facility_name: SIERRA NEVADA CONNECTIONS

summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On January 7, 2022, Licensing Program Analyst (LPA) Hillary Hall arrived unannounced at the facility for the purpose of completing an Annual inspection for the Sierra Nevada Connections Transitional Housing Placement THPP/THP facility. On 12/16/2021, Licensing Program Analyst (LPA) Hillary Hall and Danielle Walker-Flores arrived unannounced at the above facility for an Annual Inspection of the Foster Family Agency, housed at the same address as the Transitional Housing facility. LPA's conducted a facility inspection using the CARE tool on 12/16/21. Facility was clean and organized. First Aid kit was complete. Private rooms were available for interviews. Kitchen and bathroom facilities were in good repair. Facility was not re-inspected on this date. The THPP/THP +FC facility has been licensed since 12/07/2020. As of 1/7/2022, the facility has two non-minor dependent clients. Both clients reside in a host home model placement. LPA Hall interviewed three staff between 12/16-12/17/21 who work with THP clients. LPA's Hall and Walker-Flores reviewed two staff files who work with THP clients on 12/16/21. On 1/7/2021, LPA Hall reviewed two THP client files. During the file review, LPA observed Needs and Services Treatment Plans and Updates were missing for two out of two clients. One client was placed in March 2021 and the other client was placed in August 2021. Facility is being cited for California Code of Regulations Section 86168.2(a): Needs and Services and Transitional Independent Living Plan: At the time of placement, the THPP social work personnel in consultation with the authorized representative shall commence a needs and services plan for each participant. One THP client was residing over 3 hours drive from the facility (188 miles). Continued on 809C Continued from Facility is being cited for California Code of Regulations Section 86178(c): Responsibility for Providing Care and Supervision: No social work staff shall have participants who are located more than two hours' travel by automobile from the THPP office in their caseload. Medical and dental records were missing for one THP client. Facility is being cited for California Code of Regulations Section 86069: Participant Medical Assessments: (a) Prior to or within 30 calendar days following the acceptance of a participant, the licensee shall obtain a written medical assessment of the participant, as specified in Section 80069(b), which enables the licensee to determine his/her ability to provide necessary health related services to the participant. The assessment shall be used in developing the Needs and Services Plan. A signed copy of the LIC-809, LIC-809C, and LIC-809D were provided to the facility. Exit interview was conducted and appeal rights were provided.

Deficiencies:
86168.2(a): Needs and Services and Transitional Independent Living Plan (TILP)

(a) At the time of placement, the THPP social work personnel in consultation with the authorized representative shall commence a needs and services plan for each participant. The needs and services plan describes the following

met_with: Joy Amaro Executive Director


state: CA

facility_name: SIERRA QUEST TRANSITION PROGRAM

summary: Facility Evaluation

raw_content:
Narrative:
Complaint Specialist C.K. Kinney(CS) traveled to the Sierra Quest Campus and met with Associate Clinical Social Worker/THP Social Work Supervisor Carrie Maddox(S1), to conduct Annual Inspection. CS conducted entrance interview, reviewed files and discussed the program with S1. CS observed documentation that demonstrates the residential unit has all physical plant requirements, and the participants are provided required essentials. CS. reviewed Participant file and found all required documentation. No deficiencies were observed or cited during this inspection. CS requested S1 to provide updated copies of LIC Personnel Report, LIC Administrative Organization, Current Leases, Minutes of last Board Meeting. Copy of this report emailed to S1 for signature and return.

report_type: Facility Evaluation

visit_type: Annual

met_with: Carrie Maddox


summary: Facility Evaluation

raw_content:
Narrative:
On 05/03/2022, an unannounced annual inspection is conducted by Licensing Program Analyst (LPA) Tamara Melikian. Met at the THPP office by Administrator Scott Seymour. Currently the program is staffed by the Administrator, a Therapist/Supervising social worker and a case manager. At 12:00PM, participant files and staffing files reviewed. At 12:45PM, an interview of S1 was conducted. Licensee will submit an updated LIC 309 and LIC 500 (Personnel Report). There are no deficiencies to be cited on this date. A copy of this report is left with the Executive Director.

met_with: Scott Seymour


summary: Facility Evaluation

raw_content:
Narrative:
On 04/11/2024, an unannounced annual inspection is conducted by Licensing Program Analyst (LPA) Tamara Melikian. Met at the THPP office by Administrator Scott Seymour. Currently the program is staffed by the Administrator, a Therapist/Supervising social worker and a case manager. At 9:00AM, staffing files were inspected. There are currently no participants in placement. At 9:50AM, an interview of S3 was conducted. Licensee will submit an updated LIC 309 and LIC 500 (Personnel Report). There are no deficiencies to be cited on this date. A copy of this report is left with the Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 06/17/2025, an unannounced annual inspection is conducted by Licensing Program Analysts (LPAs) Reyna Martinez and Angelica Borja. Met at the THPP office by Executive Director, Scott Seymour. Currently the program is staffed by the Administrator, a Therapist/Supervising social worker and a case manager. Staff files were inspected. There are currently no participants in placement. An interview was conducted with one staff. Licensee will submit an LIC 500 (Personnel Report). There are no deficiencies to be cited on this date. A copy of this report is left with the Administrator.


facility_name: SOFIYA'S VILLAGE

summary: Facility Evaluation

raw_content:
Narrative:
On May 6, 2025, Licensing Program Analyst (LPA) Briana Placencia traveled to Sofiya's Village THPP located in Modesto CA. LPA was met by Licensee Nattaly Valenzuela-Meza and Facility Manager Joy Burgner, for the purpose of a scheduled pre-licensing inspection for the THPP. A general overview of their program and a tour of the facility was provided. The facility is a two story residence with three bedrooms, the bedrooms have all required furnishings, the facility has three restrooms and one office. Facility is to ensure water temperature is maintained between 105 and 120 degrees. LPA observed fixtures and furniture, equipment and supplies necessary for this operation. LPA observed locked cabinets for client and staff files in order to ensure confidentiality. There is ample confidential space for meeting with clients on an as needed basis. The facility does have a pool on site and meets regulatory standards. The agency employs one administrator, and one facility manager. The facility is equipped with a first aid kit and a fire extinguisher. All required LIC forms and personal rights are posted in a common area. The THPP has set up a guardian account and will need to associate the facility manager and submit the required documents to LPA Placencia. Items discussed were the access to cameras on property. The hot water temperature. Possibility of off-site office space to free up the fourth room. LPA discussed daily ongoing functions including incident reporting. LPA also discussed that Licensee should obtain a telephone for the clients use. The above licensee meets the requirements to be licensed as a THPP in Stanislaus County, with the ability to place participants within a two hour radius. On a quarterly basis, facility is to submit a roster of THPP clients that includes client names, dates of birth, county worker and current address of placement. A copy of this report was provided to the Licensee.

visit_type: Prelicensing

met_with: Nattaly Valenzuela-Meza


summary: Facility Evaluation

raw_content:
Narrative:
On September 9, 2025, Licensing Program Analysts (LPAs) Briana Placencia and Melissa Renovato traveled to Sofiya's Village in Modesto CA, and met with Facility Manager Joy Burgner. The purpose of the inspection is to conduct a post-licensing inspection. LPAs conducted a physical plant inspection and included the following observation and checks: client and staff files are kept in locked filing cabinets. The agency has adequate confidential meeting space, space for Social Worker and Case Manager to complete job duties. The facility has a current copy of the license, Facility Sketch, Client Personal Rights, posted in a common area. The agency has a client register roster LIC 9120, with all required information. The agency's office is located on facility grounds at this time. The agency employs (1) Executive Director/Administrator, (1) Program Manager (2) Facility Managers/Case Managers, and (1) Administrative Assistant. LPAs reviewed five staff files and one client file. The facility is being issued five Technical Assistance (TA) at todays inspection. A copy of this report and TAs were provided Joy Burgner at the conclusion of the inspection.

met_with: Joy Burgner


summary: Facility Evaluation

raw_content:
Narrative:
On January 8, 2026, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Sofiya's Village THPP and met with Jessica Chavez- Program Administrator. The purpose of this inspection was to discuss concerns with an incident report that was sent into the Department on December 9, 2025, the incident in question happened on 12/08/2025. LPA conducted an interview with Program Administrator (PA) (See LIC 812). According to PA the charges were dropped for all the clients (See LIC 811) and this incident did not happen at the licensed facility. It was determined this was an isolated incident and there was no citation warranted. A copy of this report was left at the facility.

visit_type: Case Management

met_with: Jessica Chavez-Program Administrator


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
issues were taken care of. It was advised that Client #1 disclosed that there were no issues with safety and Client #1 just desired to be in the apartment without a roommate. Confidential interviews stated that there were several concerns of Client#1's needs not being met issues and they were never addressed by involved representatives. Other confidential interviews stated that there were no issues or concerns; all issues were fabricated. The CSW stated that there were no concerns as the case manager did their best to rectify all issues. LPA received inconsistent information regarding the allegation. It was also reported that Client #1 did not receive their allowance. Administration stated that case manager and Client #1 had scheduled times to distribute allowance. Administration stated that Client #1 would not make themselves available to receive the allowance. Confidential interviews stated that case manager refused to provide allowance. Other confidential interviews stated there were no issues with receiving allowance on time. CSW stated Client #1 complained that allowance was delayed multiple times. CSW stated the only time she was advised of a delay was allowance was distributed on November 18, but was received on November 19. The CSW stated there were no issues or concerns regarding the allowance. Based on interviews and information obtained, clients needs are not being met and facility staff withheld client's funds may or may not have occurred; therefore, the allegations are unsubstantiated at this time. Exit interview conducted and a copy of the report will be provided to the facility.

