summary: Facility Evaluation

raw_content:
Narrative:
On December 14, 2023 at 11: AM, Licensing Program Analysts (LPAs) Leslie Covarrubias and Cynthia Velasquez conducted an announced pre-licensing inspection. LPAs met with Applicant/Chief Executive Officer (CEO), Scott Sowle, Chief Clinician Officer, Tara Krueger, Chief Compliance Officer, Brent Bowers. The facility is a three client bedroom three client bathroom single-family, two-story home. The applicant is applying for a group home with the capacity of six ambulatory clients aged between 12-17 years old. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris. Clients will use a cordless telephone to make and receive confidential telephone calls. The water temperature in bathroom #1 located in cirtus room measured to be Degrees Fahrenheit. The water temperature inside lilian grace room measured to be 115. Degrees Fahrenheit. The water temperature next to roubidoux room was measured to be 117. Degrees Fahrenheit. There is adequate indoor and outdoor activity space. Medication will be locked in the locked cabinet in the Medication room. The facility smoke detectors and carbon monoxide detectors tested and were observed to be in working order; the fire extinguishers are properly charged and serviced. The facility has a fully equipped first aid kit and first aid manual. The applicants stated there were no weapons in the facility. Disinfectants and cleaning solutions will be stored and locked. Sharp knives will be stored in a locked kicthen cabinet. The staff and client files will be maintained on the computer database via Kipu. LPA's advised CEO, Scott Sowle, that staff and client files to be accessible to Community Care Licensing (CCL) at any time. The following required forms were posted in the facility: Personal Rights form, Foster Care Ombudsmen Poster and Disaster plans were posted. (Continue on next page...) The downstairs area is set up as follows Group Room, dining room, living room, a kicthen, laundry room, two staff offices and two staff bathrooms. The upstairs are set up as follows: Citrus Bedroom: designated for two clients, two twin beds, one dresser with four drawers, and closet space with one bathroom. Lilian Grace Bedroom: designated for two clients, two twin beds, one dresser with four drawers, and closet space with one bathroom. Roubidoux Bedroom: designated for two clients, two twin beds, one dresser with four drawers and closet space. Care coordinator office , and a den area. Each room has adequate clean linens, pillows, blankets, comforters, mattress pads, and mattresses. The Backyard is set up as follows: The facility has one nursing office and a learning center with a recovery counselor office. The facility has a pool which is appropriately fenced and secured with an iron wrought fence. The enclosure was measured to five-and a half feet high. The Applicant/CEO Scott Sowle stated that the clients and staff will not have access to the swimming pool. The facility has a barn house area equipped with a group room, three clinician offices, one clinical director office, and one staff bathroom. (Continue on next page...) All special incident reports (SIR's) will be sent via e-mail to: cclpaccr@dss.ca.gov. The reporting requirements were reviewed with the Applicant/CEO on this date. LPA explained that once the license is approved, all employees shall have an approved criminal record clearance for CCL and be associated to this facility. The fire clearance has been approved. Based on the facility pre-licensing inspection, the facility is ready for licensure.


state: CA

facility_name: MUIR WOOD - BRADLEY RANCH

summary: Facility Evaluation

raw_content:
Narrative:
On January 30, 2025, Licensing Program Analysts (LPA), Toni Castillo conducted an annual inspection at the Group Home. LPA met with the Sam Worrall, Clinical Director. LPA completed a health and safety assessment of the facility grounds. Group home is a two-story residence with three bedrooms, two bathrooms and facility staff office with additional storage. Seven administrative offices were on grounds and toured. The home was approved for 6 ambulatory male clients ages 12-17. There are currently three clients in care. The bedrooms were arranged so that there is one individual bed per client. Beds were observed with appropriate clean linens, pillows, comforters, and mattress in good repair. There are adequate hygiene supplies stocked in the home available for clients. This home contains 2 group therapy rooms and a learning center on grounds to provide educational needs. Facility grounds were clean and free of debris and observable hazards. There was adequate indoor and outdoor activity space. LPA observed a swimming pool which is locked, fenced, and inaccessible to clients. The pool is surrounded by a iron fence measured over 5 feet tall. Sports equipment/games/ books were observed for children's recreation time. Facility smoke detectors and carbon monoxide detectors were in appropriate working order, fire extinguishers were properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods. All hazardous items have been properly made inaccessible to areas where clients will have access. The kitchen had adequate cooking supplies and utensils. All required forms were posted including the Grievance Procedure, Personal Rights form, and the Foster Care Ombudsman poster. Medications are centrally stored in a lockbox located in a locked nursing office. The group home does not have cameras in common areas of the facility. Per clinical director, there were no firearms or weapons in the facility (Continuation on next page 809-C) Personnel files were reviewed to ensure they contained all required documentation per Title Regulations. Personnel files are maintained electronically through Paylocity System. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index checks clearances and exemptions. Three client files were reviewed electronically through Aura system. LPA completed a review of medications dispensed and charting. Three clients and four staff were interviewed. LPA reviewed copes of the fire and disaster drill log, current LIC 500 personnel record, grievance procedures and emergency intervention plan. Currently this facility does not use any forms of restraints. Staff is trained to use verbal de escalation and verbal redirection techniques. There are no deficiencies cited at this time. A copy of this report was reviewed and given to Sam Worrall, Clinical Director along with a Confidential Names List (LIC811).

report_type: Facility Evaluation

visit_type: Annual

met_with: Sam Worrall, Clinical Director


facility_name: MUIR WOOD - DA VINCI

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews reported that C1 did not have a doctor's prescription mandating C1 to be administered in nicotine patches. Confidential interviews reported that upon intake for C1, staff (S3) were told that C1 was not regularly taking their (C1) prescribed medications, and the facility's policy is to have clients reviewed by the on-staff Physician before continuing with medication doses. Confidential interviews reported that C1 was waiting to be seen by the on-staff Physician to be reevaluated for the medication. Confidential interviews reported that unless clients are regularly taking their medication, then staff will administer to clients as prescribed, but if not, then the client must be reevaluated. Confidential interviews were unable to say if C1 specifically requested prescription medication. On 10/04/2024, Community Care Licensing (CCL) received an allegation that staff (unknown) did not ensure the minor's (C1) mental health needs were met. It was alleged that C1 was communicating for assistance due to mental health distress, and no actions were taken. Confidential interviews reported that staff were aware that C1 was having some difficulties settling into the new environment, as they had just arrived earlier in the day for intake, and offered to have C1 sit outside for some fresh air and personal space. Confidential interviews reported that C1 was allowed space in their bedroom later in the evening as C1 was showing signs of aggression and agitation, and staff (S1 and S2) did not intervene as a safety choice. Confidential interviews reported that staff members (S1 and S2) attempted to help C1 return to baseline and adjust to the new environment, but were unsuccessful in their efforts to assist C1. Consequently, they gave C1 space to calm down and adapt to the facility. Based on inconsistent confidential interviews and documentation, the allegations that staff did not administer medications to minor in care, and staff did not ensure minor's mental health needs were met are unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of evidence to prove that the alleged violations occurred. An exit interview was conducted, and a copy of this report, LIC 9099, and the appeal rights were discussed and provided to Sam Worall, Clinical Director.

