summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
(Continued) Regarding the allegation that staff call clients inappropriate names, confidential interviews noted S1 was involved in a conversation between client C1 and C2 about why it is inappropriate to use the "N" word. Additional confidential interviews noted S1 said 'Nigger" several times while C1 and C2 requested S1 to stop. Review of documentation and confidential interviews noted S1 has also referred to the clients as "Bitches". A confidential interview confirmed using N word and B word, however it was not intended to be threatening. Based on confidential interviews, observations, and file reviews, the preponderance of evidence standard has been met, therefore, the allegation that S1 calling C1 inappropriate names is substantiated. The facility is being cited for violation of Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards Section PERSONAL RIGHTS(c)(10). See LIC D. Exit interview was conducted. A copy of this report, LIC 811, and appeal rights were explained and provided to Case Manager, Reyna Corona.

Investigation Findings:
13On March 30, 2023, Licensing Program Analyst (LPA) Val Wilson met with Administrator Reyna Corona to issue the findings for the above stated allegation. Please see the Confidential Names List, LIC 811, dated March 30, 2023. On April 11, 2022, a safety inspection was conducted at CLFC Hemet Ranch Short-Term Residential Therapeutic Program (STRTP) and there were no noted concerns. LPA reviewed facility files and five client files [Client 1 (C1), Client 2 (C2), Client 3 (C3), Client 4 (C4), and Client 5 (C5)] and one staff file [Staff 1 (S1)]. LPA also obtained and reviewed copies of the LIC Register of Facility Clients, LIC Personnel Report, CFLC Policy and Procedure, staff evaluation, staff training, staff verbal warnings, Children and Family Team Minutes (CFTM), Needs and Services plans, and a county report. During the investigation, interviews were conducted with Administrator (ADM), Director (DIR), C1, C2, C3, C4, C5 and S1. On April 1, 2022, the Department received a complaint that alleged Personal Rights- Staff calling clients inappropriate names. Specifically, it was reported staff called a client the "N" word on several occasions with other clients present, the ADM discussed this with the staff, and staff called a client a "reverse racist". (Continued) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Valerie Wilson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: CFLC-HEMET RANCHFACILITY NUMBER: 330908390

complaint_status: SUBSTANTIATED


state: CA

facility_name: CFLC-HEMET RANCH

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
(Continued) of assigned chores, and the facility van and house are not kept clean. Regarding the allegation Client was not provided transportation from school, confidential interviews noted staff arrived late to the "school pick-up" on a minimum day. Staff began driving back to the house and picked up the Client close to the home. Additional interviews noted, S2 was not aware of the minimum day and this was the first time this has occurred at the facility. Other information states the allegation occurred. Regarding the cleanliness of the home and van, confidential interviews noted that staff refuse to clean the house if a client does not complete their chores. Additional interviews and observation revealed the ADM established expectations with the staff and the cleanliness of the home and van have not been a concern for a few months. Other information states the allegation occurred. Based on confidential interviews and information obtained, the allegation that C5 was not provided transportation by S2 from school in addition to a lack of cleanliness of the home and van may have occurred, however they are not supported, or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Reyna Corona.

Investigation Findings:
13On March 30, 2023, Licensing Program Analyst (LPA) Val Wilson met with Administrator Reyna Corona to issue the findings for the above stated allegation. Please see the Confidential Names List, LIC 811, dated March 30, 2023. On April 11, 2022, a safety inspection was conducted at CLFC Hemet Ranch Short-Term Residential Therapeutic Program (STRTP) and there were no noted concerns. LPA reviewed facility files, and two client files [Client 1 (C1) and Client 5 (C5)]. LPA also obtained and reviewed copies of the LIC Register of Facility Clients, LIC Personnel Report, Needs and Services plans, a county report, and a special incident report dated 3/23/22. During the investigation, interviews were conducted with Administrator (ADM), Staff 2 (S2), C1, C2, C3, C4,and C5. On April 1, 2022, the Department received a complaint that alleged a client was not provided transportation from school. Specifically, a client walked home from school because staff didn't pick the client up. The staff told the client they should have waited at school and called staff to come get them. Additional reporting noted that instead of staff cleaning, staff wait until other clients do the cleaning (Continued) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Valerie Wilson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: CFLC-HEMET RANCHFACILITY NUMBER: VISIT DATE: 03/30/2023

report_type: Complaint Investigation

met_with: Reyna Corona

complaint_status: unsubstantiated


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
(Continued) a choke hold. Specifically, it was reported C1 walked behind S1, C1 accidentally tapped S1's back, and S1 put C1 in a choke hold. Regarding the allegation that S1 placed C1 in a choke hold, confidential interviews noted when S1 felt C1 touch their shoulder, S1 maneuvered their arm around C1's head into a hold. Additional confidential interviews noted a CFLC grievance form was filed, investigated, and found S1 used an unapproved intervention. Based on confidential interviews, observations, and file reviews, the preponderance of evidence standard has been met, therefore, the allegation that S1 placed C1 in a choke hold is substantiated. The facility is being cited for violation of Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards Section Personal Rights(c)(11). See LIC D. Exit interview was conducted. A copy of this report, 9099D, LIC 811, and appeal rights were explained and provided to Administrator, Reyna Corona.

Investigation Findings:
13On July 21, 2023, Licensing Program Analyst (LPA) Val Wilson met with Administrator Reyna Corona to issue the findings for the above stated allegation. Please see the Confidential Names List, LIC 811, dated July 21, 2023. On June 28, 2022, a safety inspection was conducted at CLFC Hemet Ranch, Short-Term Residential Therapeutic Program (STRTP), and there were no noted concerns. LPA reviewed facility files and one client file [Client 1 (C1)] and one staff file [Staff 1 (S1)]. LPA also obtained and reviewed copies of the LIC Register of Facility Clients, LIC Personnel Report, CFLC Policy and Procedure, staff discipline, staff training, staff guidelines, emergency intervention plan, Needs and Services plan, grievance form, county report, and a Special Incident Report (SIR). During the investigation, interviews were conducted with client 1 (C1), client 2 (C2), client 3 (C3), administrator (ADM), and direct care staff 2 (S2). S1 was unable to be interviewed due to whereabouts unknown at this time. On July 22, 2022, the Department received a complaint that alleged staff placed minor in (Continued) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Valerie Wilson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: CFLC-HEMET RANCHFACILITY NUMBER: VISIT DATE: 07/21/2023


raw_content:
Narrative:
(Continued) confidential interviews noted staff are present and provide supervision according to the program statement or enhanced when it is needed or required in the needs and service plan. Additional review of documents and confidential interviews note removing privacy during telephone/social media uses is against CFLC policy. Other information states the allegation occurred. Based on confidential interviews, observations, and file reviews, the allegation staff are not providing adequate supervision to C1 and C2, may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegations is unsubstantiated at this time. Exit interview was conducted. A copy of this report, 9099D, LIC 811, and appeal rights were explained and provided to Administrator, Reyna Corona.

Investigation Findings:
13On July 21, 2023, Licensing Program Analyst (LPA) Val Wilson met with Administrator Reyna Corona to issue the findings for the above stated allegation. Please see the Confidential Names List, LIC 811, dated July 21, 2023. On June 28, 2022, a safety inspection was conducted at CLFC Hemet Ranch, Short-Term Residential Therapeutic Program (STRTP), and there were no noted concerns. LPA reviewed facility files and one client file [Client 1 (C1)]. LPA also obtained and reviewed copies of the LIC Register of Facility Clients, LIC Personnel Report, CFLC Policy and Procedure, Needs and Services plan, county report, and a Special Incident Report (SIR). During the investigation, interviews were conducted with client 1 (C1), client 2 (C2), administrator (ADM), and direct care staff 1 (S1). On July 22, 2022, the Department received a complaint that alleged staff are not providing adequate supervision to minors. Specifically, it was reported C1 is being shown male content on social media by their biological father for C1's dating consideration and it is uncertain the age of the males. Additionally, the pictures made C2 uncomfortable. Regarding the allegation that staff are not providing adequate supervision to C1 and C2, (Continued) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Valerie Wilson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: CFLC-HEMET RANCHFACILITY NUMBER: VISIT DATE: 07/21/2023


