summary: Facility Evaluation

raw_content:
Narrative:
On October 17, 2023, at 3: PM Licensing Program Analyst (LPA) Babatunde Aborchie arrived at the facility to issue an immediate exclusion order for staff (S1) for an incident unrelated to this facility. LPA advised the facility to adhere immediately to the exclusion order. Copies of the exclusion order were provided to Administrator for Guiding Light Home for Boys #2 # 336423724. A copy of the exclusion letter was also given to S1. An exit interview was conducted. A copy of this report, LIC 811 and the appeal rights with the exclusion order were provided to Administrator. Due to LPA's printer malfunctioning, all the above stated forms were emailed to administrator.


state: CA

facility_name: GUIDING LIGHT HOME FOR BOYS #2

summary: Facility Evaluation

raw_content:
Narrative:
On November 8, 2024, at 8:50 am, licensing program analysts (LPAs) Babatunde Aborchie and Maya Chavez conducted an unannounced annual inspection. LPAs met with facility manager {FM} Steve Hooks and administrator (A1), Georgina Doyle. The facility was toured inside and out with FM. There were five clients in placement, one being a non-minor dependent (NMD). LPAs reviewed NMD's transitional plan. There were two clients on grounds during the inspection. Bedrooms were set up so there were two clients per room and one client per bed. There was adequate shelf and closet space for client's belongings. The bathrooms were observed to be clean and in good repair. The hot water in the client master restroom was measured to be 111 degrees Fahrenheit. All hazardous items have been properly made inaccessible to areas where clients will have access. The medications and sharp knives were made inaccessible and stored in a locked hallway closet downstairs near front door. Cleansers/chemicals were locked and stored in a cabinet by the staff office. The facility's smoke detectors and carbon monoxide detector were checked and were operable. There were no guns or weapons in the facility as stated by A1. All Client bedrooms had proper window screens, and they are in good condition. The following required posted items were observed accessible to clients: fire evacuation procedures, facility disaster plan, personal rights, and foster care ombudsman poster. LPAs observed a minimum 7-day non-perishable and a 2-day perishable supply of food. There was a variety of snacks available for clients. The facility outside grounds was also inspected and it was observed to be clean, and the landscape well maintained. Emergency exits were free from obstruction. There was no swimming pool located on the facility grounds. During the time of the inspection LPAs reviewed five personnel files and five clients' records. LPAs interviewed one client. There were no deficiencies observed at the time of inspection. LPAs will continue the inspection later. A copy of this report was provided to Georgina Doyle, administrator.

report_type: Facility Evaluation

visit_type: Annual

met_with: Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On June 10, 2021 at 9: AM, Licensing Program Analyst (LPA) Cindy Hamilton and Licensing Program Manager (LPM) Abdoulaye Traore conducted an annual inspection. The facility converted from a Group Home to STRTP (Short Term Therapeutic Program) on 06/11/2020. LPA was met at the facility by facility Manager Martin Morales. A physical plant inspection was completed at 9: AM and included the following checks: LPA and LPM observed in the bathroom of the master bedroom a broken vanity with exposed staples, the gate on the side of the facility did not close properly due to a missing latch and also an opening in the ceiling outside of the facility manager's office. There was adequate indoor and outdoor activity space. Sports equipment/toys/books/games were observed for children's recreation time. All facility smoke detectors and carbon monoxide detectors were in appropriate working order; fire extinguisher was properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. Some required forms were posted including the Personal Rights form and Foster Care Ombudsman poster. Visitation policies and the Disaster Plan forms were not posted in the facility. Medications were locked and centrally stored in a toolbox in a locked closet next to the facility entrance. Licensee did not have provisions for contraceptives to be held in individually locked containers by clients. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. The hot water in the client's bathroom was measured to be 119 degrees. Per facility staff, no firearms or weapons are allowed in the facility. Facility appears to be meeting the terms and conditions of their license. Administrator is present at the facility a minimum of 20 hours a week as verified by staff schedule and interviews. Appropriate staff/client ratios were verified during this inspection. The facility employs one therapist, seven facility managers and 13 direct care staff as well as a volunteer that were used in accordance with regulatory requirements. Licensee has obtained Mental Health Certification with San Bernardino County. Licensee has obtained National Accreditation through CARF International. The Accreditation is valid through December 31, 2023. Licensing fee payments have been paid and there was current balance of $641.50.. LPA discussed the following with the facility manager: Incident reporting, including incidents related to Assembly Bill 388 law enforcement contacts as well as incidents involving emergency interventions. LPA discussed procedures for Child and Family Team (CFT) meetings, including an overview of required Core Services and Supports. Based upon the inspection of facility records and interviews with staff and clients, the Licensee appears to be meeting CFT and Core Services/Supports requirements. Personnel files were reviewed to ensure they contained all required documentation per Title Regulations. Personnel Files are maintained in a locked office at Site 1, located at Saffron Cir, Moreno Valley, CA 92555. LPA and LPM observed that staff #1 (S1) and staff #2 (S2) did not have criminal record and child abuse index clearances or exemptions. LPA and LPM reviewed six staff files. A review of client records was also completed on this date. Client and staff interviews were conducted and did not reveal health and safety concerns. Based on file reviews S1 and S2 did not have any proof of criminal record and child abuse index check clearances or exemptions. The facility is being cited for Title 22, Division 6, Regulation 80019(e)(1) Criminal Record Clearance. S1 has been employed by the facility since March 2019 and S2 has been employed since June 2021. Immediate civil penalties are being assessed for $800.00. Additionally, LPA and LPM observed exposed staples sticking out of the bathroom vanity and two cabinet doors missing in the master bathroom. This poses an immediate health, safety and personal rights violation for the clients in care. The facility is being cited for Title 22, Division 6, Regulation 80087(a) Building and Grounds. The facility shall be clean, sanitary and in good repair at all times. The facility was issued advisory notes due to LPA and LPM observed the gate on the side of the facility did not close properly due to a missing latch, the facility did not provide locked containers for client's contraceptives, the facility did not have grievance procedures and Disaster Plan posted in the facility and for the open hole in the ceiling outside of the facility manager's office. An exit interview was conducted and a copy of this report and appeal rights were provided to facility manager.

met_with: Martin Morales, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On Septermber 3, 2021 at 11: AM. Licensing Program Analyst (LPA), Cindy Hamilton conducted a case management inspection at Guiding Light Home for Boys #2 (STRTP) and met with Administrator Georgina Doyle. The purpose of the inspection was to address issues and concerns regarding an incident that occurred on or around April 09, 2021. It was discovered through information received via records review and confidential interviews that Client #1 (C1) had AWOL'd from the facility on April 2, 2021 and Community Care Licensing (CCL) was not notified of C1's AWOL status. In addition, C1 was AWOL 04/02/2021 to 04/06/2021 and the STRTP did not contact CCL or C1's County Social Worker (CSW). The Special Incident Report (SIR) regarding the above incident was obtained by LPA during a complaint investigation on 04/15/2021. Also, during confidential interviews it was reported that STRTP did not forward the SIR prior to April 15, 2021 to CCL or CSW. The facility is being cited for violation of Title Regulations, Division 6, Chapter 1, Article 6, Section 80061(b)(1)(E) Reporting Requirements. STRTP failed to report special incidents to CCL regarding C1 being AWOL for multiple days. The facility is also being assessed an immediate civil penalties in the amount of $1,000.00 for repeat violation of the above section. An exit interview was conducted. A copy of this report and appeal rights were provided to Administrator Georgina Doyle.

visit_type: Case Management

met_with: Georgina Doyle, Administrator


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
It was specifically reported to CCL that staff #1 (S1) encouraged a physical altercation between C1 and another youth in care. Additionally, it was reported that C1 was being bullied while in care and that their personal property was intentionally damaged under staff supervision. It was also reported to CCL that bedbugs were present in the facility, resulting in insect bites. Although CCL received detailed information alleging a violation of C1's personal rights in care. LPA received inconsistent information that would support or deny the allegations. Confidential interviews reported that S1 did not encourage physical altercations among clients in care, nor did S1 allow bullying behaviors among clients while C1 was in care. Confidential interviews further stated that C1 was the aggressor and displayed multiple behaviors in care, resulting in law enforcement contacts. Confidential interviews also reported that C1's personal property was damaged as a result of C1's aggressive behaviors and added that staff take appropriate measures to safeguard the client's personal property in the area. During the investigation, it was revealed that bedbugs were present at the facility, and staff took action to address the issue, eventually relocating to another location to prevent further concerns. Based on confidential interviews, the allegations that staff (S1) did not provide a safe environment for minors (C1) and staff did not safeguard minor's (C1) personal belongings are unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report, along with the appeal rights, was provided to Facility Manager, Steven Hooks.

