raw_content:
Investigation Findings:
13On 10/16/2025, at 3:40 pm, Licensing Program Analyst (LPA) Nestor Gomez made an unannounced inspection to the above facility for the purpose of concluding the investigation on the above allegation(s) and deliver the findings. LPA spoke with Residenital Counselor (S1), Andrew Westfall and together, discussed the investigative findings. During the investigative process by Licensing program Analyst (LPA), Nestor Gomez, all relevant parties have been accounted for. Supporting evidence includes: client interviews, staff interview, Guardian report, client roster, staff roster, rounds log, Emergency Response Referral Information, screener narrative, DCFS notes and Facility profile. The validity of the allegations could not be determined. The parties interviewed either confirmed or denied the allegations. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. No deficiencies are being cited at this time. Exit Interview conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Nestor Gomez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Andrew Westfall - Resideintial Supervisor


state: CA

facility_name: NEWPORT ACADEMY - CRESTVIEW

summary: Facility Evaluation

raw_content:
Narrative:
On November 15, 2022, at 9:45AM Licensing Program Analyst (LPA) Nancy O'Connell conducted an announced inspection, at the above-listed facility, for the purpose of conducting a Pre-Licensing Inspection. Licensing staff was met by Mydori Alailima (Program Manager), Regan Mew (Compliance Specialist), Monique Hernandez (Administrator), Cindy Garcia (Residential Supervisor), and Tone Reyes (Director of Residential Services). Staff granted access into the facility, and provided a tour of the entire facility, inside and out. General overview: This is a two-story home with 3 bedrooms, 3.5 bathrooms, 4 offices, a living room, dining room, kitchen, breakfast area, family room, garage, laundry area, classroom, and a backyard. There is no body of water on site. The backyard has chairs, tables, room for leisure activities and relaxation, as well as a locked shed that will maintain items necessary for facility maintenance. There are no cameras on the facility grounds, but windows on the ground second floor have sensors for security and safety purposes. The medicine room is inaccessible to clients and contains a first aid kit, refrigerator for medications, fire extinguisher, and medical log binders that are secure. All smoke detectors were tested and are operating properly in the home at the time of visit. There are numerous fully charged fire extinguishers available. Outdoor activity space free of obstructions and the perimeter was observed to be secure. LPA measured the temperature of the water and measured within the safe temperature at 110 degrees Fahrenheit. Fire clearance was granted on 11/15/2022. Continued on LIC809C LPA observed the following during inspection: Living Room: plenty of seating (enough for 6 clients) and is adjacent to dining area Dining Room: equipped with a large table and seating for 8 people. Kitchen: equipped with a refrigerator, cooktop, oven, two sinks, microwave, eating area. Plenty of cabinet space. Knives / Sharp objects are stored in a locked box and inaccessible to clients. Chemicals and cleaning solutions are kept in locked cabinets underneath the sinks. Garage: attached to home and will be utilized as exercise room. Laundry area: equipped with a washer and dryer, and plenty of cabinet space where a fully charged fire extinguisher. Detergent chemicals were secured in locked cabinets within laundry area. School: equipped with a fully charged fire extinguisher, smoke alarm, 6 desk, 6 computers, and a printer. Bedroom #1 will be occupied by two clients and has two twin size beds on each side of the room, adequate closet and drawer space, and the bedroom is in good repair. There is a non-functional fireplace. Bedroom #2 will be occupied by two clients. It has two twin sized beds, adequate closet and drawer space, there is also an adjoining bathroom in good repair. Bedroom #3 will be occupied by two clients; it has one full size adjoining bathroom in good repair. Nursing station- kept a first aid kit, and first aid supplies were seen, including thermometer. There is also a small refrigerator for storage of client medication that requires refrigeration. Nursing station along with supplies kept in locked/secure and clients will not enter office at any time. Clinical offices- there are four offices that will be utilized as staff offices. They will serve as care coordinator office (located at top of stairwell on second floor), individual therapist office (located by front entrance), counselor office (located by front entrance) and family therapy office (located on first floor by nursing station) and has a private entrance. Administrative component- required notices, emergency procedures, personal rights, and fire clearance was posted in plain sight. Emergency binder was available for reviewed. Facility vehicle was checked for up to date registration, and insurance. A copy of this report was discussed with the facility administrator and will be emailed to the facility due to technical difficulties with the LPA's printer

report_type: Facility Evaluation

visit_type: Prelicensing

met_with: Mydori Alailima, Program Manager (PM), and Regan Mew (Compliance Specialist)


