facility_name: TRIDENT LIVING

summary: Facility Evaluation

raw_content:
Narrative:
On February 7, 2024, at 9: AM, Licensing Program Analyst's (LPA's) Darlene Almaraz-Oseguera and Emina Preciado arrived at Trident Living, Transitional Housing Placing Program (THPP). LPAs met with, Facility Administrator, Monique Bautista. The purpose of the visit was to conduct a pre-licensing inspection of the facility. LPAs did a tour of the facility with Monique Bautista for a pre-license of a Transitional Housing Placement Program (THPP) for Non-Minor Dependents (NMD). There are four bedrooms, four bathrooms, and one office. LPAs observed two living rooms furnished with couches and chairs. The common areas for residents are the kitchen, two sitting areas, a living room with ample sitting space, television, and a fireplace with proper coverings for safety. There is ample parking for residents and staff. The facility has Wi-Fi accessibility. Downstairs: The administrative office is located downstairs. The office is equipped with a desk, a locked file cabinet, and a printer/scanner. Client and personnel records will be kept electronically, and physical copies will be stored and available for review at the administrative office. The administrative office is in the process of being relocated. Upstairs: Four bedrooms and three bathrooms. LPAs observed there are clean mattresses, linens, pillows, and beds in good repair. The participant bedrooms have locks placed on the bedroom doors and each participant will have their own key to their room. The administrator will keep a master key in case of emergencies. The windows had shutters for privacy. The laundry room is equipped with a washer and dryer. The facility outside grounds were also inspected and it was observed to be clean and well maintained. LPAs observed an underground pool and spa. * LIC 809-C* During the inspection the following was discussed: During the meeting component II and component III were discussed. LPA's discussed Post Licensing visits that Community Care Licensing (CCL) may provide, solutions to problematic areas, overview of Title 22, THPP regulations, personal fingerprint requirements, abuse reporting requirements, and licensing fees. LPAs communicated about LPA's responsibility; Special Incident reporting requirements, for LIC624, CC: internal procedures, AB388 reporting form 624LE. The facility will be notified once they are provisionally licensed as a THPP/NMD facility. The license will expire one year from effective date. Facility will be licensed for a capacity of 4 participants. Facility accepts only ambulatory clients. It was discussed that the administrative office is in the process of being relocated to be utilized for storage of pertinent records, staff trainings, and meetings with participants; As well as the possibility of future expansion for the facility license as stated in the program statement. LPA provided applicant with a copy of the special incident report and provided applicant the email address and directions on reporting incidents to Community Care Licensing, Riverside North office. The certificates of compliance will also be submitted to LPA. After a final file review, the facility will be submitted for licensure. Exit interview conducted a copy of this report was provided to Licensee.

met_with: Monique Bautista, Administrator


state: CA

summary: Facility Evaluation

raw_content:
Narrative:
On February 16, 2024 at 8:59 am Licensing Program Analyst (LPA), Emina Preciado, arrived at Trident Living, Transitional Housing Placing Program (THPP). LPA met and did a walk through of the facility with Facility Administrator, Monique Bautista. The purpose of the visit was to conduct a second pre-licensing inspection of the facility for a Transitional Housing Placement Program (THPP) for Non-Minor Dependents (NMD) due to a change of location. The administrative office is located at: Cherry Ave Suite Fontana, CA 92335. Upon entrance into the office building, there are two stories and multiple businesses with private suites. The administrative office is located on the second floor and is equipped with a desk, a locked file cabinet, and a printer/scanner. The administrative office has Wi-Fi accessibility and a telephone. Client and personnel records will be kept electronically, and physical copies will be stored and available for review at the administrative office. On the first floor, there is a staff break room equipped with a refrigerator and microwave. There is a conference room is equipped with desks, chairs, white board, and television and can be utilized for staff trainings and meetings with participants on the first floor. The restrooms are located downstairs inside the building. The facility outside grounds were also inspected and it was observed to be clean and well maintained. An initial pre-licensing inspection was conducted on February 7, 2024. During the initial pre-licensing meeting on 02/07/ Component II and Component III were discussed. The facility will be notified once they are provisionally licensed as a THPP/NMD facility. The license will expire one year from the effective date. The facility will be licensed for a capacity of 4-6 participants and will accept only ambulatory participants. * LIC 809-C* The facility meets the Regulatory requirements and will be ready for review for licensor at the conclusion of the visit. Exit interview conducted a copy of this report was provided to Licensee.

report_type: Facility Evaluation

visit_type: Prelicensing

met_with: Administrator, Monique Bautista


summary: Facility Evaluation

raw_content:
Narrative:
On August 7, 2024 at 9:00 am Licensing Program Analyst (LPA), Emina Preciado, arrived at Trident Living, Transitional Housing Placing Program (THPP) for Non-Minor Dependents (NMD). LPA met with Facility Administrator, Monique Bautista. The purpose of the visit was to conduct a post-licensing inspection. The administrative office is located in a retail business establishment. Upon entrance into the office building, there are two stories and multiple businesses with private suites. On the first floor, there is a staff break room equipped with a refrigerator and microwave. There is a conference room equipped with desks, chairs, a white board, and television that can be utilized for staff trainings and private meetings with participants on the first floor. The restrooms are located downstairs inside the building. The administrative office is located on the second floor in Suite 205 and is equipped with a desk, telephone, printer/scanner, and Wi-Fi accessibility. There is a file cabinet located inside the office, near a bookshelf and office printer, that is locked and can be accessed using a key that is used to store confidential documents. Participant and personnel records are kept electronically, and physical copies were available for LPA to review during the inspection. Currently, the THPP has one Participant and three remote sites. The remote sites are within two hours from the office location in the cities of: Murrieta, Rialto, and Fontana. During the inspection, LPA completed one staff interview and reviewed one participant file and one staff file. One of one staff file reviewed had a completed health screening/tuberculosis (TB) test result. One of one staff file reviewed had FBI, DOJ, and Child Abuse Index Check clearances available for review. One of one staff record reviewed had completed a minimum of one hour training in child abuse identification and met the minimum qualifications as required by the Department. One of one participant file reviewed had an admission agreement, signed personal rights and grievance procedures, medical/education history, immunization records, an initial/current Needs and Services Plan (NSP), pre-placement appraisal and met the minimum qualifications as required by the Department. Operational and disaster preparedness documents are maintained at the administrative office and were available for LPA to review. * LIC 809-C* Staff was informed that each Evolution Coach should maintain a 1 to 12 ratio, which should not be exceeded. Staff is aware of submitting unusual incident reports as needed to the Department and to include all Law Enforcement contacts. Two technical violations of California Code of Regulations (CCR) are being issued for sections: 86069(a) and 86069(b)(1) pertaining to Participant 1 (P1) obtaining a medical assessment within 30 days of admission into the program and results of an examination for communicable tuberculosis and other contagious/infectious diseases. Based on observation and record review, the facility is in compliance and no deficiencies were noted at this time. Exit interview conducted and a copy of this report was provided to Facility Administrator, Monique Bautista.

met_with: Administrator, Monqiue Bautista


summary: Facility Evaluation

raw_content:
Narrative:
On July 14, 2025, at 8:25 am Licensing Program Analyst (LPA), Raina Perez-Diaz, arrived at Trident Living, Transitional Housing Placing Program (THPP) for Non-Minor Dependents (NMD). LPA met with Facility Administrator, Monique Bautista. The purpose of the visit was to conduct an annual inspection. The administrative office is located in a retail business establishment. Upon entrance into the office building, there are two stories and multiple businesses with private suites. On the first floor, there is a staff break room equipped with a refrigerator and microwave. There is a conference room equipped with desks, chairs, a white board, and television that can be utilized for staff trainings and private meetings with participants on the first floor. The restrooms are located downstairs inside the building. The administrative office is located on the second floor in Suite 205 and is equipped with a desk, telephone, printer/scanner, and Wi-Fi accessibility. There is a file cabinet located inside the office, near a bookshelf and office printer, that is locked and can be accessed using a key that is used to store confidential documents. Participant and personnel records are kept electronically, and physical copies were available for LPA to review during the inspection. Currently, the THPP has no participants and three remote sites. The remote sites are within two hours from the office location in the cities of: Riverside, Murrieta, and Fontana. The LIC 500 was reviewed, the Administrator is the sole employee; therefore, she is also the facility's Social Worker with an availability of Monday through Friday 8AM to 5PM. Administrator was informed, should they accept a client into care she will need to be available around the clock unless she is to hire an additional staff member. Operational and disaster preparedness documents are maintained at the administrative office and were available for LPA to review. LPA inquired to the lack of Trident Living identifying signs for the THPP office space. Administrator reported she does have a sign available and will be placing it on the office door. **Continue on LIC 809-C Additionally, the Administrator was asked about the previous visit attempt which a therapist was conducting a therapy session in the THPP office. The administrator reported she was not aware of the therapist utilizing the THPP office space for therapy sessions and will discuss it with the administrator of Edge TLC to ensure therapists are not utilizing the THPP office space due to the office being licensed for the THPP program. Based on the facility inspection and the current census being zero, LPA did not review any staffing or client files at the time of this inspections and there are no deficiencies cited at this time. LPA informed the Licensee to notify the Department at the time of receiving their first client in care. The Department will return to conduct staff and client file reviews at the facility. Exit interview conducted and a copy of this report was provided to Facility Administrator, Monique Bautista

