summary: Facility Evaluation

raw_content:
Narrative:
On 8/31/ LPA (Licensing Program Analyst) Lisa Slusher conducts a plan of correction inspection at the facility. On 8/11/23 the facility was cited for a violation of STRTP ILS sction 87063(a) Accountability. The correction was due 8/21/23. The facility did not respond until 8/29/23 and requested additional time to correct the deficiency. A civil penalty is assessed from the period of 8/21/23 through 8/29/23. If corrective action is not received by 9/1/23 the penalty will resume.

met_with: Precious Beard


state: CA

facility_name: BRIGHTER HORIZON TREATMENT CENTERS, COTTONWOOD

summary: Facility Evaluation

raw_content:
Narrative:
On the above date, LPA (Licensing Program Analyst) Lisa Slusher conducted a case management inspection at the above facility. The purpose of this visit is to discuss the status of the facility's Mental Health Program approval. Facility has submitted an application for MHPA with Fresno County and is in the approval process. On this date, LPA (Licensing Program Analyst) requests a new floor plan to be submitted. Because the garage is being utilized as a therapy office, a new fire clearance will be requested by LPA. During this inspection, LPA also discussed needs and services plans, elements and time frames and the requirement that NSPs be specific, measurable, and verifiable. No deficiencies cited at this time.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Nikkia Moton Anthony Williams


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 11/15/2023, Licensing Program Analysts (LPAs) Tamara Melikian and Lisa Slusher travelled to the above facility to conduct an Annual inspection. Met by Administrator Nikkia Moton . At 9:15AM, an inspection of the physical plant was conducted. LPA observed adequate food supply, adequate bedding, storage space, activity space, hot water that measured 111 degrees and lamps, toiletries and a facility that is safe, sanitary and in good repair. There are no pets at the facility and there are no bodies of water at the facility. At 9:45AM, an inspection of client files was conducted as well as the centrally stored record and medications. At 11:00AM, staff records were inspected. At 1:15PM, an interview of staff members (see LIC811 dated 11/15/2023) was conducted. All children were at school and will be interviewed at a later date. The exit interview was conducted at 2:30PM and a copy of this report given to the Administrator. It is requested that the licensee submit the following updated forms to CCL: LIC 308, 309, 500 and emergency disaster plan. In addition, the minutes for the Board of Directors meetings.

Deficiencies:
87068.3(a): Modifications to The Needs And Services Plan

(a) The needs and services plan specified in Section 87068.2 shall be updated at least every 30 days to determine the following

visit_type: Annual

met_with: Nikkia Moton


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, LPA (Licensing Program Analysts) Lisa Slusher and Tamara Melikian conducted a case management inspection at the facility noted. The purpose of this inspection is to extend the provisional period of licensure for the facility. The facility was provisionally licensed on 12/30/22. The facility has not yet obtained MHPA (Mental Health Program Approval) from Fresno County, but has submitted their application. The provisional period will be extended to 18 months, making the new expiration date 6/30/2024. The facility shall provide monthly updates to the licensing agency of the status of the MHPA.

met_with: Nikkia Moton,


summary: Facility Evaluation

raw_content:
Narrative:
On 11/22/ LPA (Licensing Program Analyst) Lisa Slusher conducts a plan of correction inspection at the facility. On 11/15/23 the facility was cited for a violation of General licensing requirement section 80087(g) and 80023(a)(2). The correction was due 11/16/23. The facility has not made corrective action. A civil penalty is assessed from the period of 11/16/23 and will continue until corrected.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPAs) Lisa Slusher and Jessica Rodriguez travelled to the facility listed above to conduct a prelicensing inspection. The facility listed above submitted an application to convert the currently licensed group home facility to a Short Term Residential Therapeutic Program (STRTP). The application, Plan of Operation ands Program statement have been reviewed and are pending approval. Facility Inspection conducted. 1. Facility Grounds are free of hazard. There are a large number of weeds in the small back yard. An Advisory note will be provided to the facility. . 2. Adequate indoor and outdoor activity space and materials observed. 3. Chemicals appropriately locked. 4. Locked and centrally stored medications observed. Observed medication logs and discussed procedures for psychotropic medications. 5. First aid kit complete with appropriate manual observed. 6. Adequate storage space observed. 7. Individual beds in good repair observed. Advisory note will be provided requesting a waiver for captain's beds. 8. The house has 3 bedrooms, double occupancy, all are located on the second floor, all are equipped with required furnishings. 9. Adequate food storage space observed. Supply of two days of perishable foods and a week of nonperishable foods observed upon inspection. 10. Weekly menu posted and accessible to clients. 11. Dining room equipped with large table and chairs accommodating of all clients. 12.Facility has two full restrooms in the house for client use, both are operable. A half bath is located on the first level and is also operable. 13. Appropriate forms posted in view of facility clients. 14. No firearms or weapons are allowed in the facility. The following items were discussed and reviewed by LPA during Inspection 1. LIC Reviewed to ensure appropriate staffing ratios, including Administrator, Social Work personnel, and Direct Care staff. The facility does not utilize Peer Partners at this time. Facility will submit an updated LIC 500 to LPA. 2. Administrator Nikkia Moten is present on-site a minimum of 20 hours per week. 3.Personnel Records are kept at an off site location and will be reviewed at a later time. . 4. Facility to obtain Mental Health Program approval within 12 months of effective date of licensure and will provide appropriate documentation to the department upon approval, and provider is to provide an update to this LPA by 5/10/23. Facility is to continue to submit regular updates to LPA Leslie Inouye.

met_with: Nikkia Rojas


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On this date, LPA (Licensing Program Analyst) Lisa Slusher conducted an inspection to continue the post licensing inspection. The purpose of this inspection is to continue and complete the post licensing inspection began on 5/9/23. A review of 11 employee files was conducted. The Following citations and Technical Advisories/Violations are issued on this date: In all files reviewed, employees performing care and supervision, employees lacked Emergency Intervention training. A citation is issued on this date for STRTP ILS section 84365(d)(1)(C) Personnel Requirements. Direct care staff and Facility Managers lacked verification of Education or Experience to qualify them for that positions. Citations issued on this date for STRTP ILS Sections 87065(g) Personnel Requirements and 87065(f) Personnel Requirements. Technical Advisory- The facility is utilizing captains beds which do not provide a separate box spring and Mattress. LPA advises the facility to request a waiver to regulation section Fixtures, furniture equipment and supplies. Technical violation for section 80087(a) Upon inspection, the small back patio/yard area was covered in overgrowth and weeds. Facility is to ensure this area is well-kept.

