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Investigation Findings:
13Licensing Program Analyst (LPA) Paul Simien made an unannounced visit to the above listed facility main office to inform them of the findings for the above listed allegations. LPA met with Emma Spillner, Administrator (ADM) at 11: AM on 4/3/25. Based on confidential interviews conducted it was determined that the allegations listed above is Unsubstantiated. Facility staff responded to physical altercation between clients immediately and was able to separate and de-escalate individuals involved. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. As a result of this visit, there were no title 22 deficiencies observed. Exit interview was conducted and a copy of this report was provided to ADM. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Joel Segura LICENSING EVALUATOR NAME: Paul Simien LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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


state: CA

facility_name: ACHIEVE RESIDENTIAL CENTER

summary: Complaint Investigation - Unsubstantiated - 1 allegation

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Narrative:
community. Confidential interviews reported that C5 was grabbed by an unknown adult who dragged C5 behind a building and sexually assaulted C5. Confidential interviews reported that S1 lost sight of C5. C5 returned to the facility with the other clients (C1, C2, & C6). S1 attempted to leave to search for C5 but C5 returned to the facility. Other confidential interviews reported that police reviewed video footage that pointed directly toward the alleged location and did not see C5. In addition, C5 was observed for injuries or marks, and none were found on C5 body. Confidential interviews reported that C5 was assessed when C5 returned back to the facility and C5 clothes weren't disheveled. Confidential interviews reported that C5 made no mention of the alleged sexual assault until asked about it. Other confidential interviews reported that there was no evidence found on C5 clothes and where the location of the alleged assault may have occurred. As a result of there being no corroborating evidence to proof the alleged sexually assault occurred. Based on confidential interviews and information obtained, the allegation that resident (C5) sexually assaulted by unknown perpetrator while in care of group home staff (S1) may have occurred, however; is not supported by evidence. Therefore, the allegation is unsubstantiated. A copy of this report and appeal rights were provided to Janet Winkfield, STRTP Facility Manager.

Investigation Findings:
13On August 31, 2021 at 12:35pm, Licensing Program Analyst (LPA), Cheraki Davis met with Janet Winkfield, Short Term Residential Therapeutic Program (STRTP) Facility Manager to deliver the finding for the above complaint allegation. On 06/07/2021 at 3:56pm, LPA conducted a safety inspection and no immediate safety hazards were observed. The investigation was conducted by Special Investigator Charlotte Jackson of the Community Care Licensing (CCL) Investigations Bureau. Investigation included interviews with clients (C1, C2, C3, C4, & C5), staff (S1 & S2), and one adult. Child Welfare Services/Case Management System Records for Emergency Response Referral Information, San Bernardino County Sheriff's Fontana Station detailed history report, the facility Runaway Policy, and incident reports were reviewed. LPA was unsuccessful with interviewing client 6 (C6) due to C6 not currently residing at the facility. On June 4, 2021, Community Care Licensing received an allegation which stated resident (C5) sexually assaulted by unknown perpetrator while in care of group home staff (S1). It was reported that C5 became distracted by a kitten and separated from S1 and clients (C1, C2, & C6) during a group walk in the UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cheraki Davis LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ACHIEVE RESIDENTIAL CENTERFACILITY NUMBER: VISIT DATE: 08/31/2021

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

report_type: Complaint Investigation

visit_type: Case Management

met_with: Janet Winkfield, Facility Manager

complaint_status: unsubstantiated


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Narrative:
However, C1 did not report the second assault because staff #1 (S1) and staff #2 (S2) told C1, "You are wearing the same jacket that has cum on it," in reference to the first sexual assault. They also told C1 it was C1's fault because C1 was absent from care when the 03/09/21 incident occurred. There were no witnesses to the staff's statements. When the LPA conducted additional interviews, S1 and S2 adamantly denied making the statements. Two of the other staff denied having any knowledge of the allegation. It was reported to the LPA that C1 disclosed to a staff that S2 blamed C1 for the 03/09/21 assault. Other information was received that S1 and S2 blamed C1 for the 03/09/21 assault. Based on confidential interviews and document review, the allegations C1 was sexually assaulted between March and May of 2021 due to a lack of supervision and C1 was blamed by S1 and S2 for getting sexually assaulted may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted and a copy of this report and appeal rights were provided to Janet Winkfield. Allegation #1) During the course of confidential interviews, it was reported to the LPA C1 was placed at the facility from 11/18/20 to 10/15/21. The sexual assault happened sometime between March and May of 2021. C1 left the facility between 9-10 p.m. and returned between 12-1 a.m. During this time, C1 was absent from care. The perpetrator picked up C1 around the corner from the facility. They got drunk and smoked "weed". The perpetrator got on top of C1 and had nonconsexual sex with C1. C1 met the perpetrator online and this was the first time they met in person. It was reported C1 would be absent from care every night from March 2021 to May 2021, because C1 did not want to be at the facility and wanted to experience the teenage life of drinking and doing weed. C1 would walk out the facility front door and the staff would not say or do anything in effort to prevent C1 from leaving. The staff would just sit there and not say a word. The staff did not shadow C1 either. This was the pattern when C1 went absent from care and this occurred when the incident happened. There would be two staff working when there were six clients in placement. There were only two staff that would try to talk the clients out of going absent from care. The other clients who would go absent from care were all discharged from the facility before C1 was discharged. The LPA received further information that C1 and C1's roommate would meet guys online and then go absent from care. C1's roommate and the other clients would go out their bedroom windows to leave but the facility had installed alarms on the windows. The alarms would alert the staff when a window was opened, and the staff would check and discover the client(s) had left. The clients then started walking out the front door when going absent from care. Achieve Residential Center is a no contact facility, the staff are prohibited from putting their hands on a client to prevent the client from leaving. C1 would go absent from care multiple times a week by walking out the front door. The LPA received consistent information the staff would shadow C1. The staff would complete a perimeter check and call law enforcement to report the runaway. It was further reported, there were two staff working when the clients were present during awake hours and one staff during the overnight shift. The facility has a capacity of six. One staff was able to talk C1 out of leaving but when the next shift arrived, C1 left. Once C1's roommate was discharged from the facility, C1 stopped going absent from care. However, other information was received the staff would not say or do anything in effort to prevent C1 from going absent from care. Allegation #2) During the course of confidential interviews, it was disclosed to the LPA this incident was the second time C1 was sexually assaulted while being absent from care from the facility. The first sexual assault was on 03/09/21. C1 reported the first assault to the staff who in turn reported it to law enforcement and the child abuse hotline. *** ***

Investigation Findings:
13On 10/27/22 at 11: AM, Licensing Program Analyst (LPA) Belinda Torres met with Janet Winkfield, Facility Manager, for the purpose of issuing the investigative finding to the allegations listed above. The LPA inspected the facility on 12/14/21 at 11: AM and no safety concerns were observed. During the course of the investigation, the LPA conducted confidential interviews with one client (C1) and five staff. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Belinda Torres LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ACHIEVE RESIDENTIAL CENTERFACILITY NUMBER: VISIT DATE: 10/27/2022

