raw_content:
Narrative:
***Amended*** Regarding the allegation that staff threatened a minor with eviction, confidential interviews stated that program staff emphasized the requirements to maintain placement in the facility. Confidential interviews stated a participation in mental health services is a requirement of the program and that non-compliance can jeopardize placement. A confidential interview maintained that the facility was threatening C2 with eviction if C2 refused to be seen by the facility's own mental health provider. Based on confidential interviews, the allegations facility that staff interfered with C2's mental health decision and staff threatened C2 with eviction may have occurred, however, there was not a preponderance of evidence to support the alleged violations. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, a copy of this report along with appeal rights were explained and given to Beverly Boone.

Investigation Findings:
13On 08/14/2025 at 01:15PM, Licensing Program Analyst (LPA) Claudia Aguilera arrived at Milestone Group Home and met with Beverly Boone, Porgram Director to deliver the finding for the above stated allegations. On 04/10/2025, Community Care Licensing received complaint allegations that staff interfered with a minor's mental health decision and staff threatened a minor with eviction. On 04/14/2025, LPA Lucero Jauregui conducted a health and safety inspection at the facility, and no immediate health and safety hazards were observed. LPA Jauregui obtained documents pertinent to the investigation and conducted confidential interviews. In addition, LPA C. Aguilera conducted additional interviews and obtained pertinent information. In regard to the allegation that staff interfered with a minor's mental health decision, confidential interviews stated that there was a Child Family Team Meeting (CFTM) addressing C2s requests for specialty mental health services. However, confidential interviews did not specify a clear timeline between C2s request for specialty mental health therapy and the facility responding to the request. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Claudia Aguilera LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: MILESTONE GROUP HOMEFACILITY NUMBER: VISIT DATE: 08/14/2025

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


state: CA

facility_name: MILESTONE GROUP HOME

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Confidential interview indicated medical attention is requested by staff when it is needed by clients. Confidential interview indicated staff encourage clients to go to their medical appointments. Record review indicated C1 went to a medical appointment on 1/22/25. Confidential interviews indicated C1 was throwing up blood. Confidential interview indicated staff were made aware of C1 throwing up after it happened. Record review indicated staff were made aware of C1 throwing up on 1/23/25. Record review indicated C1 declined food and water and was prompted to go to the hospital by staff. Record review indicated on 1/24/25, C1 reported to have thrown up at school twice. Record review indicated C1 was asked to go to the Emergency Room and C1 refused to go. Confidential interview indicated C1 hates hospitals and doctors. Record review indicated C1 attended a follow up appointment on 2/10/25. Based on conflicting confidential interviews and records reviewed, the allegation that staff did not seek medical attention for minor in care is unsubstantiated. 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, and a copy of this signed report and appeal rights were provided to Desiree West, Clinical Director.

Investigation Findings:
13On August 27, 2025 at 10: AM, Licensing Program Analyst (LPA) Lucero Jauregui arrived at the facility unannounced and met with Desiree West, Clinical Director to discuss the investigative finding for the allegation noted above. LPA Jauregui conducted an inspection of the facility on February 5, 2025, and no deficiencies were noted. During the investigation, LPA Jauregui interviewed three clients (C1-C3). Pertinent documents were obtained. On January 30, 2025, Community Care Licensing (CCL) received allegation that staff did not seek medical attention for minor in care. It was reported that a youth was having medical issues and coughing up blood. It was reported that staff were informed it happened at school and that staff told the youth to tell staff the next time it happened. It was reported that staff did not do anything and did not take the youth to the hospital. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: LUCERO JAUREGUI LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: MILESTONE GROUP HOMEFACILITY NUMBER: VISIT DATE: 08/27/2025

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

report_type: Complaint Investigation

met_with: Desiree West, Clinical Director

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On June 21, 2021 at 1:30PM, Licensing Program Analyst (LPA) Carol Anderson conducted unannounced annual/required inspection at the above facility. LPA met with Licensing Beverly Boone. LPA tour the facility's outside and inside. There were five clients currently residing at this facility. Due to time constraint, LPA will interview clients on another date and time. The facility is a one-story home with pool and two car garage. Bedroom#1- two twin beds, mattresses, mattress pads, linens, blankets, pillows, dresser drawers and closet. Bedroom #2- two twin beds, mattresses, mattress pads, linens, blankets, pillows and dresser drawers and closet. Bedroom #3- two twin beds mattresses, mattress pads, linens, blankets, pillows and dresser drawer and closet. Bathroom #1 and #2 - Sink and tub operable, no common towels. Cleaning solution, disinfectants other hazard items are locked in cabinet located in the library, knives are inaccessible to clients and locked in cabinet in staff's office, staff to client ratio met, five clients (all required forms signed updated) and 10 staff files, centrally stored medications are recorded and logged and JV220 and medical consent forms were updated in clients' file, National Accreditation is current, Mental Health Certification will be approved in July 2021, Child and Family Teams (CFTs) are being utilized by facility, clients are allowed to make and receive calls to friends, family CCL and clients' authorized representatives, clients attend activities outside the facility, Emergency Disaster Mass Casualty plan posted, personal rights were posted and hot water temperature is reading at 113 degrees. LPA observed plenty of non-perishable and perishable foods, including snacks. LPA reviewed Board of Directors Meeting minutes dated March 31, 2021. A review of Licensing Information System on June 21, 2021 indicates that all facility staff associated to the facility had DOJ, FBI and child abuse index check clearances. LPA observed in the staff's file initial and annual trainings. Facility Administrator is present at the facility at minimum of 20 hours a week. LPA observed in the pool area, a 5ft. 2 inches wrought iron fence that surrounds the entire pool area, the access gate swings away from the body of water, with a pad lock on the gate. Based on observations made during the inspection and file reviews no deficiencies observed during today's inspection. An exit interview was conducted, and this report was reviewed with Licensee Beverly Boone a copy of this report was provided.

report_type: Facility Evaluation

visit_type: Annual

met_with: Beverly Boone


summary: Facility Evaluation

raw_content:
Narrative:
On March 3, 2022 at 12: PM, an unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPA) Val Wilson. During the inspection, LPA Wilson inspected Milestone Group Home, Short Term Residential Therapeutic Program (STRTP), inside and out with Executive Director, Beverly Boone. During the tour of the facility, LPA Wilson observed the staff office with the locked medication storage cabinet. Inside the cabinet is a locked medication box holding the medications. LPA reviewed three clients' records on site at the facility beginning at 1: PM. LPA reviewed three of three child's psychotropic medications and medication records at 1: PM. LPA Wilson reviewed one staff personnel file on site at the facility beginning at 1: PM. LPA interviewed one staff and the Executive Director on site at 2: PM. LPA interviewed two of three children currently taking psychotropic medication at 2: PM and 3: PM. LPA conducted exit interview with Beverly Boone, Executive Director, at 4: PM. LPA provided the Summary Report to Beverly Boone upon completion. No deficiencies are being cited at this time. LPA conducted exit interview with Beverly Boone, Executive Director, at 4: PM

visit_type: Case Management

met_with: Beverly Boone, Executive Director


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Sethany Yem, conducted a case management inspection on 6/14/2022 at 9:55AM 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, 10 out of Direct Care Staff and 5 out of 5 youth files were reviewed. 2 out of Direct Care Staff and 3 out of 5 youth were interviewed. (See the Confidential Names List, LIC 811, dated June 14th, 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 needs and service assessments, youth case plans, quarterly assessments, and crisis intervention 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. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan 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 the Administrator Beverly Boone.

met_with: Administrator Beverly Boone


summary: Facility Evaluation

raw_content:
Narrative:
On August 11, 2022 at 10:10AM, Licensing Program Analyst (LPA) Carol Anderson arrived at the above facility. LPA met with Licensee Beverly Boone, to initiate case management to follow up on an incident that was submitted to Community Care Licensing (CCL) on June 15, 2022. LPA interviewed staff and clients. LPA reviewed Client #1 (C1)'s records Additional Information is being gathered to determine if there is a violation of the Title Regulations or Interim Licensing Standards. Therefore, this case management is being extended. Exit Interview was conducted, and a copy of this report was given to Licensee Beverly Boone.


summary: Facility Evaluation

raw_content:
Narrative:
On March 03, 2023, Licensing Program Analyst's (LPA's) Eduardo Barragan and Lucero Jauregui conducted an unannounced visit at the facility and met with Michelle Zambrana, Assistant Director. The purpose of this visit to speak with a few staff to obtain extra information regarding an incident that occurred on 02/17/23-02/18/23. LPA's spoke with staff and requested documents for further review. LPA's will be returning at a later date/time after reviewing the forms for further discussion. An exit interview was conducted and a copy of this report along with appeal rights was provided too Michelle Zambrana, Assistant Director.

