facility_name: NEWPORT ACADEMY-MAOLI

summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
The facility has agreed to sign and return the LIC9099. Appeal Rights were provided and discussed, and Title 22 deficiencies were cited. An exit interview was conducted, and a copy of the report was sent to the facility.

Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Residential Director Michelle Barnett regarding a complaint investigation at the Group Home. The purpose of the inspection was to deliver the findings for the above allegation. The investigation was conducted by CCIB Investigator Joseph Balarie. During the course of the investigation, the Investigator reviewed records and interviewed a Marin County Sheriff Deputy, youth, and staff. It was during these confidential interviews that it was confirmed that there had been inappropriate sexual activities between clients. Based on the information obtained, there is a preponderance of the evidence to prove that minors are engaging in inappropriate sexual activities while in care. Therefore, the above allegation is substantiated. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Cheyenne McCambridge 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 21-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SANTA ROSA RO, NEOTOMAS AVENUE, STE. FACILITY NAME: NEWPORT ACADEMY-MAOLIFACILITY NUMBER: VISIT DATE: 05/15/2023

met_with: Laurel Chase


state: CA

summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Care Coordinator Mia Matthews regarding a complaint investigation at the Group Home. The purpose of the inspection was to deliver the findings for the above allegation. The investigation was conducted by CCIB Investigator Melissa Bennett. During the course of the investigation, the Investigator reviewed records and interviewed youth and staff. It was during these confidential interviews that it was confirmed that there had been inappropriate sexual activities between clients. Based on the information obtained, there is a preponderance of the evidence to prove that minors are engaging in inappropriate sexual activities while in care. Therefore, the above allegation is substantiated. Appeal Rights were provided and discussed, and Title 22 deficiencies were cited. An exit interview was conducted, and a copy of the report was sent to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Cheyenne McCambridge 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 21-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SANTA ROSA RO, NEOTOMAS AVENUE, STE. FACILITY NAME: NEWPORT ACADEMY-MAOLIFACILITY NUMBER: 216890000

report_type: Complaint Investigation

met_with: Mia Matthews

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Residential Manager Hope Hurst regarding a complaint investigation at the Group Home. The purpose of the inspection was to deliver the findings for the above allegation. During the course of the investigation LPA McCambridge conducted confidential interviews, conducted record reviews, and reviewed documentation. Based on interviews, record reviews, and documentation the facility took appropriate actions and supervision of clients. This department has investigated the allegations, and although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the above occurred; therefore, the above allegations are Unsubstantiated. Appeal Rights were discussed, and no deficiencies were cited. An exit interview was conducted with Hope Hurst and a copy of the report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Cheyenne McCambridge 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

met_with: Hope Hurst

complaint_status: unsubstantiated


raw_content:
Investigation Findings:
13On Wedensday, June 11, 2025 at 11AM, Licensing Program Analyst (LPA) Mariah Hawkins conducted an unannounced complaint investigation visit at the facility. LPA met with Residential Supervisor Starr Williams and informed of the purpose of the visit. The purpose of the visit was to deliver findings for the investigation of the above allegations. Based on confidential observations, interviews, and record review, one interview or reviewed record was found supporting the allegations, and six interviews or reviewed records were found either not supporting or contradicting the allegations. During the investigation, LPA reviewed staff training and discussed with facility management to ensure the facility continues to provide all staff training on boundaries, client rights, and mandated reporting. Although the allegations may have happened or are valid, based on LPA's observations and interviews, there is not a preponderance of the evidence to prove the alleged violations did or did not occur. Therefore, the allegations are Unsubstantiated. An exit interview was conducted, and a copy of this report and the licensee's appeal rights were provided to Residential Supervisor Starr Williams. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Mariah Hawkins LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Residential Supervisor Starr Williams


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Residential Supervisor GeorgiaMae Wallace and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There is no bodies of water or firearms on the property. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps, medications, toxins, and cleaning solutions are locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. Required documents are posted. Staff and client files were reviewed and are current and complete with required documents. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. There are currently 6 youth in placement at this location. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.

report_type: Facility Evaluation

visit_type: Annual

met_with: GeorgiaMae Wallace


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Administrator Laurel Chase and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There is no bodies of water or firearms on the property. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps, medications, toxins, and cleaning solutions are locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. Required documents are posted. Staff and client files were reviewed and are current and complete with required documents. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. There are currently 6 youth in placement at this location. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Administrator Julia Byrum and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There is no bodies of water or firearms on the property. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps, medications, toxins, and cleaning solutions are locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. Required documents are posted. Staff and client files were reviewed and are current and complete with required documents. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. There are currently 5 youth in placement at this location. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.

met_with: Julia Byrum


summary: Facility Evaluation

raw_content:
Narrative:
On 3/3/25, Licensing Program Analyst (LPA) Celeste Aparicio made an unannounced visit to the facility to conducted a case management inspection. LPA met with Residential Manager Hope Hurst and informed the Residential Manager on the purpose of the visit. The purpose of the visit was to discuss a submitted incident report regarding a participant bringing contraband on the grounds and facility contact information. During the inspection, LPA obtained additional information about the incident, documentation, and conducted one confidential interview. No deficiencies have been found during this visit. An exit interview was conducted, and a copy of this report was left with Residential Manager Hope Hurst , whose signature on this form confirms receipt.

visit_type: Case Management

met_with: Residential Manager, Hope Hurst


summary: Facility Evaluation

raw_content:
Narrative:
On 10/22/2025 at 10:30 a.m., Licensing Program Analyst (LPA) Brenda Rodriguez and Licensing Program Analyst (LPA) Kimberly Hall conducted an unannounced Annual Inspection and met with Graham Malcolm-Wium, Operations Manager. LPA Rodriguez disclosed the purpose of the inspection and was granted entry into the facility by the Operations Manager. LPA Rodriguez and LPA Hall used the CARE Inspection Tool. The facility currently has a census of three clients. LPA Rodriguez and LPA Hall reviewed three (3) client files. LPA Rodriguez and LPA Hall conducted two (2) confidential staff interviews. During the physical plant inspection, no deficiencies were found. LPA Rodriguez and LPA Hall toured the facility inside and out. All client bedrooms were equipped with comfortable furnishings which included ample storage space for clients' belongings and full-sized beds. Each bedroom has drawers for extra storage space. Client bathroom was clean and furnished with hygiene supplies for each client. The facility is clean, safe and sanitary. The kitchen was observed to be clean and free of hazards or chemicals. The weekly menu was posted. No bodies of water on the premises. All walkways were free from debris or hazards. LPA's toured the backyard and observed it to be free from hazards. At this time, the inspection is not complete. LPA Rodriguez and LPA Hall will be back at a later day to complete the required annual inspection. An exit interview was conducted at 1:38 p.m., and a copy of this report was printed and given to Operations Manager Graham Malcolm-Wium, whose signature on this form confirms receipt.

met_with: Graham Malcolm-Wium, Operations Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 10/22/2025 at 10:30 a.m., Licensing Program Analyst (LPA) Brenda Rodriguez and Licensing Program Analyst (LPA) Kimberly Hall conducted an unannounced Case Management - Deficiencies and met with Graham Malcolm-Wium, Operations Manager. LPA Rodriguez disclosed the purpose of the inspection and was granted entry into the facility. LPA Rodriguez re-delivered the citation that was delivered back on July 2, 2025 and asked for a few documents, more information on the LIC 812. A copy of this report was printed and given to Operations Manager Graham Malcolm-Wium, whose signature on this form confirms receipt.


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Health and Safety Code, (Title 22, HSC 1558(a)(2)), is being cited on the attached LIC 9099D. Staff used inappropriate comments toward client and engaged in conduct that is inimical to the health, morals, welfare, and safety of a client that was in care from the facility. One deficiency is being cited based on LPA's observation, interviews conducted, and record review(s) in accordance with the Health and Safety Code, Title 22, see LIC 9099D. An exit interview was conducted, and appeal rights were reviewed and developed with the Residential Supervisor. A copy of this report was left with the Residential Supervisor, Starr Williams.

