summary: Facility Evaluation

raw_content:
Narrative:
0001738-FN On May 13, 2025, at 9: AM, Kenrick Ellis, Licensing Program Analyst (LPA)arrived at the above facility for the purpose of conducting a Case Management - Incident investigation. LPA met with Lamont Walker, Administrator. A health and safety assessment was conducted prior to entering facility. The department received a Self- Reported Incident Report dated May 10, 2025. The Incident Report disclosed that a non-resident youth overdosed and died in the home of two non-minor dependents in care. No injuries were reported to the non-minor dependents in care. Both non-minor dependents have been offered other living arrangements from the above facility in the interim. LPA conducted one staff interview, and received a copy of the LIC624A, LIC500 and participant roster. Video footage will be conducted at a later time. There were no deficiencies cited at time. Exit interview was conducted, and a copy of this report and appeal rights were printed and given too Lamont Walker, Administrator.

met_with: Lamont Walker, Administrator


state: CA

facility_name: FIRST PLACE FOR YOUTH

summary: Facility Evaluation

raw_content:
Narrative:
On 5/6/ Licensing Program Analyst (LPA) Reagan Cohen made an unannounced visit to First Place For Youth Transitional Housing Placement Program for the purpose of conducting an Annual/Required inspection visit. LPA met with Administrator Lamont Walker and toured the administrative office. LPA started the CARE Tools Checklist. Applicant is utilizing an office space at the above address as the administrative office. The office space is a private suite with 2 conference rooms, 8 offices, 2 assessment rooms, a break room, and a lobby. The 2 confrere rooms are used for staff meetings and client workshops respectively. The offices are used for staff. The assessment rooms are used for private meetings between clients and staff. LPA observed an adequate amount of filing cabinets, printers, shelves, desks, tables, chairs, couches, and computers for staff to use. LPA toured the Office Space and observed the Council of Accreditation and the CCL License. Administrator shared that staff, client, and facility files are primarily accessed digitally. LPA observed a copy of the Certificate of Compliance and the Plan of Operation. LPA requested and received a copy of the staff and client roster. LPA interviewed 3 staff regarding their work and role at the facility. LPA will return to continue the inspections, reviewing staff and client files, training's, interview staff and clients, and inspect the housing units. A copy of this report was given to the Licensee. Exit Interview Completed. No deficiencies cited.

report_type: Facility Evaluation

visit_type: Annual

met_with: Administrator Lamont Walker


summary: Facility Evaluation

raw_content:
Narrative:
On 5/7/ Licensing Program Analyst (LPA) Reagan Cohen made an unannounced visit to First Place For Youth Transitional Housing Placement Program for the purpose of conducting an Annual/Required inspection visit. LPA met with Administrator Lamont Walker. LPA continued the CARE Tools Checklist. LPA reviewed staff files. LPA completed the LIC 859 staff review checklist. LPA reviewed client files. LPA completed the LIC 858 client review checklist. LPA interviewed 1 staff. LPA will return to continue the inspections, training logs, interview staff and clients, and inspect the housing units. A copy of this report was given to the Licensee. Exit Interview Completed. No deficiencies cited.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On 5/20/2026, at 1: PM, Licensing Program Analyst (LPA) Andrew Upshaw conducted a follow up unannounced Case Management - Incident inspection at First Place For Youth and met with Damaris Flores, Education Support Specialist in response to Special Incident Report (SIR #: 1054175) submitted to Community Care Licensing (CCL) on 6/25/2024. LPA Upshaw spoke with Administrator Lamont Walker over the phone and requested the following documents to be emailed including Personnel Report (Schedule) LIC500, employee contact list and Needs and Services Plan, Transitional Independent Living Plan, CFT notes, information of services provided, and discharge documentation for former participant. The incident requires further investigation. There are no deficiencies cited per California Code of Regulations, at this time. A copy of this report was emailed to Administrator.


facility_name: FIRST PLACE FOR YOUTH THPP/THP+FC

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
The staff interviewed and staff notes indicate they were aware of the concerns brought up by the adult client and tried to work through the issues with the adult client by following the steps outlined in the program statement indicating the adult client should try to address concerns directly with their adult roommate and if that does not resolve the issue, the agency can get involved by talking with the other adult client or facilitating a meeting between the adult roommates. Staff have stated they were not aware of some reported incidents until months after they occurred or after the adult client was moved into another apartment. It does appear that some incidents did rise to the level of a safety concern that were addressed, but it is not clear that it was addressed in a timely manner. This was also the case related to meeting the client's needs. The question is whether or not they were met in a reasonable amount of time. LPA was able to interview the adult client's roommate but the adult client in the complaint did not return multiple requests to discuss complaint allegations. The adult roommate provided conflicting information from what was stated in the complaint. Based on 4 confidential interviews, one witness' not participating in an interview, staff notes, information provided in incident reports related to the complaint allegations, inconsistencies in statements and documentation as well as the lack of corroboration, the allegations are determined to be UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of the report and appeal process was provided to the program manager.

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

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

report_type: Complaint Investigation

met_with: Program Manager

complaint_status: unsubstantiated


raw_content:
Narrative:
LPA Diaz obtained documentation and it was confirmed that pest control come out to the apartment, on July 12, 2022. Lastly, the participant was placed in a new apartment on Although the allegation may have happened or is valid, there is not a preponderance of evident to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with Susan Kimball, ILSP Manager. A copy of the report and Appeal Rights were emailed.

Investigation Findings:
13On October 18, 2022, at 2:00PM Licensing Program Analyst (LPA), Yuvi Diaz and Shalisa Stiger conducted a follow-up complaint investigation and met with Susan Kimball, ILSP Manager. The purpose of the inspection was to deliver findings for the above complaint allegation. Prior to delivering complaint findings LPA Diaz gathered documentation from client's file, and resource parent's file at the facility. LPA Diaz conducted an inspection of the facility. LPA was unable to tour the participant's apartment due to the apartment being fumigated. Based on the interviews conducted, the allegation cannot be substantiated. LPA Diaz conducted 3 confidential interviews. During the course of the investigation LPA Diaz found that the apartment did have pests, but participant was moved to a hotel until problem with the pests was resolved. Participant was moved to a hotel on 7/13/2022. Report continues on LIC UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Yuvicela Diaz 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 23-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, NATOMAS PARK DR., STE FACILITY NAME: FIRST PLACE FOR YOUTH THPP/THP+FCFACILITY NUMBER: VISIT DATE: 10/19/2022

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


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Based on evidence obtained and confidential interviews conducted during the investigation process the above allegations cannot be substantiated due to conflicting statements. 3 out of 5 confidential interviews stated that there was ample storage space for the client and that they saw no evidence of a lack of storage for the participant. 2 out of 5 confidential interviews stated that they attempted to conduct roommate meetings to address interpersonal conflicts, such as inadequate storage, but both roommates declined to participate in the meetings to rectify the issue. Lastly, 4 out of 5 confidential interviews stated that the participant would threaten and use physical violence towards staff members who were trying to help the participant with storage conflicts and abuse allegations. Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On September 10, 2024 at 11:05am Licensing Program Analysts (LPAs) Tatyana Shulz and Zaria Turner made an unannounced visit to deliver findings to the above Transitional Housing Placement Program and met with Susan Kimball, County Program Manager. Prior to the meeting LPA Buchannan, conducted the 10-day inspection of the THPP on 7/31/2024. No deficiencies were cited during that inspection. LPA Buchannan requested the following documents: the intake agreement, transitional independent living plan, incident reports from April 2020 through June 2021, cash resource log, and discharge documents. LPA Buchannan attempted 2 interview and conducted 5 interviews between 7/31/2024-8/21/2024. Report continue on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Tatyana Shulz 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: FIRST PLACE FOR YOUTH THPP/THP+FCFACILITY NUMBER: VISIT DATE: 09/10/2024

met_with: Susan Kimball- County Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On August 1, 2022, at 12:10PM Licensing Program Analyst (LPA) Yuvi Diaz conducted an unannounced Case Management visit to the above facility. The purpose of this visit was in response to a death report of a Client (C1). LPA Diaz met with Ray Gardner, Education and Employment Supervisor. LPA Diaz asked for medical documentation and further information regarding to C1's death. At this time LPA Diaz was informed that the incident continues to be under investigation with the Sheriff Department. LPA Diaz also obtained C1's Needs and Service Plan LPA Diaz obtained information about C1's County Social Worker for further information. At the time of this report, the cause of death had not yet been determined. LPA Diaz was unable to do a walk through of the C1's apartment. No deficiencies were cited on today's visit. An exit interview was conducted with Ray Gardner, Education and Employment Supervisor. A copy of this report was emailed to Regional Director.


