summary: Facility Evaluation

raw_content:
Narrative:
On 4/7/25, at 9:00am, Licensing Program Analyst (LPA) Nancy O'Connell and LPA Andrea Aceves conducted an unannounced visit for the purpose of a Post-Licensing inspection follow-up for the above-listed facility. LPAs were granted access to the facility office and was met by Amy Tovias, Facility Administrator. FA provided a tour of the assigned THPP office for the inspection. LPA observed the following within THPP office: · Posted provisional facility license · Functional telephone to be used for confidential phone calls · Certificate of compliance for remote site unit · Filing cabinets for staff/client files · Space for confidential meetings with clients/authorized representatives · LIC610 with all required information listed During the time of inspection, LPA O'Connell reviewed records for C1[See Confidential Names form (LIC811), dated 4/3/25, for names]. and confirmed the assigned THPP Social Worker meets all regulatory requirements. LPA O'Connell confirmed that the remote site unit meets licensing requirements. Exit interview was conducted and a copy of this report was emailed to the facility administrator.


state: CA

facility_name: MY HOME AT THE LYONS HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
On 12/1/25, at 9:15am, Licensing Program Analyst (LPA) Nancy O'Connell conducted an unannounced visit for the purpose of a Post-Licensing inspection for the above-listed facility. LPA was granted access to the facility office and was met by Amy Tovias, Facility Administrator, at 10:50am. FA granted access, and who provided a tour of the entire suite for the inspection. The office is set up as follows: The office is located in a two-story commercial building in suite #104. The Transitional Housing Placement Program (THPP) administrative office is located within the suite that maintains additional offices for the YMCA organization. The THPP office is located near the front entrance of the suite. The program only has one single site location that is 15 minutes away from this administrative office. This suite contains a large conference room that can be used for confidential meetings, as wells as a copy room, server room, storage room and an exercise room. LPA observed the following: · Client/personnel records are stored electronically and FA maintains access to all records · Required signage postings were observed in administrative office · There is designated space for clients to conduct confidential meetings with social workers/authorized representatives within the designated THPP office as well as in the conference room. Continued on LIC809C. ·LIC500 was reviewed and all staff were confirmed to have a criminal records clearance · Client roster was reviewed and contained all required information As part of the inspection, LPA O'Connell traveled to the remote site and was met by FA in order to conduct a physical inspection. The remote site maintains a sub-administrative office which meets all regulatory requirements. The remote site maintains an additional office which may be used for staff and confidential meetings/telephone calls for clients. LPA O'Connell observed the home to be clean, with all appliances in functional condition. LPA observed bedrooms to contain standard required items (beds, bedding, lighting, drawer/closet space). Upon inspection, LPA observed cameras located in and around the property and confirmed that cameras are not audio-capable, and are only used for safety reasons. During the inspections, LPA conducted staff and client interviews. See LIC811, dated 12/1/25, for names. Client/Staff Interviews: LPA conducted a confidential interviews with: C2, S1, S2, and FA. During the time of inspection, LPA reviewed The related Care Tool for Transitional Housing Placement Programs and completed the following sections: Physical Plant, Operations, Disaster Preparedness. Per California Code Regulation, there are no deficiencies cited during this inspection. Due to time constraints, LPA will return to complete the Annual review. Exit interview was conducted and a copy of this report was emailed to the facility administrator.

report_type: Facility Evaluation

visit_type: Annual

met_with: Amy Tovias, Facility Administrator (FA)


facility_name: NEW ALTERNATIVES INC

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
decoration. Confidential interviews report that although the sword was requested to be kept as an antique it is still considered a weapon. Confidential interviews reported that NMD asked PM2 for permission to keep a sword that was given to NMD as an antique. Confidential interviews reported that PM2 granted permission. An additional allegation that the agency (New Alternatives Transitional Housing Program (NA THP)) is not following their Program Statement was also received by CCL on February 5, 2021. Specifically, it was reported that NA THP program statement youth found with a weapon would be going against program policy. Confidential interviews reported that NA THP program policy is that weapons are not allowed. Confidential interviews reported that PM2 granting permission for NMD to keep the sword in NMD's housing unit went against NA THP program statement. CCL received an additional allegation that the agency did not ensure a safe environment for the participant resulting in injury. Confidential interviews report although the sword that PM2 granted permission for was not the weapon that caused injury to NMD, the presence and threat of its use escalated the incident. Confidential interviews and record review report that the presence and threat of use of the sword lead to the environment being unsafe for the participant and lead to NMD's injury. Based on confidential interviews and record review of facility documentation the allegations Program Manager (Program Manager 2 (PM2)) allowed participant (Non-Minor Dependent (NMD)) to have a weapon in the housing unit, the agency (New Alternatives Transitional Housing Program (NA THP)) is not following their Program Statement, and the agency (NA THP) did not ensure a safe environment for the participant (NMD) resulting in injury are substantiated. The preponderance of evidence standards have been met. Facility is cited for violation of California Code of Regulations (CCR) Title 22, Division 6, Chapter Article 7 regulation Buildings and Grounds (d) Notwithstanding section 80087(h), firearms and other weapons shall not be stored in the THPP participant living units, CCR Title 22, Division 6, Chapter 1, Article 3 regulation Plan of Operation (k) the facility shall operate in accordance with the terms specified in the Plan of Operation and may be cited for not doing so, CCR Title 22, Division 6, Chapter 1, Article 7 regulation Physical Environment (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. An exit interview was conducted, and a copy of this report was provided along with appeal rights New Alternatives Inc., Program Manager Carol Lockwood.

Investigation Findings:
13On May 25, 2021 at 9: AM, Licensing Program Analyst (LPA), Nicole Strickland, met with New Alternatives Inc., Program Manager Carol Lockwood to deliver the findings for the above stated allegations. The investigation was conducted by Special Investigator, Lucius Charlemagne with Community Care Licensing's (CCL) Investigations Branch Bureau. The investigation included interviews with El Cajon Police Department, San Diego Institutional Evaluation Unit (IEU), Program Manager 1 (PM1), Program Manager 2 (PM2), County Social Worker (CSW), and Non-Minor Dependent (NMD). In addition, law enforcement records, county records and facility records were reviewed. On February 5, CCL received an allegation of program manager (Program Manager 2 (PM2)) allowed participant (Non-Minor Dependent (NMD)) to have a weapon in the housing unit. Specifically, it was reported that PM2 granted permission for NMD to keep a sword in NMD's transitional housing unit as SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Nicole Strickland LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: NEW ALTERNATIVES INCFACILITY NUMBER: VISIT DATE: 05/25/2021

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

report_type: Complaint Investigation

met_with: Carol Lockwood

complaint_status: SUBSTANTIATED


summary: Facility Evaluation

raw_content:
Narrative:
On August 16, 2021 at 10:30 am Licensing Program Analyst's (LPA's) Darlene Almaraz-Oseguera and Adaleyci Caballero met with Program Manager Carol Lockwood. The purpose of this visit is to conduct an annual/required inspection. The facility is licensed to provide Transitional Housing Placement's for Non-minor Dependents and/or Transitional Housing Placement for foster children. The facility provides care for 60 participants ages 18 through 21. The facility utilizes apartment buildings and housing model throughout San Diego County for Participants to reside. Currently, there are 57 participants and forty three scattered apartment sites in the program. Participants residences are inspected by the case managers weekly. The Administrative office is located at Kettner Blvd., Ste.3B1, San Diego, CA 92101 consist of desks and offices furnished with chairs, tables and computers. There is a club house, conference room and store on site for participants to use the computer and obtaining personal items. LPA observed participant files and staff files were stored in secured cabinets and are in program manager's office. Currently the facility is staffed with two Program Managers and six Case managers. LPA's reviewed seven staff files and fifteen client files. All staff met the minimum qualifications and training requirements. A review of the facility file indicated that the facility is current with the Annual Fees. Licensee is aware of submitting unusual incident reports as needed to the Department to include all Law Enforcement contact. A review of records shows that all staff have FBI, DOJ and Child Abuse Index Check clearances. A review of the facility file indicated that the facility is current with the Annual Fees. LPA's left LIC 308, LIC400, LIC 500 and LIC 610C to be completed and return to Community Care Licensing within 30 days Based on LPA's observations, there are no deficiencies to be cited at this time. Exit interview was conducted and copy of the report was left with the Program Director, Carol Lockwood.


summary: Facility Evaluation

raw_content:
Narrative:
On January 21, 2022 at 9:37AM, Licensing Program Analyst (LPA) Carol Anderson met with Program Manager Carol Lockwood. The purpose of this visit is to conduct an annual/required inspection. The facility is licensed to provide Transitional Housing Placement's for Non-minor Dependents and/or Transitional Housing Placement for foster children. The facility provides care for 60 participants ages 18 through 21. The facility utilizes apartment buildings and housing model throughout San Diego County for Participants to reside. Currently, there are 33 participants and 33 scattered apartment sites in the program. Participants residences are inspected by the case managers weekly. The Administrative office is located at Kettner Blvd., Ste.3B1, San Diego, CA 92101 consist of desks and offices furnished with chairs, tables and computers. There is a club house, conference room and store on site for participants to use the computer and obtaining personal items. LPA observed participant files and staff files were stored in secured cabinets and are in program manager's office. Currently the facility is staffed with two Program Managers and five Case managers. LPA's reviewed five staff files and 10 client files. All staff met the minimum qualifications and training requirements. A review of records shows that all staff have FBI, DOJ and Child Abuse Index Check clearances. Based on observations made during the inspection, no deficiencies observed during today's visit. An exit interview was conducted and a copy of this report and was given to Program Director Carol Lockwood.