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

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

visit_type: Complaint Investigation

met_with: Starr Williams, Residential Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge conducted a Case Management visit to discuss issues that came up during a recent investigation. LPA met with Residential Director Michelle Barnett. Based on review of documentation and confidential interviews during Investigator Joseph Balarie's investigation it was determined that there were inconsistencies with the time and dates of the sleep logs including some months missing all together and that the facility failed to report the incident to Community Care Licensing. LPA McCambridge issued a type B deficiency per Title Regulations for section Plan of Operations (J), section Reporting Requirements (1)(E) and An exit interview was conducted and Appeal Rights were provided. The LIC Evaluation Report and deficiency page were sent to the Residential Director.

met_with: Michelle Barnett


summary: Facility Evaluation

raw_content:
Narrative:
On 04/02/25, Licensing Program Analysts (LPA) Kimberly Hall made an unannounced visit to the facility regarding the facility closure. The purpose of the inspection was to confirm that the above address is no longer operating as a Children's Residential Facility and has no children in placement. The house is one story in a rural neighborhood with two separate structures on the property. On December 12, 2025 the facility informed the department that the facility would be closing pending the sale of the property. All clients and staff were removed. The property has been officially sold. On March 30, 2026 the facility submitted the closure letter and the facility license has been destroyed. LPA Hall knocked on the front door and inspected the property from the outside to confirm the facility's closure. The real estate lockbox was no longer present on the door. LPA Hall observed no one to be present and the property to be vacant.


facility_name: NEWPORT ACADEMY-OASIS

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
The allegations have not met the preponderance of doubt, and therefore the allegations that staff did not intervene when a youth resident was being physically assaulted by another youth and staff did not intervene when youth resident was being sexually assaulted by another youth are deemed unsubstantiated. LPA conducted an exit interview with Alvaro Zambrano, Residential Supervisor at 4:00PM whose signature confirms the receipt of this document.

Investigation Findings:
13On 11/14/2023 at 3:40PM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the licensed facility. The purpose of this visit was to deliver the findings for the listed allegations. LPA met with Alvaro Zambrano, Residential Supervisor. During the course of the investigation, LPA conducted eight confidential interviews from 6/27/2023 through 11/08/2023. LPA reviewed the childrens' files, daily logs, incident reports, and Contra Costa County Sheriff's Office report. Based on record review of the police report, there was not sufficient evidence from the law enforcement investigation to substantiate sexual or physical assault in the facility. Per confidential interviews, there were inconsistent statements regarding whether the assault occurred. Based on confidential interviews of three clients, all clients expressed that staff had done 15-minute checks during the night-time which is consistent with the facility's program statement. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN BRUNO ASC, TRAEGER AVE., SUITE FACILITY NAME: NEWPORT ACADEMY-OASISFACILITY NUMBER: VISIT DATE: 11/14/2023

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

met_with: Alvaro Zambrano


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Investigation Findings:
13On Friday, 11/15/2024 at 11: AM Licensing Program Analyst (LPA) Shikya Belfield conducted an unannounced inspection at the above facility. The purpose of this inspection is to inform the facility representatives of the findings for the above complaint allegation. LPA met with Administrator Janelle Bush and Care Coordinator Amanda Bradbury, who assisted with the inspection. Based on confidential interviews conducted and supportive documentation to include but not limit, staff schedule, client schedule, needs and services plans, and safety plans, there were inappropriate interactions between clients that made one client feel uncomfortable. When reported to staff, appropriate actions were taken to address the concerns of the client. It was also confirmed that some of these interactions were not observed by staff due to taking place in private areas away from staff view. The preponderance of the evidence has not been met for a violation of lack of supervision. Therefore this allegation Unsubstantiated. There no violations cited during this inspection. An exit interview was conducted and copy of this report was left with Administrator Janelle Bush. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Shikya Belfield 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: 90

met_with: Janelle Bush


raw_content:
Narrative:
Based on confidential interviews and record review of an internal investigation, multiple clients had alleged that C3 and C4 had sexual interactions in the living room while one staff was in the kitchen and one staff was in the staff office. Based on confidential interview, LPAs' observations, and the facility sketch, there were no walls or obstructions between the kitchen and the living room. Based on record review of staff training, staff involved with the incidents had training on client supervision. Based on the behavioral intervention plans, warning signs were indicated to identify sexualized behaviors for C4. Based on confidential interviews, multiple staff stated in seeing warning signs of boundary violations between C3 and C4 prior to the alleged sexual incident. Based on the consistency of allegations made in confidential interviews and record review, the allegation that staff did not prevent minors from engaging in inappropriate sexual interactions while in care has met the preponderance of doubt. This poses an immediate risk to the health, safety, and/or personal rights of clients in care. LPA delivered a Type A citation under 80078(a) Responsibility for Providing Care and Supervision. LPAs delivered appeal rights and conducted an exit interview with Elizabeth Jimenez, Residential Supervisor whose signature confirms the receipt of this document.

Investigation Findings:
13On 5/21/2025 at 1:20 pm, Licensing Program Analysts (LPAs) Mona Lam and Hanako Primer conducted an unannounced inspection to the licensed facility. The purpose of this inspection was to deliver the findings for the listed allegation. LPAs met with Elizabeth Jimenez, Residential Supervisors. During the course of the investigation, LPAs conducted 14 confidential interviews. LPA Lam reviewed the behavioral intervention plans, staff member training, clients' treatment plans, map of the facility, and pertinent incident reports. Based on confidential interviews and incident reports, multiple clients and staff had alleged that C4 and C7 were involved with a sexual incident at the facility. As a result of the sexual incident, C7 was transferred, while C4 remained. In addition, the facility created behavioral intervention plans for C4 and C7 to prevent the incident from reoccurring. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Joel Segura LICENSING EVALUATOR NAME: Mona Lam LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN BRUNO RO, TRAEGER AVE., SUITE FACILITY NAME: NEWPORT ACADEMY-OASISFACILITY NUMBER: VISIT DATE: 05/21/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analysts (LPAs) David Hiett and Cheyenne McCambridge conducted a Pre-licensing inspection for a Group Home license and met with the Executive Director Jennifer Dragonette. The entire home was toured, inside and out. The application is to provide residential drug and alcohol and mental health treatment for six adolescents with private and insured placement, for boys and girls ages 12 - 17 years. The home has 2 stories with smoke/carbon monoxide detectors located throughout as well as a fire suppression system with sprinklers. There are 3 fire extinguishers downstairs and 2 upstairs. Illuminated exit signs are located throughout the facility. Located on the first story are 3 offices and 3 bathrooms. A dining room and living room are located off the main entryway. The right wing of the house contains the kitchen and living room and a multipurpose room. There is a medication room with a locked door and locked storage of medications. Food is prepared offsite and brought to the facility for all meals. As a result no sharps are stored at the facility. There are two pantry areas sufficient to hold an adequate amount of dry food storage. Water temperature was measured at 110F.and the facility is aware that this must be maintained within the regulated range 105-120F The left wing of the house has 2 offices, a laundry room and access to the garage. The laundry room and associated toxics are maintained behind a locked door and is inaccessible to clients The garage has been converted to be used as a gym and recreation room. There are 2 fireplaces downstairs both covered with screens Upstairs are 3 bedrooms each with 2 beds. 2 bedrooms share a bathroom and the 3rd has a private bathroom. There are 2 offices and a classroom as well. Behind the facility is a swimming pool, tennis courts, a firepit and 2 outbuildings. The swimming pool is surrounded by a locked fence that meets CCL guidelines. The firepit currently does not have a screen or other barrier. The licensee understands that this will need to be completed prior to the issuance of a license. The two outbuildings are used as offices. Outside the garage is a whole house backup generator On the hill beside the facility are 3 water tanks, 2 for potable water and 1 for fire suppression. All required postings are present in the entryway. A fire clearance is pending. A provisional license will be issued upon receipt of the fire clearance and proof of correction for the firepit. The facility will provide photographic evidence of compliance. Photographic evidence of an installed screen around outdoor firepit was provided to LPA Hiett via email on April 26, 2021. Fire clearance was obtained and submitted via email to LPA Hiett on May 6, 2021. As of May 6, 2021 the facility has met all obligations to obtain a provisional license.

