summary: Facility Evaluation

raw_content:
Narrative:
**Amended 2/8/2024 - remove confidential identifiers** On August 1, 2023 at 10: AM, Community Care Licensing (CCL) representatives met with the facility above over Microsoft Teams for the purpose of conducting an Annual Review of the facility's program, needs, population, and overstay logs. In attendance in this meeting were:: -CCL Regional Manager (Regional Manager) Nelson Martinez -Licensing Program Manager (Licensing Program Manager) Carolyn Flynn -Alicia Bernstein (Provider Policy Implementation Unit, Manager - Policy an Technical Assistance Bureau - Systems of Care Branch) -Adele Carlson (Associate Government Program Analyst - Child Protection Policy Unit) -Julie Waters (Child Protection Policy Unit Manager) - Mia Buckner-Preston (Administrator) -Michelle Love (Alameda County SSA-CWS Child Welfare Director) -Melissa Fegurgur (Program Manager) The purpose of the meeting was to discuss the Alameda County Assessment Center Annual Review. Michelle provided an update on the issues between the city of Hayward and the Assessment center and that they are continuing to locate an new location. In the meantime they will be reclaiming more space at their current location so there will be a separate space for the younger youth. At the last Annual Meeting with the County, the County shared they had implemented new strategies to help build capacity in home-based care and STRTPs. • What activities has the County implemented that have increased capacity in home-based care and in STRTPs? (Cont. Lic809c) ·What outreach and/or strategies have been used in 2022 to increase capacity in home-based care and in STRTPs? · How effective have these efforts been in increasing capacity in home-based care and in STRTPs respectfully? The County continues to employ the ongoing capacity increasing strategies as described in the previous annual report. This past year the county added three new county Resource Family Approval (RFA) homes that accept teens. Also, this past year, the county launched the Emergency RFA Teen Homes campaign to increase the number of emergency home based placements available for youth and teens over the age of 13 years. From this effort the county has 4 interested caregivers that we will be working with over the next few months Caregivers that accept teens on an emergency basis will receive a $250 gift card as a sign-up bonus, additional funding up to $3500 in addition to the foster care funding, and placement stabilization, preservation, and training from Misssey and Side-by-Side and therapeutic services offered by West Coast Children's Clinic. In addition, the county will be extending the contract with our Wraparound Services provider to help support the expansion of the current services and staffing. The County, in partnership with Behavioral Health Care Services, developed a contract with Alternative Family Services Foster Family Agency to recruit additional ISFC homes with the ability to provide TFC services. There are currently 4 trained ISFC/TFC homes that can care for teens. The county, provider, and BHC meet on a monthly basis to review vacancies, discuss recruitment efforts and strategies, and identify needed supports. The County continues to contract with REFUGE STRTP for preferred placement STRTP beds. The county increased the funding so the provider has access to funding to increase staffing support when needed to help preserve and stabilize placement. The contract is for eight (8) beds. This support has decreased the number of 14-day removal notices from the facility. The County finalized the emergency bed contract with Lighthouse Mentoring Center STRTP. The contract is for four (4) male teen beds. Placement in the emergency beds reducing the amount of time the youth is at the AC, allows for some youth to bypass the AC, and allows additional time needed for an appropriate, long-term placement to be located. (cont. Lic809c) All previously identified efforts to build capacity are ongoing. We have found that there are many families and providers that are willing to care for younger children and babies and that few are willing to open their homes to teens. The largest number of clients at the AC are older youth and teens ages 13-17 years old and this population of youth are ones who rely on the AC the most and tend to overstay while placement efforts are being made. Despite all of our best efforts we have been unable to adequately increase the number of homes needed for all the youth who need them. It is difficult to get providers to consider the positive aspects of a teen and give them a chance. Due to the growing needs of our youth, providers feel they are placing themselves and their families in harmful situations and anticipate that the youth will develop problems they are ill-equipped to handle. · Has the County been more successful at building capacity for some foster youth populations over others? If so, please identify the populations for which the county has greater challenges. ¨ By how much has the county's capacity increased or decreased in 2022? • What efforts has the County made in reducing the use of the Assessment Center? o Have these efforts been effective in reducing the use of the Assessment Center? Why or why not? The County continues to make every effort to meet the needs of all the youth receiving services at the AC and works diligently to reduce the number of overstays and for the majority of our children, youth, and Nonminor Dependents placement is found within the 72 hour timeframe. The County has been successful in building capacity in the home-based placement options for youth under the age of 12 years, but increasing the number of home-based options for our older youth and teens continues to be a work in progress and at this time there are not enough homes to meet the placement needs of the youth at the AC and we have not seen the success we hoped for in reducing the use of the AC for this age group. The County continues to utilize all strategies previously identified to reduce reliance on the AC especially for our largest client population, youth ages 13-17 years old. However, due to the length of time needed to approve some RFA placements, arrange transportation, schedule and complete medical appointments to address health, mental health, and medication needs, lack of available home-based placements, and length of time needed to complete the STRTP intake process there will be children and youth that will need the services provided by the AC and will remain beyond the 72 hour timeframe despite all efforts to secure timely placements. (Cont, LIC809C) Our strategies include: · Exploring all possible placement options before accepting a child/youth at the AC, which includes arranging pre-placement visits family and potential caregivers. · Bypassing intake at the AC if the child is already in the home of a relative willing to accept placement. · Review of the child's file and placement history, including all family finding efforts · Conducting 48 hour huddles to review placement efforts, explore possible options, and provide support and services to secure placement · Provide Support services, which include transportation assistance to placements, taking youth to Medical Clearances and obtaining medication needed prior to placement, requesting funding and gift cards for items needed, including furniture, clothing, food, hygiene and hair supplies. · Ensuring compliance with updated Emergency RFA placement timeframes that ensures placement occurs within 72 hours of the child arriving at the AC. · Daily In-person meetings with youth at the AC to engage them in their placement plan and support them during CFTs, placement interviews and preparing them to leave the AC and transition to the new placement. · Participation in Child and Family Team meetings (CFT) to identify placements and supports. · Contact and Encourage STRTPs to provide a response regarding acceptance of placement and assist in completing the STRTP Intake packets. · Offering additional funding to STRTP providers for 1:1 staffing support and single-room occupancy. · Utilization the Catalyst Center and Youth Resource Workgroup · Participation in the Family Network of Support meetings for difficult to place youth to identify who can do what to preserve and stabilize a youth's placement · Participate in CDSS Technical Assistance calls for challenging to place youth/youth with special medical and/or complex needs. • The County has communicated that they do not foresee closing the Assessment Center in September of 2023. When does the County foresee no longer needing the Receiving Center? The County does not have an identified date by which we can anticipate no longer needing the Assessment Center. The County does not have enough emergency home-based or STRTP placements available for the (Cont. Lic809c) youth who require out-of-home placement. There are youth who providers will not accept for placement and who have no other safe, caring adults in their lives that are willing to care for them even on a short-term, temporary basis. For those youth, the AC is their only option. At the last Annual Meeting with the County, the County shared they had implemented new strategies to help build capacity in home-based care and STRTPs. • What activities has the County implemented that have increased capacity in home-based care and in STRTPs? o What outreach and/or strategies have been used in 2022 to increase capacity in home-care and in STRTPs? The County has continued all efforts to increase capacity as identified at the previous Annual Meetings. Our strategies includes the following efforts: o Recruitment website (myresourcefamily.org) o In-person recruitment events and fairs o Ongoing work with our two consultant agencies, Hill and Associates Consulting and Experience Consultants o Participation in the Resource Parent Association meeting o Expansion of the REFUGE STRTP preferred placement contract - 8 beds o Completion of the Emergency/Guaranteed bed contract with Lighthouse Mentoring Center - 4 beds o Development of an ISFC/TFC Contract with Alternative Family Services Foster Family Agency - 4 beds o Daley Solutions recruitment support offered by CDSS o How effective have these efforts been in increasing capacity in home-based care and in STRTPs respectfully?  Has the County been more successful at building capacity for some foster youth populations over others? If so, please identify the populations for which the county has greater challenges. o By how much has the county's capacity increased or decreased in 2022? Increasing home-based capacity has been a challenge, but one that we've come to expect. Providers are (Cont. Lic809c) interested in providing care for youth under the age of 12 years. The County needs homes that will care for older youth and teens ages 13-17 years. Although we were unable to increase capacity enough to eliminate our reliance on the AC we were successful in creating placement options for teens. Our efforts made towards increasing the home-based care has yielded 3 new county RFA homes that accept teens and FFA ISFC homes that accept teens and offer TFC services. The County has increased capacity by seven (7) homes and look forward to increasing that number with our continued efforts. We were also able expand our contract and create a new contract with two (2) STRTP providers that offered 12 beds to our youth. • What efforts has the County made in reducing the use of the Assessment Center o Have these efforts been effective in reducing the use of the Assessment Center? Why or why not? All of the placement efforts and strategies utilized are in place to locate timely placements, reduce the county's reliance on the AC, and eliminate client overstays. These youth have multiple challenges making locating placement difficult. The majority of the youth have a demonstrated need for a higher level of care and require a STRTP placement. Efforts to place youth in the least restrictive settings have been exhausted and are no longer appropriate to meet the youth's needs. Despite all efforts made the AC continues to be needed to care for children and youth who have no other placement options. (Cont. Lic809c) • The County has communicated that they do not foresee closing the Assessment Center in September of 2023. When does the County foresee no longer needing the Receiving Center? The county does not have an identified closure date for the Assessment Center. The county plans to submit a letter of extension to continue the AC operations. The county is currently looking for a new location and will be submitting a new application for licensure. Barriers to placement and Overstays: • In 2021 the County reported 43 youth had repeat overstays, but in 2022 the number increased to103 youth having repeat overstays. What would the County attribute to the significant increase in repeat overstays? o The months having the highest repeat overstays where December 2021 and 2022, March and September 2022.  Why did the County see the highest repeat stays in these months?  Did the county adjust their strategy in preventing/reducing repeat overstays in 2023 as a result of this data? o The most reported barriers to placement were complex care needs, lack of placement, and sibling set.  What steps did the County take to address the above-mentioned barriers while ensuring children were placed in the least restrictive setting that could best meet their needs during 2022?  What is the County doing to ensure that the above-mentioned barriers to placement are addressed going forward? The County is experiencing a return to pre-pandemic operations and as anticipated intakes have been steadily increasing. We tend to have an increase in intakes when children have more access to service providers and when there are school breaks. Intakes tend to increase in September when school resumes and during the months there are school breaks like Christmas and Spring Break. Families tend to travel more during these months and request respite or removal of children and youth in their homes. These also tend to be the months during which caregivers and providers slow down on accepting intakes into their homes and facilities due to vacation and other transitions. During this time we see an increase in youth at the AC and more youth who overstay because there are fewer placement options. (Cont. Lic809c) The county did adjust our strategies for reducing overstays as a result of the data and most months we had success, but at times there were no safe alternatives for youth and their only option was to come to the AC. For those youth we were unable to arrange for visits with family/friends, emergency placements, or transitions from the AC within the 72 hour timeframe. These youth most often had high mental health acuity and behavioral needs, which were greater than what most caregivers and STRTP providers believed they were able to handle. Due to these challenges, older youth and teens overstayed at the AC while efforts to find an appropriate placement continued. As previously mentioned, all of the placement efforts and strategies utilized are in place to locate timely placements in the least restrictive environment able to meet the child and youth's needs. Participation in CFTs have continued and search efforts made to address any placement needs. The chart above reflects the majority of overstays at the AC are youth between the ages of 13-17 with multiple challenges making locating placement difficult. The majority of the youth have a demonstrated need for a higher level of care and require a STRTP placement. Efforts to place youth in the least restrictive settings have been exhausted and that level of care is no longer appropriate to meet the youth's needs. Once a higher level of care is identified all focus becomes locating a STRTP that can address the needs the youth has. However, the goal of placement in the least restrictive environment does not end. Within the next six (6) months of placement the possibility of stepping down to a lower level of care is explored.  