raw_content:
Narrative:
It was specified that staff did not prevent C1 from being bullied by other clients, staff bullied C1, staff did not protect C1 from other clients, and staff did not allow C1 to contact C1's parent or responsible party when there were concerns for C1's safety. Additionally, it was reported that staff allow clients to smoke marijuana and blow smoke in C1's face and staff did not prevent clients from taking C1's food and destroying C1's property. Regarding the allegation that staff did not prevent C1 from being bullied by other clients. Confidential witnesses stated that staff did not allow bullying to take place and staff would redirect bullying behavior. County social worker 5 (CSW5) stated that they were never informed that bullying was occurring or that staff was allowing their client or other clients to be bullied. Other confidential witness stated that most staff prevent and redirect bullying but one staff allowed it. An additional confidential witness stated that they were informed that staff was allowing C1 to be bullied by other clients. In reference to the allegation that staff bullied C1. Confidential witnesses stated that they had not observed staff bullying C1 or been informed that staff was bullying clients. County social worker 3 (CSW3) stated that staff had good interaction with their client and CSW3 was never informed that staff were mean or bullies to clients. Other confidential witnesses stated that they were informed staff were mean, one staff calls clients names, and a staff pushed a client. Concerning the allegation that staff did not protect C1 from other clients. Confidential witnesses stated that facility staff always protect clients and redirect clients when they become aggressive with one another. County social worker 5 (CSW5) stated that they were never informed that staff allowed clients to behave aggressively toward one another. Another confidential witness stated that C1 was slapped by other clients when staff was not present. With regard to the allegation that staff did not allow C1 to contact his parent or responsible party. Confidential witnesses stated that they had never seen clients denied the telephone. Additionally, it was reported to LPA that C1 was often on the phone for long periods of time and would get upset if other clients or staff needed to use the phone. County social worker (CSW) stated that they were informed that staff would not allow C1 to use phone to contact approved individuals. (continued on page 3...) ***This is an amended report which was originally issued on page 5/1/24*** For the allegation that staff allowed clients to smoke marijuana and blow smoke in C1's face. It was revealed to LPA by confidential witnesses that facility staff did not allow marijuana use. Additionally, it was reported to LPA that staff would document any drug use and notify client's authorized representatives immediately. Another confidential witness stated that they observed staff allow clients to smoke marijuana in the facility on at least one occasion. In relation to the allegation that staff did not safeguard C1's belongings or staff were not preventing C1 from having C1's food taken away. Confidential witnesses informed LPA that staff did not allow clients in rooms that did not belong to them. Additionally, LPA was informed that staff would intervene if they observed a client's food being taken by another client. CSW3 couldn't recall being informed of their client having had items stolen or food taken from them. Other confidential witnesses stated that clients had items stolen and they felt it was due to staff not properly safeguarding client's belongings. LPA received conflicting information regarding all the allegations. Based on confidential interviews and record review, the allegations: staff did not prevent C1 from being bullied by other clients, staff bullied C1, staff did not protect C1 from other clients, staff did not allow C1 to contact C1's parent or responsible party when there were concerns for C1's safety, staff allow clients to smoke marijuana and blow smoke in C1's face and staff did not prevent clients from taking C1's food and destroying C1's property may have occurred, however, they are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Tina Willis.

Investigation Findings:
13***This is an amended report which was originally issued on page 5/1/24*** On May 16, 2024, at 12: PM Licensing Program Analyst (LPA) Michael Almaraz met with facility manager, Tina Willis, to issue the finding for the above stated allegations. On November 8, 2023, at 9: AM, LPA Almaraz initiated the investigation and conducted a safety inspection, no deficiencies were noted. During the inspection LPA interviewed one facility staff and reviewed six client's (C1, C2, C3, C4, C5, C6) records (see confidential names list LIC 811 dated May 1, 2024). Additionally, LPA conducted interviews with four of six clients, three county social workers, and two staff. Two of six clients were not interviewed due to LPA being unable to locate the clients. On November 2, 2023, the Department received a complaint that: staff did not prevent youth from being bullied by other group home minors, staff bullied minor while in care, staff did not protect minor from harm, staff do not allow minor to contact responsible party, staff allow minors to smoke marijuana while in care, and staff do not safeguard minor's personal belongings. (continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Michael Almaraz 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 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Ferree's Group Home, INC. #5FACILITY NUMBER: VISIT DATE: 05/01/2024

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


state: CA

facility_name: FERREE'S GROUP HOME, INC. #5

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Confidential witnesses informed LPA that sometimes the refrigerator did not have adequate amount of food and when clients would ask staff to restock the refrigerator staff would say no. An additional confidential witness informed LPA that they observed the facility with an inadequate amount of food. During LPA inspection LPA observed the refrigerator did not have an adequate amount of food. LPA observed the refrigerator to have a half full gallon of milk, half a loaf of sandwich bread, lettuce, condiments, and a packet of deli meat. The freezer had a few frozen meals, and a package of ground meat. The pantry had seven cans of different canned meats, vegetables and fruit. Regarding the allegation that the facility was in disrepair with a broken window that did not operate appropriately. Confidential witnesses informed LPA that the bedroom window was broken and not properly working. Additionally, LPA was informed that due to the window being broken the bedroom would be either too hot or too cold. During LPA inspection LPA observed a bedroom window in disrepair and not functioning properly. LPA observed the window had been repaired but the new glass that was installed did not fit properly allowing for air to come in from outside the facility. Based on confidential interviews and inspection, the preponderance of evidence standard has been met and the Department has determined that facility was not stocked with sufficient amounts of food and the facility was in disrepair. Therefore, the allegations are substantiated. The facility is being cited for violation of the Interim Licensing Standards, Chapter 7. Short-Term Residential Therapeutic Program, Articles Through 10, Version 5, 87072(c)(2) Personal Rights and Title 22 80087(a) Building and Grounds. when they requested records. Confidential witnesses stated that facility staff ensured children's dietary needs were met. County social worker (CSW) informed LPA that C1 did not have special dietary needs. Another confidential witness informed LPA that C4 had special dietary needs which staff were informed of, but staff did not purchase special food products for C4. In reference to the allegation that the facility's ventilation system did not work properly leading to the facility being at an uncomfortable temperature. LPA was informed by confidential witnesses that the facility was always at a comfortable temperature. CSW and county social worker 3 (CSW3) informed LPA that during their visits to the facility the facility was at a comfortable temperature. During LPA inspection the facility was at an appropriate temperature. Other confidential witnesses informed LPA that the facility was sometimes too hot and other times too cold. LPA received conflicting information regarding this allegation. Regarding the allegation that staff did not provide child's records to authorized person. LPA was informed by confidential witnesses that staff always provided any and all records to children's authorized person. Another confidential witness informed LPA that it may be possible that staff did not provide children's authorized person records that were requested. Additionally, LPA was informed that some documents that were requested from the facility were not provided to client's authorized person. Based on confidential interviews and record reviews, the allegations that the facility did not meet C1's special dietary needs, the ventilation system was not working properly causing the facility to be at an uncomfortable temperature, and facility was not responsive to client's authorized representatives when they requested records may have occurred, however, they are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Tina Willis.

