facility_name: SOCAL OASIS HOME LLC

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, Nicole Strickland conducted a technical assistance meeting virtually via Microsoft Teams with SoCal Oasis Home LLC., applicant Ms. Tiffany Dupree. The Purpose of the meeting was to discuss and review the following pending application and Program Statement revisions: Review of A/B documents: A1. Application (LIC200) - Signed by all individual applicants listed under #1 - Full signature missing (only first name) - Signed by board designee (if corporation) Applicants name - do not have board resolution giving authority to applicant to sign. A2. Applicant information (LIC215) - Complete, original signature and dated - - Full signature missing (only first name). - One on Board Designee Applicants name - no info on board members o Name of High School missing o College information missing A3. Designation of Administrative Responsibility (LIC308) - Licensee to administrator (not applicant to self) - no board resolution to give Ms. Dupree authorization to sign on behalf of the facility. ****** A4. Administrative Organization (LIC309) - Has complete names and addresses of all board members (Also articulated in #29 - Board of Director Statements LIC9165) - No board member information. - Board Resolution authorizing application and Administrator Designation (Corporation Only) - Licensee is an LLC registered as an individual - No board Resolution. - Limited Liability Corporation (LLC) Articles of Incorporation (Reference EM 3-0252)- missing - Limited Liability Corporation (LLC) Operating Agreement (Reference EM 3-0252) A5. Affidavit Regarding Client Cash Resources (LIC400) - Original signature, signed and dated (if handling client monies, will need surety bond) - Surety Bond is not for the correct amount LIC 400 states for $1,500 a $3, Bond is required. A6. Surety Bond (LIC402) - Original bond from Surety Company with seal/laser (Bond needed prior to licensure) - Surety Bond is not for the correct amount LIC 400 states for $1,500 a $3, Bond is required. A7. Monthly Operating Statement (LIC401) - Income from another source must be clear - No worksheet to account for IRC's monthly payment of $44,000. - Food costs based on capacity of 4 not 6. - Original Signature and dated - Full signature missing (only first name) - Salaries included for all persons - Wages seem unrealistic 6,700 for all employees each month? - Fringe benefits of at least 25% of Salaries Benefits do not equal 25% of salaries. - Rent/lease amount matches property agreement (question legitimacy/condition) Mortgage payment on LIC 403 notes 3,500 this contradicts what is on LIC 401 - Line 37 - Needs 3X in liquid assets not completed. - LIC 401 for each Community Care Facility the applicant operates - Missing info for ARF's applicant operates. ****** A8.a Supplemental Financial Information (LIC401a) - Met A8.b Balance Sheet (LIC403) - Figures transferred from LIC 403a- #'s not transferred accurately. - Liability #'s are not accurate if valuing home at 800,000 than we need proof of value otherwise need purchase price placed here. A8.c Balance Sheet Supplemental (LIC403a) - Original signature and dated Full signature missing (only first name) - All figures shall reflect entity applying Only Mortgage noted no other assets or liabilities. A9. Financial Information Release and Verification - Form submitted already filled out by unknown individual. No bank name on form can not verify form. Note from support staff on 10/27/2023 that form needed to be resubmitted, form was not received. A10. Personnel Report (LIC500) - LIC 500 for each Community Care Facility the Applicant or Administrator operates - Missing. - Missing staff Saturday and Sunday 2pm to 10pm - Full signature missing (only first name). A11. Personnel Record (LIC501) - Marked not 18. - Missing dates of last physical - Missing dates of last TB - Education not completed. - Full signature missing (only first name) ****** A12. Health Screening Report-Facility Personnel (LIC503) - On Board designee - No board member information - On Administrator - Health Screening is from 2021and information on form is regarding the ARF. A13. Criminal Record Statement (LIC508) - Completed. Need to ensure exemption is transferred to SoCal Oasis A14. Emergency Disaster Plan (LIC 610C) - Met A15. Facility Sketch (LIC 999) - Missing windows and room sizes A16. Fire Inspection (LIC9054) - Met A17. Board of Director Statement (LIC9165) - MissingSection B - missing.Many of the Section B documents required are in various sections of the Program Statement. B1. Partnership Agreement/ Articles of Incorporation/ Articles of Organization missing. B2. Verification of Administrator Qualifications and Certification - missing B3. Verification of Social Worker Qualifications missing B4. Job Description - Each position multiple positions named but not all job descriptions provided. B5. Personnel Policies missing B6. In service Training for Staff - please see notes in what you have listed as section 22. ****** B7. Facility Program Description After reading the first section and program statement it is confusing as to if you are looking to license an Adult Residential Facility (ARF) or a Group Home. Many places you refer to ARF regulations or situations. Please review the entire document submitted and remove references to ensure entire document provides a description of the Group Home you are trying to license. B8. Rules of Discipline/Personal Rights please see notes regarding section 13. B9. Admission Polices please see notes regarding section 8. B10. Sample Menu MET B11. Control of Property MET B12. Bacteriological Analysis of Private Water Supply (When water for Human Consumption is from a private source) NA. B15. Neighborhood Complaint Policy - Applicable to non-resident owner community care facilities providing residential care for six or fewer persons only. MET (page 41) B16. First Aid Card MET B17. Orientation Certification - MET B18. Group Home and Foster Family Agency Program Statement for rate setting purposes. - provided but needs corrections as listed below. First section pages 1-59 - Many places throughout this section you refer to Title 17 regulations and only some places you refer to Title 22. Please ensure you are referencing the correct regulations throughout. - Throughout this section there are many places where you refer to Adult Residential Facility (ARF) or situations that apply to ARFs. Please ensure that the entire submitted document refers to Group Home and situations that are applicable to Group Homes. - Table of contents notes this section contains 72 pages only up to 59 provided. - Page 11 refers to Concept for Life Home - Page 20 exit criteria notes 30-day notice this contradict section 10. - Page 21 refers to eviction - believe this is an ARF regulation. ****** - Page Administrator schedule - different than what is on the LIC 500 and in section 19 where it is listed that Executive Director/Administrator works out of corporate office. - Page 22 you refer to a second designated qualified Administrator - this person is not listed on the LIC 500, nor associated to the facility. - Page 23 - regarding administrator requirements please review the regulations. - Page 27 - Third to last bullet you reference subsection (a)(3) - of what regulation? - Page 34 - Middle of page you note incident reports are verbally reported to CCL LPA - incident reports both 24-hour notifications either verbal or written need to be provided to the duty worker via telephone if verbal at 951-782-4207 (ask for duty worker) or via email to cclpaccr@dss.ca.gov - Page 38 - Food for four consumers - you have requested capacity of 6. - Page 41 - you note you proposed an adult residential facility to your neighbors. - Page 44 - you reference the development of the Functional Behavioral Assessment is this the same as the Needs and Service plan - if it is the same, please be consistent. - Page 49 - refers to Concept for Life Home - Page 53 - you note certificate in appendix, not there. - Page 53 - you note consultants resume in appendix, not there. Part I.PROGRAM IDENTIFICATION Section 1. Page 5 not signed. Part IIPROGRAM, SERVICES AND CAPABILITIES Section 2. Page 7 number 1 not completed. Page 9 section C #1 does not match LIC Page 10 section E #5 not checked as to how services are provided. Page 10 not signed. ****** Part IIITable of contents not dated. Program Narrative a. PROGRAM DESCRIPTION PURPOSE METHODS GOALS Section 3 [CCR80022(b)(1)] Pages not numbered. 