summary: Facility Evaluation - 3 deficiencies

raw_content:
Narrative:
On April 16, 2025, Licensing Program Analysts (LPAs) Briana Placencia and Melissa Renovato conducted an unannounced Annual/Required inspection at Project 14:14, located in Fresno CA. LPAs met with Administrator Rita Stevenson. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 72 degrees. All facility smoke detectors are in appropriate working order. Facility maintains an adequate supply of perishable and non-perishable foods. All required forms are posted. Medications are locked and centrally stored. Individual beds were observed. STRTP was approved on April 15, 2024. The licensee has submitted their required documentation to obtain their Mental Health Approval, at this time it is pending. The facility is working on being accredited through CARF. Project 14:14 is currently on a provisional license that expired on 4/15/2025. Project 14:14 will have their provisional license extended for another 6 months. Per Administrator there are no weapons/firearms in the facility. There are no bodies of water. LPAs reviewed 3 client files, and 5 staff files. LPAs interviewed 1 staff and 2 clients. The facility is being cited on the attached LIC D's. A copy of this report and appeal rights was left with Administrator Rita Stevenson at the conclusion of today's inspection.

Deficiencies:
80019(e): Criminal Record Clearance

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1522 shall prior to working, residing or volunteering in a licensed facility
87072(c): Personal Rights

(c) The licensee shall ensure that each child, regardless of whether the child is in foster care, is accorded the personal rights specified in Welfare and Institutions Code Section 16001.9, and below, as applicable
87068.3(a): Modifications to The Needs And Services Plan

(a) The needs and services plan as described Sections 87068.2 and 87068.22, shall be updated at least every 30 days to determine the following


state: CA

facility_name: PROJECT 14:14 INC

summary: Facility Evaluation

raw_content:
Narrative:
On May 12, 2025, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Project 14: Inc, and met with Rita Stevenson. The purpose of this inspection was to discuss concerns with an incident report that was received by the Department on 05/05/2025, the incident in question happened on 05/04/2025. LPA conducted an interview. Administrator stated that it was an isolated incident. Client #1 (C1) and Client #2 (C2) did have a disagreement but were okay with each other shortly after. Staff was present and attempted to de-escalate the whole time. (See 811 and 812). Trauma informed language was discussed with Administrator. It was determined this was an isolated incident and there was no citation warranted. A copy of this report was left at the facility.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Rita Stevenson


summary: Facility Evaluation

raw_content:
Narrative:
On July 23, 2025, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Project 14: INC, and met with Brianna Sullivan and Rita Stevenson via phone. The purpose of this inspection was to discuss concerns with an incident report that was sent into the Department on July 17, 2025, the incident in question happened on 07/11/2025. LPA conducted interviews. Administrator stated that C1 (see 811) was on 15 minute or more checks. Due to the medical, mental health needs and failure to comply with program C1 was moved on 7/14/25, per the request of her Social worker. It was determined this was an isolated incident and there was no citation warranted. A copy of this report was left at the facility.

met_with: Brianna Sullivan


summary: Facility Evaluation

raw_content:
Narrative:
On October 6, 2025, Licensing Program Analysts (LPAs) Briana Placencia and Angelica Borja traveled to Project 14: Inc, a Short-Term Residential Therapeutic Program located in Fresno, CA, and met with Administrator Rita Stevenson. The purpose of this unannounced inspection was to conduct a case management. During the inspection, LPAs were provided a tour of the facility and met with Administrator to discuss the extension of their provisional license. Their provisional licence has been extended another six months to allow the facility to have their Mental Health approval in place. The current provisional licensee is due to expire on April 15, 2026. LPAs conducted a walk through of the facility as well as reviewed LIS to which all current staff are associated to the license number. A copy of this report was provided to Rita Stevenson at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On December 3, 2025, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Project 14: Inc, and met with Jade Bermudez and Rita Stevenson via phone. The purpose of this inspection was to discuss concerns with an incident report that was received by the Department on November 21, 2025, the incident in question happened on 11/21/2025. LPA conducted an interview. Client #1 (C1) continues to not take her medication, licensee has had a Child Family Team meeting about this and has recently requested another. Staff that administers medications will have C1 open mouth, stick out tongue and even follow up with water and a check after. C1's county and social worker are aware of this and licensee is looking into other forms of this medication to ensure that this does not continue. It was determined this was an isolated incident and there was no citation warranted. A copy of this report was left at the facility.

met_with: Jade Bermudez-Direct Care Staff


summary: Facility Evaluation

raw_content:
Narrative:
On January 8, 2026, Licensing Program Analyst (LPA) Briana Placencia conducted a Case Management inspection at Project 14: Inc, and met with Brianna Prieto and Rita Stevenson via phone. The purpose of this inspection was to discuss concerns with an incident report that was received by the Department on December 18, 2025, the incident in question happened on 12/16/2025. LPA conducted an interview with Administrator and collected additional documentation. Client #1 (C1) was admitted from Juvenile Hall, upon doing C1's intake and conducting a property inventory C1 handed Administrator pills that were in C1s personal belongings. It was later determined that not all the pills were handed over. C1s Probation Officer took accountability for not searching C1's belongings before handing them over to Project 14:14 thus resulting in C1's hospitalization. It was determined this was an isolated incident. A copy of this report was left at the facility.

met_with: Brianna Prieto-Social Worker


summary: Facility Evaluation

raw_content:
Narrative:
On June 3, 2025, Licensing Program Analysts (LPAs) Briana Placencia and Angelica Borja conducted a Case Management inspection at Project 14: STRTP and met with Camia Scherer and Rita Stevenson via phone. The purpose of this visit was to discuss incident reports not received by Community Care Licensing (CCL). During a previous investigation it was discovered that incidents occurred with Client One (C1- See 811 for confidential names) on March 6, 2025 and March 8, 2025. Both these incident reports were not received by CCL. The Department determined this to be a risk to the health and safety of the children in care at this time, therefore California Code of Regulations are being cited on the attached LIC809D. A copy of this report and Appeal Rights was provided to the facility.

met_with: Camia Scherer


facility_name: PROJECT DESTINY HOME OF HOPE

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13On August 11, 2021 at 11: AM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to Project Destiny Home of Hope and met with Deborah Manns Administrator. The purpose of the visit was to deliver findings for the above complaint allegations. During the investigation of the allegations: Residents are not adequately supervised and The residents not receiving services. LPA Phillips reviewed facility file and conducted confidential interviews with relevant parties. After conducting the confidential interviews and reviewing the following documentation: Facility Internal Investigation Report, Staff work schedules, Facility activity calendar, and Client files. LPA Phillips was not able to determine whether residents are inadequately supervised and not receiving services. The schedules provided by the facility reveals that there are at least three or more staff members on duty during the day as required. Confidential interviews conducted stated there is always supervision at the facility. After review of the documents for medical appointments evidence revealed the appointments were not cancelled by staff. Due to inconsistent statements LPA Phillips was not able to determine if the above said allegations occurred, therefore the allegations were found to be Unsubstantiated meaning that although the allegations may have happened or are valid there is not a preponderance of evidence to prove that the alleged incident occurred. No deficiencies cited at the time of this investigation. Exit interview was conducted, and copy of the report was left with facility administrator UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

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

report_type: Complaint Investigation

met_with: Deborah Manns

complaint_status: unsubstantiated


raw_content:
Investigation Findings:
13On August 11, 2021 at 11: PM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to Project Destiny Home of Hope and met with Deborah Manns, Administrator. The purpose of the visit was to deliver findings for the above complaint allegation. During the course of investigating the allegation: Staff is being aggressive with client. LPA Phillips conducted confidential interviews with related parties, reviewed facility records and Incident Reports. Based on the interviews conducted and statements obtained during the investigation the above allegation cannot be substantiated because LPA Phillips obtained inconsistent statements from staff and residents in care. Evidence obtained revealed that Staff denied being aggressive with resident and unfortunately no witnesses statements were obtained to support the allegation. Also, confidential interviews revealed that this is a hands off facility and staff verbally redirect clients. Based on the interviews conducted and documentary evidence obtained the information did not produce corroborating evidence to support the above said allegation. Due to inconsistent statements LPA Phillips was not able to determine if the above said allegation occurred, therefore the allegation is found to be Unsubstantiated meaning that although the allegation may have happened or is valid there is not a preponderance of evidence to prove that the alleged incident occurred. No deficiencies cited at the time of this investigation. Exit interview was conducted, and copy of this report was left with facility administrator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

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


raw_content:
Narrative:
Also, confidential interviews with Child 1, Child 2, Child 3, Child 4, Child 5 revealed they are getting medications and refused to sign when they decline medications. Based on the interviews conducted and documentary evidence obtained the information did not produce corroborating evidence to support the above said allegations. Due to inconsistent statements LPA Phillips was not able to determine if the above said allegations occurred, therefore the allegations are found to be Unsubstantiated meaning that although the allegations may have happened or is valid there is not a preponderance of evidence to prove that the alleged incidents occurred. No deficiencies cited at the time of this investigation. Exit interview was conducted, and copy of this report was left with facility administrator.

