raw_content:
Narrative:
Yet, other statements disclosed that staff does attempt to prevent the minors from AWOLing from the facility by the use of their emergency intervention plan. Additionally, interviews revealed conflicting statements as to the facility allowing minors to exploit other minors in care. Confidential interviews indicated that staff allows minors to exploit one another and that staff doesn't do anything to prevent the clients from being exploited. While other interviews stated that staff doesn't allow the minors to exploit other minors. All statements led to a conflicting finding. Based on confidential interviews and records reviewed: "Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated." An exit interview was conducted and a copy of this report and appeal rights were provided to Stephanie Donnellan, Residential Admin Support Manager.

Investigation Findings:
13On September 22, 2022, at 2: PM, Licensing Program Analyst (LPA) Eduardo Barragan conducted a complaint inspection at Casa De Amparo and met with Stephanie Donnellan, Residential Admin Support Manager. The purpose of the inspection was to deliver the findings for the above complaint allegations. LPA Carol Anderson conducted an inspection of the facility on October 28, 2021, and no deficiencies were noted. LPA Barragan interviewed eight of eight clients (C1-C8) and four of four staff (S1-S4). LPA reviewed needs and services plans, staff schedules, staff notes and incident reports. The Department has investigated the complaint alleging facility did not follow emergency intervention plan when minors AWOLed from the facility and facility is allowing C1 to be sexually exploited by C2 from the facility. Confidential interviews revealed conflicting statements such as Staff doesn't follow the clients nor verbally redirect the clients to prevent the clients from AWOLing. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Eduardo Barragan 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 09/22/2022

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


state: CA

facility_name: CASA DE AMPARO

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
It was reported that a staff stole C1's bread and threw it away while C1 was sleeping. Confidential interviews revealed conflicting information. Confidential interviews revealed C1's bread was stolen and thrown out. Conflicting interviews revealed overnight staff checked C1's bread, observed the expiration date, and threw out the bread. Confidential records reviewed revealed that C1 was reimbursed for the bread by the facility. There were no witnesses for this allegation. Based on the interviews and records revealed, the allegation that C1's belongings were stolen, which may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted and appeal rights were reviewed with Stephanie Donnellan, Residential Administrative Support Manager. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights will be emailed to the Facility Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On November 16, 2022, at 3:00 pm, Licensing Program Analyst Charmaine Linley arrived unannounced to the facility and met with Stephanie Donnellan, Residential Administrative Support Manager, of Casa de Amparo to discuss the investigative finding for the allegation listed above. LPA Carol Anderson conducted an inspection of the facility on 12/06/2021 at 12:10 pm and no deficiencies were observed. LPA Anderson interviewed one out of one client (C1). LPA Linley interviewed six staff (S1-4, S6-7), and attempted to interview (S5), however, was unable to interview them, despite multiple attempts to contact them, and one County Social Worker (CSW1). LPA Linley also reviewed the following documents: C1's Cottage Roster, Grievance Form, C1's Grocery Receipts, C1's Needs and Services Plan, and C1's Observation Notes, dated 12/01/2021 and 12/02/2021. On 12/02/2021, Community Care Licensing (CCL) received an allegation that C1's belongings were stolen. 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 11/16/2022

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

report_type: Complaint Investigation

complaint_status: unsubstantiated


raw_content:
Narrative:
to lack of supervision of staff. It was reported that C1 was sleeping on the couch, as there were no beds available for C1, and another client started punching C1 on the head and face multiple times until staff separated them. Confidential reports revealed that C1 was asleep on the couch in the living room of the cottage and did not have a bedroom for several weeks until maintenance fixed a few of the bedrooms in the cottage. Conflicting interviews reported C1 had a bedroom in their newly assigned cottage and was taking a nap on the couch. Confidential interviews revealed C1 was asleep on the couch, C2 gained entry into the cottage, and hit C1 on the head and face multiple times before a staff separated them. Confidential interviews revealed other clients in the cottage snuck C2 into the facility while other interviews revealed C2 used a debit card to pop the door lock into the cottage. Confidential interviews revealed there was only one staff in the cottage who had difficulties calling for assistance with the communication devices, another staff arrived after the incident ended, and C2 was outside. Based on the interviews and records revealed, that staff did not provide an appropriate sleeping arrangement for C1, and another client physically attacked C1 while in care due to lack of supervision of staff, which may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted and appeal rights were reviewed with Stephanie Donnellan, Residential Administrative Support Manager. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights will be emailed to the Facility Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On November 16, 2022, at 2:30 pm, Licensing Program Analyst Charmaine Linley arrived unannounced to the facility and met with Stephanie Donnellan, Residential Administrative Support Manager, of Casa de Amparo to discuss the investigative finding for the allegations listed above. LPA Carol Anderson conducted an inspection of the facility on 12/06/2021 at 11:40 am and no deficiencies were observed. LPA interviewed four out of five clients (C1-4) and (C5) was unable to be interviewed despite multiple attempts to contact them. LPA Linley interviewed seven out of nine staff (S1-3, S6-9), (S4-5) were unable to be interviewed despite multiple attempts to contact them and one County Social Worker (CSW1). LPA Linley also reviewed the following documents: Special Incident Reports, Staff Schedule, Milieu Daily Progress Notes, and Client Occupancy Report. 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 11/16/2022

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


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
Based on record reviews and confidential interviews, C1 was restrained on October 22, 2021 and September 13, 2021. The details gathered for both incidents did not provide a preponderance of evidence to prove or disprove the allegations that staff conducted a restraint resulting with injury to C1 or that Staff pulled C1's hair. Therefore, the allegations are unsubstantiated. LPA conducted an exit interview and provided a copy of this report along with appeal rights to Stephanie Donnellan, Residential Admin Support Manager.

Investigation Findings:
13On January 4, 2023, at 9: AM, Licensing Program Analyst (LPA) Eduardo Barragan conducted a complaint inspection at Casa De Amparo and met with Stephanie Donnellan, Residential Admin Support Manager. The purpose of the inspection was to deliver the findings for the above complaint allegations. On November 05, 2021, the Department received a complaint report, with allegations that Staff conducted an inappropriate restraint resulting with injury to C1 and Staff pulled C1's hair. LPA Carol Anderson conducted an inspection of the facility on November 09, 2021, and no deficiencies were noted. During the investigation, LPA Barragan reviewed needs and service reports, staff schedules, incident reports and interviewed two of two clients (C1-C2), one staff (S1), and one probation officer (P1). LPA attempted to interview one client (C3) and one staff (S2). However, after numerous attempts LPA was unsuccessful. Confidential interviews revealed conflicting statements of staff conducting a restraint resulting in C1 receiving an injury or staff pulling C1's hair. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Eduardo Barragan 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 11/22/2022

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 0


raw_content:
Narrative:
Confidential interviews revealed that C1 was assaulted by C3 while in care due to lack of supervision, yet other interviews stated that C1 was not assaulted by C3 while in care due to lack of supervision. All statements led to a conflicting finding. Based on confidential interviews the allegations that due to lack of supervision C1 was assaulted by C3 while in care may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated. LPA conducted an exit interview and provided a copy of this report along with appeal rights to Stephanie Donnellan, Residential Admin Support Manager.