met_with: Michelle Zambrana, Assistant Director.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On April 3, 2023, at 10: AM Licensing Program Analysts (LPA's) Lucero Jauregui and Eduardo Barragan conducted an announced annual facility inspection. LPA's met with Beverly Boone, Executive Director who provided LPA's with a guided tour of the facility both indoors and outdoors. The facility is a three bedroom, two bathroom (for client use) in a single story home. The home consisted of three bedrooms, dining room, kitchen, two living rooms, a office and a clinician room. All three bedrooms are equipped to serve two clients each. All beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. However, two of the dressers needed to be repaired due to both of them missing a drawer. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguisher is properly charged and serviced. The hot water temperature was measured in the main bathroom and is currently 111.0 degrees which is in ration. Per facility staff, no firearms or weapons are allowed in the facility. LPA's observed the following items posted Personal Rights, Grievance Procedures, Visitation Policy, Facility sketch, Activity Schedule, Menu, Staff Schedule and Emergency Plan. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris however, the fence in the backyard needed to be repaired due to the fence not latching/closing correctly. There is a pool in the backyard and it is fenced. The enclosure was measured to be 5 feet with a self-latching gate that swings outward. Facility has one camera inside the staff break room and there is three cameras on the exterior of the house. Continued... Prior to inspection LPA's reviewed personnel files to ensure they contained all required documentation per Title Regulations. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. However, staff was missing a current CPR that was expired. LPA's also reviewed client records as well and ensured that all files contained all required documentation per Title Regulations. Four deficiency were administered at the end of this visit and one Technical Advisory were administered during this visit. An exit interview was conducted. A copy of the report was discussed and provided along with appeal rights to Beverly Boone, Executive Director.

Deficiencies:
80066(a): Personnel Records

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst's (LPA's) Joon Choi and Leslie Covarrubias, and Licensing Program Manager (LPM) Cheraki Davis on May 9, 2023 at 10: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs Choi and Covarrubias, and LPM Davis met with Program Operations Coordinator, Maria Horton, and conducted a tour of the facility. LPA's reviewed two of child's records and two of staff personnel files on site at the facility. LPA's reviewed two of child's psychotropic medications and medication records. LPA's interviewed two staff on site to discuss the facilities policies and procedures of operation. LPA's interviewed one of two clients. The second client was unavailable during the facility visit. No deficiencies are being cited at this time. LPA conducted exit interview with Maria Horton, Program Operations Coordinator.


summary: Facility Evaluation

raw_content:
Narrative:
On June 30, 2023 at 10:00 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility for the purpose of conducting a collateral interview with one client that is currently residing at the facility. LPA met with Beverly Boone, Facility Administrator, and explained that the complaint investigation is not on their facility. LPA conducted one interview. No deficiencies were cited. Due to printer malfunction, this report will be emailed to the Facility Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Leslie Covarrubias on May 9, 2024 at 10: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Covarrubias met with Program Operations Coordintator, Maria Horton and inspected the facility inside and out. LPA reviewed two of child's records and three of staff personnel files on site at the facility. LPA reviewed two of child's psychotropic medications and medication records. LPA interviewed three of staff on site to discuss the facilities policies and procedures of operation. LPA interviewed zero of children currently prescribed psychotropic medication, two children declined to be interviewed. LPA provided a copy of this licensing report to Program Operations Coordintator, Maria Horton. No deficiencies are being cited at this time. LPA conducted exit interview with Program Operations Coordintator, Maria Horton.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst's (LPA's) Jose Gonzalez and Joon Choi on March 5,2025 at approximately 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA's Gonzalez and Choi met Administrator Michelle Zambrana and Director Care Staff Elizabeth Reimann, and conducted a tour of the facility. During the visit there were two staff present and one client at the facility. LPA reviewed three client's record and two of staff personnel files on site at the facility. LPA reviewed three client's psychotropic medications and medication records. LPA interviewed two staff on site to discuss the facilities policies and procedures of operation. LPA interviewed one child (C1) on site that are currently prescribed psychotropic medication. LPA will conduct an interview with child (C2) at a later time. After reviewing client records at the facility, no deficiency is being cited at this time. The facility was provided a Technical Advisory (TA). LPA provided a copy of this licensing report, LIC 809, TA and conducted an exit interview with Administrator Michelle Zambana.

met_with: Administrator Michelle Zambrana


summary: Facility Evaluation

raw_content:
Narrative:
On July 11, 2025 at 9: AM Licensing Program Analyst (LPA) Lucero Jauregui conducted an unannounced required facility inspection. LPA met with Beverly Boone, Executive Director who provided LPA with a guided tour of the facility both indoors and outdoors. The facility is a three bedroom, two bathroom (for client use) in a single story home. The home consisted of three bedrooms, dining room, kitchen, two living rooms, a office and a clinician room. All three bedrooms are equipped to serve two clients each. All beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguisher is properly charged and serviced. The hot water temperature was measured in the main client bathroom. Per facility staff, no firearms or weapons are allowed in the facility. LPA observed the following items posted Foster Care Ombudsman, Foster Youth Bill of Rights, If You See Something Say Something, Personal Rights, Mental Health postings, Meal Menu, Snack Menu, Daily Schedule, Chore Chart and Responsibilities, and Laundry Schedule. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris and observable hazards. There is a pool in the backyard and it is fenced. The enclosure was measured to be 5 feet with a latching gate that swings outwards. Facility has one camera inside the staff break room and there is three cameras on the exterior of the house. Continued...... LPA reviewed five out of five personnel files to ensure they contained all required documentation per Title Regulations. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. LPA reviewed five out of five client records and contained all required items. LPA conducted two staff interviews and two client interviews. LPA is administering one Technical Violation during this visit, [SEE LIC9102]. An exit interview was conducted. A copy of the report was discussed and provided along with appeal rights to Beverly Boone, Executive Director.


raw_content:
Narrative:
Confidential interviews indicated medication is provided to clients when they are to go on an overnight approved pass. Consistent confidential interviews indicated C1 went on a consecutive three-day pass and medication was mistakenly left behind at the facility. Confidential interview indicated it was arranged for facility staff to take the medication to C1. Confidential interviews indicated C1 was not provided with their medication while on pass due to facility followed up with the pharmacy and received instruction that the prescribed medication to be administered on the days C1 was out on pass was not necessary to consume due to it being a placebo pills. Based on confidential interviews and record review, the allegation staff did not provide medication to minor is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred due to staff neglect. Therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this signed report and appeal rights were provided to Desiree West, Clinical Director.

Investigation Findings:
13On December 4, 2025 at 9: AM, Licensing Program Analyst (LPA) Lucero Jauregui arrived at the facility unannounced and met with Desiree West, Clinical Director to discuss the investigative finding for the allegation noted above. LPA Jauregui conducted an inspection of the facility on August 13, 2025, and no deficiencies were noted. During the investigation, LPA Jauregui interviewed two staff (S3- S4) and one client (C1). LPA attempted to interview one client (C2), however, C2 refused. Pertinent documents were obtained. On August 8, 2025, Community Care Licensing (CCL) received allegation that staff did not provide medication to minor. It was reported that C1 went on pass for 3 days where staff packed C1's medication but forgot to send it off with C1. It was reported that facility staff would transport the medication to C1 the following day. It was reported that facility did not transport the medication to C1 because facility staff received instruction from the pharmacy that it was not necessary for the medication to be consumed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: LUCERO JAUREGUI LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: MILESTONE GROUP HOMEFACILITY NUMBER: VISIT DATE: 12/04/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
On January 06, 2023, at 2:20 am, Licensing Program Analyst's (LPA's) Eduardo Barragan and Lucero Jauregui went to Milestone Group Home and met with Beverly Boone, Executive Director and Desiree West, Clinical Director.. The purpose of this visit was to address a deficiency that was noted. On November 09, 2022, Licensing Program Analyst (LPA) Lucero Jauregui and Licensing Program Manager (LPM) Ann Vallenzuella were at the facility and they overheard staff calling C1 by a name that C1 did not identify as. C1 then started yelling at staff saying, "I already told you that's not my name," yet the staff continued to call C1 by the name that he did not identify as. Additionally, on December 08, 2022, LPA's Barragan and Jauregui came to the facility to speak with a client and staff. While visiting on December 08, 2022, LPA's were informed that C1 was not being called the name that he identified as. C1 stated that he had verbally told staff the name he identified as, yet staff was refusing to call C1 the name that he identifies as because "they felt uncomfortable." LPA's then spoke with Beverly Boone, Executive Director about the concern and Beverly Boone mentioned that some staff did not feel comfortable with calling C1 by his preferred name; therefore, staff wouldn't call C1 by the name. Based on interviews, the Licensee did not ensure that C1 was accorded dignity within his personal relationships with staff, due to staff not calling him by his preferred name One deficiency is being cited on today's visit. An exit interview was conducted and plans of correction were discussed. A copy of this report and appeal rights were provided to Beverly Boone, Executive Director and Desiree West, Clinical Director.