Deficiencies:
87065(f): (1)

met_with: Nikkia Moten (Rojas)

title: Personnel Requirements The licensee shall designate at least one facility manager to be present at the facility at all times when one or more children are present


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Les Inouye conducted an unannounced Case Management inspection to the Short Term Residential Therapeutic Program (STRTP) and met with Nikkia Moten-Rojas. . Based on documents (Incident Reports) provided by Irina Vayntrub it has been determined the STRTP failed to provide (IR's) in compliance with 80061(b). Based on the LPA's observations and records review which were conducted, there is a preponderance of evidence to substantiate a violation of regulation based on Title 22, Division 6, Chapter 1 and are being cited on the attached LIC 809D A copy of the report and Appeal Rights was provided to the FFA.

met_with: Nikkia Moten-Rojas


summary: Facility Evaluation

raw_content:
Narrative:
On this date, LPA (Licensing Program Analyst) Lisa Slusher conducted a case management inspection for the purpose of following up on issues discovered during a complaint investigation and a review of incident reports. The following are addressed on this date. 1. The facility submitted an incident report for an incident occurring on 6/4/23 for an incident involving C1. C1 was restrained during this incident. The staff person lacked Emergency Intervention Training by the licensee and performed a restraint which was not a part of their Emergency Intervention Plan. A citation for STRTP ILS Section 87095.65 2. The incident report regarding the restraint on 6/4/23 lacked required information for the reporting of manual restrains. The facility is cited for a violation of STRTP ILS section 87061(i)(6) 3. An incident occurred on 6/3/23 involving law enforcement. The incident report indicates that the youth (C1) was "sitting on the curb" within the sight of staff. The report also indicates that the youth destroyed a closet organizer. The facility contacted law enforcement for "property destruction and a runaway youth". Based on interviews and evidence reviewed, the agency failed to provide adequate care and supervision to the youth and instead contacted law enforcement. The facility is cited for section 80078(a) Responsibility for providing care and supervision. 4. This facility was licensed in December of 2022. Based on the number and severity of incidents, confidential interviews and other reviewed documentation, the board of directors has not established appropriate internal policies for staff nor appropriate oversight of incidents occurring at the facility. Additionally, the board has not ensured appropriate staffing levels to control for staff burnout when acceptiing additional youth for placement. This poses a potential threat to the health, safety or personal rights of clients in care. The facility is cited for section 87063, Accountability.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On the above date, LPA conducted a Case management inspection at the Brighter Horizon Treatment Centers- Cottonwood Facility. During the Inspection, this LPA requested the files for S1 and S2 (See LIC 811 dated 9/28). Complete files were not available for these two individuals. A citation is issued on this date for 80066(a) Personnel Requirements persuant to CCR Tile Division 6.

Deficiencies:
80066(a): 1
2
3
4
5
6
780066	Personnel Records
(a)	The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee.  Each personnel record shall contain the following information

met_with: Leondre McBride, Nikkia Moton


summary: Facility Evaluation

raw_content:
Narrative:
On this date, an unannounced case management inspection is conducted by LPA Lisa Slusher. The purpose of this visit is to follow up on information discovered during confidential interviews regarding other matters. Interviews verify that on or about 10/1/23, C1 was physically restrained by staff including S1. This physical restraint was not reported to the department and no record of a physical restraint was found in the file for C1. A citation is issued on this date for section 87061(b)(3) of the STRTP ILS.


summary: Facility Evaluation

raw_content:
Narrative:
On this date, a case management inspection is conducted by LPAs Lisa Slusher and Vanessa Galvan. The purpose of this inspection is to follow up on information discovered during the investigation of a complaint with the Brighter Horizons Treatment Centers- Elm facility. During an investigation into complaint 24-CR-20240108133509 it was noted that S1 (See LIC 811) took an unauthorized photo of a youth. That photo was sent to C1. It is further noted that S1 was communicated with the youth via a social media platform. A citation for CCR Title 22, Division 6 general regulations section 80065(a) is issued on this date.

met_with: Carolyn Ruffin


summary: Facility Evaluation

raw_content:
Narrative:
On this date, an unannounced Case management inspection is conducted by LPA (Licensing Program Analyst) Lisa slusher. During this inspection, LPA Reviewed medication records and records of Psychiatrist visits. The following deficiencies are cited persuant to CCR ILS section 87089. Mental Health and 80075(k)(7) Health Related Services. Additionally, a technical violation is issued on this date for

met_with: Charles Paul


summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analysts (LPAs), Lidia Tinoco and Vanessa Galvan conducted an unannounced visit to the Brighter Horizons Cottonwood STRTP in order to deliver the findings of the above allegations and met with Senior Facility Manager, Charles Paul and Senior Facility Manager, Zachary Williams. On April 03, 2024, the above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, confidential interviews, and review of records. Based on the investigation conducted, the department found that there was conflicting information regarding these issues. Although the allegations may have happened of are valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are Unsubstantiated at this time. A copy of this report was provided at the conclusion of the inspection along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco 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

report_type: Complaint Investigation

met_with: Charles Paul, Zachary Williams

complaint_status: unsubstantiated


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analysts (LPAs), Lidia Tinoco and Vanessa Galvan conducted an unannounced visit to the Brighter Horizons Cottonwood STRTP in order to deliver the findings of the above allegations and met with Senior Facility Manager, Charles Paul and Senior Facility Manager, Zachary Williams. On April 05, 2024, the above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, confidential interviews, and review of records. Based on the investigation conducted, the department found that there was conflicting information regarding these issues. Although the allegations may have happened of are valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are Unsubstantiated at this time. A copy of this report was provided at the conclusion of the inspection along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analysts (LPAs), Lidia Tinoco and Vanessa Galvan conducted an unannounced visit to the Brighter Horizons Cottonwood STRTP in order to deliver the findings of the above allegations and met with Senior Facility Manager, Charles Paul and Senior Facility Manager, Zachary Williams. On July 25, 2024, the above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, confidential interviews, and review of records. Based on the investigation conducted, the department found that there was conflicting information regarding these issues. Although the allegations may have happened of are valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are Unsubstantiated at this time. A copy of this report was provided at the conclusion of the inspection along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco 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


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On December 5, 2024, Licensing Program Analyst (LPA), Vanessa Galvan traveled to Brighter Horizon Cottonwood located in Fresno, CA to conduct an unannounced complaint inspection and met with the Senior Facility Manager Zachary Williams, Senior Facility Manager Charles Paul, Facility Manager Isaiah Brown, and Tyler Simms . The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the above complaint allegation. During the course of the investigation, LPAs conducted confidential interviews and a file review. Based on information obtained and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. The agency is being cited for Interim Licensing Standards, STRTP Article 06. Continuing Requirements, Personal Rights 87072(c)(16) and Health and Safety Code § Persons prohibited from employment; dismissal or removal; appeal (2). See Attached LIC 9099D for further information. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Zachary Williams at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, COTTONWOODFACILITY NUMBER: 107207250

met_with: Zachary Williams, Charles Paul, Isaiah Brown, and Tyler Simms

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On January 13, 2025, Licensing Program Analysts (LPAs), Vanessa Galvan and Olivia Medrano traveled to Brighter Horizon Cottonwood located in Fresno, CA to conduct an unannounced complaint inspection and met with the Senior Facility Manager Zachary Williams. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the above complaint allegation. During the course of the investigation, LPAs conducted confidential interviews and file review. Based on information obtained and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. The agency is being cited for Interim Licensing Standards, STRTP Article 06. Continuing Requirements, Personal Rights 87072(c)(15). See Attached LIC 9099D for further information. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Zachary Williams at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, COTTONWOODFACILITY NUMBER: 107207250

met_with: Zachary Williams


raw_content:
Investigation Findings:
13On January 23, 2025, Licensing Program Analyst (LPA), Vanessa Galvan conducted an unannounced visit to the Brighter Horizons Cottonwood STRTP and met Facility Manager Pedro Rangel. The purpose of the inspection is to deliver the findings of the above allegations. The above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, confidential interviews, and review of records. Based on the investigation conducted, the department found that there was conflicting information. Although the allegations may have happened of are valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are Unsubstantiated at this time. A copy of this report and appeal rights was discussed and provided to Pedro Rangel at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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: Pedro Rangel


