summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
** AMENDED - definition for findings added to LIC9099 pg 1 ** (Information listed here in on the first page) Facility cited for violation of Interim licensing Standards, Version 4, sections 87072(c)(14) Personal Rights and section 87072(c)(8)(C) Personal Rights. An exit interview was conducted and a copy of this report along with appeal rights will be sent to Administrator Khea Gumbs. Administrator, Khea Gumbs and Board Member, Jason Henderson were both emailed a copy of this report on 7/8/2022 and LPM is requesting that this form be signed and returned to LPM via email. Email will be sent with a read receipt.

Investigation Findings:
13** AMENDED - Licening Program Manager (LPM) Carolyn Flynn sent a copy of this report to Jason Henderson on 7/8/2022 after adding the definition of the findings. ** Licensing Program Analysts (LPAs) Shikya Belfield and Lisa Schlembach made an announced Complaint Inspection with the above facility on 4/22/2022. LPAs Belfield and Schlembach met with Direct Care Staff Carmen Lee. The purpose of this inspection was to interview staff about the above allegations, and to open a new complaint, which had been received by Community Care Licensing (CCL) on 4/12/2022.. Based on confidential interviews conducted by LPAs Belfield and Schlembach, it was determined that staff were locking minor clients in their room by physically putting them in their room and holding the door closed so they could not get out. It was also determined that staff prevented clients from making phone calls to their attorney and other authorized persons. Based on the information obtained, there is a preponderance of the evidence has been met. Therefore, the above allegations are Substantiated. Facility cited for violation of the Interim Licensing Standards (ILS), Version 4, Sections 87072(c)(14) Personal Rights and Section 87072(c)(8)(C) Personal Rights, attached on the LIC 9099D. See continued on the attached LIC 9099C and D SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Nelson Martinez LICENSING EVALUATOR NAME: Carolyn Flynn LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: R.E.F.U.G.E.III, THEFACILITY NUMBER: VISIT DATE: 05/11/2022

met_with: Khea Gumbs


state: CA

facility_name: R.E.F.U.G.E.III, THE

summary: Complaint Investigation - Substantiated - 3 allegations

raw_content:
Investigation Findings:
13** AMENDED - Licensing Program Manager (LPM) Carolyn Flynn sent a copy of this report to Khea Gumbs and Jason Henderson on 7/8/2022 after adding the definition of the findings. ** Licensing Program Analysts (LPA) Shikya Belfield and LPA Lisa Schlembach made an unannounced Complaint Inspection with the above facility on 5/11/2022 at 2: PM. The purpose of this inspection is to deliver the findings regarding the above allegation. Based on confidential interviews conducted by LPAs Belfield and Schlembach, it was determined that in an attempt to keep clients from running away, staff took the shoes and socks away from clients in care. The preponderance of the evidence has been met. therefore, the above allegation is Substantiated. Facility cited for violation of the Interim Licensing Standards (ILS), Version 4, Section 87072(c)(11) Personal Rights, attached on the LIC 9099D. A copy of this report will be emailed to Administrator, Khea Gumbs and Board Member, Jason Henderson on 7/8/2022 and LPM is requesting that this form be signed and returned to LPM via email. Email will be sent with a read receipt. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Nelson Martinez LICENSING EVALUATOR NAME: Carolyn Flynn LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: R.E.F.U.G.E.III, THEFACILITY NUMBER: 015650058

Allegations:
- SubstantiatedEstimated Days of Completion:
- Estimated Days of Completion:
- Estimated Days of Completion: 90

report_type: Complaint Investigation

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Investigation Findings:
13** AMENDED - Licensing Program Manager (LPM) Carolyn Flynn sent a copy of this report to Khea Gumbs and Jason Henderson on 7/8/2022 after adding the definition of the findings. ** Licensing Program Analysts (LPA) Shikya Belfield and LPA Lisa Schlembach made an unannounced Complaint Inspection with the above facility on 5/11/2022 at 2: PM. The purpose of the inspection on 5/11/2022 was to deliver the findings regarding the above allegations. Based on confidential interviews conducted by LPA's Belfield and Schlembach, it was determined that, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated. There were no violations cited for these allegations, under the Interim Licensing Standards, Version 4. An exit interview was conducted, and a copy of this report will be sent to Administrator Khea Gumbs and Board Member Jason Henderson on 7/8/2022 and LPM is requesting that this form be signed and returned to LPM via email. Email will be sent with a read receipt. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Nelson Martinez LICENSING EVALUATOR NAME: Carolyn Flynn LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 90

complaint_status: unsubstantiated


raw_content:
Narrative:
provided conflict with other documents such as incident reports, showing that staff were working as part of the staffing ratio before initial training had been completed, and it was confirmed that at least two staff did not receive training although an initial training log had been filled out. On at least one occasion medication was signed for by a staff to show medication was administered to a client, during a time the client was not present in the facility to receive the medication. Based on a review of client files, the needs and services plan do not reflect current and updated information regarding the mental health, concerns, needs assessments, or progress of the clients in care. At least two clients have Needs and service plans that are exactly the same for at least a three month period with no changes to reflect the incidents or concerns displayed by the clients in care. It was confirmed that on at least two occasions staff were told to sign documentation that they did not write or did not perform the task being signed for. Multiple incident reports were reviewed by LPA's Belfield and Schlembach where clients were not receiving trauma informed care nor was there appropriate follow up to the incidents. It was confirmed that as a form of punishment, clients were not given their allowance. The preponderance of the evidence has been met. Therefore, the above allegations are Substantiated. Facility cited for violation of Interim Licensing Standards, Version 4, Sections 87065.1(a)(d)2 and 87065.1(d)(2) Supervision, Evaluation and Training Requirements, 87061(i)(4) Reporting Requirements, attached on the LIC 9099D. Facility cited for violation of Interim Licensing Standards, Version 4, Sections 87065.1(a)(d)2 and 87065.1(d)(2) Supervision, Evaluation and Training Requirements, 87061(i)(4) Reporting Requirements. An exit interview was conducted and a copy of this report along with appeal rights will be sent to administrator Khea Gumbs. A copy of this report will be emailed to Administrator, Khea Gumbs and Board Member, Jason Henderson on 7/8/2022 and LPM is requesting that this form be signed and returned to LPM via email. Email will be sent with a read receipt.

Investigation Findings:
13** AMENDED - Licensing Program Manager (LPM) Carolyn Flynn sent a copy of this report to Jason Henderson on 7/8/2022 after adding the definition of the findings. ** Licensing Program Analyst (LPA) Shikya Belfield and LPA Lisa Schlembach made an unannounced Complaint Inspection with the above facility on 5/11/2022, at 2: PM. LPA Belfield and Schlembach met with Khea Gumbs. The purpose of this inspection is to deliver the findings regarding the above allegations. Based on interviews with conducted with staff, confidential client interviews, and supportive documents to include but not limit; incident reports, needs and service plans, and copies of client files / records, staff schedules, staff file review, and training information. It was confirmed that the facility had employees working with clients in care and those employees did not have criminal record clearances. It was confirmed that staff did not receive sufficient training in order to work with the clients in care. Training logs SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Nelson Martinez LICENSING EVALUATOR NAME: Carolyn Flynn LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: R.E.F.U.G.E.III, THEFACILITY NUMBER: VISIT DATE: 05/11/2022

Allegations:
- SubstantiatedEstimated Days of Completion:
- Estimated Days of Completion:
- Estimated Days of Completion: 90


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Paul Simien made an unannounced visit to the above listed facility to inform them of the findings for the above listed allegations. LPA discussed this with Dwayne White, Administrator Superviser (AS) at 11: AM on 2/27/26. Based on confidential interviews conducted it was determined that the allegation listed above is Substantiated. Based on witnesses interviewed, it was determined that the facility refused to provide transportation for a client on12/25/26 and doesn't report incidents to client's social worker in a timely manner. The preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. As a result of this visit, two Interim Licensing Standards violation ( Transportation (c) and Reporting Requirements (b)(4)(A). The facility will be cited (see 809-Ds for details). Appeal rights were discussed and provided. Exit interview was conducted and a copy of this report was provided to AS. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Joel Segura LICENSING EVALUATOR NAME: Paul Simien LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN JOSE RO, N. First Street, Ste. San Jose, CA Facility Name: R.E.F.U.G.E.III, THEFACILITY NUMBER: 015650058

Allegations:
- SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

met_with: Dwayne White, Administrator Superviser


facility_name: SACRAMENTO CHILDREN'S HOME #1

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Based on LPA's interviews and a records review, the preponderance of evidence standard has not been met; therefore, the allegations are found to be UNSUBSTANTIATED-although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. No Interim Licensing Standards or Title Regulations were cited during today's inspection. Exit interview conducted and a copy of this report, along with a copy of the Appeal Rights, is being provided to the facility.