summary: Facility Evaluation

raw_content:
Narrative:
On May 1, 2023, at 10: AM Licensing Program Analyst (LPA) Shalisa Stiger and Licensing Program Manager (LPM) Rosa Rodriguez conducted an unannounced Annual/Required inspection. LPA Stiger met with Susan Kemp, Independent Living Specialized Program (ILSP) Supervisor and toured the facility, inside. The facility is licensed to serve minor youth ages 16 to 17 for THP and Non-Minor Dependent ages 17 to 21 years for THP+FC program. LPA Stiger observed at the time of the visit, the facility to be clean, safe and sanitary. The Administrator office was inspected and the following was observed: two (2) desks, two (2) bathrooms, two (2) licenses and Youth Bill of Rights posted. One (1) electrical room. There are three (3) offices used for Housing and Educational programs. The Independent Living Program (ILP) is attached to the Administrative office and four (4) offices and equipped with the following: and one (1) staff lounge, three (3) offices including participant store. One (1) kitchen area with appliances and one (1) cabinet area stored with masks, sanitizer and cleaning products. LPA Stiger reviewed five (5) staff files and five (5) participant's files during today's inspection LPA Stiger observed a copy of Personal right's and a copy of the License posted in the common area of the Administrative Office. LPA Stiger also observed working smoke detectors, carbon monoxide and fire extinguishers. A review of the Licensing Information System indicates that all facility staff associated to the facility were fingerprint cleared through DOJ, FBI, and child abuse index. The facility is also current with the annual fees. There were no deficiencies noted or cited during today's inspection. An exit interview was conducted with Susan Kimball, ILSP Supervisor and a copy of this report was emailed to Regional Director.

met_with: Susan Kemp, ILSP Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On May 14, 2024 at approximately 09: AM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at First Place For Youth THPP/THP+FC for the purpose of conducting an Annual/Random Inspection. LPA was greeted at the door by Housing Specialist, Janica Quiones and was granted access into the facility. Education and Employment Manager, Raymond Gardner arrived 30 minutes later. Independent Living Specialized Program (ILSP), Susan Kimball arrived two and half hours later. A review of the Licensing Information System indicates that all facility staff associated to the facility were fingerprint cleared through DOJ, FBI, and child abuse index. LPA toured the facility and observed the facility to be clean, safe and sanitary with all exits free from obstruction. The Administrator office was inspected and the following was observed: two (2) desks, licenses and Youth Bill of Rights posted. 2 of 2 bathrooms water temperature measured at 118 degrees and is within regulation. One (1) electrical room was observed. There are three (3) offices used for Housing and Educational programs. The Independent Living Program (ILP) is attached to the Administrative office and four (4) offices and equipped with the following: One (1) staff lounge, three (3) offices including participant store which does not charge youth for snacks. One (1) kitchen area with appliances and one (1) cabinet area stored with masks, sanitizer and cleaning products. First aid kit was inspected and found to be appropriate during the inspection. Office supplies were observed on the left side of the staff lounge. Facility does not serve meals to clients in care. LPA also observed working smoke detectors and carbon monoxide sound directly to the Local Fire Jurisdiction. 3 of Fire Extinguishers were observed to be last charged on February 2024. During this Annual/Random inspection, LPA toured a client apartment and found the living environment to be clean and comfortable with all exits free from obstruction. During the inspection, LPA reviewed five (5) participant's files. (Report continued on LIC 809C) During a record review, LPA observed no Medical Assessments conducted on participants (See LIC 9102-Technical Violation). LPA educated Education and Employment Manager, Raymond Gardner regarding the importance of obtaining Medical Assessments for clients in care. LPA observed a copy of Personal right's and a copy of the License posted in the common area of the Administrative Office. Facility is in the process of updating the Emergency Disaster Plan (See LIC 9102-Technical Advisory). LPA requested the following documents to be sent: LIC 500- Personnel Report LIC 308- Designation of Responsibility LIC 309- Administrative Organization LIC 400- Affidavit regarding Client Cash Resources (if any) Most updated Emergency Disaster Plan (if any) Most up-to-date Liability insurance Control of Property Register of Participants Annual Continuation will be conducted at a later date and time. No deficiencies were cited during today's inspection. An exit interview was conducted with Education and Employment Manager, Raymond Gardner and a copy of this report was left at the facility.

met_with: Education and Employment Manager, Raymond Gardner & Independent Living Specialized Program (ILSP), Susan Kimball


summary: Facility Evaluation

raw_content:
Narrative:
On September 10, 2024 at approximately 11:05 am Licensing Program Analysts (LPAs) Tatyana Shulz and Zaria Turner arrived at the above Transitional Housing Placement Program (THPP). LPAs were greeted by Susan Kimball, County Program Manager who granted LPAs access. LPAs conducted a tour of the inside and outside of the facility where LPA observed the following deficiency. The water temperature in the participant bathroom was recorded at 143 degrees F with no hot water warning sign. (See LIC TV) LPAs requested a sign to be displayed in the bathroom warning participants of the hot water temperature and proof of hot water sign being posted. This case management will remain open, until proof of signage is provided to LPA Shulz to ensure the facility is in full compliance. An exit interview conducted and a copy of this report will be sent to County Program Manager, Susan Kimball.


summary: Facility Evaluation

raw_content:
Narrative:
On September 20, 2024 at approximately 9: AM Licensing Program Analyst (LPA) Sarina Buchannan arrived at the above Transitional Housing Placement Program (THPP). LPA was greeted by Tempest Smith, Education Advocate Lead who granted LPA access. On September 10, 2024, LPAs Tatyana Shulz and Zaria Turner conducted a tour of the inside and outside of the facility where LPAs observed the following deficiency. The water temperature in the participant bathroom was recorded at 143 degrees Fahrenheit with no hot water warning sign posted. On September 17, 2024, LPA Shulz received a picture from the facility showing that a sign warning participants of the hot water temperature is now displayed next to the sink in the bathroom. On September 20, LPA Buchannan observed the water temperature to be 148.5 degrees Fahrenheit but that the facility has added a sign near the sink warning of the high temperature. (See LIC TV) This case management that was initially open on September 10, 2024 is now closed. The facility is in full compliance. Exit interview conducted and a copy of this report was left with Tempest Smith.

met_with: Tempest Smith, Education Advocate Lead


facility_name: FLORENCE CRITTENTON OF ORANGE COUNTY

summary: Facility Evaluation

raw_content:
Narrative:
On December 31, 2024 at 9: AM Licensing Program Analysts (LPAs) Brent Lockhart and Karen McGee conducted a pre-licensing visit to Florence Crittenton THPP office. LPAs met with Vice President Cesar Salgado. The THPP is relocating from Pacific Commerce Drive, Rancho Dominguez, CA 90221 to Firestone Blvd. Suite 215, Norwalk, CA 90650. The THPP program will be sharing the same suite as the other Florence Crittenton welfare programs in a commercial building. The THPP currently utilizes apartments to place participants. Currently, the THPP has twelve placements, no host family and single housing units. A tour of the office was made with VP Salgado. LPAs observed the following: The THPP has a break room for staff, (2) conference rooms, (5) drop down offices, Clinical Director and Supervisor offices, storage room, and bullpen area for staff that provided desk, chairs and telephones which were available for use. LPAs observed the room where participant records will be stored. The room will be locked at all times, and the files will be stored in locked file cabinets. In addition, THPP files will be kept separate from other program files. There are restrooms located outside the suite in the main hallway of the commercial building. Prior to the pre-licensing inspection, LPA Lockhart reviewed all required documents for licensure. The office is equipped with three fire extinguishers. VP Salgado oversees Facility Administrator Elizabeth Arrelano and (5) Case Managers. A copy of the report was provided to the facility. (An amended copy of this document was provided on January 3, 2025.)

visit_type: Prelicensing

met_with: Cesar Salgado, Vice President


summary: Facility Evaluation

raw_content:
Narrative:
On March 28, 2025, at 10:45 a.m., Licensing Program Analysts (LPAs) Brent Lockhart and John Bonilla conducted an announced inspection at Florence Crittenton of Orange County, a Transitional Housing Placement Program (THPP), for the purpose of discussing the facility's Plan of Operation/Program Statement (PoO/PS). LPAs met with Audrey Fisher-Price, Vice President of Community Based Programs. During this inspection, LPAs went over the Department's current program tool with facility representative and suggested some revisions to their existing PoO/PS to bring the documents current. LPA Lockhart asks that the THPP resubmit their revision to him by April 11, 2025. No deficiencies were cited during this inspection. A signed copy of this report was provided to THPP representative. Exit interview conducted.

met_with: Audrey Fisher-Price Vice President of Community Based Programs


summary: Facility Evaluation

raw_content:
Narrative:
On June 11, 2025, at 9: AM, Licensing Program Analyst, (LPA) Gilbert Gutierrez conducted an un-announced post-licensing inspection to Florence Crittenton of Orange County Transitional Housing Program (THP) and met Program Manager, Andrea Davis who gave a tour of the facility. Program Manager provided the following documents: ACCREDITATION Board Minutes Meeting LIC 610C (Emergency Disaster Plan) LIC 500 (Personnel Report) Client Roster Physical Plant At the time of the inspection, the following was observed. posted license, accreditation, grievance box, a lobby/reception area, break room, conference rooms, drop down rooms, Program Manager and Supervisor offices, storage room, and file room. The first aid kit was complete. The smoke/carbon monoxide detectors in the break room and filing room were working. There was fire extinguishers located in the reception area and hallways of the THPP office. The restrooms were located outside the suite in the main hallway of the commercial building. Client Records The records were maintained in the file room where the participants' records are stored locked in metal filing cabinets. LPA reviewed 2 participant records. The records consisted of but not limited to the following: Certificate of Compliance, THP-NMD Application, Pre-placement Appraisal,Transitional Independent Living Plan (TILP)/Needs and Services Plan (NSP), Transitional Housing Program Agreement, Acknowledgement of Receipt of Grievance and Personal and Bi-Monthly Maintenance and Site Inspection Form. Staff Records Staff records are available upon request. LPA reviewed 2 personnel records (refer to LIC Confidential Names Form) dated 06/11/25 and interviewed 1 staff. An exit interview was conducted and a copy of this LIC 809, LIC 809C, LIC 811s and LIC 9102TV were provided to the Program Manager.

