raw_content:
Narrative:
Continuation of LIC Confidential interviews revealed that on October 21, 2025, C5 was taken to Juvenile Hall because they were trying to burn the group home down and threw boiling water at staff. During the investigation, confidential interviews indicated that C5 has tried to destroy the home, throwing glass against the wall and onto the floor, breaking TVs, knocking furniture over, and going through the refrigerator and throwing out all the food. Confidential interviews revealed that staff try to verbally de-escalate C5 but C5 curses at everyone and continues doing what they are doing. Confidential interviews revealed that C5 has had multiple issues with clients in care and with staff. Confidential interviews revealed that staff are afraid of C5 and have to watch how they approach C5. Confidential interviews revealed that C5 does not participate in program therapy and refuses to take medication and attend school daily. Conflicting confidential interviews revealed that C5 listens to some staff when the staff try to calm C5 down. Additional conflicting interviews revealed that not all staff have had problems with C5 and C5 does listen to certain staff. Confidential interviews revealed that staff intervene when C5 shows aggressive behaviors against other clients in the home. It was also reported to CCL that staff are not following reporting requirements. Confidential interviews revealed that staff follow the reporting procedure to record and report all incidents. Confidential interviews revealed that staff meet reporting requirements when incidents arise in the group home and staff use an incident report binder where they report all incidents that happen in the group home. The investigation did not yield evidence of incidents that have not been reported to CCL. Based on conflicting confidential interviews, the allegations are unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Barbie Leyva Direct Care Representative

Investigation Findings:
13On April 23, 2026 at 1:50PM , Licensing Program Analyst (LPA) Lisa Bernabe arrived at Amali and met with Barbie Leyva Direct Care Representative to deliver the finding for the above stated allegations. On October 29, 2025, Community Care Licensing (CCL) received complaint allegations that facility staff did not keep minors safe from another minor's aggressive behaviors, staff are unable to meet the needs of a minor, and staff are not following reporting requirements. On November 05, 2025, LPA Bernabe conducted a health and safety inspection at the facility; no immediate health or safety hazards were observed. The investigation included interviews with Staff 1, 2, and 3 (S1, S2, S3) and clients 1, 2, and 3 (C1, C2, C3). Clients 4 and 5 (C4 and C5) declined to be interviewed. County records and facility records were reviewed. It was reported to Community Care Licensing (CCL) that staff are unable to meet the needs of minor and staff did not keep minors safe from another minor's aggressive behaviors. Continuation on LIC9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Lisa Bernabe 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: AMALIFACILITY NUMBER: VISIT DATE: 04/22/2026

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

met_with: Barbie Leyva Direct Care Representative


state: CA

facility_name: AMALI

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Continuation of LIC 9099. Confidential interviews revealed that staff accompany the clients when taking them to buy personal items and clients are in charge of taking care of their personal items and cash. Confidential interviews revealed that it is optional for clients to leave their personal belongings in the staff office if the clients feel the need to protect their belongings. Confidential interviews revealed that there has been only one client who has stated that some of their personal items were missing in the home. Confidential interviews revealed that clients can make requests to staff for hygiene or personal care items. Confidential interviews revealed that clients can fill out a request form to request these items or clients, at times, verbally inform staff of items they need and staff will make notes and get items for clients. Confidential interviews revealed that although clients have the option to leave personal property in staff office, none of the clients tend to use that option for their personal items. Confidential interviews revealed that staff keep receipts and notes when all clients are taken out to purchase personal items such as clothing, intimate apparel, and socks. Based on confidential interviews, the allegations that staff did not properly safeguard client's cash resources and personal property and client in care was not provided adequate personal items are unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted, and a copy of this report, along with appeal rights, was given to Barbie Leyva Direct Care Representative

Investigation Findings:
13On April 23, 2026 at 2:35PM, Licensing Program Analyst (LPA) Lisa Bernabe conducted a visit to the above facility and met with Barbie Leyva Direct Care Representative, to deliver the investigative finding regarding the allegations listed above. On December 12, 2025, Community Care Licensing received allegations that staff did not properly safeguard client's cash resources and personal property and client in care was not provided adequate personal items. On December 16, 2025, LPA Bernabe initiated the complaint and conducted a health and safety inspection of the facility, no immediate safety hazards were observed. LPA Bernabe interviewed clients 1, 2, and 3 (C1, C2, and C3), staff 1, 2, 3, and 4 (S1, S2, S3, and S4) and reviewed pertinent facility records. It was reported to Community Care Licensing (CCL) that clients were not being taken shopping for personal items and that client personal belongings were disappearing. Continuation on LIC 9009-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Lisa Bernabe 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: AMALIFACILITY NUMBER: VISIT DATE: 04/23/2026

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

report_type: Complaint Investigation

complaint_status: unsubstantiated


facility_name: ANYTHING IS POSSIBLE FOUNDATION

summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Statements indicated that the phone was found in the facility couch. Documentary evidence indicated that S3 was terminated on 12/17/2024, for violation of company policy, as well as the privacy and safety rights of Child #1, a non-minor dependent. Facility cited for violation of Interim Licensing Standards, Article 06, regulation 87072 (c)(10)(16) Personal Rights. C1's personal belongings were searched without probable cause. S3 pushed C1 multiple times as C1 attempted to leave the room and engaged in a verbal altercation with C1. This poses an immediate health and safety concern to children in care.

Investigation Findings:
13On January 31, 2025, at 1:40pm, Licensing Program Analyst (LPA), Donald Martin arrived at the above facility for the purpose of delivering findings for the above complaint investigation. LPA was met by Administrator, Joseph Alvarado and allowed into the facility. During the investigation LPA conducted confidential interviews and obtained documentary evidence. Statements indicated that facility phone was missing. Staff 3 (S3) accused Child 1 (C1) of having the phone. S3 followed C1 into bedroom and began to search room for phone. Statements indicated that S3 searched through C1 belongings and pushed C1 multiple times as C1 attempted to leave room. Statements indicated that Staff 1 (S1) entered the room and asked S3 to leave the room. Statements indicated that once S3 left the room, S3 went downstairs and began to engage in a verbal altercation with C1 and calling C1 inappropriate names. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Donald C Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: ANYTHING IS POSSIBLE FOUNDATIONFACILITY NUMBER: VISIT DATE: 01/31/2025

met_with: Joseph Alvarez-Administrator

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Statements indicated that once outside A1 punched C2 in face and A1 and C2 engaged in a physical altercation. Statements indicated that C2 was removed from on top of A1. Once separated A1 approached C2 and began to engage in physical altercation again. A1 and C2 were separated again and C2 was taken into the restaurant and A1 remained outside with S1. Statements indicated that law enforcement was called, however there were no statements to indicate that law enforcement arrived at the location after the physical altercation. Incident Report submitted on November 29, 2024, indicates that facility staff and clients gathered at El Toritos. El Toritos guest confronted C2 and went outside and engaged in physical altercation. Incident Report did not include a detailed narrative describing the incident and events leading up to the incident. Facility cited for violation of California Code of Regulations, Title Division Six, regulation 80078 (a) Responsibility for Providing Care and Supervision and Interim Licensing Standards, Article 06, regulation 87061 (i)(2) Reporting Requirements. Facility staff did not prevent C2 from engaging in a physical altercation and did not report all details pertaining to incident. An exit interview was conducted, and a copy of this report will be provided to Joseph Alvarado, Administrator.

