raw_content:
Narrative:
Other confidential information received stated that the allegations were true. There was a lack of witnesses and information received to support the allegations and inconsistent statements. Based on interviews and record reviews the allegations that the facility is not providing C1 with proper food service, the refrigerator at the facility is not kept clean and staff (unknown name) did not treat C1 with respect, may have occurred, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Victor Hamaker.

Investigation Findings:
13On January 09, 2024, at 9:40am, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegation. LPA met with facility manager Victor Hamaker . LPA Erika Lopez conducted an inspection of the facility on March 07, 2023, at 12:25 pm and no immediate deficiencies were observed. Four of the four children (C1, C2, C3, C4), four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that the facility is not providing C1 with proper food service, the refrigerator at the facility is not kept clean and staff (unknown name) did not treat C1 with respect. Confidential staff interviews reported that the facility orders food from Hello Fresh weekly. Confidential staff interviews reported that the minors are able to choose what they want or anything additional and staff places the orders. Minors are also able to eat or make whatever they like that's available for them. Confidential staff interviews reported that the refrigerator is cleaned out weekly and any food that is expired will be thrown away. Confidential staff interviews reported that no staff has ever entered a minor's room without knocking first. CONTINUED ON PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-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, MAIN ST., SUITE FACILITY NAME: HILLSIDE HORIZONFACILITY NUMBER: VISIT DATE: 01/10/2024

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


state: CA

facility_name: HILLSIDE HORIZON

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
***Confidential** S1 worked in the facility 24 days from hire date 12/17/2022 -02/15/2023. S2 worked in the facility 32 days from hire date 01/02/2023 -02/15/2023. S3 worked in the facility 24 days from hire date 01/10/2023 -02/15/2023. ADM confirmed S1, S2, and S3 will not be allowed to work until criminal record clearance has been obtained. Based on confidential interviews, observation, and record review, the preponderance of evidence standard has been met, and the allegation that uncleared staff (S1, S2, S3) are providing care and supervision is supported and proven by evidence, therefore the allegation is substantiated at this time. The facility is cited for violation of Title Regulations 80019(e)(2) Criminal Record Clearance. An exit interview was conducted, a copy of this report along with LIC 9099, LIC 9099D, LIC 421BG, LIC 811, and appeal rights were explained and provided to Victor Hamaker.

Investigation Findings:
13On 02/09/2024 at 2: PM, Licensing Program Analyst (LPA), Val Wilson, met with Operations Manager/Facility Manager, Victor Hamaker, to deliver the findings for the above complaint allegation at Hillside Horizon Group Home (GH). On 02/15/2023 at 3: PM, LPA conducted an inspection of the facility, and no immediate health and safety hazards were observed. During the investigation, interviews were conducted with the administrator (ADM), facility manager (FM), and recruiting manager (RM). LPA reviewed LIC 500, Guardian roster report, and staff files. On October 31, 2022, the Department received a complaint that alleged that uncleared staff are providing care and supervision. Specifically, it was alleged that multiple staff are not cleared to work at the facility. Regarding the allegation that uncleared staff are providing care and supervision, record review of staff files and confidential interviews revealed that staff 1 (S1), staff 2 (S2), and staff 3 (S3) did not have a criminal record clearance. (See LIC 811 dated 02/09/2024). ***********Confidential************* SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Valerie Wilson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: HILLSIDE HORIZONFACILITY NUMBER: 337900070

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

report_type: Complaint Investigation

met_with: Victor Hamaker

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews indicated that S1 informed C1 not to make comments because it was inappropriate. Confidential witness interviews revealed that no other staff was present when C1 commented. Confidential interviews indicated that S1 was never alone with C1 in C1's bedroom. Based on inconsistent confidential interviews, the allegation that facility staff (S1) interacted with group home youth (C1) in an inappropriate manner is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, appeal rights were explained, and a copy of this report and LIC 811 was provided to Hillside Horizon Program Director/ Facility Manager (PD) Catlin Estrada.

Investigation Findings:
13On June 12, 2025, at 10:19 am, Licensing Program Analyst (LPA) Jose Gonzalez conducted an unannounced visit and met with Hillside Horizon Program Director/ Facility Manager (PD) Catlin Estrada to deliver the findings for the above-stated allegation. Licensing Program Analyst (LPA), Cynthia Robinson inspected Hillside Horizon at 10:30 am on December 23, 2024; no health and safety hazards were observed. LPA reviewed one client record (C1). During the investigation, interviews were conducted with Clients (C1, C2, and C3), Staff (S1, S2, and S3), and C1's Adult Relative. On December 18, 2024, the Department received an allegation that facility staff (S1) interacted with group home youth (C1) in an inappropriate manner. Confidential interviews disclosed that they could not recall if a comment was made regarding S1's appearance. Confidential witness interviews revealed that C1 commented on S1's physical appearance saying, "C1 saw a lot of bad Latinas but not like S1". Confidential interviews indicated that S1 and C1 were in C1's bedroom on several occasions for reasons unknown. Confidential witness interviews disclosed that S1 never interacted inappropriately with C1.*CONTINUED on LIC 9099C* UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jose Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: HILLSIDE HORIZONFACILITY NUMBER: VISIT DATE: 06/12/2025

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

complaint_status: unsubstantiated


raw_content:
Narrative:
Confidential witness interviews revealed that CT arrived and evaluated C1 and transported C1 by ambulance to the hospital. Confidential interviews indicated that the Program Director (PD) called Riverside University Health Services (RUHS) to obtain additional information regarding C1. Confidential witness interviews revealed that PD was informed that C1 was not admitted at RUHS. Confidential witness interviews disclosed that PD called surrounding hospitals to locate C1. Confidential witness interviews revealed that PD was working with C1's Adult Relative (A1) and kept A1 informed of the situation. Confidential witness interviews disclosed that C1 was admitted at Inland Valley Medical Center (IVMC). Confidential witness interviews disclosed that C1 was discharged from IVMC and returned to the group home. Confidential witness interviews revealed that C1 was placed on staff-to-client one-on-one status for C1's safety. Confidential interviews disclosed that C1 was not abandoned by facility staff and that it was a lack of information and misunderstanding. Based on inconsistent confidential interviews, that child (C1) was abandoned at the hospital by staff (PD) is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, appeal rights were explained, and a copy of this report and LIC 811 was provided to Hillside Horizon Program Director/ Facility Manager (PD) Catlin Estrada.

Investigation Findings:
13On June 12, 2025, at 11:04 am, Licensing Program Analyst (LPA) Jose Gonzalez conducted an unannounced visit and met with Hillside Horizon Program Director/ Facility Manager (PD) Catlin Estrada to deliver the findings for the above-stated allegation. LPA inspected Hillside Horizon at 10:26 am on February 28, 2025; no health and safety hazards were observed. LPA reviewed one client record (C1). During the investigation, interviews were conducted with Client 1 (C1), C1's adult relative (A1), Program Director (PD), and Therapist (TX). On February 25, 2025, the Department received an allegation that child (C1) was abandoned at the hospital by staff (PD). Confidential interviews disclosed that facility staff abandoned C1 at the hospital. Confidential interviews revealed that C1 was exhibiting self-injurious behaviors and suicidal ideation. Confidential witness interviews disclosed that C1 broke a glass light fixture and threatened to cut themselves. Confidential witness interviews indicated that facility staff intervened, safely restrained, and removed the broken glass from C1. Confidential interviews indicated that the facility Therapist (TX) assessed C1 and contacted the Crisis Team (CT). **CONTINUED on LIC 9099C** UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jose Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: HILLSIDE HORIZONFACILITY NUMBER: VISIT DATE: 06/12/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
On September 9, 2022, Licensing Program Analyst (LPA) Toni Castillo conducted an announced pre-licensing inspection for Hillside Horizon For Teens, LLA- Richard Street. LPA met with CEO Devon Wayt, Administrator Beau Moore and Compliance Specialist Christina Kiesselbach. LPA will be provided revisions to the application forms as stated during the component III meeting. LPA will review revisions and inform applicant if any further corrections are needed. Administrator Beau Moore has completed the administrator certification and attended the group home orientation on 9/14/21. LPA toured the facility inside and out. The facility is a single story home in a residential neighborhood. The home is about 1,664 square feet. This home will serve males only. The facility is set up as follows: *entry way of the home is equipped with an entry table with log guest sign in book. Posted evacuation and disaster plan, personal rights and grievance procedures and a sample schedule. *Family room equipped with a television, sofa's, and furnishings. *Dining room table with ample seating for 6 clients. *Kitchen equipped with operable appliances and cooking utensils and supplies. There is a locked cabinet for knives and cleaning solutions. All hazardous items have been properly made inaccessible to areas where children will have access. *Laundry room equipped with washer and dryer and space for folding clothing. Cabinets with extra supplies of linens and hygiene products. *There are three clients bedrooms. Bedroom 1 and Bedroom 3 have their own restrooms. Bedroom 2 will utilize the hallway restroom. All Bedrooms were arranged so that no more than two children share a room, and there was one child per bed. No room commonly used for other purposes was used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate drawer and closet space for children's belongings. All beds contained a mattress, mattress pad, sheets, comforter and pillows. *Nursing and Behavioral Health Technician office, equipped with locked cabinet for storage and locked refrigerator for medication. Medications are locked and centrally stored in the nursing/medical office. The first aid kit was also in the medical office with all required items. *Clinical Office equipped with desk and supplies. Clinical office also has a restroom which will be used for staff only. This office will be used to provide therapy and treatment to clients. Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Sports equipment/toys/games were observed for recreation time. There is a basketball court, garden and cazebo on premises. All facility smoke detectors and carbon monoxide detectors are hard-wired in and are in appropriate working order All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster in main entrance of the facility. No firearms or weapons are in the facility. Water temperature was tested and was at 118. Trash cans for storage of solid waste had tight fitting lids. Client files will be maintained using the Kipu system which is a portal to store client files and keep all information confidential. Applicant stated licensing will have access to such portal when client files need to be reviewed for any purpose. There is a pool on premises. The mesh fencing meets regulatory standards. The mesh fence is 5 feet tall and does not obscure the pool from view. Mesh fence surrounds entire pool. The mesh fence is self -closing and self latching. The gate swings open away from the body of water. The licensee understands that regardless of whether or not clients are present, the fence will remain permanently in place for the duration of the license. At this time the physical plant of this facility is within the group home regulations. LPA will review revisions which will be provided no later then 9/16/22. LPA will review revisions and submit for a provisional license. A copy of this report was given and explained to CEO Devon Wayt.

