Senior Care Records.

Facility Evaluation Report

Young Adult Family Home, San Miguel08/19/2025Licence 405850543

Capacity4
Census4
Date signed08/19/2025 03:59:43 PM
Name of licensing program analystGarrett Haner-Tomasko
Name of licensing program managerKelly Burley
The inspector’s account

At 2:00pm on 08/19/2025, Licensing Program Analyst (LPA) Haner-Tomasko arrived unannounced to the facility to conduct a case management visit along with Tri-Counties Regional Center (TCRC). LPA met with Licensee Diane Young and announced the reason for the visit.

On 8/13/2025 Tri-County Regional Center brought to Community Care Licensing’s (CCL) attention, that an incident occurred at this facility on 8/11/2025. The Licensee submitted an incident report to TCRC on 08/13/2025. According to the incident report and staff interviews on 8/11/2025 around 7:50 pm Client #1 (C1) ran from their bedroom to the garage pulling the back of Staff #1’s (S1) hair from behind while screaming at him "Fuck you (S1’s name)". C1 then ran back inside and crouched down by the front door. When S1 enter the home from the garage, C1 attacked S1 throwing punches at their head and scratching them while screaming "I'm going to kill you". As S1 was being attacked, S1 did his best to restrain C1 by wrapping their arms around C1’s chest, while C1’s arms were raied in the air, but C1 was still throwing punches at S1 causing C1 to break free several times resulting in property damage. C1 and S1 ended up on the ground, C1 stopped physically attempting to hurt S1 and C1 went to their room. S1 held C1 around the chest for about 10 seconds. Client #2 (C2) and Client #3 (C3) were in their room, heard commotion, and locked their door. Staff #2 (S2) assisted Client #4 (C4) to live-in staff bedroom and locked the door. Licensee communicated with C2 and C3 via text message until it got calm and quiet. Licensee stated no one called 911 or the crisis unit as they were afraid it would make it worse. C1’s TCRC Service Coordinator is working with the facility and C1 to find a facility better suited for C1’s needs and as of today’s visit C1 is tentatively scheduled to move before the end of the month.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction