raw_content:
Narrative:
On 08/24/21 this agency received allegation that staff instigates incidents involving minors. Confidential interviews disclosed that S1 removed the stove top pieces to keep the clients from cooking at night. Confidential interviews disclosed that C3 attempted to cook in the oven due to the stove top being missing and the door to the oven broke off. Confidential record review disclosed that a grievance was filed against S1. Interview with S1 revealed that she did take the stove top pieces apart to prevent the clients from cooking after 10pm. Based on interviews and record review, there is a preponderance of evidence to prove that S1 hit C3 with the door to staff office and that staff instigates incidents involving minors, therefore the allegations are substantiated. The facility is being cited for STRTP Interim Licensing Standards (ILS),Version 3.1, section 87072(d)(10) Personal Rights and 87072(d ) (11) Personal Rights, which poses a potential Health, Safety or Personal Rights risk to clients in care. A copy of this report, LIC811, 809D and appeal rights were explained and handed to Senida Zamora. Other allegation received that staff engage in verbal arguments with clients. Confidential interviews disclosed that most staff will argue with clients in the GH. Other confidential interviews revealed that staff are not rude to clients but try to help clients to do what is right. Interview with FM disclosed that she has not observed clients to be rude. On 08/24/21 this agency received allegation that staff took clothing away from C3. Confidential interviews disclosed that while C3 was on AWOL status, S1 packed up C3's personal belongings. Interview with S1 revealed that S1 followed GH protocol to pack up client's personal belongings when on AWOL status. Record review disclose that C3 refused to acknowledge the reason personal belongings were packed away, continued to argue with S1. Based on interviews and record review, the allegations that S1 did not seek medical attention for C3 , staff engage in verbal arguments with clients, and that staff took clothing away from C3 may have occurred, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. A copy of this report, LIC811 and Appeals Rights were provided and explained to Senida Zamora.

Investigation Findings:
13On December 16, 2021 2: PM, Licensing Program Analyst (LPA) Anastasia Flores met with New Beginnings Residential Treatment (STRTP) Administrator, Senida Zamora to deliver the findings of the above allegations. On 08/27/21 at 1: PM, LPA conducted a health and safety inspection of the STRTP and no immediate safety concerns were noted. Copies of STRTP staff roster, client roster, grievance dated 08/18/21 and legal communication logbook dated 08/14/21 were obtained. Interviews were conducted with client #1, #2, #3 (C1, C2, C3), STRTP facility manager (FM) and staff #1, #2 (S1, S2). SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Anastasia Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: NEW BEGINNINGS RESIDENTIAL TREATMENT FACILITIESFACILITY NUMBER: VISIT DATE: 12/16/2021

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


state: CA

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews disclosed that staff are putting clients on consequence for talking back to staff and for eating late at night. Other confidential interviews revealed that S1 threatened to call the police for the client's being in each other's rooms (room visiting). Interview with FM disclosed that clients were up late at night room visiting which is not allowed in the STRTP. Other confidential interviews revealed that clients were up late, being loud, keeping other clients awake at night. Interview with S1 denied threatening to call the police for room visiting but did call another staff to assist with the late-night problems with clients. Based on interviews the allegations that S1 engaged in a verbal altercation with clients and that staff are using inappropriate forms of punishment for minors, may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights were given and explained to facility representative.

Investigation Findings:
13On December 22, 2021 at 09: AM, Licensing Program Analyst (LPA) Anastasia Flores met with New Beginnings Residential Treatment (STRTP) Administrator, Senida Zamora to deliver the findings of the above allegations. A safety inspection of the STRTP on 09/22/21 at 12: PM, no health or safety concerns were noted. Copies of STRTP staff roster, client roster and STRTP legal communication log dated 09/16/21 were obtained. Interviews were conducted with five of five clients (C1, C2, C3, C4, C5), two staff (S1, S2) and STRTP Facility Manager (FM). On September 16, 2021 this agency received allegations that S1 engaged in a verbal altercation with clients and that staff are using inappropriate forms of punishment for minors. Confidential interviews disclosed that S1 is rude and talks down to clients in the STRTP. Other confidential interviews revealed that S1 called C3 a "bitch." Interview with FM revealed that C1, C2, and C3 are verbally aggressive and behaviors have been erratic since in placement. Interview with S1 denied allegations of being verbally aggressive towards clients. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Anastasia Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: NEW BEGINNINGS RESIDENTIAL TREATMENT FACILITIESFACILITY NUMBER: VISIT DATE: 12/22/2021

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

report_type: Complaint Investigation

met_with: Senida Zamora

complaint_status: unsubstantiated


raw_content:
Narrative:
Interview with FM disclosed that S1 called out for assistance, FM immediately intervened. Confidential interviews disclosed that staff allowed C2 to remain in the facility when hostile. Interview with FM revealed that she walked C2 from the GH to stabilize C2 before returning to the GH. LPA observation reviewed that FM safely intervened, S1 was sitting in the corner of the hallway. Based on interviews and LPA observation, the allegations that staff failed to protect a client in care resulting in injuries and staff making clients remain in a hostile environment may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights were given and explained to facility representative.

Investigation Findings:
13On December 22, 2021 at 09: AM, Licensing Program Analyst (LPA) Anastasia Flores met with New Beginnings Residential Treatment (STRTP) Administrator, Senida Zamora to deliver the findings of the above allegations. On October 29,2021 a health and safety inspection was conducted and no immediate concerns were noted. Copies of Special Incident reports dated 10/22/21 was obtained. On 10/29/21, LPA Flores observed video footage from incident that occurred on 10/22/21. Interviews were conducted with Client #1, #2, #3 (C1, C2, C3), Staff #1 (S1) and STRTP Facility Manager (FM). On October 25, 2021 this agency received allegations that staff failed to protect a client in care resulting in injuries and staff is making clients remain in a hostile environment. Confidential interviews disclosed that C2 hit and injured C3 while in in the shower. Other confidential interviews revealed that C3 was not injured and that C2 hit C3 in the upper shoulder area. Interview with S1 revealed that she was sitting in the chair, however she attempted to intervene using positive redirection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Anastasia Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: NEW BEGINNINGS RESIDENTIAL TREATMENT FACILITIESFACILITY NUMBER: VISIT DATE: 12/22/2021

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


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Although, staff followed supervision protocol when C3 refused to leave the bathroom C2 was in, corroborating confidential interviews revealed two staff did not follow room visiting protocol when C3 refused to leave C1 and C2s bedroom which is bedroom #4. Additionally, surveillance video was reviewed confirming staff did not remain outside bedroom #4 during C3's bedroom #4 visit resulting in staff receiving corrective action. However, there was not sufficient information to support sexual activity between clients occurred. Based on confidential interviews, there was not sufficient information to determine that staff did not prevent inappropriate sexual interactions between clients C2 and C3 while in care. Although the allegations may have happened or may be valid, there was not a preponderance of evidence to support or deny the allegations. Therefore, the allegations are unsubstantiated at this time. A copy of this report, LIC 811, and appeal rights were reviewed and provided to Michelle Hicks.