Investigation Findings:
13On April 15, 2026, at 1: PM, Licensing Program Analyst (LPA) Cynthia Urena met with Guiding Light Home for Boys # Short-Term Residential Therapeutic Program (STRTP) Facility Manager, Steven Hooks to deliver the investigative findings regarding the above-stated allegations. On September 11, 2025, at 10: AM, Licensing Program Analyst (LPA) Claudia Aguilera initiated the investigation at the STRTP. LPA Aguilera conducted a health and safety assessment of the STRTP and observed no immediate health and safety deficiencies. LPA Urena continued with the investigation on April 8, 2026, and collected pertinent documents from the STRTP staff and client files to assist with the investigation. Interviews were conducted with four staff members (S1, S2, S3, and S4) and two clients (C1, and C2). In addition, LPA Urena conducted a comprehensive record review to further assist with the investigation. On September 8, 2025, Community Care Licensing (CCL) received a complaint alleging that staff (S1) did not provide a safe environment for minors (C1) and that staff did not safeguard minors' (C1) personal belongings. (**Continued on the next page**) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: GUIDING LIGHT HOME FOR BOYS #2FACILITY NUMBER: VISIT DATE: 04/15/2026

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

report_type: Complaint Investigation

met_with: Facility Manager,Steven Hooks

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On May 8, 2025, Licensing Program Analyst (LPA) Babatunde Aborchie began a pre-licensing relocation inspection for Short Term Residential Therapeutic Program (STRTP) license for Guiding Light Home for Boys #2. LPA met with director Adriana Vermilion who led a tour of the home. The facility was toured both inside and out with the applicant. Currently there is no child placed in the home. The applicant is applying to relocate six ambulatory, minor and non minor dependents children (NMD). The residence is a five bedroom two story house with four bathrooms. Downstairs The downstairs area consists of the following: Bedroom #1 - It will be used as staff office. It was vacant A living room family room, visitor room, storage down the stairs, a kitchen, dining area, laundry room, a bathroom, the garage, and the backyard. Upstairs Bedroom #2 - It was furnished with two twin sized beds. It would sleep two clients. It was vacant. Bedroom #3 - It was furnished with two twin sized beds. It would sleep two clients. It was vacant. Bedroom #4 - It was furnished with two twin sized beds. It would sleep two clients. It was vacant. Bedroom #5 - Master bedroom. It was furnished with a conference table and chairs/couch/therapy chair. It would be used as a conference room and mental health office. Bedrooms were arranged so that no more than two clients share a room, and there was one child per bed. No room commonly used for other purposes was used as a bedroom, and no bedroom serves as a passageway to another room. There were adequate drawers and closet space for children's belongings. Towels and linens were stored in a cabinet by the clients' bathroom. The smoke detectors and carbon monoxides were checked and were working properly. The fireplace was in the family room area, and it was properly screened. Telephone service and appliances were in working order. All hazardous items have been properly made inaccessible to areas where clients would have access. The medications and sharp objects/knives will be locked and stored in a storage box in the under the stair closet. Cleansers/chemicals were locked and stored in the laundry room. The first aid kit was in a cabinet in the kitchen area by the kitchen sink, accessible and contained all required items. There were no guns or weapons as stated by applicant at this time. The hot water temperature was tested and noted to be 109 degrees. There was adequate food storage supply of two days of perishable foods and a week of non-perishable food. Proper storage of all food was discussed. Trash cans for storage of solid waste have tight fitting lids. The Facility Sketch, Emergency Disaster Plan, visitation policy and Personal Rights were posted. There were no pool or other body of water and the backyard where clients will have access to play was completely fenced and free of hazards. Currently, the facility is appropriate for relocation of six ambulatory clients, ages fourteen to seventeen and non-minor dependents. All requirements were met at this time. Licensing Program Manager will complete a final review prior to issuing a license. Exit interview was conducted and a copy of this report was provided the director, Adriana Vermilion

visit_type: Prelicensing

met_with: Adriana Vermilion


facility_name: GUIDING OUR YOUTH

summary: Complaint Investigation - Substantiated - 3 allegations

raw_content:
Narrative:
Staff S2 physically blocked X2 unsuccessfully on five separate occasions. X2 attempted physical contact with X1 on five separate occasions. It was reported that physical contact, with intent to harm, was made by X2 to X1 five times, including kicks to X1 while on the ground. The physical altercation began in the clients shared bedroom and continued into the back yard area. It is unclear as to the physical contact made by either X1 or X2 prior to the arrival of staff inside the bedroom. X1 was diagnosed by a physician with a head injury requiring Sleep Monitoring. X2 required law enforcement intervention resulting in an arrest. As a result of the COVID-19 pandemic, GOY initiated a health and safety plan to honor the Center for Disease Control and California state government mandates. The order to refrain from utilizing or engage in physical intervention as outlined in the Pro-Act training became effective for staff on March 13, 2020. However, alternative safety measures were unsuccessful in maintaining the health and safety of clients in care as it relates to the aforementioned allegation. Based on the confidential interviews conducted and the information reviewed during the investigation process, the above allegation is substantiated meaning that the allegation is valid because the preponderance of the evidence standard has been met. Exit interview conducted. A deficiency was cited. Copy of this Report sent via email to Administrator.

Investigation Findings:
13On July 1 , 2021 at 8: AM, Out of State Certification Analyst (AGPA), Ron Leslie conducted a a follow-up complaint investigation via telephone with Melissa Kagan, Administrator, to discuss complaint allegations. During investigation of the allegations; youth engaged in physical altercation while in care resulting in injury, the AGPA conducted interviews, reviewed serious incident reports, medical reports and law enforcement contact reports. Although the staff directly involved were not available to be interviewed, the documents outlining the incident along with interviews conducted confirmed that staff did not de-escalate the event appropriately. X2 was noted to have been the agressor and was alotted multiple opportunities to physically engage X1. Staff utilized their person to block X2 from X1 after assaults from X2 to X1 had occurred. The use of physical intervention as a result of failed attempts to re-direct or verbally de-escalate was not initiated. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Ronald Leslie 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 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 07/01/2021