Investigation Findings:
13On September 16, 2025, at 01: PM, Licensing Program Analyst (LPA) Cynthia Robinson conducted an unannounced visit to Muir Wood - Da Vinci Group Home (GH) to deliver the investigative findings for the allegations listed above. On 10/10/2024, LPA Toni Castillo conducted a health and safety inspection at the GH, and no immediate health and safety hazards were observed. LPA Robinson obtained documents pertinent to the investigation and interviewed one Client (C1), a Witness (RP), and Staff (S1, S2, S3, S4, and S5). On 10/04/2024, Community Care Licensing (CCL) received an allegation that staff did not administer medications to a minor in care. It was alleged that C1 requested prescription medication and nicotine patches and was denied for both. Confidential interviews reported that facility policy does not allow administering nicotine patches to minors in care. (Continued on LIC 9099C...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Cynthia Robinson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: MUIR WOOD - DA VINCIFACILITY NUMBER: VISIT DATE: 09/16/2025

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

report_type: Complaint Investigation

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On 12/05/2023 at 2: PM, Licensing Program Analyst (LPA) Sarah Lo and Licensing Program Manager (LPM) Jennifer Smith conducted a Component II meeting via Microsoft Teams with Applicant (CEO) Scott Sowle. Also present was Chief Compliance Officer Brent Bower, Care Coordinator Manager Melissa Gaviria, Care Coordinator Manager Jeff Denison, and Operations Manager Ashley Mitchell. The Administrator for this facility will be Ashley Mitchell. During the meeting the following was discussed: *Background and experience with group homes. *An overview of the program applicant is offering. *The structure for the program. *Program and services. *Neighborhood complaint procedure. *Pool on property will not be used by any staff or clients. *Administrator's qualification. *The Administrator explained her past work experiences for qualifications to work as a Group Home (GH) Administrator. After the review of the application and program statement, LPA and LPM have determined the following missing documents or documents that need to be revised. The documents are to be submitted by 12/13/2023: *Need a copy of administrator's college degree. *continued on LIC 809-c* *Group Home Administrator 40-hour training certificate, health screening, TB clearance, first aid/CPR certification. *Administrative Organization (LIC 309) for board member Chris Laitala needs to have an updated address with the suite number. *Board of Director or Governing Body Statement (LIC 9165) for board member Chris Laitala needs to have an updated address with the suite number. *Personnel Report (LIC 500) needs to be updated to show the name of the Administrator and work hours. *Job description for all positions at the facility. A pre-licensing visit and component III has been scheduled for 12/14/2023. An exit interview was conducted. A copy of this report and the appeal rights were emailed to Applicant Scott Sowle for original signature and a copy will be placed in the facility file.

met_with: Applicant, Scott Sowle


summary: Facility Evaluation

raw_content:
Narrative:
On December 14, 2023 at 9:00AM, Licensing Program Analysts (LPAs) Leslie Covarrubias and Cynthia Velasquez conducted an announced pre-licensing inspection. LPAs met with Applicant/Chief Executive Officer (CEO), Scott Sowle, Chief Clinician Officer, Tara Krueger, Chief Compliance Officer, Brent Bowers. The facility is a three client bedroom three client bathroom single-family, three-story home. The applicant is applying for a group home with the capacity of six ambulatory clients aged between 12-17 years old. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris. Clients will use a cordless telephone to make and receive confidential telephone calls. The water temperature in bathroom #1 located between arroyo room and oak room measured to be 106. Degrees Fahrenheit. The water temperature inside oak room measured to be 111 and Degrees Fahrenheit. The water temperature in the bathroom located next to the kitchen was measured to be Degrees Fahrenheit. There is adequate indoor and outdoor activity space. Medication will be locked in the locked cabinet in the Care Coordinator's Office. The facility smoke detectors and carbon monoxide detectors tested and were observed to be in working order; the fire extinguishers are properly charged and serviced. The facility has a fully equipped first aid kit and first aid manual. The applicants stated there were no weapons in the facility. Disinfectants and cleaning solutions will be stored and locked. Sharp knives will be stored in a locked kicthen cabinet. The staff and client files will be maintained on the computer database via Kipu. LPA's advised CEO, Scott Sowle, that staff and client files to be accessible to Community Care Licensing (CCL) at any time. The following required forms were posted in the facility: Personal Rights form, Foster Care Ombudsmen Poster and Disaster plans were posted. (Continue on next page...) The downstairs area is set up as follows: Two clinician offices, two staff bathrooms, and a group therapy room. The ground level area is set up as follows: Care coordinator office, dining room, living room, and a kitchen, one client bathroom. The upstairs are set up as follows: One staff's lounge. Citrus Bedroom: designated for two clients, two twin beds, one dresser with four drawers, and closet space. Arroyo Bedroom: designated for two clients, two twin beds, one dresser with four drawers, and closet space. Oak Bedroom: designated for two clients, two full beds, one dresser with four drawers and closet space with one bathroom. Each room has adequate clean linens, pillows, blankets, comforters, mattress pads, and mattresses. The Backyard is set up as follows: The facility has one nursing office and a learning center. The facility has a pool which is appropriately fenced and secured with an iron wrought fence. The enclosure was measured to five-foot- three inches high. The Applicant/CEO Scott Sowle stated that the clients and staff will not have access to the swimming pool. The backyard is fully fenced and there is a covered patio with patio furniture. The facility has a enclosed fenced volleyball court. (Continue on next page...) All special incident reports (SIR's) will be sent via e-mail to: cclpaccr@dss.ca.gov. The reporting requirements were reviewed with the Applicant/CEO on this date. LPA explained that once the license is approved, all employees shall have an approved criminal record clearance for CCL and be associated to this facility. The fire clearance has been approved. Based on the facility pre-licensing inspection, the facility is ready for licensure.

visit_type: Prelicensing

met_with: Chief Exceutive Director, Scott Sowle


summary: Facility Evaluation

raw_content:
Narrative:
On January 23, 2025, Licensing Program Analysts (LPA), Toni Castillo conducted an annual inspection at the Group Home. LPA met with the Operations Manager, Melissa Gaviria. LPA completed a health and safety assessment of the facility grounds. Group home is a two-story residence with three bedrooms, five bathrooms and facility staff office with additional storage. Three administrative offices were on grounds and toured. The home was approved for 6 ambulatory female clients ages 12-17. There are currently zero clients in care. The bedrooms were arranged so that there is one individual bed per client. Beds were observed with appropriate clean linens, pillows, comforters, and mattress in good repair. There are adequate hygiene supplies stocked in the home available for clients. This home contains 2 therapist offices, 1 group therapy room and 2 staff offices. Facility grounds were clean and free of debris and observable hazards. There was adequate indoor and outdoor activity space. LPA observed a swimming pool which is locked, fenced, and inaccessible to clients. The pool is surrounded by a iron fence measured over 5 feet tall. Sports equipment/games/ books were observed for children's recreation time. Facility smoke detectors and carbon monoxide detectors were in appropriate working order, fire extinguishers were properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods. The hot water was measured to be 101. F degrees. All hazardous items have been properly made inaccessible to areas where clients will have access. The kitchen had adequate cooking supplies and utensils. All required forms were posted including the Grievance Procedure, Personal Rights form, and the Foster Care Ombudsman poster. Medications are centrally stored in a lockbox located in a locked nursing office. The group home does not have cameras in common areas of the facility. Per Operations Manager, there were no firearms or weapons in the facility (Continuation on next page 809-C) Personnel files were reviewed to ensure they contained all required documentation per Title Regulations. Personnel files are maintained electronically through Paylocity System. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index checks clearances and exemptions. There are no clients currently placed in this home therefore a review of client records was not completed.. LPA reviewed an electronic copy of the fire and disaster drill log, current LIC 500 personnel records, grievance procedures and emergency intervention plan. Currently this facility does not use any forms of restraints. Staff is trained to use verbal de escalation and verbal redirection techniques. There are no deficiencies cited at this time. A copy of this report was reviewed and given to the Operations Manager Melissa Gaviria along with a Confidential Names List (LIC811).

