summary: Facility Evaluation

raw_content:
Narrative:
On the above date, LPAs (Licensing Program Analysts) Lisa Slusher conducted a case management inspection at the above agency. The purpose of this inspection is to address an incident report dated 12/21/24. LPA discussed the incident report with Administrator Fatimah Rodriguez. Facility has an appropriate plan in place and recently participated in a child and family team meeting with the NMD. See LIC 811 for confidential names No deficiencies noted at this time.


state: CA

facility_name: 3RS THP+FC

summary: Facility Evaluation

raw_content:
Narrative:
On this date, LPA (Licensing Program Analyst) Lisa Slusher conducted a case management inspection at the above facility. The purpose of this inspection is to re-capture signatures which did not save during a previous inspection. LPA also received additional information regarding an incident report during inspection. No deficiencies noted in areas observed.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Fatimah Rodriguez


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Christopher Rollins made an unannounced required Annual inspection at A Better Way Administrative office. LPA met with Assumpta Kamanzi- Permanency Director (PD) and Pete Maspaitella Consultant. The Transitional Housing Placement Plus Foster Care program (THP-FC) services non-minors dependents. At 10: AM, LPA did a walk through inspection with PD and consultant of the office. The office has sufficient space for confidential meetings, all participant files and staff files are located in a locked cabinet in a secure location. The agency has their license posted in their front lobby. The office is in compliance with Community Care Licensing (CCL) regulations. LPA spoke with PD and consultant about the residential unit. DP stated that the residential home has toilets, sinks and tubs all in working order. PD states that all disinfectants and cleaning supplies are locked up and inaccessible. DP notified LPA that the program provides all participants with household essentials and that there are no weapons or firearms stored in the housing units. DP states that the home is at a comfortable temperature. At 12: PM, LPA reviewed 2 participants files and 4 staff files with PD and Consultant. LPA observed Participants files to be complete and found no deficiencies. All documents are complete and up to date. LPA observed 4 staff files to be complete, all documentation is up to date and all staff training were up to date/current. During inspection, LPA requested a updated copy of the LIC Personnel Report, LIC C to maintain their file current. LPA receive an updated copy of updated Leasing Agreement. LPA also spoke with PD and Consultant about updating the Program Administrator documents. A review of Licensing Information System on September 21, 2021 indicates that all facility staff associated to the facility had DOJ, FBI and child abuse index check clearances. Per Title Regulations, no deficiencies were cited during this inspection. Exit interview conducted and a copy of the report was left at the facility

visit_type: Annual

met_with: Assumpta Kamanzi Permanency Director and Pete Maspaitella- Consultant


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) George Karkazis made an unannounced required Annual Inspection to A Better Way. LPA met with Assumpta Kamanzi, Permanency Program Director . The Transitional Housing Placement Plus Foster Care program (THP-FC) services non-minors dependents. Present were two staff members and no clients. At 9:45AM, LPA did a walk through inspection with Assumpta Kamanzi, Permanency Program Director, of the office. The office has sufficient space for confidential meetings, all participant files and staff files are located in a locked cabinet in the file room. The agency has their license posted in their office. The office is in compliance with Community Care Licensing (CCL) regulations. LPA spoke with Assumpta Kamanzi about the residential units. Assumpta Kamanzi stated that all residential units have at least one toilet, sink and tub in working order. Assumpta Kamanzi stated that all disinfectants and cleaning supplies are locked up and inaccessible. Assumpta Kamanzi notified LPA that the program provides all participants with household essentials and that there are no weapons or firearms stored in the housing units. At 11:03AM, LPA reviewed five participants files and four staff files with Assumpta Kamanzi. LPA observed five participants files to be complete and found no deficiencies. All documents are complete and up to date. LPA observed four staff files to be complete, all documentation is up to date and all staff training were up to date/current. Per Title Regulations, no deficiencies were cited during this inspection. Exit interview conducted and a copy of the report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On 12/10/24, Licensing Program Analyst (LPA) Mariah Hawkins conducted a random annual inspection. LPA met with Program Director Tatiana Stewart and informed of the purpose of the visit. LPA observed the transitional housing placement program office to be maintained in clean and safe condition. The office has large and small meeting space as well as storage for confidential records. LPA reviewed staff background clearances and provided technical support on utilizing the Guardian caregiver backgrounds system. LPA also obtained location information for the current housing units. LPA requested that current Certificates of Compliance for both current housing units be sent to LPA by Wednesday 12/18/24. A continuation visit will be conducted in order to complete the review of participant and personnel files. No deficiency citations were issued at today's inspection. An exit interview was conducted, appeal rights were discussed, and a copy of this report was provided to Program Director Tatiana Stewart, whose signature on this form confirms receipt.

met_with: Program Director Tatiana Stewart


summary: Facility Evaluation

raw_content:
Narrative:
On 1/15/25, Licensing Program Analyst (LPA) Mariah Hawkins conducted a Case Management Inspection to continue the annual inspection initiated on 12/10/24. LPA met with Chief Program Officer Warner Graham. The Administrative Assistant and Human Resources Manager assisted LPA in completing records reviews of participant and personnel records. LPA reviewed 4 participant records and 1 personnel record. The inspection was completed using the CARE Inspection Tool, which found no deficiencies. There are no deficiency citations. An exit interview was conducted, appeal rights were discussed, and a copy of this report was left with Chief Program Officer, whose signature on this form confirms receipt.

met_with: Chief Program Officer Warner Graham


facility_name: A NEW BEGINNING FOR ME

summary: Facility Evaluation

raw_content:
Narrative:
On February 4, 2025, at AM, a Component II Office Visit was held to discuss the application received for A New Beginning For Me located at 43545 17th Street W. Unit Lancaster, CA 93534. Attending Component II were the following individuals:Princess Wesley, Applicant, Erika Butler, Licensing Program Analyst, and JoAunne Griffin, Licensing Program Manager. The purpose of this Component II meeting was to review and discuss the incomplete application and Program Statement and to resolve any outstanding concerns that may have existed. The following incomplete application forms were discussed at the meeting: 1. Affidavit Regarding Client/Resident Cash Resources (LIC 400) 2. Budget Information (LIC 420) 3. Personnel Report (LIC 500) 4, Personnel Record (LIC 501) 5. Health Screening Report (LIC 503) 6. Out of State Criminal Record Statement (LIC 508D) 7. Criminal Background Clearance Transfer Request (LIC 9182) Continued on C 8. Copy of your Driver License Program Statement Licensee needs to revise the Program Statement and place each section under the tab sections. The Applicant was advised of the following revision and/or corrections needed to the application and/or Program Statement: Revisions are due by March 4, 2025. Email revisions to erika.butler@dss.ca.gov. A copy of this report was provided to the Applicant, Princess Wesley.

met_with: Princess Wesley


summary: Facility Evaluation

raw_content:
Narrative:
On March 27, 2025, at AM, Licensing Program Analyst (LPA) Cheri Wilkerson, and Licensing Program Manager (LPM) JoAunne Griffin arrived at A New Beginning Transitional Housing Placement Program (THPP) administrative office located at 43545 17th St. W # Lancaster, CA 93534 for the purpose of conducting a Pre-Licensing inspection. LPA and LPM conducted a walk-through of the administrative office with Princess Wesley, Administrator. A health and safety assessment was conducted. LPA and LPM observed the office suite to be in an office building on the second floor. The office suite consists of reception area, three offices spaces, kitchen, and bathroom. Office Space 1: will be utilized as a career/trade space for clients. Office Space 2: will be utilized for confidential interviews. Space is equipped with chair, desk, and cabinet space. Office Space 3: will be utilized as administrator office. Space is equipped with chair, desk, laptop, and monitor. Staff and client files will be stored in file cabinet located in the office. Continued on LIC 809-C Bathroom: was observed to be clean and in good repair. Kitchen Space: consisted of a sink, microwave, coffee maker, fire extinguisher, covered trash can, and first aid kit. The reception space consists of a L-shaped desk and ten chairs. Lighting was sufficient and dual smoke/carbon monoxide detector was observed. Space was also observed to have central air and heat. Phone service was observed not to be operable. Emergency exits are located on the east and west end of the building. Princess Wesley has been identified as the Administrator for location. An exit interview was conducted, and a copy of this report will be emailed to Princess Wesley at anewbeginingfoeme6@yahoo.com.

visit_type: Prelicensing


summary: Facility Evaluation

raw_content:
Narrative:
On April 21, 2025, at 9: AM, Licensing Program Analyst (LPA), Erika Butler, conducted a Transitional Housing Placement Program (THPP) Component III office meeting with Applicant,Princess Wesley. LPA Butler met with Applicant to discuss forms required to be maintained, available, and posted at the facility for inspections. We discussed child and personnel records that are required to be documented, retained and available for inspection. We also discussed specific requirements, concerns and issues operating aTHPP, such as, reporting requirements, personnel requirements, supervision, intake issues, compatibility, removal/discharge policies, complaint procedures, transportation, health services, food, hygiene, visitation, personal property, searches, and community sensitivity. Licensing of facility will be April 22, 2025. . A copy of this report was emailed to the Applicant, Princess Wesley.


summary: Facility Evaluation

raw_content:
Narrative:
On July 24, 2025 at 2:15pm Licensing Program Analyst (LPA) Donald Martin arrived at the above office to conduct a Post Licensing Inspection. LPA met with Princess Wesley and was allowed into the office. The program supports up to 8 clients in THPP residences. The office set up is as follows: The Administrators staff office is located at the rear of the office. Next door is the staff bathroom. The bathroom is clean and in order. Outside of the staff office is the kitchen area. There is a sink, coffee maker and a microwave with various snacks below. There is a book shelf with books and toys on top. There are two closets in the area. One containing random storage items and the other contains the air conditioning unit. The entrance has a reception desk with several chairs surrounding it. In this area there are two additional staff offices with desks and chairs. The program has yet to hire staff. The program has yet to take in any clients. There were no deficiencies cited at the time of the visit.

