summary: Facility Evaluation

raw_content:
Narrative:
On 09/07/2023 at 09: A.M., Licensing Program Analyst (LPA) Jacob Salem and Licensing Program Manager (LPM) Ann Valenzuela of Community Care Licensing (CCL) conducted an unannounced required annual inspection of the facility and met with Program Manager Adelicia Zenon and Administrator Denice Fortune. LPA and LPM inspected the facility with the Administrator inside and out. Presently there are six clients living in the home. LPA and LPM interviewed two clients and two staff. The facility is a one-story residence with three bedrooms, two bathrooms, dining room, dining area, living room, family room, kitchen, laundry room, staff office and 2-car garage. The facility has been operating with a capacity of six from ages 13 years old to 17 years old and non-minor dependents. The bedrooms are set up as follows: Bedroom #1, Bedroom #2 and Bedroom #3 each is used by two clients, is furnished with two twin beds, all required linen, and mattresses in good condition. There is adequate drawer and closet space for client's belongings. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. No room commonly used for other purposes is used as a bedroom. CCL observed a sufficient supply of 7-day non-perishable food for six clients and a sufficient supply of 2-day perishable food in the kitchen. LPA observed the kitchen to be clean, sanitary and in good repair. The dining room is located next to the kitchen and contains one table with four chairs, the dining area has one table with three chairs and the kitchen counter bar has three bar height chairs. The living room contains two couches and a large ottoman. The family room contains two couches, a TV cabinet with television, a game system with multiple games, as well as books and board games. The laundry room contains a washer and dryer. CCL tested the hot water temperature in clients bathroom which read 117.8 degrees Fahrenheit, which is in the acceptable range of 105 degrees and 120 degrees Fahrenheit. The two-car garage contains a second freezer for overflow foods and storage is maintained in garage. CCL observed an ample amount of recreational and leisure supplies such as books, games, art supplies and television available for client use. Emergency exits were free from obstruction. CCL inspected the outside grounds, which included the backyard. The exterior of the facility was found to be clean and well maintained. The locked staff office contained office furniture and equipment, a locked medications room two file cabinets, one of which holds medications, medications logs. Within the locked medication room there were cleaning products two first aid kits, which contained all required items, and the sharp knives are kept in a locked cabinet. The locked room also contains office documents, client files and office supplies. The licensee stated that there are no guns on the premises. The facility's combination smoke detectors/carbon monoxide detectors located in all bedrooms and in the hallway were tested and were operable. The following required posted items were observed and accessible to children: Ombudsman and Foster Youth Bill of Rights, Grievance Procedures, Personal Rights, Visitation Policies, Neighbor complaint Policy, house rules and current menu. Licensee has obtained National Accreditation through CARF and the Accreditation is valid through August 2025. The facility is MediCal approved through May 2024. Personnel Files are maintained off-site LPA and LPM ended the inspection at the facility at 1: PM, took a lunch and arrived at the main office at 2: PM to review the staff files. CCL met with Anne Ford, Residential Director. All staff who work at the facility have Department of Justice and Child Abuse Clearance index check clearances. A review of client records was also completed on this date including the Medication Administration Record Personnel files were reviewed to ensure they contained all required documentation. Children and staff records are organized. Staff's CPR and First Aid card were current. Child's records contain original needs and services plan signed by the child and their authorized rep. Child's records contain authorization for emergency medical care signed by each child's authorized rep. Appropriate staff/client ratios were verified during this inspection. Based on observations made during the inspection, no deficiencies observed during today's visit. An exit interview was conducted and this report was reviewed with Residential Director, Anne Ford and a copy of this report was provided.

met_with: Adelicia Zenon


state: CA

facility_name: CENTER FOR POSITIVE CHANGES 5

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Britanee Windom conducted a case management inspection on 07/02/24 at 11:30AM based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 6 out of Direct Care Staff and 5 out of 5 youth files were reviewed. 4 out of Direct Care Staff and 2 out of 5 youth were interviewed.(See the Confidential Names List, LIC 811, July 02, 2024). The Plan of Operation including policies and procedures were reviewed. Based on the analysis of the confidential interviews and youth file review including the individualized safety plan and treatment plans, the licensee uses trauma informed and evidence based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Windom observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Administrator Denice Fortune.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Administrator Denice Fortune


summary: Facility Evaluation

raw_content:
Narrative:
On November 21, 2025 at 10: AM, Licensing Program Analyst (LPA) Jacob Salem conducted an unannounced visit to the above facility and met with Adelicia Zenon, Administrator for the purpose of conducting an annual inspection. LPA reviewed four client files (C1-C4), which are kept locked in the staff office. The client files reviewed contained the required information and records, including pre-placement screenings, personal rights and facility policy acknowledgements, and medication logs and court orders. LPA inspected the facility's physical plant, including personal rights postings, health related services, buildings and grounds, food services, indoor and outdoor activity space, and furniture, fixtures, equipment and supplies. The home is clean, in good repair, and free from observable risks to clients' health, safety, and personal rights. The home is a one story residential building with three client bedrooms and one client bathroom which are set up as follows: Bedroom #1 has two twin beds and currently sleeps two clients, bedroom #2 has two twin beds and currently sleeps two client, and bedroom #3 has two twin beds and currently sleeps two clients. There is a kitchen, two living rooms, staff and therapy office with locked storage closet, and backyard/patio. LPA conducted two staff interviews and one client interview. Due to time constraints, the annual is being extended to conduct a review of staff files and conduct one client interview. An exit interview was conducted and a signed copy of this report was provided to Adelicia Zenon, Administrator.

visit_type: Annual

met_with: Adelicia Zenon, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On November 24, 2025 at 12: PM, Licensing Program Analyst (LPA) Jacob Salem conducted an announced visit to the above facility and met with Adelicia Zenon, Administrator. The purpose of this Case Management inspection is to conduct an annual continuation from 11/21/2025. LPA conducted one client interview. LPA reviewed one client file (C5), which is kept locked in the staff office. The client file contained the required information and records, including pre-placement screenings, personal rights and facility policy acknowledgements, and medication logs and court orders. LPA reviewed five staff files (S1-S5), at the facility's corporate office. The staff files reviewed contained the required clearances and health screenings, hiring paperwork and qualifications, and on-boarding trainings. During the review, LPA observed that S4 did not meet the annual 40-hour training requirement in 2024. Based on observations during staff file review, the facility is being issued a citation (see LIC 809D) for violating Interim Licensing Standards Version 5 section 87065.1(e)(1) Supervision, Evaluation, and Training Requirements. An exit interview was conducted with Adelicia Zenon, Administrator and a signed copy of this report, LIC 811, LIC 809D and appeal rights was provided.


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
...CONTINUED Confidential interviews and records reviewed indicated that C1 and C2 had two minor inappropriate interactions as roommates and were prompted to separate by staff, but there was no concern of sexual contact; however, conflicting interviews indicated that there was a concern of the clients kissing during one of the incidents. Conflicting confidential interviews indicated that C1 and C2 had sexual relations while in care at the facility without staff knowing until it was later disclosed. Confidential interviews indicated that C1 and C2 were placed in separate bedrooms after the disclosure of sexual contact, but not after the above-mentioned incidents witnessed by staff. A confidential interview indicated that staff do not frequently check on clients in their room at night. Conflicting confidential interviews indicated that staff conduct frequent room checks at night. Based on conflicting confidential interviews and records reviewed, the allegations that a staff did not prevent inappropriate interactions between minors in care is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. An exit interview was conducted with Adelicia Zenon, Administrator and a copy of this report and appeal rights were provided.