visit_type: Annual

met_with: Administrator- Monique Bautista


facility_name: UMOJA

summary: Facility Evaluation

raw_content:
Narrative:
On 9/11/25 at 11AM, Licensing Program Analyst (LPA) Mariah Hawkins met with Applicant Umoja for the scheduled Component II Face-to-Face meeting. In attendance were Administrator/Director Cassandra Waller-Mims, Social Work Supervisor Cassandra Abram, and Program Director Theresa Coleman. During the meeting, the following topics were discussed: Goal/Purpose of the Facility Basic Services Transitional Independent Living Plans (TILPs) Care and Supervision Policies Emergency Intervention Policies Emergency Disaster Procedures Reporting Requirements Background Clearance/Guardian Process At the conclusion of the meeting, LPA discussed that the prelicensing inspection will be scheduled upon receipt of the fire clearance. LPA thanked Applicant representatives for attending the meeting. A copy of this report was provided to Director.

met_with: Administrator/Director Cassandra Waller-Mims; Social Work Supervisor Cassandra Abram; Program Director Theresa Coleman


summary: Facility Evaluation

raw_content:
Narrative:
On 12/8/25 at 11: AM, Licensing Program Analysts (LPA) Paul Simien and Omar Sawyer conducted an announced visit to the above facility. The purpose of this visit was to conduct the required Prelicensing inspection. LPA met with Cassandra Waller-Mims, Administrator (ADM) at the above facility to conduct the required annual inspection. LPA completed the plant, operations, and disaster preparedness sections of the THPP prelicensing CARE tool. LPA Simien advised the facility to implement the following before accepting clients: Dressers for client rooms, install washer and dryer, post visible signage in areas monitored by cameras, and instructions utility shut off for staff. License shall be granted pending staff/board member background clearances and resubmission of LIC 500, LIC 610C, and job description of live-in staff. At this time, the inspection is complete. LPA conducted an exit interview with ADM.

met_with: Cassandra Waller-Mims, Administrator


facility_name: UNITY CARE GROUP

summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
under the influence and smoking paraphernalia in the home. Also, text messages of dates when participants were using drugs and alcohol. (P1) and (P2) authorized representatives received a 7-day notice via email. Also, LPA Mendoza obtained a copy of the email correspondences between the facility and authorized representatives, and both representatives requested the facility to submit a proper written notice. The facility never submitted a 7-day notice/letter. Based on interviews and documentation, the preponderance of evidence standard has been met, and therefore the above allegations are found to be Substantiated. There are two citations. California Code of Regulations, Title 22, Section Responsibility For Providing Care and Supervision and and Section 86168. Removal Or Discharge Procedures. An exit interview was conducted and copy of the report was provided to Administrator.

Investigation Findings:
SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

report_type: Complaint Investigation

met_with: Adminstrator- Dyese Hunt

complaint_status: SUBSTANTIATED


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

raw_content:
Narrative:
unauthorized absences, per the consumer notes, which were not reported to Licensing, and which could not be confirmed as reported to the authorized representative due to lack of submission of written report: 3/3/21-3/4/21, 3/20/21-3/31/21, 4/25/21- 4/26/21, 4/28/21- 5/3/21, 5/4/21, 5/18/21 -5/19/21, 5/29/21, 5/31/21, 06/01/21. In addition, interviews and documented submitted to LPA indicated that the facility did not maintain in C1's file C1's valid work permit or work schedule, and authorized representative was not able to confirm C1's employment. Also, when C1 would leave on unauthorized absences, staff would check in on C1 via text, and C1 would check in with staff via phone or by text. However, on-site supervising staff did not always directly notify C1's case manager of unauthorized absences the night priors or authorized representative. It was reported that the facility would allow C1 to leave without a pass or authorization from authorized representative due to feeling that C1 was working hard at work and school. Per authorized representative, when they spoke to the school, they learned that C1 was failing their classes. LPA obtained a copy of (C1) school transcripts, report cards, and this was confirmed to be true. Also, obtained a copy of (C1) progress report from March and (C1) had a total of 9 unexplained absences from 02/22/2021 to 03/16/21. Based on the information obtained, there is a preponderance of the evidence to prove that the facility staff allowed the minor to AWOL, staff did not notify the minors authorized representative of the AWOLs, staff not meeting clients' needs, and staff not checking in on minors. Therefore, the above allegation is substantiated. Appeal Rights were provided and discussed with the facility and deficiencies were cited. Exit interview conducted and a copy of the report was left with the facility.

Investigation Findings:
SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

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

Deficiencies:
86065: 1
2
3
4
5
6
7

met_with: Frank Delgado and Deb Miller

title:
Personnel Requirements (a) Facility personnel shall be competent to provide the services necessary to meet individual participant needs and shall.....
This requirement is not met as evidenced by

description:
1
2
3
4
5
6
7


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Due to the insufficient information and interviews LPA Mendoza was unable to confirm if the above allegations happened. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that there was a violation of personal rights, and staff consuming alcohol while working therefore, the above allegation are Unsubstantiated. An exit interview was conducted, and a copy of the report was left with the facility.

Investigation Findings:
13On 5/4/22 at 9: AM, Licensing Program Analyst (LPA) Isabel Mendoza conducted a follow-up complaint inspection to the THPP administrative office and met with Program Manager Frank Delgado, and Director of Compliance Deb Miller. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation LPA Mendoza, conducted interviews with staff members, participants, witnesses, and reviewed (P1's) file (Please refer to LIC 811, dated 05/4/22, for confidential names). The interviews and documentation revealed inconsistencies if participants personal rights were violated, and if staff (S1) is consuming alcohol while working. LPA Mendoza recieved a recording where (S1) was approached and accusations were made that (S1) was drinking and (P1) had proof. However, no photos were submitted to LPA Mendoza. (Please Refer to Lic 9099-c...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Isabel Mendoza LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, TRAEGER AVE., SUITE FACILITY NAME: UNITY CARE GROUPFACILITY NUMBER: VISIT DATE: 05/04/2022

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

met_with: Frank Delgado & Deb Miller

complaint_status: unsubstantiated


raw_content:
Narrative:
which did not corroborate the information obtained from the parties interviewed. On 11/29/21 there was an incident where their was a verbal altercation between (P1's roommates and (P1). Lastly, LPA reviewed (C1's) file and consumer notes and (P1) has a history of being verbally aggressive towards others, and has challenges engaging in positive relationships with others. Also, communicated having issues with a few participants. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove Foster youth is being bullied by other residents while in care. Facility staff smoke at the facility. Therefore, the above allegation is Unsubstantiated. An exit interview was conducted, and a copy of the report was left with the facility.