met_with: Princess Wesley-Administrator


facility_name: ALDEA INC

summary: Facility Evaluation

raw_content:
Narrative:
On 02/14/2023, at 1: PM, Licensing Program Analyst (LPA) Connie Goldie conducted an announced inspection and met with Operations Manager, Yuen Chiang. The purpose of the inspection was to conduct a Pre-licensing visit for the relocation of the Transitional Housing Placement Program THPP/ THP+ FC Foster Care. LPA Goldie toured THPP with Office Manager, Yuen Chiang, Compliance/ IT Director, Erin Zamora and Compliance Supervisor , Marie Alvarado and observed the following: The THPP has a waiting area, fire exit plan, fire extinguisher, smoke detectors, and personal rights posters upon entry. There are two private offices for the THPP staff. Within the suite there is a conference/training room which is used as a meeting room for THPP/THP+FC staff . Additionally LPA observed four sound proof "hotel rooms" utilized for participant interviews, a work suite and a mini conference room and 3 visitation rooms for THP+ FC clients. One of the visitation rooms caters to participants with an infant. Staff files and participant files are all electronic for purpose of confidentiality. A kitchen is on site for staff. Care Tool was completed. The following domains were completed: physical plant, operations, disaster preparedness and staffing. Prior to today's visit, the application for the relocation was received and reviewed by the Regional Office. LPA Goldie did not observe any deficiencies in regard to Physical Plant during today's inspection. The agency is ready to be licensed for the Transitional Housing Program pending amended LIC200 to include THP+ FC and forms, LIC500, LIC401, LIC401A and LIC610. An exit interview was conducted at 2: PM with OM Chiang and a copy of this report was left at the facility.

met_with: Office Manager Yuen Chiang


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) Orlando Areizaga and Zaria Turner and Licensing Program Manager (LPM) Rosa Rodriguez made an unannounced Annual inspection on Thursday January 13th, 2025 at 9: AM. During the inspection LPAs and LPM met with Supervisor of Resource Family Approval, Narda Oldfield who assisted with the inspection. LPAs Areizaga and Turner and LPM Rodriguez conducted a walk-through of the facility interior. Facility staff at time of inspection were 4. No staff interviewed were conducted. LPAs and LPM observed # 22 office rooms, # 1 kitchen, # 4 conference rooms, # 2 storage rooms, # IT office, # 1 admin office, # 2 therapy rooms, & # 1 lobby. LPAs Areizaga and Turner and LPM Rodriguez were unable to verify the following documentation during today's inspection: · Staff files · Client files · LIC forms LIC 500, LIC 309, LIC 610c During today's inspection the following items are to be revised with current information, rostered personal, and signatures. · LIC 500 · LIC 309 · LIC 610c LPAs Areizaga and Turner and LPM Rodriguez inspected and/or reviewed the following: CONT TO C PAGE Physical Plant: LPA observed the necessary documentation, such as the Facility License, Personal Rights, and Grievance Policies. Cleaning/Disinfectants were secured. Smoke Detectors/Carbon Monoxide were tested and observed in working order. Fire Extinguishers were charged and in 3 locations in the facility. Multiple First Aid Kits were observed throughout the facility to be fully stocked. Fridge was below 45 degrees and Freezer was below 0. Hot water was tested at 110 degrees. Common areas were easily accessible with plenty of seating space for staff. Operations: Reviewed participant names and living units. Disaster Preparedness: Disaster and mass casualty plan updated and available in the entryway. Staffing/Client Records: No staff or client records were available for LPA's and LPM to review. The following items were reviewed for compliance in the regional office prior to the facility inspection: · Annual fees: $0.00 has a credit of $453.00 · Administrator Certificate for: Kimberly Catanzano · Facility Sketch, LIC 308, LIC An exit interview was conducted with Supervisor of Resource Family Approval, Narda Oldfield, and a copy of this report was left at the facility. A continuation Annual inspection will be conducted during the week of 02/17/2025. During the continuation Annual inspection, the following will be reviewed: Staff files, Client files, staff interviews & LIC forms LIC 500, LIC 309, LIC 610c.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) Orlando Areizaga and Zaria Turner and Licensing Program Manager (LPM) Rosa Rodriguez made an unannounced Annual Continuation inspection on Wednesday, February 19, 2025 at 9: AM.During the inspection LPAs and LPM met with Program Director, Kim Catanzano who assisted with the inspection. LPAs Areizaga and Turner and LPM Rodriguez conducted a walk-through of the facility interior. Facility staff attime of inspection were 10. 5 staff interviews were conducted. LPAs and LPM observed # 22 office rooms, # 1 kitchen, # 4 conference rooms, # 2 storage rooms, # IT office, # 1 admin office, # 2 therapy rooms, & # 1 lobby. LPAs Areizaga and Turner and LPM Rodriguez inspected and/or reviewed the following domains: Staff Records: Number of Staff files reviewed: 5. All Criminal Record Clearances, Job Title/Qualifications, and Training were verified. Administrator Certificate verified. Client Records: Number of client records reviewed: 5. 5 out of 5 needs and services plans were not signed by participants, a Type B citation was issued during today's inspection. All other required records were in compliance. The following items were reviewed for compliance in the regional office prior to the facility inspection: · Annual fees: Current · Administrator Certificate for: Kimberly Catanzano An exit interview was conducted with Program Director, Kim Catanzano and a copy of this report and appeal rights were left at the facility.

met_with: Program Director, Kim Catanzano


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Dawn Eunice conducted a case management inspection to the above facility for the purpose of ensuring compliance with Interim Licensing Standards, Health and Safety Code and Title 22 regulations regarding the mandate that facilities have a current valid license before operating a Department of Social Services, Community Care Licensing Division facility. On January 31, 2023, an application and licensing fees were received for Aldea Foster Family Agency, Adoption Agency and Transitional Housing Placement Plan facilities. On February 1, 2023 the Department conducted relocation inspections for Aldea Foster Family Agency and the Aldea Adoption Agency. On February 14, 2023, the Department conducted a pre licensing inspection for Aldea Transitional Housing Placement Program. During that inspection, it was discovered that the Aldea facilities were conducting business although the licensing procedures were not finalized for their relocation. Ultimately, the Department did license all three facilities on February 23, 2023. The civil penalty for operating unlicensed is $200.00 per day. In the spirit of collaboration with entities that care for the State's vulnerable client population the Department will assess penalties for 2 days when in fact, all Aldea community care facilities were operating unlicensed over one week. This occurred due to a set of circumstances/oversight by Department staff and the fact that the Aldea community care licensing agencies employed a new Program Administrator. The Program Administrator has complied with the Department's requests for required documentation and now knows the licensing requirements for facility relocations. There is an additional mandate due to the Aldea facility moves. The Department is requiring the Aldea community care licensed facilities to amend their Program Statements. Please ensure they reflect the new addresses for of each of the 3 new locations. Please provide the amended Program Statements by March 31, 2023. On March 8, 2023, Licensing Program Analyst Dawn Eunice delivered this LIC 809, LIC 809D, Appeal Rights, and LIC 421A civil penalty report.

met_with: Karen Lustig, Social Work Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Alyssa Burgess made an unannounced annual inspection at the agency and met with Karen Lustig, Social Worker Supervisor (SWS), and Krystal Johnson, Administrator who assisted with the inspection. LPA and SWS conducted a walk-through of the agency, which is located in a commercial building. LPA observed two conference rooms, four visitation rooms, two break rooms, one physical file room for old files, 28 offices, and three storage rooms. Staff and Client files are kept electronically, hallways and exits were clear, the agency was clean. There were four fire extinguishers which were two months past due for inspection. During this inspection the agency sent an email to the fire officials to correct this. The listed Administrator Shahrukh Chishty is no longer the Administrator, Krystal Johnson is. LPA instructed SWS and Administrator to have the agency send in to CCL the required proof of qualifications detailed in CCR Title 22 regulations section 86064(a) and LPA can change the named Administrator. LPA also learned that the agency plans to change locations around June or July of 2022. LPA advised the agency of the requirements that must be met and completed before the move takes place. LPA reviewed all 7 client files and found: one client did not have a Needs and Services Plan as required. The other six clients reviewed had Needs and Services Plans and all requirements were met for those. All clients but two were missing Health Assessment forms, TB tests, and any other medical information. Various reasons were given for this such as the client refused, the client didn't give paperwork to the agency, the appointment slots are backed up, and for one, there was no explanation. Additionally, there were no signed discharge and removal policies in any client file. The files were complete otherwise. On today's date, the facility is being cited for a violation of the California Code of Regulations, Title 22, Division 6, Section 86270(a)(2)(F). Advisory notes were also issued, which are not citations. An exit interview was conducted with Administrator and a copy of this report along with appeal rights was emailed to her with a read receipt which will serve as the record of receipt.

met_with: Karen Lustig & Krystal Johnson


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Alyssa Burgess made an unannounced annual continuation inspection at the agency and met with Administrator Krystal Johnson who assisted with the inspection. LPA began the inspection but could not continue due to computer issues. LPA continued the annual elsewhere. LPA reviewed four staff files with HR staff Stephanie Gamboa (HR) over Microsoft Teams due to her working remotely as well as LPA. HR showed LPA all staff files and documents LPA requested. LPA found that all files were kept confidential and were organized. LPA found one staff to not have the required proof of education to meet requirements in their file, one staff is not associated to the agency as required, and staff have not received the one hour minimum abuse reporting-specific training as required, however, all staff reviewed did acknowledge their responsibility to report abuse. All other requirements were met. On today's date, the agency is being cited for violations of the California Code of Regulations Title 22, Division 6, Sections 86019(e)(2) and 86065(f)(1), and Health and Safety Code Section 1565(a). An exit interview was conducted with Administrator and a copy of this report and appeal rights was emailed to her with a read receipt which will serve as the signatures on this report.