facility_name: NEW ALTERNATIVES THP + FC

summary: Facility Evaluation

raw_content:
Narrative:
On July 8, 2022 at 11: AM, Licensing Program Analyst (LPA) Carol Anderson met with Program Managers Carol Lockwood and Carlos Perez, to conduct a change in relocation/pre-licensing inspection of the facility. The facility is located in the same office building complex as the previous address, change in suite number. Review of the facility is as follows: The office is conveniently located for the public. The office space area has a waiting area, confidential meeting room, staff break room, several staff workstations and two separate offices for each program manager. Emergency Disaster Plan, Personal Rights, Foster Care Ombudsman are posted in a prominent area for participate to view. License will be posted as soon as it is issued. Participants files are locked in file cabinets in the staff's area. Staff files are locked in file cabinets in one of the program manager's office. Telephones, computers, fax and copying machines are operable. The bathrooms are located outside the suite. Fire extinguishers are current, there are fire sprinklers, smoke detectors, and carbon monoxide detectors located in the suite. A complete first aid kit readily accessible located in the staff's break room. The facility has demonstrated compliance with Title 22, Division 6 of the California Code of Regulations. License will be issued upon final review. An exit interview was conducted, and a copy of this report was provided to Program Managers Carol Lockwood and Carlos Perez.

visit_type: Prelicensing

met_with: Carol St. Cook


summary: Facility Evaluation

raw_content:
Narrative:
On March 6, 2023, at 11:00AM, Licensing Program Analyst (LPA) Carol Anderson met with Program Managers Carol Lockwood, to conduct a post licensing inspection of the facility. The facility is located office building complex. The office is conveniently located for the public. The office space area has a waiting area, confidential meeting room, staff break room, several staff workstations and two separate offices for program managers. Emergency Disaster Plan, Foster Care Ombudsman are posted in a prominent area for participate to view. License is posted. Participants files are locked in file cabinets in the staff's office. Staff files are locked in file cabinets in one of the program manager's offices. LPA reviewed five participants files and five staff files. LPA interviewed one staff. LPA observed telephones, computers, fax and copying machines are operable. The bathrooms are located outside the suite. Fire extinguishers are current, there are fire sprinklers, smoke detectors, and carbon monoxide detectors located in the suite. A review of the Licensing Information System on March 6, 2023 indicates that all individuals are associated to the facility had DOJ, FBI and child abuse index check clearances. A complete first aid kit readily accessible located in the staff's break room. Based on the facility inspection and file reviews this date, no deficiencies cited at this time. An exit interview was conducted, and a copy of this report was provided to Program Manager Carol Lockwood.


facility_name: NEW ALTERNATIVES THP+FC

summary: Facility Evaluation

raw_content:
Narrative:
On June 27,2023, at 1:30PM, Licensing Program Analyst (LPA) Carol Anderson conducted change in location/pre-licensing inspection. LPA Anderson met with Program Administrators (PAs) Carol Lockwood and Carlos Perez. The previous license is #374690038 and the office was located at Kettner Blvd., 1A-3, San Diego, CA 92101. LPA Anderson toured the administrative office for the Transitional Housing Placement Plus Foster Care (THP+FC). The participants' apartment units will be in within a two hour radius from the Administration office. LPA Anderson inspected the office. The following areas were observed: The Administrative Office is in commercial building on the second floor. Within the office suite, two offices for each PA. There is a waiting area when you walk into the suite. The conference will also be used to conduct confidential interviews. The Social Workers' desk will be in the main area of the office. Also, break room is located inside the suite. All participants' files will be locked in file cabinets in the unit. All staff files will be locked in file cabinet in one of the program director's offices. All documents have been received and the physical plant meets the minimum requirements of Title 22 regulations. An exit interview was conducted, a copy of this report was discussed and left with the PA Carlos Perez.

met_with: Carlos Perez


summary: Facility Evaluation

raw_content:
Narrative:
On June 29, 2023, at 3:30PM, Licensing Program Analyst (LPA) Carol Anderson met with Program Managers Carol Lockwood and Carlos Perez, to conduct a change in relocation/pre-licensing inspection. The previous license #374690038 location Kettner Blvd., 1A-3, San Diego, CA 92101. The entrance has elevator access. The office is conveniently located for the public. The office space area has a waiting area, conference room, staff break room, several staff workstations and two separate offices for each program manager. Emergency Disaster Plan, Personal Rights, Foster Care Ombudsman are posted in a prominent area for participates to view. License will be posted as soon as it is issued. Participants files are locked in file cabinets in the office. Staff files are locked in file cabinets in one of the program manager's offices. Telephones, computers, fax and copying machines are operable. The bathrooms are located outside the suite. Fire extinguishers are current, there are fire sprinklers, smoke detectors, and carbon monoxide detectors located in the suite. A complete first aid kit readily accessible located in the staff's break room. The facility has demonstrated compliance with Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was provided to Program Managers Carol Lockwood and Carlos Perez.


summary: Facility Evaluation

raw_content:
Narrative:
On May15,2024, 2024, at 10:30AM, Licensing Program Analyst (LPA) Carol Anderson met with Program Managers Carol Lockwood, and New Alternatives THP Program Director Taffe Newberg conducted unannounced annual/required inspection. There are 20 participants living in apartment throughout San Diego County. LPA observed the following: The office is conveniently located for the public. The office space area has a waiting area, conference room, staff break room, several staff workstations and two separate offices for program director and case managers. Emergency Disaster Plan, Personal Rights, Foster Care Ombudsman, the Domains of TRAUMA INFORMED Care, are posted in a prominent area for participates to view. License will be posted as soon as it is issued. LPA observed participants files are locked in file cabinets in the office. Staff files are locked in file cabinets in the program director office. Telephones, computers, fax and copying machines are operable. The bathrooms are located outside the suite. Fire extinguishers are current, there are fire sprinklers, smoke detectors, and carbon monoxide detectors located in the suite. A complete first aid kit readily accessible located in the staff's break room. LPA reviewed five staff files and six participant files. All the necessary forms were in file. LPA interviewed one staff. A review of Guardian on May 15, 2024, indicates that all facility staff associated to the facility had DOJ, FBI, and child abuse index check clearances. Based on observations made during the annual/required inspection, the facility meets the California Code of Regulations, Title 22. No deficiencies were cited. An exit interview was conducted, and a signed copy of this report was provided Program Director Carol Lockwood.


summary: Facility Evaluation

raw_content:
Narrative:
On January 29, 2026, at 10: AM, Licensing Program Analyst (LPA) Cynthia Velasquez, met with New Alternatives THP Office's, Taffe Newberg, Program Director, and conducted an unannounced random inspection. There are 28 participants living in apartments throughout San Diego County. Office staff provided 5 client files. All files contained Identification, County Social Worker or ILS worker contact information, Participant Rights, Admission agreements, Quarterly Support Plans, Needs and Services Plans, Disaster Preparedness for individual units occupied, Health and Education Passports, and consents to release information and Independent Living Skills agreements. Program Director, Taffe Newberg provided 2 staff files. The files reviewed contained Identification, Address, Date of Birth, resume's, Criminal Record Clearances, Department of Justice Clearance, Health Screenings, Up to date CPR certifications, Employee Rights, Child Abuse Reporting agreements, and Educational Transcripts with degree photos. An inspection of the facility was conducted. There is remodeling taking place around the perimeter of the building, but this office was intact. There are postings in the office which include license, children's rights, ombudsman, emergency disaster plan, and Community Care Licensing complaint hot line poster. There is a waiting area equipped with a table and 2 chairs, 8 staff cubicles, and two offices for administrative/managerial staff. There is a large conference area for at least 16 persons with a large table, and TV. There is also a break room for staff. There were no blocking of entryways and the office was neatly decorated. There were graduate cap decorations with client names to celebrate milestones in the office and various flyers for youth. Also available were health supplies for youth safety. The office has staff and client files locked in cabinets within the office. There are 2 first-aid kits with all necessary items, plus other medical supplies. Two staff interviews were conducted, and no clients were available at the time of inspection to be interviewed. Based on record review, and inspection, there are no deficiencies noted at this time. An exit interview was performed with Taffe Newberg, Program Director, and copies of LIC811, and this report were provided.

met_with: Taffe Newberg, Program Director


facility_name: NEW ALTERNATIVES, INC.