met_with: Andrea Davis


summary: Facility Evaluation

raw_content:
Narrative:
On July 23, 2025, at 2:00 p.m., Licensing Program Manager (LPM) Jean Herring and Licensing Program Analyst (LPA) Brent Lockhart held a virtual meeting via MS Teams with Audrey Fisher-Price, Vice President of Community-Based Programs. The following points were discussed: Administrator Change Notification During a post-licensing inspection on June 11, 2025, Licensing Program Analyst Gilbert Gutierrez discovered that the administrator listed in the system has not been serving in that role since January 2025. On June 13, 2025, LPA Brent Lockhart received an email notifying that Andrea Davis would serve as the THPP administrator. During today's meeting, Ms. Fisher-Price provided a board resolution authorizing Ms. Davis and three other staff members to accept licensing reports and make administrative decisions. However, the resolution did not designate Ms. Davis as the THPP Administrator nor specify the effective date of her appointment. LPM Herring emphasized the requirement to notify Community Care Licensing (CCL) of any Administrator change within ten (10) days. Ms. Fisher-Price agreed to submit a Board resolution designating Andrea Davis as the administrator including the effective date of her appointment. A technical advisory note was issued (refer to Document LIC9102TV) for the delayed submission. Per Ms. Fisher-Price, designated Administrator Andrea Davis wasn't able to attend the teams meeting. Program Statement Revisions LPM Herring inquired about the timeline for the updated program statement. LPM emphasized the importance of submitting the Program Statement revisions to ensure compliance with the latest ILS standards. Ms. Fisher-Price requested a few weeks and committed to submitting the revisions no later than August 15, 2025. A signed copy of this report was provided to the licensee.

met_with: Audrey Fisher-Price


summary: Facility Evaluation

raw_content:
Narrative:
On September 10, Licensing Program Analyst (LPA) Brent Lockhart conducted an unannounced inspection to Florence Crittenton of Orange County Transitional Housing Placement Program (THPP) and met with Program Manager, Andrea Davis. During the visit, LPA followed up with the facility regarding documents requested from the virtual meeting held on 7/23/25 with Ms. Price. The board of resolution notes from 8/28/25 were provided to LPA stating Mrs. Davis was appointed Administrator effective 01/28/25. In addition, Mrs. Price informed LPA thru Mrs. Davis that a revised Program Statement would be sent via email later today 09/10/25. An exit interview was conducted and a copy of this LIC 809 and LIC 811 was provided to the Program Manager.


summary: Facility Evaluation

raw_content:
Narrative:
On January 28, 2026, at 9:05AM Licensing Program Analyst (LPA) Amber Hunter conducted an unannounced Annual/Required inspection at Florence Crittenton of Orange County, a Transitional Housing Placement Program (THPP). LPA met with Mayra Centeno, Facility Administrator. The facility is licensed to provide Transitional Housing Placement Program services to non-minor dependents and currently has a capacity of 74. LPA reviewed the following domains of the Compliance and Regulatory Enforcement (CARE) tool: Physical Plant, Operations, Disaster Preparedness, Staffing, and Client Records. PHYSICAL PLANT The facility is located in a 3-story building on the second floor. There is sufficient staff, case worker space, a conference room, (which can also be used for confidential meetings), staff kitchen/break room, and a file storage room with a lock on the door for confidential files. LPA observed Copies of the Community Care License, Emergency Disaster Plan, and Facility Sketch. All copies were posted in a prominent location. All participant records are maintained in a secure locked office. The administrative office has telephone service on the premises. OPERATIONAL REQUIREMENTS The facility maintains a register of participants available upon request. The facility is currently operating within licensing regulations. Continued on 809C DISASTER PREPAREDNESS The facility has an emergency and disaster plan for the THPP NMD participants. The emergency plan includes emergency information, instructions, telephone numbers, including a 24-hour emergency number for the licensee, and the participant's responsible party. STAFF RECORDS There is a total of five (5) staff; four (4) of which are full-time case workers and one (1) case worker supervisor. Staff records are available upon request. The agency is in compliance with the case worker ratio. Program Administrator meets the education and experience requirements, completed the required training, file contains the Statement acknowledging requirement to report child abuse, fingerprint, and child abuse index check clearances and current with CPR and first aid. CLIENT RECORDS The facility currently has five (5) transitional housing placement participants aged 18-21 years old. The facility ensured that the Transitional Independent Living Plan/Needs and Services Plan is signed by the NMD. The facility ensured the participants' records are maintained and locked on site in the THPP office. During today's visit, six (6) Technical Violations were issued. An exit interview was conducted and a signed copy of this report, LIC 9102 and LIC 811 was provided to the Program Administrator and Program Director. End of Report.

met_with: Mayra Centeno


summary: Facility Evaluation

raw_content:
Narrative:
On January 29, Licensing Program Analyst (LPA) Amber Hunter conducted an unannounced visit at the above named facility to continue an Annual inspection. During the visit, LPA Hunter interviewed five (5) staff including Facility Administrator. LPA requested contact information for five (5) clients. An exit interview was conducted and a copy of this LIC 809 and LIC 811 was provided to the Program Manager.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Manager (LPM) Yan Yeung and Licensing Program Analyst (LPA) Juliet Robles conducted an unannounced case management inspection at the Florence Crittenton of Orange County Transitional Housing Placement Program (THPP) on March 13, 2026, at 9:15 am and met with Administrator, Mayra Centeno The purpose of the visit is to meet personally the administrator as it is on the new caseload of the LPA and to have a discussion with the new Provider Information Notice PIN 25-06-CRP that are the newly adopted regulations for Transitional Housing Placement Programs. LPM and LPA discussed the following sections in the PIN: -Reporting Requirements -Expectations, Alternative, and Consequence -Core Services and Supports -Participant Living Units -Safeguards for Cash Resource and Property -Intake Procedures -Needs and Services and Transitional Independent Living Plan -Removal and Discharge Procedures -Participant Records - Personal Rights - Building and Grounds LPA Robles instructed facility to submit corrections and/or revisions to the appropriate sections of the plan of operation and program statement as discussed, via email on or before April 03, 2026. An exit interview was conducted, and a copy of this report was provided to Ms. Centeno.


facility_name: FOSTERING FUTURE SUCCESS

raw_content:
Narrative:
Based on evidence obtained and confidential interviews conducted during the investigation process the allegations above cannot be substantiated due to the inability to obtain a statement from the participant in question. LPA attempted to contact the participant multiple times in order to gather information on the above allegations but was unable to reach the participant via phone number and email listed on the report. 1 out of 3 confidential interviews stated that participant was not unlawfully evicted. The agency was able to place the participant in their rapid rehousing program. Allowing the participant to keep their place of residence after completing the program. 2 out of 3 confidential interviews stated that participant did receive the funds owed to them before leaving the program. LPA obtained documentation of the participant receiving all funds owed to them on May 2, 2024. Lastly, 1 out of 3 confidential interviews stated the participant was given a grievance form but LPA was unable to confirm or deny these claims after attempting to make contact on 4 separate occasions with the participant. Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On July 31, 2024 at 3:20pm Licensing Program Analysts (LPA) Tatyana Shulz and Sarina Buchannan made an unannounced visit to conduct a complaint inspection to the above Transitional Housing Placement Program (THPP) and met with Deputy Director, Jason Sitar for the purpose of delivering findings. Prior to the meeting LPA Stiger, conducted the 10-day inspection of the facility on 4/04/2024. No deficiencies were cited at the THPP. LPA Stiger requested Participant file, LPA Shulz obtained placing paperwork, data records, financial documentation and resource contacts for staff and other parties involved. LPA Stiger conducted 1 interview and LPA Shulz attempted 2 interview and conducted 1 confidential interview between 4/04/2024-7/18/2024. LPA Shulz was not able to obtain contact information from former staff members that were employed during that time. Report continue on LIC9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Tatyana Shulz 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: FOSTERING FUTURE SUCCESSFACILITY NUMBER: VISIT DATE: 07/31/2024

met_with: Deputy Director-Jason Sitar


summary: Facility Evaluation

raw_content:
Narrative:
On May 4, 2022 at 12:20PM, Licensing Program Analyst (LPA) Yuvi Diaz conducted an announced required- 2 year inspection. LPA Diaz met with Jason Sitar, Program Manager who assisted with this inspection. LPA Diaz observed at the time of this inspection, the facility to be clean, safe, and sanitary. Facility office consisted of kitchen space, open area for activities, conference table, four offices with working spaces for social workers and other staff, and two bathrooms.LPA Diaz observed the Foster Youth Personal Rights, covid posters, facility license, floor plan, and the emergency/disaster plan. LPA Diaz observed the files are stored in locked file cabinets in a locked designated room. LPA Diaz reviewed four staff files: one Administrator file, one Program Manager file, and two social worker files. They all contained the following documents: CPR and First Aid training. They also have DOJ, FBI, and Child Abuse check clearances. A review of Licensing Information System on May 3, 2022 indicates that all facility staff associated to the facility had DOJ, FBI, and child abuse index check clearances. There where no deficiencies noted at today's inspection. but a technical advisory note was provided due to no job descriptions in the staff files. Program Manager had no knowledge of this requirement, but has reached out to Human Resource to have copies of the job descriptions and will be filed in the staff files. LPA Diaz completed three domains from the care tools: Physical Plant, Operations, and Disaster Preparedness. LPA Diaz will complete the care tools at a different time. Exit interview was conducted with Jason Sitar, Program Manager. A copy of this report will be e-mailed to jsitar@lssnorcal.org

met_with: Jason Sitar, Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On May 18, 2022, at 10:15AM Licensing Program Analyst (LPA) Yuvi Diaz conducted an unannounced required- 2 year inspection at the above facility. LPA Diaz met with Jason Sitar, Program Manager who assisted with this inspection. LPA Diaz reviewed seven client files, completed client domain on care tool, and interviewed two staff members. Upon reviewing client files LPA Diaz found that needs and service plan does not meet the standards of the care tools. Needs and Service Plan for the clients does not have planned of length of placement, discharge plan for NMD, plans for providing the individual needs, and signatures of facility social worker. LPA Diaz also found that there is no record of a signed copy of the written removal or discharge policies and procedures as specified on the care tool. All domains of the care tool have been completed. The agency has been cited on Nonminor Dependents' Records (See LIC 809D). An exit interview was conducted with Jason Sitar, Program Manager. A copy of this report and Appeal Rights was be emailed.


