Health and safety citations at immigrant youth shelter show pattern of neglect

By Paloma Esquivel, Cindy Carcamo, Andrea Roberson

Casa Libre, a shelter for homeless migrant children, opened its doors in late 2002. A Times investigation found that since 2003, it has been issued 143 citations for failing to meet basic requirements for group homes. According to state officials, 89 citations posed an “immediate risk to the health safety or personal rights” of residents, and the other 54 were a potential risk.

The citations, along with interviews of two dozen former workers and residents, show a pattern of neglect despite pleas to Peter Schey, the Executive Director and founder of Casa Libre, for help.

By Paloma Esquivel, Cindy Carcamo, Andrea Roberson

Unlicensed Community Care

Visit date
5/5/2003
Type of visit
Complaint investigation
# of clients
8
Director
None
Met with
Trang Lee
Details
"Upon review of LPA's observation and current population of eight boys living in the home, this signifies an Unlicensed Community Care facility. Facility is not exempt from licensure."

Administrator Qualifications

Visit date
2/24/2005
Type of visit
Annual
# of clients
8
Director
Peter Schey
Met with
Luciana Svidler
Details
"The former administrator left on 2/14/05 and the newly hired administrator who started on 2/23/05 does not fit the qualifications outlined in Title 22. Nor is she certified."

Buildings and Grounds

Visit date
2/24/2005
Type of visit
Annual
# of clients
8
Director
Peter Schey
Met with
Luciana Svidler
Details
"1) Water damage and leaks in bedrooms #7 &#2 and over the stairway. 2) Broken Window in bedroom #2 & Missing doorknob in #9 3) Broken window in bedroom #2, 4) Broken Mirror leaning against a wall in bedroom #6 5) Several bottles of drain opener stored on the front portch 6) A handsaw and board with rusty nails sticking out of it in the backyard 7) kitchen cabinets and drawers had loose or missing doors & facings dining room chairs are in poor condition 8) Walls in kitchen & bedroom need to be cleaned & painted"

Criminal Record Clearance

Visit date
2/24/2005
Type of visit
Annual
# of clients
8
Director
Peter Schey
Met with
Luciana Svidler
Details
"On 2/15/05, the facility submitted a clerance transfer request for a person hired on 09/24/04. Such requests are to be submitted prior to a person comencing work in a community care facility."

Fixtures & Furniture

Visit date
2/24/2005
Type of visit
Annual
# of clients
8
Director
Peter Schey
Met with
Luciana Svidler
Details
"In bedroom #6 there was a bed with a ripped mattress."

Food Service

Visit date
2/24/2005
Type of visit
Annual
# of clients
8
Director
Peter Schey
Met with
Luciana Svidler
Details
"Menus shall be written at least one week in advance and…menus shall be made available for review by the clients or their authorized represntatives and the licenscing agency upon request. There was no menu posted for review."

Personnel records

Visit date
2/24/2005
Type of visit
Annual
# of clients
8
Director
Peter Schey
Met with
Luciana Svidler
Details
The personnel records were incomplete. All folders were missing various documents, specifically those related to employee training & first aid training."

Personnel records

Visit date
2/24/2005
Type of visit
Annual
# of clients
8
Director
Peter Schey
Met with
Luciana Svidler
Details
The employee time schedule…is to be updated at least one per month. The most recent version was dated 12/22/04."

Personnel requirements

Visit date
2/24/2005
Type of visit
Annual
# of clients
8
Director
Peter Schey
Met with
Luciana Svidler
Details
"Each employee is to receive the training outlined in this section and the training is to be documented in the employees file."

Personnel requirements

Visit date
2/24/2005
Type of visit
Annual
# of clients
8
Director
Peter Schey
Met with
Luciana Svidler
Details
The licensee shall designate at least one facility manager to be present at all times when children are present."

Planned Activities

Visit date
2/24/2005
Type of visit
Annual
# of clients
8
Director
Peter Schey
Met with
Luciana Svidler
Details
"Facility did not have a posted schedule of activities."

Register of Clients

Visit date
2/24/2005
Type of visit
Annual
# of clients
8
Director
Peter Schey
Met with
Luciana Svidler
Details
"Facility is to maintain a current roster of clients. The client roster on file was last updated in 12/04."

Reporting Requirements

Visit date
2/24/2005
Type of visit
Annual
# of clients
8
Director
Peter Schey
Met with
Luciana Svidler
Details
"The facility did not report the departure of the former administrator on 2/14/04"

Administrator Qualifications

Visit date
3/18/2005
Type of visit
POC
# of clients
7
Director
Peter Schey
Met with
Luciana Svidler
Details
"The facility is still without an administrator that meets the requirements of Title 22. Also ther eis no exception on file that would allow the facility to operate without a qualified administrator."

Buildings and Grounds

Visit date
3/18/2005
Type of visit
POC
# of clients
7
Director
Peter Schey
Met with
Luciana Svidler
Details
"There are still leaks and water damage in bedrooms #3 & #8. Bedroom #9 is still missig a doorknob. There is a missing window in bedroom #2. Dining room chairs are still in poor condition."