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

met_with: Janet Winkfield


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Narrative:
During investigation confidential interviews reported that C2 informed staff that C2 was sexually touched by C1 while in care. Confidential interviews stated that when staff learned about the incident it was reported, and a safety plan was created that included separating both clients. Confidential interviews further reported that C2 was later removed from the facility. Confidential interviews denied that the incident between C1 and C2 was a result of lack of supervision by staff. Another confidential interview denied that C2 was sexually involved with C1 while in care and added that C1 and C2 did engage in inappropriate sexual touching, but it was voluntary and not forced. C2 could not be reached for comment. Information obtained from confidential interviews disclosed that regular overnight health and safety checks were being conducted. LPA received inconsistent information regarding whether or not C1's and C2's sexually inappropriate touching was a result of lack of supervision. Regarding the allegation that staff does not treat children fairly, confidential interviews denied favoritism by staff and added that staff treat clients fairly despite the client's race. Another confidential interview reported that there are times when clients are not treated fairly by staff and added that such incidents are addressed in a meeting setting. Another confidential interview stated liking the placement and feeling safe in care. Based on confidential interviews, and record review the allegation that there was a lack of care and supervision between C1 and C2 resulting in inappropriate sexual activity, and that staff does not treat C2 fairly, may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. Exit interview was conducted. Due to technical difficulties a copy of this report will be emailed to Youth Counselor, Monique Bolden

Investigation Findings:
On April 5, 2023, at 10: AM, Licensing Program Analyst (LPA) Cynthia Urena conducted an unannounced visit at Achieve Residential Center Short Term Residential Therapeutic Program (STRTP) to deliver the findings of the above stated allegations. LPA was met by Youth Counselor, Monique Bolden. LPA Carmen Escobar conducted an inspection of the facility on May 24, 2022, at 2: PM and no immediate deficiencies were observed. Additionally, LPA Escobar collected pertinent documents from the STRTP's program staff and client files. LPA Escobar interviewed Facility Manager (FM) and one staff member (S1). LPA Escobar attempted to interview client 1 (C1) however, C1 declined an interview. LPA Urena continued interviews with FM, C1, and two staff members (S4, S5). Two staff members (S3, S4), two County Social Workers (CSW1, CSW2) and a client involved (C2) could not be reached after multiple attempts made by LPA Urena for interviews. On May 19, 2022, Community Care Licensing (CCL) received a complaint alleging that a lack of supervision at the facility resulted in inappropriate sexual activity between clients, and that staff does not treat a child fairly. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: ACHIEVE RESIDENTIAL CENTERFACILITY NUMBER: VISIT DATE: 04/05/2023

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

met_with: Youth Counselor, Monique Bolden


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Narrative:
Specifically, it was reported that C1 would constantly leave the facility without permission due to lack of supervision. During investigation confidential interviews reported that due to program protocols staff do not physically use restraints to keep clients from leaving the facility. Confidential interviews stated that staff verbally redirect clients and report all absences without leave (AWOL's) to authorized representatives while other confidential interviews reported that AWOLs are common at the facility and that staff do not always redirect clients in every occurrence when clients are attempting to AWOL. It was revealed that C1 returned to the facility from an AWOL status and was observed to have markings around the neck and body. A confidential interview revealed that the markings on C1's body were "hickeys" that occurred while C1 was on AWOL status. A confidential interview stated that C1 was offered medical care and was assessed by staff upon C1's return to the facility due C1's history and program protocols. Confidential interviews stated that C1 declined to provide staff with any details about the origins of those markings. Based on confidential interviews, and record review the allegation that staff did not provide adequate supervision to C1, may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. Exit interview was conducted. Due to technical difficulties a copy of this report along with the appeal rights will be emailed to Youth Counselor, Monique Bolden.

Investigation Findings:
13On April 5, 2023, at 11:00AM, Licensing Program Analyst (LPA) Cynthia Urena conducted an unannounced visit at Achieve Residential Center Short Term Residential Therapeutic Program (STRTP) to deliver the finding of the above stated allegation. LPA was met by Youth Counselor, Monique Bolden. LPA Carmen Escobar conducted an inspection of the facility on June 16, 2022, at 5: PM and no immediate deficiencies were observed. Additionally, LPA Escobar collected pertinent documents from the STRTP's program staff and client files. LPA Escobar interviewed one staff member (S1) and four clients (C1, C2, C3, C4). LPA Urena interviewed three additional staff members (S2, S3, S4). A County Social Worker (CSW) could not be reached after multiple attempts made by LPA Urena for interviews. On June 7, 2022, Community Care Licensing (CCL) received a complaint alleging that staff are not providing adequate supervision to minor. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: ACHIEVE RESIDENTIAL CENTERFACILITY NUMBER: VISIT DATE: 04/05/2023

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


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Narrative:
Based on these interviews, facility protocol is to report facility elopements to law enforcement and stakeholders. Also based on these interviews, facility staff confiscate contraband from youth when it is observed. LPA Haynes did not cite any deficiencies during this visit. LPA Hood reviewed C1's intake assessment which documented that C1 had a history of eloping from previous placements and rejecting authority. The intake assessment did not discuss CSEC history or substance abuse. LPA Hood reviewed six incident reports submitted to CCL between 2/19/2022 and 3/7/2022. Based on the review of the incident reports, the facility had reported elopements to law enforcement. On 2/21/2022, 3/5/2022, and 3/7/ C1 had received wellness checks from the San Bernardino County Sheriff's Office. Based on confidential interviews, record review, and the inability to interview C1, the allegation that lack of supervision resulted in minor engaging in CSEC activity while in care and lack of supervision resulted in minor using illegal drugs while in care, may have occurred; however, it is has not met the preponderance of doubt. Therefore, the above allegations are unsubstantiated at this time. No deficiencies were cited during this visit. LPA Hood conducted an exit interview with Janet Winkfield, Facility Manager, and a copy of this report including appeal rights was provided.

Investigation Findings:
13On 4/20/2023 at 11:15AM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to Achieve Residential and met with Janet Winkfield, Family Manager. The purpose of this visit was to deliver the findings for the above allegations. During the investigation, LPA Hood conducted two confidential interviews with Reporting Party (RP) and Staff #2 (S2). LPA Hood attempted to interview Client (C1), C1's whereabouts are currently unknown per their case worker. LPA Hood attempted to interview C1's county case worker, the current case worker did not have information about C1's time at the facility. The case worker shared that C1 has a history of eloping from their placements. The case worker at the time of the allegations is no longer with the county. In addition, facility and county records were reviewed. It was reported to Community Care Licensing (CCL) that lack of supervision resulted in minor engaging in Commercial Sexual Exploitation Children (CSEC) activity while in care and lack of supervision resulted in minor using illegal drugs while in care. On 5/3/2022, LPA Linda Haynes conducted an unannounced visit to the facility to inform the facility of the allegations. LPA Haynes conducted two interviews (CM and HM). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Selena Hood LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: ACHIEVE RESIDENTIAL CENTERFACILITY NUMBER: VISIT DATE: 04/20/2023

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


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Narrative:
On October 5, 2022, Community Care Licensing (CCL) received a complaint alleging that due to lack of supervision minors are being sexually exploited. Specifically, it was reported that Client #1 (C1) was the person recruiting other minors in engaging in Commercial Sexual Exploitation of Children (CSEC) activity while in care. Confidential interviews denied that C1 was recruiting other minors and added that although it was discovered that C1 was engaging in CSEC activity while in care C1 acted alone. Confidential interviews further stated that staff learned that C2 and C3 were both influencing other minors in CSEC activity and denied that lack of supervision was a result of clients engaging in CSEC activity while in care. Confidential interviews stated that staff attempted to terminate C2's placement but stated that relocation of C2 took the County longer than expected. Confidential interviews further stated that staff continuously redirect clients, offer therapeutic services for clients, provide activities for clients, and take clients on outings while in care. Other confidential interviews stated that clients leave the facility when clients are bored due to lack of activities offered by the program, and that some clients leave the facility to earn money. Other confidential interviews stated that staff do not redirect clients when leaving the facility while other confidential interviews stated that clients leave the facility despite staff efforts. LPA received inconsistent information regarding the allegation. Based on confidential interviews, and record review the allegation that due to lack of supervision minors are being sexually exploited, may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights will be emailed to Facility Manager, Janet Winkfield.