Investigation Findings:
13On May 16, 2024, at 10: AM Licensing Program Analyst (LPA) Michael Almaraz met with facility manager, Tina Willis, to issue the finding for the above stated allegations. On January 26, 2024, at 11: AM, LPA Almaraz initiated the investigation and conducted a safety inspection. During the inspection LPA interviewed one facility staff and reviewed five client's (C1, C2, C3, C4, C5) records (see confidential names list LIC 811 dated May 16, 2024). Additionally, LPA conducted interviews with four of five clients, three county social workers, and three staff. One of the five clients was not interviewed due to LPA being unable to locate the client. On January 25, 2024, the Department received a complaint that staff did not ensure the facility was stocked with sufficient amounts of food and the facility is in disrepair. It was specified that there was not sufficient food in the refrigerator and the primary pantry was locked. Also, it was specifically alleged that the facility had broken windows that did not operate appropriately.(continued on page 2...) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Michael Almaraz 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 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Ferree's Group Home, INC. #5FACILITY NUMBER: VISIT DATE: 05/16/2024

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:

report_type: Complaint Investigation

met_with: Tina Willis

complaint_status: unsubstantiated


facility_name: FIELDS COMPREHENSIVE YOUTH SERVICES CORP.

raw_content:
Narrative:
The Department received a report alleging a client threatened another client with a gun, a client consumed contraband at the facility, and contraband is present at the facility. FM denied the allegations. It was reported Ref #2 threatened to cause harm to Ref #1 and wielded a gun at Ref #1. Statements obtained from confidential interviews conducted did not reveal witnesses who observed Ref #2 threaten to harm Ref #1. Furthermore, confidential interviews conducted indicated there are no weapons at the facility. It was reported Ref #1 consumed contraband at the facility. Statements obtained from confidential interviews conducted revealed clients leave the facility without permission to consume contraband, and not at the facility. Based on information gathered through interviews conducted and records reviewed the allegations are Unsubstantiated. Although the allegations may have occurred or are valid, the standard of the preponderance of evidence was not met. No deficiencies were cited. Exit interview conducted and a copy of this report was provided to the facility representative.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 10/27/21 at 2: PM. During the inspection LPA Larios met with Facility Manager (FM) Lekeba Riley and delivered findings for the above-mentioned complaint allegations. During the course of the investigation LPA Larios conducted interviews with one client on 6/11/21, three clients on 6/16/21, one client on 10/26/21, two County Social Workers (CSW) on 10/22/21 and one Facility Manager (FM) on 10/22/21. LPA Larios conducted a record review on 6/18/21 and obtained copies of staff and client rosters, special incident reports, one client's needs and services plans, and staff shift log notes. Three CSW's were not available for statement and one client was not located for statement. (Reference Confidential Names list LIC811 dated 10/27/21. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: Fields Comprehensive Youth Services CORP.FACILITY NUMBER: VISIT DATE: 10/27/2021

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

met_with: Lekeba Riley


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
On 06/21/2021, the Department received a complaint alleging that a staff handled a client in a rough manner. The focused staff (FS) who was identified in the referral denied the allegation that he hit or handled a client in a rough manner on 06/17/2021, two other staff workers who were present corroborated the explanation and has denied any form of abuse towards the client(s). The FS explained after retrieving some contraband items from a client's bedroom, it was reported that the one focused client (FC) was agitated and was walking behind him in a very aggressive manner and believed that he was going to be attacked. The FS worker turn around and bumped into the focused client, causing the FC to loose his balance and fell on top of his bed. No injuries were reported. Interviews obtained by several staff workers denied the allegation and stated that clients at the facility are never mistreated. All staff workers commented that the FS worker is not that type of a person that would intentionally treat a client in a rough manner. In confidential interviews, the one focused client (FC) declined to provide a statement related the incident that occurred on 6/17/2021. Other clients when interviewed stated that they have no direct information to provide as one client was not present and the other clients stated "I did not see anything and will not provide any information, including they could not recall the specifics of the alleged allegation. Statements provided by the clients interviewed stated they have no complaints about staff working at the facility. The assigned county social worker (CSW) for the one focused client (FC) does not believe the allegation and stated that the FC has a history of being defiant. The CSW has no concerns about staff working at the facility. The interviews revealed that there was some form of contact between one staff and one client that was described as being an accidental contact. However, statements obtained could not corroborate the allegation reported. Therefore, the above allegation is determined unsubstantiated at this time. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged abuse occurred. An exit interview was conducted and copy of this report was provided to the facility representative for review and signature. No deficiencies were cited at this time.

Investigation Findings:
13On 11/10/21 at 12: PM, Licensing Program Analyst (LPA) Joseph Vargas conducted a follow-up inspection for the purpose of providing findings for the above complaint. LPA met with Facility Manager Ms. Riley. During the course of the investigation, LPA conducted in-person visits, telephone and video interviews with four staff workers, two clients on 6/24/2021, one staff worker on 6/24/21, one client on 6/26/21, county social worker and an attempted contact with two clients on 07/01/2021 (reference confidential names list LIC811 dated 11/10/2021). During the inspection LPA requested for review and obtained copy of the staff and client facility roster reports, special incident reports, clients Needs and Service Plan and placement history, including a review of the county report associated to this complaint investigation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Joseph Vargas LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: Fields Comprehensive Youth Services CORP.FACILITY NUMBER: VISIT DATE: 11/10/2021

met_with: Ms. Riley, Facility Manager


summary: Complaint Investigation - Substantiated - 1 deficiency - 1 allegation

raw_content:
Narrative:
Based on the information gathered, the preponderance of evidence to prove the allegation was met, therefore the allegation is substantiated per California Code of Regulations Title 22 - refer to LIC9099-D for deficiencies. A copy of this report, Confidential Names Form, LIC 9099-D for deficiency and Appeal Rights were provided to the agency representative.

Investigation Findings:
13On August 8, 2022 at 11: AM, Licensing Program Analyst (LPA) Joshua Rarela conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegation above. During the course of the investigation, LPA Rarela interviewed the facility manager (see Confidential Names Form dated August 8, 2022). LPA Rarela also reviewed documents including facility incident reports and placing agency service logs. It was alleged that the facility is out of ratio. The investigation revealed that the facility had only one staff on shift during the night when incidents occurred where facility clients engaged in physical altercation, an incident where a client was aggressive toward staff requiring law enforcement to be summoned, and incident where clients left the facility during the night without permission. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Joshua Rarela LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: Fields Comprehensive Youth Services CORP.FACILITY NUMBER: VISIT DATE: 08/08/2022

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

Deficiencies:
87065.51: 1
2
3
4
5
6
7

met_with: Angela Cox, Facility Manager

complaint_status: SUBSTANTIATED

title:
2
3
4
5
6
787065.5(a)(2) DIRECT CARE STAFF/CHILD RATIOS - During the hours of 10 pm to 7 am, there shall be one awake and on duty direct care staff for every six children, or fraction thereof, present, at a minimum.

This requirement is not met as evidence by

description:
1
2
3
4
5
6
7


raw_content:
Narrative:
On 05/27/2022, the Department received a complaint alleging that clients are allowed to smoke marijuana while at the facility. Staff members who were interviewed denied the allegation that clients are allowed to smoke in the facility, including activities outside of the facility grounds. LPA was informed by some staff members that at times they have caught client(s) smoking or vaping inside their bedroom while conducting routine checks and were able to confiscate the contraband and document the incident. Staff workers, including the Administrator, stated that staff are always present and are working professionally. In confidential interviews, all clients interviewed denied the allegation that staff working at the facility allowed them to smoke marijuana or any other form of tobacco or device such as a vape. Two clients denied that clients ever smoke at the facility and were not aware of others doing so. Other clients admitted smoking marijuana away from the facility. The other clients disclosed that they obtained the marijuana from other students at the school and were smoking on the school grounds. One individual identified as other reportedly disclosed that a client commented that staff knows and does nothing when they see clients smoking. Individual identified as other could not be contacted and therefore no statement was obtained. County Social Worker that was mentioned in the county referral could not be contacted, therefore no statement was obtained. When interviewed, the County Emergency Response Worker (ER) did not have any immediate concerns at that time. Statements obtained could not corroborate the allegation reported. Therefore, the above allegation of neglect/lack of supervision is determined unsubstantiated at this time. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged abuse occurred. An exit interview was conducted and a copy of this report was provided to the facility representative for review and signature. No deficiencies were cited at this time