Investigation Findings:
13On February 3, 2025, at 1pm, Licensing Program Analyst (LPA), Donald Martin arrived at the above facility for the purpose of concluding a complaint investigation. During the investigation LPA conducted confidential interviews and reviewed documentary evidence. Statements indicated that nine facility staff and three clients celebrated Thanksgiving at El Toritos located in Palmdale. Staff 1 (S1) attended celebration with boyfriend Adult 1 (A1). Statements indicated that A1 motioned to Child 1 (C1) to leave the dinner table. A1 and C1 were observed talking near the bathrooms. Statements indicated that when C1 returned to the dinner table, C1 sat between Staff 3 (S3) and Child 2 (C2). Statements indicated that C1 and C2 engaged in a conversation and A1 from across the table stated, "Watch your mouth." A1 began to challenge C1 to go outside. Statements indicated that facility staff were present and overheard the conversation between A1 and C1. C2 intervenes and went outside on C1's behalf. Statements indicated that staff present attempted to verbally stop C2 from going outside. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Donald C Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: ANYTHING IS POSSIBLE FOUNDATIONFACILITY NUMBER: VISIT DATE: 02/03/2025

met_with: Joseph alvarez-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On April 17, 2024 at 9:30am Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of conducting a Pre-Licensing inspection. LPA met with Administrator, Joseph Alvarado and was allowed into the facility. Administrator, Joseph Alvarado conducted the walk through with LPA inside and out of the facility. The facility is a two story home with 3 bedrooms and 3 bathrooms. The facility will be licensed to care for six clients, ages 12-17 years, ambulatory only. The facility layout is as follows : All three bedrooms are located upstairs in the home. Bedroom #1 is equip with two twin beds, one dresser, two storage ottomans and a large closet. Bedroom #2 is equip with two twin matresses, two ottomans, and a large closet. Note: Bedroom is missing two bed frames and the dresser. Bedroom #3 is equip with two twin beds, two ottomans and a large closet. Note: Bedroom is missing a dresser. Separating the bedrooms upstairs is a seated area with a large desk and seating for clients to do homework. There is a full bathroom in the hallway that is clean and in good repair. The bathroom will be used for all three bedrooms. The Therapy office is located next to bedroom #1. It is equip with a TV, computer, seating area and a full bathroom which was clean and in good repair. The Kitchen area has a microwave refrigerator, dish washer and stove with 4 working burners. The island has a seated area with a covered trash can. The Living room has a large sectional couch with two additional chairs. The fireplace is covered, locked and gas is turned off and inaccessible to the clients. There is a TV inside of a large media stand. The Dining room is located by the entrance. There is a large table with seating for clients and staff. The Laundry room is located in the hallway. It is equip with a washer and dryer and a locked closet where the facility cleaning supplies are kept. Cont 809-C Adjacent to the laundry room is a full bathroom which was clean and in good working condition. In the same hallway is a locked closet which will be used for storage and a separate locked closet for medication. The Shut Off Valves are located in the backyard of the home. The Backyard was clean, in order and free of debris and sharp objects. The Garage has workout equipment for the clients and two desks for staff usage. The facility vehicle Kia SUV registered until July 2024. Administrator was informed that car insurance must be in place before the license can be issued. The overall home is in good repair. LPA discussed the missing items in the home that need to be in place and staff association/clearances before a license can be issued. Administrator, Joseph Alvarado was informed that either a signal system or staff coverage upstairs when clients are present is mandatory. Nothing further to report at this time.

report_type: Facility Evaluation

visit_type: Prelicensing

met_with: Joseph Alvarado


summary: Facility Evaluation

raw_content:
Narrative:
On July 1, 2024 at 10:30am Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of conducting a Post-Licensing inspection. LPA met with Administrator, Joseph Alvarado and was allowed into the facility. Administrator, S2 conducted the walk through with LPA inside and out of the facility. The facility is a two story home with 3 bedrooms and 3 bathrooms. The facility is licensed to care for six clients, ages 12-17 years, ambulatory only. The facility layout is as follows : All three bedrooms are located upstairs in the home. Bedroom #1 is equip with two twin beds, two dressers, two storage ottomans and a large closet. Bedroom #2 is equip with two twin beds, two ottomans, two dressers and a large closet. Bedroom #3 is equip with two twin beds, two ottomans, two dressers and a large closet. Separating the bedrooms upstairs is a seated area with a large desk and seating for clients to do homework. There is a full bathroom in the hallway that is clean and in good repair. The bathroom will be used for all three bedrooms. The Office is located next to bedroom #1. It is equip with a TV, computer, seating area and a full bathroom which was clean and in good repair. The office is also used for Therapy sessions. The Kitchen area has a microwave refrigerator, dish washer and stove with 4 working burners. The island has a seated area with a covered trash can. There was sufficient supply of perishable and non-perishable food at the time of the visit. The Living room has a large sectional couch with two additional chairs. The fireplace is covered, locked and gas is turned off and inaccessible to the clients. There is a TV inside of a large media stand. The Dining room is located by the entrance. There is a large table with seating for clients and staff. The Laundry room is located in the hallway. It is equip with a washer and dryer and a locked closet where the facility cleaning supplies are kept. Cont 809-C Adjacent to the laundry room is a full bathroom which was clean and in good working condition. across from the bathroom is a locked closet that contains games for the clients use. In the same hallway is a locked closet which will be used for sharps and a locked cabinet used for medication. The Shut Off Valves are located in the backyard of the home the front of the home. The Backyard was clean, in order and free of debris and sharp objects. The Garage has workout equipment for the clients and two desks for staff usage. Note: Licensee was notified that unless approved by the fire clearance, the garage can only be used for vehicle and some storage. LPA will check the fire clearance when he returns to the office. The facility vehicle Kia SUV registered until July 2024. Staff was reminded that staff must be located upstairs when clients are in the upstairs area. Supervision and ratio must be kept if clients reside both upstairs and downstairs at all times. LPA reviewed S1 and S2 files and C1 and C2. Clients and staff are all new. Licensee is awaiting some documents for staff and clients. The overall home is in good repair. There were no deficiencies cited at the time of the visit.

met_with: Joseph Alvarado-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On December 26, 2024 at 2:30pm Licensing Program Analyst (LPA) Donald Martin arrived at the above facility. The purpose of the visit is to conduct a Case Management investigation. LPA was met by Staff #1 (S1) Administrator, Joseph Alvarado and allowed into the facility. On December 17, 2024 the department received incident report #1198555 stating that on December 16, 2024 the keys to the facility were missing and C1's medication had been stolen from the locked medication closet. S1 stated that the medication has yet to be recovered and C1 is still without medication. The keys have since been located. During the investigation, LPA learned that two of the clients in care are 18yrs of age. The facility is equip to house Non-Minor Dependents, however there is no waiver on file with the department. S1 has been advised to submit a waiver request to LPA as soon as possible. S1 has been advised to contact each clients social worker/probation officers and discuss the reasons for the need for the waiver first. Further investigation is needed to conclude this Case Management investigation. No deficiencies were cited at the time of the visit.

