summary: Facility Evaluation

raw_content:
Narrative:
On August 6, Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the New Dawn Short Term Residential Therapeutic Program (STRTP) for the purpose of a Case management incident inspection. LPA met with Direct Care staff Remy Hereford and discussed the reason of the visit. During the course of the inspection LPA reviewed child #1 (C1) facility file and medication log. LPA obtained copies of facility incident reports, facility client's Needs and Services Plan, Health and Education Passport, Admission agreement, special interest form, client entrance survey, court documents, authorization form, CFT meeting notes, PRN authorization, recent doctors visit, medical prescription, JV220 and medication logs for child #1 (C1) (see Confidential Names Form LIC 811 dated August 6, 2021). Case Management was conducted to follow up on incident of child being transported to hospital that occurred in the home on 8/5/2021. Incident was documented and submitted to Community Care Licensing on 8/5/2021. Based on needing additional information additional follow up is needed in this case. Exit interview completed, no deficiencies cited and a copy of this report was left with Direct Care staff.

met_with: Remy Hereford, Direct Care Staff


state: CA

facility_name: NEW DAWN

summary: Facility Evaluation

raw_content:
Narrative:
On 1/21/22 at 3: PM Licensing Program Analyst (LPA) Christopher Larios conducted an unannounced inspection at the facility and met with Lead Facility Manager (FM) Regina Head. The purpose of the inspection was to amend a report previously delivered to the facility. Exit interview conducted. A copy of this report was provided to the above mentioned staff member. No deficiencies were cited.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Regina Head


summary: Facility Evaluation

raw_content:
Narrative:
On 3/2/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the New Dawn Facility for the purpose of a case management incident inspection. LPA met with Facility and discussed the below identified incident Video of teacher striking student at school. Possible late reporting: Facility manager stated the following: Incident occurred on January 12, 2023. The incident that transpired was child struck the teacher at the school. Child was suspended from school and school sent child to the hospital. Staff picked up child from hospital that afternoon and upon returning to home another child in the home disclosed to staff that child involved with incident had a video of what had transpired that day. Facility manager stated they reviewed video the next day and went to the school to discuss the incident. School stated they would not expel child from school but that they would request to have child relocated to another school. Facility sent two additional addendums one January 17th and February 2nd notifying all agencies of schools investigative findings and after suspension was completed for child. LPA observed submitted special incident reports (SIRs) and school investigative findings. Based on information received and documents reviewed incident was documented and addressed in adequate time and all appropriate agencies were notified. Exit interview completed, no deficiencies cited and a copy of this report was provided to facility manager.

met_with: Regina Head, Facility manager


summary: Facility Evaluation

raw_content:
Narrative:
On 4/27/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the New Dawn Facility for the purpose of a case management other inspection. LPA met with Facility manager and discussed the below identified incident. Food supply and facility management overnight: LPA and facility manager did a walk thru of the home where food supply is stored. LPA observed the required perishable and non-perishable food supply for all kids in care. Facility provided documentation to LPA Claudia Portillo of food purchased on March 10, 2023 and LPA Mahecha observed during this inspection that facility still has required amounts of food. Additionally, LPA told facility manager that facility must have a facility manager on duty within STRTP at all times of the day and night. Facility manager provided current LIC500 documenting personnel title and hours showing facility manager being present during day and night time. At this time facility was observed to be in good repair. Exit interview completed, no deficiencies observed or cited and a copy of this report was given to facility manager.


summary: Facility Evaluation

raw_content:
Narrative:
On 2/15/2024 at 11: AM Licensing Program Analyst (LPA) Dawn Mahecha made an announced visit to the New Dawn facility for the purpose of a Required 2 year inspection. LPA met with Facility manager Regina Head and together did a walk thru of the facility both inside and out. LPA observed the following: This is a single story single family residence with three (3) bedrooms, two (2) bathrooms, game room, TV room, living space, kitchen, dining room, mental health area, attached garage and outdoor activity space. TV room, living room, game room, kitchen, dining room, bathroom, mental area and attached garage were all observed to be clean and in good repair. Mental health area, office area with attached staff bathroom consisted of desks, computers and office area had two (2) locked filing cabinets containing sharp objects and medications and one(1) locked closet that are only accessible by staff. Kitchen has required perishable and non-perishable food supply. Water temperature was checked in bathroom #1 and temperature measured at (141.6 degrees Fahrenheit). All areas observed at this time were clean, working and furniture was in good repair. Garage housed water heater, extra supplies, (2) additional deep freezers, extra fridge and additional locked cabinets with snacks. Bedroom #1 occupied by 2 children located opposite office area two twin beds, dresser and closet space available Bedroom #2- located across from common bathroom Occupied by 2 children, two twin beds, dresser and closet space available Bedroom #3- located adjacent to common bathroom Occupied by 1 child two twin beds, dresser and closet space available Bathroom #1- consisted of toilet, sink, shower/tub combination. Water temperature tested and measured at 141.6 degrees Fahrenheit. Facility had warning signs posted to show water temperatures measuring above required levels. LPA reviewed five (5) children folders including one (1) child's medication log, two (2) staff folders and vehicle maintenance logs. Additionally, LPA ensured all smoke detectors and carbon monoxide machines were in working order. Files were maintained and required documents were present. Facility vehicle was last serviced on 1/12/2024 and 1/16/2024. LPA observed the following deficiencies: At 11: AM LPA observed that facility had no file of a written disaster and mass casualty plan for LPA review. Disaster and mass casualty plan did not have required information and supportive documents. CCR80023(a)Disaster and Mass Casualty Plan(a) Each licensee shall have and maintain on file a current, written disaster and mass casualty plan of action. HSC1565(e)Other Provisions(e) A facility shall have all of the following information readily available during an emergency: Exit interview completed, the following deficiencies were cited and a copy of this report was given to Facility manager. (a) Each licensee shall have and maintain on file a current, written disaster and mass casualty plan of action. (e) A facility shall have all of the following information readily available during an emergency: (a) Each licensee shall have and maintain on file a current, written disaster and mass casualty plan of action. (e) A facility shall have all of the following information readily available during an emergency:

met_with: Regina Head, Facility mananger


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Caitlin Chambers went to the facility Luvlee's Residential Care Inc. for the purposes of a case management inspection. The facility is licensed to serve 6 clients with the current census of 4 clients. LPA met with facility manager Regina Head for the purpose of gathering information for this case management incident report. This is an STRTP facility in Chino. The department received the special incident report on 01/29/25 regarding the child's behavior for not following house rules. LPA reviewed (Client C1's) file and ( See LIC Confidential names list), (S1) Staff file. Due to C1 being placed at this facility 01/13/25, the file has all admission forms and identification in place consisting of placement agreement, personal rights, grievance procedure, discipline policy and procedures, house rules, and other consent papers. (S2) files consisted of up to date certifications in policy and procedures, receipt of resident handbook, special incident reports,safety plans, and up to date training. LPA Chambers interview (S2) and (C1). (See LIC Detail Supportive Information). LPA Chambers interviewed (C1) and said there is a CFT meeting within a few weeks. (C1) interview (See LIC 812). No deficiency is cited. At this time no more follow up is needed. An exit interview was conducted. Appeals rights were discussed. A report was given along with the LIC Confidential List of names.