Is the county aware of the funding from the 2021-2022 budget that was implemented by the Human Services Omnibus Bill, Assembly Bill 153 (AB 153) to provide counties additional funding to address supports for youth with complex care needs ? • Is the county pursuing the child specific complex care funds when appropriate, as outlined in ACL 21-119? • Has the County developed a plan for the capacity building funding also implemented by AB 153 and outlined in ACL 21-143? • Will these initiatives incorporate supports/services for expanding the options available at the local level for youth without resorting to shelters? • Is the County aware of the Complex Care Resource Guide 2022? If so, has the County accessed any of the resources (other than the funding from AB 153) addressed in the guide? If not, does the County intend to access any of these resources? (Cont. Lic809c) The County is aware of the funding supports, capacity building opportunities, and the complex care resource guide that are available. The County has every intention on accessing this available supports and will be hiring a Program Specialist that will be responsible for submitting the applications. Although the County has not utilized any AB153 funding that has not prevented us from accessing County Pay funds to arrange for STRTP for 1 and a STRTP for 2 placement options, provide funding for 1:1 and 2:1 staffing supports for youth, and paid for single-room occupancy for youth who required this level of care and support. The county has also provided funding for additional mental health services that were not covered by medi-cal benefits in order to meet our youth's needs and preserve their placements. The County has utilized the following resources to assist with consultation and guidance for placement of hard to place youth: · The Family Urgent Response System (FURS) · Technical Assistance Calls · ASIST/Specialized Permanency Support · Catalyst Center · Daley Solutions • In 2022 (December 2021-December 2022), the County reported 156 children overstayed (approximately 18% of the total population), this is a reduction of approximately 10% from the 2021 reported overstays.  What would the county attribute to having 18% of youth entering the shelter resulting in an overstay?  Has the County observed any trends and how have those trends been mitigated?  Of the 156 reported overstays, 88% were reported to be by youth who are 13 years of age or older. How is the County addressing overstays of this critical age group? With the County's focus on reducing the reliance on the AC the youth who are at the AC are the ones who have no other alternatives for safe care. The majority of the intakes are older youth and teens ages 13-17 years old who have multiple co-occurring conditions, frequent awols, CSEC/trafficking, refusal to attend school, participate in mental health treatment or take medication, and have a significant history of placement disruptions. These youth often are more difficult to place and locating and arranging placement often (Cont. Lic809c) exceed the 72-hour timeframe. There are a number of youth in Alameda County that providers are unwilling to work with and these youth linger at the AC while ongoing search efforts continue. Most of the youth in this age group receive multiple removal notices and find themselves returning to the AC more frequently without the benefit of receiving any mental health care. Is the County pursuing any initiatives targeted specifically to build capacity for this age group? The County continues to reach out to STRTP providers on a quarterly basis to partner with them and explore ways to build their capacity and ability to care for more youth. Due to the high cost of living in the Bay Area most providers are unable to purchase additional homes and increase their capacity. However, one STRTP provider is exploring purchasing a new larger home outside of the Bay Area in order to care for teens. The provider is planning to write a proposal for the County's review. Upon review, the County will explore supporting the STRTP using Complex Care/Capacity Building funding. 6 and Under Population: • By law, a transitional shelter care facility is designed to "primarily serve[s] children who have previously been placed in a community care facility and are awaiting placement into a different community care facility that is appropriate to their needs. Children residing in transitional shelter care facilities may include children who are very difficult to place in appropriate community care facilities because of factors which may be present in combination, including: threatening, aggressive, suicide, runaway or destructive behaviors and behaviors as defined in Section 5600.3 of theWelfare and Institutions Code (WIC)." (Health & Saf. Code (HSC) § 1502.3, subd. (d).) State law discourages the placement of children under age 6 in congregate care facilities as reflected in WIC section 361.2(e) Further, the CDSS recently released guidance addressing the requirements for care of children under age 6 and between ages 6 and 12, and providing reminders of the limitations on use of shelters as placement resources for these populations. ACIN No. I-08-22; REMINDER OF REQUIREMENTS FOR THE CARE OF CHILDREN UNDER THE AGE OF SIX AND PLACEMENT OF YOUNG CHILDREN IN SHELTER CARE Given the aforementioned, does the County have a plan to eliminate younger children (under six (6) years of age) from entering the Assessment Center? What is the County's plan? (Cont. Lic809c) The County is aware of purpose of the Transitional Shelter Care Facility and the care for young children, specifically ages 0-6 years. The County has done a good job of reducing the reliance on the AC for our younger children. Children under the age of 6 are not able to utilize the AC unless there are no other options for their safe care. Once at the AC, timeframes are closely monitored to ensure that children are transitioned to placement as quickly as children and overstays are the exception. The County also agrees that younger children, should they need to come to the AC, should be separated from older youth. The County is currently creating a new and separate space, which will be able to accommodate the care for children under the age of 12. Youth ages 13 and older will be cared for in a separate space within the facility. Separating the children and youth will allow child care staff to focus on their individual and developmental needs. Partnership • In what ways can the CDSS support the County to best meet the needs of children who are experiencing overstays? Could the County benefit from any of the resources identified in the Complex Care Resource Guide 2022? The County continues to utilize and benefit from the resources identified in the Complex Care Resource Guide. The County has received support from the Catalyst Center, CCL, and CDSS to help support efforts to locate placement for very hard to place youth. However, for a few of our clients at the AC, despite all of the supports offered by CDSS and the Catalyst Center, placements have not been located and the youth remain at the AC. Last year, the County identified needing support from CDSS to hold STRTPs accountable for accepting youth into their programs when they have vacancies. STRTPs are not under contract with Counties so this leaves Counties with little authority to hold STRTPs accountable for not accepting youth who meet that level of care or submitting notices for removal without providing any services needed to support any changes in the youth's behavior. This past year, we were informed that CDSS did not have the authority to influence" STRTPs with vacancies to accept placement, even for a short period of time. In addition, the County identified that it would be supportive if CDSS helped to enforce the 14-day notice policy and eliminate the ability for STRTP providers to submit same day or emergency removals. More and more STRTPs are submitting immediate removal notices and returning youth to the AC. This leaves the County (Cont. Lic809c) with very little time to arrange for alternative care and the AC becomes the only immediate option. Without these two needed supports the County will continue to be unable to eliminate the reliance on the AC. Next Steps: • The CDSS recently extended the license for two additional three-month increments for a total of six months at which time the County has communicated they will be closing in the month of September of 2023. What activities does the County plan to perform to reduce the need for/use of the Assessment Center for the next two quarters and be prepared to close the facility as proposed? o What strategies is the County utilizing to find placement for children currently served by the Assessment Center when it is closed? o What efforts is the County making to recruit more emergency placement homes and/or STRTP options? o What supports are in effect for home-based and STRTP providers that have been determined to be successful in reducing the need to enter into the shelter? o The Assessment's Center's Admissions increased by almost 6% from 2021 to 2022. What would the county attribute to the increase in admissions and what will the county do to reduce the number of admissions in the future? o What is the County's plan to eliminate the need for the Assessment Center? o Please provide details on activities and dates within the next quarter by which the County will perform said activities. The County is not working towards closure of the AC at this time. Children, youth, and Nonminor Dependents continue to require the safe housing, services, and support provided by the Center. The County intends to submit a letter requesting an extension of the TSCF license within the next 30 days. The County is currently searching for a different facility and plans to submit a new program statement and an application for licensure. The location of the new facility is expected to occur within the next three (3) to six (6) months. The County will keep CCL apprised of any location updates. The County continues to work towards reducing the reliance on the AC, however as we return to pre-pandemic operations our intakes at the AC will continue to increase. However, there are several practices in place to help ensure that only the youth who have no other options for care receive services at the AC. Once at the AC, these practices include making daily placement efforts and monitoring timeframes (Cont. Lic809c) to make sure youth are not overstaying and transition from the AC can occur within the 72-hour timeframe. However, the youth who heavily rely on the AC and overstay are our most difficult to place youth. These are youth who struggled prior to the pandemic at home and in school. The pandemic highlighted the challenges youth and their families had accessing services and supports. School-based and community-based mental health programs are still unable to meet the needs of the children and youth we all serve and at times the child welfare system is a family's only hope when they are in crisis. We see these children and youth at the AC and are tasked with finding placement within the 72-hour timeframe. These youth are involved in acts of community violence, frequently awol from the facility, refuse to participate in mental health services or take medication, refuse to attend school, are non-compliant with house and program rules, have little to no tolerance and capacity to deal with disappointment, rejection, sadness that at times lead to threats and assaults on staff, teachers, and peers. Many of the needs our youth have were not served during the pandemic and have only increased. Most providers are unwilling, unable, or not equipped to care for the needs our youth currently have. STRTPs do not offer comprehensive mental health and medication services and often cite that our youth need a "higher level of care" when they are deemed to be the highest. When all of this occurs, youth are kicked out of their homes and facilities and are brought to the AC and we are responsible for their care and tasked with finding a home that is able to meet their various needs and handle their behaviors. Although the issue may appear to be an AC or capacity issue, it is actually a societal issue, one that most counties are dealing with. Until counties and the state can collectively work together to identify or create additional placement options, the services of the AC will continue to be needed because it is the only housing option some of our youth currently have. The County will continue our work with our two consultant agencies, Hill and Associates Consulting and Michael Sanders and the Experience with the goal of increasing the number of home-based resource family placements for our older youth and teens. We will be working with both teams to re-launch the Emergency RFA Campaign - Recruitment is Everybody's Business. The increase in home-based care will benefit youth new to our foster care system that do not require the level of care provided by STRTPs, but will allow teens to grow up in with a family setting, complete school in their communities, and remain engaged with extracurricular and enrichment activities, and continued employment. As previously mentioned, the AC is creating a new and separate space to accommodate the care of children ages 0-12 years old. The new space is expected to be completed within the next 30 days. (Cont. Lic809c) The Assessment Center TSCF continues to be important and necessary for our young people in foster care. There remains a considerable lack of resources throughout our state, not just in Alameda County, and the STRTPs and Behavioral Health Care systems are still rebuilding and finding ways to meet the mental health and behavioral needs of our children and youth. Due to the lack of bed capacity, the very long intake process for placement at a STRTP facility that cannot be completed in 72 hours, lack of mental health and educational services, older youth and teens refusing out-of-county placements, and STRTP facilities refusing to accept placement of youth despite having vacancies, our AC is necessary and important and the need for our services continues to exist. We are fortunate that we have the AC so our children and youth are not left without a place responsible for their care. Alameda County continues to take every opportunity to work with the State to explore all available options for the care and placement of hard to place youth, but at this time there are no viable, long-lasting options. Hard to place youth with co-occurring mental health and behavioral needs see more notices for their removal from facilities designed to meet their needs and their stays at STRTP facilities gets shorter with each new placement. Alameda County continues to work very hard to comply with the directives from CCL and CDSS. We have updated our practices to ensure we are only caring for children, youth, and NMDs who have no other safe choice for their care. We are reducing our reliance on the AC by identifying other safe alternatives for placement and care for children and youth so they do not need to come to the AC. We also working diligently towards eliminating overstays and the monthly overstay reports reflect that we have reduced not only the number of intakes at the AC, but also the length of time the majority of children and youth remain at our facility. This concluded CCL's Annual Review of the Alameda County Assessment Center. An exit interview was conducted, and a copy of this report was emailed to Administrator Mia Bucker-Preston with read receipt. Administrator Bucker-Preston will sign all documents and return to LPM Flynn over email