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
.*****Continued***** and smoked from a vape pen in S1's purse that possibly contained nicotine and marijuana, and S1's daughter connects with facility youth through social media to deal marijuana. Regarding the allegation that Y1 has access to S1's vape pen, confidential interviews deny S1 had a vape pen at the facility or in facility vehicles. Confidential interviews deny Y1's access to S1's personal belongings at the facility or in a facility vehicle. Confidential interviews deny Y1 was in contact with S1 or S1's daughter through social media to gain access to a vape pen that contains nicotine and or marijuana. Confidential interviews deny Y1 smoked a vape pen that belonged to S1 or Y1 smoked a vape pen in front of S1. Other information states the allegation occurred. Based on confidential interviews, the allegation that Y1 has access to S1's vape pen may or may not have occurred; However, they are not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, a copy of this report, and LIC 811 was provided to the Assistant Administrator

Investigation Findings:
13On March 6, 2024, at 2: PM, Licensing Program Analyst (LPA), Val Wilson, met with Assistant Administrator, Anel (Garcia) Panduro, at California Family Life Center (CFLC) Hemet Ranch, Short Term Residential Therapeutic Program (STRTP), to issue the findings for the above stated allegation involving the STRTP and youth listed on the confidential Names List, LIC 811, dated March 6, 2024. On March 13, 2023, at 3: PM, LPA Wilson arrived at the STRTP and a safety inspection was completed without any health and safety concerns observed. LPA Wilson reviewed client files, facility documents, and obtained copies of the client roster, LIC 500, needs and services plans, county reports, and Special Incident Reports (SIRs). During the investigation, interviews were conducted with the administrator (ADM), Program Director (PD), Behavioral Health Specialist (BHS), staff 1 (S1), staff 2 (S2), staff 3 (S3), facility manager (FM), youth 1 (Y1), youth 2 (Y2), youth 3 (Y3), youth 4 (Y4), youth 5 (Y5), youth 6 (Y6), youth 7 (Y7), and youth 8 (Y8). On March 6, 2023, the Department received a complaint that alleged a minor has access to staff's vape pen. Specifically, it was alleged that S1 leaves their purse accessible to youth, Y1 had access to *Continued* UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Valerie Wilson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: Cflc-hemet Ranchfacility Number: Visit Date: 03/06/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32.*****Continued***** and smoked from a vape pen in S1's purse that possibly contained nicotine and marijuana, and S1's daughter connects with facility youth through social media to deal marijuana. Regarding the allegation that Y1 has access to S1's vape pen, confidential interviews deny S1 had a vape pen at the facility or in facility vehicles. Confidential interviews deny Y1's access to S1's personal belongings at the facility or in a facility vehicle. Confidential interviews deny Y1 was in contact with S1 or S1's daughter through social media to gain access to a vape pen that contains nicotine and or marijuana. Confidential interviews deny Y1 smoked a vape pen that belonged to S1 or Y1 smoked a vape pen in front of S1. Other information states the allegation occurred. Based on confidential interviews, the allegation that Y1 has access to S1's vape pen may or may not have occurred; However, they are not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, a copy of this report, and LIC 811 was provided to the Assistant Administrator SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Valerie Wilson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 2

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

met_with: Anel (Garcia) Panduro


raw_content:
Narrative:
*****Continued***** inhibit the mental health team's ability to provide trauma informed care. Regarding the allegation that ADM and PD do not ensure that minors in care are receiving services as needed, confidential interviews revealed the STRTP utilizes a strength based and trauma Informed approach while working within a multi-disciplinary team. Other information states the allegation occurred. Based on confidential interviews, the allegations that ADM and PD do not ensure that minors in care are receiving services as needed, may or may not have occurred; However, they are not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, a copy of this report, and LIC 811 was provided to the facility representative.

Investigation Findings:
13On March 14, 2024, at 2: PM, Licensing Program Analysts (LPA), Val Wilson, met with Program Coach/ Facility Manager, Latonya Simmons, at CFLC Hemet Ranch Short Term Residential Therapeutic Program (STRTP), to issue the findings for the above stated allegation involving the STRTP and youth listed on the confidential Names List, LIC 811, dated March 14, 2024. On March 23, 2023, at 3: PM, LPA Wilson arrived at the STRTP and a safety inspection was completed without any health and safety concerns observed. LPA Wilson reviewed client files, facility documents, and obtained copies of the client roster, LIC 500, needs and services plans, job description, and staff files. During the investigation, interviews were conducted with youth 1 (Y1), youth 2 (Y2), youth 3 (Y3), youth 4 (Y4), youth 5 (Y5), youth 6 (Y6), youth 7 (Y7), youth 8 (Y8), therapist (THR), behavioral health specialist (BHS), program director (PD), mental health director (MHD), administrator (ADM), facility manager (FM), and staff 1(S1). On March 17, 2023, the Department received a complaint that alleged staff do not ensure that minors in care are receiving services as needed. Specifically, it was alleged that the PD and ADM*R- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: CFLC-HEMET RANCHFACILITY NUMBER: VISIT DATE: 03/15/2024

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

met_with: Latonya Simmons


raw_content:
Narrative:
statements. Some interviews indicated S1 and S4 yelled at C1 and called C1 derogatory names. While other interviews denied S1 or S4 yelled at C1 or called C1 derogatory names. It was reported that staff are not adequately trained. More specifically, that staff are not trained to work with the clients, staff are not trauma informed, staff reads the clients files, and uses the information from the files against the clients. Confidential interviews indicated that staff receive training when they are first hired and on a monthly ongoing basis. Confidential interviews indicated staff uses a trauma informed approach when working with the clients. Conflicting interviews indicated that not all staff use a trauma informed approach when working with the clients. Confidential interviews indicated that the information from clients' files is shared during staff meetings and is not used against the clients. Confidential interviews did not corroborate the allegations with a preponderance of evidence. Based on confidential interviews and records reviewed the allegations that staff verbally abuse minor(s) in care and staff are not adequately trained, which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Sheila Stephenson. A copy of this report, LIC 811, and appeal rights were provided to Sheila Stephenson. A copy of this report will be placed in the facility file.

Investigation Findings:
13On April 25, 2024, at 10:25 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Sheila Stephenson, STRTP Director, to discuss the investigative finding for the allegations noted above. LPA Valerie Wilson conducted an inspection of the facility on April 26, 2023, at 2:18 pm and no deficiencies were observed. LPA Wilson interviewed four clients (C1-4) and three staff (S1-3). LPA Linley interviewed three staff (S5-7) and attempted to interview one staff (S4), however was unable to contact them despite multiple attempts. LPA reviewed the following documents during the investigation: Personnel Roster, Client Roster, Special Incident Reports, and C1- Needs and Services Plans. On April 18, 2023, Community Care Licensing (CCL) received allegations that staff verbally abuse minor(s) in care and staff are not adequately trained. It was reported that S1 and S4 yelled at a client that stole a vape pen at school and called them derogatory names. Confidential interviews revealed conflicting UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: CFLC-HEMET RANCHFACILITY NUMBER: VISIT DATE: 04/25/2024

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

met_with: Sheila Stephenson


raw_content:
Narrative:
Continued from LIC In regard to the allegation that staff physically attacked minor in care, confidential interviews stated that staff were attacked by C1. Confidential interviews denied C1 was being attacked by staff. A confidential interview disclosed C1 blacks out when upset and C1 would refuse a medical attention regarding the black outs. Additionally, a confidential interview disclosed C1 had aggressive behavior issues in the past. LPA wasn't able to gather additional information. Other confidential witnesses didn't provide any relevant information. Based on confidential interviews and file reviews, the allegation staff physically attacked C1 while in care may have happened or are valid, however, there is not a preponderance of evidence to prove the alleged violation. Therefore, the allegation is unsubstantiated at this time. Exit interview was conducted. A copy of this report, 9099D, LIC 811, and appeal rights were explained and provided to Administrator, Anel Panduro

Investigation Findings:
13On July 11, 2024, at 12: PM, Licensing Program Analyst (LPA) Karen Beal met with Administrator Anel Panduro to deliver the finding for the above stated allegation involving clients and facility staff listed on the Confidential Names List, LIC 811, dated 07/11/2024. On September 18, 2023, Community Care Licensing (CCL) received a complaint alleging staff physically attacked minor in care. On September 25, 2023, LPA Beal initiated the complaint at the facility and conducted a safety inspection. No safety concerned were noted. Additionally, LPA obtained and reviewed copies of the LIC Register of Facility Clients, LIC Personnel Report, Needs and Services plan, and a Special Incident Report (SIR). During the investigation, interviews were conducted with Staff 1 (S1), Staff 2 (S2), Staff 3 (S3), Client 1(C1), Client 2, (C2), Client 3 (C3), Client 4 (C4), and County Social Worker (CSW). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Karen Beal LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: CFLC-HEMET RANCHFACILITY NUMBER: VISIT DATE: 07/11/2024