met_with: Facility Manager, Regina Head


summary: Facility Evaluation

raw_content:
Narrative:
On 6/23/2021 at 1: PM Licensing Program Analyst (LPA) Dawn Mahecha made an announced visit to the New Dawn facility for the purpose of a Annual/ Required inspection. LPA met with Facility manager Regina Head and together did a walk thru of the facility both inside and out. LPA observed the following: This is a single story single family residence with three (3) bedrooms, two (2) bathrooms, game room, TV room, living space, kitchen, dining room, mental health area, attached garage and outdoor activity space. TV room, living room, game room, kitchen, dining room, bathroom, mental area and attached garage were all observed to be clean and in good repair. Mental health area, office area with attached staff bathroom consisted of desks, computers and office area had two (2) locked filing cabinets containing sharp objects and medications and one(1) locked closet that are only accessible by staff. Kitchen has required perishable and non-perishable food supply. Water temperature was checked in bathroom #1 and temperature measured at (144.7 degrees Fahrenheit). All areas observed at this time were clean, working and furniture was in good repair. Garage housed water heater, extra supplies, (2) additional deep freezers, extra fridge and additional locked cabinets with snacks. Bedroom #1 occupied by 2 children located opposite office area two twin beds, dresser and closet space available Bedroom #2- located across from common bathroom Occupied by 1 child, two twin beds, dresser and closet space available Bedroom #3- located adjacent to common bathroom Occupied by 1 child two twin beds, dresser and closet space available Bathroom #1- consisted of toilet, sink, shower/tub combination. Water temperature tested and measured at 144.7 degrees Fahrenheit. LPA reviewed three (3) children folders including one (1) child medication log, five (5) staff folders and vehicle maintenance logs. Additionally, LPA ensured all smoke detectors and carbon monoxide machines were in working order. Files were maintained and required documents were present. Facility vehicle was last serviced on 4/22/2021. LPA observed the following deficiencies: At 1: PM LPA observed water temperatures in all bathrooms to be over the required temperature of 120 degrees Fahrenheit. Temperatures in community bathroom was 144.7 degrees Fahrenheit. Per Interim Licensing Standards (ILS) Furniture, Fixtures, Equipment, and Supplies (e) Faucets used by clients for personal care such as shaving and grooming shall deliver hot water. (1) Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures used by clients to attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C). Exit interview completed, the following deficiencies were cited and a copy of this report was given to Facility manager.

visit_type: Annual

met_with: Regina Head Facility manager


summary: Facility Evaluation

raw_content:
Narrative:
On 2/23/ Licensing Program Analyst (LPA) Claudia Portillo made an announced visit to New Dawn Short Term Therapeutic Residential Program STRTP for the purpose of a Complaint inspection. Inspection was completed in conjunction with a case management. LPA met with the representative above and discussed the following observed deficiencies. At 9: AM LPA observed the following and informed the licensee on 87076(c)(1) Food Service (c) The licensee shall meet the following food supply and storage requirements: (1) Supplies of staple nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days shall be maintained on the premises. 87072.2(a) Complaint Procedures (a) The licensee of a short-term residential therapeutic program shall develop, maintain and implement written complaint procedures by which children, or their authorized representatives are permitted to file complaints, without fear of retaliation, with the facility administrator regarding facility staff or operations. The Location in the facility where such procedures are accessible to children, NMDs and their authorized representatives was not available. LPA Portillo discussed the deficiencies observed with the Facility Manager. Deficiencies observed pose a Health and Safety risk to the clients in which they serve as the facility is not following keeping the facility clean, safe, sanitary and in good repair. Exit interview completed, the following deficiencies were cited, and a copy of this report was left with the representative above.

met_with: Regina Head, Facility House Manager


facility_name: NEW HOPE RESIDENCE, INC

summary: Facility Evaluation

raw_content:
Narrative:
On October 7, 2025, Licensing Program Analysts (LPA) Cynthia Urena and Licensing Program Manager (LPM), Cheraki Davis met with New Hope Residence applicant Nancy Mwania to complete Component II, the face-to-face interview, for the Short Term Therapeutic Residential Program (STRTP) application process. Also present were. The applicant previously attended Component I, the STRTP orientation, on February 13, 2024. The purpose of today's meeting was to address any questions or concerns and to review the application packet and process, ensuring that the applicant, and all relevant parties understand and can provide the services outlined in the Program Statement and Plan of Operations in compliance with Community Care Licensing regulations. LPA reviewed the application documents, addressing and correcting discrepancies on the LIC Application for Community Care Facility and LIC Applicant Information. The facility staff plan was discussed to ensure compliance. The applicant does not yet have direct care staff but stated that a temporary staffing plan is in place. LPA reminded the applicant of the required staff-to-client ratios and reviewed the relevant regulations outlined in STRTP Interim Licensing Standards (ILS) 87065.5. Additionally, LPA reviewed the qualifications and educational requirements for the Administrator and concerns were addressed. Applicant has been made aware that as a licensee of another program type which requires the applicant to be present 24 hours day results in the applicant not being able to meet the Administrator qualifications and responsibilities for an STRTP. The applicant has agreed to find another STRTP Administrator that meets the qualifications as required in ILS Section Administrator Qualifications and Duties. As the applicant is required to have three months of operating expenses, LPA also reviewed the necessary financial LIC forms to ensure sufficient resources to operate the STRTP. LPA also discussed the required financial documentation, including the LIC Monthly Operating Statement and the supportive financial verifications. Concerns about ensuring that the STRTP has the necessary financial resources was addressed with the applicant. In addition, the applicant has been made aware of the concerns observed on their Plan of Operation/Program Statement (POO/PS). LPA informed the applicant that POO/PS must revised in its entirety and a new submission that meets the guidelines shall be submitted to the Department for further review. LPA concluded this meeting by informing the applicant of the next steps in the application process. LPA also informed the applicant in order to further determine whether the facility is capable of providing the services specified for the facility type they are applying for (STRTP) the information discussed along with revising the POO/PS in its entirety must be completed to move forward with the application process. An exit interview was conducted and a copy of this report was provided to the applicant.

met_with: Applicant, Nancy Mwania


summary: Facility Evaluation

raw_content:
Narrative:
On February 6, 2026, at 10: AM a Teams meeting was held with Licensing Program Analyst (LPA), Cynthia Urena, Licensing Program Manager (LPM), Cheraki Davis, Regional Manager (RM), Natasha Dunlap, Applicant Nancy Mwania, and Staff Member Felix Mwania. The purpose of this meeting was to discuss questions or concerns that the applicant may have regarding New Hope Inc Short-Term Residential Therapeutic Program (STRTP) Plan of Operations/Program Statement POO/PS Revisions. The following information was addressed with the applicant: Purpose and Goals Population & Language: The applicant was advised that although they can use gender-neutral terminology such as "children/youth" throughout the POO/PS this information must remain consistent throughout the POO/PS for the targeted age group 12-17 and 18-21 (NMDs). In addition, the Applicant was advised that in Section one of the Program Statement for Population to be Served. The applicant must clearly state the targeted age range, gender and the categories of persons served that align with the Interim Licensing Standards (ILS) version five Program Statement Section: 87022. Administrative Organization Designated Substitute: The licensee inquired if they can be listed as the designated substitute Administrator for the facility, and if they can use their Nurse Practitioner License to oversee or provide Medication Support Services or Psychiatric Nursing Assessments as defined in the STRTP Mental Health Program Approval (MHPA) standards The Applicant was advised that, because they hold a license for a Small Family where they provide 24-hour care as the primary provider. (**Continued on the next page**) The Licensee must clearly demonstrate that holding multiple roles at the STRTP will not negatively impact backup coverage, daily operations, supervision or care. In addition, the Applicant was reminded that the population to be served at the STRTP also requires 24-hour care and supervision. The applicant was advised to further consider all this information when planning to assume multiple roles within the facility. Child Abuse/Neglect Reporting Training Documentation: The applicant was advised that this section of the Plan of Operation should clearly demonstrate the facility's child abuse and neglect reporting policies and procedures. Admission Determination Behavioral Thresholds: The applicant was advised that admission determinations must be clearly defined and made by the applicant, and that internal clinical capacity and staffing ratios may be used to support this determination as it aligns with licensing standards and regulations. Intake Policies & Procedures NMD Documentation: The applicant was advised that the Needs and Services Plan for Nonminor Dependents must be described in narrative form within the Program Statement. The applicant was further advised that while a template or attachment such as (the TILP) may be included as a reference, it may not be used as the sole documentation. The narrative must clearly demonstrate how the facility will develop, implement, and monitor the plan in alignment with the NMD requirements. The applicant has agreed to submit their revisions to their Plan of Operation and Program Statement by February 13, 2026, end of business day. A copy of this report was emailed to the applicant for their records. The applicant will sign and return the report to LPA Urena via email. The signed copies will be placed in the facility file.


facility_name: NEW START YOUTH FACILITY

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Facility Staff denied the allegations and further indicated that they try to provide whatever programs are available to the youth and adhere to their individual needs and services plans. Staff indicated that the morning staff is responsible of waking clients for school and making breakfast. Staff further indicated that they try to motivate clients by offering different type of outing or rewards, however at times clients will still refuse to get out of bed and sign in for their zoom classes. Staff denied withholding any personal belongings however, further disclose that staff will collect the school borrowed chrome books after clients have completed their school work due to a chrome book being stolen from one of the rooms and exchanged for money. Information obtained from C1 and C2 revealed that staff is very supportive and encourage clients to complete their program and are always informing the clients on the importance of attending and finishing school. C2 indicated that with the help and consistent push from staff he was able to graduate and now is looking forward to attending college. Therefore, based on the information received, the above allegation is determined to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with the STRTP Lead Facility Manager. There are no deficiencies to be cited at this time. Exit interview was conducted and a copy of the report along with the (LIC 811) was given to the Lead Facility Manager.