report_type: Facility Evaluation

visit_type: Prelicensing

met_with: CEO Devon Wayt


summary: Facility Evaluation

raw_content:
Narrative:
On November 30, 2022 at 10: AM, Licensing Program Analysts (LPA) Val Wilson, made an unannounced post-licensing inspection at Hillside Horizon Group Home- Richard Street. LPA was met at the facility by Behavior Health Specialist (BHS), Bailey Kinsley and Therapist (THR), Erin Bixel, and LPA was provided a work area in the Nursing and Behavioral Health Technician office. LPA provided THR the Entrance Checklist. LPA was greeted by Administrator (ADM), Beau Moore, and Director of Operations/Facility Manager (FM), Marissa Cabrera at 11: AM. LPA began a physical plant inspection at 11: AM assisted by the ADM and FM. LPA toured the facility inside and out. The facility is a single-story home in a residential neighborhood. The home is about 1,664 square feet and serves males only. The physical plant inspection included the following: The entry way of the home is equipped with an entry table with log guest sign in book. Per Administrator there are no guns or weapons on facility grounds. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, activity schedule, and Foster Care Ombudsman poster in main entrance of the facility. The posted evacuation and disaster plan will be updated with staff responsibilities and permission letters from the two sites that would be utilized in case of evacuation. The family room is equipped with a television, sofa's, and furnishings. The dining room table has ample seating for 6 clients. All facility smoke detectors and carbon monoxide detectors are hardwired in and are in appropriate working order. The hot water in the client's bathroom and kitchen was measured and were within 105-120 degrees Fahrenheit. Trash cans for storage of solid waste had tight fitting lids. The laundry room is equipped with washer, dryer and space for folding clothing. Cabinets with extra supplies of linens and hygiene products are next to the laundry area. The kitchen is equipped with operable appliances and cooking utensils and supplies. There is a locked cabinet for knives and cleaning solutions. All hazardous items have been (continued on page 2) (continued from page 1) properly made inaccessible to areas where clients will have access. Licensee maintains an adequate supply of perishable and non-perishable foods and the food menus are posted. There are three client bedrooms. Fire extinguisher is located in the kitchen by the refrigerator. Bedroom 1 and Bedroom 3 have their own restrooms. Bedroom 2 clients utilize the hallway full-bathroom. All Bedrooms were arranged so that no more than two children share a room, and there was one child per bed. No room commonly used for other purposes was used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate drawer and closet space for children's belongings. All beds contained a mattress, mattress pad, sheets, comforter, and pillows. There are cameras in the home in the common area and outside the home by the pool and patio areas. LPA looked at the all camera views on the FMs phone and there are no views of the bathroom or bedrooms. The video program, EZ View, has the ability to record and review camera footage for up to seven days. Nursing and Behavioral Health Technician office is equipped with a locked cabinet for storage and locked refrigerator for medication. Medications are locked and centrally stored in the nursing/medical office. The first aid kit was also in the medical office with all required items. The nursing office is also equipped with desk and supplies. Client files are maintained using the KIPU application system which is a portal to store client files and keep all information confidential. Administrator stated licensing has access to the KIPU portal upon request of client files for any purpose. The Clinical office is located separately from the home in the backyard. The office also has a restroom which will be used for staff only. This office is used to provide therapy and treatment to clients and there are no cameras. Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space, and all exits were free from obstruction. Sports equipment/toys/games were observed for recreation time. There is a basketball court, garden, extensive backyard, built-in conversation fire pit with bench, and a gazebo on premises. There is a pool on premises with 5 feet tall mesh fencing surrounding the entire pool that meets regulatory standards and does not obscure the pool from view. The mesh fence is self-closing and self-latching. The gate swings open away from the body of water. The licensee understands that regardless of whether clients are present, the fence will remain permanently in place for the duration of the license. LPA observed the pool is clean and well maintained. (continued on page 3) (continued form page 2) There were no deficiencies observed during today's inspection. Due to time constraints, LPA's will return to complete the inspection at a later date. An exit interview was conducted, and a copy of this report and appeal rights were provided and explained to the Administrator and Facility Manager.

met_with: Marissa Cabrera and Beau Moore


summary: Facility Evaluation

raw_content:
Narrative:
On February 21, 2023 at 2: PM, Licensing Program Analysts (LPA) Val Wilson, arrived unannounced at Hillside Horizon Group Home (GH)- Richard Street. This is a continuation of a Post-Licensing GH inspection initiated on November 30, 2022. LPA was met at the facility by Facility Manager- Behavior Health Specialist (FM), Bailey Kinsley, and LPA was provided a work area in the medication office. LPA was provided the current LIC Personnel Report and LIC Register of Facility Clients. Bailey had another staff reach out to the Administrator during today's visit. During the inspection continuation, LPA interviewed one staff and one client. There were no deficiencies observed during today's inspection. Due to time constraints, LPA will return to complete the inspection at a later date. An exit interview was conducted, and a copy of this report and appeal rights were provided and explained to the Facility Manager.

visit_type: Case Management

met_with: Bailey Kinsley


summary: Facility Evaluation

raw_content:
Narrative:
On March 14, 2023 at 12:28PM, Licensing Program Analyst (LPA), Val Wilson, arrived unannounced at Hillside Horizon Group Home (GH)- Richard Street. This is a continuation of a Post-Licensing GH inspection initiated on November 30, 2022. LPA was met at the facility by Facility Manager- Behavior Health Specialist (FM), Bailey Kinsley, and LPA was provided a work area in the medication office. LPA was provided the current LIC Personnel Report and LIC Register of Facility Clients. Danielle Morgan, Compliance Officer/Circa Behavior/Quick Start and Blake Larkin, Executive Director, met with LPA to provide support while using Kipu for the youth record review. During the inspection continuation, LPA reviewed two client records. The facility utilizes the register of facility clients for ambulatory status and current health care needs. The register is kept in the medication room. The facility admits only private admissions. Each child receives seven dollars each week for allowance. LPA observed the record for Child 1 (C1) does not have a consent for each of the two psychotropic medications (Guanfacine and Mirtazapine). The record for Client 2 (C2) does not have a consent for each of the four psychotropic medications (Buspirone, Clonidine, Quetiapine, and Fluoxetine). Client 1 (C1) is provided a modified diet for Celiac Disease and items are readily available within the home. Based on record review and information obtained, the facility does not have individualized psychotropic medication consents in place for Child 1 (C1) and Child 2 (C2). The facility is cited for violation of Title 22, Division 6, Chapter 5, Article 06, section Children's Records, 84072(c)(10). Due to time constraints, LPA will return to complete the inspection at a later date. An exit interview was conducted, and a copy of this report, deficiency page, 811 and appeal rights were provided and explained to the Executive Director.