Investigation Findings:
13On November 22, 2022, at 10: AM, Licensing Program Analyst (LPA) Eduardo Barragan conducted a complaint inspection at Casa De Amparo and met with Stephanie Donnellan, Residential Admin Support Manager. The purpose of the inspection was to deliver the findings for the above complaint allegation. LPA Carol Anderson conducted an inspection of the facility on November 18, 2021, and no deficiencies were noted. LPA Barragan interviewed two of two clients (C1-C2), and two staff (S1-S2). LPA attempted to interview one client (C3) and two staff (S3- S4) however, LPA could not get a hold of them after numerous attempts. LPA Barragan reviewed needs and service reports, staff schedules and incident reports. On November 16, 2021, the Department received an allegation that due to lack of supervision C1 was assaulted by C3 while in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Eduardo Barragan 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 11/22/2022

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 0


raw_content:
Narrative:
adequate care and supervision to minors in care. It was reported that staff attempted to follow clients from running away and lost sight of them. It was reported that staff lose sight and control of the youth daily and constantly blame understaffing and fear of the youth as justification to not follow up with the youth, allowing the youth to be in compromised and in dangerous positions. Confidential interviews revealed conflicting information. Confidential interviews revealed staff followed C1 and other clients until staff lost sight of them or it became unsafe for staff to follow them. Conflicting interviews revealed there were times when there were not enough staff to follow C1 and other clients and staff called Law Enforcement to file a missing person report. Furthermore, confidential interviews did not reveal dates and times the facility did not have enough staff to follow the clients. The allegation that the facility does not provide adequate care and supervision to minors in care may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted and appeal rights were reviewed with Erin Gospodarec, Associate Executive Director of Operations. Due to printer malfunction, a copy of this report, along with the LIC 811, and appeal rights will be emailed to the Facility Administrator. A signed copy of this report will be kept in the Facility file.

Investigation Findings:
13On November 30, 2022, at 11:00 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Erin Gospodarec, Associate Executive Director of Operations of Casa De Amparo, to discuss the investigative finding for the allegation noted above. LPA Carol Anderson conducted an inspection of the facility on 12/17/2021 at 12:16 pm and no deficiencies were observed. LPA Linley interviewed three of four clients (C1, C3, C4), was unable to interview (C2) despite multiple attempts to contact them, interviewed thirteen staff (S1-3, S5-6, S8-13), was unable to interview (S4, S7), despite multiple attempts to contact them, and interviewed one County Social Worker (CSW1). LPA reviewed the following documents during the investigation: Special Incident, Reports, C De-escalation and Safety Management Plan, C Child-Family-Team Meeting notes, C1's Needs and Services Plan, C Discharge Summary, Facility Discipline Policy, Facility Runaway Plan, and staff timesheets. On 12/09/2021, Community Care Licensing (CCL) received an allegation that the facility does not provide 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 11/30/2022

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


raw_content:
Narrative:
physically threatened them. Confidential interviews revealed conflicting information. Confidential interviews revealed C1 and C2 were involved in a relationship with each other and often ran away from the facility together. Confidential interviews revealed C1 and C2 were aggressive toward each other and pushed each other toward the ground on several occasions. Confidential interviews could not recall seeing C2 biting C1. Confidential interviews revealed C2 was punched by C1 and C2 physically threatened C1. Confidential interviews revealed staff was present and separated both residents. Confidential interviews revealed the facility tried to do mediation between both C1 and C2 and eventually C2 was discharged from the facility. Based on confidential interviews, the allegation that staff neglected to keep C1 safe from C2 while in care, may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted and appeal rights were reviewed with Stephanie Donnellan, Residential Administrative Support Manager. Due to printer malfunction, a copy of this report, along with the LIC 811, and appeal rights will be emailed to the Facility Administrator. A signed copy of this report will be kept in the Facility file.

Investigation Findings:
13On December 12, 2022, at 4:45, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Stephanie Donnellan, Residential Administrative Support Manager of Casa De Amparo, to discuss the investigative finding for the allegation noted above. LPA Carol Anderson conducted an inspection of the facility on 12/17/2021 at 12:05 pm and no deficiencies were observed. LPA Linley interviewed three of four clients (C2-4), was unable to interview (C1) despite multiple attempts to contact them, interviewed five staff (S1-5), was unable to interview (S6-8), despite multiple attempts to contact them, and was unable to interview two County Social Workers (CSW1-2), despite multiple attempts to contact them. LPA reviewed the following documents during the investigation: Emergency Response Referral Information Report, Special Incident Reports, C Discharge Summary, and C Nursing Notes. On 12/15/2021, Community Care Licensing (CCL) received an allegation that staff neglected to keep C1 safe from C2 while in care. It was reported that C2 pushed C1 to the ground, bit C1 until they bled, and 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 12/12/2022

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


raw_content:
Narrative:
It was reported that C1 and C4 ran away from the facility and staff could not continue searching for them because they are understaffed. Confidential interviews revealed conflicting information. Confidential interviews revealed staff followed C1 and C4 until they entered private property and stopped searching for them and returned to the facility. Conflicting interviews revealed there was not enough staff to continue following C1 and C4 and returned to the facility. Based on confidential interviews, the allegation that the facility is understaffed, may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted and appeal rights were reviewed with Stephanie Donnellan, Residential Administrative Support Manager. Due to printer malfunction, a copy of this report, along with the LIC 811, and appeal rights will be emailed to the Facility Administrator. A signed copy of this report will be kept in the Facility file.