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On February 4, 2025, Licensing Program Analyst (LPA), Vanessa Galvan traveled to Brighter Horizon Cottonwood located in Fresno, CA to conduct an unannounced complaint inspection and met with the Facility Manager Pedro Rangel. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the above complaint allegations. During the course of the investigation, LPA conducted confidential interviews and file review. Based on information obtained, confidential interviews, and observation it was determined that the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. The agency is being cited for Interim Licensing Standards, STRTP, Article 07. Physical Environment, Fixtures, Furniture, Equipment, and Supplies, 87088(c)(1), Title 22, Division 6, Chapter 1, Article 06. Continuing Requirement, 80076(a)(2), Food Services, and 80065(f)(1) Personnel Requirements. See Attached LIC 9099D for further information. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Pedro Rangel at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, COTTONWOODFACILITY NUMBER: 107207250


raw_content:
Investigation Findings:
13On April 24, 2025, Licensing Program Analyst (LPA), Vanessa Galvan conducted an unannounced visit to the Brighter Horizons Cottonwood STRTP and met Assistant Administrator Isaiah Brown and Facility Manager Pedro Brown. The purpose of the inspection is to deliver the findings for the above allegation. The above allegation was referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, confidential interviews, and review of records. Based on the investigation conducted, the department found that there was conflicting information. Although the allegation may have happened of are valid, there is not a preponderance of evidence to prove the allegation occurred. Therefore, the allegation is Unsubstantiated at this time. A copy of this report and appeal rights were discussed and provided to Isaiah Brown at the conclusion of the inspection via email due to printer error. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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: Isaiah Brown and Pedro Rangel


raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to Brighter Horizons Treatment Centers Cottonwood and met with Isaiah Brown to deliver findings of investigation. CS conducted investigation that included review of documentation, and confidential interviews. Based on the information received a preponderance of the evidence could not be found that the allegation occurred as reported. Although the allegation might or might not be valid without a preponderance of the evidence the allegation is deemed Unsubstantiated. No deficiencies observed or cited during this investigation. Copy of this report, LIC Confidential Names and Lic Appeal Rights left at the facility at conclusion of inspection UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney 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: Isaiah Brown


raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to Brighter Horizons Treatment Centers Cottonwood and met with Isaiah Brown to deliver findings of investigation. CS conducted investigation that included review of documentation, and confidential interviews. Based on the information received a preponderance of the evidence could not be found that the allegation occurred as reported. Although the allegatiosn might or might not be valid without a preponderance of the evidence the allegations are deemed Unsubstantiated. Copy of this report, LIC Confidential Names and Lic Appeal Rights left at the facility at conclusion of inspection UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 03/19/2025 and conducted by Evaluator Charles Kinney PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:BRIGHTER HORIZON TREATMENT CENTERS, COTTONWOODFACILITY NUMBER: ADMINISTRATOR:RUFFIN, CAROLYNFACILITY TYPE: ADDRESS: E CORNELL AVETELEPHONE: (559) 375- CITY:FRESNOSTATE: CAZIP CODE: CAPACITY:6CENSUS: DATE: 04/29/ UNANNOUNCEDTIME BEGAN: 11: AM MET WITH: Isaiah BrownTIME COMPLETED:11: AM 9Staff allows minors to sleep in facility van. INVESTIGATION FINDINGS: 13Complaint Specialist C.K. Kinney(CS) Conducted investigation that included review of docuementation and confidential interviews. Based on the information received CS was able to establish a preponderance of the evidence that the allegation occurred. The allegation is Substantiated. This facility is being cited for violation of Interim Licensing Standards STRTP Section 87078(b) Responsibility for Providing Care and Supervision. Copy of this report, Deficiency Citation, LIC Confidential Names, and LIC Appeal Rights left at the facility at conclusion of inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-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, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, COTTONWOODFACILITY NUMBER: 107207250


raw_content:
Investigation Findings:
13On June 11, 2025, Licensing Program Analyst (LPA), Vanessa Galvan conducted an unannounced visit to the Brighter Horizons Cottonwood STRTP and met Director Care Staff Jasmine Washington and Assistant Administrator Precious Beard. The purpose of the inspection is to deliver the findings for the above allegation. The above allegation was referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, confidential interviews, and review of records. Based on the investigation conducted, the department found that there was conflicting information. Although the allegation may have happened of are valid, there is not a preponderance of evidence to prove the allegation occurred. Therefore, the allegation is Unsubstantiated at this time. A copy of this report and appeal rights were discussed and provided to Isaiah Brown and Precious Beard at the conclusion of the inspection via email due to printer error. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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: Jasmine Washington and Precious Beard


raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to Brighter Horizons Treatment Centers Cottonwood and met with Isaiah Brown to deliver findings of investigation. CS conducted investigation that included review of documentation, and confidential interviews. Based on the information received a preponderance of the evidence could not be found that the allegation occurred as reported. Although the allegation might or might not be valid without a preponderance of the evidence the allegations are deemed Unsubstantiated. Copy of this report, LIC Confidential Names and LIC Appeal Rights left at the facility at conclusion of inspection UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13On June 20, 2025, Licensing Program Analyst (LPA), Vanessa Galvan conducted an unannounced visit to the Brighter Horizons Cottonwood STRTP and met Assistant Administrators Precious Beard and Isaiah Brown. The purpose of the inspection is to deliver the findings for the above allegations. The above allegations was referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, confidential interviews, and review of records. Based on the investigation conducted, the department found that there was conflicting information. Although the allegations may have happened of are valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are Unsubstantiated at this time. A copy of this report and appeal rights were discussed and provided to Isaiah Brown at the conclusion of the inspection via email due to printer error. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 04/16/2025 and conducted by Evaluator Vanessa Galvan PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:BRIGHTER HORIZON TREATMENT CENTERS, COTTONWOODFACILITY NUMBER: ADMINISTRATOR:RUFFIN, CAROLYNFACILITY TYPE: ADDRESS: E CORNELL AVETELEPHONE: (559) 375- CITY:FRESNOSTATE: CAZIP CODE: CAPACITY:6CENSUS: 2DATE: 06/20/ UNANNOUNCEDTIME BEGAN: 11: AM MET WITH:Precious Beard and Isaiah BrownTIME COMPLETED:12: PM 9Staff are not ensuring minors have appropriate clothing. INVESTIGATION FINDINGS: 13On June 20, 2025, Licensing Program Analyst (LPA), Vanessa Galvan traveled to Brighter Horizon Cottonwood located in Fresno, CA to conduct an unannounced complaint inspection and met with the Assistant Administrator Precious Beard. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the above complaint allegation. During the course of the investigation, LPA conducted confidential interviews and file review. Based on information obtained and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. The agency is being cited for Title Interim Licensing Standards, STRTP, Article 06. Continuing Requirements, Section Personal Rights 87072(c)(8)(A). See Attached LIC 9099D for further information. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Isaiah Brown at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, COTTONWOODFACILITY NUMBER: 107207250

met_with: Precious Beard and Isaiah Brown


raw_content:
Investigation Findings:
13On August 25, 2025, Licensing Program Analyst (LPA), Vanessa Galvan conducted an unannounced visit to the Brighter Horizons Cottonwood STRTP and met Assistant Administrator Isaiah Brown. The purpose of the inspection is to deliver the findings for the above allegations. The above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, confidential interviews, and review of records. Based on the investigation conducted, the department found that there was conflicting information. Although the allegations may have happened and are valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are Unsubstantiated at this time. A copy of this report and appeal rights were discussed and provided to Isaiah Brown at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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