Investigation Findings:
13On October 21, 2022, Licensing Program Analyst (LPA) Val Wilson met with New Beginnings Residential Treatment, Program Director, Michelle Hicks, to deliver the findings for the allegation stated above involving the Facility Short Term Residential Therapeutic Program (STRTP) children as listed on the Confidential Names List (LIC 811) dated 12/28/21. On 12/28/21, a safety inspection was conducted and there were no hazards or deficiencies observed. In addition, child and facility records were reviewed on 12/28/21. Additional records were reviewed on a 6/09/22 continuation visit. During the investigation, the LPA interviewed two children [Client #1 (C1) and Client #2 (C2)] and six STRTP employees [Administrator (ADM), Facility Manager (FM), Assistant Program Director (APD), Quality Assurance (QA), Therapist (TH), and Program Director (PD)]. Client #3 (C3) was not interviewed due to C3's whereabouts being unknown. On December 21, 2021, Community Care Licensing (CCL) received a complaint alleging staff did not prevent inappropriate sexual interactions between clients while in care. Specifically, it was reported C3 room visited C2 in the bathroom and in C2's bedroom on the evening of 12/18/21. (Continued) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Valerie Wilson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: NEW BEGINNINGS RESIDENTIAL TREATMENT FACILITIESFACILITY NUMBER: VISIT DATE: 10/27/2022

met_with: Michelle Hicks


raw_content:
Narrative:
It was reported to CCL that C1 was sexually assaulted by C2 while in care however, it was also disclosed that C1 inappropriately touched C2 in care. During investigation, confidential interviews stated that staff learned about inappropriate sexual behaviors between C1 and C2 through a law enforcement visit to the facility. Confidential interviews stated that C1 and C2 were roommates prior to the incident being reported and when staff learned about the incident a safety plan was put in place. Confidential interviews denied that lack of supervision resulted in inappropriate sexual activity among C1 and C2 in care, and interviews added that both am, and pm staff conduct routine room checks every 15-20 minutes. Another confidential interview maintained that C1 was inappropriately touched by C2 and confirmed misuse of a cellphone during the incident. Furthermore, a confidential interview disclosed having knowledge of the incident and being aware that an unknown male who was familiar to C1 and C2 participated in C1's and C2's arranged sexual activity via a voice call. Another confidential interview stated being made aware of the incident and believes that staff handled the situation appropriately. Confidential interview added having no concerns about the placement. C2, and CSW1 could not be reached for comment regarding the allegations. LPA received inconsistent information regarding the facility staff lack of supervision resulting in C1 and C2 inappropriate sexual activity. Based on confidential interviews, and record review the allegation that C1 was sexually assaulted by C2 while in care, may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. Exit interview was conducted and due to technical difficulties a copy of this report along with the appeal rights will be emailed to Supervising Facility Manager, Jalisa Brown.

Investigation Findings:
13On May 31, 2023, at 10: AM, Licensing Program Analyst (LPA) Cynthia Urena conducted an unannounced visit at New Beginnings Residential Treatment Facilities Short Term Residential Therapeutic Program (STRTP) to deliver the investigative finding of the above stated allegation. LPA was met by Supervising Facility Manager, Jalisa Brown. On July 20, 2022, at 2: PM, LPA Val Wilson conducted an inspection of the facility, and no immediate deficiencies were observed. Additionally, LPA Wilson interviewed a Facility Manager (FM) and two clients (C1, C3). LPA Urena Interviewed an Administrator, a staff member (S1), and one of two County Social Workers involved (CSW1, CSW2) CSW1 could not be reached for comment after multiple attempts made by LPA Urena for an interview. Also, a client involved (C2) could not be reached for an interview due to unknown whereabouts. On July 13, 2022, Community Care Licensing (CCL) received a complaint alleging that a youth was sexually assaulted by another youth while in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: NEW BEGINNINGS RESIDENTIAL TREATMENT FACILITIESFACILITY NUMBER: VISIT DATE: 05/31/2023

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


raw_content:
Narrative:
In regard to the allegation that staff were not providing a safe environment for clients, confidential witnesses stated that staff provided appropriate supervision to the clients and if clients were physically aggressive, staff would intervene immediately. County social worker 5 (CSW5) stated that she was not informed that staff would not intervene when clients were involved in physical altercations or intervene when clients were in an unsafe environment. Other confidential witnesses maintained that facility staff would instigate physical altercations and staff would not prevent the clients from fighting. Regarding the allegation that staff withheld minor's allowance, confidential witnesses stated that facility staff would not withhold clients' allowances and clients were always given their full allowances. However, confidential witness disclosed that facility staff would not always give clients their full allowance if clients were to miss their previous allowance. Referencing the allegation that facility was not providing clients with a variety of foods. Confidential witnesses stated that the facility would follow the approved menu and there were no issues with the food served. Additionally, it was reported that clients would have group meetings where suggestions for future food options were given by clients and the facility would implement the suggestions in the menu. Other confidential witnesses stated that meetings were held, and food options were suggested, but the facility would not implement the food suggestions on the future menus. Regarding the allegation staff threatened clients, it was specified that staff would threaten clients by threatening to calling to call Child Protective Services (CPS). Confidential witnesses stated that they did not observe staff threatening to call CPS on clients. County social worker 2 (CSW2) stated that she was not informed that staff threatened clients with CPS. Another confidential witness mentioned that staff would sometimes say that they will be calling CPS if the clients were not complying. With regard to the allegation that staff were discussing minors amongst other staff members, it was specifically alleged that the therapist was sharing confidential information with staff. Confidential witnesses stated that they were unaware of the therapist disclosing confidential information to other staff. County social worker (CSW) stated that she was not told that a facility therapist shared confidential information with other staff. Other confidential witness stated that they had observed a therapist share confidential information with other staff and seen staff gossiping regarding the information that was shared. (continued on page 3...) Based on confidential interviews and record review, the allegations; that staff were not providing a safe environment for clients, staff withheld client's allowance, facility was not providing a variety of foods to clients, staff threatened clients, and staff were discussing clients amongst other staff members may have occurred, however, there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Jalisa Brown.

Investigation Findings:
13On October 4, 2023, at 8: AM Licensing Program Analyst (LPA), Michael Almaraz, met with facility manager, Jalisa Brown, to issue the finding for the above allegations involving clients (C1, C2, C3, C4 and C5) listed on the confidential names list (LIC 811) dated October 4, 2023. The complaint investigation was jointly conducted by LPA V. Wilson and LPA M. Almaraz. On September 28, 2022, at 1: PM, LPA Wilson inspected the facility. During LPA Wilson's inspection, LPA reviewed clients' records and interviewed one staff. Additionally, LPA Almaraz conducted interviews four facility staff, five county social workers, and four of five clients. One client was unavailable for LPA interview. On September 22, 2022, the Department received a complaint alleging; staff were not providing a safe environment for minors, staff withheld minor's allowance, facility was not providing a variety of foods to minors, staff threatened minors, and staff were discussing minors amongst other staff members. (continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: NEW BEGINNINGS RESIDENTIAL TREATMENT FACILITIESFACILITY NUMBER: VISIT DATE: 10/04/2023

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

met_with: Jalisa Brown


raw_content:
Narrative:
While other interviews, provided inconsistent statements on the dates or details of C1 being away from the facility without permission. Thus, confidential interviews did not corroborate the allegation with a preponderance of evidence. Based on confidential interviews and records reviewed the allegation that facility staff did not prevent C1 from AWOL'ING, 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 Jalisa Brown. A copy of this report, LIC 811, and appeal rights were given to Jalisa Brown . A copy of this report will be placed in the facility file.

