facility_name: QUALITY FAMILY SERVICES-CLINTON

raw_content:
Investigation Findings:
13On July 25, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Clinton, LPA met with Juan Quevedo. The purpose of the inspection was to deliver the findings of the above complaint allegations. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Juan Quevedo


state: CA

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On October 22, 2025, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Clinton, LPA met with Juan Quevedo. The purpose of the inspection was to deliver the findings of the above complaint allegations. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the Department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility with Juan Quevedo. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Briana Placencia 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

report_type: Complaint Investigation

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On 05/24/2021, an unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Tamara Melikian at 2:00PM. During the inspection, LPA met with Laura Romero, Human Resource Manager and Juan Quevedo, Administrator and inspected the facility inside and out. Due to restrictions of COVID-19, this inspection was conducted via FaceTime. All file and medication documents were sent to this LPA on the dates prior to inspection. In addition, a medication count was conducted. LPA reviewed three children's records and reviewed two staff personnel records for the facility. LPA interviewed two staff via telephone at 2:30PM. LPA did not interview any children in the home as all dependents refused an interview. No deficiencies to be cited at this time. LPA conducted exit interview with Laura Romero, Human Resource Manager at 3:00PM. A copy of this report was provided upon completion by email with a request for signature and a scan back to this LPA on this date.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Laura Romero


summary: Facility Evaluation

raw_content:
Narrative:
On this date, October 13, 2021 at 08: AM, an unannounced required annual inspection was conducted by Licensing Program Analysts (LPA) Wayne Aoki. LPA met with facility representative Juan Quevedo. LPA inspected the facility, inside and out. Centrally stored medications and sharps are maintained in the staff office in a locked closet. LPA inspected the medications for the minors in care. The facility has a written emergency disaster plan. All facility smoke and carbon monoxide detectors were tested and appear to be in appropriate working order, fire extinguisher is properly charged and was last serviced May 2021. Individual beds were observed with appropriate clean linens and are in good repair. There is at least one week supply of nonperishable and a two day supply of perishable foods. The facility is maintained at 77 degrees. Hot water temperature measured 112 degrees. Facility has cameras in common areas of the facility. There are no bodies of water at the facility. No firearms or weapons are allowed in the facility and there are no pets. There was Staff, Minors and the present during the inspection. Both staff and minor's files reviewed. LPA interviewed 1 staff and 3 minors during the inspection. LPA reviewed the facility's disaster plan, sampled medication and reviewed facility logs. LPAs requested the following updated documents by October 22, 2021. LIC 500, LIC 308, LIC 999, LIC 610C There were no deficiencies cited during this inspection. A copy of this report was left at the facility at the conclusion of the inspection.

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On this date, October 18, Licensing Program Analyst (LPA) was met by facility representative Laura Romero for the purpose of conducting a Case Management inspection. The LPA informed this Short-Term Residential Therapeutic Program (STRTP) and all other associated facilities to amend their Program Statements to be in compliance with the STRTP Interim Licensing Standards Version 4. LPA specifically directed Ms. Romero to section 87068.05(c)(4)(A)1., Admission Determination Procedures. The agency is to update this section by November 1, 2021 and provide a copy to Community Care Licensing for approval. There were no citable deficiencies during this visit.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, LPAs (Licensing Program Analysts) conducted a case management inspection at the QFS main office. Met with Human Resource Director Laura Romero. Discussed the incident report dated 6/15/2022. LPAs requested that the facility send an updated/addendum incident report with the collateral information from since the initial report on the C1 in regards to his 5150 and hospitalization and plan for when minor will consume his medication thereafter. Incident report addendum will be submitted by end of business 6/24/22. See LIC 811 dated 6/23/22 for confidential name(s).


summary: Facility Evaluation

raw_content:
Narrative:
On November 1, Licensing Program Analysts (LPAs) Briana Placencia and Cynthia Galindo conducted an unannounced annual inspection at Quality Clinton STRTP located in Fresno CA. LPAs met with Facility Manager Juan Quevedo and Laura Romero. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 72 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced in March 2022. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. STRTP was approved on December 1, 2018. The facility is accredited through CARF with accreditation through May 31, 2025, and they are approved through Fresno County Department of Behavioral Health through May 27, 2023. No firearms or weapons were observed in the facility. There is no pool and no pets at the facility. LPAs reviewed 4 client files, and 8 staff files. LPAs interviewed 2 staff and no clients due to the clients being at school. LPAs discussed the medication log, all required forms, intake process, needs and services plan, disaster preparedness plan and emergency intervention plan. LPAs requested the following updated documents by December 1, 2022. Lic 500, Lic 308, Lic 999, Lic 610c. Deficiencies are being cited on today's visit, which include One Technical Violation for "Children's Records" and one Technical Advisory for "Training Requirements". A copy of this report was left at the facility at the conclusion of today's inspection.

met_with: Juan Quevedo and Laura Romero


summary: Facility Evaluation

raw_content:
Narrative:
On January 23, 2025, Licensing Program Analysts (LPAs) Briana Placencia, Melissa Renovato and Olivia Medrano conducted an unannounced random inspection at Quality Clinton STRTP located in Fresno CA. LPAs met with Facility Manager Juan Quevedo. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 72 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced in March 19, 2024. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. STRTP was approved on December 1, 2018. The facility is accredited through CARF with accreditation through May 31, 2025, and they are approved through Fresno County Department of Behavioral Health through June 1, 2026. Per Administrator there are no weapons/firearms in the facility. There are no bodies of water and no pets at the facility. LPAs reviewed 2 client files, and 0 staff files. LPAs interviewed 2 staff and no clients due to the clients being at school. LPA will follow up with staff files as well as interviewing the clients at school. LPAs discussed needs and services plan, JV220/JV223, and having staff records readily available to CCL. Deficiencies are being cited on today's visit, which include one Technical Violation for "Staff Records". A copy of this report and appeal rights was left with Administrator Juan Quevedo at the conclusion of today's inspection.


