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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700907
Report Date: 04/15/2024
Date Signed: 04/15/2024 03:36:22 PM

Document Has Been Signed on 04/15/2024 03:36 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:HOPEFUL TOMORROW HOMES, LLCFACILITY NUMBER:
342700907
ADMINISTRATOR/
DIRECTOR:		ANDRADA, MONALYNFACILITY TYPE:
737
ADDRESS:12857 CHEROKEE LANETELEPHONE:
(916) 890-4282
CITY:GALTSTATE: CAZIP CODE:
95632
CAPACITY: 4CENSUS: 3DATE:
04/15/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Monalyn Andrada TIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to conduct a case management visit. LPA met with Administrator Monalyn, and explained the purpose of the visit.

LPA observed the facility to be clean and free from debris. LPA observed multiple staff on shift that met staffing ratio requirements. No immediate health or safety concerns observed.

The Regional Office received a Facility Action Report from Alta California Regional Center (ACRC) dated 03/13/2024. The facility was observed by ACRC to be in violation of Title 17 Section 56054(a). There were 9 Direct Support staff who have not received Registered Behavioral Technician Certification within one year of hire dates per Title 17 Regulation Section 59055 Direct Care Staff Qualifications.

Per California Code of Regulations (CCR) - Title 22, Division 6, Chapter 11, the facility is being cited today on the attached LIC 809-D page. Appeal Rights were provided. An exit interview was held, and a copy of the report was provided.
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Christina Valerio
LICENSING EVALUATOR SIGNATURE: DATE: 04/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/15/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 04/15/2024 03:36 PM - It Cannot Be Edited


Created By: Christina Valerio On 04/15/2024 at 03:12 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: HOPEFUL TOMORROW HOMES, LLC
FACILITY NUMBER: 342700907

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/15/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/17/2024
Section Cited
CCR
89965(b)(2)

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89965 Personnel Requirements (b) The licensee shall ensure that each direct care staff person meets the following qualifications:...(2) Become a Registered Behavior Technician within twelve (12) months of initial employment.
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Licensee stated that facility staff will be proactive in obtaining passing the test, facility behaviorist will provide RBT supervision to all staff, and licensee to provide proof that staff have taken their first test for RBT certification. Licensee to send to the Regional Office by POC due date.
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Based on records review, the licensee did not ensure 9 direct care staff obtained required training within 12 months of employment, which poses a potential health, safety, or personal rights risk to residents 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.
SUPERVISOR'S NAME:Stephen Richardson
LICENSING EVALUATOR NAME:Christina Valerio
LICENSING EVALUATOR SIGNATURE:
DATE: 04/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/15/2024


LIC809 (FAS) - (06/04)
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