visit_type: Case Management


facility_name: ARBOR HOUSE

summary: Complaint Investigation - Substantiated - 3 allegations

raw_content:
Investigation Findings:
13Licensing Program Analysts (LPAs) Lidia Tinoco conducted a complaint inspection at Creative Alternatives main office in Merced, and met with Director, Brandi Boehme the purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, Community Care Licensing (CCL) conducted interviews with facility staff and foster youth as well as conducted a review of records. The information obtained during the interviews indicated that the Group home staff (S2, See LIC Confidential Names List) made the decision to go hands on when a child was not being a harm to himself or others, which resulted in the child being hurt by said staff. Type A: This poses an immediate health and safety risk to clients in care. Based on the LPA's observations, interviews, records review, the preponderance of evidence standard has been met, therefore, the above allegations are found to be substantiated. A copy of the report and Appeal Rights was provided to the agency. Facility was cited for The Interim Licensing Standard (ILS) Chapter 7. Version 3. Articles 1 through 10. The Agency is being cited for violations of Section 87072(d)(11) Personal Rights. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: ARBOR HOUSEFACILITY NUMBER: 507002607

Allegations:
- SubstantiatedEstimated Days of Completion:
- Estimated Days of Completion:
- Estimated Days of Completion: 0

met_with: Brandi Boehme


summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analyst (LPA) Lidia Tinoco traveled to the Creative Alternatives Main Office in Merced and conducted an unannounced Case Management for the Arbor House and met with Director Brandi Boheme. The purpose of the inspection is to discuss multiple incident reports regarding medication errors by Staff. LPA Tinoco reviewed incident reports from the Arbor House facility. It was discovered that there have been 8 medication errors due to staff for this facility (See LIC812 for details) in 2021. LPA Tinoco discussed with Director Brandi the concerns with the amount of incident reports regarding medication errors being received, LPA also addressed what the licensee has been done at the agency level to prevent this from happening, and what the ongoing plans are moving forward to minimize these incidents. Director Brandi stated that a company wide training on administration of medication. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced annual inspection was conducted by Licensing Program Analyst (LPA) Lidia Tinoco traveled to the Arbor House STRTP in Merced, CA. LPA met with Administrator, Angelica Espinoza and inspected the facility, inside and out. A physical plant inspection was completed and included the following checks. Facility grounds are clean and free of debris. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 75 degrees. All facility smoke detectors and carbon monoxide detectors are in appropriate working order. Facility maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. All required forms are posted. Four out of five Clients are currently taking psychotropic medications, facility has the ability to keep Medications locked and centrally stored. Individual beds were observed with appropriate clean linens and are in good repair. Licensee has obtained Mental Health Certification Including the following: Mental Health Program Approval valid through September 24, 2021, a review was conducted on August 16-23, 2021 and have not been issued. Licensee has obtained National Accreditation through CARF valid through February 02, 2022. The facility has a county contract effective September 1, 2019 with no noted expiration date. Medical Certification valid through August 01, 2022. No firearms or weapons are allowed in the facility. Facility appears to be meeting the terms and conditions of their license. LPA's reviewed client files and conducted staff and client interviews. No Deficiencies were cited on today's visit. A copy of this report was left with Angelica Espinoza.

visit_type: Annual

met_with: Angelica Espinoza


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA), Lidia Tinoco traveled to the Creative Alternatives main office in order to continue conducting the Annual Inspection for Arbor House STRTP and met with Program Director, Brandi Boehme. LPA's conducted 11 staff file reviews. No other deficiencies were cited. A copy of this report was left with Brandi Boehme at the conclusion of inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analysts (LPA's), Lidia Tinoco and Vanessa Galvan traveled to Arbor House and met with Administrator Angelica Espinoza in order to get signatures.


facility_name: ARISE FOR GIRLS LOS ANGELES

summary: Facility Evaluation

raw_content:
Narrative:
On October 31, 2024, at 10: AM, Component II of the application process for Arise For Girls Los Angeles located at W. 83rd Place Los Angeles, CA. 90044 was held at the El Segundo Children's Residential Regional Office in El Segundo. Attending Component II were the following individuals: Licensing Program Analyst (LPA), Charmetha White, Applicant, Monique McClendon, and Proposed Administrator Yvonne Robinson. The following incomplete application forms were discussed at the meeting: New Administrator documents Note: The New Administrator documents will have to be reviewed and approved before, Yvonne Robinson and be approved as the Administrator for this facility. Personnel Report (LIC 500) STRTP Orientation Certificate CPR certificate New Facility Sketch New LIC Designation of Facility of Responsibility Program Statement was reviewed and discussed. Pre-Licensing Inspection will be scheduled for a future date, as applicant is waiting for contractor to complete work on secondary door, as required by the Fire Department. A copy of this report was issued to the Applicant, Monique McClendon.

met_with: Applicant - Monique McClendon


summary: Facility Evaluation

raw_content:
Narrative:
On April 23, 2026, Licensing Program Analyst (LPA) C. White made an announced visit to Arise For Girls Los Angeles for the purpose of completing the STRTP Pre-Licensing Inspection. LPA met with Applicant, Monique McClendon was granted access to the facility. This facility is requesting to be licensed to provide care and supervision to six (6) female children, ages 14-17 years old, ambulatory only. The facility will also provide services to non-minor dependents. Currently the census is zero (0). LPA was unable to conduct the Pre-Licensing Inspection at this time, as facility was not inspection ready.


facility_name: ARS-BERKELEY

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On September 28, 2022, Licensing Program Analyst (LPA) Jessica Rodriguez conducted a complaint inspection and spoke with Associate Division Director, Kim Franck. The complaint inspection was conducted at the main office located at Youngstown Road Turlock, CA 95380, due to the temporary closure of ARS Berkeley. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA Eduardo Barragan toured the facility, reviewed documents, and interviewed staff and clients. Based on the investigation, licensee did all that was legally allowed to ensure that the personal rights and safety of all the clients were protected. Licensee provided specific measures in place to better manage the youth's behavior and decrease the threat of personal rights violations against the other clients in the facility and implemented several actions to alleviate the impact of the youth's behavior on the other clients. Therefore, the allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. An exit interview was conducted and a copy of this report and appeal rights were provided to Kim Franck. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Jessica Rodriguez 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 STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 05/12/2021 and conducted by Evaluator Eduardo Barragan PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:ARS-BERKELEYFACILITY NUMBER: ADMINISTRATOR:ANA VALDOVINOSFACILITY TYPE: ADDRESS: BERKELEYTELEPHONE: (209) 667- CITY:TURLOCKSTATE: CAZIP CODE: CAPACITY:6CENSUS: 3DATE: 07/23/ UNANNOUNCEDTIME BEGAN: 09: AM MET WITH:Kim FranckTIME COMPLETED:12: PM 9Staff did not prevent minor from engaging in inappropriate behaviors INVESTIGATION FINDINGS: 13On July 23, 2021, Licensing Program Analyst (LPA) Eduardo Barragan conducted a complaint inspection at ARS-Berkeley and met with Kim Franck. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging "staff did not prevent minor from engaging in inappropriate behaviors." LPA Barragan spoke with staff, clients and reviewed other predominant documents. Based on documents reviewed, an inspection, and conversations with staff and clients, all the information that was gathered was conflicting. "Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED." An exit interview was conducted with Kim Franck. A copy of this report and appeal rights were provided to Kim Franck. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Eduardo Barragan 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: 3 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: ARS-BERKELEYFACILITY NUMBER: 500311568

met_with: Kim Franck


raw_content:
Investigation Findings:
13On September 28, 2022, Licensing Program Analyst (LPA) Jessica Rodriguez conducted a complaint inspection and spoke with Associate Division Director, Kim Franck. The complaint inspection was conducted at the main office located at Youngstown Road Turlock, CA 95380, due to the temporary closure of ARS Berkeley. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA Eduardo Barragan toured the facility, reviewed documents, and interviewed staff and clients. Based on the investigation, licensee did all that was legally allowed to ensure that the personal rights and safety of all the clients were protected. Licensee provided specific measures in place to better manage the youth's behavior and decrease the threat of personal rights violations against the other clients in the facility and implemented several actions to alleviate the impact of the youth's behavior on the other clients. Therefore, the allegations are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. An exit interview was conducted and a copy of this report and appeal rights were provided to Kim Franck. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Jessica Rodriguez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: ARS-BERKELEYFACILITY NUMBER: 500311568