met_with: Blake Larkin, Executive Director


summary: Facility Evaluation

raw_content:
Narrative:
On April 18, 2023 at 11: AM, Licensing Program Analyst (LPA), Val Wilson, arrived unannounced at Hillside Horizon Group Home (GH)- Richard Street. This is a continuation of a Post-Licensing GH inspection initiated on November 30, 2022. LPA was met at the facility by Facility Manager (FM), Jeni Foster, and LPA was provided a work area in the medication office. LPA was provided the current LIC Personnel Report and LIC Register of Facility Clients. Blake Larkin, Executive Director, later met with LPA to provide support while using "Gusto" for the staff record review. LPA reviewed two staff files (staff 1 and staff 2). During the inspection continuation, LPA Wilson completed disaster preparedness, emergency intervention, and staffing records. The Executive Director updated the emergency and disaster plan with current employees during today's inspection. LPA was provided a roster of individuals served at the facility. However, the client roster, profile, and medical supports and services can be accessed remotely through electronic files in an application called "Kipu". An emergency set of keys is kept in the locked medication office in a drawer. Emergency supplies are maintained in the medication office and food is in the kitchen pantry. The facility is not utilizing restraints at this time. The facility has a licensed vocational nurse that is trained to administer injections. In addition to provisions for client supervision, the facility maintains cameras without audio in the following locations: medication office, outside room 2 hallway, outside room 1 hallway, kitchen, living room, outdoor front door, outdoor facing driveway, outdoor facing pool, and outdoor facing the therapist casita. Both staff and clients have signed a consent with the knowledge of these cameras. Each facility manager is provided and eight hour facility manager training course and a 5 hour reasonable and prudent parenting course. The Executive Director will add two on call staff to the LIC 500 that are available to arrive at the facility within 30 minutes for night supervision. LPA discussed with the Executive Director the employees that are also a facility manager on the LIC 500 can be identified to observe the schedule at a glance for a facility manager present (Continued) (Continued from page 1) at all times when children are present. The backyard pool is not being utilized at this time. There are no employees that have current water safety certificates. Employees are in the process of acquiring a valid water safety certificate. A technical violations is issued for 80065(e)(2) Personnel Requirements. The pool will not be utilized until a supervising adult is present with a valid water safety certificate. (Pool was previously inspected on November 30, 2022) No deficiencies were noted during time of inspection. A copy of this report, LIC 811 and appeal rights were given and explained to the Executive Director.

met_with: Blake Larkin


summary: Facility Evaluation

raw_content:
Narrative:
On October 6, 2023, at 12: PM, Licensing Program Analysts (LPA) Val Wilson, made an unannounced post-licensing inspection at Hillside Horizon Group Home- Richard Street. LPA was met at the facility by lead Facility Manager (FM)/ Behavior Health Specialist (BHS), Victor Hamaker, and LPA was provided a work area in the medication/staff office. LPA provided FM/BHS the Entrance Checklist. LPA was later greeted by acting Administrator (ADM), Jeni Foster at 1: PM. LPA began a physical plant inspection at 1: PM assisted by the acting ADM and FM. LPA toured the facility inside and out. The facility is a single-story home in a residential neighborhood that recently has received renovations to the living room. The home is about 1,664 square feet and serves males only. The physical plant inspection included the following: The entry way of the home is equipped with an entry table with log guest sign in book. Per acting ADM, there are no guns or weapons on facility grounds. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster in main entrance of the facility. The posted evacuation and disaster plan was recently updated after the renovation and is going to be mounted at the front door with staff responsibilities and the two sites that would be utilized in case of evacuation. The family room is equipped with a television, sofa's, and furnishings and is now an open space with the kitchen and dining room. The daily and weekly activity schedule is posted and accessible. The dining room table has ample seating for 6 clients. All facility smoke detectors and carbon monoxide detectors are hardwired in and are in appropriate working order. The hot water in the client's bathroom and kitchen was measured at 107 degrees Fahrenheit and 109 degrees Fahrenheit, respectively. Trash cans for storage of solid waste had tight fitting lids. The laundry room is equipped with washer, dryer and space for folding clothing. Cabinets with extra supplies of linens and hygiene products are next to the laundry area. The kitchen is equipped with operable appliances and cooking utensils and supplies. There is a locked cabinet for cleaning solutions. All hazardous items have been properly made inaccessible to areas where clients will have access. Licensee maintains an adequate supply of perishable and non-perishable foods and the food menus are posted. There are three client bedrooms. A fire extinguisher is (continued) (continued from page 1) located in the kitchen by the refrigerator. Bedroom 1 and Bedroom 3 have their own restrooms. Bedroom 2 clients utilize the hallway full-bathroom. All Bedrooms were arranged so that no more than two clients share a room, and there was one client per bed. No room commonly used for other purposes was used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate drawer and closet space for children's belongings. All beds contained a mattress, mattress pad, sheets, comforter, and pillows. There are cameras in the home in the common area and outside the home by the pool and patio areas; there is no audio and there are no views of the bathroom or bedrooms. The video program, EZ View, has the ability to record and review camera footage for up to seven days. Medication and staff office is equipped with a locked cabinet for storage and locked refrigerator for medication. Sharps and medications are locked and centrally stored in the nursing/medical office. The first aid kit was also in the medical office with all required items; there are 4 other first aid kits in the house. The nursing office is also equipped with desk and supplies. Client files are maintained using the KIPU application system which is a portal to store client files and keep all information confidential. Licensing has access to the KIPU portal upon request of client files for any purpose. The Clinical office is used to provide therapy and treatment and is located separately from the home in the backyard and has chairs and couches with a restroom which is used for staff only. Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space, and all exits were free from obstruction. There is a shed located near the parking area that is used ofr storage and staff office. Sports equipment/ toys/games were observed for recreation time. There is a basketball court, garden, extensive backyard, built-in conversation fire pit with bench, and a gazebo on premises. There is a pool on premises with 5 feet tall mesh fencing surrounding the entire pool that meets regulatory standards and does not obscure the pool from view. The mesh fence is self-closing and self-latching. The gate swings open away from the body of water. The licensee understands that regardless of whether clients are present, the fence will remain permanently in place for the duration of the license. LPA observed the pool is clean and well maintained. LPA reviewed five out of five client files and interviewed two out of three staff. There were no deficiencies observed during today's inspection. Due to time constraints, LPA will return to complete the inspection at a later date. An exit interview was conducted, and a copy of this report and appeal rights were provided and explained to the acting ADM.

visit_type: Annual

met_with: Jeni Foster


summary: Facility Evaluation

raw_content:
Narrative:
On February 29, 2024, Licensing Program Analysts (LPA) Val Wilson, met with Compliance and Human Resources for Quickstart Health, Laura Hagan and Compliance Coordinator for Quickstart Health, Danielle Morgan regarding requested changes to the Program Statement. Board Member, Tyler Michaelis requested the Quickstart Health consultants (Ms. Hagan and Ms. Morgan) meet with LPA Wilson on behalf of the Administrator for Hillside Horizon Group Home- Richard Street to review updates to the Emergency Intervention Plan (EIP) to replace the EIP Section 14 in the facilities current Program Statement. LPA provided technical assistance regarding the eight-page EIP Section 14 with Ms. Hagan and Ms. Morgan and requested that once updates have been completed to provide LPA with the document for review. An exit interview was conducted, and a copy of this report and appeal rights were provided and explained to the facility representative. Signature is on file.

met_with: Laura Hagan


summary: Facility Evaluation

raw_content:
Narrative:
On Monday, August 5th, 2024, at 9:30 am, Licensing Program Analyst (LPA) Cynthia Velasquez arrived at Hillside Horizon - Richard Street to complete Annual Review of facility. The purpose of today's inspection is to complete the inspection: client interviews, staff interviews, and review staff files with CARE tool. Upon arrival, there were four clients participating in group. Breakfast had already been provided and staff and youth were conversing. Appropriate staff/client ratios were verified during the inspection. Client and Staff interviews were conducted and information deriving from discussions will be placed on LIC812 forms. A total of 2 clients and 2 staff were interviewed. Based on facility inspections, there are no deficiencies to be cited at facility at this time. The walk-thru performed inside home and outside provided the necessary tools and activities that this facility needs to maintain youth safety,growth, and needs. An exit interview was conducted and a copy of this report, was provided to Program Director/Administrator*, Hector Andrade. * Applied and provided proof of certification to Community Care Licensing for Administrator's position. Approved and waiting for actual documentation.