1st page last paragraph last sentence ends with 3-1 possible page number. - How will client be assessed for entry into the facility - you mention screened, how? - Description of Basic Services (description of services and treatment that will be provided in the facility) you name some services but no description. - Description of optional services not mentioned. - Procedures for medical emergencies not mentioned. - Community resources and consultants to be used not mentioned. PLANNED ACTIVITIES/USE OF COMMUNITY RESOURCES Section 4 [CCR80022(b)(13), 84065(e), 84079] - Describe the program's planned SOCIAL and RECREATIONAL activities. o The plan for indoor and outdoor activities Missing. o The plan for individual child activities and group interaction activities - Missing o Which children are involved in the activities - Missing. o A list of community resources used by the program (example YMCA, library, parks, church groups.) - Missing - Describe the program's planned education activities and services. [CCR84079(a)(5), 84068.2] - o Tutoring, if applicable Missing information o Who is involved (how is it determined what youth can participate?) Missing o Plan for individual child and group interaction activities. Missing List of community resources used by the facility Missing ****** SPECIAL SERVICES/PROGRAMS OFFERED Section 5 - Vocational training (if offered by facility, what skills are taught, goals of the program, what hands-on experience received, materials provided, number of hours per day/days per week training provided and how is training funded.) Missing - Other Special Services or Programs that could be offered based on clientele to be served. Can individuals ask for special services/programs? Explain that process. Missing - You discuss a "merit" system who is responsible for issuing merit points, how are residents able to know or track points, are points taken away if they don't follow program? How many points are awarded and for what type of activities? MEDICAL/DENTAL Section 6 - Page 6-2 under emergency procedures and precautionary measures the numbering is off. - Page 6-2 last sentence end of sentence typing errors. - Describe procedures for handling and assisting children with self-administered medications. Missing - Describe procedures used to identify and handle medical, dental, and psychiatric emergencies. [CCR80075(f)] you mention how to handle but not how to identify. - Identify staff position(s) responsible for destroying medications Missing. - Medical assessment, Physical examination requirements, including TB tests Page 6- Immunization/TB Test 1st paragraph you mention first few days of placement please be more specific. - Use of Medication Administration Records (MAR LIC 622A) and Psychotropic Medication Administration Records (PMAR LIC 622B) You refer to a licensing book, but the MAR is not mentioned. - Consent forms, completed by the child's authorized representative(s), to permit the facility to authorize medical care. You mention taking the forms with you, but you do not mention who is responsible or how the consents are obtained or where they are located. - A copy of the standard appraisal form specified in Section 84068.1(b)(1)(C), if used. Missing ****** - A copy of the current court order, or written authorization of the child's parent or guardian, for each psychotropic medication, as defined in Section 84001(p)(4). Missing - Written authorization of the child's parent or guardian may only be documented in lieu of a court order if the child is not a dependent or ward of the court, or it is documented in the child's record that the county placing agency has verified a court order is not required. Missing - This section shall not apply when the child's record contains documentation from the child's prescribing physician that the psychotropic medication has been provided in an emergency, as described in California Rules of Court, rule 5.640. Missing TRANSPORTATION Section 7 [CCR 80022(b)(10), 80074] - Describe arrangements for transporting children to and from school, activities provided outside the facility(ies) including attendance at religious services and medical/dental appointments. Missing - How the facility will ensure that no vehicle utilized for transport of client will have been smoked in (weather at rest or in motion) Missing - How the facility is going to ensure the use of restraint systems as necessary (i.e., car seats for younger children) Missing A. ADMISSION/ASSESSMENT/DISCHARGE POLICIES AND PROCEDURES ADMISSION/INTACK Section 8 [CCR 80022(b)(2), 84068.1, 84068.2] Section 8 no page number under intake criteria end of first line typos. Section 8 under Referral Procedure under bullets 1 and 3 the use of term interview is not trauma informed. - Pre-Admission appraisal plan Missing - Sign in-sign out procedures Missing. - Personal Rights of Clients (process of informing clients of their rights, providing copies to responsible parties/placement/families) Missing - Admission Agreement (Regional Center Agreement being used?) Missing - Licensing Agency Rights Missing ****** NEEDS & SERVICE PLANS/ASSESSMENT Section 9 [CCR 84022(b)(2)] - Met DISCHARGE/REMOVAL Section 10 [CCR 84068.2(c)(3), 84068.4(b)] - Section Socal Kids Oasis, LLC - Please be consistent with facility name. - Section 10 page 10- Contact police - you will not be contacting police except if the child is in school, also prior to contacting police clothing and personal belongings are dealt with - this is concerning. - Section 10 page 10-2 under clothing and personal belongings you refer to an inventory form and refer to it as form #11. Please place a copy of this form in your program statement/plan of operation and note where the form can be found. (i.e., Appendix, page 10-3 etc.) Describe procedures for emergency discharge or removal. Include timelines. - no mention of timelines for emergency discharge. - Written Policies & Procedures Governing Child's Removal and/or Discharge - Missing - Policies & Procedures being provided to Children & Authorized Representative(s) Missing - Signed Policies & Procedures maintained in the child's record Missing. VISITATION RULES & POLICY Section 11 [CCR84068.2(b)(6), 84072(d)(5)] - Level system is not trauma informed. - Possible Personal rights violation please review to ensure no personal rights are violated. - Check-out Procedure - do you verify ID of person picking up child, ensure that the person picking up has valid driver's license, insurance, etc.? - Return procedures - you note child will be checked for contraband. - cannot have a blanket policy, must be noted in needs and service plan if checks are needed upon return and under what circumstances. - Under #2 you stated child's responsibility to carry 20 cents to make call. (Are there even pay phones still available? Is this the cost?) Late or Failure to Return - please review as if they fail to return are they treated as runaway? Are the police notified? How long after they were expected to return are you contacting anyone? ****** HOUSE RULES Section 12 - Possible personal rights violations please review - Allowance - please be more specific about how much is given, when, by whom, how etc. concerned about deductions for refusals as that makes it not an incentive. - Chores - restriction to room could be a personal rights violation, how does a child know what the expectations are to ensure they meet this requirement satisfactorily. - Chores list - what is on the list. Placing children on restriction until they are completed could be a personal rights violation. - Section 12 page 3? Bullets 1-4 not sure what this is pertaining to. - Emergency Procedures, Fruit, Graduation, Home visits - These seem like they are in the wrong section. - Number 9 under Official Policy Regarding Child passes this could be in violation of approved visits as the visit may not always be at the child's home. Please review. - Meals - you mention proper dress - what does this include. - Specify other house rules. - Curfews (school nights, weekends, holidays, or other times) Missing. - Smoking Missing - Completing Homework (engaging in tutoring, etc.) Missing - Dress Code (at home and in school) Missing. - Prohibited behaviors (generally what behaviors are prohibited in the home) Missing. - Use of electronic devices (times when not permitted) Missing. - Use of entertainment equipment (the child's and the facility's) Missing - Reasonable and Prudent Parent Standard Application Missing A. GENERAL POLICIES AFFECTING CHILDREN PLACED DISCIPLINE POLICIES Section 13 [CCR 80072(a)(3), (7)-(8), 84072, 84072.1] - Concerns regarding possible violation of Personal Rights as written. Please review Personal rights. ****** -Section 13 second page number 3 - allowance deduction - please review 84026(c). - Section 13 second page number 5 - concern regarding 48- and 72-hour total restriction use. - Section 13 second page letter b - notes child will stay at another house while house is on outing. - What house, who supervising? - Section 13 second page letter c - what about other approved telephone calls, Aunts, Grandparents etc., - Section 13 third page number 8 - warrants 24 total - what? Or 3 days general - what? - Section 13 third page number Hanging from basketball rim - 24 hours total - seems a bit excessive. - Section 13 third page number Loss of fire-retardant covers - discipline - extra chose - should this be chores? - Section 13 third page number Not getting up when asked in the (missing rest of sentence) - Section 13 page 13-4? Not shutting bedroom door when (missing rest of sentence) - You note all "serious" incidents will be reported to placement reps & parents which are serious? - You note a serious incident report will be sent to placement agency - what about reporting to Licensing? Please ensure reporting requirements are met. - Discipline Policies provided to Placing Agency - missing how/when this is done. EMERGENCY INTERVENTION PLAN Section 14 [CCR 84300(d), 84300.1, and 84322] ENTIRE SECTION IS MISSING RUNAWAY PLAN Section 15 [CCR 84322.2] Entire Section is Missing ****** CHILDREN'S COMPLAINT/GRIEVANCE PROCEDURES Section 16 [CCR 84072 and 84072.2] You have this as section 14. Page 14- Notice of Hearing you have 19____ for year. Procedure does not mention how this "Notice of Hearing" form is utilized. - How are clients informed of their right to file a complaint or grievance Missing? - How will clients and their authorized representatives and staff receive copies of the written complaint/grievance procedures (and sign for) Missing. - No information on maintaining copies of signed complaint/grievance procedure being maintained and where maintained. HANDLING OF CHILDREN'S FUNDS, ALLOWANCES, & SALARIES Section 17 [CCR 80022(b)(12)m 80025, 80026, and 84026] You have this as section 15. - Allowance policy (including amount paid and how often) Missing. - Clients sign for monies withdrawn or provided Missing. - Accurate Records maintained for payments from client money (Receipts maintained) Missing. - Not comingled with Licensee funds Missing - Other requirements for handling cash resources upon discharge Missing. CHORES Section You have this as