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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700907
Report Date: 09/19/2024
Date Signed: 09/19/2024 11:05:20 AM

Document Has Been Signed on 09/19/2024 11:05 AM - 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: 4DATE:
09/19/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:35 AM
MET WITH:Monalyn AndradaTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
NARRATIVE
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Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to the facility to conduct a case management visit. LPA Valerio met with facility staff, and explained the purpose of the visit. LPA was later met by Administrator Monalyn Andrada.

The Regional Office received a Facility Action Report (FAR) dated 09/10/2024 from Alta California Regional Center. This FAR was a follow up visit for their quarterly quality assurance audit on 08/27/2024. Please refer to CCL visit date 04/15/2024. Based on FAR dated 09/10/2024, staff did not pass the RBT certification test. As of today’s date, 21 Direct Support Professional currently work at the facility and do not have their Registered Behavioral Technician Certification. ACRC has implemented a corrective action place (see below) that will ensure all staff have completed RBT certification by February 28th, 2025.
      "Due to these homes require a certain level of competency to complete Title 17 Section 59061
      see completion dates and percentages below:
          • By November 30, 2024, 25% of staff will have completed RBT certification.
          • By December 31, 2024, 40% of staff will have completed RBT certification.
          • By January 31, 2025, 60% of staff will have completed RBT certification.
          • By February 28, 2025, 100% of staff will have completed RBT certification. "

Per California Code of Regulations (CCR) – deficiencies are being cited today on the attached LIC 809 – D page. An exit interview was held, and a copy of the report was provided. Appeal rights were provided.
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Christina Valerio
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/19/2024 11:05 AM - It Cannot Be Edited


Created By: Christina Valerio On 09/19/2024 at 10:43 AM
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: 09/19/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/31/2024
Section Cited
CCR
89965(a)(1)

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89965Personnel Requirements...:(a) The licensee shall ensure that each direct care lead staff person meets the following qualifications:(1)... (A)Become a Registered Behavior Technician... or(B)Be a licensed psychiatric technician, or (C) Be a Qualified Behavior Modification Professional.
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Licensee stated all staff will sign the RBT policy by 09/30/2025. Licensee to send LPA a plan of when each staff member will complete RBT certification by POC due date.
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This requirement was not met as evidenced by: Based on records review, the licensee did not ensure all 21 staff members had their RBT certification, 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: 09/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/19/2024


LIC809 (FAS) - (06/04)
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