Allegations:
- SubstantiatedEstimated Days of Completion:
- Estimated Days of Completion:
- Estimated Days of Completion: 7

met_with: Melissa Kagan, Administrator

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
It was alleged that Client #1 (C1) provided methamphetamines (meth) to Client #2 (C2) who ultimately had to be taken to the Emergency Room due to an overdose [see LIC811, dated 10/14/2021]. Interviews conducted revealed C1 denied distributing meth to any of the clients at the facility. C1 acknowledged using meth prior to being placed at the facility. However, C1 denied possessing meth during the time C1 was placed at the facility except for one occasion at a party C1 attended during a time C1 was AWOLed (absent without permission). Other clients denied using any illegal drugs at the facility or having any knowledge of any of the clients possessing or using illegal drugs. However, C2 admitted to using meth at the facility that was given to C2 by C1. Interviews revealed both C1 and C2 used meth in their room they shared at the facility. Interviews further revealed that meth was difficult to detect by the facility staff because there is no distinct odor. It was revealed that it is difficult for staff members to always detect drugs used at the facility in general due to their facility policy of not being able to search the client's personal belongings or their person for contraband. It was revealed while staff members do what they can according to facility policy, staff are not always able to recover contraband from the clients because the clients must consent to the searches. Clients admitted they do not always consent to the searches. Interviews further revealed staff members perform routine unannounced room checks at the facility. However, the clients acknowledged that the staff are not always able to find contraband because the clients hide it very well. A review of incident report dated 03/28/2021 reveals reported substance abuse, harm to self and hospitalization concerning C2 occurring during a home pass as C2 admitted to having plans with C1 to obtain meth with the intent to smoke enough to overdose. C2 was taken to the hospital for evaluation and released to a higher level of care. On 04/06/2021, a 14-day notice of removal was issued for C1. During the investigation there was no active criminal case by the local Police Department regarding the alleged distribution of meth at the facility. Information obtained revealed former resident C1 was cited for possession of meth following C1's placement at the facility. Based on information obtained during the investigation, the finding for neglect/lack of supervision is deemed Unsubstantiated meaning, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove a violation occurred. There were no deficiencies cited at this time. Exit interview conducted. Copy of this Report sent via email to Dr. Sultanian, Head of Service.

Investigation Findings:
13On October 14, 2021 at 3: PM, Licensing Program Analyst (LPA), Regina Martin conducted a follow-up complaint inspection to deliver findings concerning the above-mentioned allegations. LPA Martin met with Facility Representative, Robyn Castillo, Clinical Intern MFT to discuss the investigative outcome. The investigation was conducted by Investigator Dennis Douglas of the Community Care Licensing (CCL) Investigations Bureau. On April 19, 2021, CCL received complaint allegations concerning neglect/lack of supervision as staff members reportedly failed to supervise clients by allowing residents to have illegal drugs in the facility and one minor reportedly overdosing. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Regina Martin 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 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 10/14/2021

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

met_with: Robyn Castillo, Clinical Intern MFT


raw_content:
Narrative:
Interviews reported that Client#1 (C1) had a pattern of running away from the facility to drink alcohol, smoke marijuana or do drugs. Interviews reported that C1 would engage in drug use while being away from the facility. Interviews revealed that C1 social media was not active in social media. LPA Rosas was not able to verify Instagram post or account. All persons interviewed denied the allegation, of facility allowing youth to use drugs while in care in the facility. Facility uses verbal prompts, therapeutic services, and safety plans for residents to encourage them not to runway or use drugs. Residents are searched (visually) upon their return to the facility and room searches are done to check for contraband. LPA Rosas conducted interviews with clients and facility staff that provided information on staff schedules, therapy resources and policies and procedures for care and supervision for clients. The facility has a zero smoking policy and drug use. The instagram post was when C1 was out of the facility in unknown location. There was not enough evidence and information to corroborate the allegations of Neglect and lack of supervision. Results from the Department's investigation, consisting of interviews with related parties, inspections, and review of records. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has decided that the allegation of Neglect/Lack of Supervision and Other are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.

Investigation Findings:
13On January 12, 2023, at 1:00pm, Licensing Program Analyst (LPA) Olivia Rosas conducted an unannounced inspection to Guiding Our Youth Short Term Residential Therapeutic Program (STRTP) for the purpose of concluding the investigation on the above allegation and to deliver the finding. LPA Rosas, met with Staff#1 (S1) and together discussed the investigation details. During the investigation process, LPA Rosas interviewed witnesses and pertinent parties related to the investigation. Individuals mention in this complaint are identify on the Confidential Names List (LIC811) dated 01/12/2023. Based on the confidential interviews conducted during the investigation process, record review, statements obtained, LPA Rosas concluded the Neglect/Lack of Supervision allegation that minor is using drugs while in care to be unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the findings are unsubstantiated. Report continues LIC-9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Olivia Rosas 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 31-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, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 01/12/2023

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

met_with: Staff#1 (S1)


raw_content:
Narrative:
LPA Rosas conducted interviews with residents, staff, and pertinent parties regarding to allegations. Facility staff denied the allegations. During the investigation, it was reported that overnight staff member was sleeping during their shift. The allegations were reported anonymous. Client#1 (C1) might of witness Staff#2 (S2) sleeping but resident refused to be interviewed by LPA Rosas. LPA Rosas was not able to confirm the dates or obtained further information as S2 the staff is no longer employed in the facility. Administrator reported S2 to upper management. LPA Rosas reviewed Special Incident Report (SIR) and Personnel Report (LIC 500) and confirmed that Direct Care Staff Ratio present for clients in placement. Interviews disclosed that NOC staff is awake and checks rooms every 15 minutes. Confidential statements obtained produced no witnesses or corroborating evidence to corroborate the allegation of Neglect and Lack of Supervision. Results from the Department's investigation, consisting of interviews with related parties, inspections, and review of records. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has decided that the allegations of Neglect and Lack of Supervision are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.

Investigation Findings:
13On March 21, 2023, at 11:00am, Licensing Program Analyst (LPA) Olivia Rosas conducted an unannounced inspection to Guiding Our Youth- Short Term Residential Therapeutic Program (STRTP) for the purpose of concluding the investigation on the above allegations and to deliver the finding. LPA Rosas, met with Staff#1 (S1) and together discussed the investigation details. During the investigation process, LPA Rosas interviewed witnesses and pertinent parties related to the investigation. Individuals mention in this complaint are identify on the Confidential Names List (LIC811) dated 03/21/2023. Based on the confidential interviews conducted during the investigation process, record review, statements obtained, LPA Rosas concluded the allegations of lack of supervision resulted in minors AWOLing (eloped) and facility staff sleeping while on duty are unsubstantiated. The allegation may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the findings are unsubstantiated. Report continues LIC-9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Olivia Rosas 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 31-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, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 03/19/2023

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


raw_content:
Narrative:
LPA Rosas conducted interviews with residents, staff, and pertinent parties regarding to allegations. During the investigation, it was reported that on 06/07/ Client#1 (C1) and Client#2 (C2) went to near by park for community outing. Staff#2 (S2) contacted the facility to report C1 and C2 had eloped from the park. C1 and C2, returned to the facility walking and did not disclose additional information. LPA reviewed the Personnel Report (LIC 500) and confirmed that Direct Care Staff Ratio present for clients in placement. Interviews disclosed how clients are provided daily therapy services, individual therapy, and rehabilitative services. Clients interviewed did not indicate that staff failed to intervene, but residents ignored staff directives about returning to the car at agreed time. LPA Rosas conducted interviews with residents and staff that describe the internet use and access in the facility. Residents can use their cell phone that has internet access, and school internet hot spots. The school internet hot spots are given to each resident to use with their school computer (Chrome books). The facility applies reasonable and prudent parent standard to residents in care when allowing the use of internet access. Confidential statements obtained produced no witnesses or corroborating evidence to corroborate the allegation of Personal Rights. Results from the Department's investigation, consisting of interviews with related parties, inspections, and review of records. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has decided that the allegations of Personal Rights are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.