Investigation Findings:
13On April 25, 2023, at 12: PM, Licensing Program Analyst (LPA) Cynthia Urena conducted an unannounced visit at Achieve Residential Center Short Term Residential Therapeutic Program (STRTP) to deliver the finding of the above stated allegation. LPA was met by Facility Manager, Janet Winkfield. LPA Carmen Escobar conducted an inspection of the facility on October 5, 2022, at 10: AM and no immediate deficiencies were observed. Additionally, LPA Escobar collected pertinent documents from the STRTP's program staff and client files. LPA Escobar interviewed a Facility Manager (FM), and three clients (C2, C3, C4). Client 1 (C1) could not be reached for an interview due to termination of placement and current whereabouts are unknown at this time. Additionally, LPA Urena interviewed two staff members (S1, S2). Two County Social Workers (CSWs) could not be reached after multiple attempts made by LPA Urena for interviews. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: ACHIEVE RESIDENTIAL CENTERFACILITY NUMBER: VISIT DATE: 04/25/2023

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

met_with: Facility Manager, Janet Winkfield.


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Narrative:
(**Continued from LIC C pg. 2**) Exit interview was conducted and due to technical difficulties a copy of this report along with the appeal rights will be emailed to Facility Manager, Janet Winkfield. (**Continued from LIC 9099 pg. 1**) On October 22, 2022, Community Care Licensing (CCL) received a complaint alleging that a knife is accessible to minors in care, minors engaged in an altercation, staff did not safeguard minor's allowance, and that minor is intimidating another minor in care. It was specifically reported to CCL that C1 and C2 engaged in a physical altercation resulting in C2 threatening C1 with a knife. It was also reported that C2 was intimating other clients and taking clients allowances while in care. During investigation, confidential interviews stated that there was an altercation between C1 and C2 that resulted in staff separating clients and removing C1 temporarily to another sister facility. Confidential interviews denied that the altercation was a result of lack of supervision by staff and added that both C1 and C2 were friends prior to the altercation. Confidential interviews also stated that staff learned that C2 had threatened C1 with a knife after the altercation had occurred and staff reported the information that resulted in law enforcement involvement. Confidential interviews denied that a knife was accessible to C2 in care and added that staff did not know where C2 obtained the knife from due to C2 absconding from the facility often; while another confidential interview stated that C2 obtained a knife from another client in care and added that the knife was taken from the facility's kitchen. C1 nor C1's CSW could not be reached for comment. LPA received inconsistent information regarding the above stated allegations. Regarding the allegation that staff did not safeguard client's allowances, and that C2 was intimating C1 in care, confidential interviews stated staff distribute allowances weekly according to the program's allowance policy and that clients sign a document acknowledging receipt of allowance. Confidential interviews further stated that staff learned about the allowance incidences after they occurred and added that staff were informed that C2 was intimating clients and taking clients allowances while in care. Another confidential interview denied that C2 was using intimidation to take allowances away and maintained that C2 was not "bullying C1 in care". C1, nor C1's CSW could not be reached for comment. LPA received inconsistent information regarding the above stated allegations. Based on confidential interviews, and record review the allegation that knife is accessible to minors in care, C1 and C2 engaged in an altercation, staff did not safeguard C1's allowance, and that C2 is intimidating C1 in care, may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. (**Continued on LIC C pg. 3**)

Investigation Findings:
13On June 16, 2023, at 10: AM, Licensing Program Analyst (LPA) Cynthia Urena conducted an unannounced visit at Achieve Residential Center Short Term Residential Therapeutic Program (STRTP) to deliver the investigative finding of the above stated allegations. LPA was met by Facility Manager, Janet Winkfield. LPA Carmen Escobar conducted an inspection of the facility on October 26, 2022, at 4: PM, and no immediate deficiencies were observed. Additionally, LPA Escobar collected pertinent documents from the STRTP's program staff and client files. Interviews were conducted with Facility Manager, Administrator, two staff members (S1, S2) two clients (C2, C3) and one of two County Social Workers (CSW2). CSW1 could not be reached after multiple attempts made by LPA Urena for interviews. Additionally, LPA attempted to interview C1 but C1's whereabouts are unknown. (**Continued on LIC C pg 2**) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: ACHIEVE RESIDENTIAL CENTERFACILITY NUMBER: VISIT DATE: 06/16/2023

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


raw_content:
Narrative:
Regarding the allegation that staff did not provide adequate supervision to minors, information gathered from interviews stated that there was a foster child in the home, attempting to groom another foster child in the home for sexual trafficking. Confidential interviews detailed that staff accused a foster child of attempting to groom C1 and that upon return from AWOL would make comments about their pimp. Additional information gathered from confidential interviews denied that a foster child in the home was attempting to groom anyone for sex trafficking and staff would make that assumption. Further details gathered state that C2 did not take anyone with them while on AWOL and that no one in the home witnessed or was ever sex trafficked while at the facility. LPA received inconsistent information regarding the above allegation. Based on interviews and confidential information obtained during the course of this investigation, the allegations that that staff did not provide adequate supervision to minors, may have occurred, however is not supported, or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted, appeal right were discussed, and provided. A copy of this report was provided to Facility Manager, Janet Winkfield. .

Investigation Findings:
13On June 30, 2023 at 2:29 pm Licensing Program Analyst (LPA), Emina Preciado, met with Achieve Residential Center, Short Term Residential Therapeutic Program (STRTP) Facility Manager, Janet Winkfield, to deliver the findings for the above stated allegation. LPA Lisi Leon conducted a health and safety inspection of the facility on July 8, 2022 at approximately 11:10 am and there were no immediate no immediate health and safety deficiencies observed. During the course of the investigation, interviews were conducted with the Facility Manager (FM), Facility Staff (S1), County Social Worker (CSW), and three out of four foster children (C1, C2, C3). One foster child could not be reached for an interview, whereabouts are unknown, and was therefore not interviewed. In addition, county and facility records were reviewed. On July 1, 2022, Community Care Licensing (CCL) received an allegation alleging that staff did not provide adequate supervision to minors. *continued next page* UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Emina Preciado LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: ACHIEVE RESIDENTIAL CENTERFACILITY NUMBER: VISIT DATE: 06/30/2023

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


facility_name: ADVENT GROUP MINISTRIES-ST. JOHN HOME

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Investigation Findings:
13Licensing Program Analyst (LPA) SIngh-Sood conducted a complaint inspection at the facility at 10: AM, to deliver findings for the complaint investigation. LPA met with Assistant Facility Manager , Carina Gill who assisted with the inspection. LPA conducted an unnanounced inspection at the facility on May 19, 2021. Additionally, LPA reviewed the Foster Child and Facility records on May 19, 2021. This complaint report was investigated by the Investigations Bureau (IB), who conducted interviews with the foster children, facility staff, and other confidential parties. Based on the documents reviewed regarding the interviews conducted, the allegation was unsubstantiated. Although there may have been a violation of neglect/lack of supervision, there is not enough evidence to prove or disprove the lack of neglect/supervision allegation. Therefore, the above allegation is unsubstantiated. An exit interview conducted, and a copy of the report was emailed to Ms. Rivera at 1: PM. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Saxon Turner LICENSING EVALUATOR NAME: Vaishali Singh-Sood 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 2

