facility_name: YOUTH HOMES - CHERRY LANE

raw_content:
Narrative:
On 06/17/2020 at 2PM, LPA Fremont met with representatives of Cherry Lane over FaceTime to notify them of this allegation and to conduct interviews with staff and clients. During this meeting, LPA conducted the following interviews: S1 at 2PM, C3 at 2:20PM, S2 at 2:18PM, S3 at 2:25PM, S4 at 2:30PM, and S5 at 2:40PM. LPA attempted to interview C1 and C2 at this time, however C1 was away on AWOL, and C2 refused to give an interview. LPA also conducted interviews with S6 on 06/26/2020 at 9:46AM, and W1 on 06/17/2020 at 12:22PM. In an interview with W1, this witness stated that C1 and C2 had been running away multiple days per week and were sometimes gone for two nights at a time, only returning on the third day so their beds would be held. W1 had also heard from another client that C1 and C2 were engaging in Commercially Sexually Exploited Child (CSEC) behaviors while on AWOL in the surrounding community. S2 and S4 added to this statement, saying that they had heard C1 and C2 discussing wanting to make money and talking about a hotel. S2 also stated that the clients often returned from AWOL with money, and the clients refused to disclose where they got it. All staff interviewed stated that C1 and C2 had been AWOLing almost every day for a period of several weeks, sometimes leaving the facility multiple times in one day. This was corroborated by C3, who stated the clients were leaving almost every day. All staff stated that per facility protocol, when a child AWOL'd from the facility, staff would try to talk them down and would follow on foot or in the facility vehicle until they lost line of sight or it became too dangerous for staff to follow. S2 stated that there had been times where they could not follow C1 and C2 because they were the only staff on duty and could not leave the other residents. This is corroborated by a document titled "Staff Training: Runaway Procedure" sent to LPA Fremont on 06/19/2020 at 4:38PM. This document states the following: "If a youth is seen leaving, always follow unless you are a single coverage and cannot leave the other youth." In an interview with S6, S6 stated that if any clients required a hire level of supervision, staffing would be increased to make up for the supervision needs of the other clients. All staff interviewed confirmed that no additional staff had been added to supplement supervision for C1 and C2. (Continued on Lic9099-c) When asked how the clients were getting out of the house, all staff stated that C1 and C2 either walked out of the font door, or climbed through the bedroom or bathroom windows. S4 stated the following: "They are AWOLing so often at this point, most of the time they will say 'Hey I'm leaving' and walk out of the house, or they won't say anything and just walk out." This is corroborated by C3, who stated, "It's a daily basis so it gets to a point where they [staff] can't do anything every time." When asked if C1 and C2's supervision needs had been updated in their Needs and Services Plans, S1 stated that changes had been made to reflect the clients' recurring AWOL behavior. This is contradicted by C2's Needs and Services Plan sent to LPA Fremont on 06/19/2020 at 4:38PM. In this plan dated 06/15/2020, it is stated that C2 was on "normal" supervision at the time, however it is also noted that C2 was at severe risk for AWOL behaviors. This plan also states that C2 was in possession of an unauthorized cellphone at the time, which they were using to set up AWOLs, and the client was AWOLing daily. When asked if they thought they were doing everything they could to prevent AWOLs, all staff stated they were, with the exception of S4, who stated "yes and no" and clarified that it depended on the staff and their comfort level with de-escalation and following clients. Based on the information gathered, including interviews with staff and clients and review of facility records, there is a preponderance of evidence that the supervision needs of C1 and C2 were not being met, allowing them to repeatedly AWOL from the facility by leaving through the front door. Based on a recent Administrative Action taken against the home for similar complaints and incidents, the home has put a plan in place to increase staffing, to increase the number of on-call Crisis Management Supervisors, and to regularly meet with clients' Child and Family Teams to address ongoing behavioral issues and to implement solutions to prevent similar incidents from occurring in the future. Because of these recent changes, no deficiency is being cited at this time. To communicate best practice of client supervision going forward, an LIC9102 - Technical Violation was issued to the home for Title 22, Division 6, Chapter 1, Article 6, Section 80078(a) - Responsibility for Providing Care and Supervision. Please see the attached LIC9102 for details. At this time, one Technical Violation has been issued per Title Regulations. An exit interview was conducted, Appeal Rights provided and discussed, and a copy of this report was emailed to Youth Homes Director of Operational Compliance Ronnie Mabou, to be signed and returned for the home's facility file.

Investigation Findings:
13At 2:04PM, Licensing Program Analyst (LPA) Madi Fremont met with the home above virtually over Microsoft Teams to conduct a Complaint Investigation Inspection. The purpose of this inspection was to deliver findings for a complaint received on 06/12/2020. LPA met with Youth Homes Director of Operational Compliance Ronnie Mabou, who helped facilitate this inspection. Also in attendance was STRTP Administrator Rozalynn Johnson-Spearman. Currently in care are 5 ambulatory clients. (Please reference LIC811 - Confidential Names dated 05/27/2021). On 06/12/2020 at 9:28AM, the San Jose Children's Residential Program Regional Office received a complaint for Youth Homes Cherry Lane with one allegation: "Facility did not prevent youths from going AWOL." This allegation is in reference to C1 and C2 repeatedly AWOLing from the facility over a period of several weeks, sometimes AWOLing multiple times in one day. This complaint was assigned to and investigated by LPA Fremont. (CONTINUED ON LIC9099-C) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Madeleine Fremont 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 14-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, TRAEGER AVE., SUITE FACILITY NAME: YOUTH HOMES - CHERRY LANEFACILITY NUMBER: VISIT DATE: 05/27/2021

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

visit_type: Complaint Investigation


state: CA

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
This department has investigated the allegation, and although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the facility failed to act once made aware that the adult staff acted inappropriately with group home minor, the above allegation is UNSUBSTANTIATED. Appeal Rights were provided and discussed, and no deficiencies were cited. An exit interview was conducted and a copy of the report was left at the facility.

Investigation Findings:
13Licensing Program Analyst (LPA) David Hiett met with Administrator Felicia Martin regarding a complaint investigation at the facility. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, Licensing Program Analyst (LPA) Hiett reviewed human resources documentation regarding the termination of the staff member named in the complaint. LPA Madeline Fremont interview interviewed 1 staff. The documentation did not identify any previous inappropriate behavior and Administrator Felicia Martin confirmed this. The facility acted immediately once the allegation surfaced and immediately terminated the staff member identified in the complaint. LPA Hiett did not find evidence that the interactions between the staff member and the youth was sexual or abusive in nature. LPA Hiett was unable to contact the youth for further details. Continued on LIC9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: David Hiett 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 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: YOUTH HOMES - CHERRY LANEFACILITY NUMBER: VISIT DATE: 02/15/2022

report_type: Complaint Investigation

met_with: Administrator Felica Martin

complaint_status: unsubstantiated


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Based on the information obtained, there is a preponderance of evidence to prove that the licensee did not provide the level of care and supervision required by the clients it had in its care. Therefore, the allegation- Staff did not prevent inappropriate sexual interactions between children are substantiated. The facility is being cited deficiencies per Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS) 87072(c) - Personal Rights. See the attached LIC9099-D for details. Additionally, due to the substantiated allegations above, and based on interviews with staff, there is a preponderance of evidence to prove that youth had access to illegal drugs. Therefore, the allegations are substantiated. The facility is being cited deficiencies per Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS) 87078(a) - Responsibility for Providing Care and Supervision. See the attached LIC9099-D for details. An exit interview was conducted, appeal rights provided and discussed, and a copy of this report was given to Ronnie Mabou .