summary: Facility Evaluation

raw_content:
Narrative:
On December 7, 2023, at 12:02PM, Licensing Program Analyst (LPA) Shalisa Stiger made an unannounced visit to the facility for the purposes of verifying Administrative documents. LPA Stiger met with the Deputy Director who assisted with this visit. During this visit, it was determined additional verification is needed. An exit interview was conducted, and a copy of this report was provided. This case management investigation needs further investigation.

met_with: Jason Sitar, Deputy Director


summary: Facility Evaluation - 2 deficiencies

raw_content:
Narrative:
On May 21, 2025 at approximately 9: AM, Licensing Program Analysts (LPA) Zaria Turner, made an unannounced visit with the purpose of conducting an annual inspection to the above Transitional Housing Placement Program (THPP). LPA Turner met with Facility Administrator, Jason Sitar, and a walk through of the interior and exterior was completed. LPA conducted a walk though of the interior and exterior of the facility. The facility was clean, safe and kept free of obstruction. LPA observed the posting of License, Personal Rights, and Emergency Disaster Plan. The facility consists of four office rooms, a workshop room, a kitchen, a nook, a file room, laundry room, and two bathrooms. Office room #1 is equipped with three desks, three office chairs, one monitor, a printer, and and two supply closets. Office room #2 is equipped with one desk, one office chair, two monitors, a file cabinet, a chair, a side table, a love seat, and a supply closet. Office room #3 is equipped with a desk, an office chair, two monitors, three chairs, and a supply closet. Office room #4 is equipped with two desks, an office chair, two monitors, two chairs, and a supply closet. The workshop room is equipped with two tables, eight chairs, two desks, two monitors, and two office chairs, a TV and dresser stand, a file dresser, and two love seats. The nook is equipped with five chairs, a desk, and bookshelf. There is a laundry room with a washer and dryer and cabinets above where disinfectants and cleaning solutions are kept and locked away. Continue summary of inspection on 809-C First Aid Kit fully stocked. Hot Water between 105-120 degrees F. Fire Extinguishers are up to date and in working order. The toilets and bathroom fixtures are in good repair. Soap and paper towels are available. The facility is free of vermin. Administrative office is within two hours of participants living areas. The yard contains a large grassy area and a basketball hoop. There is no pool on the premises. The following domains were also reviewed during today's inspection, Physical Plant, Operation, Emergency Disaster Preparedness, and Staff and Client Records. A total of four staff files and four client files were reviewed. LPA conducted two staff interviews. A review of the Licensing Information System indicates the facility is up to date on their facility annual fees. Several deficiencies were assessed during today's inspection. (See LIC 809-Ds) An exit interview was conducted with Jason Sitar, Facility Administrator, and a copy of this report and the Appeal Rights were provided during today's inspection.

Deficiencies:
86066(a): Personnel Records

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information
86069(a): Deficient Practice Statement
1
2
3
4Based on record review, the licensee did not comply with the section cited .

met_with: Jason Sitar, Facility Administrator

title:
Participant Medical Assessments

(a) Prior to or within 30 calendar days following the acceptance of a participant, the licensee shall obtain a written medical assessment of the participant, as specified in Section 80069(b), which enables the licensee to determine their ability to provide necessary health related services to the participant. The assessment shall be used in developing the Needs and Services Plan.

This requirement is not met as evidenced by


summary: Facility Evaluation

raw_content:
Narrative:
On May 13, Licensing Program Analyst (LPA) Sarina Buchannan, made an unannounced visit with the purpose of conducting an annual inspection to the above Transitional Housing Placement Program (THPP). LPA met with Facility Administrator, Jason Sitar, and a walk through of the interior and exterior was completed. LPA conducted a walk though of the interior and exterior of the facility. The facility was clean, safe and free of obstructions. LPA observed the posting of License, Personal Rights, and Emergency Disaster Plan. The facility consists of four office rooms, a workshop room, a kitchen, a nook, a file room, laundry room, and two bathrooms. Office room one is equipped with three desks, three office chairs, one monitor, a printer, and and two supply closets. Office room two is equipped with one desk, one office chair, two monitors, a file cabinet, and a supply closet. Office room three is equipped with a desk, an office chair, two monitors, three chairs, and a supply closet. Office room four is equipped with two desks, an office chair, two monitors, two chairs, and a supply closet. The workshop room is equipped with two tables, two desks, two monitors, a TV and dresser stand. The nook is equipped with five chairs, a desk, and bookshelf. There is a laundry room has a washer and dryer and cabinets above where disinfectants and cleaning solutions are kept and locked away. (report continued on LIC 809-C) Hot Water between 105-120 degrees and fixed at 122 degrees F. Fire Extinguishers are up to date and in working order. The toilets and bathroom fixtures are in good repair. Soap and paper towels are available. The facility is free of vermin. Administrative office is within two hours of participants living areas. The yard contains a large grassy area and a basketball hoop. There is no pool on the premises. The following domains were also reviewed during today's inspection, Physical Plant, Operation, Emergency Disaster Preparedness, and Staff and Client Records. A total of five staff files and five client files were reviewed. LPA conducted one staff interview. The Program Manager will be interviewed at a later date as they are not present or available for phone interview during today's inspection. A civil penalty in the amount of $100 per day, with a maximum of five days, totaling $2,000 is being assessed for Background Clearance Violation (See LIC 809-D). An exit interview was conducted with Jason Sitar, Facility Administrator, and a copy of this report and the Appeal Rights were provided during today's inspection.


facility_name: FOUNDATION FOR SPECIAL PEOPLE THP+FC

summary: Facility Evaluation

raw_content:
Narrative:
On May 24, 2022 at 9:00am Licensing Program Analyst (LPA) Donald Martin arrived at the above location for the purpose of conducting a Required 2 year inspection. LPA met with Linda Smith, Chief Financial Officer, who granted access and toured the entire physical plant. The census today is zero. This organization does not currently have a contract with any entity to accept clients and is not operating. NOTE: There are 3 adults here at the office space. CFO Linda Smith stated that they are here at the office under a Community based Day Program Due to Covid restrictions. LPA will follow up with LPM regarding this program operating out of the office. The physical plant of the administrative office is as follows: The front exterior of the facility is a gated grassy area that leads to the front door. The gate is not locked. There is a walk way that leads to the rear exterior of the facility. The interior of the building consists of an office with an entry/lobby and two separate rooms. Entry/Lobby: To the left of the doorway, there is a desk with a computer workstation. There is a table with four chairs on the right side of the lobby. Office: The office area contains desks and computers for staff. Client and staff files will be contained in locked file cabinets in the rear of the room. There is a separate office/therapy room that is available should clients need privacy for counseling or meetings. The bathroom has a toilet and a sink. Cont 809-C Foundation For Special People THP+FC will utilize the single site housing model and even though the location has not been identified, the following services will be applicable, 1. Participants will have their own bedroom, 2. No more than two participants will share a bathroom, 3. No more than two participants will share a refrigerator, 4. There will be an on-site supervisor available 24/7 to support, assist and oversee any needs of the participants, 5. There will be an assigned Social Worker to assist and meet with participants a minimum of one time per week (face-to-face) and 6. Supervision, if needed, with the distribution of any prescription medication. To date, the following administrative staff have been identified: Joyce Kitchen (Johnson) (Executive Director/Administrator), Linda Smith (Chief Financial Officer). Deanne Jackson (Property Manager). All other positions are TBD. On 7/21/2017 the facility was given a Deficiency Plan of Correction to adjust the program statement to reflect the additional business being conducted from this office space. There is now an auto mechanic business being ran out of the garage area in the back of the office. During this visit, the following deficiencies were observed/cited (SEE LIC809-D). An exit interview was conducted and a copy of this report was left at the facility.

met_with: Linda Smith-CFO


facility_name: FRED FINCH YOUTH CENTER-RISING OAKS

raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that facility staff did not maintain confidentiality of participant's confidential information. , therefore the above allegation is unsubstantiated. Exit interview conducted with FM and LPA left report at the facility. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that facility staff did not maintain confidentiality of participant's confidential information, therefore the above allegation is unsubstantiated. Exit interview conducted with SD and LPA left report at the facility.