Investigation Findings:
13On March 21, 2023, at 11:00am, Licensing Program Analyst (LPA) Olivia Rosas conducted an unannounced inspection to Guiding Our Youth- Short Term Residential Therapeutic Program (STRTP) for the purpose of concluding the investigation on the above allegations and to deliver the finding. LPA Rosas, met with Staff#1 (S1) and together discussed the investigation details. During the investigation process, LPA Rosas interviewed witnesses and pertinent parties related to the investigation. Individuals mention in this complaint are identify on the Confidential Names List (LIC811) dated 03/21/2023. Based on the confidential interviews conducted during the investigation process, record review, statements obtained, LPA Rosas concluded the allegations of staff abandoned minors while in care and staff did not provide minors internet access is unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the findings are unsubstantiated. Report continues LIC-9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Olivia Rosas 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 31-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, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 03/21/2023

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


raw_content:
Narrative:
LPA Rosas conducted interviews with residents, staff, and pertinent parties regarding to allegations. During the investigation, it was reported that Client#1 (C1) entered the facility with five psychotropic medications but not an active prescription. LPA Rosas conducted file review on C1 and obtain copies of JV-220 dated 05/07/2022, Psychotropic Medication Administration Record (MAR) and Special Incident Reports (SIR). On 08/22/2022, C1 refused to attend Behavior Health appointment and was rescheduled to 09/21/2022. Between 08/14/2022 to 09/12/2023, C1 was admitted to Simi Valley Hospital due to 5150 holds. Upon resealed from Simi Valley Hospital, the facility was not able to obtain refills on medication due to medical not being active when released from Simi Valley Hospital. On 09/14/2022, facility was able to obtain prescription and administer medication. The facility made all possible attempts to obtain medication for C1 but was difficult as resident missed scheduled Mental Health appointment and was taken to the hospital and receiving new medication. Interviews disclosed how clients are provided daily therapy services, individual therapy, and rehabilitative services. Clients interviewed did not indicate that staff failed to provide medication. Confidential statements obtained produced no witnesses or corroborating evidence to corroborate the allegation of Medication. Results from the Department's investigation, consisting of interviews with related parties, inspections, and review of records. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has decided that the allegations of Medication are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.

Investigation Findings:
13On March 21, 2023, at 11:00am, Licensing Program Analyst (LPA) Olivia Rosas conducted an unannounced inspection to Guiding Our Youth- Short Term Residential Therapeutic Program (STRTP) for the purpose of concluding the investigation on the above allegation and to deliver the finding. LPA Rosas, met with Staff#1 (S1) and together discussed the investigation details. During the investigation process, LPA Rosas interviewed witnesses and pertinent parties related to the investigation. Individuals mention in this complaint are identify on the Confidential Names List (LIC811) dated 03/21/2023. Based on the confidential interviews conducted during the investigation process, record review, statements obtained, LPA Rosas concluded the allegation of facility did not administer medication as prescribed is unsubstantiated. The allegation may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the findings are unsubstantiated. Report continues LIC-9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Olivia Rosas 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 31-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, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 03/21/2023

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


raw_content:
Narrative:
LPA Rosas conducted interviews with residents, staff, and pertinent parties regarding to allegations. During the investigation, it was reported on 10/03/ Client#1 (C1) and Client#2 (C2) absconding from the facility. C2 reported, they were in the park. Upon return to the facility the residents denied medical attention. Residents reported that C1 took unknown drug from a homeless person. C1 reported "hallucinating cars" and staff monitored C1 closely through the evening. C1 took PM medications and went to bed. On 10/04/2022, C1 was admitted to emergency room under 72-hour hold. LPA reviewed the Personnel Report (LIC 500) and confirmed that Direct Care Staff Ratio present for clients in placement. Interviews disclosed how clients are provided daily therapy services, individual therapy, and rehabilitative services. Clients interviewed did not indicate that staff failed to intervene on letting clients eloped from the facility, although the incident did happen. Facility staff did take measures to prevent future incidents. Interviews disclosed how clients are provided daily therapy services, individual therapy, and rehabilitative services. Clients interviewed did not indicate that staff failed to provide care and supervision. Confidential statements obtained produced no witnesses or corroborating evidence to corroborate the allegation of Personal Rights. Results from the Department's investigation, consisting of interviews with related parties, inspections, and review of records. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has decided that the allegations of Personal Rights are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.

Investigation Findings:
13On March 21, 2023, at 11:00am, Licensing Program Analyst (LPA) Olivia Rosas conducted an unannounced inspection to Guiding Our Youth- Short Term Residential Therapeutic Program (STRTP) for the purpose of concluding the investigation on the above allegation and to deliver the finding. LPA Rosas, met with Staff#1 (S1) and together discussed the investigation details. During the investigation process, LPA Rosas interviewed witnesses and pertinent parties related to the investigation. Individuals mention in this complaint are identify on the Confidential Names List (LIC811) dated 03/23/2023. Based on the confidential interviews conducted during the investigation process, record review, statements obtained, LPA Rosas concluded the allegation of Staff are not providing a safe environment for minor while in care is unsubstantiated. The allegation may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the findings are unsubstantiated. Report continues LIC-9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Olivia Rosas 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 31-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, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 03/21/2023

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


raw_content:
Investigation Findings:
13On June 6,2023 at 9:22 am, Licensing Program Analyst (LPA) Christine Wilson made an unannounced case management visit to Guiding Our Youth (565801693) Short Term Residential Therapeutic Program (STRTP) for the purpose of concluding the investigation and to deliver findings on the above allegation. Based on the confidential interviews conducted during the investigation process, record review, statements obtained, LPA Wilson concluded the allegation: Staff did not prevent youths from having access to marijuana in the home is unsubstantiated. Although there have been reports of tobacco use at the facility, the use of marijuana could not be verified, and a lack of supervision by facility staff could not be substantiated, even if marijuana use were confirmed to be used at the facility. The allegation may have happened, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the finding is unsubstantiated. There are no deficiencies to be cited, at this time, regarding the above allegation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Christine Wilson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

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

met_with: Facility Manager (FM)


raw_content:
Narrative:
9099C Based on interviews with, but not limited to clients, staff and other professionals, the allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not enough of a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No deficiencies are being cited at this time. A technical advisory is issued (see LIC9102). Exit Interview conducted with (FM), and a copy of this report will be emailed to the facility.

Investigation Findings:
13On May 16,2024 at 1:05pm, Licensing Program Analyst (LPA) Christine Wilson made an unannounced inspection to the above facility for the purpose of concluding the investigation on the above allegation and deliver the findings. LPA was greeted by staff (RC), who alowed entry to the home. At 1:34pm, LPA spoke with the Facilty Manager (FM) and together, discussed the investigative findings. During the investigative process by Licensing Program Analyst (LPA),Wilson, all relevant parties have been accounted for. Supporting evidence includes: interviews with house residents and staff. Interviews reveal that the licensee utilizes a transportation, and awol protocol with clients and with all other persons involved in the care and supervision of minors; including school personnel, as a means to maintain transparency of aforementioned protocols. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Christine Wilson 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 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION WOODLAND HILLS S.Ro, Ventura Blvd., STE. WOODLAND HILLS, CA FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 05/16/2024

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

met_with: Facility Manager


raw_content:
Investigation Findings:
13On 06/14/2024 at 10:18am, Licensing Program Analyst (LPA) Christine Wilson made an unannounced inspection to the above listed facility, for the purpose of concluding the investigation on the above allegation. LPA Wilson was greeted by (S1) Residential Counselor who allowed access to the facility. The investigation included records review and confidential interviews with, facility staff members, and clients, as well as school personnel. Information obtained revealed that youth (C1) and youth (C2) were enrolled by facility, and enrollment approval has been granted by the approved educational rights holder (PD) in cooperation with Vista Real Charter High School. Further, an there is an agreement between the school, Ventura County Office of Education and licensee in effect as to the expectations and academic plan for the youth. Based on all interviews conducted and documents obtained, the above allegation was found to be unsubstantiated, meaning that the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. There are no deficiencies to be cited at this time. Exit Interview conducted, and a copy of this report was emailed to the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Christine Wilson 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: (S1) Residential Counselor


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Documentary evidence indicated that C1 and C2 refused to participate in the external Alcohol & Drug Program. Documentary evidence indicated that the staff communicate with school personnel. Confidential statements and Incident Reports indicated that facility staff provided transportation for youth to and from school, extracurricular activities, did not transport C1 or C2 when suspended from school and when under the influence of drugs or alcohol. Documentary evidence indicated that the facility staff provides mental health related services and Child and Family Team Planning (CFT) were conducted with or without the presence of the youth. Due to lack of evidence obtained during the investigation, LPA determines that the allegations are Unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that a violation occurred. There are no deficiencies cited at this time. An exit interview was conducted, and a copy of this report was left with the Program Administrator. (Page 2)