facility_name: QUALITY FAMILY SERVICES-GETTYSBURG

raw_content:
Investigation Findings:
13On 11/19/2021, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint inspection for the Quality Family Services, Gettysburg House STRTP for the purpose of informing the facility of the outcome of the investigation. Met by Human Resource Manager Laura Romero. During the course of the investigation, LPAs conducted interviews with the youth (#2) and a witness. In addition, staff members were interviewed and documents were obtained from the facility and law enforcement. Based on the information obtained, there are inconsistencies whether the staff (#1) hit the youth (#2). Staff denies the allegation and the youth states that it did occur. There were no witnesses to the allegation. Based on the above, the allegation is unsubstantiated. Exit interview conducted and a copy of the report was given to the Human Resource Manager. There are no deficiencies to be cited on this date. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Tamara Melikian LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2


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


raw_content:
Investigation Findings:
13On September 21, 2022, Licensing Program Analyst (LPA) Wayne Aoki conducted a follow up complaint inspection. The purpose of the inspection is to conduct additional interviews and close the investigation and deliver the findings for the above complaint allegations. LPA was me by House Manager, Joyce Wynn.. During the course of the investigation, confidential interviews were conducted and other documents were obtained. Although the allegation may have happened or is valid, there is not a preponderance of the evidence, therefore, the above allegation is unsubstantiated. Based on the above, the complaint is Unsubstantiated. There were no deficiencies cited during this inspection. A copy of this report and appeals rights were left with Ms. Wynn. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

met_with: Joyce Wynn


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality Corporate office and met with Laura Romero. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA interviewed staff which revealed that the agency did not ensure that minor had fair and equal access to placement. Based on LPA's observations, interviews which were conducted and records review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SIERRA CASCADE AC/SC, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-GETTYSBURGFACILITY NUMBER: 107204178

complaint_status: SUBSTANTIATED


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Coorporate office and met with Laura Romero. The purpose of the inspection was to deliver the findings for the above complaint allegation. This complaint is being closed at the corporate office due to Gettysburg being on COVID restrictions. During the investigation, LPA conducted interviews, records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


raw_content:
Investigation Findings:
13On February 21, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Gettysburg and met with Ruth Inacay. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Ruth Inacay


raw_content:
Investigation Findings:
13On December 30, 2024, Licensing Program Analysts (LPAs) Briana Placencia and Olivia Medrano conducted a complaint inspection at Quality STRTP Gettysburg and met with Joyce Wynn. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Facility Manager-Joyce Wynn


raw_content:
Investigation Findings:
13On April 8, 2025, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Gettysburg and met with Joyce Wynn. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13On May 6, 2026, Licensing Program Analyst (LPA) Danny Macias traveled to Quality Family Services Short Term Residential Therapeutic Program (STRTP) main office to conduct an unannounced inspection and met with Chief Executive Officer Mae Johnson. The purpose of the inspection was to deliver findings for the above complaint allegations. During the investigation, LPA conducted confidential interviews and reviewed supporting documents provided by the facility. Based on interviews and documents reviewed, the department has made the following determination. 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, therefore the allegations are UNSUBSTANTIATED. No deficiencies or citations issued at this time. An exit interview was conducted and a copy of this report was left with Mae Johnson at the conclusion. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Vanessa Galvan LICENSING EVALUATOR NAME: Danny Macias LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Mae Johnson


facility_name: QUALITY FAMILY SERVICES-MILLBROOK

raw_content:
Investigation Findings:
13On October 6, 2021, Licensing Program Analyst (LPA) was met by Administrator, Laura Romero for the purpose of concluding the investigation with regards to the above-mentioned allegations. During the course of the investigation, LPA conducted interviews with the minors in care and staff from the facility along with obtaining a copy of the Sheriff's report. When the LPA interviewed the youth that reported being hit by staff, his statement was not consistent with both the Sheriff's report and staff's accounting of the incident. All other minors in care did not have any knowledge of any staff hitting any minor in the facility. When staff and other minors were interviewed regarding the amount of food in the facility, all but one minor stated that there is no shortage of food in the facility. It is noted that during the intial 10 day inspection of the home, LPA observed the food supply in the facility which on that date met and exceeded the minimum requirement for food. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the above allegations occurred, therefore the above allegations are unsubstantiated. There were no deficiencies cited during this inspection. Exit interview conducted and a copy of the report along with appeals rights were left with Ms. Romero. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13On February 16, 2022, Licensing Program Analyst (LPA) was met by Administrator, Laura Romero for the purpose of concluding the investigation with regards to the above-mentioned allegations. During the course of the investigation, LPA conducted interviews with the minors in care and other witnesses. LPA obtained copies of Police Reports, incident reports and other documents from the minor's files. LPA's interviews of the minors and witnesses did disclose that the allegations were not true and/or witnesses did not observe the allegations as reported. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the above allegations occurred. Therefore the above allegations are unsubstantiated. There were no deficiencies cited during this inspection. Exit interview conducted and a copy of the report along with appeals rights were left with Ms. Romero. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


raw_content:
Investigation Findings:
13On April 26, 2022, Licensing Program Analyst (LPA) was met by Administrator, Sinsear Radford for the purpose of concluding the investigation with regards to the above-mentioned allegations. During the course of the investigation, LPA conducted interviews with the minors in care and staff. LPA obtained copies of documents from the minor's file. LPA's interviews with the minors and staff did disclose that the allegations were not consistent and/or witnesses did not observe the allegations as reported. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the above allegations occurred. Therefore the above allegations are unsubstantiated. There were no deficiencies cited during this inspection. Exit interview conducted and a copy of the report along with appeals rights were left with Ms. Radford. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

met_with: Sinsear Radford


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On July 25, 2024, Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Millbrook and met with Sinsear Radford. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA interviewed staff and clients which revealed that staff handled minor in a rough manner. Based on LPAs confidential interviews which were conducted and records review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Interim Licensing Stanards are being cited on the attached LIC 9099-D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-MILLBROOKFACILITY NUMBER: 107202597