met_with: Krystal Johnson


facility_name: ALTERNATIVE FAMILY SERVICES THP+FC

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection and met with Administrator Patty Cala. This inspection was only for the administrative office for the THP+FC. The facility is a three room office suite co-located with the Huckleberry Youth Programs. The facility was toured and is clean, sanitary, and in good repair for the safety and well-being of clients, employees, and visitors. Firearms and other weapons are not stored in the units. Facility has one or more functioning carbon monoxide detectors that meet the statutory requirements. Locking space is available for client documentation. There is currently one youth in placement. Youth and staff files were reviewed and are current and complete with required documentation. No Title 22 deficiencies cited this date. Exit interview conducted and a copy of the report was left with staff.

met_with: Patty Cala


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection and met with Administrator Patty Cala. This inspection was only for the administrative office for the THP+FC. The facility is a three room office suite co-located with the Huckleberry Youth Programs. The facility was toured and is clean, sanitary, and in good repair for the safety and well-being of clients, employees, and visitors. Firearms and other weapons are not stored in the units. Facility has one or more functioning carbon monoxide detectors that meet the statutory requirements. Locking space is available for client documentation. There is currently four youth in placement. Youth and staff files were reviewed and are current and complete with required documentation. No client interviews were conducted to clients not wanting to be interviewed. No Title 22 deficiencies cited this date. Exit interview conducted and a copy of the report was left with staff.


summary: Facility Evaluation

raw_content:
Narrative:
On October 9, 2025 at 10:45am, Licensing Program Analysts (LPAs) Celeste Aparicio and Kimberly Hall conducted an unannounced visit to the facility for the purpose of conducting an Annual inspection. LPAs Aparicio and Hall met with Program Director, Sophie Eckert who helped facilitate the inspection. During this inspection LPAs used the CARE Tool to review 6 client files and complete a walk through of the facility. During the facility tour, LPA's observed that the facility is a single story office building that includes 3 sublet office rooms with one of the rooms being a meeting space for the clients in care. Client files are maintained in the in a locked filing cabinet located in one of the staff office rooms. During the review of the client files LPAs identified that medical assessments along with health and education records were unavailable in all client files. LPAs are issuing citations of California Code of Regulations (CCR), Section 86069(a) and Interim Licensing Standards (ILS) for Nonminor Dependents Section 86270(a)(2)(B)(1) Nonminor Dependent Records. (See LIC809-D page) The annual inspection is not complete at this time. A continuation visit will be conducted at a later date to complete this inspection. An exit interview was conducted, appeal rights were discussed and a copy of this report was provided to Program Director, Sophie Eckert whose signature on this form confirms receipt.

met_with: Program Director, Sophie Eckert


summary: Facility Evaluation

raw_content:
Narrative:
On October 17, 2025 at 10:15am, Licensing Program Analysts (LPAs) Celeste Aparicio and Kimberly Hall conducted an unannounced visit to the facility for the purpose of completing Alternative Family Services THP Annual inspection. LPAs Aparicio and Hall met with Program Director, Sophie Eckert who helped facilitate the inspection. During this inspection LPAs used the CARE Tool to review 3 staff files and review the facility's policies on disaster preparedness and operations. LPA's conducted one staff interview. During the review of staff files, LPAs discussed the Administrator qualifications and reviewed staff training. During the review of staff training LPA's identified that staff had no documented training on the THPP's policies and procedures concerning when and how to involve law enforcement in response to an incident involving a participant residing in a THPP living unit. Additionally, LPA's observed there to be no staff training related to the sexual and reproductive rights of youth in foster care. LPAs are issuing citations of California Code of Regulations (CCR), Division 6, Chapter Section 86065(f)(3)(A) and 86065(f)(4). (See LIC809-D pages). The annual inspection is complete at this time. An exit interview was conducted, appeal rights were discussed and a copy of this report was provided to Program Director, Sophie Eckert whose signature on this form confirms receipt.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On October 17, 2025 at 1:50pm, Licensing Program Analysts (LPAs) Celeste Aparicio and Kimberly Hall conducted an unannounced Case Management inspection and met with Program Director/ Administrator, Sophie Eckert. LPA disclosed the purpose of the inspection and was granted entry to the facility by the Program Director. On September 15,2025 at 10:45am and October 3, 2025 at 10am LPAs Aparicio and Hall attempted to conduct the facility's annual inspection. During both inspection attempts neither the Administrator (S1), (please refer to LIC 811, dated 10/17/25 for confidential names), or the Administrators' designee was not available to meet LPAs in the office to conduct the annual inspection. On both occasions (S1) confirmed they were not available and did not have an administrator designee. Also, based on a review of the facility's LIC500 the Administrator is 'On- Call' Monday through Sunday, and no Administrator designee was listed. LPAs are issuing citations of California Code of Regulations, Title 22, Division 6, Chapter Section 86064 (c)(1) and 86064 (c)(2). (See LIC809-D page). An exit interview was conducted, appeal rights were discussed, and a copy of this report was provided to Program Director, Sophie Eckert whose signature on this form confirms receipt.

Deficiencies:
86064: 1
2
3
4
5
6
7

title:
(c)(2) The administrator shall be responsible for the operation of the THPP... (2) When the administrator is absent during regular business hours, from the THPP, there shall be coverage by the administrator's designee.
This requirement is not met as evidenced by

description:
1
2
3
4
5
6
7


summary: Facility Evaluation

raw_content:
Narrative:
On Friday 8/27/21 at 9:57AM, Licensing Program Analyst (LPA) Mariah Hawkins made a visit for the required annual inspection. LPA made pre-visit screening calls to the main office line and to CEO's direct line and left messages with LPA's callback number. LPA was greeted by office staff S2 (See LIC Confidential Names) and met with Administrative Assistant Linda Peete, who Dr. Phillips stated could represent the facility on their behalf today when LPA called Dr. Phillips upon arrival to the office. Dr. Phillips informed LPA that there are currently no residential units under the program. There are also no residents in care. Notification had not been sent to Licensing about the unit(s) no longer being used. At 10:03AM, LPA observed that there was no license posted in the office. An advisory was previously issued regarding this on 5/13/21. LPA printed a copy of the license at visit, and provided to staff to post in the office. At 10:30AM, Administrative Assistant informed LPA that only 1 client file was currently available and that the other files may be in Dr. Phillips' office or at home. Administrative Assistant was able to estimate that there were about 6 youth placed at the program within the last 3 years. Administrative Assistant informed LPA that only 3 of 6 staff files were available for review. LPA reviewed 1 of 6 client files and 3 of 6 staff files and will coordinate with Director for a follow-up inspection. LPA is requesting that Director Dr. Phillips provide LPA the most current LIC 500 and LIC 610, as well as any LIC 9020s Register of Clients, per Title 22, Section 80071(a)(1), for the past 3 years, per Title 22, Section 80070(g). LPA issued six (6) advisories per California Code of Regulations, Title 22, Sections Availability of License, 86031. Notification, Reporting Requirements, Register of Clients, Criminal Record Clearance, Administrator Qualifications and Duties. A follow-up inspection is required to continue the review of facility files that were not available during today's initial inspection. An exit interview was conducted, and a copy of this report was left at the facility.

met_with: Administrative Assistant Linda Peete


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 8/18/22 at 2:42PM, Licensing Program Analyst (LPA) Mariah Hawkins made a visit to the transitional housing placement program office for a Year Inspection. LPA met with Director Dr. Patsy Phillips and President Wayne Phillips and informed of the purpose of the visit. An initial visit was made on 8/5/22, during which Director and President confirmed multiple times that they would be arriving, but after an hour and 15 minutes, they had not shown and stated they had not left their current location, which they stated was "right around the corner," to make their way toward the office. On 8/18/22, LPA provided an expected window of arrival of noon to 2PM, but at 1:42PM today when LPA arrived, neither the Director nor the President were present. They were called and confirmed they would arrive, but did not arrive until 2:35PM. The worker at the office indicated that she is not authorized to act on behalf of the licensee in any formal way and cannot sign the visit report. Upon arrival, Director informed LPA that she is technically on medical leave and the facility is not operating, which had not been reported to the Licensing agency. LPA is issuing 2 citations per California Code of Regulations, Title 22, Sections Inspection Authority of the Licensing Agency and Administrator Qualifications and Duties and 1 advisory per Reporting Requirements. See attached LIC 809-D and LIC 9102. Licensee was previously cited for Inspection Authority on 5/31/21 and for Administrator Qualifications (Section 86064(a)(2)(A)) on 10/13/21. Due to the repeat violation within 12 months of this section, LPA is issuing an immediate civil penalty of two-hundred and fifty dollars ($250). The CARE Inspection Tool was used to conduct this inspection. There are no residents currently in the program, and the facility does not currently have any participant units. The program also does not currently have any social work / case management staff. The following additional deficiencies were found: 1) The facility does not have an emergency and disaster plan and could not furnish it during the inspection. Staff have not been trained on the emergency and disaster plan. Fire drills have not been conducted quarterly nor in over 3 months. Documentation of fire drills could not be furnished during inspection. LPA is issuing 2 citations and 1 advisory per Health and Safety Code Section 1565. See attached LIC 809-Ds and LIC 9102. 2) The Director and President stated the plan of operation may be in the office, but it could not be furnished during the inspection as LPA nor staff were able to locate it. LPA is issuing 1 advisory per California Code of Regulations, Title 22, Section Plan of Operation. See attached LIC 9102. An exit interview was conducted, appeal rights provided, and a copy of this report was left with Director Dr. Patsy Phillips and President Wayne Phillips, whose signature on this form confirms receipt.