Investigation Findings:
13On 03/01/2022, Licensing Program Analyst (LPA) Chad Cabigon delivered the findings of this complaint investigation. LPA was met by Annette Jumper, Director of Child & Family Programs, with whom the report was discussed. Prior to opening the investigation, LPA reviewed the facility's history of complaints, deficiencies, and relevant incident reports. The investigation was then formally opened at the facility on 11/04/2021. Interviews were conducted with four youth clients, two facility staff, and three case-carrying County Social Workers. The following records were obtained: the Needs & Services Plan for the referenced child, training records for the staffer in question, and documentation pertaining to supervised visits. No other youth client corroborated child C1 on staff S1 hitting or handling C1 in any rough manner; C1's depiction of the alleged action by S1 was within the context of staff having to apply a restraint on C1-this emergency intervention, according to at least one other youth who witnessed part of the incident, looked to be justified. None of the other residents reported instances-witnessed or directly experienced-of any facility staff making inappropriate comments to, or about, any minors in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: SACRAMENTO CHILDREN'S HOME #1FACILITY NUMBER: VISIT DATE: 03/01/2022

met_with: Annette Jumper


raw_content:
Narrative:
The minor had no previous incidences of self-harm since placement at the facility; the youth having ingested a detergent pod was new and unusual behavior-LPA found no reported occurrences of the client even attempting to do self-harm or expressing suicidal ideations. As such, there was no reasonable cause to restrict the client's access to cleaning supplies during chore time during which youths are encouraged and expected to complete assigned chores as part of the facility's daily program. Per the clients interviewed, the cabinet in which the cleaning chemicals are stored is otherwise always locked; this LPA, during an unannounced inspection, also found the storage of these chemicals to be secured. The minor, upon exhibiting GI symptoms, was taken to acute care to be treated for ingestion of a toxic substance. The case-carrying County Social Work Supervisor confirmed that this was uncharacteristic of the youth, that the client had no prior instances of self-harm at the facility, and expressed confidence in the facility's ability to provide care and supervision to the minor in question. Though the youth did gain access to a potentially hazardous cleaning agent, this was not due to neglect, a lack of supervision, or incompliance with the youth's care plan on the part of facility staff. Based on LPA's interviews and a records review, the preponderance of evidence standard has not been met; therefore, the allegation is found to be UNSUBSTANTIATED-although the allegation may have been valid, there is not a preponderance of evidence to prove a violation did or did not occur. No Interim Licensing Standards or Title Regulations were cited during today's inspection. Exit interview conducted and a copy of this report is being provided to the facility.

Investigation Findings:
13On 04/25/2022, at approximately PM, Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection at this facility to deliver the findings of this complaint investigation. LPA was met by John Glass, Training & Recreation Therapy Manager, and the following report was discussed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: SACRAMENTO CHILDREN'S HOME #1FACILITY NUMBER: VISIT DATE: 04/26/2022

met_with: John Glass


raw_content:
Narrative:
It was reported that a youth was "slammed" to the ground by a staff member. Though this was corroborated by one other youth, there were inconsistent details between obtained statements surrounding the incident including who else was there to witness it. None of the purported witnesses corroborated seeing anything like what was described by the youth, and none of the other interviewed youths reported ever seeing the staffer in question do anything that they would describe as physical abuse to any of their peers. In the staffer's statement, he was responding to, or intervening in, a situation where a potential assault was being perpetrated by the youth on a female staff-person, and that the extent of his actions were to hold back that youth which then caused them both to fall to the floor. Though there was some sort of physical contact between the staff-person and the youth, the force with which the youth hit the ground cannot be determined, nor can it be ascertained if "slam" was an appropriate description of how the staffer and the youth fell to the floor. The youth did not sustain any injuries from the incident and did not report feeling unsafe with, or around, the staff member in question. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is unsubstantiated. Exit interview conducted; a copy of this report, along with the Appeal Rights, is being provided to this facility.

Investigation Findings:
13On 07/07/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this facility. LPA met with John Glass, Training & Recreation Therapy Manager, to whom the findings of this complaint investigation was delivered. The following report was discussed: The complaint investigation was opened on 03/29/2023-LPA met with Clinical Program Manager Amanda Drumheller who facilitated a tour of the STRTP (Short Term Residential Therapeutic Program) grounds and interviews with a child referenced in the complaint (C1) as well as the direct-care staff (S1) in question. Interviews were also conducted with two other youth who were potential witnesses to the incident in question and one other direct-care staffer. Records reviewed were the following: C1's Needs & Services Plans, S1's disciplinary record with the Sacramento Children's Home (SCH), that staffer's training records, and the facility's submitted report on the incident in question. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: SACRAMENTO CHILDREN'S HOME #1FACILITY NUMBER: VISIT DATE: 07/07/2023


raw_content:
Narrative:
Based on information obtained from witness interviews, the child is active, intelligent, plays in a rough manner, hits, kicks, bites, pulls hair, yet, over the last couple of months, the child has improved significantly both behaviorally and emotionally. Different information obtained indicates the child had multiple injuries due to staff handling the child roughly and that multiple scratches and bruises were observed. There is no evidence to indicate staff were subject to disciplinary actions. Witness interviews corroborate the child is not afraid, appropriate discipline is used for children, and positive reinforcement is applied to include "behavior bucks" for children. It is unclear if the child's injuries were due to rough play, accidents, or because of inappropriate staff interventions. Although the allegation that staff was rough with minor causing multiple bruises may have happened, or may be valid, there is not a preponderance of the evidence to prove the alleged violation did, nor did not occur, therefore, the allegation is UNSUBSTANTIATED. LPA conducted exit interview, provided appeal rights, and delivered this report January 16, 2024.

Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

visit_type: Annual

met_with: Amanda Drumheller, Residential Clinical Program Manager


raw_content:
Narrative:
On whether or not the facility adhered to proper law enforcement contact procedures and if they responded appropriately to a runaway situation, the facility was able to provide documentation that timely notification was made to the correct Sacramento Police Department unit (Warrants & Missing Persons)-this protocol was confirmed by a current Detective in the unit. While an individual who used to work in that unit may have provided incorrect information in the past, the correct procedure was clarified by the aforementioned current Detective. Additionally-according to facility records and corroborated by the youth, themself-the youth did not present as a danger to themself or others for staff to have called 911 or the non-emergency number at the time of the incident in question. The youth also stated that staff did, at the time of the particular incident, try to discourage the youth from absconding, and that they did try to follow the youth-the youth stated that this was the usual practice of facility personnel in AWOL situations. The youth was unaccounted for for a few days but did return to the facility eventually. Although the allegations have have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are Unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility.