Administrator Qualifications

Visit date
4/1/2005
Type of visit
POC
# of clients
7
Director
Peter Schey
Met with
Art Velasco, night staff and Andrea Fuentes
Details
"Mr. Schey informed me during the site visit, via telephone, that he has taken the administrator's course but has not taken the certification exam. Therefore the facility remains without a certified administrator."

Buildings and Grounds

Visit date
4/1/2005
Type of visit
POC
# of clients
7
Director
Peter Schey
Met with
Art Velasco, night staff and Andrea Fuentes
Details
The window in bedroom #2 is still missing and bedroom #9 still lacks a doorknob. Dining room chairs are still in the previous condition. There is still a leak in bedroom #3.

Fixtures and Furniture

Visit date
4/1/2005
Type of visit
Follow up
# of clients
7
Director
Peter Schey
Met with
Art Velasco, night worker and Andrea Fuentes
Details
"The licensee shall ensure that 1 bed is available for each child. Bedroom #3 does not have any beds. The number of beds must be equal to the licensed capacity."

Food Service

Visit date
4/1/2005
Type of visit
Follow up
# of clients
7
Director
Peter Schey
Met with
Art Velasco, night worker and Andrea Fuentes
Details
"LPA observed several plastic bowls of uncovered food in one of the refrigerators."

Administrator Qualifications

Visit date
9/20/2005
Type of visit
Annual
# of clients
14
Director
Peter Schey
Met with
Elsie Van Clief
Details
"Payroll records from the 6/26/05 thru 9/10/05 indicate no recorded hours for the administrator of record."

Administrator Qualifications

Visit date
9/20/2005
Type of visit
Annual
# of clients
14
Director
Peter Schey
Met with
Elsie Van Clief
Details
"There is an employee who has been designated as the assistant administrator but her personnel folder does not show the necessary qualifications."

Annual Training

Visit date
9/20/2005
Type of visit
Annual
# of clients
14
Director
Peter Schey
Met with
Elsie Van Clief
Details
"All child care personnel shall have a minimum 20 hours per year of annual training with at least 5 hours coming from an outside source."

Buildings and Grounds

Visit date
9/20/2005
Type of visit
Annual
# of clients
14
Director
Peter Schey
Met with
Elsie Van Clief
Details
"LPA noticed several broken windows, holes in walls, water damage, peeling paint and plaster, dirty and torn carpet, broken furniture and exercise equipment throughout the facility."

Care and Supervision

Visit date
9/20/2005
Type of visit
Annual
# of clients
14
Director
Peter Schey
Met with
Elsie Van Clief
Details
"The licensee shall provide care and supervision as necessary to meet the client's needs. At approx. 10:00 a.m. LPA Found one bed made to look as if someone was in int. Apparently the client had left during the night and even at 10:00 a.m. the next day no one had noticed."

Care and Supervision

Visit date
9/20/2005
Type of visit
Annual
# of clients
14
Director
Peter Schey
Met with
Elsie Van Clief
Details
"Apparently when school is not in session, client have to find somewhere else to go during the day because the facility is typically closed during daytime hours. This is a lack of care and supervision as well as a personal right violation."

Disaster and Mass Casualty Plan

Visit date
9/20/2005
Type of visit
Annual
# of clients
14
Director
Peter Schey
Met with
Elsie Van Clief
Details
"Each licensee shall have and maintain on file a current, written disaster and mass casualty plan of action."

Fixtures & Furniture

Visit date
9/20/2005
Type of visit
Annual
# of clients
14
Director
Peter Schey
Met with
Elsie Van Clief
Details
"All clients are to have beds equipped with boxsprings and mattresses, linens that are clean, well maintained and appropriate, pillows and pillow cases. Clients are to also have basic hygeine items including toilet paper and paper towels."

Fixtures & Furniture

Visit date
9/20/2005
Type of visit
Annual
# of clients
14
Director
Peter Schey
Met with
Elsie Van Clief
Details
"The licensee shall provide lamps or lights as necessary in all rooms and other areas to ensure the comfort and safety of all persons in the facility. The hallway between bedrooms is poorly lit with none functioning light fixtures. Several bedrooms have poor lighting and/or naked light bulbs. The living room area is poorly lit."

Fixtures & Furniture

Visit date
9/20/2005
Type of visit
Annual
# of clients
14
Director
Peter Schey
Met with
Elsie Van Clief
Details
"All facilities having separate floors and not providing full-time staff on each floor whenever children ar present, shall have a signal system. This facility does not have one."

Food Service

Visit date
9/20/2005
Type of visit
Annual
# of clients
14
Director
Peter Schey
Met with
Elsie Van Clief
Details
"There was no menu posted as required."

Health Related Services

Visit date
9/20/2005
Type of visit
Annual
# of clients
14
Director
Peter Schey
Met with
Elsie Van Clief
Details
first aid training…"there was no evidence that any of the counselors had this training."