Investigation Findings:
13On March 28, 2025, at 1143 am, Licensing Program Analyst (LPA), Nestor Gomez made an unannounced visit to conclude the investigation. LPA Nestor is delivering the findings for LPA Rosslyn Gray. Prior to entering the facility LPA Nestor conducted a health and safety risk assessment. During the investigation, LPA Gray interviewed all available relevant parties and gathered pertinent information in reference to the allegations. The Licensee denied the allegations. Based on confidential interviews and review of documentary evidence, there is no evidence or witnesses to support, allegations occurred. Documentary evidence indicated that sufficient facility staff were present while youth were in care. Confidential statements indicated that facility staff provided supervision and utilized AWOL protocol and crisis communication to redirect youth from using drugs and alcohol and encouraged youth to attend school Continue on 90999-C (Page 1) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Nestor Gomez 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 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION WOODLAND HILLS S.Ro, Ventura Blvd., STE. WOODLAND HILLS, CA FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 03/28/2025

met_with: Madison Hall - Facility Admininstrator


raw_content:
Investigation Findings:
13On 9/9/25 at 1:30PM, Licensing Program Analyst (LPA) Wendely Moodie-Naranjo and Licensing Program Manager (LPM) Kevin Sauk made an unannounced inspection to the above-listed facility for the purpose of concluding a complaint investigation on the above allegation and deliver the findings. Licensing staff spoke with Madison Hall Facility Administrator, and together, discussed the investigative finding.During the investigative process by Licensing program Analyst (LPA), Moodie-Naranjo, all relevant parties have been accounted for. During the investigative process, LPA obtained information regarding all staff working within the facility and organization. Statements obtained did not support clear evidence: During the time of the inspection LPA conducted confidential interviews with staff (S1 and S2) and client (C1). CLient (C2) refused to be interviewed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. No deficiencies are being cited at this time. Exit Interview conducted, and a printed copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Wendely Moodie-Naranjo 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: Madison Hall- Facility Administrator


raw_content:
Narrative:
The investigation revealed that Youth (Y1-former placement) was placed at Guiding Our Youth in January 2025, with a known history of leaving without permission (AWOL), and other high-risk behaviors. Records showed Y1 was AWOL from the facility several times in the six months while Y1 resided there. On at least three of these instances, Y1 consumed drugs, including methamphetamine, while on AWOL status. The investigation further revealed that because of Y1's constant AWOLs, the facility issued a 14-Day Notice to have Y1 immediately removed on 4/11/2025. The facility recognized that it could no longer meet Y1's needs despite its efforts and outside services. However, the facility decided to retain Y1 at the request of the placement agency on the expectation that Y1 would attend a substance abuse treatment program. The facility secured additional resources, but Y1 rarely received those services because Y1 was often AWOL. On 4/18/2025, Y1 signed a behavior contract stating that Y1 would not AWOL or engage in drug use, but later that day, Y1 did both of these things. Moreover, from 4/18/2025 until 5/28/2025, when Y1 last overdosed on methamphetamine and/or used substances at least ten times while AWOL, all the while the substance abuse program never materialized. Based on confidential interviews and documentary evidence, the Department has determined that the allegation that Staff did not prevent minor in care from using methamphetamine at the facility is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report was provided to the Facility Administrator. It was revealed that at some point, while in care, the youth were able to acquire tattooing equipment inside the facility unbeknownst to staff. Y5 was successful at giving themself tattoos, (arm and foot areas). Statements revealed that the tattoos were acquired during the late night or early morning hours inside their room. According to statements and documentary evidence, once the staff became aware, the tattooing tool was discarded, and the youth were educated on the dangers of sharing needles and tattooing without proper sanitation. Based on the information gathered, the Department has determined the allegation that staff did not prevent minors in care from getting tattoos at the facility is substantiated. This poses potential health, safety and personal rights risk of harm to children placed in care. The Short Term Residential Therapeutic Program (STRTP) is issued a citation in accordance with the Interim Licensing Standards, Article 6, Version 5, 87065.2 (b)(1) Personnel Duties. See page LIC9099-D for the cited deficiency. An exit interview was conducted, and appeal rights were discussed. A copy of this report, the Confidential Names List and appeal rights were provided to the Administrator.

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

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

met_with: Kathleen Burrell, LCSW


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPA), Olivia Rosas made an unannounced visit to Guiding Our Youth for the purpose of conducting a Case Management Inspection to address concerns regarding the Unusual Incident/Injury Report (SIR) dated 02/04/2022. LPA Rosas and Staff#1 (S1) discussed the details SIR (See confidential name list LIC811 dated 02/23/22). On 02/04/22 at 9:20pm, Staff#2 (S2) had verbal altercation with Client#1 (C1) and Client#2 (C2). S2 went to the garage and clients locked out S2 from the facility. S2 contacted facility Administrator and was instructed to call 911. S1 informed LPA that employee responsible (S2) is not in the schedule and currently on leave. Facility debriefed with clients in a group session and individually. LPA Rosas, received a copy of the video recording verbal engagement of S2 and updated SIR dated 02/07/2022. LPA Rosas was not able to interview clients and staff and will return to continue the case management inspection. A review of Facility's Personnel Report Summary on 02/23/2022 indicates that all personnel have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 03/10/2022 at 11:00AM, Licensing Program Analysts (LPA), Olivia Rosas made an unannounced visit to Guiding Our Youth for the purpose of conducting a Case Management Inspection to continue to gather additional information regarding the Unusual Incident/Injury Report (SIR) dated 02/04/2022. LPA Rosas and Staff#1 (S1) discussed the details SIR (See confidential name list LIC811 dated 03/10/22). On 02/04/22 at 9:20pm, Staff#2 (S2) had verbal altercation with Client#3 (C3), Client#5 (C5). S2 went to the garage and clients locked out S2 from the facility. The verbal altercation between S2 and C3, C5 was verbal nature. The facility provided opportunities to clients to debrief and process with the facility clinical team members their experience. Guiding Our Youth administration notified the Department on 03/07/2022, that Staff#2 (S2) would not be working in the organization. The facility was following guidelines from PIN 20-04-CRP regarding staffing ratios waiver due to COVID-19 pandemic. On 02/25/2022, LPA Rosas emailed facility administrator reporting that staffing ratio waiver expired June 30, 2020, from PIN 20-04-CRP. PIN 20-04-CRP was superseded by PIN 20-13-CRP, which does not include the staffing ratio waiver. The most current COVID- PIN is PIN 21-31-CRP. Based on the interviews conducted and documentation gather the following Advisory Note- Technical Violation was issued. The Advisory Note- Technical Violation was issued for 87065. Direct Care Staff/child Ratios. (a) (1) In a facility with a licensed capacity of six or fewer children, there shall be coverage by direct care staff as follows: (1) During the hours of 7 am to 10 pm, there shall be one awake and on duty direct care staff for every three children, or fraction thereof, present, at a minimum. The facility needs to follow Direct Care Staff to Child Ratios as PIN 20-04-CRP staffing ratios waiver has expired. Report continues on LIC809-C A Advisory Notes- Technical Assistance was issued for PERSONAL RIGHTS (11) To be free of physical, sexual, emotional, or other abuse, and from corporal or unusual punishment, *exploitation,* infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature including, but not limited to, interference with the daily living functions of eating, sleeping, or toileting, or withholding of shelter, clothing, or aids to physical functioning. Facility makes all efforts to address clients toward preventing re-traumatization and thwarting the possibility or occurrence of secondary trauma. A review of Facility's Personnel Report Summary on 03/09/2022 indicates that all personnel have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. LPA Rosas interviewed Staff#1 (S1), and Client#1 (C1). LPA Rosas was not able to interview Staff#2 (S2). Client#2 (C2) denied to be interview by LPA. LPA was not able to interview Client#3 (C3), Client#5 (C5) because they were in school during the inspection. LPA was not able to interview Client#4 (C4) because they were sleeping during the inspection. LPA Rosas will return to continue the case management inspection. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.