Investigation Findings:
13On October 27, 2021 at 12: PM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to Project Destiny Home of Hope and met with Deborah Manns, Administrator. The purpose of the visit was to deliver findings for the above complaint allegations. During the course of investigating the allegations: Staff are falsifying medications records. Residents are not getting their medications. LPA Phillips conducted confidential interviews with related parties, reviewed facility records and Incident Reports. Based on the interviews conducted and statements obtained during the investigation the above allegations cannot be substantiated because LPA Phillips obtained inconsistent statements from staff and residents in care. Evidence obtained revealed that Staff denied medical records are falsified and no witnesses' statements were obtained to support the allegations. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPEFACILITY NUMBER: VISIT DATE: 10/27/2021

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


raw_content:
Narrative:
Confidential interviews with staff reveal that police were called due to safety of residents, staff and resident was taken into custody. Based on the interviews conducted and documentary evidence, the information gathered did not produce corroborating evidence to support the above said allegation. LPA Phillips was not able to determine if the above said allegation occurred, therefore the allegation are determined to be unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. Based on the observations made during today's inspection, no deficiencies were cited. Exit interview was conducted and report will be emailed to Deborah Manns/ Licensee.

Investigation Findings:
13On 09/14/2022 @ 2: PM Licensing Program Analyst (LPA) Zena Phillips made an announced follow up visit for the purpose of delivering findings on the allegation listed above. During the course of the investigation LPA conducted confidential interviews with (5) Staff, (3) residents, (2) social workers, requested NSP, CFTM notes, police report, pictures of damaged property, email correspondence, incentive tracker and reviewed SIR reports. Confidential interviews and CFTM notes reveal that all efforts were sought to keep resident in placement until it became unsafe for other residents and staff. It was reported that resident was upset due to not getting incentive pay and did extensive damage to property. It was reported that the whole house was trashed due to rules being stupid. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPEFACILITY NUMBER: VISIT DATE: 09/14/2022

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

met_with: Cedric Jones/ Facility Manager


raw_content:
Narrative:
COVID restrictions delayed availability of appointments especially if missed due to child awol or refusing to attend. Three clients were on awol and never returned and no appointments completed per documentary evidence reviewed. Child Family Team (CFT) meetings are virtual, and notes are documented in NSP with role of participants for clients in care. Licensee reported that Relias training's were delayed due to no appointments available but continued to conduct in house staff training's. Due to inconsistent statements LPA Phillips was not able to determine if the above said allegations occurred, therefore the allegations were found to be Unsubstantiated meaning that although the allegations may have happened or are valid there is not a preponderance of evidence to prove that the alleged incidents occurred. No deficiencies cited at the time of this investigation. Exit interview was conducted, and copy of the report will be emailed to Deborah Manns facility administrator.

Investigation Findings:
13On November 9, 2022 at 2: PM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to Project Destiny Home of Hope and met with Deborah Manns/ Administrator. The purpose of the visit was to deliver findings for the complaint allegations listed above. LPA Phillips conducted confidential interviews and reviewed documentary evidence: staff and client files, training logs and certificates. LPA was provided 6 files of clients in care to review for compliance with Community Care Licensing. LPA reviewed NSP and observed documents were completed within 30 days of placement. LPA reviewed copies of sign in sheet and power point of reproductive rights training for youth. LPA observed copy of personal rights posted in facility and in each client's file with clients' signature UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPEFACILITY NUMBER: VISIT DATE: 11/09/2022

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

met_with: Deborah Manns/ Administrator


raw_content:
Narrative:
at facility during LPA visits to the site. LPA Phillips observed the facility to be clean safe and sanitary. The allegation stated: Facility did not maintain a comfortable temperature for minor's in care. LPA Phillips observed two (2) fans in each bedroom and air condition unit in living room. LPA Phillips observed wall thermostat temperature reading to be 79 degrees Fahrenheit on 08/22/22. Licensee provided LPA Phillips pictures of three (3) portal air conditioning units, one for each bedroom. LPA Phillips observed window in bathroom for adequate ventilation. Licensee is making an effort to cool by purchase of fans and air condition units. Based on information obtained from interviews and documentary facts, the preponderance of the evidence standard has not been met. The Department has determined the above allegations unsubstantiated. No deficiencies cited at the time of this investigation. Exit interview was conducted, and copy of the report will be emailed to facility administrator.

Investigation Findings:
On November 15, 2022 @ 8: AM, Licensing Program Analyst Zena Phillips conducted a subsequent complaint inspection to conclude and deliver findings concerning the allegations as mentioned above. LPA Phillips was met by Deborah Manns who granted access to the facility and provided the census. The investigation including interviews, review of related reports and video reveal a lack of evidence. The allegation stated: Facility has insects. Documentary evidence shows the facility has ongoing pest control maintenance by Carter's Pest Control Inc. LPA Phillips observed front window screen pushed out on the following dates 06/22/22, 07/08/22 & 08/22/22. It was reported to LPA Phillips by Staff # 1, Staff # 2 & Staff #5 that Child #1 who occupied front room pushes the screen open daily resulting in access for June bugs. LPA Phillips did not observe any pest UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPEFACILITY NUMBER: VISIT DATE: 11/15/2022

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


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Based on the interviews conducted and documentary evidence of the PROJECT DESTINY HOME OF HOPE the preponderance of standard has been met, therefore the above allegation is found to be substantiated. Facility cited on the attached LIC 9099-D for violation of Interim Licensing Standards, regulation 87065. Direct Care Staff/Child Ratios Facility staff was asleep during shift. Exit interview was conducted, and a copy of this report will be emailed to the Deborah Manns.

Investigation Findings:
13On November 15, 2022 at 8: PM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to Project Destiny Home of Hope and met with Deborah Manns/ Administrator. The purpose of the visit was to deliver findings for the complaint allegation. LPA conducted confidential interviews, reviewed facilty records and reviewed pictures of Staff #3 sleep during shift. Staff #3 admitted to LPA Phillips was sleep on shift due to being tired. Based on documenatry evidence and confidential interviews facility was within ratio with another staff on overnight shift. Based on information obtained from interviews and documentary facts, the preponderance of the evidence standard has been met. The Department has determined former Staff #3 was sleep on duty resulting in a lack of supervsion for clients in care. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPEFACILITY NUMBER: 198209668

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

met_with: Deborah Manns / Administrator

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
Confidential interviews reveal no cell phone recording was available for LPA Phillips to review after multiple request. Based on the interviews conducted, documentary evidence, and LPA file review, the preponderance of standard has not been met. Due to inconsistent statements LPA Phillips was not able to determine if the above said allegations occurred, therefore the allegations were found to be Unsubstantiated meaning that although the allegations may have happened or are valid there is not a preponderance of evidence to prove that the alleged incident occurred. No deficiencies cited at the time of this investigation. Exit interview was conducted, and copy of the report was left with facility administrator.

Investigation Findings:
13On December 1 , 2022 at 3: PM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to Project Destiny Home of Hope and met with Deborah Manns/ Administrator. The purpose of the visit was to deliver findings for the complaint allegations. During the investigation of the allegations: Staff's conduct poses a risk to minors in care. Staff spoke to minors in an inappropriate manner. LPA Phillips conducted nine (9) confidential interviews and reviewed documentary evidence: staff and client files. It was reported to LPA Phillips that a resident can be manipulated into saying things that are untrue. If the truth has to be told then that resident does not want to talk. It was reported to LPA Phillips that a cell phone recording was made of the car incident. LPA requested the recording three (3) times, and it was not provided. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPEFACILITY NUMBER: VISIT DATE: 12/01/2022

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


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

raw_content:
Narrative:
Based on the interviews conducted and documentary evidence of the PROJECT DESTINY HOME OF HOPE the preponderance of standard has been met, therefore the above allegation is found to be substantiated. Facility cited on the attached LIC 9099-D for violation of Interim Licensing Standards, regulation Personal Rights. Exit interview was conducted, and a copy of this report will be emailed to the Deborah Manns.