Investigation Findings:
13On 10/04/2022 at 11: AM, Licensing Program Analyst (LPA) Joseph Vargas conducted a follow-up inspection for the purpose of providing findings for the above complaint. LPA met with Facility Manager Ms. Riley. During the course of the investigation, LPA conducted in-person visits, and telephone interviews with four staff workers, five clients, on 5/31/2022, county emergency response worker (ER) on 06/02/2022, that included two attempted contacts with two individuals that could not be contacted. (reference confidential names list LIC811 dated 10/04/2022. During the inspection LPA requested for review and obtained copy of the staff and client facility roster reports, special incident reports, clients Needs and Service Plan and placement history, including a review of the county report associated to this complaint investigation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Joseph Vargas LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: Fields Comprehensive Youth Services CORP.FACILITY NUMBER: VISIT DATE: 10/04/2022


raw_content:
Narrative:
Staff denied the allegations. Staff stated they encourage the clients to attend school as much as they can and try to make sure if they need any school supplies to provide it for them. Staff interviewed stated the clients are checked when they get home from school and their rooms are also checked once a day to safeguard from any substances being brought into the facility. Staff stated they provide meals and the menu has a variety of foods and if the client has special needs they try to accommodate them. Staff stated they do an inventory of belongings of each client and if something comes up missing they will replace it. Clients interviewed denied the allegations or did not want to discuss them. Statements obtained from interviews conducted with social workers revealed no concerns regarding the allegations. Based on information gathered from interviews conducted and records reviewed the allegations were unsubstantiated. Although the allegations may have happened or are valid the standard of the preponderance of evidence was not met. A copy of this report and confidential names form were provided to the above mentioned facility representative. Exit interview conducted. No deficiencies were cited.

Investigation Findings:
On July 19, 2023 at 9:00AM, Licensing Program Analyst (LPA) Pedro Ramos conducted a follow up complaint inspection. During the inspection LPA met with Kimberly Hayes, Treatment Team Specialist . The purpose of the inspection was to deliver findings for the above-mentioned complaint allegations. During the course of the investigation LPA conducted interviews with four clients, one CSW and three staff on 3/28/23. In addition, LPA conducted a file review on 3/28/23 and toured the facility. LPA obtained copies of staff contact information, incident reports and client information. It was alleged staff are not assuring minor attends school, staff do not provide adequate supervision to minor resulting in minor gaining possession of alcohol, food is not of quality to meet the needs of minors in care and staff do not safeguard minors belongings. (Continued on Page 2) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Pedro Ramos LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: Fields Comprehensive Youth Services CORP.FACILITY NUMBER: VISIT DATE: 07/19/2023

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


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
On 2/22/24 the Department received a complaint alleging the facility staff did not ensure clients were free from unreasonable searches of personal belongings. It was further alleged that the facility staff will search client's backpacks once clients return from school. Based on the information gathered during confidential interviews, relevant parties indicated the facility staff will search clients backpacks each time the clients return to the facility from school. The facility staff will also direct clients to do a self-search prior to entering the facility where the clients take off their shoes, put out their pockets, raise their shirt or shake their waist band. The facility staff stated that the searches are performed to all clients in order to prevent contraband from entering the facility. LPA reviewed facility documents which did not indicate the facility's policy is to search clients' belongings each time a client returns to the facility. Based on the information gathered, the allegation stated above is/are SUBSTANTIATED. A substantiated finding means the preponderance of evidence standard has been met. These violations pose an immediate and/or potential Health, Safety, or Personal Rights risk to children in care. The facility is being cited Short-Term Residential Therapeutic Program Interim Licensing Standards Chapter 7. Section 87072 (C)(10) Personal Rights. Appeals rights were provided, and a copy of the report and LIC 9099-D has been provided to the facility representative mentioned above.

Investigation Findings:
13On May 24, 2024, at 9: AM Licensing Program Analyst (LPA) Larry Cabral conducted a follow-up complaint inspection to the above facility and met with the facility administrator Lekeba Riely. The purpose of the inspection was to deliver the finding for the above complaint allegation. During the investigation, LPA Cabral interviewed two facility staff (S1 & S2) and attempted to interview one client (C1) on 2/28/24. LPA interviewed three clients (C2, C4, C6) and attempted to interview two clients (C3, C5) on 4/9/24 (see Confidential Names Form LIC 811 dated May 24, 2024). LPA attempted to interview three county social workers (CSW2, CSW4, CSW6) on 4/19/24. LPA reviewed incident reports, the facility's discharge, removal, termination policies and procedures forms, the facility's visitation policy, discipline policy, program violation agreement, facility house rules and client guidebook. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Larry Cabral LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: Fields Comprehensive Youth Services CORP.FACILITY NUMBER: VISIT DATE: 05/24/2024

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

met_with: Lekeba Riley, Administrator


raw_content:
Investigation Findings:
13On 07/17/2024 at 9: AM, Licensing Program Analyst (LPA) Noubar Yerkatyan conducted a complaint investigation to the above facility for the reported allegation. While investigating the allegation, LPA Demetris Teal interviewed administrator on 11/17/23. LPA Yerkatyan interviewed administrator on 07/08/24; interviewed two staff on 07/10/24, 07/11/24; two clients on 07/09/24, 07/11/2; and county social worker on 07/10/24. LPA attempted, however unable to interview two staff and four clients, (see Confidential Names LIC 811 dated July 17, 2024). LPA Yerkatyan also reviewed documents including LIC 500, client rooster, incident reports, communication logs, and more. LPA Yerkatyan received statements indicating staff do provide supervision including room checks and documentation of the check at all times of the day. However, other information received stated the above allegation did take place. Due to the inconsistency of information obtained during the investigation, it cannot be determined whether the above allegation occurred. Based upon the interviews, the complaint findings are Unsubstantiated. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove that the allegation occurred. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Noubar Yerkatyan 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 1

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


raw_content:
Narrative:
It was alleged that staff do not provide adequate care and supervision to the minors in care after a report of two juveniles supposedly selling drugs to an individual near the facility. During the course of the investigation, there was no evidence found to confirm the identity of the juveniles and if they were minors in placement at the facility. The investigation revealed third party information of an alleged exchange of unconfirmed items between parties. Furthermore, it revealed an opposition to the facility being in the neighborhood. The minors denied the allegation and causing any issues with their neighbors. Minors have community passes but they do not loiter around the neighborhood or trespass in neighbors' properties. Staff denied being aware of the incident as alleged and stated that minors in care do not engage in such criminal activity. Although there were issues with some of their neighbors in the past, the issues were resolved. Neighbors know to contact the Administrator for any concerns. Based on the evidence above, the allegation of neglect/lack of supervision is closed as unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence found to prove that the allegation occurred. The following reports were provided to the facility representative at the conclusion of today's inspection: LIC9099 and LIC9099-C. Appeal rights forms were also given and explained. There was no deficiency citation issued.

Investigation Findings:
13On October 29, 2024 at 9: AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted an unannounced complaint inspection at the facility and met with the facility representative named above. The purpose of the inspection is to deliver the finding regarding the above allegation which was received by the Department on August 1, 2024. This LPA conducted the investigation and it consisted of confidential interviews with one staff on 8/6/24, three minors and one additional staff on 9/13/24 and a review of records including, but not limited to, incident reports and needs and services plans. Additional information was obtained from other related parties on 8/5/24 and 8/9/24. There was no county placement agency report found. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: Fields Comprehensive Youth Services CORP.FACILITY NUMBER: VISIT DATE: 10/29/2024

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

met_with: Lekeba Riley, Administrator/Facility Manager


facility_name: FIELDS COMPREHENSIVE YOUTH SERVICES II

raw_content:
Narrative:
Client#1 denied the allegation and stated the nobody has ever used any inappropriate discipline on him or the others in the home. Other clients interviewed also denied the allegation. Social workers interviewed had no concerns. Others interviewed stated there was concern as to what was said. Based on interviews conducted and conflicting information received, the allegation that staff demonstrate inappropriate form of discipline may have occurred, however, it is not supported or proven by evidence. The allegation is, therefore, UNSUBSTANTIATED. There are no deficiencies to be cited. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights, were provided to the facility representative. The original signed report will be placed in the facility file.