Deficiencies:
87065.5: (1) During the hours of 7 am to 10 pm, there shall be one awake and on duty direct care staff for every three children, or fraction thereof, present, at a minimum.


summary: Facility Evaluation

raw_content:
Narrative:
On 03/10/2021 at 11: AM , Licensing Program Analysts (LPA), Olivia Rosas made an unannounced visit to Guiding Our Youth for the purpose of conducting a Case Management- Incident Inspection to obtain further information regarding the Unusual Incident/Injury Report (SIR) dated 02/19/2022. LPA Rosas and Staff#1 (S1) discussed the details SIR (See confidential name list LIC811 dated 03/10/22). The incident report dated, 02/19/2022 was received by the Department on 02/19/2022. Involved Client#1 (C1) got into a car accident while leaving the facility without permission. Client# 2 (C2) asked Staff#2 (S2) to pick up C1 from the accident scene. S2 stated she was doing paperwork and could not pick her up. C1 was brought back to the house by Simi Valley Police Department (SVPD). C1 screamed at S2 and threatened physical harm of S2. S2 exited the office and C1 charged staff and hit S2. C2 attempted to pull the two apart. The SVPD was still in the home from dropping off C1 and pulled C1 off of S1. C2 went after S1. C1 and C2 were handcuffed and taken outside. Client#3(C3) and Client#4 (C4) started yelling at S2 and were handcuffed and sat on the sofa in the living room. C1 and C2 were taken to Ventura County Juvenile Detention Center. C1 was charged with battery. C2 was charged with making threats. On 02/20/22, C1 was picked up from the Ventura County Juvenile Detention Center. C2, is still detained at Ventura County Juvenile Detention Center and was released on 02/22/22. The facility will continue to receive Mental Health and socially rehabilitative services. LPA Rosas interviewed Staff#1 (S1), and Client#1 (C1). LPA Rosas was not able to interview Staff#2 (S2). Client#2 (C2) denied to be interview by LPA. LPA was not able to interview Client#3 (C3), Client#5 (C5) because they were in school during the inspection. LPA was not able to interview Client#4 (C4) because they were sleeping during the inspection. LPA Rosas will return to continue the case management inspection. Report continues on LIC809-C A review of Facility's Personnel Report Summary on 03/09/2022 indicates that all personnel have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On 04/21/2022 at 9:00AM, Licensing Program Analyst (LPA), Olivia Rosas made an unannounced visit to Guiding Our Youth for the purpose of conducting an Annual inspection. LPA Rosas met with Staff#1(S1) who granted access to the facility and an inspection of the facility was conducted together. Individuals mention in this report are identify on the Confidential Names List (LIC811) dated 04/21/22. LPA met with Staff#1 (S1), who granted access into the home, and who provided a tour of the entire physical plant. This facility has a provisional Short Term Residential Therapeutic Program (STRTP) license to provide care and supervision for six (6) female children ages 13-17 years old, Ambulatory only. There is no pool or bodies of water on the premises. The facility currently has Accreditation with CARF International dated 09/24/2021 and with expiration date of 09/20/2024. The facility is in the process of obtaining a Mental Health Program Approval contract with the Department of Health Care Services and Ventura County. Staff confirmed that there are no firearms or dangerous weapons in the facility. The facility is current with their annual fees. LPA Rosas inspected the following: This is a one (1) story (STRP) Short Term Residential Therapeutic Program, located in a residential neighborhood. This is a (3) three bedroom, (2) two bathroom (one in the hallway and one in the staff office), single story family residence that includes a living room, dining area, kitchen, staff office, backyard, and an attached garage for storage. There are two (2) facility vehicles parked outside inspected to be in good operating condition. Outdoor Area: There was no swimming pool or bodies of water on the premises. The activity space is free of hazard materials and debris. LPA observed a staff displayed the utility shut-off valves. The facility is surrounded by brick fence and is observed to be good condition. Report continues on LIC 809-C Page 1 of Laundry Room: The laundry room is located next to the kitchen. The laundry room is kept locked and only used when staff is present with youth. The laundry is equipped with a washer and dryer unit that was observed to be in good condition. The laundry detergent is made inaccessible to the children and is disputed according to the load of the laundry. Disinfectants and chemicals are locked and made inaccessible to clients. Dining Area/Kitchen: There is adequate furniture which appears to be in good condition. All kitchen, food preparation, and storage areas are clean, free of litter and rubbish. There is two televisions. One round table and island with stools next to the Kitchen: There is a gas stove/oven with four (4) burners, all operating. There is a dishwasher is not being used, microwave, refrigerator with freezer and a toaster oven. LPA observed adequate perishable/nonperishable food supplies. The facility supplies a staple nonperishable food for a minimum of one week and fresh perishable foods for a minimum of two days shall be maintained on the premises. Sharp knives, disinfectants/cleaning solutions made inaccessible to the youth locked in the staff office. Water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. Living Room/Family Room (Den): There is adequate furniture which appears to be in good condition. The living room has dining table and televisions. The facility has two living room areas used for recreating and activity room, which provide the necessary space and/or separation to promote and facilitate the program of planned activities and to prevent such activities from interfering with other functions. The living area has game board games, books, magazines and art supplies. Staff Office: The office is equipped office furniture (i.e desk, computers, printers). Additional medication is kept locked inside of the staff office. The client and staff files are kept in a locked in file cabinet. LPA observed a key locked closet that stored hygiene supplies, cleaning solutions, and medication. Additional disinfectants, chemicals, hygiene supplies and medication are locked in storage closet in the living room making inaccessible. Page 2 of Bedroom # 1: Currently occupied by tw0 (2) clients, has two (2) twin sized beds and comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) walk in closet. There is adequate lighting and the windows have horizontal slide locked with curtains observed to be in good condition. Bedroom # 2: Currently occupied by tw0 (2) clients, has two (2) twin sized beds and comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) walk in closet. There is adequate lighting and the windows have horizontal slide locked with curtains observed to be in good condition. Bedroom # 3: Currently occupied by one (1) client, has two (2) twin sized beds and comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) walk in closet. There is adequate lighting and the windows have horizontal slide locked with curtains observed to be in good condition. Bathrooms: There are two (2) bathrooms. Bathroom #1 is the common bathroom for the clients. It is a full-sized bathroom with a toilet, sink, and showers. Bathroom #2 is located inside of the staff office is full-sized bathroom with a toilet, sink, and shower. Water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. Garage: The garage is kept locked and only staff uses has access to the garage. The attached two car garage is used as storage and is kept locked. The garage has additional fridge and deep freezer for food. LPA observed overstock of nonperishable food, frozen food, snacks and supplies. There are two (2) vehicles available to transport youths; make and model are a Nissan Versa, and Dodge Grand Caravan. The vehicles used to transport clients appeared to be in a safe operating condition. The registration of the vehicles was valid. The vehicle has full coverage auto insurance with HUB International Insurance Services Inc. During the facility was inspected, the following was observed: LPA observed a key locked closet that stored hygiene supplies, and cleaning solutions. All windows were in good condition with screens and blinds. There were no security bars on the windows. There are two (2) fire extinguishers and was fully charged and carbon monoxide detectors were working properly in the facility. LPA observed ample towels and linen closet. Page 3 of The passageways and porches are unobstructed. All posting requirements were met, (food menu, regulations, licenses, emergency disaster plan, Children's Personal Rights, and Ombudsman). The home has a working telephone and youths can use the telephone unless restricted by court order. The Emergency Evacuation Plan is posted. All posting requirements were met. LPA observed several First Aid Kit complete with scissors, tweezers, thermometer, gauzes, antiseptic and a 1st Aid Manual in the staff office, medication cabinet, and garage. All posting requirements were met. Children will be accorded personal rights. The facility current License, Ombudsperson Grievances and Personal Rights; are posted on the wall. Children are not restricted to make phones calls based on the court and or authorized representative. The living room is utilized for clients to make phones calls and the Phone Call Log is kept near the facility phone. The youth reported having their own cell phone to be able to make phone calls. LPA Rosas reviewed following during the inspection: LPA Rosas requested the following forms for review, Register of Youth (LIC 9020), Current Census, Personnel Report (LIC 500), Emergency Disaster Plan (LIC610C), Emergency Intervention Plan, vehicles registration and auto insurance. In addition written menus, staff weekly schedule, and The accreditation CARF International Commission approval certificate. Staff Interviews: LPA conducted a confidential interview with two (2) on duty staff present during the inspection. Client Interviews: LPA conducted confidential interviews with one (1) of the five (5) clients according to the census willing to be interviewed. Staff Records Review: Facility files are not located on site. LPA ensured Administrator Certificate was current. LPA reviewed the Personnel Report (LIC 500) and confirmed that Direct Care Staff Ratio present for the five (5) clients in placement. LPA confirmed that all staff have required criminal record clearance. DOJ, FBI and Child Abuse Response, which meet qualification. The facility provided evidence of staff training transcripts stored in RELIAS Training Program with a schedule to complete Hours of training for various topics including Trauma Informed and CSEC training. LPA Rosas was not able to complete staff file review and will need to return to facility to complete the staff file review. Page 3 of Clients Records Review: LPA reviewed two (2) client records which meet qualification. LPA reviewed consent forms, completed by the child's authorized representative(s), to permit the facility to authorize medical care. LPA review copy psychotropic medication log. Record of client cash resources and allowance. The needs and services plan, Admission Agreement, Health History, and Personal Rights. LPA observed the child's Needs and Services plans kept in client's personal file; (filed in an individual binder). Children are accompanied to outside extracurricular activities and social events and alternate activities have been implemented. LPA reviewed record of client cash resources logs for 5 youth. LPA verify the Needs and Services plans for five (5) clients that are kept in an individual binder. A review of Facility's Personnel Report Summary on 04/18/2022 indicates that all personnel have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. LPA Rosas by email send the following PINS to S PIN 20-17-CRP: New Background Check Requirements, Assembly Bill 819 (Chapter 777, Statutes of 2019), PIN 21-20-CRP: Statewide Launch of New Inspection Tools for Children's Residential Licensees, PIN 21-05-CRP: The Family Urgent Response System (FURS), Medications Guide TSP 2017-03 (version 08/23/21). There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On 05/19/2022 at 9:00AM, Licensing Program Analyst (LPA), Olivia Rosas made an unannounced visit to Guiding Our Youth for the purpose of a Case Management Annual Continuation Inspection. LPA Rosas met with Staff#1(S1) who granted access to the facility. Individuals mention in this report are identify on the Confidential Names List (LIC811) dated 05/19/2022. LPA reviewed following during the inspection: Staff Records Review: LPA reviewed five (5) staff records stored in individual personnel file provided by S1. LPA ensured to thoroughly review the records of the primary active staff (i.e The Program Administrator, Facility Manager, Head of Service, Direct Care Staff). Staff files had proof of completion of cardiopulmonary resuscitation (CPR) and first aid training from an accredited training program. Files contained required licensing forms, qualifications, employee handbook, and job description. The facility provided evidence of staff training transcripts stored in RELIAS Training Program with a schedule to complete Hours of training for various topics including Trauma Informed and CSEC training. LPA reviewed the Personnel Report (LIC 500) and confirmed that Direct Care Staff Ratio present for the six (6) clients in placement. Facility Administrator is on the premises for a minimum of 20 hours per week. A review of Facility's Personnel Report Summary on 05/18/2021 indicates that all personnel have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was email to S1 for signature.


summary: Facility Evaluation

raw_content:
Narrative:
On 06/09/2022 at 12:00PM, Licensing Program Analyst (LPA), Olivia Rosas made an unannounced visit to Guiding Our Youth for the purpose of conducting a Post Licensing Inspection visit. LPA Rosas met with Staff#1(S1) who granted access to the facility and an inspection of the facility was conducted together. Individuals mention in this report are identify on the Confidential Names List (LIC811) dated 06/09/22. LPA met with Staff#1 (S1), who granted access into the home, and who provided a tour of the entire physical plant. This facility has a provisional Short Term Residential Therapeutic Program (STRTP) license to provide care and supervision for six (6) female children ages 13-17 years old, Ambulatory only. There is no pool or bodies of water on the premises. The facility currently has Accreditation with CARF International dated 09/24/2021 and with expiration date of 09/20/2024. The facility has a Mental Health Program Approval contract with the Department of Health Care Services and Ventura County with the expiration date of 05/27/2023. Staff confirmed that there are no firearms or dangerous weapons in the facility. The facility is current with their annual fees. LPA Rosas inspected the following: This is a one (1) story (STRP) Short Term Residential Therapeutic Program, located in a residential neighborhood. This is a (3) three bedroom, (2) two bathroom (one in the hallway and one in the staff office), single story family residence that includes a living room, dining area, kitchen, staff office, backyard, and an attached garage for storage. There are two (2) facility vehicles parked outside inspected to be in good operating condition. Outdoor Area: There was no swimming pool or bodies of water on the premises. The activity space is free of hazard materials and debris. LPA observed a staff displayed the utility shut-off valves. The facility is surrounded by brick fence and is observed to be good condition. Report continues on LIC 809-C Page 1 of Laundry Room: The laundry room is located next to the kitchen. The laundry room is kept locked and only used when staff is present with youth. The laundry is equipped with a washer and dryer unit that was observed to be in good condition. The laundry detergent is made inaccessible to the children and is disputed according to the load of the laundry. Disinfectants and chemicals are locked and made inaccessible to clients. Dining Area/Kitchen: There is adequate furniture which appears to be in good condition. All kitchen, food preparation, and storage areas are clean, free of litter and rubbish. There is two televisions. One round table and island with stools next to the kitchen. Kitchen: There is a gas stove/oven with four (4) burners, all operating. There is a dishwasher is not being used, microwave, refrigerator with freezer and a toaster oven. LPA observed adequate perishable and nonperishable food supplies. The facility supplies a staple nonperishable food for a minimum of one week and fresh perishable foods for a minimum of two days shall be maintained on the premises. Sharp knives, disinfectants/cleaning solutions made inaccessible to the youth locked in the staff office and laundry room. Water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. Living Room/Family Room (Den): There is adequate furniture which appears to be in good condition. The living room has dining table and televisions. The facility has two living room areas used for recreating and activity room, which provide the necessary space and/or separation to promote and facilitate the program of planned activities and to prevent such activities from interfering with other functions. The living area has game board games, books, magazines and art supplies. Staff Office: The office is equipped office furniture (i.e desk, computers, printers). Additional medication is kept locked inside of the staff office. The client and staff files are kept in a locked in file cabinet. LPA observed a key locked closet that stored hygiene supplies, cleaning solutions, and medication. Page 2 of Bedroom # 1: Currently occupied by tw0 (2) clients, has two (2) twin sized beds and comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) walk in closet. There is adequate lighting and the windows have horizontal slide locked with curtains observed to be in good condition. Bedroom # 2: Currently occupied by tw0 (2) clients, has two (2) twin sized beds and comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) walk in closet. There is adequate lighting and the windows have horizontal slide locked with curtains observed to be in good condition. Bedroom # 3: Currently occupied by one (1) client, has two (2) twin sized beds and comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) walk in closet. There is adequate lighting and the windows have horizontal slide locked with curtains observed to be in good condition. Bathrooms: There are two (2) bathrooms. Bathroom #1 is the common bathroom for the clients. It is a full-sized bathroom with a toilet, sink, and showers. Bathroom #2 is located inside of the staff office is full-sized bathroom with a toilet, sink, and shower. Water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. Garage: The garage is kept locked and only staff uses has access to the garage. The attached two car garage is used as storage and is kept locked. The garage has additional fridge and deep freezer for food. LPA observed overstock of nonperishable food, frozen food, snacks and supplies. Additional disinfectants, chemicals, hygiene supplies and medication are locked in storage closet in the living room making inaccessible. There are two (2) vehicles available to transport youths; make and model are a Nissan Versa, and Dodge Grand Caravan. The vehicles used to transport clients appeared to be in a safe operating condition. The registration of the vehicles was valid. The vehicle has full coverage auto insurance with HUB International Insurance Services Inc. All windows were in good condition with screens and blinds. There were no security bars on the windows. There are two (2) fire extinguishers and was fully charged and carbon monoxide detectors were working properly in the facility. LPA observed ample towels and linen closet. Page 3 of The passageways and porches are unobstructed. All posting requirements were met, (food menu, regulations, licenses, emergency disaster plan, Children's Personal Rights, and Ombudsman). The home has a working telephone and youths can use the telephone unless restricted by court order. The Emergency Evacuation Plan is posted. All posting requirements were met. LPA observed several First Aid Kit complete with scissors, tweezers, thermometer, gauzes, antiseptic and a 1st Aid Manual in the staff office, medication cabinet, and garage. All posting requirements were met. Children will be accorded personal rights. The facility current License, Ombudsperson Grievances and Personal Rights; are posted on the wall. Children are not restricted to make phones calls based on the court and or authorized representative. The living room is utilized for clients to