South Coast Children’s Society

Substantiated (one of several allegations) : 87065(f), 80078(a)

On January 13, 2026, at 11: AM, Licensing Program Analyst (LPA) Guadalupe Munoz met with facility representative, Breanna Tucker, to discuss the investigative finding for the allegation noted above. LPA conducted an inspection of the facility on 06/10/25 at 9:30 am LPA observed that the facility did not have a designated Facility Manager on site. Please refer to Facility Evaluation Report (LIC 809) dated 6/16/2025, for violation of Title General Licensing Requirements Section 87065(f) Personnel Requirements. LPA interviewed four staff (S2-5) and two clients (C1, C2). S1 was not interviewed due to no longer working at the facility and no contact information. During the investigation, the facility documents and the clients' files were reviewed. On 06/05/25, Community Care Licensing (CCL) received an allegation that lack of supervision resulted in client obtaining keys to the facility vehicle. Specifically, it was reported that C2 was able to obtain keys that were unsecured to one of the facility vehicles and was able to get into the car, start the vehicle and move the vehicle. Confidential interviews confirmed that keys to facility vehicle were left unattended and unsecured in the front living room. Interviews revealed that S2 entered the facility from an outing and placed the keys on top of the piano in the living room because S2 went to assist staff with de-escalating clients in crisis. Confidential interviews also revealed that C2 found the keys in the living room ...

Substantiated : 80078(a)

On October 15, 2025, at 10: AM, Licensing Program Analyst (LPA) Guadalupe Munoz met with facility representative, Ethan Ali, to discuss the investigative finding for the allegations noted above. LPA conducted an inspection of the facility on 04/04/25 at 10: AM with no deficiencies being observed. LPA interviewed four staff (S1-4) and one client (C1). During the investigation, the following documents were reviewed: Facility files and C1's file. On 04/02/25, Community Care Licensing (CCL) received an allegation that staff do not provide adequate supervision to minors. Specifically, it was reported that the Facility does not do enough to stop C1 from leaving the Facility, nor do they do enough to find C1 once C1 elopes. Confidential interviews confirmed that due to C1's highly unsafe behaviors it was determined that C1 would have a 1:1 staff assigned to them and when C1's behavior escalated, supervision needed to increase from one staff to two staff assigned to C1. ***CONTINUED ON 9099C*** In addition, records reviewed, and confidential interviews confirmed that facility did not follow 1:1 supervision protocol therefore it was confirmed that the Facility did not provide the level of supervision needed to maintain the safety of C1 and other residents. Based on confidential interviews, the preponderance of evidence standard has been met and the allegation that facility staff do not provide adequate supervision to minors is substantiated. The Facility is being cited for violation ...

Deficiency cited at inspection

On August 14,2025, at 10:15 am, Licensing Program Analyst (LPA) Guadalupe Munoz conducted an unannounced case management visit of the facility. LPA conducted a walk through of the facility, and no physical plant deficiencies were observed. LPA Munoz met with Facility Manager, Ann XXX. LPA informed facility that an investigation will be conducted regarding an incident that was reported on 08/02/25. On 08/02/25, Community Care Licensing (CCL) was notified of incidents that were documented on 07/30/25. It was reported by the facility that on 7/12/25, 7/27/25, 7/30/25,and 7/31/25 medication in bubble packs were determined to be slightly torn for Client 1 and C2, Facility reported that identified medication was removed from bubble pack and destroyed per Title 22 requirements. LPA requested and obtained documents necessary to the investigation. LPA conducted medication file review. Further information and interviews are required to resolve the concern therefore this investigation is being extended. The outcome of the investigation will be provided to the Facility Administrator. The facility is reminded not to discuss the ongoing investigation with any interested parties. An exit interview was conducted with Facility Manager and copy of this report and LIC 811 dated 08/14/25 was provided to the designee.

Substantiated (one of several allegations) : 87072(c)(1), 87072(c)(15)

On 08/07/2025 at 1:10pm, Licensing Program Analysts (LPA) Gilbert Marquez and Sarah Lo met with South Coast Children's Society - Caladium Administrator Ethan Alli to deliver the findings for the above-stated allegations. On 05/28/2025, LPA and LPM inspected the facility, and no immediate health and safety hazards were observed. The investigation included interviews with five staff (S1, S2, S5, S6, S7, see confidential names list LIC811), one of one client (C1), and a County Social Worker (CSW). In addition, the following documents were reviewed: staff files, C1's file, restraint log, and a Special Incident Report (SIR). On 05/20/ Community Care Licensing (CCL) received a complaint alleging that staff mishandled a minor while in care and staff does not ensure dignity to minor in care. Specifically, it was reported that C1 was attempting to jump out of a first-floor window to escape and run away, staff pealed C1 off the windowsill and pushed C1. Furthermore, it was reported that S1 did bad things and hurt C1. Confidential interviews revealed that S6 did not use approved CPI restraint techniques to support C1 during her attempt to leave the facility through a window; S6 conducted a one person restrain from behind. **Continued on LIC9099C** **Continued from LIC9099** Confidential interviews revealed that in the attempt to restrain C1, C1 indeed fell onto the ground. Confidential interviews revealed that S1 would yell at C1 to behave. Based on confidential interviews, the ...