Investigation Findings:
13On March 25, 2022, at 11:30AM Licensing Program Analyst (LPA) Pedro Ramos conducted an inspection for the purpose of delivering investigative findings for the allegation listed above. LPA spoke to the representative above. During the investigation, LPA reviewed group home files and client files. LPA obtained copies of needs and service plan, facility roster, and documented staff and client statements regarding the incident under investigation. LPA conducted interviews with Client#1,4,5 staff #1 (S1), staff 2 (S2), staff 3 (S3), reporting party and social workers. It was alleged that staff demonstrate inappropriate form of discipline. Staff#1 denied the allegation and stated he has not used any type of inappropriate discipline with client#1 or any client. He stated what was said was taken out of context. Staff interviewed stated nobody in the group home has ever disciplined the clients inappropriately. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Pedro Ramos LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: FIELDS COMPREHENSIVE YOUTH SERVICES IIFACILITY NUMBER: VISIT DATE: 03/25/2022

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

met_with: Jonathan Lamothe, Facility Manager


raw_content:
Narrative:
LPA reviewed the incident report and confirmed the incident report was submitted on 8/30/22 and the incident report indicated client disclosed the alleged incident on 6/28/22. The alleged incident took place in December 2021. Based on interviews and records review the preponderance of evidence standard has been met and the Department has determined the allegation facility failed to report a special incident in a timely manner is Substantiated. This poses an immediate Health, Safety, or Personal Rights risk to children in care. The Facility was cited for Title 22, Division 6, Chapter Article 06. Continuing Requirements Section 80061 (b) Reporting Requirements. Appeals rights were provided, and a copy of the report and LIC 9099-D has been provided to the FFA representative mentioned above. The client interviewed indicated client and staff walked down the street and engaged in a fight. Client did not want to provide details and stated none of the other clients witnessed the fight between client and staff. The other agencies investigative reported indicated client refused to provide details about the incident and staff denied fighting client. Based on the interview and records reviewed the allegations is/are found unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the allegations. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited.

Investigation Findings:
13On December 6, 2022 at 9: AM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegation. LPA Cabral met with the facility manager Jonathan LaMothe. During the course of the investigation, LPA Cabral interviewed three facility staff and attempted to interview three clients on 9/7/22. LPA interviewed another facility staff and one client on 11/30/22 (see Confidential Names Form LIC 811 dated December 6, 2022). LPA attempted to interview one county social worker on 10/25/22. LPA reviewed a child abuse report and transition plan on 11/26/22. LPA reviewed an incident report and the other agencies investigative narrative on 11/30/22. On 7/6/22 the department received a complaint alleging the facility failed to report a special incident in a timely manner. The facility staff indicted the alleged incident was reported to the facility on 6/28/22, however an incident report was not reported to the departement until 8/30/22. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Larry Cabral LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: FIELDS COMPREHENSIVE YOUTH SERVICES IIFACILITY NUMBER: VISIT DATE: 12/06/2022

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: Jonathan LaMothe, Facility Manager


raw_content:
Narrative:
It was alleged that in December of 2022, staff failed to properly supervise clients in care resulting in an unidentified, unauthorized female minor entering the facility undetected for an extended amount of time. During the course of this investigation, the female minor was not able to be located and was listed as a runaway. Therefore, an interview was unable to be obtained with her. In an interview conducted, one client stated that the unauthorized female minor (UFM) was snuck into the facility in the middle of the night towards the end of December 2022. The client stated that the UFM was brought in through a back bedroom window on the second floor of the facility. The client stated that prior to the UFM's unauthorized entry into the facility, security cameras had been covered with sticky notes and the bedroom window had been cracked open earlier in the day so that the sensor would not make an alert sound when it was later opened for UFM. The client stated that for the approximately 2 days that UFM was inside the facility, she was hidden from staff by hiding on the floor between a bedroom wall and bed. The only time she left the bedroom was to use the bathroom while staff were downstairs and performing other duties. Food was brought upstairs to her without the knowledge of staff. The client stated that staff generally conducted checks every 15 - 30 minutes and would come upstairs into their rooms to see if clients needed anything. However, the UFM was able to avoid detection each time. In another interview conducted, a second client corroborated the above statements and stated that all of the clients that were present in the facility during that time period were aware that UFM was in the home but no one alerted staff. The client also admitted that they actively assisted in covering up cameras on at least one occasion with sticky notes. A third client stated that they were initially unaware that UFM was present in the facility but also confirmed that they did not alert staff when they were finally aware. In interviews conducted, staff confirmed after checking security footage that the UFM was brought into the facility in the middle of the night through a second-story bedroom window. Footage also showed clients temporarily covering up security cameras with sticky notes in order to facilitate UFM sneaking into the home. Staff stated that when clients are upstairs in their rooms, staff members will check on them every 15-30 minutes to see what they are up to and if they need anything. This also occurs during overnight shifts when clients are asleep. Staff stated that during the period of time when this incident occurred, they would make regular checks but they did not see UFM as she would hide on the side of the bed closest to the wall and under blankets. In an interview conducted, a third-party individual stated that all indications pointed towards clients actively assisting the UFM in entering the facility and avoiding detection. It was also alleged that one client had access to a weapon in the facility. Further investigation revealed that the weapon in question was a CO BB gun. In an interview conducted, one client stated that it was brought into the facility unbeknownst to staff. A second client stated that they were unaware that the item was in the home until it was discovered and a third client stated that they were aware the first client had it in his possession, but decided not to alert staff to it. All clients stated that staff will ask to conduct searches when clients are returning from the community but stated that they sometimes refuse. Clients stated that room searches are conducted periodically by staff if there is reason to believe there may be contraband hidden. In interviews conducted, staff confirmed that they will ask to conduct light contraband searches on clients to include flipping out pockets, checking backpacks, having clients pat down their own pockets, and more. Clients will sometimes refuse, and when this occurs, staff will document the refusal. Staff stated that room searches are routinely conducted and the thoroughness of the check will depend on if there is a specific reason to believe that contraband may be hidden somewhere. Based on interviews conducted and records reviewed, there is not a preponderance of evidence to suggest that the above allegations occurred. Although the allegations may be valid or may have happened, the preponderance of evidence standard has not been met. Therefore, the allegations are deemed UNSUBSTANTIATED. An exit interview was conducted and copy of this report was provided to the Licensee.

Investigation Findings:
13On February 10, 2023 at approximately 2: PM, Licensing Program Analyst (LPA) Raymond Wu conducted an unannounced complaint inspection visit at the facility for the purposes of delivering findings for the above allegations. LPA met with the representative named above and discussed the purpose of the visit. As part of the investigation, clients, staff, and third party individuals were interviewed on 01/09/23, 01/20/23, 01/26/23, 02/03/23, and 02/08/23. Records were reviewed on 01/09/23, 01/26/23, and 02/10/23. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Raymond Wu LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: FIELDS COMPREHENSIVE YOUTH SERVICES IIFACILITY NUMBER: VISIT DATE: 02/10/2023