Investigation Findings:
13On June 24, 2021, at 11: AM, Licensing Program Analyst (LPA) Jazmond Harris met with Administrator, Jehna Barnes to deliver the findings for the investigation pertaining to the listed allegations. On November 25, 2020, at 3: PM, LPA Marisol Lopez initiated the complaint investigation with Administrator and no immediate deficiencies were noted. LPA Lopez conducted interviews with Administrator, Client #1 and Client #2 (See Confidential Names List (LIC 811) dated June 25, 2021.) LPA Harris conducted a subsequent interview with Administrator and County Social Worker, Jahara Tinsley. Client and facility records were reviewed. On November 23, 2020, It was reported to Community Care Licensing that Client #1's needs are not being met and Facility staff withheld funds. It was reported that Client #1 was repeatedly threatened by Client #2. It was also reported that Client #1 advised the Case Manager, Ruby Pena of the concerns, but "nothing was done." It was also advised that law enforcement responded to the home and only a report was taken. Information obtained from facility representatives stated that Client #1 did advise staff of concerns, but the UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Jazmond D Harris 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: STABILITY THROUGH ENHANCED PEER SUPPORT S.T.E.P.SFACILITY NUMBER: VISIT DATE: 06/24/2021

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

report_type: Complaint Investigation

met_with: Administrator-Jehna Barnes

complaint_status: unsubstantiated


raw_content:
Narrative:
Based on interviews and record reviews the allegations that C1 threatened C2, and the apartment unit was in disrepair, 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 Jehna Barnes.

Investigation Findings:
13On July 02, 2021 at 10:00 am, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegations. LPA Marisol Lopez conducted a tele-inspection on November 25, 2020 at 2:30 pm and no immediate deficiencies were observed. Two of two clients, three staff (S1, S2, S3) and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that C1 threatened C2 and the apartment unit was in disrepair. Confidential staff interviews reported that C1 did not threatened C2 but C1 simply just did not like C2. Confidential interviews reported that staff offered C1 to be moved to another apartment unit but C1 refused. Confidential interviews also reported that maintenance was called out to fix the air conditioner and the clogged kitchen sink. There were no type of pest observed inside the apartment unit and maintenance does spray for ants and bugs monthly. LPA received conflicting information regarding all of the allegations listed above. The interviews that were provided to the LPA were not consistent and did not provide any further specific details regarding C1 threatened C2 and the apartment unit was in disrepair. 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: STABILITY THROUGH ENHANCED PEER SUPPORT S.T.E.P.SFACILITY NUMBER: VISIT DATE: 07/02/2021

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

met_with: Jehna Barnes


facility_name: STABILITY THROUGH ENHANCED PEER SUPPORT S.T.E.P.S

summary: Facility Evaluation

raw_content:
Narrative:
On 10/14/2021 at 9: AM, Licensing Program Analyst (LPA) Marisol Lopez conducted an unannounced inspection at the facility. LPA met with Program Administrator (P1) Joanna Corona. The purpose of the inspection is to conduct a required annual inspection. LPA reviewed physical plant, operational requirements, disaster preparedness, five of five staff files and one of ten client files (see confidential name list, LIC811, dated 10/14/2021). All staff files had the required forms per regulations requirements. The staff and client files are stored and locked in a cabinet in the office. Due to time constraints, the annual inspection is being extended for staff interviews and clients file reviews. LPA conducted 0 of 5 staff interviews and 1 of 10 client file reviews. An exit interview was conducted and this report and LIC 811 was reviewed with Program Administrator Joanna Corona and a copy of this report was provided.

met_with: Joanna Corona


summary: Facility Evaluation

raw_content:
Narrative:
On 10/15/2021 at 4: PM, Licensing Program Analyst (LPA) Marisol Lopez conducted an unannounced inspection at the facility. LPA met with Program Administrator (P1) Joanna Corona. The purpose of the inspection is to conduct a post-licensing inspection. LPA completed an annual/post-licensing inspection and reviewed physical plant, operational requirements, disaster preparedness, completed five of five staff interviews, five of five staff file reviews and ten of ten client file reviews (see confidential name list, LIC811, dated 10/15/2021). All staff files had the required forms per regulations requirements. The staff and client files are stored and locked in a cabinet in the office. An exit interview was conducted and this report and LIC 811 was reviewed with Program Administrator Joanna Corona and a copy of this report was provided.


summary: Facility Evaluation

raw_content:
Narrative:
On 10/15/2021 at 09: AM, Licensing Program Analyst (LPA) Marisol Lopez conducted an unannounced inspection at the facility. LPA met with Program Administrator (P1) Joanna Corona. The purpose of the inspection is to conduct a required annual inspection. LPA completed five of five staff interviews and ten of ten clients file reviews.(see confidential name list, LIC811, dated 10/15/2021). All staff interviews were completed and client files have the required forms per regulations requirements. The staff and client files are stored and locked in a cabinet in the office. An exit interview was conducted and this report and LIC 811 was reviewed with Program Administrator Joanna Corona and a copy of this report was provided.


summary: Facility Evaluation

raw_content:
Narrative:
On May 18, 2023 at 1: PM Licensing Program Analyst (LPA) Lucero Jauregui arrived unannounced to the facility to conduct an annual inspection. LPA met with Verenna Huerta Administrator. Due to technical difficulties with care tool LPA was not able to conduct inspection. An exit interview was conducted and copy of this report was provided to Verenna Huerta, Administrator.

met_with: Verenna Huerta, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On December 12, 2023 at 9: AM, Licensing Program Analyst (LPA) Jacob Salem arrived at the above facility's administrative office for the purpose of conducting an annual inspection. LPA met with Verenna Huerta, Administrator and explained the purpose of the visit. The inspection CARE tool was inoperable during LPA's visit, such that the spreadsheet cells that indicate compliance could not be selected. LPA used the CARE tool as a guide only during his inspection and contacted IT support to rectify the technical issue. LPA began by conducting an inspection of the office's physical plant. The office consists of a large main room with four desks, and two private offices that can be used for confidential interviews. Client files are kept in a locked file cabinet in the main room. LPA observed the facility license to be prominently posted near the entrance. LPA reviewed five staff files (S1-S5) which were provided upon request.The staff files have the required background information and health screenings, criminal record clearances, staff qualifications, and mandated reporting acknowledgements. LPA also reviewed the facility's emergency disaster plan. LPA conducted a review of five client files (C1-C5), which were also provided upon request. All client files reviewed contained the signed admission agreement and discharge policies, as well as signed and up-to-date Needs and Services Plans. LPA observed that C2 did not have a written medical assessment within thirty days of entering the program, but record of the case worker's attempts to facilitate the assessment are documented in the client's file. Based on observations made during the inspection, there were no deficiencies cited at this time. An exit interview was conducted with Verenna Huerta, Administrator and a signed copy of this report was provided.


summary: Facility Evaluation

raw_content:
Narrative:
On December 14, 2023, at 4: PM, Licensing Program Analyst (LPA) Jacob Salem arrived at the facility to conduct an annual continuation. The purpose of the inspection was due to computer malfunction during the inspection conducted on 12/12/23; the CARE Tool was not operable at the time of inspection. LPA returned to complete the inspection tool. Based on observations there are no deficiencies noted. A copy of this report was discussed and provided to Verenna Huerta, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On November 4, 2025, at 11: AM, Licensing Program Analyst (LPA) Cynthia Velasquez arrived at the above facility's administrative office for the purpose of conducting an annual inspection. LPA was greeted by Mariana Smith, Case Manager/Mental Health Rehabilitation Specialist (CM/MHRS). LPA viewed facility postings and determined that all required documentation was visible which included: Licensing Certification issued 10/18/2019, Foster Youth Bill of Rights, Mandated Reporting Information, Behavioral Sciences License/Compliance, SD/MC FFS Certification, Non-Discrimination Statements, and their Emergency Exit Plan. LPA conducted an inspection of the facility. There is a total of four workstations in their suite which have desks, chairs, and locking storage drawers. There are two large file cabinets that house client files for San Diego and Imperial County offices. Above the file cabinets are folders containing staff training certifications, Certificates of Compliance, Title Regulations, and Personnel Rosters. There is an interview/conference room, and a break room. Client files are kept in a locked safe located in the conference room. LPA requested four staff files (S1-S4) and three client files (C1-C3) which were made available by Verenna Huerta, Administrator (ADM) in the conference room. Client files contained name, ambulatory status, physician information, and authorized representative information. Staff files contained criminal record clearance, child abuse central indexing clearances, name, identification, date of employment, address, telephone numbers, training certifications, duties, health screenings, and tuberculosis testing results. (Continued on LIC809C) (Continued from LIC809) Based on LPA's observations made during the inspection, the facility is in substantial compliance with licensing laws and regulations. There are no deficiencies cited at this time. An exit interview was conducted and a copy of this signed report was printed and supplied to Verenna Huerta, Administrator.


