Paradise Oaks

Substantiated : 87072(c)(1)

Based on LPA's interviews, the preponderance of evidence standard has been met; therefore, the allegation is found to be Substantiated. The facility is cited on the attached LIC 9099-D under the California Department of Social Services Short-Term Residential Therapeutic Program Interim Licensing Standards Article 06, Section 87072(c)(1) - Personal Rights. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility.

Substantiated

On May 29, 2026, 1: PM, Licensing Program Analyst (LPA) Michelle Silvas arrived at Facility to conduct an unannounced complaint investigation inspection. The purpose of the inspection was to deliver the findings for the allegation listed above. LPA met with Jeannette Diaz, Residential Counselor. LPA conducted an initial 10-day complaint investigation at the facility on March 18, 2026. Between March 18,2026 and May 26, 2026, LPA conducted 5 confidential interviews. It was alleged that, due to a lack of supervision, a minor engaged in inappropriate interactions with another minor. During confidential interviews, it was reported that a youth was able to enter the facility and access one of the youths' bedrooms without staff knowledge and undetected. The youths were reportedly in the bedroom for approximately one hour without staff knowledge or intervention. It was further discovered that the bedroom door remained closed during this time, which was inconsistent with facility protocol which requires youth bedroom doors to remain partially open to allow staff visual access while conducting routine room checks. The Department has investigated the complaint, alleging that due to a lack of supervision, minor had inappropriate relations with another minor. The preponderance of evidence standard has been met; therefore, the above allegation is SUBSTANTIATED. Interim Licensing Standards STRTP Article 06. Continuing Requirements 87065.2(b)(1) are being cited on the attached LIC9099-D. An ...

Substantiated : 80078(a)

Licensing Program Analyst (LPA), Elena Gonzalez-Soto, conducted an unannounced inspection to the facility on 05/21/26 at 11: AM to deliver complaint allegation findings. LPA met with Naeem Brown, Administrator and discussed the above allegation. During the investigation of staff did not prevent minor from consuming alcohol while in care LPA toured the facility with Naem Brown on 12/31/2026, 03/10/2026, and 03/18/2026. On these inspections, LPA inspected the physical plant inside and out, obtained three client files that included Needs and Services Plan and Incident Reports three youth, and a safety plan for one youth. LPA observed the safety plan was reviewed with and signed by the applicable youth in care. LPA conducted interviews on 12/31/2025 with C3, S1, FSW, AM, 03/10/2026 with C2, and on 03/18/2026 with C1, S2. Interviews with C1 and C2 reported that staff were not checking on them during prior to the fifteen-minute time period of C1 and C2 leaving the facility and returning. Interviews with S2 reported that staff were checking on C1 and C2 consistently but did not observe any alcohol consumption. AM, C3, FSW, S1 could not provide any additional information as they wre not present during the incident. Based on LPA's observations, interviews which were conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. The facility is receiving a citation on the attached LIC9099-D under the ...

Substantiated

Licensing Program Analyst (LPA) Maie Soliman conducted an unannounced complaint inspection with the above facility on 5/1/2026 at 3:30pm and met with Joanna Barnhill, Assistant Administrator. The purpose of the inspection was to deliver complaint findings for the above allegation. On 1/29/2026 at 11:00 am Licensing Program Analyst (LPA) Maie Soliman arrived unannounced at the facility for the purpose of initiating a complaint investigation related to the above allegation. LPA met with Naeem Brown, Administrator. LPA toured the facility, no concerns noted. During the course of the investigation, the following documents were gathered and reviewed: LPA requested the following documents for three youths for review: Client Roster, Staff Schedule for Olivine and Rosa Vista locations, Harm Reduction Plans, Needs and Services Plans, CFT notes, Safety Plans, house meeting notes, training logs, Placement agreements and agency signed policies and procedures and pictures of facility door. During the period of 1/22/2026 and 4/17/2026 confidential interviews were conducted with eight individuals (C1, AD, AD2, AA, FM, S1, S2, RP). Based on LPA observations, records reviewed, and interviews conducted, the facility did not ensure that staff arrived in a timely manner after the youth returned from leaving without permission. As a result, they were required to wait outside in the rain, wind, and cold at night for over one hour before staff arrived. Additionally, four out of six staff ...

Substantiated : 87072(c)(1)

Licensing Program Analyst (LPA) Maie Soliman conducted an unannounced complaint inspection with the above facility on 2/24/2026 at 10:00 am and met with Naeem Brown, Adminstrator. The purpose of the inspection was to deliver complaint findings for the above allegations. On 11/21/2025 at 1:45 pm Licensing Program Analyst (LPA) Maie Soliman, arrived unannounced at the facility for the purpose of initiating a complaint investigation related to the above allegation. LPA met with Naeem Brown, Administrator. LPA requested the following documents for review: Client Roster, Staff Roster and Schedule, Harm Reduction Plans, Needs and Services Plans, CFTS notes, Safety Plans, house meeting notes, training logs, Placement agreements and agency signed policies and procedures. LPA conducted an inspection of the facility. No citations were issued related to the complaint investigation. During the course of the investigation, the following documents were gathered and reviewed: Client Roster, Staff Roster and Schedule, Needs and Services Plans, CFTS notes, Safety Plans, house meeting notes, training logs, Placement agreements and agency signed policies and procedures. Confidential interviews were conducted with nine individuals (C1, C3, S1, S2, S3, S4, S5, AD, RP) and attempted with two individuals (C2, C4) during the period of 11/20/2026 to 1/5/2026. Four out of four statements given during interviews were consistent that staff did not prevent minor on minor assault. Moreover, youths ...