summary: Facility Evaluation

raw_content:
Narrative:
On this date, October 20, 2021 at 08: AM, an unannounced required annual inspection was conducted by Licensing Program Analysts (LPA) Wayne Aoki. LPA met with facility representative Sinsear Radford and Laura Romero LPA inspected the facility, inside and out. Centrally stored medications and sharps are maintained in the staff office in a locked closet. LPA inspected the medications for the minors in care. The facility has a written emergency disaster plan. All facility smoke and carbon monoxide detectors were tested and appear to be in appropriate working order, fire extinguisher is properly charged and was last serviced May 6, 2021. Individual beds were observed with appropriate clean linens and are in good repair. There is at least one week supply of nonperishable and a two day supply of perishable foods. The facility is maintained at 75 degrees. Hot water temperature measured 113 degrees. Facility has cameras or weapons are allowed in the facility and there are no pets. There was Staff and Minors present during the inspection. Both staff and minor's files reviewed. LPA interviewed 1 staff and 2 minors during the inspection. LPA reviewed the facility's disaster plan, sampled medication and reviewed facility logs. LPAs requested the following updated documents by October 29, 2021. LIC 500, LIC 308, LIC 999, LIC 610C There were no deficiencies cited during this inspection. A copy of this report was left at the facility at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On January 31, Licensing Program Analyst (LPA) Wayne Aoki met with Administrator Laura Romero at Yale Ave, Fresno CA to discuss an incident report dated October 18, 2021 where M1 was restrained by S1 and S2. Ms. Romero explained that recent video evidence that was thought to be over written by the video system was salvaged. The video clearly shows S1 being physically aggressive (Pushing, shoving) M1. Video also shows S1 and S2 conducting an inappropriate restraint. S1 was placed on administrative leave October 25, 2021 and has not returned back to work.. S2 was retrained on CPI on November 02, 2021. LPA asked Ms. Romero to submit an amended incident report indicating the findings of the video recording. There were no deficiencies cited during this inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On November 8, 2022, Licensing Program Analysts (LPAs) Lidia Tinoco and Briana Placencia arrived at the Millbrook house for the purpose of conducting a confidential interview with a youth in care. No deficiencies were issued at todays visit. A copy of this report was provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On November 10, 2022, Licensing Program Analysts (LPAs) Briana Placencia and Cynthia Galindo conducted an unannounced annual inspection at Quality Millbrook STRTP located in Fresno CA. LPAs met with Administrator Sinsear Radford and Laura Romero. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 76 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. STRTP was approved on December 1, 2018. The facility is accredited through CARF with accreditation through May 31, 2025, and they are approved through Fresno County Department of Behavioral Health through May 27, 2023. No firearms or weapons are observed in the facility. There is no pool and no pets at the facility. LPAs reviewed 5 client files, and 5 staff files. LPAs interviewed 3 staff and 2 clients. LPAs discussed the medication log, all required forms, intake process, needs and services plan, disaster preparedness plan and emergency intervention plan. LPAs requested the following updated documents by December 10, 2022. Lic 500, Lic 308, Lic 999, Lic 610c. Deficiencies are being cited on today's visit, which include One Type B violation, and Three Technical Violations. A copy of this report was left at the facility at the conclusion of today's inspection.

met_with: Sinsear Radford and Laura Romero


investigation_findings: 13On May 6, 2026, Licensing Program Analyst (LPA) Danny Macias traveled to Quality Family Services Short Term Residential Therapeutic Program (STRTP) main office to conduct an unannounced inspection and met with Chief Executive Officer Mae Johnson. The purpose of the inspection was to deliver findings for the above complaint allegations. During the investigation, LPA conducted confidential interviews and reviewed supporting documents provided by the facility. Based on interviews and documents reviewed, the department has made the following determination. 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, therefore the allegations are UNSUBSTANTIATED. No deficiencies or citations issued at this time. An exit interview was conducted and a copy of this report was left with Mae Johnson at the conclusion. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Vanessa Galvan LICENSING EVALUATOR NAME: Danny Macias 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


facility_name: QUALITY FAMILY SERVICES-PERRIN

raw_content:
Investigation Findings:
13On September 20, 2021, Licensing Program Analyst (LPA) Wayne Aoki conducted a complaint inspection for Quality Family Services - Perrin. LPA was met by facility representative Laura Romero to conclude the investigation with regards to the above-mentioned allegation. During the course of investigating the allegation, LPA conducted interviews with witnesses. One of the children in care stated that they two of them were just messing around and that they had their clothes on. The incident only lasted about 3 seconds and the other child left to go back to his bedroom. The other child that was involved was not interviewed as the child was AWOL and whereabouts are unknown. LPA reviewed the incident report along with the Sheriff Department's report. Based on the interviews conducted and reports obtained and reviewed, Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the above allegation occurred, therefore the above allegation is unsubstantiated. There were no deficiencies cited during this inspection. Exit interview conducted and a copy of the report along with appeals rights were left with the facility representative. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2


summary: Facility Evaluation

raw_content:
Narrative:
On September 21, Licensing Program Analyst Wayne Aoki conducted a required annual inspection at Quality Family Services - Perrin. LPA was met at the facility by facility representative Laura Romero. LPA conducted entrance interview and completed a tour of the facility. Staff and children's files were reviewed. LPA reviewed the facility's disaster plan. LPAs requested the following updated documents by September 1, 2021. LIC LIC LIC LIC 610C There were no deficiencies cited during this inspection. A copy of this report was left at the facility at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On this date Licensing Program Analyst (LPA) Jessica Rodriguez arrived at the Short Term Residential Therapeutic Program (STRTP) for the purpose of conducting an interview with Client 1 (C1). LPA left a copy of this report with Facility Manger, Santiago Quinonez.

met_with: Santiago Quinonez.


summary: Facility Evaluation

raw_content:
Narrative:
On October 18, 2022, Licensing Program Analysts (LPAs) Briana Placencia and Cynthia Galindo conducted an unannounced annual inspection at Quality Perrin STRTP located in Clovis CA. LPAs met with Administrator Santiago Quinonez and Laura Romero. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 72 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted, however facility will update the Foster Youth Rights with the newest forms. Medications are locked and centrally stored. Individual beds were observed. STRTP was approved on December 18, 2018. The facility is accredited through CARF with accreditation through May 31, 2025, they had a fire clearance completed in April 2021 and is good through April 2023, and they are approved through Fresno County Department of Behavioral Health through May 8, 2022. No firearms or weapons are observed in the facility. There is no pool and no pets at the facility. LPAs reviewed 5 client files, and 5 staff files. LPAs interviewed 2 staff and 1 client was present but refused to be interviewed. LPAs discussed the medication log, all required forms, intake process, needs and services plan, disaster preparedness plan and emergency intervention plan. LPAs requested the following updated documents by November 30, 2022.Lic 500, Lic 308, Lic 999, Lic 610c. Deficiencies are being cited on today's visit, which include One Type A, Four Type B violations and One Technical Violation. A copy of this report was left at the facility at the conclusion of today's inspection.