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove facility staff member ran over resident's foot with a car, resident was illegally evicted, facility did not provide a healthful environment for resident and facility did not ensure safety of resident's money while in care, therefore the above allegation is unsubstantiated. Exit interview conducted with FM and LPA left report at the facility.

Investigation Findings:
13Licensing Program Analyst (LPA) Christopher Rollins conducted a follow-up complaint inspection at Stability Through Enhanced Peer Support and met with Larry Hickman Administrator. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of investigating the allegation, LPA Rollins conducted confidential interviews with facility staff, clients, social workers and conducted clients file review. Confidential interviews reveal conflicting stories about facility staff member ran over resident's foot with a car & resident was illegally evicted. Confidential interviews reveal conflicting stories about facility did not provide a healthful enviroment for resident & facility staff did not ensure safety of resident's money while in care. Based on interviews and documentation there was not enough evidence to prove facility staff member ran over resident's foot with a car, resident was illegally evicted, facility did not provide a healthful enviroment for resident and facility did not ensure safety of resident's money while in care . UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Christopher Rollins LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, TRAEGER AVE., SUITE FACILITY NAME: STABILITY THROUGH ENHANCED PEER SUPPORT (STEPS)FACILITY NUMBER: VISIT DATE: 01/05/2022

met_with: Larry Hickman- Administrator


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
day notice. In addition, (P1's) authorized representative and attorney requested a written notice from (S1) on several occasions. However, the facility failed to submit it and did not obtain a copy to LPA Mendoza upon request. LPA Mendoza obtained a copy of the facilities agreement around termination from the program and reviewed the facilities program statement. The facility failed to follow its policies around discharge and removals. Furthermore, the facility did not arrange a CFT meeting with (P1) and (P1's) authorized representatives. On allegation, the facility did not provide (P1) infant supplementation. Based on confidential interviews and documentation. The facility received several checks from the county. Unfortunately, the facility cashed the checks without knowing what the money was or to whom the money was owed too. In addition, the facility was unable to provide the exact figure to (P1). Due to the facility's negligence, (P1) hired an attorney and was able to get the facility to pay (P1) a total of $3,483.00 for (P1's) infant supplementation from August 2021 to December 2021. Based on the information obtained, there is a preponderance of the evidence to prove, (P1) was illegally evicted and the facility did not provide NMD's infant supplementation. Therefore, the above allegation is substantiated. Appeal Rights were provided and discussed with the facility, and deficiencies were cited and a copy of the report was left with the licensee.

Investigation Findings:
13Licensing Program Analyst (LPA) Isabel Mendoza conducted a follow-up complaint inspection at Stability Through Enhanced Peer Support and met with Larry Hickman, Administrator. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation, LPA Mendoza conducted confidential interviews with staff members, participants, authorized representatives, and reporting parties and obtained documentation from the facility and other sources. Based on interviews and documentation submitted to LPA. Interviews and documentation revealed that (P1's) authorized representative only received a 7-day notice. Furthermore, the 7-day notice did not give specific facts about any circumstance or event which resulted in (P1) getting a 7-day (Please refer to LIC 9009-C...) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Isabel Mendoza LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, TRAEGER AVE., SUITE FACILITY NAME: STABILITY THROUGH ENHANCED PEER SUPPORT (STEPS)FACILITY NUMBER: VISIT DATE: 04/29/2022

met_with: Larry Hickman

complaint_status: SUBSTANTIATED


raw_content:
Investigation Findings:
13On 1/3/2023 at 2: PM, Licensing Program Analyst (LPA) Alyssa Ng conducted a complaint inspection at Stability Through Enhanced Peer Support (STEPS) and spoke with Claudia Nelson, Program Manager. The purpose of the inspection was to deliver the findings for the above complaint allegations. During investigation, interviews were conducted, and incident reports were reviewed, and it was determined that minor was assaulted by another minor in care, minor had access to alcohol, and facility refrigerator is in disrepair. Based on LPA's interview with staff, client, and record review(s), the preponderance of evidence standard has been met, therefore the above allegations, minor was assaulted by another minor in care, minor had access to alcohol, and facility refrigerator is in disrepair is found to be SUBSTANTIATED. Facility is being cited for violation of California Code of Regulations (CCR), Title 22, Division 6 & Chapter 1: 80087(a) Buildings and Grounds. Please refer to attached 9099D. At this time, one deficiency was given. An exit interview was conducted, appeal rights provided and discussed, and a copy of this report was sent to Claudia Nelson, Program Manager. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, TRAEGER AVE., SUITE FACILITY NAME: STABILITY THROUGH ENHANCED PEER SUPPORT (STEPS)FACILITY NUMBER: 015650121

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: Claudia Nelson


facility_name: STABILITY THROUGH ENHANCED PEER SUPPORT (STEPS)

raw_content:
Investigation Findings:
13On 4-17-24 10:47AM, Licensing Program Analyst (LPA) George Karkazis made and unannounced inspection at Stability Through Enhanced Peer Support (STEPS), and met with Isela Sahagun, Case Worker/ Social Worker. The purpose of the inspection was to deliver the findings for the above allegations. The investigation was conducted by Community Care Licensing (CCL) Investigation Branch (IB), Investigator Blake Williams. The complaint alleged that staff did not prevent a minor from sustaining a burn while in care, and staff did not prevent a client from being attacked while in care. During the course of the investigation, IB conducted confidential interviews with staff, clients, witnesses, and authorized representatives. IB obtained documentation, police reports, medical records, facility records and communication records. Confidential interviews and document research conducted provided conflicting information. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are UNSUBSTANTIATED. A Technical Assistance was issued. A copy of this report was given to Isela Sahagun, Case Worker/ Social Worker. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: George Karkazis LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Christopher Rollins conducted an Case Management with Larry Hickman. The reason for the case management visit was to go over the age exception that was submitted on July 7. LPA and Administrator went over age exception and corrected the areas of question that the LPA had. Administrator provided LPA with an updated age exception letter and the county support letter. LPA will review documents and provide feedback to Administrator for approval or denial.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Christopher Rollins made an unannounced required Annual inspection to Stability Through Enhanced Peer Support (STEPS) Administrative office. LPA met with Larry Hickman Administrator. The Transitional Housing Placement Plus Foster Care program (THP-FC) services non-minors dependents. At 10: AM, LPA did a walk through inspection with Administrator of the office. The office has sufficient space for confidential meetings, all participant files and staff files are located in a locked cabinet in a secure location. The agency has their license posted in their office. The office is in compliance with Community Care Licensing (CCL) regulations. LPA spoke with Administrator and Social Workers on site about the residential units. Administrator and Social Workers stated that all residential units have at least one toilet, sink and tub in working order. Administrator and Social Workers stated that all disinfectants and cleaning supplies are locked up and inaccessible. Administrator and Social Workers notified LPA that the program provides all participants with household essentials and that there are no weapons or firearms stored in the apartment units. At 11: AM, LPA reviewed 8 participants files and 6 staff files with Administrator. LPA observed Participants files to be complete and found no deficiencies. All documents are complete and up to date. LPA observed 6 staff files to be complete, all documentation is up to date and all staff training were up to date/current. At 12: PM, LPA conducted staff interviews with two Social Workers who were present. During inspection, LPA receive a updated copy of the LIC Personnel Report to maintain their file current. LPA receive an updated Certificate of Compliance for Apartment units. A review of Licensing Information System on September 2, 2021 indicates that all facility staff associated to the program has DOJ, FBI and child abuse index check clearances. Per Title Regulations, no deficiencies were cited during this inspection. Exit interview conducted and a copy of the report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Isabel Mendoza made an unannounced required Annua/Required inspection to Stability Through Enhanced Peer Support (STEPS) Administrative office. LPA met with Larry Hickman Administrator and Claudia Nelson Program Manager. The Transitional Housing Placement Plus Foster Care program (THP-FC) services non-minors dependents. At 9: AM, LPA did a walk through inspection with Administrator of the office. The office has sufficient space for confidential meetings, all participant files and staff files are located in a locked cabinet in a secure location. The agency has their license posted in their office. LPA spoke with Program Manager about the residential units, and obtained copies of all Certificate of Compliances. The facility currently has 18 sites. The administrator confirmed that all residential units have at least one toilet, sink and tub in working order. LPA obtained a copy of all sites Certificate of compliance for all 18 sites. At 9: AM, LPA reviewed 8 participants files and 6 staff files along with staff training. LPA observed 8 participants files to be complete and found no deficiencies. LPA reminded the facility to complete all items on the LIC 601 (Identification and Emergency Information). The form is to be filled out completely. LPA found several participants that were missing items. However, during inspection, the Program Manager and Social Worker completed missing items. LPA observed 6 staff files to be complete, all documentation is up to date and all staff training were up to date/current. During inspection, LPA obtained a copy of the LIC 610 and LIC 500. The facility currently has a balance due of $1,931.00. (Please refer to LIC 809-C continuation page). The Administrator informed LPA that this was not correct and the facility has been trying to get these fees corrected, because CCL possibly made an error after the change of location. The Administrator noticed the error started in January of 2020. The administrator submitted copies of cashed checks along with email correspondence with former LPA to LPA Mendoza. LPA Mendoza will take this information back and will follow-up with the Administrator. No deficiencies were cited during todays inspection. An exit interview was conducted and a copy of the report was left with the Administrator.