Investigation Findings:
13On December 14, 2022, at 4:30 pm Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Stephanie Donnellan, Residential Administrative Support Managerof Casa De Amparo, to discuss the investigative finding for the allegation noted above. LPA Carol Anderson conducted an inspection of the facility on 12/17/2021 at 11:30 am and no deficiencies were observed. LPA Linley interviewed three clients (C1-3), was unable to interview one client (C4), despite multiple attempts to contact them, interviewed five staff (S1-5), was unable to interview (S6), despite multiple attempts to contact them, and was unable to interview one County Social Worker (CSW1), despite multiple attempts to contact them. LPA reviewed the following documents during the investigation: Emergency Response Referral Information Report, Special Incident Reports, LIC 500, Cottage Roster, Staff Timesheets, and Staff Schedule. On 12/16/2021, Community Care Licensing (CCL) received an allegation that the facility is understaffed. 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 12/12/2022

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


raw_content:
Narrative:
clients were involved in a physical fight amongst each other and staff attempted to intervene. It was reported that C1 bit, hit, and pulled S4's hair. Confidential interviews revealed conflicting statements regarding the physical altercation, some interviews indicated that C1 did not fight any other residents. Other interviews indicated C1 had several fights with other residents. Confidential interviews and records reviewed indicated staff intervened and used proximity control, redirection, and restrained clients that were fighting during the incident. Some interviews indicated that C1 was placed in a restraint while other interviews had no recollection of C1 being placed in a restraint. Additional confidential interviews indicated C1 bit S4 and Law Enforcement was contacted. Based on confidential interviews, the allegation that staff did not utilize Emergency Intervention Plan to de-escalate an altercation between minors, may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted and appeal rights were reviewed with Stephanie Donnellan, Residential Administrative Support Manager. Due to printer malfunction, a copy of this report, along with the LIC 811, and appeal rights will be emailed to the Facility Administrator. A signed copy of this report will be kept in the Facility file.

Investigation Findings:
13On December 14, 2022, at 4:25 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Stephanie Donnellan, Residential Administrative Support Manager of Casa De Amparo, to discuss the investigative finding for the allegation noted above. LPA Carol Anderson conducted an inspection of the facility on 01/06/2022 at 11:58 am and no deficiencies were observed. LPA Linley interviewed two clients (C1-2), was unable to interview two clients (C3-4), despite multiple attempts to contact them, interviewed three staff (S1, S2, S4), was unable to interview two staff (S3, S5), despite multiple attempts to contact them, and was unable to interview three County Social Workers (CSW1-3), despite multiple attempts to contact them. LPA reviewed the following documents during the investigation: Special Incident Reports, Restraint Report, Cottage Roster, Staff Roster, C1- Needs, and Services Plan. On December 29, 2021, Community Care Licensing (CCL) received an allegation that staff did not utilize Emergency Intervention Plan to de-escalate an altercation between minors. It was reported that several 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 12/14/2022

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


raw_content:
Narrative:
Confidential interviews revealed that C1 kicked, pinched, bit and punched staff causing injury to several staff members. Confidential interviews revealed that C1 was placed in a restraint to prevent further harm to others. However, confidential interviews did not indicate if staff utilize the Emergency Invention plan de-escalation techniques prior to placing C1 in a restraint. There were no witnesses to the alleged incident. Based on confidential interviews and record review, although the allegation that staff did not utilize the emergency intervention plan to prevent C1 from causing harm while in care, may have occurred, however, are not supported or proven by the evidence gathered. Therefore, the allegation is determined to be unsubstantiated. An exit interview was conducted, and a copy of this report, the appeals, and LIC 811 were given to Residential Administrative Support Manager Stephanie Donnellan.

Investigation Findings:
13On December 22, 2022 at 10:00AM, Licensing Program Analyst (LPA) Carol Anderson met with Residential Administrative Support Manager Stephanie Donnellan, to deliver the findings of the above allegation. During the investigation, LPA interviewed two of four clients (C2, C3). C1 refused interview and C4 was unable to be contacted. LPA attempted to interview four staff members, but LPA did not receive return calls. LPA reviewed law enforcement interviews with five staff and C1. LPA reviewed Client 1 (C1)'s Appraisal Needs and Services Plan, San Diego County Sheriff's Report as well as Special Incident Reports. On January 31, 2022, the Department received a complaint alleging that staff did not utilize the emergency intervention plan to prevent a minor from causing harm while in care. Confidential interviews reported that on January 28, 2022, C1 physically assaulted several staff members and damaged two windows in the cottage, C1 used a rock to damage an exterior door window and interior office window of a cottage at the above facility. Confidential interviews revealed that C1 kicked, pinched, bit and punched staff causing injury to several staff members. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Carol Anderson 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 08-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, METROPOLITAN DR. # FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 12/22/2022

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

met_with: Stephanie Donnellan


raw_content:
Narrative:
Based on confidential interviews and information gathered during the investigation, the allegation that C1 was mistreated by group home staff, may have occurred, however, is not supported or proven by the evidence gathered. Therefore, the allegation is determined to be unsubstantiated. An exit interview was conducted appeal rights provided and copy of this report was provided to Residential Administrative Support Manager Stephanie Donnellan.

Investigation Findings:
13On January 25, 2023, at 9:45AM, Licensing Program Analyst (LPA) Carol Anderson met with Residential Administrative Support Manager Stephanie Donnellan, to deliver the finding of the above allegation. During the investigation, LPA interviewed two of seven clients. LPA interviewed three of four staff. LPA attempted to interview several clients and staff. However, after numerous attempts LPA was unsuccessful. LPA reviewed Client 1 (C1)'s Appraisal Needs and Services Plan as well as Special Incident Reports. On February 1, 2022, the Department received an allegation that C1 is mistreated by group home staff. Confidential interviews revealed conflicting statements; confidential interviews indicated that C1 yells and ignores staff directions when C1 does not get their way, and C1 initiate verbal altercation with clients and staff. There were no witnesses to the alleged incident. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Carol Anderson 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 08-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, METROPOLITAN DR. # FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 01/25/2023

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


summary: Complaint Investigation - Unsubstantiated

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Investigation Findings:
13Licensing Program Analyst (LPA), Tamara Melikian met with Short Term Residential Therapeutic Program (STRTP) administrator support manager for residential services to discuss the investigative findings for the above stated allegations. LPAs Tamara Melikian and Carol Anderson interviewed one of one staff member (W1) and two of two former clients (C1, C2) as well as reviewed client and facility records. On February 23, 2022, Community Care Licensing received information alleging that the staff was not meeting the minors dietary needs, that the staff did not ensure the minor received all medical services while at doctor's appointment and that the staff are not meeting minors laundry needs. Confidential interviews state that the minor may have received a rash while in care, however there are conflicting reports stating the minor received the rash from the heat. In addition, confidential interviews state that the minor refused to receive the medical care services while at the doctor's appointment and wanted to come back another day while other confidential interviews state that the staff refused to obtain the medical careon that date. In addition, confidential interviews are conflicting in that some state that the minor did not have laundry when available and other confidential interviews state that laundry needs were being met. Confidential interviews did not corroborate the allegation with a preponderance of evidence. Based on interviews and confidential information obtained during the course of this investigation, the allegations that the staff was not meeting the minors dietary needs, that the staff did not ensure the minor received all medical services while at doctors appointment and that the staff are not meeting minors laundry needs may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided. Due to technical difficulties with printing the report, the report was scanned and emailed to the licensee. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Melanie Krage LICENSING EVALUATOR NAME: Tamara Melikian LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