Investigation Findings:
13On 01/31/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this STRTP (Short Term Residential Therapeutic Program) to deliver the findings of, and close, the complaint investigation. LPA met with Amanda Drumheller, Clinical Residential Program Manager, and the following report was discussed: LPA opened the investigation on 09/22/2023; records reviewed as part of the investigation were the following: a youth's Needs & Services Plans, email correspondences, a Missing Person Report Information Form, facility incident reports, an audio recording of a phone call between a parent and a Sacramento PD worker, and the Sacramento Children's Home's (SCH) Program Statement. The following were interviewed: several facility youth, a youth's parent, facility administration/management and direct-care staff, and Sacramento Police Department detectives and other personnel. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: SACRAMENTO CHILDREN'S HOME #1FACILITY NUMBER: VISIT DATE: 01/31/2024


raw_content:
Narrative:
Obtained documentation from the Sacramento Children's Home (SCH, or facility) as well as corroborating statements that support it, show that an assessment or evaluation, and medical treatment if needed, was offered to a youth after an incident took place wherein a youth's hand was caught on a door that was being shut by a facility therapist. At the time, the clinician was actively attempting to address that youth's escalated behavior-the youth being in crisis threatened to harm other clients in the facility, according to the therapist. There was no photographic evidence produced that could show the state of the child's hand after the incident; consequently, there is no direct evidence that supports whether or not the youth actually sustained an injury. The youth's disclosure that resulted in this complaint investigation alleged that the SCH staff shut the door on purpose. In LPA's interview with the youth, when asked to confirm whether or not the youth thought it was done on purpose, the youth stated, "I don't know." Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is Unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the FFA.

Investigation Findings:
13On 01/31/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this STRTP (Short Term Residential Therapeutic Program) to deliver the findings of, and close, the complaint investigation. LPA met with and the following was discussed: LPA opened the investigation on 01/04/2024, during which a tour of the interior and exterior areas of the facility's physical plant was given, interviews were conducted with youth clients and staff, and a youth's Needs & Services Plan was requested. Additional interviews were conducted on 01/06/2024 with more clients and staff. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: SACRAMENTO CHILDREN'S HOME #1FACILITY NUMBER: VISIT DATE: 01/31/2024

met_with: Amanda Drumheller,


raw_content:
Narrative:
Clients interviewed were in corroboration about the incident in question and the events that led up to it; according to interviews with youth and staff, one youth was consistently instigating arguments or fights with peers. Based on obtained statements, including those from youth, appropriate interventions-pre-emptive or responsive-were done by facility staff to mitigate instances of physical fights and further injury, and no serious bodily harm was sustained by any youth. Regarding a threat made by youth to other youth, this was in direct response to, and within the context of, that instigating youth persisting with inflammatory comments towards their peers. Sacramento Children's Home also made a housing change to prevent further conflict. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are Unsubstantiated. Exit interview conducted and a copy of this report and of the Appeal Rights are being provided to CRH.

Investigation Findings:
13On 10/25/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this Short Term Residential Therapeutic Program (STRTP) to close the complaint investigation. LPA met with Residential Clinical Program Manager Amanda Drumheller to whom the following report was delivered: LPA opened the investigation on 06/19/2024 during which time a tour of the interior and exterior areas of the facility's physical plant was done and children's records were requested. Interviews were conducted with multiple youth and facility staff between 06/19/2024 and 10/17/2024. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: SACRAMENTO CHILDREN'S HOME #1FACILITY NUMBER: VISIT DATE: 10/25/2024

met_with: Amanda Drumheller


raw_content:
Narrative:
During an incident that took place on 04/26/2025 in which a facility staffer was attempting to verbally de-escalate a client, a certain term was used by that staff member and directed it to the client. Although the exact word was in dispute, there was enough corroboration from three confidential interviews, including that staff-person's own admission, that it was disparaging and inconsistent with trauma-informed language. The staff member was formally counseled by their supervisor on 05/23/2025 (prior to the investigation being opened). Based on interviews and a records review, the preponderance of evidence standard has been met; therefore, the allegation is found to be Substantiated. Interim Licensing Standards 87072(c)(1) is being cited on the attached LIC 9099-D. Exit interview conducted; a copy of this report is being provided, along with the Appeal Rights, to the facility. Though there was some corroboration between two client statements about a possible improper hold or restraint applied to a client, details were inconsistent as to how and when this was purported to happen. Staff consistently were able to describe the proper tenets of emergency intervention techniques and justifications for use, including the application of manual restraints, and that no physical holds that resemble a "choke hold" should ever be utilized. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is unsubstantiated. Exit interview conducted; a copy of this report, and of the Appeal Rights, is being provided to the facility.

Investigation Findings:
13On 06/20/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this Short Term Residential Therapeutic Program (STRTP) to close the complaint investigation. LPA met with Residential Clinical Program Manager Amanda Drumheller to whom the following findings were delivered: LPA initiated the investigation on 05/28/2025 during which time the following records were requested: specific incident reports, disciplinary or counseling documentation from a personnel file, a youth's Needs & Services Plan, and placement preservation meeting notes; an interview was also done with one staffer. During the course of the investigation, additional interviews were conducted with other Sacramento Children's Home (SCH) staff, current and former clients in care, and clients' family. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: SACRAMENTO CHILDREN'S HOME #1FACILITY NUMBER: VISIT DATE: 06/20/2025


facility_name: SAGANA HAUS

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPA) Jean Stidman and Elena Gonzalez-Soto met with applicants Edward Dondi and Elizabeth Dondi, to discuss the application for licensure. LPA Stidman discussed the application requirements in depth and did discuss expectations of the operation of the facility. LPA Stidman discussed application documents and that any forms needing revisions must be original documents with live signature(s). LPA discussed the client population to be served, organizational structure, administrator qualifications and educational requirements and any previous experience(s) in a licensed facility as a licensee, administrator/director and/or staff, need from banking institution(s) to verify three months of expenses as listed on the LIC401 line 37, postings required in the facility, and other topics during the meeting. LPA Stidman emphasized that the training needs to have a thorough training plan and have adequate staffing to meet the needs of the youth in care. LPA Stidman provided hard copies of the STRTP Review Tool which included the list of revisions needed, the Core Services Matrix, the STRTP Interim Licensing Standards (ILS) version 5. LPA also provided copies of the STRTP Review Tool, Core Services Matrix, ILS v.5 via email. LPA Stidman and the agency set a date for the corrections to be turned in by 11/04/24. Exit interview conducted and a copy of this report provided to Edward Dondi.

report_type: Facility Evaluation

met_with: Edward Dondi, applicant


facility_name: SAN DIEGO CENTER FOR CHILDREN

raw_content:
Narrative:
Confidential interviews stated C1 initially refused to be taken to the hospital however staff convinced C1 and C1 was taken to the hospital for evaluation. Confidential interviews stated that S1 administered a medication dose amount to C1 that was not authorized by a physician and stated it was accidental due to unintentional oversight. Confidential interviews stated that C1's dosage was changed from liquid form to pill form and the type of syringe being used had been changed to a more accurate syringe for liquids. Confidential interviews stated S1 was given a corrective action, and re-training. Based on confidential interviews, the preponderance of evidence standard has been met and the allegation that S1 mismanaged child's medication is substantiated at this time. This poses an immediate health, safety, or personal rights risk to residents in care. The facility is being cited for violation of California Code of Regulations, Interim Licensing Standards 87075(c):Health Related Services. An exit interview was conducted, appeal rights explained, and a signed copy of this report was provided to Program Administrator Ervey Salinas, along with the LIC 811. (See Continuation Form LIC9099-D dated 05/27/2021)

Investigation Findings:
13On 05/27/2021 at 1:30 p.m., Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Program Representative Michelle Pechtl of San Diego Center for Children to discuss the investigative findings for the allegation noted above. On 12/29/2020 at 3:25 p.m, due to COVID 19, LPA met with Program Administrator Ervey Salinas via tele-inspection to initiate complaint investigation and conducted a safety check; no safety hazards observed. During the investigation, LPA Lopez conducted confidential interviews with three staff (S1, S2, S3), one administrator, one client (C1) and reviewed incident report. On 12/22/2020, the Department received an allegation that S1 mismanaged child's medication. It was reported that C1 was lethargic at the facility and was taken to the hospital. Confidential interviews stated S1 gave C1 an incorrect dose of medication and S1 contacted the doctor and nurse supervisor for instructions due to the error. (see continuation form LIC9099-C dated 05/27/2021) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: 374602245

