summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) T. Davis went to Trinity Youth Services on March 29, 2023 at 11:45am for the purposes of an unannounced Post Licensing inspection. LPA met with Jaime Acosta, Direct Care Supervisor, and discussed the purpose of today's inspection. The group home is located in a residential neighborhood and currently has seven youth in placement. LPA observed the facility's kitchen to be clean and well stocked with several food items (perishable and nonperishable). Sharp knives, chemicals, cleaning supplies, and medications are kept locked in areas inaccessible to clients. LPA observed the bathrooms to be in good repair and working order. Each bedroom contained twin beds, dressers, and closet space. Exit signs were visible throughout the facility. The First Aid Kit was fully stocked with bandages, scissors, band-aids, tweezers, and a thermometer. There is adequate seating in the dining area and the living room. There are separate phone booths/areas for the clients' use. LPA observed fully charged fire extinguisher inside the facility. There are two separate classrooms on the premises for the clients' daily educational activities. There is no swimming pool or other bodies of water on the premises. The Direct Care Supervisor stated that there weren't any firearms or other weapons on the premises. The facility currently has four vans for client transportation needs. The last fire drill occurred on March 15, 2023 at 10:40pm. LPA observed the following posted on a bulletin board: personal rights information, emergency disaster plan, fire department inspection report, ombudsman information, and the facility license. Smoke alarms were operable throughout the facility. There is adequate space for indoor and outdoor activities. The facility also has available case managers and clinicians. LPA observed a computer area, game area, lounge area, and a laundry room. . The outdoor areas were observed to be free of debris and hazards. LPA reviewed files and found the reviewed files to be in order. LPA obtained an updated LIC500 (Personnel Report) and a client roster. Licensee will scan/email LPA a copy of their most recent Board of Director's meeting minutes. LPA found no Title 22/ILS deficiencies on this date. Exit interview done

met_with: Jaime Acosta, Direct Care Supervisor


state: CA

facility_name: TRINITY EL MONTE

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) T. Davis went to Trinity Youth Services on September 07, 2023 at 12:35pm for the purposes of an unannounced Required Annual inspection. LPA met with Jaime Acosta, Direct Care Supervisor, and discussed the purpose of today's inspection. The group home is located in a residential neighborhood and currently has twelve youth in placement. LPA observed the facility's kitchen to be clean and well stocked with several food items (perishable and nonperishable). Exit signs were posted and visible throughout the facility. Sharp knives, chemicals, cleaning supplies, and medications are kept locked in areas inaccessible to clients. Each bedroom contained twin beds, dressers, and closet space. The First Aid Kit was fully stocked with bandages, scissors, band-aids, tweezers, and a thermometer. LPA observed a private room for the clients to make and receive telephone calls. There is adequate seating in the dining area and the living room. LPA observed fully charged fire extinguishers throughout the facility. LPA also observed the bathrooms to be in good repair and working order. There are two separate classrooms on the premises for the clients' daily educational activities. There is no swimming pool or other bodies of water on the premises. The Direct Care Supervisor stated that there weren't any firearms or other weapons on the premises. The facility currently has five vans for client transportation needs. The last fire drill occurred on August 16, 2023 at 8:31pm. LPA observed the following posted on a bulletin board: facility license, personal rights information, accreditation information, ombudsman information, Mental Health Program Approval, foster youth rights information, and the emergency disaster plan. There is adequate space for indoor and outdoor activities. LPA observed an outdoor basketball court for the clients' use. Smoke alarms were operable throughout the facility. LPA observed a computer area, game area, lounge area, and a laundry room. The outdoor areas were observed to be free of debris and hazards. LPA reviewed four client and four staff files and found the reviewed files to be in order. Staff and client interviews were conducted during today's inspection. LPA obtained an updated LIC500 (Personnel Report) and a client roster. Licensee will scan/email LPA a copy of their most recent Board of Director's meeting minutes. LPA found no Title 22/ILS deficiencies on this date. Exit interview done LPA discussed the warm weather conditions and precautions with licensee and provided licensee with the department's website address (www.ccld.ca.gov).

report_type: Facility Evaluation

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) T. Davis went to Trinity Youth Services on August 09, 2024 at 1:38pm for the purposes of an unannounced Required Annual inspection. LPA met with Jaime Acosta, Direct Care Supervisor, and discussed the purpose of today's inspection. The group home is located in a residential neighborhood and currently has eleven youth in placement. LPA observed the facility's kitchen to be clean and well stocked with several food items (perishable and nonperishable). LPA also observed separate walk-in freezer and refrigerator rooms, respectively. Exit signs were posted and visible throughout the facility. Sharp knives, chemicals, cleaning supplies, and medications are kept locked in areas inaccessible to clients. The First Aid Kit was fully stocked with bandages, scissors, band-aids, tweezers, and a thermometer. The bedrooms contained twin beds, dressers, and closet space. There were three separate telephone rooms set aside for the clients to make and receive private telephone calls. There is adequate seating in the dining area and the living room. LPA observed fully charged fire extinguishers throughout the facility. There is no swimming pool or other bodies of water on the premises. The Direct Care Supervisor stated that there weren't any firearms or other weapons on the premises. The last fire drill occurred on July 17, 2024 at 8:10am. There is adequate space for indoor and outdoor activities. LPA observed an outdoor basketball court for the clients' use as well as volleyball and soccer. Smoke alarms were operable throughout the facility. LPA observed a computer area, game area, lounge area, and a laundry room. LPA observed the following posted on a bulletin board: facility license, personal rights information, accreditation information, ombudsman information, Mental Health Program Approval, foster youth rights information, and the emergency disaster plan. The outdoor areas were observed to be free of debris and hazards. LPA reviewed five client files and found the reviewed files to be in order. Staff and client interviews were conducted during today's inspection. LPA obtained an updated LIC500 (Personnel Report) and a client roster. LPA also obtained a copy of the licensee's most recent Board of Director's meeting minutes. LPA found no Title 22/ILS deficiencies on this date. Exit interview done LPA discussed the warm weather conditions and precautions with licensee and provided licensee with the department's website address (www.ccld.ca.gov).


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) T. Davis went to Trinity Youth Services on November 22, 2024 at 1:42pm for the purposes of an unannounced case management inspection. LPA met with Jaime Acosta, Direct Care Supervisor, and together they toured the facility. The group home is located in a residential neighborhood and currently has eleven youth in placement. The facility appeared clean and well maintained. LPA did not observe any pools or other bodies of water at the facility. The outdoor areas were clear of sharp objects and free of debris and hazards. LPA observed an outdoor basketball court and a soccer area for the youth, The client rooms contained twin beds, dressers, and closet space. The facility keeps their sharp knives, cleaning supplies, and medications in areas inaccessible to clients. The last fire drill was held on November 13, 2024 at 5:52pm. LPA observed a computer area, game area, and a lounge area. The facility has three separate telephone rooms set aside for the clients to make and receive private telephone calls. LPA randomly reviewed two client files (refer to Confidential Names form (LIC 811) dated November 22, 2024) and found the reviewed files to be in order. LPA obtained a client roster and a current copy of the facility's staff roster (LIC500). The Direct Care Supervisor stated that there weren't any firearms or other weapons on the premises. LPA was able to speak with one client during the inspection. The client was observed to be neat and well groomed. LPA found no Title 22 deficiencies on this date. Exit interview done LPA discussed the cold weather conditions and precautions with licensee and provided licensee with the department's website address (www.ccld.ca.gov).