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Investigation Findings:
13On September 9, 2025, Licensing Program Analyst (LPA) Angelica Borja conducted a complaint inspection at Brighter Horizons Treatment Ctr., Elm STRTP location as the Cottonwood location currently doesn't have any placements and met with Precious Beard. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted confidential interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was provided to the facility at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Angelica Borja 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: Precious Beard, Assistant Administrator


raw_content:
Investigation Findings:
13On October 7, 2025, Licensing Program Analyst (LPA), Vanessa Galvan conducted an unannounced visit to the Brighter Horizons Cottonwood STRTP and met Assistant Administrator Isaiah Brown. The purpose of the inspection is to deliver the findings for the above allegations. The above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, confidential interviews, and review of records. Based on the investigation conducted, the department found that there was conflicting information. Although the allegations may have happened and are valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are Unsubstantiated at this time. A copy of this report and appeal rights were discussed and provided to Isaiah Brown at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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


investigation_findings: 13On October 7, 2025, Licensing Program Analyst (LPA), Vanessa Galvan conducted an unannounced visit to the Brighter Horizons Cottonwood STRTP and met Assistant Administrator Isaiah Brown. The purpose of the inspection is to deliver the findings for the above allegations. The above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, confidential interviews, and review of records. Based on the investigation conducted, the department found that there was conflicting information. Although the allegations may have happened and are valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are Unsubstantiated at this time. A copy of this report and appeal rights were discussed and provided to Isaiah Brown at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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


summary: Facility Evaluation

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Narrative:
On this date, an informal office conference is held at the San Jose Children's program Fresno Regional Office. Present with Community Care Licensing are Nelson Martinez, Regional Manager, Lourey Bartolome and Juanita Arroyo, Licensing Program Managers and Lisa Slusher and Vanessa Galvan, Licensing Program Analyst. Present with Brighter Horizon are Irina Vayntrub, CEO, Carolyn Ruffin, Executive Director, Duane Zachary, Senior Facility Manager, William Zachary, Senior Facility Manager, Charles Paul, Facility Manager. During this meeting, the department gave an overview of pending complaints, history of citations and ongoing concerns with facility. The following are to be submitted to the department by 4/12/24: 1. Updated Administrative Organization/Chart reflective of titles, positions and job duties 2. Updated Admission policies including personnel/team responsible for admissions and documentation 3. Plan and timeline for ensuring client and personnel files contain required documentation 4. Plan for an on-site Administrator at each facility a minimum of 20 hours per week.


summary: Facility Evaluation

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Narrative:
On this date, LPA (Licensing Program Analyst) Lisa Slusher completes a case management Inspection at the above address. The purpose of this inspection is to revise a complaint report. Report is revised and findings are discussed with facility.


summary: Facility Evaluation

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Narrative:
On May 1, 2024, Licensing Program Analyst (LPA), Vanessa Galvan traveled to Brighter Horizon Treatment Center, Cottonwood, Short-Term Residential Therapeutic Program located in Clovis, CA, and met with Mental Health Rehab Specialist, Alyssa Chavez. The purpose of the inspection was to Amend LIC 9099 for complaint 24-CR-20240416163940. No deficiencies observed or cited during today's inspection. A copy of this report was provided to Program Director Carolyn Ruffin at the conclusion of the inspection.

met_with: Alyssa Chavez


summary: Facility Evaluation

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Narrative:
On this date, a Case management inspection is conducted at the Brighter Horizon Treatment Center, Cottonwood On this date, LPA discussed two separate incidents. 1. An incident which occurred on 08/08/24 did not have a full 7-day report submitted to the CCLD until 08/19/24 involving C A technical violation is issued on this date for General licensing requirements section 80061(b). A civil penalty for a repeated violation is also assessed.


summary: Facility Evaluation

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Narrative:
On this date, A case management inspection is conducted by LPA (Licensing Program Analyst) Lisa Slusher. Met with Head of Service Tehzin Alarakhia. The purpose of this inspection is to discuss incident reporting. The facility is reminded that reports are required within 7 days of occurrence. An incident involving C1 which occurred on 8/23/24 was submitted to the department on 8/31/24. Report was due 8/30/24. A technical violation is issued on this date, no deficiencies involving citations are noted at this time.

met_with: Tehzin Alarakhia


summary: Facility Evaluation

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Narrative:
On October 3, 2024, Licensing Program Analysts (LPAs) Vanessa Galvan and Lidia Tinoco traveled to Brighter Horizon Cottonwood, Short-Term Residential Therapeutic Program located in Fresno, CA, and met with Senior Facility Manager Charles Paul. The purpose of the inspection was to conduct a case management. On this date, LPAs observed the facility to have September 22 - 28, 2024 food menu posted. The current ( 9/29/2024-10/05/2024) week menu was not posted. The Senior facility manager provided and posted the current weekly (09/29/2024-10/05/2024) food menu. LPA did observe the facility to have an adequate amount of perishables and non-perishables food. A technical violation is issued on this date for failure to post weekly food menu, ILS Food Service 87076(b) . A copy of this report and technical violations was provide to Charles Paul at the conclusion of the inspection.


summary: Facility Evaluation

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Narrative:
On October 17, 2024, Licensing Program Analyst (LPA) Vanessa Galvan traveled to Brighter Horizon Cottonwood STRTP located in Fresno, CA, to conduct a Case Management inspection and met with Facility Managers Isaiah Brown and Pedro Rangel. The purpose of this inspection was to discuss concerns with an incident report that was sent into the Department on 10/12/2024. LPA gathered additional information of the incident that occurred on 10/05/2024 involving Client (C1) and Client 2 (C2) (see LIC 811 attached). (See LIC 812 for additional information) Based on the information obtained, no deficiencies are being issued today. A copy of this report was provided to Isaiah Brown at the conclusion of the inspection.

met_with: Pedro Rangel, Isaiah Brown


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On the above date, Licensing Program Analysts (LPA's), Vanessa Galvan and Lidia Tinoco arrived at the Brighter Horizon Cottonwood STRTP for the purpose of conducting the Post-Licensing Facility Inspection. LPA's met with Facility Managers Pedro Rangel, Isaiah Brown and Administrator, Carolyn Ruffin. Centrally stored medications are maintained in a locked cabinet. Sharps and Toxic chemicals are kept locked. The facility has a written emergency disaster plan and provided a copy to LPA's on this date. All facility smoke detectors appear to be in appropriate working order. LPA Galvan addressed with the Administrator that the fire extinguisher may need to be serviced. Individual beds were observed with appropriate clean linens and are in good repair. Appropriate staff/client ratios were verified during this inspection. There is at least one-week supply of nonperishable and a two-day supply of perishable foods. No firearms or weapons are allowed in the facility. The facility has no body of water. 4 records of clients were reviewed and 4 records of staff (See LIC Confidential Names List). See LIC 809D for deficiencies and a civil penalty was issued on this date. A copy of this report, LIC 811, appeal rights, and civil penalty were provided to Carolyn Ruffin at the conclusion.