Investigation Findings:
13On November 24, 2025, at 1: PM, Licensing Program Analyst (LPA) Jacob Salem met with Adelicia Zenon, Administrator of Center for Positive Changes 5 to deliver the findings for the above-stated allegation. LPA Salem initiated a complaint inspection at the facility on 6/20/2025 at 1: PM and no immediate deficiencies were observed. During the investigation, LPA Salem interviewed Clients (C2-C6), Staff (S1-S4), and a probation officer. C1 was unable to be interviewed despite multiple attempts. Pertinent records were obtained and reviewed. On June 16, 2025, Community Care Licensing (CCL) received an allegation that staff did not prevent inappropriate interactions between minors (C1 and C2) in care. It was reported that C1 (age 13) and C2 (age 16) had engaged in consensual sexual acts while in care at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem 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 SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: Center for Positive Changes 5facility Number: Visit Date: 11/24/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...CONTINUED Confidential interviews and records reviewed indicated that C1 and C2 had two minor inappropriate interactions as roommates and were prompted to separate by staff, but there was no concern of sexual contact; however, conflicting interviews indicated that there was a concern of the clients kissing during one of the incidents. Conflicting confidential interviews indicated that C1 and C2 had sexual relations while in care at the facility without staff knowing until it was later disclosed. Confidential interviews indicated that C1 and C2 were placed in separate bedrooms after the disclosure of sexual contact, but not after the above-mentioned incidents witnessed by staff. A confidential interview indicated that staff do not frequently check on clients in their room at night. Conflicting confidential interviews indicated that staff conduct frequent room checks at night. Based on conflicting confidential interviews and records reviewed, the allegations that a staff did not prevent inappropriate interactions between minors in care is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. An exit interview was conducted with Adelicia Zenon, Administrator and a copy of this report and appeal rights were provided. SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 4

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 0

report_type: Complaint Investigation

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews and record review could not confirm or dispute the allegation. Based on record review and confidential interviews the allegation alleging staff did not provide adequate supervision to minors in care, resulting in an altercation between minors may have occurred, however it is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Administrator, Denice Fortune. Based on confidential interviews and record review the allegation alleging staff did not accompany minor to hospital for treatment is substantiated. The complaint allegation is valid because the preponderance of evidence standard has been met. Facility is cited for violation of California Code of Regulations (CCR) RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION requirements 80078(a) The licensee shall provide care and supervision as necessary to meet the client's needs. A copy of the report was discussed and provided along with appeal rights to Administrator, Denice Fortune.

Investigation Findings:
13On December 9, 2025 at 12:42 pm Licensing Program Analyst (LPA), Raina Perez-Diaz met with Center for Positive Changes 5, Administrator, Denice Fortune, to deliver the finding for the above stated allegation. A Health and safety inspection of the facility was conducted on September 2, 2025, by LPA Salem, and no immediate hazards were observed. The investigation was conducted by LPA Salem, LPA Ortega, and Perez-Diaz and included interviews with two out of two foster children [Client #1 (C1) and Client #2 (C2)], four out of five staff [Staff #1 (S1) - Staff #5 (S5)], and two county social workers [CSW1 and CSW2]. In addition, county records, police records, and facility records were reviewed. On September 2, 2025, Community Care Licensing (CCL) received an allegation alleging staff did not accompany minor to hospital for treatment. Confidential interviews and record review revealed after a behavior episode Client#1 (C1) was taken to the hospital for medical treatment during which time C1 was not accompanied by any staff and staff was contacted by telephone to provide consent for medical treatment of C1. **continue LIC 9099-C** SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Nicole Strickland LICENSING EVALUATOR NAME: Raina Perez-Diaz 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 STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # This is an official report of an unannounced visit/investigation of a complaint received in our office on 08/26/2025 and conducted by Evaluator Raina Perez-Diaz PUBLICCOMPLAINT CONTROL NUMBER: 08-CR- FACILITY NAME:CENTER FOR POSITIVE CHANGES 5FACILITY NUMBER: ADMINISTRATOR:ANNE FORDFACILITY TYPE: ADDRESS: ELIOT STREETTELEPHONE: (760) 637- CITY:OCEANSIDESTATE: CAZIP CODE: CAPACITY:6CENSUS: 6DATE: 12/09/ UNANNOUNCEDTIME BEGAN: 12: PM MET WITH:Administrator, Denice FortuneTIME COMPLETED:01: PM 9Staff did not provide adequate supervision to minors in care, resulting in an altercation between minors. INVESTIGATION FINDINGS: 13On December 9, 2025 at 12:42 pm Licensing Program Analyst (LPA), Raina Perez-Diaz met with Center for Positive Changes 5, Administrator, Denice Fortune, to deliver the finding for the above stated allegation. A Health and safety inspection of the facility was conducted on September 2, 2025, by LPA Salem, and no immediate hazards were observed. The investigation was conducted by LPA Salem, LPA Ortega, and LPA Perez-Diaz and included interviews with two out of two foster children [Client #1 (C1) and Client #2 (C2)], four out of five staff [Staff #1 (S1) - Staff #5 (S5)], and two county social workers [CSW1 and CSW2]. In addition, county records, police records, and facility records were reviewed. On September 2, 2025, Community Care Licensing (CCL) received an allegation alleging staff did not provide adequate supervision to minors in care, resulting in an altercation between minors. Specifically, it was reported C1 assaulted C2 following a disagreement. Confidential interviews provided conflicting information as to whether the staff supervision was adequate enough to prevent the altercation between the minors. **continue on LIC 9099-C** UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Nicole Strickland LICENSING EVALUATOR NAME: Raina Perez-Diaz 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: 2 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 SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CENTER FOR POSITIVE CHANGES 5FACILITY NUMBER: VISIT DATE: 12/09/2025

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

met_with: Denice Fortune- Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On December 9, 2025 at 01:30 pm Licensing Program Analyst (LPA), Raina Perez-Diaz arrived unannounced to Center for Positive Changes 5, and met with Administrator, Denice Fortune, to deliver a case management- deficiency. Community Care Licensing (CCL) received information regarding a physical altercation occurring at the facility on or about August 25, 2025, involving Client #1 (C1) and Client #2 (C2). Confidential interviews provided consistent statements that staff members did not attempt to separate Client #1 (C1) and Client #2 (C2) utilizing the non-physical emergency intervention techniques listed in the facility's emergency intervention plan during a physical altercation. Additionally, record review revealed, the facilities program statement indicates "in the event that youths physically engage before staff has the opportunity to utilize early preventative interventions, staff members attempt to intervene and separate (not restrain) the youths to prevent injuries." Therefore, the facility is being cited for violation for Short-Term Residential Treatment Program Interim Licensing Standards (ILS) PROGRAM STATEMENT 87022.1 (d) The facility shall operate in accordance with the terms specified in the plan of operation. A copy of the report was discussed and provided along with appeal rights to Administrator, Denice Fortune.

met_with: Administrator, Denice Fortune


raw_content:
Narrative:
.... CONTINUED A confidential interview indicated that the facility had difficulty reaching the CSW by phone during this time due to it being the weekend. A confidential interview indicated that the facility was unwilling to accept C1 back despite C1 not presenting a threat to themself or others' safety. A conflicting confidential interview and records reviews indicated that the facility participated in multiple child and family team meetings with C1 and their placing agency in the weeks leading up to C1's discharge to discuss concerns involving C1's behaviors and made efforts to preserve C1's placement at the facility. Based on conflicting confidential interviews and records reviewed, the allegation that the licensee did not follow the proper eviction procedures with a minor in care is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. An exit interview was conducted with Danikka Alercon- Facility Manager and a copy of this report and appeal rights were provided.