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) T. Davis went to Trinity Youth Services on March 03, 2025 at 2:15pm for the purposes of an unannounced case management inspection. LPA met with Jaime Acosta, Direct Care Supervisor (DCS), and together they toured the facility. The group home is located in a residential neighborhood and currently has two youth in placement. The facility appeared well maintained. The outdoor areas were clear of sharp objects, debris, and hazards. LPA observed an outdoor basketball court and a soccer area for the youth. The last fire drill was held on February 19, 2025 at 8:55pm. The client bedrooms contained twin beds, dressers, and closet space. LPA did not observe any pools or other bodies of water at the facility. The smoke alarms were operable in the bedrooms. Exit signs were visible throughout the facility. LPA also observed menus, Emergency Disaster Plan, Personal Rights information, Foster Care Ombudsman information, facility license, and accreditation certificate posted on a bulletin board in the hallway. The facility has five SUVs for client transportation needs. LPA reviewed both client files (refer to Confidential Names form (LIC 811) dated March 03, 2025) and found the reviewed files to be in order. LPA spoke with both clients at the facility through the facility's interpreter (Hany Shaker). Both clients indicated that things were going well and that staff treats them nice. The clients also stated that they were getting plenty to eat. Both clients were observed to be neat and well groomed. DCS stated that their client population is low. Two clients aged out of the facility based on ORR policies and three transferred to another facility based on their desire to be placed in a larger facility. DCS said that ORR has advised them that things are "wait and see" at the moment as they await further instructions regarding placing new clients given that the population is low at the border. LPA found no Title 22/ILS deficiencies on this date. Exit interview done


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) T. Davis went to Trinity Youth Services on July 16, 2025 at 11:54am for the purposes of an unannounced Required Annual inspection. LPA met with Jaime Acosta, Direct Care Supervisor, and discussed the pending inspection. The group home is located in a residential neighborhood and consists of three individual dorms for placement purposes (Luna, Sol, and Estrella). Currently, there are eight clients in placement at the facility. All eight clients are placed in Luna. Zero clients are placed in Sol and Estrella, respectively. The bedrooms contain twin beds, dressers, and closet space. There is a separate telephone room in each dorm for the clients' use. LPA observed the facility's kitchen to be clean and well stocked with several food items (perishable and nonperishable). LPA also observed separate walk-in freezer and refrigerator rooms as well. The outdoor areas were observed to be free of debris and hazards. LPA observed an outdoor basketball court for the clients' use as well as a soccer field. There is adequate seating in the dining area and the living room. LPA observed fully charged fire extinguishers and exit signs throughout the facility. Sharp knives, chemicals, and cleaning supplies are kept locked in areas inaccessible to clients. Medications are stored and kept in a cabinet in the Team Administration office. The facility has several fully stocked First Aid Kits on the premises. There is no swimming pool or other bodies of water on the premises. The Direct Care Supervisor stated that there weren't any firearms or other weapons on the premises. The last fire drill occurred on July 16, 2025 at 8:10am. LPA observed a computer area, game area, lounge area, and a laundry room. LPA observed the following posted on a bulletin board: facility license, inspection report, Foster Care Ombudsman information, Personal Rights information, Accreditation information, Foster Youth Rights information, and the Emergency Disaster Plan. LPA reviewed five client files and three staff files. The reviewed files were found to be in order. Staff and client interviews were conducted during today's inspection. LPA obtained an updated LIC500 (Personnel Report) and a client roster. LPA also obtained a copy of the licensee's most recent Board of Director's meeting minutes dated March 14, 2025.. LPA found no Title 22/ILS deficiencies on this date. Exit interview done LPA discussed the warm weather conditions and precautions with licensee and provided licensee with the department's website address (www.ccld.ca.gov).

met_with: Jaime Acosta, Direct Care Supervisor,


facility_name: TRINITY II

summary: Complaint Investigation - Unsubstantiated - 1 allegation

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

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

report_type: Complaint Investigation

visit_type: Complaint Investigation

met_with: Edgardo Joven, House Manager

complaint_status: unsubstantiated


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Based on LPA's observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation (Staff did not properly report an incident) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, CCR 80061(b)), is being cited on the attached LIC 9099D. Staff sent an Incident Report to CCL six days after the incident happened, but did not call to report the incident within 24 hours. Deficiencies are being cited based on LPA's observation, interviews conducted, and record review in accordance with the California Code of Regulations, Title 22, see LIC 9099D. An exit interview was conducted, and appeal rights were reviewed and developed with the House Manager. A copy of this report was left with the House Manager, Edgardo Joven.

Investigation Findings:
SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

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

complaint_status: SUBSTANTIATED


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Christopher Rollins made an unannounced annual inspection to Trinity II facility. LPA met with Terri Ingram Administrator . LPA reviewed files with Administrator. The facility is licensed for 6 residents (all can be ambulatory) ages 13-18 and currently 4 clients reside in facility. The facility consists of 3 bedrooms (3 double occupancy rooms for clients) and 2 bathrooms (1 for clients and 1 for staff). No more than two clients to a room. At 2: PM, LPA Rollins and Administrator toured the facility inside and out. The kitchen is clean. The hot water in the bathroom and kitchen measured at 107.4 degrees F which is currently between 105 - 120 degrees. The facility has plenty of nonperishable and perishable food supply. Medication, cleaning supplies and knives are locked away. Medication logs are up to date and current. There are enough folks, spoons, plates and cups. All passageways are unobstructed. All smoke detectors are update and working. The home is clean, safe, and sanitary. There are no firearms on the property. The fire extinguisher has been checked and is up to date. There are no bodies of water on the property. LPA observed first aid kit to be fully stocked. The home is maintained at a comfortable temperature. Personal rights, floor plan, food menu and Emergency disaster forms were posted and in clear view. At 03: PM, LPA Rollins observe four client files with Administrator. LPA Rollins observed all four client files to be complete and found no deficiencies. The documentation in the clients file are complete and up to date. At 4: PM, LPA observed all 9 staff files with Administrator. LPA observed all nine staff files to be complete, all correct documentation and all staff were up to date with there 20 hours of annual training for the year. At 5: PM LPA Rollins conducted staff interviews and observe clients interaction with staff. During inspection, LPA receive a updated copy of the LIC Personnel Report to maintain their file current. A review of Licensing Information System on September 16, 2021 indicates that all facility staff associated to the program has DOJ, FBI and child abuse index check clearances. Per Title Regulations, no deficiencies were cited during this inspection. Exit interview conducted and a copy of the report was left at the facility.

met_with: Terri Ingram-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On Friday 02/25/2022, Licensing Program Analysts (LPA) Alyssa Ng made an unannounced inspection to conduct an annual required inspection. LPA met with House Manager Edgardo Joven. Later on, Maria Golitzen, Assistant Administrator arrived. The facility has a census of four clients. There was only one resident in care. The other clients were at school. LPA was unable to interview youth because youth is non-verbal. However, client appeared to be in good spirit. LPA also interviewed two staff. The CARE Inspection Tool was used to conduct the inspection. The facility and grounds are clean, tidy, and free of obstructions. There are no hazards on the premises and no firearms, per Administrator. Bedrooms are double-occupancy, and beds have clean linens and mattress pads. There is enough storage for residents' personal belongings. Food is of good quality, within date, and stored properly. First aid kit was observed to be complete. Room temperature was maintained at a comfortable temperature within permitted range. LPA conducted confidential staff interviews. Resident present during visit is nonverbal but was observed to be content, engaged in activities, supervised by staff, clean, and dressed in well-fitting clothing. Resident and staff records were observed to be complete and the facility in compliance, with only the following exceptions: Hot water in the resident bathrooms measured outside of permitted range ( F to F). At 11:44AM, it measured 135. F and 130.2, and the hot water setting was lowered. At 1:12PM, it measured 97. F, and the setting was adjusted again. At 2:00PM, it measured F. Staff made multiple attempts, including adjusting the setting 3+ times and testing multiple sinks, but at the end of the visit, both bathrooms measured 105. F, which is the permitted range. LPA recommended to keep checking the temperature daily. There are no citations today. An exit interview was conducted, and a copy of this report was left with Assistant Administrator Maria Golitzen, whose signature on this form confirms receipt.

met_with: Edgardo Joven


summary: Facility Evaluation

raw_content:
Narrative:
On 2-1-23 10: AM, Licensing Program Analysts (LPA)George Karkazis conducted an unannounced Annual/Random inspection at listed facility. LPA met with Maria Golitzen, Facility Manager, and toured the facility inside and out. Safety precautions were taken including screening call and mask wearing. The Group Home is licensed to serve six clients. Present during the inspection were three staff and one client. At 10:25AM, LPA Karkazis reviewed client and staff files. All staff and client files were complete and in good order. At 12:15PM, LPA Karkazis toured the facility. LPA Karkazis observed three bedrooms and two 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 111 degrees which is in range. The thermostat read 70 degrees which is within range. Sharps were locked and chemicals were safely stored. There were two days of perishable foods and seven days non-perishable foods present. The medication was also stored and locked in the kitchen cabinet. LPA Karkazis observed one broken window in bedroom #2 and one broken window in the dining room. Both broken windows were safely covered. The facility is clean and orderly. LPA Karkazis interviewed three staff and one client. At 12:45PM Karkazis toured the backyard. There were no open bodies of water. The backyard was in good repair and clean. continued on LIC 809-C continued from LIC A citation was issued, at this time the facility is in violation of California Code of Regulations, Title 22, Division Buildings and Grounds 80087(a). An exit interview was conducted, appeal rights discussed and a copy of this report was given to Maria Golitzen, Facility Manager.

