bed box spring exception 2) Camera Exception 3) Personal Rights Signage 4) non perishable food items Exterior: 1) locks to secure gates and storage sheds A. chain link gate fence back side B. Chain link gate next to garage C. 2 storage containers D. storage shed north side of property E. gate on north side of property F. secure electrical panels on north side of house 2) common fence between facility and property south side. LPA will contact Licensee for any additional instructions or technical assistance.

met_with: Allen Azizian


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Les Inouye travelled to the facility listed above to conduct a prelicensing inspection. The application, Plan of Operation and Program Statement have been reviewed. Corrections were requested from the licensee. 1. Facility Grounds are clean and free of debris or observable hazard. 2. Adequate indoor and outdoor activity space and materials observed. 3. Chemicals appropriately locked. 4. Locked and centrally stored medications observed. 5. First aid kit complete with appropriate manual observed. 6. Adequate storage space observed. 7. Individual beds in good repair observed, equipped with good springs, clean mattresses and pillows observed. Individual beds were observed with appropriate clean linens in good repair. Adequate supply of additional bedding and linens observed. a. An Exception for box springs has been submitted 8. The house has 4 bedrooms, single occupancy located on a single level. Bedrooms are accommodating of all required furnishings. 9. Adequate food storage space observed. Supply of two days of perishable foods and a week of nonperishable foods to be in place prior to accepting clients. 10. Weekly menu to be posted and accessible to clients. 11. Dining room equipped with large table and chairs accommodating of all clients. 12. Facility has 2 full bathrooms in the house for client use, both are operable. 13. Appropriate forms to be posted in view of facility clients. 14. Facility has no pool, but a water splash area which water empties completely with no standing water when not in use. 15. No firearms or weapons are allowed in the facility. 16. Security cameras were observed in the common areas and an observation monitor was in the nurse's station. Cameras were not operational and licensee confirmed the system will not be operational until approved by the department. a. A waiver has been submitted to the department and is under review. CARES inspection tool has been completed for pre licensing. Hot Water measured between 105-120 degrees. Fire inspection was completed on 1/17/24. The following issues were noted: Technical Assistance violations shall be corrected prior to placement and licensure.

met_with: Allen Azizian and Nicole Threatt


summary: Facility Evaluation

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Narrative:
On this date, Licensing Program Analysts (LPAs) Olivia Medrano and Lisa Slusher conducted an annual required inspection at the Healthy Youth and Families Group Home and met with Administrator, Nicole Treatt-Jasso and Executive Director, Natalie Santellano. LPA's conducted a physical plant inspection and included the following checks. Adequate indoor and outdoor activity space and materials observed. Smoke detectors and carbon monoxide detectors were observed, fire extinguisher is properly serviced. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed with clean linens and in good repair. There are currently no clients in placement. LPAs reviewed 4 staff files, buildings and grounds, automatic fire sprinklers, splash pad, nursing station, and a vehicle inspection. LPA requests the following updated forms/items: LIC 500 (Personnel Report) and LIC 9020 (client roster) to be submitted when the facility has clients in care. LPA's Discussed process for permanent license and the conditions under which a provisional license may be extended. The provisional license for this facility expires on 1/30/25. A determination will be made prior to that date regarding permanent license. No deficiencies observed or cited on this date. Due to computer issues, this report was provided via email to Nicole Treatt-Jasso.

met_with: Nicole Treatt-Jasso and Natalie Santellano


summary: Facility Evaluation

raw_content:
Narrative:
On November 18, 2024, Licensing Program Analyst (LPAs) Lisa Slusher and Olivia Medrano conducted an unannounced post-licensing inspection at the Healthy Youth and Families Home located in Fresno CA. LPAs were met at the facility by Nicole Threatt-Jasso, Administrator and Natalie Santellano, Assistant. Staff person Stephanie Medrano was also present at the facility. The facility does not have any youth placed at the home but expects a youth next week on 11/25/24. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at a comfortable temperature. All facility smoke detectors are in appropriate working order, carbon monoxide detector observed, fire extinguisher is properly charged and serviced in 2024. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. Facility has a delayed egress system, which appears to be functioning appropriately. No firearms or weapons are observed in the facility. LPA reviewed 3 personnel files on this date. LPA interviewed 3 staff persons. LPA discussed the medication logs, all required forms, intake process, needs and services plan with updates, and disaster preparedness plan and emergency intervention plan. A copy of this report was left at the facility at the conclusion of today's inspection. LPA requests an updated LIC 500 and 9020 when a client is placed at the facility. LPA discussed the pending Waiver request for cameras in line with PIN (Provider information notice) 24-09-CRP and PIN 24-11 and 23-11 for the utilization of Naloxone as well as a distribution program.

met_with: Nicole Threatt-Jasso, Natalie Santellano


summary: Facility Evaluation

raw_content:
Narrative:
On the above date Licensing Program Analyst (LPA), Les Inouye met with Licensee Allen Azizian, to review the Program Statement corrections. During the meeting, it was discussed on the process of the application and the corrections to be made. The context of the information met standards in most sections of the Program Statement. Most of the corrections were to narrate the regulation codes that were used in the Program Statement. Licensee and LPA were positive on the feedback during todays meeting and if questions come up in the future conversations and discussions can be made.


summary: Facility Evaluation

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Narrative:
On April 30, 2025, Licensing Program Analysts (LPAs) Olivia Medrano and Miriam Flores traveled to Healthy Youth and Families, in Fresno CA, to conduct an unannounced Case Management inspection at the facility and met with the Julia Sanchez - Administrator. The purpose of the inspection was discuss an Incident Report (SIR) submitted to the department on April 18, 2025. During the inspection the LPAs reviewed documents and conducted a confidential interview. According to the incident report C1 was given the wrong dose of medication on April 16, 2025. Facility received a Technical Violation for Title 22, Division 6, Article 6, under 80075(b)(5)(B) Health Related Services on this date. At the conclusion of the inspection, an exit interview was conducted and a copy of this report was provided to Julia Sanchez.