met_with: Claudia Nelson and Larry Hickman


summary: Facility Evaluation

raw_content:
Narrative:
On 4/24/2023 at 12:45PM, Licensing Program Analyst (LPA) Selena Hood conducted a visit to the office of the above agency. On 4/24/2023, Community Care Licensing (CCL) was informed that an 18 year old resident of the facility had died by shooting on 4/23/2023 in Richmond, California. LPA met with Claudia Nelson, Program Manager. LPA collected copies of the Transitional Independent Living Plan and Needs and Services Plan for the resident. LPA discussed the details of the incident and the who had reported the incident with Program Manager (see LIC812). The resident's probation officer and biological mother have been informed. The facility has begun informing other residents in the home. Program Manager is checking in with the other residents and offering grief counseling today, 4/24/2023. The facility is also working with the resident's mother to receive their belongings. LPA conducted an exit interview with Claudia Nelson, Program Manager at 1:01PM. Facility will provide the incident report when they have been granted more information about the location and circumstances of the incident.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) George Karkazis made an unannounced required Annual inspection to Stability Through Enhanced Peer Support (STEPS). LPA met with Claudia Nelson, Program Manager. The Transitional Housing Placement Plus Foster Care program (THP-FC) services non-minors dependents. At 1:10PM, LPA did a walk through inspection with Claudia Nelson, Program Manager of the office. The office has sufficient space for confidential meetings, all participant files and staff files are located in a locked cabinet in the front office. The agency has their license posted in their office. The office is in compliance with Community Care Licensing (CCL) regulations. LPA spoke with Claudia Nelson, Program Manager about the residential units. Claudia Nelson, Program Manager stated that all residential units have at least one toilet, sink and tub in working order. Claudia Nelson, Program Manager stated that all disinfectants and cleaning supplies are locked up and inaccessible. Claudia Nelson, Program Manager notified LPA that the program provides all participants with household essentials and that there are no weapons or firearms stored in the housing units. At 11:15AM, LPA reviewed 5 participants files and 4 staff files. There are a total of 4 employees in this office. LPA observed all Participants files to be complete and found no deficiencies. All documents are complete and up to date. LPA observed staff files to be complete, all documentation is up to date and all staff training were up to date/current. During inspection, LPA requested a updated copy of the LIC Personnel Report, LIC Disaster Plan, and LIC Administration Organization, to maintain their file current. All staff are fingerprint cleared. Per Title Regulations, no deficiencies were cited during this inspection. Exit interview conducted and a copy of the report was given to Claudia Nelson.

met_with: Claudia Nelson, Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Christopher Rollins conducted an unannounced follow up case management inspection at Stability Through Enhanced Peer Support (S.T.E.P.S.) administration office and met with Larry Hickman Administrator. The purpose of inspection is to deliver the case management investigation findings of the reported death of non minor dependent participant on 02/26/21. During the course of the investigation, LPA conducted confidential interviews with staff, social workers, clients and reviewed documentation that was submitted to LPA. Confidential Interviews conducted and documentation reveal a lack of supervision/neglect by program staff to protect the health & safety of the participants in the program care. Confidential Interviews and documentation reveal that program staff were aware of ongoing issues that were happening at the apartment complex which resulted in the death of a non-minor dependent participant in care. Based on confidential interviews and documentation there was enough evidence to prove that there was a Lack of Supervision/Neglect when it came to staff protecting participants in care safety needs which also violates the participants personal rights. Based on the information obtained during this investigation; there is a preponderance of evidence to prove that there was a Lack of Supervision/Neglect when it came to staff protecting participants in care safety needs and a violation of participants personal rights. Exit interview was conducted with Administrator and the program was cited under California Code of Regulations, Title 22, Division Sections Personal Rights and Responsibility for Providing Care and Supervision. Appeal Rights were provided and deficiencies were cited. A copy of the report was left at the facility with Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On March 16, 2026 at 10:30AM, Licensing Program Analysts (LPA) Kaitlyn Wong and Celeste Aparicio made an unannounced required Annual inspection to Stability Through Enhanced Peer Support (STEPS). LPAs met with Claudia Nelson, Program Manager, and Larry Hickman, Administrator. The facility services non-minors dependents and currently has a census of 25. LPAs did a walk through inspection with Program Manager of the office. All participant files are located in a secure cabinet in the front office, and staff files are located in a secure cabinet in the Administrator's office. The agency has their license posted in their front office. LPAs spoke with Administrator about the residential units who stated that all residential units are rental units and all residents are designated one bedroom and one bathroom each per unit. LPAs requested the following documentation: an updated copy of the LIC Personnel Report and LIC Administration Organization. All staff are fingerprint cleared on Guardian. LPAs reviewed the following areas utilizing the CARE Tool: Disaster Preparedness, Operations, physical plant of the office, staff and client files. LPAs conducted two confidential staff interviews. Participants are off-site, so no client interviews were conducted at the time of this inspection. LPAs reviewed five (5) random participants files and five (5) staff files. [Continued on LIC 809-C] As a result of this review, LPAs are issuing four (4) Technical Violations and two (2) Technical Assistance. (reference LIC9102 attached to report): Technical Violation 1.Health And Safety Code 1565(c) for emergency drills being conducted on a yearly basis when drills should be conducted on a quarterly basis. 2.California Code of Regulation section 86065(f)(1) for missing documentation from personnel file to support the 1 hour training in the area of child abuse identification and reporting. 3.California Code of Regulation section 86065(f)(3) for no documentation in personnel file related to policies and procedures concerning when and how to involve law enforcement in response to an incident involving a participant residing in a THPP living unit. 4.California Code of Regulation section 86065(f)(4) for personnel files not reflecting training related to the sexual and reproductive rights of children in foster care that includes the following topics: Technical Assistance 1.Health And Safety Code 1565(b) for not keeping records of training plans to each staff member upon hire and annually thereafter. 2.California Code of Regulation section 86069(a) for not obtaining a written medical assessment prior to or within 30 calendar days following the acceptance of a participant. At this time, an exit interview was conducted and a physical copy of this report was given to Administrator, Larry Hickman, whose signature on this form confirms receipt.

met_with: Program Manager, Claudia Nelson and Administrator, Larry Hickman


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Paul Simien made an unannounced visit to the above listed facility main office to inform them of the findings for the above listed allegations. LPA met with Vicky Taylor, Administrator at 2: PM on 7/29/24. Based on confidential interviews conducted it was determined that the allegations listed above are Substantiated. Witnesses interviewed stated that during the summers their apartments too hot. Although, their apartments have a through-the-wall AC, it only cools one area of the apartment and doesn't reach clients' rooms. Witnesses stated that they are unable to sleep in their rooms at night because it was too hot. One witness stated that their apartment gets up to 95 degrees during the day. The preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. As a result of this visit, there is one General Licensing Standards violation ( Furniture, Fixtures, Equipment, and Supplies(a)(1))The facility will be cited (see 809-Ds for details). Appeal rights were discussed and provided. Exit interview was conducted and a copy of this report was emailed to Vicky Taylor, Administrator. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Paul Simien 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 26-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN JOSE RO, N. First Street, Ste. FACILITY NAME: STAR TRANSITIONAL HOUSING PLACEMENT PROGRAMFACILITY NUMBER: 435202144