Investigation Findings:
13On February 6, 2026, at 9: AM, Licensing Program Analyst's (LPA) Jacob Salem and Stephanie Arreola met with Danikka Alercon- Facility Manager of Center for Positive Changes 5 to deliver the findings for the above-stated allegation. LPA Salem initiated a complaint inspection at the facility on 10/30/2025 at 9: AM and no immediate deficiencies were observed. During the investigation, LPA Salem interviewed Client (C1), Staff (S1 and S2), and hospital staff. LPA attempted to interview C1's county social worker but was unable despite multiple attempts. Pertinent records were obtained and reviewed. On October 20, 2025, Community Care Licensing (CCL) received the allegation that the licensee did not follow proper eviction procedures regarding minor (C1) in care. It was reported that following an involuntary hold at the hospital, the licensee did not accept C1 back into the facility and instead discharged C1. Records reviewed indicated that the facility submitted the required discharge notice to C1's placing agency one day after C1 was cleared for discharge from the hospital. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem 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 SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: Center for Positive Changes 5facility Number: Visit Date: 02/06/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32.... CONTINUED A confidential interview indicated that the facility had difficulty reaching the CSW by phone during this time due to it being the weekend. A confidential interview indicated that the facility was unwilling to accept C1 back despite C1 not presenting a threat to themself or others' safety. A conflicting confidential interview and records reviews indicated that the facility participated in multiple child and family team meetings with C1 and their placing agency in the weeks leading up to C1's discharge to discuss concerns involving C1's behaviors and made efforts to preserve C1's placement at the facility. Based on conflicting confidential interviews and records reviewed, the allegation that the licensee did not follow the proper eviction procedures with a minor in care is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. An exit interview was conducted with Danikka Alercon- Facility Manager and a copy of this report and appeal rights were provided. SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 2

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 0

met_with: Danikka Alercon- Facility Manager


facility_name: CENTER FOR POSITIVE CHANGES 6

raw_content:
Narrative:
The youth was placed at Center for Positive Changes 6 on 12/23/2021 and Youth 1's last day at placement was on 2/11/2021. The agency has investigated the complaint allegations; facility staff do not ensure that minor attends school, facility staff do not assist minor with transportation needs and facility staff are not properly reporting incidents involving a minor in care. The facility does ensure minor's attends school. Youth 2 and Youth 3 both attend school outside of the facility and have had no transportation issues. Youth 1 graduated high school on 4/28/2021 according to her Probation Officer. Facility staff does assist minors with transportation needs. Youth 4 is transported to and from her job. Youth 2 stated "if an appointment was set, they take us." The incident reports written by staff from Center for Positive Changes 6, indicate that the facility staff was properly reporting incidents involving Youth 1. The facility reported Youth 1 did not attended school, AWOL's and other incidents involving the minor. As a result of the investigation, the complaint is UNSUBSTANTIATED -meaning although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that alleged violation did or did not occur, therefore the allegation is unsubstantiated. No title 22 regulations were cited during today's inspection. An exit interview was conducted with Administrator, Staci Exceus. A copy of the reports and appeal rights were provided to the facility.

Investigation Findings:
13Licensing Program Analyst (LPA) Mary Shelton conducted a tele visit at the agency on April 29, 2021 and LPA spoke with Staci Exceus, Administrator to deliver findings of the investigation on the complaint allegations as stated. LPA Shelton informed the complaint investigation included a tour of the facility on 2/8/2021 with Licensing Program Analyst (LPA) Marla Horne. The initial 10-day complaint inspection was conducted by LPA Marla Horne, at the agency on 2/8/2021 and included a review of the facility and obtaining of relevant documents: Needs and Services and Transportation Log. Licensing Program Analyst, Marla Horne interviewed Youth 1, Youth 2 and facility staff between 4/5/2021 and 4/6/2021. Youth 1 did not complete her interview with LPA Marla Horne on 4/5/2021. Licensing Program Analyst, Mary Shelton interviewed administrator, Youth 3, Youth 4, Probation Officer and counselor between 4/23/2021 and 4/28/2021. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Mary Shelton 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: CENTER FOR POSITIVE CHANGES 6FACILITY NUMBER: VISIT DATE: 04/29/2021

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

met_with: Administrator, Staci Exceus


raw_content:
Narrative:
The agency has investigated the complaint allegations; facility did not provide adequate supervision that resulted in a youth being found in and out of conscious in the bathroom on February 1, 2021 and staff is not qualified to administer CPR. Adequate supervision was being conducted at Center for Positive Changes 6. C1 declined to finish her interview. However, C1 did state that staff checked on the youths at the facility often. C2 stated room checks are conducted every 15 or 10 minutes. LPA Shelton requested and received copies of all staff's CPR Cards and found them in compliance. All staff interviewed stated, they could perform CPR on an adult or youth in case of an emergency. Staff did not perform CPR when the youth was found in the bathroom. The youth was breathing on her own and CPR was not needed. 911 was called and staff remained on the phone until EMT's arrived at the facility. As a result of the investigation, the complaint is UNSUBSTANTIATED -meaning although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that alleged violation did or did not occur, therefore the allegation is unsubstantiated. No title 22 regulations were cited during today's inspection. An exit interview was conducted with Administrator, Staci Exceus. A copy of the report and appeal rights were provided to the facility.

Investigation Findings:
13Licensing Program Analyst (LPA) Mary Shelton conducted a tele visit at the agency on May 25, 2021 and LPA spoke with Staci Exceus, Administrator to deliver findings of the investigation on the complaint allegations as stated. The initial 10-day complaint inspection was conducted by LPA Mary Shelton, at the agency on 2/12/2021 and included a review of the facility and obtaining of relevant documents: Needs and Services, a roster of all the residents, staff schedule, copies of staff CPR cards, room check log, and the daily schedule of actives. LPA Shelton interviewed the facility administrator on 4/13/2021. Additional interviews were conducted, which included C1, C2, staff and therapist between 3/22/2021 and 5/4/2021. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Mary Shelton 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: CENTER FOR POSITIVE CHANGES 6FACILITY NUMBER: VISIT DATE: 05/25/2021

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

met_with: Staci Exceus, Administrator


raw_content:
Narrative:
C1 was at the home for 25 days and continuously AWOL'd. According to Incident reports and interviews Staff would follow C1 and try to redirect C1 back to the home. These AWOL's were reported to CCL and law enforcement. LPA was unable to interview C1 and C1's whereabouts are unknown. However, C1 has stayed in contact with her CASA Worker to let her know she is alright. Based on the investigation, records reviewed and interviews conducted, the complaint findings are UNSUBSTANTIATED at this time meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No title 22 regulations were cited during today's inspection. An exit interview was conducted with Administrator, Staci Exceus. A copy of the report and appeal rights were provided to the facility.

Investigation Findings:
13Licensing Program Analyst (LPA) Mary Shelton conducted a visit at the agency on July 1, 2021 and LPA spoke with Nicole LaChandia, Manager to deliver findings of the investigation on the complaint allegation as stated. LPA Shelton informed the complaint investigation included a tour of the facility on 4/6/2021. The initial 10-day complaint inspection was conducted by LPA Mary Shelton, at the agency on 4/6/2021 and included a review of the facility and obtaining of relevant documents: Needs and Services, monthly treatment plan and placement history. LPA Shelton interviewed the facility administrator on 4/6/2021. Additional interviews were conducted with the social worker, CASA worker and staff between 4/6/21 and 6/30/2021. The agency has investigated the complaint allegation that staff did not adequately supervise the resident. C1 (DOB 10/8/2003) was placed at the facility on 3/11/2021 and her bed was closed on 4/5/2021. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Mary Shelton 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: CENTER FOR POSITIVE CHANGES 6FACILITY NUMBER: VISIT DATE: 07/01/2021

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

met_with: Nicole LaChandia, Manager


raw_content:
Narrative:
C1's placement date was 9/9/2020 and was discharged on 2/4/2021. C1 declined to be interview regarding this complaint on 7/9/2021. The Department has investigated the complaint allegation, that Facility staff did not provide adequate supervision. Based on documentation and interviews with C2 and staff, there was adequate supervision regarding C1. In addition, on 1/20/2021 the home where C1 was placed filed a Suspected Child Abuse Report, contacted law enforcement, and submitted an Incident Report to CCL. C1 reported to staff, after returning from being AWOL that C1 had possible been sexual assaulted at a birthday party and there were illegal substance and alcohol provided to her by a peer and that same peer had sent C1 a photo of C1 in her bra and underwear. Based on the investigation, records reviewed and interviews conducted, the complaint findings are UNSUBSTANTIATED at this time meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of this report and appeal rights were given to the agency. No title 22 regulations were cited during today's inspection.