Deficiencies:
80044: 1)

met_with: Director Dr. Patsy Phillips

title:
Inspection Authority of the Licensing Agency and 86064 Administrator Qualifications and Duties and 1 advisory per 86161 Reporting Requirements.  See attached LIC 809-D and LIC 9102.  Licensee was previously cited for Inspection Authority on 5/31/21 and for Administrator Qualifications (Section 86064(a)(2)(A)) on 10/13/21.  Due to the repeat violation within 12 months of this section, LPA is issuing an immediate civil penalty of two-hundred and fifty dollars ($250).
The CARE Inspection Tool was used to conduct this inspection.  There are no residents currently in the program, and the facility does not currently have any participant units.  The program also does not currently have any social work / case management staff.  The following additional deficiencies were found


summary: Facility Evaluation

raw_content:
Narrative:
On 11/03/22 at 11:14AM, Licensing Program Analyst (LPA) Mariah Hawkins made a visit to the facility to confirm closure. A forfeiture letter was mailed to the licensee on October 25, 2022, and the facility was officially closed on October 28, 2022. There is no one at the office as no one responded to knocks on the door, and no one answered calls to any of the facility and licensee phones. A copy of this report will be provided to the licensee by certified mail.


summary: Facility Evaluation

raw_content:
Narrative:
On Wednesday, September 8, 2021 at 11:15AM, Licensing Program Analyst (LPA) Mariah Hawkins made a visit to the facility (THPP office) for the scheduled annual continuation. LPA scheduled the visit with Director Dr. Phillips and spoke on the phone to confirm the visit the day prior. This annual continuation is to complete the file review, as not all files were available during the initial inspection on 8/27/21. LPA used the Inspection Tool to complete the annual inspection. LPA reviewed all client files and staff files provided in the office. All files reviewed were incomplete. Staff files did not all contain the necessary documentation, such as criminal record clearance, health screening, and training documentation/certifications. The THPP was unable to provide the file for the current social worker. Client files were inconsistent. See LIC Confidential Names for the following: - R1's file was missing admission agreement, identification page, authorized representative contact, photo ID, medical assessment, consent forms, immunization record, needs and services / treatment plans, inventory of cash resources and personal valuables. - R2's file was missing all of the above except the admission agreement and consent forms. - R3's file was missing all of the above except some program notes (meetings, stipends). - R4's file was missing all of the above except admission agreement and some program notes (meetings). - R5's file was missing all of the above except admission agreement, treatment plan, and identification page. 5 other files were reviewed from clients placed before 2018, and all files were missing multiple items. Additionally, residents with children did not have evidence of 1st aid training in their file. LPA issued citations per California Code of Regulations, Title 22, Section Participant Records and Section Personnel Records as well as an advisory per Section Health Related Services. An exit interview was conducted, appeal rights provided, and a copy of this report left with Director Dr. Phillips, whose signature on this form confirms receipt.

met_with: Director Dr. Phillips


summary: Facility Evaluation

raw_content:
Narrative:
On Wednesday 10/13/21 at 10AM, Licensing Program Analyst (LPA) Mariah Hawkins conducted a POC visit at the licensee administrative office. At 10:45AM, LPA met with Administrative Assistant Linda Peete, whom Director Dr. Patsy Phillips verbally authorized, over the phone to LPA, to represent the licensee and sign the reports on Director's behalf. LPA informed both of the purpose of the visit. There are no participants currently in the program. The purpose of the visit was to review the following corrections, per the plans of corrections (POCs) developed on 09/08/2021. The POCs were given an official due date of 10/06/2021, which was also written on top of the copy provided to licensee for clarity. 1. California Code of Regulations, Title 22, Section 86070(b) Participant Records. Type B. The POC was: (1) to submit a copy of the needs and services / TILP their program uses and that will be used for future clients; (2) to submit a training plan that details for current and future staff the program's procedures for ensuring client files contain all necessary documentation, including a list of the necessary documentation. This is the second time this citation has been issued within the past 12 months, so for the repeat violation, LPA issued an immediate civil penalty of $250 with a penalty of $50 per day that will accrue until the correction is completed. 2. California Code of Regulations, Title 22, Section 80066(a) Personnel Records. Type B. The POC was: to submit a training plan that outlines in detail the list of documents needed in each personnel file, how they will be organized in the personnel file, and the procedures by which the THPP will obtain these files. This can serve as an addendum to the program plan. For failure to meet the POC due date, LPA issued a civil penalty of $100 per violation per day since the due date. Additionally, POCs were not received for prior citations issued on 05/13/2021. However, LPA did not make the POC visit within the required time frame. As of today, the corrections have still not been made, so citations were re-issued, per California Code of Regulations, Title 22. 1. 80061(b)(1)(E) Reporting Requirements. Type B. Missing incident reports for resident unauthorized absences were not submitted to Licensing. The POC remains to submit any pending or unsubmitted reports and to develop a training guide for current and future staff that lists the types of incident reports, reportable incidents, and to whom and within what timeframe to submit. This is the second time this citation has been issued within the past 12 months, so for the repeat violation, LPA issued an immediate civil penalty of $250 with a penalty of $50 per day that will accrue until the correction is completed. 2. 86009(a) Availability of License. Type B. The license was not posted in the administrative office. When licensee stated they did not have a license, a one-time copy was printed, and an advisory was issued. Today, LPA observed the license is still not posted in the office. The POC is to visibly post the license in the office. 3. 86064(a)(2)(A) Administrator Qualifications and Duties. Type B. The administrator was not available during the THPP's business hours, and no staff member with administrator's qualifications was designated to cover administrator's duties. Administrative Assistant was off-duty and was called in to the office in place of Dr. Phillips, and neither a LIC 308 nor Linda's file were on site. Linda also does not have full access within the office, so, per staff, some files may be in Dr. Phillips' office or elsewhere. The POC is to demonstrate there is always coverage by qualified and authorized staff. Dr. Phillips arrived at 12:40PM. An exit interview was conducted, appeal rights provided, and a copy of this report left with Dr. Phillips, whose signature on this form confirms receipt.

met_with: Administrative Assistant Linda Peete; Administrator/Director Dr. Phillips


summary: Facility Evaluation

raw_content:
Narrative:
On 3/21/ Licensing Program Analyst (LPA) Jean Stidman met with Shane Libby Chief Operating Officer for the purpose of conducting a pre-licensing inspection. LPA inspected the facility administrative office. LPA observed the office is located in an office building. LPA observed the office has several offices and a board room available for staff. The board room can also be used to meet with clients as needed. The facility does not currently have any clients or Transitional Housing sites at this time. Provisional license is granted.

met_with: Shane Libby Chief Operating Officer


summary: Facility Evaluation

raw_content:
Narrative:
On 6/17/ Licensing Program Analyst (LPA) Jean Stidman met with Shane Libby Chief Operating Officer for the purpose of conducting a post-licensing inspection. LPA inspected the facility administrative office. LPA observed the office is located in an office building. LPA observed the office has several offices and a board room available for staff. The board room can also be used to meet with clients as needed. The facility does not currently have any clients or Transitional Housing sites at this time. LPA reviewed one staff file. LPA observed the facility license is posted in a prominent place in the lobby. No deficiencies cited.

met_with: Shane Libby Administrator Chief Operating Officer


summary: Facility Evaluation

raw_content:
Narrative:
On 06/30/ Licensing Program Analysts (LPAs) Tina Thorn and Wendy Brown met with Shane Libby, Chief Operating Officer, for the purpose of conducting an unannounced annual inspection.The facility currently has one staff member and their file was reviewed. LPAs inspected the facility administration office. LPAs observed the office is located in an office building. LPAs observed the office has several offices and a board room available for staff and confidential interviewing. The facility does not currently have any clients or Transitional Housing sites. LPA observed the facility license is posted in a prominent place in the lobby. The facility has no outstanding fees. No citations were given on this date. A signed copy of this LIC809 report was provided to Shane Libby, Chief Operations Officer An exit interview was conducted

met_with: Shane Libby, Chief Operations Officer


summary: Facility Evaluation

raw_content:
Narrative:
On 6/17/2021 at 2: PM, Licensing Program Analysts (LPA), Robin Sullivan conducted an unannounced post licensing inspection at the facility and met with Shane Libby, Chief Operating Officer. During the inspection, LPA observed the staff offices, conference room, and an employee kitchenette area. The conference room will be used for meetings and trainings. A fire extinguisher is located in the kitchenette. The fire sprinkler system is connected to the integrated building system. LPA observed requirement documents posted on the wall. Employee and client files will be stored in locked filing cabinets in a large office. LPA reviewed one employee file. The facility is licenses as Transitional Housing Placement Program (THPP). However there are no clients and no operating dwellings at this time. One house is under construction with an estimated open date of September 2021. The personnel report (LIC500) will be updated as new employees onboard. Ms. Libby discussed with LPA how financial support and independent living skills will be managed with the clients. No Title 22 deficiencies were observed. A copy of this report was emailed to Shane Libby.

met_with: Shane Libby, COO


summary: Facility Evaluation

raw_content:
Narrative:
On 6/17/2021 at 2: PM, Licensing Program Analysts (LPA), Robin Sullivan conducted an unannounced annual inspection at the facility and met with Shane Libby, Chief Operating Officer. During the inspection, LPA observed the staff offices, conference room, and an employee kitchenette area. The conference room will be used for meetings and trainings. A fire extinguisher is located in the kitchenette. The fire sprinkler system is connected to the integrated building system. LPA observed requirement documents posted on the wall. Employee and client files will be stored in locked filing cabinets in a large office. LPA reviewed one employee file. The facility is licenses as Transitional Housing Placement Program (THPP). However there are no clients and no operating dwellings at this time. One house is under construction with an estimated open date of September 2021. The personnel report (LIC500) will be updated as new employees onboard. No Title 22 deficiencies were observed. A copy of this report was emailed to Shane Libby.


facility_name: ASPIRANET

summary: Facility Evaluation

raw_content:
Narrative:
On 6/15/ Licensing Program Analyst (LPA) N. Sanders arrived at the above agency for the purpose of a case management regarding an incident dated 6/7/2021. LPA spoke with Alexis Peters, Core Program Director (CPD) and discussed the incident. LPA collected the following copies : Pictures from the Incident, Pre-Placement Appraisal, Statement of Dangerous Propensities and Client Face Sheet. Interviews were conducted. No deficiencies were cited.