summary: Facility Evaluation

raw_content:
Narrative:
On February 24, 2023 at 9:55am, Licensing Program Analyst (LPA) Nancy O'Connell and Licensing Program Analyst (LPA) Christine Wilson conducted an unannounced inspection, at the above-listed facility, for the purpose of conducting a Post-Licensing Inspection. Licensing staff was met by Tone Reyes (Director of Residential Services). Staff granted access into the facility, and provided a tour of the entire facility, inside and out. General overview: This is a two-story home with 3 bedrooms, 3.5 bathrooms, 4 offices, a living room, dining room, kitchen, breakfast area, family room, garage, gym equipment, laundry area, classroom, and a backyard. There is no body of water on site. The backyard has chairs, tables, room for leisure activities and relaxation, as well as a locked shed that will maintain items necessary for facility maintenance. There are no cameras on the facility grounds, but windows on the ground second floor have sensors for security and safety purposes. The nursing station is inaccessible to clients and contains client medications, a first aid kit, refrigerator for medications, fire extinguisher, and medical log binders that are secure. All smoke detectors were tested and are operating properly in the home at the time of visit. There are numerous fully charged fire extinguishers available. Outdoor activity space free of obstructions and the perimeter was observed to be secure. LPA measured the temperature of the water and measured within the safe temperature at 110 degrees Fahrenheit. LPA observed the following during inspection: Living Room: plenty of seating (enough for 6 clients) and is adjacent to dining area Dining Room: equipped with a large table and seating for 8 people. Kitchen: equipped with a refrigerator, cooktop, oven, two sinks, microwave, eating area. Plenty of cabinet space. Knives / Sharp objects are stored in a locked box and inaccessible to clients. Chemicals and cleaning solutions are kept in locked cabinets underneath the sinks. Continued on LIC809C (Continued from 809) Kitchen (cont)- During the time of inspection, LPAs observed contents of refrigerator and found that multiple items were improperly store in the refrigerator, that should have been frozen. Additionally six perishable food items in the refrigerator were expired or not labeled.LPA inquired about the reason for non-labeled and expired food items, and FM acknowledged that food items were expired and non-labeled, and should be disposed. Pictures were retained for records. Garage: attached to home and is utilized as exercise room. Laundry area: equipped with a washer and dryer, and plenty of cabinet space where a fully charged fire extinguisher. Detergent chemicals were secured in locked cabinets within laundry area. Upstairs Hallway clients are provided with hygiene products which are secured in locked cabinets. Bedroom #1 is occupied by one client and has two twin size beds on each side of the room, adequate closet and drawer space, and the bedroom is in good repair. There is a non-functional fireplace. Bedroom #2 is occupied by one client. It has two twin sized beds, adequate closet and drawer space, there is also an adjoining bathroom in good repair. Bedroom #3 is occupied by two clients; it has one full size adjoining bathroom in good repair. Nursing station- kept a first aid kit, and first aid supplies were seen, including thermometer. There is also a small refrigerator for storage of client medication that requires refrigeration if needed. Nursing station along with supplies kept in locked/secure and clients will not enter office at any time. Medication log and prescribed medications were observed and accounted for. Clinical offices- there are four offices that are utilized as staff offices. They serve as care coordinator office (located at top of stairwell on second floor), individual therapist office (located by front entrance), counselor offices (located by front entrance) and family therapy office (located on first floor by nursing station) and has a private entrance. Administrative component- required notices, emergency procedures, personal rights, and fire clearance was posted in plain sight. Emergency binder was available for reviewed. (Continued on 809C) (Continued from previous 809C) Record file reviews were conducted and LPA's reviewed (1) staff file S1 and (1) client file C1. Due to time constraints LPA's will return on a different day to complete inspection. PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, a deficiency will be cited on this day related to CCR 80076(a)(1). See 809D for details. A copy of this report was discussed with the staff and a copy of this report was provided to the staff.

met_with: Tone Reyes, Residential Program Director (RPD), and Cindi Garcia, Facility Manager (FM)


summary: Facility Evaluation

raw_content:
Narrative:
On 3/10/23, at 3:00pm, Licensing Program Analyst (LPA) Nancy O'Connell, met with Newport Academy- Crestview staff as well Community Care Licensing Division (CCLD) staff for an informal meeting to discuss general topics related to facility policies. LPA O'Connell participated in an informal conference meeting with the following Attendees: · Kevin Sauk: Licensing Program Manager (with CCLD) · Nancy O'Connell : Licensing Program Analyst (with CCLD) · Christine Wilson: Licensing Program Analyst (with CCLD) · Tone Reyes: Newport Academy Residential Director · Crystal Goodwin: Newport Academy Compliance Manager · Regan Mew: Newport Academy Assistant Compliance Specialist · Annie Gendaszek: Newport Academy Vice President of Compliance · Kerry Lanier: Newport Academy Vice President of HR Operations This video conference meeting was scheduled to discuss concerns that were brought up by the Department related to facility policies and patterns of operation. Topics of discussion included CCLD access to facility records for review, staff fingerprint clearances, and general facility policies related to program operations. LPM Sauk inquired about specific topics and Newport Academy staff provided clarifying answers, along with supporting documentation to all questions posed. A copy of this report was emailed to the Compliance Manager for approval and a signature will be kept on file.

met_with: Crystal Goodwin, Compliance Manager (CM)