Investigation Findings:
13On 5/4/22 at 9: AM, Licensing Program Analyst (LPA) Isabel Mendoza conducted a follow-up complaint inspection to the THPP administrative office and met with Program Manager Frank Delgado, and Director of Compliance Deb Miller. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, LPA Mendoza conducted interviews with staff members, participants, and reviewed documentation. The interviews revealed inconsistencies in explanation if (P1) is being bullied by other residents while in care, and staff smoke at the facility. (Please refer to LIC 811, dated 05/4/22, for confidential names). In addition, LPA Mendoza obtained and reviewed (C1) file and incident reports, (please refer to LIC 9099-C..) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Isabel Mendoza LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, TRAEGER AVE., SUITE FACILITY NAME: UNITY CARE GROUPFACILITY NUMBER: VISIT DATE: 05/04/2022

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


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
Licensing Program Analyst (LPA) Isabel Mendoza made an unannounced required Annual inspection to Unity Care's Administrative office. LPA met with Interim Lead Case Manager, Frank Delgado, and Deb Miller, Compliance Director arrived later during the inspection. This agency provides services to Minors and Non-Minor Dependents, licensed for 43 participants and currently have a census of 22 participants- (1) minor and (21) NMD's. At 9: AM, LPA inspected the premises, and did a walk through inspection with Case Manager, Frank. The office has sufficient space for confidential meetings. The facility only had 8 participant files in a locked cabinet in a secure location. All other participant files are being kept at each remote site. The agency has their license posted in their office. LPA spoke with Case Manager about the residential units, and obtained copies of all Certificate of Compliances. The facility currently has 4 sites. Compliance Director confirmed that all residential units have at least one toilet, sink and tub in working order. At 10: AM, LPA reviewed 3 participants files. LPA could not locate Needs and Service Plans for(C2 and (C3), (please refer to LIC 811, dated 09/08/21 for confidential names). The facility did not have personnel staff files or staff training at administrative office. LPA reminded the facility that all personnel records shall be at the administrative building. The Case Manager attempted to contact Human Resources but there was no response. All personnel files are stored electronically, and only HR has access. The facility informed LPA Mendoza that they will now request copies of all required documents and will start keeping them on file. During inspection, Case Manager located one staff file for (S1), however the file was incomplete and did not have all required documents. (Please Cont. To Lic 809-c) The facility informed LPA Mendoza, that they have found former Administrator replacement. The new Administrator will start on 9/16/21. Former Administrator, Dyese Hunt resigned, and her last day was on 8/30/21. The facility agrees to submit all LIC documents and letter from the board, no later than Friday 9/24/21. During inspection, LPA obtained copies of LIC 610, current client roster, and LIC 500. LPA Mendoza requested the facility to submit an updated LIC 309 (Administrative of Organization) later than Friday 9/17/21. The facility has been cited under Title Regulations, and a copy of the report was left with Compliance Director.

Deficiencies:
86168.3(c): Deficient Practice Statement
1
2
3
4Based on record reviews, the licensee did not comply with the section cited above in 1 out of 3 persons [C2 and C3] which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/17/2021
Plan of Correction
1
2
3
4

met_with: Frank Delgado- Interim Lead Case Manager & Deb Miller, Compliance Director

title:
Needs and Services Plan

(c) The THPP administrator or social work personnel shall complete a Needs and Services Plan for a nonminor dependent that is consistent with the Transitional Independent Living Plan of the nonminor dependent.

This requirement is not met as evidenced by


summary: Facility Evaluation

raw_content:
Narrative:
On Thursday, March 24, 2022, at PM, Community Care Licensing (CCL) conducted an office meeting virtually via Microsoft Teams. The following individuals attended the Teams meeting: Licensing Program Managers (LPMs) Carolyn Flynn, Helga Wong, Licensing Program Analyst (LPA's) Isabel Mendoza, Vaishali Singh-Sood, Jennifer Baca, Tamara Hill, and Mary Shelton. In addition, CCL met with Deb Miller, Alexander William, Sander Trent, and Frank Delgado. This meeting aimed to discuss the "SF Resident Deduction" sheet that LPA Mendoza observed posted in one of the THPP's remote sites on 2/14/22. Unfortunately, our department has not approved the deduction sheet. After further discussion with LPM Jodean Hall, LPA Hill informed the facility the above deduction sheet was not approved or included in the facilities revised program statement which is under review. CCL informed the facility that it was determined that the listed items in the SF deduction sheet were all violations of the client's Personal Rights. All parties on the call agreed that CCL would not accept this, and the facility will no longer use the above deduction sheet. Currently, the facility is working on their final revisions for all three THPP sites out of the Sacramento office. Once the program statement has been approved, the facility will submit a hard copy and an electronic copy to the San Jose regional office (SB and SJ). An exit interview was conducted, and a copy of the report was emailed to Deb Miller for signature.

met_with: Deb Miller & Alexander William


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Britanee Windom and Licensing Program Manager (LPM) Angela King conducted a case management inspection on September 27, 2022 at 10: AM based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 7 out of Direct Care Staff and 6 out of 7 youth files were reviewed. 2 out of Direct Care Staff and 3 out of 7 youth were interviewed.(See the Confidential Names List, LIC 811, September 27, 2022). The Plan of Operation including policies and procedures were reviewed. Based on the analysis of the confidential interviews and youth file review including the Transitional Independent Living Plan & Agreements and Safety Plans, the licensee uses trauma informed and evidence based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Windom and LPM King observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained as required. The licensee is contacting law enforcement in accordance to their policies and procedures when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to THP Program Manager Frank Delgado and Director of Compliance Deb Miller.

visit_type: Case Management

met_with: Frank Delgado, THP Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 1/6/23, Licensing Program Analyst (LPA) Mariah Hawkins made a visit to the facility office for a case management visit. LPA met with Program Manager Frank Delgado and Director of Compliance Deb Miller and informed of the purpose of the visit. The purpose of the visit was to meet to discuss recently submitted incident reports regarding a participant bringing dangerous contraband on the grounds and engaging in inappropriate activities, and a participant permitting a disallowed guest on the grounds. LPA obtained additional information about the incidents from Deb and Frank and obtained resident documentation and case worker information. No deficiencies have been found during this visit. An exit interview was conducted, and a copy of this report was left with Program Manager Frank Delgado, whose signature on this form confirms receipt.

met_with: Program Manager Frank Delgado; Director of Compliance Deb Miller


summary: Facility Evaluation

raw_content:
Narrative:
On 8/16/23, Licensing Program Analyst (LPA) Mariah Hawkins conducted a required annual inspection at the facility office. LPA met with Regional Director Jeffrey Jefferson and informed of the purpose of the visit. LPA reviewed personnel and resident records and toured two living units. The CARE Inspection Tool was used to complete this inspection. LPA observed the living units to be clean and organized with kitchen and bathrooms maintained in sanitary condition. The living units had postings of emergency plans and emergency numbers as well as grievance procedures. Certificates of compliance were maintained in facility records. Participants provided positive feedback in interviews. Staff are knowledgable, and personnel files reflected appropriate training. Participant files were complete, and case plans were current and up to date. No deficiencies were observed during today's inspection. An exit interview was conducted, and a copy of this report was left with Regional Director Jeffrey Jefferson, whose signature on this form confirms receipt.

met_with: Regional Director Jeffrey Jefferson


summary: Facility Evaluation

raw_content:
Narrative:
On 12/4/24, Licensing Program Analyst (LPA) Mariah Hawkins conducted a random annual inspection. LPA met with Program Manager Deandra Doyle and informed of the purpose of the visit. LPA observed the transitional housing placement program (THPP) office to house individual client files. Personnel files were made available on site. Some portions of the files were unavailable due to the HR director being out of the office. LPA obtained a current LIC 500 and verified all staff have a background clearance and eligible-to-work status. LPA observed client files to be complete with consent forms, transitional independent living plans and/or needs and services plans, admission agreements, personal rights, and rule agreements. Each housing unit has a valid certificate of compliance. During the visit, LPA obtained contact information for staff and clients in order to contact them for interviews. No interviews were conducted during the visit. A continuation visit will be conducted to complete the review of personnel files. No deficiencies were observed during today's inspection. An exit interview was conducted, appeal rights were discussed, and a copy of this report was left with Program Manager Deandra Doyle, whose signature on this form confirms receipt.

met_with: Program Manager Deandra Doyle


summary: Facility Evaluation

raw_content:
Narrative:
On 12/13/24, Licensing Program Analyst (LPA) Mariah Hawkins conducted a case management annual continuation inspection. LPA met with Program Manager Deandra Doyle and informed of the purpose of the visit. During visit, LPA reviewed additional facility records and personnel records. LPA also conducted 1 staff interview and confirmed contact information for other staff to interview on a later date. No deficiencies were observed. LPA provided technical assistance on emergency drill documentation. See LIC 9102 dated 12/13/24. An exit interview was conducted, appeal rights were discussed, and a copy of this report was left with Program Manager, whose signature on this form confirms receipt.


summary: Facility Evaluation

raw_content:
Narrative:
On 8/5/25, Licensing Program Analyst (LPA) Mariah Hawkins visited the facility. The purpose of the visit was to discuss a submitted incident report. LPA met with Program Manager Deandra Doyle and informed of the purpose of the visit. LPA discussed the incident in question with Program Manager and obtained additional information pertinent to the incident. LPA requested that a copy of the current housing agreement form used by the program be sent to LPA by Friday 8/8/25. No deficiencies were observed, and a copy of this report was provided to Program Manager.