visit_type: Prelicensing

met_with: Jennifer Dragonette


summary: Facility Evaluation

raw_content:
Narrative:
At 10:45AM, Licensing Program Analyst (LPA) Madeleine Fremont traveled to the home above for the purpose of conducting an unannounced combined Required Annual and Post-Licensing Inspection. LPA met with Director Princess Garcia and Program Manager Vandenbelt, who helped facilitate this inspection. Currently in care are five ambulatory clients. During this visit, LPA Fremont toured the home inside and out. The home is located at Johnston Road in Pleasanton, California. The home has a long private driveway off Johnston Road with an automatic gate at the bottom of the drive. The entry road opens up to a large front courtyard with a circle driveway and fountain, which is non-operable and has been turned into a large planter for flowers and cacti. The home is a two story structure with 4 client bedrooms, 4 client bathrooms, several staff and therapist offices, a kitchen, nurse's station, family room, dining room, gym, and a family visit room which is also utilized as a COVID-19 isolation room when needed. LPA toured the backyard first, exiting through sliding double doors located in the kitchen/breakfast area. These doors open out to a covered patio which has a stone fire pit and outdoor kitchen area. Neither the fire pit nore the outdoor kitchen area are used by clients or staff. The fire pit is surrounded by a low stone wall and has chairs for clients to sit outside. Down a small set of stairs from the patio, there is a pool, hot tub, and a tennis court further into the backyard. The pool and hot tub are covered by a netted cover and enclosed by a fence and gate with a self-latching closure. The tennis court is also surrounded by a fence with a self-latching gate. Next to the pool, there is a sitting area with hammocks, benches, and cushioned chairs for client leisure. The pool, hot tub, and sitting area are surrounded by a retaining wall and gate, and beyond this there is a landscaped area with cacti and trees that extends to the edge of the property, and is also enclosed by an iron fence. On the far side of the sitting area, there is a self-latching gate which remains locked. Beyond this gate, there are two permitted sheds which are used as therapists offices, and beyond these are the air conditioning units and natural gas storage tanks, which are also beyond locked fences and remain inaccessible to clients. From this area, there is another gate that opens back out to the driveway, where there are two 2-car garages. The garage has been converted into a gym and art/recreation room for the clients to utilize during free time. LPA observed each client bedroom to be comfortably furnished with more than the required amount of space for each client to store personal belongings. In the hallway closet outside of the client bedrooms, LPA observed extra linens including bed sheets and towels. Through the front door of the home, there is a foyer which has a staff office, as well as a check-in station where visitors and staff can check their temperature and sign in. Also in this area, the facility license, accreditations, Medi-Cal certifications, floor plan, personal rights, grievance policy, emergency disaster plan, and all other required signage are posted on the wall above the check-in station. During this inspection, LPA Fremont reviewed 5 client files and 5 staff files. All files were complete with all required documentation. LPA inspected the nurse's station where client medications are stored, and observed a separate locked cabinet for each of the clients' medications. All psychotropic medications were accompanied by required documentation. The nurse's station is kept locked, and inaccessible to clients. First aid kits were observed in the kitchen, garage, and nurse's station. In the kitchen, LPA observed at least 2 days of perishable foods and at least 7 days of nonperishable foods. Facility menu was posted on the kitchen counter. Emergency food supply was observed in the kitchen pantry. Fire extinguishers were observed in the garage, kitchen, upstairs hallway, abnd backyard, and all were inspected and observed to be in working order. Smoke and carbon monoxide detectors were observed throughout the house, and were tested during this visit and found to be in working order. Gas and water shutoffs were located in the backyard of the house. At this time, no deficiencies were observed or cited. An exit interview was conducted, and a copy of this report was given to Program Director Princess Garcia, whose signature on this form confirms receipt. Signature on LIC809-C was not saved, but original signature on the LIC809 was recorded.

met_with: Director Princess Garcia and Program Manager Alex Vandenbelt


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Britanee Windom and Licensing Program Manager Angela King conducted a case management inspection on 04/25/23 at 11: 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 6 out of 6 youth files were reviewed. 2 out of Direct Care Staff and 6 out of 6 youth were interviewed.(See the Confidential Names List, LIC 811, April 25, 2023). The Plan of Operation including policies and procedures were reviewed. Based on the analysis of the confidential interviews and youth file review including the individualized safety plan and treatment plans, the licensee uses trauma informed and evidence based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Windom and LPM King 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 Director Priscilla Hernandez.

met_with: Director Priscilla Hernandez


summary: Facility Evaluation

raw_content:
Narrative:
On 6/27/2023 at 11:55AM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the licensed facility. The purpose of this visit was to follow up with an incident report delivered to Community Care Licensing (CCL) on 6/23/2023. LPA met with Alvaro Zambrano, Residential Supervisor. LPA conducted three interviews. LPA reviewed the incident reports. Based on record review, two clients in care engaged in consensual kissing. Per record review and confidential interviews, staff became aware of the incident the day after the incident occurred. The Residential Supervisor conducted a workshop on boundaries and the individual youth were talked to. At the time of the incident, the two youth involved were roommates. After the facility was made aware of the incident, the youth were moved to separate rooms. LPA conducted an exit interview with Alvaro Zambrano, Residential Supervisor at 1:25PM whose signature confirms the receipt of this document.


summary: Facility Evaluation

raw_content:
Narrative:
On 8/29/2024 at 10:30AM, Licensing Program Analysts (LPAs) Mona Lam and Jasmine Cardeno conducted an unannounced visit to the licensed facility. The purpose of this visit was to conduct the required annual inspection. LPAs met with Tiffany St. Jean, Residential Supervisor. During this time of the visit, there are three clients in care, that are ambulatory in the facility. There are two staffs present during the initial visit, but during transitioning of shifts, there are currently three staffs on site, not including residential supervisor. LPAs conducted a site inspection of the facility. There are four client bedrooms with two bedrooms having two beds each. LPAs observed the house to be clean, tidy, and in good repair. LPAs observed two mouse traps in the kitchen. One is located on the floor, while the other one is located on the kitchen counter in a corner. Menu is posted on refrigerator door. Hot water temperature was 116.2 degrees Fahrenheit. The temperature inside the freezer is 0 degrees Fahrenheit. The temperature inside the refrigerator is 48 degrees Fahrenheit. Based on observation of the fridge thermometer and documentation of refrigerator's temperature, the licensee did not ensure that the internal temperature is less than 45 degrees Fahrenheit, which poses/posed a potential health, safety or personal rights risk to persons in care. LPAs delivered a Type B citation for California Code of Regulations, Title 22, 84076(c)(3) Food Service (Refer to LIC809-D). LPAs observed there to be a sufficient amount of fresh and non-perishable foods. LPAs observed fresh linens stored in storage closet. LPAs observed multiple fire and carbon monoxide detectors. LPAs also observed the posted license and children's rights. LPAs observed that medication, dangerous objects, and cleaning supplies are all kept locked in garage storage and underneath the kitchen sink. Two fireplaces were indicated in the facility, but were covered and not in use. LPAs toured the backyard, exiting through sliding double doors located in the kitchen/breakfast area. A pool is located in the backyard, where it is fenced off and is inaccessible to clients. LPAs reviewed the emergency disaster preparedness binder in addition to medication information and storage. LPAs observed five client files during the time, and Fausto Aramburo assisted during the inspection. During the review of the client files, client files did not indicate name, address and telephone number of dentist. LPAs delivered a Technical Violation for 80070(b)(7). During the review of client files, one client's file did not have receipts of purchases supporting the transactions in addition to having a documented signature per transaction. LPAs delivered a Technical Violation for 80026(h)(1)(A). LPAs conducted three confidential staff interviews and three confidential client interviews. Further record review is necessary in order to finish the annual inspection in addition to physical plant. LPA will return to finish conducting the inspection. During the time of the visit, one deficiency was cited and two technical violations were delivered. LPAs conducted an exit interview and delivered appeal rights page to Tiffany St. Jean, Residential Supervisor, at 6: PM whose signature confirms the receipt of this document.


