summary: Facility Evaluation

raw_content:
Narrative:
On May 23, 2025, an informal office conference was held at the Fresno Children's Residential Program, Fresno Office. Present with Community Care Licensing are Regional Manager Nelson Martinez, Licensing Program Manager Tamara Melikian and Licensing Program Analyst Danny Macias. Present with Muir Wood Auberry Road is Chief Operating Officer (COO) Bryan Bowen and Director of Compliance (DC) Misty Mejia. The purpose of the conference is to address incident reporting, update of the administrator, and the program statement updates. Facility will be training group home staff on incident reporting and implementing a process to submit incident reports in a timely manner. Facility will submit remaining incident reports to LPA in the coming weeks. In addition, the services of the Technical Support Program was offered and the licensee is interested in this referral being completed for them. Facility will provide LPA an update for the administrator of record and updates to the organization will be forwarded by the licensee within the next week. Facility will submit latest revisions and updates to the program statement in the coming weeks. A copy of this report was left with COO Bryan Bowen.

met_with: Bryan Bowen, Misty Mejia


state: CA

facility_name: MUIR WOOD-AUBERRY ROAD

summary: Facility Evaluation

raw_content:
Narrative:
On December 29, 2025, Licensing Program Analyst (LPA) Danny Macias arrived at the Group Home (GH) and met with Operations and Care Coordinator Manager (OM) Lydia Franco. The purpose of the visit was to conduct a case management inspection related to an incident that occurred on 11-30-25 in which a client self-harmed with broken plastic. LPA obtained relevant documents and conducted interviews on this date(see 812s). The client is no longer placed at the GH. The GH formulates safety plans with clients in order to address similar situations on an ongoing basis. A physical inspection of the facility was completed by LPA. A review of the Licensing Information System on this date indicates that all facility staff are associated to the GH and had DOJ, FBI, and child abuse index check clearances. No deficiencies noted on this visit. A copy of this report was left with Lydia Franco at the conclusion.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Lydia Franco


summary: Facility Evaluation

raw_content:
Narrative:
On 04/28/2024, Licensing Program Analysts (LPAs) Danny Macias and Angelica Borja conducted an unannounced case management inspection at the above facility. LPAs met with Clinical Director (CD) Holly Purcell-Logan. Based on documents obtained from Law Enforcement agencies, the facility did not report 8 law enforcement incidents to Community Care Licensing. The Department determined this to be an immediate risk to the health and safety of clients in care at this time, therefore the Group Home is being issued a deficiency under Code of Regulations (CCR), Title 22, 80061(b) Reporting Requirements on the attached LIC809-D. In addition, the Group Home is being assessed a civil penalty as a result of a repeat violation. An exit interview was conducted, and a copy of the report and appeal rights were left with Holly Purcell-Logan at the conclusion.

met_with: Holly Purcell-Logan


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On June 12, 2024, an informal office conference was held at the San Jose Children's Program, Fresno Office. Present with Community Care Licensing Regional Manager, Nelson Martinez, Licensing Program Managers Juanita Arroyo, Lourey Bartolome and Isabel Diego, and Licensing Program Analysts Cheyenne McCanbridge, Briana Placencia and Angelica Borja. Present with Muir Wood Auberry Road are Program Administrator Scott Sowle and Chief Compliance Officer Brent Bowers. During this meeting, the following items were discussed: 1. LIC 500-Administrator/Staff 2. Deficiencies cited on May 29, 2024 during Post Licensing 3. Appeal being denied 4. Review Needs and Services Plan 5. Fingerprinting, Associations and Waiver need to be corrected immediately 6. Safeguarding Cash Resources 7. Facility Contact Landline phone number/flip phone that are used by clients 8. Program Statement- Consistency with all Regional Offices 9. New Citations 10. Personal Rights

Deficiencies:
84072(c): 1
2
3
4
5
6
784072   Personal Rights
(c)  At admission, each child, and his/her authorized representative, shall be personally advised of and given a copy of the child's rights as specified in Subsection d below

met_with: Scott Sowle and Brent Bowers


summary: Facility Evaluation

raw_content:
Narrative:
On September 25, 2024, an informal office conference was held at the Fresno Children's Residential Program, Fresno Office. Present with Community Care Licensing Regional Manager, Nelson Martinez, Licensing Program Manager Tamara Melikian and Licensing Program Analyst Reyna Martinez. Present with Muir Wood Auberry Road are Program Administrator-CEO Scott Sowle and Chief Compliance Officer Brent Bowers. Based on documentation obtained by Law Enforcement Agency and confidential interviews, the facility has failed to report incidents that meet CCL reporting requirements to the department. Based on the information obtained, the Group Home is being issued a deficiency under Code of Regulations (CCR), Title 22, 80061(b) Reporting Requirements on the attached LIC809-D. A copy of this report and appeal rights was left with Program Administrator-CEO Scott Sowle.

met_with: Scott Sowle


facility_name: MUIR WOOD-AUBERRY WEST

summary: Facility Evaluation

raw_content:
Narrative:
On the date above Licensing Program Analyst, Les Inouye met with Scott Sowle and Bryan Bowen. The meeting was to receive the corrections form the last review. Forms from Section A requested were submitted. Part 1 documents and Part Program Description were submitted. All documents will be review to current licensing standards and the licensee will be notified if any further updates or correction are needed or the the information Meets Standards. A discussion on the current status of programs and applications in the state and area was discussed. Current processes and reviews for state wide applications were discussed along with the purpose and goals of Muir Wood and the services they provide. LPA, will review the entire application and notify the licensee.


summary: Facility Evaluation

raw_content:
Narrative:
On the date above Licensing Program Analyst, Les Inouye met with Scott Sowle and Brent Bowers. The meeting was to review the corrections form the list returned 10/16/24. An updated Program Statement will be submitted and the licensee will be notified if any further updates or correction are needed or the information Meets Standards. Applicant has requested an extension of the submission date which has been granted. LPA, will review the entire application and notify the licensee.


summary: Facility Evaluation

raw_content:
Narrative:
On the date above Licensing Program Analyst, Les Inouye met with Scott Sowle and Brent Bowers The meeting was to receive the corrections form the last review. All Part 1 documents and Part Program Description were submitted. All documents will be review to current licensing standards and the licensee will be notified if any further updates or correction are needed or the information Meets Standards. Applicant will be notified if any corrections can be completed section by section to expedite a complete review. If a facility pre licensing visit can be scheduled Licensing Program Analyst, Danny Macias will be contacted to schedule with the facility. LPA, will review the entire application and notify the licensee.


summary: Facility Evaluation

raw_content:
Narrative:
On May 5, 2025, Licensing Program Analysts (LPAs) Danny Macias and Leslie Inouye travelled to Muir Wood Auberry West to conduct a pre-licensing inspection. LPAs met with Chief Operating Officer (COO) Bryan Bowen. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 68 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced in April 2025. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications will be locked and centrally stored. Individual beds were observed in all bedrooms. There are no bodies of water on the property. Per COO, no firearms or weapons are in the facility. There are no pets at the facility. LPAs discussed two areas in the back yard requiring clean-up. The facility is having the gardening staff perform clean-up in the following 2 weeks. LPAs left a copy of this report with COO at the conclusion.

visit_type: Prelicensing

met_with: Bryan Bowen


summary: Facility Evaluation

raw_content:
Narrative:
A Case Management visit was conducted to discuss the Program Statement revisions. Bryan has reviews to be completed and is in the process of review and submission. A review is expected to be submitted by 5/16/25. If any questions or clarifications are needed Bryan will contact LPA Les Inouye.

met_with: Bryan Bowan


facility_name: MUIR WOOD - AUBERRY SOUTH

summary: Complaint Investigation - Unsubstantiated - 1 deficiency

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Reyna Martinez conducted a complaint inspection and met with Scott Sowle, Program Administrator-CEO. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the complaint alleging Staff are exposing minors to inappropriate material; Staff are engaging in inappropriate behavior; Staff are not providing adequate care and supervision; and Staff do not provide adequate food service. LPA conducted interviews and obtained documentation. There were inconsistencies in the confidential interviews. Although the allegations may have happened or is valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, and a copy of this report was provided to Scott Sowle, Program Administrator-CEO. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Reyna Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 07/22/2024 and conducted by Evaluator Reyna Martinez PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:MUIR WOOD - AUBERRY SOUTHFACILITY NUMBER: ADMINISTRATOR:SOWLE, SCOTTFACILITY TYPE: ADDRESS: AUBERRY ROADTELEPHONE: (310) 903- CITY:CLOVISSTATE: CAZIP CODE: CAPACITY:6CENSUS: 0DATE: 09/25/ UNANNOUNCEDTIME BEGAN: 02: PM MET WITH:Scott SowleTIME COMPLETED:03: PM 9Unqualified staff are providing care and supervision INVESTIGATION FINDINGS: 13On the above date, Licensing Program Analyst (LPA) Reyna Martinez conducted a complaint inspection and met with Scott Sowle, Program Administrator-CEO. The purpose of the inspection was to deliver the findings for the above complaint allegation. Based on interviews it was determined that staff have not met the required training requirements and are providing care and supervision to the clients in care. Based on the LPA's observations, confidential interviews and records review which were conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be substantiated. A deficiency is being cited for the California Code of Regulations (CCR) Section 84065(i)(2) Personnel Requirements. A copy of the report and Appeal Rights was provided to Scott Sowle, Program Administrator-CEO. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Reyna Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: MUIR WOOD - AUBERRY SOUTHFACILITY NUMBER: 107207243