Deficiencies:
87065.1(d): Supervision, Evaluation And Training Requirements

(d) Notwithstanding California Code of Regulations, Title 22, Section 80065(f)(1) through (6), new direct care staff shall complete a minimum of 24 hours of initial training comprised of the 8 and 16 hour training as specified in (1) and (2) below

met_with: Pedro Rangel & Isaiah Brown


summary: Facility Evaluation

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Narrative:
On October 28, 2024, Licensing Program Analyst (LPA), Vanessa Galvan traveled to Brighter Horizon Treatment Center, Cottonwood, Short-Term Residential Therapeutic Program located in Fresno, CA, to conduct a unannounced case management and met with Senior Facility Manager Charles Paul and Facility Manager Isaiah Brown. The purpose of this inspection was to discuss concerns with an incident report that was sent into the Department. LPA gathered additional information of the incident that occurred on 10/01/2024 involving Client (C1). (see LIC 811 attached). Based on the information obtained, no deficiencies are being issued today. A copy of this report was provided to Isaiah Brown at the conclusion of the inspection..

met_with: Charles Paul and Isaiah Brown


summary: Facility Evaluation

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Narrative:
On November 12, 2024, Licensing Program Analyst (LPA), Vanessa Galvan traveled to Brighter Horizon Treatment Center, Cottonwood, Short-Term Residential Therapeutic Program located in Fresno, CA, to conduct a unannounced Collateral Inspection and met with Facility Manager Isaiah Brown. The purpose of this inspection was to conduct a confidential interview. LPA conducted a confidential interview regarding a Brighter Horizon Elm complaint. No deficiencies or citations are being issued on today's inspection. A copy of this report was provided at the conclusion of the inspection via email due to a printer error.


summary: Facility Evaluation

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Narrative:
On December 10, 2024, Licensing Program Analysts (LPAs) Vanessa Galvan and Olivia Medrano traveled to Brighter Horizon STRTP and met with Facility Manager, Pedro Rangel and Senior Facility Manager Charles Paul. The purpose of the inspection was to Amend two LIC 9099. No deficiencies observed or cited during today's inspection. A copy of this report was provided to the Charles Paul at the conclusion of the inspection.

met_with: Charles Paul and Pedro Rangel


summary: Facility Evaluation

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Narrative:
On February 4, 2025, Licensing Program Analyst (LPA) Vanessa Galvan traveled to Brighter Horizon Cottonwood located in Fresno, CA to conduct an unannounced complaint inspection and met with the Facility Manager Pedro Rangel. The purpose of the inspection was to clear a Plan of Correction (POC) LPA reviewed receipts of purchasing and observed new mattress box frames assembled and in good repair. No deficiencies were issued or observed at this time. An exit interview was conducted, a copy of this report and the Letter of Deficiency citations cleared were provided to Pedro Range at the conclusion of the inspection.


summary: Facility Evaluation

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Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Reyna Martinez and Briana Placencia on February 5, 2025 at 10: AM. This case management inspection is conducted pursuant to Health and Safety Code 1538.9(a)(2). During the inspection, LPA met with Carolyn Ruffin, Administrator and inspected the facility inside and out. LPAs reviewed 1 child's records and 2 staff personnel files on site at the facility as the facility did not have any dependents in placement at this time. LPAs reviewed 1 child's psychotropic medications and medication records. LPAs interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPAs were unable to conduct any child interviews due to the child currently on psychotropic medication being in school. LPAs will interview child at a later time. No deficiencies are being cited at this time. LPA conducted exit interview with Carolyn Ruffin, Administrator. A copy of this report was left with the facility.

met_with: Carolyn Ruffin


summary: Facility Evaluation - 1 deficiency

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Narrative:
On the above date, Licensing Program Analysts (LPAs), Vanessa Galvan and Reyna Martinez arrived at the Brighter Horizon Cottonwood STRTP for the purpose of conducting the Annual Required Inspection. LPAs met with Facility Managers Pedro Rangel, Isaiah Brown and Administrator, Carolyn Ruffin. A tour of the facility was conducted by the LPAs the following was observed the temperature of the facility was a comfortable temperature of 73 degrees. Centrally stored medications are maintained in a locked a container inside a locked closet. Sharps and Toxic chemicals are kept locked. The facility has a written emergency disaster plan and provided a copy to LPA's on this date.There is at least one-week supply of nonperishable and a two-day supply of perishable foods. No firearms or weapons are allowed in the facility. The facility has no body of water. Appropriate staff/client ratios were verified during this inspection. The following deficiencies were observed during the physical plant inspection: the facility's smoke/carbon monoxide detector appeared to be not in appropriate working order. Individual beds were observed and three out of five beds did not appropriate clean linens and are not in good repair. The facility did not have adequate amount of beds to house six clients. 3 records of client and 5 records of staff were reviewed (See LIC Confidential Names List). A review of the background clearances was conducted 04/07/2024, indicates that all facility staff associated to the agency have DOJ, FBI, and child abuse index check clearances. The facility currently is in the process of obtaining a Mental Health Program Approval, a cite visit was conducted on 04/03/2025. The licensee has Accreditation through CARF valid through 08/31/2025. See LIC 809D for deficiencies. A copy of this report, LIC 811, and appeal rights were provided to Carolyn Ruffin at the conclusion.

Deficiencies:
87065.1(d): Supervision, Evaluation And Training Requirements

(d) Notwithstanding California Code of Regulations, Title 22, Section 80065(f)(1) through (6), new direct care staff shall complete a minimum of 24 hours of initial training comprised of the 8 and 16 hour training as specified in (1) and (2) below

met_with: Pedro Rangel, Carolyn Ruffin, Isaiah Brown


summary: Facility Evaluation

raw_content:
Narrative:
On April 18, 2025, Licensing Program Analyst (LPA) Vanessa Galvan traveled to Brighter Horizon Treatment Center, Cottonwood, a Short-Term Residential Therapeutic Program located in Fresno, CA, and met with Facility Manager Pedro Rangel and Assistant Administrator Isaiah Brown. The purpose of this unannounced inspection was to conduct Case Management regarding an incident that occurred at the facility. LPA gathered additional information on the incident that occurred on 03/21/2025 involving a client 18 (C18) (see LIC 811 for confidential names). C18 was involved in an incident and had access to a knife. C18 made threats to others and themselves. Staff was able to deescalate the situation, provided C18 with support and emergency services. During the inspection LPA conducted a file review and confidential interviews. It was determined that C18 did not have access to the knife from the facility. There are no deficiencies to be cited on this date. An exit interview was conducted to discuss this report and the LIC 811. A copy of this report and LIC 811 were provided to Isaiah Brown at the conclusion of the inspection via email due to a printer issues.