section 16. Page 16-1 learning how to live to ether - should this be together? Page 16-3? Under Bedrooms number 2 second line Personal an refuse? Page 16-9 and 10? Weekly Breakfast and lunch menu - seems in the wrong place. Page 16-11? Seems like this should be part of section House Rules. - Are chores paid or unpaid - missing. - How are clients notified about earned chores monies - missing. ****** NUTRITION/SAMPLE MENU Section 19 [CCR 80022(b)(9), 80076(a)(5) & (6)] You have this numbered Section 17 o Portion sizes Missing CLOTHING & INCIDENTALS Section You have this numbered Section 18 - Children's uniform? - If children this is a personal rights concern. - Page 18-1 second paragraph - Concerns regarding dress code should be included in house rules. - Page 18-1 third paragraph - typing errors. - Describe how the program ensures that children have adequate clothing. - Page 18-3 notes 1 pair of black jeans and one pair of black jean shorts however, you previously note that children need to be in uniform daily. You also note laundry is done on Saturday how is 1 pair of black jeans and 1 pair of black jean shorts meeting the clients need for adequate amount of clothing? - Describe how the program provides personal hygiene items (for example, shampoo, and deodorant) - missing. - Personal hygiene items (what is provided and what are optional) missing. - How will the facility ensure quantity and quality clothing necessary based on seasons missing. - How does the client have a say in the choice of articles of clothing - missing. A. STAFFING/ADMINISTRATIVE ORGANIZATION STAFF SCHEDULE (LIC500 - Optional) Section 21 - You have as section 19. - Live-In Counselors where is their room? Floor plan only shows client rooms and staff office. - Throughout the Program Statement you use the following staff titles these are not listed in the staff schedule. When will they be onsite? - LIC 500 lists everyone as caregiver except Administrator. - Page Caseworker - The caseworker will... manage their time properly looks like sentence is not complete. ****** Counselors (you have live-in counselors) are they the same? Please be consistent with title. Are all counselors live-in? LIC 500 does not reflect live-in counselors. Supervisors - is this Facility Supervisor? - please be consistent Assistant Director Houseparent School liaison worker - Specify the number of hours the program administrator will be at the facility each week - You note Administrator is at facilities on an as needed basis. - Specify the number of facilities for which the administrator is responsible. - Missing - Work hours/shifts - not clear with how information is written. STAFF QUALIFICATIONS Section You have this as section 20. No information provided. - Provide copies of resumes or job applications for all childcare workers, social work staff, mental health treatment workers, administrators, and consultants. If employees have not started work, provide a letter of acceptance/commitment for the position. - Specify the number of hours the program administrator will be at each facility each week, performing administrative duties. - Minimum Qualifications for each staff position listed on the LIC500. - Abuse reporting requirements - Number of hours the facility administrator will be at the facility performing administrative functions (not the same as section 21) JOB DESCRIPTIONS Section 23 [CCR 8022(b)(5), 80066(a)(8), 84064, 84064.1, 84064.2, 84065, 84065.1, 84164,84164.1, 84165, 84165.1] You have this as Section You have several named positions throughout the Program Statement, not all are provided job descriptions in this section. ****** Provide JOB DESCRIPTIONS for each classification to be used by the program. Each JOB DESCRIPTION must include: o Duties and responsibilities o Minimum Qualifications, including special licenses or certifications required by the profession. o Special skills needed to perform the job. o Lines of supervision Clinical Psychologist - according to the section staff schedule this position is not an employee of the facility. Please note that in the description. - How often do they meet with children? - Since this is a contracted position (assumed) who is it contracted through. How are services provided - (in house/ at their office). Please provide more details. - You note must be willing to accept Medical what if client doesn't have Medical? Secretary/ Bookkeeper - information meets requirements. Executive Director - Not listed on the LIC In section staff qualifications you note Executive Director is the Administrator information below is based upon that information. - Who does the Executive Director report to? Board? - Second bullet you refer to facility as Socal Kids Oasis, LLC Childcare Network, Inc. - Last bullet discusses developing new childcare facilities - is this a typo? - Does not state number of hours administrator will be on site. - Please review all regulations regarding Administrator qualifications to ensure they are met. Facility Supervisor - Please review 84065 to ensure Duties and qualifications are met. Agency staff - No information provided. Counselors - No information provided. Caseworker - No information provided. ****** Supervisors - No information provided. Assistant Director - No information provided. Houseparent - No information provided. School liaison worker - No information provided. Counselor III - No information provided. Caregiver - No information provided. Live-In Counselors - No information provided. Night watch - No information provided. Behavior Consultant - No information provided. Social Services' staff - No information provided. Case Manager - No information provided. Direct Care Staff - No information provided. ****** IN-SERVICE TRAINING FOR STAFF/ADMINISTRATOR Section 24 [CCR80022(b)(6), 84065(d)(3), 84065(h)-(k), 84064.3, 84065.1, 84165, 84265] You have this as Section Section 22 page 2? - typos 84065(d)(3) - missing. - Complete description of the training plan to include initial and annual training for all positions within the agency. The written plan does not address what is initial and what is annual training. - Which staff will be trained, how determined, and who will train Missing. - Topics covered (submit one-month training schedule) and length of each training Missing. - How special training needs are identified and then training met to address Missing. - Facility manager training plan (and required documentation therein) Missing. - Intervention training (If the provider will be serving aggressive clients, the applicant needs to address an intervention system- such as CPI or ProACT- into their program, and identify staff training and monitoring of the interventions, and admission procedures for ensuring compatibility.) No mention if this is or is not part of training or if these interventions are used. ADMINISTRATION Section 25 [CCR 80022(b)(4), 80018(d)(2)] - Names, addresses (business and residence) and telephone numbers of all corporate officers or partners, as appropriate*; Missing - Names of all members of the Board of Directors*; Missing - Names and positions of any paid staff who are board members or related to board members, Missing. - Copies of the articles of incorporation and bylaws. Missing VOLUNTEERS Section 26 [CCR80065(c)] You have section listed as Section 24 ****** CONTROL OF REAL PROPERTY Section 27 [CCR 80018(d)(3)] You have section listed as Section FACILITY SKETCH (LIC 999 - optional) Section 28 [CCR 80022(b)(7) and (8)] - Dimensions missing BOARD OF DIRECTOR'S STATEMENT Section 29 [CCR 84018(c)] - Provide a copy of the signed Board of Directors statement (LIC 9165) from each member of your board of directors. - Missing OTHER REQUIREMENTS: Neighborhood Complaint Policy (6 bed facility or less/non-owner occupied) Missing. - Who is designated and phone number for contact (not the facility #) - Days and times available at the facility to address complaints/concerns. - How will complainant be notified of findings (phone or in writing) - Timelines for notification of findings articulated. - Complaints/concerns documented and kept on file. Bacterial analysis of Water NA Orientation Certificate MET Administrator Certification - MET ****** OTHER CONCERNS: - Administrator qualifications - unsure if Ms. Dupree meets qualifications no education listed on LIC501. - The binder is not tabbed as requested. - Some pages are missing page numbers, some have them on the top of the page and some are in the middle of the page. - Multiple spelling, grammatical errors, and typos throughout the program statement Some places children are referred to as children other locations referred to as consumers, other places referred to as residents please be consistent throughout. - Any use of acronyms needs to be written out the first time they are used to ensure understanding. - Some places capacity is listed as 4 other places it is listed as 6. - Some places Ms. Dupree titles herself as owner/licensee/ Administrator - Unclear if she is administrator for both additional ARF's. - Age range in some places 7-16 and in others +4, 10-17 - You refer to line staff and supervisory staff, managerial staff, placement staff, admissions committee, treatment team, who is part of these? - Some places you refer to facility as Socal Oasis Home, LLC Childcare Network Inc. other places you refer to the facility to Socal Oasis Home, LLC. Please be consistent. - Section 7 page 7-1 first paragraph you refer to Board of Directors no board information provided. Applicant informed LPA that a copy of the articles of incorporation noting she is the only board member would be submitted to LPA by end of day. Applicant acknowledged the needed revisions and applicant agreed to provide revisions to LPA by March 5, 2024. LPA emailed a copy of this report to applicant for signatures. Signed copy will be placed in facility file.