Allegations:
- SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

met_with: Michelle Pechtl


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews contradicted the information stating staff prevent C1 from self-harming them self and are aware of C1's suicidal ideation, staff are continuously following C1's medical needs and C1's mental health is being addressed including seeing a therapist. Confidential interviews stated C1 has had suicidal ideations(SI) and threatened themselves, however staff have maintained C1 safe, involved the nurse/therapist and reported incidents. Confidential interviews stated C1 has been seen by the dentist every six months, however the root canal appointment was prolonged more than the two to four weeks the dentist had requested due to rescheduling because C1 did not feel well and the pending approval time for use of anesthesia. LPA received inconsistent information regarding the allegations. Based on confidential interviews, the allegation that staff did not prevent C1 from self-harming, staff is not following C1's medical needs, and staff is not meeting C1's mental health needs may have occurred, however are not supported or proven by evidence. Therefore, the allegations are unsubstantiated. An exit interview was conducted and a copy of this signed report was provided to Program Representative Michelle Drake.

Investigation Findings:
13On 07/27/2021, at 2:00 p.m. Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Program Representative Michelle Drake, of San Diego Center for Children to discuss the investigative findings for the allegations noted above. On 02/19/2021 at 12:48 p.m., due to COVID19, Licensing Program Analyst (LPA) Adrian Mendez conducted a tele-inspection and met with Residential Supervisor James Boyer to initiate a complaint investigation. LPA Mendez conducted a safety inspection and no deficiencies were observed at that time. During the investigation, LPA Mendez and LPA Lopez conducted confidential interviews with three staff (S1 through S3), one administrator, one social worker, one client (C1) and reviewed incident reports. On 02/12/2021, the Department received allegations that staff did not prevent client (C1) from self-harming, staff is not following C1's medical needs, and staff is not meeting C1's mental health needs. It was reported that C1 had attempted to drink a bottle of nail polish so C1 could self-harm and staff failed to follow-up on a dental appointment. (see continuation form LIC9099-C dated 07/27/21) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 07/27/2021

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

met_with: Michelle Drake


raw_content:
Narrative:
Confidential interviews stated staff supervise clients and razors are not allowed in the children unit where C1 was placed. Confidential interviews stated staff observed C1's room to be clean, no razor was found and on 03/23/2021 a safety check was conducted by law enforcement however no concerns were observed. Multiple attempts to interview C1 were made however they were unsuccessful. C1 was discharged to biological parent. Based on confidential interviews, the allegations that C1 had access to a sharp object and facility staff did not ensure that C1 had clean linens may have occurred, however are not supported or proven by evidence. Therefore, the allegations are unsubstantiated. An exit interview was conducted and a copy of this signed report was provided to Program Representative Meghan Dambacher.

Investigation Findings:
13On 08/12/2021, at 10:00 a.m. Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Program Representative Meghan Dambacher, of San Diego Center for Children to discuss the investigative findings for the allegations noted above. On March 9, 2021 at 12:15 p.m., due to COVID 19, LPA Ann Valenzuela conducted a tele-inspection and met with Program Administrator Ervey Salinas to initiate a complaint investigation. LPA Valenzuela conducted a safety inspection and no deficiencies were observed at that time. During the investigation, LPA Valenzuela conducted a confidential interview with Staff #1 (S1) and LPA Lopez conducted confidential interviews with three staff (S2 through S4), one administrator, one social worker, reviewed incident reports and attempted to interview Client #1 (C1). On 03/01/2021, the Department received allegations that C1 had access to a sharp object and facility staff did not ensure that C1 had clean linens. It was reported C1 shaved C1's arm and C1's room was dirty. Confidential interviews contradicted the information and stated C1 did not have access to a sharp object at the facility and all clients' linens are washed on a cycle however clean sheets are always available. (see continuation form LIC-9099C dated 08/12/2021) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 08/12/2021

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

met_with: Meghan Dambacher


raw_content:
Narrative:
Confidential interviews stated that C1 was provided with a workshop session with a nursing staff on how to bathe themselves and given the opportunity to ask questions to address any concerns on self -bathing. Confidential interviews stated C1 did not have poor hygiene and instead had darkened skin around C1's neck that was weight related however, it was alleged C1 had bad hygiene. Confidential interviews stated C1 did not have issues sleeping in C1's room and did not mention C1 had night terrors as alleged. Confidential interviews stated facility staff conducted bed checks every fifteen minutes nightly and documented C1 waking up at night to use the bathroom however C1 did not have trouble going back to sleep. Multiple attempts to interview C1 were made however they were unsuccessful. C1 was discharged to biological parent. Based on confidential interviews, the allegation that C1's needs are not being met may have occurred, however are not supported or proven by evidence. Therefore, the allegations are unsubstantiated. An exit interview was conducted and a copy of this signed report was provided to Program Representative, Meghan Dambacher.

Investigation Findings:
13On 08/12/2021, at 10:45 a.m. Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Program Representative, Meghan Dambacher, of San Diego Center for Children to discuss the investigative findings for the allegations noted above. On March 24, 2021 at 09:30 a.m., due to COVID 19, LPA Lopez conducted a tele-inspection and met with Program Administrator Meghan Dambacher to initiate a complaint investigation. LPA conducted a safety inspection and no deficiencies were observed at that time. During the investigation, LPA conducted confidential interviews with four staff (S1 through S4), one administrator, one social worker, reviewed incident reports and attempted to interview Client #1 (C1). On 03/18/2021, the Department received allegations that C1's needs are not being met. It was reported that C1 had poor hygiene and staff would not provide C1 with a roommate to help with C1's night terrors. Confidential interviews stated it was reported to staff that C1 could not bathe themselves and requested that staff bathe C1, however staff do not bathe any clients and C1 was capable of bathing themselves. (see continuation form LIC9099-C dated 08/12/2021) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 08/12/2021

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:


raw_content:
Narrative:
Confidential interviews stated C1 was assessed by nursing due to having darker skin around C1's neck which caused chaffing while being active and it was documented. Confidential interviews stated C1 ate a well-balanced food plan offered by the facility. Confidential interviews stated C1 was benefiting from the program however, C1 was discharged against professional advice to biological parent. Multiple attempts to interview C1 were made however they were unsuccessful. Based on confidential interviews, the allegation that C1 is being sexually abused while in care, C1 developed scabies while in care and staff are not following C1's dietary plan may have occurred, however are not supported or proven by evidence. Therefore, the allegations are unsubstantiated. An exit interview was conducted and a copy of this signed report was provided to Program Representative, Meghan Dambacher.