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

met_with: Vicky Taylor, Administrator


raw_content:
Investigation Findings:
13On 9/27/2024 at 8: AM, Licensing Program Analyst (LPA) Shikya Belfield, conducted an unannounced inspection at the above facility. The purpose of this inspection is to inform the facility representative of the findings of the complaint investigation that was conducted for the allegations listed above. LPA met with Supervisor Carina Oliva who assisted with the inspection. Based on confidential interviews conducted and supportive documentation to include but not limit; maintenance receipts, pest control service logs, and staff files. Participant units have damaged or broken items that were not repaired in a timely manner. Based on a review of staff files, staff are missing the required training's outlined in the programs plan of operation. It was confirmed that although he facility does have roaches, the program has be proactive in maintaining pest control service and will continue to monitor the ongoing issue and address it. The preponderance of the evidence has been met. Therefore, these allegations are Substantiated. Facility issued technical assistance advisory for California Code Regulations, Title 22, Division Six, Section 80022(k) plan of operation and Welfare and Institutions Code section 16001.9(a)(1) Personal Rights, as described on the following page LIC 9102TV. An exit interview was conducted and a copy of this report was left with Supervisor Carina Oliva. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Carolyn Flynn LICENSING EVALUATOR NAME: Shikya Belfield LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. First Street, Ste. This is an official report of an unannounced visit/investigation of a complaint received in our office on 04/08/2024 and conducted by Evaluator Shikya Belfield PUBLICCOMPLAINT CONTROL NUMBER: 26-CR- FACILITY NAME:STAR TRANSITIONAL HOUSING PLACEMENT PROGRAMFACILITY NUMBER: ADMINISTRATOR:STEUART SAMUELSFACILITY TYPE: ADDRESS: SHERMAN OAKS AVENUETELEPHONE: (669) 300- CITY:SAN JOSESTATE: CAZIP CODE: CAPACITY:36CENSUS: 10DATE: 09/27/ UNANNOUNCEDTIME BEGAN: 08: AM MET WITH:Carina OlivaTIME COMPLETED:09: AM 9Staff violated client rights. INVESTIGATION FINDINGS: 13On 09/27/2024 at 8: AM, Licensing Program Analyst (LPA) Shikya Belfield, conducted an unannounced inspection at the above facility. The purpose of this inspection is to inform the facility representative of the findings of the complaint investigation that was conducted for the allegations listed above. LPA met with Supervisor Carina Oliva who assisted with the inspection. Based on confidential interviews conducted and supportive documentation to include but not limit; maintenance receipts, pest control service logs, and staff files. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, this allegation is Unsubstantiated. There were no violation of the California Code Regulations, Title 22, Division Six cited cited during this inspection. An exit interview was conducted a copy of this report was left with Supervisor Carina Oliva. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Carolyn Flynn LICENSING EVALUATOR NAME: Shikya Belfield LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of 2

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: Carina Oliva


facility_name: STAR TRANSITIONAL HOUSING PLACEMENT PROGRAM

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Vaishali Singh-Sood made an unannounced inspection on 6/3/2021 to the above listed facility via face-time, and met with Case Manager, Christina Winn, at 3: PM. This agency serves as a 726 - Transitional Housing Placement Program (THPP). LPA Singh-Sood explained that the purpose of the inspection was to conduct a Case Management as a follow up to the incident that occurred on 12/20/2020 at THPP unit 3. On January 25, 2021, LPA Carolyn Flynn conducted an unannounced inspection at the facility. Additionally, LPA Flynn requested copies of the involved client's file (assessment, admission paperwork, case plan, incident reports, and medication list), AWOL log for client, copy of the staff schedule, staff training tracker logs - certificates in binder in office, staff contact information, Google note from staff that conducted check at 5: PM on 12/20/20, Incident Report that they sent to the County with more details, Certificates of Approval for each of the four units, residents of the unit and their contact information. LPA also interviewed ED and ED agreed to send LPA Google Notes where the staff document their check-in notes and copies of the training certificates for the staff that were working on 12/20/2020 for the past year. The Incident was then investigated by the Investigations Bureau (IB), who conducted interviews with the foster children, facility staff, and other confidential parties and reviewed relevant documents. Based on the documents reviewed regarding the interviews conducted, and documents attached, there is no evidence that there were any violations for neglect/lack of care and supervision and/or personal rights. This agency has investigated the above complaint allegation and found that it was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted, and a copy of the report was emailed to Ms. Winn at 4: PM .

met_with: Christina Winn


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Shikya Belfield made an unannounced case management inspection to the above facility on 7/6/2022 at 4:00PM. LPA Belfield met with Program Administrator Vicky Taylor, who assisted with the inspection. The purpose for this case management inspection is to obtain information regarding an incident involving a non-client death( see LIC811 dated 7/6/2022) that occurred at the Transitional Housing Placement Program (THPP) residential apartment. On July 2, 2022, facility staff emailed this LPA and informed the department that a death occurred of a 16-year-old female guest of a participant in the THPP, who passed away due to an overdose. Program case manager went to the participant's apartment on July 1, 2022, and met with the participant regarding their visitor policy and following the rules of the program. On July 2, 2022 the THPP staff reviewed surveillance camera footage displaying firefighters arriving to the apartment unit for the participants. A third party notified law enforcement. The participant left the apartment. At 1: PM a parent (mother) arrived at the apartment and stated that her daughter was inside (second guest of the participant). Staff looked in the apartment and found the youth in another participants bedroom. Due to her being pale and her lips were blue in color, staff contacted law enforcement and the youth was taken to the hospital. Participant returned to the apartment and was met by the staff to check in. Participant was discharged from the program on 7/5/2022. Follow up: Case manager checked in with the remaining clients in the unit. A plan is in place to increase the checks being done on the apartments. Participants have not requested any services, however a plan is in place to follow up again by 7/7/2022 with participants regarding counseling services and other resources available. Due to other friends of the participant having the codes to access to the apartment and these friends entering the apartment without permission, the locks have been changed and additional cameras were installed in the outside common areas. Administrator Vicky Taylor states that Incident Reports will be submitted by Friday 7/8/2022 or no later than Monday 7/11/2022 regarding the incident. There were not citations issued. An exit interview was conducted a copy of this report will be sent to administrator Vicky Taylor.

met_with: Vicky Taylor


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Shikya Belfield conducted an unannounced inspection to the facility on 10/6/2022 at 10:30AM. The purpose for the inspection is conducting the Required Annual Inspection. LPA Belfield met with Administrator Vicky Taylor who assisted with the inspection. During a walk-through of the facility LPA Belfield observed the appropriate forms posted and the files kept in a locked cabinets. During this inspection, staff files were reviewed and all files were observed by this LPA kept locked to ensure confidentiality. This THPP currently has 18 clients in placement. The administrator Vicky Taylor stated there are no weapons or bodies of water at the facility. At this time the inspection could not be completed and will be completed on a later date. There were no violations of California Code of Regulations, Title 22, Division Six or Interim Licensing Standard cited during this inspection.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Manager Angela King and Licensing Program Analyst Michelle Kyane conducted a case management inspection on October 20, 2022 at 11:20AM, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 7 out of Direct Care Staff and 8 out of 18 youth files were reviewed. 1 out of Direct Care Staff and 2 out of 18 youth were interviewed. (See the Confidential Names List, LIC 811, dated October 20, 2022. The Plan of Operation including policies and procedures were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments,THPP Interview Questions, and safety plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPM Angela King observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. The licensee is contacting law enforcement in accordance to their emergency intervention plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Christina Faraone Transitional Aged Youth Program Coordinator.

met_with: Christina Faraone


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Shikya Belfield made an unannounced case management inspection to the above facility on 1/25/23 at 1:15PM. LPA Belfield met with Program Program Coordinator Christina Faraone, who assisted with the inspection. The purpose for this case management inspection is to obtain information regarding an incident involving a client overdose ( see LIC811 dated 1/25/2023) who resides at the Transitional Housing Placement Program (THPP) residential apartment. The department received information regarding a participant C1, who was reported as runaway on 1/22/2023 at 11PM. On 1/23/2023 case manager Amy was notified by the probation officer via text and email stating that the client was found and is in the hospital recovering from an overdose. As of today the program continues to be in contact with the probation officer. Client's mother is with them in the hospital and the mother notifies probation of updates. Client is currently under a 14 day notice for violation program rules and behavior contracts regarding possession of fire arm and ammunition, hit and run with client's vehicle, smoking and violating visitation policies. LPA Belfield will attempt to speak to C1. A CFT was scheduled for Tuesday 1/24/2023 however Client's was in the hospital. Proper notice was given to participants social worker and probation officer on 1/20/2023 prior to the current incident. There were not violations cited during this inspection. An exit interview was conducted and a copy of this report will be sent to Program Coordinator Christina Faraone and administrator Vicky Taylor.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Vaishali Singh-Sood conducted an unannounced inspection to the facility on 3/7/2025 at 11: AM. The purpose for the inspection was to conduct the Required Annual Inspection. LPA Singh-Sood met with Administrator Vicky Taylor who assisted with the inspection. During a walk-through of the facility LPA Singh-Sood observed the appropriate forms posted and the files kept in a locked cabinets. During this inspection, staff and client files were reviewed. Additionally, all files were observed by this LPA kept locked to ensure confidentiality. This THPP currently has nine clients in placement. The administrator Vicky Taylor stated there are no weapons or bodies of water at the facility. There were no violations of California Code of Regulations, Title 22, Division Six or Interim Licensing Standard cited during this inspection. At 4: PM, an exit interview was conducted with Ms. Taylor.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Vaishali Singh-Sood made an unannounced case management inspection to the above facility on May 16, 2025, at 12: PM. LPA Singh-Sood met with Administrator, Vicky Taylor, and Case Worker, Alejandro Rodriguez, who assisted with the inspection. The purpose of this inspection was to discuss the detailed information regarding an incident report which was received by Community Care Licensing (CCL) on May 15, 2025. The report indicated one client had been killed off site nearby the facility. Due to the severity of the incident, San Jose Police Department had on scene, and facility staff later discovered about the death. LPA Singh-Sood interviewed Ms. Taylor, and Mr. Rodriguez regarding the incident. The interview has been attached on an LIC 812 form dated May 19, 2025. Due to the facility following all protocols, no citation was given for this inspection. An exit interview was conducted at 2: PM, and copy of this report was provided to Ms. Taylor.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Vaishali Singh-Sood made an unannounced case management inspection to the above facility at 12: PM. LPA Singh-Sood met with Administrator, Vicky Taylor, who assisted with the inspection. The purpose of this inspection was to discuss the additional detailed information regarding an incident report which was received by Community Care Licensing (CCL) on May 15, 2025. The report indicated one client had been killed off site nearby the facility. Due to the severity of the incident, San Jose Police Department had on scene, and facility staff later discovered about the death. During the inspection, this LPA Singh-Sood interviewed Ms. Taylor. Due to the facility following all protocols at this time, no citation was given for this inspection. An exit interview was conducted at 1: PM, and copy of this report was provided to Ms. Taylor.