summary: Facility Evaluation

raw_content:
Narrative:
On September 9 at 9:00am, Licensing Program Analyst (LPA) Nancy O'Connell and Licensing Program Analyst (LPA) Jhane Haynes conducted an unannounced inspection, at the above-listed facility, for the purpose of conducting an Annual Required Inspection. Licensing staff was met by staff Ahziry Reynoso and Cindi Garcia, who granted access into the facility, and provided a tour of the entire facility, inside and out. Regan Mew, Compliance Specialist (CS) joined inspection during records review portion. General overview: This is a two-story home with 3 bedrooms, 3.5 bathrooms, 4 offices, a living room, dining room, kitchen, breakfast area, family room, garage, gym equipment, laundry area, classroom, and a backyard. There is no body of water on site. The backyard has chairs, tables, room for leisure activities and relaxation, as well as a locked shed that will maintain items necessary for facility maintenance as well as extra facility items. There are no cameras on the facility grounds. The nursing station is inaccessible to clients and contains client medications, a first aid kit, refrigerator for medications, fire extinguisher, and medical log binders that are secure. All smoke detectors were tested and are operating properly in the home at the time of visit. There are numerous fully charged fire extinguishers available. Outdoor activity space free of obstructions and the perimeter was observed to be secure. LPA measured the temperature of the water and measured within the safe temperature. During the time of inspection, LPAs observed bees present around the outside perimeter of the facility and RS provided evidence of a work order LPA observed the following during inspection: Living Room: plenty of seating (enough for 10 people) and is adjacent to dining area Dining Room: equipped with a large table and seating for 8 people. Kitchen: equipped with a refrigerator, cooktop, oven, two sinks, microwave, eating area. Plenty of cabinet space. Knives / Sharp objects are stored in a locked box and inaccessible to clients. Chemicals and cleaning solutions are kept in locked cabinets underneath the sinks. Continued on LIC809C Garage: attached to home and is utilized as exercise room. Laundry area: equipped with a washer and dryer, and plenty of cabinet space where a fully charged fire extinguisher. Detergent chemicals were secured in locked cabinets within laundry area. Upstairs Hallway clients are provided with hygiene products which are secured in locked cabinets. Bedroom #1 is occupied by one client and has two twin size beds on each side of the room, adequate closet and drawer space, and the bedroom is in good repair. There is a non-functional fireplace. Bedroom #2 is occupied by one client. It has two twin sized beds, adequate closet and drawer space, there is also an adjoining bathroom in good repair. Bedroom #3 is occupied by one client; it has one full size adjoining bathroom in good repair. Nursing station- kept a first aid kit, and first aid supplies were seen, including thermometer. There is also a small refrigerator for storage of client medication that requires refrigeration if needed. Nursing station along with supplies kept in locked/secure and clients will not enter office at any time. Medication log and prescribed medications were observed and accounted for. Clinical offices- there are four offices that are utilized as staff offices/therapy rooms. They serve as care coordinator office, individual therapist office, counselor offices, and family therapy office which has a private entrance. Administrative component- required notices, emergency procedures, personal rights, facility license and fire clearance were posted in plain sight. Emergency binder was available and reviewed. LPA reviewed Quarterly Meeting Minutes for last three quarters. LPAs inspected the facility vehicle which is able to transport 8 people and confirmed operating headlights, blinkers, horn brakelights, emergency kit, current insurance and registration. Record file reviews were conducted and LPA's reviewed (5) staff files for S1, S2, S3, S4, and S5 and (1) client file for C1. LPA O'Connell observed that the facility does not maintain a completed Needs and Services Plan (NSP) for C1 and CS reports that the facility develops "treatment plans" in lieu of NSPs. LPA O'Connell informed CS of the regulatory requirements for maintaining information related to the NSP, and CS confirmed that the facility does not currently have NSPs documents for clients. Due to time constraints LPA's will return on a different day to complete inspection. PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, one deficiency will be cited today. See LIC809D for details. A copy of this report was discussed with the staff and a copy of this report was provided to the staff.

visit_type: Annual

met_with: Cindy Garcia, Residential Supervisor (RS)


summary: Facility Evaluation

raw_content:
Narrative:
On October 9 at 9:00am, Licensing Program Analyst (LPA) Nancy O'Connell conducted an unannounced inspection, at the above-listed facility, for the purpose of conducting an Annual Inspection. Licensing staff was met by staff Antonio Reyna who granted access into the facility, and provided a tour of the entire facility, inside and out. Regan Mew, Compliance Specialist (CS), Kathy Donofrio, Human Resources Assistant (HRA), and Lahni Salanoa, Residential Manager (RM), joined the inspection during records review portion. General overview: This facility serves up to six (6) male & female children ages 12-17 years old. It is a two-story home with 3 bedrooms, 3.5 bathrooms, 4 offices, a living room, dining room, kitchen, breakfast area, family room, garage, gym equipment, laundry area, classroom, and a backyard. There is no body of water on site. The backyard has chairs, tables, room for leisure activities and relaxation, as well as a locked shed that will maintain items necessary for facility maintenance as well as extra facility items. There are no cameras on the facility grounds. The nursing station is inaccessible to clients and contains client medications, a first aid kit, refrigerator for medications, fire extinguisher, and medical log binders that are secure. All smoke detectors were tested and are operating properly in the home at the time of visit. There are numerous fully charged fire extinguishers available. Outdoor activity space free of obstructions and the perimeter was observed to be secure. LPA measured the temperature of the water and measured within the safe temperature. LPA observed the following during inspection: Living Room: plenty of seating (enough for 10 people) and is adjacent to dining area Dining Room: equipped with a large table and seating for 8 people. Kitchen: equipped with a refrigerator, cooktop, oven, two sinks, microwave, eating area. Plenty of cabinet Continued on LIC809C space. Knives / Sharp objects are stored in a locked box and inaccessible to clients. Chemicals and cleaning solutions are kept in locked cabinets underneath the sinks. Garage: attached to home and is utilized as exercise room. Laundry area: equipped with a washer and dryer, and plenty of cabinet space where a fully charged fire extinguisher. Detergent chemicals were secured in locked cabinets within laundry area. Upstairs Hallway clients are provided with hygiene products which are secured in locked cabinets. Bedroom #1 is occupied by two clients and has two twin size beds on each side of the room, adequate closet and drawer space, and the bedroom is in good repair. There is a non-functional fireplace. Bedroom #2 is occupied by two clients. It has two twin sized beds, adequate closet and drawer space, there is also an adjoining bathroom in good repair. Bedroom #3 is occupied by two clients; it has two twin sized beds, adequate closet/drawer space, and one full size adjoining bathroom in good repair. Nursing station- located on the first floor. Maintains a first aid kit, and first aid supplies. There is also a small refrigerator for storage of client medication that requires refrigeration if needed. Nursing station along with supplies kept in locked/secure and clients cannot enter office at any time. Medication log and prescribed medications were observed and accounted for. Clinical offices- there are four offices that are utilized as staff offices/therapy rooms. They serve as care coordinator office, individual therapist office, counselor office, and family therapy office which has a private entrance and adjoining bathroom. Administrative component- required notices, emergency procedures, personal rights, facility license and fire clearance were posted in plain sight. Emergency binder was available and reviewed. Vehicle-LPA inspected the facility vehicle which is able to transport 8 people and confirmed operating headlights, blinkers, horn brake lights, emergency kit, current insurance and registration. Record file reviews: record reviews were conducted and LPA reviewed five (5) staff files for S1, S2, S3, S4, and S5 and five (5) client files for C1, C2, C3, C4, and C5. See Confidential names list, LIC811, dates 10-9-25, for names. Staff/Client interview: required interviews were conducted based off of the census. LPA conducted confidential interviews with S1, S2, C3, and C5. See Confidential names list, LIC811, dates 10-9-25, for names. During the time of inspection, LPA reviewed and completed all sections of the Group Home Care Tool (physical plant, operational requirements, disaster preparedness, emergency interventions, staff records, client records, client with special healthcare needs. PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, there are no deficiencies cited today. A copy of this report was discussed with the staff and a copy of this report was provided to the staff.