summary: Facility Evaluation

raw_content:
Narrative:
On August 20, 2024, at 12: PM, Licensing Program Analyst (LPA) Lucero Jauregui made an unannounced case management visit to the facility and met with Beverly Boone, Director & Desiree West, Clinical Director. LPA Jauregui conducted a safety inspection of facility and observed three out of three client bedrooms did not have a door. Clients do not have the privacy in their rooms and must use the restrooms to change. Based on today's observations the facility is being cited for violation of Interim Licensing Standards STRTP Article 06. Continuing Requirements Personal Rights 87072(c)(1)To live in a safe, healthy, and comfortable home where they are treated with respect...(SEE LIC 9099D) An exit interview was conducted and plan of correction was developed with Beverly Boone, Director. A copy of this report, LIC 9099D and appeal rights were provided to Beverly Boone, Director.


raw_content:
Narrative:
Confidential interview reported that a trap was set in area of question, and the results detected a moth in the trap; no other insects were present. Another confidential Interview disclosed the facility has not had a history of fleas or insects. Confidential interview declared no knowledge of clients being bitten by any insects in the facility. Additional confidential interview reported that while at facility no evidence of insects was found, and a monitoring trap was left for multiple days. Conflicting confidential interview communicated that the facility had problems with mice and roaches, not just fleas. Confidential interview declared that the mice would keep clients awake at night as the mice fidgeted and made sounds. Confidential interview proclaimed that the rug in the facility is over 10 years old. Additional confidential interview expressed the area where the couch was had been assessed and the covers of the couch were washed following an incident of staff being bitten on the legs by fleas. Confidential interview communicated that since that time, no bites have been reported. Confidential interview disclosed that rugs are currently being replaced. Based on conflicting confidential interviews, the allegation that licensee did not ensure facility was free from insects may have occurred or is true, however there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated. A copy of this report and appeal rights were discussed and provided to Milestone Group Home Executive Director, Beverly Boone.

Investigation Findings:
13On January 8, at 10: AM, Licensing Program Analyst (LPA) Cynthia Velasquez met with Milestone Group Home representative, Beverly Boone, Executive Director, to deliver the findings for the above complaint allegation. On 09/24/2025, an inspection of the facility was conducted; no immediate health and safety hazards were observed. The investigation included interviews with Staff (S1-S3). Clients 1-5 (C1-C5) either refused to be interviewed or were no longer in the facility. Pertinent documents were gathered. On September 19, 2025, the Department received an allegation that licensee did not ensure facility was free of insects. Specifically, it was reported that staff were informed not to sit on a couch in the facility because there were fleas discovered on it. Confidential interview declared that the facility employs an exterminator who regularly sprays inside and outside of premises. Confidential interview communicated the exterminator visits twice a month. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Cynthia Ann Velasquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: MILESTONE GROUP HOMEFACILITY NUMBER: VISIT DATE: 01/08/2026

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


raw_content:
Narrative:
Confidential interviews indicated C1 broke the mirror from the inside of their personal makeup palette and a shard from the mirror was used to self-harm. Confidential interview indicated C1 requested staff's attention and disclosed the incident. Confidential interview indicated the makeup palette was immediately removed and thrown out. Confidential interviews indicated nail chemicals, razor blades, tweezers, and any sharp items used for personal hygiene are maintained locked and need to be checked out upon request and returned promptly. Confidential interviews indicated staff actively conduct supervision checks. Although it was concluded during the investigation that C1 accessed a sharp object while in care, the investigation did not produce sufficient evidence to conclude that C1 obtained the object due to lack of supervision or action by staff. Based on confidential interviews, the allegation that staff do not prevent minor from having access to sharp objects while in care may have happened or may be valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this signed report and appeal rights were provided to Beverly Boone, Executive Director.

Investigation Findings:
13On January 16, 2026 at 9: AM, Licensing Program Analyst (LPA) Lucero Jauregui arrived at the facility unannounced and met with Beverly Boone, Executive Director to discuss the investigative finding for the allegation noted above. LPA Jauregui conducted an inspection of the facility on October 27, 2025, and no deficiencies were noted. During the investigation, LPA Jauregui interviewed two staff (S1-S2), and one client (C2). LPA attempted to interview one client (C1), however, C1 refused. Pertinent documents were obtained. On October 22, 2025, Community Care Licensing (CCL) received allegation that staff do not prevent minor from having access to sharp objects while in care. It was reported that C1 harmed themself. It was reported that several lacerations observed on C1 did not appear "fresh." Reports received by CCL were inconsistent as to whether C1 harmed themself at school or at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: LUCERO JAUREGUI LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: MILESTONE GROUP HOMEFACILITY NUMBER: VISIT DATE: 01/16/2026

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


facility_name: MILLIE'S YOUTH SERVICES

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Christopher Rollins conducted a follow-up complaint inspection at Millie Youth Services and met with Jasmine Remson Facility Manager (FM). The purpose of the inspection was to deliver the finding for the above complaint allegation. During the course of investigating the allegation, LPA Rollins conducted confidential interviews with facility staff, clients, social workers and conducted clients file review. Confidential interviews reveal conflicting stories about facility staff choked a client in care. Based on interviews and documentation there was not enough evidence to prove that facility staff choked a client in care. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that facility staff choked a client in care ,therefore the above allegation is unsubstantiated. Exit interview conducted with FM and LPA left report at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Christopher Rollins LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

met_with: Jasmine Remson- Facility Manager


raw_content:
Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

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

met_with: Tanya Lashley


raw_content:
Investigation Findings:
13This is an amended report, original date was 10/19/22. Licensing Program Analyst (LPA) amended this report due to including additional finding on this LIC 9099. On 11-8-22 1: PM, Licensing Program Analyst (LPA) George Karkazis conducted a follow-up complaint inspection at Millie's Youth Services and met with Tonya Lashley, Facility Manager. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, LPA conducted confidential interviews and documentation research. An incident had occurred on 9-17-22 at approximately 7: PM. There was a verbal altercation that was de-escalated while in the presence of authorities. Based on document review, there was no evidence of a physical altercation. Based on confidential interviews, inconsistent information was provided, only an unintentional reflexive touch may have occurred during the verbal altercation. While authorities asked staff questions regarding client safety, the client misunderstood staff's response as being derogatory. Although the above allegations may have happened or is valid, there is not a preponderance of the evidence to prove that; staff hit minor in care, staff shoved minor in care, and staff speak inappropriately to minor(s) in care. Therefore, these allegations are UNSUBSTANTIATED. An exit interview was conducted and a copy of this report was given to Tonya Lashley, Facility Manager.. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Mendoza LICENSING EVALUATOR NAME: George Karkazis LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

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

met_with: Millie Winn, Licensee


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Narrative:
continued from LIC During document research, there was no evidence of any other unauthorized visitors for (C1). Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that staff allow unauthorized visitors in the home. Therefore, the above allegation is UNSUBSTANTIATED On the allegation of staff allow minors to drink in the home: Based on confidential interviews of staff and clients, all staff and all clients stated that consuming/possessing alcohol is prohibited on or around the facility. Conflicting information was provided stating that some clients drink in the yard and staff confiscate alcohol immediately. Other clients state that they have never seen consumption or possession of alcohol in the facility. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that staff allow minors to drink in the home. Therefore, the above allegation is UNSUBSTANTIATED. On the allegation of staff allow minor to sell marijuana: During confidential interviews, conflicting information was provided. Staff and clients stated that possession and sales of marijuana are prohibited at the facility. Staff state if they see marijuana, it will be confiscated. One client stated that she has never seen marijuana at this facility. Another client stated that she brought marijuana in the facility without the knowledge of staff. Document research shows that there is no evidence that staff allow minors to sell marijuana or paraphernalia of sales such as cash, baggies, or scales found. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that staff allow minor to sell marijuana. Therefore, the above allegation is UNSUBSTANTIATED An exit interview was conducted, and a copy of this report was provided to Tonya Lashley, Facility Manager, whose signature confirms its receipt.