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

met_with: Anel Panduro, Administrator


raw_content:
Narrative:
Regarding the allegation that facility staff are not adequately supervising minors, confidential interviews indicated that minors go on an unauthorized absence due to not having Wi-Fi or any service and desiring to be with friends. Other confidential interviews stated that staff will call Law Enforcement after 15 minutes of searching and submit a missing persons report. LPA couldn't gather additional information. In regard to the allegation that staff did not prevent minor from having access to hazardous items, it was specifically reported that after an unauthorized absence, staff have found a knife in client's property while packing up their belongings. Other confidential interviews reported that they have not seen any hazardous items. LPA received conflicting information. Confidential interviews did not provide relevant information. Based on confidential interviews and a review of pertinent documents, the allegations that facility staff are not adequately supervising minors and staff did not prevent minor from having access to hazardous items may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report, LIC 811 and appeal rights were explained and given to Assistant Administrator Anel Panduro.

Investigation Findings:
13On 9/4/2024, at 3: PM, Licensing Program Analyst (LPA) Maryjane Perez conducted an unannounced visit to California Family Life Center (CFLC) - Hemet Ranch Short-Term Residential Therapeutic Program (STRTP) and met with Assistant Administrator (AA) Anel Panduro to deliver the investigative finding for the allegations listed above. On 12/29/ Community Care Licensing received an allegation that facility staff are not adequately supervising minors and Staff did not prevent minor from having access to hazardous items. On January 5, 2024, Licensing Program Analyst (LPA) Karen Beal initiated the allegation and conducted a safety inspection. Additionally, LPA M. Perez conducted an inspection at the facility and interviewed staff 1, 2, 3, & 4 (S1, S2, S3, S4) and clients 1, 2, 3, 4, & 5 (C1, C2, C3, C4, & C5). Lpa M. Perez also obtained documents pertinent to the investigation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: MaryJane Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: CFLC-HEMET RANCHFACILITY NUMBER: VISIT DATE: 09/04/2024

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

met_with: Assistant Administrator- Anel Panduro


raw_content:
Narrative:
Regarding the allegation that staff do not ensure minors are provided adequate funds, it was specifically stated that C1 was used to getting an amount and it is now limited. During interviews, a confidential interview stated that C1 received seventy-five dollars first week plus allowance. The confidential interview added that C1 was provided adequate funds to take care of C1's basic needs. Another confidential interview stated amount was not enough to buy what was needed. Confidential interview believed more money could be added to meet buying personal needs for C1. Other confidential interviews didn't speculate any specific issues regarding appropriate funds being received at the facility. In regard to the allegation that staff do not ensure C1 was provided transportation to extracurricular activities, it was specifically stated that "after-school events or clubs at school are being denied because of lack of staff and transportation." A confidential interview stated that C1 did not give prior notification to attend event, until the time of the event. The confidential interview added that C1 would have been transported to the event if prior notification was given. Another confidential interview stated prior notification was given but it was not specific who was notified. LPA received a conflicting information regarding this allegation. Based on confidential interviews and record reviews, the allegations that staff do not ensure C1 was provided adequate funds, staff do not ensure C1 was provided transportation to extracurricular activities may have occurred, however, there was not a preponderance of evidence to support the alleged violations. Therefore, these allegations are unsubstantiated at this time. A copy of this report, LIC 811 and the appeal right was reviewed and provided to STRTP representative.

Investigation Findings:
13On December 4, 2024, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at CFLC-Hemet House Short Term Therapeutic Residential Program (STRTP) and met with Assistant Aministrator Anel Panduro to deliver investigative finding involving the STRTP staff and clients listed on the confidential names (LIC 811). On February 16, 2024, a complaint report was referred to Community Care Licensing (CCL) alleging staff do not ensure minors are provided adequate funds and staff do not ensure minors are provided transportation to extracurricular activities. On February 21, 2024, (LPA) Babatunde Aborchie arrived at the STRTP to initiate the investigation and conducted a safety inspection. There were no safety issues observed. During investigation, LPA interviewed Administrator 1 (A1), Staff 1 (S1), clients 1, 2, 3 and 4 (C1, C C3 and C4). LPA was unable to interview County Social Worker (CSW). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: CFLC-HEMET RANCHFACILITY NUMBER: VISIT DATE: 12/04/2024

met_with: Assistant Aministrator


raw_content:
Narrative:
Confidential interviews also stated that staff conduct room checks every 15 minutes and always supervise clients when in the common areas. Another confidential interview stated that C2 has inappropriately touched other residents in the house, however, other confidential interviews stated that C2 just plays around, and staff see it as horseplay. LPA received conflicting information. Based on confidential interviews and a review of pertinent documents, the allegation that staff did not prevent minors in care from engaging in inappropriate interactions may have happened or is valid but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Facility Administrator Rafaella Aguilar.

Investigation Findings:
13On March 28th, 2025, Licensing Program Analysts (LPAs) Maryjane Perez and Claudia Aguilera made an unannounced visit to CFLC- Hemet Ranch and met with Facility Administrator Rafaella Aguilar to deliver the finding for the above stated allegation. On 10/24/2024, Community Care Licensing received complaint allegation that staff did not prevent minors in care from engaging in inappropriate interactions. On October 30, 2024, LPA M. Perez conducted a health and safety inspection of the facility, and no hazards were observed. Lpa M. Perez also obtained pertinent documents and interviewed staff 1 (S1), staff 2 (S2), staff 3 (S3), staff 4 (S4), staff 5 (S5), client 1 (C1), client 2 (C2), client 3 (C3), client 4 (C4), and client 5 (C5). During investigations, confidential interviews reported that when clients report any signs of sexual behaviors, staff will talk with clients about boundaries, switch clients' bedrooms, and in serious cases move them houses. Another confidential interview stated that staff don't take client's seriously when they make reports about inappropriate interactions or sexual behaviors. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: MaryJane Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: CFLC-HEMET RANCHFACILITY NUMBER: VISIT DATE: 03/28/2025

met_with: Facility Administrator, Rafaella Aguilar


raw_content:
Narrative:
confidential interviews reported that when the residents start to show signs of verbal aggression, staff will intervene by redirecting them to another activity, separate them, and/or use resources such as meditation or therapy. Another confidential interview reported that they had been bullied by one other client in the home, but staff had switched their rooms so they will not be next to each other. However, other confidential interviews corroborated that no one gets bullied in the home. LPA received conflicting information. Based on confidential interviews and a review of pertinent documents, the allegation that staff do not prevent C2 from bullying C1 may have happened or is valid but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, a copy of this report, LIC 811 and appeal rights were explained and given to administrator Rafaella Aguilar.

Investigation Findings:
13On August 22, 2025, Licensing Program Analyst (LPA) Maryjane Perez made an unannounced visit to CFLC- Hemet Ranch and met with administrator Rafaella Aguilar to deliver the finding for the above stated allegation. On 06/09/2025, Community Care Licensing received complaint allegation that staff do not prevent minors from bullying other minors. On 06/13/ LPA M. Perez conducted a health and safety inspection of the facility, and no hazards were observed. LPA interviewed eight staff (S1-S8) and five clients (C1- C5). In regard to the allegation, it was specifically reported that the other clients are always talking C1 into fighting. When reported to the facility staff, they are not doing anything to make it stop, therefore, the bullying is causing C1 to be depressed, scared, with concerns of self-harm, and wanting to hurt themselves. During investigations, confidential interviews reported that clients in the home do not bully each other but instead they may have tension between one another. Another confidential interview reported that two clients had engaged in some verbal and physical altercations, but they don't believe it was a form of bullying. Other UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: MaryJane Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: CFLC-HEMET RANCHFACILITY NUMBER: VISIT DATE: 08/22/2025

met_with: Administrator- Rafaella Aguilar


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analysts (LPAs) Jessica Rubio and Ronnesha Fountain visited the facility for the purpose of interviewing a client (C1) as listed on the Confidential Names List (LIC 811) dated 12/8/2021. The interview was regarding a complaint investigation under a different facility. LPAs met with Facility Administrator Reyna Corona who provided access to speak with C1. A copy of this report was provided to Reyna Corona.

report_type: Facility Evaluation


summary: Facility Evaluation

raw_content:
Narrative:
On June 8, 2022 at 1: PM, Licensing Program Analyst (LPA) Leslie Covarrubias arrived unannounced at CFLC Hemet Ranch STRTP and met with Administrator, Reyna Corona. The purpose of this visit was to interview a client regarding an open investigation on the client's previous placement. LPA conducted a confidential interview with one client. A copy of this report was given to Administrator, Reyna Corona

visit_type: Case Management

met_with: Administrator, Reyna Corona


summary: Facility Evaluation

raw_content:
Narrative:
On 06/29/2022, Licensing Program Analyst (LPA), Lisi Leon and Licensing Program Manager (LPM) Jennifer Smith conducted a collateral inspection to interview client #1, C1 (see Confidential Names List Form 811) in regard to an incident that occurred at another facility. a copy of this report was explained and given to facility representative.

met_with: Laura Sanders, Clinical Therapist


summary: Facility Evaluation

raw_content:
Narrative:
On October 19, 2022, at 1: PM, Licensing Program Analyst (LPA) Val Wilson met with CFLC Hemet Ranch, STRTP Facility Administrator (ADM), Reyna Corona, to complete a Case Management inspection based off information received in special incident reports (SIRs) from July 17, 2022- August 10, 2022. CFLC Hemet Ranch was evacuated during the Fairview fires and is temporarily relocated to CFLC Sunset House at Sunset Lane, Hemet, California 92544, for continuity of services until Hemet Ranch is ready to reopen. The SIR dated 07/17/22 reported to the Department that facility staff #2 (S2) administered medication in error to client #1 (C1). The SIR dated 07/18/22 reported to the Department that facility staff #1 (S1) purchased the wrong medication for administration. Staff #3 (S3) administered the same wrong medication in error to client #3 (C3). The SIR dated 07/25/22 reported to the Department that facility staff #4 (S4) administered medication in error to client #2 (C2). The SIR dated 08/08/22 reported to the Department that facility staff #5 (S5) administered medication in error to client #1 (C1). The SIR dated 08/10/22 reported to the Department that facility staff #5 (S5) administered medication in error to client #1 (C1). Refer to Confidential Names (LIC 811) dated October 19, 2022. LPA discussed the aforementioned medication errors with the ADM, Anel Garcia, Assistant Administrator/ Client Services, and Leslie Walker, Trainer. All three staff shared that training was immediately initiated and systems were put in place to mitigate future errors. The ADM shared that the Licensed Vocational Nurse (LVN), April Trujillo, provided one-on-one training with each staff involved with the medication errors and that staff files are kept at the Main Office. Due to the need to gather additional information, this investigation is being extended. The outcome of the investigation will be provided. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Reyna Corona.


summary: Facility Evaluation

raw_content:
Narrative:
On December 13, 2022 at 2: PM, Licensing Program Analyst (LPA), Val Wilson at CFLC Hemet Ranch to complete an annual inspection. The purpose of the inspection is to conduct an annual inspection of the facility. LPA was met at the facility by Administrator, Reyna Corona. There were three staff and two clients present at the time of the inspection. Appropriate staff/client ratios were verified during the inspection. The Administrator led the tour of the facility and were joined by Program Director, Sheila Stephenson at 3: PM. Facility has obtained Mental Health Certification effective 04/20/23. Licensee has obtained National Accreditation through CARF effective through 9/30/25. Licensing fee payments have been paid and there is currently a balance of zero. The facility consists of six bedrooms and three bathrooms. The facility includes a dining area, kitchen area, living room, and laundry room. The facility has a detached office area with four offices utilized by therapists, Administrator, and staff. Above the facility is a separate house with three bedrooms, living room, kitchen, and bath that is utilized for storage, group therapy, visitors, and weekly staff meetings. All bedrooms have individual beds, individual contraceptive boxes, and drawer space for each client. The facility ensures that there is one client per bed with appropriate clean linens, pillows, comforters, and mattresses in good repair. During inspection, LPA's observed two air vents were dusty in the main living area. Vents were cleaned at the time of inspection. Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Outdoor swing set is securely anchored to the ground. However, the set of swings near the pool level has packed dirt underneath. Gym equipment and other activities were observed for client's recreation time. All facility smoke detectors are in appropriate working order. The facility maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Medications are locked and centrally stored in the laundry room. . (continued) The hot water throughout the facility was measured to be between 105 degrees F and a maximum of 125 degrees F. Facility has a pool which is appropriately fenced and secured with a chain link fence. The enclosure was measured to be 5 feet in height, with a self-latching gate. Per facility staff, no firearms or weapons are allowed in the facility. Facility appears to be meeting the terms and conditions of their license. Based on the inspection, the facility is being cited type B in accordance with Interim Licensing Standards STRTP, Article 07. Physical Environment, Outdoor Activity Space Section 87087.2(b) Outdoor Activity Space (b) As a condition of licensure, the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material which absorbs falls. This poses/posed a potential health, safety or personal rights risk to persons in care. An exit interview was conducted, and a copy of this report and appeal rights were provided to Reyna Corona.


summary: Facility Evaluation

raw_content:
Narrative:
On December 15, 2022 at 1: PM, Licensing Program Analyst (LPA), Val Wilson at CFLC Hemet Ranch to continue an annual inspection that was initiated on December 13, 2022. LPA was met at the facility by Administrator, Reyna Corona. There were six staff and six clients present at the time of the inspection. Appropriate staff/client ratios were verified during the inspection. LPA Interviewed five Staff and five Clients during today's visit. No deficiencies or advisories were noted on today's visit. Based upon the inspection of Staff and Client interviews, the Licensee appears to be meeting requirements. Due to time constraints, LPA will return at a later date to complete the inspection. An exit interview was conducted. A copy of this report and LIC 811 was provided to Administrator, Reyna Corona.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On December 16, 2022 at 10: AM, Licensing Program Analyst (LPA), Val Wilson at CFLC Hemet Ranch, Short Term Residential Therapeutic Program, to continue an annual inspection that was initiated on December 13, 2022. LPA was met at the facility by Administrator, Reyna Corona. LPA also noted a Registered Nurse was hired in October of 2022. Prior to that date there was a Licensed Vocational Nurse. Staff records are kept at the Main Office North State Street, Hemet, California, 92543. Five Staff records (Staff 1, Staff 2, Staff 3, Staff 4, and Staff 5) were brought to Hemet Ranch for LPA review. After review of staff files, LIC 500, interview of Administrator, and interview of Mary Snow, Human Resources Director, LPA noted the following: There is not a Social Worker with this job description or consulting for Hemet Ranch at this time. There is no Facility Manager job description for Staff 2 (Assistant Administrator), Staff 4 (Direct Care Staff/Acting Facility Manager) or Staff 5 (Direct Care Staff). Administrator and Human Resources Director indicated there is no staff at this time with a job title of Facility Manager for each shift or present at the STRTP facility at all times. Staff 5 previously was employed at the facility and re-hired. There was not documentation that shadowing occurred upon re-hire. Reasonable and Prudent Parent standards are not identified in the training curriculum for five out of five of the files reviewed. Human Resources director reached out to the Program Director and it was indicated this training is not currently covered in the current curriculum. (Continued) (Continued) Based on file review, interviews, and observations made during the inspection, the licensee did not comply with the sections cited which poses/posed a potential health, safety or personal rights risk to persons in care: Staffing Records Type B: 87065(c)(1), 87065(d), and 87065(f). Staffing Records - Technical Violation: 87065.1(d)(1)(D)(4) Due to time constraints, LPA will return at a later date to complete the inspection. An exit interview was conducted. A copy of this report and LIC 811 was provided to Administrator, Reyna Corona.

