summary: Facility Evaluation

raw_content:
Narrative:
On April 14, 2025 at 10: AM, Licensing Program Analyst (LPA) Jacob Salem conducted an announced visit to the above facility and met with Maria Alonso, Administrator. The purpose of this Case Management inspection is to conduct an annual continuation from 4/10/2025. LPA reviewed five staff files (S1-S5) at the facility's corporate office, which were provided upon request for review. The files contained all of the required demographic and background information, staff qualifications, proof of criminal background clearances, and medical screenings at hire. LPA reviewed five client files (C1-C5) which are kept confidential in a locked staff closet and contained all of the required demographic information, pre-placement screenings and appraisals, needs and services plans, and records of client cash resources. LPA conducted one staff and one client interview. Based on observations made during the inspection, there were no deficiencies cited at this time. An exit interview was conducted with Maria Alonso, Administrator and a signed copy of this report was provided.

met_with: Maria Alonso, Administrator


state: CA

facility_name: CENTER FOR POSITIVE CHANGES 2

summary: Complaint Investigation - Substantiated - 3 allegations

raw_content:
Narrative:
...CONTINUED A review of video and photo evidence revealed that S1 bit C1 during a physical altercation at night outside, while C1 was holding S1 down. Confidential interviews yielded conflicting information regarding how the altercation began and S1's conduct during the incident. One confidential interview indicated that S1 was acting in self-defense during the altercation and used the minimum amount of force to protect themself and get away. Conflicting confidential interviews indicated that S1 engaged with C1 aggressively during the incident. Confidential interviews indicated that S1 has a history of not utilizing trauma-informed care practices with clients. Based on confidential interviews and records reviewed, the allegations that staff handled a minor in a rough manner and staff bit minor in care are substantiated because the preponderance of evidence has been met. This posed an immediate Health, Safety, or Personal Rights risk to children in care, and the facility will be cited for violating Interim Licensing Standards for Short Term Residential Treatment Programs, Sections 87072(c)(1) and 87072(c)(16). An exit interview was conducted, and a plan of correction was developed with Kendrick Johnson, Facility Manager. A copy of this report, appeal rights, and LIC 811 were provided to Kendrick Johnson, Facility Manager.

Investigation Findings:
13On December 4, 2025, at 12: PM, Licensing Program Analyst (LPA) Jacob Salem met with Kendrick Johnson, Facility Manager of Center for Positive Changes 2 (CFPC) to deliver the findings for the above-stated allegations. LPA Salem initiated a complaint inspection at the facility on 5/12/2025 at 9: AM and no immediate deficiencies were observed. During the investigation, LPA Salem interviewed Clients (C1-C5), Staff (S1-S6), two relatives, and a county social worker. Pertinent records were obtained and reviewed. On May 2, 2025, Community Care Licensing (CCL) received the allegations that staff (S1) handled a minor (C1) in a rough manner and that staff (S1) bit a minor (C1) while in care. It was reported that staff (S1) placed their hands around C1's neck, and once C1 was able to move away from S1, the situation escalated into a physical altercation during which C1 was bitten by S1. It was further reported that C1 was admitted to a psychiatric hospital following the incident due to being considered a danger to others. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CENTER FOR POSITIVE CHANGES 2FACILITY NUMBER: 374690099

Allegations:
- SubstantiatedEstimated Days of Completion:
- Estimated Days of Completion:
- Estimated Days of Completion: 0

report_type: Complaint Investigation

met_with: Kendrick Johnson, Facility Manager

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
...CONTINUED Confidential interviews indicated that C1 had been accused of stealing from peers, which led to their sudden escalation and assault on C2. Confidential interviews indicated that staff were present during the incident and followed their emergency intervention plan, including verbal de-escalation and notifying law enforcement. A confidential interview indicated that C1 and C2 had argued earlier in the day and openly planned to fight in front of staff, but staff did not ensure the clients were separated or take preventative measures. Conflicting confidential interviews indicated that the clients had not planned to fight and appeared to be getting along prior to the incident. Confidential interviews indicated that the attack on C2 by C1 was unexpected, and that C1 has a history of sudden escalations. Based on conflicting confidential interviews, the allegation that staff did not intervene between a physical altercation with minors is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. An exit interview was conducted with Kendrick Johnson, Facility Manager and a copy of this report and appeal rights were provided.

Investigation Findings:
13On December 18, 2025, at 4: PM, Licensing Program Analyst (LPA) Jacob Salem met with Kendrick Johnson, Facility Manager of Center for Positive Changes 2 to deliver the finding for the above-stated allegation. LPA Salem initiated a complaint inspection at the facility on 9/19/2025 at 2: PM and no immediate deficiencies were observed. During the investigation, LPA Salem interviewed Clients (C1-C3), Staff (S1-S4), and a county social worker. Pertinent records were obtained and reviewed. On September 16, 2025, Community Care Licensing (CCL) received the allegation that staff (S1 and S2) did not intervene between a physical altercation with minors (C1 and C2). It was reported that C1 attacked C2 while staff verbally intervened and called 911, which resulted in C1 being arrested and C2 sustaining a head injury requiring staples. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: Center for Positive Changes 2facility Number: Visit Date: 12/18/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...CONTINUED Confidential interviews indicated that C1 had been accused of stealing from peers, which led to their sudden escalation and assault on C2. Confidential interviews indicated that staff were present during the incident and followed their emergency intervention plan, including verbal de-escalation and notifying law enforcement. A confidential interview indicated that C1 and C2 had argued earlier in the day and openly planned to fight in front of staff, but staff did not ensure the clients were separated or take preventative measures. Conflicting confidential interviews indicated that the clients had not planned to fight and appeared to be getting along prior to the incident. Confidential interviews indicated that the attack on C2 by C1 was unexpected, and that C1 has a history of sudden escalations. Based on conflicting confidential interviews, the allegation that staff did not intervene between a physical altercation with minors is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. An exit interview was conducted with Kendrick Johnson, Facility Manager and a copy of this report and appeal rights were provided. SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 2

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

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On February 06, 2026, Licensing Program Analyst (LPA), Cynthia Robinson, met with Facility Manager, Kendrick Johnson, and conducted an unannounced inspection at the facility. The purpose of the inspection was to conduct a confidential interview (see confidential names list LIC 811 dated February 06, 2026) regarding a previous placement. An exit interview was conducted. A copy of the LIC 809 and LIC 811 was provided to Kendrick Johnson.

report_type: Facility Evaluation

met_with: Facility Manager, Kendrick Johnson


summary: Facility Evaluation

raw_content:
Narrative:
On March 12, 2026, at 1: PM, Licensing Program Analyst (LPA) Jacob Salem, Licensing Program Manager (LPM) Dawn Segura, and Regional Manager (RM) Natasha Dunlap conducted an office meeting virtually, via Teams, with Center for Positive Changes Chief Operating Officer (COO) Amber Jansen. The purpose of the meeting was to discuss and review two substantiated Type A complaints against the facility and the extension of the facility's provisional license. RM Dunlap informed the licensee that the facility's provisional license would be extended six months to ensure the facility remains in compliance prior to a permanent license being issued. During the meeting, COO Jansen was provided information on the Department's Technical Support Program. A copy of this report was sent to COO Amber Jansen for signature. The original signed copy will be maintained in the facility file in the San Diego Regional Office.

met_with: Amber Jansen, Chief Operating Officer


summary: Facility Evaluation

raw_content:
Narrative:
On March 11, 2026, at 8: AM, Licensing Program Analyst (LPA) Jacob Salem conducted an unannounced visit to the above facility for the purpose of conducting an annual inspection and met with Kendrick Johnson, Facility Manager. LPA initiated an inspection of the facility's physical plant and a review of clients files. LPA conducted two staff interviews. Due to time constraints, the annual is being extended to review staff files and conduct client interviews. An exit interview was conducted and a signed copy of this report was provided to Kendrick Johnson, Facility Manager.