summary: Facility Evaluation

raw_content:
Narrative:
On September 22, 2021 at 10: AM, Licensing Program Analyst 's(LPA's) Anastasia Flores and Lorena Valenzuela, arrived at the agency for the purpose of conducting an unannounced Required/ Annual Licensing Inspection for the agency's Transitional Housing Program (THP) At 11: AM, LPA's met and toured the facility with Program Director, Danielle Saporita. Facility utilizes apartment complex housing model. The agency currently has Apartments designated for THP+ NMD. There are Non minor dependents (NMD) youth who are currently in placement with the agency. LPA's conducted a tour of the agency. Files are located in locked file cabinets within locked offices. There are no physical plant deficiencies. Staffing: The agency employee's the following assigned staff under the THP program. Program Director , Program Supervisor; Case Manager Supervisor, Four Case managers and one Housing Specialist. All employees have the required experience, and training for their current job employment. At 11: AM, LPA's reviewed 4 staff files and Non minor dependent files. All staff files reviewed were very well organized, Criminal Background and Child Abuse Clearances are complete and current for all employees.The non-minor dependent files were Transitional Independent Living Plan (TILP) and case progress notes are well written, thorough and current. During the inspection, LPA's observed four of 10 client files (C4, C5. C8, C9) did not contain a signed Needs and Service Plan by the authorized representative, non-minor dependent and/or case manager. Based on the record review, the THPP did not ensure the participant needs and service plans were signed by the authorized representative. Therefore, the Facility is cited under the Non-Minor Dependent regulations, section 86168.3 (f) Needs and Service Plan. LPA's received updated participant and certified apartment information. Current Personnel Report (LIC 500) and Designation of Facility Responsibility (LIC 308) all staff current CPR certificates are on file. An exit interview was conducted and a copy of this report , deficiency with appeal rights was provided to Program Director, Danielle Saporita.

met_with: Danielle Saportia


summary: Facility Evaluation

raw_content:
Narrative:
On 01/09/2023, at 11:00 am, Licensing Program Analyst (LPA) Charmaine Linley arrived at the facility for a case management inspection related to a Special Incident Report, received by the Department on 01/03.2023. Interviews were conducted with one staff and one client declined to be interviewed. Based on information gathered, further information is needed and the case management will be extended. An exit interview was conducted and due to printer malfunction, a copy of this report will be emailed to the Facility Administrator.

visit_type: Case Management

met_with: Lupe Munoz, Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On March 27, 2023, at 2:00 pm, Licensing Program Analyst conducted a case management inspection at the facility listed above. LPA met with Lupe Munoz, Program Manager. The purpose of the inspection was to follow up from a case management visit on 01/09/2023 regarding a Special Incident Report received by the Department on 01/03/2023. LPA attempted to conduct interviews with one current client who declined to be interviewed and one former client who was unable to be contacted, despite multiple attempts to contact them. No deficiencies were noted, and the facility is in compliance. A exit interview was conducted with Lupe Munoz. Due to printer malfunction, a copy of this report will be emailed to Lupe Munoz. A copy of this report will be placed in the facility file.

met_with: Lupe Munoz


summary: Facility Evaluation

raw_content:
Narrative:
On September 20, 2023, at 10: AM, Licensing Program Analyst (LPA) Charmaine Linley arrived at the agency for the purpose of conducting an unannounced Required/Annual Licensing Inspection for the agency's Transitional Housing Program (THPP). LPA met and toured the facility with Program Director, Danielle Saporita. The facility is licensed to provide 100 placements for Transitional Housing Placement Program Non-Minor Dependent (THPP-NMD) from ages 18 (18) through twenty-one (21). There are currently (34) participants in the THPP-NMD program which includes nine remote sites throughout Orange County. The Administrative Office consists of a two-story office building, which is convenient to the public. The office is located on the second floor of their corporate establishment. The office consists of a lobby/reception area, and offices for the Program Director, Social Work Supervisor, Case Managers, and Housing Specialists. There is a kitchen area for the staff and an additional conference room. There are working telephones and office equipment, furniture, and supplies located throughout the office space. LPA observed Participant files were stored in a locked cabinet within the Case Manager's office. Staff files were located in the locked Program Director's office. Currently, the facility is staffed with a Program Director, Social Work Supervisor, ten full-time Case Managers, and two full-time Housing specialists. The Program Director was informed that each Social Worker should maintain a 1 to 25 ratio, which should never be exceeded. Licensee is aware of submitting unusual incident reports as needed to the Department to include all Law Enforcement contacts. LPA reviewed five staff records. All staff met the minimum qualifications and training requirements. A review *** of records shows that all staff have FBI, DOJ, and Child Abuse Index Check clearances. LPA also reviewed five THPP-NMD Participant files. All files reviewed were complete and had the required documents. LPA received updated participant and certified apartment information and Current Personnel Report (LIC 500). Based on LPA observations, there are no deficiencies to be cited at this time. An exit interview was conducted with Danielle Saporita and due to printer malfunction, a copy of this report, deficiency was emailed to Program Director, Danielle Saporita.

met_with: Danielle Saporita.


summary: Facility Evaluation

raw_content:
Narrative:
On 05/07/25, at 10: AM, Licensing Program Analyst (LPA) Gilbert Marquez met with Virginia Guerrero, Program Supervisor and Danielle Saporita, Administrator, for the purpose of conducting an annual inspection. The facility is licensed to provide 100 placements for Transitional Housing Placement Program Non-Minor Dependent (THPP-NMD) from ages 18 through 21. There are currently 33 participants in the THPP-NMD program which includes nine remote sites throughout Orange County. The Facility at Tustin Family Campus ( Lansdowne Road Building E, Tustin) is a double story dwelling. A physical plant inspection was completed with Viriginia and Danielle and included the following checks: kitchen, dining room, and hallways. Facility grounds are clean and free of debris. The Fire Drill log was up to date and in compliance. All required forms are posted including Grievance Procedures, Visitation Policies, Personal Rights form, and, the Emergency Disaster Plan. All client files are stored and maintained in binders and locked in the Program Director's Office. LPA reviewed five client files (C1 - C5, see Confidential Names List, LIC811) to ensure clients had all required documents per Title 22 regulations. LPA reviewed five staff files (S2 - S6) to ensure staff had all required documents per Title 22 regulations. Staff records are maintained in binders and locked in the Program Director's Office. Per a review of Guardian, all staff have a criminal record clearance. LPA conducted three staff interviews (S2, S7, S8). No deficiencies cited during today's inspection. An exit interview was conducted, and a copy of this report and LIC811 was provided to Danielle. A copy of this report will be placed in the facility file.

met_with: Danielle Saporita, Program Director


facility_name: NEW VISION THPP

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13On April 14, 2025 at 1:00pm Licensing Program Analyst (LPA) Justine Armstrong and License Program Manager (LPM) Enrique Hernandez conducted an unannounced visit to NEW VISION THPP Administrator Office to conclude the investigation of the above allegations and deliver the findings. LPA met with Princess Wesley the Administrator and together, they discussed the investigation details. During the investigation process, all relevant parties have been accounted for. It was reported that Due to lack of supervision, non-minor dependents have access to drugs, Staff did not provide a safe living environment, and Non-minor dependents are not being properly supervised by the staff. After conducting confidential interviews by the LPA'S and reviewing documents, there was not enough evidence or testimony to support the allegations. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. No deficiencies are being cited at this time. An exit Interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Enrique M Hernandez LICENSING EVALUATOR NAME: Justine Armstrong LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Princess Wesley

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA ) Zena Phillips conducted the Component II- Face to Face Interview with Simon Leonov CEO THPP application and program statement was reviewed and discussed with CEO & Carolyn Ruffin consultant. . The following documents are needed and should be submitted to licensing within 30 days November 12, 2021. 1. Update LIC 500, Personnel Report- include Administrator, Refer to THPP regulations. Note job descriptions should match job title on personnel report.. 2. Submit new, LIC 200 to revise name of program. Prelicensing visit is scheduled for Thursday November 4, 2021. Program statement has been returned for revision. Exit interview completed.

met_with: Simon Leonov/ CEO


summary: Facility Evaluation

raw_content:
Narrative:
On 12/22/21 @ 9: AM Licensing Program Analyst (LPA) Zena Phillips made an announced visit to New Vision Group Homes Inc for pre licensing visit inspection of the corporate office LPA Phiilips was greeted by Simon Leonov CEO who provided tour of the entire office space. The corporate office is upstairs in a small shopping center located in a business district. The office is accessible by taking stairs or small elevator located in main entrance of the shopping center. There are currently no residents in placement at time of inspection. LPA Phillips observed the following during inspection: There is a small sofa seating for three (3 ) people with coffee table and small end table to the right of the sofa. There is adequate over head fluorescent lighting. To the left of the main entrance is a small desk with chair. The desk has pen, file holder and four (4) small three ring binders. There is a large window over looking the front entrance with vertical blinds for privacy. There is adequate seating in main office area and furniture appears in good condition. The main office room has a locked door, large table with seating for six (6). The room is equipped with four (4) drawers file cabinet, copier/fax/scanner multi functional machine with paper. There is a primary desk with three (3) drawers one (1) cabinet, and space for desktop or laptop computer. The room has overhead fluorescent lighting. The main room has closet space equipped with a land line, internet connection box and adequate storage space for additional supplies. The closet has two (2 ) doors both access the same closet space. cont on LIC 809c There is an additional room with sink, open overhead shelves, cabinet storage adequate for cleaning supplies. The room appears to have adequate space for storing extra office supplies. There is no lock on this room. LPA Philips observed one (1) smoke detector mounted high on the wall of main office space upon entering. The office is equipped with three (3) fire sprinklers mounted the ceiling. There is shared restroom outside the main office to the right and down the walkway from office door. LPA Phillips observed office is not equipped with fire extinguisher on premises. Simon Leonov CEO stated he will purchase fire extinguisher for office and send picture to LPA Phillips email address by end of week 12/24/2021. EXit interview was conducted and copy of report was provided to Simon Leonov CEO.