met_with: Melissa Gaviria


raw_content:
Narrative:
Confidential interviews reported that staff were supervising clients when clients walked from inside the facility to the backyard. Confidential interviews revealed that staff continued to provide verbal redirections to clients to return to the facility. Confidential interviews revealed that staff continued to follow clients and observed clients jump into the neighboring yard. Regarding the allegation that staff did not ensure reporting requirements were followed. Confidential interviews revealed that S2 completed an incident report the night of the incident. Other confidential interviews and documentation reveal that law enforcement was also notified when clients C1 and C2 left the facility and jumped into the neighboring backyard. Regarding the allegation that staff did not prevent the youth from having access to the rooftop of the facility. Confidential interviews reported that staff continued to follow clients and provide verbal redirection when clients jumped onto a retaining wall and onto the facility's garage roof. Confidential interviews indicated that staff continued to supervise and made attempts to direct the clients off the rooftop while they were on the roof of the facility's garage. Based on confidential interviews, the allegations that staff did not ensure adequate care and supervision was provided to youth resulting in youth elopement, that staff did not ensure reporting requirements were followed, and that staff did not prevent youth from having access to the rooftop of the facility are unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and appeal rights were explained. A copy of this report, LIC 811, and appeal rights were provided to Clinical Administrator Stephanie Thompson.

Investigation Findings:
13On 04/29/2026, at 2:15 pm, Licensing Program Analyst (LPA) Julian Lucas arrived unannounced at Muir Wood Davinci Group Home (GH) and met with Clinical Administrator Stephanie Thompson to deliver the investigative findings for the above-stated allegations involving the Group Home and clients listed on the confidential list (LIC811) dated 08/19/2025. On August 19, 2025, at 10: AM, Licensing Program Analyst (LPA) Julian Lucas initiated the investigation at the STRTP, and no immediate health and safety hazards were observed. LPA conducted five client interviews (C1, C2, C3, C4, and C5) and three staff interviews (S1, S2, and S3). The Department received a complaint on August 12, 2025, alleging that staff did not ensure adequate care and supervision was provided to youth resulting in youth elopement, staff did not ensure reporting requirements were followed, and staff did not prevent youth from having access to the rooftop of the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Julian Lucas LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: MUIR WOOD - DA VINCIFACILITY NUMBER: VISIT DATE: 04/29/2026

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

met_with: Stephanie Thompson, Clinical Administrator


facility_name: MUIR WOOD - EDGEWILD

summary: Facility Evaluation

raw_content:
Narrative:
On 12/05/2023 at 2: PM, Licensing Program Analyst (LPA) Sarah Lo and Licensing Program Manager (LPM) Jennifer Smith conducted a Component II meeting via Microsoft Teams with Applicant (CEO) Scott Sowle. Also present was Chief Compliance Officer Brent Bower, Care Coordinator Manager Melissa Gaviria, Care Coordinator Manager Jeff Denison, and Operations Manager Ashley Mitchell. The Administrator for this facility will be Ashley Mitchell. During the meeting the following was discussed: *Background and experience with group homes. *An overview of the program applicant is offering. *The structure for the program. *Program and services. *Neighborhood complaint procedure. *Pool on property will not be used by any staff or clients. *Administrators qualification. *The Administrator explained her past work experiences for qualifications to work as a Group Home (GH) Administrator. After the review of the application and program statement, LPA and LPM have determined the following missing documents or documents that need to be revised. The documents are to be submitted by 12/13/2023: *Need a copy of administrator's college degree. (Continued on LIC 809c* *Group Home Administrator 40-hour training certificate, health screening, TB clearance, first aid/CPR certification. *Administrative Organization (LIC 309) for board member Chris Laitala needs to have an updated address with the suite number. *Board of Director or Governing Body Statement (LIC 9165) for board member Chris Laitala needs to have an updated address with the suite number. *Personnel Report (LIC 500) needs to be updated to show the name of the Administrator and work hours. A pre-licensing visit and component III has been scheduled for 12/21/2023. An exit interview was conducted. A copy of this report and the appeal rights were emailed to Applicant Scott Sowle for original signature and a copy will be placed in the facility file.


summary: Facility Evaluation

raw_content:
Narrative:
***This is an amended report of the report dated December 14, 2023. *** On December 14, 2023 at 1: PM, Licensing Program Analysts (LPAs) Leslie Covarrubias and Cynthia Velasquez conducted an announced pre-licensing inspection and completed Component III. LPAs met with Applicant/Chief Executive Officer (CEO), Scott Sowle, Chief Clinician Officer, Tara Krueger, Chief Compliance Officer, Brent Bowers. The facility is a three client bedroom two client bathroom single-family, two-story home. The applicant is applying for a group home with the capacity of six ambulatory clients aged between 12-17 years old. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris. Clients will use a cordless telephone to make and receive confidential telephone calls. The water temperature in bathroom #1 located in rose room measured to be 112. Degrees Fahrenheit. The water temperature next to oak room and citrus room measured to be Degrees Fahrenheit. There is adequate indoor and outdoor activity space. Medication will be locked in the locked cabinet in the Medication room. The facility smoke detectors and carbon monoxide detectors tested and were observed to be in working order; the fire extinguishers are properly charged and serviced. The facility has a fully equipped first aid kit and first aid manual. The applicants stated there were no weapons in the facility. Disinfectants and cleaning solutions will be stored and locked. Sharp knives will be stored in a locked kicthen cabinet. The staff and client files will be maintained on the computer database via Kipu. LPA's advised CEO, Scott Sowle, that staff and client files to be accessible to Community Care Licensing (CCL) at any time. The following required forms were posted in the facility: Personal Rights form, Foster Care Ombudsmen Poster and Disaster plans were posted. (Continue on next page...) The downstairs area is set up as follows Group Room, dining room, living room, a kitchen, admissions room and a medication office. The upstairs area set up as follows: Rose Bedroom: designated for two clients, two twin beds, one dresser with four drawers, and closet space with one bathroom. Oak Bedroom: designated for two clients, two twin beds, one dresser with four drawers, and closet space. Citrus Bedroom: designated for two clients, two twin beds, one dresser with four drawers and closet space. Care coordinator office , clinician office, nursing office and staff office. Each room has adequate clean linens, pillows, blankets, comforters, mattress pads, and mattresses. The Backyard is set up as follows: The facility has one operation managers office, staff office with kitchen, and a learning center. LPA's observed the the facility pool that did not have a self closing latch six inches from the top of the fence. The enclosure was measured to be five-foot, three inches high. CEO stated the fencing would be fixed to have a self closing latch six inches from the top of the fence. The Applicant/CEO Scott Sowle stated that the clients and staff will not have access to the swimming pool. LPA's also observed an empty fish pond or similar body of water that does not have running water that measured three feet deep, next to the pool which was not enclosed. CEO stated sand and rock would be put to in fill up the area to not allow for the body of water. All special incident reports (SIR's) will be sent via e-mail to: cclpaccr@dss.ca.gov. The reporting requirements were reviewed with the Applicant/CEO on this date. LPA explained that once the license is approved, all employees shall have an approved criminal record clearance for CCL and be associated to this facility. (Continue on next page...) The fire clearance has been approved. Based on the facility pre-licensing inspection, the facility will make the corrections and once completed submit proof of correction to LPA Sarah Lo.


