facility_name: PACIFIC LODGE CAMPUS

raw_content:
Narrative:
LPA reviewed the Unusual Incident Reports to confirm that the staff's effort to provide a safe and healthful environment for residents, that indeed did follow restraint procedure evident by observation, monitoring, engaging, using crisis communication techniques to de-escalate and successfully used Pro-Act Protocol techniques were implemented based on the facilities Emergency Response plan. The staff implemented techniques to separate the fight, putting themselves in harm's way by positioning themselves in between clients. Statements and documents obtained revealed that the all Walkie-Talkie's were available, operable in addition to the cottage phone that is connected to office and the OD. LPA confirmed the staff to client ratio met regulations. LPA reviewed the facilities Page: Emergency, Intervention Plan, Protocol and Procedures. In addition to the statements LPA gathered the facilities supportive documents: Optimist TSCF Staff Involved in the Incident (Optimist TSCF SIR written 5-3-2021 (I-track 754020); copy of PRO ACT Training and an Excerpt from an administrative staff regarding the radio checks to confirm that the Walkie Talkies were operable. LPA assessed that all statements were congruent with the method of interventions implemented to ensure that the facility provided proper supervision to support and met the needs of children in placement. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has determined that the allegation of Neglect/Lack of Supervision; Personal Right and Physical plant violations are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There are no deficiencies noted or cited per California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, and Short Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS), Chapter 7. Version 3. An exit interview was conducted in person and the report was provided to the Bekins Cottage Supervisor on 07/02/2021.

Investigation Findings:
13On 07/02/2021 at 3:00PM (LPA) Licensing Program Analysts Rosslyn Gray conducted made and unannounced visit to PACIFIC LODGE TSCF to conclude the investigation on the above allegation/s and to deliver the findings. LPA spoke with the Bekins Cottage Supervisor of the TSCF. During the investigation process LPA-Gray interviewed and accounted for all relevant parties; and gathered pertinent information regarding the children who were involved in the incident and are no longer in placement. LPA was unable to contact of locate or interview RP who chose to remain anonymous. LPA made attempts to contact the alleged victims involved in the incident. Based on the interviews and statements from staff and witnesses obtained during the investigation process, the allegation cannot be corroborated because supporting evidence for this complaint is as follows: The internal Investigation revealed that, although the RP was adamant that allegation in the complaint occurred there is no evidence to support the allegation of Neglect and Lack of Supervision; Personal Rights and Physical Plant. LPA obtained statements from four (4) staff and three (3) witnesses. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray 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: PACIFIC LODGE CAMPUSFACILITY NUMBER: VISIT DATE: 07/02/2021

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

met_with: STAFF #1


state: CA

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Based on interviews and analyzing all evidence, the department has found this complaint to be Unsubstantiated, meaning the allegation may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. There are no deficiencies to be cited. A copy of this report and appeal rights were provided to FA at the facility.

Investigation Findings:
13On October 26, 2022, at 10:15 a.m., Licensing Program Analyst (LPA), Kuliema Calloway, made an unannounced visit to the above facility for the purpose of concluding complaint findings. LPA met with Theresa Nunez, Facility Administrator at Pacific Lodge Campus who granted access. LPA arrived and observed the front gate on Serrania Ave. is missing and under construction. LPA took photos. Based on the interviews with three of the Clients (C1, C2, and C3) and three of the Staff (PS, S2, and S3) the investigation revealed some of the clients are using drugs however, the investigation did not reveal enough evidence to corroborate the allegations of whether staff are not preventing minors from using drugs while in care. Also, the investigation revealed the staff has received training and is aware of the client's needs therefore, there is not enough evidence to conclude staff are not competent to provide the services necessary to meet minors needs while in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Kuliema Calloway 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: PACIFIC LODGE CAMPUSFACILITY NUMBER: VISIT DATE: 10/26/2022

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

report_type: Complaint Investigation

met_with: Theresa Nunez, Facility Administrator

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has determined that the allegation of Neglect/Lack of Supervision is Unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There are no deficiencies cited at this time. An exit interview was conducted and the report was provided to the Program Director on 12/21/2022.

Investigation Findings:
13On December 21, 2022, Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit to conclude the investigation and to deliver the findings. During the investigation, LPA-Gray interviewed and accounted for all available relevant parties; and gathered pertinent information in reference to the allegations. The Licensee denied the allegation. Based on confidential interviews, LPA assessed that all statements were congruent with methods of crisis communication to were implemented to redirect and encourage clients to make better choices for the health and safety. In review of documentary evidence there is no evidence or witnesses to support that the clients in care were not properly supervised and that the facility staff did not prevent a minor from AWOLing. Documentary evidence show that proper protocol that include evidence of iTrack Special Incident Report-(SIR) was written and submitted within the proper time frame and authorized representatives were notified. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray 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: PACIFIC LODGE CAMPUSFACILITY NUMBER: VISIT DATE: 12/21/2022

met_with: Program Director


raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has determined that the allegation of Neglect/Lack of Supervision is Unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There are no deficiencies cited at this time. An exit interview was conducted, and the report was provided to the Program Director on 12/21/2022.

Investigation Findings:
13On December 21, 2022, Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit to conclude the investigation and to deliver the findings. During the investigation, LPA-Gray interviewed and accounted for all available relevant parties; and gathered pertinent information in reference to the allegation. The Licensee denied the allegation. Based on confidential interviews, LPA assessed that all statements were congruent with methods of crisis communication were implemented to protect the minor from being assault by another minor in the facility. In review of documentary evidence, client was provided medical attention and there was no evidence of injuries sustained. There is no evidence or witnesses to support that the client in was not properly supervised and that proper reporting protocol was utilized to prevent the client in care from going AWOL. An iTrack Special Incident Report-(SIR) was written and submitted within the proper time frame and authorized representatives were notified. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray 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: PACIFIC LODGE CAMPUSFACILITY NUMBER: VISIT DATE: 12/21/2022


raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has determined that the allegations of Personal Rights is Unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There are no deficiencies cited at this time. An exit interview was conducted, and the report was provided to the Program Director on 01/23/2023.

Investigation Findings:
13On January 2023 10: AM Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit to conclude the investigation and to deliver the findings. During the investigation LPA-Gray interviewed and accounted for all available relevant parties; and gathered pertinent information in reference to the allegations. The Licensee denied the allegations The alleged victim refused to be interviewed. Based on confidential interviews, LPA assessed that all statements were congruent with staff efforts meet the needs and wants of the alleged victim and other clients in placement. There is no evidence or witnesses to support that the facility staff did not give youth prescribed medication; does not have adequate food, and staff did not ensure that child was fed. Documented evidence indicate that the client refused medication, all clients including the alleged victim are provided with adequate food and snacks according to the regulations. In addition,clients are accorded the option to request alternate food items and there is no evidence of two (2) staff employed listed on the details of the report neither existed nor listed on Staff Roster. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray 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: PACIFIC LODGE CAMPUSFACILITY NUMBER: VISIT DATE: 01/23/2023

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


raw_content:
Narrative:
Due to lack of evidence and conflicting statements obtained during the investigation, LPA determines that the allegation 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 that a violation occurred. There are no deficiencies cited at this time. An exit interview was conducted, and the report was provided to the Program Director on 02/03/2023

Investigation Findings:
13On February 3, 2023, at 1: PM Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit to conclude the investigation and to deliver the findings. The Licensee denied the allegation. Based on confidential interviews and review of documentary evidence there is no evidence or witnesses to support that the facility staff did not prevent minors from engaging in CSEC activity. Staff followed protocal for emergency interventions utilizing methods of crisis communication to redirect and encourage children to make better choices for the health and safety; and offer incentives to remain at the faciliy. Documentary evidence also showed that the Licensee provided individual services to meet the children's needs based on the length of stay that include observation to link them to DCFS to obtain CSEC sevices; evidence of Unusual Incident Reports was written, and cross reported to the authorized representatives. Tthere was no evidence to suggest children in care were not properly supervised. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray 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: PACIFIC LODGE CAMPUSFACILITY NUMBER: VISIT DATE: 02/03/2023

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


raw_content:
Narrative:
Due to lack of evidence and conflicting statements obtained during the investigation, LPA determines that the allegation 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 that a violation occurred. There are no deficiencies cited at this time. An exit interview was conducted, and the report was provided to the Program Director on 02/03/2023