Investigation Findings:
13On April 25, 2024, at 9:10 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Jalisa Brown, Facility Manager, to discuss the investigative finding for the allegation noted above. LPA Valerie Wilson conducted an inspection of the facility on April 13, 2023, at 12:53 pm and no deficiencies were observed. LPA Wilson interviewed one staff (S1). LPA Linley interviewed one client (C1), three staff (S2, S3, S5), and was unable to interview one staff (S5), despite multiple attempts to contact them. LPA reviewed the following documents during the investigation: C Needs and Services Plan, C Placement Agreement, C1 behavior contract, C Child-Family-Team Meetings, C CANS Assessment, Personnel Roster, Client Roster, and Special Incident Reports. On April 10, 2023, Community Care Licensing (CCL) received an allegation that facility staff did not prevent C1 from AWOL'ING. It was reported that C1 left the facility without permission, returned the following day, and left again. Some confidential interviews could not recall C1 or details about C1 leaving 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 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: NEW BEGINNINGS RESIDENTIAL TREATMENT FACILITIESFACILITY NUMBER: VISIT DATE: 04/25/2024

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


facility_name: NEW BEGINNINGS RESIDENTIAL TREATMENT FAC.- RAJA

raw_content:
Narrative:
On April 30, 2021, this agency received allegation that facility is in disrepair. LPA observed during facility inspection, back slider screen door falling off the rails, landing on LPA's head. ADM informed LPA that, "it slips off the rails once in a while, had a maintenance request for a couple of weeks." Confidential interviews disclosed the back-screen door and repairs necessary in the master bedroom have been unrepaired for over a month. During inspection on 05/05/21, LPA observed the dressers in the master bedroom were broken, drawers off the rails, the curtain rods were bent and unable to hold curtains for closets appropriately. Interview with ADM said there was two dressers in the garage to replace one dresser had broken drawers, was unaware of the two dressers in the master bedroom broken. ADM showed LPA that one of the faucets in the master bedroom was not currently working, ADM informed LPA that the pipes were needing to be fixed and maintenance was in the process of correcting it. LPA observed the couch in the living room to have a large stain in the long cushion. LPA took photos of the repairs needed. Based on confidential interviews and LPA's observation the preponderance of evidence standard has been met and the department has determined the allegations that S1 has threatened or harassed clients in care on at least one occasion and the facility is in disrepair. The facility is being cited for STRTP Interim Licensing Standards, article 6, section; 87072(d)(10) Personal Rights, the STRTP did not ensure that each child in care is accorded the personal rights specified in Welfare & Institutions Code Section 16001.9, as applicable, to be accorded dignity in his or her personal relationships with staff and other persons, this poses an immediate Personal Rights risk to children in care. The facility is also being cited for Title 22, Division 6, Chapter 1, article 7, section; 80087(a) Buildings and Grounds, the STRTP did not ensure that the facility was clean, safe, sanitary and in good repair at all times for the safety and well-being of clients in care, this poses a potential health, safety, or personal rights risk to the youth in care. An exit interview was completed and a copy of this report, LIC 811 and appeal rights were provided to facility representative. Confidential interviews revealed that staff question clients in front of other clients about the use of drugs. Other confidential interviews disclosed the staff will talk with clients in the office or somewhere away from other clients. Interview with ADM disclosed that staff are trained to walk out of ear shot of other clients when talking about anything in regard to a client for privacy. Based on confidential interviews the allegations that staff did not provide medical care and staff did not allow residents privacy in the STRTP may have occurred, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. No deficiencies were cited. An exit interview was completed and a copy of this report, LIC811 and appeal rights were explained and handed to Senida Zamora.

Investigation Findings:
13On August 12 2021 at 02: PM , Licensing Program Analyst (LPA) Anastasia Flores met with (STRTP)New Beginnings Residential RAJA Facility Administrator, Senida Zamora to deliver the findings of the above allegations. On May 5, 2021 at 1: PM, LPA conducted a safety inspection of the facility and no immediate health and safety hazards were noted, however LPA observed items, back screen slider, furniture and fixtures that needed to be fixed and/or replaced while conducting tour. Interviews were conducted with five out of five clients, STRTP Administrator (ADM), staff #1 (S1) and staff #2 (S2). On April 30, 2021, this agency received allegation that S1 has bullied, threatened and or harrassed clients in care on at least one occasion. Confidential interview disclosed that S1 taunts client #1 (C1). Other confidential interviews revealed that S1 has been heard calling client's inappropriate names. Confidential interviews disclosed that on one occasion S1 refused to make C1 dinner. Interview with ADM disclosed that she overheard on more than one occasion, S1 talking in a demeaning manner to clients and she talked with S1 to be more trauma informed when communicating with clients. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Anastasia Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.- RAJAFACILITY NUMBER: VISIT DATE: 08/12/2021

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


raw_content:
Narrative:
confidential interviews C1 is attending therapy and that the facility is aware of why C1 does not want to go to school. A review of documents obtained during the investigation revealed C1 was given a 14-day Notice of Discharge on September 27, 2021. File review showed that this notice was given within the current Plan of Operation guidelines. Confidential interviews conducted with staff revealed that C1 has not attempted to follow program guidelines. C1 still had not conducted their initial meeting with the therapist at the time of this investigation. A review of records received for the investigation indicated that C1 was placed in the facility on July 28, 2021. Confidential interviews revealed that C1 refuses to go to school. LPA observed that C1 was not at school on the day this initial visit to the facility was conducted. Confidential interviews revealed that C1 has not given a reason to staff as to why C1 refuses to go to school. During this complaint investigation LPA interviewed three of five clients in placement. C1 refused to speak with LPA so no supporting information for the complaint could be obtained. A Law Enforcement Contact Report was received that stated that C1 was AWOL on October 23, 2021. Based on confidential interviews and record review, the allegation that Staff are retaliating against minor may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. A copy of this report and Appeals Rights were provided and explained to Facility Administrator Zamora.

Investigation Findings:
13On October 29, 2021 at 2:15 p.m., Licensing Program Analyst (LPA) Sarah Smith met with New Beginnings Residential Treatment Facility-Raja Short-Term Residential Therapeutic Program (STRTP) Facility Administrator Senida Zamora to deliver the finding of the complaint investigation for the above allegation involving the Client 1 (C1). LPA Smith conducted a safety inspection of the STRTP on October 08, 2021 at 10:20 am and no immediate deficiencies were observed. During the course of investigating the allegation, LPA Smith conducted confidential interviews with Client 2, Client 4, Client 5, Staff 1, Staff 2, Staff 3, Staff 4, and County Social Worker. Client 1 and Client 3 refused to be interviewed. LPA reviewed reports and the records for the STRTP, staff, and clients. On September 28, 2021, a complaint was received that staff are retaliating against minor. During confidential interviews it was revealed that Client 1 (C1) felt facility was reporting inaccurate information to the County Social Worker (CSW) for the CSW to agree to remove C1 from placement. According to UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Sarah Smith LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.- RAJAFACILITY NUMBER: VISIT DATE: 10/29/2021

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

met_with: Senida Zamora, Facility Administrator


raw_content:
Narrative:
Interview with ADM denied allegation that S2 would talk with staff or clients about others. Confidential interviews disclosed that STRTP staff have been heard talking with other staff about client's behaviors. Interview with S1, S3 denied allegation of talking about clients to other clients. Other confidential interviews revealed that S3 has been heard telling different clients their behavior is crazy. Based on confidential interviews the allegations that the STRTP Therapist (S2) was talking about Client #1 (C1) to other clients and that the STRTP staff are talking about client's behaviors to others may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. A copy of this report, LIC811 and Appeals Rights were provided and explained to Senida Zamora.