met_with: Antonio Reyna, Care Coordinator (CC)


facility_name: NEWPORT ACADEMY - DEL CERRO

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
It was further reported that the facility is very dirty with old food all over the floor, counter tops and doorknobs. It was also reported that the licensee contracts out for a cleaning service on the weekends, but it's not enough and the bathrooms don't get cleaned. It was alleged that the facility is not kept in clean, sanitary conditions for clients at all times. Consistent confidential interviews confirmed that the facility has an outside cleaning service that cleans the house two times a week. During the visit, LPA and LPM observed the cleaning service personnel present and cleaning the facility. The facility was observed to be clean and sanitary and confidential interviews did not corroborate that the facility is not kept clean. It was also alleged that staff do not ensure bathrooms are in good repair. Confidential interviews confirmed that one of the facility restrooms has been out of service for renovations for approximately two months. During the inspection, LPA and LPM observed that the bathroom was still out of service and that renovations were taking place during the visit. A confidential interview reported that one bathroom toilet was previously clogged, as a result of a client's diagnosis; however, the toilet was repaired the next day. During the visit, it was observed by LPA and LPM that the facility has four additional bathrooms, and the two bathrooms regularly used by clients were in good repair. Confidential interviews reported that there has not been a time when multiple restrooms were out of order. Based on confidential interviews and observations, the allegations that staff do not ensure facility is kept in clean, sanitary condition for youth at all times and staff do not ensure bathrooms are in good repair are unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Maria Fernanda Herrera and a copy of this report and appeal rights were provided. This is an amended version of the original report created on 07/10/2025.

Investigation Findings:
13On July 10, 2025, Licensing Program Analyst (LPA) Lisa Bernabe and Licensing Program Manager (LPM) Dawn Segura met with Maria Fernanda Herrera, Residential Supervisor, to initiate an investigation of the above allegations. During the visit an inspection of the facility was conducted, and no immediate deficiencies were observed. During the investigation, LPA Bernabe interviewed four staff and two clients. Pertinent records were collected. On July 1, 2025, Community Care Licensing (CCL) received allegations that staff do not ensure facility is kept in clean, sanitary condition for youth at all times and staff do not ensure bathrooms are in good repair. It was reported that the facility staff do not do any cleaning at the home. It was reported that the toilets get clogged, and the children are going to the bathroom on the floor in the bathroom. It was also reported that the children are having to hold their urine for extended periods of time until a staff can take them to the staff bathroom. See LIC 9099-C for continuation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Lisa Bernabe LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: NEWPORT ACADEMY - DEL CERROFACILITY NUMBER: VISIT DATE: 07/10/2025

report_type: Complaint Investigation

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On April 10, 2023, at 11:00AM, Licensing Program Analyst (LPA) Carol Anderson conducted an announced pre-licensing inspection. LPA met with Joseph Vaccaro, Executive Director, Crystal Goodwin Compliance Manager/Facility Administrator, Ellen Asquith, Residential Director and Whitney Rodgers, Compliance Specialist. The facility is a five bedroom, three bathroom single-family home, with attached garage. The applicant is applying for a group home with the capacity of six ambulatory clients' ages 12-17 years old. LPA inspected the interior and exterior of the facility. Living room, study room, group therapy room, family room, laundry room and kitchen. Staff offices are located throughout the facility, Staff/ nursing area has locked cabinet for medication and first aid kit with first aid manual, Disinfectants and cleaning solutions will be locked in the hall closet, Sharp knives will be locked in a drawer in the kitchen area. Hot water temperature reading at 105 degrees F. The bedrooms (downstairs) are set up as follows: Bedroom 1: designated for two clients, two twin beds, two night stands, closet space and one eight cubic feet dress drawer for both clients to utilize. Bedroom 2: designated for two clients, two twin beds, two night stands, closet space and one eight cubic feet dress drawer for both clients to utilize. Bedroom 3: designated for two clients, two twin beds, two night stands, closet space and one eight cubic feet dress drawer for both clients to utilize, Also, bathroom located inside bedroom. The staff and client files will be electronically stored on computer database and will be accessible for Community Care Licensing (CCL) to review at any time. Personal Rights, Emergency Disaster Plan, Facility Sketch and Menu posted. Fire clearance was approved. Smoke detectors are operating and fire extinguishers are properly charged and serviced. Clients will be allowed to make and receive confidential telephone calls. There is no weapon in the home. There are no cameras located inside or outside of the facility. The Backyard is set up as follows: Facility has a pool which is appropriately fenced and secured with a mesh fence. The enclosure was measured to five-foot-high feet, self-closing access gate that opened away from the pool, with a self-latching device. The backyard is fully fenced. Also, patio furniture. Storage shed located in the backyard. Large area with grassy area. The applicant has been informed that the address to this facility is available to the public. All special incident reports (SIR's) will be sent via e-mail to: cclpaccr@dss.ca.gov. The reporting requirements were reviewed with the applicant on this date. Based on the facility pre-licensing inspection and facility records' review, no deficiencies were noted at time of the inspection. Upon managers final review, the license will be provided. An exit interview was conducted with Joseph Vaccaro, Executive Director. Due to printer failure, the LIC 9099s were emailed to Administrator Crystal Goodman,Compliance Manager/Facility Administrator.