summary: Facility Evaluation

raw_content:
Narrative:
On January 8, 2024 at 10: AM, Licensing Program Analysts (LPAs) Leslie Covarrubias and Sarah Lo conducted an announced inspection visit for the purpose of inspecting the correction of the facility's pools fence and to inspect the facility's basement. LPA's met with Chief Compliance Officer, Brent Bowers. LPA's measured the wrought iron fence to be five feet tall, two feet from the bottom of the fence to the floor, and 45 inches space between the bars. The fence was also observed to have two self closing doors, one located in front of the pool with a latch five inches from the top of the fence. There is another self closing door with a latch measured to be four and half inches from the top of the fence located diagonal of the the pond. The fence encloses a pool, and pond that will not be used by clients or staff. LPA's inspected the utility basement located on the north west side of the facility. The basement has a door which will remain locked at all times and inaccessible to both clients and staff. LPA Covarrubias measured an 18 foot six inch walk way that was five feet nine inches in height. Surrounding the walkway LPA Covarrubias measured a crawl space two feet in height which is used for the under ground foundation. LPA's observed the empty fish pond or similar body of water that was filled in with rock to measure three and a half inches from the deepest point. LPA's stated the depth should be no more than two inches of depth to prevent drowning. The area was filled in with more rock during the inspection and corrected to measure two inches in depth. Per Chief Compliance Officer, Brent Bowers and Facility Manger, Armando Vergara the area also has drains that allow the water to drain out, which are located under the rock. (Continue on next page...) LPA's inspected the garage space located separate, on the southwest of the facility to be used as a storage/ shed which will not be accessible to staff or clients (only the facility manager will have keys with access). Based on the facility inspection, the facility is ready for licensure, pending management review. LPA's Covarrubias and Lo conducted an exit interview, and a copy of this report was provided to Chief Compliance Officer, Brent Bowers.

visit_type: Case Management

met_with: Chief Compliance Officer, Brent Bowers


summary: Facility Evaluation

raw_content:
Narrative:
On February 6, at 9: AM, Licensing Program Analysts (LPAs) Karen Beal and Julian Lucas and Licensing Program Manager, Cheraki Davis, conducted an unannounced annual inspection at Muir Wood Edge Wild Group Home. LPAs and LPM met with the facility by Operation Manager, Mellissa Gaviria at 9: AM. LPAs and LPM began a physical plant inspection at 9: AM assisted by Operation Manager. There are currently three clients. The physical plant inspection included the following checks: A physical plant inspection was completed and included the facilities formal entry, kitchen area, dining room, refrigerator/freezers, food storage areas, group room, two staff bathrooms, and two staff offices. There are three client bedrooms, one Nurse Office, client bathroom, Medication Room, Clinical Office, Care Coordinator Office, Therapy Office, TV/Group Room, Office Space, and an Admissions area. There is an additional dwelling that includes Operations Manager office, Learning Center, staff kitchen, two storage closets, and an office space. Facility is gated with an intercom system to obtain access. In this area the children are under constant supervision and never left alone. There were multiple green grassy areas throughout the grounds and various fruit trees throughout the facility. The roads surrounding the facility are covered with gravel and has an around about in the front entrance of the facility. Near the outside of the home there is a patio and a non-operable fireplace and grill. There is a storage shed on the right side of the facility with a garden on the outside of the shed that is used for storage with an art studio inaccessible to clients. Per Operations Manager, there are no guns or weapons on facility grounds. Cleansers and chemicals are inaccessible to clients. Cleaners and chemicals are locked under the sink and in a locked in a closet. Knives are not used at the facility due to lunch and dinner being catered and all food are prep before arriving to the facility. Staff cooks breakfast and snacks are provided. Continued to LIC 809-C Continued from Licensee maintains an adequate supply of perishable and non-perishable foods. LPAs observed the following postings: food menu, the facility license, Grievance Procedures, Visitation Policies and Personal Rights form. Age-appropriate toys, games and books were observed for client's recreation time. There is adequate indoor and outdoor activity space, and all exits were free from obstruction, debris, and observable hazards. LPAs observed the facility pool in the backyard to be inaccessible clients. The fence around the pool has a self-latching gate that swings outward and measured over five feet tall. The pool is clean and well maintained, gated pond with koi fish and a green grassy area for recreation. All facility smoke detectors and carbon monoxide detectors are in appropriate working order and located throughout the facility. Fire extinguishers are properly charged and serviced and located throughout the facility. Medications are centrally stored Medication Office and locked in a cabinet and refrigerator. The washer and dryer are located inside the Case Coordinator room. All detergents are kept locked in a cabinet and are inaccessible to clients. All bedrooms have individual beds, the facility ensures that there are two client per bedroom, with appropriate linens, pillows, comforters, and mattresses in good repair. There is adequate drawer space for each client's belongings. The hot water in the client's bathroom was measured in each bedroom and were within 105-120 degrees Fahrenheit. LPAs observed all containers, including movable bins, used for storage of solid wastes have tight-fitting covers kept on the containers are in good repair, leakproof, and rodent-proof. The facility has one vehicle and used to transport clients to appointments and recreational activities. The vehicle is maintained in a safe operating condition and insurance and registration is up to date. LPAs reviewed two client files with the assistance of the Clinical Director. LPAs conducted two client interviews. An exit interview was conducted, and a copy of this report was provided to Operations Manager, Mellissa Gavaria. *****This inspection will resume on another day.*****