Investigation Findings:
13On July 20, 2021, at 2:05 p.m., Licensing Program Analyst (LPA) Winston Moroney, conducted an inspection to New Start Youth Facility STRTP (FFA) and met with STRTP Lead Facility Manager Byron Butler. The purpose of the inspection was to deliver the findings for the above complaint allegations. On February 11, 2021 the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegations: Staff not making sure minor attend school; Staff withheld minor's personal belongings and staff failed to meet minor's needs. The investigation to the above allegations was conducted by this LPA and it consisted of, but not limited to a review of records, including the children needs and services plans, medical records and interviews with 4 staff members (S1, S2, S3, S4) on 2/22/2021, 2 of 5 client's on 2/22/21 (3 clients (C3, C4 and C5) declined to be interviewed). (Reference Confidential Names Form LIC 811, dated July 20, 2021) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Winston Moroney 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: NEW START YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 07/20/2021

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

report_type: Complaint Investigation

met_with: Byron Butler - Lead Facility Manager

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Based on information obtained, there was no corroborating evidence found to substantiate the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore, the allegation is unsubstantiated. An exit interview was conducted. Copies of this signed report, the LIC 811 and Appeal Rights forms were provided to the facility representative. There was no deficiency citation issued.

Investigation Findings:
13On September 8, 2021, Licensing Program Analyst (LPA) Irene Yamamoto delivered the finding of the allegation at the facility. LPA discussed the finding with the facility representative named above. LPA reviewed documents from the facility file and other pertinent records. Confidential interviews were conducted with two staff and two clients. One other client refused to provide a statement. LPA attempted to obtain a statement from another client, but all attempts were unsuccessful. Refer to Confidential Names Form LIC 811 dated September 8, 2021. It was alleged that staff had inappropriate relationships with clients. Staff and clients were not named. Staff who were interviewed denied the allegation occurred. One client who allegedly reported the incident denied the allegation. Another client in placement at the same time also denied the allegation. There were no witnesses to the allegation. 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 CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: NEW START YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 09/08/2021

met_with: Ariana Lopez, Lead Facility Manager


raw_content:
Narrative:
It was alleged that staff are physically abusive to a facility client, facility client sustained injuries while in care, and staff are not giving a facility client medications as prescribed. Confidential statements and facility medication records obtained during the investigation were unable to corroborate the allegations as details obtained provided inconsistencies such as insistence and denial of the allegations precluding the allegations from being substantiated. Facility staff interviewed denied the allegations of physical abuse and neglect against facility 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 March 2, 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 with the facility representative named above and discussed the findings. During the course of the investigation, LPA interviewed the complainant on 9/8/21, facility staff on 2/16/22 and 3/2/22, and facility clients on 3/2/22 (see Confidential Names Form dated March 2, 2022). LPA also reviewed documents on 9/8/22 and 3/2/22 including placing agency service logs, facility clients' Needs and Services Plan, medical reports, medication logs, and incident reports. 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: NEW START YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 03/02/2022

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

met_with: Ariana Lopez, Facility Manager


raw_content:
Narrative:
Staff on duty reported that minor did not appear to be under the influence and was responding and acting normal. Staff checked minor every fifteen minutes after statement was made, to make sure minor was safe. During another incident, staff observed a dot of blood on the bathroom wall after minor took a shower. When staff inquired about the blood on the wall, staff observed cuts on minor's legs. Minor admitted to staff that minor attempted to hang himself using the towel rack, but the rack became loose. Minor gave staff the belt used and a toothbrush with a sharpened edge and no bristles. Staff called the police who responded then assessed and transported minor to Mary K. Shell. Staff reported minor took a long shower which was not unusual for minor. Staff checked minor every fifteen or twenty minutes by calling out on minor who staff could hear singing from inside the bathroom. Staff reported that minors are checked every fifteen minutes when inside their rooms, but the room checks are only documented by the graveyard shift when minors are asleep. Minors gave different responses when asked about room checks. Placement agency confirmed that since minor's placement at the facility, staff informed the placement agency of minor's reportable behaviors sometimes multiple times a day. Incident reports were submitted, in addition to phone calls to the placement agency. Based on information obtained during the Department's investigation, the allegations are unsubstantiated. Although the allegations may have happened or are valid, there was no preponderance of evidence found to prove neglect or lack of care and supervision by facility staff. An exit interview was conducted. A copy of this signed report, the Confidential Names Form and Appeal Rights forms were provided to the facility representative. There were no deficiencies cited during the inspection.

Investigation Findings:
13On March 21, 2022 at 2: PM, Licensing Program Analyst (LPA) Irene Yamamoto conducted a complaint inspection at the facility to deliver the finding of the allegations. LPA met with the facility representative named above. The allegations were investigated by the Department's Investigations Branch (IB) Investigator Elisia Rippe. Investigator Rippe conducted confidential interviews with minors, facility staff and other related parties. Pertinent documents were reviewed such as, but not limited to the incident reports, law enforcement contact reports, client pre-placement appraisal, qualified individual assessment summary, treatment plan and medical reports. It was alleged that facility staff did not seek timely medical care for minor and facility staff did not adequately supervise minor. Confidential interviews reveal that minor made comments about having taken several pills while on AWOL. Minor later recanted and denied taking any pills. Staff completed an incident report due to initial statement by minor to staff. 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 CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: NEW START YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 03/21/2022

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


raw_content:
Narrative:
Investigation revealed the following: It was alleged that minors engaged in inappropriate behavior while in care. Facility manager denied the allegation. Manager stated that they received no information or indication from either child that they engaged in inappropriate behavior. Manager stated that children identified in complaint investigation initially shared a room but had a history of aggressive behavior with one another. Facility addressed the issue by separating children to different rooms for an extended period of time but later children requested to share a room again, so children were placed together again until allegation was presented to facility. After allegation children were separated immediately and facility spoke with children about the alleged incident with no clear indication that the allegation happened. Interviews conducted with children had similar statements where children denied the allegation. Children stated that they have never observed or had anyone in the home touch them inappropriately. Children stated they felt comfortable coming to staff if issues or incidents occur and staff will address the issues. One child identified in the complaint investigation refused to speak to LPA. LPA was unable to contact county social workers and other witnesses to speak with someone about the alleged incident. LPA reviewed supportive documents provided by facility and incidents were documented and submitted to overseeing agencies of what was reported. No documents reviewed identified a problem with clients placed in the home or facility staff. 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. There were no deficiencies cited during this inspection.

