summary: Facility Evaluation

raw_content:
Narrative:
On September 8, 2022 at 9:45am Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of conducting a Pre Licensing Inspection of the facility's ORR dorms Jose/Antonio and Pedro/Gabriel. The capacity as stated is 32. The facility layout is as follows: Jose: There are Four bedrooms. Each room contains two beds and two stand up closets that contain a clothes hanging are, two dresser drawers and a pull out desk. There are two large windows in front of each bed that have large pull down window covers. Antonio: There are Four bedrooms. Each room contains two beds and two stand up closets that contain a clothes hanging are, two dresser drawers and a pull out desk. There are two large windows in front of each bed that have large pull down window covers. Pedro: There are Four bedrooms. Each room contains two beds and two stand up closets that contain a clothes hanging are, two dresser drawers and a pull out desk. There are two large windows in front of each bed that have large pull down window covers. Gabriel: There are Four bedrooms. Each room contains two beds and two stand up closets that contain a clothes hanging are, two dresser drawers and a pull out desk. There are two large windows in front of each bed that have large pull down window covers. The beds in each room have been furnished with matching Uggs Linen. Cont. 809-C Each hallway has an exit door at the end of the hallway. The hallways also have working smoke detectors. Note: At the beginning of each hallway there is a camera which faces down the hallway. LPA received documentation that the sound has been removed from the cameras. Residential Director, Troy McNair was advised that CCL does not provided camera waivers for facilities at this time. Bathrooms: There is one bathroom separating each hallway located in the "Anti-Lobby" of each dorm (Two Bathrooms). There are 4 sinks, three seated toilets, three stand up toilets and a utility sink in both bathrooms. Each bathroom has a shower area. The showers each contain 3 separate shower heads. There are dividers in on shower area and no dividers in the other. Each bathroom has an exit door that leads to the outside area. Note: LPA was notified that the clients shower alone despite there being three shower heads in the shower area. Anti-Lobby: The Anti-Lobby area contains a desk for staff, a small kitchen area that contains a microwave for client use, and a locked room where the refrigerator, perishables and Non-perishables will be kept for clients. There is a locked cabinet stated to be used for cleaning supplies. Note: LPA informed Residential Director, Troy McNair that food cannot be kept in the same area as cleaning supplies and that the snacks need to be accessible to the clients. Lobby: There are two lobby areas, both of which are identical. There is a dining table, a sectional seating area and a TV. There are books and games next to the TV and a covered fireplace which is no operable. There are Therapists/Direct Care Staff offices surrounding the Lobby areas. There is a bathroom that is used for the therapists offices only. The facility uses a custodial service to clean the dorms. No defences cited at the time of this inspection.


state: CA

facility_name: RANCHO SAN ANTONIO - HOPE'S HOUSE UCP

summary: Facility Evaluation

raw_content:
Narrative:
On July 26, 2023 at 11:11am Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of conducting an Annual/Required Inspection. This facility has a capacity of 32 unaccompanied minors from the Office of Refugee Resettlement (ORR) Program. These are ambulatory clients with an age range of 12-17 years of age. Note: LPA was only able to inspect the Jose/Antonio side of the dorm which has recently been remodeled. The Pedro/Gabriel side is under construction and there are no clients present on that side of the dorm at the time of the visit. The Pedro/Gabriel side of the dorm is inaccessible to clients. The inspection is as follows: Jose side of the dorm, there are. Four bedrooms. Each room contains two beds and two stand up closets that have an area to hang up clothing, two dresser drawers and a pull out desk. There are two large windows in front of each bed that have large pull down window covers. The beds all have decorative comforters and pillows. The rooms were clean and in good condition. Each room is numbered and all have a privacy curtain covering the doorway. Antonio side of the dorm, there are. Four bedrooms. Each room contains two beds and two stand up closets that have an area to hang up clothing, two dresser drawers and a pull out desk. There are two large windows in front of each bed that have large pull down window covers. The beds all have decorative comforters and pillows. The rooms were clean and in good condition. Each room is numbered and all have a privacy curtain covering the doorway. Cont 809-C Bathroom is located between the Jose and Antonio dorm In the Anti-Lobby, next to the staff offices. The floors and walls have been re-tiled and the 3 bathroom stalls and 3 stand up urinals attached to the wall have been upgraded. Note: The shower area is still under construction and there are some supplies (Boxed Tile) on the floor outside the shower area. Administrator, Troy McNair stated that the shower should be completed in the next two days. The clients are taken 4 at a time to an unused dorm () to shower daily while construction is in progress. LPA requested a letter about the construction and the impact on the clients. That email was sent to my attention during the inspection. The Phone booth-Newly remodeled from the old kitchen area and is located next to the bathroom. It has a privacy door for clients use. The phone has the phone number to different embassy's programmed for the clients and is also used as a hotline for the clients if they feel abused. The kitchen has two refrigerators both of which are filled with cold snacks. The cabinets are filled with snacks as well. The area has been remodeled and a new microwave has been installed. The clients eat meals through the cafeteria located on another side of campus. There is a table with enough seating for staff and clients. The living room There is a dining table, a sectional seating area and a TV. There are books and games next to the TV and a covered fireplace which is no operable. There are Therapists/Direct Care Staff offices surrounding the Lobby areas. There is a bathroom that is used for the therapists offices only. The facility uses a custodial service to clean the dorms. No defences cited at the time of this inspection.

report_type: Facility Evaluation

visit_type: Annual

met_with: Troy McNair-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 03/14/2024, at 08:15am, Licensing Program Analyst (LPA), Donald Martin and Licensing Program Manager (LPM), JoAunne Griffin made an unannounced visit to the above facility for the purpose of conducting a Case Management - Incident Inspection. LPA and LPM spoke with Residential Director, Troy McNair . A health and safety assessment were conducted. On 01/07/2024, the department received an Incident Report dated 01/07/2024, indicating that four minors in care observed Staff 1 (S1) acting strange and possibly on drugs and displaying inappropriate gestures towards Staff #2. LPA conducted interviews, obtained internal investigations, and viewed video footage. On 01/12/2024, S1 tested negative for drug substances. S1 was not observed to be under the influence of drugs or inappropriately gesturing behind staff in video. No further investigation is needed. An exit interview was conducted and a copy of this report was left with Troy McNair, Residential Director. There were no deficiencies cited at time.

visit_type: Case Management

met_with: Troy McNair-Residential Director


summary: Facility Evaluation

raw_content:
Narrative:
On July 23, 2024 at 10am Licensing Program Analyst (LPA) Donald Martin and Licensing Program Analyst (LPA) Kenrick Ellis arrived at the above facility for the purpose of conducting an Annual/Random inspection. LPA's were met by Contracts and Compliance Director, Zeena Burse and allowed into the facility. This facility has a capacity of 32 unaccompanied minors from the Office of Refugee Resettlement (ORR) Program. These are ambulatory clients with an age range of 12-17 years of age. The facility inspection is as follows: Jose/Antonio side of the dorm, there are Eight bedrooms. Each room contains two beds and two stand up closets that have an area to hang up clothing, two dresser drawers and a pull out desk. There are two large windows in front of each bed that have large pull down window covers. The beds all have decorative comforters and pillows. The rooms were clean and in good condition. Each room is numbered and all have a privacy curtain covering the doorway. Pedro/Gabriel side of the dorm, there are Eight bedrooms. Each room contains two beds and two stand up closets that have an area to hang up clothing, two dresser drawers and a pull out desk. There are two large windows in front of each bed that have large pull down window covers. The beds all have decorative comforters and pillows. The rooms were clean and in good condition. Each room is numbered and all have a privacy curtain covering the doorway. Cont 809-C Bathroom is located between the Jose and Antonio dorm In the Anti-Lobby, next to the staff offices. The floors and walls have been re-tiled and the 3 bathroom stalls and 3 stand up urinals attached to the wall have been upgraded. The Phone booth-Iis located next to the bathroom. It has a privacy door for clients use. The phone has the phone number to different embassy's programmed for the clients and is also used as a hotline for the clients if they feel abused. The kitchen has two refrigerators both of which are filled with cold snacks and breakfast foods. The cabinets are filled with snacks as well. The area has been remodeled and a new microwave has been installed. The clients only eat breakfast in the dorm. The clients eat Lunch and Dinner in the cafeteria located on campus. The living room There is a dining table, a sectional seating area and a TV attached to the wall. There are books and games next to the TV and a covered fireplace which is no operable. There are Therapists/Direct Care Staff offices surrounding the Lobby areas. There is a bathroom that is used for the therapists offices only. The facility uses a custodial service to clean the dorms. LPA's visited the dining hall which had a substantial amount of perishable and non-perishable food. The pool is in a locked building adjacent facility. It was clean and free of debris. The medication building was clean and in order. LPA's viewed the one client on medication's MARS. All documentation was current. LPA's interviewed 4 staff and 4 clients. S2 needs to renew drivers license. Facility has been instructed to provide the renewal to LPA by August 23, 2024. No deficiencies cited at the time of this inspection.