summary: Facility Evaluation

raw_content:
Narrative:
On 09/04/24 at 10: AM, Licensing Program Analysts (LPAs) Mona Lam and Jonathan Medina conducted a visit to the licensed facility. The purpose of this visit was to conduct a case management continual annual inspection. There are three clients and four staff members during the time of the visit. LPAs met with Administrator Alvaro Zambrano and Residential Supervisor Tiffany St. Jean who helped with the inspection. LPAs conducted a walkthrough of the physical plant. LPA Medina checked the water valves outside. During the visit, the temperature of the facility is 73 degrees Fahrenheit upstairs. The temperature downstairs ranged from 68 to 72 degrees Fahrenheit. There is sufficient perishables and non-perishables food present in the facility. During the visit, LPAs inspected five staff files. Based on the review of staff files, there was no physical training documentation provided upon: prudent parent standard, job shadowing, within 7 calendar days of completion of the 8 hour training, recognition of early signs of illness, and storage and preservation of medications (including the storage of medications that requires refrigeration). Six (6) technical violations were delivered in accordance to the deficiency. The technical violations include: 84065(b)(1)(A), 84065(i)(1)(C)(4), 84065(i)(1)(D), 84065(i)(3)(M), 84065(i)(5), and 1565(a)(7)(E). During the time of the visit, LPAs had observed the training hours of the five staff members. Based on LPAs' observations of training hours and interview with administrator, the child care staffs did not complete a minimum of 20 hours of annual training. LPAs delivered a Type B citation for California Code of Regulations, Title 22, 84065(j)(1) Personnel Requirements (Refer to LIC809-D). One deficiency was cited during the time of the visit. LPA conducted an exit interview with an appeals rights page to Administrator Alvaro Zambrano. Administrator's signature confirms the receipt of this document.


summary: Facility Evaluation

raw_content:
Narrative:
On 02/25/2025 at 11: AM, Licensing Program Analyst (LPA) Mona Lam conducted an unannounced inspection to the licensed facility. The purpose of this inspection was to follow up with an incident report delivered to Community Care Licensing (CCL) on 02/18/2025. LPA met with Elizabeth Jimenez, Residential Supervisor. LPA conducted one interview. During the inspection, LPA requested the following: Behavior intervention plans, incident reports, nightly supervision logs, parent's contact information, staff training, staff schedule of March 2025, and staff contact information. LPA may return to the facility on a later date after thorough file review and interviews. An exit interview was conducted and a copy of this report was left with Elizabeth Jimenez, Residential Supervisor prior to leaving the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On May 21st 2025 at 1:20PM, Licensing Program Analysts (LPAs) Mona Lam and Hanako Primer conducted an unannounced inspection to the licensed facility. The purpose of this inspection was to conduct the required two year annual inspection. LPAs met with Elizabeth Jimenez, Residential Supervisor. During this time of the inspection, there are five clients in care, that are ambulatory in the facility. LPAs conducted a physical plant inspection of the facility. LPAs inspected three client bedrooms, and observed private storage space for clients, clean linens, and non-slip rugs. LPAs inspected facility kitchen, and observed one week's worth of non-perishable and two days worth of perishable foods. LPAs observed posted personal rights, license, food menu, activity plan, emergency disaster plan, and grievance procedures. Hazardous items and poisonous materials were inaccessible to clients. LPAs inspected facility storage areas, laundry room, and backyard. LPA Primer measured facility water temperature, which was 109.4 degrees Fahrenheit. LPAs observed working carbon monoxide detectors. Disaster and mass casualty plan and facility's emergency binder were inspected. LPAs observed facility was conducting quarterly fire drills but no other types of emergency scenarios. LPAs issued one Type B violation under Health and Safety Code 1565(c) Other Provisions. LPAs observed that documentation of disaster plans were dated but not signed by an administrator or licensee. LPAs issued one Technical Violation under Health and Safety code 1565(d) Other Provisions. LPAs contacted Fausto Aramburo, compliance specialist, to develop plan of corrections. See LIC 809-D and LIC 9102. LPAs conducted an exit interview and delivered this report, LIC809-D, and LIC9102 to Elizabeth Jimenez, Residential Supervisor, whose signature confirms the receipt of this document.

met_with: Elizabeth Jimenez - Residential Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On May 28th at 10:09AM, Licensing Program Analsts Hanako Primer and Mona Lam conducted an unannounced inspection to the above licensed facility. The purpose of the inspection was to continue the required two year annual inspection. LPAs met with Malaysia Broughton, Care Coordinator, Elizabeth Jimenez, Residential Supervisor, and Emily Mares, Residential Supervisor. During this time of the inspection, there are four (4) clients in care, that are ambulatory in the facility. No residential supervisor was present at the facility when LPAs arrived. LPAs issued one technical violation under 84065(d) Personnel Requirements. See attached LIC 9102. Emily Mares, Residential Supervisor, arrived at 11:09AM. LPAs inspected client register, fire clearance, LIC500, client school attendance records, and five (5) staff records. LPAs inspected facility records of previous licensing reports. Compliance Specialist, Fausto Aramburo, stated that he currently only had access to reports after his start date, but Crystal Goodwin, Compliance Manager, would have access but was currently on leave. LPAs issued one technical violation under Health and Safety Code 1538.5(a)(3). See attached LIC 9102. Facility did not notify the department within 10 days of a change in administrator. LPAs issued one technical violation under 84061(e) Reporting Requirements. LPA Primer conducted two (2) confidential staff interviews and two (2) confidential client interviews. LPAs conducted an exit interview and delivered this report and LIC9102s to Elizabeth Jimenez, Residential Supervisor, whose signature confirms the receipt of this document.


summary: Facility Evaluation

raw_content:
Narrative:
On May 30, 2025 at 11: AM, Licensing Program Analyst (LPA) Mona Lam conducted an unannounced inspection to the above licensed facility. The purpose of the inspection was to continue the required two year annual inspection. LPA met with Elizabeth Jimenez, Residential Supervisor. During this time of the inspection, there are five (5) clients in care, that are ambulatory in the facility. LPA inspected five client files at the time of the inspection. During the inspection, LPA was unable to observe clients' dental information/dental history. LPA issued a technical violation under 80070(b)(7) Client Records. LPA observed two (2) clients admission agreements that are not signed or documented if clients refused to sign. Facility corrected in getting clients' signatures. LPA issued a technical violation under 80070(b)(6) Client Records. At the time of the inspection, LPA have not finished inspecting client files. LPA will continue annual inspection at a later date. Fausto Aramburo informed LPA that Alvaro Zambrano (Administrator for Newport Arena and Newport Happy Valley) will be stepping from their role after Friday, June 6, 2025. LPA conducted an exit interview and delivered this report and technical violations to Elizabeth Jimenez, Residential Supervisor, and Fausto Aramburo, Compliance Specialist whose signature confirms the receipt of this document.


summary: Facility Evaluation

raw_content:
Narrative:
On June 5, 2025 at 10:57AM, Licensing Program Analyst (LPA) Mona Lam conducted an unannounced inspection to the above licensed facility. The purpose of the inspection was to continue the required two year annual inspection. LPA met with Fausto Aramburo, Compliance Specialist, Katie Nunn, Counselor, Elizabeth Jimenez, Residential Supervisor. During this time of the inspection, there are zero clients on site due to being out on an outing. LPA inspected five client files at the time of the inspection. During the inspection, LPA was unable to observe bedroom compatibility for clients in care. LPA issued a Type B deficiency under 84087(e) Buildings and Grounds. (See LIC 809-D) LPA inspected emergency intervention plan training. LPA did not identify any deficiencies. At the time of the inspection, LPA have not finished inspecting staff files. LPA will continue annual inspection at a later date. LPA conducted an exit interview and delivered this report, deficiency, and appeals rights to Elizabeth Jimenez, Residential Supervisor, and Fausto Aramburo, Compliance Specialist whose signature confirms the receipt of this document.