Deficiency cited at inspection

On June 17, 2025, at 10:45 am, Licensing Program Analyst (LPA) Charmaine Linley conducted an unannounced inspection at the facility and met with Ethan Alli, Facility Administrator. This inspection is to discuss information that was reported to the Department and records reviewed by LPA on March 25, 2025. LPA interviewed one Client (C1), six Staff (S2-5, S8-9), and LPA was unable to interview three Staff (S1, S6-7), despite multiple attempts to contact them. LPA reviewed the facility documents. Refer to Confidential Names (LIC 811) dated 06/17/2025. Community Care Licensing became aware of an incident of S2 pulling on C1's ankles while C1 was laying in their bed. Confidential interviews indicated that S2 was waking C1 up and S2 placed their hands on C1's ankles to pull them out of bed. C1 told S2 to stop, and S5 redirected S2 not to place hands on the clients to wake them up, and S2 stopped pulling on C1's ankles. Documents reviewed indicated that the Facility did not report the incident to CCL as required. Based on confidential interviews and record review, the facility is being cited for a Type B violation of the Interim Licensing Standards STRTP 87072(c)(15) Personal Rights. Facility is also being cited for a Type A violation of California Code of Regulations, Title 22 80061(b) Reporting Requirements. Facility was issued a civil penalty of $250.00 for repeat violation of California Code of Regulations, Title 22 80061(b) Reporting Requirements. Refer to LIC809D. An exit ...

Substantiated : 87072(c)(1)

On June 17, 2025, at 10:15 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced to the facility and met with Ethan Alli, Facility Administrator, to discuss the investigative finding for the allegation noted above. LPA conducted an inspection of the facility on March 24, 2025, at 1:30 pm. No deficiencies were observed. LPA interviewed one Client (C1), six Staff (S2-5, S8-9), and LPA was unable to interview three Staff (S1, S6-7), despite multiple attempts to contact them. LPA reviewed the facility documents. On March 18, 2025, Community Care Licensing (CCL) received an allegation that S1 poured water on C1's face to wake them up. Confidential interviews indicated that S1, S2, and S7 have used water to flick on C1's face in the morning to help wake up C1. Confidential interviews indicated that staff members used a cup of water and took water on their fingertips and flicked the water on C1's face while C1 was in their bed. The investigation could not determine if there are other staff members that also used water on C1's face to wake them up. Based on confidential interviews, the allegation that S1, S2, and S7 poured water on clients face is substantiated. The preponderance of evidence standard has been met. The facility is cited for violation of the Interim Licensing Standards STRTP 87072(c)(1) Personal Rights. An exit interview was conducted, appeal rights explained, and a copy of this report, LIC 811, and appeal rights were provided to Ethan Alli. A copy ...

Deficiency cited at inspection

On June 16,2025, at 11:00 am, Licensing Program Analyst (LPA) Guadalupe Munoz conducted an unannounced case management visit of the facility. LPA conducted a walk through of the facility, and no deficiencies were observed. The purpose of the inspection was to conduct a case management visit. LPA Munoz met with Program Supervisor, Ethan Ali. Based on confidential interviews and records reviewed, Community Care Licensing (CCL) has determined that the licensee doe not have a designated facility manager to be present at the facility at all times when one or more children are present as per Title General Licensing Requirements. The STRTP facility is being cited for violation of Title General Licensing Requirements Section 87065(f) Personnel Requirements. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed to Ethan Ali, Program Supervisor.

Deficiency cited at inspection

On June 10,2025, at 9:30 am, Licensing Program Analyst (LPA) Guadalupe Munoz conducted an unannounced case management visit of the facility. LPA conducted a walk through of the facility, and no deficiencies were observed. The purpose of the inspection was to conduct an Incident Report (IR) follow up visit. LPA Munoz met with Program Supervisor, Ethan Ali.. Community Care Licensing (CCL) has only been provided with Incident Reports for clients that are past the seven days required to report an incident. In addition, the facility has not been notifying the department with a 24 hour notification of incidents that include law enforcement involvement, manual restraints and other incidents. The STRTP facility is being cited for violation of Title General Licensing Requirements, Section Reporting Requirements. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed to Ethan Ali, Program Supervisor.