Investigation Findings:
13On 11-30-22 1: PM, Licensing Program Analysts (LPA) George Karkazis conducted a complaint investigation with Millie's Youth Services and met with Tonya Lashley, Facility Manager. The purpose of this inspection was to deliver the findings for the above complaint allegations. The complaint was taken by Community Care Licensing's (CCL's) Investigative Branch (IB) and assigned to investigator Melissa Weaver. On the allegation of staff allow unauthorized visitors in the home: During confidential interviews, staff (S1), see LIC Confidential Names dated 9-2-22, stated that the client's representative authorized a visit from an unspecified male friend. The client's representative specified that the client (C1) could have one visitor once per month, for one hour. Upon the friend's arrival, staff (S3) took a photo of the visitor's identification. (S3) noticed that the visitor was not age appropriate, immediately reported to (S1), still allowed the visit to occur as there was nothing stating that it was not approved. (S3) supervised the visit, which took place in the backyard, and ensured conversations were appropriate. The visitor left after one hour as directed. continued on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Mendoza LICENSING EVALUATOR NAME: George Karkazis 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 CENTRAL COAST SC/RES, TRAEGER AVE., SUITE FACILITY NAME: MILLIE'S YOUTH SERVICESFACILITY NUMBER: VISIT DATE: 11/30/2022

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

met_with: Tonya Lashley, Facility Manager


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Narrative:
continued from Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that staff allow minors in care to be sexually exploited. Therefore, the above allegation is UNSUBSTANTIATED. An exit interview was provided and a copy of this report was given to Tonya Lashley, Facility Manager..

Investigation Findings:
13On 12-8-22 11: Am Licensing Program Analyst (LPA) George Karkazis made an unannounced inspection to Millie's Youth Services and met with Tonya Lashley, Facility Manager. The purpose of inspection was to deliver the findings for the above allegation. The investigation was assigned to Community Care Licensing (CCL) Investigation Branch (IB), Investigator Melissa Weaver. During the course of the investigation, (IB) conducted interviews with staff members, clients, witnesses, and authorized representatives. Interviews revealed inconsistencies if (C1), accepted money for sex through a phone app.(Please see LIC 811, dated DATE, for confidential names) In addition, (IB) obtained copies of shift notes, in and out logs, and client authorized visitor lists. On 8/13/22, (C1) had an approved visitor who was 21 years of age. However, the facility did not become aware until the visitor arrived and identification was requested. The visit was supervised by staff to ensure appropriate conversation and activity. The visitor was asked to leave after one hour. Continued on 9099-c UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Mendoza LICENSING EVALUATOR NAME: George Karkazis 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 CENTRAL COAST SC/RES, TRAEGER AVE., SUITE FACILITY NAME: MILLIE'S YOUTH SERVICESFACILITY NUMBER: VISIT DATE: 12/08/2022

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


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Narrative:
continued from LIC Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that a minor is abused while in care. Therefore, the allegation is UNSUBSTANTIATED. Regarding the allegation of minor is being threatened while in care: During the course of the investigation, LPA Karkazis conducted confidential interviews and document research. LPA conducted document research in needs and service plans, sign in/out logs, shift notes, and incident reports. There was no mention, no evidence that minor was threatened in care. LPA conducted confidential interviews with staff, clients, and client representatives. All staff interviewed stated that no minors were threatened in care. Client interviews were inconsistent. Client representatives stated that the client lies frequently, and makes up stories to get even with people, when clients don't get their way. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that a minor was threatened in care. Therefore, the allegation is UNSUBSTANTIATED. An exit interview was conducted and a copy of this report was given to Tonya Lashley, Facility Administrator.

Investigation Findings:
13This is an amended report 5-3-23 1:20PM. LPA Karkazis marked the original report 4-28- CONFIDENTIAL, which has now been changed to PUBLIC. On 4-28-23 11:14AM, Licensing Program Analyst (LPA) George Karkazis conducted an unannounced inspection at Millie's Youth Services to deliver the complaint findings. LPA Karkazis met with Tonya Lashley Facility Administrator, who helped with the inspection. Regarding the allegation of minor is abused while in care: During the course of the investigation, LPA Karkazis conducted confidential interviews and document research. LPA conducted document research in needs and service plans, sign in/out logs, shift notes, and incident reports. There was no mention, no evidence that minor was abused in care. LPA conducted confidential interviews with staff, clients, and client representatives. All staff interviewed stated that no minors were abused in care. Client interviews were inconsistent. Client representatives stated that the client lies frequently, and makes up stories to get even with people, when clients do not get their way. continued on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: George Karkazis 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 CENTRAL COAST SC/RES, TRAEGER AVE., SUITE FACILITY NAME: MILLIE'S YOUTH SERVICESFACILITY NUMBER: VISIT DATE: 04/28/2023

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

met_with: Tonya Lashley, Facility Administrator


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Christopher Rollins conducted an unannounced annual inspection. During the inspection, LPA met with Jasmine Remson, Facility Manager (FM) and inspect the facility inside and out. LPA reviewed files with Facility Manager. The group home is licensed to served 6 clients ages 12-17 and non minor dependents. Present during the inspection was 2 staff. At 10: AM LPA Rollins and Facility Manager did walk through of the facility inside and out. The kitchen is clean. The water measured 114.6 degrees F which is currently between 105 - 120 degrees. The facility has plenty of nonperishable and perishable food supply. Medication and Knives are locked away. There are enough folks, spoons, plates and cups. All passageways are unobstructed. All smoke detectors are update and working. The home is clean, safe, and sanitary. There are no firearms on the property. The fire extinguisher has been checked and is up to date. First aid kit is complete and fully stock. There are no bodies of water on the property. LPA observed clients' medication log to be up to date. At 12: PM, LPA Rollins conducted a file review with Facility Manager. LPA reviewed 5 clients files and Staff files were reviewed. LPA observed all five client files and found no deficiencies. The documentation in the clients file are complete. LPA observed all staff files to be complete, all correct documentation and all staff were up to date with there 40 hours of training for the year. The facility consists of 3 bedrooms (3 for clients), 1 shared bathrooms and 1/2 bathroom (No Shower). The facility is licensed for 6 residents (all can be non-ambulatory) and currently 4 clients reside in facility. No more than two clients share a bedroom. During inspection, LPA requested a updated copy of the LIC Personnel Report to maintain their file current. LPA also spoke with Administrator, Facility Manager and Program Manager about the conversation from Group Home to Short Term Residentail Therapeutic Program (STRTP).A review of Licensing Information System on June 15, 2021 indicates that all facility staff associated to the facility had DOJ, FBI and child abuse index check clearances. Per Title Regulations, no deficiencies were cited during this inspection. Exit interview conducted and a copy of the report was left at the facility.


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Vaishali Singh-Sood made an unannounced health and safety inspection on 3/18/2022 to the above listed facility and met with Tanya Lashley, Administrator at 11: AM. This agency serves as a Short Term Residential Treatment Program (STRTP). LPA explained that the purpose of the inspection was to conduct a health and safety check due to a recent incident with a client. During the course of the inspection, LPA Singh-Sood requested for copies of the involved client's file (assessment, needs and services plan, admission paperwork, case plan, incident reports, and medication list), AWOL log for client, copy of the staff schedule, and staff training tracker logs. Further investigation is required, no deficiencies were cited at this time. Exit interview was conducted and a copy of this report was emailed to Ms. Lashley at 1: PM .


summary: Facility Evaluation

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Narrative:
On 04/15/22 at 11: AM, Licensing Program Analyst (LPA) Isabel Mendoza made a case management visit to go over items that LPA Mendoza discovered during LPA Mendoza investigation for Complaint Control #14-CR-20211115114149, dated 11/15/21, and observed in the IB report, Case # CD1421-11166. LPA met with Facility Manager, Tanya Langley and discussed the below items: Based on confidential interviews, it was stated that the facility requires the clients to sign in and out whenever they are going on an outing-for example, going for a walk, store, work, and school. On 3/8/22, LPA Mendoza requested a copy of all "Sign In" documents from September to November. After reviewing the sign-in/out sheet, LPA noticed several entries starting in October where clients were not filling out the form completely. LPA reminded the facility that if the facility will require clients to sign in and sign out, then the facility is responsible for ensuring that the form is completed entirely by each client. Based on IB report, it was reported that (S1) (please refer to LIC 811, dated 04/15/22 for confidential names ) fingerprint clearances is pending in the Licensing Information System (LIS). (S1) resigned back in January. However, (S1) is still showing associated to the facility in a "pending" status. LPA requested the facility to disassociate (S1). Also, reminded the facility the importance of ensuring that all staff members are fingerprint cleared before working at the facility. LPA Mendoza is requesting the facility to submit an electronic copy of the facilities STRTP program statement to LPA Mendoza no later than Friday 04/22/22. Please continue to LIC 809-C... At this time no deficiencies were cited, but one technical violation was issued Criminal Record Clearance. An exit interview was conducted and a copy of the report will be emailed to Facility Manager.