Investigation Findings:
13On February 3,2023, at 3: PM Licensing Program Analyst (LPA), Rosslyn Gray made a unannouced visit to concluded the investigation and to deliver the findings. The Licensee denied the allegations.The alleged victim was unavailable and on AWOL status, and authorized representive/DCFS closed the bed within 24 hours. Based on confidential interviews, LPA assessed that all statements were congruent with staff efforts meet the needs and wants of the alleged victim and other clients in placement. There is no evidence or witnesses to support that "The facility staff did not give youth prescribed medication; Facility does not have adequate food; Facility staff did not ensure that child was fed'. Documented evidence indicate that the client medication was administered and logged. The clients including the alleged victim are provided with adequate food and snacks according to the regulations. In addition, clients are accorded the option to request alternate food items, and evidence of Unusual Incident Reports in a history of AWOL's were written,and cross reported to the authorized representatives. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray 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: PACIFIC LODGE CAMPUSFACILITY NUMBER: VISIT DATE: 02/03/2023

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


raw_content:
Narrative:
On March 12, 2024, LPA Regina Martin conducted the initial complaint inspection and met with Facility Director to inform receipt of the allegation and subsequent investigation. Evidence obtained from confidential interviews of three residents and one staff member, as well as review of facility file and related records, revealed one youth being sexual assaulted occurring while outside the facility during an attempt to recruit them into prostitution. Confidential statements revealed staff are trained on being observant of signs of sex trafficking and prostitution recruitment. Staff take an active trauma informed role in minimizing the impact on youth in care. Confidential interviews further revealed that facility staff made numerous attempts to prevent youth from interacting with sex trafficking youth and staff make continued attempts to discourage youth leaving the facility without permission. The investigation found a lack of evidence to support the allegation of facility staff's lack of supervision leading to sexual exploitation. Therefore, the allegation is unsubstantiated. A finding that the allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. There are no deficiencies cited per California Code of Regulations, Title 22, at this time.

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: Facility Director


summary: Facility Evaluation

raw_content:
Narrative:
On 09/17/2921 at 9:40AM Licensing Program Analyst (LPA) Rosslyn Gray conducted an unannounced Annual Required Inspection to PACIFIC LODGE CAMPUS (TSCF) Temporary Shelter Care Facility. LPA met with Staff#1 (S1) who granted access to the facility. The entire physical plant was inspected. The facility is to provide Temporary Shelter Care Services up to Days to sixteen(16) females ages 12-17 years; Plus, Non-minor Dependents, Ambulatory only. There is a pool on the premises that meets regulations. LPA met with the Staff#1 (S1) Cottage Supervisor of the (TSCF) facility who provided tour of the BEKINS Cottage. LPA- Gray observed the follow during the inspection: Staff #1 (S1) Cottage Supervisor The TSCF: There is a total of nine (9) bedrooms, Seven (7) bedrooms occupied by children. Two (2) bedrooms are not occupied by children. Bedroom #4: is occupied Therapist office. Bedroom # 5 is utilized as a storage and to contain clients personal belonging that went AWOL. When the beds are closed the personal belongings are provided to the children's (CSW) County Social Worker. Bedroom #1: Currently occupied by one (1) Child #1 (C1) There are two (2) twin size beds set six feet (6) apart; comfortable mattress, clean linen, blankets and pillows. There are two (2) separate walk in closets with adequate shelf space and a two (2) desk mounted in the wall. There is adequate lighting (ceiling), and the windows are slide locked with vertical blinds; observed to be in good condition. Bedroom #2: Currently occupied by one (1) Child #2 (C2). There are two (2) twin size beds set six feet (6) apart; equipped with a comfortable mattress, clean linen, blankets and pillows. There are two (2) separate walk in closets with adequate shelf space and a two (2) desk mounted in the wall. There is adequate lighting (ceiling), and the windows are slide locked with vertical blinds; observed to be in good condition. Bedroom #3: Currently occupied by one (1) Child #3 (C3). There are two (2) twin size beds set six feet (6) apart; equipped with a comfortable mattress, clean linen, blankets and pillows. There are two (2) separate walk in closets with adequate shelf space and a two (2) desk mounted in the wall. There is adequate lighting (ceiling), and the windows are slide locked with vertical blinds; observed to be in good condition. Bedroom #6: Currently occupied by one (1) Child #4 (C4). There are two (2) twin size beds set six feet (6) apart; equipped with a comfortable mattress, clean linen, blankets and pillows. There are two (2) separate walk in closets with adequate shelf space and a two (2) desk mounted in the wall. There is adequate lighting (ceiling), and the windows are slide locked with vertical blinds; observed to be in good condition. Bedroom #7: Currently occupied by one (1) Child #5 (C5). There are two (2) twin size beds set six feet (6) apart; equipped with a comfortable mattress, clean linen, blankets and pillows. There are two (2) separate walk in closets with adequate shelf space and a two (2) desk mounted in the wall. There is adequate lighting (ceiling), and the windows are slide locked with vertical blinds; observed to be in good condition. Bedroom #8: Currently occupied by one (1) Child#6 (C6)). There is one (1) twin size bed equipped with a comfortable mattress, clean linen, blankets and pillows. The 2nd bed was temporally removed due to her transgender identity. There are two (2) separate walk in closets with adequate shelf space and a two (2) desk mounted in the wall. There is adequate lighting (ceiling), and the windows are slide locked with vertical blinds; observed to be in good condition. Bedroom #9: Currently occupied by one (1) Child #7 (C7). There are is one two (2) twin size beds adequate shelf space, closet space and lighting, comfortable mattress, clean linen, blankets and pillows. There are two (2) twin size beds set six feet (6) apart; comfortable mattress, clean linen, blankets and pillows. There are two (2) separate walk in closets with adequate shelf space and a two (2) desk mounted in the wall. There is adequate lighting (ceiling), and the windows are slide locked with vertical blinds; observed to be in good condition. BATHROOMS: The community bathroom is located outside of the bedroom in the hallway. The bathroom is equipped with a four (4) showers, four (4) toilets and a four (4) sinks. There are two windows with blinds and screens that were observed to be in good condition. LPA test the water temperature, bathroom sinks and ensured that all toilets flushed. The laundry room is located inside the spacious bathroom equip with a washer and dryer unit. The laundry detergent is distributed to children individually according to the load of their laundry. Page 2 of The facility current License, Mental Health Certification; Ombudsperson for Youth in TSCF; Grievances and Personal Rights; are posted on the wall in the cottage dining area. Children are not restricted to make base on the profile list for approved phone calls. There is a private room available for the clients to make phones calls and the Phone Call Log is kept in the staff office. The Needs and Services plans are kept in the therapist office. LPA observed ample stored hygiene supplies and feminine products stored in a locked closet. The common area is equipped with adequate furniture; three (3) sofas, book shelf; table, television and a DVD player and a Amazon Fire-TV-Stick for movie entertainment. The cottage kitchen is not being utilized to cook food. There is a Non operable gas stove (shut off) with the burners and all nobs removed. There is a refrigerator used to store non-perishable snacks. There is a dining table with six (6) chairs. Snacks are also distributed from the Dining Hall; in addition, the cottage also purchase snacks off campus. Children have access to refrigerator, snacks including fresh fruit inside the cottage at any time. The main course of meal is delivered by the kitchen staff and or picked up by cottage staff depending on the ratio. from Dining Hall. The Weekly Menu/ Daily Meals are posted in the main Dining Hall and on the kitchen wall inside the cottage. The LPA walked over to the main Dining Hall was observed the weekly menu posted; ample dining tables, refrigerators, freezers; and gas operated kitchens stoves. The sharp knives and hazardous solutions are inaccessible to clients and stored in the main Dining Hall. The smoke detectors operated on a connected system and Carbon Monoxide detectors are operational in both cottages. LPA observed three (3) fully charged fire extinguishers stored in the staff office for safety purposes. The First Aid Kits was in compliance with all required items; is located in the staff office. LPA observed trash cans are covered with a lid in the kitchen, bathrooms and bedroom. There is a gym; activity room, art, basketball court, baseball diamond, a music studio, recreational activities. LPA observed bodies of water (8 feet pool) that meets regulations; all staff have keys and trained in water safety certificates and monitor the clients swimming. The Youth Care Counselor transport clients to outside recreational activities. Activities included going to the movie theaters, Go-carting, Miniature Golf, museums, walks in the dog park etc. Some outside extracurricular activities and social events that take persons into public or crowded places have been restricted. Alternate activities have been implemented based the compliance of the client. There were no deficiencies cited at the time of this inspection. LPA-Gray concluded the inspection and a copy of this report was left at the facility on 09/17/2021.