met_with: Simon Leonov/CEO


summary: Facility Evaluation

raw_content:
Narrative:
On 07/13/2022 at 10am, Licensing Program Analyst (LPA) Bernice Karnsrithong arrived at New Vision Transitional Housing Placement Program (THPP) Administrative office for the purpose of conducting a post-licensing inspection and met with Julia Leonov, Chief Financial Officer. Health and safety risk assessment was conducted upon arriving at the THPP office. The Administrative office is located in a commercial area in the second floor of the building. The front room has a couch, coffee table, side table and reception office. There is a meeting room office that has a large conference room table with chairs. Licensing is posted in this area. There is also an office desk and chair separated from the conference room. This space is intended for private meetings with clients or service providers. The room is equipped with four (4) drawers file cabinet, copier/fax/scanner multi-functional machine with paper. There is a storage closet in this room that would be used to store client's files. There is another room that is equipped with cabinet storage, refrigerator and a sink. This is intended to keep supplies for the office and THPP. LPA Karnsrithong observed one (1) fire extinguisher in the supply room and a smoke detector in the front room. There is shared restroom outside the main office to the right and down the walkway from office door. Currently there are no clients placed in the THPP. Julia Leonov stated they are still waiting for placement from Kern County. There are no deficiencies cited at this time. Exit interview was conducted with Julia Leonov, Chief Financial Officer. A copy of this report will be provided to the facility.

met_with: Julia Leonov, Chief Financial Officer


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On April 14, 2023, Licensing Program Analyst (LPA) C. White arrived at New Vision Group Homes Inc for the purpose of conducting an Annual Required visit inspection of the Transitional Housing Placement Administrative office. LPA met with Administrator, Administrator - Princess Wesley and CFO, Julia Leonov. LPA was granted access and toured the entire facility. The program is licensed to provide THP+FC services to Non-Minor Dependents up to 6 beds. The current census is 2. This facility is located in a business district, in a small two story office building on the second floor. The office contains the following: Reception area, Waiting area, Office, and Kitchen area. Reception area: upon entering the office to the left of the entry way is a receptionist area equipped with a desk and chair. Waiting area: contains a sofa and coffee table available for clients/visitors. Office: this room doubles as a staffing office and meeting room. The room is equipped with a large conference room table with chairs. There is also a separate desk and chair and the area is intended for private meetings with clients or service providers. The room contains a locked four (4) drawer file cabinet, copier/fax/scanner multi-functional machine, and a storage closet. Kitchen area: is equipped with a small refrigerator, a sink, and cabinet storage. This room also stores supplies for the office. LPA observed one (1) fire extinguisher, one (1) smoke detector, and three (3) fire sprinklers in the ceiling. The smoke detector was tested and found to be in working order. The office building has a shared restroom located to the right of the main office and it requires a key to enter. Report continued on LIC 809C (Page 1 of 2). LPA was unable to review client and staff files as files were not located on the premises. Facility cited on the attached LIC D for violation of California Code of Regulations, Title 22, Division 6, Chapter 7 regulation 86087.1(b)(1) ADMINISTRATIVE OFFICES; 86087.1(b)(1) ADMINISTRATIVE OFFICES; and 86023(a)(2) DISASTER AND MASS CASUALTY PLAN. (Page 2 of 2).

Deficiencies:
86087.1: (1)	Participant records

met_with: Administrator - Princess Wesley and CFO - Julia Leonov

title:
Administrative Offices/Sub-Administrative Offices
(b)	The administrative office shall maintain the following records

description: (1)	Participant records


summary: Facility Evaluation

raw_content:
Narrative:
On June 1, 2023, Licensing Program Analyst (LPA) C. White arrived at New Vision Group Homes Inc for the purpose of conducting an Annual Required continuation visit inspection of the Transitional Housing Placement Administrative office. LPA met with CFO, Julia Leonov and was granted access to the entire facility. The program is licensed to provide THP+FC services to Non-Minor Dependents up to 6 beds. The current census is 4. During this visit LPA observed that client and staff files were stored in a locked file cabinet inside the staff office. The organization uses single family dwelling model and Licensee ensures the following services: that no more than two participants share a bedroom, and on-site supervisor is available 24/7 days a week to assist, oversee, and support the needs of the participants. There are assigned Case Workers that meet with participants. THPP participants are provided with household essentials including, but not limited to: cooking utensils, furniture, supplies and linen. The facility ensures that THPP living units have one or more functioning carbon monoxide detectors that meet the statutory requirements. There are no bodies of water on the premises. There are no firearms or other weapons in THPP living unit. The facility ensures that if children of participant also live in the THPP living unit, disinfectants, cleaning solutions, poisons, and other items are not accessible to children. That facility ensures that THPP living unites are sanitary and in good repair for the safety and well-being of participants, employees, and visitors. During this visit LPA reviewed a total of four (4) client files, each client file contained copies of important documents including, but not limited to, the following: TILP, and medical records. LPA reviewed a total of three (3) staff files. The following was discussed with staff: Licensee shall not operate a facility beyond the conditions and limitations specified on the license, including the capacity limitation. No deficiencies were observed or cited at the time of this inspection. A copy of this report was left with the administrative office.

met_with: CFO - Julia Leonov


summary: Facility Evaluation

raw_content:
Narrative:
On June 21, 2023, Licensing Program Analyst (LPA) C. White arrived at New Vision THPP for the purpose of conducting a Plan of Correction (POC) inspection, to verify corrections of the deficiencies that were cited during the Annual/Required inspection dated April 14, 2023. LPA met with Administrator, Princess Wesley regarding Type B deficiency 86087.1(b)(1); Type B deficiency 86087.1(b)(2); and Type B deficiency 86023(a)(2). Upon inspection, LPA observed complete staff and client files stored in the administrative office. Additionally, the Licensee has developed a facility Disaster and Mass Casualty Plan which is maintained in the administrative office. There are no deficiencies cited at this time. An exit interview was conducted and a copy of this report and POC letter was provided to the Administrator.

met_with: Administrator - Princess Wesley


summary: Facility Evaluation

raw_content:
Narrative:
On August 10, 2023, Licensing Program Analyst (LPA) C. White arrived at the above location for the purpose of conducting a Case Management visit. LPA met with Facility Administrator, Princess Wesley. LPA informed the Administrator, the facility's remote THPP site would be inspected on this day, for compliance with Title Regulations. The Administrator provided the following address.. Remote Site: Declan Street Riverside, CA. Administrator, agreed to meet LPA at the site to grant access to the home for inspection. LPA inspected all three units and found each unit to be clean and in good repair. No deficiencies were observed or cited. A copy of this report was left with the Administrator.

met_with: Princess Wesley - Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On April 14, 2023, Licensing Program Analyst (LPA) C. White arrived at New Vision Group Homes Inc for the purpose of conducting an Annual Required visit inspection of the Transitional Housing Placement Administrative office. LPA met with Administrator, Administrator - Princess Wesley and CFO, Julia Leonov. LPA was granted access and toured the entire facility. The program is licensed to provide THP+FC services to Non-Minor Dependents up to 6 beds. The current census is 2. This facility is located in a business district, in a small two story office building on the second floor. The office contains the following: Reception area, Waiting area, Office, and Kitchen area. Reception area: containing a desk and chair. Waiting area: containing a sofa and coffee table. Office: containing a large table with chairs; a separate desk and chair and the area is used for private meetings with clients or service providers. The also contains locked file cabinet, copier/fax/scanner machine, and a storage closet. Kitchen area: containing a small refrigerator, sink, and cabinet storage. LPA observed the office to have one (1) fire extinguisher, a smoke detector, and fire sprinklers in the ceiling. The smoke detector was tested and found to be in working order. There are no bodies of water on the premises. There are no firearms or other weapons on the premises. The organization uses single family dwelling model and Licensee ensures the following services: that no more than two participants share a bedroom, and on-site supervisor is available 24/7 days a week to assist, oversee, and support the needs of the participants. Report continued on LIC 809C (Page 1 of 2). The facility ensures that THPP living unit has one functioning carbon monoxide detector that meets the statutory requirements. The facility ensures that THPP living unit has disinfectants and cleaning solutions. That facility ensures that THPP living unit is sanitary and in good repair for the safety and well-being of participants, employees, and visitors. During this visit LPA reviewed a total of three (3) client files, each client file contained copies of important documents including, but not limited to, the following: TILP, and medical records. LPA reviewed a total of three (3) staff files. The following was discussed with staff: Licensee shall not operate a facility beyond the conditions and limitations specified on the license, including the capacity limitation. There were no deficiencies noted on this date. Exit interview was completed and a copy of this report was left at the facility. (Page 2 of 2).