met_with: Zeena Burse-Contracts and Compliance Director


summary: Facility Evaluation

raw_content:
Narrative:
On July 29, 2025 at 11am Licensing Program Analyst (LPA) Donald Martin an Annual/Random inspection. LPA was met by Program Manager, Zulema Perez and allowed into the facility. This facility has a capacity of 32 unaccompanied minors from the Office of Refugee Resettlement (ORR) Program. These are ambulatory clients with an age range of 12-17 years of age. The facility inspection is as follows: Jose/Antonio side of the dorm, there are Eight bedrooms. Each room contains two beds and two stand up closets that have an area to hang up clothing, two dresser drawers and a pull out desk. There are two large windows in front of each bed that have large pull down window covers. The beds all have decorative comforters and pillows. The rooms were clean and in good condition. Each room is numbered and all have a privacy curtain covering the doorway. Pedro/Gabriel side of the dorm, there are Eight bedrooms. Each room contains two beds and two stand up closets that have an area to hang up clothing, two dresser drawers and a pull out desk. There are two large windows in front of each bed that have large pull down window covers. The beds all have decorative comforters and pillows. The rooms were clean and in good condition. Each room is numbered and all have a privacy curtain covering the doorway. Cont 809-C Bathroom is located between the Jose and Antonio dorm In the Anti-Lobby, next to the staff offices. The floors and walls have been re-tiled and the 3 bathroom stalls and 3 stand up urinals attached to the wall have been upgraded. The Phone booth-2 phone booths located next to the bathroom in the anti lobby area, They have a privacy door for clients use. The phone has the phone number to different embassy's programmed for the clients and is also used as a hotline for the clients if they feel abused. The kitchen has two refrigerators both of which are filled with cold snacks and breakfast foods. The cabinets are filled with snacks as well. The area has been remodeled and a new microwave has been installed. The clients only eat breakfast in the dorm. The clients eat Lunch and Dinner in the cafeteria located on campus. NOTE: LPA instructed staff to ensure that all non perishable foods are marked with the date of purchase. The living room There is a dining table, a sectional seating area and a TV attached to the wall. There are books and games next to the TV and a covered fireplace which is no operable. There are Therapists/Direct Care Staff offices surrounding the Lobby areas. There is a bathroom that is used for the therapists offices only. The facility uses a custodial service to clean the dorms. LPA's visited the dining hall which had a substantial amount of perishable and non-perishable food. The pool is in a locked building adjacent facility. It was clean and free of debris. The medication building was clean and in order. The facility was being audited by ORR at the same time as my annual inspection. LPA will return to do staff and client interviews within 10 days. No deficiencies cited at the time of this inspection.

met_with: Zulema Perez-Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On August 20, 2025 at 10am Licensing Program Analyst (LPA) Donald Martin an Annual/Random inspection continuation. LPA was met by Residential Director, Troy McNair, and allowed into the facility. This facility has a capacity of 32 unaccompanied minors from the Office of Refugee Resettlement (ORR) Program. These are ambulatory clients with an age range of 12-17 years of age. Note: There are no clients currently in the program. LPA conducted staff interviews and reviewed staff files during the inspection. All files are up to date and in order. A copy of this report will be emailed to Residential Director, Troy McNair. No deficiencies were cited at the time of the visit.


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
There was no evidence that staff was not safe guarding clients personal belongings. Child #1 did not turn in the mp3 player when admitted and ultimately had it stolen. Facility staff recovered the mp3 player from Child #2. There was no evidence that staff did not allow minor to use the telephone. Interviews did not produce evidence that Child #1 was not allowed to use the phone. Facility provided a phone list for the clients telephone use. Child #1's name did appear on the list for use. There was no evidence that staff do not provide minors with interpreter service. There was no evidence to support the allegation. Interviews produced evidence that Child #1 refused to attend school. Facility provided an email which included the interpreters class schedule. There was no evidence that staff handled minor in a rough manner. On Child #1's first day at the facility, he had to be removed from the hood of the facility vehicle by facility staff who are Pro-Act trained. There was no evidence of an inappropriate restraint. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred; therefore, the above allegation is Unsubstantiated. There are no deficiencies being cited at this time.

Investigation Findings:
13On May 29, 2025 at 3pm Licensing Program Analyst (LPA) Donald Martin arrived at the above facility. LPA met with Program Director, Krystel Berio and was allowed into the facility. The purpose of this visit is to deliver findings for the above complaint investigation. During the course of investigation the allegations, interviews were conducted and documents obtained. The interviews did not produce corroborating evidence to support said allegations. Interviews revealed inconsistent statements and no witnesses to suggest allegations occurred. There was no evidence that staff speaks inappropriately to minors. Interviews did not produce evidence to support the allegation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Donald C Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: RANCHO SAN ANTONIO - HOPE'S HOUSE UCPFACILITY NUMBER: VISIT DATE: 05/29/2025

report_type: Complaint Investigation

met_with: Krystel Berio-Program Director

complaint_status: unsubstantiated


raw_content:
Investigation Findings:
13Licensing Program Analyst Connie Jones-Steward investigated the allegations that staff did not prevent sexual activity between clients. LPA interviewed the three clients and four staff who were involved. LPA also reviewed the risk assessments for the clients and reports from the internal review. Based on the available information and evidence, there is no preponderance of evidence that lack of supervision led to sexual activity between clients. Therefore the allegation is resolved as unsubstantiated. An unsubstantiated finding means that although an allegation may have happened, there is no preponderance of evidence that it did happen. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Connie Jones-Steward 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 EL SEGUNDO CRP RO, N. Continental Blvd. #290B This is an official report of an unannounced visit/investigation of a complaint received in our office on 09/20/2024 and conducted by Evaluator Connie Jones-Steward COMPLAINT CONTROL NUMBER: 34-CR- FACILITY NAME:RANCHO SAN ANTONIO - HOPE'S HOUSE UCPFACILITY NUMBER: ADMINISTRATOR:TROY MCNAIRFACILITY TYPE: ADDRESS: PLUMMER ST.TELEPHONE: (818) 882- CITY:CHATSWORTHSTATE: CAZIP CODE: CAPACITY:32CENSUS: 0DATE: 08/27/ UNANNOUNCEDTIME BEGAN: 10: AM MET WITH:Zulema Perez. Program DirectorTIME COMPLETED:12: PM 9Reporting Requirements -Staff did not report the allegation of client sexually touching other clients to the Department INVESTIGATION FINDINGS: 13Licensing Program Analyst Connie Jones-Steward searched the Department's special incident report (SIR) and did not find an incident report of allegations that C1 was the victim of unwanted sexual touching by another client during the time frame given by the complainant. S2 stated that he did not know that incidents from the ORR program had to be reported to Community Care Licensing. However, S1 said that she understood that the incident should have been reported but it must have fallen through the cracks. Based on the fact that the SIR was not found in the datbase and statement from Staff #2 this allegation was resolved as substantiated. A substantiated finding means that there is a preponderance of evidence that the allegation is true. The licensee was cited under 80061(b)(E) for reporting requirements. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Connie Jones-Steward LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: RANCHO SAN ANTONIO - HOPE'S HOUSE UCPFACILITY NUMBER: 198209748

met_with: Zulema Perez, Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On February 13, 2026 at 2pm Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of conducting a Case Management investigation. LPA met with Program Manager, Zuleima Perez and was allowed into the facility. On February 11, 2026 the department received a Special Incident Report stating that on February 7, 2025 a client in care did not receive his morning medication due to staff error. Confidential interviews were conducted and documents obtained. Further investigation will be needed to conclude this case management investigation. Facility was not cited at the time of the visit.

met_with: Zulmeia Perez-Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On February 24, 2026 at 12:30pm Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of conducting a Case Management investigation. LPA met with Compliance Director, Zeena Burse and was allowed into the facility. On February 11, 2026 the department received a Special Incident Report stating that on February 7, 2025 a client in care did not receive his morning medication due to staff error. Confidential interviews were conducted and documents obtained. An internal investigation was performed by the facility which resulted in S1 neglecting to distribute medication to the client during the morning shift, therefore the allegation is Substantiated. Facility is cited for: 1507.6 (b)(1) Psychotropic medications shall be used only in accordance with the written directions of the physician proscribing the medication and as authorized by the juvenile court pursuant to Section 369.5 or 739.5 of Welfare and Institutions Code.

met_with: Zeena Burse-Compliance Director


facility_name: RAYO DE LUZ

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill met with Annahi Ruano, Administrator and Eskinder Negash, CEO to conduct a Component II for this facility application. LPA Hill discussed the following during the inspection: Fingerprinting/Guardian Status of Permits/Building Construction Balance Sheet Requirements Discharge/Removal Policies Personal Rights of Youth in Care/Leaving the Facility House Rules Phone Calls/Visitation/Correspondence Cooperative Agreement Contract and how it applies to this facility. Medications Other items of interest or understanding. Administrator Roles/Responsibilities LPA Hill questioned about the facility and how they are monitored and it was explained that the facility is highly regulated by the federal government and that some of the corrections being asked are not possible due to the federal regulations that they are governed by. It was shared that the administrator did work in another facility in Southern California (not the same licensee) that was licensed to serve the undocumented youth, same as this facility is planning to do. LPA Hill informed Ms. Ruano and Mr. that additional meetings/inquiries may be needed to verify what limitations of the regulations are and are not applicable to this facility. Exit interview was conducted and documentation was provided for signature.