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On July 23, 2021, Licensing Program Analyst (LPA) Eduardo Barragan conducted a complaint inspection at ARS-Berkeley and met with Kim Franck. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA toured the facility, reviewed documents, interviewed staff and clients. While conducting the tele-inspection, LPA noted that C1's bed was missing the bedding. LPA Barragan asked S1 and S2 why C1's bedding was missing. S2 stated that C1's bedding was missing because C1 was sleeping on the couch in the living room. S2 elaborated that C1 was sleeping in the living room because he was scared and felt threatened by C2 due to C2 threatening to cause physical harm to C1 due to his sexuality. S2 elaborated that C2 had threatened C1 on more than one occasion, which resulted in C1 being to scared to sleep with C2. Staff stated that C1 had been sleeping in the living room. Interviews with other staff, clients and record review confirmed this information as well. "Based on LPA's observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D.") Due to the deficiency listed above one deficiency is being cited on today's visit. An exit interview was conducted with Kim Franck. A copy of the report and appeal rights were provided to Kim Franck. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Eduardo Barragan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: ARS-BERKELEYFACILITY NUMBER: 500311568


summary: Facility Evaluation

raw_content:
Narrative:
On March 27, 2021, Licensing Program Analyst (LPA) Eduardo Barragan conducted a unannounced case management inspection to ARS-Berkeley. LPA Barragan had Adriana Dominguez, staff member give him a tour of the facility. Administrator Kim Franck showed up to the facility as well while the tour was being conducted LPA Barragan toured the Facility inside and out. LPA Barragan took pictures of the facility for documentation as well. An exit interview was conducted with Kim Franck and Adriana Dominguez.

met_with: Adriana Dominguez


summary: Facility Evaluation

raw_content:
Narrative:
On June 10, 2021, Licensing Program Analyst (LPA) Eduardo Barragan conducted an unannounced Case-Management at ARS-Berkeley. LPA Barragan conducted the unannounced case management visit in order to speak with a few staff. No deficiency were cited on todays visit.


summary: Facility Evaluation

raw_content:
Narrative:
On July 23, 2021, Licensing Program Analyst (LPA) Eduardo Barragan conducted an unannounced case management inspection at ARS-Berkeley in order to address an issue. LPA Barragan met with Kim Franck. After speaking with staff, it was brought to LPA Barragan's attention that C1 was smoking inside of the Short Term Residential Therapeutic Program (STRTP). Staff stated that C1 would smoke so much in the STRTP that the house would smell like marijuana and cigarets. Staff stated that the STRTP would smell so much like marijuana and cigarets that the other clients would complain. The clients confirmed this information as well. LPA Barragan notified the agency that a repeated violations would result in the citation of a deficiency. No citations are being issued on todays visit. A copy of this report and appeal rights were provided to Kim Franck.


summary: Facility Evaluation

raw_content:
Narrative:
On August 25, 2021, Licensing Program Analyst (LPA) Eduardo Barragan and Licensing Program Manager (LPM) Juanita Arroyo conducted an unannounced annual required inspection at this facility. LPA and LPM were met at the facility by two Program Managers Eduardo Perez and Stefanie Goloiang. An inspection of the facility was conducted and the following was observed: No clients were residing in the home; therefore, no client nor staff files were inspected on this date. The Licensee stated that they have this facility closed at the moment due to repairs. The Licensee stated that they are changing the floor and the window in bedroom 2. The facility was inspected indoors and outdoors. Hot water temperature measured at 106 degrees. LPA Barragan observed that there were no supply of perishables and non-perishables. The Licensee stated that they are not sure when this home is going to end up opening back-up. LPA observed adequate supply of furnishings, linen and storage space for clients. Cleaning chemicals inaccessible to clients. There are no pets at the facility. Per the two Program Mangers, there are no weapons at the facility. There are no bodies of water at the facility. There have been five deficiencies in the prior 12 months. No deficiency were noted during this inspection. LPA left a copy at the facility. The visit was then concluded.

met_with: Eduardo Perez and Stefanie Goloiang


summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analyst (LPA) Jessica Rodriguez conducted an unannounced case management and spoke with Associate Division Director, Kim Franck. The case management was conducted at the main office located at Youngstown Road Turlock, CA 95380, due to the temporary closure of ARS Berkeley. The purpose of the inspection was to obtain information on the status of the facility and what the agency's plans are for the facility. Director, Kim Franck advised at this time the STRTP will remained temporarily closed. The agency is attempting to locate a new property. Once a property is purchased the agency will be requesting a transfer of license to the new location. There are currently no clients at the STRTP and there have not been any clients since February 2021. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Administrator Kim Franck.


facility_name: ARS-CAMPUS

raw_content:
Investigation Findings:
13On November 19, 2021, Licensing Program Analyst (LPA) Eduardo Barragan conducted a complaint inspection at ARS-Campus and met with Kim Franck and Eduardo Perez. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging "Staff physically abuses residents." LPA Barragan spoke with staff, clients and reviewed other predominant documents. Based on documents reviewed, an inspection, and conversations with staff and clients, all the information that was gathered was conflicting. "Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED." An exit interview was conducted with Kim Franck and Eduardo Perez. A copy of this report and appeal rights were provided to Kim Franck. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Eduardo Barragan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

met_with: Kim Franck and Eduardo Perez


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Vanessa Galvan conducted a complaint inspection at Aspiranet Residential Services (ARS)-Campus, Short-Term Residential Therapeutic Program in Turlock, CA to deliver the findings of the above allegations and met with the Director, Kim Franck. The above allegation was referred to Community Care Licensing for an investigation. The investigation included an inspection of the facility, interviews with County Social Workers, Clients, Facility Staff, House Manager and a review of client records. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the allegations occurred. Therefore, the allegations are deemed UNSUBSTANTIATED No deficiencies observed or cited during this inspection. A copy of this report was discussed and provided to Kim Franck along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Jessica Rodriguez conducted a complaint inspection and met with Core Program Director, Stephanie Golling. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted confidential interviews, a record review, and reviewed supporting documents provided by the agency. Based on the information obtained during the interview and record review process a preponderance of the evidence that the allegation occurred as reported could not be found. Although the allegation may or may not have happened, or is not valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. An exit interview was conducted, and a copy of this report and appeal rights were provided to the Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Jessica Rodriguez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