summary: Facility Evaluation

raw_content:
Narrative:
On May 13, 2025, Licensing Program Analyst (LPA) J. Armstrong and License Program Analyst (LPA) C. White arrived at New Vision Group Homes Inc for the purpose of conducting an Annual Required visit inspection of the Transitional Housing Placement Administrative office. LPA's met with Administrator Princess Wesley, who granted access to the facility and together gave a tour of the entire facility. The program is licensed to provide THP+FC services to Non-Minor Dependents with up to 18 beds. The current census is 7. This facility is situated in a business district on the second floor of an office building. The office includes the following areas: a reception area, waiting area, private office, small storage closet, and kitchen area. In the reception area, there is a desk and chair next to a large window. The waiting area, which is connected to the reception area, features a small sofa and a coffee table. The kitchen area contains a small refrigerator, a sink, cabinet storage, a First Aid Kit, and a fire extinguisher. The private office has a large table with chairs, a separate desk and chair, a fax/scanner machine, and a TV monitor that can be used for conferences and presentations. (See attached 809C for continued report) This area is designated for private meetings with clients or service providers. It displays important documents including the license, emergency disaster plan, client roster, and LIC 500. Additionally, there are locked file cabinets that contains staff and client files. The office also includes a small storage closet, with a landline phone. Safety features within the office consist of one fire extinguisher, one smoke detector, and three fire sprinklers located in the ceiling. The smoke detector has been tested and is in working order.The office building has a shared restroom, located outside to the right of the main office, which requires a key for entry. There are no bodies of water or firearms present on the premises. During this visit LPA reviewed a total of three (3) client files, each client file contained copies of important documents. LPA reviewed a total of two (2) staff files. There were no deficiencies noted on this date. Exit interview was completed and a copy of this report was provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On May 14, 2025, Licensing Program Analyst (LPA) Justine Armstrong and Licensing Program Anaylst (LPA) Charmetha White arrived at the above location for the purpose of conducting a Case Management Annual Continuation visit. LPA met with Facility Administrator, Princess Wesley and was granted access to the facility. LPA informed the Administrator, two of the facility's remote THPP sites would be inspected on this day, for compliance with Title Regulations. The Administrator provided the following two addresses. Site #1: Mintern St. Unit # Jurupa Valley, CA. Site #2: Mintern St. Unit # Jurupa Valley, CA. Administrator, agreed to meet LPA at the site to grant access to the units for inspection. LPA inspected all two units and found each unit to be clean and in good repair. No deficiencies were observed or cited. A copy of this report was left with the Administrator.


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Continued from LPA made four attempts to interview another Transitional Housing client. Client would not participate in an interview, but texted one sentence saying they had no concerns about their placement. Law enforcement contact records indicate police were called to a Transitional housing, minor dependent, mentor home twice on 7/5/21 and 10/10/21 due to unknown persons breaking into the backyard and banging on the windows. Suspects had fled before police arrived. Interviews and record review were inconsistent regarding whether the mentor was home at the time of the break-ins in the backyard. Interviews indicate the mentor home is located in a high crime area, near a park where individuals are often seen using drugs. A youth and mentor corroborated an additional break-in of a transient individual entering the home and demanding water, but police were not called, as the individual left the home without conflict. Based on interviews and record reviews, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violations did, or did not, occur. Therefore, the allegation the Facility does not provide a safe environment for foster youth is UNSUBSTANTIATED. Facility mentors are not required to be present in the home at all times, but to maintain adequate supervision to protect the clients. Mentors and youth acted appropriately by reporting the break-ins to law enforcement and the agency. Exit interview was conducted. A signed copy of this LIC-9099 and LIC-9099C were provided to the facility.

Investigation Findings:
13Licensing Program Analyst (LPA) Hillary Hall arrived unannounced at the facility and met with Jessica Owens, Social Work Supervisor. The purpose of the visit was to deliver findings for a complaint investigation. LPA discussed the findings for the allegations. During the course of the investigation, the LPA interviewed two agency Program Managers on 10/19/21 and 11/12/21, agency administrator on 11/9/21, one Transitional Housing client on 11/10/21, two agency social workers on 11/9/21 and 11/10/21, and one former agency mentor on 11/12/21. LPA spoke with a county supervisor and tribal social worker on 11/10/21. The LPA reviewed the facility Program Statement, Client placement roster for the last 6 months, Mentor and staff contact information, agency social worker case notes, and payment agreements for mentors and Transitional Housing Placement clients. Additionally, LPA reviewed description of job duties and tasks for mentors, Case Managers, and Social Workers assigned to Transitional Housing clients, and relevant photographs submitted by the agency on 12/6/21. Between 10/15/21-11/10/21, UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Daniel Allmon LICENSING EVALUATOR NAME: Hillary Hall 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 25-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, COHASSET RD., STE. FACILITY NAME: NO CA YOUTH & FAMILY PROGRAMS THPP/THP+FCFACILITY NUMBER: VISIT DATE: 01/07/2022

met_with: Jessica Owens, Social Work Supervisor


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
messages; monthly expense reports; agency case worker notes; and Mentor Support Visit logs. Based on LPA's observations, interviews, and records review, not all incidents of clients being absent from care were reported to the Department. Therefore, the allegation is SUBSTANTIATED. One citation is being issued for violating Title 22, Division 6, Chapter 7, Subchapter 1, Section 86161(b)(1)(D): Reporting Requirements (b) Upon the occurrence, during the operation of the facility, of any of the events specified in (1) below, a report shall be made to the licensing agency within the agency's next working day during its normal business hours. In addition, a written report containing the information specified in (2) below shall be submitted to the licensing agency within seven days following the occurrence of such event.(1) Events reported shall include the following:(D) Any unusual incident or participant absence which threatens the physical or emotional health or safety of any participant. A signed copy of this LIC-9099 report, the LIC-9099C, and LIC-9099D were provided to the facility. As this is a repeat violation, a civil penalty and LIC421M was also provided. . An exit interview was conducted, and appeal rights were provided.

Investigation Findings:
13Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Kari Barron, Program Manager. LPA Brown conducted the complaint investigation. LPA opened the investigation with the facility on 07/12/2023 and Michelle Dahlgren, Administrator, was interviewed. During the course of the investigation, LPA interviewed six agency staff and volunteers, two clients, one probation officer, and three county social workers. LPA reviewed records from the facility including: Participant Orientation Form, Transitional Housing Application, Transitional Housing Recommendation Form, Transitional Housing Agreement, Unusual Incident/Injury Report (LIC624), Needs & Services Plan; LE Contact Report (LIC LE), Emergency Response Referral Information, Mentor Agreement, Mentor Application, Placement Agency - THP Plus Foster Care Provider Agreement SOC152, Agency case worker notes; Child Family Team records; text SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Wendy Brown 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: NO CA YOUTH & FAMILY PROGRAMS THPP/THP+FCFACILITY NUMBER: VISIT DATE: 10/05/2023

met_with: Kari Barron, Program Manager


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Support Visit logs. Records and interviews were consistent that placement homes are known to be without mentors present for days. Clients were absent from care for extended periods of time while unsupervised by mentors or case workers. Facility policy indicates case workers will stop by the homes when the mentors are absent but there was no record of regular visits to the homes while the mentors were away. Records and interviews indicated the facility did not provide supportive services to ensure transportation to school for one client. The client was in care for over two months and only attended school for one-half day. Truancy was reported to be a result of the client not securing transportation. Records reviewed and interviews conducted demonstrate the facility did not ensure a client's medical needs were met. One client had been prescribed treatment to occur once or twice a week. Interviews and records review demonstrate that this medical care was not facilitated by staff despite being a facility policy. Based on LPA's observations, interviews, and records review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. One citation is issued per Title 22, Division 6, Chapter 1, Article 6 section 80078(a): Responsibility for Care and Supervision due to the clients being unsupervised and the transportation to school not being secured. One citation is issued per Interim Licensing Standards Section 86175(a): Health Related Services as the client's medical needs were not met. A signed copy of this LIC-9099 report, the LIC-9099C, and LIC-9099D were provided to the facility. An exit interview was conducted, and appeal rights were provided.

Investigation Findings:
13Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Kari Barron Program Manager in person and Eve Nash Administrator by phone. LPA Brown conducted the complaint investigation. LPA opened the investigation with the facility on 07/18/2023 and Michelle Dahlgren, Administrator, was interviewed. During the course of the investigation, LPA interviewed six agency staff and volunteers, two clients, one CASA, one probation officer, and three county social workers. LPA reviewed records from the facility including: Participant Orientation Form, Transitional Housing Application, Transitional Housing Recommendation Form, Transitional Housing Agreement, Unusual Incident/Injury Report (LIC624), Needs & Services Plans; LE Contact Report (LIC LE), Emergency Response Referral Information, Mentor Agreement, Mentor Application, Placement Agency - THP Plus Foster Care Provider Agreement SOC152, Agency case worker notes; Child Family Team records; text messages; monthly expense reports; Needs and Services Plans; and Mentor SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Wendy Brown 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: NO CA YOUTH & FAMILY PROGRAMS THPP/THP+FCFACILITY NUMBER: VISIT DATE: 10/11/2023

met_with: Kari Barron Program Manager


raw_content:
Narrative:
that the agency was informed of the client needing food on 08/29/23. The agency then arranged for the client to purchase food on 08/30/23. Based on LPA's observations, interviews, and record review, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of the report was provided along with appeal rights.