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Investigation Findings:
13Licensing Program Analyst (LPA), Tamara Melikian met with Short Term Residential Therapeutic Program (STRTP) administrator support manager for residential services to discuss the investigative findings for the above stated allegation. LPAs Tamara Melikian, Eduardo Barragan and Carol Anderson interviewed one of four staff members (S1) and two of two former clients (C1, C2). In addition, LPAs attempted interviews with former staff members, as well as reviewed client and facility records and obtained reports from law enforcement. On February 14, 2022, Community Care Licensing received information alleging that the staff did not use the emergency intervention plan when minors engaged in a physical altercation while in care. Specifically, it was alleged that S1 did not use the emergency intervention plan when clients C1 and C2 were in a physical altercation. Confidential interviews state that the staff put "hands on" however the details were unable to be determined. Facility records obtained document that verbal intervention, crisis communication and proximity control techniques were all utilized. In addition, reports from law enforcement were obtained. Other known witnesses to this incident were unable to be interviewed although multiple attempts were made. Confidential interviews did not corroborate the allegation with a preponderance of evidence. Based on interviews and confidential information obtained during the course of this investigation, the allegation that the staff did not use the emergency intervention plan when minors engaged in a physical altercation while in care may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided. Due to technical difficulties with printing the report, the report was scanned and emailed to the licensee. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Melanie Krage LICENSING EVALUATOR NAME: Tamara Melikian LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


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Narrative:
marijuana for C1. It was reported that S8 followed C1 on Instagram and offered to pick them up and buy them marijuana. All parties interviewed denied the allegation that S8 offered to pick up or purchase marijuana for C1. Confidential interviews did not corroborate the allegation with a preponderance of the evidence and C1 and C2 were unable to be interviewed therefore this allegation is unsubstantiated. Based on confidential interviews and records reviewed that the staff offered to purchase marijuana for C1, which may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Stephanie Donnellan, Residential Administrative Support Manager. Due to printer malfunction, a copy of this report will be emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On April 13, 2023, at 2:30 pm , Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Stephanie Donnellan, Residential Administrative Support Manager of Casa de Amparo to discuss the investigative finding for the allegation noted above. LPA Carol Anderson conducted an inspection of the facility on 04/21/2022 at 2:10 pm and no deficiencies were observed. LPA Anderson attempted to interview C1, and they declined to be interviewed. LPA Linley interviewed nine staff (S1-9) and attempted to interview one client (C2) but was unable to contact them despite multiple attempts and interviewed one County Social Worker (CSW1). LPA reviewed the following documents during the investigation: Emergency Response Referral Information, S8's statement acknowledging the requirement to report suspected child abuse, S8's application for Residential Counselor, S8's employee evaluation, Staff Schedule, and Special Incident Report. On 04/15/2022 , Community Care Licensing (CCL) received an allegation that staff offered to purchase 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 04/13/2023

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


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Narrative:
Conflicting interviews reported C2 did not touch C1 or C3. Other confidential interviews could not recall details of the incident due to the length of time since the alleged incident occurred. Based on confidential interviews, that lack of supervision resulted in minors engaging in inappropriate behavior while in care, which may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted and appeal rights were reviewed with Stephanie Donnellan. Due to printer malfunction, a copy of this report will be emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On April 28, 2023, at 9:15 am , Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Stephanie Donnellan, Residential Administrative Support Manager, to discuss the investigative finding for the allegation noted above. LPA Carol Anderson conducted an inspection of the facility on 04/01/2022 at 11:08 am and no deficiencies were observed. LPA Linley interviewed three clients (C1-2) and five staff (S1-5). LPA Eduardo Barragan attempted to interview four staff (S6-9) and was unable to interview them despite multiple attempts to contact them. LPA reviewed the following document during the investigation: Staff Schedule. On 03/28/2022, Community Care Licensing (CCL) received an allegation that lack of supervision resulted in minors engaging in inappropriate behavior while in care. It was reported that C1, C2, and C3 were outside watching a movie and touched each other inappropriately while under the blanket. Confidential interviews revealed conflicting statements, some interviews reported C2 touched C1 inappropriately. 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 04/28/2023

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


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Confidential interviews revealed conflicting statements, some interviews revealed that messages were left for C1's Case Manager and the school did not receive any phone calls back. Other interviews reported the phone calls were routed to different people and they could not recall who they talked to. While other interviews revealed, when messages were left for C1's Case Manager, the phone calls were returned to the school. Based on confidential interviews and records reviewed that facility staff do not respond to C1's school request for information, which may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Stephanie Donnellan. Due to printer malfunction, a copy of this report will be emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On May 4, 2023, at 9:15 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Stephanie Donnellan, Residential Administrative Support Manager to discuss the investigative finding for the allegation noted above. LPA Carol Anderson conducted an inspection of the facility on 05/04/2022 and no deficiencies were observed. LPA Linley interviewed one client (C1), one County Social Worker (CSW), and six staff (S1-6). LPA reviewed the following documents during the investigation: Medication Administration Records, Child-Family-Team Meeting Notes, Initial Health Care Assessment, Needs and Services Plan, School Enrollment Form, Cottage Roster, Medical Appointment forms, and Nursing Notes. On 04/28/2022, Community Care Licensing (CCL) received an allegation that facility staff do not respond to C1's school request for information. It was reported that staff at C1's school have reached out to the facility to get forms, requirements, and transportation issues completed and cannot get a hold of anyone. 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 05/04/2023

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


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however, staff did not say anything or follow them to the gate. Conflicting interviews reported staff followed C1 and C2 when they left the facility. Confidential interviews reported staff followed C1 when they left the facility the second time. Conflicting interviews reported that staff did not say anything to C1 when they left the facility, however, staff caught up with them and followed them in a vehicle. While other interviews reported not recalling details, due to the amount of the time that has passed since the incident(s). Confidential interviews did not corroborate the allegation with a preponderance of evidence. Based on confidential interviews and records reviewed that facility staff did not prevent minor(s) from AWOLING on more than one occasion, which may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Stephanie Donnellan. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights will be emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On June 5, 2023, at 10:10 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Stephanie Donnellan, Residential Administrative Support Manager, to discuss the investigative finding for the allegation noted above. LPA Carol Anderson conducted an inspection of the facility on 08/10/2022 at 10:10 am and no deficiencies were observed. LPA Linley interviewed two clients (C1-2), eight staff (S1-8), and was unable to interview one staff (S9), despite multiple attempts to contact them. LPA reviewed the following documents during the investigation: Needs and Services Plan, Cottage Roster, Special Incident Reports, and San Marcos Sheriff's Department Incident Report. On 08/01/2022, Community Care Licensing (CCL) received an allegation that facility staff did not prevent minor(s) from AWOLING on more than one occasion. It was reported that C1 and C AWOL'ed from the facility. It was reported C1 and C2 were taken back to the facility and C AWOL'ed again. Confidential interviews revealed conflicting statements, some interviews reported seeing C1 and C2 leave the facility, 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 06/05/2023