Investigation Findings:
13*Correction: In the statement "Three staff were aware that youth would go into other youths' room even when they are not allowed and were aware of C1 and C2 (refer to 811) having sex with other clients inside the facility." It is C4 and C5 instead of C1 and C2. On 4/5/22 at 10: AM , LPA Alyssa Ng conducted a complaint inspection with Youth Homes- Cherry Lane and met with Ronnie Mabou, Director of Operations and Compliance. The visit was conducted at the corporate office due to Cherry Lane being closed. The purpose of the inspection was to deliver the findings for the above complaint allegations. This complaint was taken as a complaint by Community Care Licensing's (CCL's) Investigations Branch (IB) and assigned to Inv. Victoria McIntosh on 12/03/2021. During the investigation, it was disclosed that it was very easy to sneak drugs into the facility due to not being searched thoroughly. For example, on 10/25/2021, two clients took MDMA pills and were not checked on throughout the night. Two clients said that staff only checked when showing behaviors or smelling like marijuana and some staff are aware that client's smoke marijuana and drink alcohol and do not get in trouble if it is not on the property. Three staff were aware that youth would go into other youths' room even when they are not allowed and were aware of C1 and C2 (refer to 811) having sex with other clients inside the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng 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 14-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, TRAEGER AVE., SUITE FACILITY NAME: YOUTH HOMES - CHERRY LANEFACILITY NUMBER: VISIT DATE: 04/05/2022

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

met_with: Ronnie Mabou

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Unsubstantiated - 1 allegation

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

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

met_with: Director of Operational Compliance and Services Ronnie Mabou


raw_content:
Narrative:
The preponderance of evidence standard has been met, and therefore the above allegation is found to be Substantiated. LPA is issuing one citation, per Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS) Section Personal Rights. See attached LIC 9099-D. An exit interview was conducted, appeal rights provided, and a copy of this report left with Director of Operational Compliance and Services Ronnie Mabou, whose signature on this form confirms receipt. Police did not aid further. Staff searched, but youth could not be located. Licensee responded to the incident and determined that staff did not make appropriate internal notifications and did not follow intervention procedures, including restraining to prevent further harm. Confidential interviews indicate that the facility does not restrain to prevent unauthorized absences, as that is not permitted, but youth was a threat to self and needed medical treatment, so restraining would have been required per their procedures. Staff were terminated. However, it is not clear that the facility is in violation of regulatory requirements for admitting youth. Neither youth is still in care, and the licensee has temporarily closed the facility pending hire of new staff. Additionally, based on confidential interviews, the facility faced a staffing shortage which made it difficult to maintain appropriate staff to child ratios. However, interviews do not clearly indicate instances of shortage resulting in not meeting ratio. Staff have worked overtime to maintain ratios. As stated above, it was reported that a staff member had been the sole staff at the facility in the morning when four youth were present, but the staff member denied this. Licensee has now closed the facility pending hire of new staff. Although the allegation(s) may have happened or is/are valid, based on LPA's observations and interviews with residents and staff, there is not a preponderance of the evidence to prove the alleged violation(s) did or did not occur. Therefore, the allegation is Unsubstantiated. An exit interview was conducted, appeal rights provided, and a copy of this report left with Director of Operational Compliance and Services Ronnie Mabou, whose signature on this form confirms receipt.

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


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Hugo Licea conducted a case management inspection on October 26, 2021 at 11:00am based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. 3 out of Direct Care Staff and 4 out of 4 youth files as identified on the LIC 811 confidential names dated October 5, 2021, were reviewed. 3 out of Direct Care Staff and 1 out of 4 youth were also interviewed. The Plan of Operation including policies and procedure were reviewed. A copy of this report was discussed and provided to Ronnie Mabou, Director of Operational Compliance and Services.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Ronnie Mabou, Director


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Christopher Rollins conducted an annual inspection at Youth Homes- Cherry Lane. LPA met with Ronnie Mabou Director of Operational Compliance and Services (DOCS). The STRTP is licensed to serve 6 clients ages 12-18. The facility consists of 4 bedrooms ( Double occupancy) and 2 bathrooms. At 11: AM, LPA Rollins toured the facility with DOCS inside and out. LPA observed the kitchen is clean. LPA measured hot water in the bathroom, kitchen sink and shower at 113.4 degrees F. The facility has plenty of non perishable and perishable food supply. Medication and knives are locked away. There are enough folks, spoons, plates and cups. All passageways are unobstructed. All smoke detectors are up to date and working. The facility is clean, safe and sanitary. There are no firearms on the property. There are no bodies of water on the property. The facility is maintained at a comfortable temperature. Personal rights, floor plan, food menu and Emergency disaster forms were posted in clear view. Fire Extinguisher was up to date and carbon monoxide was in good working shape. At 12: PM, LPA reviewed four client files with DOCS. LPA observed all four client files to be complete and found no deficiencies. LPA observed all documentation to be up to date. LPA observed medication logs to be updated and current. At 1: PM, LPA observed 5 staff files with DOCS. LPA observed staff files to be complete and documentation was update. LPA found no deficiencies. LPA observed all facility staff have completed there 40 hours annual training. LPA observed all training to be up to date and all certificates to be complete. During inspection, LPA receive an updated copy of the LIC Personnel Report to maintain their file current. A review of Licensing Information System on December 10, 2021 indicates that all facility staff associated to the facility had DOJ, FBI and child abuse index check clearances. Per Title Regulations, no deficiencies were cited during the inspection. Exit interview was conducted and a copy of the report was left at the facility.

visit_type: Annual

met_with: Ronnie Mabou- Director of Operational Compliance and Services


summary: Facility Evaluation

raw_content:
Narrative:
On 8/15/222 at 10: AM, Licensing Program Analysts (LPA) Alyssa Ng met with Ronnie Mabou, Administrator at Youth Homes Cherry Lane and discussed their Non-Compliance Plan going forward. In June 2019, Youth Homes - Cherry Lane met with Community Care Licensing (CCL) representatives for a Noncompliance Conference. The purpose of the Noncompliance Conference was to address the following issues: 1. Client care and supervision 2. Staffing ratios 3. Physical Plant of the home - specifically non-functional locks on client bedroom windows 4. Staff training 5. Planned activities In regards to training, Contra Costa offered to help with some of the on boarding training's to help reach the 40-80 hours. The training will be in-person and Online depending on the topic.. The facility is clean, safe, and sanitary. There are no firearms on the property. There are no bodies of water on the property. The facility is maintained at a comfortable temperature. During this inspection, LPA had a discussion with Administrator regarding the following topics: Stipulation and Waver; and Order dated 6/4/ On page Section E: "Respondent shall submit the monthly quality assurance report to the department". LPA requested all reports from 2021- present. On page Section 4: "The probationary period shall be extended by the total time during which the facility is not operating". LPA Ng also asked if "Geriann Smith" is still the President, Board of Directors of Respondent. Administrator confirmed that Geriann Smith is still the Board of Directors of Respondent. LPA Ng told Administrator that CCL is still discussing the possibility of surrendering Youth Homes- Cherry Lane's license and moving Youth homes East Bay license to this location. LPA Ng or the Department will reach out to Youth Homes when they get confirmation/update. LPA Ng asked if there was a plan in case the change in location does not pan out. Administrator said that they will follow through with the Probationary License. They plan on having less kids with more staff. 1 or 2 to 1 overnight. Nurse on site. They will utilize some of the current staff from Youth Homes- East Bay Shelter. Internally promote a licensed clinical director role from the agency. They will need time to recruit and train new staff so they plan to be ready by the end of October. A Technical Support Program (TSP) was discussed. Licensee will let LPA Ng know if they need TSP. No deficiencies were cited. A copy of this report was given to Ronnie Mabou, Administrator.

met_with: Ronnie Mabou, Jana Corral


facility_name: YOUTH HOMES - EAST BAY SHELTER

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) David Hiett met with Administrator Dennis Gonzalez via phone and Clinical Supervisor Giselle Supar regarding a complaint investigation at the facility. The purpose of the inspection was to deliver the findings for the above complaint allegations. Based on staff interviews and record review, client has a history of making false allegations when they believe that their placement may be terminated. The client was removed from the facility and subsequently left their new placement and their whereabouts are unknown and their cell phone is no longer in service. LPA Hiett was therefore unable to speak with the client. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that staff yelled at client or that staff did not treat client with dignity and respect. Therefore, the above allegations are unsubstantiated. Appeal Rights were provided and discussed with staff and no deficiencies were cited. An exit interview was conducted and a copy of the report was left with the Administrator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: David Hiett 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: Administrator Dennnis Gonzalez


raw_content:
Investigation Findings:
13On 4/15/22 at 11:00, Licensing Program Analyst (LPA) Alyssa Ng made a visit to the facility to open a complaint investigation of the above allegation. LPA met with Administrator Felicia Martin and Ronnie Mabou, Director of Operations and Compliance and informed of the purpose of the visit. During investigating the allegation, LPA Ng conducted confidential interviews with facility staff, clients, social workers. Confidential interviews reveal conflicting stories about food being inaccessible to clients in care. At the facility, LPA opened the fridge and saw that there was lots of fruits and vegetables accessible to clients at any time of the day. the fridge did not have a lock or a place to put the lock. Based on interviews and records review, there was not enough evidence to prove that food is inaccessible to clients. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that food is inaccessible to residents, therefore the above allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy was sent to Ronnie Mabou. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Ronnie Mabou, Felicia Martin


raw_content:
Narrative:
Although the allegation may have happened or is valid, based on LPA's observations and interviews with residents and staff, there is not a preponderance of the evidence to prove the alleged violation(s) did or did not occur. Therefore, the allegation is Unsubstantiated. An exit interview was conducted, appeal rights provided, and a copy of this report was left with Interim Administrator Ronnie Mabou, whose signature on this form confirms receipt.