Investigation Findings:
13Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Kari Barron, Program Manager. LPA conducted the complaint investigation. LPA opened the investigation with the facility on 09/07/2023 and Program Manager Kari Barron was interviewed. During the course of the investigation, LPA interviewed three agency staff and volunteers, two clients, one CASA, one probation officer, and three county social workers. LPA reviewed relevant records including Monthly Expenses Reports, case notes, and text messages. Interviews produced conflicting information as to when the agency was informed of a client being without food. Two interviews indicate the agency was informed on 8/24/23, however, record review demonstrates UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Wendy Brown 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: NO CA YOUTH & FAMILY PROGRAMS THPP/THP+FCFACILITY NUMBER: VISIT DATE: 10/31/2023


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
the client had not been in attendance for four days. In December 2023, it was not discovered that client was missing until the day after the client was supposed to have returned home. No case worker notes were available for the month of September 2023 to document any visits or contact made with the client, ensuring care and supervision. There is no record or report that a safety plan or contract was put in place to assure supervision of the client in care. Lack of supervision by the facility enabled the client to engage in high-risk behaviors. Based on LPA's observations, interviews, and record reviews, the preponderance of evidence standard has been met. Therefore, the allegation is SUBSTANTIATED. One citation is being issued for violating Title 22, Division 6, Chapter 6, Section 80078(a): "The licensee shall provide care and supervision as necessary to meet the client's needs." A signed copy of this LIC-9099 report, the LIC-9099C, and LIC-9099D were provided to the facility. An exit interview was conducted. Appeal rights were provided.

Investigation Findings:
13Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Michelle Dahlgren, Administrator. LPA conducted the complaint investigation. LPA opened the investigation with the facility on 12/18/2023. The Program Manager on site was not familiar with the incident so an interview was not conducted at that time. During the course of the investigation, LPA interviewed one resource parent, one assistant case worker, one agency social worker, one case worker, one volunteer, one county social worker, and one program manager. LPA reviewed relevant records from the facility including the Safety Plan, Case Notes, Needs and Services Plans, and staff calendar for checking on the Volunteer Home. The Facility required the client to notify staff when they planned to be gone. Interviews and records review are consistent in that a minor client was frequently absent from care and without supervision. One interviewee indicated the client was absent from supervision consistently for five days out of the week. In November 2023 the Facility learned the client was absent from care only when notified by the school that SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Wendy Brown 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: NO CA YOUTH & FAMILY PROGRAMS THPP/THP+FCFACILITY NUMBER: VISIT DATE: 03/07/2024

met_with: Michelle Dahlgren, Administrator


facility_name: NO CA YOUTH & FAMILY PROGRAMS THPP/THP+FC

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Katherine Deaton conducted an annual inspection at the facility address located above in accordance with COVID-19 precautions. The LPA toured the facility; the facility is clean, safe, and sanitary. The LPA interviewed two staff members. Transitional Housing Placement Provider (THPP) Participants with children residing in their living units ensure disinfectants / poisons are inaccessible. All participant living units have at least one toilet, sink and tub or shower in working order. Participants and their minor children are provided with household essentials. There are no firearms stored in THPP participant living units. The LPA reviewed participant records and found signed copies of personal rights and all school records, immunization records, and medical records that were provided. Current, signed Certificates of Compliance were found in the participant files. There are no participants who are non-ambulatory; licensee is aware of the fire clearance requirement. The THPP administrative office and participant living units have telephone service. Staff records were reviewed after the in-person inspection (see LIC812 - Staff Records Review dated 6/30/2021). No citations were issued throughout the course of this investigation.

met_with: Karina Valdez, Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 06/16/ Licensing Program Analyst (LPA) Hillary Hall met with Tracy Angel, Office Manager, for the purpose of conducting a Required Annual Inspection of the facility. The last Annual inspection occurred on 6/25/2021. LPA utilized the CARES Tool to complete the inspection. LPA conducted a facility inspection and checked for all necessary requirements. The facility was clean and organized, and maintained an acceptable room temperature. LPA observed the required postings in the facility, including the facility license. The restrooms for clients and staff were clean. Fire extinguishers were current and a first aid kit was accessible. Disaster drills for the facility were completed quarterly. LPA observed client and staff files were stored electronically with password protection. The facility has 52 clients, both minors and Non-Minor Dependents. The facility employs Social Workers and Case Managers, plus a Program Manager. LPA reviewed 10 client files. Clients had current Needs and Service Plans. Minor clients were current on CHDP and dental exams. Clients had thorough intake assessments and Signed Acknowledgements of Personal Rights. Due to time constraints and a previously scheduled meeting for the LPA from 1-2:15pm, LPA was unable to interview the social work staff, review staff files, and complete the inspection. LPA will follow up on subsequent day. No citations were given on this date. A signed copy of this LIC-809 report was emailed to the Office Manager.

met_with: Tracy Angel, Office Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 06/17/ Licensing Program Analyst (LPA) Hillary Hall met with Christina Sierra, Human Resources Manager, for the purpose of completing the Required Annual Inspection of the facility. LPA initiated the Annual Inspection on 6/16/22. LPA utilized the CARES Tool to complete the inspection. The facility has 52 clients, both minors and Non-Minor Dependents. The facility employs Social Workers and Case Managers, plus a Program Manager. LPA reviewed two staff files. Staff were current on CPR and First Aid had required education and training. LPA interviewed two staff on site. LPA reviewed 10 client files on 6/16/22. See LIC-809 from 6/16/22 for details. One citation is being issue per Title Section 86175(b): Health Related Services: The THPP participant's physician has stated, in writing, that the THPP participant is able to determine and administer his/her own prescription or nonprescription PRN medication. Of 3 minor client files reviewed, there was no documentation that the physician had authorized for the minor client to administer their own medication. Program Manager reported a conversation was had with the placing agency to get approval for the minor client to administer their medication before admittance into the program. Program Manager agreed to have the physician be aware of the client's placement in the program and determine the minor clients ability to administer their medications going forward. A signed copy of this LIC-809 and LIC-809D report were emailed to the Office Manager. An exit interview was conducted and appeal rights were offered.


summary: Facility Evaluation

raw_content:
Narrative:
On 07/05/2023, Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility and met with Kari Barron, Program Manager. The purpose of the visit was to conduct a Required Annual Inspection of the facility. The last Annual inspection for the facility was on 06/16/2022. LPA utilized the CARE Tool to complete the Annual inspection. LPA conducted an inspection of the physical plant, and checked for all necessary requirements. The facility was clean and organized, and maintained at acceptable room temperature. The facility has thirteen offices for staff (four are unoccupied, five visit rooms, one conference room, a kitchen, one small meeting room, and five confidential interview/visitation rooms. LPA observed the proper postings including: facility license, complaint hotline, and emergency disaster plan. The restrooms for clients and staff were clean. Smoke alarms were in working order, fire extinguishers were current, and a first aid kit was fully stocked. Evacuation drills for the facility were completed monthly. LPA observed client files were stored electronically with password protection. The facility has no outstanding fees. The facility has THPP and Non-Minor Dependent clients. Clients live in either mentor homes or remote site apartments. No client resides more than two hours from the facility. The facility employees three social worker(s) with a fourth starting next week, two case manager, and a program manager. LPA reviewed five personnel files. Social work personnel had completed criminal record clearances and met minimum education and experience qualifications. All First Aid and CPR certifications were up to date for social work personnel. LPA interviewed all three social worker personnel on staff. Social work personnel indicated they did not have more than 12 clients on their caseload. LPA reviewed five client files. All clients had signed Admission Agreements. Client files had current Needs and Service Plans, signed. Needs and Services Plans detailed adequate supportive services the facility offers to the clients. CHDP physical and dental were current in the minor file reviewed and there was no need for a JV220. No citations were given on this date. A signed copy of this LIC-809 and LIC-809C and was provided to Kari Barron Program Manager. An exit interview was conducted.


summary: Facility Evaluation

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Narrative:
Amended to Reflect the Correct Year, the Revisions Will Be Submitted. On 11/2/ Licensing Program Manager (LPM) Hillary Hall, Licensing Program Analyst (LPA) Wendy Brown and Licensing Program Analyst (LPA) Melinda Pope met with Administrator Eve Nash and Director Michelle Dahlgren for a conference to discuss the recently updated Program Statement and recent complaints. We reviewed the already agreed upon Plan of Corrections and corrections needed to the Program Statement. New revisions will be submitted January 22, 2024 for review.

met_with: Eve Nash Agency Administrator and Michelle Dahlgren Director


summary: Facility Evaluation

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Narrative:
On 12/07/ Licensing Program Analyst Wendy Brown met with Executive Director Michelle Dahlgren and Cristina Sierra Business Manager at the Community Care Licensing Office at Cohasset Road in Chico, California. The purpose of the meeting was to further discuss the Agency's Program Statement for Transitional Housing Placement Program and Transitional Housing Program plus Foster Care. Submittal date for revisions to the Program Statement remain January 22, 2024.

met_with: Michelle Dahlgren, Executive Director


summary: Facility Evaluation

raw_content:
Narrative:
On 02/05/ Licensing Program Analyst (LPA) Wendy Brown met with Administrator Michelle Dahlgren and Business Manager Cristina Sierra at the Chico office of Community Care Licensing, to discuss and review the Program Statement information submitted to date. Discussion to move the process forward included going over LPA's review checklist and comments. The agency submittal for this program was not substantial and parties acknowledged that the agency is doing considerably more than a simple update to the Program Statement as it has been incorporated into the Program Statement for their Foster Family Agency since licensure. A plan was put in place for the Agency to submit three new sections of the Program Statement to LPA Wendy Brown each week for review, with the first sections being due 02/16/2024, and the schedule as follows: 02/16/2024: Sections 1 - 3 02/23/2024: Sections 4 - 6 03/01/2024: Sections 7 - 9 03/08/2024: Sections 10 - 12 03/15/2024: Sections 13 - 15 03/22/2024: Sections 16 - Updates to the Plan of Operation may be addressed at a later date. Updates to this Program Statement are to take precedence to the updates to the Program Statement for the Foster Family Agency.