Investigation Findings:
13On December 15, 2021 at 1: PM, Licensing Program Analyst (LPA) Anastasia Flores met with New Beginnings Residential Treatment Raja (STRTP) Administrator, Senida Zamora at the New Beginnings Residential Treatment Facilityi n regard to the above allegations. On August 12, 2021 at 1: PM, LPA conducted a safety inspection of the facility and no immediate hazards were noted. Copies of STRTP client roster and STRTP staff roster were obtained. LPA conducted interviews with Client #1, #2, #3 (C1, C2, C3), STRTP Administrator (ADM) and staff #1, #3 (S1, S3). On August 6, 2021 this agency received allegations that the STRTP Therapist (S2) was talking about Client #1 (C1) to other clients and that the STRTP staff are talking about client's behaviors to others. Confidential interviews disclosed that C1 was told by other clients that S2 was talking to others about their personal life, saying things such as, "pimp daddy." Other confidential interviews revealed that S2 has never talked to others about C1 or any other clients in the STRTP. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Anastasia Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.- RAJAFACILITY NUMBER: VISIT DATE: 12/16/2021

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


raw_content:
Narrative:
Confidential interviews disclosed that clients get out of school at 3: PM and staff did not arrive until 4: PM for pick up. Other confidential interview disclosed that one client needed pick up from work at 10: PM, but due to staff leaving early, client had to wait for the STRTP, Administrator to get out of church for pick up. Interviews with staff and ADM denied clients being picked up late. Confidential interviews disclosed that staff are normally on time or earlier than when school gets out to pick up the clients. Confidential interviews disclosed that C1 wanted to attend distance learning for school. Other confidential interviews disclosed that distance learning was offered during COVID but now all clients attend school. Interview with ADM revealed that distance learning is offered if it is part of the clients' needs and service plan. Based on confidential interviews and documents reviewed the allegations that staff eat resident's food, staff do not pick residents up from school/work in a timely manner and that staff does not allow resident to participate in distance learning, may have occurred, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated. An exit interview is conducted and a copy of this report, LIC 811, and appeal rights were given and explained to facility representative.

Investigation Findings:
13On December 22, 2021 at 09:07AM, Licensing Program Analyst (LPA) Anastasia Flores met with New Beginnings Residential RAJA (STRTP) Administrator, Senida Zamora to deliver the findings of the above allegations. On September 22, 2021 at 1: PM, LPA conducted a safety inspection of the facility and no immediate safety hazards were observed. Copies of STRTP menu, school pickups/drops off, client roster, staff roster and photos of STRTP food were obtained. Interviews were conducted with clients #1, #2, #3, #4, #5 (C1, C2, C3, C4, C5), one staff (S1) and STRTP Administrator (ADM). On September 21, 2021 this agency received allegations that staff eat resident's food, staff do not pick residents up from school/work in a timely manner and that staff does not allow resident to participate in distance learning. Confidential interviews disclosed that staff are eating the resident's food and serve themselves food prior to feeding the clients meals. Other confidential interviews disclosed the staff will eat the client's personal snacks. Interview with staff deny eating clients personal snacks. Interview with ADM revealed the staff do eat the meals/snacks the STRTP provide for the facility. Confidential interviews disclosed that the staff do eat the snacks the STRTP buy but deny seeing the staff eat the clients' snacks. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Anastasia Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.- RAJAFACILITY NUMBER: VISIT DATE: 12/22/2021

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

met_with: Sednida Zamora


raw_content:
Narrative:
Interview with S1 indicated that C1 gave instructions to feed B1 every three hours four to six ounces. S1 said that B1 ate 2 ½ ounces each time and did not seem to want anymore. Confidential record review disclosed that S1 attempted to feed B1 six ounces at 10: AM, 11: AM and at 12: PM. Based on interviews and record review the allegation that S1 did not feed B1 as needed may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights were given and explained to facility representative.

Investigation Findings:
13On December 22 , 2021 at 09: AM, Licensing Program Analyst (LPA) Anastasia Flores met with New Beginnings Raja (STRTP) Administrator, Senida Zamora, to deliver the findings on the above allegation. On 11/19/21 at 4: PM, LPA Flores attempted to conduct a safety inspection of the facility, the facility was closed. LPA obtained copies of client placement records, STRTP client roster, staff roster and feeding schedule for B1 dated 11/08/21 (RAJA STRTP), 11/16/21 through 11/19/21 (New Beginnings Residential STRTP). Interviews were conducted with four of four clients, (C1,C2, C3, C4), STRTP staff (S1, S2, S4). LPA's attempts to interview Staff #3 was unsuccessful. On November 12, 2021, this agency received an allegation that S1 did not feed C1's infant (B1) as needed. Confidential interviews disclosed that S1 fed B1 two ounces or less and that S1 allowed B1 to cry. Other confidential interviews revealed that S3 and S4 were going to feed B1, but S1 told them not to feed the baby, B1 was fine. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Anastasia Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.- RAJAFACILITY NUMBER: VISIT DATE: 12/22/2021

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


raw_content:
Narrative:
The interviews that were provided to the LPA were not consistent and did not provide any specific details regarding any lack of supervision by staff. Based on interviews and record reviews the allegations that staff did not adequately supervise C1 and C2, and the facility did not provide a safe environment for C3, may have occurred, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. Exit interview conducted, appeal rights explained, and a copy of this report was provided to Senida Zamora.

Investigation Findings:
13On March 4, 2022 at 9:00am , Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegations. LPA met with Senida Zamora. LPA Anatasia Flores conducted a tele- inspection of the facility on June 04, 2021 at 10:40 am and no immediate deficiencies were observed. Five of five clients (C1, C2, C3, C4, C5), four staff, county social worker and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that staff did not adequately supervise C1 and C2, and the facility did not provide a safe environment for C3. Confidential staff interviews reported that C1 and C2 had engaged in inappropriate behaviors by "flirting" with each other and making inappropriate comments to each other. Confidential interviews reported that that behavior made C3 and other clients feel uncomfortable. Confidential staff interviews reported that when staff became aware of the behaviors between C1 and C2, C1 was separated from C2 and C2 was removed from this placement the following day. C1 was only in this placement for three days and neither of the clients had any history of inappropriate behaviors. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.- RAJAFACILITY NUMBER: VISIT DATE: 03/04/2022

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


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
confirmed S4 did not conduct room checks between 1530 hours and 1630 hours at which time C1 was found unconscious. When S4 was interviewed by SI, S4 admitted she had not conducted the room checks. Confidential interviews and medical records note overdose as cause of C1 being found unconscious. Confidential interviews and record review reported after C1 was observed to be unconscious S4 called S2 who was not at the facility at the time of the incident for assistance. Confidential interviews and record review further confirmed S2 arrived at the facility and began cardiopulmonary resuscitation (CPR) as well as instructed S4 to call 9-1-1. Confidential interviews reported S4 did not attempt or assist with any CPR or any life-saving measures until directed by S2 to call 9-1-1. Based on confidential interviews and record review the allegations alleging due to a lack of care and supervision minor (Child #1 [C1]) overdosed while in care and Minor (C1) did not receive medical treatment in a timely manner are substantiated. The complaint allegations are valid because the preponderance of evidence standard has been met. Facility is cited for violation of Interim Licensing Standards(ILS) v.4 standard 87078(a) RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION (a) In addition to California Code of Regulations, Title 22, Section 80078, the following shall apply, and ILS v.4 standard PERSONAL RIGHTS (c) The licensee shall ensure that each child, regardless of whether the child is in foster care, is accorded the personal rights specified in Welfare and Institutions Code Section 16001.9 as applicable. The facilities violation of ILS v.4 standard PERSONAL RIGHTS (c) which resulted in C1 not receiving prompt medical assistance when C1 overdosed requires the facility to be assessed an immediate civil penalty per Health and Safety Code 1548(c)(1). An Enhanced Civil Penalty (ECP) determination is pending. If an ECP is assessed a Community Care Licensing (CCL) representative will return to the facility to deliver the penalty assessment. A copy of the report was discussed and provided along with Civil Penalty assessment and appeal rights to New Beginnings Residential Treatment Facility - Raja Program Director, Michelle Hicks.