met_with: Tiffany Dupree


state: CA

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, Nicole Strickland conducted a technical assistance meeting virtually via Microsoft Teams with SoCal Oasis Home LLC., applicant Ms. Tiffany Dupree. The Purpose of the meeting was to discuss and review the following pending application and Program Statement revisions: A1. LIC Application - MET A5. Affidavit Regarding Client Cash Resources (LIC400) - MET A6. Surety Bond (LIC402) Met. A7. Monthly Operating Statement (LIC401) - Operating Revenues should be in box Estimated not actual - #1 should be 9912 not $9943.92 - Total in #6 should be $54,912.00 - Operating Costs should be in box Estimated not actual - #36 should be $5,695.00 not 0 - #37 should be $20,674.00 not $11,290.00 - #38 should be $34,238.00 not $26,269.00 - LIC 401 for each Community Care Facility the applicant operates. - A10. LIC Personnel Report - LIC 500 for each Community Care Facility the Applicant or Administrator operates. ****** A11. Personnel Record (LIC501)- No correction made from 1st review still same issue as previously noted. - Marked not 18. A12. Health Screening Report-Facility Personnel (LIC503) No correction made from 1st review still same issue as previously noted. - On Administrator - Health Screening is from 2021 and information on form is regarding the ARF. Part I.PROGRAM IDENTIFICATION Section 1. - Page 5 not signed. (can sign in when in person) Part IIPROGRAM, SERVICES AND CAPABILITIES Section 2. - Page 10 not signed. (can sign in when in person) Part IIIA. PROGRAM DESCRIPTION PLANNED ACTIVITIES/USE OF COMMUNTIY RESORUCES Section 4 [CCR80022(b)(13), 84065(e), 84079] - a monthly schedule for indoor and outdoor activities Missing MEDICAL/DENTAL Section 6 - Use of Psychotropic Medication Administration Records (PMAR LIC 622B) - you mention the MARs but no mention of PMAR - - A copy of the current court order, or written authorization of the child's parent or guardian, for each psychotropic medication, as defined in Section 84001(p)(4). Missing how you will ensure that there is a current copy. - Medical and dental insurance coverage information, or information regarding the agency or person responsible for medical and dental costs. Missing how you will ensure that this is completed. ****** B. ADMISSION/ASSESSMENT/DISCHARGE POLICIES AND PROCEDURES NEEDS & SERVICE PLANS/ASSESSMENT Section 9 [CCR 84022(b)(2)] - your section 9 discusses staff positions, briefly discusses training and responsibilities. - Development, Review & Implementation Procedures (identification of needs and services to meet those needs, how initial and modified needs and services implemented) - How client and authorized representative be utilized in developing, updating and modifying the needs and services plan. - How the facility will ensure that the services meet the individual treatment needs - How will the facility ensure that client's voice is heard? - How will the facility ensure that the needs identified are consistent with Regional Center IPP? - Procedures for reviewing and evaluating needs & services (how often and what happens when it is identified that a change is needed) HOUSE RULES Section 12 - Policy of allowing children to be unsupervised away from the facility including issuing passes to children. Missing - Dating other children in placement Missing - Chores and cleaning of own personal space (bedroom) Missing C. GENERAL POLICIES AFFECTING CHILDREN PLACED DISCIPLINE POLICIES Section 13 [CCR 80072(a)(3), (7)-(8), 84072, 84072.1] - You mention code of conduct several times. What is the facility's code of conduct? Where is a copy of this? Are the resident's given a copy or is it posted? Please provide information if this is used as part of your discipline policy. - Page Examples of Positive Reinforcement / Quality Time / and Celebrating Achievements you refer to your child this may be a typo? - Type of Discipline NOT permitted (corporal punishment and/or personal rights) - Missing. ****** EMERGENCY INTERVENTION PLAN Section 14 [CCR 84300(d), 84300.1, and 84322] - Page 59 bullet Quiet Time seems like f. and g. may be in the wrong place. - Page 61 you refer to a "General Residential Operation Parent, Guardian or Managing Conservator Handbook" please provide a copy to CCL. - Under Procedure - first line you refer to Childcare Administrator - is this separate position from Administrator? - also mentioned on page 64 under Evaluation, again on page 65 under All Time-Outs number 2. Page 66 1st sentence and bullet b. Please be consistent with title if it is the same position. - Page 63 1st paragraph after bullets notes that staff may grasp child's forearm to remove a dangerous object. You may want to omit this statement as it could be viewed personal rights violation. - Page 66 2nd paragraph beginning with The SoCal begins to discuss a child being transferred between the nonsecure and secure program - not sure what is meant by this. Does SoCal offer two different types of programs? - Calls to Law Enforcement - When or How to Involve Missing - Name and qualifications of the individual who designed the Emergency Intervention Plan and will be providing training to staff Missing RUNAWAY PLAN Section 15 [CCR 84322.2] - Page 69 starts with Division 1: Reporting - not sure if this is supposed to be here? Seems out of place. - Page 69 #4 states This may involve physically blocking exits - this is a violation of personal rights. Please adjust. - Page 70 #6, #4, and #4 refers to childcare administrator - is this the administrator or a second staff position? - Page 71 1st paragraph you refer to signing "Statement acknowledging Requirements to Report Suspected Physical Abuse of a Dependent Adult. - Typo? - Page 71 under Financial Abuse you refer to adults financial, dependent adult, and adult protective services - Typos? ****** RUNAWAY PLAN Section 15 - CONTINUED - Page 74 paragraph beginning with Verbal reports refers to home administrator - is this the administrator or a separate staff position? - Page 74 paragraph beginning with Verbal notes written reports must be submitted to CCLD within 48hours. Regulation is within 24 hours. - Page 74 paragraph beginning with Verbal refers to Childcare administrator - is this the administrator or a separate staff position? - Page 75 4th, 5th, and 6th bullet refers to elder and/or dependent adult's - typo? - Page 75 paragraph starting with Special incident reports - wrong email address for electronic submission to CCL. - When and how client's absence first noted Missing - Actions to locate client Missing - Runaway training plan Missing CHILDREN'S COMPLAINT/GRIEVANCE PROCEDURES Section 16 [CCR 84072 and 84072.2] - Where are Complaint/Grievance forms kept for easy access Missing - No information on maintaining copies of signed complaint/grievance procedure being maintained and where maintained. CHORES Section 18 - Are chores paid or unpaid - missing. D. STAFFING/ADMINISTRATIVE ORGANIZATION STAFF SCHEDULE (LIC500 - Optional) Section 21 - Specify the number of facilities for which the administrator is responsible. - Missing STAFF QUALIFICATIONS Section 22 - Minimum Qualifications for each staff position listed on the LIC500. - Childcare staff - You discuss training of Childcare staff but I do not see where you list what their minimum qualifications are. ****** JOB DESCRIPTIONS Section 23 [CCR 8022(b)(5), 80066(a)(8), 84064, 84064.1, 84064.2, 84065, 84065.1, 84164,84164.1, 84165, 84165.1] - Social work staff missing lines of supervision - Support Staff - this is the first mention of this position, missing lines of supervision - Facility Manager - you discuss training but do not mention their duties. - Childcare staff missing lines of supervision - Administrator - missing lines of supervision INSERVICE TRAINING FOR STAFF/ADMINISTRATOR Section 24 [CCR80022(b)(6), 84065(d)(3), 84065(h)-(k), 84064.3, 84065.1, 84165, 84265] - How special training needs are identified and then training met to address Missing. - Intervention training (If the provider will be serving aggressive clients, the applicant needs to address an intervention system- such as CPI or ProACT- into their program, and identify staff training and monitoring of the interventions, and admission procedures for ensuring compatibility.) No mention if this is or is not part of training or if these interventions are used. ADMINISTRATION Section 25 [CCR 80022(b)(4), 80018(d)(2)] - Copies of the articles of incorporation which includes Constitution and bylaws. Missing OTHER REQUIREMENTS: Neighborhood Complaint Policy (6 bed facility or less/non-owner occupied) Missing. - Who is designated and phone number for contact (not the facility #) - Days and times available at the facility to address complaints/concerns. - How will complainant be notified of findings (phone or in writing) - Timelines for notification of findings articulated. - Complaints/concerns documented and kept on file. Lpa N. Strickland reminded Ms. Dupree that all changes to the program statement should be highlighted for easy reference. LPA and Ms. Dupree also discussed a due date of may 6, 2024 to which Ms. Dupree felt capable of meeting. Ms. Dupree stated she had no further questions. A copy of this report was emailed to Ms. Dupree for signature and original will be p;aced in facility file.

report_type: Facility Evaluation


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, Nicole Strickland conducted a technical assistance meeting with SoCal Oasis Home LLC., applicant Ms. Tiffany Dupree. The Purpose of the meeting was to discuss and review the following pending application and Program Statement revisions. A1. LIC Application - MET - #1 has individual's name needs to be licensee's name (can write in when we are in person) - Title is missing on the signature line (can write in when in person) A7. Monthly Operating Statement (LIC401) - Operating Revenues should be in box Estimated not actual. - Slightly concerned with the $ total for salaries and wages. Operating statement notes $9500. LIC 500 has 6 full-time employees. 6*40=240hrs a week. 240*4 weeks = 960 hrs per month if salary total is 9500 monthly that would mean all six employees would be making just over $10 and hr which does not meet minimum wage. - Monthly Operating statement for Positive Impact home should be an actual operating expense for the facility not an estimated and numbers should not be identical to the LIC401 estimated for SoCal. - No 401 for Concept of Life. A10. LIC Personnel Report LIC 500 for each Community Care Facility the Applicant or Administrator operates. - Submitted Positive Impact Home LLC - Lists all positions as to be hired. This facility is licensed need most current LIC500.****** PROGRAM DESCRIPTION PLANNED ACTIVITIES/USE OF COMMUNTIY RESORUCES Section 4 - Still missing schedule or calendar of activities ADMISSION/ASSESSMENT/DISCHARGE POLICIES AND PROCEDURES NEEDS & SERVICE PLANS/ASSESSMENT Section MET - But have questions - Still have information such as facility manager requirements in this section. This section is specifically for Needs and service plan. Also, while you have the needed information regarding the needs and service plan you refer to it only as the IPP. How are you going to ensure the required items for the Needs and service plan are included in the IPP? Are you doing two separate plans for each child? GENERAL POLICIES AFFECTING CHILDREN PLACED DISCIPLINE POLICIES Section 13 - Type of Discipline NOT permitted (corporal punishment and/or personal rights) - Missing. EMERGENCY INTERVENTION PLAN Section 14 - Name and qualifications of the individual who designed the Emergency Intervention Plan and will be providing training to staff Missing Should have a statement similar to something like the Emergency intervention plan was designed by _____ and all staff will be trained on facilities Emergency intervention plan as part of the onboarding training provided by ______. RUNAWAY PLAN Section 15 - Page 75 4th, 5th, and 6th bullet refers to elder and/or dependent adult's - typo? STAFFING/ADMINISTRATIVE ORGANIZATION STAFF SCHEDULE (LIC500 - Optional) Section 21 - Specify the number of facilities for which the administrator is responsible. - Missing LIC 500 for Concept for Life, LIC 500 for Positive Impact is not correct. ****** OTHER REQUIREMENTS: Neighborhood Complaint Policy (6 bed facility or less/non-owner occupied) Missing. Can add info to section 16. - Who is designated and phone number for contact (not the facility #) - Days and times available at the facility to address complaints/concerns. - How will complainant be notified of findings (phone or in writing) - Timelines for notification of findings articulated. - Complaints/concerns documented and kept on file. Lpa N. Strickland reminded Ms. Dupree that all changes to the program statement should be highlighted for easy reference. LPA and Ms. Dupree also discussed a due date of May 31, 2024 to which Ms. Dupree felt capable of meeting. Ms. Dupree stated she had no further questions. A copy of this report was emailed to Ms. Dupree for signature and original will be placed in facility file.