state: CA

facility_name: ALAMEDA COUNTY ASSESSMENT CENTER

summary: Facility Evaluation

raw_content:
Narrative:
On 11/17/2023 at 10:45AM, Licensing Program Analyst (LPA) Selena Hood and LPA Celeste Aparicio conducted an unannounced visit to the licensed facility. The purpose of this visit was to conduct a case management regarding security guard duties, de-escalation protocols, runaway plan, and staff training. At the time of the inspection, there were six clients in care at the facility. There were six staff, one clinician, one outpatient provider, and three protective service officers on shift. At 10:50AM, LPA Hood and LPA Aparicio met with Michelle Trevino, Secretary. LPA Hood also conducted a phone call with Mia Buckner-Preston, Division Director (DD) at 11:22AM who informed LPA that they were off-site, but the WestCoast manager would be present in the facility. LPAs met with Rotunda Crawford, Co-Director of the Assessment Center (CD) at 11:53AM. LPA requested the following records from CD: staff training records, training records for security guards, and incident reports from September 2023 and October 2023. CD informed LPA that they would not be able to get that information for them, and they would need to discuss with the county contacts. LPAs conducted four confidential interviews (see LIC812s). During the visit, LPAs were informed that the one youth in the facility had tested positive for Covid-19 and was currently in quarantine. LPAs did not interview the other youth in the home because they had been exposed, LPAs did not conduct a walk-through of the facility. At 2:01PM, LPA Hood attempted to interview the Security Guards (SG). One SG had informed LPA Hood that they were not able to interview (see LIC812 named "SG Statement"). --------------Continued on LIC 809------------------ LPA Hood and LPA Aparicio requested the following information from DD: incident reports from September 2023 and October 2023, contact information for SG manager, and the MISSEY schedule. LPA Hood and LPA Aparicio conducted an exit interview with Mia Buckner-Preston, Division Director at 2:47PM whose signature confirms the receipt of this document.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Rotunda Crawford


summary: Facility Evaluation

raw_content:
Narrative:
On 12/14/2023 at 11:25AM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the licensed facility. The purpose of this visit was to continue a case management regarding security guards, emergency intervention plan, and runaway plan. LPA conducted five confidential interviews. LPA requested medical records for one previous client. LPA requested information about an incident that occurred regarding a security guard in the facility. At 2:16PM, LPA met with Mia Buckner-Preston, Division Director. LPA received clarification on the search policies. Director relayed that new admits are not typically searched as they are accompanied by law enforcement which does their own contraband search. LPA conducted an exit interview with Mia Buckner-Preston, Director and Mellisa Fegurgur, Program Manager at 3:12PM whose signature confirms the receipt of this document.

met_with: Monica Trevino


summary: Facility Evaluation

raw_content:
Narrative:
On 1/12/2024 at 10:46AM, Licensing Program Analyst (LPA) Selena Hood and LPA Celeste Aparicio conducted an unannounced visit to the licensed facility. The purpose of this visit was to begin the required annual inspection. LPAs met with Marina Knowles, Assessment Center Supervising Manager at 11:04AM. At the time of the visit, the facility had a census of five clients in care. The facility had no non minor dependents or clients under six years old at the time of the inspection. LPAs conducted a physical plant inspection. LPAs observed the two milieu areas, the kitchen and food storage, storage room, two client bathrooms, laundry, and nurses room. LPAs observed there to be sufficient perishable and non-perishable foods. LPAs also observed the medications to be centrally stored and locked. During the site inspection, LPAs observed that the license is posted within the county offices and not prominently posted in a public space. Mia Buckner-Preston, Director, stated that there had been issues with posting the license in the public spaces because of client behaviors. LPAs delivered a Technical Advisory for Operating Standards 84009(a). LPAs conducted one confidential client interview. Three clients refused to interview and one client was non-verbal. LPAs conducted four confidential staff interviews. LPAs conducted an exit interview with Mia Buckner-Preston, Director at 3:45PM whose signature confirms the receipt of this document.

visit_type: Annual

met_with: Marina Knowles


summary: Facility Evaluation

raw_content:
Narrative:
On 1/17/2024 at 10:46AM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the facility. The purpose of this visit was to conduct the required annual inspection. LPA met with Megan Waggener, STAT Training Manager. The facility had a census of three clients. LPA reviewed the disaster recovery plan including the evacuation plans, disaster drill logs, and facility sketches. LPA reviewed the staff files for seven staff. LPA observed no deficiencies. LPA reviewed the emergency intervention protocol and training with Megan Waggener, STAT Training Manager. At 12:51PM, LPA left the facility to attend a call. LPA returned to the facility at 1:36PM, LPA met with Megan Waggener, Staff Training Manager. No deficiencies were cited at this time. LPA conducted an exit interview with Megan Waggener, STAT Training Manager at 3:01PM. The facility had requested that the document be sent to Mia Buckner-Preston, Director for digital signature. LPA sent the following report to Director for signature.

met_with: Megan Waggener


summary: Facility Evaluation

raw_content:
Narrative:
On 2/23/2024 at 12:06PM, Licensing Program Analyst (LPA) Selena Hood and LPA Brenda Rodriguez conducted an unannounced visit to the licensed facility. The purpose of this visit is to conduct the continued annual inspection. LPA met with Mia Buckner-Preston, Director. During the course of the annual inspection visits LPA Hood conducted to the facility on 1/12/2024 and 1/17/2024, LPA observed that there are cameras placed in areas other than the perimeters of the facility. LPA observed that there were security cameras placed in the main milieu. This poses a potential risk to the health, safety, or personal rights of clients in care. LPA delivered a Type B citation for Operating Standards 80087(h) for physical plant. Based on LPA observation and record review, the board of supervisor's minutes were not made available to LPA to inspect during visits on 1/17/2024 and 2/23/2024. Director sent the Board of Supervisors minutes via email on 1/24/2024, and the minutes had not been uploaded by the Board of Supervisors. This poses a potential risk to the health, safety, or personal rights of clients in care. LPA delivered a Type B citation for Operating Standards 84063(a)(10) for accountability. LPA conducted an exit interview and delivered appeal rights to Mia Buckner-Preston, Director at 12:36PM. Director did not sign at this time as they requested to wait for legal counsel.