met_with: Hector Andrade, Program Director/Administrator*


summary: Facility Evaluation

raw_content:
Narrative:
On 01/27/2025 at 10: AM Licensing Program Analyst (LPA) Jose Gonzalez conducted an unannounced 10-day safety inspection at Hillside Horizon. LPA was greeted by Program Director (PD) Victor Hamaker and was provided access to the facility. PD informed LPA that the complaint allegation occurred a different location. LPA thanked PD for his time and the visit was concluded at that time.

met_with: Program Director (PD) Victor Hamaker


summary: Facility Evaluation

raw_content:
Narrative:
On 9/22/2025 at 12: PM, Licensing Program Analyst (LPA) Julian Lucas conducted an unannounced visit at Hillside Horizon for Teens Group Home to conduct an unannounced annual inspection. LPA Lucas was met by Administrator, Victor Haymaker and completed a walkthrough of the facility. During the inspection LPA observed the living room area. The living room consisted of two sofas and two chairs, a coffee table, two end tables, a television, a book shelf with books and board games. There is a dining room with eight chairs including four stools. The kitchen has one refrigerator with freezer and a stove. There is one bedroom to the right with one restroom with shower inside (Room 1), there is a closet for storage. There are two bedrooms to the left (Room two) and (Room three). Located in (Room two) there is a restroom with shower. The hot water in the client's bathrooms reads 119 degrees Fahrenheit. The hot water in Room's one and two has a reading of 119 degrees Fahrenheit. There is one staff office where client meds are stored in a locked cabinet including first aid kit. There is one washer and one dryer both in working order in a separate area with more cabinets space. All smoke detectors and carbon monoxide detectors are working. LPA observed five fire extinguishers which are up to date. During the inspection, LPA observed Personal Rights and Community Care Licensing, Grievance Procedures, Personal Rights, Ombudsman Poster, and Visitation policies postings. The facility maintains a designated food storage area, an adequate supply of perishable and non-perishable foods, and the menu was accessible. Continued on 809-C LPA also conducted an inspection of the grounds. LPA observed the grounds to be cleaned and free of debris. There is a swimming pool located on the south side of the facility, which is locked, fenced, and inaccessible to clients. The pool is surrounded by a mesh fence measured over five feet tall with a gate that self-latches and opens outward. There is a therapist office with one restroom. The sink in the restroom had a reading of 118 degrees Fahrenheit. There is office for the administrator located on the ground east of the facility. During the inspection, LPA reviewed five client's records and five personnel records. Based on the annual required inspection on this date, there were no deficiencies found. An exit interview was conducted with the Administrator, Victor Haymaker. and a copy of this report was given to the Administrator Victor Haymaker. Exit interview conducted. A copy of this report was provided to the Administrator, Victor Haymaker On November 13, 2025, at 9:50 am, Licensing Program Analysts (LPA) Julian Lucas conducted an unannounced annual continuation inspection for Hillside Horizon. Group Home (GH). LPA was met by the Administrator Victor Hamaker. LPA completed a walkthrough of the facility. During the inspection, LPA completed client and staff interviews. LPA completed the annual continuation inspection. No deficiencies were cited at this time. Exit interviewed was conducted. A copy of this report and appeal rights were given and explained to Victor Haymaker, Administrator.

met_with: Victor Haymaker


summary: Facility Evaluation

raw_content:
Narrative:
On November 13, 2025, at 9:50 am, Licensing Program Analysts (LPA) Julian Lucas conducted an unannounced annual continuation inspection for Hillside Horizon For Teens. Group Home (GH). LPA was met by the Administrator Victor Haymaker. LPA completed a walkthrough of the facility. During the inspection, LPA completed client and staff interviews. LPA completed the annual continuation inspection. No deficiencies were cited at this time. Exit interview was conducted. A copy of this report and appeal rights were given and explained to Victor Haymaker, Administrator.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On February 3, 2023 at 4: PM, Licensing Program Analyst (LPA) Erika Lopez arrived at Hillside Horizon For Teens, LLC Group Home (GH) to imitate a complaint investigation. LPA met Tyler Michaelis who granted LPA access into the facility. LPA conducted a health and safety inspection. During the inspection, LPA observed that there were two staff and three clients present. Additionally, LPA verified that staff/client ratios was in compliance, however, there was no facility manager on site during the duration of the inspection, which was a violation of the Group Home regulations. Therefore, the facility is being cited under Group Home, Title 22, Division Chapter Article 06. Continuing Requirements section 84065, Personnel Requirements. An exit interview was conducted and a copy of this report and appeal rights were provided to Facility Administrator, Tyler Michaelis.

Deficiencies:
84065(d): 1
2
3
4
5
6
784065 Personnel Requirements-
(d) The licensee shall designate at least one facility manager to be present at the facility at all times when children are present

met_with: Facility Administrator - Tyler Michaelis


raw_content:
Narrative:
facility was reluctant to provide information and pertinent details for Law Enforcement to complete their investigation of the physical altercation in a timely manner. Some interviews indicated that C2-C3 planned to fight C1, while other interviews indicated that they were unaware C2-C3 had any intentions to cause physical harm to C1. LPA was unable to interview all individuals, although multiple attempts were made, thus, confidential interviews could not confirm or deny the allegation. Based on confidential interviews and records reviewed the allegation that the facility did not provide a safe environment for C1 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 was reviewed with Dante Patnode. Due to printer difficulties, a copy of this report, LIC 811, and appeal rights were emailed to the Facility Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On December 9, 2024, at 1:20 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Dante Padnode, Lead Behavioral Technician, to discuss the investigative finding for the allegation noted above. LPA conducted an inspection of the facility on September 26, 2024, at 1:30 pm and no deficiencies were observed. LPA Linley interviewed one client (C4), three staff (S1-3), and LPA was unable to interview four clients (C1-3, C5), despite multiple attempts to contact them. The following documents were reviewed during the investigation: C1- Admission Agreements, C1- Treatment Plans, Staff Roster, Special Incident Report, Law Enforcement Incident Report, and videos from the facility. On September 17, 2024, Community Care Licensing (CCL) received an allegation that the facility did not provide a safe environment for client in care. It was reported that C2 and C3 physically attacked C1, C1 was taken to get medically evaluated and medical personnel notified Law Enforcement. It was reported that the 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: HILLSIDE HORIZONFACILITY NUMBER: VISIT DATE: 12/09/2024

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

met_with: Dante Patnode


raw_content:
Narrative:
Based on confidential interviews, the preponderance of evidence standard has been met and the allegation that facility staff interacted inappropriately with youths is substantiated. The facility is being cited for violations of Interim Licensing Standards (ILS), version 5, section 87072(c)(1) for Personal Rights. An exit interview was conducted, appeal rights were explained, and a copy of this report and LIC 811 was provided to Hillside Horizon Group Home (GH), Sydney Scott, Program Director. Confidential interviews revealed that C1, C2, C3 and C4 were alone inside of the master bedroom playing a spin the bottle game then C1 and C2 proceeded to go inside the closet and touched each other inappropriately. Additionally, confidential interviews revealed that the staff will conduct room checks every 15-30 minutes, however, other confidential interviews revealed that the staff will only periodically do the room checks because they had to. During the investigation, there was no corroborating evidence to support the above allegation. Although the Department received detailed information regarding the allegation, confidential interviews revealed conflicting statements to if the incidents occurred. Based on confidential interviews, the allegation that due to lack of supervision resulted in C1 and C2 engaging in inappropriate behaviors with each other, may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was given to Hillside Horizon Group Home (GH), Sydney Scott, Program Director.