met_with: Pedro Rangel and Isaiah Brown


summary: Facility Evaluation

raw_content:
Narrative:
On April 18, 2025, Licensing Program Analyst (LPA) Vanessa Galvan traveled to Brighter Horizon Cottonwood located in Fresno, CA to conduct an unannounced complaint inspection and met with the Assistant Administrator Isaiah Brown and Senior Facility Manager Pedro Rangel. The purpose of the inspection was to clear a Plan of Correction (POC). LPA conducted a physical plant inspection and reviewed documentation to confirm that the POC was cleared. No deficiencies were issued or observed at this time. An exit interview was conducted, a copy of this report and the Letter of Deficiency citations cleared were provided to Isaiah Brown at the conclusion of the inspection via email due to printer error.


summary: Facility Evaluation

raw_content:
Narrative:
On May 27, 2025, Licensing Program Analyst (LPA) Vanessa Galvan traveled to Brighter Horizon Treatment Center, Cottonwood, a Short-Term Residential Therapeutic Program located in Fresno, CA, and met with Assistant Administrators Isaiah Brown and Precious Beard. The purpose of this unannounced inspection was to conduct Case Management regarding an incident that occurred at the facility. LPA gathered additional information on the incident that occurred on 05/12/2025 involving a client 18 (C18) (see LIC 811 for confidential names). During the inspection LPA conducted confidential interviews. (attached 812 for additional information) There are no deficiencies to be cited on today's inspection. An exit interview was conducted to discuss this report and the LIC 811. A copy of this report and LIC 811 were provided to Isaiah Brown at the conclusion of the inspection via email due to a printer issues.

met_with: Isaiah Brown and Precious Beard


summary: Facility Evaluation

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Narrative:
On June 11, 2025, Licensing Program Analyst (LPA) Vanessa Galvan traveled to Brighter Horizon Treatment Center, Cottonwood, a Short-Term Residential Therapeutic Program located in Fresno, CA, and met with Assistant Administrators Isaiah Brown and Precious Beard. The purpose of this unannounced inspection was to conduct Case Management regarding an incident that was submitted to the department 06/02/2025. LPA gathered additional information on the incident that occurred on 05/29/2025 involving a Client 23 (C23) (see LIC 811 for confidential names). The LPA will need to return to the facility to speak with the staff and C23 involved in the incident. On June 11, 2025, neither the staff member nor C23 was present at the facility. There are no deficiencies to be cited on today's inspection. An exit interview was conducted to discuss this report and the LIC 811. A copy of this report and LIC 811 were provided to Isaiah Brown at the conclusion of the inspection via email due to a printer issues.


summary: Facility Evaluation

raw_content:
Narrative:
On June 20, 2025, Licensing Program Analyst (LPA) Vanessa Galvan traveled to Brighter Horizon Treatment Center, Cottonwood, a Short-Term Residential Therapeutic Program located in Fresno, CA, and met with Assistant Administrators Precious Beard and Isaiah Brown. The purpose of this unannounced inspection was to conduct a case management. During the inspection, it was observed that the smoke and carbon monoxide alarm was chirping every minute. This has been a previously identified concern, and the Assistant Administrator (AA) provided proof of changing the batteries; however, this did not resolve the issue. A new smoke and carbon monoxide alarm was purchased and installed, but the problem persists. The AA mentioned that the landlord has been notified about the maintenance of the smoke and carbon monoxide alarm, indicating there may be a wiring issue. A copy of this report and appeal rights were discussed and provided to Isaiah Brown at the conclusion of the inspection via email due to printer error.


summary: Facility Evaluation

raw_content:
Narrative:
On June 20, 2025, Licensing Program Analyst (LPA) Vanessa Galvan traveled to Brighter Horizon Treatment Center, Cottonwood, a Short-Term Residential Therapeutic Program located in Fresno, CA, and met with Assistant Administrators Isaiah Brown and Precious Beard. The purpose of this unannounced inspection was to continue a Case Management regarding an incident that was submitted to the department 06/02/2025. On this day the LPA arrived to the facility in order to conduct confidential interviews. Client 23 (C23) declined the interview. A copy of this report was discussed and provided to Isaiah Brown at the conclusion of the inspection via email due to printer error.


summary: Facility Evaluation

raw_content:
Narrative:
Complaint Specialist C.K. Kinney(CS) and Licensing Program Analyst Danny Macias(LPA) traveled to Brighter Horizons Treatment Centers Cottonwood and met with Cheyenne Burks and Dewayne Zachary to conduct a Case Management Inspection of the facility. CS and LPA conducted entrance interview, toured the facility and conducted confidential interviews. No deficiencies cited during this inspection. Copy of this report, LIC Confidential Names and Technical Advisories left at the facility at conclusion of inspection.

met_with: Cheyenne Burks and Dewayne Zachary


raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to Brighter Horizons Treatment Centers Cottonwood and met with Isaiah Brown to deliver findings of investigation. CS conducted investigation that included review of documentation and confidential interviews and due to inconsistencies in the information received could not find a preponderance of the evidence the allegation occurred as reported. Although the allegation may or may not be valid, without a preponderance of the evidence the allegation is deemed Unsubstantiated. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 09/16/2025 and conducted by Evaluator Charles Kinney PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:BRIGHTER HORIZON TREATMENT CENTERS, COTTONWOODFACILITY NUMBER: ADMINISTRATOR:RUFFIN, CAROLYNFACILITY TYPE: ADDRESS: E CORNELL AVETELEPHONE: (559) 375- CITY:FRESNOSTATE: CAZIP CODE: CAPACITY:6CENSUS: 5DATE: 12/18/ UNANNOUNCEDTIME BEGAN: 10: AM MET WITH:Isaiah BrownTIME COMPLETED:11: AM 9Staff physically assaulted minors in care INVESTIGATION FINDINGS: 13Complaint Specialist C.K. Kinney(CS) traveled to Brighter Horizons Treatment Centers Cottonwood and met with Isaiah Brown to deliver findings of investigation. CS conducted investigation that included review of documentation and confidential interviews and based on the information received a preponderance of the evidence shows this allegation occurred as reported. Allegation is Substantiated. This facility is being cited for violation of Interim Licensing Standards for STRTP Version Section 87072(c)(16) Personal Rights. Copy of Complaint Investigation Reports, Deficiency citation, LIC Confidential Names and LIC Appeal Rights left at the facility at conclusion of inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, COTTONWOODFACILITY NUMBER: 107207250

visit_type: Complaint Investigation


summary: Facility Evaluation

raw_content:
Narrative:
On December 22, 2025, Licensing Program Analyst (LPA), Vanessa Galvan traveled to Brighter Horizon Cottonwood Facility located in Fresno, CA, to conduct an unannounced inspection and met with Administrator Assistant Isaiah Brown and Administrator Assistant Precious Beard. The purpose of this unannounced inspection is to conduct a Case Management regarding late incident reports that the facility submitted to Community Care Licensing. On December 22, 2025, the facility submitted four incident reports for four incidents that occurred between December 3, 2025- December 10, 2025. Based on the documentation review and observation, it was determined that the facility has failed to submit the Incident Reports within the seven days the incident occurred. The facility is being cited for violation of the California Code of Regulations, Title 22, Division 6, regulation 80061(b) Reporting Requirements. An exit interview was conducted to discuss this report and appeal rights. A copy of this report and appeal rights were provided to Isaiah Brown via email due to printer error.