summary: Facility Evaluation

raw_content:
Narrative:
On June 09, 2025 at 10:00AM, Licensing Program Analysts (LPAs) Mona Lam and Hanako Primer conducted an unannounced inspection to the above licensed facility. The purpose of the inspection was to continue the required two year annual inspection. LPA met with Elizabeth Jimenez, Residential Supervisor, Fausto Aramburo, Compliance Specialist, and Carlos Alvarado, Residential Supervisor. During this time of the inspection, there are six clients on site. LPA inspected five staff files, including training records and first aid/CPR certificates. LPA observed five staff did not receive training on client sexual health (Personnel Requirements 84065(1)(3)(Y) and 84065(i)(3)(Z)). Compliance Specialist stated a training will be implemented in the upcoming months. LPA inspected training outline, which was compliant. One Technical Violation was issued under 84065(i)(3) Personnel Requirements. LPAs inspected staff water safety certificates. One out out of five staff members did not have a water safety certificate. S5 initially did not have a water safety certificate, but completed the training during the inspection. One Type B Violation was issued under 80065(e)(2) Personnel Requirements. LPAs inspected job shadowing records. Two out of five staff files did not contain job shadowing records. Compliance Specialist stated that due to these staff members being hired under different Human Resources Manager, the facility currently did not have access to the records. One Technical Violation was issued under 84065(i)(1)(c)(4) Personnel Requirements. Continued on LIC809-C. LPA conducted an exit interview and delivered this report, deficiency, and appeal rights to Elizabeth Jimenez, Residential Supervisor, and Fausto Aramburo, Compliance Specialist whose signature confirms the receipt of this document.


summary: Facility Evaluation

raw_content:
Narrative:
On 08/29/2024 at 10: AM, Licensing Program Analyst (LPA) Mona Lam and LPA Jasmine Cardeno made an unannounced visit to Newport Academy-Oasis. The purpose of the inspection was to conduct an Annual/Required Inspection. LPAs met with Residential Supervisor, Tiffany St. Jean, who facilitated the inspection. During a walk-through tour of the facility for the Annual Inspection, at 11: AM, LPAs did a walk-through of the kitchen area, assisted by Residential Supervisor, Tiffany St. Jean. LPAs observed one mouse trap that was placed on the floor of the kitchen and one mouse trap placed in the corner on the surface of the kitchen counter. The two mice traps in the kitchen are snap traps that snap to close. At 4: PM, LPAs had a discussion with Residential Supervisor, Tiffany St. Jean, about removing the two mice traps in the kitchen and for the facility to find other alternative solutions for the mouse traps instead of the snap traps. At this time,1 deficiency is cited, regarding the discussions above. The facility is being cited for California Code of Regulations (CCR) 80087(a) Buildings and Grounds. Refer to LIC 809-D. An exit interview was conducted and a copy of this report and Appeal Rights were given to Residential Supervisor, Tiffany St. Jean, whose signature on this form confirms receipt.


facility_name: NEWPORT ACADEMY-REDWOOD

raw_content:
Narrative:
The following is a discussion of the allegations listed on the LIC 9099 in order: Although there were indications of sexual activity between clients C1 and C2, Inv Martinez was unable to determine if there was any lack of supervision on the part of the staff that allowed it to occur. LPA Bertoli was unable to determine if C1 was given medication without authorization, as consent forms were signed and there was no documentation of any other restrictions. C1 was discharged to parents, which is allowable under emergency circumstances without advanced notice. All 5 clients interviewed acknowledged that the facility discouraged phone use during the first 72 hours on the program, but they stated that they were allowed to use the facility phone. C1 made and received calls at the facility per her parent. Staff had discussion with youth that parent may want them to go to another facility, but there was no indication that staff misled youth. C1's parent indicated that she had sent a message to the youth the night before the discharge occurred and she didn't think she ever got it. There is a lack of evidence to make a determination as to whether a regulatory violation did occur. This department has investigated the allegations, and although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the above occurred; therefore, the above allegations are Unsubstantiated. Appeal Rights were provided and discussed, and no deficiencies were cited. An exit interview was conducted with Laurel Chace and a copy of the report was sent to the facility.

Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Brian Bertoli met with Administrator Laurel Chace regarding a complaint investigation at the Group Home. The purpose of the inspection was to deliver the findings for the above allegations. Due to circumstances related to COVID-19, the visit was conducted by Teams online. This investigation was conducted jointly by Investigator Jorge Martinez, who investigated the first allegation, and LPA Bertoli, who handled the remainder of the allegations. During the course of the investigation, LPA Bertoli and Inv. Martinez interviewed clients, staff, a parent, and reviewed documentation and reports. The parent of the youth who was the alleged victim (see LIC 811 dated 5/13/22) had indicated that they would provide emails, pictures, and text messages to corroborate the occurrence of the incidents, but none was provided despite multiple requests. Neither Inv Martinez or LPA Bertoli were able to interview either C1 or C2. (continued on LIC 9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Brian Bertoli 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 21-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, NEOTOMAS AVENUE, STE. FACILITY NAME: NEWPORT ACADEMY-REDWOODFACILITY NUMBER: VISIT DATE: 05/13/2022

met_with: Laurel Chace


raw_content:
Narrative:
There is a lack of evidence to make a determination as to whether a regulatory violation did occur. This department has investigated the allegations, and although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the above occurred; therefore, the above allegations are Unsubstantiated. Appeal Rights were provided and discussed, and no deficiencies were cited. An exit interview was conducted with Laurel Chace and a copy of the report was sent to the facility.

Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Residential Director Michelle Barnett regarding a complaint investigation at the Group Home. The purpose of the inspection was to deliver the findings for the above allegation. The investigation was conducted by CCIB Investigator Joseph Balarie, who investigated the first allegation, and LPA McCambridge, who handled the second allegation. During the course of the investigation, LPA Bertoli and Inv. Balarie interviewed clients, staff, a Marin County Sheriff Detective, and reviewed documentation and reports. During confidential interviews it was determined that staff conduct regular checks throughout the night and the incident occurred during the time where night checks were not required. (continued on LIC 9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Cheyenne McCambridge 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 21-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SANTA ROSA RO, NEOTOMAS AVENUE, STE. FACILITY NAME: NEWPORT ACADEMY-REDWOODFACILITY NUMBER: VISIT DATE: 05/26/2023


raw_content:
Narrative:
There was a change of leadership in March 2023, which one of the interviewees relayed has fixed the issue of not updating the schedule. Eight of eight individuals interviewed stated that there was at least one staff on site at all times. Per the facility's program statement, the facility protocol is to have one to two staff present at all times. Based on the confidential interviews and record review, the facility did have compliant staffing ratios. Per LPA's record review, the staff schedule was incomplete; however, interviewees stated that other staff had filled in on those days. The allegation that facility does not have adequate staffing may or may not be true. The allegation has not met the preponderance of doubt, and is therefore unsubstantiated. LPA conducted an exit interview with Nina Singh, Administrator at 1:34PM whose signature confirms the receipt of this document.

Investigation Findings:
13On 6/20/2023 at 12:14PM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the licensed facility. The purpose of this investigation was to conduct interviews and deliver the findings for the listed allegation. LPA met with Michelle Barnett, Program Director. LPA Cheyenne McCambridge initially informed the facility of the allegation on 4/19/2023. During the visit on 6/20/2023, LPA Hood conducted seven confidential interviews. LPA Hood conducted one interview regarding the investigation prior to the visit. LPA Hood also conducted a record review of the February 2023 to May 2023 staff schedule, facility program statement, and incident reports. Based on record review of the staff schedule, the schedule was incomplete for multiple days in February 2023 and early March 2023. Based on interview, two people interviewed stated that the schedule was not updated but that staff was called in to assist. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood 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 21-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: NEWPORT ACADEMY-REDWOODFACILITY NUMBER: VISIT DATE: 06/20/2023

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


raw_content:
Narrative:
There was a change of leadership in March 2023, which one of the interviewees relayed has fixed the issue of not updating the schedule. Eight of eight individuals interviewed stated that there were times that the facility had one staff member on shift. Of the eight interviews, four specified that this occurred during both day and night shifts. Per the facility's program statement, "There is at least two (2) awake staff or contractors in the facility at all times. There is always (2) Care Managers on at all times." Per LPA's record review, the staff schedule was incomplete; however, interviewees stated that other staff had filled in on those days. Based on the confidential interviews and record review, the facility did not comply with the staffing requirements listed in their program statement by having less than two staff present in the facility at all times. This poses an immediate health, safety, and/or personal rights risk to children in care. The allegation that facility does not have adequate staffing has met the preponderance of doubt, and is therefore substantiated. LPA delivered a Type A citation for California Title Code of Regulations, 80022(k) (see LIC809D). LPA conducted an exit interview and provided appeal rights to Michelle Barnett, Program Statement at 12:46PM whose signature confirms the receipt of this document.