met_with: Joseph Vaccaro


summary: Facility Evaluation

raw_content:
Narrative:
On December 15, 2023, at 10:30AM, Licensing Program Analyst (LPA) Carol Anderson arrived at the facility for the purpose to conduct an unannounced post-licensing inspection, no one was at the facility. LPA contacted Crystal Goodwin, Regional Licensing and Compliance Manager West Coast & Texas via cellphone. She stated that staff will arrive shortly. 10:45AM, Facility Group Home Administrator Ellen Asquith arrived at the facility to conduct the post-licensing inspection accompany LPA. There are currently no clients residing at this facility. Due to no clients residing at this facility, no staff are currently working at this facility. LPA interviewed Facility Group Home Administrator Ellen Asquith. LPA inspected the interior and exterior of the facility. The facility is a five bedroom, three bathroom single-family home, with attached garage, living room, study room, group therapy room, family room, laundry room and kitchen. Staff offices are located throughout the facility, Staff/ nursing area has locked cabinet for medication and first aid kit with first aid manual, Disinfectants and cleaning solutions will be locked in the hall closet, Sharp knives will be locked in a drawer in the kitchen area. Hot water temperature reading at 105 degrees. The bedrooms (downstairs) are set up as follows: Bedroom 1: designated for two clients, two twin beds, two night stands, closet space and one eight cubic feet dress drawer for both clients to utilize. Bedroom 2: designated for two clients, two twin beds, two night stands, closet space and one eight cubic feet dress drawer for both clients to utilize. Bedroom 3: designated for two clients, two twin beds, two night stands, closet space and one eight cubic feet dress drawer for both clients to utilize, Also, bathroom located inside bedroom. Personal Rights, Emergency Disaster Plan, Facility Sketch and Menu posted. Smoke detectors are operating, and fire extinguishers are properly charged. There is no weapon in the home. There are no cameras located inside or outside of the facility. Board of Director meetings minutes to be emailed to LPA The Backyard is set up as follows: LPA observed the facility has a pool which is appropriately fenced and secured with a mesh fence. The enclosure was measured to five-foot-high feet, self-closing access gate that opened away from the pool, with a self-latching device. The backyard is fully fenced. Also, patio furniture. Storage shed located in the backyard. Large area with grassy area. Based on observations made during the post-licensing inspection, there are no deficiencies observed during today's inspection. The facility has demonstrated compliance with Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was given to Program Administrator Ellen Asquith.

met_with: Ellen Asquith


summary: Facility Evaluation

raw_content:
Narrative:
On April 30, 2024, at 10:00AM, Licensing Program Analyst (LPA) Carol Anderson arrived at the facility for the purpose to conduct an unannounced annual/required inspection, no one was at the facility. LPA contacted Crystal Goodwin, Regional Licensing and Compliance Manager West Coast & Texas via cellphone. She stated that staff will arrive shortly. April 30, 2024, at 10:30AM, Care Coordinator, Level 1, Maylin De Leon and Ariana Peinado, Care Coordinator, Level 3, arrived at the facility to conduct the annual/required inspection. There are currently no clients residing at this facility. LPA inspected the interior and exterior of the facility. The facility is a five bedroom, three bathroom single-family home, with attached garage, living room, study room, group therapy room, family room, laundry room and kitchen. Staff offices are located throughout the facility, Staff/ nursing area has locked cabinet for medication and first aid kit with first aid manual, Disinfectants and cleaning solutions will be locked in the hall closet, Sharp knives will be locked in a drawer in the kitchen area. Hot water temperature reading at 110 degrees. The bedrooms (downstairs) are set up as follows: Bedroom 1: designated for two clients, two twin beds, two nightstands, closet space and one eight cubic feet dress drawer for both clients to utilize. Bedroom 2: designated for two clients, two twin beds, two nightstands, closet space and one eight cubic feet dress drawer for both clients to utilize. Bedroom 3: designated for two clients, two twin beds, two nightstands, closet space and one eight cubic feet dress drawer for both clients to utilize, Also, bathroom located inside bedroom. Personal Rights, Emergency Disaster Plan, Facility Sketch and Menu posted. Smoke detectors are operating, and fire extinguishers are properly charged. There is no weapon in the home. There are no cameras located inside or outside of the facility. Board of Director meetings minutes to be emailed to LPA. The Backyard is set up as follows: LPA observed the facility has a pool which is appropriately fenced and secured with a mesh fence. The enclosure was measured to five-foot-high feet, self-closing access gate that opened away from the pool, with a self-latching device. The backyard is fully fenced. Also, patio furniture. Storage shed located in the backyard. Large area with grassy area. Based on observations made during today's inspection, there are no deficiencies. An exit interview was conducted, and a copy of this report was given to Care Coordinator Level Maylin De Leon.

met_with: Maylin De Leon


summary: Facility Evaluation

raw_content:
Narrative:
On April 24, 2025 at 10: AM, Licensing Program Analyst (LPA) Abby Saeteurn arrived at the facility unannounced to conduct a Case Management visit and met Mailyn De Leon, Residential Supervisor. Community Care Licensing received a Special Incident Report (SIR) from the facility, dated 03/30/2025, in which it was reported that C1 was administered the wrong dose of medication due to the Electronic Medical Record (EMR) not being updated. Based on information gathered, further information is needed and the case management will be extended. Verbal consent was received from Facility Administrator, Crystal Goodwin to conduct an exit interview with Mailyn De Leon. An exit interview was conducted and copy of this report was provided to Maylin De Leon , Residential Supervisor.