Investigation Findings:
13On 07/24/ Licensing Program Analyst (LPA) Zena Phillips made follow up visit to PROJECT DESTINY HOME OF HOPE for the purpose of delivering findings on complaint allegation. LPA Phillips was met by Deborah Manns/Licensee who provided the census. Licensee is not ensuring that minors in care are free from unreasonable searches of personal belongings. During the investigation confidential interviews were conducted, facility file review, picture taken of sign posted in facility. During the investigation confidential interviews were conducted, facility file review, picture taken of sign posted in facility. It was reported to LPA Phillips sign posted in facility wall stated: All residents bags must be checked by staff upon entry. It was reported to LPA Phillips searched were conducted of bags upon return to facility. Staff interviews reveal searches were conducted on bags when residents return from authorize absence, community pass and if resident left without a bag and returned with a bag. Based on information obtained from interviews and documentary facts, the preponderance of the evidence standard has been met. The Department has determined a personal rights violation. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPEFACILITY NUMBER: VISIT DATE: 07/24/2024

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

Deficiencies:
87072: to be free from unreasonable searches of personal belongings.

met_with: Deborah Manns/Licensee

title: Personal Rights Violation


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Investigation Findings:
13On 2/5/2025 at 11: AM Licensing Program Analyst (LPA) Justine Armstrong and License Program Manager Enrique Hernandez conducted an unannounced visit to Project Destiny Home of Hope to conclude the investigation of the above allegations and deliver the findings. LPA met with Detra Jones the Assistant Executive Director and together, they discussed the investigation details. During the investigation process, all relevant parties have been accounted for. It was reported that Staff allowed minors to physically assault another minor in care, Staff made inappropriate comments towards a minor in care and Staff allowed minors to antagonize a minor in care.Confidential interviews were conducted, evidence was presented, and documents were reviewed. During the confidential there was some concerns brought up, however there was insufficient evidence or testimony to substantiate the allegations. Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. LPA determines that the allegation of Neglect/Lack of Supervision is Unsubstantiated There were no deficiencies cited. An exit interview was completed, and a copy of this report was provided to 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: 60

met_with: Detra Jones


summary: Facility Evaluation

raw_content:
Narrative:
On 10/28/2021, Licensing Program Analyst (LPA) Zena Phillips, arrived at the above-said facility, for the purpose of conducting an Annual Inspection of Project Destiny Home of Hope. LPA met with Darryl Sewell, who granted access into the facility, and who provided a tour of the entire physical plant inside and outside. The home is one story structure with 3 bedrooms, 2 full bathrooms and detached garage. LPA observed the following:: · The medications stored in locked kitchen cabinet next to refrigerator, with first aid kit. · The living room was observed to have 2 large sofas enough seating for 6 people.. · Hot water temperature was measured to be within a safe temperature range (at 120 degrees Fahrenheit). · There is glass sliding door, located in the Dining Room and is currently functional. · The stove 6 burners were observed to be self-igniting. · The door, accessible from the backyard, which gains access to the basement crawl space is locked, painted, and reinforced. · LPA observed the storage area located in the detached garage area has a sofa, chairs and one desk, file cabinet, shelves for storage of extra household supplies. · The Therapy Office, located within the detached garage area, was observed to have enough filing cabinets to store staff and client files. Dining Room: equipped with a dining table with 6 chairs, a desk for direct care staff to use, and a functional wall heater. This room has access to the side of the house. Kitchen: equipped with a refrigerator, microwave, fire extinguisher, plenty of cabinet space, some are locks to store the knives, other sharps. There is a separate locked metal storage cabinet to store pots and pans and other necessary items. Detached Garage Area: This area has three (3) doors which gains access to two (2) storage areas, and one (1) therapy office. Chemicals and cleaning solutions will be kept in storage area. The 2 storage areas are not accessible to children; the small storage area is locked with a dead bolt lock, and the other larger storage area is accessible only by the garage opener. Therapy Office: is equipped with a file cabinet, a desk with a chair, a couch, a ceiling fan, and a dresser for storage. Laundry area: accessible only from the backyard, is equipped with a washer and dryer; within this room another locked door gains access to a storage area. Bathrooms: There is a total of 2 bathrooms, that are clean, safe, and in good repair. Hallways: one hallway is equipped with a fully charged fire extinguisher, and gains access to the 3/4 bathroom, and 2 bedrooms; the other hallway gains access to the bedroom with the attached full bathroom. Both hallways have locked cabinets where extra linens, and client hygiene products will be stored. bedrooms: The three double occupancy bedrooms were observed to have sufficient lighting, drawer and closet space, comfortable mattresses, and clean lines, blankets, and pillows. All bedrooms have security bars on the windows with quick-releases that were tested and fully functional for each of the bedrooms. · Bedroom # 1- located at the front of the house, is equipped with 2 twin beds. · Bedroom # 2 - located in between Bedroom#1 and Bedroom #2, equipped with 2 twin beds. · Bedroom # 3 - located at the rear of the facility, is equipped with 2 twin beds, and an attached full bath. LPA advised will return the next day to review residents files. Exit interview was conducted. A copy of this report is discussed and left with Darryl Sewell/Mental Health Liasion

visit_type: Annual

met_with: Darryl Sewell/Mental Health Liason


summary: Facility Evaluation

raw_content:
Narrative:
On 10/29/2021 at 9: AM Licensing Program Analyst (LPA') Zena Phillips, made an announced visit to Project Destiny Home of Hope for the continuation of Annual Inspection. LPA met with Darryl Sewell /Mental Health Liaison who granted access to the facility. LPA reviewed the following during the inspection: Staff records review; the information regarding the Emergency Preparedness. LPA reviewed client records Needs & Services Plan LPA reviewed Criminal Records and confirmed that all current and former staff were also cleared. LPA reviewed The Administrator and Direct Care staff records. LPA reviewed the facility binder that included specific training's.: Specific Trainings include the following: Policies & Procedures; Health & Safety: Emergency Procedures: Medication;Trauma-Informed Care; Job Duties; and information about the Stakeholders. LPA Phillips conducted interview with present staff and clients during inspection. LPA observed the Board of Directors Meeting Notes and confirmed that meetings are held quarterly. LPA inspected facility vehicle and confirmed current registration and insurance in place. There were no deficiencies cited at this time. Exit Interview was conducted and a copy of this report was given to Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On November 09, 2021 @ 11: AM Licensing Program Analyst (LPA) Zena Phillips made an inspection visit to Project Destiny Home of Hope for the purpose of conducting a Case Management Investigation. LPA Phillips met with Deborah Manns Administrator (Staff 1) and advised will conduct a file review and review of Needs & Service Plan (NSP) for clients in care. The Department received notification from the Department of Children and Family Services reporting Contract Compliance Review Report dated 04/12/21 from LA County Department and Family Services with a Plan of Correction. LPA was provided 6 files of current clients in care to review for compliance with Community Care Licensing LPA reviewed NSP and observed documents were completed within 30 days of placement. Medical and dental appointments were scheduled and only missed for child refusing or awol for Child 1, Child 2, Child 3, Child 4, Child 5 & Child 6. Staff 1 stated at time of DCFS audit COVID restrictions delayed availability of appointments especially if missed due to child awol or refusing to attend. Child Family Team (CFT) meetings are virtual and notes are documented in NSP with role of participants for clients in care. LPA discussed with Staff 1 plans to hire staff to take minutes and document attendees in CFT meetings to place in clients file. LPA observed copy of personal rights posted in facility and in each clients file. No clients were interviewed at this time due to school attendance. Advised further investigation may be required. An exit interview was conducted. A copy of this report was provided to the Administrator