met_with: Julia Sanchez


summary: Facility Evaluation

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Narrative:
On June 11, 2025, Licensing Program Analysts (LPAs) Olivia Medrano and Vanessa Galvan traveled to Healthy Youth and Families Home located in Fresno, CA to conduct an unannounced Case Management inspection at the facility and met with Julia Sanchez, Facility Administrator. The purpose of the inspection was to discuss an Incident Report (SIR) submitted to the department on June 3, 2025. The incident report indicated that on June 1, 2025, C1 began striking staff and fell. C1 continued to be aggressive to staff resulting in a two restraint holds. The Administrator explained the initial incident report will be amended to explain the two holds together totaled 10 minutes and 25 seconds. Staff have started Ukeru restraint training and will submit completion notification to LPA Medrano via email. LPAs were also informed the staff (S1) involved in the incident has been terminated. The Administrator asked C1 if he was ok after the incident and C1 stated "yes". No injuries were observed on C1. There are no deficiencies to be cited on this date. A copy of this report was provided to Julia Sanchez at the conclusion of the inspection.


summary: Facility Evaluation

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Narrative:
On July 16, 2025, Licensing Program Analysts (LPAs) Olivia Medrano and Lidia Tinoco traveled to Healthy Youth and Families located in Fresno CA, to conduct an unannounced Case Management inspection at the facility and met with Julia Sanchez, Administrator. The purpose of the inspection was to discuss an Incident Report (SIR) that occurred on June 20, 2025. According to the incident report, staff conducted restraints when client became escalated. Per the Administrator, LPAs were provided with a copy of additional training in de-escalation techniques and reactive strategies for staff involved in recent behavioral incidents. Additionally, Regional Center was provided with a Plan of Correction. Ukeru was implemented on June 22, 2025, and policy is to use Ukeru first. LPAs also discussed adding detail to incident reports. There were no deficiencies cited on this date. A copy of this report was provided to Julia Sanchez at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On January 12, 2026, Licensing Program Analyst (LPA) Olivia Medrano traveled to Healthy Youth and Families Group Home (GH) located in Fresno, CA and met with Julia Sanchez, Administrator. The purpose of the unannounced inspection was to conduct the Annual Inspection. The GH currently has Administrator, Psychologist, Psychiatrist, QBMP/BCBA, Executive Assistant, Dietitian, DSP, and Lead staff. A review of the background clearances was conducted and indicates that all facility staff associated to the agency have DOJ, FBI, and child abuse index check clearances. LPA reviewed 2 client and 5 staff files and interviewed 3 staff and 1 client. The GH does not have any bodies of water. All required forms are posted. Facility grounds are clean and free of debris. Adequate indoor and outdoor activity space and materials observed. The temperature of the facility was a comfortable temperature of 68 and 71 degrees. All facility smoke detectors are in appropriate working order and all fire extinguishers are properly charged and serviced. The kitchen has a full-size refrigerator and is operating at safe temperature. The facility maintains an adequate supply of perishable and non-perishable foods and the food menu is available. Knives, sharps, medications, chemicals, disinfectants, and cleaning solutions are key locked and inaccessible to clients in care. Continued on LIC 809C Continued from LIC Annual/Required LPA observed medications are centrally stored in individual safes. The dining room and living room are equipped with a large table and chairs accommodating of all clients in care. There are four bedrooms located on one single level. Bedrooms are accommodating of all required furnishings and storage space. Four queen size beds were observed with appropriate clean linens and in good repair. The facility has 3 bathrooms and all are stored with hand soap, toilet paper, and paper towels. The facility water temperature is at a safe temperature range. The First Aid kit is complete with all first aid items. The facility has a staff office and a nurses station that is inaccessible to clients. LPA and Administrator discussed repairs to a hole in the wall near back door and provided quotes from December 17, 2025. LPA also discussed window coverings for all bedroom windows. The back gate lock was also changed to ensure clients do not have access to the back portion of the property. The GH is being issued an Advisory Note - Technical Violations for CCR 84070(b)(16) Children's Records. See attached Technical Violation. No deficiencies are being cited during the inspection. A copy of this report was provided to Julia Sanchez at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, LPA (Licensing Program Analyst) Lisa Slusher conducted an unannounced case management inspection at the facility located at N. Tisha Ave., Fresno CA. During the case management inspection, LPA obtained a signature on an amended report. In addition, LPA conducted a file review for C1 and C2 and a review of incident reports with Administrator Nicole Threat Jasso. On this date, it is noted that 4 reportable incidents for C1 were not reported to the CCLD, and 6 reportable incidents for C2 were not reported to the CCLD. A citation for California Code of Regulations GeneralLicensing Requirements section 80061(b) Reporting is issued on this date. All reports were provided to this LPA during inspection via email. Additionally, LPA issued a technical violation for Group Home Requirements section 84068.2(b) Needs and Services Plan. The facility prepares Individual Behavior Service Plans for each youth every 30 days, but this document does not include all elements required in a needs and services plan. LPA also provided Technical assistance regarding the types of reportable incidents and information required in incident reports. No additional violations cited on this date.

met_with: Nicolle Threatt Jasso


summary: Facility Evaluation

raw_content:
Narrative:
On April 13, 2026, Licensing Program Analyst (LPA) Olivia Medrano traveled to Healthy Youth and Families GH located in Fresno, CA, to conduct an unannounced Case Management inspection at the facility and met with Julia Sanchez, Administrator. The purpose of the inspection was to discuss an Incident Report (SIR) submitted to the department on March 30, 2026. The incident report indicated a staff allegedly pinched a client in care. The GH filed a SCAR report and contacted law enforcement regarding the allegation and will send CCL amended incident report. There are no deficiencies cited on this date, pending additional information LPA will obtain. An exit interview was conducted and a copy of this report was provided to the GH at the conclusion of the inspection.