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

met_with: Interim Administrator Ronnie Mabou


raw_content:
Investigation Findings:
13On 9/2/2022 at 9: AM, Licensing Program Analyst (LPA) Alyssa Ng conducted a complaint inspection at Youth Homes- East Bay and spoke with Ronnie Mabou, Administrator. The purpose of the inspection was to deliver the findings for the above complaint allegations. During confidential interviews with clients and staff, all parties stated that client was in a restraint with their hands behind their back and on the floor. It was also confirmed that staff slapped client in the face. Based on LPA's interview with Administrator and record review(s), the preponderance of evidence standard has been met, therefore the above allegations, Staff inappropriately restrained a minor while in care and Staff slapped a minor while in care is found to be SUBSTANTIATED. Facility is being cited for violation of California Code of Regulations (CCR): 80072(a)(3): Personal Rights and Interim Licensing Standards (ILS): 87095(a)(1)(5): Emergency Interventions Prohibition. See attached LIC9099D for details. An exit interview was conducted, appeal rights provided and discussed, and a copy of this report was given to Ronnie Mabou, Administrator. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng 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 14-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, TRAEGER AVE., SUITE FACILITY NAME: YOUTH HOMES - EAST BAY SHELTERFACILITY NUMBER: 075650085

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


raw_content:
Investigation Findings:
13On 9/2/2022 at 9: AM, LPA Alyssa Ng conducted a complaint inspection with Youth Homes- East Bay and met with Ronnie Mabou, Administrator. The purpose of the inspection was to deliver the findings for the above complaint allegations. This complaint was taken as a complaint by Community Care Licensing's (CCL's) Investigations Branch (IB) and assigned to Inv. Shannan Borton on 04/18/2022. During the investigation, it was discovered that staff worked at the facility from 2012-2017. Client was first placed in 2020. Both staff and client confirmed that they were in a sexual relationship but denied that staff was employed at the facility during that time. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that, Staff engaged in inappropriate behavior with client, therefore the above allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy was sent to Ronnie Mabou, Administrator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng 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

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


raw_content:
Investigation Findings:
13On 11/30/22 at 10: AM, Licensing Program Analyst (LPA) Alyssa Ng conducted a complaint inspection with Youth Homes- East Bay and met with Kendra Sheldon, Clinical Director. The purpose of the inspection was to deliver the findings for the above complaint allegations. This complaint was taken as a complaint by Community Care Licensing's (CCL's) Investigations Branch (IB) and assigned to Inv. Blake Williams on 07/29/2022. During the investigation, it was discovered that clients did not interact with each other and were on separate sides of the facility. All parties also stated that they have not heard or seen a staff member inappropriately touch a client while in care. Furthermore, clients did not engage in sexual acts with each other. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that, clients engaged in sexual acts with each other while in care and staff member inappropriately touched a client in care, therefore the above allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy was sent to Kendra Sheldon, Clinical Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng 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

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

met_with: Kendra Sheldon


summary: Facility Evaluation

raw_content:
Narrative:
On 9/2/2022 at 10: AM, Licensing Program Analyst (LPA) Alyssa Ng conducted an unannounced case management inspection with listed facility and spoke with Ronnie Mabou, Administrator. The purpose of the inspection was to follow up on an incident involving a sexual relationship with former staff and client. LPA Ng reviewed the IB report for complaint # 14-CR-20220415161702. The allegation, staff engaged in inappropriate behavior with client, and found that both staff and client confirmed that they were in a sexual relationship but denied that staff was employed at the facility during that time. The investigator, Shannon Borton asked staff if they were aware of the relationship. Some staff heard about the client being in a relationship with an adult and some said they were unaware. The staff that heard about it stated that they found out after the client left Youth Homes- East Bay. LPA Ng asked Ronnie Mabou, Administrator the procedures for incidences like this and how staff use prudent parenting to ensure clients are getting the services they need. What kind of services, what staff are communicating to clients, and how often they check in with clients regarding safe sex and other health services. No deficiencies were cited today. A copy of this report was given to Ronnie Mabou, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 11/30/22 at 11: AM Licensing Program Analyst (LPA) Alyssa Ng conducted an unannounced case management inspection. The purpose of the inspection was to confirm that the above address ( Sherman Drive, Pleasant Hill, CA 94523) is no longer operating as a Children's Residential Facility and has no children in placement. The facility is a one story home in a residential neighborhood. There were no cars outside. During inspection, it was confirmed that the above address is no longer a residential facility. Clinical Director Kendra Sheldon gave LPA Ng the license. Youth Homes- East Bay Shelter is officially closed and the license forfeited.


facility_name: YOUTH HOMES - PRYOR

raw_content:
Narrative:
On 08/28/2020 at 9:01AM, LPA Fremont received an email from Administrator Christal Black, which contained copies of invoices from Clark Pest Control for pest treatments. The first invoice dated 03/03/2020 states that Clark removed one dead mouse from a garbage can in the backyard. The second invoice dated 05/05/2020 states the Clark employee de-webbed around the windows and doors, treated for spiders, ants, wasps, and roaches, and set glue boards in the garage, kitchen, and pantry. The third invoice dated 07/14/2020 states the Clark employee de-webbed around the windows and doors, and treated the home for ants, spiders, wasps, and roaches. Finally, the fourth invoice dated 08/20/2020 states the Clark employee who conducted the inspection found no signs of bed bugs, and no signs of rodents in the home. Because of this, no chemicals or additional glue boards were applied to the home to continue pest mitigation. Based on the information gathered, including LPA observations, records review, and interviews with staff and clients, there is a preponderance of evidence that the facility had mice coming into the home at the time this complaint was received in July 2020. Therefore, the allegation "Facility has pests" is substantiated. Because of the licensee's continued efforts to eradicate rodents and bugs from the home through the regular utilization of pest control treatments by Clark Pest Control, and based on Clark Pest Control finding no sign of rodents in the home in August 2020, no deficiency is being cited at this time. An Advisory Note was issued for California Code of Regulations (CCR), Title 22, Division 6, Chapter 1, Article 7, Section 80087(a) - Buildings and Grounds. Please see the attached LIC9102 for details. At this time, no deficiency is being cited. One LIC9102 - Advisory Note was issued. An exit interview was conducted, and a copy of this report was emailed to Administrator Christal Black for the home's records. On 07/27/2020, LPA Balhotra traveled to the home to notify the licensee of this allegation, to tour the facility, and to conduct interviews with staff and clients. During this inspection, LPA Balhotra conducted interviews with the following clients and staff: C1, C2, C3, C4, S1, S2, and S3. In an interview with S1, S2 stated they had not personally witnessed rodents in the home, but had heard other staff and clients say they had seen them in the home. S1 stated that a client had recently caught a mouse in the snack closet, and Clark Pest Control came to the home the same day to remove it. In an interview with S2, S2 stated they had seen pests in the home, and that Clark Pest Control came out on a regular basis to set and remove traps. S2 stated they have started storing food in plastic bins with lids to try to mitigate the problem. S2 also stated they has personally seen pests in the pantry, garage, and living room. In an interview with S3, S3 stated they had seen a mouse approximately one month earlier, and two were caught in traps in the garage. S3 stated Clark Pest Control regularly came out to the home to set and remove traps. S3 stated the home is always kept clean, and staff deep clean every night. In interviews with C1, C2, C3, and C4, all clients confirmed they had seen pests in the house, specifically mice. C1 stated they had seen mice in the kitchen, and they thought the problem was that the garbage cans were kept in the garage. C2 stated they also saw a mouse in the kitchen, and they believed the rodents were coming in through a hole in the baseboards underneath the dishwasher. This is corroborated by a photo taken by LPA Balhotra during this inspection, which shows a small hole between the dishwasher and the floor where there is a missing piece of baseboard. C2 stated the house is always clean, and they believed the mice were coming in the house from the surrounding fields because the area is hot and dry. C3 and C4 stated they had also seen mice in the kitchen, and that Clark Pest Control frequently came to the house to spray for bugs and to set and remove rodent traps. C4 stated they had seen a dead mouse stuck in a glue trap in the kitchen, and sent a picture of the mouse to LPA Balhotra to verify this statement. The photo shows a Clark Pest Control employee holding a glue trap with a mouse caught in the glue. Other photos taken by LPA Balhotra during this inspection show rodent droppings in the cabinet under the kitchen sink, and a hole in the wall underneath the kitchen sink where the pests could possibly be coming through. (Continued on Lic9099-c)