Deficiencies:
84065: (2)	Sixteen hours of training shall be completed by new child care staff  within 90 days of hire.

report_type: Complaint Investigation

complaint_status: unsubstantiated

title: Personnel Requirements (i)	(i)	Notwithstanding Sections 80065(f)(1) through (6), new child care staff hired on or after July 1, 1999, shall complete a minimum of 24 hours of initial training comprised of the 8 and 16-hour training as specified in (1) and (2) below


summary: Facility Evaluation

raw_content:
Narrative:
On October 9, Licensing Program Analyst (LPA) Wayne Aoki travelled to Muir Wood - Auberry South to conduct the Component II interview. LPA was met by facility Chief Executive Officer/Administrator, Scott Sowle. LPA discussed the following with the Mr. Sowle: Forms that the facility uses and will continue to use. Corporate organization - Including chain of command and roles of staff Written plans, policies or procedures that was submitted with the application. Administrator/Director qualifications and duties. Muir Wood currently operates 13 licensed facilities (82 beds) in California. Mr. Sowle informed this LPA that he will be the Administrator for Muir Wood - Auberry South when the facility is licensed, Mr. Sowle indicated that all 13 facilities that are licensed have specific Administrators/Facility Managers assigned to each facility. Mr. Sowle will continue with Administrative duties until Rosie Samarjian receives her Administrator's Certificate. 1. Facility grounds inspected. Grounds are clean and free from observable hazard. The facility has a swimming pool that is properly fenced with a self closing/latching gate that opens away from the pool. 2. Adequate indoor activity space and materials observed, and outdoor activity space was observed. 3. Chemicals were appropriately locked 4. Procedures for Locked and centrally stored medications observed. 6. Adequate storage space observed. 7. Individual beds in good repair observed. A supply of extra linens available for bed changes. 8. The house has 3 bedrooms, double occupancy, located on a single floor. Bedrooms are accommodating of all required furnishings. 9. Adequate food storage space observed. Facility will add appropriate supply of foods upon placement of youth in the home. A supply of nonperishable foods were observed on this date. 10. Sample menu posted. 11. All appropriate forms posted within client view. 12. Dining room equipped with large table and chairs accommodating of all clients. 13. Facility has three restrooms for client use, one for staff use, all are operable Hot water measured 117 degrees on this date. Applicant has personnel associated through Guardian. Administrator has been fingerprint cleared. Prior to initial license approval, all staff must be fingerprint cleared and associated to the facility. Prior to accepting clients for care, the facility shall ensure that all personnel who will have client contact are cleared and associated. Discussed Guardian process with the facility. Discussed with the facility the process for changing the facility Administrator. The following documents are required: 1. LIC 308 (Designation of Facility Responsibility) designating new administrator. 2. Current Personnel Record for new Administrator. 3. Verification of Education and/or experience for new administrator. 4. Copy of current administrator certificate. 5. Current (within one year) health screening and TB test. 6. Board Resolution granting administrative responsibility to the new administrator. 7. Fingerprint association transfer request (if the Administrator is not already associated to the facility) 8. Exception request (if the Administrator does not specifically meet regulatory requirements, i.e. experience is in a facility with a capacity of six or fewer). Discussed Incident reporting. An initial report for all reportable incidents is to be made by the next working day to CCLFresnoIncidents@dss.ca.gov. A full report is to be remitted within 7 days and may also be made to the incident reporting email. The currently assigned analyst for the facility will be Wayne Aoki. Wayne.Aoki@dss.ca.gov or at (559) 978-9486. The facility will be approved for initial Licensure, pending verification of guardian clearance and association for the Licensee and Administrator. Initial license will be issued on a provisional basis, expiring one year from effective date. License will be valid for up to 6 male and/or female youth ages 12 through 17. A copy of this report was provided to Mr. Sowle.


summary: Facility Evaluation

raw_content:
Narrative:
On this date Licensing Program Analyst's (LPA) Les Inouye and Danny Macias made a Case Management -POC visit for the purpose of clearing a citation dated 09/06/24 for Buildings and Grounds 80087(a). LPA's met with Jessica Beutler. The citation was previously amended from a Type A to a Type B which has been previously documented. POC information has been sent and received by CCL and verified on todays visit. Deficiency cleared.

met_with: Jessica Beutler


summary: Facility Evaluation

raw_content:
Narrative:
On December 6, 2024, Licensing Program Analysts (LPAs) Danny Macias and Melissa Renovato conducted an unannounced required two year inspection at Muir Wood Auberry South Group Home located in Clovis CA. LPAs met with Care Coordinator Manager Jessica Beutler. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 70 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced in October, 2024. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Due to time constraints, LPAs will complete inspection at a later date. A copy of this report was left at the facility.

visit_type: Annual

met_with: Jessica Beutler, Lydia Franco


summary: Facility Evaluation

raw_content:
Narrative:
On December 10, 2024, Licensing Program Analysts (LPAs) Danny Macias and Melissa Renovato continued a required annual inspection at Muir Wood Auberry South Group Home located in Clovis CA. LPAs met with Operations Manager Lydia Franco (S2.) A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 70 degrees. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced in October, 2024. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. Per S2, no firearms or weapons are in the facility. There are no pets at the facility. LPAs observed swimming pool to be in compliance with licensing regulations. LPAs reviewed 6 client files, and 5 staff files. LPAs interviewed 2 staff and 2 clients. LPAs discussed repairs needed for the facility van. The van is currently in a repair shop. The facility is currently using another facility's vehicle owned by the same licensee. LPAs discussed the facility's food preparation process. The facility prepares meals off-site and transports them at meal times. Deficiencies are on the attached pages. LPAs requested that the licensee update the following forms within the following 2 weeks: LIC308, LIC309, LIC500 and Emergency Disaster Plan. LPAs left a copy of this report and Appeal Rights with S2.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, LPAs (Licensing Program Analysts) Danny Macias and Leslie Inouye conducted a case management inspection at the above agency. The purpose of the inspection was to address reporting requirements for the facility. LPAs met with and discussed Reporting Requirements and 84061(i) Reporting Requirements with Chief Operating Officer (COO) Bryan Bowen. A technical assistance for section Reporting Requirements and 84061(i) Reporting Requirements is issued on this date. A copy of this report was left with Bryan Bowen at the conclusion.


summary: Facility Evaluation

narrative: On May 23, 2025, an informal office conference was held at the Fresno Children's Residential Program, Fresno Office. Present with Community Care Licensing are Regional Manager Nelson Martinez, Licensing Program Manager Tamara Melikian and Licensing Program Analyst Danny Macias. Present with Muir Wood Auberry Road is Chief Operating Officer (COO) Bryan Bowen and Director of Compliance (DC) Misty Mejia. The purpose of the conference is to address incident reporting, update of the administrator, and the program statement updates. Facility will be training group home staff on incident reporting and implementing a process to submit incident reports in a timely manner. Facility will submit remaining incident reports to LPA in the coming weeks. In addition, the services of the Technical Support Program was offered and the licensee is interested in this referral being completed for them. Facility will provide LPA an update for the administrator of record and updates to the organization will be forwarded by the licensee within the next week. Facility will submit latest revisions and updates to the program statement in the coming weeks. A copy of this report was left with COO Bryan Bowen.


summary: Facility Evaluation

raw_content:
Narrative:
On June 5, 2025, Licensing Program Analyst Danny Macias conducted a case management inspection at the above agency and met with Operations Manager (OM) Lydia Franco. The purpose of the inspection is to follow up on an incident that occurred on 5-26-25 in which C1 (see LIC811 dated 6-5-25) disclosed inappropriate touching by a male staff member at a previous placement. LPA gathered additional details on the incident (see 812). The staff member that C1 disclosed the incident to was not available to be interviewed on this date. The minor was not available to be interviewed on this date and is no longer a resident of the facility. A copy of this report was left with Lydia Franco at the conclusion.