summary: Facility Evaluation

raw_content:
Narrative:
On 6/15/2021 at 11: Licensing Program Analyst (LPA) N. Sanders conducted an unannounced Annual/Required inspection at the above facility. LPA met with Alexis Peters, Core Program Director and a walk through of the agency office was conducted. The office is clean. There is one large conference room, one visitation room, offices for management and cubicles for Life Coaches. First kit has all required items in it. Fire extinguishers are up to date. Cleaning supplies, hygiene supplies and office supplies are locked in storage room. Staff and residents files are locked in cabinets. Program License and Clients Personal Rights are displayed in the lobby. The Program submits incident reports in timely manner. The facility serves 40 residents at this point. The facility has four Life Coaches, one Life Coach Supervisor, one Office Assistant, one House Specialist and one Core Program Director. Core Program Director oversees the entire program. . LPA reviewed six resident's files and 5 staff files. Staff meet education and experience requirements. Staff files contain DOJ, FBI and Child Abuse clearances. First Aid certificates are up to date. Clients files contain: Signed Personal Rights, Admission papers, School and Health records. No title 22 regulations were cited during today's visit. A copy of this report was emailed to Alexis Peters, Coapeters@aspiranet.org Program Director at

met_with: Alexis Peters, Core Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On 7/29/ Licensing Program Analyst (LPA) Jean Stidman along with Public Health Nurse Helen Shi (PHN) and Alexis Peters Core Program Director (PD) conducted a Tele Inspection of the facility via Microsoft Teams due to the facility has one client and one staff with positive COVID-19. It was observed that COVID-19 posters were posted inside and outside the front entrance of the staff office, no clients were present. The client that tested positive has a roommate. The facility is working on contacting the roommate so he can quarantine also. PD stated she is waiting to hear from her corporate office on their procedure for having clients that tested positive. PD stated the staff are on a rotation so that no more than five staff (including three administrative staff) are in the office at the same time. The following recommendations were made: The facility update their local public health today with the client's status of testing positive. The facility check with the clients to see if they have enough food, disinfectant and PPE to last during their 10 day quarantine. If not, the facility is encouraged to provide them with this to avoid the clients going out or using public transportation. The facility will contact the clients to advise them to contact their doctor prior to going to the doctor or instead of going to the emergency room or clinic. The facility will advise clients to view CDC videos on the use of PPE. The facility will advise clients to not have any visitor's during their quarantine. LPA emailed this report to the Program Director with the request to sign and email it back today.

met_with: Alexis Peters Core Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On June 24, Licensing Program Analyst (LPA) Jacqueline Carmona and Licensing Program Manager (LPM) Rosa Rodriguez conducted an annual required inspection at the Transitional Housing Program (THP) Administrative Office. Program Director Alexis Peters assisted with this inspection. At the time of this inspection, LPA Carmona and LPM Rodriguez toured the administrative office and observed the office to be clean, safe and sanitary. The office consisted of a lobby, large conference room, 3 private offices, youth room/small meeting room, storage room, chat room, kitchen, eight cubicals for the Life Coaches/Social Workers, two administrative cubicals, and a business center/ printer area. LPAs noted the following to be posted; license, evacuation map, accreditation, emergency plan, personal rights, and covid information. Currently they have 35 participants in placement. All apartments are located within two hours from the administrative office. There are four Life Coaches/Social Workers. Each Life Coach/ Social Worker has less than 12 participants in their caseload. The facility is current with their annual fees. LPA and LPM reviewed five participants files, three staff files, ten apartment files and conducted seven staff interviews. LPA and LPM completed the Care Tool Domains: Physical Plant, Disaster Preparedness, Staffing, Client Records, and Operations .There was a deficiency noted at todays inspection. The facility did not have documentation of the Medical Assessment for its participants. Due to the new implementation of the Interim Licensing Standards Regulation section ILS 86069 (b) this section is a requirement. Exit interview was conducted with Alexis Peters, Program Director. A copy of this report and Appeal Rights will be e-mailed to Program Director.

met_with: Alexis Peters, Program Director Melisa Williams, Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On June 30, 2023, at 11:55AM Licensing Program Analyst Yuvi Diaz (LPA) conducted an unannounced Annual/Required Inspection to the Transitional House Placement Program (THPP). LPA Diaz met with Alexis Peters, Core Program Director II who assisted with this inspection. LPA Diaz toured the administrative office and observed the office to be clean, safe and sanitary. The facility is licensed to serve youth ages 18-21 years. At the time of this inspection, the office consisted of a lobby, large conference room, 3 private offices, youth room/small meeting room, storage room, chat room, kitchen, eight cubicles for the Life Coaches/Social Workers, two administrative cubicles, and a business center/ printer area. LPA Diaz noted the following to be posted: license, evacuation map, accreditation, emergency plan, and personal rights. All apartments are located within two hours from the office. Current census is 27. Currently there are seven full time staff. LPA Diaz reviewed 4 staff files, 4 client files, and two apartment files. All files had all the required forms. All the files were well organized. Review of the staff files and indicated the staff have current CPR and First Aid training. They also have DOJ, FBI, and Child Abuse check clearances. Youth files contained copies of personal rights, representative signatures, copies of Report continues on LIC 809-C original and current Needs and Service Plans, TILP, and Agreement. LPA Diaz interviewed 4 staff members. A review of Licensing Information System on 6.29.23 indicates that there is no outstanding balance. The following Care Tool domains were completed: Physical Plant, Operations Disaster Preparedness, Staffing, and Client Records. There were no deficiencies noted at today's inspection. Exit interview was conducted with Alexis Peters, Core Program Director II. A copy of this report was provided.

met_with: Alexis Peters, Core Program Director II


summary: Facility Evaluation

raw_content:
Narrative:
On October 11, 2024 at approximately 12: PM Licensing Program Analyst (LPA) Zaria Turner, made an unannounced visit to the above facility with the purpose of conducting a follow up visit regarding an incident that was reported to the department on October 9, 2024, involving the death of a participant. LPA Turner met with Facility Administrator, Alexis Peters. A tour was conducted of the facility, the facility is in compliance. LPA Turner conducted interviews and copies of the Pre-Placement Appraisal, Needs and Services Plans, Touch Points, Safety Plans, Suicide Screenings, Continued Placement Assessments, Law Enforcement Contact Reports, Medical Records, and Contact Information for a participant, were requested and obtained. LPA Turner will obtain a copy of the coroners report and police report for the file at a later date; reports are not available at this time. This case management is closed, all interviews have been conducted. No follow up is needed. An exit interview was conducted and a copy of this report was left with Alexis Peters, Facility Administrator.

met_with: Alexis Peters, Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On March 6, 2026 at approximately 9: AM, Licensing Program Analyst (LPA) Zaria Turner, made an unannounced visit with the purpose of conducting an annual inspection to the above Transitional Housing Placement Program (THPP). LPA Turner met with Jacquline Manrique, Life Coach III, who granted LPA access to the facility. LPA conducted a walk though of the interior and exterior of the facility. The facility was clean, safe and kept free of obstruction. LPA observed the posting of License, Personal Rights, and Emergency Disaster Plan. The facility consists of a entrance lobby, conference room, 3 office rooms, participant meeting room, staff lounge/kitchen, storage room, chart room, two offset bathrooms, a business center, and 10 cubicles. Each cubicle is equipped with a monitor(s) and chair. The two bathrooms at the facility are equipped with working toilets and running water. The bathroom fixtures are in good repair. Soap and paper towels are available to participants. The entrance lobby is equipped with a sofa, chair, side table, and cabinet for displaying documents. The conference room is equipped with six tables multiple chairs, a TV, and cabinets for storing board games. The three office rooms are equipped with a desk, chair, and monitor. The participant meeting room is equipped with a sofa, bookshelf, and bean bag. The staff lounge/kitchen is equipped with a table, four chairs, and a bench. The storage room is equipped with miscellaneous items and extra equipment. The chart room is equipped with filing cabinets and a safe to store cash resources. The business center is equipped with a printer. Continue summary of inspection on 809-C Disinfectants/cleaning solutions are inaccessible to participants and locked in one closet. A working telephone is available at the facility. First Aid Kit fully stocked. Hot Water between 105-120 degrees F. Fire Extinguishers are up to date and in working order. The facility is free of vermin. There is no pool on the premises. The following domains were also reviewed during today's inspection, Physical Plant, Operations, Disaster Preparedness, and Staff and Client Records. A total of three staff files and five client files were reviewed. LPA conducted one staff interview. A review of the Licensing Information System indicates the facility is up to date on their facility annual fees. An exit interview was conducted with Ramon Gardose, Core Program Supervisor, and a copy of this report were provided during today's inspection.

met_with: Jacquline Manrique, Life Coach III


summary: Facility Evaluation

raw_content:
Narrative:
On 06/29/2021, Licensing Program Analysts (LPA) Wayne Aoki and Jessica Rodriguez conducted a required annual inspection at the above facility. LPAs were met at the facility by Core Program Director, Lauren Gilfoy. Currently the facility has 13 participant in the THPP. LPAs inspected both the participant's files and staff files. Facility is to provide the following forms to be updated and sent to Community Care Licensing by July 16, 2021.: LIC LIC LIC LIC 610C There were no deficiencies cited during this inspection.

met_with: Lauren Gilfoy


summary: Facility Evaluation

raw_content:
Narrative:
On September 4, 2024, Licensing Program Analyst (LPA) Angelica Borja traveled to Aspiranet in Visalia, CA to conduct an unannounced annual inspection. LPA met Administrator Lauren Gilfoy and Administrative Assistant Esmeralda Hensly. The THPP is licensed to serve ages 18-21 years old. A physical plant inspection of the office was conducted. The office included a confidential meeting space, five offices, a locked file room, a storage room, a server room, two bathrooms, a kitchen and the agency's license was observed. The office appeared clean, safe, sanitary, and in good repair. All passageways are unobstructed, and all doors open freely. LPA reviewed client and staff files on this date. There are a total of NMDs in placement and 5 files were reviewed. There are a total of 5 staff members and 5 files were reviewed. Two staff were interviewed. There are no deficiencies to be cited on this date. An exit interview was conducted and a copy of this report was left with licensee.