visit_type: Case Management

met_with: Maylin De Leon, Residential Supervisor


summary: Facility Evaluation

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Narrative:
On June 20, 2025, Licensing Program Analyst (LPA) Cynthia Velasquez, conducted an annual inspection of the facility. The facility was toured inside and out with Maylin De Leon, Residential Supervisor (RS). The home is a one-story residence with 3 bedrooms and 3 bathrooms and 2 half-baths. There are five clients placed currently. Facility was maintained and there were no blockages to walkways or entryways. Glass doors and windows at entry were clean and in good repair. The facility is positioned away from the main road, and up an elevated driveway. It is situated in a corner lot which has a side walkway with both wheelchair access and stairs to gain entry to the home. An LIC 500 dated 4/17/2023 was reviewed and all staff were verified in Guardian. Review of 5 employee files were done electronically with assistance from RS and Blanca Galindo of Human Resources. Whitney Rogers assisted with review of 5 client files electronically. Both employee files and client files had all regulatory paperwork, education, needs and services plans, and identification. All health screenings were validated at hire, and trainings were up to date. An inspection of the facility was as follows: There is a large classroom with capability of 12 users which would have their own monitor, and work space. There was a working television with streaming capabilities. There were books, chairs, and items for hand use and fidgeting. There was a copy/fax machine available for printing. There was a care coordinator's office which housed a landline phone, and emergency escape plan notebook and literature. In this area was client contraband, and allowances. Extra keys for facility vehicle, and for doors, were kept in this office space. Scanner/copier was contained in this office as well for filing purposes as all files are kept electronically. Attached to care coordinator's office was the client medications room. All medications were stored within locked cabinets or locked refrigerator. There was a 1st aid kit with all necessary items included. Extra bandaging, and antiseptics were kept on hand. The community room was well lit with lamps in corners of the room. There were several couches and individual slouch seating for clients. There is a TV and board games for clients. There are no video games in the facility. Client rights posters were visible in room. The kitchen had both standing refrigerator and freezer. Both were stocked with dated foods, which contained milk products, condiments, and frozen items. Current menus were posted with meals and snacks for the week. There was fresh fruit available for clients as well as bread and tortilla chips. There were no knives at the facility as food comes prepared from a neighboring facility, Bonsall, and there is no need for their usage. There is a patio which leads from the kitchen to the outside pool area. The patio has a large wooden table with 6 chairs for clients. The pool is 6' deep and has a Magna latch lock securing the mesh gate. The perimeter has been measured and the mesh netting meets licensing standards. There is an outside garage that is detached and houses amenities. Inside was a ping pong table, soccer net, treadmill, boxing bag with 2 sets of boxing gloves, a guitar, and a standing keyboard. Emergency shut-off valves were labeled outside of the garage. The perimeter of the outside of the facility had (3) terraces. Each terrace had fruit trees and walkways that were not blocked and maintained. There is a locked cellar underneath the therapists offices. It has been locked since the property was purchased, and the previous owner may have stored wine there in the past. The door is barred shut and there is no access to it. There is an outer-deck area for seating and for scenic viewing. Inspection of the bedrooms yielded no health and safety concerns. All rooms had 2 twin beds with mattress covers, sheets, and comforters. There were closets for shoes and clothing, and dressers with at least 3 drawers available for each client. There is a laundry room with both washer and dryer. Laundry soaps and softeners were locked in a closet with other chemicals, out of client reach. Restroom #1 had a shower, and clean sundries. Restroom #2 had a shower and clean sundries. All items were in good repair and water temperature met guidelines. Other restrooms contained sinks and toilets, and no shower amenities. There are 3 therapy rooms for clients which were in use at the time of inspection. Based on the facility inspection and file reviews this date, there are no deficiencies found at this time. A copy of this report was reviewed and given to facility representative, Maylin De Leon, Residential Supervisor, along with a Confidential Names List (LIC 811).


summary: Facility Evaluation

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Narrative:
On June 5, 2025, at 2: PM, Licensing Program Analyst (LPA) Abby Saeteurn met with Program Director Ellen Asquith to deliver a case management deficiencies report. According to a Special Incident Report (SIR) received by Community Care Licensing (CCL) on March 30, 2025, C1 was reported to have received the incorrect dose of a medication due to the facility's Electronic Medical Record (EMR) not being updated. Based on confidential interviews and records review, it was revealed that on March 29, 2025, S4 provided C1 with the incorrect dose of medication due to multiple electronic medical records being maintained. Confidential interviews revealed that on March 23, 2025, at 7: PM, C1 was prescribed two 50 mg capsules of a psychotropic medication by S5. Confidential interviews revealed that on March 28, 2025, at 3: PM, S1 made adjustments to C1's medications in an attempt to taper off C1 and lowered the dose to 1 capsule of 50 mg. At the time of the dosage adjustment, S1 did not discontinue the electronic medical record previously prescribed by S5, which led S4 to give C1 the incorrect dose on March 29, 2025. Confidential interviews revealed S2 was able to catch the discrepancy and notified S3 who ensured S1 removed the outdated electronic medical record on March 30, 2025, at 11: AM. Based on Interviews and record reviewed, the facility is being cited for violation of California Code of Regulations, Title 22, Division 6, Chapter 1, Section Children's Records (b)(16)(E) An exit interview was conducted with Program Director, Ellen Asquith. A copy of this report and appeal rights were provided and reviewed with Ellen Asquith, whose signature on this report confirms receipt of these documents.

met_with: Ellen Asquith, Program Director


summary: Facility Evaluation

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On April 21, 2026, Licensing Program Analyst (LPA) Cynthia Velasquez, conducted an annual inspection of the facility. The facility was toured inside and out with Whitney Rodgers, Compliance Specialist (CS). The home is a one-story residence with 3 bedrooms and 3 bathrooms and 2 half-baths. Facility was maintained and there were no blockages to walkways or entryways. Glass doors and windows at entry were in good repair. The facility is positioned away from the main road, and up an elevated driveway. It is situated in a corner lot which has a side walkway with both wheelchair access and stairs to gain entry to the home. There are 5 office/staff offices, a laundry area, garage, 1 classroom, 1 sitting area, a dining room, kitchen, and built-in pool. During this inspection, it was noted that the home is being re-modeled for future selling. The last client left facility in March 2026. Due to reconsideration and planning, this facility is being sold. The licensee will keep license open in case they purchase a different home and will notify the department. There are no clients placed currently, and no staff.