Investigation Findings:
13On 08/12/2021, at 11:25 a.m. Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Program Representative, Meghan Dambacher, of San Diego Center for Children to discuss the investigative findings for the allegations noted above. On March 25, 2021 at 12:00 p.m., LPA met with Program Administrator Ervey Salinas to conduct an unannounced initial complaint investigation for the above stated allegations. LPA conducted a safety inspection and no deficiencies were observed at that time. During the investigation, LPA conducted confidential interviews with four staff (S1 through S4), one administrator, one social worker, reviewed incident reports and attempted to interview Client #1 (C1). On 03/23/2021, the Department received an allegation that Client #1(C1) is being sexually abused while in care, C1 developed scabies while in care and staff are not following C1's dietary plan. Confidential interviews contradicted the allegations stating C1 was not being physically abused, C1 did not develop scabies and C1 was not on a specific or medically requested dietary plan. Confidential interviews stated C1 never mentioned any form of physical abuse at the facility and was doing well with C1's peers. (see continuation form LIC9099-C dated 08/12/2021) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 08/12/2021

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:


raw_content:
Narrative:
It was also reported C1 had not expressed concerns about mistreatment at the facility to one of two guardians and that the doctor was not concerned about inflicted physical abuse. Confidential interviews stated multiple allegations were made during C1's stay at the facility. Confidential interviews stated all restraints were conducted appropriately, with witnesses and documented at the facility however allegations were made during the restraint. Confidential interviews stated staff did not physically abuse C1 and nursing documented C1 having no pain however an allegation was made that staff scratched C1's leg. Confidential interviews stated staff met C1's medical needs and maintained documentation however it was reported C1 missed a follow-up doctor appointment. Confidential interviews had opposing responses on whether the follow-up was urgent and both guardians were not in agreement. Confidential interviews stated staff did not prevent C1 from using the restroom in any case however it was reported this occurred during a ten minute time-out. Confidential interviews stated staff did not retaliate against C1 and C1 continued treatment until C1 was discharged however it was reported C1 was treated differently although no details on how were provided. Confidential interviews denied all allegations occurred however; other information provided alleged the incidents occurred. Based on confidential interviews, the allegations facility staff inappropriately restrained C1, staff member physically abused C1 causing bruising, staff is not meeting C1's medical needs, staff does not allow C1 to use the restroom and staff is retaliating against C1 for making complaints may have occurred, however are not supported or proven by evidence. Therefore, the allegations are unsubstantiated. An exit interview was conducted, and a copy of this signed report was provided to Program Representative, Lynette Castillo.

Investigation Findings:
13On 10/28/2021, at 3:30 p.m. Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Program Representative Lynette Castillo, of San Diego Center for Children to discuss the investigative findings for the allegations noted above. On April 12, 2021 at 9:15 a.m., LPA conducted an initial complaint investigation and met with Program Administrator Ervey Salinas to conduct an unannounced initial complaint investigation. LPA conducted a safety inspection and no deficiencies were observed at that time. During the investigation, LPA conducted confidential interviews with two guardians (guardian #1(G1) and guardian #2 (G2)), five facility staff (S1 - S5), one administrator, one agency worker, reviewed incident reports, case notes and interviewed client (C1). On 04/05/2021, the Department received allegations that facility staff inappropriately restrained C1, staff member physically abused C1 causing bruising, staff is not meeting C1's medical needs, staff does not allow C1 to use the restroom and staff is retaliating against C1 for making complaints. (see continuation form LIC-9099C dated 10/28/21) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 10/28/2021

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

met_with: Lynette Castillo


raw_content:
Narrative:
in sexual intercourse or other sexualized behaviors with each other during their stay at the facility. Confidential interviews stated that proper supervision was provided at all times; which would have prevented this from occurring. While other confidential information received by Licensing Office stated that these allegations had occurred, and that C2 had a history of not respecting personal boundaries, and that C1 claimed that they and C2 were in a romantic relationship. There were no other known witnesses to this allegation. Based on confidential information obtained during the course of this investigation, the allegation that children engaged in inappropriate interactions, more specifically that Child # 1 (C1) had engaged in sexualized behaviors with Child #2 (C2) during their stay at this facility, may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Supervisor, Michelle Drake-Trevino to discuss the investigative findings for the above stated allegation. Licensing Program Analysts (LPAs), Marisol Lopez and Daniel Mena conducted an inspection to the Short Term Residential Therapeutic Program (STRTP) on May 24, 2021 at 10:30am and on April 20, 2022 at 9:26am. No immediate hazards noted. LPAs Lopez and Mena interviewed five staff (S1, S2, S3, S4 & S5), one of two foster children involved (C1), as well as reviewed client and facility records. LPA Mena was unable to interview Child # 2 (C2) due to C2's legal guardian not granting LPA permission to speak to C2 about these allegations at this time. Community Care Licensing received information on May 18, 2021 alleging that children engaged in inappropriate interactions, more specifically that Child # 1 (C1) had engaged in sexualized behaviors with Child #2 (C2) during their stay at this facility. Information obtained in confidential interviews did not corroborate the allegations with a preponderance of evidence. Confidential interviews denied that C1 and C2 had engaged UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 05/20/2022

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

met_with: Michelle Drake-Trevino


raw_content:
Narrative:
Confidential interviews stated C1 was placed in a 1:1 with staff to keep C1 safe however, C1 managed to continue to self-harm. Confidential interviews stated staff supervised C1 while respecting C1's personal rights however, C1 intentionally ingested items and staff was not able to prevent all attempts. Confidential interviews stated it was determined C1 needed a higher level of care and C1 was pending new placement. Confidential interviews stated that C1's safety plan was followed however, other information provided alleged the allegation occurred. Based on confidential interviews, the allegations that allegation that staff did not follow the safety plan for C1 to prevent C1 from self-harming while in care may have occurred, however are not supported or proven by evidence. Therefore, the allegations are unsubstantiated. An exit interview was conducted, and a copy of this signed report was emailed to Facility Representative Antwan McDougal

Investigation Findings:
13On August 12, 2022, at 9:15 a.m., Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Facility Representative Antwan McDougal of San Diego Center for Children to discuss the investigative findings for the allegations noted above. On November 12, 2021, at 3:00 p.m, Licensing Program Analyst (LPA) Marisol Lopez met with Program Representative Lynette Castilloto conduct an unannounced initial complaint investigation. LPA conducted a safety inspection and no deficiencies were observed at that time. During the investigation, LPA conducted confidential interviews with one program administrator, one supervisor, one clinical manager, four staff (S1-S4), client #1 (C1) and reviewed incident reports and nurse notes. On November 08, 2021, the Department received an allegation that staff did not follow the safety plan for C1 to prevent C1 from self-harming while in care. It was reported C1 was transported to the hospital multiple times for swallowing items and self-harming. (See continuation form LIC9099-C dated 08/12/22) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 08/12/2022

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

met_with: Antwan McDougal


facility_name: SAN FRANCISCO BOYS AND GIRLS HOME - EUCLID HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
On Tuesday, October 05, 2021 at 9: AM, Licensing Program Analyst (LPA) Isabel Mendoza conducted an annual/required inspection at the above facility. LPA Mendoza met with Administrator, Scheron Douglas, due to the current Administrator LaTasha Knighten being out on leave. The facility has not been operating since May of 2021 so the facility has been vacant. Therefore, LPA Mendoza did not use Inspection Tool during todays inspection. Please note, the facility has been in communication with CCL regards to their current status. LPA Mendoza toured the facility inside and out and found the facility to be safe, clean and in good repair. During LPA Mendoza's walk thru LPA observed the facility having all items packed in plastic bins. The refrigerator and freezer were empty, and were unplugged due to the facility closure. LPA toured the upstairs and there were a total of 5 bedrooms. All bed rooms were empty and three were storing plastic bins, mattresses, and bed frames. The Administrator confirmed that their maintenance person visits the facility every 2 months to ensure the facility remains in good standing. Per Administrator Scheron, the facility believes they will not be operating until sometime next year (2022). The facility is still in discussion if they will remain as an STRTP or may change to another facility type. At this time the facility wants to remain as an STRTP due to the agency still deciding. Once the facility make a decision they will notify LPA Mendoza immediately. LPA Mendoza also advised the facility to check in with LPA by January of 2022, so LPA can know what the facility current status is. An exit interview was conducted and a copy of the report was left with the Administrator.