met_with: Annahi Ruano, Administrator


facility_name: REAL LIFE CENTER, THE

summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Erika Lopez and Licensing Program Manager (LPM) Jennifer Smith conducted an annual inspection. Directror Roy Bennett stated there have been no clients in care since 2011. The licensee is planning to change licensing types in the near future and does not plan to accept any clients while the facility is licensed as a group home. A physical plant inspection was completed and included the following checks: The first floor of facility was recently renovated. There are three client bedrooms that can accommodate 2 clients per room. The beds did not have any linens at time of visit. Bedroom #1 is missing bed frames, per Mr. Bennett the bed frames will be ordered they were damaged during a flood. The window frames in bedrooms #1 and #2 and client bathroom in the hallway of bedrooms #1 and #2 need to be repaired there is a gap between the window and the window frame. The bathroom near bedroom #3 window cover at the bottom of the window needs to be repaired it is separating from the window seal. There is adequate indoor and outdoor activity space. Sports equipment/toys/books/games were observed for children's recreation time. The backyard fences are pad locked with a chain. Per, Mr. Roy these locks and chains will be removed when the facility is in operation. All facility smoke detectors on the first floor are operating. The second floor smoke detectors were not operable at time of visit. There is no carbon monoxide detector in the facility. LPAs observed the facility has all required forms Grievance Procedures, Personal Rights form, Facility License and Foster Care Ombudsman poster. Medications will be locked and centrally stored in the staff office. The hot water in the client's bathrooms were measured to be 131 and 134 degrees. Licensing fee payments have been paid and there is currently a balance of 0. No deficiencies were noted in the areas during time of inspection. A copy of this report was given and explained to Director Roy Bennett and appeal rights were given and explained.

met_with: Facility Director - Roy Bennett


summary: Facility Evaluation

raw_content:
Narrative:
On March 14, 2024, at 9:00 am Licensing Program Analyst (LPA) Jessica Peete conducted an unannounced annual inspection at The Real Life Center Group Home. LPA met with the Administrator, Monica Williams and Director Roy Bennett. Director Bennett stated there have been no clients in care since 2011. The licensee is currently in the process of converting from a group home to a Short Term Residential Therapeutic Program (STRTP). Per the Directors statement there are no plans to accept clients until STRTP licensure is completed. At 9: AM, assisted by the Director, LPA completed an inspection of the physical plant. The inspection of the first floor included the living room, dinning area, day room, staff office, kitchen, laundry room, storage closet, two client bathrooms, and three client bedrooms. Bedrooms are arranged so there are no more than two clients per room. Each client room has the appropriate linens, pillows, comforters, and mattresses are in good repair. Additionally, there is adequate drawer and closet space for each client's belongings. The second floor of the group home consist of one staff conference room, two staff offices, one staff bathroom, pantry/storage, and counseling room. LPA observed that all cleaners and chemicals are locked in first floor storage closet. Additionally, LPA observed the following postings: facility license, grievance procedures, personal rights, and Ombudsman poster. Age-appropriate toys, games and books were observed for client's recreation time. The facilities outside grounds (front yard, backyard) were also inspected and were found to be clean, well maintained, and free of observable hazards. LPA did observe the backyard fences are pad locked with a chain. Per, the Directors statement the locks and chains will be removed when the facility is in operation. LPA further observed adequate indoor and outdoor activity space; all exits, and walkways were free from obstruction. Per the Directors statements there are no guns or weapons on facility grounds. Continued on LIC 809-C The facility smoke and carbon monoxide detectors, located on first and second floors were operational. The Fire extinguishers are properly charged, serviced, and located throughout the facility. When clients are in care medications will be locked and centrally stored in the first-floor staff office. At 10: AM LPA reviewed two staff files (S1 and S2). LPA observed S2 did not have the required health screening or Tuberculosis (TB) test; S1 did not have the required TB test. The licensee was issued a technical violation of Title California Code of Regulations 80066(a)(11) and 80066(a)(10). As there are no clients currently in care, LPA did not review client files. An exit interview was completed; a copy of this report, the LIC 811, and appeal rights were given and explained to Director Roy Bennett and Administrator Monica Williams.

met_with: Administrator Monica Williams, Director Roy Bennett Sr


summary: Facility Evaluation

raw_content:
Narrative:
On April 16, 2026, at 9:10 am Licensing Program Analyst's (LPA's) Cynthia Robinson and Jessica Peete arrived to The Real Life Center, Group Home (GH) to conduct an unannounced Annual Random inspection. LPA's were greeted and granted access by the Director, Roy Bennett. The group home was observed to be non-operational, with no clients in care or working telephone lines. Director Bennett stated there have been no clients in care since 2011. The Group home does not employ any direct care staff, administrators, facility managers, therapists, or social work staff. The licensee is currently converting from a group home to a Short-Term Residential Therapeutic Program (STRTP). Per the Director's statement, there are no plans to accept clients until STRTP licensure is completed. The licensee was advised that if the plan changes, the facility should contact Community Care Licensing prior to placing children to schedule a follow-up visit. At 9: AM, assisted by the Director, LPA's Robinson and Peete completed an inspection of the physical plant. The inspection of the first floor included the living room, dining area, day room, staff office, kitchen, laundry room, storage closet, two client bathrooms, and three client bedrooms. The temperature in the downstairs bathroom tested at 106F. LPA's observed that the dayroom, and the living room was furnished with couches and tables in good repair. The day room was being used as storage, as LPA's observed boxes, various non-operable office equipment, and exposed wiring. The laundry room also included storage, operable washer and dryer. The kitchen, also used for storage, had a working gas stove and running water. Appliances on the counter were not plugged in. The client's bedrooms are arranged so that no more than two clients are in any room. Each client room has the appropriate linens, and the mattresses, pillows, and comforters are in good repair. Additionally, there is adequate drawer and closet space for each client's belongings. Client bedroom #3, as identified by the Director, has a crack in the ceiling, which the Director stated is being repaired. (Continued on LIC 809C...) The second floor of the group home consists of one staff conference room, a counseling office, two staff offices, one staff bathroom, a pantry/storage, a deep freezer for excess food storage, and a counseling room. LPA's observed that the staff offices and conference room were equipped with desks and chairs, but no working office equipment. There was wall damage in the upstairs hallway above the window and the adjacent wall; the Director stated a work order had been called in. Per the Director's statement, the second floor of the facility will not be made accessible to clients without staff supervision. LPA's observed that all cleaners and chemicals are stored in the first-floor storage closet, which can be locked to make the contents inaccessible to clients. Additionally, LPA's observed the following postings: facility license, grievance procedures, personal rights, and Ombudsman poster. Age-appropriate toys, games, and books were observed for the client's recreation time. No medications were on the premises at the time of the visit. The Director stated that the client's medications will be made inaccessible and stored in a locked cabinet in the downstairs staff office. Additionally, as there are no clients in care and the facility is non-operational, LPA's did not observe a minimum 7-day non-perishable and a 2-day perishable food supply. The facility has a working security alarm and fire panel located in the front hallway. LPA's observed and tested the smoke detectors located in two of the three clients' bedrooms; the downstairs and upstairs hallways were working. LPA's did not observe carbon monoxide detectors in the facility. Per the Director's statement, they will be ordered and installed in various locations inside the facility. There are two fire extinguishers downstairs: one in the kitchen and the other outside the dining area, and third one upstairs in the entrance hall. The fire extinguishers are properly serviced and charged, with the inspection tag indicating the next service is due by May 9, 2026. The facilities outside the grounds (front yard and backyard) were also inspected and found to be clean, well maintained, and free of observable hazards. However, LPA's observed one non-operable company vehicle parked on the basketball court, which the Director stated is being repaired and will be removed from the grounds. LPA's also observed that the backyard fences are padlocked with a chain. Per the Director's statement, the locks and chains will be removed when the facility is in operation. LPA's further observed that there were no bodies of water on the facility grounds and that there was adequate indoor and outdoor activity space; all exits and walkways in and outside the facility were free of obstruction. Per the Director's statements, there are no guns or weapons on facility grounds. Per Director's statement, the facility conducts a monthly walk through to ensure grounds are maintained. Based on the facility inspection and file reviews conducted this date, no deficiencies were found at this time. An exit interview was completed; a copy of this report was reviewed and given to the Facility Director.

met_with: Roy Bennet, Director


facility_name: REAMER RESIDENCE

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13On 7/25/22 at 11: AM, Licensing Program Analyst (LPA) Alyssa Ng conducted a follow-up complaint inspection to the facility and met with Irene Lakandula, Administrator. The purpose of the inspection was to deliver the findings for the above complaint allegation. During Investigation, confidential interviews were conducted, and incident reports reveal that C1 (Please refer to LIC811) had a rash near his genital area. Maxim staff who is employed as a third party at the facility, first noticed the rash and notified C1's mom and the S1. C1's mom notified S1 that she will be scheduling a doctor's appointment and asked for the facilities availability. S1 suggested that 6/24/22 would be a good day to take C1 for the appointment. S1 did not hear back until 6/28/22 when C1's mom called S1 and explained that he had a conversation with the Doctor regarding the injury near the genital rash and sent a photo to the Doctor. The Doctor advised C1's mom to put Vaseline. C1's mom said that Vaseline might irritate C1 more. On that same day, a nurse consultant came to the facility to assess the rash. The nurse consultant instructed staff to keep doing body checks and to put Vaseline on the rash. C1's mom told S1 that there is no need for the appointment and to notify her if it happens again so C1's mom can decide if an appointment should be made. During confidential interviews, all parties deny seeing all four clients in the bathroom together. The facility allows clients to independently walk around in the facility. If clients are fighting or get too close, staff will redirect them immediately. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that facility staff did not seek client medical attention and facility staff are not adequately supervising clients, therefore the above allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy was sent to Irene Lakandula, Administrator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Irene Lakandula