Investigation Findings:
13At 1:36PM, Licensing Program Analyst (LPA) Madi Fremont traveled to Youth Homes Pryor to conduct an unannounced Complaint Investigation Inspection. The purpose of this inspection was to deliver findings for a complaint received for the home on 07/23/2020. LPA met with Administrator Christal Black, who helped facilitate this inspection. Currently in care are 4 ambulatory clients. (Please reference LIC811 - Confidential Names dated 06/22/2021). On 07/23/2020, the San Jose Children's Residential Program Regional Office received a complaint for Youth Homes Pryor with one allegation: "Facility has pests." This allegation is in reference to concerns that the home has rodents. This complaint was assigned to LPA Fremont and investigated by LPA Karmen Balhotra. (CONTINUED ON LIC9099-C) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Madeleine Fremont 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 14-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, TRAEGER AVE., SUITE FACILITY NAME: YOUTH HOMES - PRYORFACILITY NUMBER: VISIT DATE: 06/21/2021

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

met_with: Administrator Christal Black


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Alyssa Ng conducted a follow-up complaint investigation to the above facility. LPA Ng conducted the complaint findings at Youth Homes sister facility, Youth Home- East Bay Shelter. LPA Ng met with Director of Operations and Compliance Ronnie Mabou. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation, LPA Mendoza gathered documentation, interviewed staff, authorized representatives, and one client. LPA Mendoza tried to interview all clients on several occasions however authorized representatives did not know their whereabouts. As a result, LPA Mendoza could not move forward with the interviews. The interviews revealed inconsistencies in explanations for residents' privacy not being respected by staff members. LPA obtained copies of staff shift notes for September and reviewed incident reports. LPA found no information which corroborates the information obtained from the parties interviewed. Although the allegation may have happened or is valid, there is no preponderance of the evidence to prove that the resident's privacy is not respected; therefore, the above allegations are unsubstantiated. An exit interview was conducted, and a copy of the report was left with the Ronnie, Director Of Complaince and Operations. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng 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 Tuesday, March 22, 2022 at 10: AM, Licensing Program Analyst (LPA) Alyssa conducted an annual/required inspection at the above facility. LPA Ng met with Administrator, Christal Black. We did not get inside until 11:15 due to Administrator not having the keys. Direct care staff Felicia came and let us inside. The facility has not been operating since September of 2021 so the facility has been vacant. Therefore, LPA Ng did not use Inspection Tool during todays inspection. Please note, the facility has been in communication with CCL regards to their current status. LPA Ng toured the facility inside and out and found the facility to be safe and clean. Administrator Christal informed LPA Ng that repairs will be completed once they decide to open back up. There were some drywall patches and wood panels showing. During LPA Ng's walk thru, LPA observed the facility having some items packed in plastic bins for storage. The refrigerator and freezer were empty. LPA toured the upstairs and there were a total of 4 client bedrooms in the facility. Two of the client bedrooms are shared and two are single occupancy. All bed rooms were empty and three were storing plastic bins, mattresses, and bed frames. There are three bathrooms. One bathroom is located downstairs. The downstairs bathroom is only designated for the clients that live downstairs and the upstairs bathroom for the clients that stay upstairs. The staff bathroom is located in the staff office. Cleaning supplies, medication cabinet, and sharps are locked and located in the staff office. The Administrator stated that the listed facility is rarely in use. There was one occasion was when a client had COVID and one time when clients would go out on their outings and want a place to hang out. LPA Ng also advised the facility to check in with LPA when deciding to open back up so LPA can know what the facility current status is. An exit interview was conducted and a copy of the report was left with the Administrator.

met_with: Christal Black


summary: Facility Evaluation

raw_content:
Narrative:
On Wednesday, 12/27/2023 at 9: AM, Licensing Program Analyst (LPA) Shikya Belfield conducted an annual inspection at the above facility. LPA Belfield met with Administrator, Ronnie Mabou. Please note, the facility has been in communication with CCL regards to their current status. Currently there are no clients in placement and there are no staff currently working in the facility regularly due the facility not operating at this time. LPA toured the facility with the administrator and reviewed administrator file. No deficiencies were cited during this inspection. An exit interview was conducted a copy of this report will be sent to administrator Ronnia Mabou.

met_with: Ronnie


summary: Facility Evaluation

raw_content:
Narrative:
On 03/18/2025 at 4: PM, Licensing Program Analyst (LPA) Jasmine Cardeno made an unannounced visit to the building of the former facility, Youth Homes - Pryor. LPA knocked on the front door and observed staff and youth present in the home. LPA met with Behavorial Specialist, William Lowery, who facilitated the inspection. LPA informed Behavioral Specialist the purpose of the inspection is to verify that Youth Homes - Pryor is no longer operating as a Short-Term Residential Therapeutic Program (STRTP) or as a Licensed Chidren's Residential Facility. During the time of the inspection, three youth were present and three staff were present. Behavioral Specialist informed LPA that they are currently hosting an art event for the youth. At 4: PM, Behavioral Specialist facilitated a walk-through tour of the building. LPA observed both inside and outside of the building including the downstairs rooms that are used as office spaces for staff and a conference meeting room. In addition, LPA observed the kitchen, dining, and living room area. LPA followed Behavioral Specialist upstairs and observed the rooms to be used as therapeutic meeting rooms including a therapy room, art room, and a recreational room with board games, toys, and art supplies. LPA observed that there are no beds present in the building or signs of youth residing in the building. In addition, LPA observed the outdoor backyard of the facility and the garage area. LPA had a discussion with Behavioral Specialist regarding how the building is now operating currently as an office space for TBS workers and Agency employees, and is no longer operating as an STRTP. In addition, the building is being used as a space for events and activities to be held for youth. LPA observed the building of the former facility, Youth Homes - Pryor, is not being used as an STRTP. LPA observed that there are no clients residing in the facility. An exit interview was conducted and a copy of this report was left with Behavioral Specialist, William Lowery, whose signature on this form confirms receipt.

met_with: TBS Behavioral Specialist, William Lowery


facility_name: YOUTH HOPE HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
On March 26, 2026, at 10: AM, Component II of the application process for Youth Hope House STRTP located at W. 45th Street Los Angeles, CA. 90062 was held at the El Segundo Children's Residential Regional Office in El Segundo. Attending Component II were the following individuals: Licensing Program Analyst (LPA), Charmetha White, Applicant, Amber Coxsom and Assistant Administrator Sarah Jones. The following information and forms were discussed at the meeting: · LIC 200 - Application · LIC 404 - Financial Release and Verification · LIC 500 - Personnel Report · LIC C - Emergency Disaster Plan · PIN 24- CRP - Chaptered Legislation Affecting Children's Residential Facilities and Homes: Summary and Implementation · PIN 24- CRP - Naloxone Distribution Project · PIN 24- CRP - Video Cameras in Children's Residential Congregate Care Facilities · PIN 26- CRP - STRTP Manual Restraint Incident Reporting System · Program Statement and Plan of Operation Pre-Licensing Inspection is scheduled for April 7, A copy of this report was issued to the Applicant, Amber Coxsom.