facility_name: HEALTHY YOUTH AND FAMILIES HOME,INC,BARSTOW PLACE

summary: Facility Evaluation

narrative: On the above date Licensing Program Analyst (LPA), Les Inouye met with Licensee Allen Azizian, to review the Program Statement corrections. During the meeting, it was discussed on the process of the application and the corrections to be made. The context of the information met standards in most sections of the Program Statement. Most of the corrections were to narrate the regulation codes that were used in the Program Statement. Licensee and LPA were positive on the feedback during todays meeting and if questions come up in the future conversations and discussions can be made.


summary: Facility Evaluation

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Narrative:
On this date, Licensing Program analyst, (LPA) Les Inouye spoke with Healthy Youth and Families Home representative Rylee Gonzalez. Last week LPA asked for status of the clearance associations for the Barstow Facility. Rylee responded asking if new Applications needed to be created. LPA was able to give instruction on the step by step process to associate clearances to the HYFH-Barstow facility. LPA ensured, Rylee would be able ask further questions if needed in the future.

met_with: Rylee Gonzalez


summary: Facility Evaluation

raw_content:
Narrative:
On this date Licensing Program Analyst (LPA) Les Inouye scheduled an online tele-visit to discuss the current program submission with licensee Allen Azizian. The issues discussed were formatting of the program including page breaks. Added comments and how to respond including adding information of where the added information can be located. The format of regulations numbers need to be narrated. Also discussed was the physical plant inspection including items that need to be completed for the fire inspection. A list or check list of physical plant items to be addressed prior to a pre licensing visit. The pre licensing visit will be scheduled for mid to late August. Once scheduled the date can be adjusted as needed. Allen stated the program statement should be returned in a couple of weeks from this date. LPA offered that assistance will be available if needed during the review of the updates. LPA asked Allen to follow up on the Guardian System for the facility with Rylee to ensure all clearances are associated to Barstow facility.


summary: Facility Evaluation

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Narrative:
On this date a Case Management Inspection was conducted to review the physical property and identify any issues that might need to be addressed and to review the Program Statement (PS) and the list of corrections. The physical plant was toured the issues identified are as follow: Delayed Egress to be completed and a possible second Delayed Egress door to be added on the west side yard. Also, a booster pump was installed to increase water pressure as specified by initial fire inspection. Delayed egress will be evaluated by fire inspection to determine if approved. The yard has a secured pool, propane and well area a secured yard area to be later applied as a possible animal area for clients use. The house was toured and all major construction has been completed. Interior to be furnished, toiletries, linens and non perishables items to be obtained. A complete pre licensing inspection is tentatively scheduled for Monday 8/8 at 8:00. The current submission of the PS which was submitted on 08/04/25 was reviewed. The review of corrections was discussed and each regulation to be addressed was reviewed. The format of the review and the expectations of meeting regulations was addressed. On todays visit we worked off of paper copies, electronic copies will be provided by email. If any questions about the review arises Allen has been asked to contact LPA for clarification.


summary: Facility Evaluation

raw_content:
Narrative:
On this date a Case Management Inspection was conducted by Licensing Progrm Anaylsts Les Inouye and Olivia Medrano, to review the physical property and identify any issues that might need to be addressed. LPA's were met by Administrator Maria Acosta. The physical plant was toured the issues identified are as follow: Delayed Egress was reviewed by fire after the previous physical plant inspection on 8/27/25. Fire Inspection to be completed when second exit point is approved by Fire Inspection on the west side yard. Delayed egress and exit points will be evaluated by fire inspection to determine if approved. The yard is secured but self closing mechanism is to be installed on pool gate, pool equipment and animal area for clients use. Electrical boxes including, main electrical panel, delayed egress and all other hazards shall be secured not access able to clients. The house was toured and all major construction has been completed. Interior to be furnished, toiletries, linens and non perishables items to be obtained. Electrical switch boxes to be secured inside and out side of the facility. Vent cover in bedroom at the front of the house to be secured. LPA's previously discussed cameras in the facility which is not a substitute for supervision. Also, the facility shall have a designated area for private meetings for clients. A complete pre licensing inspection is to be scheduled once all physical plant issues are completed and meets regulations. If any questions about the review arises Allen has been asked to contact LPA for clarification.

met_with: Maria Acosta


summary: Facility Evaluation

raw_content:
Narrative:
On October 9, 2025, Licensing Program Analysts (LPAs) Olivia Medrano and Les Inouye traveled to Healthy Youth And Families Home, Barstow in Fresno CA to conduct a pre-licensing inspection and met with Allen Azizian, Licensee and Maria Acosta, Administrator. A physical plant inspection was completed inside and outside of the facility. The home has four bedrooms, an office, separate medication storage closet, entertainment room, kitchen, dining room, arts and crafts room, and a self care room with open door self care storage closets. The home has an enclosed court yard and furnishings meet regulation. Facility has been approved by fire inspection authorities and includes fire sprinklers, delayed egress, an area of refuge, and approved emergency exit gate. The medication closet has four separate locking safes and a mini refrigerator. Sharps are kept in a locked drawer and cleaning solutions are locked the storage area next to the entertainment room. The home has two fire extinguishers serviced in August 2025 and working smoke/carbon detectors. Kitchen water temperature read 117 degrees and self care room bathroom water temperature read 105 degrees. The pool area has a self closing gate that is secured with a padlock. Pool pump equipment is also secured. There is a secured shed/garage area on the property. Administrator has ordered window covering for two of the bedrooms windows. LPAs discussed removing a camera from one space for privacy for client visits. Staff files will be added as staff are hired. A exit interview was conducted and a copy of this report was left with Allen Azizian.