met_with: Stephanie Golling


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Jessica Rodriguez conducted a complaint inspection and met with Core Program Director, Kim Franck. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted confidential interviews, a record review, and reviewed supporting documents provided by the agency. Based on the information obtained during the interview and record review process a preponderance of the evidence that the allegation occurred as reported could not be found. Although the allegation may or may not have happened, or is not valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. An exit interview was conducted, and a copy of this report and appeal rights were provided to the Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Jessica Rodriguez 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: Stefanie Golling

investigation_findings: 13Licensing Program Analyst (LPA) Jessica Rodriguez conducted a complaint inspection and met with Core Program Director, Stephanie Golling. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted confidential interviews, a record review, and reviewed supporting documents provided by the agency. Based on the information obtained during the interview and record review process a preponderance of the evidence that the allegation occurred as reported could not be found. Although the allegation may or may not have happened, or is not valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. An exit interview was conducted, and a copy of this report and appeal rights were provided to the Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Jessica Rodriguez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Jessica Rodriguez conducted a complaint inspection and met with Core Program Director, Stephanie Golling. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted confidential interviews, a record review, and reviewed supporting documents provided by the agency. Based on the information obtained during the interview and record review process a preponderance of the evidence that the allegations occurred as reported could not be found. Although the allegations may or may not have happened, or are not valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. An exit interview was conducted, and a copy of this report and appeal rights were provided to the Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Jessica Rodriguez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to ARS Campus and met with Kimberly Franck to deliver findings of investigation. CS and Investigator Munoz conducted investigation that included review of documentation and confidential interviews. Due to inconsistencies in the information received a preponderance of the evidence could not be obtained. Although the allegations may or may not be valid, without a preponderance of the evidence the allegation is deemed Unsubstantiated. No deficiencies observed or cited during this inspection. Copy of this report LIC Confidential Names and LIC Appeal Rights left at the facility at conclusion of inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney 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: Kimberly Franck


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Sonia Sanchez conducted a complaint inspection and met with Kim Franck, Associate Division Director. The purpose of the inspection was to deliver the findings for the above complaint allegation. Based on interviews it was determined that minor is not being accorded dignity in their personal relationship with staff. Based on the LPA's confidential interviews and records review which were conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be substantiated. A deficiency is being cited for the Interim Licensing Standards (ILS) Chapter 8.8, Articles 6, Section 87072(15) Personal Rights. A copy of the report and Appeal Rights were discussed and provided to Kim Franck at the STRTP. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Sonia Sanchez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: ARS-CAMPUSFACILITY NUMBER: 500310324


facility_name: ARS-LINWOOD

raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to ARS Linwood and met David Boehme with to conduct investigation. CS conducted entrance interview, confidential interviews and delivered findings of investigation. Investigator Barragan and CS conducted investigation that included review of documentation, and confidential interviews. Due to inconsistencies in the information received a preponderance of the evidence could not be found that the allegations occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. No deficiencies observed or cited. Copy of this report and LIC Appeal Rights left at the facility at conclusion of inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney 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: David Boehme


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Jessica Rodriguez conducted a complaint inspection and met with Core Program Manager, Eduardo Perez. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted confidential interviews, a record review, and reviewed supporting documents provided by the agency. Based on the information obtained during the interview and record review process a preponderance of the evidence that the allegation occurred as reported could not be found. Although the allegation may or may not have happened, or is not valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. An exit interview was conducted, and a copy of this report and appeal rights were provided to the Program Manager. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Jessica Rodriguez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

met_with: Eduardo Perez


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analysts (LPA's) Sonia Sanchez and Reyna Martinez conducted a complaint inspection and met with David Boehme. The purpose of the inspection was to deliver the findings for the above complaint allegation to the STRTP. Based on interviews it was determined that staff provided nicotine products to minor in care. Based on the LPA's observations, confidential interviews and records review which were conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be substantiated. A deficiency is being cited for the Interim Licensing Standards (ILS) Section 87072(c)(1) Personal Rights on the attached LIC 9099-D Page. A copy of the report and Appeal Rights was provided to the FFA. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Sonia Sanchez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: ARS-LINWOODFACILITY NUMBER: 500314443

Allegations:
- Based on confidential interviews, staff (S2) provided clients in home with nicotine products, which poses an immediate health, safety or personal rights risk to persons in care.


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Sonia Sanchez conducted a complaint inspection and met with Kim Franck, Associate Division Director. The purpose of the inspection was to deliver the findings for the above complaint allegation. Based on interviews and record review it was determined STRTP staff took minor to a house party and left minor there. Based on the LPA's confidential interviews and record review which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. A deficiency is being cited for the General Licensing Requirements Chapter 1, Article 6, Section 80065(a) Personnel Requirements. An exit interview was conducted and a copy of this report, LIC 9099-D, and Appeal Rights were discussed and left with Kim Franck at the STRTP. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Sonia Sanchez 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 STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 05/21/2025 and conducted by Evaluator Sonia Sanchez PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:ARS-LINWOODFACILITY NUMBER: ADMINISTRATOR:STEFANIE GOLLINGFACILITY TYPE: ADDRESS: W. LINWOODTELEPHONE: (209) 668- CITY:TURLOCKSTATE: CAZIP CODE: CAPACITY:6CENSUS: 2DATE: 06/24/ UNANNOUNCEDTIME BEGAN: 02: PM MET WITH:Kim Franck, Associate Division Director TIME COMPLETED:03: PM 9Staff did not report AWOL to authorized representatives Staff did not transport minor back to mother's home after party INVESTIGATION FINDINGS: 13On the above date, Licensing Program Analyst (LPA) Sonia Sanchez conducted a complaint inspection and met with Kim Franck, Associate Division Director. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the complaint alleging Staff did not report AWOL to authorized representatives and Staff did not transport minor back to mother's home after party. LPA conducted interviews and obtained documentation. There were inconsistencies in the confidential interviews. Although the allegations may have happened or is valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, and a copy of this report and Appeal Rights were discussed and left with Kim Franck at the STRTP. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Sonia Sanchez 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: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: ARS-LINWOODFACILITY NUMBER: 500314443

met_with: Kim Franck, Associate Division Director


summary: Facility Evaluation

raw_content:
Narrative:
On 09/13/2021, Licensing Program Analyst (LPA) Eduardo Barragan travelled to the above facility to conduct an Annual inspection. LPA Barragan met by Stefanie Golling, Administrator and David Boehme, Youth Care Professional 2. An inspection of the facility was conducted and the following was observed: There are currently six clients in placement. LPA toured the facility indoors and outdoors. Fire extinguisher was charged and up to date. Hot water temperature last measured at 107 degrees. LPA observed adequate supply of non-perishables. LPA observed adequate supply of furnishings, linen and storage space for clients. Cleaning chemicals were inaccessible to clients. Medication area was centrally stored and locked. There are no pets at the facility. Per the Administrator, there are no weapons at the facility. There was a pool at the facility and it was locked and fences accordingly. There have been no deficiencies in the prior 12 months. No deficiencies were cited at this moment. LPA will return to the facility at a later date/time in order to complete the annual inspection. LPA conducted and exit interview with Stefanie Golling, Administrator and David Boehme, Youth Care Professional 2. (YCP2)

met_with: David Boehme and Stefanie Golling.