met_with: Deborah Manns/Adminstrator


summary: Facility Evaluation

raw_content:
Narrative:
On 04/27/2022, Licensing Program Analyst (LPA) Zena Phillips and Associate Government Program Analyst (AGPA) Reiko Jones, arrived at the facility, for the purpose of conducting an Annual Inspection of Short Term Residential Therapeutic Program (STRTP). LPA Phillips and AGPA Jones met with the Facility Administrator (FA), who granted access into the facility, and provided a tour of the entire physical plant inside and outside. The home is one story structure with 3 bedrooms with a detached garage located in residential community. LPA observed the following, during the inspection: · The location, in which the medications will be stored, has been determined to be located in the kitchen within a locked cabinet. · The living room was observed to have enough seating for at least 6 people. · Hot water temperature was measured to be within a safe temperature range (at 120 degrees Fahrenheit). · There is glass sliding door, located in the Dining Room and is currently functional. · The stove burners 6 were observed to be self-igniting. Dining Room: equipped with a dining table with 6 chairs, a desk for direct care staff to use, and a functional wall heater. This room has access to the side of the house, where cars can park. Kitchen: equipped with a refrigerator, microwave, fire extinguisher, plenty of cabinet space, some of which have locks to store the knives, other sharps, the first aid kit, and staff personal belongings. There is a separate locked metal storage cabinet to store kitchen pots and pans and other necessary items. A weekly menu is posted in the kitchen Therapy Office: is equipped with a file cabinet, 4 desk with 4 chairs, a ceiling fan. Laundry area: accessible only from the backyard, is equipped with a washer and dryer; within this room another locked door gains access to a storage area. Bathrooms: There is a total of 2 bathrooms, that are clean, safe, and in good repair. Hallways: one hallway is equipped with a fully charged fire extinguisher, and gains access to the 3/4 bathroom, and 2 bedrooms; the other hallway gains access to the bedroom with the attached full bathroom. Both hallways have locked cabinets where extra linens, and client hygiene products. 3 bedrooms: The three double occupancy bedrooms were observed to have sufficient lighting, drawer and closet space, comfortable mattresses, and clean lines, blankets, and pillows. All bedrooms have security bars on the windows with quick-releases that were tested and fully functional for each of the bedrooms. · Bedroom # 1- located at the front of the house, is equipped with 2 twin beds. The bars on the windows set off an alarm when opened. · Bedroom # 2 - located in between Bedroom#1 and Bedroom #2, equipped with 2 twin beds. · Bedroom # 3 - located at the rear of the facility, is equipped with 2 twin beds, and an attached full bath. The Exterior consists of the following: This facility LPA observed all posting requirements for the STRTP are publicly posted for all clients and authorized representatives to see. The clients' personal rights, weekly sample menu, and the monthly activity schedule · were observed on the wall. The Emergency Disaster Plan, Grievance Procedures is posted. The STRTP License was posted in a visible location. LPA observed that the weekly menu included the dates of the week. · Hot water temperature was measured at the time of this inspection 120 degree Fahrenheit. · The glass sliding door, located in the Dining Room, is in working order. LPA Phillips conducted interview with present staff and clients during inspection. LPA Phillips will return on another day to review staff and client files. There were no deficiencies cited at this time. Exit interview was conducted. A copy of this report is discussed and emailed to Deborah Manns Administrator

met_with: Cedric Jones /Admin


summary: Facility Evaluation

raw_content:
Narrative:
On 05/27/2022 at 9: AM Licensing Program Analyst (LPA') Zena Phillips, made an announced visit to Project Destiny Home of Hope for the continuation of Annual Inspection. LPA met with Darryl Sewell /Mental Health Liaison who granted access to the facility. LPA reviewed the following during the inspection:. Sexual Harassment information regarding the Emergency Preparedness. LPA reviewed 5 client records Needs & Services Plan LPA reviewed Criminal Records and confirmed that all staff were also cleared. LPA reviewed 3 staff files for required training's. The Administrator and Direct Care staff records. All files and documents are in order LPA reviewed the facility binder that included specific training's.Specific Training's include the following: Policies & Procedures; Health & Safety: Emergency Procedures: Medication; Trauma-Informed Care; Job Duties; and information about the Stakeholders. No additional clients interviewed due to clients sleeping in day off from school. This inspection has been concluded There were no deficiencies cited at this time. Exit Interview was conducted and a copy of this report will be emailed to Administrator

met_with: Darryl Sewell /Mental Health Liaison


summary: Facility Evaluation

raw_content:
Narrative:
On December 13, 2022 @ 8: AM Licensing Program Analyst (LPA) Zena Phillips arrived at PROJECT DESTINY HOME OF HOPE for the purpose of staff file review pertaining to a complaint investigation for PROJECT DESTINY HOME OF HOPE #2.. LPA Phillips met with Deborah Manns/ Licensee who granted access to the facility and provided the census. LPA Phillips reviewed two staff files and observed the following training included in the files, Mandated Reporter Training, Maintaining Professional Boundaries Trauma Informed Training and Sexual Harassment. All other parties will be interviewed at a later time. Due to insufficient information at this time, the above allegations needs further investigation. Based on the observations made during today's inspection, no deficiencies were cited.. Exit interview was conducted, and a copy of this report will be emailed to the Deborah Manns/ Licensee

met_with: Deborah Mann/ Licensee


summary: Facility Evaluation

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Narrative:
On 05/05/2023 @ 8:AM , Licensing Program Analyst (LPA) Zena Phillips, arrived at the facility, for the purpose of conducting an Annual Required Inspection of Short Term Residential Therapeutic Program (STRTP). LPA Phillips met with Cherrilyn Meals /Direct Care Staff , who granted access into the facility, and provided a tour of the entire physical plant inside and outside.The home is one story structure with 3 bedrooms with a detached garage located in residential community. LPA requested current client and Staff Roster and both were provided.The census at the time of this inspection is 6. This facility LPA observed all posting requirements for the STRTP are publicly posted for all clients and authorized representatives to see. The clients' personal rights, weekly sample menu, and the monthly activity schedule. LPA requested client files and Deborah Manns/ Licensee provided files. During the inspection LPA Phillips reviewed five (5) client files and conducted five (5) confidential interviews. Dining Room: equipped with a dining table with 6 chairs, a desk for direct care staff to use, and a functional wall heater. This room has access to the side of the house, where cars can park. Kitchen: equipped with a refrigerator, microwave, fire extinguisher, plenty of cabinet space, some of which have locks to store the knives, other sharps, the first aid kit, and staff personal belongings. There is a separate locked metal storage cabinet to store kitchen pots and pans and other necessary items. A weekly menu is posted in the kitchen. LPA observed ample supply of Perishable and Non-Perishable food in the facility. .Bathrooms: The hot water measured at 113.5 degrees and is within the acceptable temperature range of 105 and 120 degrees. There is a total of 2 bathrooms, that are clean, safe, and in good repair. Hallways: one hallway is equipped with a fully charged fire extinguisher, and gains access to the 3/4 bathroom, and 2 bedrooms; the other hallway gains access to the bedroom with the attached full bathroom. Both hallways have locked cabinets where extra linens, and client hygiene products. . Report cont on 809c .3 bedrooms: The three double occupancy bedrooms were observed to have sufficient lighting, drawer and closet space, comfortable mattresses, and clean lines, blankets, and pillows. All bedrooms have security bars on the windows with quick-releases that were tested and fully functional for each of the bedrooms. • Bedroom # 1- located at the front of the house, is equipped with 2 twin beds. The bars on the windows set off an alarm when opened. • Bedroom # 2 - located in between Bedroom#1 and Bedroom #2, equipped with 2 twin beds. • Bedroom # 3 - located at the rear of the facility, is equipped with 2 twin beds, and an attached full bath. Therapy Office: is equipped with two (2) file cabinet, 2 desk with 4 chairs, a ceiling fan. Laundry area: accessible only from the backyard, is equipped with a washer and dryer; within this room another locked door gains access to a storage area. LPA observed the open garage used for additional storage. LPA conducted interview with present staff and clients during inspection. LPA will return on another day to review staff interview and file review and complete inspection. There were no deficiencies cited at this time. Exit interview was conducted.and copy of this report will be emailed to Deborah Manns Administrator

met_with: Cherrilyn Meal/ Direct Care Staff


summary: Facility Evaluation

raw_content:
Narrative:
On July 20, 2023 at 2:50 pm Licensing Program Analyst (LPA) Zena Phillips arrived at the above facility for the purpose of conducting a Case Management Investigation. LPA met with Facility Manager, Cherrilynn Meals and was allowed into the facility. LPA conducted interviews and requested CFTM and Staffing notes to be emailed to LPA Phillips. LPA still needs to conduct staff interviews and review documentary evidence before concluding Case Management Investigation. This case management needs further investigation. Exit interview was conducted with Cherrilynn Meals, Facility Manager. There are no deficiencies cited at this time and a copy of this report will be provided to Deborah Manns.