met_with: Maria Golitzen, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 2-7-24 10:22AM, Licensing Program Analyst George Karkazis conducted an unannounced Annual/Random inspection at listed facility. LPA met with Maria Golitzen, Assistant Administrator and toured the facility inside and out. The Group Home is licensed to serve 6 clients. Present during the inspection were 3 staff and 1 client. The rest of the clients are nonverbal. At 10:35AM, LPA Karkazis reviewed client and staff files. All client and staff files were complete and in good order. At 12:11PM, LPA Karkazis toured the facility. LPA Karkazis observed 3 bedrooms and 2 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 109 degrees which is in range. The thermostat read 70 degrees which is within range. Sharps were locked and chemicals were safely stored. There were two days of perishable foods and seven days non-perishable foods present. The medication was also stored and locked in the upper kitchen cabinet. The facility is in good repair and clean. LPA Karkazis interviewed 3 staff and 1 client. At 1:01PM 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 Maria Golitzen, Assistant Administrator.

met_with: Maria Golitzen, Assistant Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 2-21-25 9:30AM, Licensing Program Analysts George Karkazis conducted an unannounced Annual/Random inspection at listed facility. LPA met with Maria Golitzen, Administrator Assistant and toured the facility inside and out. The Group Home is licensed to serve 6 clients. Present during the inspection were 3 staff and 1 client. At 10:00AM LPA Karkazis reviewed client and staff files. All staff and client files were, complete and in good order. At 11:38AM, LPA Karkazis toured the facility. LPA Karkazis observed 3 bedrooms and 2 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 112 degrees which is in range. The thermostat read 68 which is within range. Sharps were locked and chemicals were safely stored. There were two days of perishable foods and seven days non-perishable foods present. The medication was also stored and locked in the kitchen, in an upper cabinet. The facility is in good repair and clean. LPA Karkazis interviewed 3 staff and no clients. The client that was present was non-verbal At 12:01PM 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 Maria Golitzen, Administrator Assistant.

met_with: Maria Golitzen, Administrator Assistant


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPA's) Alyssa Ng and Lisa Schlembach on 09/14/2022 at 12: PM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA's met with Maria Golitzen, Facility Manager and inspected the facility inside and out. LPA reviewed 1 child record and 3 staff personnel files on site at the facility. There were two staff members and 0 clients present at the time of the inspection. The current census is four clients, all clients are currently at school. At 2: PM, three clients came back from school. LPA reviewed 1 of child's psychotropic medications and medication records. It was learned during that three out of the four clients are 18 and over. LPA Ng advised Maria Golitzen, Facility Manager that the facility is licensed for clients 6-17 and will need to do age exceptions for all three clients. The three clients in the home are 18, 19, and 19. A technical assistance was given. LPA interviewed 3 of staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 1 client who is currently prescribed psychotropic medication. During the inspection the LPAs observed 2 deficiencies (see attached 809D), plan of corrections were discussed and appeal rights were provided. LPA provided a copy of this licensing report to Maria Golitzen, Facility Manager.

met_with: Maria Golitzen


raw_content:
Narrative:
An additional confidential witness stated that S1 refused to take C1 on the outing because C1 did not speak to S1 and because S1 didn't feel safe with C1. LPA was not informed during interviews or provided documentation that C1 had acted out aggressively toward S1. Based on confidential interviews the preponderance of evidence standard has been met and the Department has determined S1 did not allow C1 to go on an outing with S1 and other clients (C2, C3). Therefore, the allegation is substantiated. The facility is being cited for violation of Title Regulations 84072 (d)(18) Personal Rights. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Karen Carmona.

Investigation Findings:
13On February 6, 2025, at 1: PM Licensing Program Analyst (LPA) Michael Almaraz met with Trinity Youth Services Yucaipa Independence House Case Manager, Karen Carmona, to issue the finding for the above allegation involving client #1 (C1) listed on the confidential names list (LIC 811) dated February 6, 2025. On December 4, 2024, at 12: PM LPA inspected the facility, and no deficiencies were noted. During LPA's investigation LPA reviewed six clients' files (C1, C2, C3, C4, C5, C6) and reviewed the facility file. Furthermore, LPA Almaraz conducted interviews with three staff, and five of six clients. One (C4) of six clients was unavailable for interview. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Michael Almaraz 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 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: TRINITY YOUTH SERVICES YUCAIPA INDEPENDENCE HOUSEFACILITY NUMBER: VISIT DATE: 02/06/2025

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

met_with: Karen Carmona


raw_content:
Narrative:
yelled racial slurs to the clients as they drove by. It was reported that the facility does not have enough staff working. Lastly, it was reported that staff is providing alcohol and lottery tickets to the clients. Confidential interviews revealed conflicting statements. LPA was unable to interview all individuals, although multiple attempts were made, thus, confidential interviews could not confirm or deny the allegations. Based on confidential interviews and records reviewed the allegations that staff speaks to minors in an inappropriate manner, staff does not provide transportation to minors in care, facility does not have enough staff to meet minor's needs, staff is providing clients with contraband, which may have occurred, however, they are not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report, LIC 811, and appeal rights were provided to Saul Vera. A copy of this report will be placed in the facility file.

Investigation Findings:
13On March 20, 2025, at 11:00 am, Licensing Program Analyst (LPA) Charmaine Linley conducted an unannounced complaint inspection at the above facility. LPA Linley met with Saul Vera, Lead Case Manager. The purpose of the inspection was to deliver the findings of the complaint investigation. LPA Michael Almaraz conducted an inspection of the facility on July 16, 2024, at 2:41 pm, and no deficiencies were found. LPA Linley interviewed two Clients (C1-2), five Staff (S1-5), and LPA was unable to interview five Clients (C3-7) and three Staff (S6-8), despite multiple attempts to contact them. During the investigation, LPA reviewed the facility documents. On July 11, 2024, Community Care Licensing (CCL) received allegations that staff speaks to minors in an inappropriate manner, staff does not provide transportation to minors in care, facility does not have enough staff to meet minor's needs, staff is providing clients with contraband. It was reported that staff drove by the clients while they were walking back to the facility from an outing, did not pick up the clients, and S UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley 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 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: TRINITY YOUTH SERVICES YUCAIPA INDEPENDENCE HOUSEFACILITY NUMBER: VISIT DATE: 03/20/2025

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

met_with: Saul Vera


raw_content:
Narrative:
Confidential interviews confirmed hearing S1 calling C3, C6 and C7 stupid for leaving early on the outing. Additionally, confidential interviews confirmed that while driving back to the facility, S1 made a comment to C4 and C5 regarding C3, C6 and C7 stating that walking back to the facility was a dumb idea. Based on confidential interviews, the preponderance of evidence standard has been met and the allegation that S1 does not treat C3, C6 and C7 with respect is substantiated. The facility is being cited for violations of Title 22, Division 6, Chapter 5, Section 84072(d)(1) - Personal Rights (d) The licensee shall ensure that each child, regardless of whether the child is in foster care, is accorded the personal rights specified in Welfare and Institutions Code section 16001.9, and below, as applicable: (1) To live in a safe, healthy, and comfortable home where they are treated with respect. If the child is an Indian child, to live in a home that upholds the prevailing social and cultural standards of the child's Indian community, including, but not limited to, family, social, and political ties. An exit interview was conducted, appeal rights were explained, and a copy of this report and LIC 811 was provided to Trinity Youth Services Independence House Group Home (GH), Katherine Lopez, Facility Manager.