summary: Facility Evaluation

raw_content:
Narrative:
On 10/16/25, Licensing Program Analyst (LPA) Mariah Hawkins visited the facility and met with Program Manager Deandra Doyle. LPA informed Program Manager of the purpose of the visit. During the course of an investigation at the facility, record review revealed that one of the housing units was not being utilized as indicated in the site sketch. On 8/18/25, LPA observed a bed in a room classified as an office on the sketch. The room was vacant and per staff statements had not been used for over a year. Upon further review of California Building Code, LPA learned that the room does not meet the size requirements for bedrooms. At today's inspection of the housing unit, LPA observed the bed to have been removed. Additionally, on 8/18/25, LPA observed the room classified on the sketch as the first floor bedroom to not have a door and to not be furnished with a bed. Based on staff statements, the room is no longer used as a bedroom due to it being the only interior access to the garage where the laundry machines are located. At today's inspection, LPA observed the room furnished with a living room set. LPA advised of the applicable regulation sections pertinent to the above items. See LIC 9102s. All corrections to the housing units have been made for the above items. LPA requested copies of the updated Certificate of Compliance and Site Sketch, which Program Manager agreed to email to LPA by Monday 10/20/25. An exit interview was conducted, and a copy of this report and the licensee's appeal rights were provided to Program Manager Deandra Doyle.


summary: Facility Evaluation

raw_content:
Narrative:
On 11/18/25, Licensing Program Analyst (LPA) Mariah Hawkins conducted a case management visit to deliver notice of a plan of operation discrepancy found during the course of an investigation or inspection at the facility. LPA met with Administrator Deandra Doyle and informed of the purpose of the visit. During an investigation at the facility, based on confidential interviews, observations, and record review, LPA learned that the program does not allow clients to have overnight guests. After reviewing the facility plan of operation, LPA observed that on Page 2 of the Roommate Agreement, there is a statement that reads, "Guests will only be allowed to stay a maximum of 1 night per week." LPA discussed this policy with Administrator, who stated this agreement only applies to 2-bedroom units with a capacity of 2 clients and no such living units currently exist in the program. Administrator stated the licensee will discuss whether this policy should be revised. Additionally, on Page 4 of the Remote Site Housing Agreement, under "Community Housing," there is a statement that the program will assess a $250 fine if a client is found to be smoking in the living unit. LPA discussed this policy with Administrator, who stated this policy is no longer enforced. Administrator stated this policy would be removed. Administrator agreed to provide the revised Remote Site Housing Agreement and the revised Roommate Agreement (if applicable) within 30 days, by 12/18/25. If additional time is needed, Administrator will notify LPA prior to that date to request an extension. An exit interview was conducted, and a copy of this report was provided to Administrator Deandra Doyle.

met_with: Administrator Deandra Doyle


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
CONTINUED FROM LIC 9099-A [UNSUBSTANTIATED] Based on confidential interviews, observations, and record review, it was alleged that staff do not provide enough supervision at a specific NMD living unit resulting in client behavioral episodes. Client and staff statements reflected that the minimum ratio was being met and that staff visit each living unit nightly to perform bed checks and to support clients. Statements and record review also reflected that the program takes actions to provide additional supports to clients with behavioral concerns, including behavioral contracts and discharge plans for continued program noncompliance. Although the allegations may have happened or are valid, based on LPA's observations and interviews, there is not a preponderance of the evidence to prove the alleged violations did or did not occur. Therefore, the allegations are unsubstantiated. An exit interview was conducted, and a copy of this report and the licensee's appeal rights were provided to Administrator Deandra Doyle.

Investigation Findings:
13On 11/18/25, Licensing Program Analyst (LPA) Mariah Hawkins conducted a complaint investigation visit in order to deliver findings for the above allegation. LPA met with Administrator Deandra Doyle and informed of the purpose of the visit. Based on confidential interviews, observations, and record review, it was alleged that a nonminor dependent (NMD) living unit had mold in the bathrooms. LPA inspected all living units and observed evidence of moisture, including a rusted medicine cabinet and stained or mildewed grout, in the bathrooms at one living unit. The bathrooms have windows over the tub but no ventilation fans. Cleaning solutions were available to clients, but client and staff statements reflected that many clients do not regularly participate in cleaning activities, including those part of a chore schedule. The preponderance of evidence standard has been met, and therefore the above allegation is found to be substantiated. LPA is issuing a citation of Interim Licensing Standards Section 86272(a). See LIC 9099-D attached. An exit interview was conducted, and a copy of this report and the licensee's appeal rights were provided. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Mariah Hawkins LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN BRUNO RO, TRAEGER AVE., SUITE FACILITY NAME: UNITY CARE GROUPFACILITY NUMBER: 385650042


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Narrative:
CONTINUED FROM LIC 9099 [UNSUBSTANTIATED] Statements did reflect that events referred to as "side shows" were taking place around the time the report was made and that multiple clients watched at least one event. The events are common in the city in which the unit is located and typically consist of loud activities involving cars and possibly fireworks. Witness, staff, and client statements could not confirm an observation of a client participating in these events. Although the allegation may have happened or is valid, based on LPA's observations and interviews, there is not a preponderance of the evidence to prove the alleged violation did or did not occur. Therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report and the licensee's appeal rights were provided to Administrator Deandra Doyle.

Investigation Findings:
13On 11/18/25, Licensing Program Analyst (LPA) Mariah Hawkins conducted a complaint investigation visit in order to deliver findings for the above allegation. LPA met with Administrator Deandra Doyle and informed of the purpose of the visit. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Mariah Hawkins LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN BRUNO RO, TRAEGER AVE., SUITE FACILITY NAME: UNITY CARE GROUPFACILITY NUMBER: VISIT DATE: 11/18/2025


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 06/10/21 at 3: PM, Licensing Program Analyst (LPA) Isabel Mendoza made a case management visit for deficiencies discovered during LPA Mendoza investigation for Complaint Control#114-CR-20210302161119. LPA met with Administrator Dyese Hunt regarding the below items: 1. On 03/26/ LPA Mendoza requested copies of ( P1's and P2's) [please refer to LIC 811,dated 06/10/21 for confidential names] Needs and Service Plan and Transitional Independent Living Plan (TILP). The facility did not have Needs and Service for (P1) or (P2) or TILP for (P2). Also, the facility had no documentation of the facility requesting TILP from authorized representatives. 2. Based on interviews and documentation the facility conducted room searches on 2/3/21 and 2/4/21 at Foster City remote site because facility staff received information the night before that participants were doing drugs inside home. On 2/4/ Administrator, Dyese Allen and Case Manager, Frank Delgado conducted a room search and found illegal substances and other drug paraphernalia in (P1's) bedroom. The facility transported these items to Foster City Police Department. The facility failed to contact Community Care Licensing of this incident within 24 hours. During inspection, Administrator Dyese informed LPA Mendoza that they contacted CCL's Desk Duty Line however they were not able to leave a voicemail. LPA advised the facility if this happens again the facility needs to contact LPA Mendoza and report critical incident. [ Please refer to LIC 809-C for cont.] 3. Based on confidential interviews and documentation (P1) stole two driver licenses and a social security card from a couple. Images were sent to Case Manager, (S1) on 2/3/21 and (S1) failed to report this to their supervisor, Community Care Licensing and (P1's) authorized representative. Also, (S1) received specific dates back in January when participants (P1-P3) were doing drugs and (S1) did not do anything about it. The facility will be cited under California Code of Regulations, Title 22, Section 86168.3(b) Needs and Service Plan, Section 86161(b)(4) Reporting Requirements, and 86172(b) Personal Rights. An exit interview was conducted and copy of the report and appeal rights were provided to Administrator.

Deficiencies:
94066: Unity Care Groupfacility Number: 385650042 Visit Date: 06/10/2021 Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 323. Based on confidential interviews and documentation (P1) stole two driver licenses and a social security card from a couple. Images were sent to Case Manager, (S1) on 2/3/21
and (S1) failed to report this to their supervisor, Community Care Licensing and (P1's) authorized representative. Also, (S1) received specific dates back in January when participants (P1-P3) were doing drugs and (S1) did not do anything about it.

met_with: Administrator- Dyese Allen

title: Facility Name


summary: Facility Evaluation

raw_content:
Narrative:
The purpose of this report is to correct the discrepancy with multiple facility numbers for Unity Care Group. The facility moved from one suite in the building located at Enterprise Way, to a suite with the address of Enterprise Way. The effective date of facility # 317006116 is 06/01/2020.