summary: Facility Evaluation

raw_content:
Narrative:
On 3/28/2024 at 8:05am, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the licensed facility. The purpose of this visit was to follow up on a plan of correction from the annual inspection delivered on 2/23/2024. The Diligence security staff had informed LPA that the security camera feed had been removed. LPA observed that the computers relaying the camera feed was removed from the security desk. Based on an email from Director, Mia Buckner-Preston, the computer that displayed the camera feed had been unplugged and stored securely. The plan of correction has been cleared. This report will be sent to Director, Mia Buckner-Preston for virtual signature.

met_with: Staff


summary: Facility Evaluation

raw_content:
Narrative:
On 5-20-24 3:30PM, Licensing Program Analyst George Karkazis conducted an unannounced inspection at the Alameda County Assessment Center, and met with Lisa Benharush, Supervising Manager. The purpose of the inspection was to interview clients for REFUGE 3 #015650058, complaint 14-CR-20240329104947. Client formerly at REFUGE 3 now reside at this location. An exit interview was conducted and a copy of this report was given to Lisa Benharush, Supervising Manager.

met_with: Lisa Benharush, Supervising Manager


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Alyssa Ng made an unannounced case management inspection on 07/24/2023 to the above listed facility and met with Melissa Fegurgur, Program Manager at 2: PM. The purpose of the inspection was to discuss an incident where a client was involved in a car accident. On 7/20/23, LPA Ng received an incident report (dated 7/18/23) regarding a client who AWOLed. While reading the report, LPA read that her physical condition is altered due to suffering body aches from a car accident. LPA Ng checked the IR inbox and found that there was no incident report regarding a car accident. LPA advised Melissa that any unusual behavior or injury is considered an incident and should be documented properly and sent to the department within seven days. LPA advises per Operating Standards (OS) Section 84461(a)(1) Reporting Requirements. There was one deficiency cited at today's visit. An exit interview was conducted, appeal rights provided, and a copy of this report left with Program Manager Melissa Fegurgur, whose signature on this form.

met_with: Melissa Fegurgur


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
Licensing Program Analyst (LPA) Alyssa Ng and Licensing Program Manager (LPM) Carolyn Flynn made an unannounced case management inspection on 10/17/23 to the above listed facility and met with Mia Buckner-Preston, Administrator at 12: PM. The purpose of the inspection was to conduct interviews, discuss background clearances, reporting requirements, and technical support services (TSP). During the inspection, LPA Ng and LPM Flynn interviewed three staff and two clients. One client declined. Based on the review of the Guardian roster, staff who work directly with the clients, do not have criminal record background clearances through the Department of Social Services. LPA found that the AC is sending in incident reports that are incomplete. For example, what techniques staff used to redirect a client prior to an unauthorized absence (AWOL) were not included in incident reports. Further, incident reports for an unauthorized absence also did not include police report numbers. LPA Ng discussed the incident report documents (LIC624 and LIC624LE). LPA informed the Administrator that the facility can use their own forms if they contain all the required information. Administrator Mia Buckner-Preston responded to LPA and said they have "updated the Runaway Incident form and will begin using the form when they start the electronic Runaway Notification process with Hayward PD. The form will be completed by Westcoast Children's Clinic and will include all the needed information. Technical Support Services (TSP) were offered and accepted with Mia Buckner-Preston, Administrator in regards to reporting requirements. ---------------Cont on Lic 809c------------- Facility is being cited per Operating Standards (OS) Section 80019(a) Criminal Record Clearance and Section 84061(f) Reporting Requirements. An exit interview was conducted, appeal rights were discussed, and a copy of the report was given to Mia Buckner-Preston, Administrator.

Deficiencies:
84061(f): (f) Incident Reports must include the following....

met_with: Mia Buckner-Preston

title:
1
2
3
4
5
6
784061


summary: Facility Evaluation - 2 deficiencies

raw_content:
Narrative:
On 3/20/2024 at 4:00pm, Licensing Program Analyst (LPA) Selena Hood, Licensing Program Manager (LPM) Carolyn Flynn, and Regional Manager (RM) Nelson Martinez met with Mia Buckner-Preston, Director and Melissa Fegurgur, Program Manager. The purpose of this meeting was to discuss the deficiencies found during case management at the facility. On 10/17/2023, 11/17/2023, and 12/14/2023, LPA Alyssa Ng, LPM Carolyn Flynn, LPA Selena Hood, and LPA Celeste Aparicio had conducted case management visits to the facility in relation to concerns raised by City of Hayward. During the course of the case management, CCL conducted nineteen confidential interviews. CCL also reviewed police reports from Hayward Police Department. Based on observation, multiple incident reports from November 2023 were submitted over seven days later. This poses a potential risk to the health, safety, or personal rights of clients in care. CCL delivered a Type B citation for Operating Standards 84461(a)(1) for reporting requirements. During licensing visits on 10/17/2023 and 11/17/2023, LPAs and LPM were declined interviews with staff working on site. This poses a potential risk to the health, safety, or personal rights of clients in care. CCL delivered a Type B citation for Operating Standards 80044(b) for inspection authority. During licensing visit on 11/17/2023, LPA was unable to access the medical report information for an incident in which a client had received medical treatment while in care. This poses a potential risk to the health, safety, or personal rights of clients in care. CCL delivered a Type B citation for Operating Standards 80070(b)(8) for client records. CCL delivered a Type B citation for Operating Standard 84322(g) due to the facility program statement not including a staff training plan and the transition out of Sheriff to Security contract. This poses a potential risk to the health, safety, or personal rights of clients in care. Appeal rights were provided and discussed. LPA conducted an exit interview with Mia Buckner-Preston, Director. This report will be sent for virtual signature.

Deficiencies:
80070(b): 1
2
3
4
5
6
7
84322: 1
2
3
4
5
6
7Community Care Licensing has sent a revision letter for the Emergency Intervention Plan and runaway plan that requests an updated staffing plan on 1/9/2024.

title:
1
2
3
4
5
6
780070(b)(8) Client Records - Record of any illness or injury requiring treatment by a physician or dentist and for which the facility provided assistance to the client in meeting his/her necessary medical and dental needs.This requirement is not met as evidenced by

description:
1
2
3
4
5
6
7

title:
1
2
3
4
5
6
784322(g) Emergency Intervention Plan -The Emergency Intervention Staff Training Plan is to be included as a component of the emergency intervention plan.... This requirement has not met as evidenced by


facility_name: ALAMEDA COUNTY TRANSITIONAL SHELTER CARE FACILITY

summary: Facility Evaluation

raw_content:
Narrative:
On 7/15/2024 at 10:30am, a meeting was conducted to discuss the pending application and transition plan for the listed location. The following attendees were present: Selena Hood, Licensing Program Analyst (LPA), Community Care Licensing (CCL) Carolyn Flynn, Licensing Program Manager (LPM), CCL Nelson Martinez, Regional Manager (RM), CCL Alicia Bernstein - Manager, Systems of Care Branch (SOC) Ashley Bray - Manager, SOC Chadwyck Moore - Analyst, SOC Anita Copeland - Manager, SOC Mia Buckner-Preston - Administrator (ADM), Alameda County Assessment Center (AC) Michelle Love - Assistant Agency Director (AAD), AC Melissa Fegurgur - Program Manager, AC Makda Woldensbet - Program Specialist, AC During the meeting, CCL and SOC representatives discussed the Notice of Incomplete Application, revision letters, and Emergency Intervention Plan and Runaway Plan revision letters that were previously sent to the applicant. The applicant stated that they understood the asks discussed and will be sending updated Program Statement and forms; the applicant will submit these updates by 7/17/2024. The applicant asked for resources and advice for de-escalation procedures to prevent staff and client injuries. SOC relayed that they would share current resources. AAD shared that they had begun working with the local law enforcement agency to enforce the relationship. LPM stated that the facility sketch has not been procured. AAD and ADM relayed that they would be submitting the facility sketch later that same day (7/15/2024). The meeting adjourned at 11:55AM. This report will be sent virtually for signature.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Monica Pavia conducted a pre-licensing inspection on July 24, 2024, 10:15am, at the address listed above. Alameda County Social Services Agency has submitted an application be for a Transitional Shelter Care Facility (TrSCF), to be licensed for a capacity of 10 ambulatory children ages 0-17, plus nonminor dependents (NMDs). This site inspection was conducted with Mia Buckner-Preston, Emily Lathrop, Makda Woldesenbet, and Jennifer Moeller. Alameda County is in the process of relocating to this location from their previous county operated shelter. Some furniture & other miscellaneous items being used at the other county shelter will be moved at a later date, prior to placements at current site. The following was observed: The campus currently has 3 buildings on the property. Facility campus has an electronic gate with code entry as you enter the driveway. House A is the main house to be used immediately for residential clients, capacity of 6, 3 clients bedrooms, 1 client bathroom, kitchen, nurse office, laundry closet, living room and a large multi-use room as you enter House A. House A has a fireplace, with cover, that meets TrSCF Operating Standards, Version 1, dated February 2023. Sharps are in a lock box kept locked in House A's laundry closet. All medications will be kept in a locked cabinet, in the locked nurse's office. A waiver for Naloxone (aka Narcan) will be requested to LPA Pavia for processing. First aid kits are throughout the home. Disposable paper/plastic products will be utilized in this facility in lieu of washable plates, cups and cutlery. Hot water measured at 135 degrees, and will be turned down prior to accepting placements. Additional observations include: individual beds were observed with clean linens; additional bedding and linens observations; dayrooms are accommodating of all required furnishings; food storage space observed; some nonperishable foods observed; perishable foods and additional nonperishable foods will be bought prior to placements; and, living room and kitchen equipped with tables and chairs accommodating all clients. Lockers are available and accessible for clients, with code. Staff will also have re-programmable code and locker key, in the event the code is forgotten. House B is currently being utilized for storage and staff work areas. House B will eventually be used for residential clients and possible staff offices. House B is locked at all times, when staff are not in the house. LPA Pavia will be notified prior to client placements in House B, at which time an inspection of this house will be conducted. The third building is a barn with horse stables. A decision has yet to be made on whether the building will be torn down, or utilized for another purpose. This building will be kept in compliance, for the safety of clients, until a decision is made. The campus currently has cameras on the grounds outside, that pre-dated applicant's control of property. There are no cameras inside any residential buildings on the campus and applicant is aware cameras are not allowed inside. All signs and required forms to be posted when relocation is complete, prior to placements. Alarms will be installed on building doors and windows, on a future date. The applicant is waiting for a new certificate of occupancy from the Building Official, in order to schedule the fire inspection. Fire extinguishers are located inside and outside of buildings, campus-wide. The applicant is contracted to employ security personnel. No firearms are allowed inside residential units. The applicant and security personnel's firearm policy needs further review, to ensure Community Care Licensing compliance. The following items listed below were discussed and need to be completed. Applicant will notify LPA Pavia when completed. General Service Agents (GSA) with Alameda County are scheduled to the site location Friday, 7/26/24, to attend to property building needs. 1. Removing all waste/garbage/donations, not wanted or needed, from property and barn. 2. Adding a lock on the fence in the back of the property, which leads to a creek. 3. Adding/providing locks everywhere required. 4. Adjusting hot water heater. Building water temperature must read between 105 and 120 degrees Fahrenheit. 5. All extra bedding will be removed from client bedroom closets and kept in a communal closet. 6. All waste bins with lids have been ordered. LPA reviewed monthly population and overstay reports, due to be emailed to LPA Pavia, by the 10th of each month. LPA Pavia will email instructions to request Narcan waiver, at a later date. LPA will email medication form instructions, at a later date. It was also discussed that should Alameda County need to place a client under an emergency status at the new location prior to full licensure, they will exhaust all other placement options, follow the new OS, notify the Department when a client is placed.