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

met_with: Carina Gill


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) SIngh-Sood conducted a complaint inspection at the facility at 10: AM, to deliver findings for the complaint investigation. LPA met with Assistant Faciliy Manager, Carina Gill, who assisted with the inspection. LPA conducted an unnanounced inspection at the facility on May 10, 2021. Additionally, LPA reviewed the Foster Child and Facility records on May 10, 2021. This complaint report was investigated by the Investigations Bureau (IB), who conducted interviews with the foster children, facility staff, and other confidential parties. Based on the documents reviewed regarding the interviews conducted, the allegation was unsubstantiated. Although there may have been a violation of neglect/lack of supervision, there is not enough evidence to prove or disprove the lack of neglect/supervision allegation. Therefore, the above allegation is unsubstantiated. An exit interview conducted, and a copy of the report was emailed to Ms. Rivera at 1: PM. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Saxon Turner LICENSING EVALUATOR NAME: Vaishali Singh-Sood 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 2

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


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) SIngh-Sood conducted a complaint inspection at the facility at 10: AM, to deliver findings for the complaint investigation. LPA met with Facility Manager , Brian Phillips, who assisted with the inspection. LPA conducted an unnanounced inspection at the facility on August 26, 2021. Additionally, LPA reviewed the Foster Child and Facility records on the same date. This complaint report was investigated by the Investigations Bureau (IB), who conducted interviews with the foster children, facility staff, and other confidential parties. Based on the documents reviewed, as well as the interviews conducted, the allegation was unsubstantiated. Although there may have been a violation of , sexual abuse, there was not enough evidence to prove or disprove the allegation. Therefore, the above allegation is unsubstantiated. An exit interview conducted, and a copy of the report was emailed to Ms. Rivera at 11: AM. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Vaishali Singh-Sood 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 2

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

met_with: Brian Phillips


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) SIngh-Sood conducted a complaint inspection at the facility at 11: AM, to deliver findings for the complaint investigation. LPA met with Facility Manager , Brian Phillips, who assisted with the inspection. LPA conducted an unnanounced inspection at the facility on October 8, 2021. Additionally, LPA reviewed the Foster Child's file, and records. During the investigation, this LPA conducted interviews with facility staff, as well as with other confidential parties. Additionally, other various documents were reviewed . Based on the interviews conducted with staff as well as other confidential interviews, the allegations were confirmed. It is noted there are some very serious concerns regarding the lack of supervision in this incident, coupled with the fact that the facility has been failing to timely report serious incidents to parties who should be knowing immediately. As such, the above allegations are substantiated. Deficiencies were cited and Appeal Rights were provided and discussed. An exit interview conducted, and a copy of the report was emailed to Ms. Rivera at 12: PM. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Vaishali Singh-Sood 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 26-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, N. First Street, Ste. San Jose, CA Facility Name: Advent Group Ministries-st. JOHN HOMEFACILITY NUMBER: 430707436

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

complaint_status: SUBSTANTIATED


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Michelle Kyane conducted a case management inspection on November 18, 2021 at 11: AM, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. 4 of 13 direct care staff and 3 of 3 youth files as identified on the LIC 811 confidential names dated November 18, 2021, were reviewed. 1 of 13 direct care staff and 3 of 3 youth were also interviewed. The Plan of Operation including policies and procedure were reviewed. A copy of this report was discussed and provided to Abigail R. Anokwuru, Facility Administrator.

report_type: Facility Evaluation

met_with: Abigail Rivera


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Manager (LPM) Carolyn Flynn conducted a Teams Tele-Visit office meeting for the above listed facility at 1: PM on 2/4/2022. LPM Flynn was joined by Licensing Program Manager (LPM) Helga Wong, Regional Manager (RM) Nelson Martinez, LPA Shikya Belfield, LPA Vaishali Sing Sood, Executive Director, Daniel Mahan, DHCS Representatives, Sandi Snelgrove, Alexandra Andrews, and DSS Representatives, D. Gutierrez, . The purpose of this meeting was to discuss the Mental Health Status Approval (MHSA) Update, and the required items for permanent licensure for Advent. During this meeting ED Mahan stated that after speaking to Mental Health certification representative, the soonest they could get a letter from them stating they would be contracting with Advent would not be given until the middle of the month. A discussion was held on November 18, 2021 with RPM Martinez, LPM Wong and LPA Singh-Sood, DHCS Representatives, S. Snelgrove, and Michele Jimenez, and DSS Representatives, D. Gutierrez, and S. Kinney. regarding the time it has taken to send their application for the mental health approval. The time frame that ED Mahan provided during the meeting was submission on 11/29/2021 or 11/30/2021. DHCS stated they received the application on December 23, 2021. The expiration date for the provisional license is March 8, 2022. Due to the time frame of completing the process for the mental health approval being so short ( approximately 30 days) it was discussed with ED Mahan, the possibility of the program surrendering their license. It was also discussed with ED Mahan that there is no possibility to receive and extension due to the requirements of the statute. ED Mahan expressed that the pandemic has impacted his ability to complete the requirements in the timely manner. Although the department sympathizes with this, extensions have been given and consistent follow up has been conducted with Advent. During this meeting the following options were discussed; withdrawal of STRTP application by the program, this would prevent CCL ( Community Care Licensing) from taking legal action against the program. Also, DHCS Snelgrove agreed to reach out to the county representatives Nancy Nation and Margaret Ledesma from MHA and find out what their status was and where the program is in the process. ED Mahan was informed that if the program is not able to obtain their Mental Health approval by the date of March 8, 2022 the department will have to take legal action. ED Mahan was also informed that they could withdraw their STRTP application and submit a plan of closure. A follow up meeting will be conducted on 2/18/2022. The meeting was concluded, and a copy of this report will be sent to ED Mahan

met_with: Daniel Mahan


facility_name: ADVENT GROUP MINISTRIES - SUMMIT RANCH

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Vaishali Singh-Sood conducted a complaint inspection at 10: AM, for the purpose of re-delivering the findings for the above allegations. LPA met with Staff, Suzanne Lopez , who assisted with the inspection. LPA investigated this complaint by interviewing confidential parties who confirmed the allegations were true. After the Additionally, this LPA reviewed documents that revealed the facility had been negligent with medication, and failed to provide requested documentation not only to this LPA, but to other confidential parties who are to remain apprised of significant incidents. It was determined when the facility was asked to provide the necessary documentation, they were unable to do so. It is further noted this is not the first time the facility has failed to provide Incident Reports when asked for specific ones. As such, this LPA found the allegation to be substantiated, or true. Moreover, there is a preponderance of the evidence to prove the above allegations. An exit interview was conducted at 11: AM with Ms. Lopez, and a copy of this report, along with appeal rights, was emailed to her. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Vaishali Singh-Sood 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 26-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, N. First Street, Ste. FACILITY NAME: ADVENT GROUP MINISTRIES - SUMMIT RANCHFACILITY NUMBER: 430707151

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

met_with: Suzanne Lopez


facility_name: AGAPE HOMES ORCUTT

raw_content:
Narrative:
Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has decided that the allegations Neglect/Lack of Supervision are unsubstantiated but if any additional information is received this complaint can be amended and findings can be changed. Per California Code Regulation, Title 22, Division 6, Chapters 1, General Licensing Regulations, and Short Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS), there are no deficiencies to be cited at this time. Exit interview conducted, and a copy of this report was left at the facility.