met_with: Mellissa Gaviria, Operations Manager


summary: Facility Evaluation

raw_content:
Narrative:
On February 10, 2025, at 9: AM, Licensing Program Analysts (LPAs) Karen Beal and Julian Lucas, arrived at Muir wood- EdgeWild Group Homme to complete an annual inspection. LPAs reviewed staff files and the facility file. LPAs conducted four staff interviews. LPAs did a walk through of the facility to verify the facility changed the locks on the clients bedroom doors. The locked were changed and the facility is now in compliance. An exit interview was conducted, and a copy of this report was provided to Operations Manager, Mellissa Gaviria.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On October 14, 2025, at 11:40 am, Licensing Program Analyst (LPA) Julian Lucas met with Muir Wood Edgewild Group Home (GH) Care Coordinator Manager, Ashley Mitchell, to deliver a case management deficiencies report. According to information obtained by Community Care Licensing (CCL), Staff 1 (S1), the swing shift staff member, was in the staff office and did not complete their rounds on 09/22/2025. Confidential interviews revealed that because S1 did not complete their rounds, they were unaware that C1 and C2 left the facility without permission and later returned. Confidential interviews and the facility incident report stated that the exact time of C1 and C2 leaving the facility without permission is unknown. According to the facility incident report, current estimates suggest the clients (C1 and C2) were gone for approximately one hour during the swing shift, based on confidential interviews. It was disclosed that the clients returned under the influence from drinking BuzzBalls and Pink Whitney alcohols, and smoking a wax weed pen provided by an unknown adult at a park when they left the facility without permission. The facility administers Narcan, and paramedics were called. were reported, and S1's employment at the facility was terminated. LPA collected pertinent documentation, and Interviews were conducted with the Administrator, S2, S3, C1, and C2. See Confidential Names List (LIC 811) dated October 14, 2025. Based on document review and confidential interviews, the facility is being cited for violation of California Care Regulations, Title 22, Division 6, Chapter 1, Section 80078(a), Responsibility for Providing Care and Supervision (a) The license shall provide care and supervision as necessary to meet the client's needs. Staff (S1) failed to provide adequate care and supervision for clients (C1 and C2) by not completing their rounds of bedroom checks. This oversight allowed C1 and C2 to leave the facility without permission, which posed an immediate Health, Safety, or Personal Rights risk to the clients in care. Continued 809-C A copy of the report was discussed and provided along with appeal rights and LIC 811 to Muir Wood Edgewild Care Coordinator Manager Ashley Mitchell.

Deficiencies:
80078(a): 1
2
3
4
5
6
7

met_with: Ashley Mitchell, Administrator/Facility Manager

title:
1
2
3
4
5
6
7Responsibility for Providing Care and Supervision (a) The license shall providecare and supervision as necessary to meet the client's needs80078(a)

This requirement is not met as evidenced by

description:
1
2
3
4
5
6
7


facility_name: MUIR WOOD, LLC - MAGNOLIA

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) David Hiett conducted a pre-licensing inspection for a Group Home license and met with the Administrator Scott Sowle. The entire home was toured, inside and out. The application is to provide residential dual diagnosis treatment for substance abuse disorder and mental health for six adolescents with substance abuse issues, private and insured placement, for boys and girls ages 12 - 17 years. There is an entertainment room/therapy room and a kitchen/dining room. There is a locked medication room where prescription medications are stored in locked cabinets. A washer and dryer set are located in the medication room. There are locked cabinet where chemicals are stored. All bedrooms have adequate dresser and closet space. There are carbon monoxide/smoke detectors throughout the facility along with adequate fire extinguishers. There is a complete first-aid kit located in the medication room. All required postings are present. Applicant understands that the hot water temperature must be maintained within the regulation range of 105-120 degrees and was measure at 110F. The knives will be stored in a locked kitchen drawer. License is pending fire clearance and will be issued upon receipt . Fire clearance issued on 9/16/2021.

met_with: Scott Sowle


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Chief Operating Officer Bryan Bowen and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps, medications, toxins, and cleaning solutions are locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Required documents are posted. Staff and client files were reviewed and are current and complete with required documents. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. There are currently 5 youth in placement at this location. There were no clients present during the inspection. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.

met_with: Bryan Bowen


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Chief Operating Officer Bryan Bowen and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps, medications, toxins, and cleaning solutions are locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Required documents are posted. Staff and client files were reviewed and are current and complete with required documents. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. There are currently 6 youth in placement at this location. There were no clients present during the inspection. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge went to the facility to complete staff and client interviews for the required annual. A copy of the report was sent to the facility.


summary: Facility Evaluation

narrative: Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Chief Operating Officer Bryan Bowen and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps, medications, toxins, and cleaning solutions are locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Required documents are posted. Staff and client files were reviewed and are current and complete with required documents. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. There are currently 6 youth in placement at this location. There were no clients present during the inspection. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.


facility_name: MUIR WOOD - THOMPSON RANCH

summary: Facility Evaluation

raw_content:
Narrative:
On October 30, Licensing Program Analyst (LPA) Monica Pavia met with Chief Executive Officer/Administrator, Scott Sowle, for a prelicensing inspection. LPA discussed the following with the Mr. Sowle: Forms that the facility uses and will continue to use. Corporate organization - Including chain of command and roles of staff Written plans, policies or procedures that was submitted with the application. Administrator/Director qualifications and duties. Mr. Sowle informed this LPA that he will be the Administrator for Muir Wood - Thompson Ranch when the facility is licensed. Mr. Sowle will submit Change of Administrator paperwork to the Santa Rosa office LPA, once facility is ready for placement's. 1. Facility grounds inspected. Grounds are clean and free from observable hazard. The facility does not have a swimming pool or any bodies of water. Firearms are not allowed on facility premises. 2. Adequate indoor activity space and materials observed, and outdoor activity space was observed. 3. Chemicals were appropriately locked 4. Procedures for Locked and centrally stored medications observed. 6. Adequate storage space observed. 7. Individual beds in good repair observed. A supply of extra linens available for bed changes. 8. The house has 3 client bedrooms, double occupancy, located on the second floor. Bedrooms are accommodating of all required furnishings. 9. Adequate food storage space observed. Facility will add appropriate supply of foods upon placement of youth in the home. A supply of nonperishable foods were observed on this date. 10. Sample menu posted. 11. All appropriate forms posted within client view. 12. Dining room equipped with large table and chairs accommodating of all clients. 13. Facility has two restrooms for client use, one for staff use, all are operable Hot water measured 120 degrees on this date. Applicant is associated through Guardian and has been fingerprint cleared. Prior to accepting placement's, all staff must be fingerprint cleared and associated to the facility. Discussed Guardian process with the facility. Discussed with the facility the process for changing the facility Administrator. The following documents are required: 1. LIC 308 (Designation of Facility Responsibility) designating new administrator. 2. Current Personnel Record for new Administrator. 3. Verification of Education and/or experience for new administrator. 4. Copy of current administrator certificate. 5. Current (within one year) health screening and TB test. 6. Board Resolution granting administrative responsibility to the new administrator. 7. Fingerprint association transfer request (if the Administrator is not already associated to the facility) Discussed Incident reporting. An initial report for all reportable incidents is to be made by the next working day to crpincrohnertpark@dss.ca.gov. A full report is to be remitted within 7 days and may also be made to the incident reporting email. After licensure, you will receive a letter notifying you of your assigned LPA, from the Santa Rosa office. The facility will be approved for initial Licensure as of today, October 30, 2023. Initial license will be issued on a provisional basis, expiring one year from effective date. License will be valid for up to 6 male and/or female youth ages 12 through 17. A copy of this report was provided to Mr. Sowle.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Post Licensing inspection. LPA McCambridge met with Director of Operation Kelli Azevedo and toured the facility, inside and out. Facility grounds inspected. Grounds are clean and free from observable hazard. The facility does not have a swimming pool or any bodies of water. Firearms are not allowed on facility premises. Adequate indoor activity space and materials observed, and outdoor activity space was observed. Chemicals were appropriately locked. Procedures for Locked and centrally stored medications observed. Adequate storage space observed. Individual beds in good repair observed. A supply of extra linens available for bed changes. The house has 3 client bedrooms, double occupancy, located on the second floor. Bedrooms are accommodating of all required furnishings. Adequate food storage space observed. Facility will add appropriate supply of foods upon placement of youth in the home. A supply of nonperishable foods were observed on this date. Sample menu posted. All appropriate forms posted within client view. Dining room equipped with large table and chairs accommodating of all clients. Facility has two restrooms for client use, one for staff use, all are operable Hot water measured 120 degrees.