met_with: Ms. Dupree


summary: Facility Evaluation

raw_content:
Narrative:
On July 03, 2024 at 12: PM, Licensing Program Analyst (LPA) Rachel Vanegas and Licensing Program Manager (LPM) Nicole Strickland arrived at SoCal Oasis Home LLC. LPA and LPM were greeted by Tiffany Dupree, Licensee. The purpose of this visit was to conduct a scheduled pre-licensing inspection. This facility is applying for a license to operate a Group Home (GH) with a capacity of six clients. The facility was toured inside with Licensee. During further discussion with Licensee, LPA, and LPM it was concluded that the facility floor plan initially submitted is not the current layout of the facility. Licensee will inform LPM N. Strickland by Friday July 5, 2024, if licensee will make necessary changes to the facility layout or submit a new facility sketch for review and approval. Once licensee provides information licensee will discuss timeline for potential changes to facility. LPA and LPM will return at a later date to resume the pre-licensing visit and complete the CARE Tools Pre-Licensing inspection at that time. An exit interview was conducted with licensee and a copy of this report was reviewed and provided to Tiffany Dupree.

visit_type: Prelicensing

met_with: Tiffany Dupree - Licensee


summary: Facility Evaluation

raw_content:
Narrative:
On July 12, 2024 at 10: AM, Licensing Program Analysts (LPAs) Jason Dalton and Rachel Vanegas and Licensing Program Manager (LPM) Nicole Strickland, arrived at SoCal Oasis Home LLC. LPAs and LPM were greeted by the applicant, Tiffany Dupree. The purpose of this visit was to conduct a scheduled pre-licensing inspection. This facility is applying for a license to operate a Group Home with a capacity of six clients. The facility was toured inside and out led by Ms. Dupree. Facility is composed of 5 bedrooms, on two floors. The first floor is composed of a living room area for client activities, kitchen, large table and six chairs, half bath, locked closet where emergency supplies are stored, and also access to the garage which is off limits to residents. The second floor contains a staff area with a desk, a loft for activities, 4 bedrooms, full bath located in the Master Bedroom and a full bath in the hallway for client use. Client records, and other documentation needing to be secured will be secured in a locking file cabinet on the first floor. Bedrooms are arranged so that no more than two clients share a room and there is one client per bed. Applicant was made aware that clients of opposite sex, over the age of 5, require separate bedrooms. No room commonly used for other purposes is used as a bedroom and no bedroom serves as a passageway to another room. There were adequate drawers and closet spaces for clients' belongings. · Bedroom #1- It consisted of a 1 bed(s). The bed had linen, comforters, and pillows. It will sleep 1 client. · Bedroom #2- It consisted of 2 bed(s). The beds had linen, comforters, and pillows. It will sleep 2 clients. · Bedroom #3- It consisted of 1 bed(s). The bed had linen, comforters, and pillows. It will sleep 1 clients. · Bedroom #4- It consisted of 1 bed(s). The bed had linen, comforters, and pillows. It will sleep 1 clients. · Bedroom #5- It consisted of 1 bed(s). The bed had linen, comforters, and pillows. It will sleep 1 clients. . All hazardous items will be stored in the kitchen in a locked cabinet inaccessible to clients in care. First Aid kit at the facility was inspected and was missing the thermometer, applicant will provide documentation of purchase of thermometer. There are no guns or weapons as stated by Ms. Dupree The hot water was at a temperature of 115.7 degrees Fahrenheit. Proper storage of all food was observed. The kitchen area was observed to have plenty cabinets for snacks and storage. The kitchen had a trash can with lid for waste. Sharp objects including knives and cleaning supplies will be stored in a locked kitchen cabinet. Kitchen was observed to have appropriate amount of non-perishable food. At this time there are no clients and therefore there is no perishable food on grounds. The smoke and carbon monoxide detectors were tested and are in working order during the time of the inspection. LPAs observed safe, clean, and age-appropriate educational supplies and games for the age group of clients to be cared for inside facility. The facility outside grounds were also inspected and it was observed to be clean and well maintained. There is no pool or other bodies of water. Based on LPA's observations, the following items are needed to be posted, personal rights, emergency identification plan, grievance policy, visitation plan, and updated facility sketch, and once clients are present applicant will have menu posted. Ms. Dupree will email LPM Strickland photographs of the corrections. A Component III Orientation needs to be scheduled when the corrections are completed. After a final file review, the facility will be submitted for licensure. Exit interview conducted a copy of this report was provided to Ms. Dupree.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Manager (LPM) Nicole Strickland met with Licensee, Ms. Tiffany Dupree virtually via Microsoft Teams to conduct a Group Home Orientation Component III training. During the Component III virtual training LPM presented Group Home Component III Power Point presentation discussing each slide and answering Ms. Dupree's questions. At the end of the presentation Ms. Dupree acknowledged an understanding of presented information. LPM emailed Ms. Dupree a copy of Component III handout and a copy of Children's Residential Forms list handout. Additionally LPM emailed a copy of this report to licensee for signature. Signed copy of report will be placed in facility file.


summary: Facility Evaluation

raw_content:
Narrative:
On December 31, 2024, at 9: AM, Licensing Program Analyst (LPA) Cynthia Velasquez arrived at SoCal Oasis Home LLC. LPA was greeted by the Administrator (ADM), Tiffany Dupree. The purpose of this visit was to conduct a scheduled pre-licensing inspection. This facility is applying for a license to operate a Group Home with a capacity of six clients. (Relocation of facility) The facility was inspected with the assistance of Tiffany Dupree. Facility is composed of 4 bedrooms, and 2 full bathrooms. The home is comprised of a front room which adjoins to the dining area for 6. There is an open kitchen with an island for storage and cooking/homework area. The living room area is arranged for client activities; a television, couches, and bookshelves will contain games and reading materials, with age-appropriate themes. There are 2 locked closets where emergency supplies are stored, first-aid kit, sundries, and extra bedding. There is a 3-car garage which may be used in the future as a recreation area with pool tables and video gaming areas. Client records, and other documentation needing to be secured is locked in a file cabinet. Bedrooms are arranged so that no more than two clients may share a room, and there is one bed per client if needed. Applicant was made aware that clients of opposite sex, over the age of 5, require separate bedrooms. No room commonly used for other purposes is used as a bedroom and no bedroom serves as a passageway to another room. There were chest of drawers and closet space for each client, and the following was noted in each room: · Bedroom #1- Comprised of 1 twin and 1 full-size bed. Both beds had comforters, sheets, pillow shams, accent pillows, and mattress covers. There was a television with a wooden shelving next to it for displaying art, statues, or books. This room also contained a walk-in restroom with a separate shower, tub, and toilet. Bedroom #2- Comprised of 1 full-size bed. The bed had a comforter, sheets, pillow shams, accent pillows, and mattress cover. There was a chest of drawers, and the room was able to accommodate more drawers or space for equipment (sports) and an additional bed. · Bedroom #3- Comprised of 1 full-size bed. The bed had comforters, sheets, pillow shams, accent pillows, and mattress cover. There was a chest of drawers, as well as a night stand. There is room for additional storage, play equipment or even an additional bed. · Bedroom #4- Comprised of 1 full-size bed. The bed had comforters, sheets, pillow shams, accent pillows, and mattress cover. There was a chest of drawers, and the room was able to accommodate for more drawers, space for equipment (sports) or even an additional bed. All hazardous items will be stored in the hallway, which locks and is inaccessible to clients in care. The First Aid kit at the facility was inspected. There were bandages, adhesive tape, sterile tweezers, a forehead thermometer, and mouth thermometer, as well as a User's Manual. There are no guns or weapons on the premises. The hot water was at a temperature of 108.4 degrees Fahrenheit. Proper storage of all food was viewed and there are 2 refrigerators with adjoining freezers on the premises. All units were clean and there was no spoiled food detected. The kitchen area was observed to have plentyof cabinets for snacks and storage. The kitchen had a trash can with lid for waste. Sharp objects including knives and cleaning supplies will be stored in a locked closet. Kitchen was observed to have appropriate amount of non-perishable food. There is no perishable food on grounds currently but will be in supply upon client arrival. The smoke and carbon monoxide detectors are working and are present in the hallway, as well as in each of the 4 bedrooms. Two fire extinguishers were checked and were all charged. LPAs observed safe, clean, and age-appropriate educational supplies, books, and games for the age group of clients to be cared for inside facility. The facility's outside grounds were also inspected and it was observed to be clean and well maintained. There is no pool or other bodies of water. Based on LPA's observations, there are no deficiencies at this time. All personal rights posters, Ombudsman, and license were posted in a visible area. An exit interview was conducted, and a copy of this report was provided to Administrator, Tiffany Dupree.