met_with: Administrator- Scheron Douglas


summary: Facility Evaluation

raw_content:
Narrative:
On 8/29/24, Licensing Program Analyst (LPA) Mariah Hawkins conducted a required 2-year inspection at the facility. LPA met with Program Manager Dessoni Redmond at the facility and informed of the purpose of the visit. LPA also discussed the purpose of the visit with Administrator Teyona Galloway over the phone. Administrator confirmed that the facility is currently non-operational as a short-term residential therapeautic program (STRTP) and is instead being utilized as office and conference space for the operations of the licensee's other STRTP in the area. Therapists' offices are housed at the site, and staff meetings and therapeutic activies for the residents are hosted at the site. As such, there are no residents in care nor staff employed at this facility site. The licensee has been advised that they would be permitted to forfeit the license and still utilize this building as currently used. LPA toured the facility site and observed no safety hazards. Hot water measured within permitted range, and the site was maintained at a comfortable temperature within permitted range. Bathrooms and kitchen are maintained in clean and sanitary condition. Since the site is not in operation as a care facility at this time, there are no residents in care nor care staff working, so no interviews were conducted and no files were reviewed. No deficiency citations are being issued. LPA observed a few areas where technical support may be beneficial. See LIC Advisory Notes attached. An exit interview was conducted, appeal rights were discussed, and a copy of this report was left with Program Manager, whose signature on this form confirms receipt.

met_with: Program Manager Dessoni Redmond


facility_name: SAN FRANCISCO BOYS AND GIRLS/ SHELTER

raw_content:
Narrative:
Although the allegations may have happened or are valid, based on LPA's observations and interviews, there is not a preponderance of the evidence to prove the alleged violations did or did not occur. Therefore, the allegations are unsubstantiated. An exit interview was conducted, appeal rights discussed, and a copy of this report left with Administrator Teyona Galloway, whose signature on this form confirms receipt.

Investigation Findings:
13On 2/17/23, Licensing Program Analyst (LPA) Mariah Hawkins conducted a complaint investigation visit to deliver findings. LPA met with Administrator Teyona Galloway and informed of the purpose of the visit. During investigation, LPA conducted confidential interviews and reviewed relevant facility records. Based on LPA investigation, the facility does have a qualified facility manager who has experience working in a leadership role within the facility. The facility does have a qualified Head of Service who holds a valid marriage and family therapist license. The facility had the facility manager as acting interim administrator pending an administrator change, and during this time, in August, LPA made a visit and there were no residents in care pending the designation of an administrator. As of November 2022, Teyona Galloway has been the administrator and is qualified. The designation has been confirmed and approved by CCL and the licensing records will be updated. Lastly, the facility has been following intake procedures but has a history of permitting the county to place youth without prior receipt of admission paperwork. The facility is now requesting the admission paperwork prior to placement, complying with licensing requirements. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Mariah Hawkins LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CENTRAL COAST SC/RES, TRAEGER AVE., SUITE FACILITY NAME: SAN FRANCISCO BOYS AND GIRLS/ SHELTERFACILITY NUMBER: VISIT DATE: 02/17/2023

met_with: Administrator Teyona Galloway


raw_content:
Narrative:
LPA is issuing citation(s) for violation of the Interim Licensing Standard (ILS), Version 5, Section(s) 87089. Mental Health, 87022(f) Plan of Operation, and 87068.2 (a) Needs and Services Plan. See attached LIC9099-D. An exit interview was conducted, appeal rights were provided, and a copy of this report was left with Administrator Teyona Galloway, whose signature on this form confirms receipt.

Investigation Findings:
13On 05/13/24 at 12:15PM Licensing Program Analysts (LPA's) Celeste Aparicio made an unannounced inspection to the facility for the purpose of delivering findings from a complaint investigation. LPA met with Administrator Teyona Galloway, and informed on the purpose of this visit. Based on the report received by the licensing agency, it was reported that the facility is not providing mental health services, the facility does not have a Head of Service, and the facility is not following Needs and Services Plans. LPA reviewed pertinent documentation and conducted confidential interviews. LPA found that a Head of Service has not been available to provide mental health services at the facility since December 2023. Additionally, the Department was not notified of any changes in the mental health program. Based on LPA's observations, interviews, and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Celeste Aparicio LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN BRUNO RO, TRAEGER AVE., SUITE FACILITY NAME: SAN FRANCISCO BOYS AND GIRLS/ SHELTERFACILITY NUMBER: VISIT DATE: 05/13/2024

Allegations:
- SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

met_with: Teyona Galloway


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Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:


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Narrative:
Although the allegations may have happened or are valid, based on LPA's observations and interviews, there is not a preponderance of the evidence to prove the alleged violations did or did not occur. Therefore, the allegations are unsubstantiated. No deficiency citations were issued at today's visit. An exit interview was conducted, and a copy of this report and the licensee's appeal rights were provided to Administrator.

Investigation Findings:
13On 2/26/25, Licensing Program Analyst (LPA) Mariah Hawkins conducted a complaint investigation visit to continue the investigation of the above allegations, which have been investigated in part by the Licensing agency's Investigations Bureau (IB). LPA met with Administrator and informed of the purpose of the visit. Throughout the investigation, LPA and IB have reviewed relevant facility records and conducted confidential interviews of staff and clients, including interviews with 4 staff and 3 clients conducted during today's visit. Based on confidential interviews, observations, and record review, no evidence supporting the above allegations was found. Records and statements reflect that staff conduct themselves in a professional and appropriate manner, that staff receive training on boundaries and the facility's hands-off policy, and that staff confiscate all contraband and inform clients of the rules prohibiting substances and other contraband. Despite attempts, no statement from key witness(es) could be obtained. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Mariah Hawkins LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN BRUNO RO, TRAEGER AVE., SUITE FACILITY NAME: SAN FRANCISCO BOYS AND GIRLS/ SHELTERFACILITY NUMBER: VISIT DATE: 02/26/2025


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On Tuesday, October 05, 2021 at 10: AM, Licensing Program Analyst (LPA) Isabel Mendoza made a visit to the facility for a required annual inspection. LPA met with Administrator Scheron Douglas and informed of the purpose of the visit. LPA used the Inspection Tool to complete the annual inspection. LPA toured the facility site and observed the facility to be clean and sanitary. Commonly touched services are sanitized regularly. Per Administrator, there are no firearms on the premises. Sharps and medications are stored in the locked closet in the staff office. First aid kit is also stored in the staff office. Bedrooms are tidy, residents have individual beds, and beds have clean linens. The room temperature and hot water temperature measured within permitted ranges, at F and F. The kitchen was in sanitary condition with functioning equipment and dishware, cookware, and utensils to meet the needs of residents in care. Food storage was sanitary, food was fresh and in date, and there was food storage to meet the 7-day nonperishable, 2-day perishable mandate. LPA reviewed 1 client file, due to the other client being placed at the facility yesterday. (C1), please refer to LIC 811, dated 10/5/21 for confidential names) did not have Modifications to their Needs and Service Plan on file. The facility only had (C1's) initial Needs and Service plan, which was dated 08/24/21. LPA Mendoza requested and updated Needs and Service plan from the Administrator, and Administrator received confirmation from (S3) that the facility does not have one. LPA reviewed 5 staff files. Staff files were complete, and training record shows that the facility has been conducting training's from 2019 to current. [Please Refer to Lic 809-c for Cont.] LPA issued 1 citation per California Code of Regulations, Title 22, STRTP Interim Licensing Standards 87068.3(a) Modifications to Needs and Services Plan. An exit interview was conducted, appeal rights provided, and a copy of this report left with Administrator.