met_with: Whitney Rodgers, Compliance Specialist


facility_name: NEWPORT ACADEMY - FLORES

summary: Facility Evaluation

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On April 24, 2023, at 12:30PM, Licensing Program Analyst (LPA) Carol Anderson conducted an announced pre-licensing inspection. LPA met with Joseph Vaccaro, Executive Director and Ellen Asquith, Residential Director. The facility is four bedrooms, five bathrooms single-family home, with attached garage. The applicant is applying for a group home with the capacity of six ambulatory clients' ages 12-17 years old. LPA inspected the interior and exterior of the facility. Living room, therapy rooms, study room, group therapy room, family room, laundry room and kitchen. Staff offices are located throughout the facility, medication room where medications will be locked in a locked cabinet, first aid kit with first aid manual, Disinfectants and cleaning solutions will be locked in therapist office. Sharp knives will be locked in the kitchen pantry. Hot water temperature was reading in the kitchen sink 108 degrees F. Bedroom set up as follows: Bedroom 1: designated for two clients, two twin beds, two night stands, closet space and one eight cubic feet dress drawer for both clients to utilize. Also, there is an attached bathroom inside the bedroom#1. Bedroom 2: designated for two clients, two twin beds, two night stands, closet space and one eight cubic feet dress drawer for both clients to utilize. Also, there is an attached bathroom inside the bedroom #2. Bedroom 3: designated for two clients, two twin beds, two night stands, closet space and one eight cubic feet dress drawer for both clients to utilize, Also, there is an attached bathroom inside the bedroom #3. The staff and client files will be electronically stored on computer database and will be accessible for Community Care Licensing (CCL) to review at any time. Personal Rights, Emergency Disaster Plan, Facility Sketch and Menu posted. Fire clearance was approved. Smoke detectors are operating, and fire extinguishers are properly charged and serviced. Clients will be allowed to make and receive confidential telephone calls. here is no weapon in the home. There are no cameras located inside or outside of the facility as stated Joseph Vaccaro, Executive Director. The Backyard is set up as follows: Facility has a pool which is appropriately fenced and secured with a mesh fence. The enclosure was measured to five-foot-high feet, self-closing access gate that opened away from the pool, with a self-latching device. The backyard is fully fenced. Also, patio furniture. Storage shed located in the backyard. Large area with grassy area. Barn shed located on the lower level of the property per Joseph Vaccaro, Executive Director the barn shed will not be used at anytime. The applicant has been informed that the address to this facility is available to the public. All special incident reports (SIR's) will be sent via e-mail to: cclpaccr@dss.ca.gov. The reporting requirements were reviewed with the applicant on this date. Upon managers final review, the license will be provided. An exit interview was conducted, a copy of this report was discussed left with Joseph Vaccaro, Executive Director.


summary: Facility Evaluation

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Narrative:
On December 15, 2023, at 12:50PM, Licensing Program Analyst (LPA) Carol Anderson arrived at the facility for the purpose to conduct an unannounced post-licensing inspection. LPA met with Facility Group Home Administrator Ellen Asquith. There are currently no clients residing at this facility. Due to no clients residing at this facility, no staff are currently working at this facility. LPA interviewed Facility Group Home Administrator Ellen Asquith. LPA inspected the interior and exterior of the facility. The facility is four bedrooms, five bathrooms single-family home, with attached garage. Living room, therapy rooms thought out the facility, study room, group therapy room, family room, laundry room and kitchen. Staff offices are located throughout the facility, medication room, first aid kit with first aid manual, Disinfectants and cleaning solutions locked in therapist office. Sharp knives locked in the kitchen pantry. Hot water temperature was reading at 67 degrees. Per Ellen Asquith, Facility Administrator propane company will be contacted to have the hot water repaired. Also, per Ellen Asquith, there will be no clients placed at this facility until hot water is corrected by December 28, 2023. Bedroom 1: designated for two clients, two twin beds, two night stands, closet space and one eight cubic feet dress drawer for both clients to utilize. Also, there is an attached bathroom inside the bedroom#1.Bedroom 2: designated for two clients, two twin beds, two night stands, closet space and one eight cubic feet dress drawer for both clients to utilize. Also, there is an attached bathroom inside the bedroom #2.Bedroom 3: designated for two clients, two twin beds, two night stands, closet space and one eight cubic feet dress drawer for both clients to utilize, Also, there is an attached bathroom inside the bedroom #3. Personal Rights, Emergency Disaster Plan, Facility Sketch and Menu posted.Smoke detectors are operating, and fire extinguishers are properly charged.There is no weapon in the home. There are no cameras located inside or outside of the facility. The Backyard is set up as follows: Facility has a pool which is appropriately fenced and secured with a mesh fence. The enclosure was measured to five-foot-high feet, self-closing access gate that opened away from the pool, with a self-latching device. The backyard is fully fenced. Also, patio furniture. Storage shed located in the backyard. Large area with grassy area. Barn shed located on the lower level of the property. Based on observations made during the inspection, no deficiencies observed during today's inspection. The facility has demonstrated compliance with Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was given to Program Administrator Ellen Asquith.