Personnel records

Visit date
9/20/2005
Type of visit
Annual
# of clients
14
Director
Peter Schey
Met with
Elsie Van Clief
Details
"The personnel file for the administrator assistant did not have a resume/application, criminal record statement, health screening or TB test."

Planned Activities

Visit date
9/20/2005
Type of visit
Annual
# of clients
14
Director
Peter Schey
Met with
Elsie Van Clief
Details
"In a facility with a capacity of 13+, there shall be a written and posted plan of activities. This plan is to be developed at least weekly with the input of clients."

Staff/Child Ratios

Visit date
9/20/2005
Type of visit
Annual
# of clients
14
Director
Peter Schey
Met with
Elsie Van Clief
Details
"From 7:00 a.m. to 10:00 p.m. required staff/client ration is 1:10. Per work schedule the facility has a ratio of 1:14 from 4:30 p.m.- 12 a.m."

Fixtures & Furniture

Visit date
10/6/2005
Type of visit
POC
# of clients
14
Director
Peter Schey
Met with
Elsie Van Clief
Details
"All clients have to have beds equipped with boxsprings and mattresses, linens that are clean, well maintained and appropriate, pillows and pillow cases. Clients are to also have basic hygeine items including toilet paper and paper towels."

Penalties

Visit date
10/6/2005
Type of visit
POC
# of clients
14
Director
Peter Schey
Met with
Elsie Van Clief
Details
"A penalty of $50 per day, per cited violation, shall be assessed for serious deficiencies that are not corrected by the date specified in the notice of deficiency. Up to a maximum of $150 per day"

Care and Supervision

Visit date
10/21/2005
Type of visit
Case Management
# of clients
14
Director
Peter Schey
Met with
Mike Escamilla and Elsie Van Clief
Details
"Overnight staff is not properly monitoring clients, not making police reports when clients are awol and not properly reporting awols. Thi sissue has been addressed before. Measures are to be taken to better supervise the clients."

Penalties

Visit date
10/21/2005
Type of visit
Case Management
# of clients
14
Director
Peter Schey
Met with
Mike Escamilla and Elsie Van Clief
Details
"A penalty of $50 per day, per cited violation, shall be assessed for serious deficiencies that are not corrected by the date specified in the notice of deficiency. Up to a maximum of $150 per day…the broken window, the non-working light fixture and the ceiling damage over the stairway."

Penalties

Visit date
10/21/2005
Type of visit
Case Management
# of clients
14
Director
Peter Schey
Met with
Mike Escamilla and Elsie Van Clief
Details
"When a facility is cited for a deficiency and violates the same regulation subsection within a 12-month period, the facility shall be cited and an immediate penalty assessment of $150 per cited violation shall be assessed for one day only. The facility is cited again for lack of supervision."

Penalties

Visit date
10/21/2005
Type of visit
Case Management
# of clients
14
Director
Peter Schey
Met with
Mike Escamilla and Elsie Van Clief
Details
"An immediate penalty of $150 per day shall be assessed for any of the following: sickness, injury or death of a client has occurred as a result of the deficiency."

Reporting Requirements

Visit date
10/21/2005
Type of visit
Case Management
# of clients
14
Director
Peter Schey
Met with
Mike Escamilla and Elsie Van Clief
Details
"a report shall be made to the licensing agency within the agency's nest working day during its normal business hours. In addition a written report …shal be submitted to the licensing agency within seven days following the occurrence of such event."

Buildings and Grounds

Visit date
5/18/2006
Type of visit
Case Management
# of clients
6
Director
??
Met with
??
Details
"Some of the fire extinguishers need recharging and some need to be hung accoding to Inspector Sparks recommendations."

Buildings and Grounds

Visit date
5/18/2006
Type of visit
Case Management
# of clients
6
Director
??
Met with
??
Details
"There are several cabinets and boxes of files stored in the basement. Per Inspector Sparks this is a fire hazard."

Buildings and Grounds

Visit date
5/18/2006
Type of visit
Case Management
# of clients
6
Director
??
Met with
??
Details
"Per Inspector Sparks, the padlock on the front gate prohibits clients from being able to put 50 feet between themselves and the building in case of an emergency."

Buildings and Grounds

Visit date
5/18/2006
Type of visit
Case Management
# of clients
6
Director
??
Met with
??
Details
"Per Inspector Sparks, the stove hood needs to be inspected biannually, the central signaling station must be tested by 5/25/2006 and the fire alarm panel must be inspected by 9/19/06"

Buildings and Grounds

Visit date
5/18/2006
Type of visit
Case Management
# of clients
6
Director
??
Met with
??
Details
"One window in bedroom #8 has several cracks that could shatter and pose a safety hazard."

Fixtures & Furniture

Visit date
5/18/2006
Type of visit
Case Management
# of clients
6
Director
??
Met with
??
Details
"The kitchen trash can is uncovered."

Buildings and Grounds

Visit date
6/15/2006
Type of visit
POC
# of clients
??
Director
Peter Schey
Met with
Rodrigo Alatriste
Details
"One window in bedroom #8 has several cracks that could shatter and pose a safety hazard."