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On March 20, 2026 at 8: AM, Licensing Program Analyst (LPA) Jacob Salem conducted an announced visit to the above facility and met with Kendrick Johnson, Facility Manager. The purpose of this Case Management inspection is to conduct an annual continuation from 3/11/2026. LPA inspected the facility's physical plant, including personal rights postings, health-related services, buildings and grounds, food services, indoor and outdoor activity space, and furniture, fixtures, equipment and supplies. The home is clean, in good repair, and free from observable risks to clients' health, safety, and personal rights. The home is a two story building with four client bedrooms and two client bathrooms which are set up as follows: bedroom #1 sleeps two clients downstairs, bedroom #2 sleeps one client downstairs, bedroom #3 sleeps one client downstairs, bedroom #4 sleeps two clients upstairs. There is a kitchen and living room, seperate office in backyard for therapy and visitation, staff office and storage closets, and backyard/patio. LPA reviewed five staff files (S1-S5) at the facility's corporate office, which were provided upon request for review. The files contained all of the required demographic and background information, staff qualifications, proof of criminal background clearances, and medical screenings at hire. LPA reviewed five client files (C1-C5) which are kept confidential in a locked staff closet and contained all of the required demographic information, pre-placement screenings and appraisals, needs and services plans, and records of client cash resources. Continued... ...CONTINUED LPA conducted one client interview. Based on observations made during the inspection, there were no deficiencies cited at this time. An exit interview was conducted with Kendrick Johnson, Facility Manager and a signed copy of this report was provided.

visit_type: Case Management


facility_name: CENTER FOR POSITIVE CHANGES 3

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Based on interviews and information gathered during the investigation, the preponderance of evidence standard has been met and the Department has determined the allegations that there is mold in the upstairs bathroom and that railing that leads to the second floor is unstable and in disrepair are substantiated. This posed a potential health and safety risk to the children placed in care. The STRTP is being issued a citation for violations of the Interim Licensing Standards, Chapter 7.5, Version 3, Sections 87087(a) Buildings and Grounds. See attached LIC 9099D for cited deficiency. An exit interview was conducted, and a copy of the report and appeal rights were emailed for signatures. Original signed reports will be placed in facility file. asleep during the night shift. According to confidential information received during interviews, some staff might briefly close their eyes to "rest them," which might have been mistaken for actually being asleep. While other confidential information received by Licensing Office stated that allegations had occurred, and that staff sometimes "pick on" and yell at some of the clients in a way that is disrespectful. Confidential information received also stated that some of the staff sometimes falls asleep to the point of snoring during the night shift. LPA received inconsistent information regarding the allegations. Based on confidential interviews and information obtained, the allegations that staff members do not threat clients with respect, and that the night staff falls asleep while on duty, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.

Investigation Findings:
13LPA Mena met with Facility Manager, Maria Alonso to discuss the investigative findings for the above stated allegations. An investigation was conducted by LPAs Ann Valenzuela and Daniel Mena regarding allegations. LPA Valenzuela conducted an inspection to the Sort Term Residential Therapeautic Program (STRTP) on March 11, 2021 at 11:30am. LPAs interviewed five staff (S1, S2, S3, S4 & S5), four foster children (C1, C2, C3 & C4), as well as reviewed client and facility records. Community Care Licensing received information on March 01, 2021 alleging that there is mold in the upstairs bathroom and that railing that leads to the second floor is unstable and in disrepair. Information received in confidential interviews corroborated allegation with a preponderance of evidence. According to confidential interviews, it was confirmed that there was mold in the upstairs bathroom shower area at the time that the complaint was made, which was photographed and had since been cleaned by a hired cleaning person. Confidential interviews and LPA Valenzuela's observations also confirmed that there were several spindles missing from the upstairs railing. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: CENTER FOR POSITIVE CHANGES 3FACILITY NUMBER: VISIT DATE: 09/24/2021

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

met_with: Maria Alonso


raw_content:
Narrative:
Other confidential interviews stated that the allegations were true. LPA was unable to interview C1 as C1 refused to be interviewed at this time. The interviews that were provided to the LPA were not consistent regarding the allegations. Based on interviews and record reviews the allegations that staff denied C1 a self-pass, staff did not ensure that C1's clothing needs were met, and staff did not ensure that C1 was adequately fed, may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Ms. Alonso.

Investigation Findings:
13On December 16, 2021 at 9:48am Licensing Program Analyst (LPA) Daniel Mena conducted an unannounced inspection to the facility to deliver the findings of the above allegations. LPA met with Facility Manager, Maria Alonso. LPA Ann Valenzuela conducted a tele-inspection of the facility on April 02, 2021 at 3:15 am and no immediate deficiencies were observed. LPA Darlene Almaraz-Oseguera conducted the investigation. Four of five children (C1, C2, C3, C4, C5), three staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that staff denied C1 a self-pass, staff did not ensure that C1's clothing needs were met, and staff did not ensure that C1 was adequately fed. Confidential staff interviews reported that due to COVID19, the clients were not given self-passes but continued to have family passes. Confidential staff interviews reported that staff took the clients including C1 to Target and Walmart to get anything the clients needed. However staff was not taking the clients to the mall during the pandemic. Additional confidential interviews reported that the kitchen is closed at 9:00pm and the clients can eat snacks or use the microwave but there is no cooking after 9:00pm. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: CENTER FOR POSITIVE CHANGES 3FACILITY NUMBER: VISIT DATE: 12/16/2021

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


raw_content:
Narrative:
Confidential interviews stated there was an altercation between C1 and C2 at school that received media attention however, the facility staff were informed of the incident by the sheriff's department and there was no outside communication of the incident. Confidential interviews stated facility staff are trained on how to handle media attention and staff did not communicate with any activists or media. Confidential interviews stated staff are not aware of any staff breaching confidentiality however, media attempted to reach facility staff for information. Confidential interviews stated the facility staff did not breach confidentiality of any client however, other information provided alleged the allegation occurred. Based on confidential interviews, the allegation that the facility staff breached confidentiality of client in care may have occurred, however are not supported or proven by evidence. Therefore, the allegations are unsubstantiated. An exit interview was conducted, and a copy of this signed report was emailed to Facility Administrator Anne Ford.

Investigation Findings:
13On August 31, 2022, at 9:00 a.m. Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Facility Administrator Anne Ford of Center for Positive Changes 3 to discuss the investigative findings for the allegation noted above. On September 16, 2021 at 11:40 a.m, Licensing Program Analyst (LPA) Marisol Lopez met with Facility Manager Maria Alonso conduct an unannounced initial complaint investigation. LPA conducted a safety inspection and no deficiencies were observed at that time. During the investigation, LPA conducted confidential interviews with one program administrator, two staff (S1-S2), one of two clients (C1-C2) and reviewed incident report. On September 09, 2021, the Department received an allegation that Facility staff breached confidentiality of client in care. It was reported that a community activist was contacted by a client's guardian and it was unknown what specific confidential information was disclosed. (see continuation LIC9099-C dated 08/31/22) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # FACILITY NAME: CENTER FOR POSITIVE CHANGES 3FACILITY NUMBER: VISIT DATE: 08/31/2022

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

met_with: Anne Ford


raw_content:
Narrative:
Confidential interviews stated staff verbally encourage C1 to make positive choices, staff remind C1 of C1's goals, staff shadow C1 until it becomes unsafe, law enforcement is contacted, and all incidents are reported. Confidential interviews denied the allegation occurred however C1 has a history of frequently going AWOL from the facility. Based on confidential interviews, although the allegation that staff did not follow the facility emergency intervention plan resulting in C1 leaving the facility, 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 allegations are unsubstantiated. An exit interview was conducted, and a copy of this signed report was provided to the Program Director Deanna Mellos.