summary: Facility Evaluation

raw_content:
Narrative:
On 09/17/2021, Licensing Program Analyst (LPA) Eduardo Barragan travelled to the above facility to conduct an Annual inspection. LPA Barragan met by Stefanie Golling, Administrator in order to complete the annual inspection. LPA Barragan reviewed the staff and client files on this date. No citation is being issued on todays visit. A copy of this report and appeal rights were provided to Stefanie Golling, Administrator. LPA Barragan conducted and exit interview with Stefanie Golling, Administrator.

met_with: Stefanie Golling.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, Kate Mensah conducted a Case Management Inspection on September 23, 2021, at 10: AM, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code Section 1538.7. 4 out of Direct Care Staff and 5 out of 5 youth files as identified on the LIC Confidential Names dated September 23, 2021, were reviewed. 2 out of the Direct Care Staff and 3 out of 5 youth were also interviewed. The Plan of Operation including policies and procedures were reviewed. A copy of this report was discussed and provided to Kim Franck, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On September 29, 2021, Licensing Program Analyst (LPA) Eduardo Barragan conducted and unannounced case management inspection at ARS-Linwood to discus and incident that was reported to Community Care Licensing on 9/27/2021. LPA Barragan spoke with Mariel Figueroa. An incident was discussed where two clients interacted in inappropriate behavior (see 811 for names). The Licensee stated that Law Enforcement conducted their own investigation and that both youth's stories did not align. The Licensee stated that Law Enforcement did not find any physical marks that could indicate that the client had blacked out. The Licensee stated that one of the youth was removed immediately and both clients were offered services with their clinicians daily. There are no deficiencies to be cited on this date. A copy of this report and appeal rights was provided to Mariel Figueroa.

met_with: Mariel Figueroa


facility_name: ARS-TUOLUMNE

summary: Facility Evaluation

raw_content:
Narrative:
On May 27, 2021, Licensing Program Analyst (LPA) Eduardo Barragan conducted an unannounced case management inspection at ARS-Tuolumne. LPA Barragan toured the facility inside and out with Sandee Dhaliwal. The purpose of this visit was to speak with three clients. No deficiency nor citations were observed, at this time. An exit interview was conducted with Sandee Dhaliwal.

met_with: Sandee Dhaliwal.


summary: Facility Evaluation

raw_content:
Narrative:
On August 25, 2021, Licensing Program Analyst (LPA) Eduardo Barragan and Licensing Program Manager (LPM) Juanita Arroyo conducted an unannounced annual required inspection at this facility. LPA and LPM were met at the facility by two Program Managers Eduardo Perez and Stefanie Goloiang. An inspection of the facility was conducted and the following was observed: No clients were residing in the home; therefore, no client nor staff files were inspected on this date. The Licensee stated that they have this facility closed at the moment. The facility was inspected indoors and outdoors. Hot water temperature measured at 106 degrees in the restrooms. LPA Barragan observed that there were no supply of perishables and non-perishables. The Licensee stated that they are not sure when this home is going to end up opening back-up. LPA observed adequate supply of linen and storage space for clients. Cleaning chemicals inaccessible to clients. There are no pets at the facility. Per the two Program Mangers, there are no weapons at the facility. There are no bodies of water at the facility. There have been two deficiencies in the prior 12 months. No deficiency were noted during this inspection. LPA left a copy at the facility. The visit was then concluded.

met_with: Eduardo Perez and Stefanie Goloiang.


facility_name: ASHLAN HOUSE

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Priscilla Zamudio conducted an unannounced visit to the STRTP-Ashlan House in order to deliver the findings of the above allegations and met with Patricia Bratcher, Administrator. On October 20,2021 the above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the facility, records review, interviews with the Complainant, Staff, and Clients. During the interviews, there was conflicting information provided. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the allegations occurred. Therefore, the above allegations are UNSUBSTANTIATED at this time. A copy of this report was discussed and provided to Patricia Bratcher along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Priscilla Zamudio LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

met_with: Patricia Bratcher


raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to Ashlan House and met with Tara Flores to deliver findings of investigation. Investigator Barragan conducted investigation that included review of documentation, and confidential interviews and due to inconsistencies in the information received could not reach a preponderance of the evidence that the allegations occurred as reported. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the above allegations are deemed UNSUBSTANTIATED at this time. Copy of this report and LIC Appeal Rights left at the facility at conclusion of inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

met_with: Tara Flores


summary: Complaint Investigation - Unsubstantiated - 1 deficiency

raw_content:
Investigation Findings:
13Licensing Program Analysts (LPA's) Jessica Rodriguez and Reyna Martinez conducted a complaint inspection and met with Head of Service, Vanessa Garibay. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted interviews and reviewed supporting documents provided by the facility. Based on the information obtained during interviews and review of documentation regarding staff leaving a resident at the park, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Interim Licensing Standards are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of this report and appeal rights were provided to the Facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Jessica Rodriguez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: ASHLAN HOUSEFACILITY NUMBER: 107206686

Deficiencies:
87065.2: (8) Any other duties that may be necessary to ensure the health and safety of children in the facility.

met_with: Vanessa Garibay

title: Personnel Duties. (b) Direct care staff shall perform the following duties


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Jessica Rodriguez conducted a complaint inspection and met with Administrator, Patricia Bratcher. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted interviews and reviewed supporting documents provided by the facility. Based on the information obtained during interviews and review of documentation regarding facility staff not accepting minor back after a hospital stay, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Interim Licensing Standards is being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of this report and appeal rights were provided to the Administrator. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Jessica Rodriguez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: ASHLAN HOUSEFACILITY NUMBER: 107206686


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analysts (LPAs) Lisa Slusher and Wayne Aoki conducted a complaint inspection and met with Administrator, Patricia Bratcher. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted interviews and reviewed other documentation. Based on confidential interviews and review of documentation, an incident occurred on 6/28/2022 where a staff person (S1, See lic 811) left a knife out on the counter. Two clients were involved in an altercation involving the knife. Neither staff present during the altercation, and in 9 of the 12 files reviewed, staff lacked Emergency intervention training. The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Citations for Personnel Requirements 80065(a)(1) and Emergency Intervention staff training 87095.65 (a)(1) are issued on this date. An exit interview was conducted, and a copy of this report and appeal rights were provided to the Administrator. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: ASHLAN HOUSEFACILITY NUMBER: 107206686

met_with: Patricia Bratcher, Tara Flores


raw_content:
Investigation Findings:
13On November 2, Licensing Program Analyst (LPA) Wayne Aoki and Licensing Program Manager (LPM) Juanita Arroyo was met by facility Administrator, Patricia Bratcher. The purpose for the inspection is to deliver the findings for the above complaint allegations. Based on confidential interviews and information obtained during the investigation, there is a preponderance of the evidence to prove the above allegations are substantiated. The facility is cited for Interim Licensing Standards, STRTP, Article Continuing Requirements 87065.5(a)(1) Direct Care Staff/Child Ratio, 87065.1(d)(3)(M) Supervision, Evaluation and Training Requirements and California Code of Regulations, Title 22, Division 6, Section 80078(a), Responsibility for Providing Care and Supervision. A copy of this report along with Appeals Rights were left with the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SIERRA CASCADE AC/SC, E SHAW AVE FACILITY NAME: ASHLAN HOUSEFACILITY NUMBER: 107206686