summary: Facility Evaluation

raw_content:
Narrative:
On March 20, 2025, Licensing Program Analyst (LPA) Vanessa Galvan traveled to Brighter Horizon Treatment Center, Cottonwood, a Short-Term Residential Therapeutic Program located in Fresno, CA, and met with Facility Manager Pedro Rangel and Administrator Assistant Ruben Figueroa. The purpose of this unannounced inspection was to conduct Case Management regarding an incident that occurred at the facility. LPA gathered additional information on the incident that occurred on 02/21/2025 involving a client 19 (C19) (see LIC 811 for confidential names). It was disclosed to LPA that while the staff was dispensing medication, the staff became distracted, which allowed the C19 to obtain a prescribed medication bottle without the staff's knowledge. Client 1 (C1) in care informed the staff that C19 had a medication bottle and ingested pills. C19 ingested the medication was transported to the hospital for medical evaluation. The facility above is being cited for violation of the California Code of Regulations, Title 22, Division 6, Chapter 1, Article 06. Continuing Requirements, section 80075(k)(1) Health-Related Services. An exit interview was conducted to discuss this report, the LIC 811, and the appeal rights. A copy of this report, LIC 811, and appeal rights were provided to Pedro Rangel at the conclusion of the inspection.

met_with: Pedro Rangel and Ruben Figueroa


summary: Complaint Investigation - Unsubstantiated - 1 deficiency

raw_content:
Investigation Findings:
13On February 10, 2026, Licensing Program Analyst (LPA), Vanessa Galvan conducted an unannounced visit to the Brighter Horizons Cottonwood STRTP and met Assistant Administrators Precious Beard and Isaiah Brown. The purpose of the inspection is to deliver the findings for the above allegations. The above allegations referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, confidential interviews, and review of records. Based on the investigation conducted, the department found that there was conflicting information. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are Unsubstantiated at this time. A copy of this report and appeal rights were discussed and provided to Isaiah Brown at the conclusion of the inspection via email due to printer error. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 12/19/2025 and conducted by Evaluator Vanessa Galvan PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:BRIGHTER HORIZON TREATMENT CENTERS, COTTONWOODFACILITY NUMBER: ADMINISTRATOR:RUFFIN, CAROLYNFACILITY TYPE: ADDRESS: E CORNELL AVETELEPHONE: (559) 375- CITY:FRESNOSTATE: CAZIP CODE: CAPACITY:6CENSUS: 4DATE: 02/10/ UNANNOUNCEDTIME BEGAN: 12: PM MET WITH:Isaiah BrownTIME COMPLETED:02: PM 9Staff personnel records did not contain certificates of completion for required intervention training. Staff personnel records did not contain documentation verifying training was completed. Staff personnel records did not contain required performance evaluations. INVESTIGATION FINDINGS: 13On February 10, 2026, Licensing Program Analyst (LPA), Vanessa Galvan traveled to Brighter Horizon Cottonwood located in Fresno, CA to conduct an unannounced complaint inspection and met with the Assistant Administrator Isaiah Brown. The purpose of the inspection was to deliver the findings regarding the above complaint allegations. The Department has investigated the above complaint allegations. LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. Based on file reviews and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. The agency is being cited for Title Interim Licensing Standards, STRTP, Article 06. Continuing Requirements, Section Personnel Records 87066 (b)(6), Supervision, Evaluation and Training Requirements 87065.1(d)(6) and 87065.1(e)(7), and Article 10.6. Continuing Requirements, Section Emergency Intervention Staff Training 87095.65(d). See Attached LIC 9099D for further information. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Isaiah Brown at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, COTTONWOODFACILITY NUMBER: 107207250

Deficiencies:
87066: (6) A record of each work performance evaluation and any correspondence with the employee.

title: (b)The licensee shall maintain the following personnel records


summary: Facility Evaluation

raw_content:
Narrative:
On 03/18/2026, Licensing Program Analyst (LPA) Sonia Sanchez conducted an unannounced case management inspection at the above agency. Met at the agency by Dashanique Shepherd, Facility Manager (FM) and via phone with Isaiah Brown, Administrator. The purpose of the inspection is to follow up the incident that occurred on March 03, 2026 with client #1 and client #2. Incident Report# 2766-FN The incident and staff supervision were discussed with Mr. Brown. Mr. Brown reported staff were instructed to provide more supervision and discussed the incident with the Probation Officer of Client #1 to see if they recommended further actions. Mr. Brown also reported Client #2 was given the opportunity to discuss with law enforcement and press charges of warranted. LPA reviewed the LIC500 and confirmed clearance for all staff currently present at the STRTP. If further actions are needed, LPA will address at a later time. There are no deficiencies to be cited on this date. A copy of this report is given to FM on this date

met_with: Dashanique Shepherd


raw_content:
Investigation Findings:
13On March 20, 2026, Licensing Program Analyst (LPA), Vanessa Galvan conducted an unannounced visit to the Brighter Horizons Cottonwood STRTP and met Facility Manager Dashanique Shepherd. The purpose of the inspection is to deliver the findings for the above allegation. The Department has investigated the above complaint allegation. LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. Based on confidential interviews, the department found that there was conflicting information. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation occurred. Therefore, the allegation is Unsubstantiated at this time. A copy of this report and appeal rights were discussed and provided to Dashanique Shepherd at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 02/04/2026 and conducted by Evaluator Vanessa Galvan PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:BRIGHTER HORIZON TREATMENT CENTERS, COTTONWOODFACILITY NUMBER: ADMINISTRATOR:RUFFIN, CAROLYNFACILITY TYPE: ADDRESS: E CORNELL AVETELEPHONE: (559) 375- CITY:FRESNOSTATE: CAZIP CODE: CAPACITY:6CENSUS: 5DATE: 03/20/ UNANNOUNCEDTIME BEGAN: 10: AM MET WITH:Dashanique ShepherdTIME COMPLETED:11: AM 9Staff are not providing supervision to minors in care. INVESTIGATION FINDINGS: 13On March 20, 2026, Licensing Program Analyst (LPA), Vanessa Galvan traveled to Brighter Horizon Cottonwood located in Fresno, CA to conduct an unannounced complaint inspection and met with the Facility Manager Dashanique Shepherd. The purpose of the inspection was to deliver the findings regarding the above complaint allegation. The Department has investigated the above complaint allegation. LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. Based on confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. The agency is being cited for Title Division 6, Chapter 1, Article 06. Continuing Requirements, Section Responsibility for Providing Care and Supervision 80078 (a). See Attached LIC 9099D for further information. An exit interview was conducted discussing this report and the appeal rights. A copy of this report, appeal rights, and LIC 811 were provided to Dashanique Shepherd at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, COTTONWOODFACILITY NUMBER: 107207250


facility_name: BRIGHTER HORIZON TREATMENT CENTERS, ELM

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Lisa Slusher met with the administrator for the purpose of resolving a complaint investigation at the Short Term Residential Therapeutic Program (STRTP) and met with Administrator Nikkia Moton. During the course of the investigation LPA conducted confidential interviews and reviewed documentation. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentation. The Department has investigated the above complaint allegations and based on information obtained, the above allegations could not be proven with a preponderance of the evidence. Due to conflicting interviews the allegations are considered to be unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216

met_with: Nikkia Moton


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Lisa Slusher conducted a complaint inspection at Brighter Horizon Treatment Center- Elm for the purpose of delivering the findings of the above complaint allegation. During the investigation, LPA Lisa Slusher inspected the facility, reviewed staff and client files, and conducted confidential interviews which revealed that there is not sufficient evidence to find whether the above allegation happened or didn't happen. Although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove the above allegation; therefore, the allegation is unsubstantiated. LPA provided a copy of this report to the STRTP. An exit interview was conducted. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216