summary: Facility Evaluation

raw_content:
Narrative:
On September 18, 2025, Licensing Program Analysts (LPAs) Danny Macias and Melissa Renovato conducted an unannounced required two year inspection at Muir Wood Auberry South Group Home located in Clovis, CA. LPAs met with Operations and Care Coordinator Manager (OM) Lydia Franco. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 70°F. All facility smoke detectors are in appropriate working order, fire extinguishers are properly charged and serviced in September 2025. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. Per OM, no firearms or weapons are in the facility. There are no pets at the facility. LPAs observed swimming pool to be in compliance with licensing regulations. LPAs reviewed 5 staff files and 2 client files. LPAs interviewed 2 staff and 1 client. LPAs discussed emergency drills to include earthquake and flood drills, in addition to fire drills. There is one Type A violation, one Type B violation and a Technical Assistance being cited on today's visit. (Refer to attached 809-D pages for further information.) There is a civil penalty being issued on today's visit. LPAs left a copy of this report and Appeal Rights with Lydia Franco.


summary: Facility Evaluation

raw_content:
Narrative:
On October 6, 2025, Licensing Program Analyst (LPA) Danny Macias traveled to Muir Wood Auberry Road South Short Term Residential Treatment Program (STRTP) to conduct a case management inspection. LPA met with Operations and Care Coordinator Manager (OM) Lydia Franco. Please see 812. A civil penalty amendment was conducted on this date. An exit interview was conducted and a copy of this report was left with Lydia Franco at the conclusion.


summary: Facility Evaluation

raw_content:
Narrative:
On 04/28/2024, Licensing Program Analysts (LPAs) Danny Macias and Angelica Borja conducted an unannounced case management inspection at the above facility. LPAs met with Clinical Director (CD) Holly Purcell-Logan. Based on documents obtained from Law Enforcement agencies, the facility did not report 2 law enforcement incidents to Community Care Licensing. The Department determined this to be an immediate risk to the health and safety of clients in care at this time, therefore the Group Home is being issued a deficiency under Code of Regulations (CCR), Title 22, 80061(b) Reporting Requirements on the attached LIC809-D. In addition, the Group Home is being assessed a civil penalty as a result of a repeat violation. An exit interview was conducted, and a copy of the report and appeal rights were left with Holly Purcell-Logan at the conclusion.


summary: Facility Evaluation

raw_content:
Narrative:
On June 5, 2025, Licensing Program Analyst (LPA) Danny Macias conducted a case management inspection at the above agency. The purpose of the inspection was to address reporting requirements for the facility. LPA was provided a tour of the facility by Operations Manager (OM) Lydia Franco. LPA observed the water temperature to be 150.4°F. Based on observation, the facility is being issued a Type A violation for Title 22, Division 6, Chapter 1, Article 07, Physical Environment, Section Furniture, Fixtures, Equipment, and Supplies. The facility is being issued a Technical Assistance for broken blinds in Bedroom One, a Technical Assistance for a broken cabinet door in the kitchen, and a Technical Assistance for a water heater service to clear water deposits. The facility has active work orders for all issues. An exit interview was conducted, and a copy of this report and appeal rights were left with Lydia Franco at the conclusion.


summary: Facility Evaluation

raw_content:
Narrative:
On June 17, 2025, Licensing Program Analyst (LPA) Danny Macias conducted a case management inspection at the above agency and met with Clinical Director Holly Purcell-Logan. The purpose of the inspection was to address an incident that occurred on 6-1-25 in which a client assigned to 1:1 supervision was left alone by staff on duty. Based on documentation and interviews, the facility is being issued a Type A violation for Title 22, Division 6, Chapter 1, Article 06, Continuing Requirements, Section Personnel Requirements. An exit interview was conducted, and a copy of this report and appeal rights were left with Holly Purcell-Logan at the conclusion.


summary: Facility Evaluation

raw_content:
Narrative:
On 09/06/2024, Licensing Program Analyst's (LPAs) Reyna Martinez and Angelica Borja conducted an unannounced case management inspection at the above facility. Met at the agency by Jessica Beutler, Care Coordinator Manager. Based on interviews and observations, LPAs observed the kitchen floors, cabinets and counters with ants. LPAs observed the water in kitchen and clients bathroom sink and shower to have odorous, musty, unclean smell. LPAs observed client carpets uncleaned and soiled. The Department determined this to be an immediate risk to health and safety at this time, therefore the Group Home is being cited on the attached LIC809-D under California Code of Regulations section 80087(a) Buildings and Grounds. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On September 25, 2024, an informal office conference was held at the Fresno Children's Residential Program, Fresno Office. Present with Community Care Licensing Regional Manager, Nelson Martinez, Licensing Program Manager Tamara Melikian and Licensing Program Analyst Reyna Martinez. Present with Muir Wood Auberry Road are Program Administrator-CEO Scott Sowle and Chief Compliance Officer Brent Bowers. Based on documentation obtained by Law Enforcement Agency and confidential interviews, the facility has failed to report incidents that meet CCL reporting requirements to the department. Based on the information obtained, the Group Home is being issued a deficiency under Code of Regulations (CCR), Title 22, 80061(b) Reporting Requirements on the attached LIC809-D. A copy of this report and appeal rights was left with Program Administrator-CEO Scott Sowle.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On January 23, 2026, Licensing Program Analyst (LPA) Danny Macias arrived at Muir Wood - Auberry South Group Home (GH) and met with Operations and Care Coordinator Manager (OM) Lydia Franco. A review of the Licensing Information System on this date indicates that 4 out of 14 staff did not have DOJ, FBI, and child abuse index check clearances. The Department determined this to be an immediate risk to the health, safety or well being of the children in care at this time, therefore the facility was cited a Type A violation for CCR, 80019(e)(2) Criminal Record Clearance. A civil penalty was assessed for a Caregiver Background Check (see attached LIC809-D). An exit interview was conducted and a copy of this report and appeal rights were reviewed and left with Lydia Franco at the conclusion.

Deficiencies:
80019: (2) Obtain a California clearance or a criminal record exemption as required by the Department

title:
Criminal Record Clearance
(e) All individuals subject to a criminal record review... shall prior to working... in a licensed facility


summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On January 23, 2026, Licensing Program Analyst (LPA) Danny Macias arrived at Muir Wood - Auberry South Group Home (GH) to deliver findings on the above allegations. LPA met with Operations and Care Coordinator Manager (OM) Lydia Franco. During the investigation, LPA conducted interviews and a records review provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. A copy of this report was left with Lydia Franco at the conclusion. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Danny Macias LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


facility_name: MUIR WOOD - BRADLEY RANCH

summary: Facility Evaluation

raw_content:
Narrative:
On 12/05/2023 at 2: PM, Licensing Program Analyst (LPA) Sarah Lo and Licensing Program Manager (LPM) Jennifer Smith conducted a Component II meeting via Microsoft Teams with Applicant (CEO) Scott Sowle. Also present were Chief Compliance Officer Brent Bower, Care Coordinator Manager Melissa Gaviria, Care Coordinator Manager Jeff Denison, and Operations Manager Ashley Mitchell. The Administrator for this facility will be Jeff Denison. During the meeting the following was discussed: *Background and experience with group homes. *An overview of the program applicant is offering. *The structure for the program. *Program and services. *Neighborhood complaint procedure. *Pool on property will not be used by any staff or clients. *Administrator's qualification. After the review of the application and program statement, LPA and LPM have determined the following missing documents or documents that need to be revised. The documents are to be submitted by 12/13/2023: *Need a copy of administrator's college degree. *Group Home Administrator 40-hour training certificate, health screening, TB clearance, first aid/CPR certification. (Continued on LIC 809c) *Administrative Organization (LIC 309) for board member Chris Laitala needs to have an updated address with the suite number. *Board of Director or Governing Body Statement (LIC 9165) for board member Chris Laitala needs to have an updated address with the suite number. *Personnel Report (LIC 500) needs to be updated to show the name of the Administrator and work hours. *Job description for all positions at the facility. A pre-licensing visit and component III has been scheduled for 12/14/2023. An exit interview was conducted. A copy of this report and the appeal rights were emailed to Applicant Scott Sowle for original signature and a copy will be placed in the facility file.