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On November 2, Licensing Program Analyst (LPA) Wayne Aoki and Licensing Program Manager (LPM) Juanita Arroyo was met by facility representative Patricia Bratcher. The purpose for the inspection is to deliver the findings for the above complaint allegation. Based on confidential interviews and information obtained during the investigation, there is a preponderance of the evidence to prove the above allegation is substantiated. The facility is cited for Interim Licensing Standards, STRTP, Article Continuing Requirements 87072(a)(1)(b) Personal Rights. A copy of this report along with Appeals Rights were left with the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SIERRA CASCADE AC/SC, E SHAW AVE FACILITY NAME: ASHLAN HOUSEFACILITY NUMBER: 107206686


raw_content:
Investigation Findings:
13On November 2, Licensing Program Analyst (LPA) Wayne Aoki and Licensing Program Manager (LPM) Juanita Arroyo was met by facility representative Tara Flores. The purpose for the inspection is to deliver the findings for the above complaint allegations. During the course of the investigation, based on confidential interviews and other documents obtained, although the allegation may have happened or is valid, there is not a preponderance of the evidence, therefore, the above allegations are unsubstantiated. There were no deficiencies cited during this inspection. A copy of this report and appeals rights were left with the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


facility_name: ATLAS HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill conducted an office visit for the applicants at the Licensing Office and met with Lance McHan, Chief Strategic Officer, and Shynelle Smith, Administrator, to discuss the application status. LPA Hill provided Ms. Smith with a copy of the STRTP Review Tool indicating items that are in need of revisions. LPA Hill informed the agency that the primary areas of concern at this time include: Population to be served - the specification of the youth to be served by the facility and compatibility with the other youth in the facility. There are references to parenting minors and LPA Hill questioned how supervision will be assessed for the parenting minors and their infant children. Agency states that they will not be admitting parenting minors and will remove this from the program. Services and how they are to be provided. LPA Hill explained that throughout the document the agency must explain the HOW in providing services to youth that they will accept into the program. Requirement to utilize the LIC9106A when writing their Program Statement and Plan of Operation as this document is very specific about the requirements necessary. LPA Hill also informed the agency that the cover sheets eluding to the county that they will be working and needs to be modified to remove this as it insinuates that this is a county run or county operated facility. All documentation related to the application needs to be about the applicant, the corporation, and not about individuals on the board. Not copying Title 22 and telling about the Department's requirements and HOW this applies to and will be implemented in this facility. Training and how staff will be trained to provide care and supervision in the facility. LPA Hill provided the agency with a copy of all noted corrections and LIC9106A. LPA Hill informed the agency that they have 30 days, until 1/20/25, to provide the corrections to LPA Hill. Corrections should be provided electronically and with highlights. End of documentation and exit interview was conducted.

met_with: Lance McHan and Shynelle Smith


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill and Systems of Care (SOC) analyst, Ansar Muhammad met with Rise Family Services representatives, Shynelle Smith, Theresa Galano, and Zach Lupton on 5/28/25 at 10: AM to discuss the application review. LPA Hill and SOC Muhammad gave the floor to Ms. Smith to ask questions about the requested changes and some of the following items were discussed and clarified for the applicant: Cover pages needed for each section with information from licensing form LIC 9106A Cell phone usage and/or restriction in the facility - this may be a violation of personal rights. It was advised that the applicant use Prudent Parent Procedures when restricting times when the cell phones are to be used or not used. Also discussed was the discussion about restriction(s) of cell phones during intake and/or during Child & Family Team Meetings when issues arise. Removal of all reference to gender in the program description so that this can be utilized for more or so that the facility can admit youth based on their gender identity versus gender at birth. Admission Agreement - ensure that any admission agreement used meets expectations set in the Interim Licensing Standards; possibly the development of an admission agreement specifically for this agency. Emergency Intervention Plan - being careful to ensure that the facility speaks to the use of the plan and what it will and will not be utilized for (i.e. property destruction) and speaking to what the facility can do. Do not include reference to what an outside agency will do or will not do when contacted for assist as this cannot be controlled by the Licensee. Analysts both discussed with Ms. Smith that the changes needed to be submitted using the strike-through method for removal of content and highlight of added content for ease of review. Other items discussed included timelines and what is to be expected. It was shared that some STRTP applications are taking longer but it all depends on how individual(s) work together and how responsive individuals are in the process. It was requested that if there are specific questions about sections, as Ms. Smith goes through to make the corrections, that they wait until the changes are completed and put all questions in one email and provide that to LPA and SOC analyst for response as there are some revisions that answer questions to other sections as the revisions are completed. It was also discussed that these applications are difficult and lengthy and SOC analyst advised that the agency give themselves grace in their review and revisions as they are doing a great job in their application. It was agreed upon that the revision is due by June 6, 2025, but Ms. Smith indicated that if there is additional time needed to finalize the review, then an email with this request will be submitted by that date. End of overall discussion about the revisions and this document was provided to Ms. Smith for signature and return to LPA Hill.

met_with: Shynelle Smith, CEO


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill conducted a Component III Orientation with the facility on 7/11/25 at 11: AM and in attendance was Shynelle Smith, Administrator. This meeting was conducted via MS Teams. LPA Hill and Administrator Smith discussed all aspects of operation covered with the Component III Orientation slides and questions were answered. LPA Hill and Administrator Smith also discussed some of the requested revisions of the application at the conclusion of the Orientation deck. LPA Hill reiterated that the due date for the latest corrections is 7/25/25. Fingerprint associations have been completed for Ms. Smith. Accreditation was discussed and Ms. Smith states the agency has begun their application process. LPA Hill reiterated that during the 12 months following licensure, the agency must also seek approval of the Mental Health Program Plan from the Department of Health Services and Medi-Cal Approval in addition to securing Accreditation. LPA Hill and Administrator Smith also discussed the Pre-Licensing Inspection to be conducted by fellow LPAs Brittany Crass and Michelle Silva and how best the facility can be ready for the inspection. There were no further questions and documentation was provided via email for Administrator Smith to sign and return to LPA Hill.

met_with: Shynelle Smith, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On Friday, July 25th, 2025, Licensing Program Analysts (LPA) Brittany Crass and Michelle Silvas arrived Announced at the Facility to conduct a pre-licensing inspection. LPA's were greeted by Administrator, Shynelle Smith who assisted with the inspection. LPA's observed the facility to be clean, safe, sanitary and in good repair. LPA observed the Personal Rights posted, and grievance form. There was a Mass Casualty Plan. LPA observed working smoke and carbon monoxide detectors. Fire extinguishers were accessible and charged. LPA observed locked cabinets housing sharps, and cleaning supplies separately. LPA observed adequate furnishings which were in good repair and free from hazards. LPA was unable to test the water temperature due to LPA's thermometer being unavailable. Water was manually tested and was found to be warm to the touch, but not scalding. Exterior of the facility was observed to be well maintained and free of hazards. LPA advised that facility maintain a thermometer and test water on a regular basis to assure it is within 105 to 120 degrees Fahrenheit. Administrator will email LPA photos of 1. thermometers, 2. a fixed screen in the living room, 3. the removal of the refrigerator, washer and dryer being stored in the garage. 4. items from upstairs room removed. This license will be processed for approval once LPA receives these documents. Exit interview was conducted with Administrator, Shynelle Smith and a copy of this report was given.