met_with: Cherrilynn Meals/Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On August 17,2023 @ 2:00PM, Licensing Program Analyst (LPA) Zena Phillips arrived at the facility to deliver findings for the Case Management for referral July 13,2023.. Based on the incident reports, confidential interviews and documentary evidences; statements were consistent that appropriate emergency intervention procedures and protocols were implemented to support the needs and safety of the client. There was no corroborating evidence that supports that a violation has occurred. This case management has been found to be unsubstantiated. There are no deficiencies cited at this time. Exit interview was conducted with Cherrilynn Meals, Facility Manager. A copy of this report will be provided to Deborah Manns/Licensee


summary: Facility Evaluation

raw_content:
Narrative:
On 05/22/2024, Licensing Program Analyst (LPA) Zena Phillips, arrived at the facility, for the purpose of conducting an Annual Required Inspection of Short Term Residential Therapeutic Program (STRTP). LPA Phillips met with Amanda Tovar/Executive Manager, who granted access into the facility, and provided a tour of the entire physical plant inside and outside. The facility is licensed to care for 6 children ages 12 to 17 and non-minor dependents, ambulatory only. This facility also provides services to non- minor dependents pursuant to W&I Code 165.1 (C)(1). At the time of today's inspection, the census was 6. The facility is a one story structure with three (3) bedrooms two (2) full bathrooms with a detached garage located in residential community. There are no firearms in the facility. LPA obtained the LIC 500 to verify Staff to Client ratio. LPA reviewed the Facility Profile and Personnel Report and confirmed that personnel have required criminal record clearance: DOJ, FBI and Child Abuse; which meet qualifications This facility LPA observed all posting requirements for the STRTP are publicly posted for all clients and authorized representatives to see. The clients' personal rights, weekly sample menu, and the monthly activity schedule. were observed on the wall. The Emergency Disaster Plan, Grievance Procedures is posted. The STRTP License was posted in a visible location. Smoke alarms and carbon monoxide detectors were tested and found to be in working order. There are two(2) fire extinguishers located in the facility and LPA observed fully charged. First Aid kits checked and found to be complete. Hot water was tested and found to be between 105-120 degrees (F). Living Room: LPA observed two (2) large sofas with adequate seating for six (6), large coffee table, small desk, wall mounted television, entertainment cabinet with extra storage shelves bookcase. cont on 809c Dining Room: equipped with a large dining table with 6 chairs, a desk and chair for direct care staff to use, and a functional wall heater. This room has access to the side of the house with functional sliding glass door leading to driveway for parked cars. Kitchen: LPA observed a five (5) burner stove self igniting at time of inspection. LPA observed a refrigerator, microwave, fire extinguisher, plenty of upper and lower cabinet space, some of which have locks to store the knives, other sharps. LPA observed the upper cabinets with spices, can goods, dry goods, bows, plates and cups. LPA observed two (2) First Aid kits checked and found to be complete. A weekly menu is posted in the kitchen. LPA observed enough food to meet Title 22 requirements. All knives, household cleaners and medications are stored in accordance with Title 22 regulations. . There is an additional refrigerator and standing freezer in the detached garage with adequate food in accordance to Title 22 regulations. Therapy Office: is equipped with a file cabinets, 4 desk with 4 chairs, a ceiling fan. Laundry area: accessible only from the backyard, is equipped with a washer and dryer; within this room another locked door gains access to a storage area. LPA observed extra laundry soap, cleaning supplies and additional dishes and cups. Bathrooms: There is a total of 2 bathrooms, that are clean, safe, and in good repair. Bedrooms: The three (3) double occupancy bedrooms were observed to have sufficient lighting, drawer and closet space, comfortable mattresses, and clean lines, blankets, and pillows. Hallways: one hallway is equipped with a fully charged fire extinguisher, and gains access to the full bathroom, and 2 bedrooms; the other hallway gains access to the bedroom with the attached full bathroom. Both hallways have locked cabinets where extra linens, and client hygiene products. cont on 809 c The Exterior consists of the following: Front yard is maintained and free of any obstruction or debris. The backyard has patio table with attached shade umbrella, six (6) chairs, outdoor bench and two lounge chairs. There is a covered barbecue grill. The back yard is maintained and free of any debris. LPA inspected facility van and observed current registration and insurance. Van equipped with First Aid kit. LPA confirmed all lights were in good working condition. During today's inspection LPA conducted four confidential interviews. LPA conducted review of medication logs. The facility operates within license conditions and limitations including capacity limitations. LPA discussed and advised the Licensee to ensure the following: Children are supported and encouraged to participate in extracurricular activities. Children are allowed and encouraged to contact the licensing agency or the Foster Care Ombudsperson, in confidence, without threats or punishment for making complaints. Children are accorded dignity in personal relationships with others in the home. LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. There were no deficiencies cited at this time. LPA observed the facility to be clean, safe and sanitary. LPA will return on another day to review staff and client files. Exit interview was conducted. A copy of this report will be emailed to Deborah Manns Administrator

met_with: Amanda Tovar/Executive Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 06/14/24 at 9: AM Licensing Program Analyst's (LPA) Zena Phillips and (LPA) Kenrick Ellis, made an unannounced visit to Project Destiny Home of Hope continuation of Annual Inspection LPA' met with Amanda Tovar Executive Manager who granted access to the facility. The census at the time of the inspection is six (6). LPA reviewed the following during the inspection: The information regarding the Emergency Preparedness. LPA reviewed Criminal Records and confirmed that all current staff were cleared. LPA reviewed five (5) staff records, and five (5) client records. Conducted one (1) confidential interview with C1 and confirmed Title 22 compliance regarding phone policy, allowance and core services. It was reported to (LPA) Kenrick Ellis during inspection service needs are being met. LPA observed the following completed training for staff: An Overview of Trauma -Informed Care for Non-Clinical Staff, Policies & Procedures; Health & Safety: Emergency Procedures, HIPPA, Medication, Trauma Responsive Caregiving: Skills for Effective Communication, Working More Effectively with LGBTQ+ Children and Youth, Understanding and Addressing Racial Trauma in Behavioral Health, Foster Youth Bill of Rights and Reasonable and Prudent Parent Standard Job Duties; LPA observed each file reviewed to be in compliance with valid CPR cards. Children are allowed and encouraged to contact the licensing agency or the Foster Care Ombudsperson, in confidence, without threats or punishment for making complaints. Children are accorded dignity in personal relationships with others in the home. LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. LPA requested the Board of Directors Meeting Notes and advised Administrator to email to confirm quarterly meetings. LPA's observed no visible debris/hazards and deemed the facility to be clean, safe and sanitary. There were no deficiencies cited at this time. Exit Interview was conducted, and a copy of this report will be given to Administrator/Deborah Manns .


summary: Facility Evaluation

raw_content:
Narrative:
On October 01, 2024 at 4:00 pm Licensing Program Analyst (LPA), Kim Dear arrived at the above facility unannounced for the purpose of conducting a Case Management, complaint Investigation. LPA met with facility house Manager, Tasha Blaylock. No interviews were conducted and CFTM and Staffing notes were requested. Assistant Director, Detra Jones whom agreed to email LPA Dear the LIC 500, client roster, supervision record (s). LPA still needs to conduct additional staff client interviews as well as additional documentation, pertaining to the open Investigation. This case management needs further investigation. Exit was announced with Tasha Blaylock,a copy of this report will be provided to Deborah Manns. There are no deficiencies cited at this time.

met_with: Tasha Blaylock


summary: Facility Evaluation

raw_content:
Narrative:
On 05/20/2025, Licensing Program Analyst (LPA) Justine Armstrong and License Program Manager (LPM) Enrique Hernandez, arrived at the facility, for the purpose of conducting an Annual Required Inspection of Short Term Residential Therapeutic Program (STRTP). Lpa J. Armstrong met with Amanda Tovar/Executive Assistant, who granted access into the facility, and provided a tour of the facility. The facility is licensed to care for 6 children ages 12 to 17 and non-minor dependents, ambulatory only. At the time of today's inspection, the census was 4. The facility is a one story structure with three (3) bedrooms two (2) full bathrooms with a detached garage located in residential community. There are no firearms in the facility LPA observed all posting requirements for the STRTP are publicly posted for all clients and authorized representatives to see. The clients' personal rights, weekly sample menu, and the monthly activity schedule. were observed on the wall. The Emergency Disaster Plan, Grievance Procedures is posted. The STRTP License was posted in a visible location. Smoke alarms and carbon monoxide detectors were tested and found to be in working order. (See Continued 809C) There are two(2) fire extinguishers located in the facility and LPA observed fully charged. First Aid kits checked and found to be complete. Hot water was tested and found to be between 105-120 degrees (F). Living Room:LPA observed two (2) sofas with adequate seating for six (6), a coffee table, small desk, wall mounted television, entertainment cabinet with extra storage shelves. Dining Room: equipped with a dining table with 6 chairs, a desk and chair for staff to use, and a wall heater. This room has access to the side of the house with a sliding glass door leading to driveway for parked cars. The Personal Rights posting, emergency disaster contacts, and Facility License was posted next to the desk. Kitchen: LPA observed a five (5) burner stove, a refrigerator, microwave, fire extinguisher, plenty of upper and lower cabinet space, some of which have locks to store the knives, medication, and other sharps. The upper cabinets had food spices, perishable and non-perishable food, kitchen utensils, pots, plates, and cups. LPA observed two (2) First Aid kits checked and found to be complete. A weekly menu is posted in the kitchen. Laundry area: accessible only from the backyard, is equipped with a washer and dryer; within this room another locked door gains access to a storage area which had extra laundry detergent and cleaning supplies. Bathrooms: There is a total of 2 bathrooms, that are clean, safe, and in good repair. ; Bedrooms: The three (3) bedrooms were observed to have 2 twin bed in each room, sufficient lighting, 2 dressers in each room and closet space.; Hallways: the hallway is equipped with a fire extinguisher (2d), with locked cabinets where extra linens, and client hygiene products. (See Continued 809C) Backyard/Garage: LPA observed a basement outside the back door with a lock, once open LPA observed the basement was not in use for anything. The backyard has patio table with six (6) chairs. There is a covered barbecue grill. There is an additional refrigerator and standing freezer in the detached garage with additional food and extra storage usage.There is a Therapy Office which is equipped with a file cabinet, 3 desk with 3 chairs, and a ceiling fan. The back yard is maintained and free of any debris. LPA inspected facility van and observed current registration and insurance. Van equipped with First Aid kit, working seat belts, and all lights were in good working condition.