Investigation Findings:
13On April 11, 2025 at 02: PM, Licensing Program Analyst (LPA) Sarah Lo met with Katherine Lopez, Facility Manager, to deliver the findings for the above complaint allegation at Trinity Youth Services Independence House Group Home (GH). On 01/24/2024, LPA Michael Almaraz inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with one staff (S1), Facility Administrator (AD) and three clients (C4, C5, C6). LPA was unable to located five clients (C1, C2, C3, C7, C8) an interview. On June 06, 2024, Community Care Licensing received an allegation stating that staff (S1) does not treat minors (C3, C6, C7) with respect. Specifically, it was reported that S1 called C3, C6 and C7 stupid for leaving the outing early and had to walk back to the facility in the rain. (continued on LIC 9099c) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo 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 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: TRINITY YOUTH SERVICES YUCAIPA INDEPENDENCE HOUSEFACILITY NUMBER: VISIT DATE: 04/11/2025

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

met_with: Katherine Lopez, Facility Manager


raw_content:
Narrative:
An additional confidential witness informed LPA that S1 was directed to take C1 to the game but on the day of S1 refused to. S1 admitted to refusing to transport C1 to C1's soccer game. Based on confidential interviews the preponderance of evidence standard has been met and the Department has determined S1 refused to transport C1 to a school activity. Therefore, the allegation is substantiated. The facility is being cited for violation of Title Regulations 84074(c)(3) Transportation. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Saul Vera.

Investigation Findings:
13On April 17, 2025, at 1: PM Licensing Program Analyst (LPA) Michael Almaraz met with Trinity Youth Services Yucaipa Independence House Lead Case Manager, Saul Vera, to issue the finding for the above allegation involving client #1 (C1) listed on the confidential names list (LIC 811) dated April 17, 2025. On December 4, 2024, at 1: PM LPA inspected the facility, and no deficiencies were noted. During LPA's investigation LPA reviewed six clients' files (C1, C2, C3, C4, C5, C6) and reviewed the facility file. Furthermore, LPA Almaraz conducted interviews with three staff, and five of six clients. One of six clients (C4) was unavailable for interview. On December 2, 2024, the Department received a complaint that facility staff did not ensure that minor was transported to a school activity as needed. It was specifically reported that staff #1 (S1) refused to transport C1 to a school soccer game. Confidential witnesses informed LPA that on November 29, 2024, C1 had a school soccer game but S1 refused to take C1. Furthermore, it was disclosed to LPA C1 had informed facility staff prior to the game that C1 would be needing a ride. (continued on page 2...) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Michael Almaraz 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 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: TRINITY YOUTH SERVICES YUCAIPA INDEPENDENCE HOUSEFACILITY NUMBER: VISIT DATE: 04/17/2025

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


facility_name: TRINITY YOUTH SERVICES YUCAIPA INDEPENDENCE HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
On May 10, 2023, at 11: AM Licensing Program Analyst (LPA) Michael Almaraz and Licensing Program Manager (LPM), Abdoulaye Traore, met with facility Director of Residential Services Gil Quinbar, Campus Director Teresa Valles, and Assistant Campus Director Jason Mayo, via Microsoft Teams to conduct a Component II Interview. LPA and LPM went over revisions needed for the Application and Program Statement. Via EMAIL LPA provided Gil Quinbar a copy of this LIC 809, a LIC 184 and a Department letter of the revisions needed for the application. Signed LIC 809 will be placed in the facility file.

met_with: Gil Quinbar


summary: Facility Evaluation

raw_content:
Narrative:
***This is an amended report of a report originally issued on June 28, 2023*** On June 28, 2023, at 9: AM Licensing Program Analyst (LPA), Michael Almaraz, began a pre-licensing inspection for a Group Home (GH) license. LPA met with Administrator, Teresa Valles, who led a tour of the home. The home was toured inside and out with the applicants. Applicants were applying for a maximum capacity of 12 clients. The home was approved for 12 non-ambulatory clients ages 10 year old and non-minor dependent (NMD). The home is a one-story residence with seven bedrooms and seven and a half bathrooms. The home is set as: Bedroom # The room consist of a full size bed. It sleeps one non-ambulatory client- vacant. Bedroom # The room consist of a full size bed. It sleeps one non-ambulatory client- vacant Bedroom # The room consist of a full size bed. It sleeps one non-ambulatory client- vacant Bedroom# The room consist of a full size bed. It sleeps one ambulatory client- vacant Bedroom# The room consist of a full size bed. It sleeps one non-ambulatory client- vacant. Bedroom # The room consist of a full-size bed. It sleeps one non-ambulatory client- vacant. Bedroom # The room consist of a full-size bed. It sleeps one non-ambulatory client- vacant. Bedrooms were arranged so that no more than two children share a room. No room commonly used for other purposes was used as a bedroom, and no bedroom serves as a passageway to another room. Additionally, there was kitchen, dining room, a living room furnished with couches, a staff office, a washroom, and a study room furnished with couches, desks and a television. There was adequate drawer and closet space for children's belongings. The smoke detectors and carbon monoxide detectors were checked and were working properly. (continued on page 2...) All hazardous items have been properly made inaccessible to areas where children will not have access. The medication will be stored in the team administrators office. Sharp knives were inaccessible and stored in the kitchen in a locked safe. Cleansers/chemicals were locked and stored in a cabinet in the kitchen. First Aid kit was accessible and stored in the staff office. There were no guns or weapons as stated by Ms. Valles. The hot water temperature was tested and noted to be at 113 degrees Fahrenheit. Applicants understands that the water temperature must be maintained within the regulation range of 105-120 degrees. Trash cans for storage of solid waste had tight fitting lids. Personal Rights, The Facility Sketch, Emergency Disaster Plan, house rules and ombudsman posters were posted in the kitchen by the garage door. The facility had the emergency intervention plan in place. Outside the facility, there was two covered patio areas and a courtyard. The yard was observed to be clean and free of hazards. Based on this inspection, the home is appropriate for a capacity of 12 non-ambulatory clients. The request of License will be forwarded to Licensing Program Manager for final approval. Exit interview conducted and a copy of this report was discussed and provided to Teresa Valles.

visit_type: Prelicensing

met_with: Teresa Valles


summary: Facility Evaluation

raw_content:
Narrative:
On December 4, 2024, at 11: AM Licensing Program Analysts (LPAs) Michael Almaraz and Jacob Ortega met with Program Director, Donee Piacitelli, to issue this report. Due to technical difficulties required annual was completed with the post licensing visit but annual credit was not given. This report is to document that the required annual was completed with the post licensing inspection on August 27, 2024, at 12: PM. A copy of this report was explained and provided to Donee Piacitelli.

met_with: Donee Piacitelli


summary: Facility Evaluation

raw_content:
Narrative:
***This is an amended report of the report*** On August 27, 2024, at 12: PM Licensing Program Analyst (LPA), Michael Almaraz, arrived unannounced at the facility listed above for the purpose of conducting a post-licensing inspection and a required annual inspection. LPA met with Residential Director, Gil Quinbar, who led a tour of the home. The home was toured inside and out. The home was approved for 12 non-ambulatory clients ages 10 year old and non-minor dependent (NMD). The home is a one story residence with seven bedrooms and seven and a half bathrooms. LPA observed that the Facility Sketch, Emergency Disaster Plan, Personal Rights, and Visitation policies were posted in a common area of the home. Living room is furnished with couches and has tabletop activities. LPA observed Wi-Fi and a telephone. The clients are provided the Wi-Fi pass code during intake. Wi-Fi is available 24 hours a day. The kitchen has a sink and refrigerator with perishable food. The cabinets have nonperishable food, and a weekly menu is posted. The home is set as: Bedroom # The room consist of a full size bed. It sleeps one ambulatory client. Bedroom # The room consist of a full size bed. It sleeps one ambulatory client. Bedroom # The room consist of a full size bed. It sleeps one ambulatory client. Bedroom# The room consist of a full size bed. It sleeps one ambulatory client. Bedroom# The room consist of a full size bed. It sleeps one ambulatory client. Bedroom # The room consist of a full-size bed. It sleeps one ambulatory client.. Bedroom # The room consist of a full-size bed. It sleeps one ambulatory client- vacant. Bedrooms were arranged so that no more than two clients share a bedroom, and there is one client per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway. (...) All hazardous items have been properly made inaccessible to areas where children will not have access. The medication was stored in the team administrator's office. Sharp knives were inaccessible and stored in the kitchen in a locked box. Cleansers/chemicals were locked and stored in a cabinet. First Aid kit was accessible and stored in the staff office. There were no guns or weapons as stated by Mr. Quinbar. The hot water temperature was tested and noted to be at 113 degrees Fahrenheit. Applicants understands that the water temperature must be maintained within the regulation range of 105-120 degrees. Personal Rights, The Facility Sketch, Emergency Disaster Plan, house rules, grievance procedures, and ombudsman posters were posted in the hallway near the kitchen. The facility had the emergency intervention plan in place. Outside the facility, there was two covered patio areas and a courtyard. The yard was observed to be clean and free of hazards. Based on LPA observation, record review, and interviews, the facility is issued a Type B violations: Physical Plant 80088(f)(1). A copy of this report, LIC 809D, and appeal rights were provided and explained to Gil Quinbar .