summary: Facility Evaluation

raw_content:
Narrative:
On 02/26/ Licensing Program Analyst (LPA) met with the facility social work staff for the purpose of an informal training. LPA was invited by the facility Administrator. LPA explained to social work staff the role of Community Care Licensing; the investigative process; reporting requirements as outlined in Interim Licensing Standards Version 6; and the expectations of Unusual Incident/Injury Reports (LIC624 and LIC624LE). LPA addressed questions. A signed copy of this LIC809 was provided to the Administrator.

met_with: Administrator (1) and Staff (9)


summary: Facility Evaluation

raw_content:
Narrative:
On 04/15/ Licensing Program Analyst (LPA) Wendy Brown met with Administrator Michelle Dahlgren and Business Manager Cristina Sierra at the Chico office of Community Care Licensing, to discuss and review the Program Statement information submitted to date. Discussion to move the process forward included going over LPA's review checklist and comments and review an established Program Statement.. A plan was put in place for the Agency to submit five sections a week beginning April 26, 2024. Updates to the Plan of Operation may be addressed at a later date. Updates to this Program Statement are to take precedence to the updates to the Program Statement for the Foster Family Agency and any ISFC updates that may be necessary.


summary: Facility Evaluation

raw_content:
Narrative:
On 04/15/ Licensing Program Analyst (LPA) Wendy Brown conducted a Case Management at the Chico office of Community Care Licensing. LPA met with Michelle Dahlgren, Administrator and Cristina Sierra, Business Manager . This Case Management was unannounced as it occurred in conjunction with a previously scheduled meeting. The Case Management is in regard to an Unusual Incident/Injury Report (LIC624) for an incident on 03/08/2024 wherein a THPP NMD cut themselves with a razor. Volunteer staff helped the Participant clean the wound, but did not report the incident until three days later. The Facility instructs volunteers on reporting requirements before volunteering, annually, and revisited it with this volunteer after the incident. The facility recently completed a Plan of Correction wherein staff were trained on the Facility Absence Agreement and it included reporting requirements. Volunteers are undergoing training, with one more week before completion. The Facility is also in the process of updating their Program Statement which outlines the training and reporting requirements. No citations were issued at this time. A copy of this LIC809 was provided to the Adminstrator.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Wendy Brown arrived unannounced to the facility for the purpose of a Case Management following a 24-Hour Unusual Incident/Injury Report called into LPA on 10/28/2024 reporting the death of a Transitional Housing Placement Program participant (THP+FC). LPA reviewed and collected records at the facility and interviewed one individual. Records indicated the Agency Social Worker (ASW) was making regular contact with the participant with recent contacts made on October 19, 23 and 24. A current Needs and Services Plan was on file dated 10/08/2024. Law Enforcement is still investigating the shooting that happened at a Halloween party that started on 10/26/2024. The facility was advised of the incident by Shasta County Juvenile Probation. No citation was issued during this inspection. No further action is anticipated by LPA at this time. A copy of this report was provided to the facility.

met_with: Cristina Sierra, HR Manager


summary: Facility Evaluation

raw_content:
Narrative:
On June 3, 2025, Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility and met with Kari Barron, Program Manager. The purpose of the visit was to conduct a Required Biennial Inspection of the facility. The last inspection for the facility was on 07/05/2023. The file was reviewed prior to conducting the inspection and the LIC 9237 completed. LPA utilized the CARE Tool to complete the inspection. LPA conducted an inspection of the physical plant and checked for all necessary requirements. The facility was clean and organized and maintained an acceptable room temperature. The facility has thirteen offices for staff, five visit rooms, one conference room, a kitchen, one small meeting room, and five confidential interview/visitation rooms. LPA observed the proper postings including: facility license, complaint hotline, CARF accreditation, personal rights, and emergency disaster plan. The restrooms for clients and staff were clean. Smoke alarms were in working order, fire extinguishers were current, and a first aid kit was fully stocked. Evacuation drills for the facility are completed monthly. LPA observed client files were stored electronically with password protection. The facility has no outstanding fees. The facility has Non-Minor Dependent clients. Clients live in remote site apartments or one designated THP house. No client resides more than two hours from the facility. The facility employs five Social Worker(s) and two Case Managers, and two Program Managers. LPA reviewed five Social Worker personnel files. Social work personnel had completed criminal record clearances and met minimum education and experience qualifications. All First Aid and CPR certifications were up to date for Social Worker personnel. LPA interviewed two social worker personnel and one Program Manager. Social work personnel indicated they did not have more than 12 clients on their caseload. LPA reviewed five client files. Client files had current Needs and Service Plans, signed by the client and placing agency. Needs and Services Plans detailed adequate supportive services the facility offers to the clients. No citations were given on this date. A signed copy of this LIC-809 and LIC-809C report was provided to facility staff. An exit interview was conducted.


raw_content:
Narrative:
The complaint allegation indicates that a NMD's food was taken without permission by other NMD residing in the home and that the facility staff did not adequately address the NMD's then immediate food needs. Interviews and records reviewed were consistent that some food was taken, and while the NMD was not comfortable addressing the theft with the other NMDs in the home, the facility provided other options to obtain free and purchased food. The facility staff reported they were able to address the missing food with the responsible parties and arrangements were made to have the participant reimbursed for the cost. Based on LPAs' interviews which were conducted, and records reviewed, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. A signed copy of this LIC-9099 report, the LIC-9099C, and appeal rights were provided to the facility. An exit interview was conducted.

Investigation Findings:
13Licensing Program Analyst (LPA) Yesenia Vallejo arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Cristina Sierra- HR Buisness Manager. LPA Wendy Brown and LPA Yesenia Vallejo conducted the complaint investigation. LPA Brown initiated the investigation with the facility on 10/09/2025. During the course of the investigation, LPA Brown interviewed the reporting party, two non-minor dependents (NMD), one county social worker, and two facility staff. LPA Vallejo interviewed two additional NMD. LPA Brown reviewed records including: placement roster, case notes, accounting ledger, signed acknowledgements, Child and Family Team Meeting Notes, and Needs and Service Plans for NMD. continued on LIC-9099C. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Yesenia Vallejo 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: NO CA YOUTH & FAMILY PROGRAMS THPP/THP+FCFACILITY NUMBER: VISIT DATE: 11/18/2025

met_with: Cristina Sierra- HR Buisness Manager


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Lyta Vue arrived unannounced at the facility on this date for the purpose of a case management. LPA met with Kari Barron, Program Manager. LPA Vue conducted the case management. On May 12, 2023, the facility administrator, Eve Nash, notified the Department via phone that on April 30, 2023, a minor client left the home without permission. The facility failed to notify the Department or submit a Serious Incident Report (SIR) indicating the client was missing, until May 12, 2023, which is a violation of Interim Licensing Standards Reporting Requirements. The administrator admitted the error was an oversight. The Facility is issued a citation per Interim Licensing Standards (ILS) Section 86161 (b)(1)(D) Reporting Requirements: (b) Upon the occurrence, during the operation of the facility, of any of the events specified in (1) below, a report shall be made to the licensing agency within the agency's next working day during its normal business hours. In addition, a written report containing the information specified in (2) below shall be submitted to the licensing agency within seven days following the occurrence of such event. (1) Events reported shall include the following: (D) Any unusual incident or participant absence which threatens the physical or emotional health or safety of any participant. Exit Interview conducted and Appeal rights provided to Kari Barron, Program Manager. A signed copy of this LIC-809 and LIC 809D were provided to the facility.


facility_name: NORTH COUNTY LIFELINE,INC:DBA LIFELINE COMM SERV

summary: Facility Evaluation

raw_content:
Narrative:
On January 23, 2024, at 10:00 am, Licensing Program Analysts (LPAs) Charmaine Linley and Jacob Salem arrived at the facility for a pre-licensing inspection. LPAs toured the offices with Rachel Mesches, Director of Grants and Contracts, LaShay Woods, Social Work Supervisor, and Kristen Witek, Director of Housing and Self-Sufficiency. The office consists of a single-story office building, which is convenient to the public. The building includes a front desk, lobby area, kitchen, multiple offices, and ten conference rooms. The Emergency Disaster Plan, Personal Rights, Foster Care Ombudsman phone number are posted in the lobby. A complete first aid kit is readily accessible and located in the hallway. Staff files are locked in filing cabinets in the Human Resources office. The THPP staff office is in Building Six. Telephones, computers, fax and copying machines are operable. Participants' files are locked in a closet in locked file cabinets. The license will be posted as soon as it is issued. The bathrooms are located outside the suite. Fire extinguishers are current, there are fire sprinklers, smoke detectors, and carbon monoxide detectors located in each office. A complete first aid kit is readily accessible and located in the THPP staff office. The following were discussed: During the meeting component II and component III were discussed. LPA's discussed Post Licensing Visits that Community Care Licensing (CCL) may provide, solutions to problematic areas, overview of Title 22, THPP regulations, personal fingerprint requirements, abuse reporting requirements and licensing fees. LPA's communicated about LPA's responsibility; Special Incident reporting requirements, for LIC624, internal procedures, AB388 reporting form LE624E. The facility will be notified once they are provisionally licensed as a THPP/NMD facility. License will expire one year from effective date. Facility will be licensed for a capacity of 30 clients. LPAs emailed Administrator with a copy of the special incident report and provided the *** email address and directions on reporting incidents to Community Care Licensing Riverside Office. The email address is: cclpaccr@dss.ca.gov. It was discussed that the client files and staff files need to be locked and accessible to Community Care Licensing during visits and inspections. The facility has demonstrated compliance with Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted, Due to printer malfunction, a copy of this report will be emailed to Kristen Witek, Facility Administrator. A copy of this report will be placed in the facility file.