Investigation Findings:
13On 11/04/2022, at 11:30 a.m. Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Program Director Deanna Mellos, of Center for Positive Changes 3 to discuss the investigative findings for the allegation noted above. On December 01, 2021 at 1:45 p.m., Licensing Program Analyst (LPA) Marisol Lopez conducted an unannounced complaint investigation at the above facility and met with Facility Director Anne Ford. LPA conducted a safety inspection, and no deficiencies were observed at that time. The investigation consisted of confidential interviews with one facility administrator, four facility staff, one client (C1), one social worker and review of incident reports. On 11/23/2021, the Department received an allegation that staff did not follow the facility emergency intervention plan resulting in C1 leaving the facility. Confidential interviews stated staff followed the emergency intervention plan however C AWOL'd frequently. Confidential interviews stated the facility is a hands free facility and is limited to how the staff can respond during an AWOL. (see continuation form LIC9099-C dated 11/04/2022) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # FACILITY NAME: CENTER FOR POSITIVE CHANGES 3FACILITY NUMBER: VISIT DATE: 11/04/2022

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

met_with: Program Director Deanna Mellos


summary: Facility Evaluation

raw_content:
Narrative:
On 06/09/2021 at 12: P.M., Licensing Program Analyst (LPA) Marisol Lopez and LPA Danielle Garcia conducted an unannounced required annual inspection of the facility and met with Program Director (PD) Anne Ford. LPA's and PD inspected the facility inside and out. Presently there are six children living in the home (C1, C2, C3, C4, C5, C6) (See Lic. Confidential Names dated 06/09/2021). The facility is a three-story residence with four bedrooms, five bathrooms, dining room, living room, kitchen, family room, laundry room, garage, and Games room. The facility has been operating with the capacity of six females from ages 13 years old to 17 years old and non-minor dependents. The bedrooms are arranged as follows: Master bedroom is on first floor and it contains two twin beds and an attached bathroom, all required linen present and mattresses were in good condition. Bedroom three is on the third floor contains two twin beds and an attached bathroom, all required linen present and mattresses were in good condition. Bedroom four is on the third floor and contains one twin bed and an attached bathroom shared with bedroom five, all required linen present and mattresses were in good condition. Bedroom five is on the third floor and an attached bathroom shared with bedroom four, all required linen present and mattresses were in good condition. Bedroom are arranged so that no more than two children share a room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom. There is adequate drawer and closet space for children's belongings. The bathrooms were clean and in good repair. LPA tested the hot water temperature in clients' bathroom which read 118.0 degrees Fahrenheit, which is in range of 105- Fahrenheit. Licensee has obtained National Accreditation through CARF and the Accreditation is valid through August 2022. LPA's discussed the following with the Administrator: Incident reporting, including incidents related to Assembly Bill 388 law enforcement contacts as well as incidents involving emergency interventions. Personnel Files are maintained off-site and transported to LPA's within a reasonable time. All staff who work at the facility have Department of Justice and Child Abuse Clearance index check clearances. A review of client records was also completed on this date including the Medication Administration Record (See Confidential Name List- LIC 811 dated on June 09, 2021). Personnel files were reviewed to ensure they contained all required documentation. Children and staff records are organized. Staff's CPR and First Aid card were current. Child's records contain original needs and services plan signed by the child and their authorized rep. Child's records contain authorization for emergency medical care signed by each child's authorized rep. Facility personnel meet staff training requirements. Appropriate staff/client ratios were verified during this inspection. Based on observations made during the inspection, no deficiencies observed during today's visit. An exit interview was conducted and this report was reviewed with Program Director (PD) Anne Ford and a copy of this report was provided. Inside the facility there are battery operated smoke detectors in each bedroom, the office, family room, living room, game room and den and carbon monoxide detectors downstairs in the master bedroom and in the upstairs hallway. There are hard-wired smoke detectors in the kitchen and upstairs hallway. All smoke smoke detectors and carbon monoxide detectors worked properly. There are three fireplaces in the facility, which are properly screened. LPA's observed a sufficient supply of 7-day non-perishable food for six residents and a sufficient supply of 2-day perishable food in the kitchen. LPA's observed the kitchen to be clean, sanitary and in good repair. The dining room is located on the second floor and contains a table and six chairs and has built in cabinets that contain decorations and toys and games. The living room is located on the first floor and contains two couches, a desk and a table. The family room is located on the first floor and contains two couches, two chairs, a coffee table and a TV. The laundry room contains a washer and dryer and in it is a locked cabinet that contains cleansers. The attached 3 car garage is maintained locked and used as storage. The game room is located on the third floor. The staff office and staff bathroom are located on the second floor. The staff office contained office supplies, knives, medications, medication logs, the first aid kit, and clients' files. The medications are stored in a locked cabinet in the locked staff office. The first aid kit is stored in the staff office and contains all the required items. The licensee stated that there are no guns on the premises and sharp knives are kept locked in the staff office. There was an ample amount of recreational and leisure supplies such as books, games and television available for client use. Emergency exits were free from obstruction. The yard contains a outside area, with tables, chairs, a grill and swimming pool. The pool is surrounded an appropriate fence that is six-foot open metal fence with a self latching key locked gate at least 54 inches from the ground. Emergency exits were free from obstruction. The following required posted items were observed and accessible to children: Ombudsman and Foster Youth Bill of Rights, Grievance Procedures, Personal Rights, Visitation Policies, Neighbor complaint Policy, house rules and current menu.


summary: Facility Evaluation

raw_content:
Narrative:
On August 18, 2021 at 10: AM, Licensing Program Analysts (LPA) Cindy Hamilton conducted an unannounced SB Psychotropic Medication Inspection. During the inspection, LPA Hamilton met with Anne Ford Director and Maria Alonso Facility Manager and inspected the facility inside and out. LPA reviewed 2 client psychotropic records at 10: AM. LPA reviewed three staff personnel files at the facility at 1: PM. LPA began three staff interviews at 10: AM LPA interviewed one out of two children currently taking psychotropic medication at 12: PM. Client #1 (C1) was not present at the facility at time of inspection. LPA conducted exit interview with Anne Fordr at 2: PM. LPA provided the Summary Report and Appeal Rights to Anne Ford upon completion.

met_with: Anne Ford, Director


raw_content:
Narrative:
Confidential interviews stated smoking is not permitted and C1 became upset due to knowing staff would be reporting the incident. Confidential interviews stated C1 and C2 exchanged words while at the facility; C1 and C2 had a physical altercation; staff intervened to separate clients; law enforcement was contacted and both clients were evaluated by urgent care before returning to the facility. Confidential interviews stated staff followed the emergency intervention plan however C1 and C2 made contact with each other before staff was able to separate them. Confidential interviews did not reveal where C1 obtained the smoking device or cigar however it was reported C1 was observed smoking outside of the facility. Confidential interviews stated staff followed the emergency intervention procedures however, it was reported that staff could have done more to maintain clients' safety and supervision. Based on confidential interviews, although the allegations that staff provided C1 with a cigar and staff did not follow the emergency intervention plan to prevent a physical altercation, may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, and a copy of this signed report was provided to Facility Manager Maria Alonso.

Investigation Findings:
13On 11/18/2022 at 10:00 a.m., Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Facility Manager Maria Alonso, of Center for Positive Changes 3 to discuss the investigative findings for the allegations noted above. On February 4, 2022, at 10:00 a.m., Licensing Program Analyst (LPA) Marisol Lopez conducted an unannounced complaint investigation at the above facility and met with Program Director (P1) Anne Ford. LPA conducted a safety inspection, and no deficiencies were observed at that time. The investigation consisted of confidential interviews with one facility administrator, two facility staff, one of two Clients (C1-C2), one service worker and review of incident reports. On 02/22/2022, the Department received an allegation that staff provided C1 with a cigar and staff did not follow the emergency intervention plan to prevent a physical altercation. Confidential interviews stated C1 was being picked up from a self-pass when C1 was observed with a smoking device however C1 discarded the smoking device when C1 observed staff arriving. (see continuation form LIC 9099-C dated 11/18/2022) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # FACILITY NAME: CENTER FOR POSITIVE CHANGES 3FACILITY NUMBER: VISIT DATE: 11/18/2022

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

met_with: Facility Manager Maria Alonso


raw_content:
Narrative:
Confidential interviews stated the facility follows the supervision plan and maintains active supervision at all times however clients personal rights are respected. Based on confidential interviews, the allegations that client #1 (C1) has access to marijuana while in care may have occurred, however are not supported or proven by evidence. Therefore, the allegations are unsubstantiated. An exit interview was conducted, and a copy of this signed report was provided to Program Representative Maria Alonso