Investigation Findings:
13On August 24, 2021, at 11:30 am, Licensing Program Analyst (LPA) Enrique Hernandez made an unannounced visit to the above facility for the purpose of concluding the investigation on the above allegations and to deliver the findings. LPA met with the licensee, and together discussed the investigation details. Based on the confidential interviews conducted and file review the allegations cannot be subtasntioned, because although the interviews confirmed that C1 was smoking marijuana in C1's room. the staff always tried to intervene to stop C1 from smoking marijuana, which C1 refused to do and even blew them in the staff's faces. The staff said they will always wait for C1 to give them the vape and C1 always ignore them. During interviews with staff, they said that they always search the facility inside and out, for any type of contraband and found bottles of alcohol and confiscated them immediately. The staff even has a chair in the hallway to make sure clients are okay at night and check every 15 minutes that they are in their room. Furthermore, the SW stated that they never observed C1 smoking marijuana but, the times SW visited C1 in the facility, there was a smell of marijuana in C1's room and in C1. SW stated that the facility did a great job with everything that was happening with C1. SW does not know what else the facility could have done for C1. The facility had multiple CFT meetings and always informed SW of everything that was happening with C1's behavior. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Enrique M Hernandez 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: AGAPE HOMES ORCUTTFACILITY NUMBER: VISIT DATE: 08/24/2021

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

met_with: Licensee


raw_content:
Narrative:
Due to a lack of evidence, it has been determined that the allegation of sexual abuse is Unsubstantiated at this time meaning, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove or disprove that a violation occurred. There were no deficiencies cited at this time. Exit Interview conducted with Facility Representative and a copy of this report and appeal rights will be emailed to Facility Administrator.

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

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

met_with: Amber Greene, Case Manager/Treatment Specialist


raw_content:
Narrative:
Based on LPA observation and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Facility is cited for violation of California Code of Regulations, Title 22 Buildings and Grounds: (refer to page 9099D for deficiency). A copy of this report and appeal rights were discussed and left with the administrator of the facility whose signature on this form confirm receipt of these documents.

Investigation Findings:
13On September 14, 2021 at 11:30 am, Licensing Program Analyst (LPA) Enrique Hernandez made an announce inspection at the above said facility, and met with Breanna McCormick Facility Administrator (FA), who granted access into the facility. The purpose of the inspection is to conclude the complaint investigation on one of the allegations and to deliver the findings. LPA and facility administrator together discussed the investigation details. During the investigative process, LPA Hernandez conducted a tour of the facility with the facility administrator and LPA observed several areas in the backyard and the side of the house that were deemed to be hazards. The following were observed, broken and loose wood with nails exposed on the side of the house, bricks (blocks) and rocks on the side of the house and plaxy glass window broken with sharp edges exposed. LPA took pictures of the deficiencies during the time of the inspection. The Administrator and licensee accompanied LPA in the inspection of the exterior and front of the home and the licensee was able to remove and / clean up some of the affected areas. The licensee also informed LPA that everything will be clean today and that the front window will be boarded up and secured with plywood until they get the glass window that the facility already ordered. Continue on LIC 9099-C SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Enrique M Hernandez 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: AGAPE HOMES ORCUTTFACILITY NUMBER: VISIT DATE: 09/14/2021

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


raw_content:
Investigation Findings:
13On 11/10/2021, at 12:00pm, Licensing Program Analyst (LPA) Enrique Hernandez made an announce inspection at the above said facility, and met with Breanna McCormick Facility Administrator (FA), who granted access into the facility. The purpose of the inspection is to conclude the complaint investigation on one of the allegations and to deliver the findings. LPA and facility administrator together discussed the investigation details. It was confirmed during confidential interviews with all relevant parties, that when HS arrived at the facility, HS put the keys on top of the kitchen counter and walked away for a few minutes. When HS returned to collect the keys, they were gone from the kitchen counter. S1, S2, FA and HS searched for the keys all over the facility and could not find them. C1 got into the vehicle and drove away from the facility. Based on LPA interviews and record reviews, the preponderance of evidence standard has been met, therefore the allegation is found to be SUBSTANTIATED. A deficiency was cited to the facility for Neglect Lack of supervision. Due to repeat deficiency 80078(a) within 12 months, a civil penalty will be issue of $250 and $100 a day until the violation is corrected. (refer to page 9099D for deficiency). A copy of this report and appeal rights were discussed and left with the administrator of the facility whose signature on this form confirm receipt of these documents. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Enrique M Hernandez 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: AGAPE HOMES ORCUTTFACILITY NUMBER: 428209702

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

met_with: Facility Administrator


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Based on the confidential interviews conducted and file review the allegations cannot be substantiated, Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has decided that the allegations Personal Rights are unsubstantiated, but if any additional information is received this complaint can be amended and findings can be changed. Per California Code Regulation, Title 22, Division 6, Chapters 1, General Licensing Regulations, and Short Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS), there are no deficiencies to be cited at this time. Exit interview conducted, and a copy of this report will be emailed to the facility Administrator due to technical difficulties with LPA's printer.

Investigation Findings:
13On January 26, 2022 am, Licensing Program Analyst (LPA) Enrique Hernandez made an unannounced visit to the above facility for the purpose of concluding the investigation on the above allegations and to deliver the findings. LPA met with Karina Delgado Case Manger (CM), and together discussed the investigation details. On August 24, 2021, the Department received a complaint alleging Staff gives minors money to buy marijuana, Staff drives minors to buy marijuana and Staff allows minors to smoke marijuana in the vehicle. During confidential interviews it was stated that no one gives the clients marijuana at the facility. Confidential interviews also indicated that no staff member drives clients or lends them money to buy drugs. It was also confirmed that no staff allows the clients to smoke any type of drug in the facility's vehicle. A confidential witness claimed that the staff took them to buy drugs and let them smoke in the facility's vehicle. The allegations were not corroborated during the investigation process. Continue on LIC9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Enrique M Hernandez 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: AGAPE HOMES ORCUTTFACILITY NUMBER: VISIT DATE: 01/26/2022


raw_content:
Narrative:
The Department has decided that the allegation of Neglect Lack of Supervision is unsubstantiated, but if any additional information is received this complaint can be amended and findings can be changed. Per California Code Regulation, Title 22, Division 6, Chapters 1, General Licensing Regulations, and Short Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS), there are no deficiencies to be cited at this time. Exit interview conducted, and a copy of this report will be emailed due to technical difficulties with LPA's printer

Investigation Findings:
13On January 26, 2022 am, Licensing Program Analyst (LPA) Enrique Hernandez made an unannounced visit to the above facility for the purpose of concluding the investigation on the above allegation and to deliver the findings. LPA met with the Breanna Facility Administrator (FA), and together discussed the investigative findings. On December 8, 2020, the Department received a complaint alleging Lack of supervision resulting in inappropriate interactions between minors. During the confidential interviews there were conflicting statements about what happened between the two clients. Confidential interviews were conducted, and documentation obtained that the facility acted immediately by separating clients from sleeping in the same room. The facility followed protocol and immediately reported the social worker, Law Enforcement and also wrote a Serious Incident Report (SIR). Based on the confidential interviews conducted and file review the allegations cannot be substantiated, Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Enrique M Hernandez 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: AGAPE HOMES ORCUTTFACILITY NUMBER: VISIT DATE: 01/26/2022

met_with: Program Manager


raw_content:
Narrative:
Based on the confidential interviews conducted and file review the allegations cannot be substantiated, Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has decided that the allegation of Neglect Lack of Supervision is unsubstantiated, but if any additional information is received this complaint can be amended and findings can be changed. Per California Code Regulation, Title 22, Division 6, Chapters 1, General Licensing Regulations, and Short Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS), there are no deficiencies to be cited at this time. Exit interview conducted, and copy of this report will be emailed due to technical difficulties with the LPA's printer.