Investigation Findings:
13Licensing Program Analyst (LPA) Christopher Rollins conducted a complaint inspection with Fred Finch and met with Mar Smith Senior Director. LPA spoke with Kellie Knox Administrator over the phone and Administrator approved SD to sign for Administrator. The purpose of the inspection was to deliver the finding for the above complaint allegation. During the course of investigating this allegation, LPA conducted confidential interviews with staff, clients, social workers, conducted a client file review and reviewed documentation. Confidential interviews and documentation reveal that facility staff did not report incident in a timely manner. Based on confidential interviews and documentation there was enough evidence to prove that facility staff did not report incident in a timely manner, as required. Based on the information obtained; there is a preponderance of evidence to prove that facility staff did not report incident in a timely manner by reporting requirements. Therefore, the above allegation is substantiated. Appeal Rights were provided and deficiencies were cited. Exit interview conducted and a copy of the report was sent to the Adminstrator for signature. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Christopher Rollins 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: FRED FINCH YOUTH CENTER-RISING OAKSFACILITY NUMBER: 015202353

met_with: Mar Smith-Senior Director


raw_content:
Investigation Findings:
13Regarding the allegation that staff threatened participant: During the course of the investigation, LPA Karkazis conducted confidential interviews, document research and video surveillance review. During confidential interviews, all parties interviewed stated that the client was in a bad mood, and there was a misunderstanding, between client and staff. No threats were made by staff to the participant. LPA reviewed video surveillance, which has no audio. The conversation between staff and participant was peaceful, without aggressive behavior. LPA conducted document research in an incident report dated 3-10-23 and shift notes. The incident report stated that it was one person's word against another. Shift notes reveals that staff de-escalated the situation. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that staff threatened participant. Therefore the allegation is UNSUBSTANTIATED UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: George Karkazis 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: Carolina Sousa, Program Housing Manager


raw_content:
Investigation Findings:
13On 11-8-23 9:35AM, Licensing Program Analyst (LPA) George Karkazis conducted an unannounced inspection at Fred Finch Rising Oaks and met with Carolina Sousa, Housing Program Manager who helped with the inspection. The purpose of the inspection was to deliver the complaint findings. The complaint alleged that staff do not prevent residents from harassing other residents and staff do not enforce visitor policies. LPA Karkazis conducted confidential interviews with staff, clients, representatives, and conducted document research, in which inconsistent information was provided. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation occurred. Therefore, the allegation is UNSUBSTANTIATED. An exit interview was conducted and a copy of this report was given to Carolina Sousa, Housing Program Manager. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lidia Tinoco LICENSING EVALUATOR NAME: George Karkazis 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: Carolina Sousa, Housing Program Manager


raw_content:
Investigation Findings:
13On 5-6-25 10:45AM, Licensing Program Analyst (LPA) George Karkazis conducted an unannounced inspection at Fred Finch Rising Oaks, and met with Carolina Soza, Housing Program Manager. The investigation #CD1425-02023 was assigned to Community Care Licensing Investigations Branch (IB), Investigator Austin Blatnick. The complaint alleged that staff sexually abused youth and facility is retaliating against youth for filing a complaint. LPA Karkazis and Investigator Blatnick conducted confidential interviews and document research, in which inconsistent information was provided. Furthermore, LPA Karkazis and Investigator Blatnick were unable contact or obtain a statement from the client/victim after numerous attempts. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the allegations occurred. Therefore, the allegations are UNSUBSTANTIATED. A copy of this report was given to Carolina Soza, Housing Program Manager. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: George Karkazis 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: Carolina Soza, Housing Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst(LPA) Christopher Rollins made an unannounced required Annual inspection to Fred Finch Rising Oaks Administrative office. LPA met with Kellie Knox Administrator. The Transitional Housing Placement Plus Foster Care program (THP-FC) services non-minor dependents. At 2: PM, LPA did a walk through inspection with Administrator of the office and one studio apartment which is on the campus. There is sufficient space in the office for confidential meetings, all participant files, and staff files are located in a locked cabinet in an office where only facility staff have access to them. The agency has their license posted in the lobby of their office. The office is in compliance with Community Care Licensing (CCL) regulations. At 2: PM, LPA conducted a walk through inspection of a studio apartment with Administrator. The apartment is cleaned, all appliances work, fire extinguisher, smoke detectors are up to date and the hot water is working in sink, shower and bathroom sink. LPA observed the apartment at a comfortable temperature. At 3: PM, LPA reviewed 5 participants files with Administrator. All participants files are complete and documentation is up to date. At 3: PM LPA reviewed 5 staff files with Administrator. All Staff files were complete, documentation was up to date and all staff had there annual training hours. During the inspection LPA requested an updated LIC 500 to maintain the facility file current. All personnel required to have fingerprint clearances were verified using Licensing Information System facility personnel report dated 9/21/21. No deficiencies were cited during today's visit. Exit interview conducted and a report was left at the Administrative Office.

met_with: Kellie Knox-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 4/27/22 at 1: PM, Licensing Program Analyst (LPA) Paul Simien conducted an unannounced visit to the above facility. The purpose of this visit was to conduct the required annual inspection. LPA met with Mackenzie Minard, Property Manager, and Jon Wells, Director of Campus Operations at the above facility to conduct the required annual inspection. LPA conducted Plant Inspection. No deficiencies were cited at this time. LPA conducted an exit interview with Kellie Knox, Senior Director, at 1: PM.

met_with: Kellie Knox, Senior Director


summary: Facility Evaluation

raw_content:
Narrative:
On 9/1/22 at 10: AM, Licensing Program Analyst (LPA) Paul Simien conducted an unannounced visit to the above facility. The purpose of this visit was to conduct the required continued annual inspection. LPA met Lauren Tanzer, Clinical Manager at the above listed facility to conduct the required annual inspection. LPA conducted Operations inspection, Disaster planning inspection, and reviewed four client files. No deficiencies were cited at this time. LPA conducted an exit interview with Lauren Tanzer, Clinical Manager, at 2: PM.

met_with: Lauren Tanzer, Clinical Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 11/28/22 at 10: AM, Licensing Program Analyst (LPA) Paul Simien conducted an unannounced visit to the above facility. The purpose of this visit was to conduct the required continued annual inspection. LPA met kellie Knox, Administrator at the above listed facility to conduct the required annual inspection. LPA reviewed one client file, five staff files, and conducted two staff interviews. The Annual Inspection is complete. One deficiency (CCR Title 22, Sections 86065(f)(1)) and One technical assistance was cited. LPA conducted an exit interview with Kellie Knox, Administrator, at 2: PM.

met_with: kellie Knox, Administrator


facility_name: GOLDEN ROSE-FOWLER

summary: Facility Evaluation

raw_content:
Narrative:
On April 16, 2024, a virtual Component II Orientation was conducted by LPA (Licensing Program Analyst) Vanessa Galvan with Licensee Diana Luevanos. The following was addressed and discussed: The program expectation/review. An overview of the first revision letter. (See attached 812 for first revision letter.) Informed the applicants of corrections needing to be made to the application. Revisions to the Plan of Operation (POO)/Program Statement (PS) to meet regulatory standards. Electing Board Members, live scan of board member, by laws for board, and board resolution. Contact the Secretary of the State- must be a Non-Profit Corporation, obtain Articles of Incorporation & have an IRS Tax Exempt letter to obtain an AFDC Rate. Letter of Documentation for correction and missing paperwork. Tentatively corrections will be submitted on 05/16/2024, if Licensee needs an extension, Licensee will contact LPA Galvan.

met_with: Diana Luevanos


summary: Facility Evaluation

raw_content:
Narrative:
On July 10, 2024, a Licensing Program Analyst (LPA) conducted an in-person Technical Assistance Meeting (TA) at the Fresno Community Care Licensing Building. Present from Golden Rose-Fowler was applicant Diana Luevanos. During the TA, the Second revision letter was reviewed with the applicant. LPA discussed sections A1-A16, B4-B5, Program Policies, and the program's operation. Financial requirements were discussed, and an updated LIC 401 will be submitted to LPA. A status update will be checked regarding the fire inspection.LPA will review new revisions made by the applicant, and a third revision letter will be sent to the applicant. After a fire clearance has been granted, LPA will schedule a Pre. Licensing visit with the applicant. A copy of this report was provide to Diana Luevanos at the conclusion of the meeting.


summary: Facility Evaluation

raw_content:
Narrative:
On October 28, 2024, a Licensing Program Analyst (LPA) conducted an in-person Technical Assistance Meeting (TA) at the Fresno Community Care Licensing Building. Present from Golden Rose-Fowler was applicant Diana Luevanos and Social Worker Jose De La Cueva. During the TA, the Third revision letter was reviewed with the applicant. LPA discussed sections B, Program Policies, and the program's operation. Financial requirements were discussed, foster care rates, Disasters Preparedness File, Certificate of approval for units, Guardian associations, and 30-day deadline. Pre-Licensing inspection has been scheduled for 11/08/2024 at 10: AM at the location of N. 8th Street, Fowler, CA, 93625. A copy of this report was provided to Diana Luevanos at the conclusion of the meeting.

met_with: Diana Luevanos and Jose De La Cueva


summary: Facility Evaluation

raw_content:
Narrative:
On November 8, 2024, Licensing Program Analyst (LPA) Vanessa Galvan traveled to the Golden Rose-Fowler office located in Fowler, CA. LPA was met by Licensee (LS) Diana Luevanos and Social Worker Supervisor Jose De La Cueve for the purpose of a scheduled pre-licensing inspection for a THP + NMD. A general overview of their program and a tour of the facility was provided. This facility has a reception area, waiting area, office space for staff and space for confidential meetings. LPA observed fixtures and furniture, equipment and supplies necessary for this operation. Also observed locked cabinets for client and staff files to ensure confidentiality. The office was equipped with a first aid kit and a fire extinguisher. All required LIC forms and personal rights are posted in a common area. The is in the process of setting up a Guardian account to transfer and associate staff. Agency to provide to LPA Galvan association requests and copies of current identification for any staff to be associated prior to Guardian account approval. LS will contact Foster Care Rates to submit an application. LS will notify LPA when application is submitted and provide a status update. LPA discussed with LS the process for requesting a staff exception. A copy of this report was provided to Diana Luevanos at the conclusion of the inspection.