Deficiency cited at inspection

On 2/6/2026 at 1:30 pm Licensing Program Analyst (LPA) Maie Soliman arrived unannounced at the facility. LPA met with Uylous Ingram Junior, Facility Manager who assisted with the inspection. The LPA conducted a tour of the facility. During the inspection, the LPA observed two bathrooms in unsanitary condition, with one bathroom exhibiting more significant unsanitary conditions than the other. Specifically, the shower areas contained visible dark black matter along the edges and corners of the shower stalls and on the sliding glass doors. These conditions indicate that the bathrooms were not being maintained in a clean and sanitary manner. The facility is cited under Title 22, Division 6, Chapter 1, Article 07, Section 80087(a) - Buildings and Grounds, which states: "The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors." See attached LIC 809D. An exit interview was conducted and a copy of this report was left with Uylous Ingram Junior, Facility Manager along with appeal rights.

Deficiency cited at inspection

An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyss (LPAs) Misty Valencia and Aleza Ruiz on 10/30/2025 at 8:15am. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs Valencia and Ruiz met with Carla Izzarelli, Administrator and inspected the facility inside and out. LPA reviewed 1 of 3 child's records and 5//6 of staff personnel files on site at the facility. LPA reviewed 1 of 3 of child's psychotropic medications and medication records. LPA interviewed 2/6 of staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 1 of 3 children currently prescribed psychotropic medication. LPA provided a copy of this licensing report to Carla Izzarelli, Administrator. No deficiencies are being cited at this time. LPA conducted exit interview with Carla Izzarelli, Administrator.

Deficiency cited at inspection

An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Misty Valencia and Aleza Ruiz on 10/30/2025 at 10:45am. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs Valencia and Ruiz met with Carla Izzarelli, Administrator and inspected the facility inside and out. LPA reviewed 0 of 4 child's records and 5//67 of staff personnel files on site at the facility. LPA reviewed 0 of 4 of child's psychotropic medications and medication records. LPA interviewed 2/10 of staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 0 of 0 children currently prescribed psychotropic medication. No Clients qualified. LPA provided a copy of this licensing report to Carla Izzarelli, Administrator. No deficiencies are being cited at this time. LPA conducted exit interview with Carla Izzarelli, Administrator.

Substantiated (one of several allegations)

Licensing Program Analyst (LPA) Avelina Martinez conducted an unannounced complaint inspection with the above facility on October 22, 2025, at 9: AM and met with Joanna Barnhill (Assistant Administrator) and Naeem Brown (Administrator). The purpose of the inspection was to deliver complaint findings for the above allegations. On September 19, 2025, at 9: AM, Licensing Program Analyst (LPA), Avelina Martinez, arrived unannounced at the agency for the purpose of initiating a complaint investigation related to the above allegation. LPA Martinez met with Joanna Barnhill (Assistant Administrator). During the September 19, 2023, inspection visit, LPA Martinez toured the facility with Joanna Barhill and conducted interviews. There were no concerns observed. LPA Martinez requested the following documents for child 1 (C1): Needs and Services Plan, CFTS notes/Preservation Plan, Personal Belongings and Inventory Log, Grievance forms, Safety Plans, incident reports. LPA Martinez also Continued... Confidential interviews were conducted with four individuals, during the period of September 19, 2025, to October 06, 2025. An investigation was conducted for the following allegation:" Children are not provided with sufficient hygiene care supplies." The investigation found that specialized cultural hygiene hair products were not provided to C1. On September 19, 2025, LPA Martinez conducted an inspection of the facility's hair and hygiene supplies. During this inspection, LPA Martinez learned ...

Substantiated (one of several allegations)

Licensing Program Analyst (LPA) Avelina Martinez conducted an unannounced complaint inspection with the above facility on October 16, 2025, at 2: PM and met with Joanna Barnhill (Assistant Administrator). The purpose of the inspection was to deliver complaint findings for the above allegation. On July 02, 2025, at 1: PM Licensing Program Analysts (LPAs) Avelina Martinez and Angelique Hill arrived unannounced at the agency for the purpose of initiating a complaint investigation related to the above allegation. LPAs Martinez and Hill met with Amanda Lee (Administrator). LPA Martinez requested the following documents for review: Client Roster, Staff Roster and Schedule, Staff Census-include New Hires/Termination Records (01/01/2025 to Present), Harm Reduction Plans (01/01/2025 to Present), Needs and Services Plans (01/01/2025 to Present), CFT notes (01/01/2025 to Present), Safety Plans (01/01/2025 to Present), bedroom door/smoking/transportation policies, house meeting notes (01/01/2025 to Present), Activity Calendar (01/01/2025 to Present), Board Meeting notes (01/01/2025 to Present). Facility staff agreed to email documents to LPA Martinez by 07/11/2025 by 5: PM. LPA Martinez conducted an inspection of the facility. An exit interview was conducted. Confidential interviews were conducted with nine individuals and one attempted during the period of July 02, 2025, to August 28, 2025. Based on interviews conducted and records reviewed, it was determined that the facility has a no ...