met_with: Santiago Quinonez


summary: Facility Evaluation

raw_content:
Narrative:
On October 25, 2022, Licensing Program Analysts (LPAs) Briana Placencia and Cynthia Galindo met with Clinical Director Juan Cabrera and Research Quality Insurance Coordinator Valerie Curley this meeting was held via Microsoft teams. The purpose of this meeting was to discuss the Plans of Corrections(POCs) issued during the Annual inspection at Quality STRTP-Perrin on October 18, 2022. LPAs reviewed the POCs and discussed the Needs and Services plans that require updating to be in compliance with the Interim Licensing Standards Version 4. The following deficiencies were discussed and reviewed: 87070(c)(4) 87068.2(b)(5) 87068.2(b)(6) 87068.2(e) 87068.3(a)(1) 87068.3(a)(3) 87070(b)(16) 87070(b)(17) A copy of this document scanned to the facility representative with a request for signature and a scan back. Signed copy will be placed in Licensee file.

met_with: Juan Cabrera and Valerie Curley


summary: Facility Evaluation

raw_content:
Narrative:
On November 8, 2022, Licensing Program Analysts (LPAs), Briana Placencia and Lidia Tinoco conducted an unannounced visit to Quality STRTP and met with the Administrator, Santiago Quinonez. The purpose of the visit was to follow-up on a plan of correction issued on October 18, 2022 due to clients Needs and Service Plans failed to contain modifications/updates and signed by authorized representative, ability to manage their own money, visitation, integration of family as well as updates every 30 days. The plan of correction was due on November 1, 2022 and was not met which prompted this plan of correction visit. On November 3, 2022, LPA received the updated Needs and Services plans from Human Resource Manager Laura Romero via email at 5:30pm. Licensee stated that the case manager did take on another caseload at another facility, and was a bit overwhelmed at the time. LPA advised that next time an extension can be requested. A Civil Penalty of $300 was assessed for failure to correct. An exit interview was conducted with Santiago Quinonez and a copy of the report was left at the facility along with appeal rights and the letter of deficiencies citations cleared.


summary: Facility Evaluation

raw_content:
Narrative:
On June 21, 2023, Licensing Program Analyst (LPA), Briana Placencia conducted an unannounced visit to Quality STRTP Perrin and met with the Administrator, Santiago Quinonez and HOS Carole Whitty. The purpose of this visit was to discuss incident reports not received by CCL. In overview between the months of September 2022 to April 2023, it appears that there was 18 missing incident reports and 18 reports where CCL received initial emails but did not receive the full incident report. LPA reviewed the dates in question with both staff. LPA will give the licensee 7 days to review records and locate the missing incident reports. An exit interview was conducted, and a copy of this report was provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On August 18, 2023, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Quality STRTP Perrin and met with Laura Romero. The purpose of the inspection was to conduct a tour of the facility. LPA inspected the home and ensured there are not children in the home. Licensee surrendered their license effective as of July 22, 2023.


facility_name: QUALITY FAMILY SERVICES-RIALTO

raw_content:
Investigation Findings:
13On 12/8/2021, Licensing Program Analyst (LPA) Wayne Aoki conducted a complaint inspection for Quality Family Services - Rialto to conclude the investigation with regards to the above-mentioned allegation. LPA was met by facility representative Laura Romero. During the course of investigating the allegation, LPA interviewed staff and minors in care. LPA determined that although the minors engaged in inappropriate sexual interactions with each other, staff did conduct bed checks on the minors approximately every 15-30 minutes. The minors disclosed that they would engage in the activity between the times that staff would conduct bed checks. Staff and Minors both confirmed that the facility policy is to conduct bed checks every 15-30 minutes when the minors are in their rooms. The allegation may or may not have happened, or is or is not valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. There are no deficiencies to be cited on this date. Exit interview conducted and a copy of the report was provided to Ms. Romero. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2


raw_content:
Investigation Findings:
13On 12/15/2021, Licensing Program Analyst (LPA) Wayne Aoki conducted a complaint inspection for Quality Family Services - Rialto at the Quality Family Services office to conclude the investigation with regards to the above-mentioned allegation. LPA was met by facility representative Laura Romero. During the course of investigating the allegation, LPA interviewed staff and minors in care. LPA determined that although the minor in question did engaged in a physical altercation with a staff member, the staff member was in a defensive position and was hit/kicked and choked by the minor. The allegation may or may not have happened, or is or is not valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegation is deemed unsubstantiated. There are no deficiencies to be cited on this date. Exit interview conducted and a copy of the report was provided to Ms. Romero. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality Rialto STRTP and met with Sinsear Radford. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA interviewed staff and inspected the bedrooms which revealed that minor's bed is in disrepair. Based on LPA's observations the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SIERRA CASCADE AC/SC, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-RIALTOFACILITY NUMBER: 107206848


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analysts (LPAs) Briana Placencia and Lidia Tinoco conducted a complaint inspection at Quality STRTP Rialto and met with Cynthia Porraz. The purpose of the inspection was to deliver the findings for the above complaint allegation(s). During the investigation, LPA conducted confidential interviews which revealed that a minor was bullied by another minor while in care. Based on LPAs observations, interviews which were conducted and records review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SIERRA CASCADE AC/SC, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-RIALTOFACILITY NUMBER: 107206848

met_with: Cynthia Porraz


raw_content:
Investigation Findings:
13Licensing Program Analysts (LPAs) Briana Placencia and Lidia Tinoco conducted a complaint inspection at Quality STRTP Rialto and met with Cynthia Porraz. The purpose of the inspection was to deliver the findings for the above complaint allegation(s). During the investigation, LPA conducted confidential interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


summary: Facility Evaluation

raw_content:
Narrative:
On this date, September 30, 2021 at 08: AM, an unannounced required annual inspection was conducted by Licensing Program Analysts (LPA) Wayne Aoki. LPA met with facility representative Laura Romero. LPA inspected the facility, inside and out. Centrally stored medications and sharps are maintained in the staff closet. LPA inspected the medications for the minors in care. The facility has a written emergency disaster plan. All facility smoke and carbon monoxide detectors were tested and appear to be in appropriate working order, fire extinguisher is properly charged and was last serviced May 6, 2021. Individual beds were observed with appropriate clean linens and are in good repair. There is at least one week supply of nonperishable and a two day supply of perishable foods. The facility is maintained at 76 degrees. Hot water temperature measured 111 degrees. Facility has cameras in common areas of the facility. There are no bodies of water at the facility. No firearms or weapons are allowed in the facility and there are no pets. There was Staff, Minors and the Administrator present during the inspection. Both staff and minor's files reviewed. LPA interviewed 1 staff and 2 minors during the inspection. LPA reviewed the facility's disaster plan, sampled medication and reviewed facility logs. LPAs requested the following updated documents by October 22, 2021. LIC 500, LIC 308, LIC 999, LIC 610C There were no deficiencies cited during this inspection. A copy of this report was left at the facility at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Priscilla Zamudio conducted a collateral visit for the purpose of interviewing client #1 regarding a matter unrelated to this facility. LPA made contact with Rick McCaster III, Clinical Therpist and provided him with a copy of this report.