met_with: Tanya Langley


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced annual inspection. During the inspection, LPA met with Facility Manager Tonya Lashiley and inspect the facility inside and out. The STRTP is licensed to served 6 clients ages 12-17 and non minor dependents. Currently only one client resides at the facility. LPA McCambridge and Facility Manager did walk through of the facility inside and out. The kitchen is clean. The water temperature is currently between 105 - 120 degrees. The facility has plenty of nonperishable and perishable food supply. Medication and Knives are locked away. There are enough folks, spoons, plates and cups. All passageways are unobstructed. All smoke detectors are update and working. The home is clean, safe, and sanitary. There are no firearms on the property. The fire extinguisher has been checked and is up to date. First aid kit is complete and fully stock. There are no bodies of water on the property. LPA McCambridge conducted a file reviews. LPA reviewed one client file and Staff files were reviewed. LPA observed client file and found no deficiencies. The documentation in the clients file are complete. LPA observed all staff files to be complete with all correct documentation. During inspection, LPA requested a updated copy of the LIC Personnel Report to maintain their file current. Per Title Regulations, no deficiencies were cited during this inspection. Exit interview conducted and a copy of the report was left at the facility.

met_with: Tonya Lashiley


summary: Facility Evaluation

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Narrative:
On 11-30-22 2:55PM, Licensing Program Analyst (LPA) George Karkazis conducted an unannounced visit at Millie's Youth Services and met with Facility Manager Tonya Lashley. The purpose of the visit was to investigate an incident that occurred in the month of October 2022. A client stated that a staff member went to pick up her brother while the client was in the car. When the brother entered the car, the client stated that the brother smelled of marijuana. This information was discovered while an Investigator was conducting an interview from a previous complaint. Further investigation is needed at this time. An exit interview was conducted and a copy of this report was given to Tonya Lashley, Facility Manager.


summary: Facility Evaluation

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Narrative:
On 5-3-23 1:05PM, Licensing Program Analyst (LPA) George Karkazis conducted a Case Management Inspection. LPA toured the facility. Tonya Lashley, Facility Administrator, helped facilitate the inspection. The purpose of the inspection was to amend the complaint findings dated 4-28-23 from CONFIDENTIAL to PUBLIC, from complaint #14-CR-20230410144008 dated 4-10-23. An exit interview was conducted and a copy of this report was given to Tonya Lashley, Facility Administrator.


summary: Facility Evaluation

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Narrative:
On 5-3-24 10:02AM, Licensing Program Analyst George Karkazis conducted an unannounced Annual/Random inspection at listed facility. LPA met with Tanya Lashley, Facility Manager and toured the facility inside and out. The Short Term Therapeutic Program is licensed to serve 6 clients. Present during the inspection were 1 staff and 1 client. At 10:15AM, LPA Karkazis reviewed client and staff files. All files were complete and in good order. At 12:17PM, LPA Karkazis toured the facility. LPA Karkazis observed 3 bedrooms and 2 bathrooms. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPA Karkazis tested the water temperature and found it to be 109 degrees which is in range. The thermostat read 71 which is within range. Sharps were locked and chemicals were safely stored. There were two days of perishable foods and seven days non-perishable foods present. The medication was also stored and locked in a cabinet in the front room.. The facility is in good repair and clean. LPA Karkazis interviewed 1 staff and the client declined the interview. At 12: LPA Karkazis toured the backyard. There were no open bodies of water. The backyard was in good repair and clean. At this time there were no deficiencies. . An exit interview was conducted, appeal rights discussed and a copy of this report was given to Tanya Lashley, Facility Manager.

met_with: Tanya Lashley, Facility Manager


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Christopher Rollins conducted a Case Management visit at Millie's Youth Services facility. LPA met with Millie Winn Administrator and Jasmine Remson Facility Manager (FM) . The reason for the case management visit was to explain to Administrator and FM about the reporting requirements when it comes to reporting a COVID-19 positive client or staff. LPA explain the regulation and cited facility for not reporting COVID-19 positive case in a timely manner. LPA conducted exit interview and cited Interim Licensing Standards Regulations 87061 (1) Reporting Requirements.

met_with: Millie Winn-Administrator and Jasmine Remson Facility Manager


summary: Facility Evaluation

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Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Celeste Aparicio on 08/07/24. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA met with Facility Manager, and inspected the facility inside and out. LPA reviewed two of child's records and three of staff personnel files on site at the facility.LPA reviewed two of child's psychotropic medications and medication records. LPA interviewed two of staff on site to discuss the facilities policies and procedures of operation. LPA interviewed two of children currently prescribed psychotropic medication. During the review of staff files LPA observed two of the three staff files to not contain documentation to show the completion of the required annual training. LPA is issuing a citation of Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS) Section 87065.1(e)(7). See LIC809-D. LPA provided technical support in the form of an advisory for the facility to maintain initial training within the staff files. See LIC Technical Assistance. An exit interview was conducted, appeal rights were discussed, and a copy of this report was left with Facility Manager, whose signature on this form confirms receipt.

met_with: Tonya Lashley


facility_name: MINDFUL GROWTH FOUNDATION

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Narrative:
It was reported to LPA Phillips during confidential interviews wanting to make sure facility incidents are being reported to administrator. Based on LPA Phillips investigation the incident was reported as required and internal investigation was conducted by Administrator. It was reported to LPA that two staff were present during the incident and deny that staff threatened to harm resident. It was reported to LPA Phillips that staff was overheard through a door making threats during a time that lots of noise such as crying and banging was going on. It was unclear how staff may have been overheard talking through a closed office door. Based on the interviews conducted and documents obtained, the above allegation is found to be unsubstantiated, meaning that although the allegation. may have happened or are valid, there is not a preponderance of the evidence to prove or disprove that a violation occurred. No deficiencies cited at the time of this investigation. Exit interview was conducted, and copy of the report will be emailed to administrator

Investigation Findings:
13On December 21, 2022 at 1: PM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to MINDFUL GROWTH FOUNDATION and met with Fannie Linnear/Facility Manager who granted access to the faciity. The purpose of the visit was to deliver findings for the complaint allegation. During the investigation of the allegation: Staff threatened minor in care. LPA Phillips conducted ten (10) confidential interviews, reviewed the following documentarty evidence: Staff files, training logs, CFTM notes, NSP and SIRs. All staff denied that Staff #4 threatned resident in care. It was reported to LPA Phillips that resident was allowed space and time to calm self due to having a tough day. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: MINDFUL GROWTH FOUNDATIONFACILITY NUMBER: VISIT DATE: 12/21/2022

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

met_with: Fannie Linnear/ Facility Manager


raw_content:
Investigation Findings:
13Licensing Program Analysct Connie Jones-Steward investigated the allegation the facilty alllowed staff to work without proper clearance. LPA spoke to S6 and S7. LPA also compared the LIC 500 for May 2024 to Guardian database and clearance letters from the Criminal Background Clearance Bureau. LPA concluded from the documentation that S3 began work at the Mindful Growth Chesley prior to her background clearance being transferred in order for her to do so. Therefore the allegation is substantiated and the facility is cited under Title 22 80019(e)(4). A substantiated finding means that there is a preponderance of evidenced that the allegations is true. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Connie Jones-Steward LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: MINDFUL GROWTH FOUNDATIONFACILITY NUMBER: 198209759