Deficiencies:
87068.3(a): Modifications to The Needs And Services Plan

(a) The needs and services plan specified in Section 87068.2 shall be updated at least every 30 days to determine the following


summary: Facility Evaluation

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Narrative:
On 8/18/22 at 11:00AM, Licensing Program Analyst (LPA) Mariah Hawkins made a visit to the facility for a case management inspection. LPA met with Interim Program Manager Dessoni Redmond and informed of the purpose of the visit. There are no residents in care. The Licensing agency was recently informed that there would be a change of administrator, and that the candidate needed to complete administrator training/certification. However, no updates were provided, and no response was received to Licensing Program Manager (LPM) Isabel Mendoza's 8/9/22 email requesting an update, which was sent to multiple representatives of the facility. Per Interim Program Manager, there is not currently a hired administrator, but there is a candidate being considered. LPA advises that the facility ensure timely responses to contacts and inquiries from the Licensing agency. An exit interview was conducted, and a copy of this report was left with Interim Program Manager Dessoni Redmond, whose signature on this form confirms receipt.

visit_type: Case Management

met_with: Interim Program Manager Dessoni Redmond


summary: Facility Evaluation

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Narrative:
On 04/22/24 at 3: PM Licensing Program Analyst(LPA) Celeste Aparicio made a visit to the facility for the purpose of picking up the facility's Program Statement and Plan of Operations. The Department will return the files within three days. An exit interview was conducted, and a copy of this report was left with Child Care Worker Lelis Reyes, whose signature on this form confirms receipt.

met_with: Lelis Reyes


summary: Facility Evaluation

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Narrative:
On 6/25/24, Licensing Program Analysts (LPAs) Mariah Hawkins and Nicole del Calvo conducted a random annual inspection. LPAs met with Program Supervisor Dessoni Redmond and informed of the purpose of the visit. During visit, LPAs toured the facility site and grounds. LPAs observed the facility to be clean, organized, and maintained in safe condition. Kitchen and bathrooms were maintained in sanitary condition. Knives and chemicals were stored where inaccessible to residents in care. Bedrooms had individual beds and closet space. A supply of food was observed that would meet the needs of the two residents in care, including fresh fruit, snacks, and refrigerated items. A current LIC 610C Emergency Disaster Plan was obtained. LPAs requested that a current LIC 500 be generated to align with the facility schedule and to list all facility staff. LPAs also obtained a staff contact sheet. LPAs reviewed resident records for the two current residents. LPAs discussed the facility's transition to a new head of services and the licensee's hiring progress. A continuation visit will be conducted to complete the review of personnel records. An exit interview was conducted, appeal rights were discussed, and a copy of this report was left with Program Supervisor Dessoni Redmond.

met_with: Program Supervisor Dessoni Redmond


facility_name: SAN FRANCISCO CRISIS CONTINUUM E-STRTP

summary: Facility Evaluation

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Narrative:
On 7/18/25 at 9: AM, A meeting was conducted with the San Jose Regional office and Seneca. Present during this meeting were, Licensing Program Manager (LPM) Carolyn Flynn, LPM Joel Segura, Licensing Program Analyst (LPA) Shikya Belfield, LPA Omar Sawyer, Systems of Care (SOC) Ansar Muhammad, Seneca representative Alicia Hooton. During this meeting, clarification was requested regarding the direction of the facility applications of the program. Seneca representative Alicia Hooton confirmed that Short Term Residential Therapeutic Program (STRTP) application one and STRTP application two, will be STRTP's and not Children's Crisis Residential Program (CCRP). It was also confirmed that both facilities will not be converting to CCRP. Details of the program statement were also discussed and changes that need to be revised regarding requirements, regulations, and length of stay in the program. It was discussed that the language of the Monterey Compass application will better reflect the STRTP program regulations and requirements. Questions were asked regarding application process, facility types, and program requirements. The meeting was concluded. A copy of this report will be sent to Seneca representative Alicia Hooton.

met_with: Alicia Hooton


summary: Facility Evaluation

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Narrative:
On 10/29/2025 at 10: AM, Licensing Program Analysts (LPA) Shikya Belfield, LPA Paul Simeon, and LPA Omar Sawyer met with the above facility for the purpose of conducting components II and III of the Licensing Orientation. Representatives present during the orientation was Administrator Adeya Byrd, Administrator Dawn Henson, and Chief Program Officer Melissa Lawton. The following items were discussed: Component II · Client Assessments / intake policies and procedures / discharge planning / removal and transfers / continued services / community resources and their purposes / · Mental Health Program Approval and Head of Service - It was discussed who is assigned as Head of Service for the program and who they report to. · Organization - It was discussed who each person in the program would report to. From Direct Care Staff to chief program officer. · Administrator Assigned - Adeya Byrd who has their administrator certification. · Any missing forms or clarifications - emergency relocation sites have changes and new LIC610C will be submitted to the department by 11/7/2025. Form LIC 308 will be submitted with any changes will be submitted by 11/7/2025. The Component Three presentation was conducted and STRTP specific information and regulations were reviewed.

met_with: Adeya Byrd


summary: Facility Evaluation

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Narrative:
On 12/23/25 at 10:00am, Licensing Program Analysts (LPAs) Simran Nayyar and Amee Li, conducted a Pre-licensing inspection and met with Administrator, Adeya Byrd, Chief Operating Officer, Melissa Lawton, and Program Assistant, Monico Jacobo. The entire home was toured, inside and out. The applicant is interested in providing care for a capacity of two children, ages six - seventeen years, ambulatory only. The home is set up as follows: This is a one story home with five bedrooms, two bathrooms, a living room, a dining room, and kitchen. Bedroom # 1 - occupied by minor (one single full bed, one dresser, and closet) Bedroom # 2 - occupied by minor (one single full bed, one dresser, and closet) Bedroom # 3 - used by clients and staff (therapy room) Bedroom # 4 - occupied by staff (break room) Bedroom # 5 - occupied by staff (office) There were appropriate furnishings in the home. There are two full bathrooms, and one full bathroom will be utilized specifically for staff. The facility is aware of having two day perishable and 7 day nonperishable food supply. Client bedrooms were clean and in good repair. Client bathroom water temperature was at 129 degrees, facility was made aware of this issue and was advised to bring it down. The client room temperature was reading at 61 degrees, facility was made aware of this issue and was advised to keep the temperature higher. Technical Advisories were issued for Sections 80088(e)(1) and 80088(a)(1) as a reminder for water temperature and room temperature to be maintained at the appropriate levels. The trash cans to be used by clients and in the kitchen were covered to stop the transmission of communicable diseases or odors. The faucets in the kitchen were tested and delivered hot water at a temperature of 138.9 degrees. The facility was made aware of this issue and was advised to bring the temperature down, and if unable to, facility should put up warning signs advising clients about hot water temperatures. The smoke detectors and carbon monoxide alarms were tested and are operable. LPAs reminded the facility that emergency disaster plan, emergency telephone numbers, Personal Rights, complaint procedures, food menu needed to be posted in a prominent location. Disinfectants and cleaning solutions were stored in a location that will be inaccessible to children. The first aid kit was checked and found to be complete. The front and backyard were inspected and found cleared of hazards. There were no pools and/or bodies of water on the premises. The applicant stated that there are no firearms in the home. A technical Advisory was issued for Section 80088(e)(2), as a reminder for water temperature. Additional technical advisories were issues for Sections 87072(a)(1), 87072.2(a)(3), and 80023(a) as a reminder to keep the personal rights form, complaint procedures, and emergency disaster plan posted on the wall at all times. An exit interview was conducted, and a copy of this report was provided to Administrator, Adeya Byrd.

visit_type: Prelicensing

met_with: Adeya Byrd, Administrator


facility_name: SAN GABRIEL CHILDREN'S CENTER, INC./ENID HOME

summary: Complaint Investigation - Substantiated

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Narrative:
On 04/07/2023, the Department received a complaint alleging allegation for physical plant concerns. It was reported that the bathroom/shower for the clients is dirty with grime and mildew. In confidential interviews, all clients that were interviewed provided consistent statements that the bathroom is dirty with grime and mildew present in the shower. The house manager (HM) provided a statement that the bathroom is cleaned up by clients followed by staff checking that bathroom/shower is clean. Furthermore, the Administrator disclosed that a weekly "Chore Sheet" is completed by staff. Licensing Program Analyst (LPA) Vargas visited the facility and inspected the bathroom on 04/10/2023 and observed the bathroom areas, such as the floor, shower enclosure, and toilet area not clean. The bathroom was present with grime along the edges of the floor and baseboard, including mildew present in most areas within the shower. Photos of the bathroom area were taken as part of the complaint investigation and was shared with the Facility Administrator on 04/11/23 via email. Interviews and documentary evidence produce corroborating evidence to support the allegation that the bathroom is dirty with grime and mildew. Based on the interview information obtained and LPA's visit to the facility on 4/10/2023, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated per California Code of Regulations Title Division Six Chapter Five. Facility cited for violation California Code of Regulations Title Division Six, 80088(e)(3). The bathroom: toilets, hand washing and bathing facilities shall be maintained in safe and sanitary operating condition. LPA Vargas discussed with the Administrator in the event of repeated violations within a 12-month period {(refer to Heath and Safety Code §1548 for Civil penalties; regulations setting forth appeal procedures for deficiencies, sections (2)(A)(B)}