Investigation Findings:
13On 05/6/ Licensing Program Analyst (LPA) Dawn Mahecha made an announced visit to the New Start Short Term Residential Therapeutic Program (STRTP) to deliver the findings to the above identified complaint investigation. LPA spoke with Lead facility manager Ariana Lopez and informed manager of investigative findings. Investigation consisted of the following: On 4/08/ LPA conducted 10-day inspection to facility and interviewed facility manager and attempted to interview one (1) child (see LIC 811 confidential names, dated April 8, 2022). On 5/5/ LPA interviewed two (2) children via telephone. Additionally, LPA attempted to contact social workers and additional staff. On 5/02/ LPA reviewed documents received. On 5/6/22 facility telephoned police department to obtain information regarding follow up to incident. 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: NEW START YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 05/06/2022

met_with: Ariana Lopez


raw_content:
Narrative:
Staff denied the alleged allegations further indicating that staff followed their AWOL procedures and prior to leaving the area conducted a vehicle search of the area to find the minor. S1 indicated that the AWOL was immediately reported to the STRTP Administrator (S2). While S2 was being informed of the AWOL C1 called S2 stating that C1 was left behind after walking to the Dollar General store after S1 had asked C1 to wait in the lobby of the clinic, while S1 checked C2 in for their appointment and obtained more information on C3's previous test results. S2 immediately notified S1 who was dropping C3 off at school and returned to the area to pick up C1 who was still refusing to attend school and was taken back to the facility. Information obtained from the clients did not corroborate the alleged allegation and furthermore, C1 disclosed that at the time of the incident C1 was very upset and had exaggerated the incident to his father. Clients indicated that they feel safe and have no concerns about the care and supervision that is being provided by staff. Therefore, based on the information received, the above allegations are determined to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with the facility Administrator. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the Administrator.

Investigation Findings:
13On July 1, 2022, at 10:40 a.m., Licensing Program Analyst (LPA) Zeyda Loera , conducted a complaint inspection to the above facility in behalf of LPA Winston Moroney and met with STRTP Lead Faciltiy Manager, Ariana Lopez. The purpose of the inspection was to deliver the findings for the above complaint allegations. On December 13, 2021, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegations: Staff abandoned minor, and staff left minor unsupervised The investigation of the above allegations was conducted by this LPA and it consisted of, but not limited to a review of records, including the children needs and services plans, medical records, and interviews with 2 staff members on (S1, S2) 12/23/2021, and 3 clients on 12/23/2021. (Reference Confidential Names Form LIC 811, dated June 10, 2021). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan 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: NEW START YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 07/01/2022

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


raw_content:
Narrative:
It was alleged that client was sexually abused by another client while in care. Confidential interviews reveal that the client/victim recanted the allegation after interviewed by placement agency and mental health staff, as well as law enforcement. The victim/client apologized to staff and the alleged perpetrator. The client/victim is known to make inappropriate statements and staff often has to redirect the client. The client denied the allegation to IB and stated that nothing happened, that it was all a lie because the client wanted attention. There were pertinent documents found to support the statement provided by the client/victim to IB. Additional records show that the client/victim maintained that the abuse occurred while client fell asleep for about ten minutes, after being given pills by the other client. The client/victim felt a slight pain in the anus which the client did not feel prior to falling asleep. The client/victim, however, could not explain what happened after waking up and stated that another client told the client/victim that the client/victim was penetrated by the other client, which both clients denied. Staff and other clients in placement denied witnessing any inappropriate behavior by the alleged perpetrator. They stated that the client/victim has sexualized and attention-seeking behaviors. The SART exam did not find any evidence of trauma or tearing. Based on information obtained during the investigation, the allegation is unsubstantiated. Although the allegation may have happened or is valid, there was no preponderance of evidence found to support it. A copy of the following reports were provided at the conclusion of the inspection: LIC 9099, LIC9099-C and LIC Confidential Names Form. Appeal rights form was given and explained. No deficiency citation was issued.

Investigation Findings:
13On January 17, 204 at 12: PM, Licensing Program Analyst (LPA) Irene Yamamoto conducted a complaint inspection at the facility to deliver the finding of the allegation. LPA met with the facility representative named above. The investigation was conducted by the Department's Investigations Branch (IB) Investigator Romelia Munoz and the undersigned LPA. Confidential interviews were conducted with the client, staff and other related parties between 10/27/23 to 10/25/23. Records were reviewed including, but not limited to, the Personnel Report, Register of Clients, Incident and Law Enforcement Contact Reports and Needs and Services Plans. Investigator Munoz obtained and reviewed the law enforcement report. Additional documents were obtained and reviewed by the undersigned LPA. 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 CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: NEW START YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 01/17/2024

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

met_with: Lance Hernderson, Facility Manager


raw_content:
Investigation Findings:
13On July 15, 2024, at 3: PM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection at the above Short-Term Residential Therapeutic Program (STRTP) and met with the Lead Facility Manager Ariana Lopez. The inspection aimed to deliver the finding(s) regarding the complaint allegation(s). On January 29, 2024, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): The staff did not prevent minors from bringing drugs into the facility; The staff did not provide adequate supervision, resulting in minor getting bullied while in care. This LPA conducted the investigation of the above allegation(s) and it consisted of but was not limited to a review of records, including the client's needs and services plans, medical records, and interviews with three staff members (S1), (S2) on 2/08/24, S3 on 2/28/24, (S3) on 1/24/24, two clients (C1) on 2/08/24, C2 on 3/06/24, the reporting party (RP) on 2/21/24 and the CSW on 2/28/24. (Reference Confidential Names Form LIC 811, dated July 15, 2024). Reported Allegations: 1. The staff did not prevent minors from bringing drugs into the facility. The facility staff (S1, S2, and S3) refuted the accusation and emphasized that they implement preventive actions like visual bag inspections and requiring clients to conduct self-searches in the presence of staff prior to entering the premises. However, despite these precautions, clients have previously attempted to smuggle contraband back into the facility after an unauthorized absence. This contraband, which cannot be visually detected by staff, is typically discovered during random room checks conducted for the safety of all clients. Any confiscated contraband is documented and disposed of appropriately. 2. The staff did not provide adequate supervision, resulting in minor getting bullied while in care. The facility personnel (S1, S2, and S3) denied the allegation by affirming that all staff members are well-versed in trauma-informed care and are dedicated to upholding a secure and healthy setting for both staff and clients. They made it clear that any form of bullying will not be accepted under any circumstances and urged clients to promptly report any such incidents to the staff or licensing authorities. Additionally, the personnel uphold transparent communication with clients and are prepared to step in when needed, either through verbal guidance or by separating individuals to avoid physical or verbal altercations. Information acquired from C1 and C2 contradicted the alleged accusations and confirmed the aforementioned details, expressing a sense of security while residing at the facility and acknowledging the staff's assistance in achieving their individualized plan. Moreover, the CSW noted that the facility staff are vigilant, conducting visual searches of items brought back to the facility and confiscating any contraband discovered. The CSW mentioned that she had no concerns about the care and supervision that was being provided by staff and indicated that the staff kept great communication via phone and email. Therefore, based on the information received, the above allegation(s) are determined to be unsubstantiated. Although the allegation(s) may have happened are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with the Foster Family Agency. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the STRTP Lead Facility Manager. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney 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:

met_with: Ariana Lopez - Lead Facility Manager


raw_content:
Narrative:
There are two staff per each shift except overnight shift. The office is utilized for mental health. The office door is usually left open unless when staff needs to discuss the confidential information with head of services or behavioral specialist or in sessions or meetings. The mental health office is not used by other staff than mental health. Clients are never left alone without staff's supervision as one staff is always in the living room. One client stated clients are never left alone without staff's supervision as they are always supervised by staff. The LPA was unable to obtain any statements from three clients as they declined to be interviewed. The statements obtained from the confidential interviews did not provide sufficient information to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that alleged violation occurred, therefore the allegation is unsubstantiated. There were no deficiencies cited during this inspection. 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.