Deficiencies:
87065(f): Personnel Requirements

(f) The licensee shall designate at least one facility manager to be present at the facility at all times when one or more children are present


summary: Facility Evaluation

raw_content:
Narrative:
On December 21, 2022 at 1: PM, Licensing Program Analyst (LPA), Val Wilson arrived at CFLC Hemet Ranch, Short Term Residential Therapeutic Program, to conclude an annual inspection that was initiated on December 13, 2022. LPA was met at the facility by Administrator, Reyna Corona. LPA reviewed five Client files and observed the following: **Client 3 is missing a JV220 and there is no original JV220 in the file or that can be located by the Administrator. Client 3 was placed April 4, 2022, and there is documentation of a requested attempt made December 14, 2022. **A copy of the current court order for each psychotropic medication did not match the medications noted on the Psychotropic Medication Administration Record (PMAR) for: Client 2 approved for Benadryl and Zoloft. PMAR includes Trazadone. **Documents listed on the legend sections of the Client Records were incomplete and missing. This required the Administrator to track down Needs and Services Plans, JV220/223, look for documentation that attempts were made to acquire missing documents and/or signatures in the files for Client 1, Client 2, Client 3, and Client 4. ** Original Needs and Services Plans were not available in the Children's Records for Client 1, Client 2, and Client 4. Administrator was not able to provide the original or copies of the originals. **Signatures of authorized representatives are missing for Client 1, Client 2, Client 3, and Client 4. Administrator was unable to provide verification of attempts made to the authorized representatives of signatures for Needs and Services Plans. (Continued) (Continued from page one) ** The Needs and Services Plans should include visitation, including the frequency of and any other limitations on visits to the family residence and other visits inside and outside the facility. **The Needs and Services Plan shall document how family members are integrated into the treatment process for the child, including post-discharge, and how sibling connections are maintained to the extent clinically appropriate, consistent with any applicable court orders, and in accordance with the child's best interest. **Written approval from the child's authorized representative was not obtained by the licensee prior to implementing the child's needs and services plan for Client 1, Client 2, Client 3, and Client 4. Administrator was unable to provide verifiable evidence that the licensee attempted to obtain required signatures. **Client 3 did not have a modified Needs and Services Plan updated every Days. Administrator shared the facility is working on a modification plan. **A separate log for each psychotropic medication prescribed to each client was available. However, time of each dose taken by the client was not provided for Client 1 for Clonidine at bedtime and Fluoxetine daily; Client 2 for Sertraline HCL daily and Trazodone at bedtime; Client Clonidine every evening and Fluoxetine daily; Client Trazadone at bedtime and Sertraline every day; and Client Trazodone at bedtime and Venlafaxine every morning. Based on file review, interviews, and observations made during the inspection, the licensee did not comply with the sections cited which poses/posed a potential health, safety or personal rights risk to persons in care: Client Records - Type B: 87070(b)(11), 87070(b)(12), 87070(c)(1), 87070(c)(4), 87068.2(f), Client Records - Technical Violation: 80070(a), 87070(b)(13)(F), 87068.2(b)(6), 87068.2(e), 87068.3(a), An exit interview was conducted. Due to technical difficulties, a copy of this report, appeal rights, and LIC 811 was provided to Administrator, Reyna Corona, via email.


summary: Facility Evaluation

raw_content:
Narrative:
On August 19, 2024, at 10: AM, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at CFLC Hemet Ranch. The purpose of the visit was to conduct an annual inspection of the facility. LPA met with Administrator and assistant administrator of the facility, Rafaella Aguilar and Anel Panduro. There were two clients present at the time of the inspection. Appropriate staff/client ratios were verified during the inspection. Administrators led the tour of the facility. The facility consists of six bedrooms and three bathrooms. The facility includes a dining area, kitchen area, living room and laundry room. The facility has a detached office area with four offices utilized by therapists and staff. Above the facility is a separate house with three bedrooms, living room, kitchen and bath that is utilized for storage, group therapy and weekly staff meetings. All bedrooms have individual beds and drawer space for each client. The facility ensures that there was one client per bed with appropriate clean linens, pillows, comforters, and mattresses in good repair. Facility grounds were clean and free of debris and observable hazards. There was adequate indoor and outdoor activity space. Gym equipment and other activities were observed for clients' recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order. The facility maintained an adequate supply of perishable and non-perishable foods and followed the posted menu. All required forms were posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Medications were locked and centrally stored in the laundry room. The hot water in clients' bathroom #1 was measured to be 121 degrees. The hot water temperature in client bathroom #2 was measured to be 115 degrees. Facility has a pool which is appropriately fenced and secured with a chain link fence. The enclosure was measured to be 5 feet in height, with a self-latching gate. Per Administrator, no firearms or weapons were allowed in the facility. Facility met the terms and conditions of their license. LPA obtained, reviewed five personnel files maintained off site at the corporate office in San Jacinto CA, and five client files maintained on site. The personnel files and client files were reviewed all files were up to date. However, LPA was unable to conduct interviews due to time constraints. Due to time constraints, LPA will return at a later date to complete the inspection. An exit interview was conducted. A copy of this report was provided to Administrator, Anel Panduro.

visit_type: Annual

met_with: Anel Panduro


raw_content:
Narrative:
Multiple confidential interviews reported that S1's interactions with C1 appeared overly familiar and that S1 was observed entering C1's bedroom. However, no confidential interviews disclosed witnessing any inappropriate or sexual interaction between S1 and C1. It was reported that when S1 entered C1's bedroom, other staff would intervene and open the door upon noticing the situation. Interviewees stated that S1 and C1 did not have sufficient time alone to engage in sexual activity. Additionally, a confidential interview noted that the facility's layout would make it difficult for staff to enter C1's bedroom discreetly without being noticed. The Department also received an allegation that staff threatened a minor while in care. Some confidential interviews indicated they found it unusual that a male staff member was hired at an all-female STRTP. However, the Licensing Program Analyst (LPA) did not obtain information to support the allegation of threats. Confidential interviews denied witnessing or having any knowledge of S1 threatening C1 or engaging in behavior that could be considered threatening. Based on confidential interviews, the allegations staff (S1) sexually abused a minor (C1) while in care and staff (S1) threatened a minor (C1) while in care are unsubstantiated. The allegations may have happened or be valid, but there is not a preponderance of evidence to prove that the alleged violations occurred. An exit interview was conducted. A copy of this report, LIC 811, along with appeal rights were explained and given to Administrator Rafaella Aguilar.

Investigation Findings:
13On December 17, 2025, at 12: PM, Licensing Program Analysts (LPAs) Jessica Peete and Cynthia Robinson made an unannounced visit to California Family Life Center (CFLC) Hemet Ranch Short Term Residential Therapeutic Program (STRTP) and met with Administrator Rafaella Aguilar, to deliver the investigative findings for the allegations mentioned above. The investigation was conducted by Special Investigator (SI) Ana Doyle of the Community Care Licensing (CCL) Investigations Bureau. The investigation included interviews with the clients (C1-C5), STRTP staff (S1-S8) and contact with law enforcement. LPA attempted to interview clients (C6, C7) but they did not respond to the request for an interview. On July 21, Community Care Licensing (CCL) received an allegation that a staff member sexually abused a minor while in care. Special Investigator (SI) Doyle was unable to obtain sufficient evidence to support the allegation. Information reviewed confirmed that staff (S1) was employed at the Short-Term Residential Therapeutic Program (STRTP) during the time the client (C1) was in care and that S1 was the only male direct care staff member at the facility. (Continued on LIC C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jessica M Peete LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: CFLC-HEMET RANCHFACILITY NUMBER: VISIT DATE: 12/17/2025