met_with: Rick McCaster III


summary: Facility Evaluation

raw_content:
Narrative:
On 04/28/2022 an unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Tamara Melikian and Vanessa Galvan at 2: PM. During the inspection, LPAs met with Laura Romero, Human Resource Manager and inspected the facility. While at the facility LPAs observed plumbing leaks that occurred on this date. The carpet had to be removed and professionals were awaiting entry to the facility while LPAs were present. The inspection will be continued at a later date as to allow the facility to make the appropriate calls and relocate the clients in care. Facility representative also advised they would be notifying their Community Care Licensing analyst on this date. LPAs reviewed two children's records and reviewed two staff personnel records for the facility at 2:30PM. A medication count was conducted at 3:00PM. LPAs were unable to interview staff as they were relocating the clients in care. LPAs did not interview any children in the home as one child is currently on an unauthorized absence from the facility and other child was at school. Children will be interviewed at a later date. No deficiencies to be cited at this time. LPAs conducted exit interview with Laura Romero, Human Resource Manager LPAs provided the summary report to Laura Romero, Human Resource Manager upon completion.


facility_name: QUALITY FAMILY SERVICES-SAMPLE

raw_content:
Investigation Findings:
13On July 12, 2021, Licensing Program Analyst (LPA) Wayne Aoki conducted a follow up complaint inspection for Quality Family Services - Sample and met with facility representative, Laura Romero. The purpose of the investigation is to deliver the findings for the above allegations. LPA conducted Interviews with staff, clients in care and witnesses. Based upon the content of the interviews and documents reviewed, it was determined that staff yelled and screamed at the youth in care, did not provide emergency personnel facility contact information and did not allow the youth in care to make a phone call during an incident at the facility. Based on the above, there is a preponderance of evidence to conclude that the allegations are substantiated. The facility is being cited on the attached LIC 9099D. An exit interview was conducted and Plans of Corrections were reviewed and developed with Ms. Romero. A copy of this report and appeals rights were discussed and left with the facility. Ms. Romero's whose signature on this form confirms receipt of these documents. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-SAMPLEFACILITY NUMBER: 100406223


raw_content:
Investigation Findings:
13On August 20, Licensing Program Analyst (LPA) Wayne Aoki met with facility representative Helen Gowans to conclude the investigation and deliver the findings with regards to the above-mentioned allegation. LPA conducted the investigation that included review of documentation, interviews of staff and the Children in Care. LPA was not able to come to a preponderance of the evidence that the allegation occurred due to the inconsistencies in the information obtained from the witness statements. Although the complainant reported that the faciltiy did not seek medical attention in a timely manner, the child and other witnesses stated otherwise. The allegation may or may not have happened, or is or is not valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. No deficiencies observed or cited during this inspection. Copy of this report and LIC Appeal Rights left at the agency at conclusion of inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

met_with: Helen Gowans


raw_content:
Investigation Findings:
13On December 23, 2021, Licensing Program Analyst (LPA) Wayne Aoki conducted a follow up complaint inspection for Quality Family Services - Sample and met with facility representative, Laura Romero. The purpose of the investigation is to deliver the findings for the above allegations. LPA conducted Interviews with staff and minors in care. Based upon the content of the interviews and documents reviewed, it was determined that staff confiscated minor's personal belongings and did not return them in a timely manner, staff failed to transport minor to her employment and denied the minor from showering. Based on the above, there is a preponderance of evidence to conclude that the allegations are substantiated. The facility cited on the attached LIC 9099D. An exit interview was conducted and Plans of Corrections were reviewed and developed with Ms. Romero. A copy of this report and appeals rights were discussed and left with the facility. Ms. Romero's whose signature on this form confirms receipt of these documents. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-SAMPLEFACILITY NUMBER: 100406223


raw_content:
Investigation Findings:
13On December 23, 2021, Licensing Program Analyst (LPA) Wayne Aoki conducted a follow up complaint inspection for Quality Family Services - Sample and met with facility representative, Yvonne Carlos. The purpose of the investigation is to deliver the findings for the above allegations. LPA conducted Interviews with staff and minors in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted and a copy of the report and appeal rights were provided to Ms. Carlos. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

met_with: Yvonne Carlos


raw_content:
Investigation Findings:
13On March 17, 2022, Licensing Program Analyst (LPA) was met by facility manager, Yvonne Carlos. The purpose of this inspection is to amend the 9099 that was created on 3/14/22 to conclude the investigation with regards to the above-mentioned allegations. LPA conducted interviews with the minors in care at the facility and staff. LPA also conducted a facility inspection of the home. Witness statements were not consistent with the allegations that were made above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted and a copy of the report and appeal rights were provided to Ms. Carlos. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2


raw_content:
Investigation Findings:
13On March 14, 2022, Licensing Program Analyst (LPA) was met by facility manager, Yvonne Carlos. The purpose of this inspection is to conclude the investigation with regards to the above-mentioned allegations. LPA conducted interviews with the minors in care at the facility and staff. LPA also conducted a facility inspection of the home. Witness statements were not consistent with the allegations that were made above. LPA was unable to interview one minor as the minor AWOL'd from the facility when the county social worker came to the facility to transfer the minor to another placement. The whereabouts of that minor are unknown. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted and a copy of the report and appeal rights were provided to Ms. Carlos. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality Corporate office and met with Laura Romero. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA interviewed staff which revealed that the agency did not ensure that minor had fair and equal access to placement. Based on LPA's observations, interviews which were conducted and records review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SIERRA CASCADE AC/SC, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-SAMPLEFACILITY NUMBER: 100406223