report_type: Facility Evaluation

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On 01/18/2022 at 11:15AM Licensing Program Analyst (LPA) Rosslyn Gray conducted Case Management Licensee Initiated Inspection to (TSCF) Temporary Shelter Care Facility For the purpose to add the CLARK COTTAGE to be utilized as additional space. LPA met with Staff#1 (S1) who granted access to the facility. The entire physical plant was inspected. The facility is to provide Temporary Shelter Care Services up to Days to sixteen (16) females ages 12-17 years; Plus, Non-minor Dependents, Ambulatory only. There is a pool on the premises that meets regulations. LPA met with the Staff#1 (S1) Cottage Supervisor of the (TSCF) facility who provided tour of the TSCF's are identified as BEKINS COTTAGE and CLARK COTTAGE: There is a total of eight (8) bedrooms in each cottage; occupied by one (1) child per room. LPA- Gray observed the following during the inspection: BEKINS COTTAGE: BEDROOMS. All 8 bedrooms are equipped with one (1) twin size bed, comfortable mattress, clean linen, blanket and pillows. There are two (2) separate walk in closets with adequate shelf space and a two (2) desk mounted in the wall. There is adequate lighting (ceiling), and the windows are slide locked with vertical blinds; observed to be in good condition. Bedroom #1: Currently occupied by one (1) Child #1 (C1) Bedroom #2: Currently occupied by one (1) Child #2 (C2). Bedroom #3: Currently Unoccupied. Bedroom #4: is utilized as the Therapist office. 809-page 1 of Bedroom #5: Currently Unoccupied. Bedroom #6: Currently Unoccupied. Child #3 (C3). Bedroom #7: Currently occupied by one (1) Child #4 (C4). Bedroom #8: Currently occupied by one (1) Child #5 (C46). Bedroom #9: Currently occupied by one (1) Child #6(C6). BATHROOMS: The community bathroom is located outside of the bedroom in the hallway. The bathroom is equipped with a four (4) showers, four (4) toilets and a four (4) sinks. There are two windows with blinds and screens that were observed to be in good condition. LPA test the water temperature, bathroom sinks and ensured that all toilets flushed. The laundry room is located inside the spacious bathroom equip with a washer and dryer unit. The laundry detergent is distributed to children individually according to the load of their laundry. Clark Cottage Bedrooms. All 8 bedrooms Currently Unoccupied. The Bedrooms are equipped with one (1) twin size bed, comfortable mattress, clean linen, blanket and pillows. There are two (2) separate walk in closets with adequate shelf space and a two (2) desk mounted in the wall. There is adequate lighting (ceiling), and the windows are slide locked with vertical blinds; observed to be in good condition. Currently Unoccupied are Bedrooms: #1, #2, #3, #4, #6, #7, #8: and #9: Bedroom #5: is utilized as a storage (i.e extra linen, hygiene supplies and extra clothing); it also contains clients personal belonging that went AWOL. When the beds are closed the personal belongings are provided to the children's (CSW) County Social Worker and or authorized representatives; BATHROOMS: The community bathroom is located outside of the bedroom in the hallway. The bathroom is equipped with a four (4) showers, four (4) toilet, two (2) Urinals and four (4) sinks. There are two windows with blinds and screens that were observed to be in good condition. LPA test the water temperature, bathroom sinks and ensured that all toilets flushed. The laundry room is located inside the spacious bathroom equip with a washer and dryer unit. The laundry detergent is distributed to children individually according to the load of their laundry. Continued: PAGE 2 of BEKINS COTTAGE: There is a private room available for the clients to make phones calls. The Phone Call Logs is kept in the staff office of each cottage. Children are not restricted to make phones calls based on the profile list for approved phone calls. CLARK COTTAGE: Under construction: Private phone room under construction. The Phone Call Logs will be kept in the staff office of each cottage. Children will not be restricted to make phones calls based on the profile list for approved phone calls. Additional rooms: Staff Office and Storage Room BEKINS COTTAGE does not utilize the kitchen to cook food. There is a non-operable gas stove (shut off) with the burners and all nobs removed. There is a refrigerator used to store non-perishable snacks. There is a dining table with six (6) chairs. Snacks are also distributed from the Dining Hall; in addition, the cottage also purchase snacks off campus. Children have access to refrigerator, snacks including fresh fruit inside the cottage at any time. The main course of meal is delivered by the kitchen staff and or picked up by cottage staff depending on the ratio. from Dining Hall. The Weekly Menu/ Daily Meals are posted in the main Dining Hall and on the kitchen wall inside the cottage. CLARK COTTAGE does utilize the kitchen to cook food. There is a non-operable gas stoves (shut off) with the burners and all nobs removed. There is a refrigerator used to store non-perishable snacks. There is a dining table with six (6) chairs. Snacks are also distributed from the Dining Hall; in addition, the cottage also purchase snacks off campus. Children have access to refrigerator, snacks including fresh fruit inside the cottage at any time. BEKINS & CLARK COTTAGES: The main course of meal is delivered by the kitchen staff and or picked up from the Dining Hall by cottage staff depending on the ratio. The Weekly Menu/ Daily Meals are posted in the main Dining Hall and on the kitchen wall inside the cottage. The main Dining Hall was observed the weekly menu posted; ample dining tables, refrigerators, freezers; and gas operated kitchens stoves. The sharp knives and hazardous solutions are inaccessible to clients and stored in the main Dining Hall. The smoke detectors operated on a connected system and Carbon Monoxide detectors are operational in both cottages. BEKINS: LPA observed four (4) fully charged fire extinguishers stored in the staff office for safety purposes. Continued: PAGE 3 of CLARK: LPA observe two (2) fully charged fire extinguishers stored in the staff office for safety purposes. BEKINS & CLARK COTTAGES The Emergency Exit located down the Hallway of each cottage. The facility current License, Mental Health Certification; Ombudsperson for Youth in TSCF; Grievances and Personal Rights; are posted on the wall in the cottage dining area. LPA observed ample stored hygiene supplies and feminine products stored in a locked closet. The common area is equipped with adequate furniture; three (3) sofas, and a lounge chair, book shelf; table, television and a DVD player and an Amazon Fire-TV-Stick for movie entertainment. The First Aid Kits followed all required items; is in the staff office. LPA observed trash cans are covered with a lid in the kitchen, bathrooms and bedroom. There is a gym; activity room, art, basketball court, baseball diamond, a music studio, recreational activities. LPA observed bodies of water (8 feet pool) that meets regulations; all staff have keys and trained in water safety certificates and monitor the clients swimming. The Youth Care Counselor transport clients to outside recreational activities. Activities included going to the movie theaters, Go-carting, Miniature Golf, museums, walks in the dog park etc. Some outside extracurricular activities and social events that take persons into public or crowded places have been restricted. Alternate activities have been implemented based the compliance of the client. There were no deficiencies cited at the time of this inspection. LPA-Gray concluded the inspection and a copy of this report was left at the Program Director on 01/18/2022. PAGE: 4 of 4