Investigation Findings:
13On August 7, 2024, at 5: PM, Licensing Program Analyst (LPA) Karen Suh conducted a follow-up complaint inspection to deliver the finding of an investigation concerning to the allegation above. The LPA met with the representative named above and discussed the finding. The investigation included confidential interviews that consisted of but were not limited to: Head of Services, Behavioral Specialist, three staff, and one client (see Confidential Names List, LIC811 dated August 7, 2024) on March 21, 2024. The LPA was unable to interview three clients as they declined to be interviewed. The LPA was unable to contact the County Social Worker (CSW) after several attempts. The LPA reviewed Personnel Roster, staff's schedule, clients roster, Needs and Services Plan, Responsibility and Duty of Head of Services, Rehab Specialist, and Facility Manger. It was alleged that clients are being left unsupervised; staff are in the office with door closed for a long time while the clients left unsupervised. Staff denied the allegation stating clients are never left unsupervised. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Karen Suh 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: NEW START YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 08/07/2024

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

met_with: Shakila Mackey, Administrator


raw_content:
Narrative:
Reported Allegations: 1. The staff did not prevent minors from bringing drugs into the facility. The facility staff (S1, S2, and S3) refuted the accusation and emphasized that they implement preventive actions like visual bag inspections and requiring clients to conduct self-searches in the presence of staff prior to entering the premises. However, despite these precautions, clients have previously attempted to smuggle contraband back into the facility after an unauthorized absence. This contraband, which cannot be visually detected by staff, is typically discovered during random room checks conducted for the safety of all clients. Any confiscated contraband is documented and disposed of appropriately. 2. The staff did not provide adequate supervision, resulting in minor getting bullied while in care. The facility personnel (S1, S2, and S3) denied the allegation by affirming that all staff members are well-versed in trauma-informed care and are dedicated to upholding a secure and healthy setting for both staff and clients. They made it clear that any form of bullying will not be accepted under any circumstances and urged clients to promptly report any such incidents to the staff or licensing authorities. Additionally, the personnel uphold transparent communication with clients and are prepared to step in when needed, either through verbal guidance or by separating individuals to avoid physical or verbal altercations. Information acquired from C1 and C2 contradicted the alleged accusations and confirmed the aforementioned details, expressing a sense of security while residing at the facility and acknowledging the staff's assistance in achieving their individualized plan. Moreover, the CSW noted that the facility staff are vigilant, conducting visual searches of items brought back to the facility and confiscating any contraband discovered. The CSW mentioned that she had no concerns about the care and supervision that was being provided by staff and indicated that the staff kept great communication via phone and email. Therefore, based on the information received, the above allegation(s) are determined to be unsubstantiated. Although the allegation(s) may have happened are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with the (STRTP) Lead Facility Manager. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the STRTP Lead Facility Manager.

Investigation Findings:
13On August 8, 2024, at 3: PM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection at the above Short-Term Residential Therapeutic Program (STRTP) and met with the Lead Facility Manager Ariana Lopez. The inspection aimed to deliver the finding(s) regarding the complaint allegation(s). On January 29, 2024, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): The staff did not prevent minors from bringing drugs into the facility; The staff did not provide adequate supervision, resulting in minor getting bullied while in care. This LPA conducted the investigation of the above allegation(s) and it consisted of but was not limited to a review of records, including the client's needs and services plans, medical records, and interviews with three staff members (S1), (S2) on 2/08/24, S3 on 2/28/24, (S3, two clients (C1) on 2/08/24, C2 on 3/06/24, the reporting party (RP) on 2/21/24 and the CSW on 2/28/24. (Reference Confidential Names Form LIC 811, dated August 8, 2024). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney 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: NEW START YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 08/08/2024

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


raw_content:
Narrative:
page C3 (see confidential names list LIC 811) declined to be interviewed. Interview was conducted with complainant on September 30, 2024. Interviews with S1, C1-C2, C4-C5 were conducted on October 3, 2024. Interviews with S2 and SW was conducted on October 7, 2024. Interview with CSW was conducted on October 11, 2024. The investigation revealed the following: It was alleged that Staff does not adequately supervise minor with an intellectual disability. Interviews with staff revealed that protocols are in place when youth attempt to leave the home without permission. Staff redirects youth and attempts to offer alternatives for youth to stay. In confidential interviews it was revealed that there were no concerns with the facility procedures regarding youth attempting to leave without permission. Review of multiple incident reports submitted, and confidential interviews did not show a lack of supervision regarding clients with intellectual disabilities. LPA observed S1 interact with clients and the supervision given in a critical situation, on October 3, 2024. Based on documentation and confidential interviews the allegation was not proven. Based on the information gathered, although the allegations may have happened or is valid, the preponderance of evidence to prove the allegations was not met, therefore the allegation is unsubstantiated A copy of this report and Appeal Rights were provided to Facility Manager. No citations were issued. Exit interview was conducted

Investigation Findings:
13On October 15, 2024 at 4: P.M. Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced visit to New Start Youth Facility for the purpose of concluding the above identified complaint investigation. LPA met with Facility Manager and discussed complaint findings. The investigation consisted of the following: On October 3, 2024, LPA met with Lebryson Collins-Facility Manager. LPA requested and reviewed documentation which consisted of LIC 500, Roster of clients, Needs and Services Plans and last 3 months of incident reports. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Demetris Teal 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: NEW START YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 10/15/2024

met_with: Lebryson Collins- Facility Manager


raw_content:
Investigation Findings:
13On December 6, 2024, Licensing Program Analyst (LPA) Johanna Aracena conducted an unannounced visit to New Start Youth Facility STRTP with purpose of delivering findings for the above complaint allegation. LPA Aracena met with Facility Manager Lebryson Collins and discussed the findings. During the investigation of the allegation, LPA Aracena conducted confidential interviews with facility staff, complainant, witnesses, and County Social Worker. LPA Aracena was not able to interview the client during the investigation. During the investigation, the allegation of abuse was denied by interviewed parties. Confidential interviews raised no concerns of abuse. Client #1 was interviewed; however other clients refused to be interviewed regarding the complaint investigation. Due to the information obtained during the investigation, it cannot be determined whether the above allegations occurred. Based on the compiled information the complaint allegation is unsubstantiated. Although the allegations may have happened or is valid, there not a preponderance of the evidence to prove that the allegations occurred. No deficiencies were cited. An exit interview was conducted, and a copy of this report provided to the above-named staff. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Johanna Aracena 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


raw_content:
Narrative:
Confidential interviews were completed on 03/04/25 with R1, R2, 06/27/25 with C2,C3 and 07/17/25 with CSW2. (Reference Confidential Names Form LIC 811, dated July 18, 2025) Interviews revealed the following: Staff stated they did not observe any unusual behavior or signs of distress during the alleged incident. Interviews with staff confirmed that upon placement, the facility contacted school representatives to discuss the youth's needs. Staff and documentation showed multiple communications between the facility, school personnel to assist the youth in achieving educational and treatment goals. Documentation reviewed during the investigation. supported the existence of regular communication between the facility, school staff. Staff interviews expressed that facility staff and school personnel reached an agreement on strategies to better support the youth, focusing on educational needs and providing consistent attention to ongoing health concerns. Youth interviews revealed that staff provide support when residents are emotionally upset and offer coping activities such as walks or outings. The youth also reported that therapy services are provided regularly, typically once per week. Interviewed youth did not have direct knowledge of any peers being denied help when needed. CSW 2 reported no concerns about the STRTP's ability to meet mental health needs. The CSW2 confirmed that services such as therapy are provided and that staff assist youth with their treatment goals. CSW 2 stated that she has not observed any issues requiring follow-up or concerns regarding mental health services in the home. Based on the confidential interviews and records reviewed, the complaint is unsubstantiated. An unsubstantiated determination means the allegation lacks a preponderance of the evidence to prove that the violation occurred. There are no deficiencies to be cited at this time. LPA Martinez conducted an exit interview and provided a signed LIC 9099 to the facility representative.