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

met_with: Facility Manager, Jonathan Lamothe


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
Page The Department received a complaint alleging a staff member (S1) inappropriately touched a client (C1) on his genital area. The investigation revealed that on or about the evening of 7/11/23, C1 and S1 left the facility on a therapeutic walk. Statements obtained from confidential interviews conducted revealed that during the walk C1 requested a hug from S1, and as they embraced, S1 allegedly reached down and placed his hand on C1's genitals, over his clothing. S1 denied the allegation. S1 stated he validated C1's feelings, discussed boundaries with C1 and offered a hug as a supportive gesture. S1 denied his hands went below C1's waistline during their embrace. Statements obtained from interviews conducted with facility staff and a review of the placing agency investigation revealed C1 recanted the allegation occurred during multiple follow up interviews. In addition, statements obtained from interviews conducted with staff revealed there were inconsistencies in C1's account of the incident with respect to when he disclosed he was attracted to S1. During the telephone call to the Child Abuse hotline it was reported C1 disclosed being attracted to S1 on the morning of 7/12/23. There were no reported witnesses to the alleged incident. Based on information gathered from interviews conducted and record review the allegation is Unsubstantiated. Although the allegation may have happened or is valid, the standard of the preponderance of evidence was not met. A copy of this report and Confidential Names form LIC811 dated 11/7/23 were given to the above mentioned facility representative. Exit interview conducted. No deficiencies were cited.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 11/7/23, at 10: AM. During the inspection LPA Larios met with Facility Manager Thomas Ybarra. The purpose of the inspection was to deliver findings regarding the above mentioned complaint allegation. The investigation was conducted by Community Care Licensing Division (CCLD) Investigations Branch (IB) State Investigator (SI) Wilfredo Vasquez and LPA Larios. During the course of the investigation, SI Vasquez conducted interviews with a staff and four clients between 8/28/23 and 10/2/23. SI Vasquez obtained a copy of a law enforcement agency report on 10/4/23. In addition, LPA Larios conducted interviews with five facility staff and a placing agency investigator between 11/1/23 and 11/2/23. A record review was conducted by LPA Larios on 7/26/23. The facility provided LPA Larios with copies of the staff and client rosters, incident report and meeting notes regarding a client. On 7/26/23, the facility provided LPA Larios with witness statements and a safety plan. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: FIELDS COMPREHENSIVE YOUTH SERVICES IIFACILITY NUMBER: VISIT DATE: 11/07/2023

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

met_with: Thomas Ybarra


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Continue from page 1 . . . The staff indicated that the clients are searched when they come back from outside the facility and were without direct supervision. The staff stated that the clients do a self search where the clients take off their shoes, put out their pockets, raise their shirt or shake their waist band. The staff stated that the staff does search the client's back packs and go through it or that the client's can go through their backpacks themselves. The staff stated that the searches are done to all clients and is done to prevent contraband from entering the facility. The confidential interviews revealed that the clients are search when coming back to the facility from the outside. The confidential interviews indicated that a staff searches the client's backpacks when entering the facility back. The confidential interviews revealed that the clients also conduct self searches by taking out their pockets, taking their shoes off and such. The statements obtained indicated that the clients are not padded down when conducting a search. Based on the staff statements and confidential interviews the allegation is found to be substantiated. A substantiated finding means that the preponderance of evidence standard has been met and the allegation is found to be true. Exit interview completed. The following deficiencies cited and a copy of this report and appeal rights were left with facility representative mention above.

Investigation Findings:
13On April 25, 2024, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and met with Jonathan Lamothe, Facility Manager. The purpose of the inspection was to deliver the finding for the above complaint allegation. During the course of the investigation, LPA interviewed one staff (S1) on 03/01/24, LPA interviewed five clients on 03/04/24, LPA interviewed County Social Worker (CSW) and one staff (S2) via telephone on 04/16/24, LPA interviewed County Social Worker (CSW2) via telephone on 04/17/24 and LPA interviewed County Social Worker (CSW3) via telephone on 04/18/24 (see Confidential Names Form LIC 811 dated April 25, 2024). LPA also reviewed documents including but not limited to Client's Intake packet, Policy and Procedure Section and other documents. It was alleged Staff are searching residents' belongings without a cause. Continue on page 2 . . . SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: FIELDS COMPREHENSIVE YOUTH SERVICES IIFACILITY NUMBER: VISIT DATE: 04/25/2024


summary: Facility Evaluation

raw_content:
Narrative:
On 12/10/ Licensing Program Analyst (LPA) Dawn Mahecha made an announced visit to the Field Comprehensive Youth Services II facility for the purpose of a Case Management Incident inspection, LPA met with Facility Manager Jonathan Lamothe and discussed the following incidents: On 12/9/2021 the department received an Unusual incident report identifying client being physically assaulted by unknown males at client's school. Facility manager stated the following: Client (C1) was at school and engaged in a verbal altercation with another student. Students were then in a physical altercation with one another that was not reported to the school, but incident was recorded by a witness. The student then contacted their parent who called and had two older men come to the school to beat up C1. The altercation between those men and C1 again was caught on camera and local law enforcement were called on scene. The facility has been requesting information from the school and have yet to receive anything regarding the incidents. However, C1 was suspended for three days and the facility verified that the other student was expelled following this incident. Additionally, on 12/9/2021 the facility reported incident to Child Protective Services (CPS) and were told that no report was filed by the school to local law enforcement. Facility manager stated he will be filing a formal police report 12/13/2021 regarding incident. Facility has a scheduled meeting with the school for 12/13/2021 at 8:30AM and will be discussing the incident, creating a plan of security for C1 and inquiring about the suspension when C1 does not appear to be at fault. LPA requested a copy of a brief synopsis of incidents and what information and documents have already been obtained. Additionally, LPA requested documented evidence of fights and copies of any law enforcement reports taken regarding this incident. Exit interview completed, the following deficiency was cited and a copy of this report was left with facility manager.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Jonathan Lamothe, Facility manager


summary: Facility Evaluation

raw_content:
Narrative:
On February 16, 2023 at approximately 11:30AM, Licensing Program Analyst (LPA) Dawn Mahecha conducted an unannounced Case Management visit at the facility. LPA met with the representative named above and discussed the purpose of the visit. Special incident report (SIR) submitted 10/14/2022 regarding threats and possible weapons: Clinical therapist stated the following: A incident report was submitted 10/14/2022 based on one child C1 making threats towards another child C2. Children were taken to school and later that afternoon when staff went to pick C2 up from school staff discovered C2 had runaway. A police report was filed for C2 running away but staff later identified that C2 may have been looking to purchase a firearm from a friend. When C2 returned to facility, local law enforcement was called and C2 was searched by police and no firearm was retrieved. A meeting was held with both C1 and C2 regarding the threat made to C2 by C1 and C2 looking to buy a firearm. A safety plan was completed and children came to an agreement to respect one another. LPA obtained copies of children's Needs and service plans, safety plan completed, SIRs updated and submitted and any additional case notes or follow up completed regarding law enforcement contact and search. Based on the information received facility notified agencies of runaway and completed follow up and therapy to address the concerns and incident that had occurred. Exit interview completed, no deficiencies cited and a copy of this report was provided to facility representative.

met_with: Anyssia Johnson, Head of Service/ Clinical therapist


summary: Facility Evaluation

raw_content:
Narrative:
On 5/23/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Fields Comprehensive Youth Services II for the purpose of a case management Incident inspection. LPA met with Administrator and discussed the following incidents: 1. Child being placed on 72 hour hold 3/14/2023 2. Child having cuts on both arms 3/23/2023 3. Youth detained for attempted car theft 4/11/2023 4. Child having cuts to face being beaten up 4/12/ Administrator stated the following: Child would run away a lot from the facility and would come back after weeks away from facility with various cuts and injuries. Child was placed on a 72 hour hold based on mothers request due to observing cuts on child while child was on run away status at mother home. Two children were detained by local law enforcement and were taken to juvenile hall. Children were released from juvenile hall and brought back to the facility. Child was removed from home prior to child's scheduled court dates. Child was on run away status from facility on 4/12/2023 and child showed up to school with cuts to face and stated someone attempted to stab them. Facility was notified of observations made and information given by child. Facility requested school have child taken to hospital where child was evaluated and a police report was taken by Officer Swink of local police department. Child was removed from home by social worker on April 13, 2023 and further follow up was to be conducted by social worker. LPA requested copies of special incident reports, hospital discharge paperwork, any police reports, and child's discharge paperwork from facility. Exit interview completed, no deficiencies cited or observed during this inspection and a copy of the report was provided to Administrator.