Investigation Findings:
13Licensing Program Analyst (LPA) Mary Shelton conducted a visit at the agency on 7/19/2021 and LPA spoke with Staci Exceus, Administrator to deliver findings of the investigation on the complaint allegation as stated. LPA Shelton informed the complaint investigation included a tour of the facility on 4/6/2021. The initial 10-day complaint inspection was conducted by LPA Mary Shelton, at the agency on 4/19/2021 and included a review of the facility and obtaining of relevant documents: Needs and Services, monthly treatment plan and placement history. LPA Shelton interviewed the facility administrator on 4/19/2021. Additional interviews were conducted with C2, social worker and staff between 4/19/21 and 7/1/2021. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Mary Shelton 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: CENTER FOR POSITIVE CHANGES 6FACILITY NUMBER: VISIT DATE: 07/19/2021

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


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
LPA explained the allegation that the facility did not properly check C1's belongings upon return which, resulted in C1 having alcohol, syringes, and Insulin in C1's possession. Due to the surrounding circumstances, staff was not able to follow protocol. The minor was upset about returning from a home visit with C1's aunt and asked for more time to say good-bye. Staff was unaware the visit had ended and C1 returned to her room without her belongings being checked. As a result of interviews conducted with the administrator, staff, and clients the complainant, Staff did not check minors belongs upon return is SUBSTANTIATED meaning that the allegation is valid because the preponderance of the evidence standard has been met. The facility was not cited on this date as the incident appears to be an isolated incident since initially being addressed staff will now check minors' belongings upon return. The Facility has taken great measures to ensure this does not happen again. The Facility was advised that should another incident of this nature happen again, then the facility may be cited, or further action be taken. No title 22 regulations were cited during today's inspection. Exit interview conducted with Staci Exceus and documents and appeal rights were provided.

Investigation Findings:
13Licensing Program Analyst (LPA) Mary Shelton conducted a visit on March 30, 2022, and LPA spoke with Staci Exceus, Administrator to deliver findings of the investigation on the complaint allegation as stated. LPA Shelton informed the complaint investigation included a tour of the facility on 11/30/2021. The initial 10-day complaint inspection was conducted by LPA Mary Shelton, at the agency on 11/30/2021 and included a review of the facility and obtaining of relevant documents: Needs and Services, monthly treatment plan, supervised visit log, certificate of approval and training records. Additional interviews were conducted by LPA Mary Shelton, which included Reporting Party, C1, C2, S1, S2, S3, S4,S Administrator and Social Worker between 12/9/2021 and 3/23/22. C1 is currently placed back in the home. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Mary Shelton 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: CENTER FOR POSITIVE CHANGES 6FACILITY NUMBER: VISIT DATE: 03/30/2022

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

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
The Department has investigated the complaint allegation, that staff not providing adequate supervision. Based on documentation that the Administered provided to CCL (Copies of Coan Logbook 11.28.21 to 11.29.21) outlining room checks or being conducted every 15 minutes or sooner. Clients interviewed stated they are checked on often and Staff interviewed said the protocol is to check on all clients every 15 minutes or sooner, if needed. There was adequate supervision regarding C1 and other clients in care. Based on the investigation, records reviewed, and interviews conducted, the complaint findings are UNSUBSTANTIATED at this time meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of this report and appeal rights were given to the agency. No title 22 regulations were cited during today's inspection.

Investigation Findings:
13Licensing Program Analyst (LPA) Mary Shelton conducted a visit on March 30, 2022, and LPA spoke with Staci Exceus, Administrator to deliver findings of the investigation on the complaint allegations as stated. LPA Shelton informed the complaint investigation included a tour of the facility on 11/30/2021. The initial 10-day complaint inspection was conducted by LPA Mary Shelton, at the agency on 11/30/2021 and included a review of the facility and obtaining of relevant documents: Needs and Services, monthly treatment plan, supervised visit log, certificate of approval and training records. Additional interviews were conducted by LPA Mary Shelton, which included Reporting Party, C1, C2, S1, S2, S3, Administrator and Social Worker between 12/9/2021 and 3/23/22. C1 is currently placed back in the home. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Mary Shelton 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: CENTER FOR POSITIVE CHANGES 6FACILITY NUMBER: VISIT DATE: 03/30/2022

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


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts Mary Shelton and Dawn Eunice (LPA's) conducted an annual inspection to the above Agency (STRTP) for the purpose of ensuring compliance with the Health and Safety Code, Interim Licensing Standards and Title Regulations. LPA's completed the COVID- Symptom Self-Assessment and Affirmation Questionnaire, the Entrance Checklist, and Facility Inspection Checklist. LPA's toured the facility. There is a table located by the entrance of the facility and staff takes your temperature and a visitor's log. LPA's toured the facility. The over all facility as well as the kitchen is clean, safe, sanitary in good repair. There is adequate fresh, frozen and perishable food; fresh fruit is set out. There is menu posted on the refrigerator; children are allowed to participate in creating it. Cleaning cleaning supplies are locked The water temperature is between 105-120 degrees. The dining room accommodates the number of clients. There is a fire extinguisher located between the kitchen and dining area. There are two personal rights posters posted in the facility's common living area as well as a Foster Youth Bill of Rights poster. There are three bedrooms and only two are occupied by clients. The bedrooms are spacious enough to walk through with a lamp, dresser and closet space. The windows have screens and blinds/curtains, The smoke detectors meet the standards. There is a fire extinguisher located between the kitchen and dining area. The facility is equipped with linens and personal hygiene products. The bathroom was clean, sanitary and in good repair. The water and the temperature is between 105-120. The clients keep their hygiene products in their rooms. LPA reviewed children's medication/logs and the JV 220 forms if pertinent. LPA's inspected the outside area and a shed that is keep locked with yard maintenance tools, paint and a shop vac. Pursuant to SB 1264; amendment to the H&S Code 1565, the facility's emergency preparedness plan has been updated. The clients files are located at the facility and the staff files were brought to the facility for review. LPA's provided a copy of the Personnel History Report and requested they delete names of individuals who are no longer associated to the home. Additional information obtained/reviewed includes: Administrative offices are separate and secure, the STRTP offices provide privacy for interviewing children; additionally, LPA's interviewed three children and 3 staff. LPA's requested the following forms be updated and provided Ms.Staci Exceus printed blank copies of: LIC Administrative Organization, LIC Designation of Administrative Responsibility and LIC Personnel Report. LPA's reviewed the agency's board meeting minutes.. LPA's also requested to be updated on the National Accreditation 87089(C) and the Mental Health Certification 87089.1 by July 12, 2021. Based on staff and child interviews, there are appropriate staff/client ratios, the Licensee is in compliance with reporting requirements, staff is knowledgeable about emergency interventions and runaway plans, the Board of Directors meet at least quarterly, staff is knowledgeable about prudent parent standards, staff participate in Child and Family Teams meetings, staff indicate they follow identified services in children's needs and services plans, staff and children know what children's personal rights are and children feel safe and free to talk to staff if they have a problem or need to resolve an issue. Additionally, LPA's inspected the facility van; the van's tires appeared safe, the seat belts were operational and the service log book was maintained. LPA's conducted exit interview and provided business cards to staff and children. The facility is in substantial compliance with all mandates. There are no citations delivered today.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Mary Shelton conducted an unannounced inspection on 7-6-22 at 11: AM. LPA met with Maria Felise, Facility Manager and discussed the reason for the visit. LPA observed there was no furniture or personal items in the home. The clients have been relocated. LPA obtained the Licenses due to the closure. There is no longer Wi-Fi in the home. A copy of this report was emailed to Maria Felisa, Facility Manger.

met_with: Maria Felise, Facility Manager


facility_name: CENTER FOR POSITIVE CHANGES

raw_content:
Narrative:
...CONTINUED A confidential interview indicated that C1 was called expletives and pushed to the ground by staff during the incident that led to C1 being placed on a hold. Conflicting confidential interviews and records reviewed indicated that proper techniques were utilized while restraining C1, that staff were supportive while attempting to de-escalate C1, and that no injuries were observed on C1 after the restraints ended. A confidential interview indicated that clients in care, including C1, were treated with respect and were not hurt by staff. Based on conflicting confidential interviews and records reviewed, the allegation that a minor is being verbally/physically abused while in care is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Paul Kelley, Administrator and a copy of this report and appeal rights were provided and explained.