met_with: Administrator, Scott Sowle


summary: Facility Evaluation

raw_content:
Narrative:
On December 14, 2023 at 11: AM, Licensing Program Analysts (LPAs) Leslie Covarrubias and Cynthia Velasquez conducted an announced pre-licensing inspection. LPAs met with Applicant/Chief Executive Officer (CEO), Scott Sowle, Chief Clinician Officer, Tara Krueger, Chief Compliance Officer, Brent Bowers. The facility is a three client bedroom three client bathroom single-family, two-story home. The applicant is applying for a group home with the capacity of six ambulatory clients aged between 12-17 years old. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris. Clients will use a cordless telephone to make and receive confidential telephone calls. The water temperature in bathroom #1 located in cirtus room measured to be Degrees Fahrenheit. The water temperature inside lilian grace room measured to be 115. Degrees Fahrenheit. The water temperature next to roubidoux room was measured to be 117. Degrees Fahrenheit. There is adequate indoor and outdoor activity space. Medication will be locked in the locked cabinet in the Medication room. The facility smoke detectors and carbon monoxide detectors tested and were observed to be in working order; the fire extinguishers are properly charged and serviced. The facility has a fully equipped first aid kit and first aid manual. The applicants stated there were no weapons in the facility. Disinfectants and cleaning solutions will be stored and locked. Sharp knives will be stored in a locked kicthen cabinet. The staff and client files will be maintained on the computer database via Kipu. LPA's advised CEO, Scott Sowle, that staff and client files to be accessible to Community Care Licensing (CCL) at any time. The following required forms were posted in the facility: Personal Rights form, Foster Care Ombudsmen Poster and Disaster plans were posted. (Continue on next page...) The downstairs area is set up as follows Group Room, dining room, living room, a kicthen, laundry room, two staff offices and two staff bathrooms. The upstairs are set up as follows: Citrus Bedroom: designated for two clients, two twin beds, one dresser with four drawers, and closet space with one bathroom. Lilian Grace Bedroom: designated for two clients, two twin beds, one dresser with four drawers, and closet space with one bathroom. Roubidoux Bedroom: designated for two clients, two twin beds, one dresser with four drawers and closet space. Care coordinator office , and a den area. Each room has adequate clean linens, pillows, blankets, comforters, mattress pads, and mattresses. The Backyard is set up as follows: The facility has one nursing office and a learning center with a recovery counselor office. The facility has a pool which is appropriately fenced and secured with an iron wrought fence. The enclosure was measured to five-and a half feet high. The Applicant/CEO Scott Sowle stated that the clients and staff will not have access to the swimming pool. The facility has a barn house area equipped with a group room, three clinician offices, one clinical director office, and one staff bathroom. (Continue on next page...) All special incident reports (SIR's) will be sent via e-mail to: cclpaccr@dss.ca.gov. The reporting requirements were reviewed with the Applicant/CEO on this date. LPA explained that once the license is approved, all employees shall have an approved criminal record clearance for CCL and be associated to this facility. The fire clearance has been approved. Based on the facility pre-licensing inspection, the facility is ready for licensure.


summary: Facility Evaluation

raw_content:
Narrative:
On January 30, 2025, Licensing Program Analysts (LPA), Toni Castillo conducted an annual inspection at the Group Home. LPA met with the Sam Worrall, Clinical Director. LPA completed a health and safety assessment of the facility grounds. Group home is a two-story residence with three bedrooms, two bathrooms and facility staff office with additional storage. Seven administrative offices were on grounds and toured. The home was approved for 6 ambulatory male clients ages 12-17. There are currently three clients in care. The bedrooms were arranged so that there is one individual bed per client. Beds were observed with appropriate clean linens, pillows, comforters, and mattress in good repair. There are adequate hygiene supplies stocked in the home available for clients. This home contains 2 group therapy rooms and a learning center on grounds to provide educational needs. Facility grounds were clean and free of debris and observable hazards. There was adequate indoor and outdoor activity space. LPA observed a swimming pool which is locked, fenced, and inaccessible to clients. The pool is surrounded by a iron fence measured over 5 feet tall. Sports equipment/games/ books were observed for children's recreation time. Facility smoke detectors and carbon monoxide detectors were in appropriate working order, fire extinguishers were properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods. All hazardous items have been properly made inaccessible to areas where clients will have access. The kitchen had adequate cooking supplies and utensils. All required forms were posted including the Grievance Procedure, Personal Rights form, and the Foster Care Ombudsman poster. Medications are centrally stored in a lockbox located in a locked nursing office. The group home does not have cameras in common areas of the facility. Per clinical director, there were no firearms or weapons in the facility (Continuation on next page 809-C) Personnel files were reviewed to ensure they contained all required documentation per Title Regulations. Personnel files are maintained electronically through Paylocity System. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index checks clearances and exemptions. Three client files were reviewed electronically through Aura system. LPA completed a review of medications dispensed and charting. Three clients and four staff were interviewed. LPA reviewed copes of the fire and disaster drill log, current LIC 500 personnel record, grievance procedures and emergency intervention plan. Currently this facility does not use any forms of restraints. Staff is trained to use verbal de escalation and verbal redirection techniques. There are no deficiencies cited at this time. A copy of this report was reviewed and given to Sam Worrall, Clinical Director along with a Confidential Names List (LIC811).

met_with: Sam Worrall, Clinical Director


facility_name: MUIR WOOD - DA VINCI

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews reported that C1 did not have a doctor's prescription mandating C1 to be administered in nicotine patches. Confidential interviews reported that upon intake for C1, staff (S3) were told that C1 was not regularly taking their (C1) prescribed medications, and the facility's policy is to have clients reviewed by the on-staff Physician before continuing with medication doses. Confidential interviews reported that C1 was waiting to be seen by the on-staff Physician to be reevaluated for the medication. Confidential interviews reported that unless clients are regularly taking their medication, then staff will administer to clients as prescribed, but if not, then the client must be reevaluated. Confidential interviews were unable to say if C1 specifically requested prescription medication. On 10/04/2024, Community Care Licensing (CCL) received an allegation that staff (unknown) did not ensure the minor's (C1) mental health needs were met. It was alleged that C1 was communicating for assistance due to mental health distress, and no actions were taken. Confidential interviews reported that staff were aware that C1 was having some difficulties settling into the new environment, as they had just arrived earlier in the day for intake, and offered to have C1 sit outside for some fresh air and personal space. Confidential interviews reported that C1 was allowed space in their bedroom later in the evening as C1 was showing signs of aggression and agitation, and staff (S1 and S2) did not intervene as a safety choice. Confidential interviews reported that staff members (S1 and S2) attempted to help C1 return to baseline and adjust to the new environment, but were unsuccessful in their efforts to assist C1. Consequently, they gave C1 space to calm down and adapt to the facility. Based on inconsistent confidential interviews and documentation, the allegations that staff did not administer medications to minor in care, and staff did not ensure minor's mental health needs were met are unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of evidence to prove that the alleged violations occurred. An exit interview was conducted, and a copy of this report, LIC 9099, and the appeal rights were discussed and provided to Sam Worall, Clinical Director.

Investigation Findings:
13On September 16, 2025, at 01: PM, Licensing Program Analyst (LPA) Cynthia Robinson conducted an unannounced visit to Muir Wood - Da Vinci Group Home (GH) to deliver the investigative findings for the allegations listed above. On 10/10/2024, LPA Toni Castillo conducted a health and safety inspection at the GH, and no immediate health and safety hazards were observed. LPA Robinson obtained documents pertinent to the investigation and interviewed one Client (C1), a Witness (RP), and Staff (S1, S2, S3, S4, and S5). On 10/04/2024, Community Care Licensing (CCL) received an allegation that staff did not administer medications to a minor in care. It was alleged that C1 requested prescription medication and nicotine patches and was denied for both. Confidential interviews reported that facility policy does not allow administering nicotine patches to minors in care. (Continued on LIC 9099C...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Cynthia Robinson 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 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: MUIR WOOD - DA VINCIFACILITY NUMBER: VISIT DATE: 09/16/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
On 12/05/2023 at 2: PM, Licensing Program Analyst (LPA) Sarah Lo and Licensing Program Manager (LPM) Jennifer Smith conducted a Component II meeting via Microsoft Teams with Applicant (CEO) Scott Sowle. Also present was Chief Compliance Officer Brent Bower, Care Coordinator Manager Melissa Gaviria, Care Coordinator Manager Jeff Denison, and Operations Manager Ashley Mitchell. The Administrator for this facility will be Ashley Mitchell. During the meeting the following was discussed: *Background and experience with group homes. *An overview of the program applicant is offering. *The structure for the program. *Program and services. *Neighborhood complaint procedure. *Pool on property will not be used by any staff or clients. *Administrator's qualification. *The Administrator explained her past work experiences for qualifications to work as a Group Home (GH) Administrator. After the review of the application and program statement, LPA and LPM have determined the following missing documents or documents that need to be revised. The documents are to be submitted by 12/13/2023: *Need a copy of administrator's college degree. *continued on LIC 809-c* *Group Home Administrator 40-hour training certificate, health screening, TB clearance, first aid/CPR certification. *Administrative Organization (LIC 309) for board member Chris Laitala needs to have an updated address with the suite number. *Board of Director or Governing Body Statement (LIC 9165) for board member Chris Laitala needs to have an updated address with the suite number. *Personnel Report (LIC 500) needs to be updated to show the name of the Administrator and work hours. *Job description for all positions at the facility. A pre-licensing visit and component III has been scheduled for 12/14/2023. An exit interview was conducted. A copy of this report and the appeal rights were emailed to Applicant Scott Sowle for original signature and a copy will be placed in the facility file.