met_with: Kelli Azevedo


summary: Facility Evaluation

raw_content:
Narrative:
On 9-17-24 10:18AM, Licensing Program Analyst George Karkazis conducted an unannounced Annual/Random inspection at listed facility. LPA's met with Kelli Azevedo, Operations Director, and toured the facility inside and out. The Group Home is licensed to serve 6 clients. Present during the inspection were 2 staff and 0 clients. The facility currently has no clients in care due to low census. At 10:25AM LPA Karkazis reviewed client and staff files. Staff files were complete and in good order. The are no clients in care, no client files were reviewed. At 11:14AM, LPA Karkazis toured the facility. LPA Karkazis observed 3 bedrooms and 3 bathrooms. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPA Karkazis tested the water temperature and found it to be 119 degrees which is in range. The thermostat read 68 which is within range. Sharps were locked and chemicals were safely stored. There are no clients in care, there is no food present at this time. Medications are stored in the locked staff office in a locked cabinet, none present. The facility is in good repair and clean. LPA Karkazis interviewed 1 staff and 0 clients., no clients in care. At 11:30AM LPA Karkazis toured the backyard. There were no open bodies of water. The backyard was in good repair and clean. At this time there were no deficiencies. An exit interview was conducted, appeal rights discussed and a copy of this report was given to Kelli Azevedo, Operations Director.

met_with: Kelli Azevedo, Operations Director


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analysts (LPAs) Brian Bertoli and Kimberly Hall made an unannounced visit to the Group Home. The purpose of the inspection was to complete a Closure visit. No staff were present and there was a locked gate, so LPAs were not able to inspect inside the facility. There was no indication of anyone being present at the home. LPA Bertoli had received confirmation from the facility previously that they never had youth at the facility and had sold the property on 07/15/2025. LPA Bertoli will send a closure letter to the facility and will process the closure when it is received..

met_with: No staff present


facility_name: MUIR WOOD LLC HANNAN RANCH

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) David Hiett and Brian Bertoli conducted a pre-licensing inspection for a Group Home license and met with the Administrator Scott Sowle. The entire home was toured, inside and out. The application is to provide residential dual diagnosis treatment for substance abuse disorder and mental health for six adolescents with substance abuse issues, private and insured placement, for boys and girls ages 12 - 17 years. There is an entertainment room, a therapy room and a kitchen/dining room. There is a locked medication room where prescription medications are stored in locked cabinets. A washer and dryer set are located in a locked cabinet where chemicals are stored. All bedrooms have adequate dresser and closet space. There are carbon monoxide/smoke detectors throughout the facility along with adequate fire extinguishers. There is a complete first-aid kit located in the medication room. All required postings are present. There is an attached building that is used as a therapy room. Outside on the patio there is a fireplace that will not be used and a gas grill. Applicant understands that the hot water temperature must be maintained within the regulation range of 105-120 degrees and was measure at 110F. The knives will be stored in a locked kitchen drawer. A copy of this report has been shared with the facility.


summary: Facility Evaluation

narrative: Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Chief Operating Officer Bryan Bowen and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps, medications, toxins, and cleaning solutions are locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Required documents are posted. Staff and client files were reviewed and are current and complete with required documents. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. There are currently 5 youth in placement at this location. There were no clients present during the inspection. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.


summary: Facility Evaluation

narrative: On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge went to the facility to complete staff and client interviews for the required annual. A copy of the report was sent to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On 9-9-24 10:32AM, Licensing Program Analysts George Karkazis conducted an unannounced Annual/Random inspection at listed facility. LPA's met with Kelli Azevedo, Director of Operations and toured the facility inside and out. The Group Home is licensed to serve 6 clients. Present during the inspection were 2 staff and 0 clients. Currently there are no clients in care, since June 2024, while the facility undergoes repairs and remodeling. One staff member departed during the inspection, only one staff was interviewed. No clients interviewed, no clients in care. At 10:35AM LPA Karkazis reviewed staff files. All staff files were complete and in good order. No client files were reviewed, no clients in care. At 11:12AM, LPA Karkazis toured the facility. LPA Karkazis observed 3 bedrooms and 3 bathrooms. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPA Karkazis tested the water temperature and found it to be 114 degrees which is in range. The thermostat read 70 which is within range. Sharps were locked and chemicals were safely stored. There was no food stocked, no clients in care The medication was also stored and locked in the Care Coordinator Office, in a locked cabinet. The facility is in good repair and clean. LPA Karkazis interviewed 1 staff and 0 clients. At 11:29AM LPA Karkazis toured the backyard. There were no open bodies of water. The backyard was in good repair and clean. At this time there were no deficiencies. An exit interview was conducted, appeal rights discussed and a copy of this report was given to Kelli Azevedo, Director of Operations.

met_with: Kelli Azevedo, Director of Operations


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analysts (LPAs) Brian Bertoli and Kimberly Hall made an unannounced visit to the facility and met with Care Coordinator Jesus Morfin. Due to Jesus being the only staff present with one youth, LPAs went to the Administrative Office and met with Shift Supervisor Luis Godoy. The purpose of the visit was to review an incident report dated 9/25/25 in which the youth became escalated when they were not allowed to make a phone call to their mother. LPAs reviewed it with Luis Godoy, who stated that the youth is allowed to call parents and the youth was escalated due to parents making upsetting comments. Parents were aware that youth was not allowed to make multiple calls. LPAs are issuing a Technical Violation Advisory for Personal Rights 84072(d)(13)(B). An exit interview was conducted and a copy of the report was left with the facility.

met_with: Luis Godoy and Jesus Morfin


facility_name: MUIR WOOD LLC - 992 LOHRMAN

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) David Hiett conducted a pre-licensing inspection for a Group Home license and met with the Administrator Scott Sowle. The entire home was toured, inside and out. The application is to provide residential dual diagnosis treatment for substance abuse disorder and mental health for six adolescents with substance abuse issues, private and insured placement, for boys and girls ages 12 - 17 years. There is an open floor plan containing an entertainment area and a kitchen/dining area, 2 bedrooms and a group therapy room. There is a locked medication closet where prescription medications are stored in locked containers. A washer and dryer set are located in a closet next to the kitchen. All bedrooms have adequate dresser and closet space. There are carbon monoxide/smoke detectors throughout the facility along with adequate fire extinguishers. There is a complete first-aid kit located in the medication closet. All required postings are present. Applicant understands that the hot water temperature must be maintained within the regulation range of 105-120 degrees and was measure at 110F. The knives will be stored in a locked kitchen drawer. A copy of this report has been shared with the facility.


facility_name: MUIR WOOD LLC - LOHRMAN SOUTH

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
There is a lack of clear evidence to make a determination as to whether a regulatory violation did occur. This department has investigated the allegations, and although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that minor was sexually assaulted by another minor in care; therefore, the above allegation is unsubstantiated. Appeal rights were provided and discussed, and no deficiencies were cited. An exit interview was conducted and a copy of the report was sent to the facility.

Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Cheif Operating Officer Bryan Bowen regarding a complaint investigation at the group home. The purpose of the meeting was to deliver the findings for the above complaint allegations. The investigation was conducted by Community Care Licensing (CCL) Investigations Branch Special Investigator Jorge Martinez and included interviews with staff, current and former clients, and the reporting party. In addition Sonoma County's Sheriffs report and facility records and files were reviewed. During interviews with staff and reviewing documents it was stated that C1 and C2 got along and there were no observed incidents betweeen the two of them. During the interview with C1 it was stated that she could barely remember anything about the facility or the incident and could not name the client who sexually assaulted her. (Continued on 9099-C dated 04/19/22) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Cheyenne McCambridge 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 21-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, NEOTOMAS AVENUE, STE. FACILITY NAME: MUIR WOOD LLC - LOHRMAN SOUTHFACILITY NUMBER: VISIT DATE: 04/19/2022


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Administrator Scott Sowle regarding a complaint investigation at the facility. The purpose of the inspection was to deliver the findings for the above allegation. During the course of the investigation, LPA McCambridge interviewed youth and staff, and reviewed documentation. Interviews with clients did not support any of the allegations. Interviews with staff revealed that staff were properly following protocal and procedures for runaway youth. This department has investigated the allegations, and although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the above allegations are true; therefore, the above allegations are unsubstantiated. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Cheyenne McCambridge 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:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Administrator Scott Sowle regarding a complaint investigation at the facility. The purpose of the inspection was to deliver the findings for the above allegation. During the course of the investigation, LPA McCambridge interviewed youth and staff, and reviewed documentation. Interviews with clients did not support any of the allegations. Interviews with staff revealed that facility was properly staffed and youth supervised. This department has investigated the allegations, and although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the above allegations are true; therefore, the above allegations are unsubstantiated. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Cheyenne McCambridge 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:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Cheif Compliance Officer Brent Bowers regarding a complaint investigation at the facility. The purpose of the inspection was to deliver the findings for the above allegation. During the course of the investigation, LPA McCambridge interviewed youth and staff, and reviewed documentation. Confidential interviews determined that staff followed protocol and procedures for the incident. Clients stated that they feel safe in the facility and are properly supervised, sometimes to much. This department has investigated the allegations, and although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the above allegations are true; therefore, the above allegations are unsubstantiated. An exit interview was conducted with Cheif Compliance Officer Brent Bowers and a copy of this report was sent to the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Cheyenne McCambridge 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: Brent Bowers


summary: Complaint Investigation - Substantiated - 1 deficiency

raw_content:
Investigation Findings:
13This is an amended report due to LPA including information in the 9099 that did not pertain to this complaint. On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Cheif Operating Officer Bryan Bowen regarding a complaint investigation at the Group Home. The purpose of the inspection was to deliver the findings for the above allegation. During the course of the investigation, LPA interviewed youth and staff and reviewed records. It was during these confidential interviews that it was determined the staff does currently work at the facility and does not have fingerprint clearance. Based on the information obtained, there is a preponderance of the evidence to prove that a staff member was working at the facility uncleared. Therefore, the above allegation is substantiated. Appeal Rights were provided and discussed, and Title 22 deficiencies were cited and a civil pentaly was issued. An exit interview was conducted, and a copy of the report was left at the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Cheyenne McCambridge 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 21-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SANTA ROSA RO, NEOTOMAS AVENUE, STE. FACILITY NAME: MUIR WOOD LLC - LOHRMAN SOUTHFACILITY NUMBER: 496890062

Deficiencies:
80019: (1) A medical professional, as defined by the Department in regulations, who holds a valid license or certification from the individual's governing California medical care regulatory entity and who is not employed, retained, or contracted by the licensee...

complaint_status: SUBSTANTIATED

title: Criminal Record Clearance (b)The following persons are exempt from the requirement to submit fingerprints


raw_content:
Narrative:
Appeal rights were provided and discussed, and no deficiencies were cited. An exit interview was conducted and a copy of the report was left at the facility.

Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Director of Operations Kelli Azevedo regarding a complaint investigation at the group home. The purpose of the meeting was to deliver the findings for the above complaint allegations. The investigation was conducted by Community Care Licensing (CCL) Investigations Branch Special Investigator Nathan Gonzalez and included interviews with staff, current and former clients, and the reporting party. In addition Petaluma Police Department report and facility records and files were reviewed. During confidential interviews and reviewing documents it was stated that staff made efforts to keep boundaries between clients and there was no observed incidents between clients. There is a lack of clear evidence to make a determination as to whether a regulatory violation did occur. This department has investigated the allegations, and although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that Lack of supervision lead to inappropriate sexual interactions between minors; therefore, the above allegation is unsubstantiated. (Continued on 9099-C dated 08/20/24) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Cheyenne McCambridge 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 21-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SANTA ROSA RO, NEOTOMAS AVENUE, STE. FACILITY NAME: MUIR WOOD LLC - LOHRMAN SOUTHFACILITY NUMBER: VISIT DATE: 08/20/2024


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Cheif Operating Officer Bryan Bowen regarding a complaint investigation at the group home. The purpose of the meeting was to deliver the findings for the above complaint allegations. The investigation was conducted by Community Care Licensing (CCL) Investigations Branch Special Investigator Tim Balarie and LPA Cheyenne McCambridge and included interviews with staff, current and former clients, and the reporting party. In addition facility records and files were reviewed. Due to conflicting statements and not being abl to interview all parties involved there is a lack of clear evidence to make a determination as to whether a regulatory violation did occur. This department has investigated the allegations, and although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that Lack of supervision lead to inappropriate sexual interactions between minors; therefore, the above allegation is unsubstantiated. Appeal rights were provided and discussed, and no deficiencies were cited. An exit interview was conducted and a copy of the report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Cheyenne McCambridge 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


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Chief Operating Officer Bryan Bowen and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There is a duck pond on the property that is enclosed by a 84" fence. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps, medications, toxins, and cleaning solutions are locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Required documents are posted. Staff and client files were reviewed and are current and complete with required documents. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. There are currently 5 youth in placement at this location. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.


facility_name: MUIR WOOD LLC - PENNGROVE NORTH

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Brian Bertoli met with Shift Supervisor Azure Hodges regarding a complaint investigation at the Group Home. The purpose of the meeting was to deliver the findings for the above complaint allegation. During the course of the investigation, LPA Bertoli inspected the facility, reviewed records, and conducted confidential interviews, which did not indicate that the above allegation occurred. LPA Bertoli was not able to contact the involved parties, so there is a lack of evidence to make a determination as to whether a regulatory violation did occur. This department has investigated the allegations, and although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that Staff member handled minor in a rough manner; therefore, the above allegation is Unsubstantiated. Appeal Rights were provided and discussed, and no deficiencies were cited. An exit interview was conducted and a copy of the report was given to the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Brian Bertoli 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: Azure Hodges