met_with: Jonathan Lamothe, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On November 12, 2024, at 1:00 pm, Licensing Program Analyst (LPA) Charmaine Linley conducted an announced pre licensing visit. LPA met with Josetti Fields, Assistant Director/Chief Financial Officer, and Arby Fields II, Program Director, who provided LPA a guided indoor and outdoor tour of the facility. The facility is a two-bedroom, two-bathroom home. The home consists of living room, kitchen, dining area, staff office/therapy room, garage that will be used as the Facility Manager/Storage office. All two bedrooms will serve one client. All beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. All bedrooms contained closet space with at least 2 drawers for each client. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Sports equipment/toys/books/games were observed for clients recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguisher are properly charged and serviced. The hot water temperature was measured in the second bathroom and is currently 108 degrees which is within the regulatory requirements of 105-120 degrees. Facility has a camera in the living room, one camera in the hallway, two cameras outside of the back patio, one camera on both sides of the house, and one camera at the front door. Per facility staff, no firearms or weapons are allowed in the facility. LPA observed the following items posted Personal Rights, Grievance Procedures, Visitation Policy, Facility sketch, Activity Schedule, Menu, Staff Schedule and Emergency Plan. An exit interview was conducted. A copy of the report was discussed and provided along with appeal rights to Arby and Josetti Fields.

visit_type: Prelicensing

met_with: Josetti Fields and Arby Fields, II


summary: Facility Evaluation

raw_content:
Narrative:
On February 6, 2025, at 11:01 am, Licensing Program Analyst (LPAs) Charmaine Linley and Gilbert Marquez conducted an unannounced post-licensing visit. LPAs met with Josetti Fields, Chief Financial Officer, and Arby Fields, Jr, Facility Administrator, who provided LPAs a guided indoor and outdoor tour of the facility. There are currently no clients in placement. The facility is a two bedroom, two-bathroom home. The home consists of living room, kitchen, dining area, staff office/therapy room, garage that will be used as the Facility Manager/Storage office. All two bedrooms will serve one client. All beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. All bedrooms contained closet space with at least 2 drawers for each client. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Sports equipment/toys/books/games were observed for clients recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguisher are properly charged and serviced. The hot water temperature was measured in the second bathroom and is currently 119 degrees at 11:19 am which is within the regulatory requirements of 105-120 degrees. The hot water in the kitchen was measured at 119 degrees at 11:21 am which is within the regulatory requirements of 105-120 degrees. Facility has a camera in the living room, one camera in the hallway, two cameras outside of the back patio, one camera on both sides of the house, and one camera at the front door. Per facility staff, no firearms or weapons are allowed in the facility. LPAs observed the following items posted Personal Rights, Grievance Procedures, Visitation Policy, Facility sketch, Activity Schedule, Menu, Staff Schedule, and Emergency Plan. *** An exit interview was conducted. A copy of the report was discussed and provided along with appeal rights to the facility. A copy of this report will be placed in the facility file.

met_with: Josetti Fields


summary: Facility Evaluation

raw_content:
Narrative:
On November 24, 2025, at 10: AM, Licensing Program Analyst (LPA) Stefanie Mutialu made an unannounced visit for the for the purpose of conducting an annual inspection of the facility. LPA met with Program Director, Arby Fields Jr. The Facility is licensed to serve one (1) ambulatory children ages 12-17 years old. Facility also provides services to nonminor dependents pursuant to W&I Code 16501.1(c)(1), there are currently no clients in care. The facility is a one- story three-bedroom, two-bathroom home. A physical plant inspection was completed with the Program Director and included the following checks: two client bedrooms, one client bathroom, one staff bathroom, kitchen, living room, dining area, therapy room, staff office in the garage, laundry area, and backyard. Facility has a camera in the living room, one camera in the hallway, two cameras outside of the back patio, one camera on both sides of the house, and one camera at the front door. The following forms are posted including Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster, the Emergency Disaster Plan was also posted. LPA reminded Program Director to ensure accreditation is posted and present at the facility and to ensure fire clearance is accessible and maintained on the premises. Facility is not being cited since there are no clients in care. Licensee stated they will email LPA a copy of the fire clearance and accreditation by Tuesday November 25, 2025. **Continued on the Next Page** The facility is clean and free of debris. There is adequate indoor and outdoor activity space. All facility carbon monoxide detectors were tested and observed to be in working order; fire extinguishers are properly charged. Licensee maintains an adequate supply of perishable and non-perishable foods to prepare the meals. LPA observed a minimum seven-day non-perishable and two-day perishable supply of food. Individual beds were observed with clean linens, pillows, comforters, and mattresses in good repair. All two bedrooms contain one twin bed. The facility has one client bathroom. The water temperature was tested in the client bathroom measured at the appropriate range of 105 degrees to 120 degrees Fahrenheit. Due to no client in care, LPA did not conduct a file review for clients and staff. LPA conducted one staff (S1)interview. The Short Term Residential Therapeutic Program has a Mental Health Approval valid through November 14, 2026. No deficiencies cited. Per facility staff, no firearms or weapons are allowed in the facility. The licensing fee payments are current. An exit interview was conducted, and a copy of this report, LIC811 (confidential names), and appeal rights were discussed and provided to Program Director, Arby Fields Jr. Due to technical difficulties this report was emailed to the Program Director at the time of inspection. A copy of this report will be placed in the facility file.

visit_type: Annual

met_with: Program Director, Arby Fields Jr.


facility_name: FILBERT HOUSE

raw_content:
Investigation Findings:
13On 6-28-24 9:27AM, Licensing Program Analyst (LPA) George Karkazis conducted an unannounced inspection at Filbert House, and met with Ken Porter, Administrator, who helped with the inspection. The purpose of the inspection was to deliver the complaint findings. The complaint alleged that uncleared staff allowed to work at the facility and staff falsified youths' rehabilitation documents. On 6-10-24 10:15AM, LPA made an unannounced inspection at Filbert House. LPA was greeted by S1, LPA obtained S1's California Identification Card and confirmed S1's identity. S1 stated that they have been employed at Filbert House for over one year. LPA checked S1's status on Guardian and found it "In Process". S1 does not have fingerprint clearance. LPA conducted confidential interviews with staff that stated S4 had copied/pasted and erased youths' rehabilitation notes, S4 immediately terminated. The preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. The facility is being cited for Title 22, Division 6, Chapter 1, Article Criminal Record Clearance 80019(e)(1), with a civil penalty, and Interim Licensing Standards, Article 06, Needs and Service Plans 87068.2(a). An exit interview was conducted, appeal rights provided, and a copy of this report was given to Ken Porter. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: George Karkazis LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN BRUNO RO, TRAEGER AVE., SUITE FACILITY NAME: FILBERT HOUSEFACILITY NUMBER: 015600316

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

met_with: Ken Porter, Administrator


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Christopher Rollins made an unannounced annual inspection to this facility. LPA met with Kenneth Porter Administrator . LPA reviewed files with Administrator and Tandra Dubose Operations Manager (OM). The facility is licensed for 12 residents (all can be ambulatory) ages 12-18 and currently 6 clients reside in facility. The facility consists of 6 bedrooms (6 double occupancy rooms for clients) and 5 1/2 bathrooms (4 for clients and 1 1/2 for staff). House is a double level building and another facility in the back that consists of two offices, conference room and a place where staff hold group meetings. No more than two clients to a room. At 11: AM, LPA Rollins and Administrator toured the facility inside and out. The kitchen is clean. The hot water in the bathroom and kitchen measured at 114 degrees F which is currently between 105 - 120 degrees. The facility has plenty of nonperishable and perishable food supply. Medication, cleaning supplies and knives are locked away. Medication logs are up to date and current. There are enough folks, spoons, plates and cups. All passageways are unobstructed. All smoke detectors are update and working. The home is clean, safe, and sanitary. There are no firearms on the property. The fire extinguisher has been checked and is up to date. There are no bodies of water on the property. LPA observed first aid kit to be fully stocked. The home is maintained at a comfortable temperature. Personal rights, floor plan, food menu and Emergency disaster forms were posted and in clear view. At 12: PM, LPA Rollins observe sex client files with Administrator and OM. LPA Rollins observed all six client files to be complete and found no deficiencies. The documentation in the clients file are complete and up to date. At 1: PM, LPA observed all six staff files with Administrator and OM. LPA observed all six staff files to be complete, all correct documentation and all staff were up to date with there 40 hours of annual training for the year. At 1: PM LPA Rollins conducted staff and client interviews. During inspection, LPA receive a updated copy of the LIC Personnel Report to maintain their file current. A review of Licensing Information System on September 14, 2021 indicates that all facility staff associated to the program has DOJ, FBI and child abuse index check clearances. Per Title Regulations, no deficiencies were cited during this inspection. Exit interview conducted and a copy of the report was left at the facility.