Investigation Findings:
13On 03/06/2023, at 11:45 a.m. Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Program Representative Maria Alonso, of Center for Positive Changes 3 to discuss the investigative findings for the allegation noted above. On April 26, 2022 at 1:10 p.m., LPA conducted an initial complaint investigation and met with Program Administrator Anne Ford. LPA conducted a safety inspection and no deficiencies were observed at that time. The investigation consisted of confidential interviews with one facility administrator, four facility staff (S1- S4), one service worker, two of three clients (C1-C3) involved and reviewed incident reports. On 04/20/2022, the Department received an allegation that client #1 (C1) has access to marijuana. It was reported C1 was transported by ambulance to the hospital, due to C1 feeling weird after smoking a vape pen and no additional details were known. Confidential interviews denied that lack of supervision resulted in C1 having access to contraband however it was reported residents smoked a vape pen without staff being aware by sneaking it into the facility. (see continuation form LIC9099C dated 03/06/23) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # FACILITY NAME: CENTER FOR POSITIVE CHANGES 3FACILITY NUMBER: VISIT DATE: 03/06/2023

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


raw_content:
Narrative:
...CONTINUED Confidential interviews and a review of C1's progress notes indicate that C1 would refuse treatment programs regularly and was discharged for not participating. Confidential interviews indicate that staff took C1 to their treatment programs in accordance with their plan. Confidential interviews indicate that staff take clients to the mall during "self-passes," and that C1 was seen stealing during these outings. Confidential interviews indicate that although staff were aware of C1 stealing and selling the stolen goods, staff did not encourage C1 to steal, and that C1 lost privileges for stealing. Confidential interviews indicate that clients residing at the facility can describe aspects of their Needs and Services Plan which they helped develop, and that staff follow these plans. A confidential interview disclosed that S7 was fired shortly after C1 was discharged from the facility due to "possible" involvement in C1's stealing. Conflicting confidential interviews and review of staff write-ups indicate that S7 was fired for poor boundaries with clients, and that S7 was not named as being involved in the above allegations. Based on confidential interviews and records reviewed, the allegations that that staff (S1-S4) did not ensure minor (C1) was provided access to treatment centers, and that Staff (S1-S4) did not ensure needs and services plan was followed for minor (C1) in care are unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted, and a signed copy of this report and appeal rights were provided to Maria Alonso, Facility Manager.

Investigation Findings:
13On July 11, 2024 at 10: AM, Licensing Program Analyst (LPA) Jacob Salem met with Center for Positive Changes # Maria Alonso, Facility Manager to deliver the findings for the above-stated allegations. LPA Salem initiated a complaint inspection at the facility on 2/12/2024 at 4: PM and no immediate deficiencies were observed. During the investigation, LPA Salem interviewed Clients (C1-C5), Staff (S1-S7), and a Probation Officer. LPA Salem obtained and reviewed pertinent records. On February 06, 2024, Community Care Licensing (CCL) received an allegation that staff (S1-S4) did not ensure minor (C1) was provided access to treatment centers, and that Staff (S1-S4) did not ensure needs and services plan was followed for minor (C1) in care. Confidential interviews disclosed that staff transported C1 to shopping malls and stores instead of C1's schedules treatment programs, and that staff encouraged C1 and C2 to steal items from stores. A conflicting confidential interview with C2 indicates that staff did not encourage or assist C1 with stealing. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: Center for Positive Changes 3facility Number: Visit Date: 07/11/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...CONTINUED Confidential interviews and a review of C1's progress notes indicate that C1 would refuse treatment programs regularly and was discharged for not participating. Confidential interviews indicate that staff took C1 to their treatment programs in accordance with their plan. Confidential interviews indicate that staff take clients to the mall during "self-passes," and that C1 was seen stealing during these outings. Confidential interviews indicate that although staff were aware of C1 stealing and selling the stolen goods, staff did not encourage C1 to steal, and that C1 lost privileges for stealing. Confidential interviews indicate that clients residing at the facility can describe aspects of their Needs and Services Plan which they helped develop, and that staff follow these plans. A confidential interview disclosed that S7 was fired shortly after C1 was discharged from the facility due to "possible" involvement in C1's stealing. Conflicting confidential interviews and review of staff write-ups indicate that S7 was fired for poor boundaries with clients, and that S7 was not named as being involved in the above allegations. Based on confidential interviews and records reviewed, the allegations that that staff (S1-S4) did not ensure minor (C1) was provided access to treatment centers, and that Staff (S1-S4) did not ensure needs and services plan was followed for minor (C1) in care are unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted, and a signed copy of this report and appeal rights were provided to Maria Alonso, Facility Manager. SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 2

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

met_with: Maria Alonso, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On December 10, 2021 at 9: AM, Licensing Program Analyst (LPA) Marisol Lopez conduted a pre-licensing inspection for a change in relocation from Vista Del Monte Way, El Cajon Ca 92020 to the above facility. LPA met with Anne Ford, Residential Services Director (D1) and Deanna Mellos, Director (D2). LPA toured the facility inside and outside with D1 and D2. No one currently resides in the home. The facility will serve six females from 13-17 years old and non-minor dependents. The facility has four bedrooms, staff office, living room, kitchen/dining room, laundry room in garage, two client bathrooms, and a separate therapist office with staff bathroom and kitchen.. The bedrooms are set up as follows: Bedroom #1- One twin bed, one dresser and closet space for one client.. Bedroom #2- Two twin beds with two dressers and closet space for two clients. Bedroom #3- Two twin beds with two dressers, closet space for two clients and an attached bathroom.. Bedroom #4- One twin bed with one dresser and closet space for one client. Bedroom #1, #2 and #4 will be sharing one bathroom with double sinks. Smoke detectors and carbon monoxide detectors are properly working throughout the facility. Toxins will be locked in the cleaning supply closet. The garage to the laundry area will be maintained locked. The First Aid Kit, medications, medication logs and knives will be maintained locked in a cabinet in the staff office. The client files and staff files will be maintained locked in staff office. There is plenty of storage room, three desks, couch and file cabinets in staff office. The kitchen will be stocked with three days perishable and seven days non-perishable foods. Hot water temperature is reading at 115 degrees F. (See Continuation form LIC809-C dated 12/10/2021) There was an ample amount of recreational and leisure supplies such as books, games and television available for client use. Emergency exits were free from obstruction. The yard contains an outdoor deck area, chairs, a grill, jacuzzi and swimming pool. The pool is surrounded with an appropriate fence that is a 5ft wrought iron fence with a key locked gate that is self latching. The jacuzzi has a locked cover with crossed double locks and is not accessible. Emergency exits were free from obstruction. The home will operate within the capacity and limitation of the license. The home is clean, safe sanitary and in good repair. All staff that work at the facility will have Department of Justice and Child Abuse Clearance Index clearances. . The following required posted items were observed and accessible to clients: Grievance Procedures, Personal Rights, Ombudsman, Visitation policies, and current menu. The facility has demonstrated compliance with Title 22, Division 6 of the California Code of Regulation. An exit interview was conducted with the licensee and a copy of this report was given to Anne Ford, Residential Services Director (D1) and Deanna Mellos, Director (D2). .

visit_type: Prelicensing


summary: Facility Evaluation

raw_content:
Narrative:
On July 20, 2022 at 10: AM, Licensing Program Analyst (LPA) Marisol Lopez conducted a post-licensing inspection for a change in relocation from Vista Del Monte Way, El Cajon Ca 92020 to the above facility. LPA met with Marla Cooper, Program Administrator (P1) and toured the facility inside and outside. The facility serves six females ages 13-17 years old and non-minor dependents. There is a current census of 5 clients however, clients were not present during the inspection. The facility has four bedrooms, staff office, living room, kitchen/dining room, laundry room in garage, two client bathrooms, and a separate therapist office with staff bathroom and kitchen. The bedrooms are set up as follows: Bedroom #1- One twin bed, one dresser and closet space for one client. Bedroom #2- Two twin beds with two dressers and closet space for two clients. Bedroom #3- Two twin beds with two dressers, closet space for two clients and an attached bathroom. Bedroom #4- One twin bed with one dresser and closet space for one client. Bedroom #1, #2 and #4 share one bathroom with double sinks. Smoke detectors and carbon monoxide detectors are properly working throughout the facility. Toxins are locked in the cleaning supply closet. The garage to the laundry area is maintained locked. The First Aid Kit, medications, medication logs and knives will are maintained locked in a cabinet in the staff office. The client files and staff files will be maintained locked in staff office and readily available upon request. There is plenty of storage room, three desks, couch and file cabinets in staff office. The kitchen is stocked with more than three days perishable and seven days non-perishable foods. Hot water temperature is reading at 117 degrees F. There is an ample amount of recreational and leisure supplies such as books, games and television available for client use. Emergency exits are free from obstruction. The yard contains an outdoor deck area, chairs, a grill, jacuzzi and swimming pool. The pool is surrounded with an appropriate fence that is a 5ft wrought iron fence with a key locked gate that is self latching. The jacuzzi has a locked cover with crossed double locks and is not accessible. Emergency exits are free from obstructions or hazards. The home operates within the capacity and limitation of the license. The home is clean, safe sanitary and in good repair. All staff that work at the facility will have Department of Justice and Child Abuse Clearance Index clearances. The following required posted items were observed and accessible to clients: Grievance Procedures, Personal Rights, Ombudsman, Visitation policies, and current menu. LPA reviewed five of five client files and ten of ten staff files (see confidential name list, LIC811, dated 07/20/2022). All client files had the required forms per regulations requirements. LPA conducted 2 of 10 staff interviews and 0 of 10 client interviews. Based on record review, the licensee did not comply as 10 out of 10 staff files (S1-S10) did not have record of completing a minimum of 40 hours of annual training; 10 out of 10 staff files (S1-S10) did not have documentation of successful completion of training maintained in the personnel record for each direct care staff; and 10 out of 10 staff files (S1-S10) did not implement a written plan for the supervision, evaluation, and training of all direct care staff which poses a potential health, safety or personal rights risk to persons in care. The facility is being issued a citation in accordance with the Title 22, ILS sections 87065.1(c), 87065.1(d)(5) and 87065.1(e)(1). See LIC809-D dated 07/20/22 for the cited deficiency. An exit interview was conducted, and this report, appeal rights and LIC 811 was reviewed with Program Administrator Marla Cooper and a copy of this report was provided

met_with: Marla Cooper


summary: Facility Evaluation

raw_content:
Narrative:
On December 20, 2022 at 09: AM, Licensing Program Analyst (LPA) Lucero Jauregui conducted announced annual facility inspection. LPA met with Anne Ford, Director and toured the facility inside and outside. The facility serves six females ages 13-17 years old and non-minor dependents. There is a current census of 5 clients however, one client was present during the inspection. The facility has four bedrooms, staff office, living room, kitchen/dining room, laundry room in garage, two client bathrooms, and a separate therapist office with staff bathroom and kitchen. The bedrooms are set up as follows: Bedroom #1- One twin bed, one dresser and closet space for one client. Bedroom #2- Two twin beds with two dressers and closet space for two clients. Bedroom #3- Two twin beds with two dressers, closet space for two clients and an attached bathroom. Bedroom #4- One twin bed with one dresser and closet space for one client. Bedroom #1, #2 and #4 share one bathroom with double sinks. Smoke detectors and carbon monoxide detectors are properly working throughout the facility. Toxins are locked in the cleaning supply closet. The garage to the laundry area is maintained locked. The First Aid Kit, medications, medication logs and knives will be maintained locked in a cabinet in the staff office. The client files and staff files will be maintained locked in staff office and readily available upon request. There is plenty of storage room, two desks, couch and file cabinets in staff office. The kitchen is stocked with more than three days perishable and seven days non-perishable foods. Hot water temperature is reading at 117 degrees Fahrenheit. Continued... There is an ample amount of recreational and leisure supplies such as books, games and television available for client use. Emergency exits are free from obstruction. The yard contains an outdoor deck area, chairs, jacuzzi and swimming pool. The pool is surrounded with an appropriate fence that is a 5ft wrought iron fence with a key locked gate that is self latching. The jacuzzi has a locked cover with crossed double locks and is not accessible. Emergency exits are free from obstructions or hazards. The home operates within the capacity and limitation of the license. The home is clean, safe sanitary and in good repair. All staff that work at the facility will have Department of Justice and Child Abuse Clearance Index clearances. The following required posted items were observed and accessible to clients: Grievance Procedures, Personal Rights, Ombudsman, Visitation policies, and current menu. LPA reviewed five client files and five staff files (see confidential name list, LIC811, dated 12/20/2022). All client files had the required forms per regulations requirements. A review of administrative records indicate that the facility has paid their current licensing fees. LPA conducted 2 staff interviews and one client interview. Based on the facility inspection and file reviews conducted, there are no deficiencies found at this time. A exit interview was conducted. A copy of this report was reviewed and given to Anne Ford, Director along with appeal rights and Confidential Names List (LIC 811).


summary: Facility Evaluation

raw_content:
Narrative:
On April 29, 2024, at 9:35 a.m., Licensing Program Analyst (LPA) Jacob Salem arrived at the above facility for the purpose of conducting an unannounced annual inspection. LPA met with Anne Ford, Residential Director and explained the purpose of the visit. LPA began the inspection by reviewing client files and medication logs for C1-C5 (see LIC Confidential Name List dated 4/29/24). Client files are kept locked in the staff office and were provided to LPA for review upon request. All five client files contained the required paperwork, including signed admission agreement, signed needs and services plans, required medical documentation, court orders for psychotropic medication, and records of cash resources and personal property. LPA also observed all required information to be recorded in each clients' medication administration records (MARs), including name of medication, day and time taken, staff initials, and name and number of prescribing physician. Lastly, a separate MARs is kept for each psychotropic medication that is approved and taken by clients. LPA then conducted two confidential staff interviews. Finally, LPA inspected the facility's physical plant. The facility is a one-story residence with a garage, wrap-around deck, and patio. Inside the residence there are four client bedrooms, two bathrooms, kitchen, staff office, and living room. There are currently six clients residing at this facility with no more than two clients sharing a bedroom. The front hallway prominently displays the facility license, client grievance procedures, and foster child bill of rights. All four bedrooms had mattresses and pillows in good condition, clean sheets and blankets, and closet or dresser space with clothing. Both bathrooms were clean and sanitary with a working shower, sink, and toilet. Toiletries and personal hygiene supplies are provided to clients. LPA observed the kitchen to be clean and sanitary. Continued... ...CONTINUED LPA observed the refrigerator, pantry, and chest freezer to contain enough food to meet the requirement for food supplies. Finally, LPA observed a menu for the week posted on the garage door in the kitchen, which consisted of three meals. LPA observed the living room to be clean and contain a large couch and TV. A large poster for the Foster Children Personal Rights is also posted in the living room area. The closet in the front hallway was observed to be locked and contains disinfectants, detergents, and other cleaning solutions. The cabinets in the staff office were also observed to be locked and contact sharps objects and medication. The facility contains two carbon monoxide and smoke detectors, both of which were tested to be operable. The garage contains a washer and dryer machine, both of which were clean and in good condition. The backyard consists of a patio, pool with locked fence, and large side yard. LPA observed no safety hazards in the outdoor area. Due to time constraints, the annual is being extended to conduct an inspection of the staff files and client interviews. Based on observations made during the inspection, there were no deficiencies cited at this time. An exit interview was conducted with Anne Ford, Residential Director and a signed copy of this report was provided.

met_with: Anne Ford, Residential Director


summary: Facility Evaluation

raw_content:
Narrative:
On May 3, 2024 at 9: AM, Licensing Program Analyst (LPA) Jacob Salem arrived to the facility and met with Anne Ford, Residential Director. The purpose of this Case Management inspection is to conduct an annual continuation from 4/29/2024. LPA reviewed five staff files (S1-S5) at the facility's corporate office. The staff files have the required background information and health screenings, criminal record clearances, staff qualifications, and training requirements. During the file review, LPA observed the facility administrator (S1) to not be currently certified. LPA reviewed the emergency intervention plan and disaster preparedness plan at the facility, both of which contained all of the required information. LPA inspected the facility car used to transport clients, which is in safe and operating condition. Finally, LPA tested the water temperature in the two client bathrooms and measured the first bathroom's sink to run at 109.2 degrees F, and the second to be 108 degrees F. Based on LPA's observation, the facility is cited for violation of Interim Licensing Standards, regulation 87064(b) Administrator Qualifications and Duties. An exit interview was conducted with Anne Ford, Residential Director. Due to printer malfunction a signed copy of this report, LIC 811, and appeal rights were emailed to Anne Ford.