Investigation Findings:
13On 07/18/25, Licensing Program Analyst (LPA) Joe Martinez conducted a follow-up complaint inspection at the Short Term Residential Therapeutic Program (STRTP). LPA Martinez met with the facility representative named above. The inspection aims to deliver the finding for the above allegation. On 02/28/25, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): Staff did not notify minor's school of his current mental health needs LPA Martinez investigated the above allegation. The investigation included a review of records and confidential interviews, but it was not limited to these. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Joe Martinez 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: NEW START YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 07/18/2025

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

met_with: Lance Henderson


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
Page The Department received a complaint alleging a facility staff engaged in sexual activity with a minor in care. The alleged victim, client (C1) (See Confidential Names form LIC811 dated 9/15/25), denied reporting he was having an inappropriate relationship with a facility staff. Statements obtained from confidential interviews conducted did not support the allegation. All clients interviewed denied staff are inappropriate with minors in care. There was no identified perpetrator. Based on interviews and records review conducted by SI Lopez and LPA Larios, the preponderance of evidence standard has not been met, therefore the above allegation is found to be UNSUBSTANTIATED. A copy of this report and Confidential Names form LIC811 dated September 15, 2025, were provided 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 September 15, 2025, at 12: PM. During the inspection LPA Larios met with Facility Manager (FM) Lance Henderson. 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) Monica Lopez and Licensing Program Analyst (LPA) Christopher Larios. During the course of the investigation SI Lopez interviewed a client on 6/13/25 and LPA Larios interviewed three clients on 9/15/25. In addition, a records review was conducted by LPA Larios on 6/13/25 and copies of, but not limited to, staff roster, client roster needs and services plans, incident report and educational information were obtained. (Continued on page 2) 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: NEW START YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 09/15/2025

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

met_with: Lance Henerson


summary: Facility Evaluation

raw_content:
Narrative:
On 12/02/21 at 8: AM, Licensing Program Analysts (LPA) Pamela Silva and Zeyda Loera conducted an Annual Required inspection to the Short Term Residential Therapeutic Program (STRTP). LPAs met with Administrator Gina Sodaro and Lead Facility Manager Byron Butler. This STRTP is licensed to serve up to six (6) male ambulatory clients ages 7-17 and is also licensed to provide services to Non-Minor Dependents (NMD). There are five (5) clients currently in placement. The LPAs requested the following: Personnel Report LIC500, Client Roster, Board of Meeting Minutes, Clients and Staff Files. At 9: AM, LPAs conducted a walkthrough of the entire facility. Physical Plant The STRTP license, Mental Health Certification, National Accreditation and the Emergency Disaster Plan are posted at the hallway near the entrance of the facility. Passageways are unobstructed. Disinfectants, cleaning solutions and other chemicals are kept locked in the hallway closet. Sharps and knives are kept locked in the kitchen cabinet. Medications are centrally stored in a locked cabinet inside the office. The temperature inside the facility is maintained between 68 and 85 degrees (F). Hot water temperature does not exceed 120 degrees F. Carbon monoxide and smoke alarm were tested and observed to be operational. The fire extinguishers are fully charged. Facility has a working telephone. First Aid kit is complete. All confidential files are in a locked cabinet inside the staff office. All sinks, showers and toilets are in working order. No more than 2 children share a bedroom. All beds are in good repair; equipped with good springs, clean mattresses and pillows. There were adequate supply of beddings and linens. Facility provides age-appropriate clothing items and hygiene products. The facility has cameras installed in the common areas of the facility. There is a swimming pool in the backyard that is made inaccessible by an iron picket fence. The pool fence is at least 5 feet high and the bottom of the fence is no more than two inches from the ground. No door or window provides direct access to the pool. The pool gate is kept locked at all times and can only be unlocked by authorized staff. There are no firearms and ammunition in the facility. Overall, the facility is clean, safe, sanitary and in good repair. Operations Facility maintains a register of clients and the register is available upon request. The board of directors regularly conducts meeting to review and discuss the STRTP's operation. The facility administrator and manager are the responsible and capable staff for communicating with emergency personnel in the facility. The facility has developed, maintained and implemented written complaint procedures. Client Records LPAs reviewed four (4) client records. All client records are available to the licensing agency to inspect, audit and copy upon demand. Client records contain required information including, but not limited to, consent forms, court orders, needs and services plan, removal/discipline/complaint procedures; medical assessment; safeguards for cash resources, personal property and valuables; education records; personal rights forms; and medication administration records. Staff Records LPAs reviewed three (3) staff records. All staff have been subjected to criminal records review and have been fingerprinted and cleared with DOJ, FBI and CACI. The administrator meets the required qualifications and/or experience. Documentation of the required education and experience requirements are maintained in the personnel file. Facility Managers meet requirements. Annual training records and certificates are on staff files. Core/Therapeutic Services Facility provides core services and supports to children and non-minor dependents as appropriate or necessary that are trauma informed, culturally relevant, age and developmentally appropriate and include the following: Medi-Cal specialty mental health services; transition support services; educational and physical, behavioral, and mental health supports; activities to support children and non-minor dependents and services to achieve permanency. Disaster Preparedness Plan Facility maintains a current, written disaster and mass casualty plan of action. Facility conducts disaster drill at least quarterly for each shift. The drills are documented, and the documentation is maintained in the facility for at least a year. Facility maintains an emergency and disaster plan, register of clients, Needs and Services Plan for each client, medication records, and contact information for each client's responsible party and physician. LPAs interviewed two (2) staff members. LPAs were unable to interview clients due to no client was present in the facility at the time of inspection. At the conclusion of the inspection, LPAs discussed the findings with the facility administrator. LPAs agreed to work with the facility administrator to collaborate with guidance to get the facility in compliance with ILS and Title 22 regulations. The administrator was provided with information on where to locate the Provider Information Notices (PINs), guidance to the new CARE Tools inspection process and Guardian. There was no deficiency cited during today's inspection. An exit interview was conducted, and a signed copy of this report and LIC811 were provided to the facility administrator.

met_with: Gina Sodaro


summary: Facility Evaluation

raw_content:
Narrative:
On 02/17/2022 at 11: AM, Licensing Program Analyst (LPA) Pamela Silva conducted an unannounced follow up case management inspection at the above facility. LPA met with Facility Manager, Ariana Lopez, regarding a Special Incident Report (SIR) that was submitted to Community Care Licensing on 12/14/21. The SIR indicated that client C1 (reference confidential names form LIC 811 dated 02/17/22) told staff to call the ambulance because he had taken too many of something. The facility Administrator clarified during an interview with LPA that C1 just came from AWOL when the incident happened. When asked what C1 took too many of, C1 stated "Triple Cs". Triple Cs stands for "cold, cough and congestion" medication. After C1 informed staff that he needed an ambulance, staff immediately tried to call an ambulance. However, while calling for an ambulance, C1 told staff not to call the ambulance and that he was okay. C1 was offered ambulance and medical services multiples times but C1 refused. C1 also refused to sign a medical refusal form. Staff observed that C1 seemed okay and was acting normal. Staff monitored C1 closely throughout the night. Based on interviews with the Administrator, C1 must have obtained the Triple Cs while he was on AWOL. C1 refused to state where and how he obtained the Triple Cs. Upon return to the facility, C1 agreed to a search by taking his shoes off and emptying his pockets, in compliance with the facility's AWOL protocol. No contraband was found. LPA interviewed C1's county social worker (CSW) via telephone on 02/15/22. CSW stated he has no concerns about the facility regarding the care that was provided to C1. C1 is no longer residing in the facility effective 12/31/21. Based on the interviews conducted and documentation obtained, there are no violations of Title 22, Division 6 of the California Code of Regulations and no violations of Interim Licensing Standards Version 3 (ILS.3) Chapter 8. Foster Family Agencies, Articles 9, and Subchapter 1. No deficiencies were cited during today's inspection. A copy of LIC 809 and LIC 811 were provided to the facility representative and an exit interview was conducted.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Dina Camara conducted a case management inspection on March 17, 2022 at 8: AM based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 9 out of Direct Care Staff and 4 out of 4 youth files were reviewed. 3 out of Direct Care Staff and 2 out of 4 youth were interviewed. (See the Confidential Names List, LIC 811, dated March 17, 2022. The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, youth case plans, quarterly assessments, and crisis intervention plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA, Dina Camara observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Gina Sodaro, Administrator.