summary: Facility Evaluation

raw_content:
Narrative:
On today's date, at 3: PM, Licensing Program Analyst (LPA) Singh-Sood made an unannounced Case Management inspection regarding a serious incident to the above facility. LPA Singh-Sood met with Administrator, Vicky Taylor, who assisted with the inspection. The purpose of this inspection was to close an open incident investigation. The investigation was conducted by reviewing confidential documents, Title Regulations, the Facility's Program Statement, Plan of Operation, and interviewing confidential witnesses. This LPA also attempted to obtain the Police Report, and Coroner's Report, which were not available at this time. It is noted that during this serious incident, an emergency discharge had occurred due to a Participant's arrest. According to Title 22 regulations, subsequently following an immediate discharge in an emergency circumstance, which includes but is not limited to, removal by law enforcement officer(s), when a participant is arrested or when the participant in the home is endangered by their continued presence in the home, immediate removal of a participant is allowed as to ensure the safety of other participants in care. Additionally, according to Title Regulation, 86168,4(d)(1)(A) THPP personnel shall not prevent the removal of the participant from the THPP participant living unit under emergency circumstances by an authorized representative. Facility staff followed all protocols as indicated in their Plan of Operation, and Program Statement. Participants in care are required to sign an admission document which does outline immediate discharge is allowable for participants in care if the situation arises. Moreover, facility staff scheduled an emergency providers' meeting with the Participant's Social Worker, mutually agreeing to discharge the Participant in care who had been taken into custody, as for the safety of other participants in care. Upon the Participant's release from custody, where no one had been given confirmation the day of the release, the Participant had arrived on site at approximately 10: PM. The Participant was advised of the discharge, allowed to go to his room, gather anything pertinent, and return the following day for his remaining belongings. The Participant agreed to do so and advised his former facility Case Manager (CM) he would be going to a family members home, whom the CM was familiar with, as well as the location of the home. The Participant typically took public transportation, which was still within operating hours, so the C/M did not have any concern with the Participant leaving the premises on his own. Due to all protocols being followed by facility staff, the facility providing all necessary documentation which included incident reports, reporting the incident in a timely manner, scheduling a team meeting with the Social Worker, agreeably deciding to discharge the Participant, following the guidelines of Title Regulations, as well as STAR THPP's Plan of Operation, CCL will not be issuing a citation for this incident as there were no Title Regulations which were violated. As such, an exit interview was conducted Ms. Taylor at 4: PM, and a copy of this report concluding this incident was provided.


facility_name: SUCCESS IN RECOVERY, INC

summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analysts Lisa Slusher and Vanessa Galvan traveled to the Success in Recovery office in Visalia CA.. LPA was met by Administrator Brad Harness and Compliance Specialist Clint King for the purpose of a scheduled pre-licensing inspection for a THP + NMD. A general overview of their program and a tour of the facility was provided. This facility has a reception area, waiting area, and office space for staff. Observed fixtures and furniture, equipment and supplies necessary for this operation. Also observed locked cabinets for client and staff files in order to ensure confidentiality. Discussed daily ongoing functions including incident reports. There is ample confidential space for meeting with clients on an as needed basis. Agency is in the process of setting up a Guardian account to transfer and associate appropriate staff. Agency to provide to LPA Galvan association requests and copies of current identification for any staff to be associated prior to Guardian account approval. Agency provided requested updates for review. Agency will submit program updates electronically following this inspection. The agency is still waiting on verification of First Aid Card for Administrator and a current bond for the facility. LPAs will review this information. The above licensee meets the requirements to be licensed as a THP+NMD serving clients age 18-21 within a two hour driving radius pending approval of updates requested during the component II orientation. . On a quarterly basis, facility is to submit a roster of THP+NMD clients that includes client names, dates of birth, county worker and current address of placement.

met_with: Brad Harness


summary: Facility Evaluation

raw_content:
Narrative:
On February 10, 2023, Licensing Program Analyst (LPA) Vanessa Galvan traveled to the Success in Recovery, INC. and met with Administrator Brad Harness, Social Worker Joseph Lovett, and Compliance Officer Clint King. The purpose of the inspection is to conduct a post-licensing inspection. LPA Galvan conducted a physical plant inspection and included the following observation and checks: Client and staff files are kept in locked filing cabinets. The agency has adequate confidential meeting space and space for Social Workers to complete job duties. The facility has a current copy of the license posted in a common area. The agency's office is located within two hours of travel time of the THPP participants living units. The agency has a client roster, with the unit addresses, and contact numbers. The agency employs one social worker, one social worker supervisor, one Administrator, and one Executive Director. LPA Galvan reviewed two staff files. A review of their staff files on this date indicates that all facility staff has received child abuse index clearances and fingerprint clearances. Agency staff meets the requirements of respective job descriptions. Staff files meet regulatory standards. The agency currently has THPP NMD participants. LPA Galvan reviewed two THPP NMD Participant files on this date. Participants' files meet regulatory standards. LPA obtained an updated LIC 500, roster of clients, and certified THPP units certificated. LPA discussed the participant's medical assessments and the assessment to be used to help develop the client's needs and services plans. No deficiencies were noted on this date. An exit interview was conducted, and a copy of this report was provided to Joseph Lovett at the conclusion of the inspection.

met_with: Brad Harness, Joseph Lovett, and Clint King


summary: Facility Evaluation

raw_content:
Narrative:
On July 5, 2023, Licensing Program Analyst (LPA) Vanessa Galvan traveled to the Success in Recovery, INC. THPP in Visalia, CA and met with Program Director Assistant (PA), Elizabeth Reynaga. The purpose of the inspection is to conduct an Annual Required inspection. The agency has a capacity of 6 with 3 participants on this date. The agency's accreditation is current and expires April 30, 2026. LPA Galvan conducted a physical plant inspection and included the following observation and checks: Client and staff files are kept in locked filing cabinets. The agency has adequate confidential meeting space and space for Social Workers to complete job duties. The facility has a current copy of the license posted in a common area. The agency's office is located within two hours of travel time of the THPP participants living units. The agency has a client roster, with the unit addresses, and contact numbers. The agency employs one social worker, one social worker supervisor, one Executive Director/Administrator, and one Assistant THP Administrator. LPA Galvan reviewed three staff files. A review of the staff files on this date indicates that all facility staff has received child abuse index clearances and fingerprint clearances. Agency staff meets the requirements of respective job descriptions. Staff files meet regulatory standards. The agency currently has three THPP Non-Minor Dependents (NMD) participants. LPA Galvan reviewed three THPP NMD Participant files on this date and files meet regulatory standards. A technical assistance was provided on today's visit. (See attached LIC 9102.) No deficiencies were noted on this date. An exit interview was conducted, and a copy of this report was provided to Elizabeth Reynaga at the conclusion of the inspection.

met_with: Elizabeth Reynaga


summary: Facility Evaluation

raw_content:
Narrative:
On 7/12/2023, Licensing Program Analyst (LPA) Vanessa Galvan traveled to Success in Recovery THP in Visalia, CA, to conduct an unannounced visit and met with Assistant Program Director, Elizabeth Reynaga. The purpose of the visit was to complete the annual inspection (Start date 7/05/2023) by conducting staff interviews. LPA conducted interview with 4 staff. No deficiencies were issued or observed at this time. A copy of this report was provided to Elizabeth Reynaga at the conclusion of this inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On July 19, 2023, Licensing Program Analyst (LPA) Vanessa Galvan traveled to the Success in Recovery, INC. THPP in Visalia, CA and met with Program Director Assistant (PA), Elizabeth Reynaga. The purpose of the inspection was to conduct an Annual Required inspection. The agency has a capacity of six with four participants on this date. The agency's accreditation is current and expires April 30, 2026. LPA Galvan conducted a physical plant inspection and included the following observation and checks: Client and staff files are kept in locked filing cabinets. The agency has adequate confidential meeting space and space for Social Workers to complete job duties. The facility has a current copy of the license posted in a common area. The agency's office is located within two hours of travel time of the THPP participants living units. The agency has a client roster, with the unit addresses, and contact numbers. The agency employs one social worker, one social worker supervisor, and one Executive Director/Administrator. LPA Galvan reviewed three staff files. A review of the staff files on this date indicates that all facility staff has received child abuse index clearances and fingerprint clearances. Agency staff meets the requirements of respective job descriptions. LPA reviewed three staff files. Staff files meet regulatory standards and have all required documentation. The agency currently has four THPP Non-Minor Dependents (NMD) participants. LPA Galvan reviewed four THPP NMD Participant files on this date and files meet regulatory standards. One deficiency for 86069(a) Participants Medical Assessment and one Technical Violation 86069(a)(1). An exit interview was conducted, and a copy of this report was provided to Elizabeth Reynaga at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On 08/07/2024, Licensing Program Analyst (LPA) Vanessa Galvan traveled to Success in Recovery THP in Visalia, CA, to conduct an announced visit and met with Assistant Program Director, Elizabeth Reynaga. The purpose of the visit was to complete the annual inspection by conducting staff and client interviews. LPA conducted interview with 2 staff and 3 clients. No deficiencies were issued or observed at this time. A copy of this report was provided to Brad Harness at the conclusion of this inspection.

