facility_name: PROJECT 14:14 INC

raw_content:
Investigation Findings:
13On June 3, 2025, Licensing Program Analysts (LPAs) Briana Placencia and Angelica Borja conducted a complaint inspection at Project 14: STRTP, LPAs met with Camia Scherer. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA interviewed staff and clients which revealed that in fact facility staff were searching rooms. Based on LPA's observations, and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 04/16/2025 and conducted by Evaluator Briana Placencia PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:PROJECT 14: INCFACILITY NUMBER: ADMINISTRATOR:RITA STEVENSONFACILITY TYPE: ADDRESS: N. Fruit Ave.TELEPHONE: (559) 705- CITY:FRESNOSTATE: CAZIP CODE: CAPACITY:6CENSUS: 2DATE: 06/03/ UNANNOUNCEDTIME BEGAN: 12: PM MET WITH:Camia SchererTIME COMPLETED:01: PM 9Staff is under the influence of drugs. Staff do not follow court orders. Facility not meeting the nutritional needs of clients. Staff drive clients while under the influence of drugs. Staff speak inappropriately to youth in care. INVESTIGATION FINDINGS: 13On June 3, 2025, Licensing Program Analysts (LPAs) Briana Placencia and Angelica Borja conducted a complaint inspection at Project 14: STRTP and met with Camia Scherer. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Briana Placencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: PROJECT 14: INCFACILITY NUMBER: 107207232

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: Camia Scherer


state: CA

summary: Facility Evaluation

raw_content:
Narrative:
On August 15, 2023, Licensing Program Analysts (LPAs) Briana Placencia, Cynthia Galindo and Licensing Program Manager (LPM) Juanita Arroyo met with Chastity Day and Rita Stevenson for Component two of the application process. This meeting was to discuss the application, resolve any questions and determine whether the agency has the knowledge, ability, and resources to operate in compliance with licensing laws and regulations. The following items were discussed: responsibilities of the Board of Directors, keeping up with the Title 22 regulations and Interim licensing standards, cell phone policy, staff responsibilities/duties, incident reporting procedures, including law enforcement contact, clients personal rights, staff records requirements, prudent parenting standards, core therapeutic services, emergency intervention plan, and guardian background checks. Types of Licensing Visits: ~Pre Licensing ~Post Licensing ~Annual unannounced ~Complaint unannounced ~Plan of Correction unannounced ~Case Management unannounced It was determined that at this time CCL and SOC will review the fourth (4th) revision of the Plan of Operation and Program Statement for Project 14:14. An exit interview was conducted and a signed copy of this LIC 809 was given to Chastity Day.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Chasity Day and Rita Stevenson


summary: Facility Evaluation

raw_content:
Narrative:
On September 22, 2023, Licensing Program Analysts (LPAs) Briana Placencia and Cynthia Galindo travelled to Project 14:14, located at N. Fruit Ave Fresno CA 93711, to conduct a Pre-licensing inspection. LPA's were met at the facility by Licensee Chastity Day and Rita Stevenson. 1. Facility Grounds were clear from debris 2. Outdoor space observed. Sliding screen door is ripped and in disrepair. One bedroom window had no screen and front of house screen was observed to be ripped. 3. Chemicals were locked upon inspection. 4. Locked and centrally stored medications were discussed. There is currently a locked space for medications. 5. First aid kit is in need of a thermometer. 6. Adequate storage space observed. 7. Individual beds in good repair with enough storage. 8. The house has 3 bedrooms, double occupancy, all located on one single level. Bedrooms are accommodating of all required furnishings. 9. Adequate food storage space observed. Minimal nonperishable foods were observed at this time. 10. Weekly mock menu observed. 11. Dining room observed. Table and chairs for the facility were observed during inspection. 12. Facility has two full restrooms, both are operable. Facility is to ensure water temperature is maintained between 105 and 120 degrees. 13. Licensee has a vehicle for use at the facility. Including insurance and registration. 14. Licensee already has a guardian account and two staff are currently associated. Fire clearance was completed on January 19, 2023.

visit_type: Prelicensing

met_with: Chastity Day


summary: Facility Evaluation

raw_content:
Narrative:
On April 12, Licensing Program Analysts (LPAs) Briana Placencia and Angelica Borja travelled to Project 14:14, located at N. Fruit Ave Fresno CA 93711, to conduct a Second Pre-licensing inspection. LPA's were met at the facility by Licensee Chastity Day and Rita Stevenson. 1. Facility Grounds were clear from debris 2. Outdoor space observed. 3. Chemicals were locked upon inspection. 4. Locked and centrally stored medications were observed. There is currently a locked space for medications. 5. First aid kit was observed. 6. Adequate storage space observed. 7. Individual beds in good repair with enough storage. 8. The house has 3 bedrooms, double occupancy, all located on one single level. Bedrooms are accommodating of all required furnishings. 9. Adequate food storage space observed. Minimal nonperishable foods were observed at this time. 10. Weekly mock menu observed. 11. Dining room observed. Table and chairs for the facility were observed during inspection. 12. Facility has two full restrooms, both are operable. Facility is to ensure water temperature is maintained between 105 and 120 degrees. It is currently reading 103.1F. 13. Licensee has a vehicle for use at the facility. Including insurance and registration. 14. Licensee already has a guardian account and two staff are currently associated. 15. Licensee states they will be building a wall for confidential interviews/sessions. Fire clearance was completed on January 19, 2023.


summary: Facility Evaluation

raw_content:
Narrative:
On August 12 2024, Licensing Program Analysts (LPAs) Angelica Borja and Briana Placencia conducted a post-licensing inspection at Project 14: Inc and met with Rita Stevenson, Administrator. A inspection of the facility was conducted. The STRTP currently has one client in care. The STRTP currently employs Administrator/Facility Manager, five Direct Care staff and one Social Worker. LPA reviewed 4 staff files and one client file. Unable to interview as client AWOL'd during the inspection. The STRTP currently has no firearms and no swimming pool. A review of the Licensing Information System on August 12, 2024, indicates that all facility staff are associated to the STRTP and have DOJ, FBI, and child abuse index check clearances. At this time the STRTP is in the process of accreditation. One Technical Advisory was cited during todays inspection. The STRTP will also submit an updated LIC 500 to LPA Borja within the next two weeks. A copy of this report and appeal rights will was left at the facility at the conclusion of this inspection.

met_with: Rita Stevenson


summary: Facility Evaluation - 3 deficiencies

raw_content:
Narrative:
On April 16, 2025, Licensing Program Analysts (LPAs) Briana Placencia and Melissa Renovato conducted an unannounced Annual/Required inspection at Project 14:14, located in Fresno CA. LPAs met with Administrator Rita Stevenson. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 72 degrees. All facility smoke detectors are in appropriate working order. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. STRTP was approved on April 15, 2024. The licensee has submitted their required documentation to obtain their Mental Health Approval, at this time it is pending. The facility is working on being accredited through CARF. Project 14:14 is currently on a provisional license that expired on 4/15/2025. Project 14:14 will have their provisional license extended for another 6 months. Per Administrator there are no weapons/firearms in the facility. There are no bodies of water. LPAs reviewed 3 client files, and 5 staff files. LPAs interviewed 1 staff and 2 clients. The facility is being cited on the attached LIC D's. A copy of this report and appeal rights was left with Administrator Rita Stevenson at the conclusion of today's inspection.