summary: Facility Evaluation

raw_content:
Narrative:
On Friday 05/20/2022 at 10: AM, Licensing Program Analyst (LPA) Alyssa Ng made an unannounced visit to conduct an annual required inspection. LPA met with Irene Lakandula, Administrator. The facility has a census of 4 clients. All clients were at school. One client came home at 12:20 pm. Client was non-verbal but appeared to be in good spirits. Safety precautions were taken, including temperature checking, hand hygiene, and mask-wearing. The CARE Inspection Tool was used to conduct the inspection. The facility and grounds are clean, tidy, and free of obstructions. There are no hazards on the premises and no firearms, per Administrator. Bedrooms are single-occupancy, and beds have clean linens and mattress pads. There is one staff room that is double-occupancy. There is enough storage for residents' personal belongings. There are three bathrooms. Sharps were locked away and located in the kitchen. Chemical and poisons were located and in the laundry room away from clients. Food is of good quality, within date, and stored properly. First aid kit was observed to be complete. Room temperature was maintained at a comfortable temperature within permitted range. Water temperature measured at 110.5 which is in the permitted range. LPA conducted 2 confidential staff interviews. The backyard is surrounded by a wooden fence. There is a small shed in the backyard that is used for storage and a break room. No bodies of water on the premises. All walkways were free from debris or hazards. All window screens are in good condition. Facility has comfortable furnishings, accommodations, and ample lighting. All 4 client records complete with all of the required documentation. Each client has their own separate binder of all required documents. -----Cont. on 809-C----- Each psychotropic medication was observed to have its own Psychotropic Medication Administration Record (PMAR), as well as individual Centrally Stored Medication Destruction Records (CSMDR). All medications were consistent with these records. LPA Ng reviewed 5 staff records. Resident and staff records were observed to be complete and the facility in compliance. At this time, no deficiencies were cited. An exit interview was conducted, and a copy of this report was emailed to Administrator Irene Lakandulas, whose signature on this form confirms receipt.


facility_name: REDSTONE HOUSE

raw_content:
Narrative:
The complaint alleged that staff engaged in a physical altercation with minor and that staff did not allow minor to have a beverage. Confidential interviews reveal that minor woke up in the late night/early morning hours and wanted to adjust the thermostat at the facility. Minor also took juice from the kitchen. Minor insist that staff grabbed minor by the wrist after minor attempted to adjust the thermostat. Minor reacted by pushing staff out of minor's way. Minor stated that there is no house rule about not having juice at night. Staff denied the allegations. Staff reminded minor that no one is allowed to adjust the thermostat. Minor adjusted the thermostat anyway and became verbally and physically aggressive to staff. Staff redirected minor and denied engaging in a physical altercation. Staff denied causing any injury to minor. Minor then went to the kitchen, took some juice and went back to the bedroom. Staff reminded minor that juice is not allowed that late but offered minor water instead, which minor declined. Other parties interviewed described minor as verbally and physically aggressive when upset and is known to make false allegations and verbal threats towards staff. Minor had made repeated inappropriate comments towards the identified staff in the past. The facility moved identified staff to another facility to prevent any further incidents between staff and minor. There was no witness to the allegations; the staff was the only one working the graveyard shift when the incident occurred, and one other client was asleep. There was no corroborating evidence found to support the allegations. Based on the information gathered, although the allegations may have happened or are valid, the preponderance of evidence to prove the allegations was not met, therefore the allegations are unsubstantiated. A copy of this report, Confidential Names Form and Appeal Rights were provided to the facility representative. Appeal rights provided and explained. There was no deficiency citation issued.

Investigation Findings:
13On July 7, 2022 at 10: AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted a complaint inspection at the foster family agency to deliver the finding of the allegation. LPA met with the facility representative named above. LPA investigated the allegations by conducting confidential interviews with the identified client and three facility staff. LPA was unable to obtain a statement from another client in placement; the client is non-verbal and did not witness the incident. Records were reviewed such as, but not limited to, the placement agency report, Special Incident Report, Behavior Assessment Reports and Individualized Behavior Support Plans. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: REDSTONE HOUSEFACILITY NUMBER: VISIT DATE: 07/07/2022

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

met_with: Anamaria Ramos, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On June 23, 2021 at about 10:30AM, Licensing Program Analyst (LPA) Gilbert Gutierrez arrived at the facility and met Facility Manager (FM) Carlo Garduno. The inspection was an annual required inspection. The administrator arrived at the facility after a while. This facility is a one- story home with 3 bedrooms and 2 bathrooms and detached garage. Currently there are 3 clients placed in this home. The facility is operating within its approved capacity. At around 10:45AM LPA and FM toured the home. LPA observed the following: the posted license, emergency disaster plan, client's Personal Rights, staff schedule and menu. There was sufficient perishable foods enough for two days and sufficient non-perishable foods for clients' consumption for a week. The medications were observed locked in the cabinet in the kitchen. The knives were locked in a drawer in the kitchen. The first aid kit was complete. Each client's bedroom has a twin bed with clean sheets and linens. Each bedroom has adequate drawers and closet space for the client's clothing. There were extra linens, extra towels and hygiene supplies in the hallway cabinet. The smoke/carbon monoxide detectors were tested and working. There is a fire extinguisher located in the kitchen. The water temperature was 114 degrees within the temperature allowed under Title Regulations. There were extra perishable food items in a refrigerator, emergency supplies and extra cleaning supplies in the garage. All passageways were unobstructed. There was no body of water in the premises. At 11:40AM, LPA started reviewing three clients and seven staff files. Also reviewed were the emergency disaster plan and monthly fire drills and client medication logs. A review of staff records on June 23, 2021 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. No deficiency citations issued during this visit. The facility operates within license capacity and limitations. A copy of this report was provided to the facility administrator at the conclusion of the inspection.

met_with: Wanda Magee


summary: Facility Evaluation

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Narrative:
On February 2, 2022, at 9:00AM, Humberto Flores, Licensing Program Analyst (LPA), conducted an unannounced Case Management Inspection at Redstone House Group Home (GH) and met with Facility Manager (FM) Ana Maria Ramos. The purpose of the inspection was to gather information and deliver the findings for the incident reported via Special Incident Report (SIR). On 2/25/20, the GH reported that Child Ref #1 (C1) (see Confidential Names form LIC811 dated 2/02/22) left the facility unattended, while waiting for the bus to arrive. LPA Flores investigated the incident. A review of C1's file was conducted and copies were made. The information revealed that on 2/24/2020, C1 left the facility while waiting for the bus. Staff Andrew Dominguez (AD) and Xochilt Zamora (XZ) were on duty. According to statements documented by the GH, AD and XZ were cleaning the kitchen and they thought that other staff (name undisclosed) would place children on the bus. Once AD and XZ realized that C1 was unaccounted for they went outside to look for him. C1 was found in a neighbor's front yard playing with dirt. cont.# The GH will be issue an Advisory Notes / Technical Violation. No further inspection is needed at this time. A copy of this report and LIC811 was provided to the GH representative. Exit interview conducted.

met_with: Ana Maria Ramos., Facility Manager (FM)


summary: Facility Evaluation

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Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Gilbert Gutierrez and Pamela Silva on April 12, 2022. During the inspection, LPAs met Anamaria Ramos, Facility Manager (FM) who provided the tour of the facility inside and out. At the time of the inspection, no client present in the facility. LPAs conducted a tour of the facility at 9: AM. The facility is clean, safe, sanitary and in good repair. All medications are centrally stored, locked and accessible only to employees responsible for stored medications. There is adequate staffing in the facility to provide care and supervision for the clients per facility's Plan of Operation/Program Statement. Out two clients, only one is dual placement. LPAs reviewed one client file at 9:25am. LPAs interviewed a total of three staff at 10:00 am and reviewed three records at 11:00am. No deficiency citations issued at the time of the inspection. However, one technical violation was issued (see LIC TV). An exit interview was conducted and copy of this report, LIC TV and LIC 811 were provided to Administrator, Wanda Magee.

met_with: Anamarie Ramos, Wanda Magee


summary: Facility Evaluation

raw_content:
Narrative:
On October 24, 2022, at 8:50AM, Humberto Flores, Licensing Program Analyst conducted an unannounced Annual Inspection to the Redstone House Group Home (GH) and met with Anamaria Ramos. LPA Flores stated the purpose of the inspection to the GH representative. LPA Flores conducted a tour of the facility along with Anamaria Ramos. It was observed that the facility was clean, safe, sanitary and in good repair. The passageways and ramps are unobstructed. The disinfectants and cleaning solutions are inaccessible to the children. There are not swimming pools or similar bodies of water in the facility. The children in care are always supervised and protected. The GH representative stated that there are not firearms in the facility. The temperature in the rooms that clients occupy are maintained between 68 and 85 degrees (F) and the hot water temperature was at 107F. The GH has non-perishable foods for one week and perishable foods for two days and nutritious snacks are provided between meals. Medications are locked and accessible only to employees supervising stored medications. A medication count was conducted, and it was correct. The fire alarms and carbon monoxide detectors were checked and are operating. cont.# The GH has not sent to the Department the biannual review of manual restraints for the last 2 periods, July- December of 2021, and January-June 2022. The GH representative stated that there has been no restraint. No citation was issued. A copy of this report, LIC811s and LIC912 was provided to the facility representative. Exit interview conducted. cont.# Children Records: LPA reviewed 4 children's files. The files contain record of client's admission agreement, medical assessment, consent forms, weight record, emergency information, appraisal and needs and services plan, immunization record, tuberculosis test, centrally stored medication record, safeguards for property/valuables, personal rights form and cash resource information. Staff Records: A total of 4 employee files was reviewed. The files contain the following documentation: first aid certificate, Child Abuse Index Checks/Department of Justice (DOJ)/Federal Bureau of Investigation (FBI) criminal record clearances, education verification, personnel record, health screening, criminal record statement, employee rights and tuberculosis test. Personnel policies, job descriptions and training verification are included in the employee's files. Administration/Accountability: The minutes of board of directors' meetings were available to the licensing agency to inspect, audit, and copy upon demand. The Emergency Evacuation plan and physical plant sketches are posted. The Emergency Disaster Plan, LIC 610C was posted. Personal rights listing is posted. Facility License was posted in a prominent place.


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) T. Davis went to Redstone House on August 24, 2023 at 12:20pm for the purposes of an unannounced Required Annual inspection. LPA met with Andrea Velazquez, Facility Manager and Helen Navarro, Administrator Trainee, and conducted a tour of the facility. The facility is licensed to serve four (4) developmentally disabled clients ages 9-17 years old, ambulatory and non-ambulatory. The facility is a group home comprised of three bedrooms and two bathrooms. It is located in a residential neighborhood and has a living room, garage, dining area, and a kitchen. At the present time, there are four clients in placement at the facility. LPA observed a fully stocked pantry as well as fully stocked refrigerators in the kitchen and the garage, respectively. Chemicals and cleaning supplies are kept locked in a cabinet beneath the kitchen sink. Medications are also kept locked in a cabinet in the kitchen. The kitchen was observed to be clean and well stocked with several food items (perishable and nonperishable). Sharp knives are kept locked in a cabinet in the kitchen. LPA observed two bathrooms to be in good repair and working order. LPA also observed a fully stocked linen closet in the hallway. Licensee has personal hygiene items for each client. All three bedrooms contained either a full bed or twin beds, dressers, and closet space. LPA observed a fully charged fire extinguisher in the kitchen area. The First Aid Kit was fully stocked with scissors, tweezers, bandages, band-aids, and a thermometer. LPA observed the following items posted on a bulletin board in the kitchen: Rights of Individuals with Developmental Disabilities Grievances/Complaint Policy and Procedures Hydration Policy Emergency Disaster Plan Smoke alarms were operable throughout the facility. There is adequate seating in the dining area and the living room. The outdoor areas were observed to be free of debris and hazards. LPA visited the garage and observed survival packs for each client as well as extra cleaning supplies. LPA did not observe any pools or other bodies of water on the premises. The Administrator Trainee stated that there were not any guns or weapons at the facility. LPA randomly reviewed four staff files and all four client files and found the reviewed files to be in order. The last fire drill was held on August 10, 2023 at 5:00p.m. LPA obtained a current copy of the facility's staff roster (LIC500) as well as a client roster. LPA also obtained a copy of the minutes from the Board of Director's meetings that were held on March 30, 2023, April 27, 2023, and May 25, 2023, respectively. LPA observed three nonverbal clients at the facility during the inspection. The clients all appeared neat and well groomed. The other client residing at the facility was in school during the inspection. LPA found no Title 22/ILS deficiencies on this date. Exit interview conducted


summary: Facility Evaluation

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Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Pamela Silva and Juliet Robles on January 29, 2024 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Ana Maria Ramos, Administrator, and inspected the facility inside and out. LPAs reviewed one (1) of child's records and three (3) of staff personnel files on site at the facility. LPAs reviewed one (1) of child's psychotropic medications and medication records. LPAs interviewed two (2) of staff on site to discuss the facility's policies and procedures of operation. LPAs interviewed 0 of children currently prescribed psychotropic medication due to child being non-verbal. LPAs provided a copy of this licensing report to Ana Maria Ramos, Administrator. No deficiencies are being cited at this time. LPAs conducted exit interview with the Administrator.

met_with: Ana Maria Ramos


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) T. Davis went to Redstone House on June 20, 2024 at 1:38pm for the purposes of an unannounced Required Annual inspection. LPA met with Vivian Orozco, Direct Care Staff (DCS) and Anamaria Ramos, Administrator, and discussed the purpose of today's inspection. LPA and the DCS conducted a tour of the facility. The facility is licensed to serve four (4) developmentally disabled clients who may be ambulatory or non-ambulatory. The facility is located in a residential neighborhood and has three bedrooms, two bathrooms, living room, garage, dining area, and a kitchen. Currently, there are four clients in placement at the facility. LPA observed a fully stocked pantry as well as a fully stocked refrigerator in the kitchen. Medications are kept locked in a cabinet in the kitchen. The kitchen was observed to be clean and well stocked with several food items (perishable and nonperishable). Sharp knives, chemicals, and cleaning supplies are kept locked in areas inaccessible to clients. LPA observed two bathrooms to be in good repair and working order. P The First Aid Kit was fully stocked with scissors, tweezers, bandages, band-aids, and a thermometer. Smoke alarms were operable in each bedroom. There is adequate seating in the dining area and the living room. The outdoor areas were observed to be free of debris and hazards. LPA did not observe any pools or other bodies of water on the premises. LPA observed all three bedrooms with a bed, dresser, and closet space Files were reviewed and all were found to be in order. The last fire drill was held on February 10, 2024 at 8:00p.m. The last earthquake drill was held on June 10, 2024 at 9:00am. LPA obtained a current copy of the facility's staff roster (LIC500) as well as a client roster. LPA also obtained a copy of the minutes from the Board of Director's meetings that were held on March 28, 2024 and April 25, 2024. LPA found no Title 22/ILS deficiencies on this date. Exit interview conducted

met_with: Vivian Orozco, Direct Support Staff and Anamaria Ramos, Administratorl


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Caitlin Chambers conducted an unannounced visit to Redstone House on 5.30.25 for the purpose of an annual inspection. LPA met with Administrative Trainee, Helen Navarro, and discussed the purpose of today's inspection. LPA the Administrative Trainee conducted a tour of the facility. The facility is licensed to serve four (4) developmentally disabled clients who may be ambulatory or non-ambulatory. The facility is located in a residential neighborhood and has three bedrooms, two bathrooms, living room, garage, dining area, and a kitchen. Currently, there are four clients in placement at the facility. LPA observed a fully stocked pantry as well as a fully stocked refrigerator in the kitchen. Medications are kept locked in a cabinet in the refrigerator that had food that was on the menu that was posted on the refrigerator.. The kitchen was clear of dishes , and the kitchen area was sanitized. The kitchen was stocked with several food items (perishable and nonperishable). The kitchen sink temperature is 107 degrees Fahrenheit. Sharp knives, chemicals, and cleaning supplies are kept locked in areas inaccessible to clients. LPA observed two bathrooms to be in good repair and working order with water temperatures accordingly: bathroom # one (1) sink temperature 112 degree Fahrenheit., and shower temperature of 106 degrees Fahrenheit. Bathroom # two (2) sink temperature of 112 degrees Fahrenheit, and shower temperature of 112 degrees Fahrenheit. The First Aid Kit was fully stocked with scissors, tweezers, bandages, band-aids, and a thermometer. Smoke alarms were operable in each bedroom. There is adequate seating in the dining area and the living room. The outdoor areas were observed to be free of debris and hazards. LPA did not observe any pools or other bodies of water on the premises. LPA observed all three bedrooms with a bed, dresser, and closet space. LPA interviewed two staff members on this day. Four out of four clients files were reviewed and up to date. Five staff files were reviewed with all up to date training, health screenings, Tuberculous tests, driver's license,employee qualifications, live scans, CPR and First Aid training were reviewed. The last fire drill was held 5.10. The last earthquake drill was held on 04.14. LPA obtained a current copy of the facility's staff roster (LIC500) as well as a client roster. LPA also obtained a copy of the minutes from the Board of Director's meeting.. LPA found no Title 22/ILS deficiencies on this date. Exit interview conducted

met_with: Administrative Trainee, Helen Navarro


facility_name: REM CALIFORNIA, LLC - TOPAZ

summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
The investigation revealed on Friday, February 3, 2023, school personnel notified facility staff of Client #1's (C1) illness symptoms and advised that C1 be picked up to be sent home. Statements revealed that although facility staff members were aware C1 was ill since February 3, 2023, when notified by the school, the facility staff neither obtained medical attention for C1 nor kept C1 home from school on the following Monday, February 6, 2023. On Monday February 6, 2023, C1 was sent to school and observed appearing in worse condition than the prior Friday. School personnel again called the facility to pick up C1 due to illness. On the morning of February 7, 2023, C1 was discovered by staff, laying on the floor in their room. C1 was transported to the hospital by ambulance from the facility with confusion and shortness of breath. C1 was placed into intensive care and intubated in critical health. C1's condition continued to de-escalate over time and on March 1, 2023, C1 succumbed to death due to medical complications. During the week proceeding C1's hospitalization, C1 had been observed exhibiting symptoms of not feeling well while at school. Documentary evidence determined that C1 died from illnesses that were contracted while in the care of the facility. Based on confidential interviews, review of documentary evidence and medical reports, the preponderance of evidence standard has been met. The Department has determined substantiated findings that staff did not provide medical attention in a timely manner contributed to C1's death. This poses an immediate health, safety, and personal rights risk of harm to children placed in care. The facility is issued a citation in accordance with the California Department of Regulations, Title Chapter 5, Division 6, 84078(b) Responsibility for Providing Care and Supervision and 84064(f)(4) Administrator Qualifications. The Department has concluded an analysis and determined that an enhanced civil penalty of $7,500 is warranted under Health and Safety Code 1548(e). The Department has issued an immediate Civil Penalty Assessment of $7,500. A copy of this report, Appeal Rights, and form UC 421-D(CRP) Civil Penalty Assessment- Death/ Serious Bodily Injury/ Physical Abuse was provided to Facility Representative during this visit. Continued on page LIC9099-D)

met_with: Eva Valentin, Area Director

complaint_status: SUBSTANTIATED


raw_content:
Investigation Findings:
13On 02/12/24, at 11:35 am, Licensing Program Analyst (LPA) Nestor Gomez made an unannounced inspection to the above facility for the purpose of concluding the investigation on the above allegation and deliver the findings. LPA spoke with Colleen Nawrot and together, discussed the investigative findings. During the investigative process by Licensing program Analyst (LPA), Nestor Gomez, documents were reviewed and confidential interviews were conducted with the Facility Administrator (FA), facility staff, client, and relevant contacts. During the confidential interviews, the validity of the allegation could not be determined. Parties interviewed could not determine the cause of the injuries. The parties interviewed either confirmed or denied the allegations. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. No deficiencies are being cited at this time. Exit Interview conducted, and a copy of this report was emailed to FA. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Nestor Gomez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Facility Adminstrator - Collen Nawrot


summary: Facility Evaluation

raw_content:
Narrative:
On 1/26/2022 at 8:30am Licensing Program Analyst (LPA) Enrique Hernandez conducted a Case Management Post-Licensing Inspection at REM California, LLC-Topaz v. LPA met with Gaby Zaragoza staff #1 (S1) who granted access to the facility and toured the home in and out. In the middle of the inspection Danny Rabara Facility Administrator (FA) arrived at the facility and continued the tour due to that S1 had to leave. This is a three-bedroom, two-bathroom, single story family residence that includes a living room, dining area, office area, kitchen, laundry area and an attached garage. LPA toured the entire facility and observed the following: Bedroom #1 is occupied by one male client, it has one twin size bed, adequate closet space, there's no clothes in the client's room due to that client #3 (C3) rips all the clothes. FA stated that he will get the documentation from the Regional Center regarding the issue of not having the client's clothes in C3's room. Bedroom #2 is occupied by one male client, it has one queen size bed, adequate closet and drawer space. Bedroom #3 is occupied by two male clients, it has one twin size bed, and one full size bed adequate walking closet and drawer space bathroom was clean at the time of the inspection. [See LIC Confidential Names List form (LIC811), dated 01/26/2022, for names] LPA observed non-perishable foods for one week and perishable food for two days. Facility is clean and sanitary. Passageways, stairways, inclines, ramps, and open porches are unobstructed. Rules, regulations, licenses, emergency disaster plan and personal rights are posted at the facility. Menu is posted in the kitchen. Outdoor space is free of debris and hazard. Hazardous and cleaning solutions, disinfectants, poisons, medication and sharp knives are inaccessible to the clients. Continue on LIC809-C Meds are locked and accessible only to employees supervising stored medications. Home has working smoke alarms, carbon monoxide detectors and working fire extinguishers at the time of this inspection. The home is equipped with two (2) bathrooms were operable at time of inspection. The facility has a working telephone/landline. There is no bodies of water on the premises. Kitchen/Dining area: There was one (1) refrigerator, microwave, one (1) stove one (1) with five (5) burners, all operable at the time of the inspection. There was a large dining table with four (4) chairs. A trash can with a lid on was observed in the kitchen area. Laundry Room: There was a laundry room in the garage equipped with a sink, one (1) washer and one (1) dryer during the time of the inspection. Per California Code of Regulations, Title Regulations, Division 6, chapters 5, no deficiencies are cited at this time Exit interview was conducted and a copy of this report will be emailed to the facility Administrator due to technical difficulties with LPA's printer.

met_with: Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 5/26/2022 at 9:00am Licensing Program Analyst (LPA) Enrique Hernandez conducted an annual/Required inspection at REM California, LLC-Topaz v. LPA met with Danny Rabara Facility Administrator and Colleen Nawrot Program Director who granted access to the facility and toured the home in and out. This is a three-bedroom, two-bathroom, single story family residence that includes a living room, dining area, office area, kitchen, laundry area and an attached garage. LPA toured the entire facility and observed the following: Bedroom #1 is occupied by one male client, it has one twin size bed, adequate closet space, there's no clothes in the client's room due to that client #1 (C1) rips all the clothes. FA stated that he will get the documentation from the Regional Center regarding not having the client's clothes in C1's room. Bedroom #2 is occupied by one male client, it has one queen size bed, adequate closet and drawer space. Bedroom #3 is occupied by two male clients, it has one twin size bed, and one full size bed adequate walking closet and drawer space bathroom was clean at the time of the inspection. [See LIC Confidential Names List form (LIC811), dated 05/26/2022, for names] Kitchen/Dining area: There was one (1) refrigerator, microwave, one (1) stove one (1) with five (5) burners, all operable at the time of the inspection. There was a large dining table with four (4) chairs. A trash can with a lid on was observed in the kitchen area. LPA observed four (4) spoiled bananas and a lemon cut in half seating in the kitchen counter. Laundry Room: There was a laundry room in the garage equipped with a sink, one (1) washer and one (1) dryer during the time of the inspection. Continue on LIC809-C Living Room: The area has a tv mounted on the wall. LPA observed worn sofas. FA stated that they will place an order today with the executive assistant. Meds are locked and accessible only to employees supervising stored medications. Home has working smoke alarms, carbon monoxide detectors and working fire extinguishers at the time of this inspection. The home is equipped with two (2) bathrooms were operable at time of inspection. The facility has a working telephone/landline. There is no bodies of water on the premises. LPA observed non-perishable foods for one week and perishable food for two days. Facility is clean and sanitary. Passageways, stairways, inclines, ramps, and open porches are unobstructed. Rules, regulations, licenses, emergency disaster plan and personal rights are posted at the facility. Menu is posted in the kitchen. Outdoor space is free of debris and hazard. Hazardous and cleaning solutions, disinfectants, poisons, medication and sharp knives are inaccessible to the clients. The facility has a Chrysler Pacifica 2020 to transport clients. Current automobile insurance is with National Union Insurance Company. Due to time constraints, LPA will return to review the client/staff files in order to complete the Per California Code of Regulations, Title Regulations, Division 6, chapters 5, no deficiencies are cited at this time Exit interview was conducted and a copy of this report will be emailed to the facility Administrator due to technical difficulties with LPA's printer.

met_with: Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 3/3/23, at 11:55am Licensing Program Analyst (LPA) Nancy O'Connell conducted a Case Management - Incident inspection at the above-listed facility, and met with Colleen Narwot Facility Administrator (FA), in response to a Special Incident Report that reported to Community Care Licensing (CCL) on 3/2/23. The incident, which occurred on 3/1/23, involved client (C1), who passed away on 3/1/23 at a local hospital due to medical reasons. [See LIC Confidential Names List form (LIC811), dated 3/3/23, for names]. During the time of the inspection, LPA O'Connell conducted a walk through of the facility with FA and S1 and observed the kitchen to have locked knives, cleaning supplies,and there was appropriate signage posted. LPA inspected medical records, logs, and medication prescripts for all residents, and found them to be centrally stored, with accurate information recorded. LPA inspected all bedrooms, common areas, bathrooms, backyard space, and found the facility to be clean, sanitary and in good condition. LPA interviewed the Facility Administrator (FA), and the Lead Direct Service staff (S1) to obtain information related to the events leading up to the special incident event that occurred on 3/1/23. LPA requested the following documents: LIC500, client roster, shift reports for S2 and S3 on night of 2/6/23, C1's medication list, emergency procedures plan, S4's 1:1 staffing notes for 2/6/23, shift notes from S1 for 2/6/23, and NOC logs for 2/26/23, and the contact information for the primary care physician for C1. Continued on LIC809C LPA requested a copy of C1's death certificate, as well as a completed Death Report (LIC624A form), as soon as it becomes available. LPA requested that documents be submitted to the Culver City Children's Residential Regional Office, as soon as possible. At this time, further investigation is required in order to the determine whether any violation had occurred. PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, there are no deficiencies to be cited at this time. Exit Interview conducted, and a copy of this report was left with the Facility Administrator (FA).