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
(page 2) It is alleged that client funds are mismanaged. The investigation revealed that clients do not know how much their stipend payments will be until they receive the funds or the money is deposited in their account. The clients report the amount of payments are never the same which makes budgeting hard. The clients state they do not get an explanation or supporting documents showing what deductions are made or the date of the deduction. When LPA requested accounting documents for additional clients, with details on deductions, staff stated it would take while as they had to gather the data to create a spreadsheet each time a client statement was requested. LPA observed client stipend checks with "pay to the order of" in a staff's name and staff's address. Staff stated the checks are made payable to them until a client has a direct deposit set up. Staff cashes the check, gets the client's signature, and then gives the money to the client. Two clients and two county social workers reported money was withheld from emancipation funds after clients exited the program. Staff state that deductions for excessive cleaning or damages to the living units may be withheld from emancipation funds. The facility withholds $100 for non-minor dependents (NMD) and $50 for minors, per month, from their total monthly stipend amount. The facility Plan of Operation does not include a section on emancipation funds. The Plan of Operation does not describe how the facility will account for or handle funds held in a client emancipation account. Client housing agreements indicate deductions may be taken for infractions of the housing policies and cleaning fees may be withheld from an emancipation fund or the monthly stipend. It is alleged that the regional program director (RD) made derogatory remarks to a client. A Placer County Supervisor (PCS) stated that during a Child and Family Team (CFT) meeting the RD made several statements that escalated the youth. PCS stated RD was accusatory and hostile and the youth was escalated by this. PCS stated, "at one point (the youth) even called RD on her attitude saying she had been rude and disrespectful to others in the meeting by constantly interrupting and negating what they were saying." PCS intervened in the CFT meeting because RD said the youth put other residents at risk and was endangering their safety by leaving after curfew. PCS challenged the statement by RD because the other residents were non-minors without a curfew and therefore not at risk by a minor leaving. Two other participants confirm hearing RD speak in a demeaning manner and confirm the youth called RD out about being rude. A Placer County worker (PCW) stated that the lack of professionalism is troubling at best. PCW stated, "their lack of support is continued trauma and emotional upheaval for participants. There is long-term harm to the youth participating in the program." One facility staff and RD deny derogatory remarks were made. One CFT participant refused to speak on the matter. It is alleged that a minor was not provided supervision after a dental sedation procedure. The investigation revealed that a minor was sedated for a tooth extraction and bone graft procedures on 8/28/21. The minor was transported to and from the appointment by a Placer county worker. The facility did not make arrangements for adult supervision at the housing unit the day of the procedure. The regular live-in staff was on a scheduled vacation. Staff stated that the youth only had a tooth pulled and did not think sedation was necessary. A CFT meeting on 5/11/2021 indicates the need for a tooth extraction and bone grafting. CFT meeting notes from 8/11/2021 state dental needs still need to be addressed. (continued on p3) (page3) CSW stated that the minor had high anxiety leading up to the procedure and Unity Care was well informed of the date and the sedation. The facility offered to arrange a Lyft ride. CSW stated staff was reminded that minor would be fully sedated and could not take Lyft. CSW knew staff was on vacation but RD would get a fill-in. Staff knew that minor was struggling with serious mental health issues and had stopped taking medications prior to the dental procedure. The minor was left in the house with two other residents and an on-call phone number written on a white board. Minor stated they were in excruciating pain. Minor went to the refrigerator for something to eat and ended up throwing food and causing destruction all over the house. Help was called and it was determined that minor required hospitalization for a psych evaluation the evening of 8/28/21. Based on the information from interviews conducted and documents obtained the allegations, that client funds are mismanaged, Regional program director made derogatory remarks to a client, and a minor was not provided supervision after a dental sedation procedure, are substantiated. The facility is cited for California Code of Regulations Title 22, division 6, chapter 7, Transitional Housing Placement Program for Minor Foster Children and Non-Minor Dependents Responsibility for Providing Care and Supervision and Personal Rights. Although the allegation that client funds are mismanaged is substantiated no citation is issued at this time due to a citation issued on 11/18/21 for this violation. An exit interview was conducted and a copy of this report and appeal rights discussed and will be emailed to Mr. Johnson and Ms. Miller.

Investigation Findings:
13On 12/23/21 at 4: PM, Licensing Program Analyst (LPA) Robin Sullivan contacted the facility for the purpose of delivering findings for the allegations that client funds are mismanaged, Regional Director made derogatory remarks to a client, minor was not provided supervision after a dental sedation procedure. LPA met with Devin Johnson, Supervisor and Deb Miller, Compliance Officer, via teleconference due to technology issues, to discuss the findings. During the investigation LPA interviewed three clients, two Placer County Children's System of Care managers, two Placer county social workers (CSW), 2 facility staff and the regional program director between 8/30/21 and 12/09/21. LPA reviewed the following documents: facility program statement and plan of operation, Face Sheets and emergency contacts for youths, client needs and services plans, admission agreements, incident reports, financial payment and deduction information, copies of payment stubs, PEX account statements, THP Orientation booklet, and Transitional Independent Living Plans. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Robin Sullivan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: UNITY CARE GROUPFACILITY NUMBER: VISIT DATE: 12/23/2021

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


raw_content:
Narrative:
It is alleged that a client's needs and services are not met. The investigation revealed that clients are offered therapeutic services once per week or more often if determined necessary. According to a confidential interview the client was participating in therapy and then stopped going. It was stated that the client withdrew from facility workers which made providing additional services challenging. The client's case manager stated the client refused in-house therapy and refused to participate when another option was scheduled. Case manager stated that the client was a no show for their weekly meetings 75% of the time. Client did not participate in monthly Independent Living Skills. Client refused to complete a dental appointment due to provider not offering nitrous oxide. Placer County authorized dental sedation however the facility was unable to support a Saturday appointment. It is alleged that incident reports are not sent to authorized representatives. One social worker reports only receiving incident reports on a client after a 14-day notice to move the client was submitted. One social worker stated getting phone calls and emails from the case manager if there are concerns about a client but did not get regular written reports. Case managers state that staff are trained to write reports when an incident occurs while they are on shift or when they are notified of a situation. The reporter submits the initial incident report to their supervisor or the regional program director who in turn submits the report to CCL and authorized representatives. The facility is participating in a Technical Advisory Program addressing issues with reporting requirements. Based on interviews conducted and documents reviewed the allegations that a client's needs and services are not met and incident reports are not sent to authorized representatives are unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted and a copy of this report, appeal rights, and the LIC811 were discussed and emailed to Mr. Johnson and Ms. Miller. .

Investigation Findings:
13On 12/23/21 at 4: PM, Licensing Program Analyst (LPA) Robin Sullivan contacted the facility for the purpose of delivering findings for the allegations that client funds are mismanaged, Regional Director made derogatory remarks to a client, minor was not provided supervision after a dental sedation procedure. LPA met with Devin Johnson, Supervisor and Deb Miller, Compliance Officer, via teleconference due to technology issues, to discuss the findings. During the investigation LPA interviewed three clients, two Placer County Children's System of Care managers, two Placer county social workers (CSW), 2 facility staff and the regional program director between 8/30/21 and 12/09/21. LPA reviewed the following documents: facility program statement and plan of operation, Face Sheets and emergency contacts for youths, client needs and services plans, admission agreements, incident reports, financial payment and deduction information, copies of payment stubs, PEX account statements, THP Orientation booklet, and Transitional Independent Living Plans. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Robin Sullivan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: UNITY CARE GROUPFACILITY NUMBER: VISIT DATE: 12/23/2021

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

met_with: Devon Johnson, Supervisor and Deb Miller, Compliance Officer


raw_content:
Narrative:
The Department has investigated the facility denied access to client's personal belongings. The County Social worker wanted to pick up C1's belongings with C1. However, due to an incident involving C1 the facility did not want C1 returning. The facility, County Social Worker and Conflict Manager decided the Conflict Manger would pick up Cl's belonging. However, it took longer than expected due to the Conflict Manager experiencing a brief illness and the County placing C1's belongings in storage. C1 stated the belongings were returned. C1 was removed by Law Enforcement and did not return to the facility after being released from the hospital. Based on the investigation, records reviewed, and interviews conducted, the complaint findings are UNSUBSTANTIATED at this time meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of this report and appeal rights were given to the agency. No title 22 regulations were cited during today's inspection.