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

met_with: Rafaella Aguilar Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On April 16, 2021 at 1: PM, Licensing Program Analyst (LPA) Val Wilson met with CFLC Hemet Ranch, STRTP Facility Administrator, Reyna Corona, to address the client's right to possess cellular telephones. Confidential information was disclosed to LPA Wilson that the youth are not allowed to possess and use their personal cell phones. A review of the Program Statement regarding Cell Phones, Computers, Tablets, and Internet notes the "Prudent Parent" standard and "safeguarding property" as a measure of oversight. In addition, the Program Statement requires a performance level increase to determine youth access to their personal phone. Lastly, the Electronic Communications Rules and Guidelines note, "At the youth's assigned bedtime, they will turn in their cell phone and other devices for staff to store securely in a safe for the night." Based on record review, the facility did not ensure youth rights to make, send and receive confidential calls and other electronic communication by making personal cellular phones inaccessible to youth in care. This poses a potential Health, Safety or Personal Rights risk to children in care. The facility is being cited for violation of STRTP Interim Licensing Standards (ILS) Version 4, Article six, Personal Rights(c)(8) An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Reyna Corona.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On November 18, 2022, at 1: PM, Licensing Program Analyst (LPA) Val Wilson met with CFLC Hemet Ranch, STRTP Facility Administrator (ADM), Reyna Corona, to continue a Case Management inspection initiated on October 19, 2022. CFLC Hemet Ranch was evacuated during the Fairview fires and is temporarily relocated to CFLC Sunset House at Sunset Lane, Hemet, California 92544, for continuity of services until Hemet Ranch is ready to reopen. On October 19, 2022, LPA Wilson inspected special incident reports (SIRs) from July 17, 2022 through August 10, 2022. Six additional medication error reports were received from October 25, 2022 through November 3, 2022. LPA reviewed documents related to the additional medication errors on November 18, 2022: On October 27, 2022, Staff 8 (S8) did not administer psychotropic medication to Child 4 (C4) On October 30, 2022, Staff 7 (S7) did not administer psychotropic medication to Child 1 (C1) On October 27, 2022, Staff 7 (S7)) did not administer psychotropic medication to Child 2 (C2) On November 3, 2022, Staff 6 (S6) did not administer psychotropic medication to Child 4 (C4) Based on observation, interviews, and record review, the licensee did not comply with administering psychotropic medications used only in accordance with the written directions of the physician prescribing the medication and in accordance with authorization requirements specified in Sections 369.5(a)(1) and 739.5(a)(1) of the Welfare and Institutions Code and Section 87070(b)(11). The facility is cited Type B: HEALTH RELATED SERVICES. LPA will need to review documents received during today's visit and may return at a later date. An exit interview was conducted. A copy of this report, LIC 811, and appeal rights were provided and explained to Reyna Corona (ADM).

Deficiencies:
41021: On October 27, 2022, Staff 8 (S8) did not administer psychotropic medication to Child 4 (C4)
On October 30, 2022, Staff 7 (S7) did not administer psychotropic medication to Child 1 (C1)
On October 27, 2022, Staff 7 (S7)) did not administer psychotropic medication to Child 2 (C2)
On November 3, 2022, Staff 6 (S6) did not administer psychotropic medication to Child 4 (C4)

Based on observation, interviews, and record review, the licensee did not comply with administering psychotropic medications used only in accordance with the written directions of the physician prescribing the medication and in accordance with authorization requirements specified in Sections 369.5(a)(1) and 739.5(a)(1) of the Welfare and Institutions Code and Section 87070(b)(11).


summary: Facility Evaluation

raw_content:
Narrative:
On 03/13/23 at 2: PM Licensing Program Analyst (LPA), Val Wilson, arrived to the facility and met with Anel (Garcia) Panduro, Assistant Administrator, regarding an Incident Report received by Community Care Licensing (CCL). The LPA was allowed entrance to the facility by Patricia Gonzalez, Clinician/Social Worker Advocate, at 2: PM. The LPA completed the safety inspection with the Assistant Administrator and no safety issues were observed. There are eight clients in care but none were at the facility during the safety inspection. LPA Wilson reviewed the Incident Report dated 02/26/23 that noted Child #1 (C1) absconded from the facility without staff knowledge. At approximately 11:00AM on 02/26/23, C1 contacted and informed the facility they were ready to return to the facility after absconding. The facility made arrangements to pick up C1 and assessed C1 for health and safety needs on 02/26/23. On 03/13/23, LPA interviewed the Assistant Administrator and Director, Sheila Stephenson, and both confirmed C1 remained absent from the facility without the facilities knowledge for approximately nine hours (approximately 2:00AM to 11:00AM). Facility records note C1 was accounted for during the rounds throughout the nocturnal (NOC) shift and at the change of shift, NOC shift into AM shift, while C1 was not at the facility. The LPA conducted confidential interviews and a review of C1's record. Based on confidential interviews and a review of records, the licensee is cited for violation of Title 22, Division 6, Chapter 1, Article 06, Section Responsibility for Providing Care and Supervision. LPA was given permission by Director, Sheila Stephenson, for the Assistant Administrator to sign reports. A copy of this report was explained, the LIC 809, LIC 809D, and appeal rights were provided to Anel (Garcia) Panduro via email due to technical difficulty


summary: Facility Evaluation

raw_content:
Narrative:
On March 6, 2024, at 3:20 pm, Licensing Program Analyst (LPA), Val Wilson, met with Assistant Administrator, Anel (Garcia) Panduro, at California Family Life Center (CFLC) Short Term Residential Therapeutic Program (STRTP) Hemet Ranch, to deliver a case management deficiencies report. Information obtained by Community Care Licensing (CCL) revealed an incident occurred on or around February 27, 2023. Information was obtained that a facility youth reported to facility staff that Youth 1 (Y1) had access to Staff 1's (S1) personal belongings and Y1 smoked S1's vape pen that possibly contained nicotine as well as marijuana. Confidential interviews and record review could not provide evidence of the February 27, 2023, incident being reported to Community Care Licensing (CCL). Based on confidential interviews and record review, the facility did not ensure that reporting requirements to the Department were met for the incident that occurred on or around February 27, 2023, that threatened physical, emotional, and safety of Y1, which poses a potential Health, Safety or Personal Rights risk to children in care. The facility is being cited for violation of California Code of Regulations (CCR) regulation 80061(b)(1)(E) Reporting Requirements (see LIC D). An exit interview was conducted, and appeal rights explained. A copy of this report, 809D, and LIC 811 was provided to the facility representative.


summary: Facility Evaluation

raw_content:
Narrative:
On April 2, 2025 at 2: PM Licensing Program Analyst (LPA) Linda Haynes arrived at the facility to speak with a Client 1 (C1) about a previous placement. As C1 walked into office they seen me and said "I don't want to speak with her."


raw_content:
Narrative:
During investigation, confidential interviews revealed that medication is not accessible to clients in the facility. Other confidential interviews reported that medication was obtained outside of the facility, however, it was kept hidden in the facility. Pertaining to the allegation that staff did not prevent a child from cutting herself, it was reported that C1 had access to sharp items in the facility. Confidential interviews stated that C1 had a history of self-harm behaviors and the facility was aware of these behaviors. Other confidential interviews stated that all sharp objects are kept locked and inaccessible to clients. During the investigation, other confidential interviews revealed that clients obtain sharp items during unauthorized absences from the facility. Through the investigation, LPA received conflicting information. Based on confidential interviews and evidence obtained, the allegations that staff did not prevent a child from taking an overdose of medication and staff did not prevent a child from cutting herself may have occurred or may be valid; however, there is not a preponderance of evidence to support that a violation occurred. Therefore, the allegations are determined to be unsubstantiated at this time. An exit interview was conducted and a copy of this report along with the appeal rights was provided to Assistant Administrator, Anel Panduro.

Investigation Findings:
13On 03/26/2026 at 12:21PM, Licensing Program Analyst (LPA) Claudia Aguilera arrived at CFLC- Hemet Ranch Short Term Residential Facility and met with Assistant Administrator Anel Panduro to deliver the findings regarding the above-stated allegations. On 12/30/2025, Community Care Licensing received complaint allegations that staff did not prevent a child from taking an overdose of medication and staff did not prevent a child from cutting herself. On 01/05/2026, LPA Claudia Aguilera initiated the investigation, collected pertinent documentation and interviewed two staff and two clients. On 2/11/26, LPA Claudia Aguilera interviewed C1. On 03/18/26, LPA Aguilera interviewed one staff and one client. On 03/25/26, LPA interviewed County Social Worker (CSW). Regarding the allegation that staff did not prevent a child from taking an overdose of medication, it was specifically reported that C1 overdosed by taking Benadryl. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Claudia Aguilera LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: CFLC-HEMET RANCHFACILITY NUMBER: VISIT DATE: 03/26/2026