met_with: Janet Browder, Facility Manager


summary: Facility Evaluation

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Narrative:
On April 26, 2022 at 9:20am, Licensing Program Analysts (LPA) Daphne Edison and Kuliema Calloway along with Associate Governmental Program Analyst (AGPA) Reiko Jones and Licensing Program Manager (LPM) Lakescia Smith arrived at Mindful Growth Foundation for the purpose of conducting a Pre-Licensing Inspection Visit. LPA's, AGPA, and LPM met with Sherlyn Johnson, Administrator who granted access into the facility and together a tour was conducted. The facility will provide care and supervision to six (6) male children, ages 12-17 years, ambulatory only. The facility will also provide services to non-minor dependents pursuant to W & I code 16501.1 (C) (1). The census on this day is zero (0). The facility is a two story home located in a residential neighborhood and it is set up as follows: Three (3) bedrooms, two (2) bathrooms, a living room, a dining room, kitchen, staff office, a basement, a laundry area, therapist room/office combination, staff multi-purpose room, a detached two (2) car garage, and a backyard. First Floor Living Room: Equipped with a sofa, loveseat, and television. All furniture is in good repair. Kitchen: Equipped with a 5-burner gas stove and a refrigerator/freezer. Dining Room: Equipped with a table and seating for six (6) people. All furniture is in good repair. Continued on LIC 809-C First Floor Bedroom #1: Equipped with two (2) twin sized beds with adequate storage and closet space. Window safety release device is operable. Bathroom #1: Equipped with a bathtub/shower combination, a toilet, and a sink. Clean and in operable condition. Staff Office: Equipped with desk. Therapist Room: Utilized for therapy sessions with a connected office for therapist use. Laundry Area: Equipped with a washer and dryer. Basement: Equipped with a water heater and a deep freezer for extra food storage. Second Floor Bedroom #2: Equipped with two (2) twin sized beds with adequate storage and closet space. This bedroom shares a Jack and Jill bathroom with Bedroom #3. Window safety release device is operable. Bedroom #3: Equipped with two (2) twin sized beds with adequate storage and closet space. Window safety release device is operable. Bathroom #2 (Jack/Jill Style): Equipped with a bathtub/shower combination, a toilet, and a sink. Clean and in operable condition. Staff Multi-Purpose Room: Equipped with a chair. Pending set-up. Backyard: Has no debris or hazardous materials. Detached two-car garage used for storage. Continued on LIC 809-C The living room and dining room furniture was in good repair. The kitchen trash can is covered with a lid. The facility was observed to have a one week supply of non-perishable food items. All bedrooms were observed to have adequate lighting, mattresses in good repair and clean linens and bedding. All sharp knives and medicines must be kept locked in the staff office and made inaccessible to clients in care. All disinfectants/cleaning solutions will be kept in a locked closet in the laundry room and made inaccessible to the children. The hot water was tested, and the temperature was found to be within a safe range. All prescribed medications must be centrally stored in a locked cabinet in the staff office and made only accessible to staff. The first aid kit was checked and found to be missing the first aid manual. Smoke detectors and carbon monoxide detectors tested audible and were in appropriate working order. The facility has four (4) regulation fire extinguishers fully charged. LPA observed the facility to have adequate indoor and outdoor activity space. The front and backyards were inspected and found to be clean and free of debris and observable hazards. Foster youth bill of rights and grievance procedures were posted. Caregiver(s)/adults working/residing in the home must have DOJ/FBI criminal record clearances and Child Abuse Index Checks. Emergency Mass Disaster Plan was posted. LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. The home will operate within the capacity and limitations of the license. The following must be corrected: Set up staff multi-purpose room Bedroom #1 - move bed to avoid blocking window with safety device. Clean walls due to stains Wall panel missing and must be replaced in downstairs hallway. Carpet on stairs must be cleaned. LPA observed cameras in home but was informed cameras will not be utilized Therapy room and therapist office has not been set up. Door crack needs to be sealed in therapy room. Damaged tent must be removed from the rear of garage. Knob on dryer needs to be replaced Landline telephone service must be set up Enclosed veranda must be free and clear Bedroom #3 walls need to cleaned and hole must be patched/repaired Bedroom #2 need to move bed from blocking safety release device in front of window. Walls to be painted throughout the home. Perishable food will be supplied prior to resident move-in LPA advised Administrator that a LIC 9182 and a photocopy of driver license for all staff must be submitted to associate staff to the facility. LPA advised Administrator that binders must be set up for staff/client files. Administrator advised LPA a new facility vehicle will be purchased to transport clients. LPA will conduct a follow-up visit to the home within two (2) weeks. Exit Interview was conducted, and a copy of this report will be emailed to the Administrator.

visit_type: Prelicensing

met_with: Sherlyn Johnson-Administrator


summary: Facility Evaluation

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Narrative:
On May 16, 2022 at 8:56am, Licensing Program Analysts (LPA) Daphne Edison and Kuliema Calloway arrived at Mindful Growth Foundation for the purpose of conducting a follow-up Pre-Licensing Inspection Visit which took place on April 26, 2022. LPA's met with Sherlyn Johnson, Administrator who granted access into the facility and together a tour was conducted. The facility will provide care and supervision to six (6) male children, ages 12-21 years, ambulatory only. The facility will also provide services to non-minor dependents pursuant to W & I code 16501.1 (C) (1). The census on this day is zero (0). The facility is a two story home located in a residential neighborhood and it is set up as follows: Three (3) bedrooms, two (2) bathrooms, a living room, a dining room, kitchen, staff office, a basement, a laundry area, therapist room/office combination, staff multi-purpose room, a detached two (2) car garage, and a backyard. LPA's completed a walk through to address concerns from previous inspection which took place on April 26, 2022. The following corrections have been made: · Staff Multi-Purpose Room has been set up for staff use · Bedroom #1 - bed has been moved and is no longer blocking window with safety release device · Wall panel has been replaced in downstairs hallway. Carpet on stairs has been cleaned. Walls have been painted/cleaned and no longer have stains Continued on LIC 809-C · Cameras in facility are not operational and will not be used · Therapy room and therapist office have been set up and ready for use. Door crack has been sealed in therapy room · Damaged tent has been removed from the rear of the garage · Knob on dryer has been replaced · Enclosed veranda is now free and clear from food items and all debris and hazardous materials · Bedroom #3 walls have been cleaned/painted. Hole in wall has been patched/repaired · Bedroom #2 bed has been moved from blocking safety release device in front of window · Walls have been painted throughout the facility · Perishable food will be supplied prior to resident move-in · Binders have been set up for staff/client files · All staff have been associated to the facility · Facility vehicle used to transport clients is currently registered with valid insurance and in good repair. Administrator stated and provided email confirmation to LPA that a service appointment for Spectrum to repair the land line telephone is scheduled for 5/17/2022. Administrator stated will contact LPA and provide land line telephone number once the service appointment is complete. Continued on LIC 809-C According to ILS Version 4 for STRTP's, it states the following: Fixtures, Furniture, Equipment, and Supplies (e) The following facilities shall maintain a signal system which meets the requirements specified in (e) and (f) below. Such system shall be used by children to summon staff during an emergency: (2) All facilities having separate floors and not providing full-time staff on each floor whenever children are present. Mindful Growth Foundation will not install a signal system on the second floor and acknowledges they must always maintain a staff on the 1st and 2nd floor when children are present. Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit Interview was conducted, and a copy of this report will be emailed to the Administrator.