met_with: Elizabeth Reynaga & Brad Harness


facility_name: TRANSITION AGE YOUTH HOUSING PROGRAMS

summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Brian Bertoli met with Assistant Program Director Nancy Campbell and Housing Director Vanessa Guevara at the facility office. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, the LPA reviewed records and conducted confidential interviews. It was confirmed that the Resident Advisor was intoxicated in the home, made inappropriate comments, made the residents uncomfortable, offered residents illegal substances, and showed inappropriate photos to residents. Based on the information obtained, there is a preponderance of the evidence to prove that the Resident Advisor did not ensure that residents were able to live in a safe, healthy, and comfortable home. Therefore, the above allegations are substantiated. Title 22 deficiencies were cited and Appeal Rights were provided and discussed. Advisory Notes were issued. An exit interview was conducted, and a copy of the report was given to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lidia Tinoco LICENSING EVALUATOR NAME: Brian Bertoli LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 21-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SANTA ROSA RO, NEOTOMAS AVENUE, STE. FACILITY NAME: TRANSITION AGE YOUTH HOUSING PROGRAMSFACILITY NUMBER: 496803445

met_with: Nancy Campbell and Vanessa Guevara


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Brian Bertoli conducted an unannounced inspection to the THPP/THP+FC Administrative office to conduct an Annual/Required inspection. LPA met with Administrative Assistant Casha Cory and was joined later by Housing Director Vanessa Guevara. The THPP has a capacity of 60 and service both THPP and THPP+FC participants and THPP Plus contracted through the County. There are currently 27 participants in care (Three minors and NMDs). The facility uses a scattered site model and currently has both host homes and apartment units. LPA reviewed six Certificate of Compliances and they were valid. LPA inspected the THPP office, which has two stories and a basement. The first floor has a reception area, open meeting room, kitchen/lunch room, and restroom. The second floor has private offices and a restroom, and the basement has private meeting spaces. The license and Emergency Disaster Plan (LIC610C) forms are posted. LPA's reviewed participant records - three minor files and three Non-Minor Dependents. All participant files are acceptable. Staff records are maintained at the TLC administrative office on Gravenstein Hwy North in Sebastopol. Facility was able to coordinate with Human Resources Manager Amanda Atkinson to acquire staff records promptly electronically. A review of Licensing Information System on June 16, 2021, indicates that all facility staff associated to the facility had DOJ, FBI and child abuse index check clearances. During inspection, LPA's reviewed three staff files and all files were complete and had all required documents and required training. There were no Title 22 deficiencies cited during todays inspection. Exit interview was conducted and a copy of the report was left at the facility .

met_with: Casha Cory


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Brian Bertoli conducted an unannounced inspection to the THPP/THP+FC Administrative office to conduct an Annual/Random inspection. LPA met with Administrative Assistant Casha Cory. The THPP has a capacity of 60 and service both THPP and THPP+FC participants and THPP Plus contracted through the County. There are currently 27 participants in care (one minor and NMDs). The facility uses a scattered site model and currently has both host homes and apartment units. LPA reviewed six Certificate of Compliances and they were valid. LPA inspected the THPP office, which has two stories and a basement. The first floor has a reception area, open meeting room, kitchen/lunch room, and restroom. The second floor has private offices and a restroom, and the basement has private meeting spaces. The license and Emergency Disaster Plan (LIC610C) forms are posted. LPA reviewed participant records - one minor's file and nine Non-Minor Dependent's files. All participant files are acceptable. LPA Bertoli interviewed two staff persons. Staff records are maintained at the TLC administrative office on Gravenstein Hwy North in Sebastopol and reviews will be done at a later date, as will additional staff interviews. All facility staff are associated to the facility and had DOJ, FBI and Child Abuse Index check clearances. There were no Title 22 deficiencies cited during todays inspection. An exit interview was conducted and a copy of the report was left at the facility .


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Brian Bertoli conducted an unannounced inspection for the purposes of continuing a Post-Licensing Inspection and met with HR Manager Amanda Atkinson, who assisted with records. The visit was conducted at the organization's administrative office at Gravenstein Hwy North in Sebastopol. A pre-screening call was done with Brittany Burns prior to arrival, and there were no changes since last visit. Five staff records were reviewed and found to be acceptable. All staff have the required Criminal Background Clearance. No deficiencies were cited at this visit. This concludes the Annual inspection. An exit interview was conducted with Amanda Atkinson and a copy of the report was left at the facility.

met_with: Amanda Atkinson


summary: Facility Evaluation

raw_content:
Narrative:
On the above date Licensing Program Analyst (LPA) Brian Bertoli conducted an unannounced inspection at the facility and met with Casha Cory, Resource Center Manager in person and Nancy Campbell, PsyD (see LIC 812 dated 4/5/24) by phone regarding two Special Incident Reports (SIRs) that were submitted to Community Care Licensing. The first incident took place on 04/03/2024 and the SIR was written to report an incident regarding the participant being arrested for domestic battery on her boyfriend. The second incident was on 4/2/24 and was for a participant being arrested for possession of narcotics, firearms, ammunition, and controlled substances. LPA Bertoli discussed the incident with Dr Campbell. In the course of reviewing the incident, the Administrator stated that they were still reviewing the incidents and would share whatever information became available. LPA Bertoli will order police reports on the incidents and review further details with the facility. Nancy Campbell inquired about Law Enforcement Contacts being reported even when they are incidental occurrences not requested by the facility. LPA Bertoli stated that all contacts need to be reported regardless of the initial source. LPA Bertoli also reviewed the 24-hr or next business day notification requirement for incident reports. This section was not discussed at the previous meeting with Administrator Shelby Means, but will be adhered to by the facility. No deficiencies were cited and an exit interview was conducted and a copy of the report was provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Brian Bertoli conducted an unannounced inspection to the THPP Administrative office to conduct an Annual/Random inspection. LPA met with Interim Program Director Vanessa Guevara. The THPP has a capacity of 60 and service both THPP and THPP NMD participants and THPP Plus contracted through the County. The facility uses a scattered site model and currently has both host homes and apartment units. LPA reviewed Certificate of Compliances and they were acceptable. LPA inspected the THPP office, which has two stories and a basement. The first floor has a reception area, open meeting room, kitchen/lunch room, and restroom. The second floor has private offices and a restroom, and the basement has private meeting spaces. The license and Emergency Disaster Plan (LIC610C) forms are posted. LPA reviewed participant records and all participant files reviewed are acceptable. LPA Bertoli conducted confidential staff interviews. Staff records are maintained at the TLC administrative office on Gravenstein Hwy North in Sebastopol and LPA met with HR Assistant Kelly Yelapi and CFO Jen Koliba and reviewed staff files. All facility staff are associated to the facility and had DOJ, FBI and Child Abuse Index check clearances. There were no Title 22 deficiencies cited during todays inspection. An exit interview was conducted and a copy of the report was left at the facility .

met_with: Vanessa Guevara, Jen Koliba and Kelly Yelapi


facility_name: TRANSITION AGE YOUTH PROGRAM

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Shikya Belfield conducted a change of location inspection with the new facility office. LPA met with administrator Meg Clark who assist with the tour of the office. The purpose of this Pre-licensing inspection is due to the change of location, the previous location was Ocean St Suite B Santa Cruz Ca 95060. The new location is now located at Encinal St, Suite 200, Santa Cruz Ca 95060. This program a Transitional Housing Placement Program(THPP). The program is licensed to provide services and Transitional Housing Placement plus Foster care ( THPP+FC) services to Non-Minor Dependents. The new office location was toured and the following areas were observed: - Reception Area was observed with the proper guidelines being followed regarding the pandemic with the following; plastic dividers / separators placed on the counter tops, masks are worn inside, signs are posted with emergency exists and floor plans on every doorway. Administrator states that all protocols for COVID are in place including taking temperature of all who enter and recording it. - Offices spaces; Due to the Pandemic, there are no private offices spaces and there are three private conference rooms that are available for use upon scheduling. - Storage: Client files are kept double locked by key box and the file cabinets are stored in the main office area in the center of building. No clients enter in this area unless absolutely necessary. There are no work stations for staff at this location and all files are kept locked. - Conference Rooms / Board Rooms: meetings are located at Encinal St, Suite 200, Santa Cruz Ca, 95060. This location has adequate space to conduct meetings and training's. - Office floor space/ plan has sufficient space for the staff, file cabinets and desks / works stations. There are three bathrooms. First aid supplies are located nest to the file cabinets in the main building. There are two fire extinguishers at this location and both are currently out of date and need to be serviced ( expiration dates are April 2020). Administrator Clark states they will schedule the servicing of the new fire extinguishers or purchase new extinguishers as soon as possible and will send photographs to this LPA. Upon receipt of this information the inspection shall be complete. An exit interview was conducted and a copy of this report will be sent to Administrator Meg Clark.