raw_content:
Investigation Findings:
13On January 16, 2024, Licensing Program Analysts (LPAs) Vanessa Galvan and Lisa Slusher conducted an unannounced follow up complaint inspection at Brighter Horizon, Elm located in Exeter, CA and met with Administrator Nikkia Moten, Director Carolyn Ruffin, and Clinical Director Anthony Williams. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentation. The Department has investigated the above complaint allegation and based on information obtained, the above allegation could not be proven with a preponderance of the evidence. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Carolyn Ruffin at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 11/28/2023 and conducted by Evaluator Vanessa Galvan PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: ADMINISTRATOR:DAVID VAYNTRUBFACILITY TYPE: ADDRESS: GRIFFITH AVETELEPHONE: (323) 449- CITY:CLOVISSTATE: CAZIP CODE: CAPACITY:6CENSUS: 6DATE: 01/16/ UNANNOUNCEDTIME BEGAN: 12: PM MET WITH:TIME COMPLETED:01: PM 9Staff does not ensure facility has adequate laundry soap supply. INVESTIGATION FINDINGS: 13On January 16, 2024, Licensing Program Analysts (LPAs) Vanessa Galvan and Lisa Slusher conducted an unannounced complaint inspection at Brighter Horizon Elm located in Clovis, CA, and met with Administrator Nikkia Moten, Director Carolyn Ruffin, and Clinical Director Anthony Williams. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the above complaint allegation. During the course of the investigation, LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. Based on information obtained and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. The facility is being cited for Interim Licensing Standards, Short-Term Residential Therapeutic Program, Articles Through 10, section Personal Rights (c)(8)(B). See Attached LIC 9099D for additional information. An exit interview was conducted to discuss this report and the appeal rights. A copy of this report and appeal rights were provided to Carolyn Ruffin at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216

met_with: Carolyn Ruffin, Anthony Williams, Nikkia Moten


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Continue from Page 1... Reporting Requirement (b), Title 22, Division 6, Chapter 1, Article 07. Physical Environment, section Building and Grounds (a), and two civil penalties. See Attached LIC 9099D for additional information. An exit interview was conducted to discuss this report and the appeal rights. A copy of this report and appeal rights were provided to Carolyn Ruffin at the conclusion of the inspection.

Investigation Findings:
13On January 16, 2024, Licensing Program Analysts (LPAs) Vanessa Galvan and Lisa Slusher conducted an unannounced complaint inspection at Brighter Horizon Elm located in Clovis, CA, and met with Administrator Nikkia Moten, Director Carolyn Ruffin, and Clinical Director Anthony Williams. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the above complaint allegations. During the course of the investigation, LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. Based on information obtained and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. The facility is being cited for Interim Licensing Standards, Short-Term Residential Therapeutic Program, Article 06. Continuing Requirements, section Personal Rights (c)(1) and Personal Rights (c)(15), General Requirements, Title 22, Division 6, Chapter 1, Article 06. Continuing Requirements section CONTINUED ON PAGE 2... SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: VISIT DATE: 01/16/2024


raw_content:
Investigation Findings:
13On January 24, 2024, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced follow up complaint inspection at Brighter Horizon Elm located in Clovis, CA and met with Director Carolyn Ruffin. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentations. The Department has investigated the above complaint allegations and based on information obtained, the above allegations could not be proven with a preponderance of the evidence. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. An exit interview was conducted, copy of this report and appeal rights were provide to Carolyn Ruffin at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On January 8, 2024, Licensing Program Analysts (LPAs), Lisa Slusher and Vanessa Galvan traveled to Brighter Horizon Treatment Center, Elm, Short-Term Residential Therapeutic Program located in Clovis, CA, to deliver the findings of a complaint investigation and met with Nikkia Moten, Adminstrator. LPA conducted a confidential interviews, reviewed documentation, and obtained copies of pertinent documentation. Based on investigation conducted, the allegation is SUBSTANTIATED. No deficiencies observed or cited during today's inspection. A copy of this report was provided to the facility at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analysts (LPA) Lisa Slusher and Vanessa Galvan conducted an unannounced follow up complaint inspection for the purpose of completing an investigation and delivering findings for the above allegation(s). During the course of the investigation LPA conducted confidential interviews and reviewed documentation. Investigation shows that facility has not consistently maintained adequate care and supervision. The allegation is substantiated. A citation is issued on this date pursuent to CCR Title 22 division 6 section 80078(a) Responsibility for Providing care and supervision. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216

met_with: Nikkia Moten


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Lisa Slusher and Vanessa Galvan conducted an unannounced follow up complaint inspection for the purpose of completing an investigation and delivering findings for the above allegation(s). During the course of the investigation LPA conducted confidential interviews and reviewed documentation. Investigation shows that facility has not consistently maintained adequate care and supervision. The allegation is substantiated. A citation is issued on this date pursuent to CCR Title STRTP ILS section 87072(c)(8)(B) Personal Rights SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216


raw_content:
Investigation Findings:
13On April 18, 2024, Licensing Program Analysts (LPAs) Vanessa Galvan and Lisa Slusher conducted an unannounced complaint inspection at Brighter Horizon Elm located in Clovis, CA, and met with Program Director Carolyn Ruffin. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the above complaint allegation. During the course of the investigation, LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. Based on information obtained and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegation are found to be SUBSTANTIATED. The facility is being cited for Title 22, Division 6, Chapter Article 06. Continuing Requirement, section 80078, Responsibility for Providing Care and Supervision. See Attached LIC 9099D for additional information. An exit interview was conducted to discuss this report and the appeal rights. A copy of this report and appeal rights were provided to Carolyn Ruffin at the conclusion of the inspection. **Original Document was amended due to new video and photo evidence substantiating the above allegations. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13On March 15, 2024, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced follow up complaint inspection at Brighter Horizon Elm located in Clovis, CA and met with the Program Director, Carolyn Ruffin.The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentations. The Department has investigated the above complaint allegations and based on information obtained, the above allegations could not be proven with a preponderance of the evidence. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. An exit interview was conducted, copy of this report and appeal rights were provide to Carolyn Ruffin at the conclusion of the inspection. **Original Document was amended due to new video and photo evidence substantiating the allegation Staff sleep while on duty. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On March 18, 2024, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced complaint inspection at Brighter Horizon Elm located in Clovis, CA, and met with Administrator Nikkia Moten. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the above complaint allegation. During the course of the investigation, LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. Based on information obtained and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. The facility is being cited for Interim Licensing Standards, Short-Term Residential Therapeutic Program, Articles Through 10, section Personal Rights (c)(16). See Attached LIC 9099D for additional information. An exit interview was conducted to discuss this report and the appeal rights. A copy of this report and appeal rights were provided to Nikkia Moten at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216


raw_content:
Investigation Findings:
13On March 18, 2024, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced follow up complaint inspection at Brighter Horizon, Elm located in Clovis, CA and met with Adminstrator Nikkia Moten. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentation. The Department has investigated the above complaint allegation and based on information obtained, the above allegation could not be proven with a preponderance of the evidence. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Nikkia Moten at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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