summary: Facility Evaluation

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Narrative:
On this date a meeting was held with Licensee Allen Azizian and Administrator Maria Acosta. Licensing Program Analyst Les Inouye and Olivia Medrano met to discuss the current status of the program statement resubmission. During the meeting it was determined that the physical plant issues have been resolved the next licensing issue to focus on is the Program Design. Licensee stated the PD will be submitted to CCL by 10/17/25. In addition to items listed in the last review PD is to include camera policy in including a non-monitored private area for clients to meet with family and case workers.

met_with: Allen Azizian and Maria Acosta


facility_name: HELPING HANDS HOME FOR CHILDREN

summary: Complaint Investigation - Substantiated - 1 deficiency - 4 allegations

raw_content:
Investigation Findings:
13On 10/7/2024 at 9: AM, Licensing Program Analyst (LPA) Vaishali Singh-Sood conducted an unannounced visit to the listed licensed agency. The purpose of this visit was to deliver the findings for the above allegation. LPA met with O'Neal Garcia , RBT who assisted with the inspection. This complaint involves a staff member that was employed at the faciltity. During the course of the investigation, LPA Singh-Sood conducted confidential interviews which determined the alleged staff had flung a rubberband at a client. LPA also reviewed notes from an internal investigation, daily logs for all clients, alleged victim's Needs and Services Plan, and incident reports. Based on confidential interviews. LPA delivered a citation for STRTP Interim Licensing Standards Version (see LIC9099D). LPA delivered appeal rights and devised a Plan of Correction with Roweena Nguyen, Administrator. LPA conducted an exit interview at 10: AM, with Mr. Oneal, whose signature confirms the receipt of this document. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Vaishali Singh-Sood LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 26-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. First Street, Ste. FACILITY NAME: HELPING HANDS HOME FOR CHILDRENFACILITY NUMBER: 435390001

Allegations:
- SubstantiatedEstimated Days of Completion:
- Estimated Days of Completion:
- Based on record review and confidential interviews, staff member flung a rubberband at a client in care, and did not treat the client with respect by doing so. This poses a potential health and safety risk to clients in care. Administrator will also be placing Staff
- on probation supervision for an additional

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

met_with: Oneal Garcia

complaint_status: SUBSTANTIATED

title: Personnel Duties


summary: Facility Evaluation

raw_content:
Narrative:
On February 28, 2022, at 10: AM Licensing Program Analyst (LPA) Vaishali Singh-Sood conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA Singh-Sood met with Administrator, Rowena Caling Nguyen, of Helping Hands Home For Children and both toured the facility, inside and out. The Group Home is licensed to serve four clients, ages 13-16 years. Currently in placement are four clients. During the inspection only two of the clients were present, and both were non-verbal. This facility is a one story house, consists of 4 client bedrooms and 2.5 client bath. LPA Singh-Sood observed at the time of this inspection, the facility to be clean, safe, and sanitary. All fire alarms, and carbon monoxide detectors were in good working condition, and the fire extinguisher is current. This LPA reviewed the staff and client files, medication logs, and they had the necessary forms. The files are kept locked to ensure confidentiality. Food supply, linens and fire extinguisher were observed. There is sufficient perishable food for over two days and nonperishable food for over seven days. Toxins and sharps are properly stored. Medication storage and procedures were also reviewed. The following documents are posted in the facility: facility license, emergency disaster plan, facility sketch, menu, activity calendar and personal rights. The hot water temperature was at (Hall Bathroom 117 degrees). According to the Administrator, there are no weapons, and/or bodies of water at the facility which meets title 22 regulations. There are currently no exceptions on file, and there have not been any deficiencies cited in the past year. A review of Licensing Information System on February 28, 2022 indicates that all facility staff are associated to the facility had DOJ, FBI, and child abuse index check clearances. Due to COVID 19, this LPA asked about the facility having enough supplies, and proper PPE equipment. This LPA also made sure the facility is following proper hand washing etiquettes, posting signs, and proper protocols regarding anyone going in and out of the facility. The facility advised they have been following all protocols, and have not had any positive cases in the past month. LPA discussed with administrator Caling-Nguyen that some of the clients forms were not signed by authorized representatives. Administrator Caling-Nguyen states there is a plan in place to replace to ensure all paperwork is signed by authorized representatives as soon as possible. There were no Title 22 deficiencies observed at today's inspection. However, an Advisory Note was given for the paperwork that is missing signatures. As such, an exit interview conducted with Ms. Caling-Nguyen and a copy of this report was emailed at 3: PM.

met_with: Rowena Caling-Nguyen


summary: Facility Evaluation

raw_content:
Narrative:
On January 30, 2023, at 8: AM Licensing Program Analyst (LPA) Vaishali Singh-Sood conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA Singh-Sood met with Lead Staff, Christian Torres, and Oneal Garcia, of Helping Hands Home For Children and both toured the facility, inside and out. The Group Home is licensed to serve four clients, ages 13-16 years. Currently in placement are four clients. During the inspection, there was only one client in the home who is non-verbal. The client was sleeping, and in her room most of the time with staff. This facility is a one story house, consists of 4 client bedrooms and 2.5 client and staff bath. LPA Singh-Sood observed at the time of this inspection, the facility to be clean, safe, and sanitary. All fire alarms, and carbon monoxide detectors were in good working condition, and the fire extinguisher is current. This LPA reviewed the staff and client files, medication logs, and they had the necessary forms. The files are kept locked to ensure confidentiality. Food supply, linens and fire extinguisher were observed. There is sufficient perishable food for over two days and nonperishable food for over seven days. Toxins and sharps are properly stored. Medication storage and procedures were also reviewed. The following documents are posted in the facility: facility license, emergency disaster plan, facility sketch, menu, activity calendar and personal rights. The hot water temperature was at (Hall Bathroom 116 degrees). According to the Administrator, there are no weapons, and/or bodies of water at the facility which meets title 22 regulations. There are currently no exceptions on file, and there have not been any deficiencies cited in the past year. A review of Licensing Information System on January 30, 2023 indicates that all facility staff are associated to the facility had DOJ, FBI, and child abuse index check clearances.

