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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 075650162
Report Date: 01/15/2026
Date Signed: 01/15/2026 11:39:55 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/05/2025 and conducted by Evaluator Willy Ea
PUBLIC
COMPLAINT CONTROL NUMBER: 14-CR-20250805084007
FACILITY NAME:YAI BYRON COMMUNITY CRISIS HOMEFACILITY NUMBER:
075650162
ADMINISTRATOR:IMARA NAKOOKAFACILITY TYPE:
727
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:4CENSUS: 2DATE:
01/15/2026
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Terrance Harris, Director Client ServicesTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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staff sleeping on shift
INVESTIGATION FINDINGS:
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On 1/15/2026, Licensing Program Analysts (LPAs) Will Ea and Oliver Cole made a visit to the above facility to deliver complaint investigation findings for the above allegation. LPAs met Terrance Harris, Director Client Services.

Based on LPAs’ review of photographic evidence, confidential interviews conducted with staff and clients, record review of personnel records, and record review of staff disciplinary actions, LPAs’ found on at least two occasions on June 22nd and June 23rd, a staff member S8 (see confidential names list dated 1/15/2026) was discovered to have been asleep while providing supervision to clients. Photographic evidence dated August 1st, 2025 depicted a third occasion of staff member S8 asleep in the facility common room and is confirmed via interview to be asleep while on duty.

(continued on LIC9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Isabel Diego
LICENSING EVALUATOR NAME: Willy Ea
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026
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 5
Control Number 14-CR-20250805084007
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: YAI BYRON COMMUNITY CRISIS HOME
FACILITY NUMBER: 075650162
VISIT DATE: 01/15/2026
NARRATIVE
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(page 2 of 2)
Multiple interview accounts confirmed that persons had witnessed staff member S8, asleep while on duty, however a specific date could not be provided. The preponderance of evidence standard has been met, and therefore the above allegation, staff sleeping on shift, is found to be SUBSTANTIATED. This is a violation of Title 22, Division 6, Chapter 5 Article 06 Continuing Requirements, Section 84065.2(b)(1) Personnel Duties. Please refer to LIC9099-D.

An exit interview was conducted, appeal rights discussed, and a copy of this report was provided to Director of Client Services Terrance Harris, whose signature confirms their receipt.
SUPERVISORS NAME: Isabel Diego
LICENSING EVALUATOR NAME: Willy Ea
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 14-CR-20250805084007
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: YAI BYRON COMMUNITY CRISIS HOME
FACILITY NUMBER: 075650162
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/15/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/16/2026
Section Cited
CCR
84065.2
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84065.2(b)(1) Personnel Duties. Child care staff shall perform the following duties: (1) Supervision, protection and care of children individually and in groups at all times. This requirement is not met as evidenced by:
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Create a procedure on scheduing staff shifts to avoid potential of staff falling asleep while on duty. The policy is to be e-mailed to LPA by January 16th, 2026.
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Based on confidential interviews, record review, and photographic evidence, the facility did not ensure supervision of clients was maintained at all times which posed an immediate risk to the health, safety, or personal rights of clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Isabel Diego
LICENSING EVALUATOR NAME: Willy Ea
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/05/2025 and conducted by Evaluator Willy Ea
PUBLIC
COMPLAINT CONTROL NUMBER: 14-CR-20250805084007

FACILITY NAME:YAI BYRON COMMUNITY CRISIS HOMEFACILITY NUMBER:
075650162
ADMINISTRATOR:IMARA NAKOOKAFACILITY TYPE:
727
ADDRESS:3293 CAMINO DIABLOTELEPHONE:
(646) 946-1389
CITY:BYRONSTATE: CAZIP CODE:
94514
CAPACITY:4CENSUS: 2DATE:
01/15/2026
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Terrance Harris, Director Client ServicesTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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staff providing an unsafe environment to clients in care

staff withholding water from clients in care

staff under the influence of drugs while on shift
INVESTIGATION FINDINGS:
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On 1/15/2026, Licensing Program Analysts (LPAs) Will Ea and Cole Oliver made a visit to the above facility to deliver complaint investigation findings for the above allegations. LPAs met Terrance Harris, Director Client Services.

During the course of this investigation, LPAs reviewed documentation and conducted confidential interviews. Based on records reviewed and confidential interviews, statements did not corroborate the events as described in the allegations (1) staff providing an unsafe environment to clients in care (2) staff withholding water from clients in care and (3) staff under the influence of drugs while on shift. Confidential interviews could not confirm whether staff provided an unsafe environment to clients in care. LPA was not able to interview all involved witnesses thus the allegation about the unsafe environment could not be verified. Regarding the allegation of staff withholding water from clients, there were inconsistencies of statements regarding the availability of water.
(continued on 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Isabel Diego
LICENSING EVALUATOR NAME: Willy Ea
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 14-CR-20250805084007
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: YAI BYRON COMMUNITY CRISIS HOME
FACILITY NUMBER: 075650162
VISIT DATE: 01/15/2026
NARRATIVE
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Some interviews alleged that water bottles sometimes were not available or locked in areas inaccessible to clients. On the subject of alternatives for water other than bottled water, interviews revealed that the facility offers clients multiple options for consuming water and multiple choices of beverage. In addition to bottled water, there are two other sources for filtered water, a carafe filter (Brita) and filtered water through the refrigerator dispenser. Regarding the allegation of staff being under the influence of drugs while on shift, interviews and a review of documentation revealed that one staff member was suspected of being under the influence, however no concrete evidence was found corroborating the allegation. LPA was unable to get statements from all involved parties. Although, the allegation may have happened or is valid, there is not a preponderance of evidence to prove whether the alleged violations of (1) staff providing an unsafe environment to clients in care (2) staff withholding water from clients in care and (3) staff under the influence of drugs while on shift did or did not occur, therefore the allegations are UNSUBSTANTIATED.

An exit interview was conducted, appeal rights discussed, and a copy of this report was provided to Director of Client Services Terrance Harris, whose signature confirms their receipt.
SUPERVISORS NAME: Isabel Diego
LICENSING EVALUATOR NAME: Willy Ea
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5