visit_type: Prelicensing


summary: Facility Evaluation

raw_content:
Narrative:
Regional Manager (RM), Helga Wong and Licensing Program Analyst (LPM), Carolyn Flynn conducted an Office Meeting, via Microsoft Teams, on Thursday, October 9, 2025, at 11: AM. The purpose of this meeting was to discuss the status of the Alameda County Transitional Care Facility (TrSCF) application. Present in today's meeting from Community Care Licensing (CCL) were RM Wong and LPM Flynn and from Alameda County were Michelle Love, Assistant Agency Director and Mia Buckner-Preston, Division Director. CCL inquired about the progress and plan of Alameda County TrSCF property. Discussion was had regarding the use of "House A" and House B". It was discussed that the fire inspection was completed, but there are still additional requirements that need to be met before clearance is granted. Since the initial application was for a capacity of 10, total for both houses, it was suggested that they resubmit a new LIC200 to reflect a capacity of six and when the second building, house B, is ready they can request an increase in capacity and request a new fire clearance. Mia will follow up with submitting a new LIC200. It was discussed that prior to any construction on the property, they will submit a safety plan on how the county will ensure the safety of the clients in care. A copy of this report was sent via email to Mia Buckner-Preston with a request for signature and to be returned for the Departments' file.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Monica Pavia conducted a 2nd, pre-licensing inspection on December 30, 2025, 11:30am, at the address listed above. Alameda County Social Services Agency has applied for a Transitional Shelter Care Facility (TrSCF), to be licensed for a capacity of 10 ambulatory children ages 0-17, plus nonminor dependents (NMDs). This site inspection was conducted with Mia Buckner-Preston, Emily Lathrop, Makda Woldesenbet, Rutendo Crawford and Don Nevis. This is a follow up prelicensing inspection from the original prelicensing inspection, dated July 24, 2024. This inspection is being conducted for the building referred to as 'House A', closest structure to the street (Palo Verde). Community Care Licensing (CCL) received a granted fire clearance dated December 5, 2025, issued by Alameda County Fire Department. This fire clearance was granted for a capacity of ten (10) ambulatory youth, ages 0-17 years of age, and Nonminor Dependents. The building referred to as 'House B', located behind 'House A', is not cleared by CCL as a congregate care unit. House B may not be accessed by youth in placement. Placement services may not be provided to youth in House B. House B is currently being utilized for storage and staff work areas. House B is locked at all times, when staff are not in the house. The following was observed: LPA Pavia observed the corrections and/or updates requested on reports, as stated on July 24, 2024, inspection report. The campus currently has cameras on the grounds outside, that pre-dated applicant's control of property. There are no cameras inside any residential buildings on the campus and applicant is aware cameras are not allowed inside. All signs and required forms are current and posted in House A, with a view to all youth in care. The applicant is contracted to employ security personnel. No firearms are allowed inside residential units. Security personnel shall have their firearms and ammunition locked in separate lock boxes, then locked in Security Personnel assigned lockers, with lock. LPA Pavia verified lockboxes and lockers met CCL standards. LPA reviewed monthly population and overstay reports, due to be emailed to LPA Pavia, by the 10th of each month. Once Administrator Certificate application has been reviewed and approved by Administration Certificate Bureau, LPA Pavia will submit Alameda County TrSCF application to LPM Flynn for final review and approval. LPA Pavia will follow up with licensure of TrSCF, located at address listed on report. A copy of this report was left at facility.


facility_name: ALMADEN EXPWY

summary: Facility Evaluation

raw_content:
Narrative:
On 11/19/2024 at 4:00PM, a virtual meeting was conducted with an applicant for the purpose of providing technical assistance for Department of Children and Family Services (DFCS). The following were present at the meeting: Helga Wong - CCL Regional Manager (RM) Mona Lam - CCL Licensing Program Analyst (LPA) Alicia Bernstein - Program Manager, System of Care Branch (PM) Chadwyck Moore - Provider Analyst, System of Care Branch Damion Wright - Director of Santa Clara County Department of Family and Children Services Wendy Kinnear - Acting Assistant Director of Santa Clara County Department of Family and Children Services Priscilla Mojica-Angulo - Program Manager, Santa Clara County Clarence Cisneros Jones - Designated Administrator for Riverview TrSCF and Hidden Valley TrSCF Nandini Iyer - County Counsel, Santa Clara County Kristofer Nguyen - Santa Clara County Representative During the meeting, the applicant and CCL representatives discussed in regards CCL different site visits (annual, post-licensing, complaints, and case management), different types of deficiencies (technical advisories, technical violations, Type B Citation, Type A Citation), additional steps for Almaden Expressway TrSCF and McKee TrSCF application, and guidance on the program statement on medication and $500 limit for youths. DFCS inquired dates for the pre-licensing, Component II and Component III prior to licensure. RM Wong stated pending items for the applicant includes needing to submit a written closure plan for Hidden Valley TrSCF. The meeting concluded at 5: PM.

met_with: Damion Wright


summary: Facility Evaluation

raw_content:
Narrative:
On 11/27/2024 at 10: AM, Licensing Program Analyst (LPA) Mona Lam and Licensing Program Manager (LPM) Carolyn Flynn conducted an announced visit to the applicant location. The purpose of this visit was to conduct the Pre-Licensing inspection for the applicant. LPA and LPM met with Damion Wright, Priscilla Mojica-Angulo, Teana Box, Raymond Gonzales, Karin Roberts, Wendy Kinnear, and Matthew Hornung. LPA and LPM conducted a tour of the facility. The facility has two living units. One unit is in use for solely clients. The unit contains a three bedrooms and two bathrooms (one client bathroom and one staff bathroom) residential home. LPA and LPM observed that the kitchen which had sufficient amounts of non-perishable items. The facility currently have no perishable items due to food services are catered and no clients currently reside at the unit. The staff bathroom is locked and includes laundry machines. Priscilla stated that detergents, soaps, and cleaning compounds will be locked within the staff bathroom. In addition, Priscilla stated that knives and sharps will be locked within the other living unit. Posted bill of rights and clients complaint procedures were observed at the entrance of the unit. LPA advised in having a locked box to drop grievance forms to ensure confidentiality of clients. Client bathroom was observed. Bathroom tap water reached to 117 degrees Fahrenheit. The unit uses smoke and carbon monoxide dual detectors, which were tested and found to be working during inspection. The three client bedrooms contained two furnished beds with two dressers each. Priscilla stated that the facility will additionally provide one shared desk space in each bedroom. One bedroom had additional closet space. Five out of six bedframes have a platform that is similar to a captain's bed without the drawers underneath. CCL will check regulations and will respond accordingly. (See LIC809-C) LPA and LPM observed the outdoor area. The outdoor area had a table with benches. In addition, a creek resides to the back of the property. Fencing is around five feet, covering the perimeter of the property. LPM advised in having the fencing covered with a privacy screen on the back of the premises. In addition, LPA and LPM observed areas of spacing towards the front of the property, uncovered due to planting arrangements. LPM advised in covering up the open spacing. Facility will provide pictures of coverage to CCL within 30 days. LPA and LPM observed the second living unit. Priscilla stated that staff will only have access to this living unit. This unit has two floors. On the first floor, there is a living room, dining space, kitchen, and staff bathroom. Dining space contains a locked medicine and cash resources cabinet. First aid was observed and was in compliance. LPA advised in submitting a Narcan waiver request in usage of Narcan. Living room contained a storage closet with school supplies. LPA advised in providing a pencil sharpener with monitored usage. The second floor contains three rooms and a bathroom. Within a closet space on the second floor, there is a locked files cabinet. LPA and LPM observed disaster preparedness plan, which was in compliance. LPM advised in practicing flood drills due to property location. LPA observed five staff files. One of the staff files did not contain fingerprint clearance, driver's license, health and tuberculosis test, CPR, and training. It was explained that the staff was new and has been working for a month. LPA advised in having documentation practiced and in files as soon as possible once a new staff is hired. Four CPR/First Aid were observed as adult only CPR/First Aid. The applicant is currently working for all staff members to receive CPR/First Aid training for children. LPA observed two expired driver's license in files. Applicant is working in retrieving current driver's license for staff. LPA additionally reviewed individual forms of client intake, registrar of clients, and youth info. LPA and LPM observed garage space. On the exterior space of the garage, two surveillance cameras were located. Surveillance cameras were from previous landlord, which are not in use. Priscilla stated that DFCS are in discussion of installing surveillance cameras on the exterior of Almaden Expressway TrSCF. LPA stated in will providing PIN in regards of instructions and regulations regarding surveillance cameras. LPA conducted an exit interview with Priscilla Mojica-Angulo and Teana Box. Priscilla's signature confirms the receipt of this document. A copy of this report was printed and left at the site.