met_with: Applicant, Scott Sowle


summary: Facility Evaluation

raw_content:
Narrative:
On December 14, 2023 at 9:00AM, Licensing Program Analysts (LPAs) Leslie Covarrubias and Cynthia Velasquez conducted an announced pre-licensing inspection. LPAs met with Applicant/Chief Executive Officer (CEO), Scott Sowle, Chief Clinician Officer, Tara Krueger, Chief Compliance Officer, Brent Bowers. The facility is a three client bedroom three client bathroom single-family, three-story home. The applicant is applying for a group home with the capacity of six ambulatory clients aged between 12-17 years old. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris. Clients will use a cordless telephone to make and receive confidential telephone calls. The water temperature in bathroom #1 located between arroyo room and oak room measured to be 106. Degrees Fahrenheit. The water temperature inside oak room measured to be 111 and Degrees Fahrenheit. The water temperature in the bathroom located next to the kitchen was measured to be Degrees Fahrenheit. There is adequate indoor and outdoor activity space. Medication will be locked in the locked cabinet in the Care Coordinator's Office. The facility smoke detectors and carbon monoxide detectors tested and were observed to be in working order; the fire extinguishers are properly charged and serviced. The facility has a fully equipped first aid kit and first aid manual. The applicants stated there were no weapons in the facility. Disinfectants and cleaning solutions will be stored and locked. Sharp knives will be stored in a locked kicthen cabinet. The staff and client files will be maintained on the computer database via Kipu. LPA's advised CEO, Scott Sowle, that staff and client files to be accessible to Community Care Licensing (CCL) at any time. The following required forms were posted in the facility: Personal Rights form, Foster Care Ombudsmen Poster and Disaster plans were posted. (Continue on next page...) The downstairs area is set up as follows: Two clinician offices, two staff bathrooms, and a group therapy room. The ground level area is set up as follows: Care coordinator office, dining room, living room, and a kitchen, one client bathroom. The upstairs are set up as follows: One staff's lounge. Citrus Bedroom: designated for two clients, two twin beds, one dresser with four drawers, and closet space. Arroyo Bedroom: designated for two clients, two twin beds, one dresser with four drawers, and closet space. Oak Bedroom: designated for two clients, two full beds, one dresser with four drawers and closet space with one bathroom. Each room has adequate clean linens, pillows, blankets, comforters, mattress pads, and mattresses. The Backyard is set up as follows: The facility has one nursing office and a learning center. The facility has a pool which is appropriately fenced and secured with an iron wrought fence. The enclosure was measured to five-foot- three inches high. The Applicant/CEO Scott Sowle stated that the clients and staff will not have access to the swimming pool. The backyard is fully fenced and there is a covered patio with patio furniture. The facility has a enclosed fenced volleyball court. (Continue on next page...) All special incident reports (SIR's) will be sent via e-mail to: cclpaccr@dss.ca.gov. The reporting requirements were reviewed with the Applicant/CEO on this date. LPA explained that once the license is approved, all employees shall have an approved criminal record clearance for CCL and be associated to this facility. The fire clearance has been approved. Based on the facility pre-licensing inspection, the facility is ready for licensure.

met_with: Chief Exceutive Director, Scott Sowle


summary: Facility Evaluation

raw_content:
Narrative:
On January 23, 2025, Licensing Program Analysts (LPA), Toni Castillo conducted an annual inspection at the Group Home. LPA met with the Operations Manager, Melissa Gaviria. LPA completed a health and safety assessment of the facility grounds. Group home is a two-story residence with three bedrooms, five bathrooms and facility staff office with additional storage. Three administrative offices were on grounds and toured. The home was approved for 6 ambulatory female clients ages 12-17. There are currently zero clients in care. The bedrooms were arranged so that there is one individual bed per client. Beds were observed with appropriate clean linens, pillows, comforters, and mattress in good repair. There are adequate hygiene supplies stocked in the home available for clients. This home contains 2 therapist offices, 1 group therapy room and 2 staff offices. Facility grounds were clean and free of debris and observable hazards. There was adequate indoor and outdoor activity space. LPA observed a swimming pool which is locked, fenced, and inaccessible to clients. The pool is surrounded by a iron fence measured over 5 feet tall. Sports equipment/games/ books were observed for children's recreation time. Facility smoke detectors and carbon monoxide detectors were in appropriate working order, fire extinguishers were properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods. The hot water was measured to be 101. F degrees. All hazardous items have been properly made inaccessible to areas where clients will have access. The kitchen had adequate cooking supplies and utensils. All required forms were posted including the Grievance Procedure, Personal Rights form, and the Foster Care Ombudsman poster. Medications are centrally stored in a lockbox located in a locked nursing office. The group home does not have cameras in common areas of the facility. Per Operations Manager, there were no firearms or weapons in the facility (Continuation on next page 809-C) Personnel files were reviewed to ensure they contained all required documentation per Title Regulations. Personnel files are maintained electronically through Paylocity System. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index checks clearances and exemptions. There are no clients currently placed in this home therefore a review of client records was not completed.. LPA reviewed an electronic copy of the fire and disaster drill log, current LIC 500 personnel records, grievance procedures and emergency intervention plan. Currently this facility does not use any forms of restraints. Staff is trained to use verbal de escalation and verbal redirection techniques. There are no deficiencies cited at this time. A copy of this report was reviewed and given to the Operations Manager Melissa Gaviria along with a Confidential Names List (LIC811).

met_with: Melissa Gaviria


facility_name: MUIR WOOD - EDGEWILD

summary: Facility Evaluation

raw_content:
Narrative:
On 12/05/2023 at 2: PM, Licensing Program Analyst (LPA) Sarah Lo and Licensing Program Manager (LPM) Jennifer Smith conducted a Component II meeting via Microsoft Teams with Applicant (CEO) Scott Sowle. Also present was Chief Compliance Officer Brent Bower, Care Coordinator Manager Melissa Gaviria, Care Coordinator Manager Jeff Denison, and Operations Manager Ashley Mitchell. The Administrator for this facility will be Ashley Mitchell. During the meeting the following was discussed: *Background and experience with group homes. *An overview of the program applicant is offering. *The structure for the program. *Program and services. *Neighborhood complaint procedure. *Pool on property will not be used by any staff or clients. *Administrators qualification. *The Administrator explained her past work experiences for qualifications to work as a Group Home (GH) Administrator. After the review of the application and program statement, LPA and LPM have determined the following missing documents or documents that need to be revised. The documents are to be submitted by 12/13/2023: *Need a copy of administrator's college degree. (Continued on LIC 809c* *Group Home Administrator 40-hour training certificate, health screening, TB clearance, first aid/CPR certification. *Administrative Organization (LIC 309) for board member Chris Laitala needs to have an updated address with the suite number. *Board of Director or Governing Body Statement (LIC 9165) for board member Chris Laitala needs to have an updated address with the suite number. *Personnel Report (LIC 500) needs to be updated to show the name of the Administrator and work hours. A pre-licensing visit and component III has been scheduled for 12/21/2023. An exit interview was conducted. A copy of this report and the appeal rights were emailed to Applicant Scott Sowle for original signature and a copy will be placed in the facility file.