Substantiated (one of several allegations) : 87075(c), 80078(a)

On June 10, 2025, at 9: AM, Licensing Program Analyst (LPA) Guadalupe Munoz met with facility representative, Ethan Ali, to discuss the investigative finding for the allegation noted above. LPA conducted an inspection of the facility on 12/19/24 at 10:00 am no deficiencies were observed. LPA interviewed three staff (S1-3) and two clients (C1,C2). During the investigation, the following documents were reviewed: LIC 500 and Staff Schedule, client roster, Needs and Services Plan for Clients, Special Incident Report, Medication Log, C1's JV-220 court document, and C1's 1: Log. On 12/13/24, Community Care Licensing (CCL) received allegations that facility did not meet the medical needs of minor in care and that lack of supervision of minors in care led to inappropriate sexual contact. Specifically, it was reported that C1's medication was not given to C1 as prescribed by doctor and that a resident "inappropriately touched the child while at the STRTP". Regarding the allegation that facility did not meet the medical needs of minor in care, confidential interviews confirmed that STRTP did not have a nurse on their staff and that medication responsibilities were delegated to residential managers. Confidential interviews revealed that residential managers had may tasks and medication management and administration were not the priority. Confidential interviews and records reviewed also revealed that C1 was not being administered their medication as prescribed and approved on JV220 ...

Deficiency cited at inspection

On April 16,2025, at 10:00 am, Licensing Program Analyst (LPA) Guadalupe Munoz conducted an unannounced case management visit of the Short-Term Residential Treatment Program (STRTP) facility. LPA conducted a walkthrough of the facility, and no deficiencies were observed. LPA Munoz met with Facility Manager Crystal Martinez to deliver findings for a case management investigation regarding an incident that was reported on 04/03/25. On April 3, 2025, Community Care Licensing (CCL) received information that three clients C1-C3 (please refer to Confidential Names List LIC 811), were left alone without staff supervision in C1s bedroom. Per confidential interviews, C1 and C2 are assigned 1:1 supervision at all times. C1's bedroom is located on the second floor of the facility and clients C1-C3 were able to barricade themselves in the bedroom while unsupervised. Clients were then able to throw a mattress out of the second-floor bedroom window and once the mattress was on the ground all three clients jumped out of the window and left the facility. LPA interviewed two staff (S1) and reviewed clients' (C1-C3) Needs and Services Plan. Confidential interviews and records reviewed confirmed that C1 and C2 assigned 1:1 staff did not follow 1:1 supervision protocol and left C1 and C2 unsupervised. In addition, all clients were left unsupervised in the bedroom which resulted in clients barricading door and jumping out of second floor window which posed an imminent safety risk to the clients. ...

Deficiency cited at inspection

On this date at 12:05 pm, Licensing Program Analyst (LPA) Licensing Program Analyst (LPA) Charmaine Linley made an unannounced visit at above facility. LPA met with Victor Colli, Facility Manager. LPA toured the facility and no deficiencies were observed. The purpose of the visit was to conduct a collateral interview for a complaint that does not involve this facility. LPA attempted to interview one client (C1) and client declined to interview. An exit interview was conducted with Victor Colli. Due to printer malfunction a copy of this report will be emailed to the Facility Administrator.

Deficiency cited at inspection

On August 6, 2024 at 10: AM, Licensing Program Analyst (LPA), Guadalupe Munoz, arrived at South Coast Children's Society - Caladium Short-Term Residential Therapeutic Program (STRTP). LPA was greeted and granted access by Facility Manager, Victor Colli. The purpose of the visit is to conduct an annual inspection of the facility. Administrator/Program Supervisor, Ethan Alli led LPA on the physical inspection of the facility. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris. There is adequate indoor and outdoor activity space. Toys/books/games were observed for children's recreation time. All facility smoke detectors and carbon monoxide detectors were tested and observed to be in working order; fire extinguisher is properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods to prepare the items on the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster, the Emergency Disaster Plan was also posted. Medications are locked and centrally stored in the medication closet located next to the bathroom upstairs. Medication records were reviewed and observed to be completed with dates and staff initials on dispensing records. Individual beds were observed with clean linens, pillows, comforters, and mattresses in good repair. Two bedrooms contain one twin bed, and ...

Deficiency cited at inspection

An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPA) Joon Choi and Guadalupe Munoz on 01/30/2024 at 08: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the visit, LPAs Choi and Munoz met with Program Supervisor Ethan Alli and conducted a health and safety inspection of the facility. No immediate health or safety risks were observed. LPAs reviewed 3 of child's records and 3 of staff personnel files on site at the facility. LPAs reviewed 3 of child's psychotropic medications and medication records. LPAs interviewed 3 of staff on site to discuss the facilities policies and procedures of operation. LPAs will interview 2 children currently prescribed psychotropic medication, at their schools, after the facility visit.. LPA provided a copy of this licensing report to Ethan Alli, Program Supervisor. No deficiencies are being cited at this time, but the facility was provided with a Technical Assistance (TA) note. LPAs conducted exit interview with Program Supervisor Ethan Alli and provided a copy of this report and the TA.