met_with: Esmeralda Hensly, Administrative Assistant


summary: Facility Evaluation

raw_content:
Narrative:
On December 17, 2025, Licensing Program Analysts (LPAs) Angelica Borja and Danny Macias traveled to Aspiranet in Visalia, CA to conduct an unannounced random annual inspection. LPAs met with Administrator Lauren Gilfoy and Administrative Assistant Esmeralda Hensly. The THPP is licensed to serve ages 18-21 years old. A physical plant inspection of the office was conducted. The office included a confidential meeting space, five offices, a locked file room, a storage room, a server room, two bathrooms, a kitchen and the agency's license was observed. The office appeared clean, safe, sanitary, and in good repair. All passageways are unobstructed, and all doors open freely. LPAs reviewed client and staff files on this date. There are a total of NMDs in placement and 5 files were reviewed. There are a total of 6 staff members and 5 files were reviewed. Two staff were interviewed. There are no deficiencies to be cited on this date. An exit interview was conducted and a copy of this report was left with licensee.

met_with: Lauren Gilfoy, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On this date, an unannounced annual inspection is conducted by Licensing Program Analyst (LPA) Daiquiri Boyd was met at the facility by Associate Division Director, The agency currently serves THP NMD, and three life coaches/social workers full-time; one housing specialist, one Administrator, one Supervisor and one Director. A general overview of their program and a tour of the facility was provided. This facility has a reception area, waiting area, and office space for staff. Observed fixtures and furniture, equipment and supplies necessary for this operation. Also observed locked cabinets for client and staff files in order to ensure confidentiality. Discussed daily ongoing functions including incident reports. Participant's living units are inspected at least monthly. Facility ensures that cleaning solutions and other dangerous items are inaccessible to infants of minor parents. Facility ensures that firearms or other weapons are not stored in THP living units. Facility ensures that fire extinguishers and carbon monoxide detectors are in proper working order. Participant and Personnel Files reviewed on this date. All appropriate items observed. A review of personnel records on this date indicates that facility personnel are appropriately fingerprint cleared. Reviewed incident reporting guidelines. Facility appears to be in compliance with reporting requirements including that of suspected child abuse or abuse of adults. No deficiencies observed on this date. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the PROGRAM website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

met_with: Alma Garcia Mendoza


summary: Facility Evaluation

raw_content:
Narrative:
On this date, an unannounced annual inspection was conducted by Licensing Program Analyst (LPA) Rachel Bruce who was met at the facility by Core Program Director, Jennifer Lee. The agency currently serves THP NMD, and two Life Coaches/Social Workers full-time (there is currently one Life Coach vacancy being filled) one housing specialist, one Administrator, one Supervisor and one Director. A general overview of their program and a tour of the facility was provided. This facility has a reception area, waiting area, conference room, and office space for staff. Observed fixtures and furniture, equipment and supplies necessary for this operation. Also observed locked cabinets for client and staff files in order to ensure confidentiality. Participant's living units are inspected at least monthly. Facility ensures that cleaning solutions and other dangerous items are inaccessible to infants of minor parents. Facility ensures that firearms or other weapons are not stored in THP living units. Facility ensures that fire extinguishers and carbon monoxide detectors are in proper working order. Inspections are documented and placed in client's electronic file and available for CCL. Five Participant Files reviewed on this date and interviews conducted with staff. All appropriate items observed. A review of personnel records will be completed on subsequent visit. No deficiencies observed or cited during today's inspection.

met_with: Jennifer Lee, Core Program Dirctor


summary: Facility Evaluation

raw_content:
Narrative:
On November 1, Licensing Program Analyst (LPA) Rachel Bruce conducted an inspection visit for the purpose of concluding the Annual Inspection. Jennifer Lee, Core Program Director met with LPA and provided file documentation for review. At this visit, Personnel Files were reviewed. All appropriate items observed. A review of personnel records on this date indicates that facility personnel are appropriately fingerprint cleared, medically cleared, and up to date with required training. Facility is also in compliance with reporting requirements including that of suspected child abuse or abuse of adults. Annual inspection is concluded on this day. There were no citations or advisory notes issued.

met_with: Jennifer Lee, Core Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On this date, an unannounced annual inspection was conducted by Licensing Program Analyst (LPA) Rachel Bruce who was met at the facility by Core Program Director, Jennifer Lee. The agency currently serves THP NMD, and two Life Coaches full-time, one housing specialist, one Administrator Assistant, one Supervisor and one Director. A general overview of their program and a tour of the facility was provided. This facility has a reception area, waiting area, conference room, and office space for staff. Observed fixtures and furniture, equipment and supplies necessary for this operation. Also observed locked cabinets for client and staff files in order to ensure confidentiality. Participant's living units are inspected at least monthly. Currently inspections are conducted by the housing specialist. Facility ensures that cleaning solutions and other dangerous items are inaccessible to infants of minor parents. Facility ensures that firearms or other weapons are not stored in THP living units. Facility ensures that fire extinguishers and carbon monoxide detectors are in proper working order. Inspections are documented and placed in client's electronic file and available for CCL review. Five Participant files reviewed on this date and interviews conducted with staff. All appropriate items observed. A review of personnel records was also completed. Staff files meet regulations- complete staff files are stored off site in the Administrative Offices located in San Francisco and are available for review electronically. No deficiencies observed or cited during today's inspection.

met_with: Jennifer Lee, Director


summary: Facility Evaluation

raw_content:
Narrative:
On April 20, 2026, an unannounced annual inspection was conducted by Licensing Program Analyst (LPA) Melissa Renovato who was met at the Aspiranet THP facility by Core Program Director, Jennifer Lee. The agency currently serves THP NMD, and employs three Life Coaches full-time, one housing specialist, one Administrator Assistant, one Program Supervisor and one Director. A general overview of their program and a tour of the facility was provided. This facility has a reception area, waiting area, conference room, and office space for staff. LPA observed fixtures and furniture, equipment and supplies necessary for this operation. Also observed locked cabinets for client and staff files in order to ensure confidentiality. Participant's living units are inspected at least monthly. Currently inspections are conducted by the housing specialist. Facility ensures that cleaning solutions and other dangerous items are inaccessible to infants of minor parents. Facility ensures that firearms or other weapons are not stored in THP living units. Facility ensures that fire extinguishers and carbon monoxide detectors are in proper working order. Inspections are documented and placed in client's electronic file and available for CCL review. Five Participant files were reviewed on this date and interviews conducted with three staff. All appropriate items observed. A review of personnel records was also completed. All staff are fingerprint cleared. Staff files meet regulations- complete staff files are stored off site in the Administrative Offices located in San Francisco and are available for review electronically. No deficiencies observed or cited during today's inspection.

met_with: Jennifer Lee


summary: Facility Evaluation

raw_content:
Narrative:
On November 22, 2023, at 9: AM, Licensing Program Analyst (LPA) Christine Wilson made an announced visit to Aspiranet Transitional Housing Placement Program (THPP), for the purpose of conducting a pre-licensing inspection. At 10:00AM LPA Wilson met with Staff, Core Program Manager (CPM) who granted access to the facility and an inspection of the facility was conducted together. In the office today were (CPM and AA) Individuals mentioned in this report are identify on the Confidential Names List (LIC811) dated 11/22/2023. LPA Wilson inspected following during the inspection The facility is licensed to provide Transitional Housing Placement plus Foster Care (THP + FC) to Non-Minor Dependents (NMD) to fourty eight (48) participants ages eighteen (18) through twenty one (21). There are currently thirty-three (33) participants in placeaent at nineteen (19) different remote sites in the Ventura County (sites are located in Oxnard, Santa Barbara and Ventura). There are five (5) vacant units and no participants on a placement waitlist. Facility has three (3) Life Skills Coach Social Workers (1 per 12 participants) and one (1) Core Program Supervisor (CPS) (1 per Social Workers, LCSW1, LCSW2 and LCSW3). The facility is currently operating within staff ratio. The administrative office is located at Calle Tecate Ave Ste Camarillo, CA. 93012. The office is located on the second floor of a business office building and is set up as follows: Administration office is a one (1) story office with reception hallway. The Administrator Office is equipped with cubicle spaces for all staff, three (3) conference rooms for privacy and theraputic services. There is a large kitchen area. There is a training room, which can also function as a space for privacy and theraputic services. Smoke alarms and carbon monoxide detectors are located in the kitchen area. The regional office does not yet have the new license to provide to the licensee; therefore no license was posted. Client records are maintained in the Core Program Manager's (CPM) office. Staff records are maintained electronically. All other posting requirements were met, which included: See 809C page 2 of Page Foster Youth Bill of Rights, Grievance Procedures for residents, Accreditation provided by the Joint Commission 03/26/2022 and applicable for (36) months. LPA Wilson requested the following forms for review, Register of participants, Current Census, Personnel Report (LIC 500), Emergency Disaster Plan Protocols, Emergency Disaster Plan for Children's Residential Facilities (LIC 610C). The certification/decertification list of participants living units. There are (19) current Certificates of Compliance and (19) individual off-site units (19) are occupied. (32) clients live in double occupied units, and there is (1) unit occupied by (1) client and (2) children. List of Off-Site Locations with a Current Certificate of Compliance approved by the Regional Office: North Ashwood Ave. Unit Ventura CA 93003 Webster Street Ventura CA 93003 Thille Street Unit Ventura CA 93003 Webster Street Unit Ventura CA 93003 Aster Street Unit Oxnard CA 93036 Ginger Street Unit Oxnard CA 93036 Woodland Street Unit Ventura CA 93003 East Pleasant Valley Road Unit Oxnard CA 93033 East Pleasant Valley Road Unit Oxnard CA 93033 East Pleasant Valley Road Unit Oxnard CA 93033 Cypress Point Lane Unit Ventura CA 93003 Cypress Point Lane Unit Ventura CA 93003 Cypress Point Lane Unit Ventura CA 93003 South Patterson Ave Unit Santa Barbara CA 93111 Telegraph Road Unit Ventura CA 93035 Ketch Ave Unit Oxnard CA 93035 Ketch Ave Unit 6- Oxnard CA 93035 Cosmos Ave Unit Ventura CA 93004 (Continued on 809C Page 3 of 3) Page Staff Records Review: It was discovered during the course of the inspection, that staff files are stored electronically in Watson Care Management (WCM) and accessible to the Core Program DIrector of Human Resources (CPDHR), who was not in the office for the Thanksgiving Holiday. LPA Wilson was not able to conduct a review of staff records, and will review staff records on date of off-site residential unit inspections. Clients Records Review: LPA Wilson reviewed three (3) clients records which meet requirement. LPA reviewed the Pre-Placement Appraisals, Admission Agreements, date of placement in unit, Safety Plan, Emergency Contact Information, and Needs and Services Plan. Staff Interviews: LPA Wilson conducted a confidential interview with one (1) on duty staff (CPM). LPA obtained contact information for Social Workers to conduct interviews at a later time. Client Interviews: LPA Wilson was not able to conduct participant interviews or off-site visits on this day. LPA Wilson obtained register of participants with contact information to conduct interviews at a later time with the following residents: (R1) East Pleasant Valley Road Unit Oxnard CA 93036 (R2) Ginger Street Unit Oxnard CA 93036 (R3) Aster Street Unit Oxnard CA There are no deficiencies at this time. A Technical Violation (TV) is issued today [See LIC9102] Copy of report was read by Core Program Manager (CPM) and provided on site.