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality Sample and met with Yvonne Carlos. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


facility_name: QUALITY FAMILY SERVICES-WARNER

summary: Complaint Investigation - Substantiated - 1 deficiency

raw_content:
Investigation Findings:
13On 06/18/2021, Licensing Program Analyst (LPA) Wayne Aoki conducted a follow up complaint inspection for Quality Family Services - Warner. LPA was met by representative Laura Romero. The purpose of the investigation is to conclude the investigation and deliver the findings for the above allegation. LPA and Special Investigator conducted Interviews with staff and the clients in care. Based upon the content of the interviews and documents reviewed, it was determined that due to an emergency 1 of the 2 staff working had to leave. This caused a lapse in supervision of the clients in care which resulted in a client hitting another client causing injury. Based on the above, there is a preponderance of evidence to conclude that the allegation is substantiated. The facility is being cited on the attached LIC 9099D. This report along with appeals rights was left with Ms. Romero. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-WARNERFACILITY NUMBER: 100404635

Deficiencies:
87078(a): 1
2
3
4
5
6
7Facility has retrained staff on supervison and when staff is doing medication, the facilty protocal is to have one staff supervising the minors and the other staff prepping and distributing medications.
8
9
10
11
12
13
14

title: Responsibility for Providing Care and Supervision  (a) In addition to California Code of Regulations, Title 22, Section 80078, the following shall apply. This requirement is not met as evidenced by


raw_content:
Investigation Findings:
13On September 8, 2021, Licensing Program Analyst (LPA) Priscilla Zamudio conducted a complaint inspection at Quality Family Services- Warner Facility. and spoke with Andrew Davis, Head of Service. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging " Child was hit by staff." LPA Zamudio completed interviews with staff and clients, reviewed pertinent documents, however, LPA found contradicting information. Therefore, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, the allegation is UNSUBSTANTIATED. A copy of this report and appeal rights were left with Andrew Davis. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Priscilla Zamudio LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

met_with: Andrew Davis


summary: Facility Evaluation

raw_content:
Narrative:
On 05/25/2021, an unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Tamara Melikian at 2:00PM. During the inspection, LPA met with Laura Romero, Human Resource Manager and Ruby Guerrero, Administrator and inspected the facility inside and out. Due to restrictions of COVID-19, this inspection was conducted via FaceTime. All file and medication documents were sent to this LPA on the dates prior to inspection. In addition, a medication count was conducted. LPA reviewed five children's records and reviewed two staff personnel records for the facility. LPA interviewed two staff via telephone at 2:30PM. LPA did not interviewed one child in the home as all other dependents refused an interview. No deficiencies to be cited at this time. LPA conducted exit interview with Laura Romero, Human Resource Manager at 3:00PM. A copy of this report was provided upon completion by email with a request for signature and a scan back to this LPA on this date.

met_with: Laura Romero, Ruby Guerrero


summary: Facility Evaluation

raw_content:
Narrative:
On this date, October 29, 2021 at 09: AM, an unannounced required annual inspection was conducted by Licensing Program Analysts (LPA) Wayne Aoki. LPA met with facility representative Laura Romero LPA inspected the facility, inside and out. Centrally stored medications and sharps are maintained in the staff office in a locked file cabinet. LPA inspected the medications for the minors in care. The facility has a written emergency disaster plan. All facility smoke and carbon monoxide detectors were tested and appear to be in appropriate working order, fire extinguisher is properly charged and was last serviced May 6, 2021. Individual beds were observed with appropriate clean linens and are in good repair. There is at least one week supply of nonperishable and a two day supply of perishable foods. The facility is maintained at 73 degrees. Hot water temperature measured 112 degrees. Facility cameras are allowed in the facility and there are no pets. There was Staff and no minors present during this inspection. Both staff and minor's files reviewed. LPA interviewed 1 staff during the inspection. There were no minors at the facility to interview during this inspection. Interviews with minors in placement will be conducted at a later date. LPA reviewed the facility's disaster plan, sampled medication and reviewed facility logs. LPAs requested the following updated documents by November 5, 2021. LIC 500, LIC 308, LIC 999, LIC 610C There were no deficiencies cited during this inspection. A copy of this report was left at the facility at the conclusion of the inspection.

met_with: Laura Romero


summary: Facility Evaluation

raw_content:
Narrative:
On November 3, Licensing Program Analyst (LPA), Wayne Aoki was met by facility representative, House Manager, Ruby Guerrero for the purpose of continuing the required annual inspection of October 29, 2021. On this date, there are two of the three minors at the facility during the inspection.. LPA interviewed 2 minors and concluded the annual inspection. There were no citable deficiencies during this inspection. A copy of this report was left at the facility with Ms. Guerrro.

met_with: Ruby Guerrero


summary: Facility Evaluation

raw_content:
Narrative:
On 05/20/2022 an unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Vanessa Galvan at 11: AM. During the inspection, LPA met with Laura Romero, Human Resource Manager and inspected the facility. LPA reviewed one child's record and reviewed two staff personnel records for the facility. The Administrator and staff were unable to be at the inspection and will be interviewed at a later date. The children were at school on this date and will be interviewed at a later date. A medication review was conducted at 11: AM. No deficiencies to be cited at this time. LPAs provided the summary report to Laura Romero, Human Resource Manager upon completion at 12: PM


summary: Facility Evaluation

raw_content:
Narrative:
On October 25, 2022, Licensing Program Analysts (LPAs) Briana Placencia and Cynthia Galindo conducted an unannounced annual required inspection at this facility. LPAs were met at the facility by Greg Johnson, Mae Johnson and Human Resource Manager Laura Romero. An inspection of the facility was conducted and the following was observed: No clients were residing in the home; therefore, no client files were reviewed. LPAs reviewed the administrator file. LPAs provided Laura Romero with a copy of the LIS536 which includes a list of personnel associated to the facility. The facility was inspected indoors and outdoors. Hot water temperature was at a comfortable temperature. LPAs observed that there were no supply of perishables and non-perishables. LPAs observed 3 out of 6 beds were not clients ready, one of the fridges had rotten food with a heavy odor and insects. Insects were observed in the home. Technical Violations will be issued for this. (See LIC 9102s) LPAs observed adequate supply of linen and storage space for clients. Cleaning chemicals were inaccessible to clients. There are no weapons observed at the facility. There are also no bodies of water at the facility. Laura Romero/Administrator to submit an updated facility sketch and LIC 500 when they accept clients into the home. LPA left a copy at the facility and visit concluded.