met_with: Amanda Tovar- Executive Assistant


facility_name: PROJECT DESTINY HOME OF HOPE #2

raw_content:
Narrative:
It was reported to LPA Phillips that staff did not speak inappropriately to child in care. It was reported to LPA Phillips that Child #1 argues, bullies and speaks inappropriately to staff and peers. Confidential interviews with staff and documentary evidence provided did not substantiate the allegation: Staff did not accord child dignity in their personal relationships with staff and other persons. It was reported to LPA Phillips that Child #1 is a bully and says things. It was also reported to LPA Phillips that residents leave the room due to Child #1 starting stuff and being a bully. Based on the interviews conducted, documentary evidence, the information gathered did not produce corroborating evidence to support the above said allegations. LPA Phillips was unable to determine if the above said allegations occurred, therefore the allegations are determined to be unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit interview was conducted, and a copy of this report will be emailed to the Deborah Manns

Investigation Findings:
13On January 26, 2023 @ 2: PM Licensing Program Analyst (LPA) Zena Phillips made an unannounced visit to PROJECT DESTINY HOME OF HOPE #2 and spoke with Darryl Sewell/ Mental Health Liasion. The purpose of this visit was to deliver the findings for the above complaint allegations. Darryl Sewell/ Mental Health Liasion provided the census. During the investigation, confidential interviews were conducted, facility file review, special incident reports and documentary evidence did not substantiate the allegation: Staff threatened child with physical harm. Confidential interviews reveal that Child #1 was the aggressor and argued with staff. All staff and resident interviews deny that Child #1 was threatened with harm. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPE #2FACILITY NUMBER: VISIT DATE: 01/26/2023

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

met_with: Darryl Sewell/ Mental Health Liasion


raw_content:
Narrative:
Per the confidential interviews conducted with related parties LPA Phillips obtained inconsistent statements regarding the complaint allegations. Due to inconsistent statements LPA Phillips was not able to determine if the above said allegations occurred, therefore the allegations were found to be Unsubstantiated meaning that although the allegations may have happened or are valid there is not a preponderance of evidence to prove that the alleged incidents occurred. Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit interview was conducted, and a copy of this report will be emailed to Deborah Manns/Licensee

Investigation Findings:
13On August 29, 2023 at 2: PM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to PROJECT DESTINY HOME OF HOPE #2 and met with Darryl Sewell/Mental Health Liaison who granted access and provided today's census. The purpose of the visit was to deliver findings for the complaint allegations. During the investigation LPA Phillips conducted confidential interviews, reviewed facility files, special incident reports and reviewed facility discharge procedure. Confidential interviews reveal that incidents were reported to responsible parties as required. Documentary evidence support that the facility followed discharge procedure. Statement indicated that minors did not engage in inappropriate interaction while in care. Staff deny that Child #1 was not properly discharged and only discharged after requested by DMH. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPE #2FACILITY NUMBER: VISIT DATE: 08/29/2023

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

met_with: Darryl Sewell/Mental Health Liaison


raw_content:
Narrative:
Based on the interviews conducted, and documentary evidence, the information gathered did not produce corroborating evidence to support the above said allegations. LPA Phillips was unable to determine if the above said allegations occurred due to conflicting information, therefore the allegations are determined to be unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. Based on the observations made during today's inspection, no deficiencies were cited. Exit interview was conducted, and a copy of this report will be emailed to the Deborah Manns.

Investigation Findings:
13On January 23, 2024, at 2: PM, Licensing Program Analyst (LPA) Zena Phillips made an unannounced visit to PROJECT DESTINY HOME OF HOPE #2 spoke with Amanda Tovar/Executive Assistant. The purpose of this visit was to deliver the findings regarding the above complaint allegations. During the investigation LPA Phillips conducted confidential interviews, reviewed facility files, special incident reports, safety plan, staff schedule, staff time cards, CFTM notes & Emergency Staffing Meeting notes. Staff deny that minor's safety plan was not followed. Documentarty evidence reveal that staff did seek mental health treatment for youth as evidence with hospital assessment and release. Staff deny that one staff was on duty and provided time sheet with two (2) staff on duty. Staff deny there was insufficent staffing to meet minor's needs. It was reported to LPA that an assessment and additonal supervision was provided to minor in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPE #2FACILITY NUMBER: VISIT DATE: 01/23/2024

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

met_with: Amanda Tovar/Executive Assistant


raw_content:
Narrative:
It was reported to LPA that staff will intervene quickly to prevent altercations between minors. Based on documentary evidence there was adequate supervision on duty with minors in the home. It was reported to LPA that staff do consistent checks on the minors and offer community pass for minors to leave with permission. Based on inconsistent information obtained, the allegations are determined Unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. There are no deficiencies cited at this time. Exit interview completed. A copy of this report will be provided to Deborah Manns/Licensee.

Investigation Findings:
13On April 9, Licensing Program Analyst (LPA) Zena Phillips made unannounced visit to PROJECT DESTINY HOME OF HOPE #2 for the purpose of delivering findings on the allegations listed. During the investigation LPA Phillips interviewed and accounted for all available relevant parties; gathered pertinent information regarding the allegations. The investigation including confidential interviews, review of incident reports, Needs & Services Plan and Child & Family Team meeting notes. Based on the information obtained during the investigation revealed a lack of evidence to support reported allegations: Staff did not stop minors from engaging in a physical altercation with another minor. Staff not providing a safe environment for minors. Lack of supervision resulted in minors AWOL. It was reported to LPA during confidential interviews that the altercation happened away from the facility. Staff deny not providing a safe environment for minors and reported to LPA minors are safe in the home. Staff reported they encourge minors to stay and offer alternative activity to prevent minors from awoling. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPE #2FACILITY NUMBER: VISIT DATE: 04/09/2024

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


raw_content:
Narrative:
Based on LPA interviews and record reviews and evidence obtained, the preponderance of evidence standard has been met, therefore the allegation is found to be SUBSTANTIATED. Therefore, issued a citation in accordance with the Short-Term Residential Therapeutic Program Interim Licensing Standards, Chapter 5 the Facility cited for violation of California Code of Regulations, Title Division Six, regulation ILS 87065.2(b)(1). The exit interview was conducted with (Name of person) and a copy of this report was provided to the facility.