met_with: Director - Amber Coxsom and Assistant Administrator - Sarah Jones


summary: Facility Evaluation

raw_content:
Narrative:
On April 7, 2026, Licensing Program Analyst (LPA) C. White arrived at the above location for the purpose of conducting a Pre-Licensing Inspection. LPA was met by Applicant, Amber Coxsom. The facility is requesting to be licensed as a Short-Term Residential Program to provide to provide care and supervision to six (6) female children, ages 12-17 years old, ambulatory only. The facility will also provide services to non-minor dependents. Currently the census is zero (0). The home is set up as follows: This is a single story 3 bedroom, 2 bathroom, home located in a residential area. The home consists of a living room, dining room, kitchen, small staffing room, a backyard, and a detached staffing/therapy office. Living room: is equipped with sectional sofa, an ottoman, and a mounted flat screen TV. Dining room: is equipped with a glass table and six (6) chairs. Kitchen: is equipped with a refrigerator/freezer, a five (5) burner gas stove (all burners were operational at the time of the inspection), a microwave, a dishwasher, and an island countertop. Sharp knives are kept locked in a cabinet located under the island countertop. LPA observed a covered trash can, ample plates, cups, and eating utensils. LPA observed ample nonperishable food items in the pantry. The applicant will ensure that three (3) nutritious meals and snacks will be provided to clients in care. Small Staffing Room: contains storage drawers that hold the facilities extra linens and towels, a medication cart that remains locked at all times, and a small refrigerator to store medications that require refrigeration. Backyard: contains a sitting area with a popup canopy for private visitation purposes. Detached Staffing/Therapy Office: contains a small round table with two (2) chairs, a sofa, a mounted flat screen TV, a bathroom (that has a toilet, sink, and shower/tub combination), a refrigerator/freezer, a five (5) burner gas stove (all burners were operational at the time of the inspection), a stackable washer/dryer, and a locked therapist room. The therapy rook has a desk, chair, and a closet that will hold therapist files. This office will be utilized by Facility Staff and the Mental Health Team and will remain locked when not in use. Report continued on LIC 809C (Page 1 of 2) Bedrooms: 1, 2, and 3: are equipped with two (2) twin beds, drawers, and ample closet space. All bedrooms have working lights and windows. Bathroom #1: is located in the hallway between bedroom 2 and 3. The bathroom contains a toilet, sink, and a tub/shower combination. Bathroom #2: is located inside bedroom 3. The bathroom contains a toilet, sink, and a shower. All bathrooms were checked and found to be in working order. Vehicle: The facility has a Toyota Sequoia to transport youth to appointments and offsite extra curriculum recreational activities. LPA inspected the vehicle and found the horn, lights, and all seat belts in working order. LPA observed the vehicle to have valid car registration and insurance. LPA observed the facility to have one (1) regulation fire extinguisher. The facility has a working telephone. The smoke alarm and carbon monoxide detectors were tested and found to be in working order. The facility has cameras located throughout the home in common areas only. The First Aid kit was checked and found to be complete. Disinfectants and cleaning solutions are kept in a locked cabinet under the sink. Additional cleaning supplies and solutions will be kept in the staffing office. Clients and Staff Records will be stored in a locked file cabinet located in the staffing office. There are no firearms or dangerous weapons in the facility. There are no bodies of water on the premises. LPA observed the facility to be clean, safe, and sanitary. Passageways, stairways, and porches are unobstructed. The front and backyard is fenced in, both free of debris and hazardous materials. LPA observed the electrical shut off valve and the gas shut off valve are located in the back of the home near Bedroom 3, and the water shut off valve is located in the left side of the home. The following was discussed with the facility Administrator: Children will be accorded personal rights. Children in care will be supported, encouraged to participate in extracurricular activities. Children in care will be able to contact the licensing agency. Children will be supervised & protected at all times. Children will be accorded dignity in personal relationships with others in the home. Children will not be restricted in telephone use except by court order. The Applicant will provide and ensure three nutritious meals, snacks, and special diets. The Applicant will ensure to have written authorization to obtain medical and dental care. The Applicant will ensure to have personal rights forms in children's files. Applicant acknowledges abuse reporting requirements. Staff working in the facility will have DOJ/FBI criminal record clearances, and Child Abuse Index Checks. Facility will operate within license conditions & limitations including capacity limit. Facility meets posting requirements and emergency telephone numbers are in a prominent location. LPA concluded the Pre license Inspection. An Exit interview was conducted, and a copy of this report was emailed to Applicant, Amber Coxsom. (Page 2 of 2)

visit_type: Prelicensing

met_with: Applicant- Amber Coxsom


summary: Facility Evaluation

raw_content:
Narrative:
On April 14, 2026, at 1: PM, Licensing Program Analyst (LPA), Charmetha White made a Case Management Other visit for the purpose of conducting the Component III portion of the application process for Youth Hope House STRTP. Attending Component III were the following individuals: Applicant, Amber Coxsom and Assistant Administrator, Sarah Jones. Component III Orientation Summary The purpose of the Component III Orientation was to review program-specific regulatory requirements, discuss operational responsibilities, and ensure the applicant and key personnel fully understand the ongoing compliance expectations outlined in the California Code of Regulations, Title 22, and the Interim Licensing Standards for STRTP. Topics discussed included, but were not limited to: staff qualifications, client personal rights, incident reporting procedures, documentation requirements, emergency intervention protocols, and the importance of maintaining full regulatory compliance across all operational areas of the facility. Participants actively engaged in the discussion and were encouraged to ask questions throughout. All parties were advised that Component III is a mandatory requirement in the STRTP licensing process. The applicant and Assistant Administrator demonstrated understanding of the material presented and were reminded to contact the Department with any future questions or concerns.


facility_name: YOUTH QUEST GUIDANCE CENTER

raw_content:
Narrative:
Staff denied the allegation further indicating that clients are well supervised by staff maintaining above the recommended Interim Licensing standards 1:4 staff to client ratio by having three to five staff members present at the facility. Staff indicated that if they are aware of a client wanting to AWOL staff will attempt to deter the client by verbally redirecting them while trying to determine what is trigging the behavior. Staff indicated that they try to provide a variety of activities to keep the clients busy and motivated to finish their program and hopefully deter the clients from AWOL. Information obtained from clients did not corroborate the above allegation further disclosing that they feel safe and are provided with whatever they need by facility staff. Therefore, based on the information received, the above allegation is determined to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is found to be unsubstantiated. Appeal Rights were provided and discussed with the Program Director. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the STRTP Program Director.

Investigation Findings:
13On March 30, 2022, at 8: PM., Licensing Program Analyst (LPA) Winston Moroney, conducted a complaint inspection to the above Short Term Residential Therapeutic Program (STRTP) Facility and met with STRTP Program Director Jamacia Smith. The purpose of the inspection was to deliver the finding for the above complaint allegation. On October 4, 2021, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegations: Staff did not prevent minor from AWOL. The investigation to the above allegations was conducted by this LPA and it consisted of, but not limited to a review of records, including the children's needs and services plans, medical records, and interviews with Staff members (S1, S2, and S3) on 10/14/2021, 3 of Clients (C1, C2, and C3) on 10/14/2021, (C4 was AWOL at time of interview). (Reference Confidential Names Form LIC 811, dated March 30, 2022). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Winston Moroney 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 32-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, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: YOUTH QUEST GUIDANCE CENTERFACILITY NUMBER: VISIT DATE: 03/30/2022

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

met_with: Jamacia Smith - Program Director


raw_content:
Narrative:
C1's representative confirmed the allegation was false and that there was no physical abuse towards C1 from any of the staff members. Based on the information obtained during the investigation, it cannot be determined whether the above allegations occurred. Based upon interviews, the complaint findings are unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegations occurred. No deficiencies were cited. Exit interview was conducted, and a copy of this report was emailed to the above-named facility staff.