Investigation Findings:
13On March 7, 2025, at 10: AM, Licensing Program Analyst (LPA) Jacob Salem met with Paul Kelley, Administrator of Center for Positive Changes 7 to deliver the finding for the above-stated allegation. LPA Salem initiated a complaint inspection at the facility on 8/27/2024 at 1: PM and no immediate deficiencies were observed. During the investigation, LPA Salem interviewed Staff (S1-S4), Clients (C1 and C2), and County Social Worker (CSW). LPA attempted to interview C3 but was unable due to C3 declining to be interviewed. Pertinent records were obtained and reviewed. On August 23, 2024, Community Care Licensing (CCL) received an allegation that a minor (C1) is being verbally/physically abused while in care. It was reported that staff were verbally and physically abusive to C1 prior to C1 being placed on a hold for dangerous behaviors, but that no injuries were observed on C1. Confidential interviews and records reviewed indicated that C1 was restrained multiple times during their three days living in the facility, due to C1's assaultive and self-harming behaviors. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem 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 SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: Center for Positive Changesfacility Number: Visit Date: 03/07/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...CONTINUED A confidential interview indicated that C1 was called expletives and pushed to the ground by staff during the incident that led to C1 being placed on a hold. Conflicting confidential interviews and records reviewed indicated that proper techniques were utilized while restraining C1, that staff were supportive while attempting to de-escalate C1, and that no injuries were observed on C1 after the restraints ended. A confidential interview indicated that clients in care, including C1, were treated with respect and were not hurt by staff. Based on conflicting confidential interviews and records reviewed, the allegation that a minor is being verbally/physically abused while in care is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Paul Kelley, Administrator and a copy of this report and appeal rights were provided and explained. SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 4

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 0

met_with: Paul Kelley, Administrator


raw_content:
Narrative:
...CONTINUED A confidential interview indicated that S1 would often leave C1 and C2 alone, which led to C2 touching C1 in a private area. A conflicting confidential interview indicated that S1 did not leave C1 and C2 alone together and would get another staff to supervise while using the bathroom. A third conflicting interview indicated that S1 did leave C1 and C2 alone, but no inappropriate touching occurred. Confidential interviews and records reviewed indicated that staff were actively addressing C1's poor boundaries with therapy and other services, including placing C1 on a strict one-to-one after the alleged touching. A confidential interview indicated that staff did not respond quickly during the above-mentioned chasing incident, but that the brick did not hit C1. Conflicting confidential interviews indicated staff promptly separated the clients after they started fighting and later pursued the clients when the altercation continued, in an effort to protect C1. LPA observations indicated that the facility installed a secured area that could be utilized by C2 for safety when C1 displayed aggressive behavior. Based on confidential interviews, records reviewed, and observations, the allegation that staff did not prevent inappropriate interactions between minors in care is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Ashley Brown, Designee and a copy of this report and appeal rights were provided.

Investigation Findings:
13On July 18, 2025, at 4: PM, Licensing Program Analyst (LPA) Jacob Salem met with Ashley Brown, Designee of Center for Positive Changes #7 (CFPC) to deliver the finding for the above-stated allegation. LPA Salem initiated a complaint inspection at the facility on 11/15/2024 at 12: PM and no immediate deficiencies were observed. During the investigation, LPA Salem interviewed Clients (C1 and C2) and Staff (S1-S5). Pertinent records were obtained and reviewed. On November 14, 2024, Community Care Licensing (CCL) received the allegation that staff did not prevent inappropriate interactions between minors (C1 and C2) in care. It was reported that C1 was inappropriately touched, chased, and hit with a brick by another client in the home, and that staff were absent during the incidents. Confidential interviews and records reviewed indicated that C1 has a history of inappropriate touching and physical aggression, especially toward female peers, and that these behaviors were directed at C2 while C1 was placed at CFPC. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem 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 SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: Center for Positive Changesfacility Number: Visit Date: 07/18/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...CONTINUED A confidential interview indicated that S1 would often leave C1 and C2 alone, which led to C2 touching C1 in a private area. A conflicting confidential interview indicated that S1 did not leave C1 and C2 alone together and would get another staff to supervise while using the bathroom. A third conflicting interview indicated that S1 did leave C1 and C2 alone, but no inappropriate touching occurred. Confidential interviews and records reviewed indicated that staff were actively addressing C1's poor boundaries with therapy and other services, including placing C1 on a strict one-to-one after the alleged touching. A confidential interview indicated that staff did not respond quickly during the above-mentioned chasing incident, but that the brick did not hit C1. Conflicting confidential interviews indicated staff promptly separated the clients after they started fighting and later pursued the clients when the altercation continued, in an effort to protect C1. LPA observations indicated that the facility installed a secured area that could be utilized by C2 for safety when C1 displayed aggressive behavior. Based on confidential interviews, records reviewed, and observations, the allegation that staff did not prevent inappropriate interactions between minors in care is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Ashley Brown, Designee and a copy of this report and appeal rights were provided. SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 2

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 0

met_with: Ashley Brown, Designee


summary: Complaint Investigation - Unsubstantiated - 5 allegations

raw_content:
Narrative:
...CONTINUED A confidential interview indicated that once C1 was inside the facility vehicle with staff, S1 spoke inappropriately to C1 by using a curse word one time due to having heightened adrenaline following C1 running into the street and C1 physically attacking S1; however, other interviewees present during the incident did not indicate C1 was physically aggressive with S1. Conflicting confidential interviews indicated that once C1 was in the facility car they became verbally abusive to S1, and in response S1 used verbally abusive language toward C1. Confidential interviews and records reviewed indicated that after the incident S1 received a disciplinary write-up for using inappropriate language with a client, as well as training on trauma informed care and de-escalation strategies. Based on confidential interviews and records reviewed, the allegation that staff verbally abused a minor is substantiated because the preponderance of evidence has been met. This posed an immediate Health, Safety, or Personal Rights risk to children in care, and the facility will be cited for violating Interim Licensing Standards for Short Term Residential Treatment Programs, Section 87072(c)(1). An exit interview was conducted, and a plan of correction was developed with Anne Ford, Residential Director. A copy of this report, appeal rights, and LIC 811 were provided to Anne Ford, Residential Director. ...CONTINUED Confidential interviews indicated that the facility was informed by C1's county social worker that C1 was not supposed to have a cell phone despite being provided one by a family member. A conflicting review of records indicated that this restriction was not written in C1's needs and services plan; however, a review of C1's signed facility electronic policy indicated that the facility informed C1 and their authorized representative upon placement that electronics, including cell phones, would be confiscated if they interfere with clients participating in services. Confidential interviews indicated that staff attempted to physically take the phone from C1 after they refused to turn it in; however, the same interviewees indicated that staff did not handle C1 roughly or intimidate C1 during the interaction. A conflicting confidential interview indicated that staff held on to the phone but did not try to take it from C1 and later confiscated the phone after C1 put it down. Based on confidential interviews and records reviewed, the allegation that staff inappropriately took a minor's phone away is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Anne Ford, Residential Director and a copy of this report and appeal rights were provided.

Investigation Findings:
13On August 12, 2025, at 12: PM, Licensing Program Analyst (LPA) Jacob Salem met with Anne Ford, Residential Director of Center for Positive Changes 7 to deliver the finding for the above-stated allegation. LPA Salem initiated a complaint inspection at the facility on 12/19/2024 at 10: AM and no immediate deficiencies were observed. During the investigation, LPA Salem interviewed Client (C1), Staff (S1-S5), a county social worker, and a service provider. Pertinent records were obtained and reviewed. On December 11, 2024, Community Care Licensing (CCL) received the allegation that staff (unnamed) verbally abused a minor (C1). It was reported that an unknown staff member was being verbally abusive to C1 after they left the facility without permission. Confidential interviews and a review of an incident report indicated that C1, who was nine years old at the time, became upset and left the facility without permission, leading to staff following and restraining C1 after they engaged in risky behavior by walking into the street between cars. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem 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 SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: Center for Positive Changesfacility Number: Visit Date: 08/12/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...CONTINUED A confidential interview indicated that once C1 was inside the facility vehicle with staff, S1 spoke inappropriately to C1 by using a curse word one time due to having heightened adrenaline following C1 running into the street and C1 physically attacking S1; however, other interviewees present during the incident did not indicate C1 was physically aggressive with S1. Conflicting confidential interviews indicated that once C1 was in the facility car they became verbally abusive to S1, and in response S1 used verbally abusive language toward C1. Confidential interviews and records reviewed indicated that after the incident S1 received a disciplinary write-up for using inappropriate language with a client, as well as training on trauma informed care and de-escalation strategies. Based on confidential interviews and records reviewed, the allegation that staff verbally abused a minor is substantiated because the preponderance of evidence has been met. This posed an immediate Health, Safety, or Personal Rights risk to children in care, and the facility will be cited for violating Interim Licensing Standards for Short Term Residential Treatment Programs, Section 87072(c)(1). An exit interview was conducted, and a plan of correction was developed with Anne Ford, Residential Director. A copy of this report, appeal rights, and LIC 811 were provided to Anne Ford, Residential Director. SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 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 SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CENTER FOR POSITIVE CHANGESFACILITY NUMBER: 374690076