met_with: Christian Torres


summary: Facility Evaluation

raw_content:
Narrative:
On January 22, 2024, at 10: AM Licensing Program Analyst (LPA) Vaishali Singh-Sood conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA Singh-Sood met with Lead Staff, Oneal Garcia, of Helping Hands Home For Children and both toured the facility, inside and out. The Group Home is licensed to serve four clients, ages 13-16 years. Currently in placement are four clients. During the inspection, there was only one client in the home who is non-verbal, and the other three were at school. The non-verbal client was unable to communicate so this LPA was unable to interview the client in the facility. This facility is a one story house, consists of 4 client bedrooms and 2.5 client and staff bath. LPA Singh-Sood observed at the time of this inspection, the facility to be clean, safe, and sanitary. All fire alarms, and carbon monoxide detectors were in good working condition, and the fire extinguisher is current. This LPA reviewed the staff and client files, medication logs, and they had the necessary forms. The files are kept locked to ensure confidentiality. Food supply, linens and fire extinguisher were observed. There is sufficient perishable food for over two days and nonperishable food for over seven days. Toxins and sharps are properly stored. Medication storage and procedures were also reviewed. The following documents are posted in the facility: facility license, emergency disaster plan, facility sketch, menu, activity calendar and personal rights. The hot water temperature was at (Hall Bathroom 114 degrees). According to the Administrator, there are no weapons, and/or bodies of water at the facility which meets title 22 regulations. There are currently one exception on file, and there have not been any deficiencies cited in the past year. A review of Licensing Information System on January 22, 2024, indicates that all facility staff are associated to the facility had DOJ, FBI, and child abuse index check clearances. There were no Title 22 deficiencies observed at today's inspection. As such, an exit interview conducted with Mr. Garcia, and a copy of this report was emailed at 4: PM.


summary: Facility Evaluation

raw_content:
Narrative:
On January 6, 2025, at 10: AM Licensing Program Analyst (LPA) Vaishali Singh-Sood conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA Singh-Sood met with Lead Staff, Oneal Garcia, and both toured the facility, inside and out. The Group Home is licensed to serve four clients, ages 13-16 years. Currently in placement are four clients. During the inspection, there were two clients in the home, both who are non-verbal, and the other two were at school. The non-verbal clients were unable to communicate so this LPA was unable to interview the client in the facility. San Andreas Regional Center was last year in November 14, 2024. This facility is a one story house, consists of 4 client bedrooms and 2.5 client and staff bath. LPA Singh-Sood observed at the time of this inspection, the facility to be clean, safe, and sanitary. All fire alarms, and carbon monoxide detectors were in good working condition, and the fire extinguisher is current. This LPA reviewed the staff and client files, medication logs, and they had the necessary forms. The files are kept locked to ensure confidentiality. Food supply, linens and fire extinguisher were observed. There is sufficient perishable food for over two days and nonperishable food for over seven days. Toxins and sharps are properly stored. Medication storage and procedures were also reviewed. The following documents are posted in the facility: facility license, emergency disaster plan, facility sketch, menu, activity calendar and personal rights. The hot water temperature was at (Hall Bathroom 117 degrees). According to the Administrator, there are no weapons, and/or bodies of water at the facility which meets title 22 regulations. There are currently two exceptions on file, and there have not been any deficiencies cited in the past year. There were no Title 22 deficiencies observed at today's inspection. As such, an exit interview conducted with Mr. Garcia, and a copy of this report was provided at 2: PM.


summary: Facility Evaluation

raw_content:
Narrative:
On 03/27/2026 at 9: AM, Licensing Program Analyst (LPA) Amee Li and Licensing Program Manager (LPM) Kristin Cardiel conducted an unannounced Annual/Required inspection at the above listed facility. LPA and LPM met with Administrator Rowena Caling Ngyuen and explained the purpose of the inspection. At the time of the inspection, there are four clients in care and one client present. Three clients were at school. There are currently three age exceptions on file and two clients are nonverbal. LPA conducted a physical plant inspection of the facility. LPA observed facility license, client rights, facility sketch, and complaint procedures posted on the wall in the facility. Facility thermostat read at 74 degrees F, which is within range. Smoke and carbon monoxide detectors were operable. LPA observed two days of perishable foods and seven days non-perishable foods in the kitchen. The refrigerator temperature was found to be within range. The temperature of the kitchen freezer measured at 20 degrees F, which is above the required minimum of 0 degrees F. Staff addressed this immediately. One Technical Violation was issued under California Code of Regulations (CCR) 84076(c)(2). Sharps, medications, and cleaning solutions containing chemicals are locked and stored where inaccessible to clients. Trash cans are covered. LPA found the facility to be clean and in good repair. The faucet in the client bathroom delivered water at a temperature of 105.4 degrees F, which is within range. LPA observed clean linens and towels. Client bedrooms had adequate storage space and were in good repair. Continued on LIC 809C. LPA inspected the backyard and found it to be in good repair. There are no firearms or open bodies of water at the facility. LPA inspected four client files and five staff files. LPA found staff criminal record clearances and staff trainings to be in compliance. LPA reviewed medication logs and found them to be complete. One out of five staff files did not contain TB test results. One Technical Violation was issued under CCR 80066(a)(11). One out of three nonminor dependent needs and services plans did not have the client and placing agency signatures. One Technical Violation was issued under Interim Licensing Standards (ILS) 84468.3(f). Cash records for one minor and one nonminor dependent were not up to date. Administrator immediately updated the records. One Technical Assistance was issued. LPA inspected emergency procedures and drill logs and found them to be complete. Facility stores client records for emergency access digitally. LPA observed facility meal menu, activity calendar, staff schedule, and emergency disaster plan. LPA was unable to observe Board of Directors' meeting minutes. Administrator will send meeting minutes to LPA by end of day. One Technical Assistance was issued. LPA conducted two staff interviews and no client interviews. Two of two verbal clients were not present. At this time, no deficiencies were cited, and three Technical Violations and two Technical Assistances were issued. See LIC 9102s. An exit interview was conducted, appeal rights discussed, and a copy of this report was left with Rowena Caling Ngyuen, Administrator whose signature below confirms receipt.