met_with: Kenneth Porter- Administrator


summary: Facility Evaluation

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Narrative:
On 2-3-23 10:38AM, Licensing Program Analysts George Karkazis conducted an unannounced Annual/Random inspection at listed facility. LPA's met with Ken Porter, Licensee, and toured the facility inside and out. Safety precautions were taken including screening call and mask wearing. The Short Term Therapeutic Program is licensed to serve twelve clients. Present during the inspection were two staff and one client. At 10:55AM, LPA Karkazis reviewed client and staff files. Client files were complete and in order. Staff files were incomplete. S1's file was missing CPR certification and LIC Health Screening. All staff files were missing LIC 198A. At 1:50PM, LPA Karkazis toured the facility. LPA Karkazis observed six bedrooms and five bathrooms. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPA Karkazis tested the water temperature and found it to be 118 degrees which is in range. The thermostat read 69 which is within range. Sharps were locked and chemicals were safely stored. There were two days of perishable foods and seven days non-perishable foods present. The medication was also stored and locked in a locked cabinet, in an office. The facility is in good repair and clean. LPA Karkazis interviewed two staff and one clients. At 2: LPA Karkazis toured the backyard. There were no open bodies of water. The backyard was in good repair and clean. continued on LIC 809-C continued from LIC Citations were issued at this time. The facility is in violation of California Code of Regulations, Title 22, Section 80066(a)(10) Health Screening and 87065.1(d)(6)(A) First Aid Training. A Technical Violation was issued for California Code of Regulations, Title 22, Section 80019.2(a)(1) An exit interview was conducted, appeal rights discussed and a copy of this report was given to Ken Porter, Licensee.

met_with: Ken Porter, Licensee


summary: Facility Evaluation

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Narrative:
On 3-26-24 10:18AM, Licensing Program Analysts George Karkazis conducted an unannounced Annual/Random inspection at listed facility. LPA's met with Ken Porter Administrator and toured the facility inside and out. The Short Term Therapeutic Program is licensed to serve 12 clients. Present during the inspection were 2 staff and 2 clients. At 10:30AM LPA Karkazis reviewed staff files. Ken Porter was able to re-associate S5 back on to the facility roster before the end of this inspection. S3 did not have a current CPR Certificate on file. LPA Karkazis reviewed client files. C4 is a new placement. C4 is waiting for Needs and Service Plan. At 2:25PM, LPA Karkazis toured the facility. LPA Karkazis observed 6 bedrooms and 5 bathrooms. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPA Karkazis tested the water temperature and found it to be 117 degrees which is in range. The thermostat read 71 which is within range. Sharps were locked in the kitchen cabinet and chemicals were safely stored in the locked office. There were two days of perishable foods and seven days non-perishable foods present. The medication was also stored and locked in the office, in a locked cabinet. The facility is in good repair and clean. LPA Karkazis interviewed 2 staff and one client. The other client was non-verbal. At 2:57PM, LPA Karkazis toured the backyard. There were no open bodies of water. The backyard was in good repair and clean. continued on LIC 809-C continued from LIC At this time the facility is being cited for Interim Licensing Standards 87065.1(d)(6)(A) Supervision, Evaluation and Training Requirements, Type B. A Technical Advisory is issued for Interim Licensing Standards 87070(c)(1) Children's Records. An exit interview was conducted, appeal rights discussed and a copy of this report was given to Ken Porter, Administrator.


summary: Facility Evaluation

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Narrative:
On 6-19-24 10:05AM, Licensing Program Analyst (LPA) George Karkazis conducted an unannounced visit at Filbert House and met with Administrator Ken Porter. The purpose of the inspection was to follow up on an incident which occurred 6-14-2024 0000724-FN. LPA toured the facility, two clients and four staff were present. LPA conducted interviews and requested documents. Further investigation is needed at this time. LPA conducted an interview with Head of Services Valentina Fiero, for complaint 14-CR-20240606144854 dated 06-06-24. An exit interview and a copy of this report was given to Ken Porter, Administrator/Licensee.

met_with: Ken Porter, Administrator Licensee


summary: Facility Evaluation

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Narrative:
On 08/13/24, Licensing Program Analyst (LPA) Celeste Aparicio made an announced collateral visit to the facility to conduct a confidential interview. LPA met with Administrator, and informed Administrator on the purpose of the visit. LPA conducted one confidential interview related to an outside investigation. An exit interview was conducted, and a copy of this report was left with, Administrator whose signature on this form confirms receipt.

met_with: Ken Porter


summary: Facility Evaluation

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Narrative:
On 5-21-25 10:00AM, Licensing Program Analyst (LPA) George Karkazis conducted an unannounced an unannounced inspection at Filbert House and met with Administrator Ken Porter. The purpose of the visit was to follow up on IRFU 0001739FN. See LIC Confidential Names List dated 5-21-25. LPA conducted confidential interviews with staff. S1 stated the reason she did not give the house phone to C1 was because C1 was in a violent mood, reciting lyrics of shooting someone, wanted to call someone that was not approved, to come and assault S1. S1 stated it was a safety concern, and waited for the supervisor to arrive and handle the situation. S2 stated that C1 wanted to call his uncle, to come to the facility to assault staff. S2 stated that C1 had his own cell phone at the time of the incident and was purposely causing an unnecessary argument. S2 also stated staff safety was a concern. S2 stated that C1 shortly after apologized for his behavior. C1 went on AWOL 5-9-25 and has not returned, not available for comment. LPA conducted document research. C1's needs and service plans show a history of violent assaultive behavior. The incident report and shift notes both indicate that C1 wanted to call an unauthorized person to come and assault staff. At this time there are no deficiencies or further follow up needed.


summary: Facility Evaluation

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Narrative:
On 06-28-24 10:30AM, Licensing Program Analyst (LPA) George Karkazis made an unannounced inspection at Filbert House and met with Ken Porter, Administrator. The purpose of the visit was to follow up on an incident that occurred on 6-14-24, incident number 0000724-FN. Present during the inspection were two staff and two clients. LPA conducted document research in an incident report dated 6-14-24, sent by the Administrator, which indicates that staff hit the client several times and threw the client to the ground. LPA conducted confidential interviews, interviewees stated they witnessed staff physically assaulting a client, providing accurate details of the physical altercation. Staff immediately terminated. The facility is being cited for Title 22, Division 6, Chapter 1, Article Personal Rights 80072(a)(3). An exit interview was conducted, appeal rights provided, and a copy of this report was given to Ken Porter, Administrator.


facility_name: FIRST STEP

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Narrative:
However, the facility addressed it and child was removed and moved to a different placement. Facility manager stated that staff coverage is typically one (1) overnight staff and 2 to 3 staff on duty for the mornings and afternoons. Staff #1 (S1) stated that they were unaware of any incidents where children acted inappropriately or where children got in trouble being on community passes. Additionally, Staff #2 (S2) stated that children in home get along and no issues have been observed or reported. Interviews conducted with children identify no issues in the home. Child #1 (C1) stated that all children got along and that he felt as though staff coverage was enough to tend to everyone's needs. Interviews conducted with child#4 (C4) stated that home is nice, and staff are attentive. LPA observed two (2) children who were non-verbal both clients were observed to be comfortable around staff, clean and being attended to. Interviews conducted with children and staff did not provide any specific information or details related to any one incident or occurrence. Documents reviewed did not depict any unusual or inappropriate behavior. Based on the information gathered, although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of this report Confidential Names Form and Appeal Rights were provided to the facility representative via electronic mail. There were no deficiencies cited during this tele-inspection.