Allegations:
- SubstantiatedEstimated Days of Completion:
- Estimated Days of Completion:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 0

met_with: Anne Ford, Residential Director


raw_content:
Narrative:
Record review further revealed the facility had requested and been approved to have a one-to-one staff assigned to C2, due to previous assaultive behaviors. Confidential interviews and record review provided consistent evidence regarding C1 receiving injuries caused by C2. Confidential interviews provided consistent statements revealing when the initial escalation occurred between C1 and C2, staff was not in the same room as C1 and C2. Based on confidential interviews and record review the allegation alleging staff did not prevent minor from physically assaulting another minor resulting in injuries is substantiated. The complaint allegation is valid because the preponderance of evidence standard has been met. Facility is cited for violation of Interim Licensing Standards (ILS) PERSONAL RIGHTS 87072 (c)(1) To live in a safe, healthy, and comfortable home where they are treated with respect. A copy of the report was discussed and provided along with appeal rights to Facility Administrator, Ashley McCallie.

Investigation Findings:
13On November 12, 2025 at 10:10 am Licensing Program Analyst (LPA), Raina Pere-Diaz met with Center for Positive Changes 7, Facility Administrator, Ashley McCallie, to deliver the finding for the above stated allegation. A Health and Safety inspection of the facility was conducted on 02/06/2025 by LPA Salem, and no immediate hazards were observed. The investigation was conducted by LPA Salem, LPA Ortega, and Perez-Diaz and included interviews with two of two foster children [Client #1 (C1) and Client #2 (C2)], three staff [Staff #1 (S1) - Staff #3 (S3)], and two county social workers [CSW1 and CSW3]. In addition, county records, and facility records were reviewed. On February 4, 2025, Community Care Licensing (CCL) received an allegation alleging staff did not prevent minor from physically assaulting another minor resulting in injuries. Specifically, it was reported that an incident occurred on facility ground on or about 2/2/2025, resulting in C1 being taken to the hospital. Record review revealed an incident did occur at the facility between C1 and C2. ***Continue LIC-812C*** SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Nicole Strickland LICENSING EVALUATOR NAME: Raina Perez-Diaz 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 SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CENTER FOR POSITIVE CHANGESFACILITY NUMBER: VISIT DATE: 11/12/2025

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

met_with: Facility Administrator- Ashley McCallie


summary: Facility Evaluation

raw_content:
Narrative:
On June 12, 2024, at 1: PM, Licensing Program Analyst Jacob Salem (LPA), Licensing Program Managers (LPMs) Abdoulaye Traore and Cheraki Davis, Center for Positive Changes (CFPC) Chief Operating Officer Amber Jansen (COO) and President Deanna Mellos (PS) met virtually via Microsoft Teams for a Component II orientation. LPA and LPMs went over revisions and discussed the process for the application prior to licensure. LPM Traore advised the facility representatives to communicate with LPA Salem to complete the revisions. A pre-licensing inspection will be scheduled once the program statement is approved by the Department. A copy of this report was sent to COO Amber Jansen for signature. The original signed copy will be placed in the facility file.

met_with: Amber Jansen & Deanna Mellos


summary: Facility Evaluation

raw_content:
Narrative:
On July 9, 2024, at 9: AM, Licensing Program Analyst (LPA) Jacob Salem and Licensing Program Manager (LPM) Dawn Segura conducted an announced visit to the above facility and met with Center for Positive Changes Amber Jansen, Deanna Mellos, and Paul Kelly, for the purpose of conducting a pre-licensing inspection. LPA, LPM, and the applicants toured the facility inside and out. Currently there are no clients placed in the home. The applicant is applying to serve six ambulatory clients ages 6 to 12. LPA conducted component III of the orientation process and reviewed with the applicants Licensing requirements. The home is a one-story building with four bedrooms and two bathrooms which are set up as follows: · Bedroom #1 (Client) has two twin beds and will sleep two clients. · Bedroom #2 (Client) has two twin beds and will sleep two clients. · Bedroom #3 (Client) has one twin bed and will sleep one client. · Bedroom #4 (Client) has one twin bed and will sleep one client. · Kitchen and dining area, living room, large family room area and table, a laundry room, staff office, storage closet, backyard/patio area, and attached two car garage. The Emergency Disaster Plan, Personal Rights, and complaint procedures are posted outside the kitchen area of the home. The license will be posted as soon as it is issued. The client bedrooms are arranged so that no more than two clients will share a room, no room commonly used for other purposes will be used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate closet space for the clients' belongings. Client mattresses, blankets, pillows, and linens are clean and in good repair. There is a smoke detector in two bedrooms and a carbon monoxide located in the open family room area. The two smoke detectors and the carbon monoxide detector were tested and are working properly. Both client bathrooms have working faucets measured to run at 118.7 and 116.1 degrees F, as well as shower and toilet that are in clean and operating condition. There are additional bath towels and basic toiletries located in a locked cupboard in the hallway area. Continued... ...CONTINUED The kitchen is clean and well maintained with adequate utensils, dishware, and appliances for food storage and preparation. The kitchen sink was measured at 117.1 degrees F. The kitchen contains perishable and non-perishable food supplies ready for clients to consume upon entry into the program. There are additional perishable food supplies located in the garage freezer. There is a trash can for storage of solid waste in the kitchen with a tight-fitting lid. The home's central air conditioning module was located in dining area and the home is kept at a comfortable temperature. There is a spacious living room area with a sofa chairs, TV, reading material, and recreational activities for clients to use for relaxation or visitation from family and friends. There is also space and recreational activities in the garage for visitation and therapy sessions to occur. The facility has supplies and appliances necessary for laundering clients' personal clothing. There is no fireplace. The home is well lit and passageways are free from obstructions. The backyard consists of a patio and yard area, and window screens around the facility were inspected. A first aid kit is readily accessible and located in the staff office cabinet. A fire extinguisher was present in the home and located in the kitchen. It was observed to be recently inspected by the fire department. Applicant stated there were no weapons/firearms in the home and harmful cleaning supplies are locked in the hallway closet and inaccessible to clients. Knives are locked in the staff office cabinet. There is no swimming pool. The backyard where clients will have access to play was completely fenced. The facility has telephone service on the premises. The client's files will be locked inside a cabinet in the staff office, and provisions will be made for confidential interviews with clients. The facility has a Emergency and Disaster Plan, which contains all the required procedures, such as provision of emergency power, storage and preservation of medications, and the location of utility shut off valves. The following deficiencies were observed: 1. Accessible Air Conditioning Unit with large running fan located in the backyard. 2. Three floor rugs without non-slip materials located inside 3. Small hole in the sliding door screen for the backyard. 4. Facility does not have provisions for ironing clothing 5. First Aid manual not present in kit. The request for a license will be forwarded to Licensing Program Manager Dawn Segura for final approval once the deficiencies are cleared. An exit interview was conducted. A copy of this report was provided to Amber Jansen & Deanna Mellos of Center for Positive Changes.