met_with: Christian


facility_name: MARYJO HOUSE

summary: Facility Evaluation

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Narrative:
On June 11, 2021 at 8:30am, Licensing Program Analysts, (LPA) Gilbert Gutierrez and Janeth Chavez conducted an annual required inspection at the facility and met Registered Behavior Technician (RBT) Lead Elsa Montes who gave the LPAs the tour of the facility inside and out. Administrator Mary Watson arrive shortly. The facility is a one-story home with 4 bedrooms and 2 bathrooms. Currently, there are 3 placements in the home. The facility tour inspection started at around 8:45am. LPAs observed the following: The perishable foods enough for at least 2 days consumption and non-perishable foods enough for at least 7 days consumption of the clients stored in the kitchen cabinets and refrigerator and in the garage cabinets and freezer; the facility license, staff schedule, Emergency Disaster Plan and Foster Youth Rights posted in the dining area. There is also a Client Personal Rights posted in the patio area. Each bedroom has one bed with clean beddings, linens, drawers and closet space for the clients' use. There were extra linens and towels stored inside the hallway cabinet. One of the rooms is being used as study room of the clients. There were smoke/carbon monoxide detectors that blinks green in the dining area, living room, hallway and in each bedroom. There were fire alarms and automatic sprinklers also observed in the aforementioned areas in the facility. The water temperature was checked using a digital thermometer and registered 111 degrees Fahrenheit in the first bathroom and 112 degrees Fahrenheit in the second bathroom; within the temperature allowed under Title Regulations. The thermostat control of the centralized heating and air conditioning shows 68 degrees inside the facility. All cleaning solutions were observed locked inside the under-sink cabinet and in the garage and all sharp objects were locked in a drawer in the kitchen. All medications including the First aid kit were stored in a locked cabinet in the living room. The client files were stored in a locked cabinet under the medication cabinet. The LPAs observed the delayed egress doors were working; RBT entered the codes on the keypads and going out through the door on the side of the home and entering through the front door of the home. There were no obstructions observed in the hallways and passageways. The inspection of the building and grounds ended at around 10:30am. Continued to next page... LPAs reviewed a total of 10 staff and 3 client records. The file review started at 10:45pm and ended at 12:30pm. Out of 10 staff files reviewed, only one staff has no RBT certification and still in the process of getting the RBT certification. The client records were complete with the required authorizations/signatures. An exit interview was conducted and copy of the report was provided to the administrator. No deficiency citations issued at this time.

met_with: Mary Watson


summary: Facility Evaluation

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Narrative:
On June 9, 2022 at 9:00am, Licensing Program Analyst (LPA) Gilbert Gutierrez, conducted an annual/required inspection to the facility and met Dorothy Gonzalez, Administrator. The facility is a one-story home with four bedrooms and three and a half bathrooms, a staff office and attached garage. Currently there are four clients placed in the facility. At the time of LPA's arrival, no client is present. During the inspection, the administrator provided to LPA the roster of clients, Personnel Report, Emergency Disaster Plan, Emergency Drill log and Board Meeting Minutes. Physical Plant LPA started the inspection at about 9:15am. LPA together with staff Jessica Sanchez toured the facility inside and out. LPA observed the following: the posted license, emergency disaster plan, personnel schedule, client personal rights, and grievance procedure. The disinfectants, cleaning solutions, sharp objects are locked and inaccessible to clients. The facility maintains supplies of non-perishable foods for at least a week and fresh perishable foods for at least two days. Each bedroom has a single bed in good repair with clean sheets and linens three drawers and closet space. There are extra linens, adequate towels and hygiene supplies. Only one client sleeps in a room. No room commonly used for other purposes is being used as a bedroom. The window screens are in good repair and free of dirt. There are lights in all the rooms and throughout the facility. The faucets for client's use deliver hot water (114 degrees Fahrenheit). The fireplace has cover for client's safety. All medications are stored locked in a cabinet. There is a working telephone for clients to use. The first aid kit was complete and readily available. There are working smoke/carbon monoxide detectors in the facility. The delayed egress doors are working. All indoor and outdoor passageways are unobstructed. Staff Records At 10:15am, LPA reviewed six staff records. The staff records are available to LPA to inspect, audit upon request. All staff subject to criminal records review have been fingerprinted and cleared. There is documentation of the required education and experience requirements and training in the personnel file. One Direct Care Staff (DCS) who has a long experience working with children with developmental disability has not gotten the Registered Behavioral Technician (RBT) certification since hired for this facility but still trying to pass the exam. Licensee is providing support to the staff and also actively trying to hire qualified individuals. Client Record At around 1:00pm, LPA reviewed four client records. All client records are available to LPA to inspect upon request. The client records contain the required information including, but not limited to, consent forms, Individual Program Plan (IPP), medical assessment, safeguards for cash resources, personal property and valuables, personal rights forms, and medication administration records. : LPA interviewed 2 staff. During the time of inspection, only one client was interviewed. The other client was non-verbal. A technical advisory was issued at the time of the inspection. A copy of the LIC 809, LIC 809C LIC 811s were provided to the administrator.