Investigation Findings:
13On May 23, 2023, Licensing Program Analyst (LPA) Johanna Lofton, conducted a follow up inspection visit Youth Quest Guidance Center with the purpose of delivering findings for the above complaint allegation. LPA Lofton met with Jamaica Smith, Facility's Program Director. During the complaint investigation, LPA Lofton conducted confidential interviews with clients, facility staff, and social worker. The allegation was denied by interviewed parties. Facility clients and staff reported that C1 can get out of control at times and would have to be restrained at times due to getting violent and out of control.Iinterviewed facility clients denied seeing any staff member physically hit C1. Interviewed facility staff denied seeing the former staff physically hit C1. The investigation revealed that the staff member C1 reported as the perpetrator (S3), was not at the facility the day of the incident. Furthermore, the alleged perpetrator separated from the facility as an employee as of September 2022. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Johanna Lofton 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 32-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, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: YOUTH QUEST GUIDANCE CENTERFACILITY NUMBER: VISIT DATE: 05/23/2023

met_with: Jamaica Smith-Program Director


raw_content:
Narrative:
It was alleged that around April 2023, facility staff improperly restrained one client in care on multiple occasions which resulted in minor scratches. In an interview conducted, one client stated that facility staff were physically rough when conducting manual restraints but denied any type of physical abuse or corporal punishment in the facility. The client stated that in one instance, they sustained some minor scratches on their body as a result of being manually restrained. In an interview conducted, a second client denied any type of physical abuse or corporal punishment in the home and also denied that staff would be unnecessarily rough during manual restraints. In interviews conducted, three staff members denied the allegation and stated that the client in question exhibited a lot of behaviors that were physically dangerous to others as well as to themselves. As a result, they have had to use manual restraints on a more frequent basis with the client. Staff stated that there was one instance in which the client had to be held in a prone position and sustained a rug burn from the carpet. Staff stated that the client did not initially report this to them as they felt that it was an accident and not a serious injury. However, staff have began conducting more thorough body checks every time manual restraint is used since then. Staff stated that they receive manual restraint training every year through a qualified, contracted instructor. LPA reviewed facility video footage of instances in which the client had to be manually restrained. In the video footage, LPA observed instances in which the client was physically violent towards others as well as themselves, suggesting that manual restraint was necessary in those moments. LPA did not observe any indication of malice or intentional roughness on the part of staff conducting the manual restraints. A review of records revealed that the facility properly logged instances of manual restraint in the facility. Based on interviews conducted and records reviewed, there is not a preponderance of evidence to suggest that the allegation occurred. Although the allegation may have happened or may be valid, the preponderance of evidence standard has not been met. Therefore, the allegation is deemed UNSUBSTANTIATED. An exit interview was conducted and a copy of this report was provided to the Licensee.

Investigation Findings:
13On July 21, 2023 at approximately 11: AM, Licensing Program Analyst (LPA) Raymond Wu conducted an unannounced complaint inspection visit at the facility for the purposes of delivering findings for the above allegations. LPA met with the representative named above and discussed the purpose of the visit. As part of the investigation, interviews with clients and staff were conducted on 04/26/23. Records were reviewed on 04/26/23 and 07/20/23. (Continued) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Raymond Wu 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 32-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, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: YOUTH QUEST GUIDANCE CENTERFACILITY NUMBER: VISIT DATE: 07/21/2023

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

met_with: Alejandro Medina, Facility Manager


raw_content:
Narrative:
S1 stood on the outside of C1's bedroom door. C1 came up to S1 and began to curse at S1 and pushed and punched S1's face. S1 restrained C1 by holding C1's hand to prevent them from getting more punches. C1 then began to kick S1 and threatened to kill him. C1 bit S1's right arm and head butt him. S2 tried to calm C1 and placed a pillow between C1 and S1 to shield C1's head butts. C1 continued to make verbal threats against S1. Staff stated the client was not inappropriately restrained. Statements obtained from the confidential interviews provided contradictory information regarding the allegation and did not provide sufficient information to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that alleged violation occurred, therefore the allegation is unsubstantiated. There were no deficiencies cited during this inspection. An exit interview was conducted. A copy of this report, Confidential Names Form, and Appeal Rights were provided to the facility representative via electronic mail.

Investigation Findings:
13On January 9, 2024, at 1: PM, Licensing Program Analyst (LPA) Karen Suh conducted a follow-up complaint inspection to deliver the finding of an investigation concerning to the allegation above. The LPA met with the representative named above and discussed the finding. The investigation included confidential interviews that consisted of but were not limited to: five clients, three staff, and Program Director at the facility on July 26, 2023, two staff on August 18, 2023. The LPA reviewed client's (C1; see Confidential Names LIC 811, dated January 9, 2024) Needs and Services Plan, Child and Family Team (CFT) Meetings Report, Qualified Individual Assessment Report Addendum, and Special Incident Report, and Personnel Report (LIC 500). It was alleged that staff inappropriately restrained a minor. Staff denied the allegation. C1 was on one on one supervision by staff (S1) due to C1's history of AWOL. C1 had been pacing back and forth and S1 redirected them to relax and suggested to watch a movie with S1. C1 became agitated and walked back into their room. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Karen Suh 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 32-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, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: YOUTH QUEST GUIDANCE CENTERFACILITY NUMBER: VISIT DATE: 01/09/2024

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

met_with: Jamacia Smith, Program Director


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
Page The Department received a complaint alleging a facility staff (S1) assaulted a youth while in care. On November 14, 2023, a facility client (FC1) was observed with a red/purple bruise on his face that resembled a shoe imprint, and a red bruise on his upper left shoulder. It was alleged that on the previous night, S1 thrust FC1's face into a headboard, and threw FC1 to the ground and stepped on his face. S1 denied the allegation and stated that on the evening of 11/13/23, due to aggressive behaviors, he placed FC1 in a prone restraint. Statements obtained from interviews conducted with staff did not support the allegation. Record review revealed law enforcement interviewed pertinent individuals regarding the alleged assault. There were no witnesses to the reported incidents. Based on information gathered from interviews conducted and records reviewed, the allegation is unsubstantiated. Although the allegation may have happened or is valid the standard of the preponderance of evidence was not met. A copy of this report and confidential names form LIC811 dated 1/29/24 were given to the above-mentioned facility representative. No deficiencies were cited. Exit interview conducted.

Investigation Findings:
13On 1/26/24 at 10: AM, Licensing Program Analyst (LPA) Christopher Larios conducted a follow up complaint inspection to the Short Term Residential Therapeutic Program (STRTP). During the inspection LPA Larios met with Director Jamacia Smith. The purpose of the inspection was to deliver findings regarding the above mentioned complaint allegation. The allegation was investigated by Community Care Licensing Division (CCLD) Investigations Bureau (IB) State Investigator (SI) Mariana Lomeli. During the course of the investigation, SI Lomeli conducted interviews with four staff, two administrators, three facility clients, and others between 12/05/23 and 1/11/24. SI Lomeli also obtained a Bakersfield Police Department report on 11/29/23 and reviewed the STRTP Program Statement on 12/14/23. On 11/22/23, LPA Larios conducted a record review and obtained copies of the LIC500, LIC9020, needs and service plan, special incident reports, staff identification, job description, discipline policy, and training records. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Christopher Larios 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 32-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, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: YOUTH QUEST GUIDANCE CENTERFACILITY NUMBER: VISIT DATE: 01/29/2024

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 0

met_with: Jamacia Smith


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
LPA conducted interviews with six clients. All six clients stated that they were unaware they had a monthly clothing allowance. Client statements also corroborate that they were not taken shopping monthly and have not been provided with adequate clothing by the facility. Four clients disclosed that a majority of clothing that clients currently have is largely what they had when arriving to the facility and stated that most of the clothing no longer fits or is poor condition. While conducting client interviews LPA observed three clients wearing jeans and shirts that appeared to be too small. Based on confidential interviews and records reviewed there is a preponderance of evidence to prove the allegation, therefore, the allegation is substantiated which poses a potential Health, Safety or Personal Rights risk to the child in clients in care Based on the information gathered, the allegation stated above is SUBSTANTIATED. A substantiated finding means the preponderance of evidence standard has been met. This violation poses an immediate and/or potential Health, Safety, or Personal Rights risk to children in care. The facility is being cited under Interim Licensing Standards (ILS) Short Term Residential Therapeutic Program (STRTP) Article 6, standard Personal Rights 87072(d)(6)(A). An exit interview was conducted, and the following reports were emailed LIC809, LIC 809-D, and LIC Confidential Names Form. Appeal rights forms were provided and explained.