met_with: Priscilla Mojica-Angulo


summary: Facility Evaluation

raw_content:
Narrative:
On 12/10/2024 at 1:30PM, a virtual meeting was conducted to discuss the Component II and Component III for the facility application. The following attendees were present at the meeting: Helga Wong - CCL Regional Manager (RM) Carolyn Flynn - CCL Licensing Program Manager (LPM) Mona Lam - CCL Licensing Program Analyst (LPA) Simran Nayyar - CCL Licensing Program Analyst (LPA) Chadwyck Moore - Provider Analyst, System of Care Branch Damion Wright - Director of Santa Clara County Department of Family and Children Services Priscilla Mojica-Angulo - Program Manager, Santa Clara County Clarence Cisneros Jones - Designated Administrator for Riverview TrSCF and Hidden Valley TrSCF Teana Box - Management Analyst, DFCS Nandini Iyer - County Counsel, Santa Clara County During the meeting, applicant and CCL representatives discussed the TrSCF Operating Standards, Program Statement, and program policies. Incident reporting, personal property, basic services, accountability, personnel requirements, personnel records, ratios, personal rights, manual restraints and emergency intervention plan, admission agreements, medical assessment, client records, register of clients, transportation, health-related services, food services, building and grounds, inspection authority, waivers and exceptions, planned activities, neighborhood policy and community resources, compliance and the LPA, deficiency types, and administrative actions were discussed during the meeting. LPA Lam shared the Community Care Licensing Division website, Provider Information Notices (PINs), quarterly provider meetings dates, different LIC 624 forms, and psychotropic training information. CCL representatives reiterated information on unlicensed care and penalties pertaining to it. LPA Lam discussed the pending items pertaining to the applicant: clarification on roles equivalent to facility manager, physical plant corrections for Almaden TrSCF, and cleared staff background checks. LPA Lam discussed that revisions for McKee TrSCF is due on December 26, 2024 and the Welcoming Center application is due on December 30, 2024. LPA Lam stated if extensions are needed, they need to be requested via email. DFCS stated that Morgan Hill TrSCF application is on pause. The meeting was adjourned at 3: PM. This report will be sent for digital signature.


summary: Facility Evaluation

raw_content:
Narrative:
On 12/26/24, at 2: PM, Licensing Program Analyst (LPA) Mona Lam met with John Carr, covering Shift Supervisor. The purpose of the visit was to interview clients pertaining to a complaint investigation from Hidden Valley TrSCF. At the time of the visit, 4 staff and 2 clients were at the site. It was stated that one client was at work and another client was out on a visit. LPA Lam conducted one confidential interview. Administrator arrived to site at 2: PM. An exit interview was conducted and copy of the report is given to Priscilla Mojica-Angelo.

met_with: Priscilla Mojica-Angelo


summary: Facility Evaluation

raw_content:
Narrative:
On 12/27/24, at 2: PM, Licensing Program Analyst (LPA) Mona Lam conducted an unannounced visit to the facility listed above. The purpose of this visit was to deliver the findings pertaining to a complaint from Hidden Valley TrSCF. LPA Lam met with Clarence Cisneros-Jones. An exit interview was conducted and a copy of the report was left with Clarence Cisneros-Jones.

met_with: Clarence Cisneros-Jones


summary: Facility Evaluation

raw_content:
Narrative:
On 02/07/2025 at 9: AM, Licensing Program Analysts (LPAs) Mona Lam and Omar Sawyer made an unannounced inspection to the above facility. The purpose of this inspection is to inform the facility representative that a complaint investigation is being conducted for a closed facility, Hidden Valley TrSCF. At the time of the inspection, members of the Juvenile Justice Committee Board members were present at the site. LPAs conducted a facility walkthrough and found physical plant to be in compliance. An exit interview was conducted and a copy of this report was left with Priscilla Mojica-Angelo.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 03/12/25 at 10: AM, Licensing Program Analysts (LPAs) Mona Lam and Hanako Primer conducted an unannounced inspection to the above licensed facility. The purpose of this visit is to conduct a post-licensing inspection. LPAs met with Teana Box, Management Analyst, and Priscilla Mojica-Angulo, Administrator who assisted LPAs with the inspection. During the inspection, LPAs inspected six staff files. Areas were identified that can be improved by the facility. LPAs issued two technical violations and one technical advisory. The following three Type B deficiencies were cited during the inspection:86666(a) Personnel Records, 86675(e) Health Related Services, 6665(v)(5) Personnel Requirements. The inspection was not complete at this time. LPAs will complete inspection at a later date. An exit interview was conducted a copy of this report and appeals rights page were discussed, printed, and delivered to Priscilla Mojica-Angulo and Teana Box prior to leaving the facility.

Deficiencies:
86666(a): TrSCF Operating Standards 86666(a) Personnel Records
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 03/18/25 at 10: AM, Licensing Program Analysts (LPAs) Mona Lam and Hanako Primer conducted an unannounced inspection to the above licensed facility. The purpose of this visit is to conduct a continuation of the post-licensing inspection. LPAs met with Teana Box, Management Analyst, Priscilla Mojica-Angulo, Administrator, and Clarence Cisneros-Jones who assisted LPAs with the inspection. During the inspection, LPAs inspected six staff files, five client files, disaster and mass casualty plan, and facility plan of operation. Areas were identified that can be improved by the facility. LPAs issued six technical violations and one technical advisory. The following five Type B deficiencies were cited during the inspection: 86665(s)(1) Personnel Requirements, 86678.2(a)(3) Trauma Informed Program Practices, Services, and Supports, 86670(a) Client Records, 86765(d)(1) Emergency Intervention Staff Training, and 86665.2(c) Personnel Duties. The inspection was not complete at this time. LPAs will complete inspection at a later date. An exit interview was conducted a copy of this report and appeals rights page were discussed, printed, and delivered to Priscilla Mojica-Angulo, Clarence Cisneros-Jones, and Teana Box prior to leaving the facility.

Deficiencies:
86665.2(c): TrSCF Operating Standards 86665.2(c) Personnel Duties
(c) Social work staff shall complete or assist in the completion of the following for each child


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 03/25/25 at 12: PM, Licensing Program Analysts (LPAs) Mona Lam and Hanako Primer conducted an unannounced inspection to the above licensed facility. The purpose of this inspection is to conduct a continuation of the post-licensing inspection. LPAs met with Priscilla Mojica-Angulo, Administrator and Mary Jane Alvarado, Social Worker Supervisor who assisted LPAs with the inspection. At the time of the inspection, two youth were on site and two youth were at school. During the inspection, LPAs inspected five client files. LPAs inspected physical plant of the facility and interviewed one staff. Areas were identified that can be improved by the facility. The following four Type B deficiencies were cited during the inspection: 86670(h)(10) Client Records, 86672.1(a)(2) Discipline Procedures, 86669(c) Client Medical Assessments, and 84072.2(a)(2) Complaint Procedures. The inspection was not complete at this time. LPAs will complete inspection at a later date. An exit interview was conducted a copy of this report and appeals rights page were discussed, printed, and delivered to Priscilla Mojica-Angulo and Mary Jane Alvarado prior to leaving the facility.