Deficiencies:
80019(e): Criminal Record Clearance

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1522 shall prior to working, residing or volunteering in a licensed facility
87072(c): Personal Rights

(c) The licensee shall ensure that each child, regardless of whether the child is in foster care, is accorded the personal rights specified in Welfare and Institutions Code Section 16001.9, and below, as applicable
87068.3(a): Modifications to The Needs And Services Plan

(a) The needs and services plan as described Sections 87068.2 and 87068.22, shall be updated at least every 30 days to determine the following

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On May 12, 2025, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Project 14: Inc, and met with Rita Stevenson. The purpose of this inspection was to discuss concerns with an incident report that was received by the Department on 05/05/2025, the incident in question happened on 05/04/2025. LPA conducted an interview. Administrator stated that it was an isolated incident. Client #1 (C1) and Client #2 (C2) did have a disagreement but were okay with each other shortly after. Staff was present and attempted to de-escalate the whole time. (See 811 and 812). Trauma informed language was discussed with Administrator. It was determined this was an isolated incident and there was no citation warranted. A copy of this report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On July 23, 2025, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Project 14: INC, and met with Brianna Sullivan and Rita Stevenson via phone. The purpose of this inspection was to discuss concerns with an incident report that was sent into the Department on July 17, 2025, the incident in question happened on 07/11/2025. LPA conducted interviews. Administrator stated that C1 (see 811) was on 15 minute or more checks. Due to the medical, mental health needs and failure to comply with program C1 was moved on 7/14/25, per the request of her Social worker. It was determined this was an isolated incident and there was no citation warranted. A copy of this report was left at the facility.

met_with: Brianna Sullivan


summary: Facility Evaluation

raw_content:
Narrative:
On April 28, 2026 an unannounced annual inspection was conducted by Licensing Program Analyst (LPA), Miriam Flores at Project 14: Inc. LPA met with Social Worker, Briana Prieto and Administrator, Rita Stevenson. At 2:00PM, LPA arrived at the facility and met with facility staff. LPA informed staff the purpose of this visit to conduct an Annual/Required inspection of the facility and record reviews. The facility has capacity for six female clients, ages 12-17 years of age. Currently the facility has one youth in placement. Mental Health Program Approval expires on 4/13/2027. On 2/11/2026, the facility had their annual fire clearance inspection completed. CARF certification expires 12/31/2028. No firearms or weapons are allowed in the facility. There is no pool and no pets at the facility. Fire extinguisher was last services on 12/16/2025. The home has three bedrooms and one bathroom is accessible to clients. There is a kitchen, a dinning room and a living room. All smoke detectors were tested and were in working order. The following was observed during the facility inspection: At 2: PM LPA conducted file review for youth in placement. At 3: PM LPA an inspection of the facility was conducted. Continues from Page The inspection began in the kitchen area of the home. Sharps are kept locked next to the dinning room. LPA Flores observed that the thermostat is maintained at 73 degrees Fahrenheit. The kitchen, dining room and living room were clean and well lit. Postings were easily accessible to clients. Perishable and nonperishable foods were observed. Food menus were posted in the refrigerator. Facility Manager reported that the food menus are posted monthly. LPA measured the water temperature from bathroom faucet and measured at 105.3 degrees Fahrenheit. There is a sliding door in the living area which gives youth access to the backyard. There are cameras in the front entrance and the backyard There are no cameras in client's bedrooms. At 4: PM, LPA conducted interviews. There were no deficiencies to be cited on this date. An exit interview was conducted with the Administrator and a copy of this report was left at this facility.


summary: Facility Evaluation

raw_content:
Narrative:
On April 30, Licensing Program Analyst (LPA) Miriam Flores traveled to Project 14: Inc in Fresno, CA to conduct an unannounced inspection for the purpose to complete an Annual/Required inspection. LPA met with Administrator, Rita Stevenson. A review of the Licensing Information System is dated 4/28/26 indicates that all facility staff are associated to this STRTP had DOJ, FBI, and child abuse index check clearances. Five staff files were reviewed during this inspection. The following was observed during the facility inspection: At 09: AM LPA reviewed the Disaster Preparedness Plan At 10: AM LPA conducted file review for staff. At 12: PM LPA conducted confidential staff interviews. Three deficiencies are being cited on the following sections Emergency Intervention Staff Training 8795.65(e); Supervision Evaluation and Training Requirements 87065.1(e)(1) and Personnel Records 80066(a)(10) based on record review in accordance with the California Code of Regulations, Title 22. The facility is being cited on the attached LIC 809D. Exit interview was conducted and a copy of this report and appeal rights was left at agency with the Administrator.


facility_name: PROJECT DESTINY HOME OF HOPE

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13On August 11, 2021 at 11: AM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to Project Destiny Home of Hope and met with Deborah Manns Administrator. The purpose of the visit was to deliver findings for the above complaint allegations. During the investigation of the allegations: Residents are not adequately supervised and The residents not receiving services. LPA Phillips reviewed facility file and conducted confidential interviews with relevant parties. After conducting the confidential interviews and reviewing the following documentation: Facility Internal Investigation Report, Staff work schedules, Facility activity calendar, and Client files. LPA Phillips was not able to determine whether residents are inadequately supervised and not receiving services. The schedules provided by the facility reveals that there are at least three or more staff members on duty during the day as required. Confidential interviews conducted stated there is always supervision at the facility. After review of the documents for medical appointments evidence revealed the appointments were not cancelled by staff. Due to inconsistent statements LPA Phillips was not able to determine if the above said allegations occurred, therefore the allegations were found to be Unsubstantiated meaning that although the allegations may have happened or are valid there is not a preponderance of evidence to prove that the alleged incident occurred. No deficiencies cited at the time of this investigation. Exit interview was conducted, and copy of the report was left with facility administrator UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips 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 2

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

report_type: Complaint Investigation

met_with: Deborah Manns

complaint_status: unsubstantiated


raw_content:
Investigation Findings:
13On August 11, 2021 at 11: PM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to Project Destiny Home of Hope and met with Deborah Manns, Administrator. The purpose of the visit was to deliver findings for the above complaint allegation. During the course of investigating the allegation: Staff is being aggressive with client. LPA Phillips conducted confidential interviews with related parties, reviewed facility records and Incident Reports. Based on the interviews conducted and statements obtained during the investigation the above allegation cannot be substantiated because LPA Phillips obtained inconsistent statements from staff and residents in care. Evidence obtained revealed that Staff denied being aggressive with resident and unfortunately no witnesses statements were obtained to support the allegation. Also, confidential interviews revealed that this is a hands off facility and staff verbally redirect clients. Based on the interviews conducted and documentary evidence obtained the information did not produce corroborating evidence to support the above said allegation. Due to inconsistent statements LPA Phillips was not able to determine if the above said allegation occurred, therefore the allegation is found to be Unsubstantiated meaning that although the allegation may have happened or is valid there is not a preponderance of evidence to prove that the alleged incident occurred. No deficiencies cited at the time of this investigation. Exit interview was conducted, and copy of this report was left with facility administrator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips 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 2

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


raw_content:
Narrative:
Also, confidential interviews with Child 1, Child 2, Child 3, Child 4, Child 5 revealed they are getting medications and refused to sign when they decline medications. Based on the interviews conducted and documentary evidence obtained the information did not produce corroborating evidence to support the above said allegations. Due to inconsistent statements LPA Phillips was not able to determine if the above said allegations occurred, therefore the allegations are found to be Unsubstantiated meaning that although the allegations may have happened or is valid there is not a preponderance of evidence to prove that the alleged incidents occurred. No deficiencies cited at the time of this investigation. Exit interview was conducted, and copy of this report was left with facility administrator.