met_with: Residential Director Gil Quinbar


facility_name: TROY RESIDENTIAL SERVICES

summary: Facility Evaluation

raw_content:
Narrative:
On October 16, 2025, Licensing Program Analysts (LPAs), Melissa Renovato and Reyna Martinez, traveled to Troy Residential Services in Modesto, CA. The purpose of the visit was to conduct a pre-licensing Facility Inspection. LPAs were met at the facility by Applicant/Licensee, James Khan and Administrator, Georgina Hernandez. LPAs toured the facility and observed the following listed below. 1. The staff and client files will be locked in the office cabinet. 2. In the laundry cabinet is where chemicals, disinfectants, and cleaning products are stored and locked and inaccessible to clients. 3. In the hallway LPAs observed a fire extinguisher, last serviced January 6, 2025. 4. In the hall closet LPAs observed a first aid kit including all required items and first aid manual are included in the kit. 5. In the kitchen LPAs observed well operating refrigerator. Licensee has thermometers that will be installed in refrigerator. The facility maintained a trash can with a lid in the kitchen. 6. The dining room has a table with chairs to accommodate the number of clients. 7. The house has four bedrooms- for ambulatory, four single occupancy, all located on one single level. Bedrooms are accommodating of all required furnishings and storage space. 8. The facility has adequate storage space and furniture. Continued on Page 2... Continued from Page 1... 11. Adequate food storage space observed. Perishable and non-perishable foods will be available before clients are placed in the facility. 12. Facility has two full restrooms, and all are operable. Facility is to ensure water temperature is maintained between 105 and 120 degrees. All restrooms are stored with hand soap, toilet paper, and paper towels. 13. The temperature of the facility was a comfortable temperature of 72 degrees. 14. Facility has extra towels and linens for all clients. 15. The home has operating smoke alarms and a carbon monoxide detector. 16. The facility does not have a firearm or ammunition. Pending Items and documentation needing to be completed: · One box/container with lock for room temperature medication and one box/container with lock for refrigerated medication. Both boxes/containers made inaccessible to clients. · Backyard - fence panel and base board replacement, removal of metal standing pole, clean up of spider webs, and gardening plastic removal. · Bathroom 1 - barrier for door with access to backyard to make inaccessible to clients. · Bathroom 2 - in ground tub with non-slip mat. · Posting of Fire Clearance and Emergency Disaster Plan in common area. · Discussion of activity personal time for clients. · Agency will make sure all staff and board member receives a background clearance with FBI, CACI, and DOJ and are associated in Guardian. · Emergency Disaster/Mass causality plan grab and go. · Posting of weekly menu and activity calendar. This report was discussed and reviewed. All corrections must be corrected and proof of corrections submitted to LPA prior to licensure. A copy of this report was provided to James Khan.

met_with: James Khan


summary: Facility Evaluation - 2 deficiencies

raw_content:
Narrative:
On April 2, 2026, Licensing Program Analyst (LPA) Melissa Renovato traveled to Troy Residential Group Home located in Modesto, CA to conduct a post-licensing inspection. The facility was licensed on December 16, 2025. LPA was met at the facility by Administrator Georgina Hernandez. A physical plant inspection was completed and included the following observations and checks: Facility grounds are clean and free of debris. Adequate indoor and outdoor activity space and materials observed. All required forms are posted. The temperature of the facility was a comfortable temperature of 68 degrees. Water temperature read 120 degrees Fahrenheit. All facility smoke detectors are in appropriate working order and fire extinguisher is properly charged and serviced. The kitchen has a full-size refrigerator and is operating at safe temperature. Facility maintains an adequate supply of perishable and non-perishable foods and food menu is posted. Knives and sharps are key locked and inaccessible to clients. Chemical, disinfectants, and cleaning solutions are key locked and inaccessible to clients. The dining room is equipped with a large table and chairs accommodating of all clients. There are four ambulatory bedrooms, single occupancy, all located on one single level. Bedrooms are accommodating of all required furnishings and storage space. All rooms are equipped with a fire alarm and trash can. Individual beds were observed and appropriate clean linens and are in good repair. Facility has two full restrooms and one half restroom for staff in operable conditions. The restrooms are stored with hand soap, toilet paper, and paper towels. Medication box is locked and inaccessible to clients. Currently there are no clients on medication. First Aid kit is stored in the medication cabinet and is complete with all first aid items. The facility has a staff office and is inaccessible to clients. The facility stores extra supplies of linens, personal hygiene products, and emergency food supply. There are no firearms or weapons allowed in the facility. There are no bodies of water on the facility grounds. LPA verified that all facility staff have received child abuse index clearances and fingerprint clearances. Facility staff meet requirements of respective job descriptions. Facility employs one Administrator and one Direct Support Professional. LPA will need to return to the facility to review staff files and conduct staff and client interviews. The facility is being cited one type A for CCR Personnel Requirements 84065(i) and five type B citations, CCR Complaint Procedures 84072.2(a)(3), CCR Emergency Intervention Staff Training 84365(d)(1), CCR Personnel Records 80066(a), CCR Personnel Records 84066(b)(3), and CCR Personnel Requirements 80065(g)(1). See attached deficiency pages. A copy of this report was left with Georgina Hernandez at the conclusion of the inspection.

Deficiencies:
84065(i): Personnel Requirements

(i) Notwithstanding Sections 80065(f)(1) through (6), new child care staff hired on or after July 1, 1999, shall complete a minimum of 24 hours of initial training comprised of the 8 and 16-hour training as specified in (1) and (2) below
80066(a): Personnel Records

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information

met_with: Georgina Hernandez


summary: Facility Evaluation

raw_content:
Narrative:
On April 27, 2026, Licensing Program Analyst (LPA) Melissa Renovato was met by Licensee, James Khan and Administrator, Georgina Hernandez. The purpose for this inspection is to conduct a Plan of Correction (POC) to observe posted complaint procedures in a prominent area of the facility accessible to residents and authorized representatives, verification of personnel training documented in personnel records, a personnel record for each staff, administrator, and licensee, a dated employee time schedule developed at least monthly, and a health screening form including tuberculosis test for all personnel that the facility was cited for a deficiency on April 2, 2026 during the post licensing inspection with a POC date of April 16, 2026. LPA observed the complaint procedure forms posted in the entryway of the facility. LPA observed staff, administrator, and Licensee files which include health screening including tuberculosis test and results as well as documented training. LPA observed a dated employee time schedule for the month of April 2026. All deficiencies are cleared effective April 16, 2026. LPA conducted two staff interviews for the Post Annual inspection. LPA left the POC clearance letters with the administrator. LPA conducted a health and safety tour of the facility. No deficiencies were cited during today's inspection.


facility_name: TURNING POINT-HAMPTON COURT

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Based on the confidential interviews, observation, and record review, it has been determined that although the allegations Group home child's phone calls are limited, and Group home child is given medication not prescribed by a physician may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. Exit interview was conducted and a copy of this report will be emailed to the Facility Administrator due to technical difficulties with the printer.