met_with: Diana Luevanos, Jose De La Cueva, Monica Flores, and Mariah Munoz


summary: Facility Evaluation - 3 deficiencies

raw_content:
Narrative:
On May 5, 2025, Licensing Program Analysts (LPAs) Vanessa Galvan and Olivia Medrano traveled to Golden Rose-Fowler, Fowler, CA, and met with Licensee Diana Luevanos. The purpose of the inspection is to conduct a post-licensing inspection. LPA Galvan conducted a physical plant inspection and included the following observation and checks: client and staff files are kept in locked filing cabinets. The agency has adequate confidential meeting space, space for Social Worker and Case Manager to complete job duties. The facility has a current copy of the license, Facility Sketch, Client Personal Rights, LIC 610C, posted in a common area. The agency has a client register roster LIC 9120, with all required information. The agency's office is located within two hours of travel time of the THPP participants living units. The agency employs (1) Administrator/Social Worker Supervisor/Program Director, (1) Case Manager, and (1) Transporter. LPAs reviewed two staff files. A review of the staff files on this date indicates that two facility staff has received child abuse index and fingerprint clearances. One staff did not have a clearance with child abuse index and fingerprint clearance. Staff files meet did not regulatory standards. The agency currently has (2) THPP NMD participants. LPA Galvan reviewed (2) THPP NMD Participant files on this date. Client files did not meet regulatory standards. LPA discussed the client's medical assessments, client's Needs and Services Plans initial completed in 30 days and modification every six month, clients allowance/rent/emancipation savings and documentation, reminder of no comingling of funds. All staff need to have a fingerprint clearance prior to working for the program, requirement for staff files, availability of the Administrator, Staff training and documentation, documentation of fire drills, updating the LIC 610C to reflect second evacuation location. The facility is being cited for (4) Type A, (8) Type B, (2) Technical Violations, (1) Civil penalty. (See Attached LIC 9099D) An exit interview was conducted. A copy of this report, LIC 811, and appeal rights were provided discussed and provided to Diana Luevanos at the conclusion of the inspection.

Deficiencies:
86066(a): Personnel Records

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information
86065(f): Reporting Requirements

(f) All THPP personnel shall, at a minimum, receive training that provides knowledge of and skill in the following areas, as evidenced by safe and effective job performance
86064(h): Administrator Qualifications and Duties

(h) The administrator shall complete training related to the sexual and reproductive rights of children in foster care that includes the following topics

met_with: Mariah Munoz and Diana Luevanos


summary: Facility Evaluation

raw_content:
Narrative:
On May 16, 2025, Licensing Program Analysts (LPA) Vanessa Galvan traveled to Golden Rose-Fowler, Fowler, CA, and met with Licensee Diana Luevanos and Program Manager/Administrator Jose De La Cueva, and Case Manager Mariah Munoz. The purpose of the inspection is to conduct interviews for the post-licensing inspection. LPA Galvan interviewed three staff members during the inspection. No citations or deficiencies were observed during today's inspection. A copy of this report was discussed and provided to Diana at the conclusion of the inspection via email due to printer error.

met_with: Diana Luevanos, Mariah Munoz, Jose De La Cueva


summary: Facility Evaluation

raw_content:
Narrative:
On May 20, 2025, Licensing Program Analyst (LPA) Vanessa Galvan, Licensee Diana Luevanos, Administrator Jose De La Cueva, and Case Manager Mariah Munoz met for a Component III Orientation. The purpose of the Component III Orientation was to review the Transitional Housing Placement Program (THPP)Rules and Regulations, prepare Licensee to maintain and operate their facility, and provide information to avoid potential problems areas. The following was addressed and discussed: Interim Licensing Standards (ILS) for Non-Minor Dependents (NMD), Version 2, Section 8600- Safeguards for Cash Resources, Personal Property, and Valuables, Bonding, Finances, Accountability. Reporting Requirements, Emailing Incident Reports to the CCLD Inbox Fresno. Administrator & Social worker- Qualifications and Duties, Personnel Requirements, Personnel Requirements, Criminal Record Clearance. Admission Agreements, Participants Medical Assessment, Register of Clients, Personal Rights.Telephones, Transportation, Health Related Services, Food Services, Responsibility for Care & Supervision, Activities, Building and Grounds. Inspection Authority of Licensing Agency, Department Approval for Remote Site Model, Waivers and Exceptions. Complains and the LPA, Deficiency Types, Extension Request, Types of Civil Penalties, Providers Information Notices (PINs), Complaint and Regulatory Enforcement CARE Tools, Officer of the Day, TSP Services. This report was discussed and provided to Diana Luevanos at the conclusion of the meeting.

met_with: Mariah Munoz, Diana Luevanos, Jose De La Cuevas


summary: Facility Evaluation

raw_content:
Narrative:
On August 7, 2025, Licensing Program Analyst (LPA) Vanessa Galvan traveled to the Golden Rose- Fowler Transitional Housing Placement Program located in Fowler, CA, and met with Facility Representative, Mariah Munoz. The purpose of the inspection is to discuss recent incident reports submitted to the department. LPA gathered additional information on the incidents that occurred involving non-minor dependent 1 (NMD1) and non-minor dependent 2 (NMD2) (See LIC 811 for confidential names). During the inspection the LPA conducted confidential interview and obtained information. LPA also discussed and provided technical assistance regarding the program's updated Visitors Policy, Unit Cleanliness, Behavioral Contracts, and Safety Plans. There are no deficiencies to be cited on today's inspection. An exit interview was conducted to discuss this report and LIC 811. A copy of this report and LIC 811 were provided to Mariah Munoz at the conclusion of the inspection via email due to printer issues.

met_with: Mariah Munoz


facility_name: GUIDING OUR YOUTH THP + FC

summary: Facility Evaluation

raw_content:
Narrative:
On 05/10/2022 at 9:30AM Licensing Program Analyst (LPA) Olivia made an unannounced to Guiding Our Youth Transitional Housing Placement plus Foster Care (THP + FC) Administrative Office for the purpose to conduct the Annual/Required licensing Inspection. LPA Rosas met with Staff#1(S1) who granted access to the Administrative Office and an inspection was conducted together. Individuals mention in this report are identify on the Confidential Names List (LIC811) dated 05/10/22. The annual fees are current. LPA Rosas inspected following during the inspection: The facility is licensed to provide Transitional Housing Placement plus Foster Care (THP + FC) and Non-Minor Dependents (NMD) to four (4) participants ages eighteen (18) through twenty one (21). There are currently no participants in placement. The facility has no rented remote sites at the moment but in the past had some in Simi Valley. The facility is not currently operating and offering services. The facility has no staff. The facility would like to keep their license open. LPA inform facility to inform the Department when they decide to provide services in the future by providing updated Personnel Report (LIC 500), and certification/decertification list. No staff or client files were inspected, and no interviews were conducted. No staff or client interviews were conducted. The administrative office is located at Casarin Avenue, Unit #2., Simi Valley, CA 93065. The office is located on the back house unit and is set up as follows: The main office is for the administrator/supervising social worker and provides an area for private interviews. The main office has locked file cabinet to store staff and client files. There is a kitchen and restroom available. There is a detached garage that can be used as a conference room. The unit has sitting area with desk, couch, and table. All posting requirements were met. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.

met_with: Staff#1 (S1)


summary: Facility Evaluation

raw_content:
Narrative:
On 11/12/2024 at 9:43AM Licensing Program Analyst (LPA) Christine Wilson made an unannounced to Guiding Our Youth Transitional Housing Placement plus Foster Care (THP + FC) Administrative Office for the purpose to conduct the Annual/Required licensing Inspection. LPA Wilson met with Staff#1(S1) who granted access to the Administrative Office and an inspection was conducted together. Individuals mention in this report are identified on the Confidential Names List (LIC811) dated 11/12/2024. The annual fees are current. LPA Wilson inspected following: The facility is licensed to provide Transitional Housing Placement plus Foster Care (THP + FC) and Non-Minor Dependents (NMD) to four (4) participants ages eighteen (18) through twenty one (21). There are currently no participants in placement. The facility has no rented remote sites at the moment but in the past had some in Simi Valley. The facility is not currently operating and offering services. The facility has no staff. The facility would like to keep their license open. LPA informed (S1) to inform the Department when they decide to provide services in the future by providing updated Personnel Report (LIC 500), and certification/decertification list. No staff or client files were inspected. No staff or client interviews were conducted. The administrative office is located at Casarin Avenue, Unit #2., Simi Valley, CA 93065. The office is located on the back house unit and is set up as follows: The main office is for the administrator/supervising social worker and is currently used for storage. The main office has locked file cabinet to store staff and client files. There is a kitchen and restroom available. There is a detached garage that can be used as a conference room. The unit has sitting area with desk, couch, and table. All posting requirements were met. refrigerator, and kitchen appliances are in working condition. Smoke alarm was tested to be in working condition. There are (2) fire extinguishers. Thermostat was set to 70 degrees. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was provided to the facility.