Fixtures & Furniture

Visit date
6/15/2006
Type of visit
POC
# of clients
??
Director
Peter Schey
Met with
Rodrigo Alatriste
Details
"The kitchen trash can is uncovered."

Penalties

Visit date
6/15/2006
Type of visit
POC
# of clients
??
Director
Peter Schey
Met with
Rodrigo Alatriste
Details
"A penalty of $50 per day, per cited violation, shall be assessed for serious deficiencies…the above citations were to be corrected as of 6/14/06"

Buildings and Grounds

Visit date
12/27/2006
Type of visit
Annual
# of clients
7
Administrator
Peter Schey
Met with
Peter Schey
Details
"There is water damage to the ceiling in bedroom #2. There is also a strong odor of mildew."

Buildings and Grounds

Visit date
12/27/2006
Type of visit
Annual
# of clients
7
Administrator
Peter Schey
Met with
Peter Schey
Details
"The closet doorknob in bedroom #5 is missing."

Buildings and Grounds

Visit date
12/27/2006
Type of visit
Annual
# of clients
7
Administrator
Peter Schey
Met with
Peter Schey
Details
"There is broken glass outside window of one bedroom. The glass is from a broken window in the closet of that bedroom."

Buildings and Grounds

Visit date
12/27/2006
Type of visit
Annual
# of clients
7
Administrator
Peter Schey
Met with
Peter Schey
Details
"There is another broken window in a separate bedroom. It has been temporarily boarded up."

Buildings and Grounds

Visit date
12/27/2006
Type of visit
Annual
# of clients
7
Administrator
Peter Schey
Met with
Peter Schey
Details
"All bedroom carpets, as well as the stairway carpet, are in need of cleaning."

Buildings and Grounds

Visit date
12/27/2006
Type of visit
Annual
# of clients
7
Administrator
Peter Schey
Met with
Peter Schey
Details
"There is grafitti on walls of bedrooms and on the wardrobe door."

Disaster and Mass Casualty Plan

Visit date
12/27/2006
Type of visit
Annual
# of clients
7
Administrator
Peter Schey
Met with
Peter Schey
Details
"Each licensee shall have and maintain on file a current, written disaster and mass casualty plan of action."

Fixtures and Furniture

Visit date
12/27/2006
Type of visit
Annual
# of clients
7
Administrator
Peter Schey
Met with
Peter Schey
Details
"There is rust in the bathtub of one upstairs bathroom"

Food Service

Visit date
12/27/2006
Type of visit
Annual
# of clients
7
Administrator
Peter Schey
Met with
Peter Schey
Details
"The gas range in the kitchen fails to light when the gas is turned on. Could lead to asphixiation."

Personal Rights

Visit date
12/27/2006
Type of visit
Annual
# of clients
7
Administrator
Peter Schey
Met with
Peter Schey
Details
"post a listing of a foster child's rights."

Administrator Qualifications

Visit date
10/4/2007
Type of visit
Annual
# of clients
8
Administrator
Peter Schey
Met with
Marco Loera
Details
"The administrator shall be on the premises for the number of hours necessary to manage and administer the facility in compliance with applicable law and regulation….Due to the number and variance of citations issued, the administrator is not meeting this requirement. His scheduled work hours are to be increased or another administrator is to be hired until the facility is bought to substantial compliance."

Administrator Qualifications

Visit date
10/4/2007
Type of visit
Annual
# of clients
8
Administrator
Peter Schey
Met with
Marco Loera
Details
"All group homes shall have a certified administrator. The administrator's certificate expired in April 2007."

Age Limits

Visit date
10/4/2007
Type of visit
Annual
# of clients
8
Administrator
Peter Schey
Met with
Marco Loera
Details
"There are three clients over the age of 18. Freedom house is licensed to serve children only."

Child Abuse Index Clearance

Visit date
10/4/2007
Type of visit
Annual
# of clients
8
Administrator
Peter Schey
Met with
Marco Loera
Details
Employee "is to submit the Child Abuse Index clearance prior to returning to work."

Criminal Record Clearance

Visit date
10/4/2007
Type of visit
Annual
# of clients
8
Administrator
Peter Schey
Met with
Marco Loera
Details
Employee "must be taken off schedule and must obtain a clearance before continuing to work at the facility."

Criminal Record Clearance

Visit date
10/4/2007
Type of visit
Annual
# of clients
8
Administrator
Peter Schey
Met with
Marco Loera
Details
"All individuals subject to criminal record review shall sign a Criminal Records Statement."

Disaster and Mass Casualty Plan

Visit date
10/4/2007
Type of visit
Annual
# of clients
8
Administrator
Peter Schey
Met with
Marco Loera
Details
"There was no documentation of the required disaster drill."

Food Service

Visit date
10/4/2007
Type of visit
Annual
# of clients
8
Administrator
Peter Schey
Met with
Marco Loera
Details
"There was less than a two day supply of fresh produce available for client consumption."