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


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Due to the allegation not being specific in nature as to which date(s), and which staff is trafficking C1 confidential interviews and documents reviewed did not corroborate or rule out the allegation with a preponderance of evidence, as C1 is known to leave the facility without permission on several occasions. Based on confidential interviews and records reviewed that C1 in care is being sexually trafficked by a member of the facility, which may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was given to Residential Administrative Support Manager Stephanie Donnellan

Investigation Findings:
13On June13, 2023 at 12: PM, Licensing Program Analyst (LPA) Carol Anderson arrived unannounced at the facility and met with Residential Administrative Support Manager Stephanie Donnellan, to discuss the investigative finding for the allegation noted above. LPA Linley conducted an inspection of the facility on 03/22/2023 at 10:30 am and no deficiencies were observed. LPA Linley interviewed two clients (C1, C2), one client (C3) was unable to be contacted due to their phone number not working, interviewed six staff (S1-6), and one County Social Worker (CSW). LPA reviewed the following documents during the investigation: IEU Investigation Report, Emergency Response Referral Information, and Special Incident Report. On 03/17/2022, Community Care Licensing (CCL) received an allegation that C1 in care is being sexually trafficked by a member of the facility. Confidential interviews denied facility staff sexually trafficked C1. Confidential interviews denied facility staff are exploiting C1... UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Carol Anderson 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 08-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, METROPOLITAN DR. # FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 06/13/2023

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


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evidence. Based on confidential interviews and records reviewed the staff used an inappropriate restraint on C1, which may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Stephanie Donnellan. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights will be emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On 07/28/2023, at 2:25 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Stephanie Donnellan, Residential Administrative Support Manager, to discuss the investigative finding for the allegation noted above. LPA conducted an inspection of the facility on 03/15/2023 at 10:40 am and no deficiencies were observed. LPA Linley interviewed one client (C1), attempted to interview two clients (C2-3), but was unable to contact them despite multiple attempts, and interviewed four staff (S1-4). LPA reviewed the following during the investigation: Special Incident Report and a video recording of the cottage. On 03/08/2023, Community Care Licensing (CCL) received an allegation that staff used an inappropriate restraint on C1. Confidential interviews revealed conflicting statements, some interviews reported that S1 held onto C1 to prevent them from falling. Other interviews reported that S1 held onto C1 to remove a cup of alcohol. Confidential interviews did not corroborate the allegation with a preponderance of the 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 07/28/2023

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


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the razors were locked up, while other interviews reported that it was unknown how C1 got the razor. Confidential interviews revealed conflicting statements regarding the assaults; C1 was the aggressor and staff was the aggressor on one occasion. However, there were no witnesses to the alleged incident that staff instigated the altercation. Based on confidential interviews and records reviewed that C1 had access to a sharp object while in care and staff was involved in multiple altercations with C1, which may or may not 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 Stephanie Donnellan. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights will be emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On August 15, 2023, at 10:20am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Stephanie Donnellan, Residential Administrative Support Manager, to discuss the investigative findings for the allegations noted above. LPA Eduardo Barragan conducted an inspection of the facility on 10/14/2022 at 9:30 am and no deficiencies were observed. LPA Linley interviewed one client (C1), seven staff (S3-9), and was unable to interview two staff (S1-2), and one County Social Worker (CSW), despite multiple attempts to contact them. LPA reviewed the following documents during the investigation: Special Incident Reports, Staff Schedule, Staff Roster, Cottage Roster, Grievance Form, and San Marcos Sheriff's Department Incident Report. On October 13, 2022, Community Care Licensing (CCL) received allegations that C1 had access to a sharp object while in care, and staff was involved in multiple altercations with C1. Confidential interviews revealed conflicting statements regarding C1 having access to a razor while in care. Some interviews reported that 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 08/15/2023

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


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requested to contact their Social Workers via telephone and were able to talk to their Social Workers or leave a voicemail. It was reported that at times when the Social Workers returned the phone calls, the clients declined to talk to their Social Workers. Confidential interviews indicated that the clients had monthly meetings with their Social Workers. Conflicting interviews reported that when the clients requested to call their Social Workers, staff told them no and when they requested to call Child Protective Services, staff also told them no. Thus, confidential interviews did not corroborate the allegations with a preponderance of evidence. Based on confidential interviews and records reviewed the allegations that facility staff do not allow youths to speak with their social workers and facility staff do not allow youths to contact Child Protective Services, 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 with Stephanie Donnellan. Due to printer malfunction, a copy of this report and the LIC 811 will be emailed to the Facility Administrator. A signed copy of this report will be kept in the Facility file.

Investigation Findings:
13On February 7, 2024 at 3:25 pm, Licensing Program Analyst (LPA) Charmaine Linley conducted an unannounced complaint inspection at the above facility. LPA Linley met with Stephanie Donnellan, Residential Administrative Support Manager. The purpose of the inspection was to deliver the findings of the complaint investigation. LPA Anderson conducted an inspection of the facility on 06/28/2023 at 10:40 am and no deficiencies were found. LPA Linley interviewed two clients (C1, C4), one County Social Worker (CSW1), eight staff (S1-8), and LPA was unable to interview two clients (C2-C3), and one County Social Worker (CSW2), despite multiple attempts to contact them. During the investigation, the following documents were reviewed: Client Roster, Staff Schedule, and Special Incident Reports. On 06/23/2023, Community Care Licensing (CCL) received allegations that facility staff do not allow youths to speak with their social workers and facility staff do not allow youths to contact Child Protective Services. Confidential interviews revealed conflicting statements. Some interviews reported that C1, C2, and C 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 02/07/2024