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On May 5, 2022, at 8: AM Licensing Program Analyst (LPA), Rosslyn Gray and Licensing Program Manager (LPM), JoAunne Griffin conducted a Case Management Licensee Initiated inspection. The purpose of the inspection is to identify Neimeyer Cottage and Bekins Cottage, as the Temporary Shelter Care Facility (TSCF). LPA met with Maria Bhattachan, Chief Administrative Officer (S1) who granted access to the facility. The entire physical plant was inspected. The facility is to provide Temporary Shelter Care Services up to Days to sixteen (16) female clients ages 12-17 years and non-minor dependents. Each cottage will have a capacity of 8 clients. There is a pool on the premises that meets regulations. LPA observed pool surrounded by 5-foot self-latching gate that meets regulations; all staff have keys, are trained in water safety, have certificates, and monitor the clients while swimming. There is a dining hall, school and a chapel located on the campus that is not being utilized. Neimeyer Cottage: There are no clients currently residing in cottage. The bedrooms are prepared to be occupied by one (1) client. There is one (1) twin size bed, comfortable mattresses, clean linen, blankets, and pillows. There are two (2) separate walk-in closets and one (1) desk mounted to the wall. There is adequate lighting and the windows are observed to be in good condition. Room #3 is utilized as storage room equipped with extra clothing, linen, and hygiene items. LPA observed ample stored hygiene supplies and feminine products stored in a locked closet. Bathrooms were observed to be clean and in working order. Continued on LIC 809-C Bekins Cottage: There are five clients currently residing in the cottage. The bedrooms are prepared to be occupied by one (1) client. There is one (1) twin size bed, comfortable mattresses, clean linen, blankets, and pillows. There are two (2) separate walk-in closets and one (1) desk mounted to the wall. There is adequate lighting, and the windows are observed to be in good condition LPA observed ample stored hygiene supplies and feminine products stored in a locked closet. Bathrooms were observed to be clean and in working order. In both cottages LPA observed, Ombudsperson for the Youth, Grievances, and a suggestion box. All required postings were posted on the wall in the dining area. Children are not restricted to make phone calls based on the approved phone calls list. There is a private room available for the clients to make phones calls and the Phone Call Log is kept in the staff office. The Needs and Services plans will be kept in the therapist office. The common area is equipped with adequate furniture; three (3) sofas, a bookshelf; furniture (i.e table, television). The kitchen is not being utilized to cook food. There is a non-operable gas stove (shut off) with the burners and all nobs removed. The refrigerator is used to store extra snacks and non-perishable foods. There is a dining table with eight (8) chairs. The food menu is posted on the refrigerator. The food is provided by an outside vender Every-Table that brings prepped meals with an expiration date. Clients will have access to snack including fresh fruit inside the cottage. The smoke detectors are operated on a connected system and carbon monoxide detectors are operational in both cottages. LPA observed four (4) fully charged fire extinguishers located in the kitchen and hallways. Fire extinguishers expire May 2022. The First Aid kits are in accordance with all required items and are located in the staff offices. LPA observed that trash cans are covered with a lid in the kitchen, bathrooms, and bedroom. There is a gym, activity room, art room, basketball court, baseball diamond, music studio and recreational activities available. LPA Gray concluded the inspection, and a copy of this report was left at the facility with the S1.

met_with: Chief Compliance and Quality Improvement Officer.


summary: Facility Evaluation

raw_content:
Narrative:
On August 16, 2023, at 10: AM Licensing Program Analyst (LPA), Rosslyn Gray to conducted a Annual/Random inspection. LPA inspected the Neimeyer Cottage and Bekins Cottage identified as the Temporary Shelter Care Facility (TSCF). A health and risk assessment was conducted prior to entering the facility cottages. LPA met with the Assistant Supervisor (S2) who granted access to the facility who provided a tour of of the entire physical plant to be inspected. LPA also met with S1 who provided additional information regarding the building and grounds. The facility is to provide Temporary Shelter Care Services up to Days to sixteen (16) female clients ages 12-17 years and non-minor dependents. Each cottage has a capacity of 8 clients. The facility will ensure to provide a document for clients that over-stay. There is a pool on the premises that meets regulations. LPA observed pool surrounded by 5-foot self-latching gate that meets regulations; all staff have keys, are trained in water safety, have certificates, and monitor the clients while swimming. There is a dining hall, school and a chapel located on the campus that is not being utilized. Outdoor Area: The space is free of hazardous materials and debris. LPAs observed all windows and screens to be in good condition. The passageways and porches are unobstructed. Neimeyer Cottage: There is one (1) client currently residing in cottage. There are 7 bedrooms that are prepared to be occupied by one (1) client. There is one (1) twin size bed, comfortable mattresses, clean linen, blankets, and pillows. There are two (2) separate walk-in closets and one (1) desk mounted to the wall. There is adequate lighting and the windows are observed to be in good condition. Room #3 is utilized as storage room equipped with extra clothing, linen, and hygiene items. LPA observed ample stored hygiene supplies and feminine products stored in a locked closet. Bathrooms were observed to be clean and in working order. LIC 809 1 of Bekins Cottage: There are two (2) clients currently residing in the cottage. There are six (6) bedrooms prepared to be occupied by one (1) client. There is one (1) twin size bed, comfortable mattresses, clean linen, blankets, and pillows. There are two (2) separate walk-in closets and one (1) desk mounted to the wall. There is adequate lighting, and the windows are observed to be in good condition LPA observed ample stored hygiene supplies and feminine products stored in a locked closet. Bathrooms were observed to be clean and in working order. In both cottages LPA observed, Ombudsperson for the Youth, Grievances, and a suggestion box. All required postings were posted on the wall in the dining area. Children are not restricted to make phone calls based on the approved phone calls list. There is a private room available for the clients to make phones calls and the Phone Call Log is kept in the staff office. The Same Day Assessments and the Safety Plans are kept in the therapist office located in the Bekins Cottage. The common areas are equipped with adequate furniture; three (3) sofas, a bookshelf; table and television. The kitchens are not being utilized to cook food. There is a non-operable gas stove (shut off) with the burners and all nobs removed. The food is provided by an outside vender Every-Table that brings prepped meals with an expiration date. LPA observed ample perishable, non perishable food and extra snacks store in both refrigerators. There is a dining table that seats eight (8) chairs, the chairs provided according to the Census and other chairs are temporarily stored in another room for the safety of client and staff. The food menu is posted on the refrigerator. Clients have access to snack including fresh fruit inside the cottage. The smoke detectors are operated on a connected system and carbon monoxide detectors are operational in both cottages. LPA observed a total of six (6) fully charged Fire extinguishers expired July 2024 located in the staff office for the safety of the clients and staff during a crisis. The First Aid kits are in accordance with all required items and are located in the staff offices. LPA observed that trash cans are covered with a lid in the kitchen, bathrooms, and bedrooms. There is a gym, activity room, art room, basketball court, baseball diamond, music studio and recreational activities available. LPA Gray concluded the Annual/Random inspection and a copy of this report was left at the facility Program Director LIC 809 2 of 2


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Dina Camara, and Licensing Program Manager Angela King conducted a case management inspection on 11/7/23 at 10: AM based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 5 out of Direct Care Staff and 2 out of 4 youth files were reviewed. 2 out of Direct Care Staff and 2 out of 4 youth were interviewed. (See the Confidential Names List, LIC 811,11/7/23). The Plan of Operation including policies and procedures were reviewed. Based on the analysis of the confidential interviews and youth file review including the same day assessment, CFT Matrix, and safety plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPM King observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Administrator Theresa Nunez.