Food Service

Visit date
10/4/2007
Type of visit
Annual
# of clients
8
Administrator
Peter Schey
Met with
Marco Loera
Details
"There is no menu posted."

Health Related

Visit date
10/4/2007
Type of visit
Annual
# of clients
8
Administrator
Peter Schey
Met with
Marco Loera
Details
"None of the four files surveyed contained evidence of first aid training."

Penalties

Visit date
10/4/2007
Type of visit
Annual
# of clients
8
Administrator
Peter Schey
Met with
Marco Loera
Details
"an immediate penalty of $100 per cited violation per day for a maximum of 5 days shall be assessed if any individual required to be fingerprinted…has not obtained a California clearance or a criminal record exemption, required a transfer…prior to working, residing or volunteering in the facility."

Personnel Requirements

Visit date
10/4/2007
Type of visit
Annual
# of clients
8
Administrator
Peter Schey
Met with
Marco Loera
Details
"None of the four files surveyed contained this information."

Personnel Requirements

Visit date
10/4/2007
Type of visit
Annual
# of clients
8
Administrator
Peter Schey
Met with
Marco Loera
Details
"No files contained any documentation of initial training."

Personnel Requirements

Visit date
10/4/2007
Type of visit
Annual
# of clients
8
Administrator
Peter Schey
Met with
Marco Loera
Details
training

Planned Activities

Visit date
10/4/2007
Type of visit
Annual
# of clients
8
Administrator
Peter Schey
Met with
Marco Loera
Details
"a schedule of the planned activities shall be posted on at least a weekly basis…the posted plan of activities is dated in April 2007."

Buildings and Grounds

Visit date
10/3/2008
Type of visit
Annual
# of clients
6
Administrator
Peter Schey
Met with
Marco Loera
Details
"several of the bedrooms are now being used as storage areas."

Fixtures & Furniture

Visit date
10/3/2008
Type of visit
Annual
# of clients
6
Administrator
Peter Schey
Met with
Marco Loera
Details
"all bathrooms in the home are in need of cleaning of tubs, toilets, shower stalls and sinks."

Fixtures & Furniture

Visit date
10/3/2008
Type of visit
Annual
# of clients
6
Administrator
Peter Schey
Met with
Marco Loera
Details
"Staff reported that during last week's heat wave the house was so hot that clients were developing heat related headaches. There is currently no cooling system in the facility. The licensee shall maintain the temperature in rooms that clients occupy between a minimum of 68 degrees and a maximum of 85 degrees."

Food Service

Visit date
10/3/2008
Type of visit
Annual
# of clients
6
Administrator
Peter Schey
Met with
Marco Loera
Details
"The odor of spoiled food was present in the refrigerator."

Personnel requirements

Visit date
10/3/2008
Type of visit
Annual
# of clients
6
Administrator
Peter Schey
Met with
Marco Loera
Details
"there is inadequate support staff to carry out cleaning of facility."

Plan of Operation

Visit date
10/3/2008
Type of visit
Annual
# of clients
6
Administrator
Peter Schey
Met with
Marco Loera
Details
"several rooms are no longer used for the purposes identified on the floor plan that was submitted to the department."

Buildings and Grounds

Visit date
10/21/2008
Type of visit
Case Management
# of clients
6
Administrator
Peter Schey
Met with
Wendy Hernandez
Details
"Items that could pose a danger if readily available to clients shall be stored where inaccessible to clients. Per the incident report one client threatened another with a knife from the group home's kitchen. Client also had a pair of scissors. Other unspecified sharp items were found during the resultant room search. Apparantly this was not the firs ttime that client A had assaulted client B with a knife."

Emergency Intervention Prohibition

Visit date
10/21/2008
Type of visit
Case Management
# of clients
6
Administrator
Peter Schey
Met with
Wendy Hernandez
Details
"Per the program statement Freedom House has a 'hands off' policy and is therefore not approved to use manual restraints. Per the SIR of 10/07/2008 a staff member used an inappropriate and unapproved hold to restrain a client."

Fixtures & Furniture

Visit date
10/21/2008
Type of visit
Case Management
# of clients
6
Administrator
Peter Schey
Met with
Wendy Hernandez
Details
"Per the SIR, the staff sent one client to his room on the second floor in order to separate him from another that he was fighting with. There was no staff on the second floor…Peter Schey was informed of this regulation in 2005 and he stated that children are not allowed on the 2nd level without supervision."

Personal Rights

Visit date
10/21/2008
Type of visit
Case Management
# of clients
6
Administrator
Peter Schey
Met with
Wendy Hernandez
Details
"Per the SIR, this is not the first time that client A has threatened and sexually harrassed client B. The facility has not fulfilled its obligation to protect the personal rights of client B."

Personnel Duties

Visit date
10/21/2008
Type of visit
Case Management
# of clients
6
Administrator
Peter Schey
Met with
Wendy Hernandez
Details
"Per the incident report, children in the group home are not being adequately supervised and protected."