summary: Facility Evaluation

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Narrative:
On August 2, 2022 at 8:17am, Licensing Program Analyst (LPA) Daphne Edison arrived at Mindful Growth Foundation for the purpose of conducting a Post-Licensing Inspection Visit. LPA met with Fannie Linnear, Facility Manager who granted access into the facility and together a tour was conducted. The facility is licensed to provide care and supervision to six (6) male children, ages 12-17 years, ambulatory only. The facility will also provide services to non-minor dependents pursuant to W & I code 16501.1 (C) (1). The census on this day is six (6). The facility is a two story home located in a residential neighborhood and is set up as follows: Three (3) bedrooms, two (2) bathrooms, a living room, a dining room, kitchen, staff office, a basement, a laundry area, therapist room/office combination, staff multi-purpose room, a detached two (2) car garage, and a backyard. First Floor Living Room: Equipped with a sofa, love seat, and television. All furniture is in good repair. Kitchen: Equipped with a five (5) burner gas stove, microwave oven and a refrigerator/freezer. Dining Room: Equipped with a table and seating for six (6) people. All furniture is in good repair. Bedroom #1: Occupied. Equipped with two (2) twin sized beds with adequate storage and closet space. Window safety release device is operable. Bathroom #1: Equipped with a bathtub/shower combination, a toilet, and a sink. Clean and in operable condition. Continued on LIC 809-C Staff Office: Equipped with desk, chair and file storage for staff and client files. Therapist Room: Utilized for therapy sessions with a connected office for therapist use. Equipped with a desk and sofa. Laundry Area: Equipped with a washer and dryer in operable condition. Basement: Equipped with a water heater and a deep freezer for extra food storage. Second Floor Bedroom #2: Occupied. Equipped with two (2) twin sized beds with adequate storage and closet space. This bedroom shares a Jack and Jill bathroom with Bedroom #3. Window safety release device is operable. Bedroom #3: Occupied. Equipped with two (2) twin sized beds with adequate storage and closet space. Window safety release device is operable. Bathroom #2: (Jack/Jill Style): Equipped with a bathtub/shower combination, a toilet, and a sink. Clean and in operable condition. Staff Multi-Purpose Room: Equipped with a desk, table, and chair. Detached Garage: Used for storage. Backyard: Has no debris or hazardous materials. Detached two car garage used for storage. LPA observed the facility to have adequate indoor and outdoor activity space. The front and backyards were inspected and found to be clean and free of debris and observable hazards. LPA observed the home to be clean, safe, sanitary and in good repair. Passageways, stairways, inclines, ramps, and open porches are unobstructed. The facility was observed to have a one week supply of non-perishable food items. All bedrooms were observed to have adequate lighting, mattresses in good repair with clean linens and bedding. Disinfectants, cleaning solutions, and poisons items are kept in a locked closet in the laundry room and made inaccessible to clients. All sharp knives and medicines are kept locked in the staff office and made inaccessible to clients in care. Staff and client records are kept locked in the staff office. Continued on LIC 809-C There are no weapons located in the home. Hot water was tested, and the temperature was found to be within a safe range. First Aid kit is complete with scissors, tweezers, thermometer, and First Aid Manual. Smoke detectors and carbon monoxide detectors tested audible and were in appropriate working order. The facility has four (4) fully charged regulation fire extinguishers. LPA will review staff and client records and conduct staff and client interviews on a later date. Children in care are supervised and protected at all times. Children are accorded dignity in personal relationships with staff and others. Children can contact the licensing agency or Foster Care Ombudsperson in confidence without threats or punishment for making complaints. It was reported that children attend school, extracurricular, cultural, and personal enrichment activities. Caregiver(s)/adults working/residing in the home have DOJ/FBI criminal record clearances and Child Abuse Index Checks. Emergency Mass Disaster Casualty Plan was available for review. LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. All posting requirements have been met. The home is operating within the capacity and limitations of the license. Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit Interview was conducted, and a copy of this report will be emailed to the Administrator.

met_with: Fannie Linnear-Facility Manager


summary: Facility Evaluation

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Narrative:
On August 4, 2022 at 8:08am, Licensing Program Analyst (LPA) Daphne Edison arrived at Mindful Growth Foundation for the purpose of conducting a Case Management for a Post-Licensing Inspection Visit which took place on August 2, 2022. LPA met with Jasmine Sampson, Executive Director who granted access into the facility and together a tour was conducted. The facility is licensed to provide care and supervision to six (6) male children, ages 12-17 years, ambulatory only. The facility will also provide services to non-minor dependents pursuant to W & I code 16501.1 (C) (1). The census on this day is six (6). The facility is a two story home located in a residential neighborhood and is set up as follows: Three (3) bedrooms, two (2) bathrooms, a living room, a dining room, kitchen, staff office, a basement, a laundry area, therapist room/office combination, staff multi-purpose room, a detached two (2) car garage, and a backyard. LPA observed the home to be clean, safe, sanitary and in good repair. Passageways, stairways, inclines, ramps, and open porches are unobstructed. The facility was observed to have a one-week supply of non-perishable food items. All bedrooms were observed to have adequate lighting, mattresses in good repair with clean linens and bedding. Disinfectants, cleaning solutions, and poisons items are kept in a locked closet in the laundry room and made inaccessible to clients. All sharp knives and medicines are kept locked in the staff office and made inaccessible to clients in care. There are no weapons located in the home Hot water was tested, and the temperature was found to be within a safe range. First Aid kit is complete with scissors, tweezers, thermometer, and First Aid Manual. Smoke detectors and carbon monoxide detectors tested audible and were in appropriate working order. The facility has four (4) fully charged regulation fire extinguishers. During this visit, LPA conducted three (3) client interviews and reviewed six (6) client records which contained copies Medical Authorizations signed by each child and their authorized representative. Children in care are supervised and protected at all times. Continued on LIC 809-C Children are accorded dignity in personal relationships with staff and others. Children can contact the licensing agency or Foster Care Ombudsperson in confidence without threats or punishment for making complaints. It was reported that children attend school, extracurricular, cultural, and personal enrichment activities. Children have only been in placement for one (1) week, therefore the Needs and Services Plan has not been completed on the day of this inspection. LPA observed and reviewed copies of Personal Rights and authorized representatives signed by each child in placement. LPA also observed and reviewed signed admission agreements for all children by the placement agency. During this visit, LPA reviewed four (4) staff records and conducted three (3) staff interviews. Caregiver(s)/adults working/residing in the home have DOJ/FBI criminal record clearances and Child Abuse Index Checks. Emergency Mass Disaster Casualty Plan was available for review. LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. All posting requirements have been met. The home is operating within the capacity and limitations of the license. Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit Interview was conducted, and a copy of this report will be emailed to the Administrator.

met_with: Jasmine Sampson-Executive Director


summary: Facility Evaluation

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Narrative:
On March 14, 2023 at 9:33am, Licensing Program Analyst (LPA) Daphne Edison arrived at Mindful Growth Foundation for the purpose of conducting an Annual Required Inspection. LPA met with Fannie Linnear, Facility Manager who granted access into the facility and together a tour was conducted. The facility is licensed to provide care and supervision to six (6) male children, ages 12-17 years, ambulatory only. The facility will also provide services to non-minor dependents pursuant to W & I code 16501.1 (C) (1). The census on this day is six (6). The facility is a two story home located in a residential neighborhood and is set up as follows: Three (3) bedrooms, two (2) bathrooms, a living room, a dining room, kitchen, two (2) staff offices, a basement, a laundry area, staff/therapy multi-purpose room, a detached two (2) car garage, and a backyard. First Floor Living Room: Equipped with a sofa, love seat, and television. All furniture is in good repair. Kitchen: Equipped with a four (4) burner gas stove, microwave oven and a refrigerator/freezer. Dining Room: Equipped with a table and seating for six (6) people. All furniture is in good repair. Bedroom #1: Occupied. Equipped with two (2) twin sized beds with adequate storage and closet space. Window safety release device is operable. All furniture is in good repair. Bathroom #1: Equipped with a bathtub/shower combination, a toilet, and a sink. Clean and in operable condition. Continued on LIC 809-C Staff Office#1: Equipped with desk, chair and file storage for staff and client files. Staff Office #2: Equipped with a desk, chair, and sofa. Laundry Area: Equipped with a washer and dryer in operable condition. Basement: Equipped with a water heater, storage cabinet with cleaning supplies and a deep freezer for extra food storage. Second Floor Bedroom #2: Occupied. Equipped with two (2) twin sized beds with adequate storage and closet space. This bedroom shares a Jack and Jill bathroom with Bedroom #3. Window safety release device is operable. All furniture is in good repair. Bedroom #3: Occupied. Equipped with two (2) twin sized beds with adequate storage and closet space. Window safety release device is operable. All furniture is in good repair. Bathroom #2: (Jack/Jill Style): Equipped with a bathtub/shower combination, a toilet, and a sink. Clean and in operable condition. Staff/Therapy Multi-Purpose Room: Equipped with two (2) tables, six (6) chairs and a television. All furniture is in good repair. Detached Garage: Equipped with a deep freezer for extra food storage and utilized for storage. Backyard: Has no debris or hazardous materials. Detached two-car garage used for storage. LPA observed the facility to have adequate indoor and outdoor activity space. The front and backyards were inspected and found to be clean and free of debris and observable hazards. Continued on LIC 809-C LPA observed the home to be clean, safe, sanitary and in good repair. Passageways, stairways, inclines, ramps, and open porches are unobstructed. The facility was observed to have a one-week supply of non-perishable food items. All bedrooms were observed to have adequate lighting, mattresses in good repair with clean linens and bedding. Disinfectants, cleaning solutions, and poisons items are kept in a locked closet in the laundry room and made inaccessible to clients. All sharp knives and medicines are kept locked in Staff Office #1 and made inaccessible to clients in care. Client records are kept locked in Staff Office #1. There are no weapons located in the home. Hot water was tested, and the temperature was found to be within a safe range. First Aid kit is complete with scissors, tweezers, thermometer, and First Aid Manual. Smoke detectors and carbon monoxide detectors tested audible and were in appropriate working order. The facility has four (4) fully charged regulation fire extinguishers. During this visit, LPA reviewed six (6) client records which contained copies Medical Authorizations signed by each child and their authorized representative. Children in care are supervised and protected. Children are accorded dignity in personal relationships with staff and others. Children can contact the licensing agency or Foster Care Ombudsperson in confidence without threats or punishment for making complaints. It was reported that children attend school, extracurricular, cultural, and personal enrichment activities. LPA will review staff records and conduct staff and client interviews on a later date. Caregiver(s)/adults working/residing in the home have DOJ/FBI criminal record clearances and Child Abuse Index Checks. Emergency Mass Disaster Casualty Plan was available for review. LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. All posting requirements have been met. The home is operating within the capacity and limitations of the license. LPA provided facility with four (4) pocket-sized Foster Youth Bill of Rights in English and Spanish. Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit Interview was conducted, and a copy of this report will be emailed to the Administrator.