met_with: Tiffany Dupree, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On February 24, 2025, at 10:00AM, Licensing Program Analyst (LPA) Cynthia Velasquez, arrived at SoCal Oasis LLC for an unannounced post-licensing inspection. LPA was granted access to the facility by Administrator (ADM), Tiffany Dupree. LPA explained the purpose of the inspection. LPA was provided a workspace in the staff office. The facility currently has one client [client 1 (C1)] admitted temporarily as a Respite Care Client. The facility was toured both inside and out with ADM at 11: AM. During the inspection, ADM was present and interviewed. The home is set up with four bedrooms, consisting of: · Bedroom #1- a dresser, closet, single bed with bed had linen, comforters, and pillows. It will sleep two clients. · Bedroom #2- two dressers, two single beds with bed had linen, comforters, and pillows. It will sleep two clients. · Bedroom #3- a dresser, closet, single bed with bed had linen, comforters, and pillows. It will sleep one client. · Bedroom #4- two dressers, two single beds with bed had linen, comforters, and pillows. It will sleep one client. There is no pool or other bodies of water. The home is comprised of a front room which adjoins to the dining area for 6. There is an open kitchen with an island for storage and cooking/homework area. The living room area is arranged for client activities; a television, couches, and bookshelves will contain games and reading materials, with age-appropriate themes. There are 2 locked closets where emergency supplies are stored, first-aid kit, sundries, and extra bedding. There is a 3-car garage which may be used in the future as a recreation area with pool tables and video gaming areas. Client records, and other documentation needing to be secured is locked in a file cabinet. Bedrooms are arranged so that no more than two clients may share a room, and there is one bed per client if needed. Applicant was made aware that clients of opposite sex, over the age of 5, require separate bedrooms. No room commonly used for other purposes is used as a bedroom and no bedroom serves as a passageway to another room. There were chest of drawers and closet space for each client. All hazardous items will be stored in the hallway, which locks and is inaccessible to clients in care. The First Aid kit at the facility was inspected. There were bandages, adhesive tape, sterile tweezers, a forehead thermometer, and mouth thermometer, as well as a User's Manual. There are no guns or weapons on the premises. The hot water was at a temperature of 107 degrees Fahrenheit. Proper storage of all food was viewed and there are 2 refrigerators with adjoining freezers on the premises. All units were clean and there were no spoiled food detected. The kitchen area was observed to have cabinets for snacks and storage. The kitchen had a trash can with lid for waste. Sharp objects including knives and cleaning supplies will be stored in a locked closet. Kitchen was observed to have appropriate amount of non-perishable food. There are perishable food on grounds, fresh fruit and refrigerated items were in supply upon arrival. The smoke and carbon monoxide detectors are working and are present in the hallway, as well as in each of the 4 bedrooms. Two fire extinguishers were checked and were all charged. LPA observed safe, clean, and age-appropriate educational supplies, books, and games for the age group of clients to be cared for inside facility. The facility's outside grounds were also inspected and it was observed to be clean and well maintained. All personal rights posters, Ombudsman, and license were posted in a visible area. Based on LPA's observations, there are no deficiencies at this time. An exit interview was conducted, and a copy of this report was provided to Administrator, Tiffany Dupree.


summary: Facility Evaluation

raw_content:
Narrative:
On October 30, 2025, Licensing Program Analyst (LPA) Cynthia Velasquez arrived unannounced and met with Bertha Garcia, Lead Facility Manager, to discuss the Technical Support Program (TSP). The purpose(s) of the TSP was explained and if agreed to, LPA will begin referral. Response should be received within 10 business days, or the referral will be closed. The facility will not be cited for any violations being worked on during the TSP process. This citation hold does not absolve the facility from being cited on separate issues or for Type A citations. A copy of LIC809 was reviewed and copies given to Bertha Garcia, Lead Facility Manager.

visit_type: Case Management

met_with: Bertha Garcia, Lead Facility Manager


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Continued from LIC Confidential interview declared that prior to putting client into the car to seek medical attention, staff placed their purse and bag in the front seat. Confidential interview recounted that staff assisted client in their car seat and buckled their car seat belt. Confidential interview communicated that the back windows were slightly down. Confidential interview described closing the back door and then attempting to open the driver's side door and it was locked. Confidential interview stated that the car key was inside of the bag placed in the front seat. Confidential interview declared that an attempt to unlock the door from the back window was unsuccessful. Confidential interview disclosed that the fire department was contacted, and they arrived within 3-4 minutes. Confidential interview declared that the fire department opened the door, and the key was retrieved from the staff's bag. Confidential interview declared that staff drove C2 to the doctor for an ankle injury. Another confidential Interview disclosed that staff would not intentionally leave clients locked in a vehicle. Confidential interview communicated that the occurrence was an accident and that the staff acted swiftly and appropriately to ensure client's safe removal from the vehicle in a few minutes. Record review of incident confirmed that fire department arrived and C2 was attended to within minutes. No injuries to C2 were noted. Based on confidential interviews and record review, the allegation that staff did not prevent a minor from being locked inside of a vehicle may have occurred or is valid, however there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated. A copy of this report and appeal rights were discussed and provided to So Cal Oasis Home, LLC, Bertha Garcia, Facility Manager.

Investigation Findings:
13On November 25, 2025, at 1: PM, Licensing Program Analyst (LPA) Cynthia Velasquez met with SoCal Oasis Home, LLC, Bertha Garcia, Facility Manager, to deliver the findings for the above identified complaint allegation. On 09/02/2025, an inspection of the facility was conducted; no immediate health and safety hazards were observed. The investigation included interviews with Staff (S1), (S2) and Client 1 (C1). Client 2 (C2) was unable to be interviewed due to their age and limited verbal abilities. Pertinent documents and rosters were gathered. On August 25, 2025, the Department received an allegation that staff did not prevent a minor from being locked inside of a vehicle. Specifically, it was reported that C2 was locked inside of a car for five minutes with the windows down. Continued on LIC9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Cynthia Ann Velasquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: SOCAL OASIS HOME LLCFACILITY NUMBER: VISIT DATE: 11/25/2025

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

report_type: Complaint Investigation

met_with: Bertha Garcia, Facility Manager

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On April 8, 2026, at 12: PM Licensing Program Analysts (LPA's) Jessica Peete and Cynthia Robinson arrived unannounced to SoCal Oasis Home LLC Group Home. The LPA's were greeted and granted entry into the facility by the Facility Manager Bertha Garfias, the Administrator, Tiffany Dupree, arrived at the facility at 2: PM to assist with the visit. Upon entering, the LPA's observed that the group home is a locked facility requiring two sets of keys held by staff to let anyone in or out. According to the Licensee, the facility became locked on 04/06/2026 because a client (C1) attempted to leave facility grounds without supervision. According to the licensee the preventive measure in place is the security alarm system on the front door that notifies when it is opened. Due to this the facility is being cited with a type A violation from Title 22, Division 6, Chapter 5, Article 06. Continuing Requirements, Personal Rights (d)(23) The licensee shall ensure that each child, regardless of whether the child is in foster care, is accorded the personal rights...To not be locked in any room, building, or facility premises at any time, unless the child is placed in a community treatment facility. Please see LIC 809D for the deficiency page. An exit interview was completed copy of this report, the appeal rights, and the LIC 809D, was explained and provided to the Administrator Tiffany Dupree.

met_with: Administrator Tiffany Duppre and Facility Manager Bertha Garfias


summary: Facility Evaluation

raw_content:
Narrative:
On April 10, 2026, at 11: AM, Licensing Program Analyst (LPA) Jessica Peete arrived unannounced at SoCal Oasis Home LLC Group Home to conduct a plan of correction case management visit. No one was present at the facility when LPA arrived. At 11: AM, LPA called the Administrator, Tiffany Dupree, who informed LPA that staff were not at the facility because the three children in placement were in school. At 11: AM, the Facility Manager, Bertha Garcia, arrived and granted LPA entry into the facility. LPA's Peete and Robinson previously visited the facility on 04/08/2026. During that visit, LPA's observed that the group home is a locked facility requiring two sets of keys held by staff to let anyone in or out. The facility was cited with a type A violation of Title 22, Division 6, Chapter 5, Article 06. Continuing Requirements, Personal Rights (d)(23) The licensee shall ensure that each child, regardless of whether the child is in foster care, is accorded the personal rights...To not be locked in any room, building, or facility premises at any time, unless the child is placed in a community treatment facility. LPA completed a health and safety inspection of the facility, and no immediate health or safety concerns were observed. Additionally, LPA observed that the type A violation has been corrected. The dead bolt has been removed from the front entry door and replaced with a standard entry child-proof door knob. Based on LPA's observation, the Type A violation has been cleared, and no other deficiencies were cited. An exit interview was completed, a copy of this report, the appeal rights, and deficiency clearance letter was provided to the Facility Manager, Bertha Garcia.