Investigation Findings:
13On 5/25/ Licensing Program Analyst (LPA) Dawn Mahecha telephoned the First Step facility for the purpose of concluding the above complaint investigation. LPA spoke with Facility Manager Byron Butler regarding the findings to the above identified allegation. Investigation consisted of the following: On 12/23/ LPA conducted 10-day inspection to facility, interviewed Facility manager, one (1) child and requested documents (see LIC 811 confidential names, dated 12/23/20). Additionally, on 5/25/ LPA interviewed two (2) additional staff, one (1) child and observed two (2) non-verbal children. On 5/26/ LPA Mahecha reviewed information provided. Investigation revealed the following: It was alleged that a lack of supervision resulted in minors engaging in inappropriate behavior. Interviews conducted with facility manager stated that approximately 5 or 6 months ago prior to complaint investigation facility did have a child who would jump on the roof. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Dawn Mahecha LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: FIRST STEPFACILITY NUMBER: VISIT DATE: 05/25/2021

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

met_with: Byron Butler, Facility manager


raw_content:
Narrative:
Facility staff reported that the clients are aware of their rights and know they can only do so much to prevent them from awolling out of the facility; however, the staff attempts to re-direct them whenever they can. The confidential interviews did not corroborate the clients are being disruptive or causing the community any issues due to the lack of supervision. Interviewed parties were not familiar with the allegation of clients asking anyone for money or trying to take anyone belongings. Furthermore, facility staff denied having children on awol during the morning hours due to them being in school or doing schoolwork at that time. Therefore, based on the interviews and records reviewed the allegation is found to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation. No other agency investigated the allegation. Exit interview was conducted and a copy of this report was emailed to the Facility staff for review and signature due to Covid-19 restriction. There were no citations.

Investigation Findings:
13On 6/02/2021, Licensing Program Analyst (LPA) Johanna Lofton conducted a telephonic follow-up inspection at First Step Group Home with the purpose of delivering findings regarding the above complaint allegation. LPA Lofton spoke to Lead Facility Manager Byron Butler and discussed the findings. During the investigation LPA Lofton made several attempts to reach the complainant on 11/19/20, 01/04/21 and 2/25/21. LPA Lofton left messages each day except 2/25/21 due to voicemail being full. LPA Lofton interviewed Staff #1 on 11/19/20, Staff #2 on 4/16/21, Staff #3 on 4/21/21 and Staff #4 on 4/23/21. LPA Lofton interviewed Client #1, Client #2 and Client #3 on 3/12/21. See LIC811- Confidential Names List dated 6/02/21. The allegation was denied by all interviewed parties. The facility staff denied the allegations that staff members are not supervising the clients. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Johanna Lofton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: FIRST STEPFACILITY NUMBER: VISIT DATE: 06/02/2021

met_with: Byron Butler- Lead Facility Manager


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Narrative:
Based on the interviews and records reviewed the allegation is found unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the allegation. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited.

Investigation Findings:
13On October 20,21 at 9:00AM Licensing Program Analysts (LPAs)Zeyda Loera and Pamela Silva conducted an unannonced inspection visit for the purpose of providing findings for the above complaint allegation. LPA met with Byron Butler, Lead Facility Manager. During the course of the investigation, LPA interviewed one clients on 10/20/21 (see Confidential Names Form LIC 811 dated ,10/20/21). LPA interviewed one facility staff on 09/21/21. LPA obtained and reviewed client's and staff documents. The facility staff denied the allegation indicating clients are not supervised at all time. Foster child 1(FC1) stated, staff is always supervising all children. FC1 stated, when clients go out in the community they always have a staff supervisiing at all times. FC1 deniied the allegation of not being supervised at all time. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Zeyda Loera LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: FIRST STEPFACILITY NUMBER: VISIT DATE: 10/20/2021

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

met_with: Bryon Butler, Lead Facility Manager


raw_content:
Narrative:
The Department received a complaint regarding alleged sexual abuse on C1 by a FM. The FM denied the allegation. Statements obtained from confidential interviews conducted by SI Barragan, County Social Workers and Law Enforcement were consistent and revealed there were no witnesses who observed FM physically or sexually abuse clients placed at the facility. The investigations conducted by other agencies and departments revealed there was no evidence to corroborate the allegation. Based on statements obtained from interviews conducted and records reviewed the allegation is unsubstantiated. Although the allegation may have happened or is valid, the preponderance of evidence standard was not met. Exit interview conducted. No deficiencies were cited. A copy of this report and Confidential Names form LIC811 dated 4/21/22 were given to the above mentioned facility representative.

Investigation Findings:
An unannounced follow up complaint inspection was conducted on 4/21/22 at 8: AM by Licensing Program Analyst (LPA) Christopher Larios. During the inspection LPA Larios met with Facility Manager Kayla Johnson and delivered findings for the above mentioned complaint allegation. The complaint investigation was conducted by Community Care Licensing Division (CCLD) Investigations Branch (IB) State Investigator (SI) Maria Barragan. During the course of the investigation LPA Larios conducted a record review and obtained copies of the following documents: physician report, IEP, special incident reports, placement agreement, case notes, emergency identification information, needs and services plans, staff roster and contact information, facility sketch and client registry. SI Barragan interviewed one County Social Worker (CSW) on 1/10/22, one CSW on 1/27/22, four Clients (C2, C3,C4,C5) on 2/8/22, one CSW on 2/18/22, two Facility Managers (FM) on 2/22/22, two FM on 2/23/22 and one Administrator on 2/23/22, one FM on 3/10/22, one Detective on 3/10/22 and one FM on 3/17/22. SI Barragan attempted to interview Client (C1) on 2/18/22, but C1 is nonverbal and did not provide a statement. SI Barragan obtained a copy of a Law Enforcement report regarding the alleged incident on 2/18/22. CONTINUED UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: FIRST STEPFACILITY NUMBER: VISIT DATE: 04/21/2022

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

met_with: Kayla Johnson


raw_content:
Narrative:
Confidential statements obtained during the investigation were unable to corroborate the allegations as there were no statements obtained to support the allegations. One of the residents is autistic and non-verbal. Facility staff denied the allegations. An unannounced tour of the facility revealed that the facility has ample food supply and hygiene products for the residents. Based on the information gathered, the allegations are unsubstantiated as the preponderance of evidence to prove the allegations was not met although the allegations may have happened or are valid. A copy of this report, Confidential Names Form and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On April 21, 2022 at 11: AM, Licensing Program Analyst (LPA) Joshua Rarela conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegations above. LPA Rarela met and discussed the findings with the facility representative named above. During the course of the investigation, LPA interviewed facility staff on 2/4/22, 2/7/22, 2/15/22, 4/15/22 and 4/21/22, and facility residents on 4/21/22 (see Confidential Names Form dated April 21, 2022). LPA also reviewed documents including placing agency service logs and reports, medical records, resident case plans and facility personnel records. It was alleged that the facility is not addressing changes in minor's health, and the facility is not ensuring minor's dental needs are being met. (CONTINUED) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Joshua Rarela LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: FIRST STEPFACILITY NUMBER: VISIT DATE: 04/21/2022

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

met_with: Ariana Lopez, Lead Facility Manager