summary: Facility Evaluation

raw_content:
Narrative:
On May 3, 2024, at 5: PM, Licensing Program Analyst (LPA) Jacob Salem made an unannounced visit to the above facility and met with Anne Ford, Residential Director. The purpose of the visit was to conduct a collateral investigation regarding a previous placement. LPA attempted to conduct one interview with a client, who declined to speak with LPA. An exit interview was conducted and a signed copy of this report was provided to Anne Ford, Residential Director.


summary: Facility Evaluation

raw_content:
Narrative:
On July 29, 2025, at 2: PM, Licensing Program Analyst (LPA) Jacob Salem made an unannounced visit to the above facility and met with Alondra Sarabia, Designee. The purpose of the visit was to conduct a collateral investigation regarding a previous placement. LPA conducted one confidential interview. An exit interview was conducted and a signed copy of this report was provided to Alondra Sarabia, Designee.

met_with: Alondra Sarabia, Designee


summary: Complaint Investigation - Unsubstantiated - 1 deficiency - 1 allegation

raw_content:
Narrative:
Continued from 9099... Confidential interviews and the Write-Up indicate that S2 did not prevent clients from using substances in the facility, S2 confirmed that S2 had no control of the situation, and a conflicting interview with S2 revealed that S2 stated S2 did reach out to other staff for support and the statement then changed to S2 did not reach out to other staff for support. Based on confidential interviews and records reviewed, the allegation that staff (S2) did not prevent clients (C1-C3) from using substances in the facility is Substantiated. The complaint allegation is valid because the preponderance of evidence standard has been met. Facility is cited for violation of Interim Licensing Standards (ILS), Version 5, 87065. Personnel Duties (b) Direct care staff shall perform the following duties: (1) Supervision, protection, and care of children at all times, individually and in groups. A copy of the report was discussed and provided along with appeal rights to Annette Smith, Facility Manager. Continued from 9099-A... Confidential interviews and a review of Child Welfare Investigation notes indicate that there was no inappropriate interaction between the clients. Confidential interviews indicate that C1 stated the clients (C1-C3) were having a sexual interaction but C1 and C3 stated during confidential interviews that this statement was not true. Based on confidential interviews and records reviewed, the allegation that staff (S2) did not provide adequate supervision resulting in inappropriate interaction between children (C1-C3) is Unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. A health and safety inspection was conducted with no immediate deficiencies observed, and all staff is fingerprint cleared in Guardian. An exit interview was conducted and a signed copy of this report and appeal rights were provided to Annette Smith, Facility Manager.

Investigation Findings:
13On December 3, 2025 at 2:45PM, Licensing Program Analyst (LPA) Melissa Renovato met with Center for Positive Changes # Annette Smith, Facility Manager to deliver the findings for the above-stated allegation. LPA Salem initiated a complaint inspection at the facility on 06/20/2025 at 9: AM and no immediate deficiencies were observed. During the inspection, LPA Salem interviewed Staff (S1 and S3) and attempted interviews with Clients (C1, C2, and C4-C6) to which Clients declined. LPA Salem obtained and reviewed pertinent records. The investigation was conducted by LPA Salem and LPA Renovato and included interviews of C3, S1, S2, S3, and S4. A conflicting confidential interview with S2 indicates that S2 did ensure client rooms were checked every fifteen minutes and S2 stayed in the hallway monitoring the clients (C1-C3) most of the night; however, a Write-Up for S2 revealed that S2 did not ensure room checks were conducted every fifteen minutes resulting in staff not preventing clients (C1-C3) from using substances in the facility. Continued on 9099-C... SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Melissa Renovato LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CENTER FOR POSITIVE CHANGES 3FACILITY NUMBER: VISIT DATE: 12/03/2025

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

Deficiencies:
87065.2: (1) Supervision, protection, and care of children at all times, individually and in groups.

met_with: Annette Smith


raw_content:
Narrative:
...CONTINUED A confidential interview indicated that the school did not notify the facility when C1 was tardy or truant. A confidential interview and a review of an incident report indicated that C1 left the facility without permission on 9/23/25 and refused school the next day after returning to the facility early in the morning. Confidential interviews indicated that staff took C1 to school on time and prompted C1 when they were running behind in the morning. The investigation did not yield sufficient evidence to determine if C1 was tardy or truant due to action or lack of action of facility staff. CCL also received the allegation that staff was not supervising a minor (C1) adequately. It was reported that C1, who has a history of engaging in unsafe behaviors, was spending time with different males, staying at their homes, and arriving intoxicated at other peers' residences. A confidential interview and reviewed records indicated that C1 was absent without leave (AWOL) from the facility on multiple occasions, including once to visit a male peer who lived near the facility. A confidential interview indicated that when clients are going AWOL, staff encourage them to remain, follow them to the end of the driveway, and notify law enforcement once clients leave. Confidential interviews indicated that clients are consistently supervised in the home; however, one interview disclosed that the facility has been "short staffed." Confidential interviews yielded conflicting information regarding whether C1 was receiving "one-on-one" or constant supervision due to their unsafe behaviors. Based on conflicting confidential interviews and records reviewed, the allegations that staff did not ensure a minor was at school on time and staff was not supervising a minor adequately are unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of evidence to prove that the alleged violations occurred. An exit interview was conducted with Latoria Bell, Shift Supervisor and a copy of this report and appeal rights were provided.

Investigation Findings:
13On January 22, 2026, at 3: PM, Licensing Program Analysts (LPAs) Jacob Salem and Stephanie Arreola met with Latoria Bell, Shift Supervisor of Center for Positive Changes 3 to deliver the findings for the above-stated allegations. LPA Salem initiated a complaint inspection at the facility on 10/01/2025 at 10: PM and no immediate deficiencies were observed. During the investigation, LPA Salem interviewed Clients (C1-C3), Staff (S1 and S2), and a county social worker. Pertinent records were obtained and reviewed. On September 30, 2025, Community Care Licensing (CCL) received the allegation that staff did not ensure a minor (C1) was at school on time. It was reported that during their first two weeks of school, C1 was late to school "everyday" and was truant on 9/24/25. A review of C1's attendance record during their first two weeks of school indicated that C1 was absent or late to class on nine days, including on 9/24/25. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: Center for Positive Changes 3facility Number: Visit Date: 01/22/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...CONTINUED A confidential interview indicated that the school did not notify the facility when C1 was tardy or truant. A confidential interview and a review of an incident report indicated that C1 left the facility without permission on 9/23/25 and refused school the next day after returning to the facility early in the morning. Confidential interviews indicated that staff took C1 to school on time and prompted C1 when they were running behind in the morning. The investigation did not yield sufficient evidence to determine if C1 was tardy or truant due to action or lack of action of facility staff. CCL also received the allegation that staff was not supervising a minor (C1) adequately. It was reported that C1, who has a history of engaging in unsafe behaviors, was spending time with different males, staying at their homes, and arriving intoxicated at other peers' residences. A confidential interview and reviewed records indicated that C1 was absent without leave (AWOL) from the facility on multiple occasions, including once to visit a male peer who lived near the facility. A confidential interview indicated that when clients are going AWOL, staff encourage them to remain, follow them to the end of the driveway, and notify law enforcement once clients leave. Confidential interviews indicated that clients are consistently supervised in the home; however, one interview disclosed that the facility has been "short staffed." Confidential interviews yielded conflicting information regarding whether C1 was receiving "one-on-one" or constant supervision due to their unsafe behaviors. Based on conflicting confidential interviews and records reviewed, the allegations that staff did not ensure a minor was at school on time and staff was not supervising a minor adequately are unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of evidence to prove that the alleged violations occurred. An exit interview was conducted with Latoria Bell, Shift Supervisor and a copy of this report and appeal rights were provided. SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 2

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

met_with: Latoria Bell, Shift Supervisor


facility_name: CENTER FOR POSITIVE CHANGES 5

raw_content:
Narrative:
Confidential interviews did not provide consistent statements whether staff did not transport youth in care to school, staff discriminated against youth in care, the facility refrigerator in disrepair, and the facility bathroom in disrepair. Confidential interviews and record review for the incident did not provide a preponderance of evidence to prove or disprove the allegation staff did not transport youth in care to school, staff discriminated against youth in care, facility refrigerator in disrepair, and facility bathroom in disrepair. Therefore, the allegation is unsubstantiated. LPA Jauregui conducted an exit interview and provided a copy of this report along with appeal rights to Adelicia Zenon, Facility Manager.