met_with: Facility Manager, Bertha Garcia


facility_name: SOJOURNERS HAVEN GROUP HOME

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
On February 16, 2021, CCL received an allegation that staff (Staff #1 [S1]) neglected a minor (Child #1 [C1]) resulting in a death. Specifically, it was reported C1 was found hanging in C1's bedroom closet by group home social worker [S1]. Record review revealed S1 was the only staff at the facility at the time of the incident with three residents. A record review and information obtained from confidential interviews revealed S1 remained in the staff office the majority of S1's shift only exiting the office at 8:28 am to assist C1 with breakfast and at 9:29 am to assist C3 with retrieving paper towels from the garage and to assist with medication disbursement. Record review revealed at 12:37pm C2 called for S1 due to not being able to locate C1 and it was at that time S1 left the staff office and found C1 hanging in the closet. Observation of video footage provided by the facility confirms timeline noted in record review. Record review of the needs and services plan for C1 notes that safety checks are done every 15-30 minutes. Confidential interviews report that safety checks consist of opening the resident's bedroom doors and placing eyes on the resident. Confidential interviews report on the date of the incident S1 did not conduct the safety checks as required by the needs and services plan for C1. Based on record review, observation of video footage, and confidential interviews the allegation that staff (Staff #1 [S1]) neglected a minor (Child #1 [C1]) resulting in a death is substantiated. The preponderance of evidence standard has been met. Facility is cited for violation of Interim Licensing Standards(ILS), Regulation 87078(b) Responsibility for Providing Care and Supervision (b) The licensee shall provide those services identified in each child's or nonminor dependent's needs and services plan, or Transitional Independent Living Plan, as necessary to meet the child's or nonminor dependent's needs. A civil penalty (LIC 451D[CRP]) is being assessed as prescribed by California Health and Safety Code Section 1548(e) or (f). An Enhanced Civil Penalty (ECP) determination is pending. If an ECP is assessed a Community Care Licensing (CCL) representative will return to the facility to deliver the penalty assessment. A copy of the report was discussed and provided along with appeal rights to Sojourners Haven Group Home Sojourners Haven Group Home, Facility Manager III, Sherrae Smith

Investigation Findings:
13On July 26, 2021, Licensing Program Analyst (LPA) Nicole Strickland met with Sherrae Smith to deliver an amending report that was originally delivered on July 23, 2021. On July 23, 2021 at 2:00pm Licensing Program Analyst (LPA), Nicole Strickland, met with Sojourners Haven Group Home, Facility Manager III Sherrae Smith, to deliver the findings for the above stated allegation. The investigation was conducted Community Care Licensing (CCL) Investigation Branch Special Investigator (SI) Brittany Hudec. The investigation included interviews with Riverside County Sheriff's Department, Riverside County Fire Department, San Bernardino Out of Home Investigator, San Bernardino County Social Worker, two of three residents (Child #2 [C2] and Child #3 [C3]), two staff members (Staff #1 [S1], Staff #2 [S2]) and Administrator. In addition, county records, medical records, and facility records were reviewed. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Nicole Strickland LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: SOJOURNERS HAVEN GROUP HOMEFACILITY NUMBER: VISIT DATE: 07/23/2021

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

met_with: Sherrae Smith, Facility ManagerIII

complaint_status: SUBSTANTIATED


summary: Facility Evaluation

raw_content:
Narrative:
On July 26, 2021, Licensing Program Analyst (LPA) Nicole Strickland met with Sherrae Smith to deliver an amending report that was originally delivered on July 23, 2021.

met_with: Sherrae Smith


summary: Facility Evaluation

raw_content:
Narrative:
On September 3, 2021 at 3: PM, Associate Governmental Program Analyst (AGPA) Kim Robinson conducted a meeting with the Short Term Residential Therapeutic Program (STRTP) executive director, LaTrese Armstrong, in order to assess an Enhanced Civil Penalty (ECP). On July 23, 2021, the Department concluded a complaint investigation alleging that staff #1 (S1) (See the Confidential Names List, LIC 811, dated September 3, 2021) neglected to provide the supervision necessary to meet the needs of fifteen-year-old client #1 (C1), prior to C1's death. Law enforcement found C1 unresponsive and paramedics pronounced C1's demise at the facility. S1 acknowledged only using the facility's hallway camera for several hours in lieu of walking through the facility to monitor three clients, including C1, on the second floor of the STRTP. The allegation of neglect and lack of supervision were substantiated, and the STRTP was cited for 87078 (b) Neglect/Lack of Care and Supervision. Based on the analysis of the confidential interviews, file review and video recording, the Department has determined that an enhanced civil penalty is warranted for the neglect/lack of care and supervision. Pursuant to the Enhanced Civil Penalty law, the Health and Safety (H&S) code section 1548 (e)(3)(A) states a violation the Department determines "...resulted in the death of a person receiving care through a Short Term Residential Therapeutic Program," the Department will be issuing an immediate civil penalty of $7,000.00." An exit interview was completed and appeal rights discussed. Copies of this report, the Confidential Names List, Appeal Rights and a Civil Penalty Assessment - Serious Bodily Injury/Physical Abuse (Form 421-D) were provided to the executive director. The signed copy will be retained in the facility file.

met_with: Executive Director


summary: Facility Evaluation

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Narrative:
On September 22, 2021, Community Care Licensing (CCL) conducted an office conference via Microsoft Teams with the Short-Term Residential Treatment Program (STRTP) regarding their application denial for Sojourners Haven (336402460). Present at the meeting was: LaCresha Cook, Regional Manager (RM), Latrese Armstrong, Executive Director (ED), Reginald Brown, Treasurer/Board Member, Ann Hill, Secretary/Board Member, Cindy Hamilton, Licensing Program Analyst, Natasha Dunlap, Licensing Progrram Manager, Abdoulaye Traore, Licensing Program Manager (LPM), Rose Collins, San Bernardino County STRTP Coordinator, Karin Atkins, Riverside County Placement Monitor, Sandi Snellgrove, David Gutierrez, Alexandria Andrews, Department of Health Care Services, Jenell Ross, Riverside County STRTP Liason and Amy Guisa, San Bernardino County Placement Monitor. The meeting was called to address any questions, concerns or issues and the following was discussed: Denial of application for Sojourners Haven, Clarification whether or not licensee will continue to operate facility as a group home after September 24, 2021. Sojourners Haven II (336406702) and Sojourners Haven III (366408260) are not involved in the Administrative Action. RM explained that CCL is denying the licensee's STRTP application for Sojourners Haven, 336402460 and the other facilities Sojourners Haven II (336406702) and Sojourners Haven III (366408260) would remain in operation. RM further explained that as of September 24, 2021, the STRTP application would be officially denied, all fees will stop and the facility will revert back to a group home. In addition, the licensee was advised that if the licensee chose to continue operations as a group home, CCL would pursue revocation of the group home license and legal action will also be taken against the group home. ED stated that ED would need to confer with the Board of Directors as to whether or not the facility would operate as a group home. ED agreed to advise Regional Manager Lacresha Cook, LPA Cindy Hamilton, or LPM Traore by September 24, 2021 at noon, if the facility will remain open and operate as a group home after September 24, 2021. ED asked if in the future STRTP would be able to obtain licensure and RM advised licensee after one year licensee could apply for licensure and the organization's history would be considered when reviewing the new application. A copy of this report was emailed to Executive Director Latrese Armstrong for signature. The signed report will be placed in the facility file.