Investigation Findings:
13On January 26, 2022 am, Licensing Program Analyst (LPA) Enrique Hernandez made an unannounced visit to the above facility for the purpose of concluding the investigation on the above allegation and to deliver the findings. LPA met with Karina Bernal Case Manager (CM), and together discussed the investigative findings. On August 17, 2021, the Department received a complaint alleging Facility staff does not adequately supervise residents and Facility staff are not properly trained. Confidential interviews and documentation received indicated that facility staff is always supervising the clients and have all the necessary training to work in the facility. Interviews also revealed that there have been incidents on the premises, but the facility is always in ratio during the time of the incidents. The facility has been following the protocol and informing all the pertinent parties every time there is an incident in the facility. The facility has also tried to have more communication with the neighborhood in regard to the issues with the clients. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Enrique M Hernandez 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: AGAPE HOMES ORCUTTFACILITY NUMBER: VISIT DATE: 01/26/2022


raw_content:
Narrative:
continued from Licensing Program Analyst (LPA) Enrique Hernandez and Associate Governmental Program Analyst (AGPA) Tonya L. Barnes-Woodard conducted the investigation into the personal rights and lack of supervision allegations. LPA Hernandez conducted the initial 10-day complaint inspection on February 10, 2022 and conducted confidential interviews with two clients. AGPA Woodard conducted subsequent visits to the facility on April 9, 2022 and May 1, 2022; confidential interviews were conducted with four staff members, and four clients. Additional phone interviews were conducted on April 23, April 25, April 27, and May 12, 2022. The investigation revealed that C2 does have a history of self-harm. Based on confidential interviews and a review of supportive documentation there has only been one incident where knives were left out on the counter that occurred on April 1, 2022 and there were no incidents on file for knives being left out or C2 having to go to the hospital to get stitches for self-harm. In the initial report, it stated knives were left out on the kitchen counter, and client cut here wrist deeply and she had to have stitches. In other interviews, contradicting statements of occurrences were given by client, that a knife was left on the table after dinner and she cut herself on the leg. In another interview with the same client knives were left on the counter after breakfast and she cut herself on the leg. Clients are not allowed to dye or cut their hair without parent or the courts permission. At or around 11PM, C1 was in the bathroom bleaching her hair with product that was stolen from a local store. Bedtime at the facility is 10PM. NOC staff knocked on the door several times and repeatedly asked C1 to answer the door. C1 ignored it and NOC forcefully opened the door. There were contradicting stories as to whether C1 was naked. Based on interviews and review of supportive documentation, AGPA Woodard determined that the preponderance of evidence standard was not met and did not prove that the alleged personal rights and lack of supervision violations occurred, therefore the allegations are found unsubstantiated. A copy of this report was left with facility representative.

Investigation Findings:
13On May 14, Associate Governmental Program Analyst (AGPA) Tonya L. Barnes-Woodard conducted a follow-up inspection at the facility for the purpose of delivering findings on the above allegations. Upon arrival, AGPA Woodard was greeted by Jesse Alvarado, Facility Manager. On February 1, 2022, Community Care Licensing Division (CCLD) received a call from reporting parties who reported that on January 30, C1 and C2 got into a silly fight and Staff (PM1) started hitting C1 on her head and neck instead of pulling C1 and C2 apart. On January 25, 2022, C1 was in the bathroom naked dying her hair when Staff (NOC) kept banging on the bathroom door to make C1 come out. NOC opened the door and stood in the doorway watching C1. C1 gathered her things together and went into her room. C2 was going through depression and got ahold of knives that were left on the kitchen counter and cut her wrist deeply. C2 reportedly got stitches. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Tonya Barnes-Woodard 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 34-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, N. Continental Blvd. #290B FACILITY NAME: AGAPE HOMES ORCUTTFACILITY NUMBER: VISIT DATE: 05/14/2022

met_with: Lexy Trice


facility_name: ALANA'S HOUSE

summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On 10/29/21 at 3PM, Licensing Program Analyst (LPA) Mariah Hawkins made a visit to the facility to deliver invesitgation findings. LPA met with Facility Manager Patricia McCorkell and informed of purpose of visit. Based on report, the complaint was regarding an incident in which the resident was left unattended at the hospital. Based on confidential interviews with staff, resident, and witnesses, resident R1 (See LIC Confidential Names) was left unattended at the hospital and, during this stay, was administered medication without the hospital obtaining appropriate consent from authorized representatives. Staff statements contradict, but no staff witnessed staff S1, who was delegated to supervise R1, go to the hospital, following R1 in the ambulance. R1's authorized representative notified staff S3 that R1 was unattended at the hospital and that the hospital had no contact for the facility. S3 called the facility and spoke to S1 and informed S1 at that time that S1 needed to be at the hospital with R1. S3 went to hospital, supervised R1, and transported back to facility after discharge. The preponderance of evidence standard has been met, and therefore the above allegation is found to be Substantiated. LPA issued a citation per Short-Term Residential Therapeutic Program Interim Licensing Standards Section 87065. Personnel Duties. An exit interview was conducted, appeal rights provided, and a copy of this report left with Facility Manager Patricia McCorkell. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Mariah Hawkins LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, TRAEGER AVE., SUITE FACILITY NAME: ALANA'S HOUSEFACILITY NUMBER: 075650092

met_with: Facility Manager Patricia McCorkell


raw_content:
Narrative:
The preponderance of evidence standard has been met, and therefore the above allegation is found to be Substantiated. LPA issued a citation per Short-Term Residential Therapeutic Program Interim Licensing Standards Section Personal Rights. An exit interview was conducted, appeal rights provided, and a copy of this report was left with Facility Manager Patricia McCorkell.

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

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


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
The preponderance of evidence standard has been met, and therefore the above allegation is found to be Substantiated. LPA is issuing a citation of Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS) Section Personal Rights, which requires the facility to accord residents the personal rights provided in Welfare and Institutions Code Section 16001.9, including 16001.9(a)(1) To be free from unreasonable searches of personal belongings. An exit interview was conducted, appeal rights provided, and a copy of this report left with Facility Manager Patricia McCorkell, whose signature on this form confirms receipt.

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


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Investigation Findings:
13On 11/18/22 at 12: PM, Licensing Program Analyst (LPA) Alyssa Ng made an unannounced inspection to the listed facility. The reason for the inspection is to deliver the findings for the allegations listed above. LPA Ng met with Patricia McCorkell, Facility Manager who assisted with the inspection. Based on confidential interviews conducted by LPA Belfield and supportive documentation to include but is not limited to; incident reports and needs and service plans. although the allegation may have happened, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, this allegation is Unsubstantiated. No violations of California Code of Regulations, Title 22, Division Six or Interim Licensing Standards were cited during this inspection. An exit interview was conducted a copy of this form was given to Patricia McCorkell, Facility Manager. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

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

met_with: Patricia McCorkell


summary: Complaint Investigation - Substantiated - 3 allegations

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Investigation Findings:
13Licensing Program Analyst (LPA) Shikya Belfield made an unannounced inspection to the above facility 12: PM on 4/10/2023. LPA Belfield met with facility manager Marvette Simmons who assisted with the inspection. The purpose of this inspection is to inform the facility representative of the findings of the above allegation. Based on confidential interviews conducted by LPA Belfield and supportive documentation to include but not limit; needs and serivce plans and incident reports. One at least one occasion staff were inappropriate in their interactions with cleints in care. The proponderance of the evidence has been met and the above allegation is Substantiated. Facility cited for violation of 87072(c) (10) Personal RIghts. An exit interview was conducted a copy of this report, along with appeal rights will be sent to LIcensee Lasondra Jones and Facility Marvette Simmons. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Carolyn Flynn LICENSING EVALUATOR NAME: Shikya Belfield LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: ALANA'S HOUSEFACILITY NUMBER: 075650092