met_with: Theresa Nunez, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On September 26, 2025, at 10: AM Licensing Program Analyst (LPA), Rosslyn Gray to conducted a Annual/Random inspection. LPA inspected the Neimeyer Cottage and Bekins Cottage identified as the Temporary Shelter Care Facility (TSCF). A Health and risk assessment was conducted prior to entering the facility cottages. LPA met with the Program Director (S1) who granted access to the facility who provided a tour of of the entire physical plant to be inspected. The facility is licensed to provide Temporary Shelter Care Services up to Days to sixteen (16) female clients ages 12-17 years. Each cottage has a capacity of 8 clients. Currently there are no clients in placement. The facility will ensure to provide a document for clients that over-stay. There is a pool on the premises that meets regulations. LPA observed pool surrounded by 5-foot self-latching gate that meets regulations; staff are trained in water safety, have certificates, and monitor the clients while swimming. There is a dining hall, school and a chapel located on the campus that is not being utilized. Outdoor Area: The space is free of hazardous materials and debris. LPAs observed all windows and screens to be in good condition. The passageways and porches are unobstructed. Neimeyer Cottage: Currently there are no client residing in cottage. There are eight (8) bedrooms that are prepared to be occupied. There is one (1) twin size bed, comfortable mattresses, clean linen, blankets, and pillows. There are two (2) separate walk-in closets and one (1) desk mounted to the wall. There is adequate lighting and the windows are observed to be in good condition. Room #3 is utilized as storage room equipped with extra clothing, linen, and hygiene items.LPA observed ample stored hygiene supplies and feminine products stored in a locked closet. Bathrooms were observed to be clean and in working condition. LIC 809 1 of Bekins Cottage:Currently there are no client residing in the cottage. There are (8) bedrooms prepared to be occupied by one (1) client. Each room is equipped with one (1) twin size bed, comfortable mattresses, clean linen, blankets, and pillows. There are two (2) separate walk-in closets and one (1) desk mounted to the wall. There is adequate lighting, and the windows are observed to be in good condition. LPA observed ample stored hygiene supplies and feminine products stored in a locked closet. Bathrooms were observed to be clean and in working order. In both cottages LPA observed, Ombudsperson for the Youth, Grievances, and a suggestion box. All required postings were posted on the wall in the dining area. Children are not restricted to make phone calls based on the approved phone calls list. There is a private room available for the clients to make phones calls and the Phone Call Log is kept in the staff office. The Safety Plans are kept in the therapist office located in the Bekins Cottage. The common areas are equipped with adequate furniture; four (4) sofas, a bookshelf; table and a 50' television. The kitchens are not being utilized to cook food. There are other appliance utilized to warm/heat food. There is a non-operable gas stove (shut off) with the burners and all nobs removed. The staff purchases frozen and fresh food from grocery store. LPA observed ample non perishable food and extra snacks store in both refrigerators. There is a dining table that seats eight (8) chairs, the chairs provided according to the census and other chairs are temporarily stored in another room for the safety of client and staff. The food menu is posted on the refrigerator. Clients have access to snack including fresh fruit inside the cottage. There is a scheduled menu with options to select food of choice. The smoke detectors are operated on a connected system and carbon monoxide detectors are operational in both cottages.LPA observed a total of five (5) fully charged Fire extinguishers expired September 8, 2026 located in the staff office for the safety of the clients and staff during a crisis. The First Aid kits are in accordance with all required items and are located in the staff offices. LPA observed that trash cans are covered with a lid in the kitchen, bathrooms, and bedrooms. There is a gym, activity room, art room, basketball court, baseball diamond, music studio and recreational activities available. LPA reviewed three (3) staff records via electronic files. Currently there are no clients in placement and no clients Records to review. LPA Gray concluded the Annual/Random inspection and a copy of this report was provide to the Program Director Theresa Nunez LIC 809 2 of 2

met_with: Program Director Theresa Nunez


summary: Facility Evaluation

raw_content:
Narrative:
This report is Amended from 08/23/2023 to update the language to the LIC809-D On August 29, 2023, at 11:35AM, Licensing Program Analyst (LPA), Rosslyn arrived at the above facility for the purpose of conducting a Case Management-Other inspection. LPA met with Theresa Nunez Program Director A health and risk assessment were conducted. The purpose of the inspection was to assess Civil Penalties for Staff #1 not being associated to the above facility while providing care and supervision to children in care. Staff was observed to be working in the facility without a criminal record clearance and/or clearance transfer. Facility cited for violation of California Code of Regulations, Title Division Six, regulation 86019(e)(1) Criminal Record Clearance. Staff was observed to be working in the facility without a criminal record clearance and/or clearance transfer. Exit interview was conducted. A copy of this report, LIC 809D, LIC 421BG and Appeal Rights were provided to the Program Administrator.

met_with: Assistant Program Supervisor


facility_name: PROGRESS RANCH WELCOME CENTER

summary: Facility Evaluation

raw_content:
Narrative:
On 2/18/2025 at 10: AM Licensing Program Analyst (LPA) Tatyana Shulz and Licensing Program Manager (LPM) Rosa Rodriguez made an announced visit with the purpose of conducting a pre-licensing/relocation inspection to the above facility. LPA and LPM met with Executive Director, Alyssum Maguire, and a walk through of the interior and exterior was completed. Physical Plant LPA and LPM entered from the front door into the Living Room that has 2 couches, 1 side table, 1 coffee table and a closet nook with shelving and hanger space. There is a dining room with a table and 2 chairs next to the kitchen area. The kitchen has a working stove top, microwave, dish washer, toaster and sharps are kept locked under the sink. There is no refrigerator at the time of this inspection. There are 3 bedrooms all of them equipped with 2 full beds, a closet and the three screens on the bedroom windows needs to be replaced. Room 1 is an office area with 4 desks, a closet that houses a secure cabinet that will hold the client's medications, files with a window that will be secured to prevent break ins and a bathroom with a working sink, shower, and toilet. Room 2 is the living room/common area with 1 couch, 1 chair and a bookshelf with arts and crafts supplies, all furniture is in good repair. There is one full bathroom leading to the client bedrooms with a working toilet and running warm water with a temperature of 120 degrees. LPA suggests lowering the water temperature to maintain client's safety. LPA also suggests adding to the fence line on the left side of the home when approaching the front door due to easy access to parked campers on the side of the home. Continue to LIC 809-C The backyard is gated, with ample space for the clients to move about. The facility has a Kia to be used to transport clients the facility plans on acquiring a second facility vehicle. Once the new vehicle has been attained the information will be provided to the LPA. There is a garage with bins that have spare clothes, toys, arts and crafts materials, cleaning supplies, a washer and dryer unit and the First Aid kit. LPA observed a camera in the front of the house but there were no cameras observed inside the facility. LPA provided a copy of the PIN for the licensee to reference. The following required documents need to be posted, Emergency Disaster Plan, Personal Rights, Let-Us-Know flyer and Complaint contact numbers and license once granted. Disinfectants/cleaning solutions are inaccessible to children in care and kept in the locked garage. Once a refrigerator is installed the temperature need to be at or below 45 degrees F. With nonperishable foods one week and fresh perishable foods three days minimum. There are plates, cups and cooking supplies ready for clients. A working telephone will need to be made available at the facility. Smoke detectors are in working order. The Carbon monoxide detector will need to be installed. Hot Water between 105-120-degree F. Fire Extinguishers are up to date and in working order but will need to be mounted for the fire inspection. Toilets, wash basins and shower fixtures in good repair, no leaks and there is hot water accessible. Soap and Paper towels are available to clients. Bedroom-required linen and furnishings are fully stocked. The facility is free of vermin. For the fire clearance to be granted the Fire Department requests the facility to make the following adjustments: · Garage door shall be 20 minute fire rated, self-closing, self-latching, and provided with smoke/fire gaskets. Door and frame shall bear the 20 fire rated label. · Fire extinguisher is not mounted. Mount extinguisher, it shall be mounted between 3-5' from floor level, but no lower than 4". Mount extinguisher in a centralized area where is easily visible, accessible and not prone to being blocked. · Provide smoke alarms in dining room and family room. Smoke alarms shall be interconnected and hardwired to the homes electrical wiring. · Provide carbon monoxide detector. Continue to LIC 809-C · Provide room numbers, two bedrooms, being used by Residents. Room numbers shall match facility floor sketch. · Bedroom screens need to be replaced. · Refrigerator needs to be installed. · The office closet window needs to be secured and inaccessible to clients. · Night stands with drawers need to be added to client bedrooms. · Water temperature needs to be lowered. · Perishable food should be available for 3 days and Nonperishable for 7 days. · Sealed containers for leftover food need to be made available. · 6 chairs will need to be made available at the dining room table. · Garage shelving should be organized and made inaccessible to clients. A follow up inspection will be conducted once the facility passes their fire inspection. Per licensee they will not be open for business until late March or early April. CCL will be notified when the facility is ready for operation. No CareTool was available for this type of inspection. An exit interview was conducted with Executive Director, Alyssum Maguire and a copy of this report will be provided to the facility.