met_with: Latrese Armstrong, Executive Director


summary: Facility Evaluation - 1 deficiency

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Narrative:
On July 23, 2021 at 2:49pm Licensing Program Analyst (LPA), Nicole Strickland, met with Sojourners Haven Group Home Sherrae Smith, Facility Manager III to deliver a case management deficiencies report. According to information obtained by Community Care Licensing (CCL) on the morning of February 14, 2021, Staff #1 (S1) was the only staff on site with three residents. Record review revealed that the facility is a two story facility with three bedrooms on the second floor of the facility and staff office on the first floor. Record review revealed S1 remained on the first floor of the facility in the staff office while residents (Child #1 [C1], Child #2 [C2], and Child #3 [C3]) were upstairs in their bedrooms. Record review further revealed the facility does not have a signal system as required by Interim Licensing Standards (ILS) regulation 87088(e)(2). CCL reviewed S1's personnel record which revealed S1 was hired on June 17, 2019 as Facility Manager II. Record review revealed S1 was issued a certificate from American Heart Association on 3/15/2019 for CPR and AED however, first aid was not a part of the training. Information obtained from a confidential interview confirmed the course S1 attended did not include first aid. Record review could not provide evidence of S1 having first aid training as required by ILS 87065.1(a)(8)(A). On February 14, 2021, S1 was the facility manager for the facility, as such S1's personnel record should provide evidence of S1 having facility manager training as required by ILS Training(f)(2) prior to assuming the duties and responsibilities of the facility manager, the individual shall complete a minimum of one hour of training as specified in sections 87065.1(a) in addition to 87065.1(c) and (d). Record review was unable to provide evidence of S1 having training that included Interaction with the Department, including inspection authority as required by ILS regulation 87065.1(a)(5)(A). S1's role as Facility Manager requires S1 have facility manager training as required by ILS Training(f)(2) prior to assuming the duties and responsibilities of the facility manager, the individual shall complete a minimum of one hour of training as specified in sections 87065.1(a) in addition to 87065.1(c) and (d). A review of S1's personnel record was unable to provide evidence of S1 having training that included Licensee appeal rights as required by ILS regulation 87065.1(a)(5)(B). S1's role as Facility Manager requires S1 have facility manager training as required by ILS Training(f)(2) prior to assuming the duties and responsibilities of the facility manager, the individual shall complete a minimum of one hour of training as specified in sections 87065.1(a) in addition to 87065.1(c) and (d). A review of S1's personnel record was unable to provide evidence of S1 having training that included Interaction with placement agencies, neighbors, mental health agencies, law enforcement, medical/emergency personnel, children's family members and child and family teams as required by ILS regulation 87065.1(a)(5)(C). S1's role as Facility Manager requires S1 have facility manager training as required by ILS Training(f)(2) prior to assuming the duties and responsibilities of the facility manager, the individual shall complete a minimum of one hour of training as specified in sections 87065.1(a) in addition to 87065.1(c) and (d). A review of S1's personnel record was unable to provide evidence of S1 having training that included laws and regulations governing short-term residential therapeutic programs as required by ILS regulation 87065.1(a)(5)(D). S1 was hired by the facility on June 17, 2019 as a facility manager. A review of S1's personnel record did not provide evidence of S1 being trained according to the facilities Facility Manager's training plan approved as part of the facilities Plan of Operation/Program Statement by CCL on September 28, 2020. The Facility Manager's training plan was not adhered to and this is also a violation of ILS regulation 87022(f). Record review of S1's personnel record was unable to provide evidence that the initial 8 hour training S1 participated in included trauma informed care as required by ILS 87078.2(a)(3) Training of all staff that includes the types of trauma experienced by children and nonminor dependents, the effects and impact of abuse, neglect and trauma, how trauma may manifest itself in daily functioning and behaviors, how to provide care and supervision that is trauma-informed, and how to reduce risk of retraumatization. This is a violation of ILS regulation 87065.1(c)(1)(C). A review of S1's personnel record provided evidence of three separate New Hire orientation logs all having dates of training occurring on June 17, 20, and 21, 2020. Two of the three orientation logs note three sessions of 8 hour OJT [On Job Training] with initials next to them for a total of 24 hours OJT. Record review could not determine if the OJT referred to on the New Hire orientation log in S1's personnel record referred to job shadowing or how many of the OJT training hours were job shadowing. ILS regulation 87065.1(c)(1) 8-hour training (D) a maximum of 4 hours of the training requirement may by be satisfied by successful completion of job shadowing. Record review of S1's personnel record could not provide evidence of any statements documenting successful completion of job shadowing nor specific activity observed; date and times of shadowing; and training topic that satisfied ILS section 87065.1(c)(3)(A) through (X) as required by ILS regulation 87065.1(c)(1)(D)(4). S1's personnel record review did not provide evidence of S1 having an assessment conducted by administrator or administrator's designee of S1's understanding of the initial 8-hour training within 7 calendar days of completion of the 8-hour training to assess if S1 understands and can apply the training, as required by ILS regulation 87065.1(c)(1)(E). S1's personnel record review did not contain documentation of assessment of 8-hour training as required by ILS regulation 87065.1(c)(1)(E). This is a violation ILS regulation 87065.1(c)(1)(E)(2). S1's personnel record review did not provide evidence of S1 having an assessment conducted by administrator or administrator's designee of S1's understanding of the initial 16-hour training within 30 days of completion of the 16-hour training to assess if S1 understands and can apply the training, as required by 87065.1(c)(2)(B). S1's personnel record review did not contain documentation of assessment of 16-hour training being completed as required by 87065.1(c)(2)(B). This is a violation of ILS regulation 87065.1(c)(2)(B)(2). A review of S1's training record provided no evidence of S1 being trained on Direct care workers' self-awareness and appropriate boundaries for physical and verbal interactions with children or nonminor dependents who have a history of abuse, neglect or other as required by ILS regulation 87065.1(c)(3)(E). A review of S1's training record provided no evidence of S1 being trained on Role of other facility personnel in service deliver, including case staffing and the designated staff member(s) applying the reasonable and prudent parent standard, as required by ILS regulation 87065.1(c)(3)(F). A review of S1's training record provided no evidence of S1 being trained on Disaster response, as required by ILS regulation 87065.1(c)(3)(H). A review of S1's training record provided no evidence of S1 being trained on Medical emergency response, as required by ILS regulation 87065.1(c)(3)(I). A review of S1's training record provided no evidence of S1 being trained on the role of placement workers, as required by ILS regulation 87065.1(c)(3)(L). A review of S1's training record provided no evidence of S1 being trained on Short-term residential therapeutic program children's adjustment to congregate care, as required by ILS regulation 87065.1(c)(3)(N). A review of S1's training record provided no evidence of S1 being trained on recreation activities and resource, as required by ILS regulation 87065.1(c)(3)(P). A review of S1's training record provided no evidence of S1 being trained on an overview of the child welfare and probation systems, as required by ILS regulation 87065.1(c)(3)(U). A review of S1's training record provided no evidence of S1 being trained on awareness and identification of commercial sexual exploitation and best practices for providing care and supervision to commercially sexually exploited children, as required by ILS regulation 87065.1(c)(3)(V). A review of S1's training record provided no evidence of S1 being trained on the Federal Indian Child Welfare Act ( U.S.C. Sec. 1901 et seq.), its historical significance, the rights of children covered by the act, and the best interest of Indian children, including the role of the caregiver in supporting culturally appropriate child centered practices that respect Native American history, culture, retention of tribal membership, and connection to the tribal community an traditions, as required by ILS regulation 87065.1(c)(3)(W). The facility will be cited for violation of each of the above regulations. A copy of the is report along with appeal rights was provided to Sojourners Haven Group Home Administrator, Gina Melendez.

Deficiencies:
87022(f): (f)

met_with: Sherrae Smith, Facility Manager III

title:
1
2
3
4
5
6
7Plan of Operation

description: (f)


summary: Facility Evaluation

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Narrative:
On August 6, 2021 at 10: AM, Licensing Program Analysts (LPAs) Cindy Hamilton and Adaleyci Caballero conducted an annual inspection. The facility converted from a Group Home to STRTP (Short Term Therapeutic Program) on 08/19/2021. LPAs were met at the facility by Administrator Gina Melendez. A physical plant inspection was started at 10: AM and included the following checks: LPAs observed the facility grounds are clean and free of debris . There is adequate indoor and outdoor activity space and sports equipment/toys/books/games were observed for children's recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguisher is properly charged and serviced. LPAs did not observe the seven days of nonperishable foods or two days of perishable foods at the facility due to the facility currently not having any placements. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Medications are locked and centrally stored in a locked cabinet in the staff office. Licensee does not have provisions for contraceptives to be held in individually locked containers with keys by clients. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. The hot water in the client's bathroom was measured to be 119.2 degrees. Facility has cameras in common areas of the facility. Per facility Administrator, no firearms or weapons are allowed in the facility. Licensee has obtained Mental Health Certification with San Bernardino County and Licensee has obtained National Accreditation through CARF International. The Accreditation is valid through December 31, 2021. Licensing fee payments have been paid and there is currently a balance of $0.00. Based on observation the facility was issued LIC Technical Violations for 87075(b)(1)(A) and 87075(b)(1)(A)(1) Health Related Services due to the facility did not provide locked containers with more than one key to the container for client's contraceptives. In addition, based on observation the metal awning over the outdoor patio was bent/drooping over that patio area. The facility was cited for Title 22, Division 6, Chapter 1 80087(a) Building and Grounds, the facility shall be clean, sanitary and in good repair at all times. This poses/posed a potential health, safety or personal rights risk to persons in care. An exit interview was conducted and a copy of this report and appeal rights were provided to facility Administrator Gina Melendez.

visit_type: Annual

met_with: Gina Melendez, Administrator


summary: Facility Evaluation

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Narrative:
On August 10, 2021 at 7:25pm, Licensing Program Analyst (LPA) Nicole Strickland returned to the facility to follow- up on a Plan of correction (POC) that has not been received by Community Care Licensing (CCL). LPA Strickland met with Sojourners Haven Group Home Executive Director, LaTrese Armstrong. The Short Term Residential Therapeutic Program (STRTP) was cited on July 23, 2021 at 2:09 pm for Responsibility for Providing Care and Supervision (b) The licensee shall provide those services identified in each child's or nonminor dependent's needs and services plan, or Transitional Independent Living Plan, as necessary to meet the child's or nonminor dependent's needs. When the citation was issued Sojourners Haven Group Home, Facility Manager III (FM) Sherrae Smith whom LPA met with in person and Executive Director (ED) Latresse Armstong who FM had on speaker phone stated the POC would include the intake paperwork, CFT notes and needs and service plans will be reviewed with all staff during the monthly meetings and staff will sign to acknowledge that they are aware of information provided on the Needs and service plans. FM and ED stated a copy of staff meeting agenda and staff signatures for August 3rd staff meeting will be provided to LPA via email by POC date of August 6, 2021. CCL has not received the POC. The facility is receiving Civil Penalties for violation of California Code of Regulations, Title Division Six regulation 80054(f) Penalties (f) If any deficiency is not corrected by the date specified in the notice of deficiency, a penalty shall be assessed for each day following that date until compliance has been demonstrated. Civil Penalties are being assessed at $100 a day beginning on August 7, 2021, and will continue to accrue at $100 a day, until deficiency is corrected. A copy of this report along with LIC 809D deficiency page, LIC Civil Penalty Assessment and appeal rights were provided to Sojourner Haven Group Home Executive Director, LaTrese Armstrong.

met_with: LaTrese Armstrong