met_with: STRTP-THP Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On February 6, 2025, Licensing Program Analyst (LPA) Nancy O'Connell and Licensing Program Manager (LPM) Kevin Sauk, scheduled and met with the facility licensee, administrator, and management team for an Informal Office meeting, held at the Woodland Hills Regional Office. The purpose of the meeting was to gain clarification about the current state of operation. Community Care Licensing Division staff in attendance: Bernice Karnsrithong, Children's Residential Regional Manager (RM), Community Care Licensing Division (CCLD) Kevin Sauk, Licensing Children's Residential Program Manager (LPM), Community Care Licensing Division (CCLD) Nancy O'Connell, Children's Residential Licensing Program Analyst (LPA), Community Care Licensing Division (CCLD) Guiding Our Youth staff in attendance: Andrew Lang- Licensee. Paulette Poutre, staff. Melissa Kagen,staff. Maral Saltanian, staff. Madison Hall, staff. Kathleen Burrell, staff. Tessa Koziol, staff Introductions were conducted and LPM Sauk provided a copy of the meeting agenda to all in attendance. The following topics were addressed: Staff Roles, Staff Schedule, Inspection Authority, Care and Supervision, Emergency Intervention Plan, and Staff training. LPM Sauk provided general information about the applicable regulations related to aforementioned topics, and obtained clarification on facility policies and procedures. Facility staff provided responses to all topics addressed and were in agreement to provide information requested by the Department, update the facility program statement as needed and adhere to regulatory requirements. CCLD informed staff that reports would be generated and sent for review and signature

met_with: Andrew Lang, Licensee


summary: Facility Evaluation

raw_content:
Narrative:
On 12/12/25 at 12: PM Licensing Program Analyst, (LPA) Wendely Moodie-Naranjo made an unannounced visit for the purpose of conducting an Annual Required Inspection. LPA met Alysan Aachen M.- Social Worker Intern/Facility Manager, who granted access into the facility, and provided a tour of the Administrative Office. Administrative office is located at Casarin Avenue, Unit #2. The office is set up as follows: Sitting area with desk, couch file cabinet, kitchen; Administrator office and restroom (accessible from both sitting area and administrators office). Staff and client files will be kept in the locked file cabinet that is in the sitting area. Copy of license is posted. Licensee is aware of submitting unusual incident reports as needed. Fees were checked by this LPA and they are current. The facility is licensed to provide Transitional Housing Placement plus Foster Care (THP + FC) and Non-Minor Dependents (NMD) to 4 participants ages eighteen (18) thru twenty one (21). There are currently no participants in placement. Per Facility Manager, management would like to keep the license open for now. Per Facility Manager and a text message received if any other information regarding THP is required to contact Melissa Kagen or Kathleen Burrell. No staff records have been reviewed. LPA reminded licensee to provide LPA with updated certification/decertification list when he start placing participants in any remote sites he might have in the future. There are no deficiencies to be cited at this time. Exit interview was conducted with the Facility Manager and a copy of this report will be emailed.


facility_name: HANNA BOYS CENTER THP FC

summary: Facility Evaluation

raw_content:
Narrative:
On the above date, LPA David Hiett met with the following representatives from applicant: Scott Singer, Chief Residential Program Officer Trisha Goodwin, Director of Transitional Housing and Alumni Relations Peter Tripp, THP FC (NMD) Specialist Coordinator Current status of county review/approval. The purpose of the meeting was to discuss the current status of the application to become a THP NMD. Topics discussed were: Incorrect application organization Incomplete required forms Required contents of Program Statement / Plan of Operation Overview of expectations for providing detail descriptions of program operations Status of pending county review to and if further revisions will be requested by county.

met_with: Scott Singer


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge and Licensing Program Manager (LPM) Isabel Diego made an announced prelicensing inspection, on above date. LPA and LPM met with applicant, we and Administrator Scott Singer, director of transitional programs and vocational programs Trish Goodwin, and transitional housing programs facility coordinator Peter Tripp toured the office building. The applicant is applying for a Transitional Housing Placement Program (THPP) license with a capacity of 36 to serve minors and NMDs. LPA will update the system to reflect the new capacity from 24 to 36. Files will be kept locked in a filing cabinet in an office, on site.The office has sufficient space for confidential meetings with participants, if needed. LPA and LPM observed the office to be quiet, clean, and in good and safe condition. The office has storage space, meeting spaces, and a confidential meeting space. The office will be open Monday to Friday, 8AM to 5PM, and the program has a 24hr on-call worker. Participant records will be stored in a locked cabinet in the main back room of the office, The THPP has a Community Engagement Center/training center at this location for participants to utilize. All staff at the participant living unit will be fingerprint cleared prior to accepting any admissions. During inspection, LPA and LPM toured the office along with the three remote sites the facility will be using for participants that are in clean, and in good and safe condition. The facility will be housing two populations, minors and non minor dependents, at different locations and will not be commingling. At this time the department is requesting that the facility gets fingerprint clearance and during inspection the facility provided a clean copy of the program statement and electronic copy by March 30, 2023. An exit interview was conducted, and a copy of this report was left with Administrator Scott Singer. Provisional licensure anticipated for 03/23/23.


summary: Facility Evaluation

raw_content:
Narrative:
At 11:45PM on 09/21/2023, Licensing Program Analyst (LPA) Karmen Balhotra made an unannounced Post-Licensing inspection to the facility listed above. LPA met with Scott Singer, Administrator and Trisha Goodwin, Director of Transitional Housing Placement Program (THPP) who helped facilitate the inspection. The facility is LPA entered the facility through the Admissions building and was directed to offices further down the campus to conduct the inspection. LPA toured the office, which has multiple offices and conference rooms where confidential space can be provided if needed by clients. LPA reviewed client and personnel files and all individuals were cleared via a Guardian roster search dated 09/21/2023. All files were locked in a filing cabinet in a secure location. All proper documentation is posted and the facility holds an accreditation through the Joint Commission and is valid until July 22, 2025. LPA walked to the THPP locations with THPP Director which is on the 70 plus acre campus of the facility. LPA toured two house which house minors and non-minor dependents separately. The facility houses two populations, minors and non-minor dependents. Each population is placed different locations within the facility campus. There are currently five minors and one non-minor dependent in placement. The THPP locations provide clients with their own room, bathroom, and personal storage. A communal kitchen is available to clients in placement and there is adequate amount of food available. The THPP location that has minors in placement have staff available 24 hours who also have a live-in staff room. In addition, there is on-call staff available when needed. LPA observed the toured locations to be free of any safety hazards. At this time, LPA will recommend for the facility to move forward from the Provisional License to a complete License. The department will mail copies of the license to the facility once approved by the department. An exit interview was conducted, and a copy of this report was left with the Director of THPP.

met_with: Trisha Goodwin


summary: Facility Evaluation

raw_content:
Narrative:
At 11:30AM, Licensing Program Analyst (LPA) Mariah Hawkins conducted a visit to the facility for a required 2-year inspection. LPA met with Director of Residence Jeremiah Presinal and Director of Transitional Programs Trisha Goodwin LPA reviewed 5 client files and 5 staff files. All files were observed to be complete and contain all required documentation. LPA toured the facility sites, met with and observed staff and clients, and conducted two confidential interviews. Based on LPA's observations and interviews, the facility sites are maintained in safe condition, clients' needs are being met, the environment provides multiple options for recreation, and the staff provide a supportive environment for the clients. Using the CARE Inspection Tool, no deficiencies were observed. An exit interview was conducted, and a copy of this report and the licensee's appeal rights were provided to Director of Residence, whose signature on this form confirms receipt.

met_with: Director of Residence Jeremiah Presinal; Director of Transitional Programs Trisha Goodwin


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Brian Bertoli conducted an unannounced visit to the facility and met with Jeremiah Presinal and Penn Chourre. The purpose of the visit was to conduct a Case Management Inspection regarding an Incident Report. The incident occurred on 01/18/2026 and was a report of a staff person searching youth and their belongings. LPA discussed the incident with Jeremiah Presinal to determine what their policy is regarding searches and requested documentation, and he indicated that approval for searches was granted by the youth's probation officer due to a history of drug use and he will provide that documentation. No citations were issued at this visit. An exit interview was conducted with Jeremiah Presinal and a copy of this report was given to the facility.

met_with: Jeremiah Presinal and Penn Chourre


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Brian Bertoli made an unannounced visit to the THPP Administrative office to conduct an Annual/Random inspection. LPA met with Senior Director of Residence Jeremiah Presinal and THP Administrator Rene Sorrosa. The THPP has a capacity of 49 and serves both THPP and THPP NMD participants. The facility uses five residential buildings that are on or near their campus. The facility office is the Hanna Administration Building, which also houses offices from other programs. Staff also have an office within the residential buildings. LPA reviewed participant records and all participant files reviewed are acceptable. LPA Bertoli conducted two confidential staff interviews. Staff records are maintained at the administrative office. All facility staff are associated to the facility and had DOJ, FBI and Child Abuse Index check clearances. There were no Title 22 deficiencies cited during the inspection. An exit interview was conducted and a copy of the report was left at the facility .