Investigation Findings:
13On November 9, 2023 at 12:54 pm Licensing Program Analyst (LPA), Nicole Strickland, met with New Beginnings Residential Treatment Facilities - Raja Program Director, Michelle Hicks to deliver the findings for the above stated allegations. The investigation was conducted by Special Investigator (SI) Philippe Miles and included interviews with six staff (Staff #1-#6) and two former residents (Child #2 [C2] and Child #3[C3]). In addition, county records, facility records, and medical records were reviewed. On May 22, 2023, Community Care Licensing (CCL) received two allegations alleging due to a lack of care and supervision minor (Child #1 [C1]) overdosed while in care and Minor (C1) did not receive medical treatment in a timely manner. Specifically, it was reported on 5/21/2023, at around 1630 hours C1 was found unconscious, it is unknown how long C1 had been unconscious. Records review revealed Staff #4 (S4) did not provide the care and supervision of Child #1 (C1) necessary to meet C1's needs, when S4 did not conduct room checks on 5/21/2023. Confidential interviews, and video footage obtained by CCL's SI SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Nicole Strickland LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.- RAJAFACILITY NUMBER: VISIT DATE: 11/09/2023

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

complaint_status: SUBSTANTIATED


summary: Facility Evaluation

raw_content:
Narrative:
On June 17, 2021 at 9: AM, Licensing Program Analysts (LPA) Anastasia Flores, arrived at New Beginnings Residential RAJA Facility (STRTP). LPA was greeted and granted access by direct care staff, Julie Chester. The purpose of the visit is to conduct an annual inspection of the facility. There was one staff, one administrator and five clients present at the time of the inspection. Appropriate staff/client ratios were verified during the inspection. At 9: AM, Administrator, Stacy Rougely led the tour of the facility. The facility consists of four bedrooms and two bathrooms. The facility includes a dining area, kitchen area, living room and laundry room/garage utilized for storage. The facility has a staff office and one room utilized by therapists. All bedrooms have individual beds and drawer space for each client. The facility ensures that there is one client per bed with appropriate clean linens, pillows, comforters, and mattresses in good repair. During inspection, bedroom #2 did not have linens due to client recently discharged and linens are being sanitized. Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Gym equipment/toddler play area and other activities were observed for client's recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order with exception of room #4, however the smoke detector was replaced during the inspection. The facility maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Medications are locked and centrally stored in the staff office. At 9: AM, the hot water in the kitchen was measured to be 120 degrees, master bathroom #1 was measured to be 109.5 degrees. At 3: PM the hot water temperature in client bathroom #2 was measured to be 117.6 degrees. Per facility staff, no firearms or weapons are allowed in the facility. Facility appears to be meeting the terms and conditions of their license. () Administrator Stacy Rougely, is present at the facility a minimum of 20 hours a week, as verified by staff schedule and interviews. Appropriate staff/client ratios were verified during this inspection. The facility employs one mental health rehabilitation specialist, one facility administrator, nine direct care staff, one head of service and one Program Director. Facility has obtained Mental Health Certification effective 04/09/2019. Licensee has obtained National Accreditation through CARF effective through 11/30/2022. Licensing fee payments have been paid and there is currently a balance of zero. At 10: AM, six of six client files were reviewed during time of inspection. There were required documents not up to date in the client files, but due to time constraints, deficiencies and/or advisory notes will be issued on a separate date. Personnel Files are maintained off site at the corporate office in Riverside, Ca. However, during inspection staff files were brought to the facility for review. At 1: PM, personnel files were reviewed to ensure they contained all required documentation per Title Regulations and Interim Licensing Standards (ILS). LPA reviewed five staff files. Staff files were complete with First Aid/CPR certificates, certificates for training hours, and all required documents were signed and present. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. One staff and one administrator present during inspection were interviewed in regard to their job duties, training, and services provided at the facility. All staff were able to provide sufficient information in relation to the facility's program. Four of five clients present during inspection volunteered to be interviewed. All four clients indicate that their basic needs are being met at the facility and core services being provided as well. An exit interview was conducted, and a copy of this report and appeal rights were provided to Program Director, Michelle Hicks

report_type: Facility Evaluation

visit_type: Annual


facility_name: NEW BEGINNINGS RESIDENTIAL TREATMENT FAC.-SHALOM

raw_content:
Narrative:
Other confidential interviews revealed that C1 jumped out of the van while Staff #2 (S2) was trying to pull over to the side of the road for safety. Confidential interviews disclosed that S2 was backing up slowly when C1 jumped out of the van. Record review reveal the van was stopped when C1 jumped out of the van and that S1 was helping another client when C1 jumped out the back doors to the van. Interview with S1 and S2 revealed that the van was moving slowly in reverse to park when C1 jumped out. LPA attempted to obtain video footage from STRTP, however was informed by ADM that the cameras on the van were not in working. Based on confidential interviews the preponderance of evidence standard has been met and the department has determined the allegation that the staff did not prevent client #1 (C1) from jumping out of the facility van while in motion is substantiated. The facility is being cited for violation of the STRTP Interim Licensing Standards (ILS), article 6, section 87065.2 (b) (1) Personnel Duties; staff did not ensure proper supervision, protection and of children on at least one occasion. This poses an immediate health, safety, or personal rights risk to the youth in care. An exit interview was completed and a copy of this report, LIC811 and appeal rights were explained and handed to Stacy Rougely. Interview with S1 denied saying anything to C1 that would make C1 feel uncomfortable. Interview with S2 denied hearing S1 say anything to C1, stating the music was turned up in the van by another client. Other confidential interview disclosed this was not the first time that C1 has caused the staff to try to calm C1 down while in transport, causing other clients to be late to court or family visits. LPA attempted to obtain video footage from STRTP, however was informed by ADM that the cameras on the van were not working. Based on confidential interviews and confidential record review the allegation that staff made clients feel uncomfortable while in transport in the facility van on at least one occasion may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was completed and a copy of this report, LIC811 and appeal rights were explained and handed to Stacy Rougely.

Investigation Findings:
13On August 12, 2021 at 3: PM, Licensing Program Analyst (LPA) Anastasia Flores met with (STRTP) New Beginnings Shalom Administrator, Stacy Rougely to deliver the findings on the above allegation. On May 26, 2021 at 12: PM, LPA conducted a safety inspection and no health or safety hazard were observed. Copies of client roster, staff roster, Needs and Service Plan for Client #1 (C1), special incident report (SIR) dated 05/08/21, safety plan for C1 and Child and Family Team meeting notes for C1 were obtained. LPA conducted interviews with four out of five clients, three staff and STRTP Administrator (ADM). On May 21, 2021 this agency received allegation that staff did not prevent client #1 (C1) from jumping out of the facility van while in motion. Confidential interviews disclosed that C1 became agitated prior to arriving at the mini mall. Record review disclose that C1 agreed to go into the mall but was moving from staff to staff as if anxious. Confidential interviews disclosed that after the mini mall the staff drove to another stop at a grocery store. Confidential interviews disclosed that the clients made a second stop after the mini mall and C1 was stable but S1 stayed in the van with C1. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Anastasia Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.-SHALOMFACILITY NUMBER: VISIT DATE: 08/12/2021

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

met_with: Stacy Rougely


raw_content:
Narrative:
Based on confidential interviews the allegation that S1 has made inappropriate comments in the past toward clients in care on at least one occasion may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. No deficiencies were cited. An exit interview was completed and a copy of this report, LIC811 and appeal rights were explained and handed to Stacy Rougely.