Investigation Findings:
13On April 14, 2025, at 11:15 am, Licensing Program Analyst (LPA) Justine Armstrong and LPM Enrique Hernandez made an unannounce visit at the above said facility, and met with the Executive Assistant Manager Amanda Tobar, who granted access into the facility. The purpose of the inspection is to conclude the complaint investigation on the allegation and to deliver the findings. LPA and Executive Assistant Manager and together discussed the investigation details. During the investigation process, LPA Armstrong conducted confidential interviews with all relevant parties and gathered information on the allegation above. After reviewing all the statements and information obtained, the above allegation is substantiated because the confidential interviews and evidence confirmed the fight between C1 and C2. During the altercation between the two youths (C1 and C2), only S3 was in the middle, attempting to stop the fight. Additionally, after reviewing the evidence obtained LPA confirmed the fight between C1 and C2 lasted for more than 30 seconds. C1 and C2 were physically assaulting one another by hitting each other in the head. Even though there was other staff present the staff did not follow the policy and procedures. (Continue on LIC9099-C) SubstantiatedEstimated 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 Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPE #2FACILITY NUMBER: 198209740

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

met_with: Amanda Tobar


raw_content:
Investigation Findings:
13On March 14, 2025 at 11: AM Licensing Program Analyst (LPA) Justine Armstrong and License Program Manager Enrique Hernandez conducted an unannounced visit to Project Destiny Home of Hope 2 to conclude the investigation of the above allegations and deliver the findings. LPA met with Amanda Tobar the Assistant Executive Manager who granted access to the facility and together, they discussed the investigation details. During the investigation process, all relevant parties have been accounted for. It was reported that Staff did not take minor to the doctor for medical care, Staff locked minor out of the home, and Staff did not accompany minor to the hospital or transport minor back to the facility. After conducting confidential interviews and documents reviewed, there was insufficient evidence or testimony to substantiate 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. A copy of this report was provided to 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:


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Additionally, evidence showed that although staff were present, staff failed to follow the necessary policies and procedures to prevent the incident in which another client's belongings were damaged. Based on the LPA interviews, record reviews, and the evidence obtained, the preponderance of evidence standard has been met; therefore, the allegation is found to be SUBSTANTIATED. A citation in accordance with the Short-Term Residential Therapeutic Program Interim Licensing Standards, Chapter 5 the Facility cited for violation of California Code of Regulations, Title Division Six, regulation ILS 87065.2(b)(1) PERSONNEL DUTIES - Direct care staff shall perform duties including, but not limit to, supervision, protection, and care of children at all times, individually and in groups... A copy of this report was sent by certified mail to the administrator office on file for the licensee's signature. (Please see LIC 809D for deficiency page)

Investigation Findings:
13On July 21, 2025, Licensing Program Analyst (LPA) Justine Armstrong mailed the complaint findings to the administrator's office on file, Deborah Mann, for PROJECT DESTINY HOME OF HOPE #2, through certified mail. The facility closed on May 31, 2025. The Department received the complaint on May 14, 2025. The allegations in the complaint are as follows 1. Staff allowed a minor access to toxic chemicals 2. Staff did not prevent a minor from damaging another minor's personal belongings During the investigation, LPA Armstrong conducted confidential interviews with all relevant parties and gathered information regarding the above allegations. After reviewing all statements and documentation, the Department has determined that the following allegations are substantiated Interviews confirmed that staff permitted a minor to access toxic chemicals. (Continue on LIC9099-C) SubstantiatedEstimated 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 Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPE #2FACILITY NUMBER: VISIT DATE: 07/21/2025

met_with: Mailed to Administrator Deborah Mann


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
While the allegation may have some validity, there is insufficient evidence to determine whether the reported violation occurred. The interviews and facility visit did not confirm the allegation that staff do not maintain the facility in clean and sanitary conditions at all times. As a result, there is not enough evidence to establish whether the incident took place; therefore, the allegation is deemed unsubstantiated. A copy of this report was sent by certified mail to the administrator office on file for the licensee's signature.

Investigation Findings:
13On July 21, 2025, Licensing Program Analyst (LPA) Justine Armstrong mailed the complaint findings to the administrator's office on file, Deborah Mann, for PROJECT DESTINY HOME OF HOPE #2, through certified mail. The facility closed on May 31, 2025. The Department received the complaint on May 14, 2025. The Department received the complaint on May 14, 2025. The allegation in the complaint stated Staff does not ensure facility is kept in clean sanitary conditions at all times. During the investigation, LPA Armstrong conducted confidential interviews with all relevant parties and gathered information regarding the above allegations. After reviewing all statements and documentation, the Department has determined that the following allegations are unsubstantiated On May 20, 2025, License Program Analyst J. Armstrong and License Program Manager E. Hernandez conducted a health and safety inspection of the facility. They observed that the facility was clean, with no safety hazards or debris present on that day. (Continued on LIC809C ) 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 Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: PROJECT DESTINY HOME OF HOPE #2FACILITY NUMBER: VISIT DATE: 07/21/2025


summary: Facility Evaluation

raw_content:
Narrative:
On April 16, 2021 at 9: AM, Licensing Progarm Analyst (LPA) Charmetha White made an announced visit via FaceTime to Project Destiny Home of Hope 2 for the purpose of conducting a STRTP Pre-Licensing Inspection. LPA met with Executive Director, Deborah Mans and together toured the interior and exterior of the facility. This facility will be licensed to provide care and supervision for six (6) children ages 12-17 years old, ambulatory only and non-minor dependents. On this day the census is zero (0). The home is set-up as follows and the following was observed: This is a single-story home located in a residential neighborhood. There are three (3) bedrooms, two (2) bathrooms, living room, dining room, kitchen, laundry room, a den/TV room, and a converted detached garage (therapy room). Living room: LPA observed a vent for a floor heater and one (1) sofa. Dining room: Unfurnished Kitchen: Equipped with a double door refrigerator/freezer, plenty of cabinet space, one (1) of which has a lock on it and will be used to store sharp knives and non-refrigerate medications. There is one (1) stove oven, where only 1 out of 4 stove burners ignited at the time of the inspection; the stove is being replaced. Laundry room: Not equipped and is located off the kitchen and is also assessible from the hallway. Den/Tv room: Unfurnished. LPA observed the room to have gated patio doors leading to the back yard. Detached garage (Therapy room): Unfurnished/Not equipped. Bedroom #1: Has two (2) twin size beds, new mattresses, a standard closet with adequate space, an exit window, sufficient lighting, and a smoke detector. Bedroom #2: Has two (2) twin size beds, new mattresses, a walk in closet with adequate space, an exit window, sufficient lighting, and a smoke detector. Report continued on LIC 809C. Bedroom #3: Has two (2) twin size beds, new mattresses, a walk-in closet with adequate space, an exit window, sufficient lighting, and a smoke detector. Bathroom #1: Is located at the front of the hallway. It has a bathtub, stand-alone shower, sink, a non-operational electric heater, and toilet. Bathroom #2: Is located along the hallway between bedroom #1 and bedroom #3. It has a tub/shower combination, a sink, and a toilet. Both bathrooms were observed to be in working order. Hallways: Has two (2) locked closets, one will store disinfectants and poisons chemicals, and one will store extra linen and hygiene supplies. LPA observed the home to have two (2) fire extinguishers, six (6) smoke detectors, and one (1) smoke/carbon monoxide combination detector. The smoke detectors and carbon monoxide alarm were tested and found to be operating properly at the time of visit. No security bars on the bedroom windows. Passageways and porch were clean and in good repair. The front and back yard were free of debris and hazardous material. There were no bodies of water on the premises. No firearms or dangerous weapons in the home. The following was discussed with the facility Administrator: Children will be accorded personal rights. Children in care will be supported, encouraged to participate in extracurricular activities. Children in care will be able to contact the licensing agency. The following is needed for license approval: Fire inspection approval. The home needs to be equipped with furniture, dishes, utensils, linens, towels. Therapy room needs to be equipped. The food supply will need to be stocked. A complete first aid kit. All posting requirements, including COVID-19 best practices signage need to be met. LPA will conduct a follow up visit once all requirements have been met. An exit Interview was conducted, and a copy of this report was emailed to the Executive Director.