Substantiated (one of several allegations) : 87065(g)

Licensing Program Analyst (LPA) Avelina Martinez conducted an unannounced complaint inspection with the above facility on October 16, 2025, at 1: PM and met with Joanna Barnhill (Assistant Administrator). The purpose of the inspection was to deliver complaint findings for the above allegations. On July 02, 2025, at 9: AM Licensing Program Analysts (LPA) Avelina Martinez arrived unannounced at the agency for the purpose of initiating a complaint investigation related to the above allegations. LPA Martinez met with Amanda Lee (Administrator) and Joanna Barnhill (Assistant Administrator). LPA Martinez requested the following documents for review: Client Roster, Staff Roster and Schedule, Staff Census-include New Hires/Termination Records (01/01/2025 to Present), Harm Reduction Plans (01/01/2025 to Present), Needs and Services Plans (01/01/2025 to Present), CFT notes (01/01/2025 to Present), Safety Plans (01/01/2025 to Present), bedroom door/smoking/transportation policies, house meeting notes (01/01/2025 to Present), Activity Calendar (01/01/2025 to Present), Board Meeting notes (01/01/2025 to Present). Confidential interviews were conducted with eleven individuals, and attempted with two individuals, during the period of July 02, 2025, to August 28, 2025. Based on interviews conducted and records reviewed, it was determined the following allegations are substantiated: The facility does not have sufficient staff to meet the youth's needs and staff are not implementing Prudent ...

Substantiated

On October 15, 2025 at approximately 10: AM, Licensing Program Analyst (LPA) Zaria Turner made an unannounced visit to deliver findings to the above facility and met with Facility Administrator, Carla Izzarelli. Prior to the meeting LPA Turner initiated the complaint investigation on August 13, 2025. No deficiencies were cited during that inspection. LPA Turner requested the following documents: Staff and Client Roster, Staff Schedule, Staff Contact Sheet, Client Face Sheets, Incident Reports for the month of August, and Needs and Services Plans for one client in care. LPA Turner conducted six interviews between Auguts 6, 2025 and September 24, 2025. Based on evidence obtained and confidential interviews conducted during the investigation process the above allegation can be substantiated because there were consistent statements throughout the investigation process. Five out of the six interviews conducted confirmed the allegation that a staff member spoke inappropriately to a client in care. During the investigation LPA Turner was informed by staff and clients in care that a clinical staff member made inappropriate comments regarding a client's hair, hygiene, and domestic conflicts. The comments were perceived by the facility's staff and youth as disrespectful, unprofessional, and inconsistent with the facility's standards for respectful and trauma-informed care. Despite awareness of the situation, the facility staff failed to intervene or redirect the clinical staff ...

Substantiated (one of several allegations) : 87067(a)

Licensing Program Analyst (LPA) Angelique Hill conducted an unannounced complaint inspection with the above facility on 10/07/2025 at 12:15PM and met with Tahirah Francis, Facility Manager. The purpose of the inspection was to deliver complaint findings for the allegations of: Staff not implementing prudent parenting standards. During the course of the investigation, the following documents were gathered and reviewed: Client Roster between 2024-2025, Staff Roster from 2024-2025 and Staff Schedule, Needs and Services Plans for five youth, CFT notes/Preservation Plan (if applicable), Personal Inventory Log, Safety Plans, Incident Reports for five youth in care, Activities log, training logs, discipline policy, transportation policy, Emergency Intervention plan and in-house/facility rules. Confidential interviews were conducted with nine individuals, RP, S1, S2, S3, SW1, A1, C1, C2, C4 and attempted with C3 during the period of 06/24/2025 to 08/26/2025. An investigation was conducted regarding the allegation: Staff not implementing prudent parenting standards. Six out of nine confidential interviews conducted were consistent that staff are unfamiliar with prudent parent standards. RP, S1, S2, S3, SW1, and A1 stated they received sufficient training but were unaware of the meaning of reasonable prudent parent standards. Additionally, documentation reviewed such as eleven staff training logs did not show there were Reasonable Prudent Parent Standard trainings conducted. Based on ...

Deficiency cited at inspection

On 10/07/2025 at 12:15PM Licensing Program Analyst (LPA), Angelique Hill, met with Tahira Francis, Facility Manager for the purpose of a case management inspection. During an inspection, LPA reviewed eleven staff training logs which did not list any Trauma Informed Trainings conducted for the year of 2025. The facility is being cited Title 22, Chapter 7. Short-Term Residential Therapeutic Program, Interim Licensing Standards (ILS), Articles Through 10, Version 5, 87078.2(a) Trauma-Informed Interventions and Treatment Practices on the attached LIC809D. Exit interview conducted and a copy of this report is left with Ashley Rupp, Assistant Administrator.