Investigation Findings:
13On May 12, 2023, at 09: AM, Licensing Program Analyst (LPA) Lucero Jauregui conducted a complaint inspection at Center for Positive Changes 5 and met with Adelicia Zenon, Facility Manager. The purpose of the inspection was to deliver the findings for the above complaint allegation. LPA Marisol Lopez conducted an inspection of the facility on November 9, 2022, and no deficiencies were noted. During the investigation, LPA Lopez requested incident report, current client roster, staff contact information, and proof of purchase of new refrigerator. During the investigation LPA Jauregui conducted record review, four staff interviews (S1-S4), and three client interviews (C1, C3, C5). LPA attempted to interview C2 and C4. However, after numerous attempts LPA was unsuccessful. On November 2, 2022, the Department received a complaint report, with allegations that staff did not transport youth in care to school, staff discriminated against youth in care, facility refrigerator in disrepair, and facility bathroom in disrepair. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: LUCERO JAUREGUI LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SO. Cal Sc/res, Metropolitan Dr. # FACILITY NAME: CENTER FOR POSITIVE CHANGES 5FACILITY NUMBER: VISIT DATE: 05/12/2023

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

met_with: Adelicia Zenon, Facility Manager


raw_content:
Narrative:
C1's bedroom is located within feet of the front door and when staff approached C1, C1 denied having anything. Staff then checked back in on C1 fifteen minutes later. C1 did indeed overdose on over the counter medication but it is unknown if it was due to lack of supervision. Based on confidential interviews, the allegation that facility staff did not prevent minors from having access to medication while in care due to lack of supervision may have occurred, however is not supported, or proven by evidence. Therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this signed report was provided to Adelicia Zenon, Facility Manager.

Investigation Findings:
13On October 10, 2023, at 9: AM, Licensing Program Analyst (LPA) Lucero Jauregui arrived at the facility unannounced and met with Adelicia Zenon, Facility Manager to discuss the investigative findings for the allegation noted above. LPA Jauregui conducted an inspection of the facility on June 6, 2023, and no deficiencies were noted. During the investigation, LPA Jauregui interviewed four staff (S1-S4), one client (C1) and obtained C1's needs and services plan, C2's needs and services plan, staff schedule with contact information for 5/24/23 , client roster, log notes and progress notes for 5/24/23. LPA was unable to interview C2 due to C2 refusing. On June 1, 2023, the department received an allegation that facility staff did not prevent minors from having access to medication while in care due to lack of supervision. Interviews indicated C1 made an Instacart account, placed an Instacart order for cough & cold HBP pills to be delivered to the facility. Interviews indicated C1 was seen to go to the front door, open the door, retrieve a black bag and go to their room. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: LUCERO JAUREGUI LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SO. Cal Sc/res, Metropolitan Dr. # FACILITY NAME: CENTER FOR POSITIVE CHANGES 5FACILITY NUMBER: VISIT DATE: 10/10/2023

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


raw_content:
Narrative:
...CONTINUED Confidential interviews disclosed that staff decided to enroll C1 in school immediately and did not disclose C1's medical needs regarding their inhaler and epi-pen during enrollment. Confidential interviews indicate that although C1 was enrolled on 12/11/2023, C1 did not begin attending classes until 01/08/2024. A confidential interview revealed that the facility supplied C1's school with the prescription medications eleven days after C1 began attending school once the facility received authorization from the doctor. The Department also received the allegation that staff (unnamed) does not ensure minor(s) (unidentified) attend school. Confidential interviews indicated that staff wakes clients up in the morning and transports clients to school unless other transportation arrangements are made. Confidential interviews and a record review of special incident reports reveal that clients in the home regularly refuse to attend school. A confidential interview indicated that although staff attempt to wake clients up in the morning, staff are not encouraging regarding school attendance. Conflicting confidential interviews indicate that staff are encouraging and make several attempts to encourage clients to wake up and attend school. Based on confidential interviews and records reviewed, the allegations that staff (unnamed) does not communicate the minor's (C1) medical needs to the minor's (C1) school and that staff (unnamed) does not ensure the minor(s) (unidentified) attend school are unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted, and a signed copy of this report and appeal rights were provided to Adelicia Zenon, Facility Manager.

Investigation Findings:
13On June 21, 2024 at 12: PM, Licensing Program Analyst (LPA) Jacob Salem met with Center for Positive Changes # Adelicia Zenon, Facility Manager to deliver the findings for the above-stated allegations. During the investigation, LPA Salem interviewed Clients (C1-C2), Staff (S1-S4), a School Nurse, and two County Social Workers. LPA Salem obtained and reviewed pertinent records. On January 09, 2024, Community Care Licensing (CCL) received an allegation that staff (unnamed) did not communicate the minor's (C1) medical needs to the minor's (C1) school. Confidential interviews and records reviewed reveal that C1 was enrolled in school by staff without providing the school with C1's prescription inhaler and epi-pen. Confidential interviews and records review reveal that C1 refused a medical appointment on 01/04/2024, resulting in the facility not obtaining authorization to provide the school with the medication. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: Center for Positive Changes 5facility Number: Visit Date: 06/21/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...CONTINUED Confidential interviews disclosed that staff decided to enroll C1 in school immediately and did not disclose C1's medical needs regarding their inhaler and epi-pen during enrollment. Confidential interviews indicate that although C1 was enrolled on 12/11/2023, C1 did not begin attending classes until 01/08/2024. A confidential interview revealed that the facility supplied C1's school with the prescription medications eleven days after C1 began attending school once the facility received authorization from the doctor. The Department also received the allegation that staff (unnamed) does not ensure minor(s) (unidentified) attend school. Confidential interviews indicated that staff wakes clients up in the morning and transports clients to school unless other transportation arrangements are made. Confidential interviews and a record review of special incident reports reveal that clients in the home regularly refuse to attend school. A confidential interview indicated that although staff attempt to wake clients up in the morning, staff are not encouraging regarding school attendance. Conflicting confidential interviews indicate that staff are encouraging and make several attempts to encourage clients to wake up and attend school. Based on confidential interviews and records reviewed, the allegations that staff (unnamed) does not communicate the minor's (C1) medical needs to the minor's (C1) school and that staff (unnamed) does not ensure the minor(s) (unidentified) attend school are unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted, and a signed copy of this report and appeal rights were provided to Adelicia Zenon, Facility Manager. SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 4

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


raw_content:
Narrative:
Confidential interviews reported that S1 called one or more minors a liar and yelled at them. Other confidential interviews reported that S1 is respectful to the minors in care and is well liked by the minors in care. Confidential interviews reported that S1 was threatening to assign one of the minors a transgender person for a roommate. Other confidential interviews reported that S1 made no such statement to any minor in care at the facility. LPAs received inconsistent information. Regarding the allegation that staff (S1) have not provided a minor (C1) with personal belongings; it was reported that after C1 they were discharged from the facility and the facility did not send C1's clothing to C1's new placement. It was further reported that S1 informed C1's family that these items wouldn't be shipped until the facility received shipping costs from C1's County Representative. Confidential interviews reported that the facility did not forward/ship C1's belongings after C1 had discharged from the facility. Confidential interviews reported that C1 had approximately seven boxes of belongings and that the facility only shipped six boxes to C1. Other confidential interviews reported that after the facility sent C1 the initial six boxes of belongings, they realized after the fact that they forgot to send the seventh box which they then shipped out to C1. Based on confidential interviews and record reviews, the allegations that staff spoke inappropriately to minors and staff have not provided a minor with personal belongings may have occurred, however, there was not a preponderance of evidence to support the alleged violations. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report and appeal rights were explained and given to Administrator Adelicia Zenon.