met_with: Gina Sodaro, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Pamela Silva and Jenny Mundo on August 11, 2022 at 9: AM. During the inspection, LPAs met with Gina Sodaro, Administrator. LPAs and the Administrator inspected the facility inside and out. LPAs reviewed two (2) children's records on site at 9: AM. LPAs observed that one of the child's (C2) initial Needs and Services Plan was not completed within 30 days of placement. LPAs reviewed two (2) children's psychotropic medications and medication records at 10: AM. LPAs reviewed two (2) staff personnel files on site at 9: AM. LPAs interviewed two (2) staff at 10: AM. LPAs were unable to interview children due to one (1) child refusing to be interviewed and one (1) child was not present at the facility at the time of inspection. LPAs conducted an exit interview with Gina Sodaro at 10: AM. LPAs provided the Summary Report to the Administrator upon completion. No deficiencies are being cited at this time. However, one (1) Technical Violation was issued, see LIC9102TV,


summary: Facility Evaluation

raw_content:
Narrative:
On 07/20/23, Licensing Program Analyst (LPA) Joe Martinez met with Lead Facility Manager Ariana Lopez (S1) for the purpose of completing a case management inspection. On 06/23/23, the department received a special incident report. The report indicated that S1 and C1 went to the store, and C1 was involved in a disagreement. During the inspection, LPA Martinez interviewed S1 (Please see confidential names on LIC 811 dated 07/20/23) LPA Martinez also reviewed C1's case file and needs and services plan. Based on the information reviewed during the inspection, no Title 22 violations are to be cited, and no further follow-up is needed at this time. An exit interview was conducted, and a copy of this report was provided to the facility manager.


summary: Facility Evaluation

raw_content:
Narrative:
On 08/23/23, Licensing Program Analyst (LPA) Joe Martinez conducted an unannounced visit to the facility listed above and met with Ariana Lopez (S1) The purpose of the visit was to conduct a case management inspection. On 03/26/23, the department received a special incident report (SIR) stating that C1 departed the facility on his bike and was later struck by a car. Law enforcement documented the event, and C1 was transported to the hospital for treatment. (Reference Confidential Name Form LIC 811 dated 08/23/23). During this inspection, LPA Martinez interviewed S1.S1 indicated that C1 is no longer living in the facility and was not interviewed for this inspection. LPA Martinez also requested and reviewed the daily log notes for C1. During the interview , it was disclosed that C1 had permission to ride his bike as part of his community pass. C1 was hit by a car during this time. Law Enforcement assessed the situation and decided C1 should go to the hospital. Facility staff arrived to the scene and were also present to pick up C1, when C1 was discharged the following day. After reviewing the documents and speaking with S1, the inspection reveals that the agency took appropriate measures regarding the incident.There is no further follow-up is needed. There were no deficiencies cited at this time.An exit interview was conducted, and a copy of the signed LIC 809 was given to S1


summary: Facility Evaluation

raw_content:
Narrative:
On 09/08/23, Licensing Program Analyst (LPA) Joe Martinez conducted an unannounced visit to the facility listed above and met with Ariana Lopez, Lead Facility Manager (S1).The purpose of the visit was to conduct a case management inspection. On 08/22/23, the Department received a special incident report (SIR) stating an incident occurred at school where C1 became aggressive and attacked staff. Staff attempted de-escalation techniques but were unsuccessful, leading to involvement from school security and campus police. Returning home, the youth grabbed the steering wheel of the van, causing it to hit into a parked car. Law enforcement was called to the scene, but no medical attention was required for either the staff or the youth.(Reference Confidential Name Form LIC 811 dated 09/08/23). During this inspection, LPA Martinez interviewed S1 regarding the incident. No clients were home at the time of the inspection. LPA Martinez also inspected SIR. The interview with S1 revealed that this was C1's first incident that involved grabbing the van steering wheel.. Despite staff's attempts at de-escalation, the situation escalated to the point of a vehicle accident, though no injuries were reported. S1 reported that Immediate safety measures have been implemented, including a change in C1's seating arrangement in transport vehicles. C1 is no longer allowed to sit in the front seat. A Child and Family Team (CFT) meeting is going to be conducted, but no official date has not been set. After reviewing the documents and speaking with S1, the inspection reveals that the agency took appropriate measures regarding the incident. There is no further follow-up needed. There were no deficiencies cited at this time. An exit interview was conducted, and a copy of the signed LIC 809 was given to S1.


summary: Facility Evaluation

raw_content:
Narrative:
On 10/12/23, Licensing Program Analyst (LPA) Joe Martinez conducted an unannounced visit to the facility listed above and met with Ariana Lopez (S1) Lead Facility Manager. The purpose of the visit was to conduct a follow up case management inspection. On 08/07/23, the department received a special incident report (SIR) stating that C1 expressed intentions of leaving the facility and disclosed to staff his concerns with C2, when staff are not within sight. (Reference Confidential Name Form LIC 811 dated 10/12/23). During the inspection, LPA Martinez reviewed personnel reports, client rosters, and incident reports. LPA Martinez conducted interviews with one staff member. C1 declined to be interviewed. The interviews revealed that staff members made efforts to engage and prevent C1 from leaving the facility. Staff spoke with C1 and took him for a walk to discuss his feelings and concerns. Following this discussion, the staff informed the facility's manager, administrator, and head of service about the situation. Since the incident in question, both C1 and C2 have not been involved in any further incidents. A review of documentation confirmed that communication had been maintained between staff during shift changes. The findings from the interview and document review indicate that staff members took proactive steps to address the concerns of C1. Communication and follow-up measures were taken to ensure the well-being and safety of the clients in the facility. There is no further follow-up needed. There were no deficiencies cited at this time. An exit interview was conducted, and a copy of the signed LIC 809 was given to S1.


summary: Facility Evaluation

raw_content:
Narrative:
On 01/09/24, Licensing Program Analyst (LPA) Joe Martinez conducted an Annual/Random Inspection of the Short Term Residential Therapeutic Program (STRTP). LPA Martinez met with Facility Manager (FM) Ariana Lopez. The STRTP is licensed to serve up to six (6) male ambulatory clients ages 7-17 and is also licensed to provide services to Non-Minor Dependents (NMD). There are four (4) youth in placement. The facility is a single-story home located in the city of Bakersfield. The front yard displays well-kept green grass and a concrete pathway leading from the sidewalk to the front door.The path is clear and open, allowing unobstructed front door access. LPA Martinez conducted walk through of the entire facility with FM. Physical Plant: • The Short-Term Residential Therapeutic Program (STRTP) license, Mental Health Certification, National Accreditation, and Emergency Disaster Plan are posted in the facility. • Passageways are unobstructed. • Disinfectants, cleaning solutions, other chemicals, sharps, and knives are locked in the hallway closet. • Medications are centrally stored in a locked closet. • The facility maintains a temperature range of 68 to 85 degrees (F). • Hot water temperature measured between 105 and 102 degrees (F). • Carbon monoxide and smoke detectors are operational. Physical Plant: • Fire extinguishers are fully charged. • A working telephone is available. • All confidential files are in a locked cabinet. • All sinks, showers, and toilets are functional. • No more than two clients share a bedroom. • All beds have good springs, clean mattresses, and pillows. • There is an adequate supply of bedding and linens. • The facility provides age-appropriate clothing items and hygiene products. • Overall, the facility is clean, safe, sanitary, and in good repair. Interviews; • Two (2) staff interviews • No youth were interviewed because they were attending school at the time of the inspection. No deficiencies were cited during the inspection. An exit interview was conducted, and a signed copy of the LIC 809 was provided to the Facility Manager. The inspection will resume on another day.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Timika Martin and Pamela Silva on 02/20/2025 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Ariana Lopez, Facility Manager, and inspected the facility inside and out. LPAs reviewed 2 of child's records and 3 of staff personnel files on site at the facility. LPAs reviewed 2 of child's psychotropic medications and medication records. LPAs interviewed 1 of staff on site to discuss the facilities policies and procedures of operation. LPAs will conduct client interviews at a later date due to no clients being available during the time of inspection. LPAs provided a copy of this licensing report to Ariana Lopez, Facility Manager. No deficiencies are being cited at this time. A Technical Advisory was given, see LIC9102TA. LPAs conducted an exit interview with Ariana Lopez, Facility Manager.