summary: Facility Evaluation

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Narrative:
On March 21, 2023 at 9:16am, Licensing Program Analyst (LPA) Daphne Edison arrived at Mindful Growth Foundation for the purpose of conducting a Case Management for an Annual Required Inspection which took place on March 14, 2023. LPA met with Fannie Linnear, Facility Manager who granted access into the facility. The facility is licensed to provide care and supervision to six (6) male children, ages 12-17 years, ambulatory only. The facility will also provide services to non-minor dependents pursuant to W & I code 16501.1 (C) (1). The census on this day is six (6). The facility is a two story home located in a residential neighborhood and is set up as follows: Three (3) bedrooms, two (2) bathrooms, a living room, a dining room, kitchen, two (2) staff offices, a basement, a laundry area, staff/therapy multi-purpose room, a detached two (2) car garage, and a backyard. During this visit, LPA conducted four (4) client interviews. Children in care are supervised and protected. Children are accorded dignity in personal relationships with staff and others. Children can contact the licensing agency or Foster Care Ombudsperson in confidence without threats or punishment for making complaints. It was reported that children attend school, extracurricular, cultural, and personal enrichment activities. During this visit, LPA reviewed five (5) staff files and conducted two (2) staff interviews. Caregiver(s)/adults working/residing in the home have DOJ/FBI criminal record clearances and Child Abuse Index Checks. All posting requirements have been met. The home is operating within the capacity and limitations of the license. LPA advised licensee of routine carpet cleaning of stairs. Continued on LIC 809-D Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit Interview was conducted, and a copy of this report will be emailed to the Administrator.


summary: Facility Evaluation

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Narrative:
On May 29, 2024 at 9:00am, Licensing Program Analysts(LPAs) Deborah Lee, Kim Dear, and Licensing Program Manager Bernice Karnsrithong arrived at Mindful Growth Foundation for the purpose of conducting an Annual Required Inspection. LPA met with Fannie Linnear, Facility Manager who granted access into the facility and together a tour was conducted. The facility is licensed to provide care and supervision to six (6) male children, ages 12-17 years, ambulatory only. The facility will also provide services to non-minor dependents pursuant to W & I code 16501.1 (C) (1). The census on this day is six (6). The facility is a two story home located in a residential neighborhood and is set up as follows: Three (3) bedrooms, two (2) bathrooms, a living room, a dining room, kitchen, two (2) staff offices, a basement, a laundry area, staff/therapy multi-purpose room, a detached two (2) car garage, and a backyard. First Floor Living Room: Equipped with a sofa, love seat, and television. All furniture is in good repair. Kitchen: Equipped with a four (4) burner gas stove, microwave oven and a refrigerator/freezer. Dining Room: Equipped with a table and seating for six (6) people. All furniture is in good repair. Bedroom #1: Occupied. Equipped with two (2) twin sized beds with adequate storage and closet space. Window safety release device is operable. All furniture is in good repair. Bathroom #1: Equipped with a bathtub/shower combination, a toilet, and a sink. Clean and in operable condition. Staff Office#1: Equipped with desk, chair and file storage for staff and client files. Staff Office #2: Equipped with a desk, chair, and sofa. page 1 of Laundry Area: Equipped with a washer and dryer in operable condition. Basement: Equipped with a water heater, storage cabinet with cleaning supplies and a deep freezer for extra food storage. Second Floor Bedroom #2: Occupied. Equipped with two (2) twin sized beds with adequate storage and closet space. This bedroom shares a Jack and Jill bathroom with Bedroom #3. Window safety release device is operable. All furniture is in good repair. Bedroom #3: Occupied. Equipped with two (2) twin sized beds with adequate storage and closet space. Window safety release device is operable. All furniture is in good repair. Bathroom #2: (Jack/Jill Style): Equipped with a bathtub/shower combination, a toilet, and a sink. Clean and in operable condition. Staff/Therapy Multi-Purpose Room: Equipped with two (2) tables, six (6) chairs and a television. All furniture is in good repair. Detached Garage: Equipped with a deep freezer for extra food storage and utilized for storage. LPA observed the facility to have adequate indoor and outdoor activity space. The front and backyards were inspected and found to be clean and free of debris and observable hazards. LPA observed the home to be clean, safe, sanitary and in good repair. Passageways, stairways, inclines, ramps, and open porches are unobstructed. The facility was observed to have a one week supply of non-perishable food items. All bedrooms were observed to have adequate lighting, mattresses in good repair with clean linens and bedding. Disinfectants, cleaning solutions, and poisons items are kept in a locked closet in the laundry room and made inaccessible to clients. All sharp knives and medicines are kept locked in Staff Office #1 and made inaccessible to clients in care. Client records are kept locked in Staff Office #1. page 2 of There are no weapons located in the home. Hot water was tested, and the temperature was found to be within a safe range. First Aid kit is complete with scissors, tweezers, thermometer, and First Aid Manual. Smoke detectors and carbon monoxide detectors tested audible and were in appropriate working order. The facility has four (4) fully charged regulation fire extinguishers. During this visit, LPA reviewed ( 2 ) client files. Per review of files, (2 ) out of ( 2 ) met current licensing requirements. During this visit, LPA reviewed ( 3 ) staff files. Per review of files, (3 ) out of (3 ) files met current licensing requirements. During the inspection LPA conducted 2 confidential interviews (1 staff and 1 client) Caregiver(s)/adults working/residing in the home have DOJ/FBI criminal record clearances and Child Abuse Index Checks. Emergency Mass Disaster Casualty Plan was available for review. LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. All posting requirements have been met. The home is operating within the capacity and limitations of the license. Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit Interview was conducted, and a copy of this report will be emailed to the Licensee Jenero Jefferson and Jasmine Sampson. Page 3 of 3

met_with: Fannie Lannear, Facility Manager


summary: Facility Evaluation

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Narrative:
While conducting a subsequent complaint visit for 34-CR-20240524171002, LPA observed the name of S1 on the facility roster. His employment date was 08/04/2025. LPA reviewed Gaurdian and found that S1 has a pending administrative action and there was a letter of ineligle fingerprint submission issued on 07/05/2024, stating that S1 was excluded. Residential Director Eartha Daniels provided LPA with a Decisiom and Order dated 07/23/25 stating that the exclusion was stayed for 2 years and that a conditional criminal records clearance is to be granted.


summary: Facility Evaluation

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Narrative:
On 10/3/25 at 10: AM, LPA arrived at the above facility for the purpose of a case management-other visit. LPA met with Administrator Thomas Washington. During a previous visit, LPA noticed that on the LIC 500, multiple staff members have the title of Administrator. Also, during previous interviews, multiple staff members referred to multiple other staff members as administrators. CCL expectations and standards are that each facility only has one administrator. During the staff interviews, LPA determined that only one staff member fulfills the roles and duties of the administrator, while the other staff just carry the title. The facility is not in violation of any rules or regulations, but LPA is advising a language and title change for the facility to only reference and reflect one administrator per facility. This will remove any confusion and set proper expectations for each facility for roles and responsibilities based on who is ultimately in charge/responsible as the facility administrator. No deficiencies cited. Exit interview conducted. LPA left a copy of this report.

met_with: Thomas Washington Administrator


summary: Facility Evaluation

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Narrative:
On 11/26/25, Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility and met with Facility Manager Adrian. LPA then left and went to the main office and met with CEO Jenero Jefferson for the purpose a case management deficiency visit. Based on a previous visit, LPA determined that the current facility administrator is Thomas Washington and not Grace Dixon. Based on staff interviews LPA was informed that Thomas Washington is the Administrator for all four facilities. LPA also did a records review in the office and could not find any communication form the facility informing CCL of the Administrator Change. LPA observed record evidence of Grace Dixon being approved as the Administrator but not Thomas Washington. This is also a violation of the regulations for the facility. LPA is citing facility for ILS 87064. Administrator Recertification Requirements (j) (1). See LIS 809-D. LPA is also recommending that staff are retrained and advised on the organizational structure and who is the administrator for each facility. Exit Interview Conducted

met_with: CEO Jenero Jefferson