met_with: Core Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On December 15, 2023, at 12: PM, Licensing Program Analyst (LPA),Christine Wilson made an announced visit to Aspiranet Transitional Housing Placement Program (THPP), for the purpose of completing the annual inspection. LPA Wilson met with Staff, Core Program Manager (CPM) who granted access to the facility and an inspection of the facility was conducted together. Individuals mentioned in this report are identify on the Confidential Names List (LIC811) dated 12/15/2023. LPA Wilson inspected following: Staff Records Review: Staff files are stored electronically in Watson Care Management (WCM) and accessible to the Core Program DIrector of Human Resources (CPDHR), LPA Wilson conducted a review of staff records (LCSW2, LCSW3, CPS). LPA confirmed that all staff have required criminal record clearance. DOJ, FBI and Child Abuse Response, training and educational requirements which meet qualification. Client Interviews: LPA Wilson was able to conduct participant interviews and off-site visits on this day. LPA Wilson advised (CPM) of licensee responsibility to provide phone service to residents. (CPM) stated that clients given a $50 stipend per month Paystub on clients checks are issued every Friday and will show additional stipend. LPA Wilson requested copies of stubs with stipend pay from December 10, 2023 for each client. There are no deficiencies at this time. Copy of report was emailed to Core Program Manager (CPM)..


summary: Facility Evaluation

raw_content:
Narrative:
On June 04, 2024, at 10: AM, Licensing Program Analyst (LPA) Christine Wilson made an announced visit to Aspiranet Transitional Housing Placement Program (THPP), for the purpose of conducting a post-licensing inspection. At 10:17AM LPA Wilson met with Staff, Core Program Manager (CPM) who granted access to the facility office and an inspection of the facility was conducted together.Idividuals mentioned in this report are identify on the Confidential Names List (LIC811) dated 06/04/2024. LPA Wilson inspected following during the inspection The facility is licensed to provide Transitional Housing Placement plus Foster Care (THP + FC) to Non-Minor Dependents (NMD) to fourty eight (48) participants ages eighteen (18) through twenty one (21). There are currently thirty-one (31) participants in placement at nineteen (19) different remote sites in the Ventura County (sites are located in Oxnard, Santa Barbara and Ventura). Facility has three (3) Life Coach Social Workers (1 per 12 participants) and one (1) Core Program Supervisor (CPS) (1 per Social Workers, LCSW1, LCSW2 and LCSW3). The facility is currently operating within staff ratio. The administrative office is located at Calle Tecate Ave Ste Camarillo, CA. 93012. The office is located on the second floor of a business office building and is set up as follows: Administration office is a one (1) story office with reception hallway. The Administrator Office is equipped with cubicle spaces for all staff, three (3) conference rooms for privacy and theraputic services. There is a large kitchen area. There is a training room, which can also function as a space for privacy and theraputic services. Smoke alarms and carbon monoxide detectors are located in the kitchen area. The license was posted in the (CPM) office. Client records are maintained in the Core Program Manager's (CPM) office. Staff records are maintained electronically. All other posting requirements were met, which included: See 809C page 2 of Page Foster Youth Bill of Rights, Grievance Procedures for residents, Accreditation provided by the Joint Commission 03/26/2022 and applicable for (36) months. LPA Wilson requested the following forms for review, Register of participants, Current Census, Personnel Report (LIC 500), Emergency Disaster Plan Protocols, Emergency Disaster Plan for Children's Residential Facilities (LIC 610C). The certification/decertification list of participants living units. There are (19) current Certificates of Compliance and (19) individual off-site units (19) are occupied. (31) clients live in double occupied units. There is a list of Off-Site Locations with a Current Certificate of Compliance approved by the Regional Office. All (19) off-site, sub administrative locations are in Ventura, Oxnard and Santa Barbara Staff Records Review: It was discovered during the course of the inspection, that staff files are currently stored electronically in Sharepoint and accessible to the Core Program Manager (CPM) who gave access to inspect electronic files to the LPA. LPA Wilson conducted a review of staff records (LCSW2) who is the most recent hire. Clients Records Review: Monthly Progress Reports, Medical Notes, LSC inspections, Corrective Action Plans are now in Sharepoint on the Aspiranet internal website. LPA Wilson reviewed one (1) clients record (C1)which meet requirement. LPA reviewed the Pre-Placement Appraisals, Admission Agreements, date of placement in unit, Safety Plan, Emergency Contact Information, and Needs and Services Plan. Staff Interviews: LPA Wilson conducted a confidential interview with one (1) on duty staff (CPM). LPA obtained contact information for Social Workers to conduct interviews at a later time. Client Interviews: LPA Wilson was not able to conduct participant interviews 12:45pm Sub Adminitrative Units: LPA conducted two (2) off-site visits on this day (C2, C3 and C4). LPA Wilson obtained register of participants with contact information to conduct interviews at a later time. There are no deficiencies at this time. A Technical Violation (TV) is issued today [See LIC9102] Copy of report was read by Core Program Manager (CPM) and provided on site.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with Program Manager Leticia Woodruff to follow-up on an incident that occurred in one of the certified units on Dec. 6, 2024 (0001326-FN). The Department received a special incident report on Dec. 12, 2024. Per Ms. Woodruff, the office was unaware of the incident until Dec. 12, 2024. Per the narrative, P1 had two male visitors in her apartment and the visitors got into an argument. They took the argument outside and one of the visitors fired a total of five gunshots. It is unclear if the shooter meant to hit the other visitor or was just trying to scare him. P1 initially denied that the two males were her guests. However, her roommate identified the two males caught on camera as visitors to P1. Also neighbors reported seeing those two males exiting the apartment of P1. Once the two males were identified by witnesses as being seen entering and exiting her apartment P1 finally admitted that they were her visitors. P1 was terminated from the program on the basis that the participant rules state that participants are responsible for the actions of their guest and because those actions were endangering Aspiranet's lease. There was an incident report issued by Oxnard Police Department on Dec. 6, 2024 indicating that a person was arrested in connection with the shooting. LPA was provided with copies of the police report, the discharge and termination notices, the participant rules signed by P1. The documents will be placed in the office file. LPA found no violations nor deficiencies on the part of the licensee. No citations were issued. Exit interview was conducted and the program manager was provided with a copy of this report.

met_with: Leticia Woodruff, Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward arrived at the facility at 9: AM to conduct the annual required inspection. LPA attempted to open the LIC 809 and the CARES tool but was unable to due to technical issues. LPA will complete the inspection on a future date.

met_with: Leticia Woodruff


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with Program Manager Leticia Woodruff to conduct the annual required inspection. LPA Jones-Steward observed that all client files are kept in a secure area in Ms. Woodruff's office. Personnel files are kept electronically. The Administrator Office is equipped with cubicle spaces for all staff, three conference rooms for privacy and therapeutic services. There is a kitchen area that is equipped with a smoke alarms and carbon monoxide detector. The license was posted in the program manger's office. LPA advised that a copy should also be placed in a more public area. LPA Jones-Steward reviewed participant and personnel files and also toured two certified units located in the City of Oxnard. LPA interviewed two participants in their living unit. Each unit had two occupants, each with their own bedroom. The kitchen and bathroom equipment in each unit are in working order. There are working smoke detectors, carbon monoxide detectors and fire extinguishers in each unit that was inspected. There were no security bars on windows. There are four Life Coaches with a maximum caseload of 11 participants, and two social worker supervisors. All ratios are within Title 22 guidelines. The facility was cited under Title 22 86069(a) for failure to obtain medical assessments as required. Exit interview was conducted and appeal rights were given.


summary: Facility Evaluation

raw_content:
Narrative:
On September 25, 2024 at 9:59am, Licensing Program Analyst (LPA) Christine Wilson made an unannounced case management deficiency inspection to the above listed facility, for an SIR dated 07/13/24 and received by the Regional Office on 09/06/24.LPA Wilson was met by the Core Program Manger (CPM) During the course of the incident investigation, it was revealed that on 07/13/24 the youth (C1) was involved in a car accident with a driver who was under the influence, and which resulted in vehicle damage, and law enforcement involvement. The youth was reported uninjured and did not receive medical attention. Per the (CPM), the SIR was reported late to the Regional Office on 09/06/24 due to being out of town and missing the time to submit it.. (CPM) was aware of the late reporting and stated that division staff had virtual training on incident reporting and complaint procedures on 09/11/24 using Teams.LPA Wilson was provided a copy of the training agenda and handouts with email invitation to TAY and Division staff. (CPM) also shared the recording of the training, which LPA Wilson observed. A (1) deficiency Type B has been determined at this time. The following deficiency has been cited. (See LIC 809D) An exit interview was conducted and Plans of Correction was developed and reviewed with the licensee. A copy of this report and appeals rights were discussed and left with licensee. (CPM ) whose signature on this form confirm receipt of these documents.