Investigation Findings:
13On January 25, 2022 1:45pm Licensing Program Analyst (LPA) Enrique Hernandez arrived at the facility to deliver the findings of a complaint investigation. LPA Hernandez met with Diana Purdon and discussed the investigative findings. On July 21, 2020, the Department received a complaint alleging Group home child's phone calls are limited and Group home child is given medication not prescribed by a physician. Confidential interviews were conducted with 5 staff and 4 of the 4 clients. The following information was obtained during the course of the investigation: Group home child's phone calls are limited Confidential interviews and documentation obtained reported that clients can use the phone at any time, except if clients are having an issue at the time they want to use the phone. Some confidential statements from the interview were not very clear at the time of the interview. Group home child is given medication not prescribed by a physician Confidential interviews and documentation obtained reported that the only medication that is provided to clients is only if it is prescribed by a doctor. Some confidential statements from the interview were not very clear at the time of the interviews. Continue on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Enrique M Hernandez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: TURNING POINT-HAMPTON COURTFACILITY NUMBER: VISIT DATE: 01/25/2022

met_with: Facility Administrator


raw_content:
Investigation Findings:
13On 01/04/2024 at 10:55am, Licensing Program Analyst (LPA), Christine Wilson met with Program Director,Administrator (PD), and concluded the investigation of the above allegation. During the course of this investigation, LPA Wilson conducted witness interviews, record reviews, and made observations. Based on all interviews conducted and documents obtained, the above allegation was found to be unsubstantiated, meaning that the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Supporting evidence includes the following: There were no direct witnesses identified to the alleged violation. There are no deficiencies to be cited at this time. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Christine Wilson 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

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

met_with: Program Director,Administrator


raw_content:
Investigation Findings:
13On 01/04/2024 at 11:10am, Licensing Program Analyst (LPA), Christine Wilson met with Program Director,Administrator (PD), and concluded the investigation of the above allegations. During the course of this investigation, LPA Wilson conducted witness interviews, record reviews, and made observations. Based on all interviews conducted and documents obtained, the above allegations were found to be unsubstantiated, meaning that the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. There were no direct witnesses identified to the alleged violations. Further, there were no medical reports or other forms of documentary validation available establishing the cause or the likelihood of the sustained injuries to be corporal punishment by the alleged perpetrators. There are no deficiencies to be cited at this time. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Christine Wilson 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

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


raw_content:
Investigation Findings:
13On 03/26/24 at 09:00AM Licensing Program Analyst (LPA) Jhane Haynes Haynes and Licensing Program Manager (LPM) Kevin Sauk arrived at the above facility for the purpose of concluding a complaint investigation. LPA met with Program Director Diana Purdon (PD) who granted access and together discussed complaint findings. During the investigation LPA Haynes interviewed and accounted for all relevant parties. It was reported and observed that all hazardous chemicals are inaccessible to clients in care. Based on interviews and records obtained, all clients come into care with a standard needs and service appraisal while an individualized plan is finalized. The complaint findings were determined to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. No deficiencies are to be cited at this time. An exit interview was conducted, and a copy of this report was emailed to the Program Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Jhane Haynes 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

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

met_with: Diana Purdon Program Director(PD)


raw_content:
Narrative:
The investigation included review of facility file history, review of staff and client files, staff training, physical plant observations and review of related photographs. Investigators conducted multiple confidential interviews of six clients (current and former), nine staff members (current and former) and facility Administrator. Confidential interviews detailed occurrences of client's observations and/or experiences while in care involving staff's treatment towards clients. Interviews described that staff (S1 and S2), pulled resident's hair, pulled resident's ears, grabbed residents by the neck, choked residents with their sweatshirt hoodie, choked resident with their hands, and dragged residents on the floor. It was further revealed that clients have sustained bruises, scratches, and ripped shirts because of the abuse (LIC811, dated 9/5/2024). During this investigation it was also disclosed that staff members (S1 and S2) and possibly other staff, used an outdoor water hose on client (C1) while in the shower. Statements revealed admission of clients and staff hearing or witnessing the abuse towards C1. Witness accounts described hearing C1 screaming, C1's skin cold after the shower and no fog or condensation observed in the bathroom after the shower. Witness further confirmed C1 was fed aggressively by S2. The investigation further revealed that on or around 10/31/2022, S1 screwed the windows shut in client's (C2) bedroom reportedly to prevent C2 from eloping from the facility. After learning this incident, facility Administrator instructed staff to remove the screws from the window days later. Staff members were aware of staff's actions; however, this incident was not reported to CCL. Based on the confidential interviews and documentary evidence, the Department has determined that there is a preponderance of evidence that staff S1 and S2 physically abused clients C1, C2, C3 and C4 while in care. It was further determined based on gathered statements and physical observations and photographs of facility grounds, staff members S1 and S2 violated client's personal rights and/or caused safety hazards to clients in care. Therefore, the above allegations are substantiated. These actions pose an immediate health, safety, and personal rights risk of harm to children placed in care. The facility is issued citations in accordance with California Code of Regulations, Title 22, Division 6, Chapter 5, Article 6, 84072 (d)(19) Personal Rights and Reporting Requirements. See following page for the cited deficiencies. An exit interview was conducted, and appeal rights were discussed. A copy of this report, and appeal rights were provided to the Facility Administrator. Concerning allegation that staff denied food to resident(s) in care, confidential interviews found consistent statements that clients are not denied food by staff. Clients and staff informed that clients are afforded meals and snacks and not denied food unless there are documented dietary restrictions. LPA observed ample food supply (perishable and non-perishable) and snacks during the investigation. Statements and record review found that Staff ensure residents are provided their special dietary needs and specific instructions are documented for identified clients. Concerning allegation that staff mismanaged resident's personal belongings (money): Confidential interviews and record review revealed clients are afforded allowance according to their individual plan. Records were unable to identify or confirm allegation that staff mismanaged resident's personal belongings. Concerning allegation that staff did not follow residents' behavior plan as required. Confidential interviews and record review did not identify or produce specific concerns as to staff not following residents' behavior plan. Confidential interviews were unable to confirm or dispute the allegation that clients are threatened by staff as statements lacked corroborating evidence. Record review and confidential interviews found that residents are afforded visitation according to the individual visitation schedules. Statements and physical observations of facility grounds found facility staff take measures to ensure residents from wandering from the facility. Facility doors are equipped with alarms to alert staff when doors are opened or exiting. Record review and interviews indicate facility operates on a one-to-one staff to client ratio as approved. As to the allegation that Staff did not prevent resident in care from engaging in illegal activities, confidential interviews and record review lacked supporting evidence to support the alleged. Based on confidential interviews, documentary statements, record review, and unannounced facility observations during the investigation, determined that the reported allegations may have happened or may be valid, however, the allegations are not supported or proven by the evidence.

Investigation Findings:
13On September 5, 2024, at 10: AM, Licensing Program Analyst (LPA), Regina Martin conducted a subsequent complaint inspection to deliver findings concerning the above-mentioned allegations. LPA Martin met with Diana Purdon, Facility Administrator, to discuss the investigative outcome. The investigation was conducted jointly by Community Care Licensing (CCL) Investigator Romelia Munoz, and San Luis Obispo County District Attorney Investigator, Tim Murphy. On August 16, 2023, CCL received allegations that staff physically abused residents, staff emotionally and verbally abused residents, Staff handled residents in an aggressive manner, staff employed inappropriate forms of discipline with residents, staff inappropriately restrained residents, and staff did not accord dignity to residents in care. On August 24, 2023, LPA Regina Martin initiated the investigation, met with facility Administrator, reviewed files, and completed a safety assessment. (Continued on page 9099-C) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Regina Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: TURNING POINT-HAMPTON COURTFACILITY NUMBER: VISIT DATE: 09/05/2024