Investigation Findings:
13On October 27, 2021 at 12: PM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to Project Destiny Home of Hope and met with Deborah Manns, Administrator. The purpose of the visit was to deliver findings for the above complaint allegations. During the course of investigating the allegations: Staff are falsifying medications records. Residents are not getting their medications. LPA Phillips conducted confidential interviews with related parties, reviewed facility records and Incident Reports. Based on the interviews conducted and statements obtained during the investigation the above allegations cannot be substantiated because LPA Phillips obtained inconsistent statements from staff and residents in care. Evidence obtained revealed that Staff denied medical records are falsified and no witnesses' statements were obtained to support the allegations. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPEFACILITY NUMBER: VISIT DATE: 10/27/2021

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


raw_content:
Narrative:
Confidential interviews with staff reveal that police were called due to safety of residents, staff and resident was taken into custody. Based on the interviews conducted and documentary evidence, the information gathered did not produce corroborating evidence to support the above said allegation. LPA Phillips was not able to determine if the above said allegation occurred, therefore the allegation are determined to be unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. Based on the observations made during today's inspection, no deficiencies were cited. Exit interview was conducted and report will be emailed to Deborah Manns/ Licensee.

Investigation Findings:
13On 09/14/2022 @ 2: PM Licensing Program Analyst (LPA) Zena Phillips made an announced follow up visit for the purpose of delivering findings on the allegation listed above. During the course of the investigation LPA conducted confidential interviews with (5) Staff, (3) residents, (2) social workers, requested NSP, CFTM notes, police report, pictures of damaged property, email correspondence, incentive tracker and reviewed SIR reports. Confidential interviews and CFTM notes reveal that all efforts were sought to keep resident in placement until it became unsafe for other residents and staff. It was reported that resident was upset due to not getting incentive pay and did extensive damage to property. It was reported that the whole house was trashed due to rules being stupid. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPEFACILITY NUMBER: VISIT DATE: 09/14/2022

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

met_with: Cedric Jones/ Facility Manager


raw_content:
Narrative:
COVID restrictions delayed availability of appointments especially if missed due to child awol or refusing to attend. Three clients were on awol and never returned and no appointments completed per documentary evidence reviewed. Child Family Team (CFT) meetings are virtual, and notes are documented in NSP with role of participants for clients in care. Licensee reported that Relias training's were delayed due to no appointments available but continued to conduct in house staff training's. Due to inconsistent statements LPA Phillips was not able to determine if the above said allegations occurred, therefore the allegations were found to be Unsubstantiated meaning that although the allegations may have happened or are valid there is not a preponderance of evidence to prove that the alleged incidents occurred. No deficiencies cited at the time of this investigation. Exit interview was conducted, and copy of the report will be emailed to Deborah Manns facility administrator.

Investigation Findings:
13On November 9, 2022 at 2: PM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to Project Destiny Home of Hope and met with Deborah Manns/ Administrator. The purpose of the visit was to deliver findings for the complaint allegations listed above. LPA Phillips conducted confidential interviews and reviewed documentary evidence: staff and client files, training logs and certificates. LPA was provided 6 files of clients in care to review for compliance with Community Care Licensing. LPA reviewed NSP and observed documents were completed within 30 days of placement. LPA reviewed copies of sign in sheet and power point of reproductive rights training for youth. LPA observed copy of personal rights posted in facility and in each client's file with clients' signature UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPEFACILITY NUMBER: VISIT DATE: 11/09/2022

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

met_with: Deborah Manns/ Administrator


raw_content:
Narrative:
at facility during LPA visits to the site. LPA Phillips observed the facility to be clean safe and sanitary. The allegation stated: Facility did not maintain a comfortable temperature for minor's in care. LPA Phillips observed two (2) fans in each bedroom and air condition unit in living room. LPA Phillips observed wall thermostat temperature reading to be 79 degrees Fahrenheit on 08/22/22. Licensee provided LPA Phillips pictures of three (3) portal air conditioning units, one for each bedroom. LPA Phillips observed window in bathroom for adequate ventilation. Licensee is making an effort to cool by purchase of fans and air condition units. Based on information obtained from interviews and documentary facts, the preponderance of the evidence standard has not been met. The Department has determined the above allegations unsubstantiated. No deficiencies cited at the time of this investigation. Exit interview was conducted, and copy of the report will be emailed to facility administrator.

Investigation Findings:
On November 15, 2022 @ 8: AM, Licensing Program Analyst Zena Phillips conducted a subsequent complaint inspection to conclude and deliver findings concerning the allegations as mentioned above. LPA Phillips was met by Deborah Manns who granted access to the facility and provided the census. The investigation including interviews, review of related reports and video reveal a lack of evidence. The allegation stated: Facility has insects. Documentary evidence shows the facility has ongoing pest control maintenance by Carter's Pest Control Inc. LPA Phillips observed front window screen pushed out on the following dates 06/22/22, 07/08/22 & 08/22/22. It was reported to LPA Phillips by Staff # 1, Staff # 2 & Staff #5 that Child #1 who occupied front room pushes the screen open daily resulting in access for June bugs. LPA Phillips did not observe any pest UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPEFACILITY NUMBER: VISIT DATE: 11/15/2022

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


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Based on the interviews conducted and documentary evidence of the PROJECT DESTINY HOME OF HOPE the preponderance of standard has been met, therefore the above allegation is found to be substantiated. Facility cited on the attached LIC 9099-D for violation of Interim Licensing Standards, regulation 87065. Direct Care Staff/Child Ratios Facility staff was asleep during shift. Exit interview was conducted, and a copy of this report will be emailed to the Deborah Manns.

Investigation Findings:
13On November 15, 2022 at 8: PM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to Project Destiny Home of Hope and met with Deborah Manns/ Administrator. The purpose of the visit was to deliver findings for the complaint allegation. LPA conducted confidential interviews, reviewed facilty records and reviewed pictures of Staff #3 sleep during shift. Staff #3 admitted to LPA Phillips was sleep on shift due to being tired. Based on documenatry evidence and confidential interviews facility was within ratio with another staff on overnight shift. Based on information obtained from interviews and documentary facts, the preponderance of the evidence standard has been met. The Department has determined former Staff #3 was sleep on duty resulting in a lack of supervsion for clients in care. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPEFACILITY NUMBER: 198209668

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

met_with: Deborah Manns / Administrator

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
Confidential interviews reveal no cell phone recording was available for LPA Phillips to review after multiple request. Based on the interviews conducted, documentary evidence, and LPA file review, the preponderance of standard has not been met. Due to inconsistent statements LPA Phillips was not able to determine if the above said allegations occurred, therefore the allegations were found to be Unsubstantiated meaning that although the allegations may have happened or are valid there is not a preponderance of evidence to prove that the alleged incident occurred. No deficiencies cited at the time of this investigation. Exit interview was conducted, and copy of the report was left with facility administrator.