met_with: Jeremiah Presinal and Renee Sorrosa


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Brian Bertoli made an unannounced visit to the facility and met with Jeremiah Presinal. The purpose of the visit was to conduct a Case Management visit to review the plan for an outside mentorship program at the facility. LPA and Jeremiah Presinal discussed the plan to utilize the New Hope for Youth mentorship program through Sonoma County. The following details were provided previously by Malcolm Huneidi, VP: People Operations: Program Overview: The New Hope for Youth/County of Sonoma program provides comprehensive, community- and school-based mentorship and prevention services for youth. Services include individualized case management focused on strengths, goals, and risk prevention; regular one-on-one check-ins; structured life-skills groups; pro-social activities; and family/caregiver engagement to strengthen protective factors and connections to resources. · Programs Participating: [GH / THPP / STRTP - to be confirmed] · Youth Served: [Estimated number of participants] · Ages of Youth: [Age range] · Meeting Frequency: Multiple times per week (schedule may vary) · Length of Visits: Several hours per visit · Type of Activities: Combination of group sessions and individual mentorship · Staff Supervision: Hanna Center staff will be present during all activities · Location: Activities will take place on Hanna Center's campus in designated program spaces LPA requested further detail on the location and received an email from Marissa La Brecque indicating the program would occur almost entirely on the school grounds. LPA responded that if it's on the school grounds, background checks would not be required for the residential facilities. An exit interview was conducted and a copy of this report was given to the facility. No citations were issued.

met_with: Jeremiah Presinal


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Brian Bertoli made an unannounced visit to the facility and met with Senior Director of Residence Jeremiah Presinal (SDR). The purpose of the visit was to follow up on an incident report with the facility. The incident occurred on 03/21/26, and the report indicated a youth "would not be receiving his allowance due to a missed AM medication" and that this was "per his consented and signed contract between house staff/coordinator, support team/social worker, and himself. LPA requested copy of the contract and the youth's Needs and Services Plan prior to the visit. LPA asked SDR if this is a standard consequence for refusing medication and he stated that the participants are provided with a base allowance and can earn additional amounts base on schoolwork, chores, and good behavior. No citations were issued. An exit interview was conducted with Jeremiah Presinal and a copy of this report was given to the facility.


facility_name: HART COMMUNITY HOMES

raw_content:
Narrative:
the mediation meeting. LPA was unable to interview all individuals; thus, confidential interviews could not confirm or deny the allegation. Thus, confidential interviews did not corroborate the allegation with a preponderance of evidence. Based on confidential interviews and records reviewed the allegation that staff allows a client to be not sanitary while in care, which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report and appeal rights were provided to Angel Rodriguez. A copy of this report will be placed in the facility file.

Investigation Findings:
13On October 1, 2025, at 11:15 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Angel Rodriguez, Clinical Director, to discuss the investigative finding for the allegation noted above. LPA conducted an inspection of the facility on July 23, 2025, at 11:30 am, and no deficiencies were observed. LPA interviewed two Staff (S1-2) and one Client (C1) declined to be interviewed. LPA reviewed the facility documents during the investigation. On July 17, 2025, Community Care Licensing (CCL) received an allegation that staff allows a client to be not sanitary while in care. It was reported that C1 and C2 share an apartment and C2 does not clean up after using the bathroom. It was reported that C1 has told staff several times about the bathroom not being cleaned and staff has not addressed the bathroom cleanliness. Some interviews indicated that S1 and S2 have talked to C2 about cleaning the bathroom, have shown C2 how to properly clean the bathroom, and offered to do a mediation meeting between C1 and C2, and C1 declined to participate in the mediation UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: HART COMMUNITY HOMESFACILITY NUMBER: VISIT DATE: 10/01/2025

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

met_with: Angel Rodriguez


summary: Facility Evaluation

raw_content:
Narrative:
On November 18, 2021 at 1: PM, Licensing Program Analyst's (LPA's) Anastasia Flores and Leslie Covarrubias arrived and was greeted by Hart Community Homes, Transitional Housing Placement Program (THPP) Controller, Kenny Geh for the purpose of conducting an unannounced Required/ Annual Licensing Inspection for the agency's (THPP) At 2: PM, LPA's toured the facility with Program Administrator, Celia Vasquez. Facility utilizes apartment complex housing model. The agency currently has Apartments designated for THPP/ NMD. The LPA's toured apartment #B, the apartment was observed to be fully furnished to provide the basic necessities for the residents. There are six Non minor dependents (NMD) youth who are currently in placement with the agency. The client files are located in locked file cabinets in the center of the main office. The agency employ's the following assigned staff under the THPP program :Program Director, Joe Duquesnel, Case Manager Supervisor/Program Administrator, Celia Vasquez, one case manager, Marlyn Posadas. Staff and client records need to be reviewed at a later date. Facility was unable to provide an LIC500 for the LPA's at the time of the inspection. The facility is being cited for Title 22, Division 6, chapter 7, section 86071(a)(2)(A) Participant of clients, based on record review, the licensee did not have the client's files in a confidentially secure area. Upon inspection the client files were kept in an unlocked cabinet in the center of the administration office, section; 86030.5(e) Identification of Transitional Housing Placement Program Participant Living Units, based on interview with Celia Vasquez and Kenny Geh and record review, the licensee did not know if the agency kept a copy of the certificate of compliance, section; 86030.5(c)(1) Identification of Transitional Housing Placement Program Participant Living Units, based on observation and interview, the licensee was unsure of what the certificate of compliance is or if the agency had one for each client's residence, () section; 86071(a)(1)(B) Register of participants, based on observation and record review, six of six clients, the licensee did not have the physician information listed on the client roster and Health and safety Code (HSC) 1565(c) Other provisions, based on interview, the licensee does not conduct a drill every quarter which poses a potential health, safety or personal rights risk to persons in care. In addition, the facility is being cited for 86161 (i) (1)Reporting Requirements, based on interview with program administrator, the licensee is not reporting the law enforcement contact information to the department as specified in the ILS guidelines. Carissa Hart verbally approved Celia Vasquez to sign for the report as a LIC308 was not readily available for LPA's upon inspection. A copy of this report, 809D's, and appeal rights were provided to Celia Vasquez.

met_with: Celia Vasquez


summary: Facility Evaluation

raw_content:
Narrative:
On December 10, 2021 at 10: AM, Licensing Program Analyst's (LPA's) Anastasia Flores and Jessica Rubio arrived and was greeted by Hart Community Homes, Transitional Housing Placement Program (THPP) Controller, Kenny Geh. The purpose of this inspection was to continue an annual inspection for the Transitional Housing Placement Program (THPP) for Non-Minor Dependents. 10: AM, LPA's reviewed the client and staff files. There are five Non minor dependents (NMD) currently in placement with the agency. The client files are located in locked file cabinets in the office of Kenny Geh. The agency employ's the following assigned staff under the THPP program Case Manager Supervisor/Program Administrator, Celia Vasquez, one case manager, Marlyn Posadas and one Executive Director, Carissa Hart. The facility is being cited for Title 22, Division 6, chapter 7, section 86019.2 ( b) Personnel Requirements based on record review and interview with Ms. Vasquez the licensee did not assure S S3 are associated to the facility prior to employment, section,86066(a)(11) Personnel Records, based on record review and interview with Ms. Vasquez, the licensee does not have health screening records in (S1, S2, S3), section, 86066(a) (12) Personnel Records, (S1, S2, S3) did not have record of Tuberculosis records maintained in staff files, section, 86064(a)(1) Administrator qualifications and duties; licensee did not ensure that S1, S2, S3 have the educational qualifications necessary, section 86270(a) (2) (A) non minor dependent records, clients record of income, school and/or rent, is not kept in the clients file, 86268.3 (d) Needs and Service Plan, three out of five clients files did not have signatures by County Social Worker, (C2, C3, C5). An exit interview was conducted a copy of this report, 809D's and appeal rights were provided to Celia Vasquez.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On December 01, 2023, at 09: AM, Licensing Program Analyst's (LPA's) Darlene Almaraz-Oseguera and Emina Preciado conducted an unannounced random annual licensing inspection at Hart Community Homes, Transitional Housing Placement Program (THPP). LPA's met with Program Administrator, Celia Vasquez. The facility utilizes apartment complex housing model. The agency currently has four apartments designated for THPP/ NMD's use. There are seven non-minor dependents (NMD) youth who are currently in placement with the agency. The agency employs the following assigned staff under the THPP program: Program Director, Program Administrator, none case manager. The LPA's toured apartment #B, the apartment was observed to be fully furnished to provide the basic necessities for the participants. The office resides at N. Lemon Street, Fullerton, CA 92832, located behind the Monkey Business Cafe. The office consists of a waiting area that connects to the staff kitchen which houses a large table and chairs for a conference area. The office building has one restroom, and three offices. One office is the Controller's office which houses the participant files in a locked filling cabinet. There is another office for the case managers, and an office for the Operational Manager, where the personnel files are also kept in a locked cabinet. All three offices have locking doors. LPAs observed computers and phones in the offices. LPA's reviewed a drill log of the emergency disaster and casualty plan. During the inspection, LPA's reviewed seven participant files. Four out of seven (P1, P2, P3, P4) participant files reviewed did not have a medical assessment completed. LPA's also reviewed two staff files, Staff #1 (S1) did not have a criminal record clearance. Based on interviews and records review, the facility is cited for deficiency from Title 22, Chapter 7, Subchapter 1, sections, 86019(e) Criminal Record Clearance and 86069(a) Participant Medical Assessment. Exit interview conducted and a copy of this report, LIC 809D's, and appeal rights were provided to Program Administrator, Celia Vasquez. Civil Penalties were assessed.

Deficiencies:
86019(e): Criminal Record Clearance

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1522 shall prior to working, residing or volunteering in a licensed facility