met_with: Dorothy Gonzalez


summary: Facility Evaluation

raw_content:
Narrative:
On May 11, 2023, at 8: AM, Licensing Program Analyst (LPA) Gilbert Gutierrez, conducted an annual/required inspection to the facility and met Lead Registered Behavioral Technician (RBT) Jessica Flores -Sanchez who let LPA inside the facility. Administrator, Dorothy Gonzalez, arrived shortly. The facility is a one-story home with four bedrooms and three and a half bathrooms, a staff office and attached garage. Currently there are four clients placed in the facility. At the time of LPA's arrival, all the clients were at school. LPA was provided the roster of clients, Personnel Report (LIC 500), Emergency Disaster Plan, Emergency Drill log and Board Meeting Minutes. Physical Plant LPA started the inspection at about 9: AM. LPA together with Lead RBT, Jessica Flores- Sanchez toured the facility inside and out. LPA observed the following: the posted license, emergency disaster plan, client personal rights, and grievance procedure. The disinfectants, cleaning solutions, sharp objects are locked and inaccessible to clients. The facility maintains supplies of non-perishable foods for at least a week and fresh perishable foods for at least two days. Each bedroom has a single bed in good repair with clean sheets and linens three drawers and closet space. There are extra linens, adequate towels and hygiene supplies in cabinets. Only one client sleeps in a room. No room commonly used for other purposes is being used as a bedroom. The window screens are in good repair and free of dirt. There are lights in all the rooms and throughout the facility. The faucets for client's use deliver hot water (111 degrees Fahrenheit). The fireplace has cover for client's safety. All medications are stored locked in a cabinet. There is a working telephone for clients to use. The first aid kit was complete and readily available. There are working smoke/carbon monoxide detectors in the facility. The delayed egress doors are working. The facility maintains a comfortable temperature . All indoor and outdoor passageways are unobstructed. Client Record LPA started reviewing four client records at 9: AM. All client records are available to LPA to inspect upon request. The client records contain the required information including, but not limited to, consent forms, Individual Program Plan (IPP), medical assessment, safeguards for cash resources, personal property and valuables, personal rights forms, and medication administration records Staff Records At 11:00 am, LPA reviewed six staff records. The staff records are available to LPA to inspect, audit upon request. All staff subject to criminal records review have been fingerprinted and cleared. There is documentation of the required education and experience requirements and training in the personnel file. One Direct Care Staff (DCS) has not gotten the Registered Behavioral Technician (RBT) certification since hired for this facility but still trying to pass the exam. Licensee is providing support to the staff and also actively trying to hire qualified individuals. LPA interviewed 2 staff. During the time of inspection, only one client was available for interview. A copy of the LIC 809, LIC 809C LIC 9102, LIC 811s were provided to the administrator.


summary: Facility Evaluation

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Narrative:
On June 19, 2024, at 9: AM, Licensing Program Analyst (LPA) Gilbert Gutierrez, conducted an annual/required inspection to the facility and met Administrator, Dorothy Gonzalez. There are four (4) clients placed in the facility. During the inspection, LPA requested for the Personnel Report, Client Roster, Emergency Disaster Plan and Board Meeting Minutes. Physical Plant LPA together with Lead Registered Behavior Technician (RBT) Sanchez toured the facility at around 9: AM. LPA observed the following: the posted license, emergency disaster plan, personnel schedule, client personal rights, and grievance procedure. The disinfectants, cleaning solutions, sharp objects were locked and inaccessible to the clients. The facility has non-perishable foods for at least seven (7) days and perishable foods for at least two (2) days. Each bedroom has a single bed in good repair with clean sheets and linens and three (3) drawers and closet space for the client's clothing. Only one client sleeps in a room. There were extra linens, towels, and hygiene supplies in the cabinet(s). No room commonly used for other purposes was being used as a bedroom. The window screens were in good repair and free of dirt. There were lights in all the rooms and throughout the facility. The faucets for the children's use deliver hot water. All medications were stored locked in the cabinet. There was a working telephone. The first aid kit was complete. The smoke/carbon monoxide detectors and delayed egress doors were tested and in working order. All indoor and outdoor passageways were unobstructed. Client Record LPA reviewed four (4) client records. All client records were available upon request. The files contain the required information including, but not limited to, consent forms, Individual Program Plan (IPP), medical assessment, safeguards for cash resources, personal property and valuables, personal rights forms, and medication administration records. Staff Records LPA reviewed six (6) staff records. All staff subject to criminal records review have been fingerprinted and cleared. There is documentation of the required education and experience requirements and training in the personnel file. The staff meet the required qualification and/or experience requirements. LPA interviewed two (2) staff and one (1) client. A copy of the LIC 809, LIC 809C LIC 811s were provided to the administrator. No deficiency citation issued at the time of the inspection.

met_with: Dorothy Gonzalez, Jessica Sanchez


summary: Facility Evaluation

raw_content:
Narrative:
On April 30, 2025, at 9:00am, Licensing Program Analyst (LPA) Gilbert Gutierrez, conducted an annual/required inspection to the facility and met Dorothy Gonzalez, Administrator. The facility is a one-story home with four bedrooms and three and a half bathrooms, a staff office and attached garage. Currently there are three (3) clients placed in the facility. At the time of the inspection, no client was present. LPA received a copy of the client roster, LIC 500 (Personnel Report), and Emergency Disaster Plan and reviewed the Emergency Drill log and Board Meeting Minutes. Physical Plant LPA together with the Lead Registered Behavioral Technician (RBT), Jessica Sanchez toured the facility inside and out. LPA observed the following: the posted license, emergency disaster plan, client personal rights, and grievance procedure. The disinfectants, cleaning solutions, sharp objects were locked and inaccessible to clients. There were supplies of non-perishable foods for at least a week and fresh perishable foods for at least two days. Each bedroom has a single bed in good repair with clean sheets and linens and three drawers and closet space. Only one client sleeps in a room. No room commonly used for other purposes is being used as a bedroom. There was extra linens, adequate towels and hygiene supplies in cabinets. The window screens were in good repair and free of dirt. There were lights in all the rooms and throughout the facility. The faucets in clients' bathroom deliver hot water (116 degrees Fahrenheit). The fireplace has cover for client's safety. All medications are stored locked in a cabinet. There is a working telephone for clients to use. The first aid kit was complete and readily available. The smoke/carbon monoxide detectors and delayed egress doors were in working order. A back-up emergency generator was observed in the backyard, available in case of power failure. All indoor and outdoor passageways were unobstructed.. Client Record LPA reviewed three (3) client records. All client records were available upon request. The files contain the required information including, but not limited to, consent forms, Individual Program Plan (IPP), medical assessment, safeguards for cash resources, personal property and valuables, personal rights forms, and medication administration records. Staff Records LPA reviewed five (5) staff records. All staff subject to criminal records review have been fingerprinted and cleared. There was documentation of the required education and experience requirements and training in the personnel file. The staff meet the required qualification and/or experience requirements. LPA interviewed two (2) staff. A copy of the LIC 809, LIC 809C LIC 811s were provided to the administrator. No deficiency citation issued at the time of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On April 3, 2024, at 1: PM, Licensing Program Analysts (LPA) Gilbert Gutierrez conducted an unannounced case management inspection to the facility and met Assistant Executive Director, Mary Watson. The inspection was a follow-up to the report received by the Department that the facility has staff not yet certified as Registered Behavioral Technician (RBT). The Department received a report that there were five staff of the facility that are not yet RBT certified. Three out of the five staff not yet certified were within their initial 12-month employment. The remaining two were employed for over 12 months and already outside of the regulatory compliance. Section 89965 (b)(2) Personnel Requirement- The licensee shall ensure that each direct care staff person meets the following qualifications: Become a Registered Behavior Technician within twelve (12) months of initial employment. An exit interview was conducted and a copy of the LIC 809, LIC 809D and LIC 811 were provided to the Assistant Executive Director. A deficiency citation was issued at the time of the inspection.