met_with: Greg Johnson, Mae Johnson


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Jessica Rodriguez on September 15, 2023 at 1:30PM. This case management inspection is conducted pursuant to Health and Safety Code 1538.9(a)(2). During the inspection, LPA met with Laura Romero, Administrator and inspected the facility inside and out. LPA reviewed 0 child's records and 1 staff personnel file on site at the facility. LPA reviewed 0 child's psychotropic medications and medication records. LPA interviewed 1 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed no children currently on psychotropic medication as the facility currently has no clients. LPA provided a copy of the licensing report to Administrator, Laura Romero. No deficiencies are being cited at this time. LPA conducted exit interview with Laura Romero, Administrator.


facility_name: QUALITY FAMILY SERVICES-YALE

raw_content:
Investigation Findings:
13On December 3, 2022, Licensing Program Analyst (LPA) Wayne Aoki was met by facility representative Laura Romero to conclude the investigation with regards to the above-mentioned allegations. LPA conducted interviews of witnesses and reviewed Police and facility incident reports. Based upon the content of the interviews and documents reviewed, it was determined that although the allegations were made, staff and other clients interviews did not corroborate with the Complainant's accounting of the allegations. Therefore, based on the above, the allegations are unsubstantiated. Exit interview conducted and a copy of the report and appeals rights were provided to Ms. Romero. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2


raw_content:
Investigation Findings:
13On December 3, 2022, Licensing Program Analyst (LPA) Wayne Aoki was met by facility representative Laura Romero to conclude the investigation with regards to the above-mentioned allegation. LPA conducted interviews of witnesses which included staff and minors and care. Based upon the content of the interviews, it was determined that although the allegation was made, staff and other clients interviews did not corroborate with the Complainant's accounting of the allegation. Therefore, based on the above, the allegation are unsubstantiated. Exit interview conducted and a copy of the report and appeals rights were provided to Ms. Romero. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


raw_content:
Investigation Findings:
13On January 31, 2022, Licensing Program Analyst (LPA) Wayne Aoki was met by facility representative Laura Romero to conclude the investigation with regards to the above-mentioned allegation. LPA conducted interviews of witnesses which included staff and minors and care. Based upon the content of the interviews, it was determined that although the allegation was made, staff and other minors that were interviewed did not corroborate with the Complainant's accounting of the allegation. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the above allegation occurred, therefore the above allegation is unsubstantiated. There were no deficiencies cited during this inspection. Exit interview conducted and a copy of the report and appeals rights were provided to Ms. Romero. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


raw_content:
Investigation Findings:
13On March 11, 2022, Licensing Program Analyst (LPA) Wayne Aoki was met by facility representative Tatmmataya Mason to conclude the investigation with regards to the above-mentioned allegations. LPA conducted interviews of witnesses which included staff and minors in care. LPA obtained copies of Police and incident reports for review. Based upon the content of the interviews and other evidence obtained, it was determined that although the allegation was made, staff and other clients interviews did not corroborate with the Complainant's accounting of the allegation. Minors that were involved in the incident have both absconded from the facility and there whereabouts are unknown. Therefore, based on the above, the allegations are unsubstantiated. Exit interview conducted and a copy of the report and appeals rights were provided to Ms. Mason. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

met_with: Tatmmataya Mason


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality STRTP Yale and met with Michelle Dodd. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia 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: Michelle Dodd


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality Corporate office and met with Laura Romero. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA interviewed staff which revealed that the agency did not ensure that minor had fair and equal access to placement. Based on LPA's observations, interviews which were conducted and records review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SIERRA CASCADE AC/SC, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-YALEFACILITY NUMBER: 100404234


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Coorporate office and met with Laura Romero. The purpose of the inspection was to deliver the findings for the above complaint allegation. This complaint is being closed at the corporate office due to Administrator not being able to be at Yale to close compaint. (See 809-Collateral 4/12/23) During the investigation, LPA conducted interviews, records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Coorporate office and met with Laura Romero. The purpose of the inspection was to deliver the findings for the above complaint allegation. This complaint is being closed at the corporate office due to Administrator not being able to be at Yale to close compaint. (See 809-Collateral 4/12/23) During the investigation, LPA conducted interviews, records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia 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 SIERRA CASCADE AC/SC, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 02/28/2023 and conducted by Evaluator Briana Placencia PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:QUALITY FAMILY SERVICES-YALEFACILITY NUMBER: ADMINISTRATOR:SATTERWHITE, DAVONFACILITY TYPE: ADDRESS: EAST YALETELEPHONE: (559) 252- CITY:FRESNOSTATE: CAZIP CODE: CAPACITY:6CENSUS: 6DATE: 04/12/ UNANNOUNCEDTIME BEGAN: 11: AM MET WITH:Laura RomeroTIME COMPLETED:11: AM 9Staff made inappropriate comments towards client INVESTIGATION FINDINGS: 13Licensing Program Analyst (LPA) Briana Placencia conducted a complaint inspection at Quality Corporate office and met with Laura Romero. The purpose of the inspection was to deliver the findings for the above complaint allegation. This complaint is being closed at the corporate office due to Administrator not being able to be at Yale to close compaint. (See 809-Collateral 4/12/23) During the investigation, LPA interviewed staff and clients which revealed that in fact facility manager made inappropriate comments to a youth in care. Based on LPA's observations, interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Interim Licensing Standards are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SIERRA CASCADE AC/SC, E SHAW AVE FACILITY NAME: QUALITY FAMILY SERVICES-YALEFACILITY NUMBER: 100404234


facility_name: RAFT, THE

summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Cynthia Galindo conducted a complaint inspection at the Raft and met with Viviana Quevedo. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA interviewed staff as well as obtained relevant documents. Interviews and records reveal that staff was speeding while transporting a youth. Additionally, youth was not wearing a seatbelt. Staff was cited by law enforcement for speeding and child endangerment. Based on the information obtained, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Cynthia M Galindo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: RAFT, THEFACILITY NUMBER: 547207201

met_with: Viviana Quevedo


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Cynthia Galindo and Briana Placencia conducted a complaint inspection at the Raft and met with . The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging staff made inappropriate comments to youth. LPA interviewed staff, and clients as well as obtained relevant documents. There were inconsistencies in the interviews and the documentation did not provide evidence that any of the above mention allegation occured. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Cynthia M Galindo 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: Mickayla Bottoms