summary: Facility Evaluation

raw_content:
Narrative:
***This is an amended report of the report dated December 14, 2023. *** On December 14, 2023 at 1: PM, Licensing Program Analysts (LPAs) Leslie Covarrubias and Cynthia Velasquez conducted an announced pre-licensing inspection and completed Component III. LPAs met with Applicant/Chief Executive Officer (CEO), Scott Sowle, Chief Clinician Officer, Tara Krueger, Chief Compliance Officer, Brent Bowers. The facility is a three client bedroom two client bathroom single-family, two-story home. The applicant is applying for a group home with the capacity of six ambulatory clients aged between 12-17 years old. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris. Clients will use a cordless telephone to make and receive confidential telephone calls. The water temperature in bathroom #1 located in rose room measured to be 112. Degrees Fahrenheit. The water temperature next to oak room and citrus room measured to be Degrees Fahrenheit. There is adequate indoor and outdoor activity space. Medication will be locked in the locked cabinet in the Medication room. The facility smoke detectors and carbon monoxide detectors tested and were observed to be in working order; the fire extinguishers are properly charged and serviced. The facility has a fully equipped first aid kit and first aid manual. The applicants stated there were no weapons in the facility. Disinfectants and cleaning solutions will be stored and locked. Sharp knives will be stored in a locked kicthen cabinet. The staff and client files will be maintained on the computer database via Kipu. LPA's advised CEO, Scott Sowle, that staff and client files to be accessible to Community Care Licensing (CCL) at any time. The following required forms were posted in the facility: Personal Rights form, Foster Care Ombudsmen Poster and Disaster plans were posted. (Continue on next page...) The downstairs area is set up as follows Group Room, dining room, living room, a kitchen, admissions room and a medication office. The upstairs area set up as follows: Rose Bedroom: designated for two clients, two twin beds, one dresser with four drawers, and closet space with one bathroom. Oak Bedroom: designated for two clients, two twin beds, one dresser with four drawers, and closet space. Citrus Bedroom: designated for two clients, two twin beds, one dresser with four drawers and closet space. Care coordinator office , clinician office, nursing office and staff office. Each room has adequate clean linens, pillows, blankets, comforters, mattress pads, and mattresses. The Backyard is set up as follows: The facility has one operation managers office, staff office with kitchen, and a learning center. LPA's observed the the facility pool that did not have a self closing latch six inches from the top of the fence. The enclosure was measured to be five-foot, three inches high. CEO stated the fencing would be fixed to have a self closing latch six inches from the top of the fence. The Applicant/CEO Scott Sowle stated that the clients and staff will not have access to the swimming pool. LPA's also observed an empty fish pond or similar body of water that does not have running water that measured three feet deep, next to the pool which was not enclosed. CEO stated sand and rock would be put to in fill up the area to not allow for the body of water. All special incident reports (SIR's) will be sent via e-mail to: cclpaccr@dss.ca.gov. The reporting requirements were reviewed with the Applicant/CEO on this date. LPA explained that once the license is approved, all employees shall have an approved criminal record clearance for CCL and be associated to this facility. (Continue on next page...) The fire clearance has been approved. Based on the facility pre-licensing inspection, the facility will make the corrections and once completed submit proof of correction to LPA Sarah Lo.


summary: Facility Evaluation

raw_content:
Narrative:
On January 8, 2024 at 10: AM, Licensing Program Analysts (LPAs) Leslie Covarrubias and Sarah Lo conducted an announced inspection visit for the purpose of inspecting the correction of the facility's pools fence and to inspect the facility's basement. LPA's met with Chief Compliance Officer, Brent Bowers. LPA's measured the wrought iron fence to be five feet tall, two feet from the bottom of the fence to the floor, and 45 inches space between the bars. The fence was also observed to have two self closing doors, one located in front of the pool with a latch five inches from the top of the fence. There is another self closing door with a latch measured to be four and half inches from the top of the fence located diagonal of the the pond. The fence encloses a pool, and pond that will not be used by clients or staff. LPA's inspected the utility basement located on the north west side of the facility. The basement has a door which will remain locked at all times and inaccessible to both clients and staff. LPA Covarrubias measured an 18 foot six inch walk way that was five feet nine inches in height. Surrounding the walkway LPA Covarrubias measured a crawl space two feet in height which is used for the under ground foundation. LPA's observed the empty fish pond or similar body of water that was filled in with rock to measure three and a half inches from the deepest point. LPA's stated the depth should be no more than two inches of depth to prevent drowning. The area was filled in with more rock during the inspection and corrected to measure two inches in depth. Per Chief Compliance Officer, Brent Bowers and Facility Manger, Armando Vergara the area also has drains that allow the water to drain out, which are located under the rock. (Continue on next page...) LPA's inspected the garage space located separate, on the southwest of the facility to be used as a storage/ shed which will not be accessible to staff or clients (only the facility manager will have keys with access). Based on the facility inspection, the facility is ready for licensure, pending management review. LPA's Covarrubias and Lo conducted an exit interview, and a copy of this report was provided to Chief Compliance Officer, Brent Bowers.

met_with: Chief Compliance Officer, Brent Bowers


summary: Facility Evaluation

raw_content:
Narrative:
On February 6, at 9: AM, Licensing Program Analysts (LPAs) Karen Beal and Julian Lucas and Licensing Program Manager, Cheraki Davis, conducted an unannounced annual inspection at Muir Wood Edge Wild Group Home. LPAs and LPM met with the facility by Operation Manager, Mellissa Gaviria at 9: AM. LPAs and LPM began a physical plant inspection at 9: AM assisted by Operation Manager. There are currently three clients. The physical plant inspection included the following checks: A physical plant inspection was completed and included the facilities formal entry, kitchen area, dining room, refrigerator/freezers, food storage areas, group room, two staff bathrooms, and two staff offices. There are three client bedrooms, one Nurse Office, client bathroom, Medication Room, Clinical Office, Care Coordinator Office, Therapy Office, TV/Group Room, Office Space, and an Admissions area. There is an additional dwelling that includes Operations Manager office, Learning Center, staff kitchen, two storage closets, and an office space. Facility is gated with an intercom system to obtain access. In this area the children are under constant supervision and never left alone. There were multiple green grassy areas throughout the grounds and various fruit trees throughout the facility. The roads surrounding the facility are covered with gravel and has an around about in the front entrance of the facility. Near the outside of the home there is a patio and a non-operable fireplace and grill. There is a storage shed on the right side of the facility with a garden on the outside of the shed that is used for storage with an art studio inaccessible to clients. Per Operations Manager, there are no guns or weapons on facility grounds. Cleansers and chemicals are inaccessible to clients. Cleaners and chemicals are locked under the sink and in a locked in a closet. Knives are not used at the facility due to lunch and dinner being catered and all food are prep before arriving to the facility. Staff cooks breakfast and snacks are provided. Continued to LIC 809-C Continued from Licensee maintains an adequate supply of perishable and non-perishable foods. LPAs observed the following postings: food menu, the facility license, Grievance Procedures, Visitation Policies and Personal Rights form. Age-appropriate toys, games and books were observed for client's recreation time. There is adequate indoor and outdoor activity space, and all exits were free from obstruction, debris, and observable hazards. LPAs observed the facility pool in the backyard to be inaccessible clients. The fence around the pool has a self-latching gate that swings outward and measured over five feet tall. The pool is clean and well maintained, gated pond with koi fish and a green grassy area for recreation. All facility smoke detectors and carbon monoxide detectors are in appropriate working order and located throughout the facility. Fire extinguishers are properly charged and serviced and located throughout the facility. Medications are centrally stored Medication Office and locked in a cabinet and refrigerator. The washer and dryer are located inside the Case Coordinator room. All detergents are kept locked in a cabinet and are inaccessible to clients. All bedrooms have individual beds, the facility ensures that there are two client per bedroom, with appropriate linens, pillows, comforters, and mattresses in good repair. There is adequate drawer space for each client's belongings. The hot water in the client's bathroom was measured in each bedroom and were within 105-120 degrees Fahrenheit. LPAs observed all containers, including movable bins, used for storage of solid wastes have tight-fitting covers kept on the containers are in good repair, leakproof, and rodent-proof. The facility has one vehicle and used to transport clients to appointments and recreational activities. The vehicle is maintained in a safe operating condition and insurance and registration is up to date. LPAs reviewed two client files with the assistance of the Clinical Director. LPAs conducted two client interviews. An exit interview was conducted, and a copy of this report was provided to Operations Manager, Mellissa Gavaria. *****This inspection will resume on another day.*****

met_with: Mellissa Gaviria, Operations Manager


summary: Facility Evaluation

raw_content:
Narrative:
On February 10, 2025, at 9: AM, Licensing Program Analysts (LPAs) Karen Beal and Julian Lucas, arrived at Muir wood- EdgeWild Group Homme to complete an annual inspection. LPAs reviewed staff files and the facility file. LPAs conducted four staff interviews. LPAs did a walk through of the facility to verify the facility changed the locks on the clients bedroom doors. The locked were changed and the facility is now in compliance. An exit interview was conducted, and a copy of this report was provided to Operations Manager, Mellissa Gaviria.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On October 14, 2025, at 11:40 am, Licensing Program Analyst (LPA) Julian Lucas met with Muir Wood Edgewild Group Home (GH) Care Coordinator Manager, Ashley Mitchell, to deliver a case management deficiencies report. According to information obtained by Community Care Licensing (CCL), Staff 1 (S1), the swing shift staff member, was in the staff office and did not complete their rounds on 09/22/2025. Confidential interviews revealed that because S1 did not complete their rounds, they were unaware that C1 and C2 left the facility without permission and later returned. Confidential interviews and the facility incident report stated that the exact time of C1 and C2 leaving the facility without permission is unknown. According to the facility incident report, current estimates suggest the clients (C1 and C2) were gone for approximately one hour during the swing shift, based on confidential interviews. It was disclosed that the clients returned under the influence from drinking BuzzBalls and Pink Whitney alcohols, and smoking a wax weed pen provided by an unknown adult at a park when they left the facility without permission. The facility administers Narcan, and paramedics were called. were reported, and S1's employment at the facility was terminated. LPA collected pertinent documentation, and Interviews were conducted with the Administrator, S2, S3, C1, and C2. See Confidential Names List (LIC 811) dated October 14, 2025. Based on document review and confidential interviews, the facility is being cited for violation of California Care Regulations, Title 22, Division 6, Chapter 1, Section 80078(a), Responsibility for Providing Care and Supervision (a) The license shall provide care and supervision as necessary to meet the client's needs. Staff (S1) failed to provide adequate care and supervision for clients (C1 and C2) by not completing their rounds of bedroom checks. This oversight allowed C1 and C2 to leave the facility without permission, which posed an immediate Health, Safety, or Personal Rights risk to the clients in care. Continued 809-C A copy of the report was discussed and provided along with appeal rights and LIC 811 to Muir Wood Edgewild Care Coordinator Manager Ashley Mitchell.