Investigation Findings:
13On April 1, 2025 at 02:15pm, Licensing Program Analyst (LPA) Sarah Lo met with Sydney Scott, Program Director, to deliver the findings for the above complaint allegation at Hillside Horizon Group Home (GH). On 01/24/2024, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with seven staff (S1, S2, S3, S4, S5, S6, S7) and three clients (C1, C3, C4). Three clients (C2, C5, C6) were declined to be interviewed by their authorized representatives. On January 17, 2025, Community Care Licensing received an allegation stating that facility staff (S2) interacted inappropriately with youths. Specifically, it was reported that S2 had all of the clients who identified as LGBTQ+ to line up against a wall according to the size of their genitalia. Confidential interviews confirmed that S2 conducted a group session with only the clients that identified as LGBTQ+ and asked the clients about their level of comfort with the size of their genitalia to determine where the clients stood in line. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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: HILLSIDE HORIZONFACILITY NUMBER: VISIT DATE: 04/01/2025

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

met_with: Sydney Scott, Program Director


raw_content:
Narrative:
clients running away and the incident reports were sent to S1 or saved on the computer network drive. Records reviewed indicated that Community Care Licensing did not receive Incident Reports for the incidents listed below: Records reviewed indicated that on 09/01/2024, C3 was observed with superficial cuts on their arms and S1 was notified. Records reviewed indicated that on 09/09/2024, C7 climbed out of the window and got onto the roof of the facility and Law Enforcement was contacted and responded and C7 got off the roof of the facility and returned inside of the facility. Records reviewed indicated that on 05/01/2024, S1 sent a twenty-four hour notification to Community Care Licensing that C6, C9, and C10 engaged in self-harm behavior that led to a search of the facility. Records reviewed indicated that on 12/16/2024, Law Enforcement responded to the facility and a client was transported to the hospital. Records reviewed indicated that on 01/24/2025, a twenty-four hour notification was sent to Community Care Licensing that C11 disclosed they had sexual interactions with C12 while in the facility. Based on confidential interviews and record review the allegation that the facility is not meeting reporting requirements is substantiated. The preponderance of evidence standard has been met. The facility is cited for violation of the California Code of Regulations, Title Division Six, regulation 80061(b) Reporting Requirements. Facility was issued a civil penalty of $250.00 for repeat violation of California Code of Regulations, Title 22 80061(b) Reporting Requirements. Refer to LIC809D. An exit interview was conducted, appeal rights explained, and a copy of this report and appeal rights were provided to Victor Hamaker . A copy of this report will be placed in the facility file. confidential interviews confirmed S1 and S2 led group sessions, however, confidential interviews could not confirm what was discussed during the group sessions. Records reviewed indicated S1 and S2 do not have a Bachelor's or Master's degree. It was also reported that S1 took C1 out to lunch by themselves and had private meetings with C1 behind closed doors where cameras were not present. Some confidential interviews indicated that S1 took C1 out to lunch alone and met with C1 in various offices throughout the facility. Some interviews indicated that S1 joked around with C1 and acted as a friend, rather than a staff member. Lastly, it was reported that C6 and another client hid knives in the backyard and used the knives to self-harm and staff was not aware of the knives. It was also reported that C7 stole Benadryl tablets from the store and snuck them back into the facility, took several tablets, and it was difficult to wake up C7 after taking the Benadryl pills. Some confidential interviews indicated that sharps were hidden, however, they could not recall specific details of what was hidden in the backyard. Some confidential interviews indicated that C7 stole Benadryl from the store, took several tablets, and staff had a difficult time waking up C7 and once they woke up, staff found several Benadryl tablets hidden in the facility. LPA was unable to interview all individuals, although multiple attempts were made, thus, confidential interviews could not confirm or deny the allegations. Thus, confidential interviews did not corroborate the allegations with a preponderance of evidence. Based on confidential interviews and records reviewed the allegations that staff is not qualified to lead therapy sessions, staff engaged in an inappropriate relationship with client in care, and lack of supervision resulting in self-harming behaviors, which may have occurred, however, they are not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report and appeal rights were provided to Victor Hamaker. A copy of this report will be placed in the facility file.

Investigation Findings:
13On September 2, 2025, at 11:39 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Victor Hamaker, Facility Manager, to discuss the investigative finding for the allegation noted above. LPA conducted an inspection of the facility on April 14, 2025, at 12:35 pm, and no deficiencies were observed. LPA interviewed four Staff (S5, S7, S10, S12), and LPA was unable to interview eight Clients (C1-8) and eight Staff (S1-S4, S6, S8-S9, S11), despite multiple attempts to contact them. LPA reviewed the facility documents during the investigation and Law Enforcement Incident Reports. On April 4, 2025, Community Care Licensing (CCL) received an allegation that the facility is not meeting reporting requirements. It was reported that S1 was not reporting incidents of clients running away and clients hiding sharps and vapes in the backyard. Some confidential interviews indicated that incident reports were completed for some incidents regarding SubstantiatedEstimated 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: HILLSIDE HORIZONFACILITY NUMBER: VISIT DATE: 09/02/2025

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


raw_content:
Narrative:
Based on confidential interviews and record review the allegation that staff are not meeting reporting requirements is substantiated. The preponderance of evidence standard has been met. The facility is cited for violation of the California Code of Regulations, Title Division Six, regulation 80061(b) Reporting Requirements. Facility was issued a civil penalty of $250.00 for repeat violation of California Code of Regulations, Title 22 80061(b) Reporting Requirements. Refer to LIC809D. An exit interview was conducted, appeal rights explained, and a copy of this report and appeal rights were provided to Victor Hamaker. A copy of this report will be placed in the facility file.

Investigation Findings:
13On October 1, 2025, at 9:55 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Victor Hamaker, Facility Manager, to discuss the investigative finding for the allegation noted above. LPA conducted an inspection of the facility on July 7, 2025, at 11:15 am, and no deficiencies were observed. LPA interviewed one Staff (S1). LPA reviewed the facility documents during the investigation. On June 29, 2025, Community Care Licensing (CCL) received an allegation that staff are not meeting reporting requirements. It was reported that C1 grabbed a broken object, attempted to break windows, threatened to harm staff, broke the lock to the fence, and left the facility without permission, however, later returned to the facility with staff. Records reviewed indicated that on 04/03/2025, a twenty-four hour notification was sent to Community Care Licensing regarding the incident with C1 as noted above, however, an Incident Report was not completed or sent to CCL until 07/09/2025 after LPA was at the facility. SubstantiatedEstimated 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: HILLSIDE HORIZONFACILITY NUMBER: VISIT DATE: 10/01/2025

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


raw_content:
Narrative:
****PAGE CONTINUED: During the investigation, there was no corroborating evidence to support the above allegation. Confidential interviews and documents reviewed revealed that C1 threw books and a planted vase out of C1's bedroom window onto the neighbor's roof. Although the incident occurred the Department was unable to determine if it was due to a lack of supervision. Thus, confidential interviews and records reviewed did not corroborate the allegation with a preponderance of evidence. Based on confidential interviews and records reviewed the allegation lack of supervision resulted in group home minors throwing items out of facility window onto neighbor's house, which may have occurred, however, are not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report, LIC 811 and appeal rights was provided to Program Director, Victor Hamaker.

Investigation Findings:
13On October 09, 2025 at 11: AM, Licensing Program Analyst (LPA) Jacqueline Garcia arrived unannounced at the facility and met with Program Director, Victor Hamaker, to discuss the investigative findings for the allegation noted above. LPA spoke with Administrator, Felicia Conover who provided verbal authorization for Victor to sign report. On 05/01/ LPA conducted an inspection of the facility, and no deficiencies were noted. LPA attempted to interview one client (C1), and after several attempts LPA Garcia was not able to reach C1 for an interview. LPA Garcia interviewed one Client (C2) and two Staff (S1, S2) and attempted to interview one staff (S3), however after several attempts S3 did not respond and no longer works at the Facility. During the investigation, LPA Garcia reviewed one client file (C1). On 04/24/25, Community Care Licensing (CCL) received an allegation that lack of supervision resulted in group home minors (C1) throwing items out of facility window onto neighbor's house. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Jacqueline Garcia 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: HILLSIDE HORIZONFACILITY NUMBER: VISIT DATE: 10/09/2025