Investigation Findings:
13On December 1 , 2022 at 3: PM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to Project Destiny Home of Hope and met with Deborah Manns/ Administrator. The purpose of the visit was to deliver findings for the complaint allegations. During the investigation of the allegations: Staff's conduct poses a risk to minors in care. Staff spoke to minors in an inappropriate manner. LPA Phillips conducted nine (9) confidential interviews and reviewed documentary evidence: staff and client files. It was reported to LPA Phillips that a resident can be manipulated into saying things that are untrue. If the truth has to be told then that resident does not want to talk. It was reported to LPA Phillips that a cell phone recording was made of the car incident. LPA requested the recording three (3) times, and it was not provided. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPEFACILITY NUMBER: VISIT DATE: 12/01/2022

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


facility_name: PROJECT DESTINY HOME OF HOPE #2

raw_content:
Narrative:
It was reported to LPA Phillips that staff did not speak inappropriately to child in care. It was reported to LPA Phillips that Child #1 argues, bullies and speaks inappropriately to staff and peers. Confidential interviews with staff and documentary evidence provided did not substantiate the allegation: Staff did not accord child dignity in their personal relationships with staff and other persons. It was reported to LPA Phillips that Child #1 is a bully and says things. It was also reported to LPA Phillips that residents leave the room due to Child #1 starting stuff and being a bully. Based on the interviews conducted, documentary evidence, the information gathered did not produce corroborating evidence to support the above said allegations. LPA Phillips was unable to determine if the above said allegations occurred, therefore the allegations are determined to be unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit interview was conducted, and a copy of this report will be emailed to the Deborah Manns

Investigation Findings:
13On January 26, 2023 @ 2: PM Licensing Program Analyst (LPA) Zena Phillips made an unannounced visit to PROJECT DESTINY HOME OF HOPE #2 and spoke with Darryl Sewell/ Mental Health Liasion. The purpose of this visit was to deliver the findings for the above complaint allegations. Darryl Sewell/ Mental Health Liasion provided the census. During the investigation, confidential interviews were conducted, facility file review, special incident reports and documentary evidence did not substantiate the allegation: Staff threatened child with physical harm. Confidential interviews reveal that Child #1 was the aggressor and argued with staff. All staff and resident interviews deny that Child #1 was threatened with harm. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPE #2FACILITY NUMBER: VISIT DATE: 01/26/2023

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

met_with: Darryl Sewell/ Mental Health Liasion


raw_content:
Narrative:
Per the confidential interviews conducted with related parties LPA Phillips obtained inconsistent statements regarding the complaint allegations. Due to inconsistent statements LPA Phillips was not able to determine if the above said allegations occurred, therefore the allegations were found to be Unsubstantiated meaning that although the allegations may have happened or are valid there is not a preponderance of evidence to prove that the alleged incidents occurred. Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit interview was conducted, and a copy of this report will be emailed to Deborah Manns/Licensee

Investigation Findings:
13On August 29, 2023 at 2: PM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to PROJECT DESTINY HOME OF HOPE #2 and met with Darryl Sewell/Mental Health Liaison who granted access and provided today's census. The purpose of the visit was to deliver findings for the complaint allegations. During the investigation LPA Phillips conducted confidential interviews, reviewed facility files, special incident reports and reviewed facility discharge procedure. Confidential interviews reveal that incidents were reported to responsible parties as required. Documentary evidence support that the facility followed discharge procedure. Statement indicated that minors did not engage in inappropriate interaction while in care. Staff deny that Child #1 was not properly discharged and only discharged after requested by DMH. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPE #2FACILITY NUMBER: VISIT DATE: 08/29/2023

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

met_with: Darryl Sewell/Mental Health Liaison


raw_content:
Narrative:
Based on the interviews conducted, and documentary evidence, the information gathered did not produce corroborating evidence to support the above said allegations. LPA Phillips was unable to determine if the above said allegations occurred due to conflicting information, therefore the allegations are determined to be unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. Based on the observations made during today's inspection, no deficiencies were cited. Exit interview was conducted, and a copy of this report will be emailed to the Deborah Manns.

Investigation Findings:
13On January 23, 2024, at 2: PM, Licensing Program Analyst (LPA) Zena Phillips made an unannounced visit to PROJECT DESTINY HOME OF HOPE #2 spoke with Amanda Tovar/Executive Assistant. The purpose of this visit was to deliver the findings regarding the above complaint allegations. During the investigation LPA Phillips conducted confidential interviews, reviewed facility files, special incident reports, safety plan, staff schedule, staff time cards, CFTM notes & Emergency Staffing Meeting notes. Staff deny that minor's safety plan was not followed. Documentarty evidence reveal that staff did seek mental health treatment for youth as evidence with hospital assessment and release. Staff deny that one staff was on duty and provided time sheet with two (2) staff on duty. Staff deny there was insufficent staffing to meet minor's needs. It was reported to LPA that an assessment and additonal supervision was provided to minor in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPE #2FACILITY NUMBER: VISIT DATE: 01/23/2024

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

met_with: Amanda Tovar/Executive Assistant


raw_content:
Narrative:
It was reported to LPA that staff will intervene quickly to prevent altercations between minors. Based on documentary evidence there was adequate supervision on duty with minors in the home. It was reported to LPA that staff do consistent checks on the minors and offer community pass for minors to leave with permission. Based on inconsistent information obtained, the allegations are determined Unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. There are no deficiencies cited at this time. Exit interview completed. A copy of this report will be provided to Deborah Manns/Licensee.

Investigation Findings:
13On April 9, Licensing Program Analyst (LPA) Zena Phillips made unannounced visit to PROJECT DESTINY HOME OF HOPE #2 for the purpose of delivering findings on the allegations listed. During the investigation LPA Phillips interviewed and accounted for all available relevant parties; gathered pertinent information regarding the allegations. The investigation including confidential interviews, review of incident reports, Needs & Services Plan and Child & Family Team meeting notes. Based on the information obtained during the investigation revealed a lack of evidence to support reported allegations: Staff did not stop minors from engaging in a physical altercation with another minor. Staff not providing a safe environment for minors. Lack of supervision resulted in minors AWOL. It was reported to LPA during confidential interviews that the altercation happened away from the facility. Staff deny not providing a safe environment for minors and reported to LPA minors are safe in the home. Staff reported they encourge minors to stay and offer alternative activity to prevent minors from awoling. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPE #2FACILITY NUMBER: VISIT DATE: 04/09/2024

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


raw_content:
Narrative:
Based on LPA interviews and record reviews and evidence obtained, the preponderance of evidence standard has been met, therefore the allegation is found to be SUBSTANTIATED. Therefore, issued a citation in accordance with the Short-Term Residential Therapeutic Program Interim Licensing Standards, Chapter 5 the Facility cited for violation of California Code of Regulations, Title Division Six, regulation ILS 87065.2(b)(1). The exit interview was conducted with (Name of person) and a copy of this report was provided to the facility.

Investigation Findings:
13On April 14, 2025, at 11:15 am, Licensing Program Analyst (LPA) Justine Armstrong and LPM Enrique Hernandez made an unannounce visit at the above said facility, and met with the Executive Assistant Manager Amanda Tobar, who granted access into the facility. The purpose of the inspection is to conclude the complaint investigation on the allegation and to deliver the findings. LPA and Executive Assistant Manager and together discussed the investigation details. During the investigation process, LPA Armstrong conducted confidential interviews with all relevant parties and gathered information on the allegation above. After reviewing all the statements and information obtained, the above allegation is substantiated because the confidential interviews and evidence confirmed the fight between C1 and C2. During the altercation between the two youths (C1 and C2), only S3 was in the middle, attempting to stop the fight. Additionally, after reviewing the evidence obtained LPA confirmed the fight between C1 and C2 lasted for more than 30 seconds. C1 and C2 were physically assaulting one another by hitting each other in the head. Even though there was other staff present the staff did not follow the policy and procedures. (Continue on LIC9099-C) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Enrique M Hernandez LICENSING EVALUATOR NAME: Justine Armstrong LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPE #2FACILITY NUMBER: 198209740