Allegations:
- SubstantiatedEstimated Days of Completion:
- Estimated Days of Completion:
- Estimated Days of Completion: 90

met_with: Marvette Simmons


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Investigation Findings:
13At 03:00PM on 10/23/2023, Licensing Program Analyst (LPA) Karmen Balhotra made an unannounced complaint inspection to the facility listed above. The reason for the inspection is to deliver findings for the allegation listed above. LPA met with Marvette Simmons, Manager. Over the course of the investigation, LPA conducted confidential interviews and a file review. Evidence obtained revealed that for the allegations of; Minor is engaging in inappropriate behavior with another minor in care is found to be unsubstantiated. Confidential interviews with clients denied that the incident did not occur. This agency has investigated the complaint alleging the allegations listed above and have found that the complaint is unsubstantiated, meaning that although the allegation may have happened, or is valid, there is not a preponderance of the evidence to prove that the allegations above occurred. Based on today's inspection, no California Code of Regulations were cited. An exit interview was conducted, and a copy of this report was left with Manager. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Carolyn Flynn LICENSING EVALUATOR NAME: Karmen Balhotra LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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


summary: Complaint Investigation - Substantiated

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


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

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

met_with: Famang Dorley, Assistant Facility Administrator


summary: Facility Evaluation

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Narrative:
On 05/13/2026 at 10: AM, Licensing Program Analyst (LPA) Amee Li conducted a quarterly case management inspection in accordance with the terms agreed upon during the May Noncompliance Conference (NCC). LPA met with Marvette Simmons, Facility Manager and Cynthia Alvarez, Mental Health Rehabilitation Specialist and explained the purpose of the inspection. At the time of the inspection, there were two clients in care and two clients present. As outlined in the NCC terms and previous inspections, several requirements were reviewed. Staff training records are in compliance, with all staff fully trained at the time of hire and receiving additional training on a monthly basis. Staff meeting records show that meetings are held monthly, with the last staff meeting on April 2, 2026. Staff received training on Foster Youth Bill of Rights and Reasonable and Prudent Parent Standard via the California Office of the Foster Care Ombudsperson on April 2, 2026. LPA reviewed board of directors meeting minutes. The last board of directors meeting was held on April 13, 2026. LPA reviewed five staff files. Five out of five staff files contained the necessary forms. Two out of five staff files had outdated driver's licenses and LPA advised facility to add current driver's licenses to staff files. LPA reviewed two client files and found them to contain current emergency contact information and cash records. LPA observed clients' needs and services plans for April 2026, which had not yet been signed. LPA advised facility to obtain signatures from the clients and their authorized representatives. (Continued on LIC 809C.) LPA conducted a facility walkthrough. LPA observed the facility to be clean and in good repair. Kitchen and bathrooms are sanitary. Sharps and chemicals are stored where inaccessible to the residents. There were two days of perishable foods and seven days of non-perishable foods present. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls of the facility. LPA observed that the posted LIC 500 was out of date and staff immediately printed and posted the current LIC 500. The facility has met all conditions of the Non-Compliance Conference which started in May 2024. Quarterly inspections shall cease, and Alana's House is no longer on Non-Compliance as of 05/13/2026. An exit interview was conducted, and a copy of this report was left with Marvette Simmons, Facility Manager whose signature below confirms receipt.

met_with: Marvette Simmons, Facility Manager


facility_name: ALL OF GOD'S CHILDREN'S GROUP HOME

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Narrative:
Confidential interviews reported that staff did not believe that C1 needed to be seen by a doctor or to be taken to the ER for injury as it was a superficial cut on the toe. The Department also received an allegation that staff did not assist youth with their therapy appointment. Confidential interviews reported that C1 missed one appointment on 10/07/2021 and was 30 minutes late to two previous appointments. Confidential interviews revealed that C1 did not have a therapy appointment on 10/07/2021 but had a WRAP appointment at home and a CFT appointment held over Zoom. Confidential interviews further revealed that C1 did not miss either of these appointments; however, C1 was late for the CFT as the Zoom had been changed and needed to get the correct meeting code. Confidential interviews also revealed that if C1 did not want to attend the therapy appointments, the staff would not make C1 attend them. Based on confidential interviews and record reviews, the allegations that staff did not seek medical attention for youth in care and staff did not assist youth with their therapy appointment may have occurred, however, it is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated. A copy of this report and appeal rights were given to All of God's Children's Group Home Child Care Worker Laquitta Forham

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

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

met_with: Laquitta Fordham


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Narrative:
During the course of confidential interviews, it was reported to the LPA C1 and C2 were playing together during the early evening on 09/15/21. C2 got upset because C1 broke C2's doll. C2 called C1 a derogatory name. C1 started to tantrum and went outside in the facility van. C1 then went into the living room and was yelling and screaming at the other clients. C2 was sitting on the couch. Staff #1 (S1) was standing in between C1 and C2 in order to separate the clients. C1 then grabbed a computer keyboard from the staff computer station in the living room. C1 threw the keyboard at C2 hitting C2 on the back of the head. S1 sent the clients to another room for safety while C1 continued to tantrum and walk around the facility. S1 called the administrator to report the incident. Information from confidential interviews also stated that the administrator arrived at the facility and transported C2 to the emergency room as C2's head was bleeding. It was further reported to the LPA, C1 and C2 normally got along with each other. C1 was prone to tantrums but had never physically attacked another client prior to this incident. According to the unusual incident/injury report, C1 was taken to Riverside County Regional Medical Center and diagnosed with an abrasion to the scalp. The report also indicated C1 was 11 years old, five feet in height and weighed 166 pounds. C2 was eight years old, 4' 5" in height and weighed 60 pounds. C1 constantly engaged in frequent fighting and would hit and kick both clients and staff. C1 would use C1's size to intimidate clients and staff that were small in stature. A Day Notice for Removal was given by the facility for C1. However, other information stated C1 had punched C2 on the stomach during a previous incident. C1 was very aggressive and unable to manage their behavior. C1 was like a "tornado" when angry and the facility was unable to manage C1's behaviors. Based on confidential interviews and document review, the allegation S1 did not prevent youth from engaging in a physical altercation may have occurred, however, is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report and appeal rights were provided to La'Cobra Anderson.

Investigation Findings:
13On 08/31/22 at 10: AM, Licensing Program Analyst (LPA) Belinda Torres met with La'Cobra Anderson, Administrative Assistant, for the purpose of issuing the investigative finding to the allegation listed above. The LPA inspected the facility on 09/21/21 at 2: PM and no safety concerns were observed. During the course of the investigation, the LPA conducted confidential interviews with five out of five clients, two staff and a San Bernardino County Social Worker (CSW). The LPA attempted to interview two other staff but was unsuccessful in making contact as the staff are no longer employed with the licensee. On 09/17/21, Community Care Licensing (CCL) received a complaint alleging staff did not prevent youth from engaging in a physical altercation. It was reported client #1 (C1) engaged in a physical altercation with client #2 (C2) on 09/15/21. It was disclosed that C1 hit C2 on the back of the head with a keyboard. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Belinda Torres LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALL OF GOD'S CHILDREN'S GROUP HOMEFACILITY NUMBER: VISIT DATE: 08/31/2022

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

met_with: La'Cobra Anderson


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Narrative:
It was further reported some of the fruits S1 bought were bad. One time some apples had mold on them and staff threw them away. S1 reported to the LPA she has seen overly ripened bananas on several occasions and thrown them away. S1 does not keep rotten food at the facility. S1's office in the STRTP so she is present on a daily basis. S1 stated she is sure there was rotten food however, she does not buy rotten fruit. S1 reported S2 buys the groceries for the facility. Staff take a picture of each meal for seven days because food has come up missing since the COVID-19 pandemic. During the course of the investigation, confidential interviews were conducted. It was reported to the LPA, S2 purchased groceries every Tuesday and Friday. Fresh fruit were always purchased on Tuesdays and Fridays. The fruit would rot if nobody ate it but the fruit usually ran out quickly. If there is spoiled fruit, the staff are expected to throw it away. It was also reported the staff buy green bananas that are starting to ripen. The LPA observed the food inventory and took pictures of the inventory, during the LPA's unannounced inspection on 10/28/21. The LPA observed a basket on the kitchen counter with approximately eight fresh oranges. The LPA verified the food supplies for that day's dinner menu was present. The food inventory was sufficient. The LPA requested the meal pictures from the last week of September 2021 and the first week of October 2021 and the grocery receipts from 09/01/21-10/15/21. The facility submitted to the LPA meal pictures for the week of 09/27/21-10/05/21. A total of six pictures were received, however it appeared they were of dinner ingredients only. There was no fresh fruit in the pictures. The facility submitted to the LPA grocery receipts from 09/10/21-10/31/21. The receipts showed various fresh fruits such as bananas, grapes, oranges, blueberries, and raspberries were purchased. Based on confidential interviews and document review, the allegation S1 buys food for the clients but sometimes the food isn't adequate enough for them to eat may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report and appeal rights were provided to LaQuitta Fordham.