Investigation Findings:
13Licensing Program Analyst (LPA) Mary Shelton conducted a visit at the agency on 2/2/2022, and LPA spoke with Pam Carter, N. Cal Regional Program Director to deliver findings of the investigation on the complaint allegations as stated. LPA Shelton informed the complaint investigation included a tour of the facility on 10/15/2021. The initial 10-day complaint inspection was conducted by LPA Robin Sullivan, at the agency on 10/15/2021. Photos pertaining to the complaint were provided as well as a statement from the County Social worker and Conflict Manager. LPA Shelton interviewed C1, County Social worker and Conflict Manager. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Mary Shelton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: UNITY CARE GROUPFACILITY NUMBER: VISIT DATE: 02/02/2022


raw_content:
Narrative:
The Department has investigated the allegation that staff is smoking inside a remote site residence. The County Social worker could not confirm it was staff smoking marijuana. However, the smell was coming from an area in the house that a live-in staff occupies. The staff's room is right inside the front door. The Client's interviewed stated that they have never smelt or seen staff using marijuana. All staff interviewed stated that they have never smelt or seen staff using marijuana . Based on the investigation, records reviewed, and interviews conducted, the complaint findings are UNSUBSTANTIATED at this time meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of this report and appeal rights were given to the agency. No title 22 regulations were cited during today's inspection.

Investigation Findings:
13Licensing Program Analyst (LPA) Mary Shelton conducted a visit at the agency on 2/14/2022, and LPA spoke with Devin Johnson, Case Management Supervisor to deliver findings of the investigation on the complaint allegation as stated. LPA Shelton informed the complaint investigation included a tour of the facility on 10/21/2021. The initial 10-day complaint inspection was conducted at the agency on 10/21/2021. LPA did not request documents and stated documents may be required later. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Mary Shelton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: UNITY CARE GROUPFACILITY NUMBER: VISIT DATE: 02/14/2022


raw_content:
Narrative:
C1 is the victim and declined to be interviewed regarding the investigation. C1 and C2 both orally copulated each other. Both C1 and C2 are the same sex. C2 stated the sexual interaction only occurred once and was consensual. C1 signed an "Unity Care Group Admission Agreement" it states Dating: Participants in single site setting are prohibited from dating one another and physical contact is prohibited between residents. C1 is a minor and C2 is over the age of 18. The Case Manager at Unity Care interviewed both C1 & C2 and at that time they both denied ever engaging in any sexual activity. However, the victim C1 later reported the incident to the Police and then declined to be interviewed. C1 is currently living out of the state. Based on information the investigator obtained during the investigation; the facility staff have no expectation of supervision for residents regardless of age. The residents of the facility are mostly adults and come and go from the facility as they please but must be back at the facility prior to curfew at 2200 hours Sunday through Thursday and 2300 hours Friday and Saturday. As a result of the investigation conducted, the allegation that minor was sexually assaulted in care is UNSUBSTANTIATED at this time meaning the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with the Program Manager, and document/appeal rights were provided. No citations were issued on this date.

Investigation Findings:
13Licensing Program Analyst (LPA) Mary Shelton made an unannounced complaint inspection on 7/20/2022 at 9: AM and met with the Program Manager to discuss the findings of the complaint allegation. LPA informed the Progaram Manager, that the complaint investigation included an initial inspection of the facility on 9/29/2021 by LPA Robin Sullivan which included a walk-through of the facility and LPA requested the following documents: 1. Client Roster (names, DOBs, DOPs, DODs, authorized representative name and phone numbers), 2. Staff Roster (with title and phone numbers), 3. Staff Schedule March - September 2021. 4. Needs and Services Plans, TILP, Admission agreements, therapeutic services, for Clients 1-4 (see LIC811 confidential names list), 5. Case notes for past six month, clients 1-4. review of documentation provided by the facility for staff and previous staff, clients, and previous clients. LPA Robin Sullivan informed the Regional Director that the Department's Investigation Branch would be investigation the complaint. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Mary Shelton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: UNITY CARE GROUPFACILITY NUMBER: VISIT DATE: 07/20/2022

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

met_with: Devin Johnson, Program Manager


raw_content:
Narrative:
The Department has investigated the complaint that the participants are not properly supervised to meet their needs and facility is in disrepair. There is one staff from 3: PM until 12: AM, weekdays at the home. There needs to be a staff who lives on site for minors placed in the home. According to the Program statement "Staffed Sites: Participant (Minors and/or NMD) live in an independent setting in a Unity Care home and do not require constant (24-hour X7 day) supervision. Our Staff Sites are separate for male and female participant. Staffed Sites have Residential Advisors who live at the site." This states that Unity Care is not following the Program Statement. There is not a staff available on site during the weeknight and none on weekends. The non-minor dependents are not properly being supervised. Most of the clients in the home are 18 years old. However, there have been incidents of clients sneaking in friends and family members that intrude on other clients in the house. In addition, the Department has investigated the complaint that the facility is in disrepair and found no one in the home have witness or heard of yard fighting, someone being taken to jail on a warrant, cars being broken into, the fire department and ambulance was called for a resident with a medical emergency and the front gate was replaced due to erosion. It was also stated the home could be more organized and cleaner due to clients not cleaning up after themselves. However, it was founded that garbage is being left outside on the side of the home and not properly placed in a trash can. The residents sometimes forget to take out the trash and it piles up. The trash is picked up once a week. Based on LPA's interviews which were conducted and record reviews(s), the preponderance of evidence standard has been met, therefore the above allegation(s) (ARE) found to be Substantiated. The facility is cited on the attached LIC 9099D under the California Code of regulations, 86078(B) RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION: The licensing agency retains the authority to require additional staff, including social workers when the agency determines it is necessary to provide for the appropriate care and supervision of the participants and Buildings and Grounds(a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well being of clients, employees and visitors. A copy of this report was reviewed and given to the Administrator with appeal rights.

Investigation Findings:
13Licensing Program Analyst (LPA) Mary Shelton conducted a visit at the agency on 11/7/2022 and LPA spoke with Devin Johnson, Administrator to deliver findings of the investigation on the complaint allegations as stated. LPA Shelton informed the complaint investigation included a tour of the facility on 7/20/2022. The initial 10-day complaint inspection was conducted at the agency on 7/20/2022 and included a review of the facility and obtaining of relevant documents: LPA requested the following client and staff information: 1. Client Roster (names, DOBs, DOPs, DODs, authorized representative name and phone numbers), 2. Staff Roster (with title and phone numbers), Needs and Services Plans, Admission agreements, therapeutic services, for Clients, Case notes for the past six month and a log of house repairs. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Mary Shelton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: UNITY CARE GROUPFACILITY NUMBER: VISIT DATE: 11/07/2022

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

met_with: Devin Johnson, Administrator


raw_content:
Narrative:
C1stated that there is no drugs or alcohol being used in the home to C1's knowledge. C2 stated another client is using drugs but that person keeps to self. C3 stated that "C3 has smelled marijuana outside of the home and it's rare and does not know where the smell was coming from" and C4 stated that the former roommate was a drug addict and is no longer in the house/program. The agency's Program Directed stated if there were drugs or alcohol being used in the homes an incident report would be filed. The agency staff would communicate with the youth that was using and remind them of program rules. In addition, during confidential interviews it was determined that at least one client is not receiving their monies on the 1st and 16th and at times takes up to one week, this happens randomly. However, all residents agreed they received two payments a month in the sum of $500.00. According to the agency the clients at the homes are given monies twice a month. That will be every 1st and 16th unless it falls on a non-business day or holiday. If a client does not have a bank account, then UCG signs them up for a PEX account. They are able to use it like a credit card. Monies are transferred to the client's PEX account. If the client has a bank account, then the monies are sent to the client's account. The agency was cited on 11/18/2022 for client funds are mismanaged. Based on the investigation, records reviewed, and interviews conducted, the complaint findings are UNSUBSTANTIATED at this time meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of this report was reviewed and given to the Administrator and no title 22 regulations were cited during today's inspection.