make phones calls and the Phone Call Log is kept near the facility phone. The youth reported having their own cell phone to be able to make phone calls. LPA Rosas was not able to conduct staff interviews, and clients due to time constrain. LPA Rosas was not able to conduct file review of staff files are they are kept off site. LPA Rosas was not able to review client files due to time constrain. A review of Facility's Personnel Report Summary on 06/08/2022 indicates that all personnel have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On October 11, 2022, at 1:30pm, Licensing Program Analyst (LPA) Olivia Rosas conducted an unannounced inspection to Guiding our Youth Short Term Residential Therapeutic Program (STRTP) for the purpose to conduct a Plan of Correction (POC) inspection visit for the deficiencies cited on 09/15/2022. During the inspection, LPA Rosas met with Staff#1 (S1) and the deficiency was discussed. Individuals mention in this report are identify on the Confidential Names List (LIC811) dated 10/11/2022. On 10/03/2022, LPA Rosas received a copy of LIC Personnel Record and Staff#2 (S2) was removed from the schedule. Facility will ensure S2 is absent from the facility until criminal background clearance or exemption is received. On 10/11/2022, LPA Rosas arrived to the facility and verify that S2 is not working in the facility and not listed in the LIC 500. LPA Rosas verified POC has been corrected from deficiencies cited on 09/15/2022. A review of Facility's Personnel Report Summary on 10/11/2022 indicates that all personnel have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility. LPA Rosas left a copy of POC letter.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPA), Olivia Rosas made an unannounced visit to Guiding Our Youth for the purpose of conducting a Case Management - Other Inspection to address concerns regarding Cross reference referral report dated 11/21/2022. LPA Rosas and Staff#1 (S1) discussed the details SIR (See confidential name list LIC811 dated 11/22/22). The Department received cross reference referral from Client#1 (C1) County of Placement dated 11/21/2022. The referral alleged C1 had been contacted by a unknown man via social media. It was reported that the male was offering marijuana and alcohol. C1 is currently runway away (AWOL) from the facility and Law Enforcement has been notified. S1, reported that C AWOL from the facility on 11/20/2022. County of Placement asked for the bed to be closed by 11/28/2022. S1 reported, C1 had pattern of running away, drinking alcohol, smoking marijuana. During emergency room visit tasted positive for drugs. C1 was only in placement for one month. Was in enrolled in school but would not attend. The school provided alternatives for C1 to attend but C1 was not receptive to them. S1 noted that C1 had multiple Special Incident Reports during the stay in the facility. Based on information obtained there is not enough information and there were no witnesses identified to corroborate the allegations. A review of Facility's Personnel Report Summary on 11/28/2022 indicates that all personnel have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Dahl Larios conducted a case management inspection May 25, 2023, at 10:57 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, 5 out of Direct Care Staff and 4 out of 4 youth files were reviewed. 2 out of Direct Care Staff and 2 out of 4 youth were interviewed. (See the Confidential Names List, LIC 811, dated May 25, 2023). 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 Dahl Larios 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 Head of Service, Melissa Kagan.

met_with: Head of Service - Melissa Kagan


summary: Facility Evaluation

raw_content:
Narrative:
On July 26 2023 at 11:00AM. Licensing Program Analysts (LPAs) Rosslyn Gray and Zena Phillips made an announced visit at GUIDING OUR YOUTH-STRTP Cutler Facility to conduct the Psychotropic Case Medication Inspection. LPAs conducted a Health and safety risk assessment upon arriving at the facility. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs Gray and Phillips met with the Administrator Emerald Wade and inspected the facility inside and out. LPAs reviewed three (3) of child's psychotropic medications and medication records. LPAs interviewed one(1) of three(3) of the children currently prescribed psychotropic medication. LPAs reviewed three (3) staff personnel files on site at the facility. LPAs interviewed three (3) of staff on site to discuss the facilities policies and procedures of operation. The Administrator provided a physical hard copy of the psychotropic medication training topics during the training for for LPA's to review. No deficiency were cited per Interim Licensing Standards for STRTP Version 4. An exit interview was conducted, and a copy of this report was left with the Administrator Emerald Wade


summary: Facility Evaluation

raw_content:
Narrative:
On February 15, 2024 at 9:45 am, Licensing Program Analyst (LPA) Christine Wilson made an unannounced visit to the above listed facility, in order to conduct a case management incident inspection, regarding SIR dated 02/11/24. LPA Wilson met with the Facility Administrator (FA) who provided entry into the home. Per (FA) the current census is three (3). Client (C1) had a bed closure and arrest date of 02/12/24, and client (C3) is currently on a 5150 hold and located in Bakersfield. LPA Wilson conducted client interview (C2),reviewed the licencee's program statement as well as obtained copies of LIC 500, Client Roster, staff contact information (S1, S2), and reviewed shift notes 02/11/24. LPA conducted a walk through of the facility and inspected bedroom where incident occurred. LPA was unable to conclude the investigation at this time. LPA will return at a later time to deliver and discuss the inspection findings. There is no deficiency determined at this time. An exit interview was conducted. A copy of this report left with licensee. (FA) whose signature on this form confirm receipt of these documents.

met_with: Facility Administrator/Interim Head of Service


summary: Facility Evaluation

raw_content:
Narrative:
On April 19, 2024 at 1:28 pm, Licensing Program Analyst (LPA) Christine Wilson made an unannounced visit to the above listed facility, in order to conclude a case management inspection related to an incident report dated 02/11/24, where a male was found in the bedroom with the residents of the facility. LPA Wilson was met by Facility Manager (FM) who allowed entry to the facility. During the course of the case management investigation, the investigation revealed there was not enough evidence to support a lack of supervision by staff (S1) and (S2), who were providing care and supervision to clients (C1) (C2) and (C3), which resulted in clients hiding a male in their bedroom. The finding is unsubstantiated, meaning the allegations may have happened, but there is not a preponderance of the evidence to prove that the alleged violation occurred. There are no deficiencies to be cited, at this time An exit interview was conducted, a copy of this report will be emailed to the licensee.