Investigation Findings:
13On 10/21/22 at 2: PM, Licensing Program Analyst (LPA) Belinda Torres met with LaQuitta Fordham, Child Counselor, for the purpose of issuing the investigative finding to the allegation listed above. The LPA inspected the facility on 10/28/21 at 2: PM and no safety concerns were observed. During the course of the investigation, the LPA conducted confidential interviews with one out of five clients and two staff. On 10/21/21, Community Care Licensing (CCL) received a complaint alleging the facility did not provide food that was of the quality necessary to meet the needs of the clients. It was reported Cheryl Williamson-Jones, Administrator (staff #1-S1), buys food for the clients but sometimes the food she buys isn't adequate enough for them to eat. On 10/03/21, a hand of bananas fell apart in the sink. A picture of some bananas, in a sink, that were black in color and had fallen off of the stem was received by CCL. The bananas had been purchased on 10/01/21. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Belinda Torres LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALL OF GOD'S CHILDREN'S GROUP HOMEFACILITY NUMBER: VISIT DATE: 10/21/2022

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

met_with: LaQuitta Fordham


raw_content:
Narrative:
S2 grabbed C1 by the arm and pushed C1 down onto the bed. S2 also grabbed C1 to try and force C1 out of the room. S2 reported to the LPA, the staff are not supposed to perform manual restraints as All of God's Children's Group Home is a hands-off facility. S2 denied the allegation. S2 reported to the LPA, C1 did not want to give up C1's Chromebook as a consequence. S2 stated she was nowhere near C1. S2 was standing in the threshold of C1's bedroom door. C1 was on C1's bed. S2 told C1 to give the Chromebook to S2 and C1 did not want to. S2 stated she could not remember anything else about the incident as, "There were a lot of situations." S2 could not remember who else was working as, "There were a lot of situations." Based on confidential interviews, the preponderance of evidence standard has been met and the allegation S1 restrained C1 is substantiated. Facility is cited for violation of Interim Licensing Standards Short-Term Therapeutic Program, Articles 1 through Section 87072(c)(11) Personal Rights. An exit interview was conducted and a copy of this report, LIC Proof of Correction(s), LIC Confidential Names and appeal rights was provided to LaCobra Curry. C2 tried to run out of the facility and S1 dragged C2 by C2's hair and pulled C2 back inside. During the course of the investigation, confidential witnesses stated S1 accidentally scratched C1. C1 was trying to get in another client's room. The other client did not want C1 in the room. S1 stood in the other client's bedroom entrance to block C1 from entering. C1 started to swing at S1. S1 put S1's hand out directly in front of S1 to block C1's swings. S1 accidentally scratched C1 with S1's nails. S1 gave C1 an ice pack and wrote up an incident report. The LPA did not receive any evidence to show S1 pushed C1 or the scratch was an intentional act. S2 reported to the LPA she administered C1's medications all the time. S2 could not remember the names of the medications or what they were for. S2 denied giving C1 medication to make C1 sleep. A confidential witness reported C1 did not take any medication for sleep while at the facility. The LPA requested C1's medication logs from the facility but the administrator was unable to locate them. The LPA did not receive any evidence to support the allegations S1 slapped C2's leg when C2 did not want to take C2's medication or S1 dragged C2 by C2's hair and pulled C2 back inside. S1 worked the nocturnal shift which was from 10 or 11 p.m. to 7 a.m. When S1 arrived to work, the clients were already asleep. The AM (day) shift were the only ones that administered the medications. Based on confidential interviews, the allegations S1 knocked C1 to the ground and C1 sustained a scratch to the face, S1 refused to report the incident, S2 overdosed C1 with medication, S1 slapped C2's leg and dragged C2 by the hair may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted and a copy of this report and appeal rights were provided to LaCobra Curry.

Investigation Findings:
13On 03/03/23 at 02: PM, Licensing Program Analyst (LPA) Belinda Torres met with LaCobra Curry, Administrative Assistant, for the purpose of issuing the investigative finding to the allegation listed above. The LPA inspected the facility on 04/29/22 at 1: PM and no safety concerns were observed. During the course of the investigation, the LPA conducted confidential interviews with five out of five clients, five staff and a county social worker. On 04/20/22, Community Care Licensing (CCL) received a complaint alleging staff #2 (S2) restrained client #1 (C1) on 04/14/22. It was reported S2 pushed C1 down on the bed and held C1's arms down. During the course of the investigation, confidential witnesses stated S2 asked C1 for C1's Chromebook as a consequence. C1 refused and ran to C1's room with the Chromebook. S2 followed C1. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Belinda Torres LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: ALL OF GOD'S CHILDREN'S GROUP HOMEFACILITY NUMBER: VISIT DATE: 03/03/2023

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

met_with: LaCobra Curry


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Narrative:
Staff also try to de-escalate the clients before they start fighting. The staff issue consequences such as the clients losing privileges for a day, electronics are taken away, no sweet snack and no outings for the day. It was further reported to the LPA, C1 steals, puts hands on the staff, fights with the clients, tantrums and does property destruction. C1 would run around a lot, had fits, would jump off C1's bed and was hyperactive. Sometimes C1 would sustain injuries when acting out. The LPA did not receive any evidence to support C1 sustained scratches to the elbow from another client. However, it was disclosed to the LPA that C1 sustained scratches to C1's back when C1 fought with C1's roommate. The roommate slapped C1 on the back with a toy stroller. Confidential interviews indicated that C1 and the roommate had a verbal altercation in the study area while two staff were present. Staff attempted to intervene, however, the roommate acted fast and hit C1 with the toy stroller. The staff sent the roommate to the room and gave C1 an ice pack. Based on confidential interviews, the allegations a client at the facility scratched C1 on the elbow, C1 fought with a client and the client hit C1 due to a lack of supervision may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted and a copy of this report and appeal rights were provided to LaCobra Curry.

Investigation Findings:
13On 03/03/23 at 2: PM, Licensing Program Analyst (LPA) Belinda Torres met with LaCobra Curry, Administrative Assistant, for the purpose of issuing the investigative finding to the allegations listed above. The LPA inspected the facility on 04/29/22 at 1: PM and no safety concerns were observed. During the course of the investigation, the LPA conducted confidential interviews with five out of five clients, four staff and a county social worker. On 04/21/22, Community Care Licensing (CCL) received a complaint alleging on 04/21/22 a client at the facility scratched C1 on the elbow, C1 fought with a client and the client hit C1. During the course of confidential interviews, the LPA received consistent information the staff intervened when the clients fought with each other. The staff separate the clients. The staff have the clients take space and do conflict resolution afterwards. The staff remind the clients of their coping skills. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Belinda Torres LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: ALL OF GOD'S CHILDREN'S GROUP HOMEFACILITY NUMBER: VISIT DATE: 03/03/2023

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