met_with: Core Program Manger


summary: Facility Evaluation

raw_content:
Narrative:
On February 18, 2026, at 10: AM, Licensing Program Manager (LPM) Enrique Hernandez and Licensing Program Analyst (LPA) Aimee Moratalla made an unannounced visit inspection to Aspiranet THPP Administrative office for the purpose of conducting an Annual/Random Inspection. LPA met with Leticia Woodruff, Core Programs Manager (CPM), who granted access to the Administrative Office and together toured the office. The office building is set up as follows: The Administrative Office Suite#201 accommodates only THPP staff and is equipped with cubicle spaces for all staff, three conference rooms for privacy and therapeutic services. There is a kitchen area that is equipped with smoke alarms and carbon monoxide detectors. All required postings were observed including the facility license. LPA observed that all client and staff files are kept electronically. The facility is licensed to provide Transitional Housing Placement plus Foster Care (THP + FC) and Non-Minor Dependents (NMD) to 48 participants aged eighteen (18) through twenty-one (21). There are currently 28 participants in placement in the City of Oxnard. LPA requested the participants roster, and the staff roster. LPA requested to interview selected staff and review staff files. Client/Staff File reviewed: LPA conducted file reviews for: CPM, AAII, P1, P2 and P3. Page 1 of Client/Staff Interviewed: LPA conducted a confidential interview with: CPM, AAII, P1, P2, and P3. There are three Life Coaches with a maximum caseload of 11 participants, and two social worker supervisors. All ratios are within Title 22 guidelines. Toured Facility: LPA toured two certified units located in the City of Ventura. LPA interviewed two participants in their living unit. Each unit had two occupants, each with their own bedroom. The kitchen and bathroom equipment in each unit are in working order. There are working smoke detectors, carbon monoxide detectors and fire extinguishers in each unit that was inspected. There were no security bars on windows. During the time of inspection, LPA Moratalla completed the following sections of the THPP Care Tool: physical plant, operational requirements, disaster preparedness, staffing records, and clients' records. The facility has been cited per TITLE 22, DIVISION 6, CHAPTERS 7, 84064(h) Administrator Qualifications and Duties. Exit interview was conducted and a copy of this report was emailed to the Core Programs Manager. Page 2 of 2

met_with: Core Programs Manager, Leticia Woodruff


summary: Facility Evaluation

raw_content:
Narrative:
On June 29, 2021 at 2: PM, Licensing Program Analyst (LPA) Jean Herring conducted an unannounced Annual/Required inspection at the above named Transitional Housing Placement Program (THPP) for non-minor dependents (NMDs). LPA met with Victoria McClain, THPP Administrator and Wendy Naruse, Core Program Manager. Currently, the THPP office is staffed by six (6) Life Coaches (Case Managers), three (3) Program Managers and an Administrator. During this inspection, LPA reviewed all 10 personnel records. All personnel have obtained criminal record clearances and child abuse index checks. All personnel are associated to the THPP's facility number. A Case Management - Annual/Required Continuation inspection is required to complete this evaluation. A signed copy of this report was provided to the THPP representative along with LIC 859 (Review of Staff Records).


summary: Facility Evaluation

raw_content:
Narrative:
On June 30, 2021 at 3: PM, Licensing Program Analyst (LPA) Jean Herring conducted an unannounced Case Management - Annual Continuation at Aspiranet- Transitional Housing Placement Program (THPP for non-minor dependents (NMD)). The purpose of the inspection was to complete the annual inspection initiated by the LPA on June 29, 2021. Administration On June 30, 2021, a tour of the THPP administrative office was conducted with Ms. McClain & Ms. Naruse. The THPP administrative office shares the same suite with Aspiranet - Foster Family Agency. The office is conveniently located for the public. The office has a reception area, file room, copy area, conference room and individual offices for the Administrator and Program Managers. Case Managers and other personnel share office spaces. Currently, the THPP office is staffed by six (6) Life Coaches (Case Managers), three (3) Program Managers, one(1) Administrator and several administrative/office personnel. THPP participant records are kept in steel filing cabinets located in the file room which is kept locked at all times. Per Administrator, the THPP personnel records have been transferred to Aspiranet Headquarters in San Francisco, CA and are no longer maintained at the facility site. An Advisory Note-Technical Violation was provided to the licensee. The administrative office has telephone service at all times. The program has 38 remote sites and 63 participants in placement. Per Administrator, the program has no non-ambulatory participants in placement. Participant Records On June 30, 2021, LPA reviewed 6 participant records. LPA inspected the following documents: Social Security Card; California ID/Driver's License; Birth Certificate; Personal Rights for NMD; Expectations, Alternatives, Consequences; current Needs and Services Plan and Transitional Independent Living Plan (TILP) ; Admission/Placement Agreement; and Certificate of Compliance. (cont.) Staff Records On June 29, 2021, LPA reviewed 10 personnel records. A review of Licensing Information System (LIS) on June 29, 2021 indicates that personnel have obtained criminal record clearances and child abuse index checks. LPA inspected the following documents: proof of education; verification of related work experience; training log/certificates; First Aid/CPR Certificates. No deficiencies cited at this time. LPA provided Advisory Notes - Technical Violation. A signed copy of this report was provided to the THPP representative along with LIC 9102TVs (Advisory Notes-Technical Violation) and LIC 858 (Resident's Record Review).

met_with: Victoria McClain, THPP Administrator and Wendy Naruse, Core Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On October 19, 2021 at 4: PM, Licensing Program Analyst (LPA) Jean Herring conducted an unannounced case management inspection at Aspiranet Transitional Housing Placement Program (THPP) to follow up on a death incident involving Participant#1. LPA met with Wendy Naruse, Core Program Manager. On October 18, 2021, Aspiranet Transitional Housing Placement Program (THPP) reported to the Department that an 18-year-old male participant was found deceased in his apartment. The facility reported that at approximately 1: PM on October 16, 2021, the apartment manager notified the facility that the Bakersfield Police Department and Kern County Coroner were present at the participant's apartment. Though facility staff responded immediately, the police and coroner had left by the time they arrived. The facility program manager contacted the participant's roommate, also the participant's twin brother, who reported that on October 16, 2021, he called 911 and attempted chest compressions after observing his brother unresponsive, face up on the floor in his bedroom. The cause of the participant's death is unknown at this time. During the inspection, LPA requested the following documents: Pre-placement Appraisal; Personal Statement; THPP Application and Assessment; most recent home inspection; Certificate of Compliance; TILP and Needs and Services Plan; Kern Behavioral referral; case plan; case notes. A signed copy of this report was provided to the facility representative along with LIC 811 (Confidential names list.)

met_with: Wendy Naruse, Core Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Karen McGee conducted a case management inspection at the above named Transitional Housing Placement Program (THPP) office on 01/20/22 at 2: PM. LPA met with Administrator, Victoria McClain. The inspection was in regards to the licensee's application to increase capacity from 74 to 100. Prior to this inspection, the Department received the following documents from the licensee: LIC 200 (Application), a copy of the board resolution approving the capacity increase; and the appropriate licensing fee. During this inspection, LPA noted that there are no physical plant changes since the last site inspection conducted on 10/19/21. Currently, this THPP program has 55 participants in placement. Per Administrator, all participants are ambulatory and they all live in single housing units (apartments or single family dwellings). The program is staffed by Administrator, Program Manager, Social Work Supervisor, Social Workers, Housing Specialists, and Employment Specialist. The program maintains an appropriate social worker/participant ratio. Personnel records are kept at Aspiranet - Human Resource Department and participant records are kept locked in the file room at the THPP office. No deficiencies cited at the time of inspection. An exit interview was conducted and a copy of this report was provided to the THPP representative.

met_with: Victoria McClain


summary: Facility Evaluation

raw_content:
Narrative:
On June 15, 2022 at 9:45am Licensing Program Analyst (LPA) Johanna Lofton conducted an announced pre-licensing inspection at the above-named address. Aspiranet Transitional Housing Placement Program (THPP) is relocating its office from Tower Way Suite 250, Bakersfield, CA 93309 to California Ave., Tower A #410A, Bakersfield, CA 93309. LPA met with Core Program Director Victoria McClain and conducted a tour of the new office. The office has a reception area, conference room, individual offices for program director, program manager, and supervisors. It also has an THPP office area with six (6) desks available for life coaches, and desks for an employment specialist and housing specialist. There is also a storage room, a staff lounge, and a file room. The door to the file room will remain locked at all times. The office is equipped with two fire extinguishers. LPA verified the fire clearance dated 6/7/22. The LPA observed the Foster Youth Rights Posters, Copies of CCL License, Emergency Disaster Plan for Children's Residential Facilities and Facility Sketch at the facility ready to be posted. A copy of this report was left with Victoria McClain for records.

met_with: Program Director Victoria McClain


summary: Facility Evaluation

raw_content:
Narrative:
On 8/11/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Aspiranet THP program for the purpose of a Case Management incident. LPA met with Administrator and discussed the incident identified below. 1. Non- minor dependent (NMD) having a medical incident which resulted in child being taken to hospital and placed on hold- Administrator stated that NMD was enrolled within program from 6/2/2022 to 6/17/22 and it was identified during the time of NMD filing their application that NMD had a history of substance abuse. Documentation taken identified NMD to have been sober for approximately 8 months prior to being enrolled in program. However, during the time of being enrolled within the program NMD had several medical incidents that warranted child going to hospital involving drugs. Administrator stated that agency was able to transition NMD to a rehabilitation live in facility acronym TAY and NMD was ultimately discharged from program. LPA obtained copies of pre-appraisal , application and incident reports. Agency notified all parties and provided proper care to NMD prior to being discharged from program. Exit interview completed, no deficiencies cited and a copy of this report was left with Administrator.

met_with: Victoria McClain, Administrator