met_with: Colleen Narwot, Facility Administrator (FA)


summary: Facility Evaluation

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Narrative:
On 7/13/23, at 11:00am, Licensing Program Analyst (LPA) Nancy O'Connell conducted an annual/Required inspection at REM California, LLC-Topaz. LPA met with Colleen Narwot, Facility Administrator who provided a tour of the home in and out. This is a three-bedroom, two-bathroom, single story family residence that includes a living room, dining area, office area, kitchen, laundry area and an attached garage. LPA toured the entire facility and observed the following: Bedroom #1 is not currently occupied, it has one twin size bed, adequate closet drawer space. Bedroom #2 is occupied by one male client, it has one queen size bed, adequate closet and drawer space. Bedroom #3 is occupied by two male clients, it has one twin size bed, and one full size bed adequate walk-in closet and drawer space. Bathroom- there are two bathrooms- one in the main hallway and one located by the master bedroom. Bother bathrooms were clean, sanitary and in working condition. Water temperature was measure to be at 110 degrees. Additional towels are stored in main bathroom. Kitchen/Dining area: There was one (1) refrigerator, microwave, one (1) stove one (1) with five (5) burners, all operable at the time of the inspection. There was a large dining table with four (6) chairs. There is a trash can with a lid in the kitchen area. Knives were observed to locked under double locks above the oven. LPA observed contents of refrigerator and observed three Tupperware items without date, which were immediately discarded. All other contents of refrigerator met regulations.Fruit was observed on counter. Laundry Room: There is a laundry room in the garage equipped with a sink, one (1) washer and one (1) dryer. Laundry chemicals are locked up in cabinets above laundry units. Continue on LIC809-C Living Room: The living room has a tv mounted on the wall and protected by a plastic case. Meds were observed to be locked and accessible only to employees supervising stored medications. Home has working smoke alarms, carbon monoxide detectors and working fire extinguishers at the time of this inspection. The facility has a working telephone/landline. There is no bodies of water on the premises. Facility is clean and sanitary. Passageways, stairways, inclines, ramps, and open porches are unobstructed. Rules, regulations, licenses, emergency disaster plan and personal rights are posted at the facility. Menu is posted with dates in the kitchen. Outdoor space is free of debris and hazard and is kept clean and orderly. Hazardous cleaning solutions, disinfectants, poisons are kept locked in cabinet below kitchen sink. The facility has a Chrysler Pacifica 2020 to transport clients. Current automobile insurance is with National Union Insurance Company. LPA confirmed current registration and insurance. LPA observed that vehicle has functioning windshield wipers, break lights, headlights, first aid kit, and functional horn. Records: LPA reviewed LIC Personnel Report and confirmed that S1 does not have a background clearance and was observed to be working on shift during the time of inspection. LPA inquired about reason for S1 not having clearance and FA explained that S1 was recently re-fingerprinted and confirmation of a clearance was not obtained prior to S1 working on shift. LPA informed FA of violation and FA agreed. FA informed S1 immediately that she needed to leave the facility. Further, LPA reviewed medication logbook/electronic records for C1, C2, and C2 and observed that staff S2 did not document provision of medication on 7/4/23 and 7/11/23 for C1, C2, and C3. LPA observed that medication had been dispersed from bubble packs but was not documented in record to reflect disbursement. LPA inquired with FA about reason for missing documentation and FA stated that there was not a clear explanation why documentation was not completed. LPA informed that facility would be cited for medication documentation error and FA agreed with deficiency. Due to time constraints, LPA will return to review the client/staff files in order to complete annual review. Per California Code of Regulations, Title Regulations, Division 6, chapters 5, there are two deficiencies to be cited at this time. Exit interview was conducted and a copy of this report was emailed to the facility administrator.


summary: Facility Evaluation

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Narrative:
On November 15, 2023 at 1: PM, Licensing Program Analyst (LPA) Regina Martin met with the facility Director Eva Valentin, in order to assess an Enhanced Civil Penalty (ECP). On September 20, 2023, the Department concluded a complaint investigation alleging that Staff did not provide medical attention in a timely manner leading to the questionable death of Client #1 (C1). The investigation findings were determined substantiated, and the Group Home was cited for the violation of Title 22, California Code of Regulations Section 84078(b), Responsibility for Providing Care and Supervision. See the Confidential Names List, LIC 811, dated September 20, 2023. Based on the analysis of the interviews and record reviews, the Department has determined that this violation is warranted for staff negligence to a child in care. The Penal Code Section 11165.6 defines child abuse or neglect as a physical injury or death inflicted by other than accidental means upon a child by another person. Pursuant to the Enhanced Civil Penalty law, Health & Safety Code Section 1548(e), the Department will be issuing an immediate civil penalty of $7,500.00. An exit interview was completed, and appeal rights discussed. A copy of this report, the Confidential Names List, and a Civil Penalty Assessment - Serious Bodily Injury/Physical Abuse (Form 421-D) were provided to the Facility Director. The signed copy will be retained in the facility file.

met_with: Eva Valentin, Director


summary: Facility Evaluation

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Narrative:
On 02/06/2024 at 12:55PM Licensing Program Analyst(LPA) Jhane Haynes arrived at the above facility for the purpose of conducting a confidential interview with youth currently placed in the home about previous placement. LPA met with Facility Administrator(FA) Colleen Nawrot, who granted access to the home. LPA conducted confidential interview with C1. There are no deficiencies to be cited at this time. Exit interview was conducted and a copy of this report was left at the facility.

met_with: Colleen Nawrot Facility Administrator(FA)


summary: Facility Evaluation

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Narrative:
On 07/19/24 at 10:50AM Licensing Program Analyst (LPA) Jhane Haynes made an unannounced visit to the above facility for the purpose of conducting an annual/required inspection. LPA met with Facility Administrator(FA) Colleen Nawrot who granted access to the facility. Together FA and LPA toured the home inside and out. This is a single-story home located in a residential area. There are no swimming pools or bodies of water on the premises. LPA observed the following the facility tour: Entry contains visitor log and required postings not limited to: Facility license and personal rights poster. Secured Closet contains extra hygiene supplies and client shower boxes. Bedroom #1 rooms C1 and is equipped with a full bed, dresser, desk and closet with adequate storage. Bedroom #2 is vacant and contains a twin bed, dresser, desk, and adequate closet space. Bathroom#1 contains functioning toilet, sink and tub/shower combination with running water. Cabinet storage contains toileting supplies and extra bath mats. Bedroom #3 rooms C2 and C3. It is equipped with two twin beds, dressers, padding for C3, one side exit to exterior, desk chairs and walk in closet. This room also contains a bathroom with double sinks, toilet and stand alone shower. Living Room contains adequate seating for clients, TV, phone receiver and cabinet with stored activities and locked files. Staff Area is adjacent to living space. It contains desk, chair, secured medicine cabinet, and bulletin board. MARS is digitally logged. LPA observed client medication and log. Kitchen contains pantry cabinets with non-perishables for up to two weeks. Perishables for up to two days. The refrigerator operating temperature at 40 degrees and freezer at 0 degrees. Menu is posted on the fridge. (Continue on 809-C) There are operational kitchen appliances and adequate dinnerware for clients. Sharps are secured in cabinet with blender parts and in lockbox. There is a secured staffing cabinet where edible reinforcements and client electronics are safeguarded. A fire extinguisher can be found. Chemicals are locked underneath sink. Dining Area contains table and adequate seating for client meal times. Garage contains washer and dryer, sink, secured laundry supply cabinet, laundry hampers, water heater, additional staff desk and exterior door to side of home. Extra cleaning and office supplies are stored here. Emergency food and water can be found here. There is additional pantry storage and fridge for overflow. Exterior contains seating, fruit trees and outdoor activities for clients. There is a shed that is locked at all times, has items that have been replaced and additional outdoors toys. Utility shutoffs can be found in front of the home. The facility is safe, sanitary and free of debris. There are no obstructions blocking pathways. At the time of tour, alarms could not be tested due to client napping. Due to time constraints, LPA will return to complete the inspection. No deficiencies will be cited at this time. An exit interview was conducted and this report was emailed to the administrator.


summary: Facility Evaluation

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Narrative:
On 09/19/24 at 11:58AM Licensing Program Analyst (LPA) Jhane Haynes made an unannounced visit to the above facility for the purpose of completing an annual/required inspection initiated 07/19/24. LPA met with Pam Holcombe Program Director(PD) who granted access to the facility. PD provided area for LPA to conduct file review. LPA reviewed files of all clients in care. LPA observed signed admission agreement, medical records, updated behavior plan and ISPs. LPA also observed facility disaster plan which maintained monthly disaster drills, client face sheets. Due to time constraints, LPA will return to complete staff file review. No deficiencies will be cited at this time. An exit interview was conducted and a copy of this report was emailed to the facility administrator.

met_with: Pam Holcombe Program Director(PD)


summary: Facility Evaluation

raw_content:
Narrative:
On July 10, 2025, at 11:35 am Licensing Program Analyst (LPA) Nestor Gomez made an unannounced inspection to the above-mentioned facility, for the purpose of conducting a Case Management inspection to address concerns regarding an incident report that was received. LPA was met by Facility Administrator (FA), Pam Holcombe, who granted access to the facility. The incident report stated the following: "On June 5th at around 8: PM, C1'S mother, A1, called to express a serious concern regarding the staff who worked the morning shift. C1 had informed his father that the man who helped him get ready for school had touched him inappropriately. C1 described the individual to his father, prompting the call, and the mother requested a description of the morning shift staff from the evening staff on duty." LPA interviewed FA in person during today's inspection. A statement was obtained and details about the incident were gathered. Further investigation is required on the above incident. Exit interview was conducted and a copy of this report was emailed to FA.