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

met_with: Amanda Tobar


raw_content:
Investigation Findings:
13On March 14, 2025 at 11: AM Licensing Program Analyst (LPA) Justine Armstrong and License Program Manager Enrique Hernandez conducted an unannounced visit to Project Destiny Home of Hope 2 to conclude the investigation of the above allegations and deliver the findings. LPA met with Amanda Tobar the Assistant Executive Manager who granted access to the facility and together, they discussed the investigation details. During the investigation process, all relevant parties have been accounted for. It was reported that Staff did not take minor to the doctor for medical care, Staff locked minor out of the home, and Staff did not accompany minor to the hospital or transport minor back to the facility. After conducting confidential interviews and documents reviewed, there was insufficient evidence or testimony to substantiate the allegations.Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. No deficiencies are being cited at this time. A copy of this report was provided to the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Enrique M Hernandez LICENSING EVALUATOR NAME: Justine Armstrong LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Additionally, evidence showed that although staff were present, staff failed to follow the necessary policies and procedures to prevent the incident in which another client's belongings were damaged. Based on the LPA interviews, record reviews, and the evidence obtained, the preponderance of evidence standard has been met; therefore, the allegation is found to be SUBSTANTIATED. A citation in accordance with the Short-Term Residential Therapeutic Program Interim Licensing Standards, Chapter 5 the Facility cited for violation of California Code of Regulations, Title Division Six, regulation ILS 87065.2(b)(1) PERSONNEL DUTIES - Direct care staff shall perform duties including, but not limit to, supervision, protection, and care of children at all times, individually and in groups... A copy of this report was sent by certified mail to the administrator office on file for the licensee's signature. (Please see LIC 809D for deficiency page)

Investigation Findings:
13On July 21, 2025, Licensing Program Analyst (LPA) Justine Armstrong mailed the complaint findings to the administrator's office on file, Deborah Mann, for PROJECT DESTINY HOME OF HOPE #2, through certified mail. The facility closed on May 31, 2025. The Department received the complaint on May 14, 2025. The allegations in the complaint are as follows 1. Staff allowed a minor access to toxic chemicals 2. Staff did not prevent a minor from damaging another minor's personal belongings During the investigation, LPA Armstrong conducted confidential interviews with all relevant parties and gathered information regarding the above allegations. After reviewing all statements and documentation, the Department has determined that the following allegations are substantiated Interviews confirmed that staff permitted a minor to access toxic chemicals. (Continue on LIC9099-C) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Enrique M Hernandez LICENSING EVALUATOR NAME: Justine Armstrong LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPE #2FACILITY NUMBER: VISIT DATE: 07/21/2025

met_with: Mailed to Administrator Deborah Mann


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
While the allegation may have some validity, there is insufficient evidence to determine whether the reported violation occurred. The interviews and facility visit did not confirm the allegation that staff do not maintain the facility in clean and sanitary conditions at all times. As a result, there is not enough evidence to establish whether the incident took place; therefore, the allegation is deemed unsubstantiated. A copy of this report was sent by certified mail to the administrator office on file for the licensee's signature.

Investigation Findings:
13On July 21, 2025, Licensing Program Analyst (LPA) Justine Armstrong mailed the complaint findings to the administrator's office on file, Deborah Mann, for PROJECT DESTINY HOME OF HOPE #2, through certified mail. The facility closed on May 31, 2025. The Department received the complaint on May 14, 2025. The Department received the complaint on May 14, 2025. The allegation in the complaint stated Staff does not ensure facility is kept in clean sanitary conditions at all times. During the investigation, LPA Armstrong conducted confidential interviews with all relevant parties and gathered information regarding the above allegations. After reviewing all statements and documentation, the Department has determined that the following allegations are unsubstantiated On May 20, 2025, License Program Analyst J. Armstrong and License Program Manager E. Hernandez conducted a health and safety inspection of the facility. They observed that the facility was clean, with no safety hazards or debris present on that day. (Continued on LIC809C ) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Enrique M Hernandez LICENSING EVALUATOR NAME: Justine Armstrong LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPE #2FACILITY NUMBER: VISIT DATE: 07/21/2025


facility_name: PROJECT SIX

raw_content:
Narrative:
Additionally, LPA was informed during confidential interviews that that Child 1 becomes aggressive towards staff unprovoked. Due to statements from all relevant parties and facility records review, the above allegation is concluded as Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Supporting evidence include the following: Staff interviews and NSP. Exit interview conducted, and a copy of this report was emailed to Jerry Majewsky/ STRTP Program Director.

Investigation Findings:
13On 12/16/2021 @ 1: PM Licensing Program Analyst (LPA) Zena Phillips conducted a subsequent investigation visit and spoke with Jerry Majewsky , STRTP Program Director for the purpose of delivering findings and discussing investigative outcome concerning the above-mentioned allegation. Initial investigation was conducted on 07/25/2021. During the course of this investigation LPA Phillips conducted confidential interviews with relevant parties. Staff stated they would never hit a child in care. All Staff denied the above said allegation. Multiple Staff interviews did not reveal any unfair treatment toward C1. Staff admitted after Child 1 graduated and started vocational school behavior changed to aggression toward staff and others. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: PROJECT SIXFACILITY NUMBER: VISIT DATE: 12/16/2021

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

met_with: Jerry Majewsky/ STRTP Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On November, 19, 2021 at 8am Licensing Program Analyst (LPA) Bernice Karnsrithong Project Six Group Home for the purpose of conducting an Annual Inspection. LPA Karnsrithong met with Administrator, Elin Bradley. The current census of the facility is sixteen (16). This is a two-story facility that provides care and supervision to children ages 11 to 17 years of age and ambulatory only. There are no pool or bodies of water in the premises of the facility. The facility is located in a gated commercial area. During the inspection LPA Karnsrithong observed an outside common area with sectional patio seating and tables. The outside common area is fenced in and located in front of the facility main door. This area is used by clients and staff as needed. There is also a conference room located in the school facility. This room has a large desk, eight (8) chairs, shelves and drawers to be used for storage. This room is mainly used for staff or private meetings. This is a two-story facility and the group home is located upstairs. The facility is fenced in and there is a school adjacent to the facility. There is also an office reception area located next to the conference room. LPA Karnsrithong reviewed staff training records (Emergency Intervention, Trauma Informed Care, First Aid and CPR). LPA Karnsrithong will come back on a later date to complete the inspection. A copy of this report will be emailed to the facility on a later date.