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

met_with: Victor Hamaker-Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On February 29, 2024, at 1: PM, Licensing Program Analyst (LPA) Jacqueline Garcia and Licensing Program Manager (LPM) Ann Valenzuela conducted an announced pre-licensing inspection for Hillside Horizon. LPA and LPM met with Administrator, Blake Larkin. LPA and LPM toured the facility inside and out. The facility is a two story home in a residential neighborhood. The home is about 5,915 square feet. This home will serve 6 males. The facility is set up as follows: Upper level: *A bedroom contains two twin beds equipped with mattress pad, complete sheet set, comforter, extra blanket and pillow. Two night stands, ample lighting, closet with room for storage for clothing and personal belongings. *B bedroom contains two twin beds equipped with mattress pad, complete sheet set, comforter, extra blanket and pillow. Two night stands, ample lighting, closet with room for storage for clothing and personal belongings. Bathroom is located inside the bedroom with full shower and sink/storage. *C bedroom is the master bedroom contains two twin beds equipped with mattress pad, complete sheet set, comforter, extra blanket and pillow. Two night stands, ample lighting, closet with room for storage for clothing and personal belongings. Master bathroom in located inside the bedroom with a master shower and tub. *2 additional bathrooms are located outside of the bedrooms down the hall ways. *2 offices and an additional group office is located upstairs.1 office designated as a therapist office. Private phone call room also located upstairs. *** *entry way of the home begins in the lower level. Equipped with an entry table with log guest sign in book. Posted evacuation and disaster plan, personal rights and grievance procedures. *Living room furnished with sofas, television, book shelves and home decor. *Dining room area equipped with a large table and seating for 10 people. *Kitchen is equipped with operable appliances, kitchen utensils, pot, pans and dishes, pantry is stocked with dry goods, food menu is posted. Knives are stored in the garage inside a locked cabinet. Kitchen has a nook for casual eating with four additional seats. Lower level: *contains 1 office designated for a nursing station/med room, 1 office designated as a waiting room used for intakes and visitations with families. *Laundry room equipped with washer and dryer and space for folding clothing. *Hallway closet equipped with hygiene supplies and extra linens. Bedrooms were arranged so that no more than two children share a room, and there was one child per bed. No room commonly used for other purposes was used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate drawer and closet space for children's belongings. All hazardous items have been properly made inaccessible to areas where children will have access. Medications are locked and centrally stored in the nursing/med office. Cleansers/chemicals were locked in the cabinet located linen room/laundry room. The first aid kit was also in the medical office with all required items. Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Sports equipment such as pool table/ping pong table/basketball and football equipment available for clients. All facility smoke detectors and carbon monoxide detectors are hard-wired in and are in appropriate working order. Water temperature was tested and was at 115. Trash cans for storage of solid waste had tight fitting lids. ****Continued on the next page. LPA observed a locked cabinet for staff files to be stored in the operations office. Client files will be maintained using the Kipu system which is a portal to store client files and keep all information confidential. Applicant stated licensing will have access to such portal when client files need to be reviewed for any purpose. A copy of this report was given and explained to Administrator Blake Larkin.

met_with: Blake Larkin-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On May 01, 2024, at 09: AM, Licensing Program Analyst (LPA) Jacqueline Garcia conducted an announced post-licensing inspection for Hillside Horizon facility. LPA met with Administrator, Blake Larkin. LPA toured the facility inside and out. The facility is a two story home in a residential neighborhood. The home is about 5,915 square feet. This home serves 6 males. The facility is set up as follows: Upper level: *A bedroom contains two twin beds equipped with mattress pad, complete sheet set, comforter, extra blanket and pillow. Two night stands, ample lighting, closet with room for storage for clothing and personal belongings. *B bedroom contains two twin beds equipped with mattress pad, complete sheet set, comforter, extra blanket and pillow. Two night stands, ample lighting, closet with room for storage for clothing and personal belongings. Bathroom is located inside the bedroom with full shower and sink/storage. *C bedroom is the master bedroom contains two twin beds equipped with mattress pad, complete sheet set, comforter, extra blanket and pillow. Two night stands, ample lighting, closet with room for storage for clothing and personal belongings. Master bathroom in located inside the bedroom with a master shower and tub. *2 additional bathrooms are located outside of the bedrooms down the hall ways. *2 offices and an additional group office is located upstairs one office designated as a therapist office. Private phone call room also located upstairs/quiet reading room. *** *entry way of the home begins in the lower level. Equipped with an entry table with log guest sign in book. Posted evacuation and disaster plan, personal rights and grievance procedures. *Living room furnished with sofas, television, book shelves and home decor. *Dining room area equipped with a large table and seating for 10 people. *Kitchen is equipped with operable appliances, kitchen utensils, pot, pans and dishes, pantry is stocked with dry goods, food menu is posted. Knives are stored in the garage inside a locked cabinet. Kitchen has a nook for casual eating with four additional seats. Lower level: *contains 1 office designated for a nursing station/med room, 1 office designated as a waiting room used for intakes and visitations with families. *Laundry room equipped with washer and dryer and space for folding clothing. *Hallway closet equipped with hygiene supplies and extra linens. Bedrooms were arranged so that no more than two clients share a room, and there was one client per bed. No room commonly used for other purposes was used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate drawer and closet space for children's belongings. All hazardous items have been properly made inaccessible to areas where clients will not have access. Medications are locked and centrally stored in the nursing/med office. Cleansers/chemicals were locked in the cabinet located linen room/laundry room. The first aid kit was also in the medical office with all required items. Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Sports equipment such as pool table/ping pong table/basketball and football equipment available for clients. All facility smoke detectors and carbon monoxide detectors are hard-wired in and are in appropriate working order. Water temperature was tested and was at 106. Trash cans for storage of solid waste had tight fitting lids. ****Continued on the next page. LPA observed a locked cabinet for staff files to be stored in the operations office. Client files are maintained using the Kipu system which is a portal to store client files and keep all information confidential. A sample of six clients and five staff files were reviewed during the inspection. Six client files were reviewed and there were no deficiencies issued. All staff that work at the facility had proof of Department of Justice and Child Abuse Clearance Index clearances. A copy of this report along with LIC 811 (confidential names) was given and explained to Administrator Blake Larkin.


summary: Facility Evaluation

raw_content:
Narrative:
On April 01, 2025 at 09: AM, Licensing Program Analyst (LPA) Sarah Lo arrived unannounced to Hillside Horizons Group Home (GH) to conduct a Required Annual inspection of the facility. LPA was greeted by Program Director, Sydney Scott, and was allowed entry into the facility. LPA toured the facility and inspected inside and out with the Program Director. The home is a two-story residence with 3 bedrooms and 5 bathrooms. The home was approved for 6 ambulatory male clients ages 12-17. The Program Director stated current census is six. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. Beds were observed with appropriate clean linens, pillows, comforters, and mattress in good repair. There are adequate hygiene supplies stocked in the home available for clients. There is adequate shelf and closet space for client's belongings. The beds and dressers in all the bedrooms are in good repair, and all window screens are attached. LPA observed age-appropriate clothing in the closet of the clients. The bathrooms were clean and in good repair. The bathrooms were clean and in good repair. This home contains a therapist office, a group therapy room, a case managers office, a program director office, a nurse office, 2 living room, a foyer, a kitchen. The temperatures in rooms that clients occupy are maintained between 68 degrees F and 85 degrees F. The hot water temperature was tested and noted to be within the regulations of 105 degrees F to 120 degrees F in the client bathroom. All hazardous items have been properly made inaccessible to areas where clients will have access. The medications were stored and locked in a locked cabinet in the locked closet inside of the nurse office. Cleaning supplies and chemicals are locked and stored in a locked closet next to the laundry room. Sharp knives are inaccessible and stored in a locked drawer and cabinet in the kitchen. The First Aid Kits are located in the nurse office, dining room area and the staircase area; and contains all required items. The facility's smoke detectors and carbon monoxide detector located in each bedroom and common areas were checked and were operable. Fire extinguishers are located in the living room, kitchen and staircase and were properly charged and serviced. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Visitation policies, and current menu. LPA observed a minimum 7-day non-perishable and a 2-day perishable supply of food. There was a variety of snacks available for clients as well. Refrigerators in the kitchen and garage are maintained in a good temperature. Sports equipment/games/ books were observed for children's recreation time. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. The facility has no pools or bodies of water on the grounds. There are no guns or weapons in the facility as stated by Program Director at this time. Based on record review, the facility is being cited three Type B violations and a Technical Assistance. Due to time constraint, LPA will return at another time to continue with the annual inspection. An exit interview conducted and appeal rights were reviewed and provided. A copy of this report along was provided to the Program Director, Sydney Scott.


summary: Facility Evaluation - 2 deficiencies

raw_content:
Narrative:
On April 02, 2025 at 10: AM, Licensing Program Analyst (LPA) Sarah Lo, conducted an unannounced annual continuation visit at Hillside Horizon Group Home (GH). LPA was met at the facility by Program Director, Sydney Scott and Executive Director, Kris Kereluik. The physical plant was inspected on April 01, 2025. LPA reviewed a sample of client and staff files. LPA reviewed files for six clients in care: C1, C2, C3, C4, C5 and C6. All client files were found to have Cash/Property/Valuables records, Medical Consent Forms and signed Needs and Services Plans. LPA reviewed staff files for S1, S2, S3, S4, and S5. All staff files reviewed have Department of Justice (DOJ), Federal Bureau of Investigation (FBI) and Child Abuse Clearance Index (CACI) clearances, however did not meet the minimum training requirements per Community Care Licensing Regulations. LPA conducted two client interviews and two staff interviews. The facility is being cited for three Type B violation for Personnel Requirements. An exit interview was conducted and a copy of this report, LIC Confidential Names List, and Appeal Rights were reviewed and provided to the Program Director, Sydney Scott.