Investigation Findings:
13Licensing Program Analyst (LPA) Mary Shelton conducted a visit at the agency on 12/13/2022 and LPA spoke with Devin Johnson, Administrator to deliver findings of the investigation on the complaint allegation as stated. LPA Shelton informed the complaint investigation included a tour of the facility on 7/20/2022. The initial 10-day complaint inspection was conducted at the agency on 7/20/2022 and included a review of the facility and obtaining of relevant documents: Client Roster (names, DOBs, DOPs, DODs, authorized representative name and phone numbers), Staff Roster (with title and phone numbers), Needs and Services Plan, Admission agreements, therapeutic services, for Clients and Case notes for past six month. The Department has investigated the complaint drugs and alcohol are being used in the home and Clients are not being provided their monies. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Mary Shelton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: UNITY CARE GROUPFACILITY NUMBER: VISIT DATE: 12/13/2022

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


raw_content:
Narrative:
The Department has investigated the complaint that the agency is not providing a safe environment for minor(s) in care and lack of supervision for minor(s) in care. Both C1 and C2 declined to be interviewed for the purpose of this complaint. C3 stated that there is supervision in the home on both weeknights and weekends. C3 stated that no drugs or alcohol or being used in the home "not that I know of". However, C3 stated that C3 has smelled marijuana outside of the home. C3 last saw a dentist a month ago and had a medical physical two months ago. The agency also provided a medical visit log. C3 stated there have been no adult males in the home or coming over to party. C3 stated if this did occur the agency would have them removed. Agency staff interviewed felt the home was a safe environment for clients and supervision was in place for the clients in care. The agency was cited (86078(B) RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION) on 11/7/2022. Based on the investigation, records reviewed, and interviews conducted, the complaint findings are UNSUBSTANTIATED at this time meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of this report was reviewed and given to the Administrator and no title 22 regulations were cited during today's inspection.

Investigation Findings:
Licensing Program Analyst (LPA) Mary Shelton conducted a visit at the agency on 1/24/2023 at 8: AM and LPA spoke with Atila Tilly Farr, Administrator Specialist to deliver findings of the investigation on the complaint allegation as stated. LPA Shelton informed the complaint investigation included a tour of the facility on 11/21/2022. Program Director, Jeffery Jefferson also attened the discussion via intercom. The initial 10-day complaint inspection was conducted at the agency on 11/21/2022 and included a review of the facility and obtaining of relevant documents: Needs and Service Plans for Clients, Client Roster and a Staff Roster (with title and phone numbers). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Mary Shelton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: UNITY CARE GROUPFACILITY NUMBER: VISIT DATE: 01/24/2023

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


raw_content:
Narrative:
The Department has investigated the allegation and found that S1 often acted in an unprofessional manner and continuously bickered with clients. S1 would call C1 names such as, Suburb boy, retard, and pussy. Other clients in the home stated during interviews that S1 would often behave in an unprofessional manner with clients, especially with C1. They heard staff call C1 several names to include but not limited to, "Ass hole, Special Ed, Stupid, Dumbass, and Retard." S1 was not interviewed for the purpose of this complaint. Based on the Investigators observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Chapter 1 80072(a)(3), are being cited on the attached LIC 9099D." An exit interview was conducted with Devin Johnson, Program Manager a copy of this report and appeal process was reviewed and provided by email due to technical difficulties.

Investigation Findings:
13Licensing Program Analyst (LPA) Mary Shelton conducted a visit at the agency on 5/17/2023 and LPA spoke with Devin Johnson, Program Manager to deliver findings of the investigation on the complaint allegations as stated. LPA Shelton informed the complaint investigation included a tour of the facility on 1/31/2023. The initial 10-day complaint inspection was conducted by LPA Mary Shelton, at the agency on 1/31/2023 and included a review of the facility and obtaining of relevant documents: Register of Facility Clients/Residents, Personnel Report, Needs and Service Plans, THP Program Housing Agreement-Staffed Sites, THP Program Receipt of Orientation Book and Case Management Goal Notes. LPA Shelton interviewed C1 on 2/8/2023, C2 on 2/8/2023 and received a video footage of the incident on 1/31/2023. There was an investigation also conducted by Investigator, Jeff LaGrange in a separate complaint with the same client and staff. The staff involved in the incident did not provide a statement. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Mary Shelton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: UNITY CARE GROUPFACILITY NUMBER: VISIT DATE: 05/17/2023

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


raw_content:
Narrative:
Regarding the allegation that staff poses a risk to participants in the home: During the complaint investigation it was found that staff did not pose a risk to participants in the home. C1 was the aggressor in the altercation, that occurred between C1 and S1. The agency provided video footage and it showed C1 would not stop advancing on S1. Interviews conducted with clients concluded the same results, that C1 was the aggressor. Based on the Investigators observations, interviews which were conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegation is found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Regarding the allegation that staff chocked participant and/or pulled participant hair: During the complaint investigation it was found that C1 stated S1 pushed, grabbed, then choked C1 with two hands for "at least 30 seconds. However. Client statements and surveillance do not support the claim that C1 was choked at all. C5 was present throughout the entire incident and stated S1 acted in self-defense when he pushed and grabbed C1. At one-point S1 did grab C1 by the neck but C5 could see S1 was not squeezing or choking C1. S1 was attempting to control C1 who was actively trying to hit S1. The surveillance video provided by the agency does not show S1 choking, hitting, or punching C1. C2 stated it happen so fast that C2 could not tell if S1 pulled C1's hair. Based on the investigation, records reviewed, and interviews conducted, the complaint findings are UNSUBSTANTIATED at this time meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Program Manager, Devin Johnson, a copy of this report and appeal process were email due to technical difficulties.

Investigation Findings:
13Licensing Program Analyst (LPA) Mary Shelton conducted a visit at the agency on 5/17/2023 at 9: AM and LPA spoke with Devin Johnson, Program Manager to deliver findings of the investigation on the complaint allegations as stated. LPA Shelton informed the complaint investigation included a tour of the facility on 1/31/2023. The initial 10-day complaint inspection was conducted by LPA Mary Shelton, at the agency on 1/31/2023 and included a review of the facility and obtaining of relevant documents: Register of Facility Clients/Residents, Personnel Report, Needs and Service Plans, THP Program Housing Agreement-Staffed Sites, THP Program Receipt of Orientation Book and Case Management Goal Notes. LPA Shelton interviewed C1 on 2/8/2023, C2 on 2/8/2023 and received a video footage of the incident on 1/31/2023. There was an investigation also conducted by Investigator, Jeff LaGrange in a separate complaint with the same client and staff. The staff involved in the incident did not provide a statement. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Mary Shelton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: UNITY CARE GROUPFACILITY NUMBER: VISIT DATE: 05/17/2023

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


raw_content:
Narrative:
Regarding the allegation that staff physically assaulted child in care: During the investigation conducted by Investigator, Jeff LaGrange C1 stated S1 did not hit or punch C1 during this incident. C1 claimed S1 pushed, grabbed, then choked C1 with two hands for "at least 30 seconds. However. Client statements and video footage do not support the claim that C1 was choked at all. C5 was present throughout the entire incident and stated S1 acted in self-defense when he pushed and grabbed C1. C1 was the aggressor and would not stop advancing on S1. At one point S1 did grab C1 by the neck but C5 could see S1 was not squeezing or choking C1. S1 was attempting to control C1 who was actively trying to hit S1. The video footage provided by the agency does not show S1 choking, hitting, or punching C1. Based on the Investigators observations, interviews which were conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegation is found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, the report and appeal rights were reviewed. A copy of the report and appeal rights were emailed to Devin Johnson due to technical difficulties

Investigation Findings:
13Licensing Program Analyst (LPA) Mary Shelton conducted a visit at the agency on 5/25/2023 at 3: PM and LPA spoke with Chan Saelee, Clinical Program Manager, to deliver findings of the investigation on the complaint allegation as stated. The initial 10-day complaint inspection was conducted by LPA Mary Shelton, at the agency on 2/27/2023 it included a review of the facility and obtaining of relevant documents: Register of Facility Clients/Residents, Personnel Report, Needs and Service Plans, THP Program Housing Agreement-Staffed Sites, THP Program Receipt of Orientation Book and Case Management Goal Notes. LPA Shelton informed the agency that the Department of Social Services IB Investigator, Jeff LaGrange, Badge #225, conducted the complaint investigation for: Personal Right: "staff physically assaulted child in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Mary Shelton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: UNITY CARE GROUPFACILITY NUMBER: VISIT DATE: 05/25/2023

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

met_with: Chan Saelee, Clinical Program Manager


raw_content:
Narrative:
It was alleged that the facility is abusing the emancipation funds release process. Interviews revealed that the emancipation funds process required Unity Care to assist the clients who were interested in participating in the Emancipation Funds process, to save their money while Unity Care would match the amount saved by the clients up to 20% which they would receive at graduation. However, the program was discontinued in January of 2022. Records of eight clients reviewed showed clients received funds at the end of the program. LPA attempted to interview these eight clients. Two clients responded, while a third client was deceased. C4 stated that his understanding was that he received a monthly stipend from UCG and from this stipend UCG opened a savings on his behalf where they saved his money and when he graduated, he was supposed to receive this money. He added that he received money at graduation but does not remember how much. C8 stated that he received some funds but that he did not understand the emancipation funds process or what the amounts he received were for. He also stated he did not remember how much he had received at graduation. A review of the bank's ARH payments from Heritage Bank of Commerce from what appeared to be a checking account containing routine checking transaction. Payments on the statement highlighted wire transfers to three clients while other debit transactions were blacked out. The payments were in the amount of $800.00 to C2, $1,000 to C3 and, $10,492.91 to C4, after their graduation from the program. LPA was unable to determine if the amount refunded was the amount owed to the clients. Based on LPA's confidential interviews and records reviewed, the allegation that facility is abusing the emancipation funds release process is unsubstantiated, meaning that the allegation lacks a preponderance of evidence to prove that the violation occurred. However, LPA did find that funds were commingled in the process. An exit interview was conducted and a copy of this report along with the Appeal Rights were provided to the Administrator.