Deficiencies:
80078(a): 1
2
3
4
5
6
7

met_with: Ashley Mitchell, Administrator/Facility Manager

title:
1
2
3
4
5
6
7Responsibility for Providing Care and Supervision (a) The license shall providecare and supervision as necessary to meet the client's needs80078(a)

This requirement is not met as evidenced by

description:
1
2
3
4
5
6
7


facility_name: MUIR WOOD, LLC - MAGNOLIA

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) David Hiett conducted a pre-licensing inspection for a Group Home license and met with the Administrator Scott Sowle. The entire home was toured, inside and out. The application is to provide residential dual diagnosis treatment for substance abuse disorder and mental health for six adolescents with substance abuse issues, private and insured placement, for boys and girls ages 12 - 17 years. There is an entertainment room/therapy room and a kitchen/dining room. There is a locked medication room where prescription medications are stored in locked cabinets. A washer and dryer set are located in the medication room. There are locked cabinet where chemicals are stored. All bedrooms have adequate dresser and closet space. There are carbon monoxide/smoke detectors throughout the facility along with adequate fire extinguishers. There is a complete first-aid kit located in the medication room. All required postings are present. Applicant understands that the hot water temperature must be maintained within the regulation range of 105-120 degrees and was measure at 110F. The knives will be stored in a locked kitchen drawer. License is pending fire clearance and will be issued upon receipt . Fire clearance issued on 9/16/2021.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Chief Operating Officer Bryan Bowen and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps, medications, toxins, and cleaning solutions are locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Required documents are posted. Staff and client files were reviewed and are current and complete with required documents. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. There are currently 5 youth in placement at this location. There were no clients present during the inspection. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Chief Operating Officer Bryan Bowen and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps, medications, toxins, and cleaning solutions are locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Required documents are posted. Staff and client files were reviewed and are current and complete with required documents. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. There are currently 6 youth in placement at this location. There were no clients present during the inspection. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge went to the facility to complete staff and client interviews for the required annual. A copy of the report was sent to the facility.


summary: Facility Evaluation

narrative: Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Chief Operating Officer Bryan Bowen and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps, medications, toxins, and cleaning solutions are locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Required documents are posted. Staff and client files were reviewed and are current and complete with required documents. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. There are currently 6 youth in placement at this location. There were no clients present during the inspection. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.


facility_name: MUIR WOOD - THOMPSON RANCH

summary: Facility Evaluation

raw_content:
Narrative:
On October 30, Licensing Program Analyst (LPA) Monica Pavia met with Chief Executive Officer/Administrator, Scott Sowle, for a prelicensing inspection. LPA discussed the following with the Mr. Sowle: Forms that the facility uses and will continue to use. Corporate organization - Including chain of command and roles of staff Written plans, policies or procedures that was submitted with the application. Administrator/Director qualifications and duties. Mr. Sowle informed this LPA that he will be the Administrator for Muir Wood - Thompson Ranch when the facility is licensed. Mr. Sowle will submit Change of Administrator paperwork to the Santa Rosa office LPA, once facility is ready for placement's. 1. Facility grounds inspected. Grounds are clean and free from observable hazard. The facility does not have a swimming pool or any bodies of water. Firearms are not allowed on facility premises. 2. Adequate indoor activity space and materials observed, and outdoor activity space was observed. 3. Chemicals were appropriately locked 4. Procedures for Locked and centrally stored medications observed. 6. Adequate storage space observed. 7. Individual beds in good repair observed. A supply of extra linens available for bed changes. 8. The house has 3 client bedrooms, double occupancy, located on the second floor. Bedrooms are accommodating of all required furnishings. 9. Adequate food storage space observed. Facility will add appropriate supply of foods upon placement of youth in the home. A supply of nonperishable foods were observed on this date. 10. Sample menu posted. 11. All appropriate forms posted within client view. 12. Dining room equipped with large table and chairs accommodating of all clients. 13. Facility has two restrooms for client use, one for staff use, all are operable Hot water measured 120 degrees on this date. Applicant is associated through Guardian and has been fingerprint cleared. Prior to accepting placement's, all staff must be fingerprint cleared and associated to the facility. Discussed Guardian process with the facility. Discussed with the facility the process for changing the facility Administrator. The following documents are required: 1. LIC 308 (Designation of Facility Responsibility) designating new administrator. 2. Current Personnel Record for new Administrator. 3. Verification of Education and/or experience for new administrator. 4. Copy of current administrator certificate. 5. Current (within one year) health screening and TB test. 6. Board Resolution granting administrative responsibility to the new administrator. 7. Fingerprint association transfer request (if the Administrator is not already associated to the facility) Discussed Incident reporting. An initial report for all reportable incidents is to be made by the next working day to crpincrohnertpark@dss.ca.gov. A full report is to be remitted within 7 days and may also be made to the incident reporting email. After licensure, you will receive a letter notifying you of your assigned LPA, from the Santa Rosa office. The facility will be approved for initial Licensure as of today, October 30, 2023. Initial license will be issued on a provisional basis, expiring one year from effective date. License will be valid for up to 6 male and/or female youth ages 12 through 17. A copy of this report was provided to Mr. Sowle.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Post Licensing inspection. LPA McCambridge met with Director of Operation Kelli Azevedo and toured the facility, inside and out. Facility grounds inspected. Grounds are clean and free from observable hazard. The facility does not have a swimming pool or any bodies of water. Firearms are not allowed on facility premises. Adequate indoor activity space and materials observed, and outdoor activity space was observed. Chemicals were appropriately locked. Procedures for Locked and centrally stored medications observed. Adequate storage space observed. Individual beds in good repair observed. A supply of extra linens available for bed changes. The house has 3 client bedrooms, double occupancy, located on the second floor. Bedrooms are accommodating of all required furnishings. Adequate food storage space observed. Facility will add appropriate supply of foods upon placement of youth in the home. A supply of nonperishable foods were observed on this date. Sample menu posted. All appropriate forms posted within client view. Dining room equipped with large table and chairs accommodating of all clients. Facility has two restrooms for client use, one for staff use, all are operable Hot water measured 120 degrees.

met_with: Kelli Azevedo


summary: Facility Evaluation

raw_content:
Narrative:
On 9-17-24 10:18AM, Licensing Program Analyst George Karkazis conducted an unannounced Annual/Random inspection at listed facility. LPA's met with Kelli Azevedo, Operations Director, and toured the facility inside and out. The Group Home is licensed to serve 6 clients. Present during the inspection were 2 staff and 0 clients. The facility currently has no clients in care due to low census. At 10:25AM LPA Karkazis reviewed client and staff files. Staff files were complete and in good order. The are no clients in care, no client files were reviewed. At 11:14AM, LPA Karkazis toured the facility. LPA Karkazis observed 3 bedrooms and 3 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 119 degrees which is in range. The thermostat read 68 which is within range. Sharps were locked and chemicals were safely stored. There are no clients in care, there is no food present at this time. Medications are stored in the locked staff office in a locked cabinet, none present. The facility is in good repair and clean. LPA Karkazis interviewed 1 staff and 0 clients., no clients in care. At 11:30AM 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 Kelli Azevedo, Operations Director.

met_with: Kelli Azevedo, Operations Director


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analysts (LPAs) Brian Bertoli and Kimberly Hall made an unannounced visit to the Group Home. The purpose of the inspection was to complete a Closure visit. No staff were present and there was a locked gate, so LPAs were not able to inspect inside the facility. There was no indication of anyone being present at the home. LPA Bertoli had received confirmation from the facility previously that they never had youth at the facility and had sold the property on 07/15/2025. LPA Bertoli will send a closure letter to the facility and will process the closure when it is received..