Investigation Findings:
13On 7/12/2023 at 12:40PM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the licensed facility. The purpose of this investigation was to conduct interviews and deliver the findings for the listed allegation. LPA met with Michelle Barnett, Program Director. Program Director is currently acting as substitute administrator due to administrator departing from facility on 7/7/2023. LPA Cheyenne McCambridge initially informed the facility of the allegation on 4/19/2023. LPA conducted seven confidential interviews. LPA Hood also conducted a record review of the February 2023 to May 2023 staff schedule, facility program statement, and incident reports. Based on record review of the staff schedule, the schedule was incomplete for multiple days in February 2023 and early March 2023. Based on interview, two people interviewed stated that the schedule was not updated but that staff was called in to assist. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood 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 21-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: NEWPORT ACADEMY-REDWOODFACILITY NUMBER: VISIT DATE: 07/12/2023

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


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Residential Supervisor Diego Chavez regarding a complaint investigation at the Group Home. The purpose of the inspection was to deliver the findings for the above allegation. During the course of the investigation LPA McCambridge conducted six confidential interviews, conducted record reviews, and reviewed documentation. Based on interviews, record reviews, and documentation the facility has all required staff working at the facility and has followed proper intake prodocols. This department has investigated the allegations, and although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the above occurred; therefore, the above allegations are Unsubstantiated. Appeal Rights were discussed, and no deficiencies were cited. An exit interview was conducted with Laurel Chace and a copy of the report was sent to the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Cheyenne McCambridge 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

met_with: Diego Chavez


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13This is an amended report due to LPA including information in the 9099 that did not pertain to this complaint. On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Administrator Kimeeco Epps regarding a complaint investigation at the Group Home. The purpose of the inspection was to deliver the findings for the above allegation. During the course of the investigation LPA McCambridge conducted seven confidential interviews, conducted record reviews, and reviewed documentation. During confidential interviews and documetntion it was determined that the above allegations did happen. This poses an immediate health, safety, and/or personal rights risk to children in care. Based on the information obtained there is a preponderance of the evidence to prove the above allegations and is therefore substantiated. LPA delivered a Type A citation for California Title Code of Regulations, 84072(d)(11) (see LIC809D). Appeal Rights were discussed. An exit interview was conducted with Kimeeco Epps and a copy of the report was sent to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Cheyenne McCambridge 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 21-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SANTA ROSA RO, NEOTOMAS AVENUE, STE. FACILITY NAME: NEWPORT ACADEMY-REDWOODFACILITY NUMBER: 216890001

met_with: Kimeeco Epps


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with compliance manager Crystal Goodwin regarding a complaint investigation at the Group Home. The purpose of the inspection was to deliver the findings for the above allegation. The investigation was conducted by CCIB Investigator Juan Barajas. During the course of the investigation, the Investigator reviewed records and interviewed youth and staff. It was during these confidential interviews that it was confirmed that there had been inappropriate sexual contact between clients. Based on the information obtained, there is a preponderance of the evidence to prove that minors had engaged in inappropriate sexual activities while in care. Therefore, the above allegation is substantiated. Appeal Rights were provided and discussed, and Title 22 deficiencies were cited. An exit interview was conducted, and a copy of the report was left at the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Cheyenne McCambridge 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 21-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SANTA ROSA RO, NEOTOMAS AVENUE, STE. FACILITY NAME: NEWPORT ACADEMY-REDWOODFACILITY NUMBER: 216890001

met_with: Crystal Goodwin


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Administrator Laurel Chase and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There is no bodies of water or firearms on the property. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps, medications, toxins, and cleaning solutions are locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. Required documents are posted. Staff and client files were reviewed and are current and complete with required documents. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. There are currently 6 youth in placement at this location. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility. client interviews were unable to be done due to clients being in sessions.

met_with: Laurel Chase


summary: Facility Evaluation

raw_content:
Narrative:
On 5.26.2023 at 11: AM, Licensing Program Analyst (LPA) Alyssa Ng made an unannounced inspection to conduct an annual required inspection. LPA met with Nina Singh, Administrator. Facility has census of five clients. Safety precautions were used such as temperature reading, sanitizing of the hands, mask wearing, and social distancing. The CARE Inspection Tool was used to conduct the inspection. The facility and grounds are clean, tidy, and free of obstructions. There is a total of three buildings on the property. One building is being used a classroom/gym. The second building is used for the staff office and medication. The third and final building is used as the for client bedrooms and the milieu. The third building is two stories. There are no hazards on the premises and no firearms, per Administrator. There were three client bedrooms. All bedrooms are double occupancy, and beds have clean linens and mattress pads. There is enough storage for residents' personal belongings. Food is of good quality, within date, and stored properly. First aid kit was observed to be complete. Room temperature was 68 degrees and was maintained at a comfortable temperature within permitted range. Water temperature measured at 116.8 which is in the permitted range. LPA conducted two staff interviews. LPA was unable to interview clients due to clients leaving for their planned activity. At 12: PM, LPA Ng toured the backyard. No open bodies or water or hazards were present. The backyard has a basketball hoop and a fireplace with chairs around it. All client records complete with all of the required documentation. Each client and staff has their own separate binder of all required documents. LPA was unable to review 3 staff files due to Administrator unable to access files. LPA will come back at a later time to review additional staff documents. Administrator informed LPA that Laurel was no longer the acting Administrator. LPA will let assigned LPA know to make the changes and get the necessary documents. At this time, no citation were given. An exit interview was conducted, and a copy of this report was left with Administrator Nina Singh, whose signature on this form confirms receipt.

met_with: Nina Singh


summary: Facility Evaluation

raw_content:
Narrative:
On 8/21/23 at 10: AM, Licensing Program Analyst (LPA) Alyssa Ng made an unannounced inspection to finish the annual required inspection. LPA met with Kimeeco Epps, Care Coordinator. LPA conducted a walk through of the facility and saw no hazards and no open bodies of water. All staff files and other documents are in a centralized binder. Staff training hours meet the minimum requirements, A review of Guardian Background Check System indicate that all facility staff have DOJ, FBI and child abuse index check clearances (CAIC). LPA Ng conducted 3 client interviews as all clients who are present at the facility for more than 30 days. Staff interviews were conducted on the last visit which was on 5/26/23. One technical violation was given and a copy of this report has been left with Kimeeco Epps, Care Coordinator.


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Clinical Director Rachel Turner and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There is no bodies of water or firearms on the property. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps, medications, toxins, and cleaning solutions are locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. Required documents are posted. Staff and client files were reviewed and are current and complete with required documents. The group home is licensed to serve six clients ages 12-17. The home operates within the capacity and limitations of the license. There are currently 5 youth in placement at this location. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.

met_with: Rachel Turner


summary: Facility Evaluation

raw_content:
Narrative:
On October 31, 2025, at 1:00pm, Licensing Program Analysts (LPAs) Brian Bertoli and Kimberly Hall conducted an unannounced case management inspection. The purpose of the inspection was to confirm that the above address is no longer operating as a Children's Residential Facility and has no children in placement. The house is a two-story home in a rural neighborhood with several separate structures on the property. Documents received indicate that in December of 2024, the facility sold their property. During the inspection it was confirmed that the above address is no longer a residential facility. Newport Academy-Redwood is officially closed, and its license has been forfeited.

met_with: Caretaker


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge conducted a Case Management visit to discuss issues that came up during a recent investigation. LPA met with Residential Director Michelle Barnett. Based on review of documentation and confidential interviews during Investigator Joseph Balarie's investigation it was determined that there were inconsistencies with the time and dates of the sleep logs including some months missing all together and that the facility failed to report the incident to Community Care Licensing. LPA McCambridge issued a type B deficiency per Title Regulations for section Plan of Operations (J) and section Reporting Requirements (1)(E). An exit interview was conducted and Appeal Rights were provided. The LIC Evaluation Report and deficiency page were sent to the Residential Director.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge conducted a Case Management visit to discuss issues that came up during a recent investigation. LPA met with complaint manager Crystal Goodwin. Based on review of documentation and confidential interviews during Investigator Joseph Balarie's investigation it was determined that clients were provided with little to no activities, facility failed to report administrator changes to community care licensing within 10 days, and bullying occurred on multiple occasions between clients. LPA McCambridge issued two type B deficiencies per Title Regulations for sections 84064(b)(2) Administration Qualification and Duties and 84072(d)(22) Personal rights. LPA also issued a type A deficiency per Title 22 regulations for section 84072(d)(1) Personal Rights. An exit interview was conducted and Appeal Rights were provided. The LIC Evaluation Report and deficiency page were left with Crystal Goodwin.


facility_name: NEWPORT ACADEMY-RIDGEVIEW

summary: Facility Evaluation

raw_content:
Narrative:
On September 28, 2022 at 1:42pm, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual/Random inspection of the facility. The facility was inspected inside and out with Program Manager Ellen Asquith. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in the kitchen sink was measured at 119.1 degrees, which is within regulatory requirements. All hazardous items have been properly made inaccessible. The medications were stored and locked in a medication room in the hallway. Cleansers/chemicals are locked and stored in a locked staff office. Sharp knives are inaccessible and stored in a locked staff office. The First Aid Kit is located in the medication room and contained all required supplies. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There are no guns or weapons in the facility as stated by Program Manager Ellen Asquith. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures, Personal Rights, Visitation policies, Emergency Disaster Plan and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. There is a swimming pool located in the backyard of the facility which is made inaccessible with a pool cover. Emergency exits were free from obstruction. Due to time constraints and the need to complete client/staff interviews, and client/staff file reviews, this inspection will need to be continued at a later date. LPA discussed and reviewed the following inspection components; Operational Requirements, Emergency Disaster Preparedness, and the Emergency Intervention Plan. Cont. on 809-C Based on the facility inspection, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Program Manager Ellen Asquith. Due to printer malfunction, this report will be emailed to Program Manager Ellen Asquith.

met_with: Ellen Asquith


summary: Facility Evaluation

raw_content:
Narrative:
On September 29, 2022 at 10:13am, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual Continuation inspection of the Annual/Random inspection that began on 09/28/2022. LPA met with Program Manager Ellen Asquith, Director of Residential Services Amanda Seymour, and Human Resources Manager Wendy Cabrera. During the inspection, LPA reviewed nine staff files and five client files. A sample of five client files were reviewed during the inspection. All client files had the required documents per Title Regulations. All client files are maintained on a secured internet database. All the staff records are accessible electronically via a secured records portal. LPA reviewed 9 of 9 staff files. All the staff have met the training and qualification requirements per regulation requirements. Per a review of the Community Care Licensing Information System (LIS), all staff met DOJ/FBI criminal record clearances and Child Abuse Index Check requirements. Due to time constraints and the need to complete client/staff interviews, this inspection will need to be continued at a later date Based on the facility inspection, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Director Amanda Seymour. Due to printer malfunction, this report will be emailed to Director Amanda Seymour.

met_with: Ellen Asquith, Amanda Seymour


summary: Facility Evaluation

raw_content:
Narrative:
On October 4, 2022 at 12:25pm, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual Continuation inspection of the Annual/Random inspection that began on 09/28/2022. LPA met with Program Manager Ellen Asquith. During the inspection, LPA conducted interviews with three facility staff and one client. Four clients declined to be interviewed. Based on the facility inspection, and interviews conducted, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Program Manager Ellen Asquith. Due to printer malfunction, this report will be emailed to Program Manager Ellen Asquith.


summary: Facility Evaluation

raw_content:
Narrative:
On March 17, 2025, at 9: AM, Licensing Program Analyst (LPA) Stefanie Mutialu met with Compliance Specialist (CS), Whitney Rodgers and Residential Director, Amanda Seymour (AS). The Facility is licensed to serve six (6) ambulatory children ages 12-17 years old. The current census is five (5) children. The facility is three-bedroom, five-bathroom, one-story home. A physical plant inspection was completed with CS and included the following checks: three client bedrooms, four client bathrooms, two staff bathrooms, kitchen, living room, dining area, staff office, therapy office, care coordinator office, associate clinical director's office, program manager's office, family therapy room, two clinical offices, storage office, laundry area, and recreation room/garage. LPA observed the interior of the facility is in the process of being painted. Per CS painting only takes place while clients are away at school. All required forms are posted including Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster, the Emergency Disaster Plan was also posted. Clients' medications were observed to be inaccessible and stored in medication room. Facility grounds are clean and free of debris. There is adequate indoor and outdoor activity space. All facility fire extinguishers are properly charged and serviced on 03/07/2025. Fire clearance inspection was completed on 02/05/2025 and LPA received a copy of the approved Fire Clearance to place in facility file. Licensee maintains an adequate supply of perishable and non-perishable foods to prepare the items on the posted menu. LPA observed a minimum seven-day non-perishable and two-day perishable supply of food. ***Continued on Page 2*** Individual beds were observed with clean linens, pillows, comforters, and mattress in good repair. Two bedrooms contain two twin beds. One bedroom contains one twin bed and one full size bed The facility has two client bathrooms. The water temperature was tested in one bathroom with a measure of 114.3 degrees Fahrenheit the appropriate range of 105 degrees to 120 degrees Fahrenheit. All client files are stored and maintained on a secure internet database. LPA reviewed five client files to ensure clients had all required documents per Title 22. LPA reviewed five client medication records. LPA conducted two staff interviews and two client interviews. Due to time constraints LPA will return on another day to review staff files. No deficiencies cited. Per facility staff, no firearms or weapons are allowed in the facility. The licensing fee payments are current. An exit interview was conducted, and a copy of this report and appeal rights were discussed and provided to Monica Garcia. A copy of this report will be placed in the facility file.

met_with: Compliance Director, Whitney Rodgers


summary: Facility Evaluation

raw_content:
Narrative:
On March 27, 2025, at 3: PM, Licensing Program Analyst (LPA), Stefanie Mutialu continued the unannounced annual inspection, which was started on March 19 ,2025. LPA met with Program Manager , Monica Garcia. LPA reviewed five staff (S1-S5) records. No deficiencies cited. An exit interview was conducted, and a copy of this report and appeal rights were discussed and provided to Monica Garcia. A copy of this report will be placed in the facility file. *Due to technical difficulties LPA returned the next day for signature.

met_with: Program Manager, Monica Garcia


summary: Facility Evaluation

raw_content:
Narrative:
On April 2, 2026, at 9: AM, Licensing Program Analyst (LPA) Gilbert Marquez arrived unannounced at the facility to conduct an annual inspection. The facility was inspected inside and out with Amanda Seymour, Executive Director. Facility is licensed to serve six ambulatory clients, age groups 7-12 or 12-17 years of age. The facility is current with their licensing fees. The census was zero clients at the time of the inspection. The facility is a three-bedroom, five-bathroom, one-story home. A physical plant inspection included the following checks: kitchen, living room, dining area, two therapy offices, five staff offices, nursing station, and gym and laundry area converted from car garage. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. All the required linens were on every bed. The three bedrooms and five bathrooms are arranged the following way: Bedroom #1 will sleep two clients, and has two twin beds, drawer space, and closet. Bedroom #2 will sleep two clients and has two twin beds, drawer space, and closet. Bedroom #3 will sleep two clients and has two twin beds, drawer space, and closet. Bathroom #1 is connected with bedroom #1 and #2, and has a toilet, sink, and shower. Bathroom #2 is connected with bedroom #3, and has a toilet, sink, and shower. **Continued on LIC809C** **Continued from LIC809** Bathroom #3 is located in the hallway and is used by clients, and has a toilet, and a sink. Bathroom #4 is connected to the therapy office and has a toilet, sink, shower and non-functional tub. Bathroom #5 is connected to the nursing station, and has a toilet, sink, and shower. The hot water measured in bathroom #1 and bathroom #2 at 112.3 degrees Fahrenheit, which is in the regulatory range of 105 degrees to 120 degrees Fahrenheit. All hazardous items have been properly made inaccessible to clients. The medications are to be stored and locked in a cabinet in the locked medication room in the hallway. Cleansers and chemicals are locked and stored in two places, one in the kitchen and one in the hallway supply closet. Sharp knives are inaccessible and stored in a locked staff office. The First Aid Kit is located in the medication room and contains all required supplies. There are no guns or weapons in the facility as stated by Amanda Seymour. The facility's smoke and carbon monoxide detectors in the hallways and bedrooms were checked and were operable. The facility has several fire extinguishers on campus and were all maintained by Cintas company. The Health and Safety binder included fire drills and disaster drills completed last year and meets standards. The Emergency Disaster plan was reviewed this year by Amanda Seymour. There was a sample menu posted in the kitchen. The facility had an adequate supply of perishable and non-perishable foods to prepare the items on the posted menu. LPA observed a minimum seven-day non-perishable and two-day perishable supply of food. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures, Personal Rights, and Emergency Disaster Plan. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. There is a gym with weights and a pool table in the converted garage. There is a pool located in the backyard that is enclosed by a 5-foot fence that has a self-locking mechanism and meets Title 22 regulations. LPA interviewed one staff and there are no clients in care. Based on the facility inspection, interview, and file reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained and given to Amanda Seymour, Executive Director.

met_with: Amanda Seymour, Executive Director


facility_name: NEWPORT ACADEMY-ROGERS

raw_content:
Narrative:
Confidential interviews revealed that staff offered verbal interventions to C1. Confidential interviews also revealed that clients hide self-harming from staff which does not allow staff opportunity to intervene. Based on confidential interviews, and records reviewed, the allegation that staff did not follow emergency intervention plan to prevent minor from self-harming, may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report, along with the appeal rights were explained and provided to Program Manager Claudia Jaimes.

Investigation Findings:
13On June 2, 2022, at 12:17pm, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced to the facility and met with Program Manager Claudia Jaimes of Newport Academy-Rogers to discuss the investigative finding for the allegation noted above. LPA conducted an inspection with the facility on November 22, 2021, at 3:11pm. No deficiencies were noted. During the investigation, LPA interviewed one Group Home staff (S1), and four clients (C1, C2, C5, C6). LPA also reviewed one Serious Incident Report (SIR) dated 10/03/2021, and the facility's Program Statement. On November 19, 2021, the Department received an allegation that staff did not follow emergency intervention plan to prevent minor from self-harming. It was reported that while residing at the facility, C1 would self-harm more than before while at home. It was also reported that staff would try and use verbal interventions to address the self-harming due to the facility having a "hands off" policy. Confidential interviews revealed that facility staff protocol is to offer coping skills and verbal interventions to address clients self-harming. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Adrian Mendez 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 22-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, THE CITY DR., SUITE FACILITY NAME: NEWPORT ACADEMY-ROGERSFACILITY NUMBER: VISIT DATE: 06/02/2022

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

met_with: Claudia Jaimes


summary: Facility Evaluation

raw_content:
Narrative:
On October 6, 2022 at 10:40am, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual/Random inspection of the facility. The facility was inspected inside and out with Residential Supervisors Diana Mendoza, and Amy Bautista, and Director Amanda Seymour. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water one of the client bathrooms was measured at 116.7 degrees, which is within regulatory requirements. All hazardous items have been properly made inaccessible. The medications were stored and locked in a medication room in the hallway. Cleansers/chemicals are locked and stored in a locked supply closet. Sharp knives are inaccessible and stored in a locked drawer in the kitchen. The First Aid Kit is located in the medication room and contained all required supplies. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There are no guns or weapons in the facility as stated by Residential Supervisor Diana Mendoza. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures, Personal Rights, Visitation policies, Emergency Disaster Plan and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. There are no pools or bodies of water located on the facility grounds. Emergency exits were free from obstruction. Due to time constraints and the need to complete client/staff interviews, and staff file reviews, this inspection will need to be continued at a later date. LPA discussed and reviewed the following inspection components; Operational Requirements, Emergency Disaster Preparedness, and the Emergency Intervention Plan. During the inspection, LPA conducted interviews with one staff. Cont. on 809-C A sample of five client files were reviewed during the inspection. All client files had the required documents per Title Regulations. All client files are maintained on a secured internet database. Based on the facility inspection, interviews conducted, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Director Amanda Seymour. Due to printer malfunction, this report will be emailed to Director Amanda Seymour.

met_with: Diana Mendoza, Amy Bautista, Amanda Seymour


summary: Facility Evaluation

raw_content:
Narrative:
On October 14, 2022 at 11:07am, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual Continuation inspection of the Annual/Random inspection that began on 10/06/2022. LPA met with Program Manager Claudia Jaimes, and Human Resources Manager Wendy Cabrera. During the inspection, LPA reviewed 10 staff files. LPA also conducted interviews with two staff and two children. Staff records are maintained at an off-site location (#306004843). Staff records are also accessible electronically via a secured records portal. LPA reviewed 10 staff files. All the staff have met the training and qualification requirements per regulation requirements. Per a review of the Community Care Licensing Information System (LIS), all staff met DOJ/FBI criminal record clearances and Child Abuse Index Check requirements. Based on the facility inspection, interviews conducted, and files reviewed, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Program Manager Claudia Jaimes. Due to printer malfunction, this report will be emailed to Program Manager Claudia Jaimes.


summary: Facility Evaluation

raw_content:
Narrative:
On March 27, 2025, at 9: AM, Licensing Program Analyst (LPA) Stefanie Mutialu met with Cleaning Staff, Idalina Jimenez and Program Manager Monica Garcia for the purpose of conducting an annual inspection of the facility. The Facility is licensed to serve six (6) ambulatory children ages 12-17 years old. The current census is six children. The facility is a three-bedroom, three-bathroom, one-story home. A physical plant inspection was completed with the Program Manager and included the following checks: three client bedrooms, two client bathrooms, one staff bathroom, kitchen, living room, dining area, two therapy offices, care coordinator office, family therapy room, group room, laundry area, and backyard horse stable. All required forms are posted including Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster, the Emergency Disaster Plan was also posted. Clients' medications were observed to be inaccessible and stored in medication room. LPA observed one Ring Doorbell camera at the facility in the front of the home. Facility grounds are clean and free of debris. There is adequate indoor and outdoor activity space. Facility fire extinguishers are properly charged and serviced on 03/07/2025. Fire clearance inspection was completed on 02/05/2025 and LPA received a copy of the approved Fire Clearance to place in facility file. Licensee maintains an adequate supply of perishable and non-perishable foods to prepare the items on the posted menu. LPA observed a minimum seven-day non-perishable and two-day perishable supply of food. ***Continued Page 2*** Individual beds were observed with clean linens, pillows, comforters, and mattress in good repair. Two bedrooms contain two twin beds. One bedroom contains one twin bed and one full size bed The facility has two client bathrooms. The water temperature was tested in one bathroom with a measure of 115.6 degrees Fahrenheit the appropriate range of 105 degrees to 120 degrees Fahrenheit. All client files are stored and maintained on a secure internet database. LPA reviewed five client files and five staff files to ensure files met all required documents per Title 22. LPA reviewed five client medication records. LPA conducted two staff interviews with S1 and S2. LPA conducted two client interviews with C1 and C2. No deficiencies cited. Per facility staff, no firearms or weapons are allowed in the facility. The licensing fee payments are current. An exit interview was conducted, and a copy of this report and appeal rights were discussed and provided to Monica Garcia. A copy of this report will be placed in the facility file.


summary: Facility Evaluation

raw_content:
Narrative:
On May 8, 2025, at 8: AM, Licensing Program Analyst (LPA) Jacqueline Garcia conducted an unannounced case management inspection at the facility and met with Residential Supervisor, Benjamin Tschirhart, regarding two incident reports (IR's) that occurred on 4/5/25 and 4/8/25. The department received the IR's on 5/6/25. The incident involved medication errors involving staff (S1& S2) and clients (C1 & C2). LPA reviewed staff and client records and obtained records. Community Care Licensing (CCL) was not provided IR's within the required time frame. The Group home facility is being cited for violation of Title General Licensing Requirements, Section Reporting Requirements. An exit interview was conducted, appeal rights explained, and a copy of this report along with LIC 811 was reviewed and given to Residential Supervisor, Benjamin Tschirhar.

met_with: Ben Tschirhart-Residential Supervisor