Administrator Qualifications

Visit date
10/22/2009
Type of visit
Annual
# of clients
6
Administrator
Peter Schey
Met with
Chelsea Bell
Details
"Peter Schey's certificate expired in April 2009."

Administrator Qualifications

Visit date
10/22/2009
Type of visit
Annual
# of clients
6
Administrator
Peter Schey
Met with
Chelsea Bell
Details
"When the administrator of a group home with a capacity of 13 or more is absent, there shall be an administrator designee who has the equivalent of HS granduation one year or qualifying experience. The designee left by Mr. Schey does not meet the experience requirement."

Buildings and Grounds

Visit date
10/22/2009
Type of visit
Annual
# of clients
6
Administrator
Peter Schey
Met with
Chelsea Bell
Details
"The music room is cluttered with donated shoes and clothes that are being sorted."

Fixtures & Furniture

Visit date
10/22/2009
Type of visit
Annual
# of clients
6
Administrator
Peter Schey
Met with
Chelsea Bell
Details
"Two of the faucets used by clients did not deliver hot water."

Food Service

Visit date
10/22/2009
Type of visit
Annual
# of clients
6
Administrator
Peter Schey
Met with
Chelsea Bell
Details
"There are inadequate amounts of green vegetables to meet the two day requirement."

Health Related

Visit date
10/22/2009
Type of visit
Annual
# of clients
6
Administrator
Peter Schey
Met with
Chelsea Bell
Details
"There were no scissors or tweezers in the first aid kit."

Follow-Up Visits

Visit date
11/5/2009
Type of visit
POC
# of clients
6
Administrator
Peter Schey
Met with
Chelsea Bell
Details
"Mr. Schey has not corrected the deficiency of not having a certified administrator."

Health Related Services

Visit date
11/5/2009
Type of visit
Case Management
# of clients
6
Administrator
Peter Schey
Met with
Chelsea Bell
Details
"There were several employees that lacked [first aid] certification."

Penalties

Visit date
11/5/2009
Type of visit
POC
# of clients
6
Administrator
Peter Schey
Met with
Chelsea Bell
Details
"A penalty of $50 pr day, per cited violation, shall be assessed for serious deficiencies that are not corrected by the date specified in the notice of deficiency, up to a maximum of $150 per day."

Penalties

Visit date
11/5/2009
Type of visit
POC
# of clients
6
Administrator
Peter Schey
Met with
Chelsea Bell
Details
"If any deficiency is not corrected by the date specified in the notice of deficiency, a penalty shall be assessed for each day following that date until compliance has been demonstrated."

Personnel records

Visit date
11/5/2009
Type of visit
Case Management
# of clients
6
Administrator
Peter Schey
Met with
Chelsea Bell
Details
"Several employees files were missing both the health screening and the TB test."

Personnel Requirements

Visit date
10/28/2010
Type of visit
Annual
# of clients
3
Administrator
Peter Schey
Met with
Chelsea Bell
Details
"Two employees were missing health screenings and TB tests."

Personnel Records

Visit date
10/28/2010
Type of visit
Annual
# of clients
3
Administrator
Peter Schey
Met with
Chelsea Bell
Details
"There shall be a complete record for each employee. The file of one employee was missing several documents."

Buildings and Grounds

Visit date
9/2/2011
Type of visit
Annual
# of clients
4
Administrator
Peter Schey
Met with
Jose Alvarez
Details
"One window in bedroom #2 is missing a window screen. The window was open and thus insects could enter."

Disaster and Mass Casualty Plan

Visit date
9/2/2011
Type of visit
Annual
# of clients
4
Administrator
Peter Schey
Met with
Jose Alvarez
Details
"The last disaster drill was conducted in Sept. 2010."

Fixtures & Furniture

Visit date
9/2/2011
Type of visit
Annual
# of clients
4
Administrator
Peter Schey
Met with
Jose Alvarez
Details
"The lighting units in the hallway have several missing bulbs resulting in a poorly lit hallway."

Personnel Requirements

Visit date
9/2/2011
Type of visit
Annual
# of clients
4
Administrator
Peter Schey
Met with
Jose Alvarez
Details
"Administrator certificates section shall be renewed every two years …The administrator's certificate expired as of April 2011."

Buildings and Grounds

Visit date
11/8/2012
Type of visit
Annual
# of clients
6
Administrator
Peter Schey
Met with
Victor Gonzalez
Details
"LPA noticed that curtains in the dining area were heavily soiled."

Fixtures & Furniture

Visit date
11/8/2012
Type of visit
Annual
# of clients
6
Administrator
Peter Schey
Met with
Victor Gonzalez
Details
"Trash cans in the dining area that contained trash and were not covered."

Buildings and Grounds

Visit date
10/30/2013
Type of visit
Annual
# of clients
2
Administrator
Peter Schey
Met with
Victor Gonzalez
Details
"entrance way on the handicap bedroom needs to be repaired."