Investigation Findings:
13On 7/10/25, at 10:43AM, Licensing Program Analysts Joon Choi and Cynthia Ramos (LPAs) conducted an unannounced visit at Center for Positive Changes # Short Term Residential Treatment Program (STRTP) and met with Administrator Adelicia Zenon to deliver the investigative finding for the allegation listed above. On 12/20/2024, Community Care Licensing received allegations that staff spoke inappropriately to minors and staff have not provided a minor with personal belongings. On 12/20/2024, LPA Jacob Salem arrived at the facility, conducted a health and safety inspection, and obtained pertinent documents. No immediate health and safety hazards were observed. LPA Salem interviewed clients 2 and 4 (C2, C3), staff 2 and 3 and (S2, S3) and County Social Worker (CSW). In addition, LPA Joon Choi interviewed client 1 (C1) and staff 1 (S1). In regard to the allegation that staff (S1) spoke inappropriately to minors (C1, C2, C3); it was reported that S1 spoke in a demeaning manner to C1, C2 and C3- by "calling them liars, yelling at them and telling them that they were wrong." It was further reported that S1 informed one of the minors that they would assign them a "tranny", as a roommate. CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CENTER FOR POSITIVE CHANGES 5FACILITY NUMBER: VISIT DATE: 07/10/2025

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

met_with: Adinistrator, Adelicia Zenon


raw_content:
Narrative:
reported that C1 did not provide any names of who was responsible for C1's trafficking. Confidential interviews reported that C1 admitted to being involved in CSEC activities prior to and during their placement at their current facility. Other confidential interviews reported that facility staff counseled C1 on the dangers of CSEC activities. Confidential interviews reported that the facility staff conducted their routine safety checks and room checks on clients per the facility protocol. Other confidential interviews reported that C1 was not able to be located during this investigation to obtain their testimony on the facility's supervision and care. Based on confidential interviews and record reviews, the allegation that due to lack of care and supervision, C1 was engaging in CSEC activities may have occurred, however, there was not a preponderance of evidence to support the alleged violation. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report and appeal rights were explained and given to Administrator Adelicia Zenon.

Investigation Findings:
13On 07/10/25, at 11:04AM, Licensing Program Analyst (LPAs) Joon Choi and Cynthia Ramos conducted an unannounced visit at Center for Positive Changes # Short Term Residential Treatment Program (STRTP) and met with Administrator Adelicia Zenon to deliver the investigative finding for the allegation listed above. On 10/29/2024, Community Care Licensing received an allegation that due to lack of care and supervision, minor was engaging in (commercial sexually exploited child) CSEC activities. On 11/04/2024, LPA Jacob Salem arrived at the facility, conducted a health and safety inspection, and obtained pertinent documents. No immediate health and safety hazards were observed. In addition, LPA Salem interviewed clients 2, 3 and 5 (C2, C3, C5), staff 1 and 2 (S1, S2) and County Social Worker (CSW). Client 1 (C1) was not able to be located for an interview and Client 5 (C5) declined LPA's request for an interview. In regard to the allegation that due to lack of care and supervision, minor (C1) is engaging in CSEC activities; it was reported that C1 disclosed voluntarily being involved with "human trafficking." It was further CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CENTER FOR POSITIVE CHANGES 5FACILITY NUMBER: VISIT DATE: 07/10/2025

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

met_with: Administrator, Adelicia Zenon


summary: Facility Evaluation

raw_content:
Narrative:
On 06/11/2021 at 09: A.M., Licensing Program Analyst (LPA) Marisol Lopez conducted an unannounced required annual inspection of the facility and met with Program Supervisor (P1) Augrista Belford. LPA and P1 inspected the facility inside and out. Presently there are six clients living in the home (C1, C2, C3, C4, C5, C6) (See Lic. Confidential Names dated 06/11/2021). The facility is a one-story residence with three bedrooms, two bathrooms, dining room, dining area, living room, family room, kitchen, laundry room, staff office and 2-car garage. The facility has been operating with a capacity of six females from ages 13 years old to 17 years old and non-minor dependents. The bedrooms are set up as follows: Bedroom #1, Bedroom #2 and Bedroom #3 each is used by two clients, is furnished with two twin beds, all required linen, and mattresses in good condition. There is adequate drawer and closet space for client's belongings. Bedroom are arranged so that no more than two clients share a room, and there is one client per bed. No room commonly used for other purposes is used as a bedroom. LPA observed a sufficient supply of 7-day non-perishable food for six clients and a sufficient supply of 2-day perishable food in the kitchen. LPA observed the kitchen to be clean, sanitary and in good repair. The dining room is located next to the kitchen and contains one table with four chairs, the dining area has one table with three chairs and the kitchen counter bar has three bar height chairs. The living room contains two couches and a large ottoman. The family room contains two couches, a tv cabinet with television, a game system with multiple games, as well as books and board games. The laundry room contains a washer and dryer. LPA tested the hot water temperature in clients bathroom which read 120.0 degrees Fahrenheit, which is in the acceptable range of 105 degrees and 120 degrees Fahrenheit. The two-car garage contains a second freezer for overflow foods and storage is maintained in garage. LPA observed an ample amount of recreational and leisure supplies such as books, games, art supplies and television available for client use. Emergency exits were free from obstruction. LPA inspected the outside grounds, which included the backyard. The exterior of the facility was found to be clean and well maintained. The locked staff office contained office furniture and equipment, a locked medications room with two locked file cabinets, one of which holds medications, medications logs, cleansers and cleaners, and two first aid kits, which contained all required items. The locked closet also contains office documents, client files and office supplies. Sharp knives are kept in a locked cabinet in the locked closet inside the locked staff office. The licensee stated that there are no guns on the premises. The facility's combination smoke detectors/carbon monoxide detectors located in all bedrooms and in the hallway were tested and were operable The following required posted items were observed and accessible to children: Ombudsman and Foster Youth Bill of Rights, Grievance Procedures, Personal Rights, Visitation Policies, Neighbor complaint Policy, house rules and current menu. Licensee has obtained National Accreditation through CARF and the Accreditation is valid through August 2022. LPA discussed the following with Program Supervisor: Incident reporting, including incidents related to Assembly Bill 388 law enforcement contacts as well as incidents involving emergency interventions. Personnel Files are maintained off-site and transported to LPA within a reasonable time. All staff who work at the facility have Department of Justice and Child Abuse Clearance index check clearances. A review of client records was also completed on this date including the Medication Administration Record (See Confidential Name List- LIC 811 dated on June 11, 2021). Personnel files were reviewed to ensure they contained all required documentation. Children and staff records are organized. Staff's CPR and First Aid card were current. Child's records contain original needs and services plan signed by the child and their authorized rep. Child's records contain authorization for emergency medical care signed by each child's authorized rep. Appropriate staff/client ratios were verified during this inspection. Based on observations made during the inspection, no deficiencies observed during today's visit. An exit interview was conducted and this report was reviewed with Program Supervisor Augrista Belford and a copy of this report was provided.

met_with: Augrista Belford


summary: Facility Evaluation

raw_content:
Narrative:
On September 17, 2022 at 11:20 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced to the facility for the purpose of conducting a collateral interview with one client that is currently residing at the facility. LPA met with Danikka Alarcon, Child Care Worker, and explained that the complaint investigation is not on their facility. LPA conducted one interview with one client. LPA toured the facility and the facility was in compliance with Title 22 regulations, Chapter 5, therefore no deficiencies were cited.

met_with: Danikka Alarcon, Child Care Worker


summary: Facility Evaluation

raw_content:
Narrative:
On November 29, 2022 at 2:30 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced to the facility for the purpose of conducting a collateral interview with one client that is currently residing at the facility. LPA met with Denice Fortune, Facility Administrator and explained that the complaint investigation is not on their facility. LPA conducted one interview with one client. LPA toured the facility and the facility was in compliance with Title 22 regulations, Chapter 5, therefore no deficiencies were cited. Facility Administrator was reminded the facility always needs to have a Facility Manager designated when the Administrator is not at the facility, Facility Administrator arrived to the facility within twenty minutes of LPA arriving at the facility.

met_with: Denice Fortune, Facility Administrator