visit_type: Prelicensing

met_with: Alyssum Maguire-Executive Director


summary: Facility Evaluation

raw_content:
Narrative:
On 3/25/2025 at 9: AM Licensing Program Analyst (LPA) Tatyana Shulz and Licensing Program Manager (LPM) Rosa Rodriguez made an announced visit with the purpose of conducting a follow up pre-licensing/relocation inspection to the above facility. LPA and LPM met with Administrator, Ian Longue and a walk through of the interior and exterior was completed. Physical Plant LPA and LPM entered from the front door into the Living Room that has 2 couches, 1 side table, 1 coffee table and a closet nook with shelving and hanger space. There is a dining room with a table and 4 chairs and a bench next to the kitchen area. The kitchen has a working stove top, microwave, dish washer, toaster, refrigerator and sharps are kept locked under the sink. There are 3 bedrooms all of them equipped with 2 twin beds, a closet and foldable shelving units. Room 1 is an office area with 4 desks, a closet that houses a secure cabinet that will hold the client's medications and files with a window that has been secured to prevent break ins and a bathroom with a working sink, shower, and toilet. Room 2 is the living room/common area with 1 couch, 1 chair and a bookshelf with arts and crafts supplies, all furniture is in good repair. There is one full bathroom leading to the client bedrooms with a working toilet and running warm water with a temperature of 113 degrees. Continue to LIC 809-C The backyard is gated, with ample space for the clients to move about and a gardening service that comes by for maintenance every 2 weeks. The facility has a Kia to be used to transport clients the facility plans on acquiring a second facility vehicle. Once the new vehicle has been attained the information will be provided to the LPA. There is a garage with bins that have spare clothes, toys, arts and crafts materials, cleaning supplies, a washer and dryer unit and the First Aid kit. The following required documents will be posted by the licensee in the common area, Emergency Disaster Plan, Personal Rights, See Something Say Something Flyer, Complaint contact numbers and license once granted. Licensee will submit a picture to LPA to prove that the required documents are posted in the common area. Disinfectants/cleaning solutions are inaccessible to children in care and kept in the locked garage. Refrigerator temperature is at or below 45 degrees F. With nonperishable foods one week and fresh perishable foods three days minimum. There are plates, cups and cooking supplies ready for clients. A working telephone is available at the facility. Smoke detectors and carbon monoxide are in working order. Hot Water between 105-120-degree F. Fire Extinguishers are up to date and in working order. Toilets, wash basins and shower fixtures in good repair, no leaks and there is hot water accessible. Soap and Paper towels are available to clients. Bedroom-required linen and furnishings are fully stocked. The facility is free of vermin. The fire clearance for the facility was granted on 3/18/2025. Deficiencies that were observed during the initial pre licensing inspection on 2/18/2025 have been fixed. · Room numbers were added to clients bedrooms. · Bedroom screens have been installed. · Refrigerator has been installed. · The office closet window has been secured with brackets and has been made inaccessible. · Foldable drawers are accessible to the clients. · Water temperature was lowered to 113 degrees Continue to LIC 809-C ·Perishable food are available for 3 days and Nonperishable for 7 days. · Sealed containers for leftover food is available. · 4 chairs and a bench are available for client use at the dining table. · Garage shelving is organized and made inaccessible to clients. In addition, the licensee shall have an area for clients and their representative to file grievances when needed. Licensee will show proof to the LPA of a grievance box/designated area. Per licensee they will begin accepting clients towards the second week of April. CCL will be notified when the facility is ready for operation. No CareTool was available for this type of inspection. An exit interview was conducted with Administrator, Ian Longue and a copy of this report will be provided to the facility.

met_with: Ian Longue- Adminisrator


summary: Facility Evaluation

raw_content:
Narrative:
On May 23, 2025 at 12: PM Licensing Program Analyst (LPA) Sarina Buchannan arrived unannounced at the above facility for the purpose of conducting a case management inspection to follow up regarding an incident report. LPA met with Hans Owhowho, Lead Staff, who assisted LPA Buchannan with the inspection. LPA conducted a walk through of the facility. On March 22, CCL received an incident report dated May 15, 2025 in which a client had gotten into an altercation with another peer. LPA requested the following documentation: Client Roster, Staff Roster, Staff Schedule, Staff Contact information, and Needs and Services Plans. LPA conducted 3 staff interviews during today's visit. This case management will remain open. Further investigation is needed. Exit interview conducted. A copy of this report was provided to Ian Longue, Facility Administrator and Alyssum Maguire, Executive Director via email. LPA was unable to provide a physical copy of report due to technical issues with their printer.

met_with: Hans Owhowho, Lead Staff


summary: Facility Evaluation

raw_content:
Narrative:
On May 23, 2025 at 12: PM Licensing Program Analyst (LPA) Sarina Buchannan arrived at the above Facility and was greeted by Han Owhowho, Lead Staff, who granted LPA access. LPA conducted a tour of the inside and outside of the facility where LPA observed the following deficiencies. 4 window screens were missing from 3 client bedrooms and 1 client bathroom. 1 client bedroom was missing their curtain rod. LPA observed the staff pick up all the missing window screens and the curtain rod was in the clients bedroom. Staff also stated that they called the facilities maintenance worker to fix the screens and curtain rod prior to LPAs arrival and that they would be fixed the same day. LPA observed the call log as evidence that the work order was placed. This case management will remain open, until facility provides proof of completed repairs. Exit interview conducted. A copy of this report was provided to Ian Longue, Facility Administrator and Alyssum Maguire, Executive Director via email. LPA was unable to provide a physical copy of report due to technical issues with their printer.


summary: Facility Evaluation

raw_content:
Narrative:
On June 5, 2025, at approximately 11: AM Licensing Program Analyst (LPA) Orlando Areizaga made an announced visit with the purpose of conducting a closure inspection to the above facility on behalf of LPA Sarina Buchannan. LPA met with Administrator, Ian Longue and conducted a walk through of the interior and exterior of the facility. LPA observed the following: · 1 living room, 1 kitchen, 3 bedrooms, 2 bathrooms, 1 office, garage, and outdoor area. · The home was furnished, per Administrator that is how the facility came. · Closets were empty · An assortment of donated clothing in the garage · There were no signs of clients living at the facility · Two copies of the license were retrieved. During the inspection LPA observed a stack of folders on the desk, which were client's folders collected by the Administrator who indicated that the folders must have been left behind. This facility will be closed effective June 5, 2025. An exit interview was conducted with Administrator, Ian Longue and a copy of this report will be sent to Executive Director, Alyssum Maguire via email.

met_with: Administrator, Ian Longue


summary: Facility Evaluation

raw_content:
Narrative:
On June 26, 2025 at 12: PM Licensing Program Analyst (LPA) Sarina Buchannan arrived at Progress Ranch Welcome Center II (Kenneth) to close this case management that was initially open at Progress Ranch Welcome Center (Mariposa) on May 23, 2025. LPA conducted a tour of the inside and outside of the Progress Ranch Welcome Center II (Kenneth). On May 22, CCL received an incident report dated May 15, 2025 in which a client had gotten into an altercation with another peer. LPA requested the following documentation: Client Roster, Staff Roster, Staff Schedule, and Staff Contact information. Based on interviews conducted and documentation obtained it was confirmed that the clients in care had gotten into an altercation, but staff did follow the appropriate procedure to ensure the health and safety of the clients. Staff attempted to deescalate clients on multiple occasions throughout the incident using both proximity support as well as verbal techniques. Staff also used the approved emergency intervention plan by following the clients and communicating among each other to determine the best way to respond. In addition, staff followed protocol on reporting requirements. LPA was unable to interview both clients in question regarding the incident. This case management that was initially opened on 5/23/25 is now closed. No further investigation is needed. Exit interview conducted. A copy of this report was provided to Meghan Reedy, Clinical Supervisor.

met_with: Meghan Reedy, Clincial Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On June 26, 2025 at 12: PM Licensing Program Analyst (LPA) Sarina Buchannan arrived at Progress Ranch Welcome Center II (Kenneth) to close this case management that was initially open at Progress Ranch Welcome Center (Mariposa) on May 23, 2025. LPA conducted a tour of the inside and outside of the Progress Ranch Welcome Center II (Kenneth). On May 23, LPA observed the following deficiencies at Progress Ranch Welcome Center (Mariposa): · 4 window screens were missing from 3 client bedrooms and 1 client bathroom. · 1 client bedroom was missing their curtain rod On June 5, LPA Orlando Areizaga made an announced visit to Progress Ranch Welcome Center (Mariposa) for the purpose of conducting a closure inspection and observed no clients to be present and the facility to be in good repair. This facility was also closed on June 5, 2025 therefore this case management was closed without confirming a plan of correction. Exit interview conducted. A copy of this report was provided to Meghan Reedy at Progress Ranch Welcome Center II (Kenneth).

met_with: Clinical Supervisor, Meghan Reedy


raw_content:
Narrative:
No other youth reported that Shelter staff, either in general or particularly the two mental health workers, were bullying clients-contrary to part of a youth's statement about staff. There was only one other youth who was a supposed witness to the incident but this youth provided inconsistent details about the alleged rough handling of the purported victim-that youth also stated that they only got glimpses of the incident that took place in a client's bedroom and that they were only walking by the opened door of the room. There was enough corroboration between obtained statements and an incident report to support the staff's claim that while some physical restraint was applied on the youth in question, this was done within the context of that youth attempting to harm themselves with a piece or pieces of broken glass. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is Unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility.