summary: Facility Evaluation

raw_content:
Narrative:
On 06/27/25, Licensing Program Analyst (LPA) Joe Martinez initiated a case management inspection at the Short Term Residential Treatment Program (STRTP) and met with the facility representative above. LPA Martinez interviewed 1 staff and reviewed 1 youth records. Due to insufficient current information, further review is necessary. There are no deficiencies to be cited at this time. LPA Martinez conducted an exit interview and provided the STRTP Representative with a signed copy of the LIC809


summary: Facility Evaluation

raw_content:
Narrative:
On 11/06/25, Licensing Program Analyst (LPA) Joe Martinez initiated a case management inspection at the Short Term Residential Treatment Program (STRTP) and met with the facility representative above. On 06/24/25, the Department received an incident report of two minors were left unattended in a facility van for approximately 15 minutes while a staff member entered a store. During this unsupervised period, one minor exposed himself to the other one. The minors were later separated into different bedrooms. LPA Martinez interviewed one staff member. LPA Martinez was not able to interview the youth, as they were no longer placed in the facility. Staff interview revealed that the two youths were interviewed, and it was determined that the incident did not occur. The youth were lying about the incident and that the youth did not expose the other youth. After the incident, the youths were separated and staff increased supervision in the home. Based on the actions taken by the STRTP, no further follow up is needed. There are no deficiencies to be cited at this time. LPA Martinez conducted an exit interview and provided the STRTP Representative with a signed copy of the LIC 9099.


summary: Facility Evaluation

raw_content:
Narrative:
On 11/06/25, Licensing Program Analyst (LPA) Joe Martinez initiated a case management inspection at the Short Term Residential Treatment Program (STRTP) and met with the facility representative above. On April 28, 2025, the department received an incident report from the STRTP. The report stated that two minors were together in the bedroom. Facility policy prohibits youth from entering each other's rooms. Staff immediately intervened and separated the minors. One youth admitted to asking the other youth to touch his private area and to sneaking into the youth's room, but they stopped once they heard staff coming. Staff called law enforcement to report the incident. The inspection revealed that the facility properly reported to law enforcement and provided enhanced supervision to the youth. Based on the actions taken by the STRTP, no further follow up is needed. There are no deficiencies to be cited at this time. LPA Martinez conducted an exit interview and provided the STRTP Representative with a signed copy of the LIC 9099.


raw_content:
Narrative:
This LPA conducted an investigation of the above allegation(s), and it consisted of but was not limited to a review of records, including the client's needs and service plans, medical records, Police Report, and interviews with three staff (S) members (S1) on 6/2/25, (S2) on 8/4/25, (S3) on 10/7/25, and (S4) on 8/4/25. No statements were obtained from clients (C1, C2, and C3) due to their refusal to provide any statements. (Reference Confidential Names Form LIC 811, dated December 3, 2025.) The Following Allegation(s) were reported: The staff members (S1, S2, S3, and S4) refuted the allegations, asserting that the facility maintains a staff-to-client ratio of 1:4. They clarified that their main duties encompass providing daily supervision, monitoring the behavior and well-being of the youth, assisting with hygiene and meals, adhering to routines, employing trauma-informed care and de-escalation techniques, facilitating therapeutic groups and recreational activities, as well as documenting progress notes and incidents. S2 noted that on April 27, 2025, at approximately 5: PM, C1, after dinner, was helping S2 clean the kitchen when C1 mentioned to S2 that they needed to use the restroom. After S1 completed their kitchen cleaning and did not hear from C1 or C2, S2 initiated a room check and observed that C1's bedroom door was closed. S2 knocked on the door and opened it, finding C1 and C2 in the dark, standing close to each other. S2 stated that, given the situation, they inquired what the clients were doing. C2 replied that they were playing on their gaming system when C1 entered the room, closed the door, and asked C2 about their sexual orientation, to which C2 responded that they identified as bisexual. C1 then requested if C2 would perform oral copulation on them, to which C2 consented; however, they were interrupted by S2's room check. S2 reported that both clients were separated, and S3, the Lead Facility Manager, was contacted for further assistance regarding the incident. S3 indicated that upon arrival, both clients were in their assigned rooms, with staff member S2 seated in the hallway, providing supervision. S3 reported that upon speaking with each client individually, their accounts aligned with previous statements; however, as a precautionary measure, the Bakersfield Police were contacted to ensure the safety of both clients. Continued... The Bakersfield Police stated that both juveniles characterized the interaction as consensual, no immediate safety issues were detected, and that the facility staff enacted a strategy to keep both clients apart until Social Workers could arrive the next day, April 28, 2025. S3 noted that both Social Workers concurred that C2 would be relocated to a different STRTP to ensure the safety of both clients. The incident was documented and reported to all supporting agencies. Therefore, based on the information received, the above allegation(s) is determined to be unsubstantiated. Although the allegation(s) may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred; therefore, the allegation is found to be unsubstantiated. Appeal Rights were provided and discussed with the Foster Family Agency. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the STRTP Lead Facility Manager.

Investigation Findings:
13On December 3, 2025, at 3: PM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection at the above Short-Term Residential Therapeutic Program (STRTP) and met with the Lead Facility Manager, Ariana Lopez. The inspection aimed to deliver the finding(s) regarding the complaint allegation(s). On June 4, 2025, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): The staff did not prevent inappropriate interaction between children in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney 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: NEW START YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 12/03/2025

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


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Pamela Silva and Juliet Robles on July 18, 2023 at 1: PM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Ariana Lopez, Facility Manager, and inspected the facility inside and out. LPAs reviewed one (1) of child's records and two (2) of staff personnel files on site at the facility. LPAs reviewed one (1) of child's psychotropic medications and medication records. LPAs interviewed one (1) staff on site to discuss the facility's policies and procedures of operation. One (1) child currently prescribed psychotropic medications refused to be interviewed. During inspection, LPAs observed deficiencies (see attached LIC809D), plan of corrections were discussed and appeal rights were provided. LPAs provided a copy of this licensing report and conducted exit interview with Ariana Lopez, Facility Manager.

Deficiencies:
87068.3(a): In Section 87068.2, Needs and Services Plan shall be updated every 30 days....

met_with: Arianna Lopez

title:
1
2
3
4
5
6
7Modification to the Needs and Services Plan


summary: Facility Evaluation

raw_content:
Narrative:
On December 22, 2025, at 8:54 a.m., Licensing Program Analyst (LPA), Christopher J. Williams completed a case management follow up via phone call and spoke with Shakila Mackey, Facility Administrator, and obtained a statement from Ronnie Mackey (S1). The purpose of the phone call was to follow up on a Special Incident Report (SIR) received by the Department on 12/18/2025. The SIR indicated on December 17, 2025, when staff arrived overnight and talked to PM staff about how the clients' day was. Client 1 (Tyrone Sparks) was in the hallway arguing and complaining that he wasn't going to bed. C1 began to start saying suicidal remarks of him wanting to kill himself and then he opened his backpack to pull out a random knife. C1 then took one quick jump at staff and was told to back up. C1 proceeded to run to the bathroom and lock the door before staff could stop him. Staff called 911 and notified the facility administrator of the incident that was going on. The police arrived shortly and C1 came out of the bathroom with the knife on the ground. Bakersfield (BPD) Police Officer then placed C1 in handcuffs and took him away from the facility for the night. Before exiting, BPD took a statement from the PM staff and overnight staff. On the date of the incident, S1 became aware that the client was in possession of a knife that was located inside his backpack. Staff tried to immediately secure the knife and ensured the safety of all clients and staff present. Client locked himself in the back room and stated he was going to hurt himself. Staff called 911. When S1 questioned C1 on how the knife was obtained, the client provided inconsistent explanations. Initially, the client stated that the knife was obtained at school. The client later stated that the knife was given to him by a friend. Continued on LIC809c. continued... At another point, the client stated that he found the knife outside down the street by the park. Staff were unable to obtain a clear or consistent account from the client regarding how the knife came into his possession. Staff 1 (Ronnie Mackey) confirmed that the knife was not the property of the facility. The knife does not match any items issued or used by the Facility. At no time did staff have prior knowledge that the knife was in the client's backpack before its discovery. Based on information obtained during this case management follow-up investigation, the staff was not responsible for C1 having the knife in his backpack. The knife was also confirmed by S1 that it was not the property of the facility. No evidence was identified to support neglect, lack of supervision, or failure to protect by the staff. No licensing deficiencies were identified related to this incident. Based on the information obtained by the LPA, there is no evidence that the incident is a result of negligence, health, safety, or personal rights violations. Exit interview completed and discussed with the facility representative. No deficiencies cited at this time. No further information to report by LPA.