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) Cheyenne McCambridge and Monica Pavia conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection.LPAs McCambridge and Pavia met with Administrator Scott Sowle and Luke Flemming and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps are kept locked in cabinets and toxins are kept locked in laundry room. Medications are kept double locked in staff office. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. Applicant understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Personal rights and Emergency disaster forms were posted in the sitting area. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. There are currently no youth in placement at this location. Current forms and Title Regulations can be obtained through the internet at www.ccld.ca.gov No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Administrator Scott Sowle and Cheif Operating Officer Bryan Bowen and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps are kept locked in cabinets and toxins are kept locked in laundry room. Medications are kept double locked in staff office. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. Licensee understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Personal rights and Emergency disaster forms were posted in the sitting area. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. There are currently no youth in placement at this location. Current forms and Title Regulations can be obtained through the internet at www.ccld.ca.gov No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Daiquiri Boyd conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA Boyd met with Brent Bower and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps are kept locked in cabinets and toxins are kept locked in laundry room. Medications are kept double locked in staff office. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. Licensee understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Personal rights, LetUsNo, and Emergency disaster forms were posted in the sitting area. School room was observed. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. Current forms and Title Regulations can be obtained through the internet at www.ccld.ca.gov No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.

met_with: Brent Bower


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Daiquiri Boyd conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA Boyd met with Brent Bower. LPA Boyd interviewed clients and staff on this day. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. The home is maintained at a comfortable temperature. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. Current forms and Title Regulations can be obtained through the internet at www.ccld.ca.gov No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Kelli Azevedo and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps are kept locked in cabinets and toxins are kept locked in laundry room. Medications are kept double locked in staff office. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. Licensee understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. Temperature was 105. There are no firearms on the property. All required documentation was posted. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. Current forms and Title Regulations can be obtained through the internet at www.ccld.ca.gov No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.


facility_name: MUIR WOOD LLC - PENNGROVE SOUTH

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Cheif Compliance Officer Brent Bowers regarding a complaint investigation at the facility. The purpose of the inspection was to deliver the findings for the above allegation. During the course of the investigation, LPA McCambridge interviewed youth and staff, reviewed documentation and toured the facility. During confidential interviews it was determined that although clients may not always like the snacks or meals provided the facility is providing adequate food services. This department has investigated the allegations, and although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the above allegations are true; therefore, the above allegations are unsubstantiated. An exit interview was conducted with Chief Compliance Officer Brent Bowers and a copy of this report was sent to the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Cheyenne McCambridge 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


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) David Hiett conducted a Pre-licensing inspection for a Group Home license and met with the Administrator Scott Sowle. The entire home was toured, inside and out. The application is to provide residential drug and alcohol and mental health treatment for six adolescents with substance abuse issues, private and insured placement, boys and girls ages 12 - 17 years. The facility/home interior and exterior inspection description: The home is 2 stories and consists of entrance, kitchen/dining area, 2 bathrooms and a group area and offices. The house has 3 bedrooms upstairs. Medications are stored in locked cabinets in a downstairs office. Facility utilizes a linen company and has a washer/dryer of the kitchen. Sharps and toxics are in locked storage areas. The home has 1 garage. Each bedroom is set up with 2 beds. All bedrooms have adequate dresser and closet space. There are carbon monoxide and smoke detectors throughout the facility as well as a fire sprinklers and fire extinguishers. There is one complete first-aid kit located in a downstairs office. Applicant understands that the hot water temperature must be maintained within the regulation range of 105-120F and was measured at 115F.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting a Post Licensing inspection. LPA McCambridge met with Chief Operating Officer Bryan Bowen and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. There is an abundant supply of perishable foods available. Sharps and toxins are kept locked. Medications are kept locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. Applicant understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. All required signage is posted in the hallway on the third floor and is clearly visible. The group home is licensed to serve six clients. Currently in placement are six clients. There were no clients present during inspection. The home operates within the capacity and limitations of the license. LPA McCambridge reviewed staff and client files and they are complete. Current forms and Title Regulations can be obtained through the internet at www.ccld.ca.gov. No Title 22 deficiencies cited this date. Exit interview conducted and a copy of the report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Daiquiri Boyd conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA Boyd met with Chief Compliance Officer Brent Bowers and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps, medications, toxins, and cleaning solutions are locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. Facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Required documents are posted. Staff and client files were reviewed and are complete and current with required documentation. LPA Boyd reviewed client files on facility computer Kipu system is used. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. There are currently 6 youth in placement at this location. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Daiquiri Boyd met with Chief Compliance Officer Brent Bowers at the facility to interview staff and clients.


summary: Facility Evaluation

narrative: Licensing Program Analyst (LPA) Daiquiri Boyd conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA Boyd met with Brent Bower and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps are kept locked in cabinets and toxins are kept locked in laundry room. Medications are kept double locked in staff office. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. Licensee understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Personal rights, LetUsNo, and Emergency disaster forms were posted in the sitting area. School room was observed. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. Current forms and Title Regulations can be obtained through the internet at www.ccld.ca.gov No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Director of Operations Kelli Azevedo and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps, medications, toxins, and cleaning solutions are locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. Facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Required documents are posted. Staff and client files were reviewed and are complete and current with required documentation. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. There are currently 4 youth in placement at this location. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.


facility_name: MUIR WOOD LLC - REBECCA STREET

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Chief Operating Officer Bryan Bowen and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps, medications, toxins, and cleaning solutions are locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. Applicant understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Required documents are posted. Staff and client files were reviewed and are complete. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. There are currently 5 youth in placement at this location. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Chief Operating Officer Bryan Bowen and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps, medications, toxins, and cleaning solutions are locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Required documents are posted. Staff and client files were reviewed and are complete. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. There are currently 5 youth in placement at this location. None were present during inspection. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.


summary: Facility Evaluation

narrative: Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Chief Operating Officer Bryan Bowen and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps, medications, toxins, and cleaning solutions are locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Required documents are posted. Staff and client files were reviewed and are complete. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. There are currently 5 youth in placement at this location. None were present during inspection. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On 9/19/25, Licensing Program Analysts (LPAs) Mariah Hawkins and Kimberly Hall conducted a 2yr/random inspection. LPAs met with Kelli Azevedo, Director of Operations and Kelly Nelson, Records and Compliance Specialist and informed of the purpose of the visit. At this time, there are no clients in care and no staff working. The facility has been closed since February 2025. Due to the closure, no client or staff files were reviewed and no client or staff interviews were conducted. The licensee representatives agreed to notify the licensing agency when the facility resumes operations. At that time, licensee representatives agreed to send the licensing agency a current LIC 500 and LIC 610C. LPAs toured the facility site and reviewed facility protocols using the CARE Inspection Tool. No deficiencies were found. The facility is maintained in safe condition, bedrooms are single- or double-occupancy and offer storage space for each client. Chemicals are secured. LPAs and licensee representatives discussed possible alternative method(s) to secure chemicals. There is storage for securing laundry chemicals and medications. An exit interview was provided, and a copy of this report was provided to Kelli Azevedo, Director of Operations, whose signature on this form confirms receipt.