Investigation Findings:
13On 5/2/24 about 1: PM, Licensing Program Analyst, (LPA) Uchenna Ajaero conducted an unannounced complaint investigation visit to deliver finding for this allegation. LPA Ajaero met with Devin Johnson The Administrator, and informed him of the purpose of the visit. On 12/05/23, LPA Ajaero visited the Agency office and met the Administrator. LPA requested and received the complete roster of their youths in placement, with their dates of birth, face sheets, current contact information and those of their case managers, teller of funds received and disbursed to clients from 2020 to 2022, and proof of wire transfers to clients. Between 12/05/23 and 02/29/24, LPA Ajaero interviewed the Administrator, contacted and attempted to interview eight clients but only two responded. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Hall LICENSING EVALUATOR NAME: Uchenna Ajaero LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: UNITY CARE GROUPFACILITY NUMBER: VISIT DATE: 05/02/2024

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

met_with: Devin Jihnson, Administrator


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
It was alleged that Staff do not prevent the facility from being in disrepair. The participant alleged multiple repair problems with their unit, including black mold in the HVAC and bathroom, disconnected water heater exhaust, high humidity, leaking dishwasher, missing vent cover, and more. The participant stated they told their Case Worker about these issues and the Case Worker let them know that maintenance requests must be done by the apartment, not by Unity Care. Although the Agency and the Apartment Complex encourage participants to be independent and to notify the Apartment of any maintenance repairs themselves, it was revealed that sometimes, whoever is working at the Apartment, will turn down residents because Unity Care is who is on the lease, not the Non-Minor Dependents. The Case Worker for NMD1 inaccurately told LPA that they cannot put in a maintenance request for the participant, and that the apartment will not accept repair requests from anyone other than the residents. Contrastingly, the Case Worker (CW2) for NMD2 stated they put in maintenance requests for the participants often, especially if the Apartment makes it difficult for the participant to do so. CW2 stated they can do it verbally for small things, or if it is a large repair, such as an HVAC issue, the Apartment will ask Unity Care to put it through "the portal". The Community Director of the Apartment Complex stated 90% of the maintenance requests come from Unity Care Case Workers, and not from the participants themselves. When LPA asked the participant if the Case Worker had checked in on the repairs not being completed yet, the participant stated they had not told the Case Worker that the complex hadn't fixed it yet. Although the Case Worker was not aware of the status of the maintenance request and thought the participant was working it out with the Apartment Complex, the Case Worker did not follow up with the participant or assist them when they stated the Apartment Complex would not let them put in the maintenance requests. The Case Worker's response was, repeatedly, that they could not do anything about it and that it must come from the participant, which is not true. NMD2 confirmed that they would overhear CW1 and NMD1, and CW1 sounded like a "broken record", continuing to tell the participant the same thing. Because Unity Care knew about the issues within the Apartment, and they did not assist the participant in addressing the concerns, this allegation is Substantiated. (Continued on LIC 9099-C). Regarding the allegation that Staff did not prevent a participant from being exposed to harmful conditions, it was reported that there was mold in the HVAC system and bathroom. CW1 told the participant to contact the Apartment Complex to put in a maintenance request, but the Apartment Complex told the participant the request needed to be put in the "portal". The participant asked how to put it in the portal and the Apartment Complex told the participant they couldn't give access to the portal because they aren't the name on the lease. The participant told their Case Worker, who told them to go back to the Complex because they couldn't do anything about it. An interview with the Case Worker revealed that they did not know the Agency process for how to request something to get put in the portal. The Administrator stated the Case Workers contact S3 themselves, who will put it in the portal for them, while CW2 stated they do not contact S3 directly, they tell the Administrator, who gets the request put in the portal for them. As a result of the conflicting statements from Unity Care and staff not providing direct assistance to handle the maintenance issues in the apartment, this allegation is substantiated. Regarding the allegation that Staff did not ensure the HVAC system is properly operating, according to the participant, the HVAC would not keep up with high temperatures and was also bringing in humidity which caused mold to grow and caused breathing problems for the participant. Interviews revealed the Case Workers' only solution to help the participant was to offer to move them to a different unit within the complex. The participant stated they did not want to move, due to the feeling that they have always been moved around too much throughout their life and wanted to establish a home somewhere. When the participant stated they didn't want to move, CW1 did not seek additional solutions to help the participant get the HVAC system properly working. The Participant and the Case Worker both corroborate that when the participant brought up any issues, the Case Workers response was that they needed to file a maintenance request. When the participant tried to with the Complex but couldn't because they told them it needs to be done through the portal, which the participant didn't have access to, the Case Worker told the participant again to go back to the apartment because they couldn't do anything. It was revealed that it is the Case Worker who tells the Administrator, who ensures maintenance requests go through the portal. NMD1 and NMD2 stated CW1 told the participant what they need to do but did not assist the client directly, which is required of the Transitional House Placement Program in teaching participants independence. (Continued on LIC 9099-C). It was also alleged that the participant saw a doctor for respiratory issues due to the unit having high humidity, and the Agency did not take it seriously. The participant stated they began having respiratory issues about a month after their move-in date on 1/9/2025. The participant saw a doctor for respiratory issues on May 30, 2025. The doctor's note revealed the doctor also believed the respiratory issues were from high humidity. The participant told their Case Worker they were having breathing issues from the mold and humidity. The Participant stated the Case Worker's response was, "Let them handle it". In an interview with the Case Worker, CW1 told LPA they knew the client went to the doctor, as the participant had told the Case Worker that they took the note to the Apartment Complex, in the hopes that it would speed up the maintenance requests. When asked if CW1 believed they should have assisted the participant in bringing the doctor's note to the office, CW1 stated, "They want them to do it themselves. I don't think there would be a difference if I went there with the same request." Additionally, the Case Worker told the participant that there was, "nothing Unity Care can do". When LPA asked CW1 why they didn't tell the Administrator, CW1 stated they did not think there was anything that the Administrator would have been able to do. This Department has investigated the complaints alleging Staff do not prevent the facility from being in disrepair, Staff did not prevent a client from being exposed to harmful conditions, Staff did not ensure the HVAC system is properly operating, and Staff did not address a client's change in medical condition. We have found the complaints to be Substantiated meaning the preponderance of the evidence standard has been met. The Agency is being cited for Interim Licensing Standards Section 86278(b) RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION, Interim Licensing Standards Section 86065.3(f)(4) SOCIAL WORK PERSONNEL, and California Code of Regulations Section 86030.5(a) IDENTIFICATION OF THPP PARTICIPANT LIVING UNITS on the attached LIC 9099-D pages. Exit interview conducted with Devin Johnson. A copy of this report and appeal rights were given.

Investigation Findings:
13On Thursday, September 18th, 2025, Licensing Program Analyst (LPA) Brittany Crass, made an Unannounced complaint investigation inspection at the Agency, to deliver findings for the allegations listed above. LPA met with Administrator Devin Johnson, who assisted with the inspection. LPA Crass conducted the initial 10-day complaint investigation at the Agency on 6/11/2025. LPA made two collateral visits to the apartment complex on 6/11/25, and 9/4/25. Between 6/9/25 and 9/8/25, LPA interviewed the Administrator (A1), two Agency Case Workers (CW1 & CW2), two Non-minor Dependents (NMD1 & NMD2), and the Community Director of the Apartment Complex (CD). The participant entered the program on 1/9/25 and exited the program on 7/5/25. (Continued on LIC 9099-C). SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Jensen-Hill LICENSING EVALUATOR NAME: Brittany Crass LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: UNITY CARE GROUPFACILITY NUMBER: VISIT DATE: 09/18/2025

announced_status: Unannounced

met_with: Administrator Devin Johnson