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


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status and were unable to pick up C1. It was reported that C1 called Law Enforcement and locked themselves in the outdoor bathroom outside of their workplace until the facility picked them up at 2:45 am. Confidential interviews revealed conflicting statements. Some interviews indicated that staff arrived and C1 was not able to be located. Other interviews indicated that the facility had a crisis and was not able to respond to pick up C1 until the crisis had been resolved, while other interviews indicated the facility did not have enough staff to pick up C1. Records reviewed documented that on 08/15/2023, C1 called the facility at 12:50 am to be picked up, the facility stated there was a crisis occurring and that they would send a staff member to pick up C1 once the crisis was resolved and directed C1 to call Law Enforcement if they felt unsafe. Records reviewed documented that staff arrived to pick up C1 at 1:57 am and transported C1 back to the facility. Confidential interviews did not corroborate the allegation with a preponderance of evidence. Based on confidential interviews and records reviewed the allegation that staff did not provide C1 transportation to and from work in a timely manner, which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Stephanie Donnellan. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights were emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On February 29, 2024, at 12:00 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Stephanie Donnellan, Residential Administrative Support Manager, to discuss the investigative finding for the allegation noted above. Lpa C. Anderson conducted an inspection of the facility on 08/22/2023 at 11:06 am and no deficiencies were observed. LPA Linley interviewed one client (C1), four staff (S1-4), and was unable to interview one County Social Worker (CSW), and two staff (S5-6), despite multiple attempts to contact them. LPA reviewed the following documents during the investigation: Cottage Roster, C Needs and Services Plan, Special Incident Reports, Child-Family-Team Meeting Notes, C Plan of Correction, and Transportation Policy. On August 28, 2023, Community Care Licensing (CCL) received an allegation that staff did not provide C1 transportation to and from work in a timely manner. It was reported that at 12:15 am, C1 had finished working at their job and called the facility to be picked up and the facility said that they were on "AWOL" 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 02/29/2024

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


summary: Complaint Investigation - Substantiated - 1 allegation

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Narrative:
transportation to and from work in a timely manner. It was reported that the facility refused to transport C1 to work and C1 used Uber rides or asked coworkers for transportation to get to and from work on time. Confidential interviews revealed C1 was physically aggressive to staff members and on 09/06/2023, the facility stated they would not transport C1 to work and provided C1 with a bus pass and Uber card. Records reviewed indicated that C1 is under 18 and was unable to set up an Uber account and the busses do not run consistently to C1's jobs during their hours of employment. Confidential interviews indicated that C1 asked a mentor to request Uber rides for them and co-workers to help provide transportation. Records reviewed indicated that C1's Authorized Representative signed off on C1's Needs and Services plan on 09/14/2023 for C1 to transport themselves to and from work. Based on confidential interviews and record review the allegation that staff did not provide C1 transportation to and from work in a timely manner is substantiated. The preponderance of evidence standard has been met. The facility is cited for violation of the Interim Licensing Standards STRTP Section 87074(e) Transportation. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Erin Gospodarec. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights will be emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13This is an amended report delivered by LPA Charmaine Linley on 04/04/2024. On March 4, 2024, at 11:45 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced to the facility and met with Erin Gospodarec, Chief Operating Officer, to discuss the investigative finding for the allegation noted above. Lpa C. Anderson conducted an inspection of the facility on 09/12/2023 at 10:30 am. No deficiencies were observed. LPA Linley interviewed one client (C1), one County Social Worker (CSW), four staff (S1-4), and LPA was unable to interview two staff (S5-6), despite multiple attempts to contact them. LPA reviewed the following documents: Cottage Roster, C1's Needs and Services Plan (NSP), Special Incident Report (SIR), Child and Family Team (CFT) Meeting notes, Emails from Case Manager, and the facility's Transportation Policy. On 08/18/2023, Community Care Licensing (CCL) received an allegation that staff did not provide C SubstantiatedEstimated 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 03/04/2024

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

met_with: Erin Gospodarec

complaint_status: SUBSTANTIATED


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Narrative:
It was reported that S1 would make inappropriate comments about youth's bottoms, would make comments about their appearance while wearing jeans and suggested youth learn to hang off a stripper pole. It was reported S1 also appeared to enjoy when one youth would take off their clothing and run around while experiencing a mental health episode. In addition, it was reported that S2 would drive the youth to a local vape shop, and to avoid the facility van's GPS from detecting their location, would park at an alternative location. In reference to the allegation that staff engaged in inappropriate behavior with youth in care, confidential interviews revealed S1 and S2 no longer worked at the facility but were described as good employees, however, other confidential interviews revealed S1 and S2 did not remain ethical. Confidential interviews revealed that S1 and S2 experienced difficulties with maintaining professional boundaries with youth in care and were not strict like other employees. A confidential interview revealed that S2 was too nice to the youth in care and would gain the trust of the youth like a friend rather than a respected employee. Confidential interviews did not reveal any additional information or related details regarding the alleged actions. In reference to the allegation that staff provided vapes to minors in care, a confidential interview revealed S1 was blackmailed by youth if they did not get what they wanted. A confidential interview revealed S1 and S2 were both asked to transport youth to places where there were vape shops nearby. A confidential interview revealed that once staff transported the youth to a neighboring business, the youth would sneak away to purchase vapes on their own. Confidential interviews did not reveal that S1 and S2 directly purchased vapes for the youth. Other confidential interviews did not reveal any additional information or details regarding the alleged actions. Based on lack of sufficient evidence, the allegations that staff engaged in inappropriate behavior with youth in care and staff provided vapes to minors in care are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations occurred. An exit interview was conducted with Denise Lucero, Facility Administrator. A copy of this report and appeal rights were provided and reviewed with Denise Lucero, whose signature on this report confirms receipt of these documents.

Investigation Findings:
13On January 23, 2025 at 2: PM, Licensing Program Analyst (LPA) Abby Saeteurn made an unannounced visit to Casa De Amparo and met with Denise Lucero, Facility Administrator to deliver findings to the above stated allegations. LPA Carol Anderson initiated a complaint inspection at the facility on September 12, 2024, at 12: PM, and no immediate deficiencies were observed. The investigation was completed by Special Investigator (SI) Angelica Medina who interviewed staff (S2 -S6), witnesses (W1-W6) and reviewed pertinent facility records. SI Medina attempted to interview S1 but despite multiple efforts, SI Medina was unable to complete an interview with S1. In addition, SI Medina reached out to clients (C1-C5), however, they all declined to be interviewed. On September 09, 2024, Community Care Licensing (CCL), received a complaint alleging staff engaged in inappropriate behavior and provided vapes to minors in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Abby Saeteurn 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 01/23/2025

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

met_with: Denise Lucero,Facility Administrator


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Narrative:
In regard to the allegation, it was specified that C1 and C2 were involved in a physical alteration, and C2 had punched C1 and C1 defended themselves. During the investigation, a confidential interview stated that there were problems going on between C1 and C2 because of the gossip of another client #3(C3). The same interview reported the fight broke out after C1 had returned from a trip to the store and it seemed that C2 and C3 had planned the fight. Another confidential interview stated that C1 exited the elevator and noticed C2 by the elevator and staff attempted to move C1 to a different living area, but there wasn't much space for them to move C1. Therefore, a fight broke out. One confidential interview stated that sometimes fights are inevitable, and staff do their best to keep the clients separated. Other information stated the allegation occurred. Based on confidential interviews, the allegation that staff did not prevent client #1(C1) and client #2(C2) from engaging in inappropriate behavior may have occurred, however, there was not a preponderance of evidence to support or deny the alleged violation. Therefore, this allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report, LIC 811, and Appeal Rights were provided to Stephanie Donnellan.

