Name of Youth: Xavier Barrios
School/Grade Level: Peary Middle School/7
Name of Youth: Xavier
Sex: Male
Parent/Guardian Name: Alicia De Leon
Contact Phone Number: 3107131585
Home Address: 14642 S. Denker Gardena CA 90247
Person Referring Youth: Mother
Why are you referring this person to our program: Mom Spanish Speaker. Xavier has misbehaved but for the past two weeks it has worsened. He has made threats to mom, doesn’t eat, and sleep.