Deficiencies:
84065(d): Personnel Requirements

(d) The licensee shall designate at least one facility manager to be present at the facility at all times when children are present
84065(i): Personnel Requirements

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


summary: Facility Evaluation

raw_content:
Narrative:
On November 06, 2025, at 10: AM, Licensing Program Analyst (LPA) Jacqueline Garcia conducted an unannounced Case Management inspection at the facility and met with Facility Manager/Program Director, Victor Hamaker regarding concerns from the community. The Department received concern regarding client's leaving the facility without permission, law enforcement involvement, and emergency medical team arriving to the facility at all hours of the night. LPA requested and obtained supporting documents and this case management is being extend for further investigation. An exit interview was conducted, a copy of this report was reviewed and provided to Victor Hanaker.

met_with: Victor Hamaker-Facility Manager/Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On December 08, 2025, at 10: AM, Licensing Program Analyst (LPA) Jacqueline Garcia conducted an unannounced follow up Case management inspection at the facility and met with Lead Behavior Health Tech, Pablo Reyes. LPA spoke with Felicia Conover, Executive Director/Administrator and received verbal authorization for Pablo Reyes to sign. This case management is a follow up from inspection date 11/6/25, regarding concerns from the community. LPA conducted a review of records and no further follow up is needed at this time. An exit interview was conducted, a copy of this report was reviewed and provided to Pablo Reyes.

met_with: Pablo Reyes, Lead Behavior Health Tech


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On July 10, 2025, at 12:35 pm, Licensing Program Analyst (LPA) Charmaine Linley met with Felicia Conover, Clinical Director, and Kris Kereluik, Executive Director, for a case management inspection. On July 7, 2025, Community Care Licensing Department received information that S1 had a photo of genitalia on their cell phone while sitting next to C1 and C1 observed the photo on the phone. It was also reported that S1 was watching pornography on their cell phone while C2 was present. The facility did not report the information to the Department. LPA Linley stressed the importance of reporting incidents in a timely manner. This process is necessary to ensure the welfare and well-being of all residents that are in care. The agency is in violation of regulation 80061(b) Reporting Requirements. Please refer to LIC 809-D for detailed deficiency information. An exit interview was conducted and appeal rights were reviewed. A copy of this report and appeal rights were provided to the facility. A copy of this report will be placed in the facility file.

Deficiencies:
80061(b): Upon the occurrence, during the operation of the facility, of any of the events specified in (1) below, a report shall be made to the licensing agency within the agency's next working day during its normal business hours.  In addition, a written report containing the information specified in (2) below shall be submitted to the licensing agency within seven days following the occurrence of such event.

met_with: Felicia Conover

title:
1
2
3
4
5
6
7Reporting Requirements


summary: Facility Evaluation

raw_content:
Narrative:
On February 18, 2026 at 08: AM, Licensing Program Analyst (LPA) Jacqueline Garcia arrived unannounced to Hillside Horizons Group Home (GH) to conduct a Required Annual inspection of the facility. LPA met with Facility Interim Administrator, Victor Hamaker and Facility Program Director/Facility Manager, Justin Collins. LPA toured the facility and inspected inside and out with Victor and Justin. The facility is a two story home in a residential neighborhood. The home is about 5,915 square feet. The home is approved for 6 ambulatory male clients ages 12-17. The current census is five male clients. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. Beds were observed with appropriate clean linens, pillows, comforters, and mattress in good repair. There are adequate hygiene supplies stocked in the home available for clients. There is adequate shelf and closet space for client's belongings. The beds and dressers in all the bedrooms are in good repair, and all window screens are attached. LPA observed age-appropriate clothing in the closet of the clients. The bathrooms were clean and in good repair. The bathrooms were clean and in good repair. This home contains a therapist office, a group therapy room, a case managers office, a program director office, a nurse office, 2 living rooms, a foyer, a kitchen. The temperatures in rooms that clients occupy are maintained between 68 degrees. The hot water temperature was tested and noted to be within the regulations of 110 degrees. All hazardous items have been properly made inaccessible to areas where clients will have access. The medications were stored and locked in a locked cabinet in the locked closet inside of the nurse office. Cleaning supplies and chemicals are locked and stored in a locked closet next to the laundry room. ******. ****PAGE CONTINUED: Sharp knives are inaccessible and stored in a locked box in the medication room. The First Aid Kits are located in the nurse office, dining room area and the upstairs area; and contains all required items. The facility's smoke detectors and carbon monoxide detector located in each bedroom and common areas were checked and were operable. Fire extinguishers are located in the living room, kitchen and staircase and were properly charged and serviced. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Visitation policies, and current menu. LPA observed a minimum 7-day non-perishable and a 2-day perishable supply of food. There was a variety of snacks available for clients as well. Refrigerators in the kitchen and garage are maintained in a good temperature. Sports equipment/games/ books were observed for children's recreation time. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. The facility has no pools or bodies of water on the grounds. The facility has cameras inside and outside of the facility. There are no guns or weapons in the facility as stated by Victor and Justin. LPA reviewed files for five clients in care: C1, C2, C3, C4, and C5. All client files were found to have Cash/Property/Valuables records, Medical Consent Forms and signed Needs and Services Plans. LPA conducted two client interviews and two staff interviews. Due to time constraint, LPA will return at another time to continue with the annual inspection. An exit interview was conducted and a copy of this report, LIC Confidential Names List, were reviewed and provided to the Victor and Justin.

met_with: Victor Hamaker-Interim Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On the date listed above, Licensing Program Analyst (LPA) Charmaine Linley conducted Component III Group Homes via Microsoft TEAMS with Tyler Michaelis and Felicia Conover. A copy of the handout was emailed prior to Component III and the Pre-Licensing Inspection is scheduled for September 11, 2025 at 9:00 am. A copy of this report was emailed to Felicia Conover for a signature and a copy of the signed report will be placed in the facility file.

met_with: Tyler Michaelis and Felicia Conover


summary: Facility Evaluation

raw_content:
Narrative:
On September 11, 2025, at 9:15 am, Licensing Program Analyst (LPA) Charmaine Linley arrived at the facility to conduct a pre-licensing inspection of the facility. The facility was inspected inside and out with Felicia Conover, Facility Administrator/Clinical Director and Laura Hagan, Director of Compliance. The home is a two-story residence with a swimming pool in the backyard. There are video cameras located in the following external areas: one video camera on the outside of the living room wall, one video camera near the exit door by the living room, one video camera near the exit door of the dining room, one video camera next to the window outside of the entry way/living room, one video camera near the exit by the entry room, on video camera on all three external walls of the garage (total of three), and there are video camera located in the following internal areas: one video camera inside of the garage, one video camera near the washer/dryer area, one video camera in the entry room, two video cameras in the hallway between the entry room and the medical office, one video camera in the medical office, one video camera in the living room, one video camera in the kitchen, one video camera in the dining room, two video cameras in the hallway upstairs, one video camera in the clinical office, and one video camera in the group room. The facility consists of one entry/visitation room, two living rooms, one dining room, one kitchen, one medical office, one group room, one clinical office, and five bathrooms. The garage is located next to the bathroom and washer/dryer area. *** A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris. There is adequate indoor and outdoor activity space. The first living room is furnished with one love seat and two chairs with enough seating for four people. The second living room has a l-shaped sectional couch that has enough seating for six people. The medical office is equipped with one desk, one computer, and one telephone that was tested and was observed to be in working order. The kitchen is equipped with operable appliances, kitchen utensils, pot, pans and dishes. The facility had a seven day supply of non-perishable food. The hot water in the kitchen was tested at 9:50 am and measured at 110 degrees, which is within regulatory requirements. The kitchen's appliances were tested and were observed to be in working order. The facility's smoke detectors are inter-connected with the carbon monoxide detectors and are hardwired. The smoke/carbon monoxide detectors were tested and observed to be in working order. There are seven combination detectors, one in the downstairs hallway, one in the upstairs hallway, one in the medical office, one in the clinical office, one in the group therapy room, and one in each individual bedroom. Fire extinguishers are properly charged and serviced. There are a total of three fire extinguishers located in the entry way, in the second living room, and upstairs in the hallway. The facility has a fully equipped first aid kit and first aid manual stored on top of the file cabinet in the medical office There are no guns or weapons in the facility as stated by the Administrator. Medications are locked and centrally stored in a locked cabinet behind a locked door in the medical office. Disinfectants and cleaning solutions were stored in a locked cabinet above the microwave in the kitchen and additional cleaning supplies were stored in the locked cabinet in the garage. Sharp knives were made inaccessible and stored in a locked drawer in the kitchen Client files will be maintained using the KIPU system which is a portal to store client files and keep all information confidential. Applicant stated licensing will have access to such portal when client files need to be reviewed for any purpose. Employee files are stored electronically and Applicant was reminded that licensing will need access to the electronic files when they need to be reviewed for any purpose. *** The following required posted items were observed accessible to clients: Fire Clearance, Grievance Procedures, Personal Rights, Visitation policies, Emergency Disaster Plan and current menu. The bedrooms are set up as follows: Bedroom #1 will be occupied by two residents; has two twin beds, all required linen, and mattresses are in good condition. There is a bathroom in this bedroom. Bedroom #2 will be occupied by two residents; has two twin beds, all required linen, and mattresses are in good condition. Bedroom #3 will be occupied by two residents; has two twin beds, all required linen, and mattresses are in good condition. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. There is an in-ground swimming pool located in the backyard of the facility which is made inaccessible with a fence and one pool gate. The pool gate was locked and the key was not available during the inspection. The Administrator will record a video of the inside of the pool area and showing the gate swinging away from the pool. LPA observed a self-latching device located no more than six inches from the top of the gate. The fence is constructed so that the fence does not obscure the pool from view. The fire clearance has been approved. The following corrections need to be made: provide additional drawer space for bedrooms #2 and #3. Applicant will take photos of the additional dressers and send a photo to the LPA by end of business day on 09/19/2025. Administrator will send a video of the pool to LPA by end of business day on 09/11/2025. Applicant will send updated copies of the LIC 610 and 500 to the LPA. Upon Licensing Program Manager's final review, the license will be provided. An exit interview was conducted, and a copy of this report was given to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On November 19, 2025, at 11:45 am, Licensing Program Analyst (LPA) Jacqueline Garcia arrived at the facility to conduct a post-licensing inspection of the facility. The facility was inspected inside and out with Felicia Conover, Facility Administrator/Executive Director. The home is a two-story residence with a swimming pool in the backyard. There are video cameras located in the following external areas: one video camera on the outside of the living room wall, one video camera near the exit door by the living room, one video camera near the exit door of the dining room, one video camera next to the window outside of the entry way/living room, one video camera near the exit by the entry room, one video camera on all three external walls of the garage (total of three), and there are video camera located in the following internal areas: one video camera inside of the garage, one video camera near the washer/dryer area, one video camera in the entry room, two video cameras in the hallway between the entry room and the medical office, one video camera in the medical office, one video camera in the living room, one video camera in the kitchen, one video camera in the dining room, two video cameras in the hallway upstairs, and one video camera in the group room. The facility consists of one entry/visitation room, two living rooms, one dining room, one kitchen, one medical office, one group room, one clinical office, and five bathrooms. The garage is located next to the bathroom and washer/dryer area. *** ****Page Continued: A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris. There is adequate indoor and outdoor activity space. The first living room is furnished with one love seat and two chairs with enough seating for four people. The second living room has a l-shaped sectional couch that has enough seating for six people. The medical office is equipped with two desk, one computer, and one telephone that was tested and was observed to be in working order. The kitchen is equipped with operable appliances, kitchen utensils, pot, pans and dishes. The facility had a seven day supply of non-perishable food. The hot water in the kitchen was tested at 1:00pm and measured at 110 degrees, which is within regulatory requirements. The kitchen's appliances were tested and were observed to be in working order. The facility has a fully equipped first aid kit and first aid manual stored on top of the file cabinet in the medical office. There are no guns or weapons in the facility as stated by Felicia Conover, Facility Administrator/Executive Director. Medications are locked and centrally stored in a locked cabinet behind a locked door in the medical office. Disinfectants and cleaning solutions were stored in a locked cabinet above the microwave in the kitchen and additional cleaning supplies were stored in the locked cabinet in the garage and laundry room in a locked cabinet. Sharp knives were made inaccessible and stored in a locked cabinet in the medical office. The following required posted items were observed accessible to clients: Fire Clearance, Grievance Procedures, Personal Rights, Visitation policies, Emergency Disaster Plan, Let us know poster, activity schedule and current menu. The bedrooms are set up as follows: Bedroom #1 occupied by two residents; has two twin beds, all required linen, and mattresses are in good condition. There is a bathroom in this bedroom. Bedroom #2 occupied by two residents; has two twin beds, all required linen, and mattresses are in good condition. Bedroom #3 occupied by two residents; has two twin beds, all required linen, and mattresses are in good condition. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. ****. ***Page 3 continued: The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. There is an in-ground swimming pool located in the backyard of the facility which is made inaccessible with a fence and one pool gate. The pool gate was locked and the key was locked in a locked cabinet in the medical office room. LPA observed a self-latching device located no more than six inches from the top of the gate. The fence is constructed so that the fence does not obscure the pool from view. A sample of five staff files were reviewed during the inspection. All staff that were reviewed and work at the facility had proof of Department of Justice and Child Abuse Clearance Index clearances. Staff records are stored electronically. LPA conducted two staff interviews. LPA will return to review client files and conduct client interviews at a later time. Client records are stored in KIPU system which is a portal to store client files and keep all information confidential. LPA will review client's medication (medical office) at a later time. A copy of this report along with LIC 811 (confidential names) was given and explained to Felicia Conover, Facility Administrator/Executive Director.

met_with: Felicia Conover-Administrator


facility_name: HILLSIDE HORIZON FOR TEENS, LLC

raw_content:
Narrative:
Based on interviews and record reviews the allegation that staff distributed a medication to a client (name unknown) from another client (name unknown) who was placed at another facility, may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Victor Hamaker.

Investigation Findings:
13On December 27, 2023, at 11:51 am, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegation. LPA met with Victor Hamaker. LPA Erika Lopez conducted an inspection of the facility on February 3, 2023, at 4:30 pm and no immediate deficiencies were observed. Two of four clients (C1, C2, C3, C4), four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that staff (S1) distributed medication to a client (name unknown) from another client (name unknown) who was placed at another facility. Confidential staff interviews reported that S1 was in charge of distributing the medications during the time of this alleged incident but does not recall administering a client's medication to another client. Confidential interviews reported that it is unclear which medication and or which client(s) this is regarding. LPA made several attempts to interview all of the clients but due to the clients no longer being placed at the facility, LPA was unsuccessful. Other confidential interviews reported that the allegation was true. The interviews that were provided to the LPA were not consistent regarding the allegation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-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, MAIN ST., SUITE FACILITY NAME: HILLSIDE HORIZON FOR TEENS, LLCFACILITY NUMBER: VISIT DATE: 12/27/2023

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

met_with: Victor Hamaker


raw_content:
Narrative:
****CONTINUED**** 63 days from hire date 11/07/2022 -02/15/2023. S2 worked in the facility 11 days from hire date 01/19/2023 -02/15/2023. S3 worked in the facility eight days from hire date 01/25/2023 -02/15/2023. S4 worked in the facility 60 days from hire date 11/28/22-02/15/23. ADM confirmed S1, S2, S3 and S4 will not be allowed to work until criminal record clearance has been obtained. Based on confidential interviews, observation, and record review, the preponderance of evidence standard has been met, and the allegation that uncleared staff (S1, S2, S3, S4) are providing care and supervision is supported and proven by evidence, therefore the allegation is substantiated at this time. The facility is cited for violation of Title Regulations 80019(e)(2) Criminal Record Clearance. An exit interview was conducted, a copy of this report along with LIC 9099D, LIC 421BG, LIC 811, and appeal rights were explained and provided to Victor Hamaker.

Investigation Findings:
13On 02/09/2024 at 1: PM, Licensing Program Analyst (LPA), Val Wilson, met with Operations Manager/Facility Manager, Victor Hamaker, to deliver the findings for the above complaint allegation at Hillside Horizon for Teens Group Home (GH). On 02/15/2023 at 3: PM, LPA conducted an inspection of the facility, and no immediate health and safety hazards were observed. During the investigation, interviews were conducted with the administrator (ADM), facility manager (FM), and recruiting manager (RM). LPA reviewed LIC 500, Guardian roster report, and staff files. On February 10, 2024, the Department received a complaint that alleged that uncleared staff are providing care and supervision. Specifically, it was alleged that multiple staff are not cleared to work at the facility. Regarding the allegation that uncleared staff are providing care and supervision, record review of staff files and confidential interviews revealed that staff 1 (S1), staff 2 (S2), staff 3 (S3), and staff 4 (S4) did not have a criminal record clearance. (See LIC 811 dated 02/09/2024). S1 worked in the facility ***CONTINUED*** SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Valerie Wilson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: HILLSIDE HORIZON FOR TEENS, LLCFACILITY NUMBER: VISIT DATE: 02/09/2024

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