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

met_with: Diana Purdon, Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 12/09/2021 at 12:45 pm, Licensing Program Analyst (LPA) Enrique Hernandez conducted an unannounced inspection, at the above-said facility, for the purpose of conducting a Case Management Annual Inspection. LPA met with Diana Purdon Facility Administrator (FA), who granted access into the facility and a tour was conducted together with the Administrator. This is a single-story family home in a residential area with four bedrooms, three bathrooms, a living room, a family/activity room, a dining area, a kitchen, a laundry room, an Administrator's office and a backyard. There is no car garage. There is no pool or bodies of water. The home is license to care for four (4) children, ages 7 to 17 years, up to two children may be non-ambulatory. LPA observed the following: Bedroom #1: Is occupied by Client #1. There is a full-size bed, adequate drawer space and lighting. Bedroom #2: Is occupied by Client #2. There is one full size bed, adequate drawer space, closet and lighting. Bedroom #3: Is occupied by Client #3. There is a full-size bed, adequate drawer space and lighting. This bedroom has an exterior exit. Bedroom #4: Is occupied by Client #4. There is one full size bed, adequate drawer space and lighting. This bedroom has an exterior exit Continue on LIC9099-C The facility has comfortable mattresses, clean linens, blankets, and pillows, all in good repair. The home is clean, safe, sanitary, and in good repair. Medicines, disinfectants, and cleaning solutions are inaccessible to children stored locked in the laundry room. Hot water is kept at a safe temperature. Facility has a connected (whole house) smoke alarm/carbon monoxide detectors that meet the statutory requirements. Smoke detectors were tested and operable at the time of inspection. LPA observed two fire extinguishers in the facility (kitchen and bedroom hallway) that were operable at the time of inspection. There are no fire arms or dangerous weapons in the home. Facility maintains age appropriate first aid supplies in the home. The facility operates within capacity and limitations of license. There are no more than two children sharing a bedroom. Adequate supervision is provided for clients in care; all clients currently have a 1 to 1 staff per needs and services. facility ensures three nutritious meals, snacks, and special diets. Children in care are accorded personal rights. Facility submits special incident reports as required. LPA Hernandez reviewed the following sections with FA: Operations, disaster preparedness and Emer intervention. Due to time constraints, LPA's shall return to complete the Annual Inspection and review personnel and client's files to ensure it meets regulatory requirements. Also, clients and staff interviews will need to be conducted. Based on today's inspections two deficiencies were cited. PER California Code Regulation, TITLE 22, DIVISION 5, CHAPTERS 1, General Licensing Regulations See 809-D. Exit interview was conducted with the facility Administrator. A copy of this report was left with the facility administrator whose signature on this form confirm receipt of this document.

met_with: Diana Purdon


summary: Facility Evaluation

raw_content:
Narrative:
On 01/25/2022 at 1:45 pm, Licensing Program Analyst (LPA) Enrique Hernandez conducted an unannounced inspection, at the above-said facility, for the purpose of conducting a Case Management Annual Continuation. LPA met with Diana Purdon Facility Administrator (FA), who granted access into the facility and a tour was conducted together with the Administrator. LPA Hernandez conducted the file review for four clients (C1, C2, C3, C4) and file review of ten staff (S1,S2, S3, S4, S5, S6, S7, S8,S9 and S10). [See Confidential Names form (LIC811), dated 1/25/2022, for names.] There are no deficiencies cited per California Code of Regulations, Title Regulations, Division 6, chapters 5, Exit interview was conducted and a copy of this report will be emailed to the Facility Administrator due to technical difficulties with the printer.


summary: Facility Evaluation

raw_content:
Narrative:
On March 10, 2022, Licensing Program Analysts (LPAs) Enrique Hernandez and Nancy O'Connell conducted a Case Management - Incident inspection at the above facility, and met with Diana Purdon Facility Administrator (FA), in response to a Special Incident Report that was submitted to Community Care Licensing (CCL), in order to investigate a possible violation. The incident, which was received by the department, on 3/8/2022, involved Client 1 (C1), Staff 1 (S1) , and Staff #2 (S2). Incident began when C1 became agitated, and staff attempted to redirect her. C1 attempted to run at peers with hand extended and needed to be redirected and restrained by staff. S1 gave C PRN medication and C1 stopped showing signs of aggression and laid down on her bed and fell asleep 10mins later. [see LIC Confidential Names List form (LIC811), dated 03/10/2022, for names]. LPAs interviewed Facility Administrator. At this time, the Department has made no determination on whether a violation has occurred. Per California Code of Regulations, Title Regulations, Division 6, Chapter 1 & 5, there are no deficiencies to be cited at this time. A copy of this report will be emailed to FA, due to technical difficulties with the LPA's printer.


facility_name: TURNING POINT-NORTHERN LIGHTS

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge initiated a complaint investigation with the Group Home and spoke with Administrator Linda Ervin.The purpose of the inspection was to deliver the findings for the above allegation. During the investigation, LPA McCambridge interviewed staff, attempted to interview youth, and reviewed documentation. During staff interviews it was revealed that an overnight staff was caught sleeping and a disaplinary action was given. Based on the information obtained, there is a preponderance of the evidence to prove that overnight staff was sleeping on shift. Therefore, the above allegation is substantiated. Appeal Rights were provided and discussed, and Title 22 deficiencies were cited. An exit interview was conducted, and a copy of the report was sent to 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 STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SANTA ROSA RO, NEOTOMAS AVENUE, STE. This is an official report of an unannounced visit/investigation of a complaint received in our office on 11/22/2022 and conducted by Evaluator Cheyenne McCambridge PUBLICCOMPLAINT CONTROL NUMBER: 21-CR- FACILITY NAME:TURNING POINT-NORTHERN LIGHTSFACILITY NUMBER: ADMINISTRATOR:LINDA ERVINFACILITY TYPE: ADDRESS: MAYA WAYTELEPHONE: (707) 462- CITY:UKIAHSTATE: CAZIP CODE: CAPACITY:2CENSUS: 2DATE: 06/01/ UNANNOUNCEDTIME BEGAN: 02: PM MET WITH:Linda ErvinTIME COMPLETED:03: PM 9Staff is under the influence of drugs and alcohol Staff not meeting clients needs INVESTIGATION FINDINGS: 13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge initiated a complaint investigation with the Group Home and spoke with Administrator Linda Ervin.The purpose of the inspection was to deliver the findings for the above allegation. During the investigation, LPA McCambridge interviewed staff, attempted to interview youth, and reviewed documentation. During confidential interviews it was revealed that staff had no knowledge of staff being under the influence. Based on interviews conducted and documentation, LPA was unable to determine staff was under the influence of drugs and alcohol and if staff is not meting clients needs. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that staff is under the influence of drugs and alcohol or that staff is not meeting clients needs; 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 with 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: 2 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: TURNING POINT-NORTHERN LIGHTSFACILITY NUMBER: 236803444

met_with: Linda Ervin


summary: Complaint Investigation - Substantiated - 2 deficiencies

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge initiated a complaint investigation with the Group Home and spoke with Administrator Linda Ervin.The purpose of the inspection was to deliver the findings for the above allegation. During the investigation, LPA McCambridge conducted confidential interviews with staff and youth, and reviewed documentation. During confidential interviews it was revealed that a staff was caught sleeping while on shift, minors medication was transported to facility in an inappropriate way, and snacks were not readily accessible for the clients. Based on the information obtained, there is a preponderance of the evidence to prove that staff was sleeping on shift,staff mismanaged minors medications and staff did not provide adequate food service. Therefore, the above allegations are substantiated. Appeal Rights were provided and discussed, and Title 22 deficiencies were cited. An exit interview was conducted, and a copy of the report was sent to 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: TURNING POINT-NORTHERN LIGHTSFACILITY NUMBER: 236803444

Deficiencies:
80075: (6) No medications shall be transferred between containers.
80076: (4) Between meal nourishment or snacks shall be available for all clients unless limited by dietary restrictions prescribed by a physician.

title: Health Related Services (k) The following requirements shall apply to medications which are centrally stored

title: Food Services (a) In facilities providing meals to clients, the following shall apply


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge initiated a complaint investigation with the Group Home and spoke with Administrator Linda Ervin.The purpose of the inspection was to deliver the findings for the above allegation. During the investigation, LPA McCambridge conducted confidential interviews with staff and youth, and reviewed documentation. During confidential interviews it was revealed that staff and youth had contrasting statements on the above allegations. Based on interviews conducted and documentation, LPA was unable to determine if staff are falsifying documents, using inappropriate forms of punishment, inappropriately spoke to minor, did not treat minor with respect, worked on the premises while under the influence or is operating out of ratio. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that staff is under the influence of drugs and alcohol or that staff is not meeting clients needs; 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 with 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: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge initiated a complaint investigation with the Group Home and spoke with Administrator Linda Ervin.The purpose of the inspection was to deliver the findings for the above allegation. During the investigation, LPA McCambridge conducted confidential interviews with staff and youth, and reviewed documentation. Through video evidence and during staff interviews it was revealed that a staff handled minor in an inappropriate way. Based on the information obtained, there is a preponderance of the evidence to prove that staff handled minor in care in a rough manner. Therefore, the above allegation is substantiated. Appeal Rights were provided and discussed, and Title 22 deficiencies were cited. An exit interview was conducted, and a copy of the report was sent to 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: TURNING POINT-NORTHERN LIGHTSFACILITY NUMBER: 236803444