Fixtures & Furniture

Visit date
10/30/2013
Type of visit
Annual
# of clients
2
Administrator
Peter Schey
Met with
Victor Gonzalez
Details
"Trash cans in the dining area that contained trash and were not covered."

Penalties

Visit date
10/30/2013
Type of visit
Annual
# of clients
2
Administrator
Peter Schey
Met with
Victor Gonzalez
Details
"When a facility is cited for a deficiency and violates the same regulation subsection within a 12 month period, the facility shall be cited, and an immediate penalty assesment of $150 per cited violation shall be assesd for one day only; and thereafter a penalty f $50 per day, per cited violation, be assessed until the deficiency is corrected."

Health Related Services

Visit date
10/17/2014
Type of visit
Annual
# of clients
3
Administrator
Peter Schey
Met with
Federico Bustamante Johnson
Details
"None of the employees files which were reviewed had current first aid training certificates."

Reporting Requirements

Visit date
10/17/2014
Type of visit
Annual
# of clients
3
Administrator
Peter Schey
Met with
Federico Bustamante Johnson
Details
"The licensee shall notify the department in writing within ten days of hiring a new administrator…the licensee did not notify the department of the change in administrators. Per Mr. Johnson he has been serving in this position since 2012."

Accountability

Visit date
12/15/2017
Type of visit
Required - 3 year
# of clients
2
Administrator
Peter Schey
Met with
Jorge Medina, Foundation
Details
"The group home administrator resigned on 12/14/17"

Buildings and Grounds

Visit date
12/15/2017
Type of visit
Required - 3 year
# of clients
2
Administrator
Peter Schey
Met with
Jorge Medina, Foundation
Details
"There were no carbon monoxide detectors in place."

Buildings and Grounds

Visit date
12/15/2017
Type of visit
Required - 3 year
# of clients
2
Administrator
Peter Schey
Met with
Jorge Medina, Foundation
Details
"There are broken windows in bedrooms #8 & #2."

Buildings and Grounds

Visit date
12/15/2017
Type of visit
Required - 3 year
# of clients
2
Administrator
Peter Schey
Met with
Jorge Medina (Foundation)
Details
"There is a rip in the carpet of bedroom #2"

Buildings and Grounds

Visit date
12/15/2017
Type of visit
Required - 3 year
# of clients
2
Administrator
Peter Schey
Met with
Jorge Medina (Foundation)
Details
"The plaster is peeling in the hallway and the wall near bedroom number 1"

Disaster and Mass Casualty Plan

Visit date
12/15/2017
Type of visit
Required - 3 year
# of clients
2
Administrator
Peter Schey
Met with
Jorge Medina (Foundation)
Details
"The current plan is outdated."

Fixtures & Furniture

Visit date
12/15/2017
Type of visit
Required - 3 year
# of clients
2
Administrator
Peter Schey
Met with
Jorge Medina, Foundation
Details
"Hot water delievered to fixtures used by clients shall attain a hot water temperature of 105 - 120. The hot water was tested at 147 degres."

Fixtures & Furniture

Visit date
12/15/2017
Type of visit
Required - 3 year
# of clients
2
Administrator
Peter Schey
Met with
Jorge Medina (Foundation)
Details
"There is insufficient lighting in bedroom #2 and in the hallway."

Food Service

Visit date
12/15/2017
Type of visit
Required - 3 year
# of clients
2
Administrator
Peter Schey
Met with
Jorge Medina, Foundation
Details
"LPA did not observe sufficient supplies of fresh food."

Food Service

Visit date
12/15/2017
Type of visit
Required - 3 year
# of clients
2
Administrator
Peter Schey
Met with
Jorge Medina, Foundation
Details
"LPA observed cans of expired food in the pantry."

Food Service

Visit date
12/15/2017
Type of visit
Required - 3 year
# of clients
2
Administrator
Peter Schey
Met with
Jorge Medina (Foundation)
Details
"The posted menu is outdated."

Health Related

Visit date
12/15/2017
Type of visit
Required - 3 year
# of clients
2
Administrator
Peter Schey
Met with
Jorge Medina (Foundation)
Details
"None of the staff have current first aid training."

Personnel Records

Visit date
12/15/2017
Type of visit
Required - 3 year
# of clients
2
Administrator
Peter Schey
Met with
Jorge Medina (Foundation)
Details
"At least monthly a dated employee time schedule shall be displayed conveniently for employee reference."

Personnel Requirements

Visit date
12/15/2017
Type of visit
Required - 3 year
# of clients
2
Administrator
Peter Schey
Met with
Jorge Medina (Foundation)
Details
"All personnel shall receive 20 hours of annual training in addition to first aid."

Register of Clients

Visit date
12/15/2017
Type of visit
Required - 3 year
# of clients
2
Administrator
Peter Schey
Met with
Jorge Medina (Foundation)
Details
"The client roster is not current."

Buildings and Grounds

Visit date
6/8/2018
Type of visit
Case Management
# of clients
5
Administrator
Peter Schey
Met with
Interim Director
Details
"In client bedroom #2 we observed two electrical outlet that did not have protective cover plates."