Investigation Findings:
13On August15, 2024, Licensing Program Analyst (LPA) Angelina Garibaldo conducted a follow-up complaint inspection at the above facility and met with Jamaica Smith, Program Director (PD). The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA interviewed Program Director, six clients on 6/12/24 and Administrator (Admin)on 8/9/24. (See Confidential Names Form LIC 811 dated August 15, 2024). LPA also reviewed documents including but not limited to Allowance logs, Expenditure Records, Receipts, client clothing inventory logs and Need and Service Plans. It was alleged that clothing allowance is not provided to clients. Interviews conducted with both PD and Admin denied the allegation and stated that clients are taken shopping as needed and clients have more than enough clothing. On 6/12/ LPA conducted an inspection of clients' rooms, closets, dresser drawers and clothing. LPA observed dresser drawers over filled, piles of clothing on the floor and in the closet. Clothes appeared to be in poor condition. Continue from page 1 . . . SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Angelina Garibaldo 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: YOUTH QUEST GUIDANCE CENTERFACILITY NUMBER: VISIT DATE: 08/15/2024

met_with: Jamaica Smith - Program Director


raw_content:
Narrative:
Page The Department received a complaint alleging the staff are blocking the doorway with items, staff do not properly maintain the facility grounds and staff are not properly trained. On 8/21/ LPA Garibaldo toured the facility and observed a bed obstructing a door leading to the backyard. LPA Garibaldo also observed the toilet in the primary bedroom restroom was not properly installed, vanities in both restrooms were missing handles, vanity counter tops were chipped, vanity cabinet drawers were dirty and did not close properly, tiles on floors were missing, and walls were patched but not painted. Night stand and dresser in the primary bedroom were not in good repair, walls throughout the facility had holes that had not been patched, drawings on walls in client's rooms, in primary bedroom the door had been replaced but not painted, electrical outlet in living room was missing a plate cover, patio cover in backyard was in disrepair, broken 2x4 on patio,wooden gate in patio was broken and in disrepair, and window screens were missing from all windows in the facility. In addition, LPA Garibaldo reviewed the facilities Initial 8-hour New Staff Core Competencies Training Tally Record, and it was revealed that the areas of training's failed to include the required Trauma-Informed Intervention and Treatment Practices and were not conducted by the appointed instructors. Statements obtained from staff disclosed that the 8-hour initial training's were conducted by the facility director. The facility failed to follow their own Plan of Operation for training of new staff. Based on information gathered from inspections, records review and interviews conducted all the allegations are Substantiated. Facility cited for violations of California Code of Regulations, Title Division 6, regulation 80087(a) Buildings and Grounds, 80088 (b) Furniture, Fixtures, Equipment, and Supplies, 80088 (3) Furniture, Fixtures, Equipment, and Supplies, 87078.2(a)(3) Trauma-Informed Interventions and Treatment Practices, and 87022 (6) Plan of Operation. An exit interview was conducted and a copy of LIC9099, LIC9099D and appeals rights were provided to the facility representative.

Investigation Findings:
On 10/16/24 at 0: AM, Licensing Program Analyst (LPA) Angelina Garibaldo and Licensing Program Manager Gustavo Garcia conducted a follow up complaint inspection. During the inspection LPA Garibaldo and LPM Garcia met with Facility Manager Jamacia Smith. The purpose of the inspection was to deliver findings for the above-mentioned complaint allegation. During the course of the investigation LPA Garibaldo conducted a record review on 08/21/24 and obtained copies of but not limited to, staff rosters and staff contact information, copies of direct staff initial twenty-four (24) hour training. And staff training sign in sheets and topics for year 2024 and facility repair logs. LPA Garibaldo toured facility with Facility Manager. In addition, LPA Garibaldo conducted interviews on 8/26/24 with Administrator, Facility Director two social workers, and on 10/02/ Facility Manager. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Angelina Garibaldo 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: YOUTH QUEST GUIDANCE CENTERFACILITY NUMBER: VISIT DATE: 10/16/2024

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

met_with: Jamacia Smith-Facility Manager


raw_content:
Narrative:
Investigation revealed the following: It was alleged Staff are allowing minors to vape and smoke marijuana. Staff denied the allegation. Staff stated that children are discouraged from smoking or vaping. Staff stated that sometimes when children return from running away children have been caught with vape pens or smoking paraphernalia. However, staff stated that if children are caught with these items staff will confiscate them. Interviews conducted with children also denied the allegation. Children stated staff do not allow them to smoke or vape in the facility and denied that staff gives them vapes or marijuana. It was also alleged; staff are allowing minors to wear inappropriate clothing. Staff denied the allegation. Staff stated that children are allowed to pick out their own clothes, but they are not allowed to buy clothing that has any sort of drugs or inappropriate language. Children denied the allegation. Children stated that staff do not allow them to wear or buy inappropriate clothing. Children stated they are only allowed to wear clothing that is appropriate for school. Lastly, it was alleged, staff does not ensure minor's educational needs are being met. Staff denied the allegation. Staff stated that children are enrolled in school and if they need extra assistance, they are given opportunities to make up credits or provided resources to assist them with schooling. Interviews conducted with one (1) child identified not receiving services or getting school assistance. However, child did not provide details as to what staff were not providing services or what circumstances surrounded child not receiving services. Interviews conducted with four (4) additional children denied the allegation and stated that they receive support and assistance in school and from facility staff. Documents reviewed showed no incidents of staff misconduct or staff allowing children to smoke or vape. Documents reviewed also showed no incidents or children wearing inappropriate clothing or that children's schooling needs weren't being met. Interviews conducted with witnesses showed that incidents of concerns were occurring outside of facility and staff jurisdiction. Based on the information gathered, although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of this report Confidential Names Form and Appeal Rights were provided to the facility representative via electronic mail. There were no deficiencies cited during this inspection.

Investigation Findings:
13On 10/16/ Licensing Program Analysts (LPA) Claudia Portillo made an unannounced visit to the Youth Quest STRTP on behalf of Dawn Mahecha for the purpose of delivering findings to the above complaint investigation. LPAs met with representative and discussed the following findings. Investigation consisted of the following: On 9/5/ LPA Mahecha reviewed files and obtained the following documents: Current LIC500/ client roster, completed annual training, clothing policy, children's school enrollment paperwork, current needs, and service plans (NSPs) for five (5) children and any associated complaints or special incident reports (SIRs) regarding children smoking, missing school, or wearing inappropriate clothing. LPA Mahecha interviewed on site therapist and witness. Additionally, between 10/11 and 10/14/ LPA Elnora Smith interviewed five (5) children and three (3) staff. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Claudia Portillo 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 32-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, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: YOUTH QUEST GUIDANCE CENTERFACILITY NUMBER: VISIT DATE: 10/16/2024


summary: Facility Evaluation

raw_content:
Narrative:
On December 8, 2023, at 9: AM, Licensing Program Analyst (LPA) Timika Martin conducted an announced Pre-licensing inspection and Component lll at the above facility address. LPA met with Mario Barron and Jesse Celedon who will be the Administrator and CFO for this facility. The facility will be licensed for a capacity of six (6) ambulatory female clients ages 12-17 and services will also be provided to non-minor dependents. LPA CEO Administrator toured the facility. This is a one-story home that has four bedrooms, four bathrooms, staff office and bathroom, mental health office/ visitation office and a television/family room. Inside the home the following was observed: The facility a staff office used for storing staff/client files and locked medications and extra storage. There are locking filing cabinets, a desk, a chair, and computer monitors, two refrigerators and television monitors to view cameras in common areas inside the facility. There is a living room, dining, and kitchen area. There were sofas and a television in the living room and there is a table and chairs in the dining area. There is a television room with a television, computer desk with a chair and a small sofa. Each bedroom has two beds with beddings, linens, drawers, and closet space for the clients' use. Two out of the four bedroom have bathrooms inside of the rooms. There are 16 cameras located throughout the facility located in the following areas: two cameras in living room, two cameras in the kitchen, two cameras in hallway, two cameras in the staff office and eight cameras outside around the perimeter of the house. There was a refrigerator, a gas stove, kitchen utensils, plates, and dinnerware in the kitchen drawers/cabinets. The first aid kit was observed to be new and complete. The home has working telephones. There were working smoke/carbon monoxide detectors in the dining area, living room, hallway and in each bedroom. The centralized heating and air were working. All medications will be stored in a locked box/cabinet with a lock located in the staff office. All client, staff and facility files will be stored in a locked cabinet in the staff office as well. Also observed were computers, a fax/copy machine in the office for staff use. All required postings were posted near the kitchen area. Prior to today's inspection the facility received fire clearance on 06/05/23. LPA discussed the facility procedures for 30-day updates of Needs and Services plans discussed. Facility to obtain Mental Health Program Approval within 12 months of effective date of licensure, will keep the department updated as to MHPA status, and will provide appropriate documentation to the department upon approval. Component III Orientation provided to licensee which included information regarding incident reporting procedures, including those specific to law enforcement contacts; facility, client and staff record requirements; application of prudent parent standards and client personal rights. This facility is pending licensure due to plan of operation and program statement being revised and under review. An exit interview was conducted, and a copy of this report was given to the administrator.