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

met_with: Assistant Administrator, Anel Panduro


facility_name: CFLC-SUNSET HOUSE

raw_content:
Narrative:
On April 25, 2023, Community Care Licensing (CCL) received a complaint alleging that facility staff did not adequately supervise a minor while in care. It was reported to CCL that an adult male snuck into the facility with the help of client #1 (C1) resulting in a sexual interaction while in care and C1 obtaining drug paraphernalia from the adult male. During investigation, Investigator Vasquez found no corroboration for the above allegation. Investigator, Vasquez received inconsistent information that facility staff did not adequately supervise C1 while in care. Confidential interviews revealed that an unknown adult male did access the facility with C1's and C2's help resulting in a sexual interaction between C1 and the adult male and C1 obtaining a marijuana vape pen while in care. Some confidential interviews stated that there were no signs that indicated that something unusual was occurring at the facility and added that staff supervision was being provided to clients in care through room checks every 15 minutes on the day of the incident. Confidential interviews further stated that staff became aware of the incident after C1 revealed the information to a staff member. There were no other known witnesses to the allegation. Investigator, Vasquez received inconsistent information about whether neglect or lack of supervision by facility staff resulted in the adult male accessing the facility, having sexual intercourse with C1, and providing C1 with a marijuana vape pen while in care. Based on confidential interviews, the allegation that staff did not adequately supervise C1 while in care, may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights was provided to Assistant Administrator/Client Services, Patricia' Parker

Investigation Findings:
13On December 29, 2023, at 9: AM, Licensing Program Analyst (LPA), Cynthia Urena met with CFLC-Sunset House Short Term Residential Therapeutic Program (STRTP) Assistant Administrator/Client Services, Patricia' Parker to deliver the investigative finding for the above stated allegation. On May 3, 2023, at 9: AM, LPA Daniel Mena initiated the investigation at the STRTP and collected pertinent documents from the STRTP program staff and client files. A health and safety inspection was conducted, and no immediate deficiencies were observed. LPA Mena informed the STRTP that Investigator, Wilfredo Vasquez would be leading the investigation. Investigator, Vasquez conducted interviews with a Riverside Sherriff's Department Investigator, four clients (C1, C2, C3, C4), five staff members (S1, S2, S3, S4, S5) and a witness. (**Continued on LIC C**) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: CFLC-SUNSET HOUSEFACILITY NUMBER: VISIT DATE: 12/29/2023

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


raw_content:
Narrative:
Regarding the allegations that staff did not provide adequate supervision resulting in minor being sexually assaulted while in care, and that due to lack of care and supervision minor had access to a vape pen. It was revealed that an adult male known to C1 and C2 accessed the facility through a bedroom window and was assisted by C1 and C2 which resulted in C1 having sexual intercourse with the adult male without staff knowledge. Confidential interviews further stated the adult male also provided C1 with a "marijuana vape pen" that resulted in C1 and C2 engaging in substance use on the day of the incident. Confidential interviews further stated that S1 was on duty during the time that the incident occurred and was conducting room checks every 15-30 minutes but did not observe anything that indicated that something unusual was occurring at the facility. Confidential interviews also stated that the facility staff became aware of the incident after C1 revealed the information to a facility staff member and that the information was reported in a special incident report. There were no other known witnesses or corroborating evidence to support the above allegations. Based on confidential interviews, the allegation that staff did not provide adequate supervision resulting in C1 being sexually assaulted while in care, and that due to lack of care and supervision C1 had access to a vape pen, may have happened or is valid but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights was provided to Direct Care Worker, Miriam Maturino.

Investigation Findings:
13On January 5, 2024, at 10: AM, Licensing Program Analyst (LPA), Cynthia Urena met with CFLC-Sunset House Short Term Residential Therapeutic Program (STRTP) Direct Care Worker, Miriam Maturino to deliver the investigative finding for the above stated allegations. On September 26, 2023, at 9: AM, LPA Cynthia Urena initiated the investigation at the STRTP and collected pertinent documents from the STRTP program staff and client files. A health and safety inspection was conducted, and no immediate deficiencies were observed. Regarding the above allegations, interviews were completed with four staff members (S1, S2, S3, S4), four clients (C1, C2, C3, C4), and a Riverside County Sheriff's Investigator. On September 21, 2023, Community Care Licensing (CCL) received a complaint alleging that staff did not provide adequate supervision resulting in minor being sexually assaulted while in care, and that due to lack of care and supervision minor had access to a vape pen. (**Continued on LIC C**) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: CFLC-SUNSET HOUSEFACILITY NUMBER: VISIT DATE: 01/05/2024

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

met_with: Direct Care Worker, Miriam Maturino


raw_content:
Narrative:
***Continued from LIC 9099*** On October 13, 2023, at 3: PM, LPA initiated the investigation at CFLC-Sunset House, reviewed children and staff records and obtained documents from the files. Additionally, LPA conducted a health and safety inspection and interviewed Assistant Administrator Lizeth Ruvalcaba. There were no immediate hazards observed. During investigation, LPA conducted collateral interviews with C1, C2, and C3. C4 was not able to be contacted for an interview. LPA were unable to contact the County Social Workers (CSW). Regarding the allegation that staff did not ensure that children have access to hygiene products, several confidential interviews stated that when the children arrive to the facility, they are given a bag with towels and hygiene products. Another confidential interview stated the children can request toiletries from the staff. Confidential witness stated that children felt that they were getting basic items. Perfume, body oil and nail polish were not being purchased and the facility requested the children to purchase those hygiene items with the children's allowance. Confidential interview stated children keep their toiletries in their bedroom. In regard to staff do not ensure that children are fed adequately, confidential interviews stated that grocery shopping is done weekly. Children can request food items they would like to have. Confidential interview stated that staff do purchase items the children's want to eat food from their culture if they can find it in the market. Another confidential interview stated that when children get their cultural food, it is often wasted due to the children not eating it. Regarding staff not treating minor with dignity or respect allegation, confidential interview stated, "all children are treated with dignity and respect at all times". The children are the ones who are disrespectful". Another confidential interview stated staff do not disrespect children. Children get mad when things are not going their way." LPA received a conflicting information. Concerning staff do not provide towels for children, confidential interview stated that towels are given to children upon their arrival to the facility. The children are given a with supplies in it which includes two sets of towels and towels are replaced when requested by the children. Another confidential interview stated there is ample supply of towels available in the linen cabinet for the children to use. Confidential interview didn't disclose information regarding the allegation. ***Continued from LIC 9099-C*** In regard to staff forcing their religious beliefs onto child, a confidential interview denied talking to them about religion. A confidential interview stated that a staff would say "bless you" if someone sneezed. Children are asked if they attend church when they arrive at the facility just in case, they want to attend religious services. Confidential interview felt being forced to attend religious services. In regard to staff do not ensure that children have identification, a confidential interview stated staff were aware that some children wish to have an identification card. However, confidential reported that staff do not have the birth certificates for the children to obtain identification and staff have requested birth certificates from social workers. Another confidential interview stated the children that have birth certificates did not want to go The Department of Motor Vehicles to obtain an identification card. In regard to staff withholding minor's allowance allegation, a confidential interview stated allowance have never been withheld. Another confidential interview stated staff would hold our allowance if a children wanted to save their allowance for a special purchase. Confidential reports indicated that staff would make children pay for their hygiene needs with their allowances. LPA received a conflicting information. Based on confidential interviews, observations, and file reviews, the allegations that staff do not ensure that children have access to hygiene products; staff do not ensure that children are adequately fed; staff do not treat minors with dignity or respect; staff do not provide towels for children; staff forced religious beliefs onto child; staff do not ensure that children have identification; and staff withheld minor's allowance. may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are unsubstantiated at this time. Exit interview was conducted. A copy of this report, LIC 811, and appeal rights were explained and provided to Lizeth Ruvalcaba, Administrator