announced_status: Announced

met_with: Shynelle


summary: Facility Evaluation

raw_content:
Narrative:
On 04/20/2026 at 11: AM Licensing Program Analyst (LPA), Elena Gonzalez-Soto, arrived at the facility unannounced to conduct a post licensing inspection. LPA met with Shynelle Smith, Administrator who assisted with the inspection. LPA provided Technical Assistance on Incident Reporting and Fixtures, Furniture, Equipment, and Supplies requirements. LPA provided Administrator with the Reporting Requirements Resource Guide. Physical Plant: LPA observed the facility is a two-story home with three bedrooms, a front yard and a backyard. LPA observed posting of personal rights, working carbon monoxide and smoke detectors, first aid kit, fire extinguisher, inaccessible cleaning solutions, food menu, hot water temperature of 116F, Fridge Temperature of 37F, and freezer temperature of 0F, and two out three working toilets. Operations: LPA observed posting of personal rights, register of clients, complaint procedures, board of directors meeting agenda, observed the area for cash storage. Client Records: LPA reviewed three client files which contained three out three admission agreements, three out of three weight records, three out of three signed personal rights, two out of two applicable Needs and Services Plans, two out of three TB test results. Cont. on LIC809-C The facility is being issued a citation for a violation of California Code Regulations, Title 22, Section 80069(c)(1) Client Medical Assessments, one technical violation for California Code Regulations, Title 22, Section 80088(e)(3) Fixtures, Furniture, Equipment and Supplies and one technical violation for Interim Licensing Standards STRTP, Article Continuing Requirements, Section 87070(b)(1) Children's Records. An exit interview was conducted and a copy of this report, citation and technical violation was issued to Shynelle Smith.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Alyssa Burgess made an unannounced case management inspection at the facility and met with Administrator Shynelle Smith and Facility Manager Jason who assisted LPA with the inspection. CCL received an incident report dated 4/19/2026. LPA is conducting this case management to obtain more information about the incident and to review the actions taken. LPA found a client was provoking a staff with poor behavior, targeting the staff. The staff "launched" at the client, pushed them, and fell on the couch with them. The staff left the facility afterwards, but came back when the clients were talking down to the staff, and they talked down to the clients back. The Administrator immediately terminated the staff. LPA also found that there was no Facility Manager on shift during this incident. LPA found that there is only one Facility Manager currently, which does not meet the requirement to have at least one facility manager present at all times there is at least one client present. On this date the facility is being cited for violations of the Short Term Residential Therapeutic Interim Licensing Standards Version 5, Section 87065(f) Personnel Requirements and 87072(c)(16) Personal Rights on the attached LIC809-D. An exit interview what conducted with Administrator and a copy of this report and appeal rights were provided to her.

met_with: Shynelle Smith


facility_name: BARSTOW HOUSE

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Daiquiri Boyd conducted a follow-up complaint inspection to the Short Term Residential Theraputic Program (STRTP) and met with OOO. The purpose of the inspection was to deliver the finding for the above complaint allegation regarding staff handling minor in a rough manner. During the course of the investigation, LPA spoke with staff and residents in care, reviewed files and requested the police report. Staff stated that the minor was not following rules, being persistent, and hit the staff and staff admitted to using force to get the minor out of the money/medication closet and further out of the office area. Based on the information obtained during the investigation, including the admission of the staff, there is a preponderance of the evidence to prove the staff handled minor in a rough manner; therefore, the allegation is substantiated. A deficiency was cited and a copy of the report and appeal rights were provided to the STRTP. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Daiquiri Boyd LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: BARSTOW HOUSEFACILITY NUMBER: 107202349

met_with: Virginia Hernandez


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Jessica Rodriguez conducted a complaint inspection at the facility and spoke with Administrator, Virginia Hernandez. The purpose of the inspection was to deliver the findings for the above complaint allegation. Records were obtained from the STRTP and Social Worker which included: email exchanges, an incident report, and the clients JV-220. LPA also conducted interviews with the client, Social Worker, and Administrator. During the investigation, LPA confirmed the client had been administered a new medication, without the Courts approval of a new JV-220. Email communications from Head of Service express the agencies oversight in not providing an updated JV-220 and moving forward with administering the medication. Based on the above, the preponderance of evidence standard has been met; therefore, the above allegation is found to be Substantiated. Interim Licensing Standards are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of this report was provided to the Administrator. Appeal rights were also provided to the Administrator. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Jessica Rodriguez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: BARSTOW HOUSEFACILITY NUMBER: 107202349

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


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA), Lidia Tinoco traveled to the Barstow House and met with Administrator, Virginia Hernandez. The purpose of the inspection was to deliver the findings for the above complaint allegation. The department has investigated the complaint alleging residents needs are not being met. LPA Galindo interviewed resident and staff, as well as obtained relevant documents. There were inconsistencies in the interviews, and the documents obtained demonstrate that the youth got his allowance and had enough clothing. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


raw_content:
Investigation Findings:
13Licensing Program Analysts (LPA's) Reyna Martinez and Lidia Tinoco conducted a complaint inspection and met with Virginia Hernandez, Program Director. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted interviews and reviewed supporting documents provided by the agency. Based on the information obtained during the investigation a preponderance of the evidence that the allegation occurred as reported could not be found. Although the allegations may or may not have happened, or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report and appeal rights were provided to the Program Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Reyna Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Virginia Hernandez, Program Director


summary: Facility Evaluation

raw_content:
Narrative:
LPA Boyd requested Virginia Hernandez to come into the office to sign documents.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced annual inspection was conducted by Licensing Program Analyst (LPA) Jessica Rodriguez at Barstow House in Fresno, CA. LPA met with Administrator, Virginia Hernandez and inspected the facility, inside and out. A physical plant inspection was completed. Outdoor facility grounds are clean and free of debris. LPA observed maintenance needed in the following areas inside the home: front door repairs, kitchen table repairs, kitchen tile repairs, room 2 door handle, room 3 wall scrapings, living room floor replacement, and kitchen cabinets/locks. LPA was provided with a maintenance order request for all the above-mentioned items put in by the facility dated October 14, 2021. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 75 degrees. All facility smoke detectors and carbon monoxide detectors are in appropriate working order, fire extinguisher is properly charged and serviced. Facility maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed with appropriate clean linens and are in good repair. No firearms or weapons are allowed in the facility. Facility appears to be meeting the terms and conditions of their license. LPA reviewed client files and conducted three staff interviews and two client interviews. A technical violation was issued for the client's dressers/nightstands not being in good repair/working order. A copy of this report was left with Administrator, Virginia Hernandez. An annual continuation will be completed at the facility main office.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Jessica Rodriguez conducted an unannounced annual inspection of staff records and training for the above facility. The inspection was conducted at the corporate offices of KYJO. LPA was met with Executive Director, Kevin Jordan. An inspection of staff records and training was conducted. A review of staff records on 10/20/2021 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. An exit interview was conducted, and a copy of this report given to the Executive Director. The annual inspection will be completed at a later date.

met_with: Kevin Jordan


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Jessica Rodriguez conducted an unannounced annual inspection of staff records and training for the above facility. The inspection was conducted at the corporate offices of KYJO. LPA was met by Administrator, Virginia Hernandez LPA continued inspection of staff records and training. A review of staff records on 10/20/2021 and 10/22/2021 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. It is requested that the licensee submit the following updated forms to CCL: LIC 308, 309, 500 and emergency disaster plan. In addition, the most recent minutes for the Board of Directors meeting. There are no deficiencies to be cited on this date. An exit interview was conducted, and a copy of this report given to the Administrator.