Investigation Findings:
13On 09/23/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this TSCF (Temporary Shelter Care Facility) to close the complaint investigation. LPA met with Ian Longue, Co-Administrator, to whom the following findings were delivered: LPA investigated an allegation that Staff handled minor in a rough manner. LPA opened the investigation on 05/15/2024, during which time a walkthrough of the Shelter's building & grounds was done-inside and out. Throughout the course of the investigation four youth, four direct-care staff, and one case-carrying county social worker were interviewed. Records reviewed as part of the investigation were a youth's intake documents as well as staff training records, and submitted unusual or special incident reports from the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTERFACILITY NUMBER: VISIT DATE: 09/23/2024

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

met_with: Ian Longue


raw_content:
Narrative:
There was no consensus as to the identity of an individual seen in a video recording to be holding a youth by the wrist and dragging the youth out of the bedroom. The video cannot be placed in a moment in time as no timestamp information was retrieved from the video file. The youth being dragged could not recall who the other individuals in the video were, nor could the youth remember what was happening in the video. This youth did state that, though it happened a lot, whenever they were placed in a manual restraint, they "probably deserved it." It was clear to this LPA that the individuals in the video were laughing, indicative of it being more of a playful situation rather than something egregious, punitive, or abusive in any way. 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. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility.

Investigation Findings:
13On 09/23/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this TSCF (Temporary Shelter Care Facility) to close the complaint investigation. LPA met with Ian Longue, Co-Administrator, to whom the following findings were delivered: UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTERFACILITY NUMBER: VISIT DATE: 09/23/2024

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


raw_content:
Narrative:
No other interviewed youth corroborated the purported improper or unjustified search of a particular minor's personal belongings, nor did any interviewee (children and staff alike) report that they had ever seen a client's personal items left strewn about after a direct-care staffer's apparent search of the inside of that youth's bag. Statements gathered from interviews with staff were individually conducted in separate places and times-with consistent descriptions of the facility's protocol concerning searches of clients' personal property and rooms: that there is no blanket search policy and that they are only done when there is, or has been, reasonable suspicion that a minor has, in their possession, prohibited and/or illicit substances and paraphernalia or any other manner of potentially hazardous items. In regard to accusations of staff speaking to minors inappropriately, and staff not treating youth with dignity and respect, no additional clarifying details were provided by youth as to what was said by whom, when and where these instances took place, and/or how staff went about in doing these things-no other witnesses were named and youth did not provide more specific times in which these violations allegedly happened. Overall, there were inconsistent statements obtained throughout the investigation process; therefore, the above allegations cannot be substantiated. 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. Exit interview conducted and a copy of this report, and of the Appeal Rights, is being provided to the facility.

Investigation Findings:
13On 12/04/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this TSCF (Temporary Shelter Care Facility) for the purpose of closing a complaint investigation. LPA met with Ian Longue, Acting Administrator, to whom the following report was delivered: On 07/03/ LPA opened the investigation onsite at the TSCF during which time a tour of the interior and exterior areas of the facility's physical plant was conducted-no Homes & Grounds deficiencies were observed. Documentation requested from the Shelter were staff training records as well as intake documents for a particular youth. During the course of the investigation, multiple youth (current and former placements) were interviewed in addition to Progress Ranch direct-care staffers. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTERFACILITY NUMBER: VISIT DATE: 12/04/2024


raw_content:
Narrative:
on the said client. As for the allegation that a minor was locked out of the facility, staff interviews were consistent in describing a particular incident in which a youth was being prompted to re-enter the facility safely: that said youth was attempting to climb in through a bedroom window-this was discouraged by staff due to the risk of the client cutting or scratching themselves. In addition, there was an unknown adult individual who accompanied the youth back to the facility and with whom the facility was unfamiliar. According to statements from multiple staff, the facility was merely gate-keeping to ensure that an unknown stranger would not come into the facility-which was deemed an apparent risk if they had let the youth back in at that moment. 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. Exit interview conducted and a copy of this report, and of the Appeal Rights, is being provided to the facility.

Investigation Findings:
13On 01/16/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this TSCF (Temporary Shelter Care Facility) to close the investigation and deliver its findings. LPA met with Executive Director Alyssum Maguire and the following report was discussed: LPA opened the complaint on 10/09/2024 at the facility, during which time a tour of the interior and exterior areas of the Shelter's physical plant was conducted; LPA also interviewed staff on this day. Additional interviews were conducted with clients, County personnel, and more staff. Submitted incident reports, County referral documentation, and client records were reviewed as part of the investigation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTERFACILITY NUMBER: VISIT DATE: 01/16/2025

met_with: Alyssum Maguire


raw_content:
Narrative:
facility staff were being disruptive to a youth during a virtual care team meeting. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is Unsubstantiated. Exit interview conducted and a copy of this report, and of the Appeal Rights, is being provided to the facility.

Investigation Findings:
13On 01./16/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this TSCF (Temporary Shelter Care Facility) to close the investigation and deliver its findings. LPA met with Executive Director Alyssum Maguire and the following report was discussed: LPA opened the complaint on 09/11/2024 at the facility, during which time a tour of the interior and exterior areas of the Shelter's physical plant was conducted. LPA also interviewed staff and clients; records reviewed as part of the investigation included a hospital visit summary, an admission agreement, and authorization forms. Additional interviews were conducted with former staff-people, youth' authorized representatives, County personnel, and Wraparound service providers. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTERFACILITY NUMBER: VISIT DATE: 01/16/2025


raw_content:
Narrative:
taken as yelling to minors, for example-there was no consensus on what specific inappropriate comments were made about, or directed to, a youth. Similarly, statements from interviewees were not consistent about whether facility staff yells at minors (for no good reason) or if particular staff-people were only trying to be firm in prompting or redirecting non-compliant clients. As for the facility taking a youth to emergency or urgent care, though the client's legal guardian ultimately did not agree that it was necessary, signed Consent to Treat or Medical Authorization forms were obtained by the facility; as such, it was within Progress Ranch's scope of authority to have the minor at least be evaluated-however, the facility could have better communicated and/or collaborated with that minor's guardian. Regarding the transportation of a minor to extra curricular activities, there was enough indication that this had been done by the facility to a reasonable extent up until a point wherein the facility decided to not continue supporting the youth's attendance to after-school activities due to that client not being honest about what they actually wanted to do when they got to school. According to corroborating staff statements, the school and the facility were in agreement on discontinuing transportation for the youth to extra-curricular activities due to the safety risk involved (the youth would have effectively been unaccounted for because they were not doing what they stated they would or they would not be where they initially claimed they would be). Finally, not enough corroborating youth spoke to not being allowed to use a phone in the facility-a number of staff and children did speak to a "lights out" house rule in which phone use is restricted after a certain time at night to allow for quiet time and sleep throughout the facility. Overall, there were inconsistent statements throughout the investigation process and there were not enough witnesses to corroborate the allegations. 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. Exit interview conducted and a copy of this report, and of the Appeal Rights, is being provided to the facility.