met_with: Kristen Witek, Rachel Mesches, LaShay Woods


summary: Facility Evaluation

raw_content:
Narrative:
On January 24, 2025, at 9: AM, Licensing Program Analyst (LPA) Jacob Salem arrived at the facility for a post-licensing inspection. LPA met with Melissa Haupt, Director of Programs and toured the facility. The office consists of a multiple buildings on the property and across the street, including a public reception area which contains the posted license and LIC 610C. The LIC 610C contains all of the required information. Other program buildings consist of a staff office building, which contains the confidential clients files, a human resources building containing the staff files, and a walk-in residential home office for current and prospective clients, which includes telephone service for client use. All office and residential units contain rooms for confidential interviews, and all units accessible to clients that were inspected are well maintained and no health or safety hazards were identified. Client living units are located across the street in two public apartment buildings. LPA reviewed two client files (C1 and C2), which contained required demographic information and signed program policies. LPA observed that a separate file was absent for two of four clients served by the program (C3 and C4). LPA observed the following records absent from the client files reviewed: Needs and Services Plans/Transitional Independent Living Plans and pre-admission health assessments. LPA reviews five staff files, which contained the required demographic, educational, and professional information. LPA observed that staff training records for five staff (S1-S5) were absent from staff files. LPA conducted two staff interviews. Based on records reviewed, the facility is being issued a citations for violations observed during the inspection (see LIC 809D). An exit interview was conducted and a copy of this report and appeal rights, and LIC Confidential name list were given to Melissa Haupt, Director of Programs.

met_with: Melissa Haupt, Director of Programs


summary: Facility Evaluation

raw_content:
Narrative:
On December 2, 2025, at 9: AM, Licensing Program Analyst (LPA) Jacob Salem met with Melissa Haupt, Program Director of North County Lifeline, INC:DBA Lifeline Comm Serv (THPP) to deliver a case management deficiencies report. According to information obtained by Community Care Licensing (CCL), program staff (S1 and S2) are working at the facility without the required background clearance. Confidential interviews and records reviewed indicated that during the licensure process, incorrect technical assistance was provided to the THPP regarding staff background check procedures, and as a result the THPP staff did not have the required background clearances. After this deficiency was recognized on 1/24/25, the THPP was provided with Technical Support Program (TSP) services, which recommended specific training to the THPP on obtaining the proper clearances. A confidential interview and records reviewed indicated that the recommended training was not attended by the THPP staff handling the clearance process, but multiple attempts were made to have all staff cleared; however, records reviewed indicated S1 and S2 still remain without required background clearances. Based on confidential interviews and records reviewed, the facility is being cited for violation of Title 22, Division six, Chapter 7, Section 86019(e)(1) Criminal Record Clearances. An exit interview was conducted, and a plan of correction was developed with Melissa Haupt, Program Director. A copy of this report, LIC 809D, LIC 811, and appeal rights were provided to Melissa Haupt, Program Director.

met_with: Melissa Haupt, Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On February 25, 2026, 2: PM Licensing Program Analyst (LPA) Jacob Salem met with Melissa Haupt, Director of Programs of North County Lifeline, INC:DBA Lifeline Comm Serv (THPP) to deliver a case management deficiencies report. According to information obtained by Community Care Licensing (CCL), program staff (S1) mishandled a client's cash resources. Records indicated that program staff (S1), who is responsible for dispensing participants' foster care funding, did not provide the correct stipend to participants (P1 and P2) and that following an internal investigation it was found participants' stipend checks were being made payable to S1. Once the THPP was notified, S1 was placed on administrative leave. The program issued a corrected check to the participant (P1), who still had unpaid funding, and terminated S1 following the investigation. Based on records reviewed, the facility is being cited for violation of Interim Licensing Standards for Nonminor Dependents, Section 86226 (d) Safeguards for Cash Resources, Personal Property, and Valuables. An exit interview was conducted, and a plan of correction was developed with Melissa Haupt, Director of Programs. A copy of this report, LIC 809D, LIC 811, and appeal rights were provided to Melissa Haupt, Director of Programs.


summary: Facility Evaluation

raw_content:
Narrative:
On February 25, 2026, at 9: AM, Licensing Program Analyst (LPA) Jacob Salem conducted an unannounced visit to the above facility for the purpose of conducting a 2-year required inspection and met with Melissa Haupt, Director of Programs and Simone Van Horn, Program Manager. LPA reviewed one client file (C1), which is kept locked in the staff office building. The client file contained the required demographic information, health and educational records, needs and services plans and transitional independent living plans, and signed program policies. LPA reviewed four staff files (S1-S4), which are kept locked in a separate HR building next door. The staff files reviewed contained the required demographic and hiring information, criminal background clearances, and trainings. LPA inspected the facility's physical plant, including required postings, telephone service, administrative office space, and client file confidentiality. The office consists of a multiple buildings on the property and across the street, including a public reception area and separate offices. The administrative offices are clean, in good repair, and free from observable risks to clients' health, safety, and personal rights. LPA conducted two staff interviews. Based on observations made during the inspection, there were no deficiencies cited at this time. An exit interview was conducted with Melissa Haupt, Director of Programs and Simone Van Horn, Program Manager and a signed copy of this report was provided.


facility_name: OAK GROVE SANCTUARY

summary: Facility Evaluation

raw_content:
Narrative:
On September 7, 2022 at 10:20 am, Licensing Program Analysts (LPA) Toni Castillo met with Program Director Tammy Nelson who granted access into the facility. The purpose of this inspection was to conduct an unannounced post-licensing inspection for a Transitional Housing Placement Program (THPP) for Non-Minor Dependents (NMD). The facility was assessed both inside and out with the Program Director. Currently the THPP has three NMD placement's and residing in the facility. There are no remote apartments for thid THPP. Both administrative office and home is licensed as the THPP. The THPP facility is located in Riverside County. The facility is located in a residential establishment. This is a residential home with an administrative office, which consists of a reception area, a meeting/conference area, locked storage area for staff and client files, an area for private interviews, the office is equipped with working office equipment, furniture, and supplies. The facility has six bedrooms with locking doors and the residents each have their own key, there is a master key if necessary held in the main office. The common areas for residents are the kitchen, two sitting areas with computers, living room with ample sitting space, television and games. There is ample parking for residents and staff. The laundry area has a washer and dryer. The facility has ample storage space in the garage. The windows had curtains for privacy. There is a small gym with age appropriate equipment with air conditioning available that is utilized by the residents. There is a pool located in the backyard with access by three different doors. The facility has three restrooms for NMD use. THPP license was posted in the entry area. LPA reviewed LIC 500 personal report. THPP currently employs Program Director/ Administrator (who is on call after hours) and one Resident Advocate/Case Manager. LPA reviewed three NMD files. LPA also reviewed all staff files. Based on the post licensing inspection on this date, the THPP is in compliance. An exit interview was conducted with Program Director Tammy Nelson and a copy of this report was emailed to the facility.

met_with: Program Director, Tammy Nelson


summary: Facility Evaluation

raw_content:
Narrative:
On October 17, 2023, Licensing Program Analysts (LPA) Toni Castillo met with Program Director Tammy Nelson who granted access into the facility. The purpose of this inspection was to conduct an unannounced random annual inspection for the Transitional Housing Placement Program (THPP) for Non-Minor Dependents (NMD). The facility was assessed both inside and out with the Program Director. Currently the THPP has three NMD placement's and residing in the facility. There are no remote apartments for this THPP. Both administrative office and home is licensed as the THPP. The THPP facility is located in Riverside County. The facility is located in a residential establishment. This is a residential home with an administrative office, which consists of a reception area, a meeting/conference area, locked storage area for staff and client files, an area for private interviews, the office is equipped with working office equipment, furniture, and supplies. The facility has six bedrooms with locking doors and the residents each have their own key, there is a master key if necessary held in the main office. The common areas for residents are the kitchen, two sitting areas with computers, living room with ample sitting space, television and games. There is ample parking for residents and staff. The laundry area has a washer and dryer. The facility has ample storage space in the garage. The windows had curtains for privacy. There is a small gym with age appropriate equipment with air conditioning available that is utilized by the residents. There is a pool located in the backyard with access by three different doors. The facility has three restrooms for NMD use. THPP license was posted in the entry area. LPA reviewed LIC 500 personal report. THPP currently employs Program Director/ Administrator (who is on call after hours) and two Resident Advocate/Case Manager. LPA interviewed one staff who was present. There were no NMD's present during the inspection. LPA reviewed three NMD files. LPA also reviewed all 3 staff files. Based on the post licensing inspection on this date, the THPP is in compliance. An exit interview was conducted with Program Director Tammy Nelson and a copy of this report was emailed to the facility.

met_with: Tammy Nelson