Investigation Findings:
13On August 12, 2021 at 3: PM, Licensing Program Analyst (LPA) Anastasia Flores met with (STRTP) New Beginnings Shalom Administrator, Stacy Rougely to deliver the findings on the above allegation. On May 3, 2021 at 2: PM, LPA conducted a safety inspection via tele-visit due to COVID-19 and no immediate concerns were noted. Copies of client roster and staff roster were obtained. LPA conducted interviews with four out of six clients, five staff and San Bernardino County Child Protective Services Investigator (CPS). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Anastasia Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.-SHALOMFACILITY NUMBER: VISIT DATE: 08/12/2021

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


raw_content:
Narrative:
During investigation, confidential interviews stated that staff members cannot restraint a client from leaving the facility, but that staff do implement the facility's Absent Without Leave (AWOL) protocol each time a client leaves or attempts to leave out of the care and supervision of staff. Confidential interviews further stated that C1 was absconding from the facility on a continuous basis and was engaging in Commercial Sexual Exploitation of Children (CSEC) activity while in care. Confidential interviews stated that C1 was provided with resources while in care, and meetings with CSW were conducted to further address C1's behaviors. Other confidential interviews stated liking the placement and added that clients can walk out of the front door at any time despite staff efforts. Another confidential interview confirmed that C1 was engaging in CSEC activity in the past but denied that C1 had engaged in CSEC activity at the time of this allegation. A CSW was unable to comment on the allegation. LPA received inconsistent information about whether C1's CSEC activity out of care was a result of staff not preventing C1 from leaving the facility. Based on confidential interviews, and record review the allegation that staff did not prevent C1 from AWOLing resulting in C1 engaging in CSEC activity, may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. Exit interview was conducted and due to technical difficulties a copy of this report along with the appeal rights will be emailed to Facility Administrator, Senida Zamora.

Investigation Findings:
13On May 31, 2023, at 11: AM, Licensing Program Analyst (LPA) Cynthia Urena conducted an unannounced visit at New Beginnings Residential Treatment Facilities-Shalom Short Term Residential Therapeutic Program (STRTP) to deliver the investigative finding of the above stated allegation. LPA was met by Facility Manager, Senida Zamora. On June 22, 2022, at 2: PM LPA Val Wilson conducted an inspection of the facility, and no immediate deficiencies were observed. Additionally, LPA Wilson interviewed Administrator (ADM) and two clients (C1, C2). LPA Urena Interviewed two staff members (S1, S2), a County Social Worker (CSW) could not be reached for comment after multiple attempts made by LPA Urena for an interview. On July 14, 2022, Community Care Licensing (CCL) received a complaint alleging that staff did not prevent minor from AWOLing resulting in minor engaging in CSEC activity. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., Suite Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.-SHALOMFACILITY NUMBER: VISIT DATE: 05/31/2023

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

met_with: Facility Administrator, Senida Zamora.


raw_content:
Narrative:
(Continued) Regarding the allegation staff did not prevent an altercation between C1 and C2, confidential interviews revealed staff separated C1 and C2 immediately. Confidential interviews denied that the altercation was a result of lack of supervision by staff and added that both C1 and C2 were friends prior to the altercation. Confidential interviews also stated that a staff was in front of C1 deflecting C2's swings and redirecting C2's threats when C2 kicked around the staff to make contact with C1. Staff immediately reported the information that resulted in law enforcement involvement and moving to different bedrooms. Other information states the allegation occurred. Regarding the allegation staff did not safeguard C1's personal items, confidential interviews noted staff are present and provide supervision according to the program statement or enhanced when it is needed or required in the needs and service plan. Staff deny not safeguarding C1's belongings and immediately intervened on attempts made to destroy C1's items. Other information states the allegation occurred. Based on confidential interviews, and record review the allegations that alleged staff did not prevent an altercation between C1 and C2, and staff did not safeguard C1's personal items may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. Exit interview was conducted and appeal rights were explained. LIC 811, a copy of this report, and the appeal rights were provided to Facility Administrator, Senida Zamora

Investigation Findings:
13On August 1, 2023, Licensing Program Analyst (LPA), Val Wilson, met with New Beginnings Residential Therapeutic Facilities (NBRTF) - Shalom, Short Term Residential Therapeutic Program (STRTP) Facility Administrator, Senida Zamora, at 11:50am to issue the findings for the above stated allegations. Please see the Confidential Names List, LIC 811, dated August 1, 2023. On August 4, 2022, at 11:34AM, a safety inspection was conducted at NBRTF- Shalom, and there were no noted concerns. LPA reviewed facility files and two client files [client 1 (C1) and client 2 (C2)]. LPA also obtained and reviewed copies of the LIC Register of Facility Clients, Policy and Procedure, Needs and Services plan, weekly treatment notes, county reports, and Special Incident Reports (SIRs). During the investigation, interviews were conducted with C1, C2, administrator (ADM), facility therapist (S1), staff 2 (S2), and staff 3 (S3). On August 1, 2022, the Department received a complaint that alleged staff did not prevent an altercation between youth and staff did not safeguard child's personal items. Specifically, it was reported C1 was assaulted by C2, C2 damaged C1's belongings, and C2 continued to make threats to C1. (Continued) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Valerie Wilson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.-SHALOMFACILITY NUMBER: VISIT DATE: 08/01/2023

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


raw_content:
Narrative:
*****Continued**** minor in an inappropriate manner and staff do not treat minor with dignity and respect. Specifically, it was alleged that S1 goads C1 in hopes C1 will be sent to juvenile hall and facility staff do not take C1's suicidal ideations seriously. Regarding the allegation that S1 speaks to C1 in an inappropriate manner, confidential interviews revealed conflicting reports. Confidential interviews deny S1 calling C1 names. Confidential interviews deny facility staff provoke C1. Other information states the allegation occurred. Regarding the allegation that staff do not treat minor with dignity and respect, confidential interviews and record review reveal facility staff recognize and appropriately respond with the necessary supports and services to meet C1's individualized needs. Other information states the allegation occurred. Based on confidential interviews, the allegations that S1 speaks to C1 in an inappropriate manner and staff do not treat C1 with dignity and respect, may or may not have occurred; However, it is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, a copy of this report, and LIC 811 was provided to the Administrator.

Investigation Findings:
13On April 4, 2024, at 3: PM, Licensing Program Analyst (LPA), Val Wilson, met with Administrator, Nanette Lewis, at New Beginnings Residential Treatment Facilities (NBRTF)- Shalom, Short Term Residential Therapeutic Program (STRTP), to issue the findings for the above stated allegations involving the STRTP and youth listed on the confidential Names List, LIC 811, dated April 4, 2024. On April 13, 2023, at 10: AM, LPA Wilson arrived at the STRTP and a safety inspection was completed without any health and safety concerns observed. LPA Wilson reviewed client files, facility documents, and obtained copies of the client roster, LIC 500, admission agreement, appraisal/needs and services plan (N&SP), child and family team meeting (CFTM) plan, county reports, and Special Incident Reports (SIRs). During the investigation, interviews were conducted with the administrator (ADM), therapist (THR), staff 1 (S1), staff 2 (S2), staff 3 (S3), staff 4 (S4), staff 5 (S5), county social worker (CSW), client 1 (C1), client 2 (C2), client 3 (C3), client 4 (C4), client 5 (C5), and client 6 (C6). On April 4, 2023, the Department received a complaint that alleged staff speak to *R- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.-SHALOMFACILITY NUMBER: VISIT DATE: 04/04/2024

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

met_with: Nanette Lewis


raw_content:
Narrative:
Confidential interviews reported that staff did safety checks every 15-30 minutes while clients were awake and every 30-60 minutes when clients fell asleep on the night of 04/02/2024. Based on inconsistent confidential interviews, the allegation that due to lack of supervision, a minor (C1) sustained unexplained bruising while in care is unsubstantiated. The allegations may have happened or are 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 Nannette Lewis, Administrator.