met_with: Meg Clark


summary: Facility Evaluation

raw_content:
Narrative:
On 5/18/2022 at 2:00PM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the above facility. The purpose of this visit was to begin the required annual inspection. LPA met with Meg Clark, Program Manager, and conducted a walk through of the office. The current census for the program is five clients, and they are scatter-site operated. LPA observed the posted license, locked staff and client files, and multiple rooms with sufficient privacy for counseling sessions. LPA reviewed the emergency plan binder, Program of Operations, and the packet delivered to clients. LPA interviewed one staff member. LPA reviewed two staff files. No deficiencies were cited during this visit. LPA conducted an exit interview with Meg Clark, Program Manager, at 3:30PM, whose signature confirms the receipt of this document.


summary: Facility Evaluation

raw_content:
Narrative:
On 5/27/2022 at 11:30AM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the above licensed facility. The purpose of this visit is to conduct the required annual inspection. LPA met with Annalisa Morris, Program Assistant who provided LPA access to the files. LPA reviewed three staff files and five client files. The facility currently has five clients within their program and function on a scatter site model. LPA delivered three Technical Violations for Title California Code of Regulations 86071(a)(1)(B) and 86068.3(b), as well as Interim Licensing Standard 86268.3(c)(1) (see LIC 9102s). LPA delivered deficiencies and appeal rights. LPA conducted an exit interview with Annalisa Morris, Program Assistant at 1:00PM whose signature confirms the receipt of this document.

met_with: Annalisa Morris


summary: Facility Evaluation

raw_content:
Narrative:
On 8/30/2022 at 9:15AM, Licensing Program Analyst (LPA) Selena Hood conducted a change of location inspection with the new facility office. LPA met with Program Manager, Meg Clark, Jose Sanchez, Housing Manager, and Rene Fuentes, Program Assistant who assisted with the tour of the office. The purpose of this Pre-licensing inspection is due to the change of location, the previous location was Encinal Street Santa Cruz, CA 95060 . The new location is now located at Dubois St., Santa Cruz Ca 95060. The program licensed to provide services and Transitional Housing Placement plus Foster care ( THPP+FC) services to Non-Minor Dependents. LPA observed the facility to have a small foyer with an entrance desk and lockers for youth's to store their belongings. Within the initial lobby there is another set of lockers to store youth's mail. LPA observed an open conference room with standing desks and sitting areas for staff members. There are five rooms, which are used for therapy, quiet time, file storage, and staff workspaces. There is a large youth space that includes a kitchen, sitting areas, and two outdoor sitting areas. The sharps from the kitchen are stored in a locked closet. The kitchen has gates that block it off from the rest of the sitting area. There is one staff bathroom, three youth bathrooms, and three shower areas. LPA observed all bathrooms to have hand soap and paper towels. LPA observed that the fire extinguishers were within compliance, emergency plan was posted, and the facility sketch outlining the escape routes was posted as well. LPA conducted an exit interview with Meg Clark, Program Manager, at 9:55AM, whose signature confirms the receipt of this document.


facility_name: TRANSITIONAL AGE YOUTH PROGRAM

summary: Facility Evaluation

raw_content:
Narrative:
On 10/14/2022 at 10:00AM, Licensing Program Analyst (LPA) conducted an unannounced visit to the above licensed facility. LPA conducted a The purpose of this Post-licensing inspection is due to the change of location, the previous location was Encinal Street Santa Cruz, CA 95060 . The new location is now located at Dubois St., Santa Cruz CA 95060. The program licensed to provide services and Transitional Housing Placement plus Foster care (THPP+FC) services to Non-Minor Dependents. LPA met with Rene Fuentes, Program Assistant and Maricela Avoytes, Resource Center Manager, who helped in obtaining the files and the online training. The facility has a current census of five youth. LPA reviewed two client files and two staff files. LPA observed the files and training to be sufficient. There are five rooms, which are used for therapy, quiet time, file storage, and staff workspaces. There are also locker's for youth to store their belongings, and standing or sitting areas for staff members. There is a large youth space that includes a kitchen, sitting areas, and two outdoor sitting areas. The sharps from the kitchen are stored in a locked closet. There is one staff bathroom, three youth bathrooms, and three shower areas. LPA observed all bathrooms to have hand soap and paper towels. LPA observed that the fire extinguishers were within compliance, emergency plan was posted, and the facility sketch outlining the escape routes was posted as well. LPA conducted an exit interview with Rene Fuentes, Program Assistant, at 11:40AM whose signature confirms the receipt of this document.

met_with: Rene Fuentes


summary: Facility Evaluation

raw_content:
Narrative:
On 10/25/23, an unannounced annual inspection was conducted by LPA (Licensing Program Analyst) Celeste Aparicio and Licensing Program Analyst (LPA) Paul Simien at Transitional Age Youth Program and met with Administrator Johanna Molnar. LPA inspected the facility, inside and out. LPA Aparicio and LPA Simien reviewed five staff and five client files, conducted physical plant inspection, and reviewed the disaster preparedness plan. All personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. Personnel Files are maintained on-site in locked cabinets. At this time the inspection is not complete, LPA Aparicio and LPA Simien will return to complete the inspection. No deficiencies were cited at this time. LPA conducted an exit interview with Johanna Molnar, Administrator, at 4: PM.

met_with: Johanna Molnar


summary: Facility Evaluation

raw_content:
Narrative:
On 10/31/23 at 9: AM, Licensing Program Analyst (LPA) Celeste Aparicio and Licensing Program Analyst (LPA) Paul Simien conducted an unannounced visit to the above facility. The purpose of this visit was to complete the required annual inspection. LPA's met with Johanna Molnar, Administrator, at the above facility to conduct the required annual inspection. LPA's reviewed the facilities operations, disaster preparedness plan, and conducted an interview (only one staff available). LPA discussed the following with the Administrator: client files, staff files, disaster preparedness plan, operations, Needs and Services Plans, and Compliance Certification requirements. Two deficiencies (HSC 1565(b) and ILS 86270(a)(2)(c)), seven technical violations, and two technical assistance were cited at this time. The facility will be cited (see 809-Ds for details). Appeal rights were discussed and provided. Exit interview was conducted and a copy of this report was provided to Johanna Molnar, Administrator whose signature on this form confirm receipt of these documents.


summary: Facility Evaluation

raw_content:
Narrative:
On 10/28/24, an unannounced annual inspection was conducted by LPA (Licensing Program Analyst) Jonathan Medina and Licensing Program Analyst (LPA) Paul Simien at Transitional Age Youth Program and met with ILP Manager, Jake Dunbar. LPAs inspected the facility, inside and out. Using the CARE inspection tool, LPA Medina and LPA Simien reviewed five staff and five client files, conducted physical plant inspection, and reviewed the disaster preparedness plan. All personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. Personnel Files are maintained on-site in locked cabinets. At this time the inspection is not complete, LPA Medina and LPA Simien will return to complete the inspection. No deficiencies were cited at this time. LPAs conducted an exit interview with ILP Manager, Jake Dunbar, at 4: PM.

met_with: Jake Dunbar


summary: Facility Evaluation

raw_content:
Narrative:
On 10/29/24 at 10: AM, Licensing Program Analyst (LPA) Jonathan Medina and Licensing Program Analyst (LPA) Paul Simien conducted an unannounced visit to the above facility. The purpose of this visit was to complete the required annual inspection. LPA's met with Program Coordinator, Rene Fuentes at the above facility to conduct the required annual inspection. LPA's reviewed the facilities operations, disaster preparedness plan, and conducted two confidential interviews(Only two Staff available). No clients were available to interview. The inspection is complete and no citations were issued at today's visit. An exit interview was conducted and a copy of this report was left with Program Coordinator, Rene Fuentes.

met_with: Rene Fuentes - Program Coordinator


summary: Facility Evaluation

raw_content:
Narrative:
On 10/30/25 at 9: AM, Licensing Program Analyst (LPA) Paul Simien conducted an unannounced visit to the above facility. The purpose of this visit was to complete the required annual inspection. LPA met with Johanna Molnar, Administrator (ADM) at the above facility to conduct the required annual inspection. LPA reviewed five staff and five client files, conducted physical plant inspection, reviewed the disaster preparedness plan, facility operations, disaster preparedness plan, and conducted three confidential staff interviews. No clients were available to interview. The inspection is complete and no citations were issued at today's visit. An exit interview was conducted and a copy of this report was left with ADM.

met_with: Johanna Molnar, Administrator