met_with: Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 12/10/2021, LPA Karnsrithong arrived at the facility at 9:30am to conduct an inspection regarding capacity decrease application. LPA met with administrator, Elin Bradley who provided the tour of the facility. The facility is located inside a gated compound that has four (4) separate buildings. The main gate is gated and secured. The first building is the school lobby, administrative offices and a gym that is used by the facility. The gym is currently not being used due to a erupted hydrant accident that occurred this week. No clients have accessed to the gym at this time while it undergoes repairs. The second building is the high school and middle school campus. The third building is the elementary campus and the outpatient clinic and wraparound and Family Preservation Services. The fourth building has the school, the facility office, and the client's residential unit. The facility has a private gate that lets you inside the two-story building. The facility is located upstairs on the 2nd floor. The 1st floor is used as an outpatient services office and clients have no accessed to the 1st floor. CARF accreditation has been issued on July 3, 2019 and is valid until 2022. Current capacity for licensing is at twenty-four (24) and licensee is requesting for capacity to be decreased to sixteen (16). Administrator Certification is valid until December 7, 2022. The facility currently has sixteen (16) clients under their care. There are sixteen (16) bedrooms. Each bedroom is equipped with one (1) twin-sized bed, closet space, adequate lightning and two (2) dressers. Each bedroom has the emergency disaster plan and facility sketch plan posted. Each bedroom has its own smoke alarm. Each bedroom also has one (1) window with blinds. Clients have accessed to five (5) bathrooms that have showers, sinks, toilet that are in good working condition. Only one (1) client at a time is permitted to use the bathrooms. Staff uses separate bathrooms that is kept locked and inaccessible to clients. There are four (4) common area spaces inside the facility that is utilized by clients for studying, tutorials, games, video games, music and arts. There are seven (7) office spaces that are being used by both mental health, direct care, and administrative staff. One (1) office space is currently being renovated during the time of the inspection. There is one (1) common space area located outside across the facility door entrance. (Page 1 of 2) The kitchen area is spacious and is equipped with stoves, refrigerators, dishwasher, and sinks. Sharp items are stored away and locked in a drawer and is inaccessible to clients. All kitchen items and utensils are well organized and labeled. A kitchen island is located in the center and is used for preparing food. Small kitchen appliances (coffee maker, two (2) microwaves, air fryer, pressure cooker) is also available to use. There is a separate pantry across the kitchen which stores extra perishable and non-perishable food items. This room is kept locked at all times. Kitchen is clean and well maintained. The dining area is located next to the kitchen and meals are served buffet style. Menu is posted in the dining area. There are two (2) laundry rooms that is being used by clients and has sufficient laundry supplies. The facility has a medication room that is maintained by the facility nurse. This room is used to store medication, COVID-19 tests, Personal Protective Equipment (PPE), medication logs, vitamin supplements, and other medical supplies. All client medications are labeled and documented when provided to clients. Utility shut off valves are located outside the facility and is locked. Facility vehicles are in good working conditioned and parked in the facility parking area. Facility maintenance logs are kept in the vehicles for review. There are two (2) locked closet rooms that are used to store disinfectant and cleaning supplies for the facility. During this visit, LPA Karnsrithong has interviewed two (2) clients and three (3) staff. LPA also reviewed staff and client records which are stored appropriately. Staff records are kept offsite but can be accessed during inspection. The facility provides in-house mental-health services to all clients and updates their needs and services plan quarterly. Child Family Meetings are conducted regularly and documented in the client's files as well. Facility logs are all stored in the administrative office. Staff are provided emergency intervention and trauma informed training as needed and are documented in the personnel files. All licensing postings, facility policies, and children's rights are posted in the hallway. There are eight (8) fire extinguishers and two (2) air purifiers throughout the facility. There are no deficiencies cited at this time. A copy of this report will be provided to the facility. (Page 2 of 2)


summary: Facility Evaluation

raw_content:
Narrative:
On December 10, LPA Bernice Karnsrithong has arrived at 9:30am to conduct a continuation of an annual inspection. LPA Karnsrithong met with Administrator, Elin Bradley who provided access and tour to the facility. The facility is located inside a gated compound that has four (4) separate buildings. The main gate is gated and secured. The first building is the school lobby, administrative offices and a gym that is used by the facility. The gym is currently not being used due to a erupted hydrant accident that occurred this week. No clients have accessed to the gym at this time while it undergoes repairs. The second building is the high school and middle school campus. The third building is the elementary campus and the outpatient clinic and wraparound and Family Preservation Services. The fourth building has the school, the facility office, and the client's residential unit. The facility has a private gate that lets you inside the two-story building.The facility is located upstairs on the 2nd floor. The 1st floor is used as an outpatient services office and clients have no accessed to the 1st floor. CARF accreditation has been issued on July 3, 2019. COVID-19 checks are conducted upon arriving the facility. The staff takes your temperature and conducts symptom checks for safety. There are two (2) air purifiers on each side of the hallway for COVID-19 prevention as well. The facility currently has 16 bedrooms that clients are currently staying in. There is one (1) counselor for four (4) clients, one (1) mental health therapist, one (1) activity coordinator and one (1) facility manager for each shift. There is adequate staffing coverage for the clients in the facility. There are two (2) non minor dependents and fourteen (14) minors currently placed in the facility. LPA Karnsrithong has interviewed two (2) clients and reviewed three (3) client's files. There are currently ten (10) staff working at the time of the inspection. LPA Karnsrithong has interviewed three (3) staff and three (3) staff files. There is a private room used for phone calls. There are eight (8) operating fire extinguishers located throughout the facility. (Page 1 of 3) There are two (2) carbon monoxide alarms on each side of the facility hallway. All stairway exits have egress alarms for safety. There are currently three (3) operating facility vehicles in the driveway. Other facility vehicle is being used, while the other one is undergoing repairs. LPA Karnsrithong has observed the following during the visit: Bedrooms: There are sixteen (16) bedrooms equipped with one (1) twin sized bed, closet space, adequate lightning and two (2) dressers. Each bedroom has the emergency disaster plan and facility sketch plan posted. Each bedroom has its own smoke alarm. Each bedroom also has one (1) window with blinds. Bathrooms: There are five (5) bathrooms that are used by clients. There are two (2) gender neutral bathrooms. All bathrooms have showers, sinks, toilet that are in good working condition. There are two (2) staff bathrooms that has a toilet and sink. The staff bathroom is locked and inaccessible to clients. Storage: There are two (2) hallway closets being used to store disinfectant and cleaning supplies. These rooms are kept locked at all times. Cleaning equipment such as vacuums and mops are stored here as well. Common Rooms: There are four (4) common areas that are utilized by clients upstairs. There is milieu area that is located in the lobby that is used for studying, tutoring and therapy. It has wooden chairs and tables. The study lounge is located adjacent to the milieu and has couches, television, video games, books, board games, and five (5) computers. This room is locked when not in used and computer usage is being monitored and supervised by staff. There is an art room that has chairs, tables, art supplies, television, and video games for clients to used. The activity coordinator's office is also located next to the art room. There is a music room that is equipped with musical instruments, couches, and digital music equipment that clients can used. There is another lounge located in the girl's hallway that is equipped with a couch, television, and two (2) computers. Laundry Room: There are two (2) laundry rooms located in the facility on each side of the hallway. The laundry room stores linens and laundry supplies. The laundry room located in the boy's hallway stores the toiletries for the clients. Each client has their own labeled cubby/container to be used for toiletries. (Page 2 of 3) Kitchen Area: The facility has a spacious kitchen that has two (2) stoves, two (2) refrigerators, one (1) dishwasher and a sink. Sharp items are stored away and locked in a drawer. All kitchen items and utensils are well organized and labeled. A kitchen island is located in the center and is used for preparing food. Small kitchen appliances (coffee maker, two (2) microwaves, air fryer, pressure cooker) are also available to use. Face masks and gloves are also accessible in the kitchen for safety purposes. There is a cook/chef that prepares and cooks the meals for the clients. There is a locked pantry on the other side of the kitchen that stores snack items, dry goods, grains, and one (1) refrigerator to be used to store extra food. There are enough perishable and non-perishable food supplies for the clients. The pantry also stores the client's individual food items that they may have purchased or provided to them by family or their social worker. It is stored in a plastic shelf that is labeled. Dining Area: The dining area has five (5) tables and serve meals buffet style. The menu is posted in the dining area. There are three (3) trash cans. There is a water dispenser also located in this area. Medication Room: This room is used to store medication, COVID-19 tests, Personal Protective Equipment (PPE), medication logs, vitamin supplements, first aid kits and other medical supplies. This room is maintained by the facility nurse. If the nurse is unavailable the facility manager provides the clients with medications as needed. All medications are stored accordingly, labeled, and includes the prescribing pharmacy, the type of medication, and the physician who prescribed the medication. Offices: There are four (4) offices located close to the boys' hallway. These offices are mainly used for mental health staff and some therapeutic services are also conducted in these offices. There is one (1) staff office in the middle of the hallway for direct care staff. Currently another office is being remodeled for the facility manager to use. There is one (1) administrative office that stores client's files, facility logs and other pertinent facility documentation. Medication Room office is also located in the hallway and stores medication, first aid kits and medication logs. There is one (1) office in the facility used by the program director. There is also one (1) office for the activity coordinator. There is a total of seven (7) office rooms in the facility. There were no deficiencies cited at this time. A copy of this report will be provided to the facility on a later date. (Page 3 of 3)