Investigation Findings:
13On July 25, 2024, at 9: AM, Licensing Program Analyst (LPA) Cynthia Robinson conducted an unannounced visit to the New Beginnings Residential Treatment Facilities - Shalom STRTP to deliver the investigative findings for the allegation listed above. On 04/09/2024, LPA Robinson conducted a health and safety inspection at the STRTP, and no immediate health and safety hazards were observed. LPA obtained documents pertinent to the investigation. LPA interviewed Clients (C1, C2, C3, and C5), and Staff (S1, S2, S3 and S4). On 04/04/2024, Community Care Licensing received an allegation that due to lack of supervision, a minor (C1) sustained unexplained bruising while in care. It was alleged that C1 received a bruise on the right eye and cheek between 04/02/2024 and 04/03/2024. Confidential interviews and documentation reported that C1 asked C2 to punch them (C1) in the face voluntarily; the reason C1 asked C2 to punch them (C1) in the face was not disclosed. Confidential interviews reported that C2 punched C1 in the face by request around 10:30pm on 04/02/2024 while staff thought C1 and C2 were sleeping. (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 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., Suite Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.-SHALOMFACILITY NUMBER: VISIT DATE: 07/25/2024

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

met_with: Nannette Lewis, Administrator


raw_content:
Narrative:
It was alleged that C1 was requesting an appropriate braiding hairstyle of their (C1) choice and was not receiving the services from the facility. Confidential interviews reported that C1 had requested a braiding hairstyle option and was told by staff that they (staff) were not able to accommodate the cost of the braiding hairstyle choice. Confidential interviews reported that clients receive a hair allowance of $150, and C1's requested hairstyle was estimated to cost $300. Confidential interviews reported that staff did not reach out to the County Social Worker for additional funding assistance. Confidential interviews reported that C1 did not receive the braiding hairstyle they (C1) wanted, and their (C1) hair was done by a staff member after C1 waited about two months to get the braiding hairstyle done. Based on inconsistent confidential interviews, the allegation that staff not adhering to personal rights of client (C1) is unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of evidence to prove that the alleged violations occurred.

Investigation Findings:
13On April 15, 2025, at 10:00AM, Licensing Program Analyst (LPA) Cynthia Robinson conducted an unannounced visit to the New Beginnings Residential Treatment Facilities - Shalom Short-Term Residential Therapeutic Program (STRTP) to deliver the investigative findings for the allegation listed above. On 03/10/2025, LPA Robinson conducted a health and safety inspection at the STRTP, and no immediate health and safety hazards were observed. LPA obtained documents pertinent to the investigation. LPA interviewed clients (C1, C2, C4, C5, and C6) and staff (S1, S2, S3, S4, and S5). LPA attempted to interview client (C3) but was unsuccessful due to refusal to be interviewed. On 03/07/2025, Community Care Licensing received an allegation that staff were not adhering to the personal rights of a client (C1). (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 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., Suite Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.-SHALOMFACILITY NUMBER: VISIT DATE: 04/15/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
On June 23, 2021 at 10: AM, Licensing Program Analysts (LPA's) Anastasia Flores and LPA Valerie Wilson, arrived at New Beginnings Residential Shalom Facility (STRTP). LPA was greeted and granted access by Facility Manager, Ajah Jelks. The purpose of the visit is to conduct an annual inspection of the facility. There was one facility manager and one therapist present at the time of the inspection. Two clients were in school and one client was on home pass. Appropriate staff/client ratios were verified during the inspection. At 10: AM, Ajah Jelks led the tour of the facility. The facility consists of four bedrooms and two bathrooms. The facility includes a dining area, kitchen area, living room and laundry room/garage utilized for storage. The facility has a staff office and bedroom #4 is utilized by therapists. All bedrooms have individual beds and drawer space for each client. The facility ensures that there is one client per bed with appropriate clean linens, pillows, comforters, and mattresses in good repair. During inspection, bedroom #2 did not have an operable fire alarm, however it was fixed and working prior to leaving the facility. Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. The screen by the kitchen table, sliding screen door to backyard and two screens on the master bedroom need to be replaced and there was no screen on the master bathroom window. Program Director called maintenance and is having them fixed and replaced on 06/26/21. Gym equipment and other activities were observed for client's recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order. The facility maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Medications are locked and centrally stored in the staff office. At 10: AM, the hot water in the kitchen was measured to be 110.4 degrees, master bathroom #1 was measured at 11: AM to be 113 degrees and at 11: AM bathroom #2 measured at 113.4 degrees. Per facility staff, no firearms or weapons are allowed in the facility. Facility appears to be meeting the terms and conditions of their license. () Administrator Stacy Rougely, is present at the facility a minimum of 20 hours a week, as verified by staff schedule and interviews. Appropriate staff/client ratios were verified during this inspection. The facility employs one therapist, one facility administrator, one facility manager, nine direct care staff, one head of service and one Program Director. Facility has obtained Mental Health Certification effective 04/09/2019. Licensee has obtained National Accreditation through CARF effective through 11/30/2022. Licensing fee payments have been paid and there is currently a balance of zero. At 11: AM, six of six client files were reviewed during time of inspection. There were required documents not up to date in the client files, but due to time constraints, deficiencies and/or advisory notes will be issued on a separate date. Personnel Files are maintained off site at the corporate office in Riverside, Ca. However, during inspection staff files were brought to the facility for review. At 12: PM, personnel files were reviewed to ensure they contained all required documentation per Title Regulations and Interim Licensing Standards (ILS). At 12: PM, LPA's reviewed 10 staff files. Staff files were complete with First Aid/CPR certificates, certificates for training hours, and all required documents were signed and present. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. There were six staff files that needed updated medical records. At 2: PM, LPA's interviewed three direct care staff and one facility manager that were present, in regard to their job duties, training, and services provided at the facility. All staff were able to provide sufficient information in relation to the facility's program. Four of five clients present during inspection volunteered to be interviewed, one client refused. All four clients indicate that their basic needs are being met at the facility and core services being provided as well. An exit interview was conducted, and a copy of this report and appeal rights were provided to Administrator, Stacy Rougely.


facility_name: NEW CONCEPT

raw_content:
Narrative:
Based on the interviews conducted and documentary evidence obtained the information did not produce corroborating evidence to support the above said allegations. Due to inconsistent statements LPA Phillips was not able to determine if the above said allegations occurred, therefore the allegations are found to be Unsubstantiated meaning that although the allegations may have happened or is valid there is not a preponderance of evidence to prove that the alleged incidents occurred. No deficiencies cited at the time of this investigation. Exit interview was conducted, and copy of this report was left with facility administrator.

Investigation Findings:
13On December 8, 2021 at 2: PM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to New Concept and met with Kevon Branch, Facility Manager. The purpose of the visit was to deliver findings for the above complaint allegations. During the course of investigating the allegations: Minor was sexually abused while in care. Minor was physically abused while in care. LPA Phillips conducted confidential interviews with related parties, reviewed facility records and Incident Reports. Based on the interviews conducted and statements obtained during the investigation the above allegations cannot be substantiated because LPA Phillips obtained inconsistent statements from staff and residents in care. Confidential interviews reveal that minor did not interact with other residents in care and staff stood outside restroom during minor's time in bathroom. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: NEW CONCEPTFACILITY NUMBER: VISIT DATE: 12/08/2021

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

met_with: Kevon Branch/Facility Manager


raw_content:
Narrative:
Based on the interviews conducted, administrator's admission,records reviewed, and LPA observation, the preponderance of standard has been met, therefore the above allegations are found to be substantiated. Facility cited on the attached LIC 9099D for violation of California Code of Regulations, Title 22, Division 6, regulation 87072 (a) Except for children's residential facilities, each client shall have personal rights which include, but are not limited to, the following 1)To be accorded dignity in his/her personal relationships with staff and other persons.. Exit interview was conducted, and a copy of this report will be emailed to Sueretta Small Administrator.