Investigation Findings:
13On 04/17/2023 at 08: AM, Licensing Program Analyst (LPA) Joseph Vargas conducted a follow-up inspection for the purpose of providing findings for the above complaint. LPA met with Mr. Johnson, Administrator. During the course of the investigation, LPA conducted in-person visits, and telephone interviews with four clients, three staff workers on 4/10/2023, LA County Ombusperson staff on 04/11/2023. Reference confidential names list LIC811 dated 04/17/2023. During the inspection LPA requested for review and obtained copy of the staff and client facility roster reports, staff Chore sheet, and email comunications with the facility Administrator. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Joseph Vargas LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: San Gabriel Children's Center, INC./ENID HOMEFACILITY NUMBER: VISIT DATE: 04/17/2023

met_with: Mr. S. Johnson, Adminnistrator


raw_content:
Narrative:
On 07/05/23, the Department received a complaint alleging allegation that one staff spoke inappropriately to a client. The focused staff (FS) who was identified in the report denied the allegation. Other staff workers that were interviewed denied the allegation and corroborated the FS statement. Information gathered from staff interviews and some of the clients suggest that the focused client (FC) who reported the allegation suggests or appears the client has a physical attraction towards a female staff worker (FS). In confidential interviews, four clients provided consistent statements and denied the allegations. The four clients disclosed that they were aware of the allegation being reported by another client because the FC was overheard speaking about his actions after the report was filed. The one-focused client (FC) stated that he believes a staff spoke inappropriately toward him. The FC did not respond when asked if he is physically attracted to a female staff. The FC admitted speaking to the FS saying inappropriate sexual comments and was told that he is making the staff feel uncomfortable. Information provided by staff and other clients disclosed that the focused client has admitted that he "likes the FS". The Facility Administrator has placed a second member of staff to work with the FS during her regular night shift as a form of support. The Administrator continues to monitor the situation involving that one client and his actions involving a member of staff who works nights. Based on the available information obtained by staff and clients, the above allegation is determined unsubstantiated at this time. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is no preponderance of the evidence to prove that the alleged abuse occurred. The resolution to this complaint was discussed with the facility staff representative and copies of all licensing reports were provided at the conclusion of the inspection. An exit interview was conducted, and the Appeal rights were given and explained. No deficiencies were cited at this time.

Investigation Findings:
13On 08/07/2023 at 1: PM, Licensing Program Analyst (LPA) Joseph Vargas conducted a follow-up inspection for the purpose of providing findings for the above complaint. LPA met with Ms. Gaskin-Hodge. During the course of the investigation, LPA conducted in-person visits, and telephone interviews with four facility staff workers, five clients on 8/01/23, one facility staff worker on 8/03/23, and one facility staff worker on 8/04/23. Reference confidential names list LIC811 dated 08/07/2023. During the inspection LPA requested for review and obtained copy of the staff and client facility roster reports, cleint needs and services (NSP) and intake documents. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Joseph Vargas LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: San Gabriel Children's Center, INC./ENID HOMEFACILITY NUMBER: VISIT DATE: 08/07/2023

met_with: Ms. Gaskin-Hodge, Facility Staff


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
On 10/26/2023, the Department received a complaint alleging that a staff worker got into a physical altercation with a client. The focused staff (FS) who was identified in the report denied the allegation and stated that the one focused client threw water at him and then attacked him. The focused client reported that there was physical contact between him and the FS that involved the FS pushing and pulling the client from one room to another room. During the physical incident another client was a witness to the incident and had to intervene and separate both the FS and the other client identified in the report. A second staff worker who was present and witnessed the incident has corroborated the physical altercation that occurred on Sunday 09/24/2023. There were no other clients or staff at the facility at the time when the physical altercation occurred. In confidential interviews, one staff member denied the allegation, and other clients and facility staff workers provided consistent statements that corroborated the allegation. Based on interviews by the clients, facility staff workers, and other witnesses, including documentary evidence produce corroborating evidence to support the allegation that a staff worker was involved in a physical altercation with a client. The preponderance of evidence has been met; therefore, the allegation is found to be substantiated per California Code of Regulations Title STRTP INTERIM LICENSING STANDARDS Chapter 7.5 (Vs. 5), Articles 06, 87072(c)(16), Personal Rights. The resolution to this complaint was discussed with the facility staff representative and copies of all licensing reports were provided after the conclusion of the inspection. An exit interview was conducted, and the Appeal rights were given and explained.

Investigation Findings:
13On 02/15/2024 at 11: AM, Licensing Program Analyst (LPA) Joseph Vargas conducted a follow-up inspection to provide findings for the above complaint. LPA met with Mr. Johnson. During this investigation, LPA conducted in-person visits, and telephone interviews with one facility staff worker on 10/30/23, four facility staff workers on 10/27/23, the Facility Administrator on 10/30/23, the Facility Program Director on 11/29/23, and two County Out of Home Care Social Workers on 10/28/2023. Reference Confidential names list LIC811 dated 02/15/2024. During the inspection, LPA requested for review and obtained a copy of the staff and client facility roster reports, clients' needs and services (NSP), and intake documents. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Joseph Vargas LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: San Gabriel Children's Center, INC./ENID HOMEFACILITY NUMBER: VISIT DATE: 02/15/2024

met_with: Mr. Sylvester Johnson, Administrator


raw_content:
Narrative:
On 12/27/23, the Department received a complaint alleging staff did not prevent minor from harming another minor in care and staff does not treat minor in care with respect. During the physical incident the staff was present and attempted to break up the fighting and another client was a witness to the incident and also helped in breaking up the fight. In confidential interviews, staff members denied the allegations, and stated they were there supervising the clients and were trying to stop the alleged. Staff denied any special treatment to any clients and stated they treat all the clients equally. Clients two clients felt they were not treated fairly and one client denied the allegation. Social workers both had no concerns with the supervision the clients were receiving. Based on the available information obtained by staff and clients, the above allegations are determined unsubstantiated at this time. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is no preponderance of the evidence to prove that the alleged abuse occurred. The resolution to this complaint was discussed with the facility staff representative and copies of all licensing reports were provided at the conclusion of the inspection. An exit interview was conducted, and the Appeal rights were given and explained. No deficiencies were cited at this time.

Investigation Findings:
13On 07/31/2024 at 2:00PM, Licensing Program Analyst (LPA) Pedro Ramos conducted a follow-up inspection to provide findings for the above complaint. LPA met with Renae Wliiams, House Manager. During this investigation, LPA conducted in-person visits, and telephone interviews with two facility staff worker and administrator and two clients on 1/4/24 and two Social Workers on 1/25/24 and two probation workers. Client#1 interviewed on 7/24/24. Reference Confidential names list LIC811 dated 07/31/2024. During the inspection, LPA requested for review and obtained a copy of the staff and client facility roster reports, clients needs and services (NSP),SIR, and intake documents. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Pedro Ramos LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: San Gabriel Children's Center, INC./ENID HOMEFACILITY NUMBER: VISIT DATE: 07/31/2024

met_with: Renae Williams, House Manager