facility_name: PROMESA BEHAVIORAL HEALTH VAN NESS

summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On 12/08/2023, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint inspection to inform the facility of the outcome of the above complaint inspection.Met at the facility by House Manager Mayra Lares. Based on confidential interviews conducted and a physical plant inspection conducted by this LPA, the telephone was in a public area without doors and the minors were not able to have privacy. Based on the above, the complaint is Substantiated. Deficiency on the attached page. A copy of this report is left with House Manager Mayra Lares. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Tamara Melikian 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: PROMESA BEHAVIORAL HEALTH VAN NESSFACILITY NUMBER: 107206872

met_with: Mayra Lares


raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to Promesa Behavioral Health-Van Ness and met with Manager Kayla Delgado to conduct confidential interviews and deliver findings of investigation. CS and Investigator Ruben Munoz conducted investigation that included review of documentation and confidential interviews and due to inconsistencies in the information obtained a preponderance of the evidence could not be found that the allegations occurred as reported. Although the allegations may or may not have occurred without a preponderance of the evidence the allegations are deemed Unsubstantiated. No deficiencies observed or cited during this inspection. Copy of this report and LIC Appeal Rights left at the facility at conclusion of inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Kayla Delgado


summary: Facility Evaluation

raw_content:
Narrative:
On November 9, 2021, Licensing Program Analyst (LPA) Tamara Melikian conducted an annual inspection of the facility indicated above. Met at the agency by Residential Program Director Arlene Vargas. Staff files and training records were inspected on this date. A review of staff records on 11/09/2021 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. The annual inspection will be completed at a later date. There are no deficiencies to be cited on this date.

met_with: Arlene Vargas


summary: Facility Evaluation

raw_content:
Narrative:
On November 11, 2021, Licensing Program Analyst (LPA) Tamara Melikian conducted a follow up annual inspection at the above facility. Met by Administrator Joanna Solorio. At 1:00PM, an inspection of client files and medication logs was conducted. At 1:45PM, an inspection of the physical plant was conducted. LPA observed adequate food supply, appropriately maintained yard, adequate bedding, storage space, activity space, hot water that measured 112 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. At 2:15PM, an interview of S1 (see LIC811 dated 11/12/2021) was conducted. At 2:30PM, an interview of S2 (see LIC811 dated 11/12/2021) was conducted. The exit interview was conducted at 3:00PM and a copy of this report given to the Administrator. There are no deficiencies to be cited on this date.

met_with: Joanna Solorio


summary: Facility Evaluation

raw_content:
Narrative:
On 01/31/2022, an unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Tamara Melikian at 10:30AM. During the inspection, LPA met with Joanna Solorio, Administrator and inspected the facility inside and out. LPA reviewed two children's records and reviewed two staff personnel records for the facility at 10:30AM. A medication count was conducted at 1:00PM. LPA interviewed two staff at 1:30PM. LPA did not interview any children in the home as there is only one dependent in the facility and that child was at school. No deficiencies to be cited at this time. LPA conducted exit interview with Joanna Solorio, Administrator. LPA provided the summary report to Joanna Solorio, Administrator upon completion.


summary: Facility Evaluation

raw_content:
Narrative:
On February 9, 2022, Licensing Program Analyst (LPA) Tamara Melikian conducted a follow up SB Psychotropic Medication inspection at the above facility to interview client # C2 (see LIC811 dated 01/31/2022). Met at the facility by Administrator Joanna Solorio. Interview conducted at 1:35PM. There were no deficiencies cited on this date. A copy of this report was left with Administrator Joanna Solorio upon completion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On 04/11/2022, Licensing Program Analyst (LPA) Tamara Melikian travelled to the above facility to conduct an Annual inspection. Met by Administrator Joanna Solorio. At 9:15AM, an inspection of the physical plant was conducted. LPA observed adequate food supply, adequate bedding, storage space, activity space, hot water that measured 114 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. At 9:30AM, an inspection of client files was conducted as well as the centrally stored record and medications. At 10:15AM, an interview of S1 and S2 (see LIC811 dated 04/11/2022) was conducted. At 10:40AM, an interview of C2 was conducted. It was requested by this LPA to interview the other youth and they all refused. Staff records are inspected at 11:15AM. The exit interview was conducted at 12:00PM and a copy of this report given to the Administrator. It is requested that the licensee submit the following updated forms to CCL: LIC 308, 309, 500 and emergency disaster plan. In addition, the most recent minutes for the Board of Directors meeting. There are no deficiencies to be cited on this date.


summary: Facility Evaluation

raw_content:
Narrative:
On December 8, 2022, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced annual random inspection at the above facility. LPA met at the facility by Administrator Joanna Solorio. An inspection of the facility was conducted and the following was observed: No clients were residing in the home; therefore, no client nor staff files were inspected on this date. The licensee stated that the facility is closed due to staffing issues at this time. The facility was inspected indoors and outdoors. Hot water temperature measured at 106 degrees. LPA Melikian observed that there was an adequate supply of non-perishable items and no perishable items. LPA observed an adequate supply of furnishings, linens, and storage space for the clients. Cleaning chemicals inaccessible to the clients. There are no pets at the facility. Per the Administrator, there are no weapons at the facility. There are no bodies of water at the facility. There have been no deficiencies in the prior 12 months. There are no deficiencies to be cited on this date. LPA left a copy of this report to Administrator Joanna Solorio.


facility_name: PROMESA, BARSTOW HOUSE

raw_content:
Investigation Findings:
13On 10/11/2022, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint investigation for the above facility. Met by Residential Program Director Arlene Vargas. Interviews conducted and information and documents obtained. Based on information obtained, there are conflicts in statements regarding the above allegations. In addition, clients #1 and #2(see 811 dated 10/11/2022) refused to be interviewed. Based on the above, the complaint is Unsubstantiated. There are no deficiencies to be cited on this date. A copy of this report is given on this date to the Residential Program Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Tamara Melikian LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13On 12/06/2022, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint investigation for the above facility. Met by Administrator Joanna Solorio. Interviews conducted, information obtained and a physical plant inspection conducted. Based on interviews conducted and a physical plant inspection by this LPA, the temperature in the facility is not comfortable. Based on the above, the complaint is Substantiated. Deficiency on the attached page. A copy of this report is given on this date to the Administrator. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Tamara Melikian 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 24-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, E SHAW AVE FACILITY NAME: PROMESA, BARSTOW HOUSEFACILITY NUMBER: 107200789


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Reyna Martinez conducted a complaint inspection and met with Odalys Reynoso Diaz, Facility Manager. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging provider refused to pick up minor from Juvinile hall. The facility did refuse to pick up the minor, however due to clients physical and verbally assultive aggressive behavior towards their peers and staff, for the safety and well being of the other clients in the home, the facility did not pick up the minor. The facility contacted the authorized representative for transportation of the minor. LPA conducted interviews and obtained documentation.There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Reyna Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Odalys Reynoso Diaz