Investigation Findings:
On May 10, 2022 at 1: PM, Licensing Program Analyst (LPA) Zena Phillips made an unannounced visit to New Concept and spoke with Jenaya Norfleet/ Head of Service . The purpose of this visit was to deliver the findings for the above complaint allegations. During the investigation, a total of three (3) clients and seven (7) staff were interviewed. Confidential interviews reveal a camera was operating in the therapy room used by residents of the facility. Staff and clients admit there was a camera operating during therapy sessions. LPA Phillips observed camera operating from main office computer monitor. There was no audio output from the camera in therapy room. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: NEW CONCEPTFACILITY NUMBER: VISIT DATE: 05/10/2022

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

met_with: Jenaya Norfleet/ Head of Service


raw_content:
Narrative:
Confidential interviews reveal when a staff is separated from the facility more than one (1) person is responsible for packing personal belongings. The staff items were packed by two (2) who confirmed a observation log was not in the bag. Confidential interviews reveal staff are not allowed to remove residents files from the facility. Resident files are locked in the hall closet and not all staff have access to the key. The observation log is a black folder stored in the office locked cabinet. Confidential interviews with Child #1 and Child #3 that staff protect their privacy and talk to them privately about stuff away from other residents. Staff interviews reveal no work related items are taken from facility. Due to inconsistent statements LPA Phillips was not able to determine if the above said allegation occurred, therefore the allegation is found to be Unsubstantiated meaning that although the allegation may have happened or is valid there is not a preponderance of evidence to prove that the alleged incident occurred. No deficiencies cited at the time of this investigation. Exit interview was conducted, and copy of the report will be emailed to facility administrator/ Sueretta Small.

Investigation Findings:
13On July 8, 2022 @ 9: AM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to New Concept and met with Keshia Marshall/ Facility Manager. The purpose of the visit was to deliver findings for the above complaint allegation. During the investigation of the allegation. Staff violated confidentiality of youth. LPA Phillips reviewed facility file and conducted confidential interviews with relevant parties. After conducting the confidential interviews and reviewing the following documentation: Staff HIPPA certificates, Observation log notebook, Facility activity calendar, and Client files. LPA Phillips was not able to determine whether staff violated confidentiality of youth due to inconsistent statements. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: NEW CONCEPTFACILITY NUMBER: VISIT DATE: 07/08/2022

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

met_with: Keshia Marshal/ Facility Manager


raw_content:
Narrative:
Staff #1 through Staff #6 deny that youth are selling drugs on the premises. All stated they have never seen any residents selling drugs or using drugs. Confidential interviews reveal that staff counsel youth if substance abuse is suspected. Staff reveal that they have confiscated a vape pen and provided counseling. Interviews reveal that facility provide substance abuse counseling on weekly basis for residents. Residents deny smoking or selling drugs on the premises. The schedules provided by the facility reveals that there is adequate staff members on duty during the day and overnight as required. Confidential interviews conducted stated there is always supervision at the facility. Residents deny that staff consume their food and state staff bring their own food. Residents and staff admit all eat together for celebrations. Confidential interviews with residents reveal that staff are always doing room checks. Due to inconsistent statements LPA Phillips was not able to determine if the above said allegations occurred, therefore the allegations were found to be Unsubstantiated meaning that although the allegations may have happened or are valid there is not a preponderance of evidence to prove that the alleged incidents occurred. No deficiencies cited at the time of this investigation. Exit interview was conducted, and copy of the report will be emailed to facility administrator.

Investigation Findings:
13On July 13, 2022 @ 2: PM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to New Concept and met with Keshia Marshall/ Facility Manager. The purpose of the visit was to deliver findings for the complaint allegations. During the investigation of the allegations. Lack of supervision resulting in minors selling drugs on the premises. Staff not preventing minors from using drugs. Staff consuming minor's food. After conducting the confidential interviews and reviewing the following documentation: facility file, staff schedule, facility menu, observed staff refrigerator, activity calendar, substance abuse policy, NSP and conducted confidential interviews with relevant parties. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: NEW CONCEPTFACILITY NUMBER: VISIT DATE: 07/13/2022

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


raw_content:
Narrative:
Supporting evidence include the following Staff #1, Staff #2, Staff #3, Staff #4, Staff #5, Staff #6 & Staff #7 all deny that staff are smoking marijuana at the facility. All the staff interviewed stated that minors are not allowed to smoke at the facility and stated youth are counseled not to use drugs. Child #1, Child #2 and Child # 3 all deny that staff are smoking marijuana at the facility and they are not allowed to smoke in the facility. Based on the interviews conducted and documents obtained, the above allegations are found to unsubstantiated due to inconsistent statements. LPA Phillips was not able to determine if the above said allegations occurred, therefore the allegations are determined to be unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. Based on the observations made during today's inspection, no deficiencies cited. Exit interview was conducted, and a copy of this report will be emailed to the SUERETTA SMALL .

Investigation Findings:
13On September 2, 2022 at 11: AM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to NEW CONCEPT and met with KeVon Branch Facility Manager who granted access to the facility. The purpose of the visit was to deliver findings for the complaint allegations. Facility staff smoke marijuana at the facility. Minors smoke marijuana at the facility. LPA Phillips conducted confidential interviews and reviewed the following documentation, facility files, client files, staff schedule, drug policy, Needs and Service Plan, and Child and Family Teams Meeting notes. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: NEW CONCEPTFACILITY NUMBER: VISIT DATE: 09/02/2022

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

met_with: KeVon Branch/Facility Manager


raw_content:
Narrative:
Community pass log shows that residents do in fact sign out. It was reported to LPA Phillips that residents are not consuming alcohol at the facility. It was reported to LPA Phillips that residents are not allowed to consume alcohol and substance abuse counseling is available to residents. Staff reported that they have not see residents consume alcohol at the facility. Staff admit that some residents do have substance abuse and substance abuse counseling is available for all residents. Due to inconsistent statements LPA Phillips was not able to determine if the above said allegations occurred, therefore the allegations were found to be Unsubstantiated meaning that although the allegations may have happened or are valid there is not a preponderance of evidence to prove that the alleged incident occurred. No deficiencies cited at the time of this investigation. Exit interview was conducted, and copy of the report will be emailed Sueretta Small facility administrator.

Investigation Findings:
13On November 29, 2022 at 2: PM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to NEW CONCEPT and met with Sueretta Small/ Administrator who granted access. The purpose of the visit was to deliver findings for the complaint allegations. During the investigation of the allegations: Staff did not prevent minors from AWOLing. Minors Consumed drugs and alcohol on the premises. LPA Phillips conducted confidential interviews and reviewed documentary evidence, SIR reports, community pass log sheet, activity calendar for June & July 2022. It was reported to LPA Phillips during confidential interviews that Staff try and prevent residents from awoling by offering community pass and redirection. It was reported to LPA Phillips staff try to encourage residents to stay at facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: NEW CONCEPTFACILITY NUMBER: VISIT DATE: 11/29/2022

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

met_with: Sueretta Small/ Administartor