Investigation Findings:
13On April 22, 2025, at 10:54AM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Casa De Amparo Short Term Residential Therapeutic Program (STRTP) Administrative Residential Support Manager Stephanie Donnellan to discuss the investigative finding for the above stated allegation involving clients in care. Community Care Licensing received information on July 2, 2024, alleging that staff did not prevent minors from engaging in inappropriate behavior. LPA Carol Anderson began the investigation at the facility on July 9, 2024 at 10:14AM. During the investigation, LPA Caballero interviewed two staff, High School Foster Care Liaison and client #1(C1). Client #2(C2) was not interviewed because C2's whereabouts are unknown due to an unapproved placement. C3 was not interviewed due to unsuccessful attempts to C3's approved placement. County Social Worker was not interviewed due to unsuccessful attempts. LPA reviewed pertinent documents from clients' files. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Adaleyci Caballero 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 04/23/2025

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

met_with: Support Manager-Stephanie Donnellan


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Narrative:
On September 09, 2024, Community Care Licensing received an allegation that staff engaged in inappropriate behaviors with minors. It was specified that staff 1 (S1) made inappropriate comments to minors (unknown) while in care. It was alleged that S1 asked clients in care for sexual favors in exchange for getting substance items as well and that staff 2 (S2) transported minors (unknown) to stores to purchase contraband items. Confidential interviews reported that S1 had resigned from the facility before the allegation became known. Confidential interviews reported that there was no information revealed during S1's employment that they were making inappropriate comments to minors in care. In addition, confidential interviews reported that S2 was put on administrative leave when the allegation came to light and then S2 resigned during the investigation. Confidential interviews reported that S2 did receive training for inappropriate boundaries with clients on separate occasions. LPA was unable to determine if S1 or S2's alleged actions occurred. Based on inconsistent confidential interviews and LPA was unable to interview the clients and S1 and S2, the allegation that staff (S1 and S2) engaged in inappropriate behavior with minors (unknown) is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violations occurred. An exit interview was conducted and a copy of this report, LIC 811, and Appeal Rights were provided to Stephanie Donnellan.

Investigation Findings:
13On May 1, 2025, at 11: AM, Licensing Program Analyst (LPA) Cynthia Robinson met with Casa De Amparo Short Term Residential Therapeutic Program (STRTP) Administrative Residential Support Manager Stephanie Donnellan to discuss the investigative findings for the above-stated allegation involving clients in care. On September 12, 2024, LPA Carol Anderson conducted a health and safety inspection, and no immediate health and safety hazards were observed. During the investigation, LPA Robinson interviewed two staff. LPA attempted to interview S1 and S2 but was unsuccessful due to both no longer working at the facility. LPA attempted to interview clients (C1, C2, and C3) but was unsuccessful due to C1's whereabouts being unknown, and LPA was unable to locate C2 and C3 and obtain their current placement information. LPA reviewed pertinent documents from clients' files. (Continued on LIC 9099C..) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Cynthia Robinson 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 05/01/2025

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

met_with: Stephanie Donnellan, Residential Support Manager


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Narrative:
In addition, confidential interviews reported that C1 was allowed to go to religious services but had a history of returning under the influence or requesting to be picked up from another location that was not at the religious services location. Confidential interviews reported that C1 was offered to still have an arrangement of attending religious services upon having a staff accompanying C1 to further eliminate any substance abuse. Regarding the allegation that staff (unknown) do not allow a minor (C1) to participate in activities while in care, confidential interviews reported that staff were not allowing C1 to participate in facility activities. Confidential interviews reported that C1 was allowed to participate in activities so long as there was staff supervision. On 11/04/2024, CCL received another allegation that staff (unknown) do not ensure that the minor (C1) can make and receive confidential phone calls while in care and that staff (unknown) do not accord dignity to the minor (C1) in care. Confidential interviews reported that staff listens to C1's phone calls and does not allow privacy. Per confidential statements, it was not clear whether staff allowed C1 to make phone calls in private or if staff was present while C1 was on the phone. Confidential interviews reported that C1 can speak on the phone in private. Regarding the allegation that staff (unknown) do not accord dignity to the minor (C1) in care, confidential interviews reported that C1 is treated differently than other clients in the facility. Confidential interviews denied that C1 was treated differently and reported that C1 was treated with dignity. Based on inconsistent confidential interviews, the allegations that staff do not allow a minor (C1) to attend religious services while in care, staff do not allow a minor (C1) to participate in activities while in care, staff do not ensure that the minor (C1) has the ability to make and receive confidential phone calls while in care, and staff do not accord dignity to a minor (C1) in care are unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violations occurred. An exit interview was conducted, and a copy of this report LIC 9099 and the appeal rights were discussed and provided to Denise Lucero, Director.

Investigation Findings:
13On May 16, 2025, at 11:11AM, Licensing Program Analyst's (LPA's) Cynthia Robinson and Jessica Peete conducted an unannounced visit to the Casa De Amparo Short-Term Residential Therapeutic Program (STRTP) to deliver the investigative findings for the allegations listed above and met with Denise Lucero, Director. On 11/13/2024, LPA Carol Anderson conducted a health and safety inspection at the STRTP, and no immediate health and safety hazards were observed. LPA Anderson interviewed client 1 (C1). LPA Robinson obtained documents pertinent to the investigation and interviewed client 3 (C3), staff (S1, S2, S3 and S4), and County Social Worker (CSW). LPA attempted to interview clients (C2 and C4) but was unsuccessful due to C1 and C4's whereabouts and current placement information unknown. On 11/04/2024, Community Care Licensing (CCL) received an allegation that staff (unknown) do not allow a minor (C1) to attend religious services while in care and staff do not allow the minor (C1) to participate in activities while in care. Confidential interviews reported that C1 requested to go to religious services, but the requests had to be preapproved through CSW. (Continued on LIC 9099C..) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Cynthia Robinson 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 05/16/2025