visit_type: Prelicensing

met_with: Amber Jansen, Deanna Mellos, Paul Kelley


summary: Facility Evaluation

raw_content:
Narrative:
On September 6, 2024, at 9: AM, Licensing Program Analysts (LPAs) Jacob Salem and Abby Saeteurn conducted an unannounced visit to the above facility and met with Center for Positive Changes Amber Jansen, Chief Operations Officer (COO) for the purpose of conducting a post-licensing inspection. LPAs and COO toured the facility inside and out. The home is a one-story building with four bedrooms and two bathrooms which are set up as follows: · Bedroom #1 (Client) has two twin beds and sleeps one clients. · Bedroom #2 (Client) has two twin beds and will sleep two clients. · Bedroom #3 (Client) has one twin bed and sleeps one client. · Bedroom #4 (Client) has one twin bed and will sleep one client. · Kitchen and dining area, living room, large family room area and table, a laundry room, staff office, storage closet, backyard/patio area, and attached two car garage. The License, Emergency Disaster Plan, Personal Rights, and complaint procedures are posted outside the kitchen area of the home. The client bedrooms are arranged so that no more than two clients will share a room, no room commonly used for other purposes will be used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate closet space for the clients' belongings. Client mattresses, blankets, pillows, and linens are clean and in good repair. There is a smoke detector in two bedrooms and a carbon monoxide located in the open family room area. The smoke detectors and the carbon monoxide detector were tested and are working properly. There are additional bath towels and basic toiletries located in a locked cupboard in the hallway area. The kitchen is clean and well maintained with adequate utensils, dishware, and appliances for food storage and preparation. The kitchen contains adequate perishable and non-perishable food supplies for clients present in the home. There are additional perishable food supplies located in the garage freezer. There is a trash can for storage of solid waste in the kitchen with a tight-fitting lid. Continued... ...CONTINUED The home's central air conditioning module is located in dining area and the home is kept at a comfortable temperature. There is a spacious living room area with a sofa chairs, TV, reading material, and recreational activities for clients to use for relaxation or visitation from family and friends. There is also space and recreational activities in the garage for visitation. The facility has supplies and appliances necessary for laundering clients' personal clothing. The home is well lit and passageways are free from obstructions. The backyard consists of a patio and yard area, and window screens around the facility were inspected and in good repair. A complete first aid kit is readily accessible and located in the staff office cabinet. Two fire extinguishers are present in the home and located in the kitchen and family room. They were observed to be recently inspected by the fire department. Staff stated there were no weapons/firearms in the home and harmful cleaning supplies are locked in the hallway closet and inaccessible to clients. Knives are locked in the staff office cabinet. There is no swimming pool. The backyard where clients have access to play is completely fenced. The facility has telephone service on the premises. The client's files are locked inside a cabinet in the staff office. Client files (C1 and C2) were reviewed and contained demographic information, intake records, needs and services plans, medication logs, and records of cash resources and personal property. The facility has a Emergency and Disaster Plan, which contains required procedures, such as provision of emergency power, storage and preservation of medications, and the location of utility shut off valves. Due to time constraints, the annual is being extended to conduct an inspection of the staff files and client interviews. Based on observations made during the inspection, there were no deficiencies cited at this time. An exit interview was conducted with Amber Jansen, Chief Operations Officer and a signed copy of this report was provided.

met_with: Amber Jansen, Chief Operations Officer


summary: Facility Evaluation

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Narrative:
On September 10, 2024 at 3: PM, Licensing Program Analyst (LPA) Jacob Salem arrived to the facility and met with Anthony Anders, Facility Manager. The purpose of this Case Management inspection is to conduct an post-licensing continuation from 9/6/2024. LPA reviewed five staff files (S1-S5) at the facility's corporate office the same day. The staff files have the required background information and health screenings, criminal record clearances, staff qualifications, and training requirements. LPA reviewed the emergency intervention plan at the facility, which contained all of the required information. LPA tested the water temperature in the two client bathrooms and measured the first bathroom's sink to run at 118.0 degrees F, and the second to be 118.8 degrees F. LPA conducted one client interview. Based on observations made during the inspection, there were no deficiencies cited at this time. An exit interview was conducted with Anthony Anders, Facility Manager and a signed copy of this report and LIC 811 were provided.

met_with: Anthony Anders, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On July 25, 2025 at 9: AM, Licensing Program Analyst (LPA) Jacob Salem conducted an announced visit to the above facility and met with Paul Kelley, Administrator for the purpose of conducting an annual inspection. LPA inspected the facility's physical plant, including personal rights postings, health related services, buildings and grounds, food services, indoor and outdoor activity space, and furniture, fixtures, equipment and supplies. The home is clean, in good repair, and free from observable risks to clients' health, safety, and personal rights. The home is a one story building with four client bedrooms and two client bathrooms which are set up as follows: Bedroom #1 has two twin beds and currently sleeps one client, bedroom #2 has two twin beds and currently sleeps one client, bedroom #3 has two twin beds and currently sleeps one client, and bedroom #4 has one twin beds and currently sleeps one client. There is a kitchen and living room, staff office and storage closets, and backyard/patio and separate therapy office. LPA conducted two staff and two client interviews. LPA reviewed four client files (C1-C4), which are kept locked in the staff office. The client files reviewed contained the required information and records, including pre-placement screenings, personal rights and facility policy acknowledgements, and medication logs. Due to time constraints, the annual is being extended to conduct a review of staff files. An exit interview was conducted and a signed copy of this report was provided to Paul Kelley, Administrator.


summary: Facility Evaluation

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Narrative:
On July 29, 2025, at 10: AM, Licensing Program Analyst (LPA) Jacob Salem arrived to the facility's corporate office and met with Amber Jansen, Chief Operations Officer. The purpose of this Case Management inspection is to conduct an annual continuation from 7/25/2025. LPA reviewed five staff files (S1-S5). The staff files have the required background information and health screenings, criminal record clearances, staff qualifications, and training requirements. Based on observations made during the inspection, there were no deficiencies cited at this time. An exit interview was conducted with Amber Jansen, Chief Operations Officer and a signed copy of this report was provided.


summary: Facility Evaluation

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Narrative:
On December 3, 2025, Licensing Program Analyst (LPA), Melissa Renovato arrived at Center for Positive Changes 7 for the purpose of conducting an unannounced Case Management inspection and met with Tamira Mathis, Facility Manager. The purpose of the inspection was to discuss an incident that was discovered during a Child Welfare Investigation. Further information was received regarding an incident that occurred on April 20, 2025 where a staff member (S1) verbally requested that C1 return the facility phone. A voice recording by C1's relatives revealed that S1 spoke to C1 inappropriately during this exchange. Interviews were conducted by the authorized representative and a write-up including retraining for S1 occurred. Licensee provided LPA Renovato with documentation for review. No deficiencies were cited on this date. An exit interview was conducted, and a copy of this report was provided at the conclusion of the inspection.

met_with: Tamira Mathis


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Narrative:
Continued from 9099... Conflicting confidential interviews with C1 revealed that C1 states that S2 pulls C1's hair on purpose and C1 immediately wanted to end their interview; however, a review of Child Welfare Investigation notes indicate that C1 denied having their hair pulled by staff but states that another client (C2) pulled their hair. A third Confidential interview with C1 revealed that staff did not pull C1's hair and staff did not close the door on C1's finger. Confidential interviews and record review revealed that staff (S6) did not close the door on minor's (C1) finger and C1 closed the door on their finger while slamming the door on staff (S4) while S4 was attempting to check on C1. Based on confidential interviews and records reviewed, the allegations that staff (S2) pulled minor's (C1) hair and staff (S6) closed door on minor's (C1) finger are Unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted, a health and safety inspection revealed no immediate health or safety violations, and all staff are fingerprint cleared. A signed copy of this report and appeal rights were provided to Tamira Mathis, Facility Manager.