Investigation Findings:
13On May 10, 2024. at 1: PM, Licensing Program Analyst (LPA) Karen Beal arrived at CFLC- Sunset House and met with Lizeth Ruvalcaba, Administrator. The purpose of this visit was to deliver the investigative finding of the complaint involving the children listed on the Confidential Names (LIC 811). On October 12, 2023, Community Care Licensing (CCL) received a complaint alleging that staff do not ensure that children have access to hygiene products, staff do not ensure that children are adequately fed, staff do not treat minors with dignity or respect, staff do not provide towels for children, staff forced religious beliefs onto child, staff do not ensure that children have identification, and staff withheld minor's allowance. It was specifically alleged that children do not have access to their allowance; children do not have a choice of food being purchased; children are not given the option to get identification; and staff body shame children. ***Continued to LIC-C*** UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Karen Beal LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: CFLC-SUNSET HOUSEFACILITY NUMBER: VISIT DATE: 05/17/2024

met_with: Lizeth Ruvalcaba, Administrator


raw_content:
Narrative:
Regarding the allegation that staff did not adequately monitor a minor's online activities, it was specifically stated that C1 was doing inappropriate things in the shower. A confidential interview denied staff were not monitoring clients' online activities. Staff would communicate with the clients to ensure the online materials were appropriate. Confidential interview reported that staff did not observe C1 using C1's phone in the shower due to privacy. Another confidential interview corroborated that staff were not aware that C1 was using the phone to access online stuff while in the restroom. Confidential interview maintained that staff did not ensure C1 was always supervised adequately. The confidential interview stated staff was not paying attention to C1 in while C1 was in the shower. In regard to the allegation that staff did not pick up C1 from school when requested, it was specifically stated that C1 wanted to go home early from school and C1 began to undress in the school lobby. Confidential interview revealed that C1 wanted to leave school earlier than the closing time but C1 was advised to remain in school until school was over. Another confidential interview believed C1 wanted to go home in the middle of the day. The confidential interview revealed that C1 had no reason to leave school early, however, it was reported that C1 ended up undressing at school due to staff inquiring C1 to stay in school. Additional confidential interview stated C1 wanted to go home and play. LPA was unable to gather additional information. Based on confidential interviews and observations, the allegations that staff did not adequately monitor C1's online activities, and S1 did not pick up C1 from school when requested, may have occurred, however, there was not a preponderance of evidence to support the alleged violations. Therefore, these allegations are unsubstantiated at this time. A copy of this report, LIC 811 and the appeal right was reviewed and provided to STRTP representative.

Investigation Findings:
13On September 16, 2024, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at CFLC-Sunset House, Short Term Therapeutic Residential Program (STRTP) and met with facility manager Aleighna Mejia to deliver investigative findings involving the STRTP. On January 30, 2024, a complaint report was referred to Community Care Licensing (CCL) alleging staff did not adequately monitor a minor's online activities, and staff did not pick up a minor from school when requested. On February 8, 2024, (LPA) Babatunde Aborchie arrived at the STRTP to initiate the investigation and conducted a safety inspection. There were no safety issues observed. During investigation, LPA interviewed Administrator 1 (A1), Staff 1 and 2 (S1 and S2), clients 1, 2 and 3 (C1, C2 and C3). LPA was unable to interview County Social Worker (CSW). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: CFLC-SUNSET HOUSEFACILITY NUMBER: VISIT DATE: 09/16/2024

met_with: Aleighna Mejia


raw_content:
Narrative:
In regard to the allegation that staff did not ensure minor is properly fed while in care, confidential interviews stated that clients get three meals a day and snacks in between. Staff cooks breakfast, lunch, and dinner every day. Other confidential interviews stated clients are allowed to eat alternative foods if they do not like the food that has been made for them, they are not forced to eat what was already prepared. A confidential interview maintained that C1 is not allowed to grab food from the kitchen and staff offers C1 spicy Mexican food. LPA received conflicting information. Regarding the allegation that staff left minor unattended at medical appointments, confidential interviews stated that the younger clients have priority of having staff accompany them at medical appointments due to their ages. Other confidential interviews stated C1 is over the age of 18 and was to attend Doctor appointments alone. However, a confidential interview indicated that C1 had to take Uber to go to the pharmacy as staff didn't want to take C1. It was further disclosed that C1 was left behind for doctor appointments on multiple occasions. In regard to the allegation that staff did not address a minor's change in medical condition and staff did not seek timely medical attention for client, confidential interviews stated that C1 goes to the doctors on a regular basis. Other confidential interviews stated that clients must tell staff when they are sick or injured in order for staff to know what is going on. However, confidential interviews indicated that C1 was neglected. Other confidential interviews stated that when clients express concerns or make a complaint, staff will take them to urgent care or the doctor's office and make a report about it. Additional confidential interviews stated that clients always receive care in a timely manner as long as they tell staff about it right away. A confidential interview maintained that C1 sustained injuries due to punching a wall, but C1 was taken to the urgent three weeks later. Lastly, for the allegation that staff did not provide appropriate transportation for a minor, it was specifically reported that C1 had to ask for an uber to pick up medicine from a pharmacy. Confidential interviews stated that clients are never denied transportation to places of such importance. Another confidential interview stated, no client must find their own ride, staff always provides transportation. LPA was unable to verify the information. Based on confidential interviews and a review of pertinent documents, the allegations that staff do not ensure C1 is properly fed while in care, staff left C1 unattended at medical appointments, staff did not address C1's change in medical condition, staff did not seek timely medical attention for C1 and staff did not provide appropriate transportation for C1, may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report, LIC 811 and appeal rights were explained and given to client services Maria Ramirez.

Investigation Findings:
13On September 20, 2024, at 12: PM, Licensing Program Analysts (LPA) Maryjane Perez conducted an unannounced visit at California Family Life Center (CFLC) - Sunset House Short Term Residential Therapeutic Program (STRTP) and met with Client Services Maria Ramirez to deliver the findings for the above stated allegations. On 5/2/ Community Care Licensing received complaint allegations that staff do not ensure a minor is properly fed while in care; staff left a minor unattended at medical appointments; staff did not address a minor's change in medical condition; staff did not seek timely medical attention; and staff did not provide appropriate transportation for a minor. On May 6, 2024, LPA Karen Beal conducted a health and safety inspection of the facility and no hazards were observed. Lpa K. Beal also obtained pertinent documents and interviewed Assistant Administrator, staff 2 (S2), and client 1 (C1). In addition, LPA M. Perez conduct interviews with foster children 2, 3, and 4 (FC2, FC3, FC4) as well as staff 3 and 4 (S3 and S4) to gather additional information. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: MaryJane Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: CFLC-SUNSET HOUSEFACILITY NUMBER: VISIT DATE: 09/20/2024

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

met_with: Maria Ramirez- Client Services


raw_content:
Narrative:
comments or jokes towards other clients. Additionally, confidential interviews corroborated stating that they have not witnessed any physical inappropriate interactions between clients. Another confidential interview stated that it was reported that C2 gets in C1's bed but the two clients did not share a bedroom. A confidential interview reported that staff will make sure clients are not in each other's beds and conduct room checks frequently. LPA received conflicting information. Based on confidential interviews and a review of pertinent documents, the allegation that staff did not prevent minors in care from engaging in inappropriate interactions may have happened or is valid but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report, LIC 811 and appeal rights were explained and given to direct care staff II Susie Garcia.

Investigation Findings:
13On May 23rd, Licensing Program Analyst (LPA) Maryjane Perez made an unannounced visit to CFLC- Sunset House Short- Term Residential Therapeutic Program (STRTP) and met with direct care staff II Susie Garcia to deliver the finding for the above stated allegation involving staff and clients as listed on the Confidential Names (LIC 811). On 12/31/2024, Community Care Licensing received complaint allegation that staff did not prevent minors in care from engaging in inappropriate interactions. On 1/08/25, LPA conducted a health and safety inspection where no immediate hazards were observed. Additionally, LPA interviewed staff 1 (S1), staff 2 (S2), staff 3 (S3), staff 4 (S4), staff 5 (S5), staff 6 (S6) client 2 (C2), client 3 (C3), and client 4 (C4). Client 1 (C1) and client 5 (C5) refused to be interviewed. During investigation, confidential interviews reported that a client was on a phone call talking inappropriately about another client in the home and staff had to redirect them. Other confidential interviews stated that staff makes up allegations to get clients in trouble. Other confidential interviews stated that C2 will make sexual UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: MaryJane Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: CFLC-SUNSET HOUSEFACILITY NUMBER: VISIT DATE: 05/23/2025

met_with: Direct Care Staff II- Susie Garcia


summary: Facility Evaluation

raw_content:
Narrative:
On July 16, 2021 10: AM, Licensing Program Analyst (LPA), Anastasia Flores, conducted a collateral interview at this facility. During the time at the facility LPA conducted a safety inspection of the facility and interviewed client #1 (C1), as identified on the Confidential Names form LIC 811, dated 07/16/21, regarding allegations from a prior placement. The allegations are not related to this facility. No other information is needed at this time. Exit interview conducted and a copy of this report was provided to the facility.

met_with: Lizeth Ruvalcaba