Deficiencies:
86669(c): TrSCF Operational Standards
86669(c) Client Medical Assessments
(c) The medical and mental health screening shall include the following


summary: Facility Evaluation

raw_content:
Narrative:
On 05/06/25 at 12: PM, Licensing Program Analysts (LPAs) Mona Lam and Jonathan Medina conducted an unannounced inspection to the above licensed facility. The purpose of this inspection is to conduct a continuation of the post-licensing inspection. LPAs met with Priscilla Mojica-Angulo, Administrator who assisted LPAs with the inspection. During the inspection, LPAs inspected five client files and conducted a physical plant inspection. LPAs observed wooden boards on windows of staff dwelling. Priscilla stated that an order was made to repair broken windows. LPAs conducted one staff interview and two client interviews. One staff interview was conducted earlier on an inspection on 03/25/25. No deficiencies were found at the time of the inspection. An exit interview was conducted a copy of this report was discussed, printed, and delivered to Priscilla Mojica-Angulo prior to leaving the facility.

met_with: Priscilla Mojica-Angulo, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 08/01/2025 at 12: PM, Licensing Program Analyst (LPA) Mona Lam conducted an unannounced inspection at the above listed facility with Priscilla Mojica-Angulo who helped with the inspection. The purpose of the inspection was conducting a case management inspection. Based on record review of incident reports within the last two months, multiple incident reports were identified as late reports. A technical violation was issued under the Transitional Shelter Care Facility Operating Standards, 86661(b) Reporting Requirements. No deficiencies were cited at this time. LPA received information of alleged misuse of manual holds. LPA conducted three confidential interviews. LPA will request additional information to follow-up on concern. An exit interview was conducted and a copy of this report was given to Clarence Cisneros Jones prior to exiting the facility.

met_with: Clarence Cisneros Jones


summary: Facility Evaluation

raw_content:
Narrative:
On 12/11/25 at 10: AM, Licensing Program Analysts (LPAs) Mona Lam and Amee Li conducted an unannounced inspection to the above licensed facility, with the purpose of conducting an annual inspection. LPAs met with Teana Box, Management Analyst, Daniel Estrada, Social Worker Supervisor, and Priscilla Mojica-Angulo, Administrator, who assisted LPAs with the inspection. LPAs toured the facility. The facility has two living units. One unit is in use for solely clients. The unit contains three bedrooms and two bathrooms. LPAs observed that the kitchen had sufficient amounts of perishable and non-perishable items. The staff bathroom is locked and includes laundry machines. Detergents, soaps, and cleaning compounds are in locked cabinets. Knives and sharps are also locked. Posted bill of rights and clients complaint procedures including a locked box for grievance forms were observed at the entrance of the unit. Client bathroom was observed. The unit uses smoke and carbon monoxide dual detectors. The three client bedrooms contained two furnished beds with two dressers each. Water temperature measured at 105.9 degrees Fahrenheit. LPAs did not observe a written plan of activities. A technical violation was issued under Transitional Shelter Care Facility Operational Standards (TrSCF OS) 86679(a) Planned Activities. LPAs inspected the outdoor area. The outdoor area had a table with benches. In addition, a creek runs along the back of the property. Fencing is around five feet, covering the perimeter of the property. LPAs found one damaged window screen and issued a technical advisory under TrSCF OS 86688(b) Fixtures, Furniture, Equipment and Supplies. Continued on LIC809-C. LPAs inspected centrally stored medications in the second living unit. Only staff have access to this living unit. First aid was also observed and was in compliance. LPAs inspected emergency disaster plan, restraint log, board of directors meeting minutes, five staff files, and five client files. LPAs issued a technical violation for an incomplete client register, under TrSCF OS 86671(a)(1) Register of Clients. LPAs conducted two client interviews and two staff interviews. No deficiencies were cited. An exit interview was conducted, a copy of this report was discussed, printed and delivered to Teana Box prior to leaving the facility.

met_with: Teana Box, Management Analyst


summary: Facility Evaluation

raw_content:
Narrative:
On May 30, 2025 at 3: PM Licensing Program Analyst (LPA) Mona Lam conducted an unannounced case management - incident inspection at the above licensed facility to follow up on previously submitted incident reports(IR). In addition, LPA conducted an announced inspection to deliver the findings for a closed site. LPA met Priscilla Mojica-Angelo. The incident report was received on 05/15/2025. At the time of the inspection, there were two clients at the facility. Based on confidential interviews and incident report, a Type A deficiency was issued to the licensee for lack of supervision at the facility under TrSCF Operating Standards 86678(a) Responsibility for Providing Care and Supervision. See attached 809-D form. An exit interview was conducted, appeal rights discussed, and a copy of this report were provided to Priscilla Mojica-Angelo.


facility_name: CHERISH RECEIVING CENTER

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Paul Simien made an unannounced visit to the above listed facility to inform them of the findings for the above listed allegations. LPA met with Adam Weiner, Administrator (ADM) at 9: AM on 4/5/24. Due to LPA Simien only being able to interview one person involved in the incident, it was determined that the allegations listed above are unsubstantiated. LPA attempted to contact the other individual involved in the incident via their social worker but as of 4/5/24 has not gotten a response. LPA was able to contact an individual that witnessed the incident, but they declined to be interviewed. The facility attempted to send incident reports (IR) to San Jose Children's Residential Regional Office (RO) but RO didn't receive them due to server issues at the facility. The facility re-sent the IRs when informed of this. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. As a result of this visit, there were no title 22 deficiencies observed. Exit interview was conducted and a copy of this report was provided to ADM. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Paul Simien 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:

report_type: Complaint Investigation

met_with: Adam Weiner, Administrator

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On 2/25/22 at 11:40am, Licensing Program Analyst (LPA) Paul Simien conducted an unannounced visit to the above facility. The purpose of this visit was to conduct the required annual inspection. LPA met with Adam Weiner, Core Program Director II (CPD), at the above facility to conduct the required annual inspection. 1. The facility and grounds are in good repair, free of mess, and free of obstructions. 2. There is adequate indoor activity space and materials. 3. Chemicals are stored in a locked cabinet. 4. Locked and centrally stored medications observed. Observed medication logs and discussed procedures for psychotropic medications. 5. First aid kit complete 6. Adequate storage space observed. 7. Individual beds are in good repair, equipped with good springs, clean mattresses and pillows observed. Individual beds and crib were observed with appropriate clean linens in good repair. Adequate supply of additional bedding and linens observed. 8. Facility has three (3) client bedrooms, all located on one single level. Bedrooms are accommodating of all required furnishings. 9. Adequate food storage space observed. Supply of seven days of perishable foods and two weeks of nonperishable foods observed upon inspection. 10. Weekly menu are accessible to clients. 11. Dining room equipped with large table and chairs accommodating all clients. 12. There are three (3) full restrooms in this facility, all are operable. 13. Hot water measured within required range (kitchen sink, two (2) bathrooms). 14. All smoke detectors were tested by a fire inspector and appear to be in proper working order. 15. Carbon monoxide detector observed. 16. Fire extinguishers properly charged. 17. Adequate supply of additional bedding and linens observed. 18. Facility is waiting for fire certificate from the Fire Marshall. Fire inspection was shown as substitute. 19. Sharp objects are stored in locked cabinet. 20. Appropriate forms are posted in view of facility clients. 21. Facility does not have any open bodies of water. 22. No firearms or weapons are allowed in the facility. 23. Licensing Information System (LIS) Fingerprint clearances (dated 6/25/21) were reviewed with CPD. No deficiencies were cited at this time. LPA conducted an exit interview with Adam Weiner, CDP, at 1:00PM.


summary: Facility Evaluation

raw_content:
Narrative:
On 5/12/22 at 10:40am, Licensing Program Analyst (LPA) Paul Simien conducted an unannounced visit to the above facility. The purpose of this visit was to conduct the continuation required annual inspection started on 2/25/22. LPA met with Adam Weiner, Core Program Director II (CPD), at the above facility to conduct the required annual inspection. The following items were discussed and reviewed by LPA during Inspection: 1.LIC 500 reviewed to ensure appropriate staffing ratios, including Administrator, Social Work personnel, and Direct Care staff. 2. Personnel files obtained/reviewed to ensure staff meet regulatory requirements. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. Personnel Files are retained at the office and are available to the department for review upon request. 3. Facility procedures for 30-day updates to CCLD regarding participant Overstay logs discussed 4. Facility is to ensure all clients considered for placement have been assessed as meeting placement eligibility requirements. Facility has process in place to contact authorized representatives to ensure assessment for clients' continued placement. 5. Disaster and Mass Casualty Plan was reviewed with CPD. 6. LPA went over the Intake process with CPD. 7. LPA reviewed one client file with CPD. No deficiencies were found but LPA made recommendations regarding training log and keeping the Administrator files with the rest of the staff's files (LPA was still able to view the Administrator files, except the Training log which will be sent next week due to being stored with HR) No deficiencies were cited at this time. LPA conducted an exit interview with Adam Weiner, CDP, at 3:30PM.

met_with: Adam Wiener


summary: Facility Evaluation

raw_content:
Narrative:
On 2/27/23 at 10: AM, Licensing Program Analyst (LPA) Paul Simien conducted an unannounced visit to the above facility. The purpose of this visit was to conduct the required annual inspection. LPA met with Ivette Ochoa, Core Program Supervisor (CPS) at the above facility to conduct the required annual inspection. LPA reviewed six staff files and completed plant inspection. No deficiencies were cited at this time. LPA conducted an exit interview with Ivette Ochoa, CPS at 3: PM.

met_with: Ivette Ochoa, Core Program Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On 3/3/23 at 11: AM, Licensing Program Analyst (LPA) Paul Simien conducted an unannounced visit to the above facility. The purpose of this visit was to conduct the required annual inspection. LPA met with Adam Weiner, Administrator (ADM) at the above facility to conduct the required annual inspection. LPA reviewed five client files and completed the disaster preparedness section. . No deficiencies were cited at this time. LPA conducted an exit interview with Adam Weiner, ADM at 3: PM.


summary: Facility Evaluation

raw_content:
Narrative:
On 3/17/23 at 10: AM, Licensing Program Analyst (LPA) Paul Simien conducted an unannounced visit to the above facility. The purpose of this visit was to conduct the required annual inspection. LPA met with Adam Weiner, Administrator (ADM) at the above facility to conduct the required annual inspection. LPA reviewed emergency interventions and operation sections. LPA interviewed one staff member (only one staff member and no clients were available at the time of interviews.) The inspection is complete at this time, Four Technical assistance were issued. LPA conducted an exit interview with Adam Weiner, ADM at 2: PM.