summary: Facility Evaluation

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Narrative:
On January 7, 2026, at 9: AM, Licensing Program Analyst (LPA) Gilbert Gutierrez conducted an unannounced case management inspection to the facility and met Administrator, Dorothy Gonzalez. The inspection was a follow-up to the incident received by the Department on 12/05/25. The Department received a Special Incident Report (SIR) from the Administrator regarding a missing medication. Per the SIR, during a medication audit on 12/04/25, it was discovered that there was a missing pill for client C1's bedtime medication. C1's medication popped out for the 4th day of the medication cycle. Staff S1 was the med passer the night before and does not recall popping out an extra pill for C1. The facility contacted the doctor and pharmacy regarding the missing pill. C1 is aware of his medications and does not recall receiving an extra bedtime pill. A single pill was delivered to the facility as replacement for the missing pill. Per the Administrator, C1 is cognitive of his medication(s) reason the doctor was confident that he did not have the second dose of medication. The pill seemed to have popped out of the bubble pack. C1 was observed with no adverse reaction noted. As a precaution, all medication passers were provided retraining on Medication Review. Also, the staff will thoroughly check the medication received from the pharmacy. LPA interviewed two staff who indicated that they did not observe a missing pill in the bubble pack at that time. Based on the information, the reason why there was a missing pill was not determined. The facility took proper action by contacting the doctor and pharmacy regarding the incident. C1 did not miss medication. To prevent the incident from happening in the future, all staff who pass medications were retrained. Proof of training was provided to LPA by the administrator. The incident needs no further follow up currently. An exit interview was conducted, and a copy of the LIC 809 and LIC 811 were provided to the Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 03/20/26, Licensing Program Analyst (LPA) Joe Martinez conducted an unannounced annual review inspection and met Administrator, Dorothy Gonzalez. LPA Martinez, together with Administrator Dorothy Gonzalez, toured the facility inside and outside. During the inspection, the facility license was observed posted in a prominent, publicly accessible location. Complaint procedures were posted in a location accessible to children and their authorized representatives, and weekly written menus were posted in an area accessible to staff and children. Disinfectants, cleaning solutions, sharp objects, and medications were stored in locked areas and were inaccessible to clients. The facility was observed to be clean, safe, sanitary, and in good repair. Indoor and outdoor passageways were free of obstruction, and supplies and equipment were stored appropriately. Adequate supplies of nonperishable foods for at least one week and fresh perishable foods for at least two days were observed on site. The smoke and carbon monoxide detectors were operational, and the delayed egress doors were functioning at the time of inspection. Each client was observed to have a private bedroom. Each bedroom contained a single bed in good repair with clean linens, as well as drawer and closet space for personal belongings. No room commonly used for other purposes was being used as a bedroom. Extra linens, adequate towels, and hygiene supplies were observed for the clients. The water temperature in the clients' bathroom measured within required limits. A working telephone was also available for client use. LPA interviewed four (4) staff during the annual review inspection. LPA Martinez reviewed four client records. All requested records were available for review. The records contained required service and support documentation, including behavior support information, incident documentation, and other required client record materials. Due to limited time constraints, the annual review was not completed in full on this date. A follow-up visit will be conducted at a later time. No deficiency citation issued at the time of the inspection. Exit interview was completed by LPA Martinez and a copy of the LIC 809, LIC 809C were provided to the administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 03/24/26, Licensing Program Analyst (LPA) Joe Martinez conducted a case management inspection and met Administrator, Dorothy Gonzalez. The inspection included a review of staff/personnel records.LPA Martinez reviewed two (2) personnel files and observed that the records were maintained and available for inspection.The inspection included, but was not limited to, a review of documentation related to staff qualifications, certification, and training records. Documentation reviewed included completed orientation, emergency intervention training, and current CPR certifications maintained in the personnel files. LPA Martinez also reviewed criminal record clearance documentation and observed that the personnel files contained evidence of required clearances and signed Criminal Record Statements LPA Martinez discussed the findings with the Administrator.LPA Martinez informed the Administrator that the Department transparency website is available to review required regulatory language and applicable regulations and will provide the website to the licensee for independent review. Based on records reviewed and observations made during the inspection, personnel files contained required documentation related to qualifications, training, and criminal record clearances.No further follow up is needed. No deficiency citation issued at the time of the inspection. Exit interview was completed by LPA Martinez and a copy of the LIC 809 were provided to the Administrator.