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Reyna Martinez conducted a complaint inspection and met with Odalys Reynoso Diaz, House Manager. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging staff engaged in inappropriate interactions with minor in care. LPA conducted interviews and obtained documentation.There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Reyna Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Reyna Martinez conducted a complaint inspection and met with Odalys Reynoso Diaz, House Manager. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging Staff is allowing marijuana to be smoked on facility premises. LPA conducted interviews and obtained documentation.There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Reyna Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


summary: Facility Evaluation

raw_content:
Narrative:
On September 23, 2021, Licensing Program Analyst (LPA) Tamara Melikian conducted an annual inspection of the facility indicated above. Met at the agency by Residential Program Director Arlene Vargas and Administrator Joanna Solorio. Staff files and training records were inspected on this date. In addition, client files and medication logs were inspected on this date. A review of staff records on 09/23/2021 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. The annual inspection will be completed at a later date. There are no deficiencies to be cited on this date.

met_with: Joanna Solorio, Arlene Vargas


summary: Facility Evaluation

raw_content:
Narrative:
On October 6, 2021, Licensing Program Analyst (LPA) Tamara Melikian conducted a follow up annual inspection at the above facility. Met by Administrator Joanna Solorio. At 1:30PM, an inspection of the physical plant was conducted. LPA observed adequate food supply, appropriately maintained yard, adequate bedding, storage space, activity space, hot water that measured 110 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. At 2:00PM, an interview of C3 (see LIC811 dated 10/06/2021) was conducted. At 2:20PM, an interview of C1 (see LIC811 dated 10/06/2021) was conducted. At 2:45PM, an interview of S1 (see LIC811 dated 10/06/2021) was conducted. At 3:10PM, an interview of S3 (see LIC811 dated 10/06/2021) was conducted. The exit interview was conducted at 3:30PM and a copy of this report given to the Administrator. It is requested that the licensee submit the following updated forms to CCL: LIC 308, 309, 500 and emergency disaster plan. In addition, the most recent minutes for the Board of Directors meeting. There are no deficiencies to be cited on this date.


summary: Facility Evaluation

raw_content:
Narrative:
On November 9, 2021, Licensing Program Analyst (LPA) Tamara Melikian conducted an SB Psychotropic Medication Inspection of the facility indicated above. Met at the agency by Residential Program Director Arlene Vargas. Staff files and training records were inspected on this date. A review of staff records on 11/09/2021 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. The inspection will be completed at a later date. There are no deficiencies to be cited on this date.


facility_name: PROMESA, MADERA HOUSE

raw_content:
Investigation Findings:
13On 12/02/2022, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint investigation for the above facility. Met by Residential Program Director Arlene Vargas. Interviews conducted and information and documents obtained. Based on interviews conducted and information obtained, there are conflicts in whether the facility staff refused to pick up the client (see LIC811 dated 12/02/2022) when the client was ready to leave the hospital. Based on the above, the complaint is Unsubstantiated. There are no deficiencies to be cited on this date. A copy of this report is given on this date to the Residential Program Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Tamara Melikian 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 2


raw_content:
Investigation Findings:
13On 07/10/2023, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint investigation for the above facility. Met by Administrator Renee Accardo. Confidential Interviews conducted and information and documents obtained. Based on confidential interviews conducted and information obtained, there are conflicts. Based on the above, the complaint is Unsubstantiated. There are no deficiencies to be cited on this date. A copy of this report is given on this date to the Administrator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Tamara Melikian LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

met_with: Renee Accardo


raw_content:
Investigation Findings:
13On December 3, Licensing Program Analysts (LPAs) Sonia Sanchez and Miriam Flores conducted a complaint investigation and met with Mickey Giannobile, House Administrator. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging staff did not prevent a minor from engaging in inappropriate sexual behavior with another minor. LPA conducted confidential interviews and obtained doucmentation. There were inconsistencies in the interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted and a copy of this report, as well as the appeal rights were left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Sonia Sanchez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Mickey Giannobile


raw_content:
Investigation Findings:
13On 10/15/2021, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint inspection for the Promesa, Madera House STRTP for the purpose of informing the facility of the outcome of the investigation. Met by Administrator Mary Krahn. During the course of the investigation, LPA conducted interviews with the minor (#1) and a witness. Based on interviews conducted, the minors are allowed to attend church, however at times when the minors have not given notice they would like to attend, there has not been the inappropriate amount of staff. Based on the above, the allegation is unsubstantiated. Exit interview conducted and a copy of the report was given to the Administrator. There are no deficiencies to be cited on this date. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Tamara Melikian LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of 2

met_with: Mary Krahn


summary: Facility Evaluation

raw_content:
Narrative:
On 09/02/2021, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced annual inspection of staff records and training for the above facility. The inspection was conducted at the corporate offices of Promesa Behavioral Health. Met at the offices by Human Resources Personnel Jodee Romero and Residential Program Director Arlene Vargas. An inspection of staff records and training was conducted. A review of staff records on 09/02/2021 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. The annual inspection will be completed at a later date. There are no deficiencies to be cited on this date.


summary: Facility Evaluation

raw_content:
Narrative:
On October 5, 2021, Licensing Program Analyst (LPA) Tamara Melikian conducted a follow up annual inspection at the above facility. Met by Administrator Tamara Black. At 1:30PM, an inspection of the physical plant was conducted. LPA observed adequate food supply, appropriately maintained and fenced pool, adequate bedding, storage space, activity space, hot water that measured 112 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. At 2:00PM, an inspection of client files was conducted as well as the centrally stored record and medications. At 2:45PM, an interview of S1 (see LIC811 dated 10/05/2021) was conducted. At 3:30PM, a interview of C1 (see LIC811 dated 10/05/2021) was conducted. The exit interview was conducted at 4:00PM and a copy of this report given to the Administrator. It is requested that the licensee submit the following updated forms to CCL: LIC 308, 309, 500 and emergency disaster plan. In addition, the most recent minutes for the Board of Directors meeting. There are no deficiencies to be cited on this date.

met_with: Tamara Black


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, Britanee Windom and Licensing Program Analyst Corina Carrillo conducted a Case Management Inspection on October 26, 2021 at 11: AM, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code Section 1538.7. 4 out of Direct Care Staff and 3 out of 3 youth files as identified on the LIC Confidential Names dated October 26,2021, were reviewed. 2 out of the Direct Care Staff and 3 out of 3 youth were also interviewed. The Plan of Operation including policies and procedures were reviewed. A copy of this report was discussed and provided to Tamera Black, Administrator.

met_with: Administrator Tamera Black


summary: Facility Evaluation

raw_content:
Narrative:
On March 28, 2022, Licensing Program Analyst (LPA) Tamara Melikian conducted an annual inspection at the above facility. Met by Administrator Tamara Black. At 9:00AM, an inspection of the physical plant was conducted. LPA observed adequate food supply, appropriately maintained and fenced pool, adequate bedding, storage space, activity space, hot water that measured 108 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. At 9:30AM, an inspection of client files was conducted as well as the centrally stored record and medications. At 10:00AM, an interview of S1 and S2 (see LIC811 dated 03/28/2022) was conducted. At 10:30AM, a interview of C1 (see LIC811 dated 03/28/2022) was conducted. At 11:00AM, an inspection of staff records was conducted. The exit interview was conducted at 12:00PM and a copy of this report given to the Administrator. It is requested that the licensee submit the following updated forms to CCL: LIC 308, 309, 500 and emergency disaster plan. In addition, the most recent minutes for the Board of Directors meeting. There are no deficiencies to be cited on this date.