visit_type: Prelicensing

met_with: Executive Director - Deborah Mans


summary: Facility Evaluation

raw_content:
Narrative:
On May 28, 2021 at 11: AM, Licensing Program Analyst (LPA) Charmetha White made an announced visit via FaceTime to Project Destiny Home of Hope 2 for the purpose of conducting a STRTP Pre-Licensing Inspection. LPA met with Executive Director, Deborah Mans and together toured the interior and exterior of the facility. This facility will be licensed to provide care and supervision for six (6) children ages 12-17 years old, ambulatory only and non-minor dependents. On this day, the census is zero (0). The home is set-up as follows and the following was observed: This is a single-story home located in a residential neighborhood. There are three (3) bedrooms, two (2) bathrooms, living room, dining room, kitchen, laundry room, a den/TV room, and a converted detached garage (therapy room). Living room: Is equipped with two (2) sofas. Dining room: Is equipped with a wooden table and six (6) chairs. Kitchen: Is equipped with a double door refrigerator/freezer, microwave, dishes, eating and cooking utensils, a new stove with 5 gas burners (all working at the time of inspection). LPA observed facility to have plenty of cabinet space and an adequate supply of food at the time of this inspection. Sharp knives were observed to be located in a locked kitchen cabinet. Laundry room: Is located off the kitchen, it is equipped with a new washer and dryer, there is a deep freezer located in this area, and laundry supplies are kept in a locked cabinet over the washer/dryer. Den/Tv room: Has a gated patio that leads to the back yard and this room is equipped with a large sectional couch. Detached garage (Therapy room): Is equipped with a sofa and was not completely furnished at the time of the inspection. Bedroom #1: Is equipped with two (2) twin size beds, new mattresses, two (2) new dressers, and has a standard closet with adequate space, an exit window, sufficient lighting, and a smoke detector. Bedroom #2: Is equipped with two (2) twin size beds, new mattresses, two (2) new dressers, and has a walk-in closet with adequate space, an exit window, sufficient lighting, and a smoke detector. Report continued on LIC 809C. Bedroom #3: Is equipped with two (2) twin size beds, new mattresses, two (2) new dressers, and has a walk-in closet with adequate space, an exit window, sufficient lighting, and a smoke detector. Bathroom #1: Is located at the front of the hallway. It has a bathtub, stand-alone shower, sink, a non-operational electric heater, and toilet. Bathroom #2: Is located along the hallway between bedroom #1 and bedroom #3. It has a tub/shower combination, a sink, and a toilet. Both bathrooms were observed to be in working order. Hallways: Has two (2) locked closets. LPA observed one cabinet to have extra towels and individual plastic containers which will store client hygiene products. The second closet stores disinfectants, cleaning solutions, and poisonous items made inaccessible to clients. LPA observed the home to have two (2) up to date regulation fire extinguishers, six (6) smoke detectors, and one (1) smoke/carbon monoxide combination detector. The smoke detectors and carbon monoxide alarm were working properly. The facility will utilize a Chrysler Pacifica to transport clients. LPA observed the vehicle to have current registration and insurance. There are no security bars on the bedroom windows. Passageways and porch were clean and in good repair. The front and back yard were free of debris and hazardous material. There were no bodies of water on the premises. No firearms or dangerous weapons in the home. The following was discussed with the facility Administrator: Children will be supervised & protected at all times. Licensee will provide and ensure three nutritious meals, snacks, and special diets. Children will be accorded personal rights. Children will be supported and encouraged to participate in extracurricular activities. Children will be able to contact the licensing agency or Foster Care Ombudsman in confidence without threats or punishments for making complaints. Children will be accorded dignity in personal relationships with others in the home. Children will not be restricted in telephone use except by court order. Licensee will ensure to have written authorization to obtain medical and dental care. Licensee will ensure to have personal rights forms in children's files as well as the Needs and Services plan. Licensee acknowledges abuse reporting requirements. Staff working in the facility will have DOJ/FBI criminal record clearances, and Child Abuse Index Checks. Facility will operate within license conditions & limitations including capacity limit. Facility meets posting requirements, including COVID-19 best practices signage and emergency telephone numbers are in prominent locations. There were no deficiencies cited at this time of the visit. An exit Interview was conducted, and a copy of this report was emailed to the Executive Director.


summary: Facility Evaluation

raw_content:
Narrative:
On 10/20/21 & @ 2: PM Licensing Program Analyst (LPA) Zena Phillips made an unannounced visit for the purpose of post licensing the following was observed: This is a single-story home located in a residential neighborhood. There are three (3) bedrooms, two (2) bathrooms, living room, dining room, kitchen, laundry room, a den/TV room, and a converted detached garage (therapy room). Living room: LPA observed a vent for a floor heater and one (1) sofa 1 love seat with throw pillows and lamps, wall paintings. Dining room: table with 6 chairs. Kitchen: Equipped with a double door refrigerator/freezer, plenty of cabinet space, one (1) of which has a lock on it and will be used to store sharp knives and non-refrigerate medications. There is one (1) stove is new and LPA observed staff cooking on 3 burners. Laundry room: washer and dryer, stand up freezer is located off the kitchen and is also accessible from the hallway. Den/Tv room: large sectional sofa, flat screen tv, & table, LPA observed the room to have gated patio doors leading to the back yard. Detached garage (Therapy room): 1 sofa, 2 tables and 4 chairs with files cabinet, small fridge, copy machine, and stacked wall storage rack. Bedroom #1: Has two (2) twin size beds with bed linens, new mattresses, a standard closet with adequate space, an exit window, sufficient lighting, and a smoke detector. Bedroom #2: Has two (2) twin size beds, new mattresses with bed linens, a walk in closet with adequate space, an exit window, sufficient lighting, and a smoke detector. continued on 809-c Bedroom #3: Has two (2) twin size beds, new mattresses with linens, a walk-in closet with adequate space, an exit window, sufficient lighting, and a smoke detector. Bathroom #1: Is located at the front of the hallway. It has a bathtub, stand-alone shower, sink, a non-operational electric heater, and toilet. Bathroom #2: Is located along the hallway between bedroom #1 and bedroom #3. It has a tub/shower combination, a sink, and a toilet. Both bathrooms were observed to be in working order Hallways: Has two (2) locked closets, one will store disinfectants and poisons chemicals, and one with extra linen and hygiene supplies. LPA observed the home to have two (2) fire extinguishers, six (6) smoke detectors, and one (1) smoke/carbon monoxide combination detector. The smoke detectors and carbon monoxide alarm were tested and found to be operating properly at the time of visit. No security bars on the bedroom windows. Passageways and porch were clean and in good repair. The front and back yard were free of debris and hazardous material. There were no bodies of water on the premises. No firearms or dangerous weapons in the home. An exit Interview was conducted, and a copy of this report was emailed to the Executive Director LPA Advised Ms Manns will continue inspection tomorrow. .

met_with: Deborah Manns/ Administrative


summary: Facility Evaluation

raw_content:
Narrative:
On March 10, 2022 @ 12: PM Licensing Program Analyst (LPA) Zena Phillips made an inspection visit to Project Destiny Home of Hope # 2 for the purpose of conducting a Case Management Investigation. LPA Phillips met with Deborah Manns Administrator who granted access to the facility. The Incident Report dated 03/03/2022, disclosed that Child #1 was detained by the law enforcement. During the investigation process, LPA reviewed email correspondence, spoke with CSW by phone and text messages . Documentary evidence indicated that Child #1 awoled from the facility on 02/09/2022 and Child #1's bed was closed by social worker on 02/25/2022. There is no evidence to suggest that Child #1 was in care of above facility at time of detainment. No deficiencies cited at this time. Exit interview was conducted and copy of report will be emailed to Administrator.

met_with: Deborah Manns/Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On June 14, 2022 @ 8: AM Licensing Program Analyst (LPA) Zena Phillips made an unannounced visit to PROJECT DESTINY HOME OF HOPE for the purpose of file review for the complaint investigation. The complaint is not for this site but files are located at this site. LPA Phillips reviewed 3 client files and made copies of CFT notes, NSP and medical, dental appointments and personal right signature page. . No deficiencies cited at this time. Exit interview was conducted and a copy of the report was emailed to Deborah Manns

met_with: Deborah Manns/Licensee


summary: Facility Evaluation

raw_content:
Narrative:
On June 24, 2022 @ 3:00PM Licensing Program Analyst (LPA) Zena Phillips made an unannounced follow up visit for the purpose of reviewing staff files. The complaint is not at this facility but Licensee stores staff files at this locations. Facility was having DCFS audit over multiple days and LPA agreed to come back another day. LPA requested copies of three (3) staff files with training completion for 2020 year documents. LPA Phillips spoke with Licensee by phone. LPA Phillips agreed to email 809 to licensee for signature. No deficiencies cited at this time. Exit interview was conducted and a copy of the report was emailed to Deborah Manns

met_with: Deborah Manns/ Licensee


summary: Facility Evaluation

raw_content:
Narrative:
On June 29, 2022 @ 1: PM Licensing Program Analyst (LPA) Zena Phillips made an announced collateral visit to Project Destiny for the purpose of reviewing staff files. The complaint is not at this home but staff files are stored at this facility. LPA Phillips requested five (5) staff files for review. LPA Phillips requested copies of Relias certificates for files reviewed. Documents requested can be forwarded by email to zena.phillips@dss.ca.gov. No deficiencies cited at this time. Due to computer problems document will be emailed to Licensee for signature. Exit interview was conducted and a copy of the report will be emailed to Deborah Manns

met_with: Deborah Manns / Licensee


summary: Facility Evaluation

raw_content:
Narrative:
On July 15, 2022 at 10:30AM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up collateral complaint investigation visit to PROJECT DESTINY HOME OF HOPE #2 and met with Amanda Tovar/ Executive Assistant. The purpose of the visit was to review client files regarding complaint. LPA Phillips reviewed two (2) client files and made copies of relevant documents. No deficiencies cited at the time of this investigation. Exit interview was conducted, and copy of this report will be emailed to Deborah Administrator.

met_with: Amanda Tovar/ Executive Assistant