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

met_with: Denise Lucero, Director


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Narrative:
It was specifically reported to CCL that there have been multiple sightings of unsupervised juveniles loitering at a local store and observed asking strangers for car rides to a local transportation station. Confidential interviews reported that staff do not do much when clients are attempting to leave, and added that staff follow clients to the facility gate. Confidential interviews denied the allegation and reported that staff respond to client runaways and returns according to the program's emergency intervention plan for runaways that is tailored to meet the individual needs of each client in care. Confidential interviews also reported that before the client's leaving, care staff make attempts to encourage the client(s) to keep the client(s) in care. Confidential interviews revealed that clients who have left care have been observed at a local market asking for a ride. Confidential interviews continued to report that, to ensure staff and client safety and to prevent personal rights violations, staff only report the information observed and call local law enforcement to make a report. There was no other witness to the allegation. LPA Urena received inconsistent information that would either support or deny whether a violation of client supervision occurred or did not occur during care. Based on confidential interviews and a review of records, the allegation that facility staff are not adequately supervising youths in care is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report, along with the appeal rights, was provided to Residential Administrative Support Manager,Stephanie Donnellan.

Investigation Findings:
13On October 9, 2025, Licensing Program Analyst (LPA), Cynthia Urena, met with Casa De Amparo Short Term Residential Therapeutic Program (STRTP) Residential Administrative Support Manager,Stephanie Donnellan to deliver the investigative findings for the above-stated allegation. On July 1, 2025, at 9: AM, Licensing Program Analyst (LPA) Abbey Saeteurn initiated the investigation at the STRTP. LPA Saeteurn conducted a health and safety assessment of the STRTP, and no deficiencies were observed. LPA Saeteurn collected pertinent documents from the STRTP staff and client files to further assist with the investigation process. On September 9, 2025, at 10: AM, Licensing Program Analyst (LPA) Cynthia Urena continued the investigation at the STRTP. Interviews were conducted with five staff members (S1, S2, S3, S4, and S5), and three clients (C1, C2, and C3). In addition, LPA Cynthia Urena conducted a comprehensive record review to further assist with the investigation process. On June 27, 2025, Community Care Licensing (CCL) received a complaint alleging that facility staff are not adequately supervising youths in care. (**Continued on the next page**) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 10/09/2025

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

met_with: Stephanie Donnellan, Residential Administrative Support Manager


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Narrative:
had AWOL'ed. It was reported that on 02/06/2023, staff checked C1's bedroom and could not locate them. Confidential interviews reported that C1 was observed in their bedroom on 02/05/2023 at 9:00 pm and it was discovered that C1 was not in their bed or bedroom at 2:30 pm on 02/06/2023. Confidential interviews reported that C1 stuffed their bed and the last time C1 was observed on the Cottage Video footage was on 02/05/2023 at 8:17 pm, walking to their bedroom. Based on confidential interviews and a review of documents the allegations that staff do not adequately supervise juveniles resulting in juveniles' AWOL and staff did not realize in a timely manner that a youth had AWOL'ed are substantiated. The preponderance of evidence standard has been met. The facility is cited for violation of the California Code of Regulations, Title Division Six, regulation 84065.2(b)(1) Personnel Duties. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Stephanie Donnellan. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights will be emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On 12/06/2023, at 11:45 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced to the facility and met with Stephanie Donnellan, Residential Administrative Support Manager to discuss the investigative finding for the allegations noted above. LPA Carol Anderson conducted an inspection of the facility on 02/12/2023 at 10:07 am and no deficiencies were observed. LPA Anderson interviewed one staff (S10) and LPA Linley interviewed one client (C2), LPA attempted to interview another client (C1), however, was unable to contact them despite multiple attempts, and LPA interviewed nine staff (S1-9). LPA reviewed the following documents: Cottage Roster, Staff Roster, Special Incident Report, Overnight Shift Room Check Log, Cottage Video Recording 02/05-02/06/2023, and San Diego County Sheriff's Department Missing Person Report. On 02/07/2023, Community Care Licensing (CCL) received allegations that staff do not adequately supervise juveniles resulting in juveniles' AWOL and staff did not realize in a timely manner that a youth SubstantiatedEstimated 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 12/06/2023

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


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Narrative:
a preponderance of evidence. Based on confidential interviews and records reviewed that staff engaged in inappropriate behavior with C1 while in care, which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Stephanie Donnellan. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights will be emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On 12/11/2023, at 11:15 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Stephanie Donnellan, Residential Administrative Support Manager to discuss the investigative finding for the allegation noted above. LPA Carol Anderson conducted an inspection of the facility on 04/25/2023 at 11:32 am and no deficiencies were observed. LPA Linley attempted to interview two clients (C1-2), however, was unable to contact them, despite multiple attempts, and interviewed seven staff (S1-7). LPA reviewed the following documents during the investigation: Staff Roster, C1's Needs and Services Plan, and Special Incident Report. On 04/19/2023, Community Care Licensing (CCL) received an allegation that staff engaged in inappropriate behavior with C1 while in care. Confidential interviews revealed conflicting statements. There were no witnesses to the allegation. Therefore, confidential interviews did not corroborate the allegation with 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 12/11/2023

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


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Narrative:
corroborate the allegation with a preponderance of evidence. Based on confidential interviews and records reviewed, the allegation that staff did not prevent a minor from self harm while in care, which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted with Stephanie Donnellan and appeal rights were reviewed. Due to printer malfunction, a copy of this report and the LIC 811 will be emailed to the Facility Administrator. A signed copy of this report will be kept in the Facility file.

Investigation Findings:
13On 12/20/2023 at 1:50 pm, Licensing Program Analyst (LPA) Charmaine Linley conducted an unannounced complaint inspection at the above facility. LPA Linley met with Residential Administrative Support Manager, Stephanie Donnellan. The purpose of the inspection was to deliver the findings of the complaint investigation. LPA Linley conducted an inspection of the facility on 03/15/2023 at 12:46 pm and no deficiencies were found. LPA interviewed three clients (C1-3) and LPA interviewed six staff (S1-6) and was unable to interview three staff (S7-9) despite multiple attempts to contact them. During the investigation, the following documents were reviewed: Cottage Roster and Special Incident Reports. On 03/15/2023, Community Care Licensing (CCL) received an allegation that staff did not prevent a minor from self harm while in care. Confidential interviews reported conflicting information as to what preventative measures staff took to prevent C1 from self-inflicting cuts in their arm. Thus, confidential interviews did not 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 12/20/2023

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