met_with: Pam Holcombe - Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 7/29/2025, at 11:30 am, Licensing Program Analyst (LPA) Nestor Gomez arrived at the above facility, for the purpose of conducting an Annual Required Inspection. LPA Gomez met with Facility Administrator, Pamela Holcombe, who granted access to the facility. The annual fees are current. During the time of inspection, LPA Nestor conducted an inspection of the following areas: Kitchen: equipped with a gas stove, two door refrigerator, dishwasher, oven and microwave. The cabinets/pantry and refrigerator contained ample food for children in care that included both perishable and non-perishable foods. All appliances are in working order. The trash can in the kitchen was equipped with a lid. The menu is posted on the fridge. Bedroom #1: This bedroom is currently occupied by C1. The bedroom is equipped with a full bed, dresser, desk and closet with adequate storage. Bedroom #2: This bedroom is currently occupied by C2. The bedroom is equipped with a twin bed, dresser, desk, and adequate closet space. Continue on 809-C (Page 1) Bedroom #3: This bedroom is currently occupied by C3 and C4. The bedroom is equipped with two twin beds, dressers, one side exit to the exterior, desk chairs and walk in closet. This room also contains a bathroom with double sinks, toilet and stand-alone shower. Bathroom #1: This bathroom is equipped with a cabinet, sink, toilet and bathtub/shower. Living Room: It contains adequate seating for clients, TV, phone receiver and cabinet with stored activities and locked files. Staff area/Office space: Adjacent to living space. It contains a desk, chair, secured medicine cabinet, and bulletin board. MARS is digitally logged. LPA observed client medication and log. Backyard: equipped with tables, chairs, outdoor grill, a small structure for storage and a saucer swing. The saucer swing was not secure to the ground at the time of the inspection. Secured Closet: The closet contained extra hygiene supplies, diapers and client shower boxes. Additional Observations: The water temperature at the kitchen sink was tested and measured at 118 degrees Fahrenheit which falls within regulations. The cleaning supplies are stored in a locked cabinet under the sink. Sharps are stored in a locked cabinet by the oven in the kitchen. There are one (1) fire extinguishers located on the wall by the kitchen. LPA observed the carbon monoxide/smoke detectors to be in working order when tested by the licensee. LPA observed all required posting. The entry to the facility had the visitor log and required postings. Vehicles: LPA Nestor inspected 1 (one) facility vehicles in total. Chrysler Pacifica (Blue) with current registration that expires on 3/12/2026. Insured by National Union Fire Inc. Co of Pittsburgh that expires on 10/01/2025. Continue on 812-C (Page 2) Vehicles are in good condition with no issues. Staff Interview: LPA Nestor conducted three (3) staff interviews with FA, S1, and S2. Client Interview: LPA Nestor conducted one (1) client interview with C1. LPA Nestor will return to complete the inspection. There was one (1) deficiency observed and cited at this time. See 809-D. A copy of this report was reviewed and provided to FA.

met_with: Pamela Holcombe - Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 7/30/25, at 9:00 am, Licensing Program Analyst (LPA) Nestor Gomez returned to the above-mentioned facility to continue the annual inspection that was started on 7/29/2025. LPA Gomez met with Facility Administrator, Pamela Holcombe, who granted access to the facility. The following was observed during the Inspection: Staff Records Review: LPA reviewed three (3) staff records for the FA, S1 and S2. Clients Records Review: LPA reviewed client record for C1 and C4 which meet qualification. LPA Nestor will return to complete the inspection. There were no deficiencies observed or cited at this time. The exit interview was conducted with the Facility Administrator and a copy of this report was emailed to the Facility Administrator.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 8/26/25, at 9:15 am, Licensing Program Analyst (LPA) Nestor Gomez returned to the above-mentioned facility to continue the annual inspection that was started on 7/29/2025. LPA Gomez met with Facility Administrator, Pamela Holcombe, who granted access to the facility. The following was observed during the Inspection: Staff Records Review: LPA reviewed three (3) staff records for the FA, S1 and S2. Clients Records Review: LPA reviewed client record for C1 and C4 which meet qualification. LPA Nestor will return to complete the inspection. There were no deficiencies observed or cited at this time. The exit interview was conducted with the Facility Administrator and a copy of this report was emailed to the Facility Administrator.

Deficiencies:
84068.3(a): Modifications to Needs and Services Plan

(a) The needs and services plan specified in Section 84068.2 shall be updated at least every six months to determine the following


summary: Facility Evaluation

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Narrative:
On 12/16/2025, at 11:34 am Licensing Program Analyst (LPA) Nestor Gomez made an unannounced inspection to the above-mentioned facility, for the purpose of following up on a Case Management inspection regarding an incident report that was received on 12/12/2025 about a staff member not passing medication to client (C1). LPA met with Facility Administrator (FA), Pamela Holcombe, who granted access to the facility. The SIR stated that the staff member signed off the medication, but did not actually give it to the client (C1). LPA confirmed with the FA that the missed medication was psychotropic (Risperidone 1 mg and Aripiprazole 15 mg). Staff did not provide C1 with their morning medication. Based on the SIR, LPA has determined to cite the facility. No further investigation or interviews are required on the above incident. PER California Code Regulation Health Related Services 1507.6 (b)(1) there is one (1) deficiency to be cited at this time. See 809-D. Exit interview was conducted and a copy of this report will be emailed the FA.

met_with: Facility Administrator (FA) - Pamela Holcombe


summary: Facility Evaluation

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Narrative:
On 5/26/2022, at 9:00am Licensing Program Analyst (LPA) Enrique Hernandez conducted an unannounced Case Management - Incident inspection at REM California. LPA met with Danny Rabara Facility Administrator (FA) and Collen Nawrot Program Director (PD), who granted access into the facility. LPA and FA and PD discussed the Special Incident Report that was submitted to Community Care Licensing (CCL) on 5/16/ Client #1 (C1) was directed to prepare water for his medications. As staff #1 (S1) was preparing medication for another client #2, C1 approached, picked up the medication cup and swallowed the medication of C2 despite S1 attempt to verbally stop and redirect him to the correct medication resulting in a medication error. [See LIC Confidential Names List form (LIC811), dated 5/26/2022, for names], After reviewing all confidential interviews conducted on 5/26/2022 and the incident report received from the facility on 5/16/2022, it was confirmed that C1 took the medication of C2 due to staff not following the facility protocol. PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 5, the following deficiency has been cited. (See LIC809-D) Exit interview was conducted and a copy of this report will be emailed to the facility Administrator due to technical difficulties with LPA's printer.


summary: Facility Evaluation

raw_content:
Narrative:
On 3/3/23, at 11:55am Licensing Program Analyst (LPA) Nancy O'Connell conducted a CaseManagement - Incident inspection at the above-listed facility, and met with Colleen Narwot Facility Administrator (FA), in response to a Special Incident Report that was reported to Community Care Licensing (CCL) on 2/6/23. The incident, which occurred on 2/4/23, involved client C1, and C2 being given extra doses of prescription medication in error [See confidential LIC811; dated 3/3/23, for list of names]. During the time of the inspection, LPA O'Connell spoke with FA and asked about the two SIRs submitted on 2/6/23. FA reported that on 2/4/23, S1 failed to follow facility policy and procedure related to medication administration, which led to administering an additional dose of prescribed medication to C1 and C2. FA further reported that the staff was counseled on the correct procedure but was not willing to comply with corrective action plan and was not receptive to additional training. This led to the facility management team deciding to terminate S1's employment with the facility effective 3/2/23. LPA requested a copy of the medication administration policy and asked about procedures for staff to ensure accuracy of med distribution. FA reviewed policy and acknowledged that S1 did not follow policy and procedure. PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, a deficiency will be cited at this time. See LIC809D for details Exit Interview conducted, and a copy of this report was left with the Facility Administrator (FA).


summary: Facility Evaluation

raw_content:
Narrative:
On 4/22/2026, at 11:45 am Licensing Program Analyst (LPA) Nestor Gomez made an unannounced inspection to the above-mentioned facility, for the purpose of following up on a Case Management inspection regarding an incident report that was received on 4/14/26. LPA met with Program Director (S1), Elizabeth Martinez, who granted access to the facility. No further investigation or interviews are required on the above incident. PER California Code Regulation Health & Safety Code 1507.6 (b) there is one deficiency to be cited at this time. See 809-D. Exit interview was conducted and a copy of this report will be emailed the Facility Administrator, Pamela Holcomb.

met_with: Program Director - Elizabeth Martinez


facility_name: REMI VISTA BEAR MOUNTAIN HOME

summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Continued from Facility is cited per the Interim Licensing Standards, Article 06. Continuing Requirements, Section 87072(c)(11): Personal Rights A signed copy of this LIC-9099 report, the LIC-9099C, and LIC-9099D were provided to the facility. An exit interview was conducted and the appeal rights were provided.

Investigation Findings:
13Licensing Program Analyst (LPA) Hillary Hall arrived unannounced at the facility and met with Briggs Bosworth, Administrative Assistant in person, and Garrett Vargas, Program Facilitator on the phone. The purpose of the visit was to deliver findings for a complaint investigation. The Investigations Branch (IB) conducted the complaint investigation. LPA Hall opened the complaint with the facility on 06/09/2022. IB reviewed relevant records from the facility and investigative reports from Law Enforcement. IB conducted 14 confidential interviews. One staff (S2) witnessed another staff (S1) inappropriately touch a youth in care on two occasions between May and June 2022. The youth is non-verbal and unable to provide information. Additional interviews corroborated S1 exhibited inappropriate sexualized behavior toward staff at the facility and at facilities where S1 was previously employed. Based on IB and the Department's observations, interviews, and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Daniel Allmon LICENSING EVALUATOR NAME: Hillary Hall 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: REMI VISTA BEAR MOUNTAIN HOMEFACILITY NUMBER: VISIT DATE: 12/28/2022

met_with: Garrett Vargas, Program Facilitator