Investigation Findings:
13On 01/16/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this TSCF (Temporary Shelter Care Facility) to close the investigation and deliver its findings. LPA met with Alyssum Maguire, Executive Director, and the following report was discussed: LPA opened the complaint on 09/11/2024 at the facility, during which time a tour of the interior and exterior areas of the Shelter's physical plant was conducted. LPA also interviewed staff and clients; records reviewed as part of the investigation included a hospital visit summary, an admission agreement, and authorization forms. Additional interviews were conducted with former staff-people, youth' authorized representatives, County personnel, and Wraparound service providers. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTERFACILITY NUMBER: VISIT DATE: 01/16/2025

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


raw_content:
Narrative:
On 11/25/ LPA requested staff training hours and was only provided CPI, Ukeru, and First Aid. In addition, LPA Buchannan requested staff training logs on 12/3/24 and the facility was not able to produce training documentation requested. 6 out of 11 staff and client confidential interviews confirmed that staff had no trauma informed training which resulted in inappropriate interactions between clients and staff at the facility. It was also confirmed by the Facility Administrator that staff were interacting inappropriately with youth which resulted in the Facility terminating staff between 11/8/24 and 2/13/25. Based on LPAs interviews which were conducted and record review, The Preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee. Statements obtained during confidential interviews were inconsistent and could not establish whether the facility was or was not in ratio. 6 out of 11 confidential interviews stated that the facility does not operate out of ratio. LPA was informed that there was a large number of staff terminated which affected scheduling and resulted in the facility occasionally operating at the minimum ratio requirements. LPA could not establish if the facility operated below required ratio during this time. Additionally, LPA also observed the facility to be in ratio during their inspection on 11/25/24 and during all subsequent inspections. 8 out of 11 confidential interviews also stated that they felt staffing was adequate to ensure clients needs were met. Statements obtained during interviews stated that even when staffing was low the facility was able to adjust to meet clients need by having staff on call or having an administrator arrive at the facility to cover a shift. Also, 3 out of 4 clients stated they felt there was an adequate number of staff to meet their needs. Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On February 10, 2025 at 3: PM Licensing Program Analyst (LPA) ) Sarina Buchannan made an unannounced visit to deliver findings to Progress Ranch Welcome Center 2 and met with Ian Longue, Facility Administrator. LPA was unable to visit Progress Ranch Welcome Center due to the facility moving locations. Prior to the meeting LPA Sarina Buchannan conducted the 10-day inspection of the facility on 11/25/2024. LPA Buchannan requested the following documents: Staff Roster, Client Roster, Staff Schedule, Staff Training Hours, Medication Administration Records, and Staff contact information. LPA Buchannan attempted 1 confidential interview and conducted 11 interviews between 11/21/2024-2/4/2025. Based on evidence obtained and confidential interviews conducted during the investigation process the above allegation is substantiated. (report continued on LIC 809C) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Sarina Buchannan 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTERFACILITY NUMBER: VISIT DATE: 02/10/2025

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

met_with: Ian Longue, Facility Administrator


raw_content:
Narrative:
Based on evidence obtained and confidential interviews conducted during the investigation process the allegations above have been substantiated. LPA received video footage dated 11/08/2024 of staff members speaking inappropriately while on shift as well as, throwing objects at clients in care. 8 out of 14 confidential interviews also state that they have witnessed staff belittle, yell, and intimidate clients in care. LPA received the separation paperwork dated 11/08/2024 for the staff involved in these incidents. Based on LPAs observations and interviews which were conducted and records review, the preponderance of evidence standard has been met, therefore the above allegations is found to be SUBSTANTIATED. Title Standards are being cited on the attached LIC 9099D. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee. Based on evidence obtained and confidential interviews conducted during the investigation process the allegations above cannot be substantiated due to conflicting statements. 12 out of 14 confidential interviews state that they have not seen staff smoking marijuana on facility grounds. 10 out of 14 confidential interviews also stated that they have not witnessed staff allowing clients to smoke marijuana inside the facility but rather they have a strict policy of confiscating all paraphernalia brought into the facility. Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On February 28, 2025 at 1:18pm Licensing Program Analyst (LPA) Tatyana Shulz made an unannounced visit to deliver findings to the above Temporary Shelter Care Facility (TSCF) and met with Patrick Kent, Team Lead. Prior to the meeting LPA Shulz, conducted the 10-day inspection of the facility on 11/15/2024. No deficiencies were cited during that inspection. LPA Shulz requested, Staff Roster, Client Roster, Staff Schedule, Staff Training Hours, Initial Intakes, Termination Letters and resource contacts for staff and other parties involved. LPA Shulz attempted 2 interviews and conducted 14 interviews between 11/15/2024-2/26/2025. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Tatyana Shulz 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTERFACILITY NUMBER: VISIT DATE: 02/28/2025

met_with: Patrick Kent- Team Lead


raw_content:
Narrative:
Based on evidence gathered and confidential interviews conducted during the investigation, the allegation above cannot be substantiated. Statements obtained during confidential interviews were inconsistent and could not establish that the facility staff physically abused clients in care. 17 out of 21 confidential interviews stated that they have never witnessed staff physically abuse any clients in care. LPA was informed that an incident took place on December 14, 2024, in which all clients placed in the facility stated that they witnessed the staff hit a client. LPA was unable to obtain any statements from Staff or County Social Workers to corroborate the allegation. In addition, any staff aware of the allegation had been told by other staff or clients and did not witness the event them self. Also, the client who was allegedly hit informed their County Social Worker that the facility had conducted a restraint during this incident and the client did not like it but did not mention they were hit. Lastly, the County Social Worker stated it was difficult to get the client to leave the facility as they wanted to stay. LPA Buchannan was also informed of two additional incidents in which clients may have been physically abused at the facility. One incident took place on November 10, 2024, but LPA was unable to obtain any witnesses to corroborate the allegation. LPA was also unable to confirm with the client due to them refusing an interview. In addition, Facility Administrator and Executive Director stated that the client had hit their hand on a printer while engaging in destructive behaviors. Lastly, the County Social Worker confirmed the client was taken to the hospital following this event and there was no report of injury consistent with being physically abused. Another incident took place on December 4, 2024, in which a client had allegedly been choked by staff. LPA was able to confirm with staff who witnessed the incident stated that the staff conducting the restraints arm slipped due to the client moving a lot, this resulted in one arm being around the client's neck momentarily. Also, the incident was said to have been reported by the client and staff who witnessed it at a Child Family Team meeting, but the County Social Worker stated that it was never reported or addressed. Lastly, the witness stated they did not attend any CFT meeting regarding the incident, it was not reported, and the restraint was necessary to keep clients safe. Although the allegation may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to Administrator, Ian Longue.

Investigation Findings:
13On March 25, 2025 at 9:04am Licensing Program Analyst (LPA) Tatyana Shulz and Licensing Program Manager (LPM) Rosa Rodriguez made an unannounced visit to deliver findings to Progress Ranch Welcome Center and met with Adminisrator, Ian Longue. LPA and LPM were unable to visit Progress Ranch Welcome Center due to the facility moving locations. Prior to the meeting LPA Sarina Buchannan conducted the 10-day inspection of the TSCF on 12/26/2024. LPA Buchannan requested the following documents: Staff Roster (December), Client Roster (December), Staff Schedule (December), Staff contact information, and related incident reports. LPA Buchannan attempted 2 confidential interviews and conducted 21 confidential interviews between 12/26/2024-03/20/2025. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Tatyana Shulz 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTERFACILITY NUMBER: VISIT DATE: 03/25/2025

met_with: Ian Longue-Adminstrator


summary: Complaint Investigation - Substantiated - 1 deficiency - 1 allegation

raw_content:
Narrative:
Which caused the client to go without medication for approximately 6 days from December 27, 2024, to January 1, 2025. Based on LPAs observations and interviews which were conducted and records review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Interim Licensing Standards are being cited on the attached LIC 9099D. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On April 11, 2025 at 9: AM Licensing Program Analyst (LPA) Sarina Buchannan made an unannounced visit to deliver findings to the above Temporary Shelter Care Facility (TSCF) and met with Patrick Kent, Administrator (training). Prior to the meeting LPA Shulz, conducted the 10-day inspection of the facility on 1/09/2025. No deficiencies were cited during that inspection. LPA Shulz requested, Medication Logs for the client in November 2024, December 2024 and January 2025, Incident Reports, Client Roster, Staff Trainings, Staff Schedules and resource contacts for staff and other parties involved. LPA Shulz conducted 8 interviews between 1/09/2025-4/09/2025. Based on evidence obtained and confidential interviews conducted during the investigation process the allegation above has been substantiated. 6 out of 8 confidential interviews state that due to the frequency of the client's AWOLs and potential substance use during those instances staff were instructed to cease giving the client their psychotropic medication without proper physician's approval.(report continued on LIC 9099C) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Sarina Buchannan 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH WELCOME CENTERFACILITY NUMBER: VISIT DATE: 04/11/2025

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

Deficiencies:
84675(c): Psychotropic medications shall be used only in accordance with the written directions of the physician prescribing the medication...

met_with: Patrick Kent, Administrator (training)

complaint_status: SUBSTANTIATED

title: Health Related Services