met_with: Mario Barron (Administrator) & Jesse Celedon (CFO)


summary: Facility Evaluation

raw_content:
Narrative:
On May 28, 2025, at 9: AM, Licensing Program Analyst (LPA) Timika Martin conducted a pre-licensing inspection visit at Short-Term Residential Therapeutic Program (STRTP). LPA Martin met with Executive Director, Jesse Celedon and Facility Administrator, Mario Barron and toured the home. Physical Plant This facility is located in a quiet residential community. The facility consists of three (3) bedrooms, an Administrator Office and Mental Health Office, kitchen, dining area, laundry room and a backyard. Overall, the facility is clean, sanitary and in excellent condition. Passageways are free from obstruction. Fixtures, Furniture, Equipment, and Supplies The home has toilets and wash basins for clients' use. Client bedrooms were observed to be clean, orderly, and contained twin beds. LPA observed clean pillows, bed sheets and blankets. The client's bedroom has adequate closet and drawer space to accommodate the client's clothing and personal belongings. Heath Related Services and Record Keeping The first aid kit will be centrally stored in the kitchen. The kit contains all required supplies. The client, staff files will be in a locked file cabinet located in the Administrator Office. The medication will be stored in a locked individual container located in the Administrator Office. LPA also conducted Component III - Category Specific Orientation with the applicant. The following items were discussed and provided to the applicant: -Title Regulations on Small Family Homes - Continuing Requirements (General Licensing Requirements) - Buildings and Grounds requirements - Personnel Records (forms) - Client Records (forms) -Reporting Requirements - Other administrative forms The provider was also briefed about the importance of incident reporting and client education. Prior to being licensed the following are still pending: -Administrator/Staff need to be associated to the facility. -Pending finalized copy of the Program Statement/Plan of Operation. LPA Martin will conduct a final review once the requested documents are submitted, manager approval and all requirements being met and a new license will be mailed to STRTP upon approval. An exit interview was conducted, and a copy of this form was emailed to the Administrator.

met_with: Mario Barron, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On October 30th, 2025, at 1: PM, Licensing Program Analyst's (LPAs) Timika Martin and Angelina Garibaldo conducted an unannounced post-licensing inspection at Youth Quest for Girls Short Term Residential Therapeutic Program (STRTP). LPAs met with Administrator, Mario Barron and Executive Director, Jesse Celedon discussed the nature of today's inspection. The STRTP is located in a residential neighborhood and currently has 0 youth in placement. LPAs and Administrator toured the facility inside and outside. During the inspection, LPAs observed the following: Physical Plant This facility is located in a quiet residential community. The facility consists of three (3) bedrooms, an Administrator Office and Mental Health Office, kitchen, dining area, laundry room and a backyard. The facility license, facility sketch, emergency disaster form and personal rights form were all prominently displayed in the home. Temperatures in all rooms are maintained at 73 degrees (F). All exits and hallways were observed to be free and clear of hazards and obstruction. Smoke detectors and carbon monoxide detectors are in working order. LPAs observed fully charged fire extinguishers and exit signs inside the facility There is adequate space for indoor and outdoor activities. The outdoor areas were observed to be free of debris and hazards. Overall, the facility is clean, sanitary and in excellent condition. Fixtures, Furniture, Equipment, and Supplies The home has toilets and wash basins for clients' use. Client bedrooms were observed to be clean, orderly, and contained twin beds. LPA observed clean pillows, bed sheets and blankets. The client's bedroom has adequate closet and drawer space to accommodate the client's clothing and personal belongings. LPAs also observed a fully stocked linen closed and a laundry room. Sharp knives, medications and cleaning supplies are kept locked in areas inaccessible to children. Heath Related Services and Record Keeping The first aid kit will be centrally stored in the kitchen. The kit contains all required supplies. The client, staff files will be in a locked file cabinet located in the Administrator Office. The medication will be stored in a locked individual container located in the Administrator Office. The most recent Board of Director's meeting occurred on February 17, 2024. LPA obtained an updated LIC500 (Personnel Report) and a client roster. During the inspection, LPAs reviewed the following domains: Physical Plant, Operations and Disaster Preparedness. An exit interview was conducted, and a copy of this form was given to the Administrator.

met_with: Administrator, Mario Barron


facility_name: YOUTH TREATMENT PROGRAM

raw_content:
Narrative:
On September 18, 2020, Licensing Program Analyst initiated the complaint investigation, informed Facility Administrator of the investigation and requested file records. The investigation included, confidential interviews and contacts with, but not limited to, three facility residents, five staff members, San Luis Obispo Police Department staff and Detective, assigned San Luis Obispo County Social Worker and other related parties. The investigation further included review of client files, facility file history, San Luis Obispo Police report and forensic interviews of two residents. The investigation revealed corroborating evidence to support sexual abuse by S1 as record review and confidential interviews produced consistencies in statements and history to show inappropriate conduct by S1 towards children in care. Information obtained reveal S1 began making advances towards clients by playing a game which involved touching minor's breast in a playful manner. It was disclosed S1 took clients on outings or walks and was often left alone with clients. S1's inappropriate behavior escalated and at some point S1 began engaging in sexual acts having sexual intercourse with C1 while at the program. On September 4, 2020, S1 was terminated from facility program due to unprofessional boundaries with the clients. Based on information from record review and confidential interviews, the preponderance of the evidence standard has been met. The Department has determined substantiated finding for sexual abuse by S1 on C1. These actions pose an immediate health, safety and personal rights risk of harm to children placed in care. The facility is issued a citation in accordance with the Interim Licensing Standards, Chapter 7.5, Version 3, Personal Rights (d)(11) [See page LIC9099-D for cited deficiency]. An exit interview was conducted, and appeal rights were discussed. A copy of this report, Confidential Names List and appeal rights were provided to Facility Administrator. (Continued on page LIC9099-D)

Investigation Findings:
13On February 4, 2022 at 1: PM, Licensing Program Analyst (LPA), Regina Martin conducted a follow-up complaint inspection to deliver findings concerning the above-mentioned allegation. LPA Martin met with Allison Jensen, Facility Administrator to discuss the investigative outcome. The investigation was conducted by Licensing Special Investigator Mariana Lomeli of the Community Care Licensing (CCL) Investigations Bureau. On September 15, 2020, CCL received an allegation that former Facility Staff member #1 (S1) sexually abused youth in care as S1 reportedly had an ongoing sexual relationship with former youth resident Child #1 (C1) for approximately six months (See LIC811, dated February 4, 2022). It was further reported that S1 had also touched youth resident Child #2 (C2) inappropriately on the breasts, thighs and buttocks areas while in care. This claim was previously reported and investigated as S1 was placed on administrative leave pending the investigation outcome. The investigation presented an unsubstantiated finding at that time, for which S1 could return to work. (Continued on page LIC9099-C) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Regina Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: YOUTH TREATMENT PROGRAMFACILITY NUMBER: VISIT DATE: 02/04/2022

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

met_with: Facility Representative


raw_content:
Narrative:
the staff immediately called crisis support and then Law Enforcement. C1 and C2 confirmed that the staff was present the whole time during the incident. Also, during the interview with SW1 and SW2, stated that they have no concerns with the facility and the times they have been to the facility there are enough staff. Continue on LIC9099-C Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has decided that the allegations are unsubstantiated. If any additional information is received this complaint can be amended and the findings can be changed. PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, and Short Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS), Chapter 7. Version 4.0, there are no deficiencies to be cited at this time. Exit Interview conducted, and a copy of this report was left at the facility.

Investigation Findings:
13On May 19, 2022 at 12:00pm, Licensing Program Analyst (LPA) Nancy O'Connell made an unannounced inspection to the above said facility for the purpose of concluding the investigation on the above allegations and deliver the findings for LPA Enrique Hernandez. LPA O'Connell met with Alley Jensen and discussed the investigative findings. On August 25, 2021, the Department received a complaint alleging Facility staff is not properly supervising youths in care and Facility staffing is not sufficient to meet the needs of youths in care. Based on the confidential interviews conducted with all the parties involved during the investigation process and information gathered, the above allegations cannot be substantiated because, the interviews conducted did not produce corroborating evidence to support the allegations. Even though C1 and C2 were cutting themselves with a plate, S2 tried different alternatives to deescalate the situation and when the clients refused to give the plate to S2, Cont on LIC9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Nancy O'Connell LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: YOUTH TREATMENT PROGRAMFACILITY NUMBER: VISIT DATE: 05/19/2022

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

met_with: Alley Jensen, Facility Administrator