Investigation Findings:
13On December 3, 2025 at 12:10PM, Licensing Program Analyst (LPA) Melissa Renovato met with Center for Positive Changes # Tamira Mathis, Facility Manager to deliver the findings for the above-stated allegations. LPA Salem initiated a complaint inspection at the facility on 05/02/2025 at 12: PM and no immediate deficiencies were observed. During the inspection, LPA Salem interviewed Staff (S1-S2). LPA Salem obtained and reviewed pertinent records. The investigation was conducted by LPA Salem and LPA Renovato and included interviews of C1, C2, C3, S1, S2, S4, S5, and S6. On April 25, 2025, Community Care Licensing (CCL) received an allegation that staff (S2) pulled minor's (C1) hair and staff (S6) closed door on minor's (C1) finger. Confidential interview with S2 and record review revealed that C1's hair was caught in S2's bracelet while S2 was redirecting C1 away from S1 during an incident where C1 was attempting to inappropriately grab S1's private area. Confidential interviews with staff (S1-S2, S4-S6) revealed that staff has not observed any clients' hair being pulled. Continued on 9099-C... UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Melissa Renovato 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 SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CENTER FOR POSITIVE CHANGES 7FACILITY NUMBER: VISIT DATE: 12/03/2025

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


raw_content:
Narrative:
interviewees stated that it would be illogical for S3 to insult C1's hair, as S3 was the individual who styled C1's hair while in care. Additional confidential interviews with various clients and staff members indicated that C1 had been verbally disrespectful toward both peers and staff. Based on confidential interviews and record reviews, the allegation that staff are verbally abusive to C1 may have occurred, however, there was not a preponderance of evidence to support the alleged violation. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report and appeal rights were explained and given to Facility Manager Tamira Mathis

Investigation Findings:
13On 12/04/2025, aT 10: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit at Center for Positive Changes # Short Term Residential Treatment Program (STRTP) and met with Facility Manager Tamira Mathis to deliver the investigative finding for the allegation listed above. On 05/27/2025, Community Care Licensing received an allegation that staff are verbally abusive to a minor. On 06/06/2025, LPA Jacob Salem arrived at the facility, conducted a health and safety inspection, and obtained pertinent documents. No immediate health and safety hazards were observed. In addition, LPA Salem interviewed clients 1, 2 and 3 (C1-C3), staff 1 and 2 (S1, S2); and LPA Choi interviewed staff 3 (S3) Regarding the allegation that staff member is verbally abusive toward a minor, reports indicated that staff member was allegedly verbally abusive and had told C1 that they were "ugly" Confidential interviews revealed that S3 stated that C1's hair was ugly because it was partially shaved and faded. Other confidential interviews reported that S3 never verbally disrespected C1's appearance or hair. Several CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi 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 SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CENTER FOR POSITIVE CHANGES 7FACILITY NUMBER: VISIT DATE: 12/04/2025

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

met_with: Tamira Mathis, Facility Manager


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Narrative:
facility staff responded by intervening and redirecting C1, creating separation C1 and CSW. Interviews further stated that as CSW exited the facility, staff continued monitoring C1, who followed CSW outside toward their vehicle. During this time, staff were observed providing continuous verbal direction instructing C1 not to make further physical contact with CSW. Some confidential sources expressed that staff could have taken additional steps to prevent C1 from following CSW to their vehicle. However, other confidential interviews reported that staff actions were consistent with approved facility protocols and that physically restraining C1 to prevent them from exiting the facility could have violated C1's personal rights. Based on confidential interviews, the allegation that staff did not utilize proper intervention protocols with C1 could have occurred or valid, however, there was not a preponderance of evidence to support the alleged violation. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report and appeal rights were explained and given to Facility Manager Tamira Mathis .

Investigation Findings:
13On 12/04/2025, at 11: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit at Center for Positive Changes # Short Term Residential Treatment Program (STRTP) and met with Facility Manager Tamira Mathis to deliver the investigative finding for the allegation listed above. On 04/24/2025, Community Care Licensing received allegations that staff did not utilize proper intervention protocols with a minor in care. On 05/02/2025, LPA Jacob Salem arrived at the facility, conducted a health and safety inspection, and obtained pertinent documents. No immediate health and safety hazards were observed. In addition, LPA Salem interviewed clients 1 and 2 (C1, C2), staff 1 and 2 (S1, S2). Regarding the allegation that unnamed facility staff did not utilize proper intervention procedures with minor (C1), it was reported that C1 punched and kicked the County Social Worker (CSW) during the CSW's visit to the facility. Confidential interviews indicated that C1 became upset with the CSW due to their previous history and because C1 was unhappy that CWS had spoken with C2. According to multiple confidential interviews, CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi 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 SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CENTER FOR POSITIVE CHANGES 7FACILITY NUMBER: VISIT DATE: 12/04/2025

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


raw_content:
Narrative:
S1 "snapped" at C1 and it was rude to C1, when C1 asked S1 for a favor. Confidential interviews reported that C1 did not remember an incident in which S1 was rude to C1 when C1 requested a need. Confidential interviews reported that although S1 "never really got to know C1"; S1 never verbally disrespected C1 as well. In regard to the allegation that staff (S1) speaks inappropriately in the presence of minors (C1, C2); it was reported that while S1 was transporting C1 in the facility vehicle; S1 yelled "go to hell" at another driver, displaying road rage. It was also reported that while transporting C1, S1 was pulled over by law enforcement for a traffic violation and S1 made repeated derogatory comments about the officer. It was also reported that S1 spoke loudly about wanting to transfer C1 out of the facility, and that C1 heard this comment. Confidential interviews reported that S1 used inappropriate language directed at other drives and at a law enforcement officer during a traffic stop. Other confidential interviews reported that S1 expressed frustration over being pulled over, but did not use vulgar or disrespectful language towards the officer or other drivers on the road. Confidential interviews reported that S1 uses curse words around clients and verbally disrespected C1. Other confidential interviews reported that S1 just had a loud voice and didn't use curse words. Confidential interviews reported that S1 was stressed out over personal issues and was visibly distressed during work, which led to them eventually leaving the job. Based on confidential interviews and record reviews, the allegations that staff speaks to C1 in an inappropriate manner and staff speaks inappropriately in the presence of minors may have occurred, however, there was not a preponderance of evidence to support the alleged violations. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report and appeal rights were explained and given to Facility Manager Tamira Mathis.

Investigation Findings:
13On 12/04/2025, at 11: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit at Center for Positive Changes # Short Term Residential Treatment Program (STRTP) and met with Facility Manager to deliver the investigative findings for the allegations listed above. On 06/25/2025, Community Care Licensing received allegations that staff speaks to minor in an inappropriate manner and staff speaks inappropriately in the presence of minors. On 06/30/2025, LPA Jacob Salem arrived at the facility, conducted a health and safety inspection, and obtained pertinent documents. No immediate health and safety hazards were observed. In addition, LPA Salem interviewed clients 2 and 3 (C2, C3), staff 4 (S4); and LPA Choi interviewed client 1 (C1) staff 1, 2 and 3 (S1-S3) In regard to the allegation that staff (S1) speaks to minor (C1) in an inappropriate manner; it was reported that C1 attempted to "express a need" to S1 and C1 was met with an "unnecessarily sharp and escalating tone from S1." (no details were provided). During investigations, confidential interviews reported that CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi 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 SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CENTER FOR POSITIVE CHANGES 7FACILITY NUMBER: VISIT DATE: 12/04/2025

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


raw_content:
Narrative:
Confidential interviews reported that S3 hit C1 during the use of restraint. Other confidential interviews reported that neither S3 nor S4 hit C1 during the use of restraint. Other confidential interviews reported that S3 and S4 escorted C1 to their room without further incident. Other confidential interviews reported that C1 "hit themselves" - causing self-injury when they were in their room. LPAs received inconsistent information regarding how C1 obtained bruises. Based on confidential interviews, the allegation that C1 was injured by staff may have occurred, however, there was not a preponderance of evidence to support the alleged violation. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report and appeal rights were explained and given to Facility Manager Tamira Mathis.

Investigation Findings:
13On 12/04/2025, at 11: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit at Center for Positive Changes # Short Term Residential Treatment Program (STRTP) and met with Facility Manager Tamira Mathis to deliver the investigative finding for the allegation listed above. On 06/02/2025, Community Care Licensing received an allegation that minor was injured by staff. On 06/06/2025, LPA Jacob Salem arrived at the facility, conducted a health and safety inspection, and obtained pertinent documents. No immediate health and safety hazards were observed. In addition, LPA Salem interviewed clients 1, 2 and 3 (C1-C3), staff 1, 2 and 4 (S1, S2, S4); and LPA Choi interviewed staff 3 (S3). In regard to the allegation that minor (C1) was injured by staff (S3, S4); it was reported that C1 "threw a cup of ice at S3 and S3 took the cup, filled it with new ice and threw it back at C1." It was further reported that immediately after this incident, S3 and S4 restrained C1 and hit C1 which caused bruising C1's face and arm. Confidential interviews reported that S3 and S4 used manual restraints on C1 after C1 became physically aggressive towards S3. CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi 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 SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CENTER FOR POSITIVE CHANGES 7FACILITY NUMBER: VISIT DATE: 12/04/2025

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