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Cynthia Galindo conducted a complaint inspection at the Raft and met with Alfredo Ceja. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the complaint alleging facility staff refused to transport youth to youth's school of origin and facility does not provide mental health services. There were inconsistencies in the interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Cynthia M Galindo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Alfredo Ceja


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPAS) Lisa Slusher travelled to the facility listed above to conduct a prelicensing inspection. The facility listed above submitted an application for a Short Term Residential Therapeutic Program (STRTP) on 5/15/20. The application, Plan of Operation and Program statement have been reviewed and approved by both Community Care Licensing and the Systems of Care/ Continuum of Care Reform Bureau. Facility Inspection conducted. 1. Facility Grounds are clean and free of debris or observable hazard. 2. Adequate indoor and outdoor activity space and materials observed. 3. Chemicals appropriately locked. Chemicals removed from under the sink in Bathroom #2 during inspection. 4. Procedures for Locked and centrally stored medications observed. Discussed medication logs and procedures for psychotropic medications. 5. First aid kit observed. Lacks tweezers, scissors, Thermometer, first manual and antiseptic solution. 6. Additional Individual storage space required in client bedrooms- 2 drawers (8 cu ft) of space is required for each youth. 7. Individual beds in good repair observed. Beds lack box springs. Facility will also send verification of sixth bed. 8. The house has 3 bedrooms, double occupancy, all located on one single level. Bedrooms are accommodating of all required furnishings. 9. Adequate food storage space observed. Adequate supply of food to be in place prior to accepting youth for placement. 10. Weekly menu to be posted. 11.Dining room equipped with large table and chairs accommodating of all clients. 12.Facility has two full restrooms in the house for client use, both are operable. A third restroom is available in the staff office for staff use. 13. Forms posted- personal rights form with licensing phone number to be posted. 14. No firearms or weapons are allowed in the facility. The following items were discussed and reviewed by LPA during Inspection 1. LIC Reviewed to ensure appropriate staffing ratios, including Administrator, Social Work personnel, and Direct Care staff. Direct care staff to be hired. The facility does not utilize Peer Partners at this time. 2. Administrator Alfredo Ceja will be present on-site a minimum of 20 hours per week. 3. Personnel Files are retained at the office and will be available to the department for review upon request at the Family Builders office at S.Fairway # Visalia, 93277. Facility has a guardian account set up with Administrative access. 4. Facility procedures for 30-day updates of Needs and Services plans and process for Crisis Management Assessments discussed. 5. Facility is to ensure all clients considered for placement have been assessed as meeting placement eligibility requirements. 6. Discussed implementation of Core Services and Supports. 7. Facility to obtain Mental Health Program approval within 12 months of effective date of licensure and will provide appropriate documentation to the department upon approval. Agency will also provide regular updates to the department regarding progress toward MHPA. 8. Facility is to contact the Foster Care Rates and Audits Division to inquire about rate and about whether this new facility meets accreditation requirements effective 10/1/21 as a part of FFPSA (Family First Prevention Services Act) Component III Orientation provided to licensee which included information regarding incident reporting procedures, facility, client and staff record requirements, application of prudent parent standards and client personal rights. On this date, this facility is recommended for licensure on a provisional basis upon receipt of verification of additions to first aid kit, box springs and individual drawer space. License will expire one year from effective date. Facility will licensed for a capacity of Male clients ages 12-NMD, licensee will maintain age and behavioral compatibility. Facility accepts only ambulatory clients. Licensee prefers Wards and Dependents.

visit_type: Prelicensing

met_with: Alfredo Ceja, Randy Romero


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analysts (LPAs) Cynthia Galindo, Lidia Tinoco and Vanessa Galvan travelled to the facility to conduct a post-licensing inspection. The facility was licensed in August 2021. LPAs were met at the facility by Alfredo Ceja. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris. Adequate indoor and outdoor activity space and materials observed. All facility smoke detectors are in appropriate working order and fire extinguisher is properly charged and serviced. Facility maintains an adequate supply of perishable and non-perishable foods and food menu is posted. All required forms are posted. Medications were locked at the time of inspection. Individual beds were observed and appropriate clean linens and are in good repair. There are no firearms or weapons are allowed in the facility. There are no bodies of water. Dining room equipped with large table and chairs accommodating of all clients. Facility has three full bathrooms in the house for client use, all are operable. A third restroom is available in the staff office for staff use. Medication is centrally stored. LPAs reviewed two client files. LPA Galindo discussed incident reporting, needs and services, and mental health approval. Administrator said it's in the works and met with Tulare County staff. Administrator said he will keep the Department updated with the mental health approval. There were no deficiencies issued today. A copy of this report was left at the home.


summary: Facility Evaluation

raw_content:
Narrative:
On this date Licensing Program Analyst (LPA) Cynthia Galindo arrived at the main office and spoke with Administrator Alfredo Ceja and discussed the staff files for the STRTP. LPA discussed the staff files need to be available at the STRTP. Administrator stated they are still working to separate between the STRTP and FFA staff files. There were no deficiencies issued today. A copy of this report was left at the home.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On this date, Licensing Program Analysts (LPAs) Cynthia Galindo and Briana Placencia conducted an unannounced annual inspection at the Raft located in Visalia. LPAs met with Administrator Alfredo Ceja and facility manager Viviana Quevedo.. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 72 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. Accreditation is valid until July 2023. STRTP was approved on August 31, 2021. The MHPA was submitted on 08/05/2022..Facility will request an extension of provisional license. No firearms or weapons are allowed in the facility. There is no pool and no pets at the facility. LPAs reviewed client files. LPAs interviewed three clients. LPAs discussed the medication log, all required forms, intake process, needs and services plan, disaster preparedness plan and emergency intervention plan. Deficiencies are being cited on todays visit, see LIC809-D. A copy of this report was left at the facility at the conclusion of inspection

Deficiencies:
87068.2: (2)

met_with: Viviana Quevedo, Alfredo Ceja

title: shall be updated at least every 30 days to determine the following