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge initiated a complaint investigation with the Group Home and spoke with Administrator Linda Ervin.The purpose of the inspection was to deliver the findings for the above allegation. During the investigation, LPA McCambridge conducted confidential interviews with staff and youth, and reviewed documentation. During confidential interviews contrasting statements were made whether staff deny food to minors in care or not. Based on interviews conducted and documentation, LPA was unable to determine that staff denied food to minor in care. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that staff is under the influence of drugs and alcohol or that staff is not meeting clients needs; 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 with 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

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the above facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Administrator Linda Ervin and toured the facility, inside and out. All passageways are unobstructed. The group home is clean, safe, and sanitary. No room commonly used for other purposes is used as a bedroom. The home is maintained at a comfortable temperature. There is an adequate supply of perishable and nonperishable food available. Sharps and toxins are kept locked in the garage. Medications are kept locked in the garage in a cabinet and are accessible only to employees responsible for stored medications. The facility has one or more functioning carbon monoxide detectors that meet statutory requirements. There are no firearms on the property. There are no bodies of water on the property. Personal rights, house rules, and Emergency disaster forms were posted in the kitchen. The group home is licensed to serve two clients ages 6-18. Currently in placement are two clients. The home operates within the capacity and limitations of the license. LPA McCambridge reviewed client and staff files and observed they are complete. 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:
At 12:30pm on 06/01/2023, Licensing Program Analyst (LPA) Karmen Balhotra made an unannounced complaint inspection to the facility listed above. The reason for the inspection is to conduct and Annual/Required inspection. LPA met with Linda Ervin, Administrator who helped facilitate the inspection. The facility is a Group Home serving Developmentally Disabled by the Redwood Coast Regional Center. The facility has a capacity of two and a current census of two clients. Upon entering, Administrator and LPA toured the facility. The facility consists of two client bedroom, one bathroom, two staff offices, a living room, kitchen, and backyard. All medications, cleaning supplies and files are locked away from the presence of clients. There are no bodies of waters or any safety hazards present. LPA tested the water at the facility which read 105 degrees Fahrenheit. All required documents are posted alongside Daily Activities, Food Schedule, Mood Regulation activities as well as other documents to help clients in care. LPA conducted a file review of five staff clients and the two clients in placement. LPA interviewed Staff on the operations of the facility. Due to clients being Developmentally Disabled and requiring one to one supervision, LPA was unable to interview clients. LPA observer clients to be safe and accorded dignity during the inspection. LPA reviewed a Guardian review of the facility as of today's date 06/01/2023 and all individuals are cleared. At this time no California Code of Regulations, Group Home and General Regulations are being cited at this time. An exit interview was conducted and a copy of this report was left with Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the above facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Administrator Linda Ervin and toured the facility, inside and out. All passageways are unobstructed. The group home is clean, safe, and sanitary. No room commonly used for other purposes is used as a bedroom. The home is maintained at a comfortable temperature. There is an adequate supply of perishable and nonperishable food available. Sharps and toxins are kept locked in the garage. Medications are kept locked in the garage in a cabinet and are accessible only to employees responsible for stored medications. The facility has one or more functioning carbon monoxide detectors that meet statutory requirements. LPA tested the water at the facility which read 105 degrees Fahrenheit. There are no firearms on the property. There are no bodies of water on the property. Personal rights, house rules, and Emergency disaster forms were posted in the kitchen. The group home is licensed to serve two clients ages 6-18. Currently in placement are two clients. The home operates within the capacity and limitations of the license. LPA McCambridge reviewed client and staff files and observed they are complete. LPA was unable to interview clients due to one refusing and one being on a outdoor adventure for the day. LPA observer client to be safe and accorded dignity during the inspection. 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) Brian Bertoli conducted an unannounced visit to the above facility for the purpose of conducting an Annual/Required inspection. LPA Bertoli met with Administrator Linda Ervin and toured the facility inside and out. All passageways are unobstructed. The Group Home is clean, safe, and sanitary. No room commonly used for other purposes is used as a bedroom. The home is maintained at a comfortable temperature. There is an adequate supply of perishable and nonperishable food available. Sharps and toxins are kept locked. Medications are kept locked in the garage in a cabinet and are accessible only to employees responsible for medication administration. The facility has functioning carbon monoxide detectors. There are no firearms on the property. There are no bodies of water on the property. Personal rights, house rules, menus, and Emergency disaster forms were posted in the kitchen/dining area. The Group Home is licensed to serve two clients ages 6-17. Currently in placement are two clients. The home operates within the capacity and limitations of the license. LPA Bertoli reviewed client and staff files and observed they are complete. LPA conducted confidential interviews. LPA checked the water temperature at the kitchen sink, which read 103 degrees. LPA is issuing Technical Advisory for Title Section 80088(e)(1). No Title 22 deficiencies were cited on this visit. An exit interview was conducted and a copy of the report was left with the facility.


facility_name: TURNING POINT - JOURNEY ON

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with lead staff Chantel Anderson regarding a complaint investigation at the facility. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation LPA McCambridge interviewed staff and reviewed documentation. The LPA attempted to interview the reporting party and client but was unsuccessful. During staff interviews it was stated that staff tried C1s deescalation techniques and were with him throughout the incident. Documentation reviewed supports this claim. 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 the staff did not priovde resident adequate supervision; 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. 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

met_with: Chantel Anderson


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with lead staff Chantel Anderson regarding a complaint investigation at the facility. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation LPA McCambridge interviewed staff and reviewed documentation. During the interviews it was stated that C1 was able to break down a door, grab car keys, and drive the car into another facility van and dent the garage door. Documentation reviewed confirms this. There is a preponderance of the evidence to prove that the resident was able to obtain staff car keys and drive a car, therefore, the above allegation is substantiated. Appeal Rights are discussed with the facility and deficiencies were cited. Exit interview conducted and a copy of the report was left with the facility. SubstantiatedEstimated 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: TURNING POINT - JOURNEY ONFACILITY NUMBER: 236801975


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge initiated a complaint investigation with the Group Home and spoke with Direct Care Staff Nathaly Hernandez.The purpose of the inspection was to deliver the findings for the above allegation. During the investigation, LPA McCambridge conducted confidential interviews with staff and youth, and reviewed documentation. During documentation review it was revealed that the sink had been broken and a wading pool was left accessible to clients. Based on the information obtained, there is a preponderance of the evidence to prove that facility sink was in disrepair and staff did not ensure the inaccessibility of wading pool to residents. Therefore, the above allegations are substantiated. Appeal Rights were provided and discussed, and Title 22 deficiencies were cited. An exit interview was conducted, and a copy of the report was sent to 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: TURNING POINT - JOURNEY ONFACILITY NUMBER: 236801975

met_with: Nathaly Hernandez


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 with the facility.

Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge initiated a complaint investigation with the Group Home and spoke with Direct Care Staff Nathaly Hernandez.The purpose of the inspection was to deliver the findings for the above allegation. During the investigation, LPA McCambridge conducted confidential interviews with staff and youth, reviewed documentation, and toured the home. During the tour LPA found no mold or the facilty and bathroom in disrepair. During confidential interviews it was determined that clients get to do planned and unplanned activities. Based on constrating statements and observations, LPA was unable to determine if the facility bathroom had mold, plumbing in disrepair, walls in disrepair, facility bathroom in direpair, or if staff do not follow resident activity plan. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that staff is under the influence of drugs and alcohol or that staff is not meeting clients needs; therefore, the above allegation is unsubstantiated. 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: TURNING POINT - JOURNEY ONFACILITY NUMBER: VISIT DATE: 11/16/2023