summary: Facility Evaluation

raw_content:
Narrative:
On 12/8/23 at 10: AM, a meeting was coordinated between Department of Social Services representatives, Aspiranet, Monterey (MC), San Benito (SBC), and Santa Cruz Counties (SCC), and Cherish Receiving Center Representatives. The attendees were as follows: Nelson Martinez - Regional Manager, Community Care Licensing (RM) Helga Wong - Licensing Program Manager, Community Care Licensing (LPM) Paul Simien - Licensing Program Analyst, Community Care Licensing (LPA) Alicia Bernstein - Manager of Placement Support Services, Family Intake and Engagement Unit Chadwyck Moore - Associate Governmental Program Analyst Roderick Franks - Assistant Director, Monterey County Lori Medina - Director of Social Services, Monterey County Eva Jeronimo - Deputy Director, Monterey County Jackie Chavez - FCS Program Manager, Monterey County Edward Juarez-Lefevre - Management Analyst III Gloria Carroll - Division Director, Santa Cruz County Joshua Mercier - Deputy Director, San Benito County Jyotti Pannu - Core Divison Director, Aspiranet Vernon Brown - CEO, Aspiranet Laurie Walsh - COO, Aspiranet Adam Weiner - Core Program Director, Aspiranet During the meeting the attendees discussed the Cherish Receiving Center (CRC) Annual Review Responses. County and Aspiranet representatives were notified that CRC's License expires in February 12, 2024 and that an extension must be formerly requested before then. Dept. of Social Services representatives suggested the request be submitted as soon as possible. Continued on LIC809C... County representatives discussed the action MC, SBC, SCC has taken to lower overstays at the receiving centers. Including working with providers to increase ISFC (Intensive Treatment Foster Care) Resource Family Homes (RFH), efforts to increase relative placements, focusing on converting relative placements into continual RFHs, various methods to increase RFHs, and providing wrap around services for current ISFC/RFHs. Countty representatives expressed that despite increased efforts to decrease use of CRC there are many challenges they encounter and that CRC will continue to be needed. Aspiranet representatives discussed the coordination/partnership it has with the Counties (MC, SBC, SCC), highlighted the successes and challenges of operating crc, reiterated the challenges the Counties are facing, and the continued need for CRC. Aspiranet and County representatives stated the intention to renew CRC's license. The meeting was adjourned at 12: PM

met_with: Vernon Brown/Adam Weiner


summary: Facility Evaluation

raw_content:
Narrative:
On 2/21/24 at 10: AM, Licensing Program Analyst (LPA) Paul Simien conducted an unannounced visit to the above facility. The purpose of this visit was to conduct the required annual inspection. LPA met with Ivette Ochoa, Core Program Supervisor (CPS) at the above facility to conduct the required annual inspection. Interviewed two staff members and reviewed five staff files. No deficiencies were cited at this time. The inspection is not complete at this time. LPA conducted an exit interview and a copy of this report was emailed to Administrator Adam Weiner.


summary: Facility Evaluation

raw_content:
Narrative:
On 2/22/24 at 10: AM, Licensing Program Analyst (LPA) Paul Simien conducted an unannounced visit to the above facility. The purpose of this visit was to conduct the required annual inspection. LPA met with Adam Weiner, Administrator (ADM) at the above facility to conduct the required annual inspection. LPA Interviewed one client (client arrived after Annual was started) and completed the Operations, Staff, Emergency Interventions, Disaster preparedness, and Physical Plant sections of the C.A.R.E Tools. The inspection is complete at this time, one Technical assistance was issued. No deficiencies were cited at this time. LPA conducted an exit interview and a copy of this report was emailed to Administrator Adam Weiner.


summary: Facility Evaluation

raw_content:
Narrative:
On February 28, 2024, at 3:30PM, a meeting was held between Community Care Licensing (CCL), San Jose Regional Office and Facility Representatives. The attendees were as follows: Nelson Martinez - Regional Manager, Community Care Licensing (RM) Helga Wong - Licensing Program Manager, Community Care Licensing (LPM) Adam Weiner- Core Program Director, Aspiranet Ivette Ochoa, Core Program Supervisor, Aspiranet Gabriela Berteaud, Program Coordinator, Aspiranet Facility Representative requested this meeting with CCL to discuss overstays at the facility. The past few months, there was an increase on overstays at the facility due to limited placement availability for the County. CCL suggested to the facility to submit incident reports on overstays include daily discussion notes with the County on their search with placement plan and have open discuss with the County on additional resources for the clients in care. CCL provided information on Technical CDSS Assistance Call if the facility need additional support for their clients and County. The meeting was adjourned at 4: PM

met_with: Adam Weiner


summary: Facility Evaluation

raw_content:
Narrative:
On 3/3/25 at 10: AM, Licensing Program Analyst (LPA) Paul Simien and Omar Sawyer conducted an unannounced visit to the above facility. The purpose of this visit was to conduct the required annual inspection. LPA met with Adam Weiner, Administrator (ADM) at the above facility to conduct the required annual inspection. LPAs reviewed five staff files and completed plant inspection and disaster preparedness sections of the CARE tool. No deficiencies were cited at this time. The inspection is not complete at this time. LPA conducted an exit interview and a copy of this report was emailed ADM.

met_with: Adam Weiner, Administrator (ADM)


summary: Facility Evaluation

raw_content:
Narrative:
On 3/5/25 at 10: AM, Licensing Program Analyst (LPA) Paul Simien and Omar Sawyer conducted an unannounced visit to the above facility. The purpose of this visit was to conduct the required annual inspection. LPA met with Adam Weiner, Administrator (ADM) at the above facility to conduct the required annual inspection. LPAs completed Emergency Intervention, Operation, Staff and Client record sections of the CARE tool. LPAs interviewed three staff members. No clients were interviewed due to no clients being in care at the facility. At this time, the inspection is complete. Five technical assistances were issued. LPA conducted an exit interview and a copy of this report was emailed ADM.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Paul Simien made an unannounced visit to the above listed facility. The purpose of this visit was to conduct a Case Management inspection. LPA discussed this with Adam Weiner , Administrator (ADM) at 11: PM on 12/19/25. This case management was opened to deliver new license and extension letter. LPA also discussed that the facility needs to report incident reports (IR) in a timely manner and reminded them that written IRs need to be reported within seven days of incident. LPA stated that the facility needs to report overstays and AWOLs. LPA stated if the facility failed to report incidents that it would be cited. As a result of this visit, there were no title 22 deficiencies observed. Exit interview was conducted and a copy of this report was provided to ADM, whose signature on this form confirm receipt of these documents.


summary: Facility Evaluation

raw_content:
Narrative:
On May 14, 2021, at 10: AM Licensing Program Analyst (LPA) Sam Raissi and Licensing Program Manager (LPM) Helga Wong conducted a post-licensing inspection. Aspiranet (Cherish Receiving Center) provisional-license Transitional Shelter Care Facility (TSCF) license for a capacity of six (6) ambulatory children ages 0-17. LPA Raissi was met with Administrator, Adam Weiner and Core Program Supervisor, Ivette Ochoa. 1. The facility and grounds are in good repair, free of mess, and free of obstructions. 2. There is adequate indoor activity space and materials. 3. Chemicals are stored in a locked cabinet. 4. Locked and centrally stored medications observed. Observed medication logs and discussed procedures for psychotropic medications. 5. First aid kit complete 6. Adequate storage space observed. 7. Individual beds are in good repair, equipped with good springs, clean mattresses and pillows observed. Individual beds and crib were observed with appropriate clean linens in good repair. Adequate supply of additional bedding and linens observed. 8. Facility has three (3) client bedrooms, all located on one single level. Bedrooms are accommodating of all required furnishings. 9. Adequate food storage space observed. Supply of two days of perishable foods and a week of nonperishable foods observed upon inspection. 10. Weekly menu are accessible to clients. 11. Dining room equipped with large table and chairs accommodating all clients. 12. There are three (3) full restrooms in this facility, all are operable. 13. Hot water measured within required range (kitchen sink, two (2) bathrooms). 14. All smoke detectors were tested by a fire inspector and appear to be in proper working order. 15. Carbon monoxide detector observed. 16. Fire extinguishers properly charged. 17. Adequate supply of additional bedding and linens observed. 18. Facility maintains a current fire certificate. 19. Sharp objects are stored in locked cabinet. 20. Appropriate forms are posted in view of facility clients. 21. Facility does not have any open bodies of water. 22. No firearms or weapons are allowed in the facility. 23. Licensing Information System (LIS) Fingerprint clearances (dated, May 14, 2021) were reviewed with administrator.... The following items were discussed and reviewed by LPA and LPM during Inspection: 1.LIC 500 reviewed to ensure appropriate staffing ratios, including Administrator, Social Work personnel, and Direct Care staff. 2. Personnel files obtained/reviewed to ensure staff meet regulatory requirements. All appropriate personnel who require caregiver background checks have ....received criminal record and child abuse index check clearances or exemptions. Personnel Files are retained at the office and are available to the department for review upon request. 3. Facility procedures for 30-day updates to CCLD regarding participant Overstay logs discussed 4. Facility is to ensure all clients considered for future placement have been assessed as meeting placement eligibility requirements. Facility has process in place to contact authorized representatives to ensure assessment for clients' continued placement. Deficiencies are being cited on the attached 809-D; Staff members criminal clearances were not associated to this facility. On this date, Cherish Receiving Center is recommended to be licensed. Facility will be licensed for a capacity of six (6) (MALE/FEMALE) clients ages zero (0) through seventeen (17). Facility accepts only ambulatory clients. A copy of this report was sent to Adam Weiner, whose signature acknowledges receipt.

met_with: Adam Weiner and Ivette Ochoa


summary: Facility Evaluation

raw_content:
Narrative:
On 2/20/26 at 10: AM, Licensing Program Analyst (LPA) Paul Simien conducted an unannounced visit to the above facility. The purpose of this visit was to conduct the required annual inspection. LPA met with Adam Weiner, Administrator (ADM) at the above facility to conduct the required annual inspection. LPA completed Plant, disaster preparedness, Operation, sections of the CARE tool. LPAs interviewed three staff members. No clients were interviewed due to no clients being in care at the facility. At this time, the inspection is complete. LPA conducted an exit interview and a copy of this report was emailed ADM.