met_with: No staff present


facility_name: MUIR WOOD LLC HANNAN RANCH

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) David Hiett and Brian Bertoli conducted a pre-licensing inspection for a Group Home license and met with the Administrator Scott Sowle. The entire home was toured, inside and out. The application is to provide residential dual diagnosis treatment for substance abuse disorder and mental health for six adolescents with substance abuse issues, private and insured placement, for boys and girls ages 12 - 17 years. There is an entertainment room, a therapy room and a kitchen/dining room. There is a locked medication room where prescription medications are stored in locked cabinets. A washer and dryer set are located in a locked cabinet where chemicals are stored. All bedrooms have adequate dresser and closet space. There are carbon monoxide/smoke detectors throughout the facility along with adequate fire extinguishers. There is a complete first-aid kit located in the medication room. All required postings are present. There is an attached building that is used as a therapy room. Outside on the patio there is a fireplace that will not be used and a gas grill. Applicant understands that the hot water temperature must be maintained within the regulation range of 105-120 degrees and was measure at 110F. The knives will be stored in a locked kitchen drawer. A copy of this report has been shared with the facility.


summary: Facility Evaluation

narrative: Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Chief Operating Officer Bryan Bowen and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps, medications, toxins, and cleaning solutions are locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Required documents are posted. Staff and client files were reviewed and are current and complete with required documents. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. There are currently 5 youth in placement at this location. There were no clients present during the inspection. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.


summary: Facility Evaluation

narrative: On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge went to the facility to complete staff and client interviews for the required annual. A copy of the report was sent to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On 9-9-24 10:32AM, Licensing Program Analysts George Karkazis conducted an unannounced Annual/Random inspection at listed facility. LPA's met with Kelli Azevedo, Director of Operations and toured the facility inside and out. The Group Home is licensed to serve 6 clients. Present during the inspection were 2 staff and 0 clients. Currently there are no clients in care, since June 2024, while the facility undergoes repairs and remodeling. One staff member departed during the inspection, only one staff was interviewed. No clients interviewed, no clients in care. At 10:35AM LPA Karkazis reviewed staff files. All staff files were complete and in good order. No client files were reviewed, no clients in care. At 11:12AM, LPA Karkazis toured the facility. LPA Karkazis observed 3 bedrooms and 3 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 114 degrees which is in range. The thermostat read 70 which is within range. Sharps were locked and chemicals were safely stored. There was no food stocked, no clients in care The medication was also stored and locked in the Care Coordinator Office, in a locked cabinet. The facility is in good repair and clean. LPA Karkazis interviewed 1 staff and 0 clients. At 11:29AM 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 Kelli Azevedo, Director of Operations.

met_with: Kelli Azevedo, Director of Operations


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analysts (LPAs) Brian Bertoli and Kimberly Hall made an unannounced visit to the facility and met with Care Coordinator Jesus Morfin. Due to Jesus being the only staff present with one youth, LPAs went to the Administrative Office and met with Shift Supervisor Luis Godoy. The purpose of the visit was to review an incident report dated 9/25/25 in which the youth became escalated when they were not allowed to make a phone call to their mother. LPAs reviewed it with Luis Godoy, who stated that the youth is allowed to call parents and the youth was escalated due to parents making upsetting comments. Parents were aware that youth was not allowed to make multiple calls. LPAs are issuing a Technical Violation Advisory for Personal Rights 84072(d)(13)(B). An exit interview was conducted and a copy of the report was left with the facility.

met_with: Luis Godoy and Jesus Morfin


facility_name: MUIR WOOD LLC - 992 LOHRMAN

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) David Hiett conducted a pre-licensing inspection for a Group Home license and met with the Administrator Scott Sowle. The entire home was toured, inside and out. The application is to provide residential dual diagnosis treatment for substance abuse disorder and mental health for six adolescents with substance abuse issues, private and insured placement, for boys and girls ages 12 - 17 years. There is an open floor plan containing an entertainment area and a kitchen/dining area, 2 bedrooms and a group therapy room. There is a locked medication closet where prescription medications are stored in locked containers. A washer and dryer set are located in a closet next to the kitchen. All bedrooms have adequate dresser and closet space. There are carbon monoxide/smoke detectors throughout the facility along with adequate fire extinguishers. There is a complete first-aid kit located in the medication closet. All required postings are present. Applicant understands that the hot water temperature must be maintained within the regulation range of 105-120 degrees and was measure at 110F. The knives will be stored in a locked kitchen drawer. A copy of this report has been shared with the facility.

met_with: Scott Sowle


facility_name: MUIR WOOD LLC - LOHRMAN SOUTH

raw_content:
Narrative:
There is a lack of clear evidence to make a determination as to whether a regulatory violation did occur. This department has investigated the allegations, and although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that minor was sexually assaulted by another minor in care; therefore, the above allegation is unsubstantiated. Appeal rights were provided and discussed, and no deficiencies were cited. An exit interview was conducted and a copy of the report was sent to the facility.

Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Cheif Operating Officer Bryan Bowen regarding a complaint investigation at the group home. The purpose of the meeting was to deliver the findings for the above complaint allegations. The investigation was conducted by Community Care Licensing (CCL) Investigations Branch Special Investigator Jorge Martinez and included interviews with staff, current and former clients, and the reporting party. In addition Sonoma County's Sheriffs report and facility records and files were reviewed. During interviews with staff and reviewing documents it was stated that C1 and C2 got along and there were no observed incidents betweeen the two of them. During the interview with C1 it was stated that she could barely remember anything about the facility or the incident and could not name the client who sexually assaulted her. (Continued on 9099-C dated 04/19/22) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Cheyenne McCambridge 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 21-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, NEOTOMAS AVENUE, STE. FACILITY NAME: MUIR WOOD LLC - LOHRMAN SOUTHFACILITY NUMBER: VISIT DATE: 04/19/2022

met_with: Bryan Bowen


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Administrator Scott Sowle regarding a complaint investigation at the facility. The purpose of the inspection was to deliver the findings for the above allegation. During the course of the investigation, LPA McCambridge interviewed youth and staff, and reviewed documentation. Interviews with clients did not support any of the allegations. Interviews with staff revealed that staff were properly following protocal and procedures for runaway youth. This department has investigated the allegations, and although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the above allegations are true; therefore, the above allegations are unsubstantiated. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Cheyenne McCambridge 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


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Administrator Scott Sowle regarding a complaint investigation at the facility. The purpose of the inspection was to deliver the findings for the above allegation. During the course of the investigation, LPA McCambridge interviewed youth and staff, and reviewed documentation. Interviews with clients did not support any of the allegations. Interviews with staff revealed that facility was properly staffed and youth supervised. This department has investigated the allegations, and although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the above allegations are true; therefore, the above allegations are unsubstantiated. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Cheyenne McCambridge 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


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Cheif Compliance Officer Brent Bowers regarding a complaint investigation at the facility. The purpose of the inspection was to deliver the findings for the above allegation. During the course of the investigation, LPA McCambridge interviewed youth and staff, and reviewed documentation. Confidential interviews determined that staff followed protocol and procedures for the incident. Clients stated that they feel safe in the facility and are properly supervised, sometimes to much. This department has investigated the allegations, and although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the above allegations are true; therefore, the above allegations are unsubstantiated. An exit interview was conducted with Cheif Compliance Officer Brent Bowers and a copy of this report was sent to the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Cheyenne McCambridge LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

met_with: Brent Bowers


summary: Complaint Investigation - Substantiated - 1 deficiency

raw_content:
Investigation Findings:
13This is an amended report due to LPA including information in the 9099 that did not pertain to this complaint. On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Cheif Operating Officer Bryan Bowen regarding a complaint investigation at the Group Home. The purpose of the inspection was to deliver the findings for the above allegation. During the course of the investigation, LPA interviewed youth and staff and reviewed records. It was during these confidential interviews that it was determined the staff does currently work at the facility and does not have fingerprint clearance. Based on the information obtained, there is a preponderance of the evidence to prove that a staff member was working at the facility uncleared. Therefore, the above allegation is substantiated. Appeal Rights were provided and discussed, and Title 22 deficiencies were cited and a civil pentaly was issued. An exit interview was conducted, and a copy of the report was left at the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Cheyenne McCambridge 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 21-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SANTA ROSA RO, NEOTOMAS AVENUE, STE. FACILITY NAME: MUIR WOOD LLC - LOHRMAN SOUTHFACILITY NUMBER: 496890062

Deficiencies:
80019: (1) A medical professional, as defined by the Department in regulations, who holds a valid license or certification from the individual's governing California medical care regulatory entity and who is not employed, retained, or contracted by the licensee...

complaint_status: SUBSTANTIATED

title: Criminal Record Clearance (b)The following persons are exempt from the requirement to submit fingerprints