Buildings and Grounds

Visit date
6/8/2018
Type of visit
Case Management
# of clients
5
Administrator
Peter Schey
Met with
Interim Director
Details
"Licensing staff observed furniture, mattresses and etc. blocking passage ways to window."

Criminal Record Clearance

Visit date
6/8/2018
Type of visit
Case Management
# of clients
5
Administrator
Peter Schey
Met with
Interim Director
Details
"Staff #1, Staff #2 and Staff #3 are having contact with clients and providing care and supervision. Staff 1, 2 and 3 do not have criminal record clearance and child abuse clearance."

Penalties

Visit date
6/8/2018
Type of visit
Case Management
# of clients
5
Administrator
Peter Schey
Met with
Interim Director
Details
"If any individual required to be fingerprinted has not obtained a California clearance or requested a transfer of a criminal record clearance, or requested and been approved for a transfer of an exemption, prior to working, residing or volunteering in the facility, an immediate penalty of $100 per cited violation per day for a maximum of 5 days shall be assessed."

Buildings and Grounds

Visit date
6/20/2018
Type of visit
POC
# of clients
2
Administrator
Peter Schey
Met with
Facility Director
Details
"In client bedroom #2 we observed two electrical outlet that did not have protective cover plates."

Buildings and Grounds

Visit date
6/20/2018
Type of visit
POC
# of clients
2
Administrator
Peter Schey
Met with
Facility Director
Details
"Licensing staff observed furniture, mattresses and etc. blocking passage ways to window."

Care and supervision

Visit date
6/20/2018
Type of visit
POC
# of clients
2
Administrator
Peter Schey
Met with
Facility Director
Details
"Licensing staff observed two clients who were locked out of the facility and left unsupervised for more than 30 minutes."

Criminal Record Clearance

Visit date
7/6/2018
Type of visit
POC
# of clients
5
Administrator
Peter Schey
Met with
Adrian Gonzalez, Child Care Worker
Details
"Staff #1 does not have criminal record clearance. This is an immediate risk to the health and safety of clients."

Health Related

Visit date
7/26/2018
Type of visit
POC
# of clients
2
Administrator
Peter Schey
Met with
Javier Juarez
Details
"Not all the staff were CPR trained."

Personnel Requirements

Visit date
7/26/2018
Type of visit
POC
# of clients
2
Administrator
Peter Schey
Met with
Javier Juarez
Details
"Not all staff were first aid trained."

Fixtures & Furniture

Visit date
11/16/2018
Type of visit
Complaint Investigation Report
# of clients
4
Administrator
Peter Schey
Met with
Lydia Quintanilla
Details
"The central air and heating does not work meaning that rooms can be uncomforatably hot or cold.

Personnel Requirements

Visit date
11/16/2018
Type of visit
Complaint Investigation Report
# of clients
4
Administrator
Peter Schey
Met with
Lydia Quintanilla
Details
"Clients were not able to enter the group home due to absence of staff."

Accountability

Visit date
01/31/2019
Type of visit
Case Management
# of clients
8
Administrator
??
Met with
Lydia Quintanilla
Details
The board of directors shall employ a certified administrator. The board of directors failed to meet this requirement. There is currently no certified administrator, although the program coordinator will start adminstrator classes in March...The absence of a certified administrater presents an immediate health and safety hazrd to clients in care.

Age Limits

Visit date
1/31/2019
Type of visit
Case Management
# of clients
8
Administrator
??
Met with
Lydia Quintanilla
Details
There are currently six clients in residence who are over the age of 18. This presents a potential safety hazard to clients in care.

Buildings and Grounds

Visit date
1/31/2019
Type of visit
Case Management
# of clients
8
Administrator
??
Met with
Lydia Quintanilla
Details
Buildings and Grounds. The facility shall be kept clean, sanitary and in good repair at all times. LPA observed peeling paint and plater throughout the house. LPA also observed soiled and damaged covering on the windows.

Fixtures & Furniture

Visit date
1/31/2019
Type of visit
Case Management
# of clients
8
Administrator
??
Met with
Lydia Quintanilla
Details
Fixtures, Furniture, Equipment and Supplies. Licensee shall maintain temperatures in rooms that clients occupy between a minimum of 68 degrees F (20 degrees C) and a maximum of 85 degrees F (30 degrees C). The licensee failed to meet this requirement by not supplying heat to all bedrooms

Health Related

Visit date
1/31/2019
Type of visit
Case Management
# of clients
8
Administrator
??
Met with
Lydia Quintanilla
Details
The licensee shall ensure that there is an available first aid kit that contains the items listed in Title 22. The licensee did not meet this requirement. There was no thermometer in the the first aid kit. This presents a potential health hazard to clients in care

Buildings and Grounds

Visit date
03/06/2019
Type of visit
POC
# of clients
7
Administrator
Peter Schey
Met with
Lydia Quintanilla
Details
"the licensee failed repair peeling paint and install bedroom curtains which causes potential health, safety, or personal rights to residents in care."