summary: Facility Evaluation

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Narrative:
On April 30, 2024, at 11:40AM, Licensing Program Analyst (LPA) Carol Anderson made an unannounced annual/required inspection. LPA met with Care Coordinator, Level 1, Maylin De Leon and Ariana Peinado, Coordinator Level 3. There are currently no clients residing at this facility. LPA inspected the interior and exterior of the facility. The facility is four bedrooms, five bathrooms single-family home, with attached garage. Living room, therapy rooms thought out the facility, study room, group therapy room, family room, laundry room and kitchen. Staff offices are located throughout the facility, medication room, first aid kit with first aid manual, Disinfectants and cleaning solutions locked in therapist office. Sharp knives locked in the kitchen pantry. Hot water temperature was reading 118. Bedroom 1: designated for two clients, two twin beds, two nightstands, closet space and one eight cubic feet dress drawer for both clients to utilize. Also, there is an attached bathroom inside the bedroom#1. Bedroom 2: designated for two clients, two twin beds, two nightstands, closet space and one eight cubic feet dress drawer for both clients to utilize. Also, there is an attached bathroom inside the bedroom #2. Bedroom 3: designated for two clients, two twin beds, two nightstands, closet space and one eight cubic feet dress drawer for both clients to utilize, Also, there is an attached bathroom inside the bedroom #3. Personal Rights, Emergency Disaster Plan, Facility Sketch and Menu posted. Smoke detectors are operating, and fire extinguishers are properly charged. There is no weapon in the home. There are no cameras located inside or outside of the facility. The Backyard is set up as follows: Facility has a pool which is appropriately fenced and secured with a mesh fence. The enclosure was measured to five-foot-high feet, self-closing access gate that opened away from the pool, with a self-latching device. The backyard is fully fenced. Also, patio furniture. Storage shed located in the backyard. Large area with grassy area. Barn shed located on the lower level of the property. Based on observations made during today's inspection, there are no deficiencies. An exit interview was conducted, and a copy of this report was given to Care Coordinator Level Maylin De Leon.


facility_name: NEWPORT ACADEMY - GOLDEN

summary: Complaint Investigation - Unsubstantiated - 1 allegation

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Narrative:
clients however, there were conflicting statements from staff about the supervision of the clients during the PM shift, described as 3: PM to 11: PM. Confidential staff interviews revealed that staff were to be stationed on the landing of the stairs when clients were in their bedrooms but some staff indicated that this was not always the case. Staff indicated that if chores and charting needed to be done, it left clients unsupervised for periods of times. Staff indicated that the PM staff are not required to document the periodic 15 minute checks indicating the sleeping position. Staff were consistent in their statements that the 15 minute checks regarding sleeping position is required of the overnight staff and that these are to be documented. While the incident did occur, staff and clients interviewed were not consistent in their statements about supervision of the clients in their rooms that may have allowed for an inappropriate interaction between clients as indicated in the complaint allegation. As a result of this, the allegation that a lack of supervision resulted in minors engaged in inappropriate sexual behaviors while in care is UNSUBSTANTIATED at this time meaning the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview was conducted and documentation was provided to Ms. Saravia.

Investigation Findings:
13Licensing Program Analyst (LPA) Tamara Hill made an unannounced complaint inspection on 10/13/23 at 2: PM and met with Dinnielle Saravia, House Manager to discuss the findings of the allegation as stated. LPA Hill informed NAME that the complaint investigation included an initial inspection at the facility on 7/26/23 where interviews were conducted with staff and C1 (see LIC811 dated 10/13/23). LPA Hill interviewed C2 on 7/26/23 at another facility and additional staff from 10/10/23 through 10/13/23. The allegation is related to a consensual sexual interaction that occurred on or about 7/14/23 between C1 and C2 in their shared bedroom. Confidential interviews with staff did not indicate any inappropriate interactions between C1 and C2 that required heightened supervision prior to this incident. Confidential interviews with clients showed that clients knew the staff patterns for checking on clients in their bedrooms and that they had the wherewithall to hear when staff were approaching/entering the room(s) to check on UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Hall LICENSING EVALUATOR NAME: Tamara Jensen-Hill LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: NEWPORT ACADEMY - GOLDENFACILITY NUMBER: VISIT DATE: 10/13/2023

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

met_with: Dinnielle Saravia, House Manager


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The Department has investigated the complaint that Staff inappropriately touched minor. During, confidential interviews C1 refused to speak with the investigator regarding the complaint investigation. It was reported that C1 has a history of making false allegations and was unable to provide details regarding the allegation to staff. S2 stated that when S2 saw S1 and C1 interact, S2 did not see anything inappropriate or concerning. It was reported by staff that S1 is very direct, strict, a stickler with rules and sets good boundaries and C1 may not have liked that. S1 only worked at Newport Academy-Golden three times, on 11/17/2023, 11/21/2023 and on 12/05/2023. When S1 would have been on shift there would have been two to three facility staff in total. S1 denied the allegation that S1 touched minor inappropriately. Based on the investigation, observation, records reviewed, and interviews conducted, the complaint findings are UNSUBSTANTIATED at this time meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. The Department has investigated the complaint that Staff made inappropriate comments towards minor. During, confidential interviews C1 refused to speak with the investigator regarding the complaint investigation. It was reported that C1 has a history of making false allegations and was unable to provide details regarding the allegations to staff. S2 stated that when S2 saw S1 and C1 interact, S2 did not see anything inappropriate or concerning. It was reported by staff that S1 is very direct, strict, a stickler with rules and sets good boundaries and C1 may not have liked that. S1 only worked at Newport Academy-Golden three times, on 11/17/2023, 11/21/2023 and on 12/05/2023. When S1 would have been on shift there would have been two to three facility staff in total. S1 denied the allegation that S1 made inappropriate comments to C1. Based on the investigation, observation, records reviewed, and interviews conducted, the complaint findings are UNSUBSTANTIATED at this time meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. The Department has investigated the complaint that Staff are not providing a comfortable environment for minor. During, confidential interviews. C1 refused to speak with the investigator regarding the complaint investigation. C1 would not provide any details regarding not having a comfortable environment. LPA observed there to be a comfortable environment during a visit on 12/15/2023 when C1 and C2 were conducting their daily actives and talking with staff. S1 denied that there was an uncomfortable environment for C1. Based on the investigation, observation, records reviewed, and interviews conducted, the complaint findings are UNSUBSTANTIATED at this time meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No title 22 regulations were cited during today's inspection. Due to a printer error a copy of the report and appeal rights will be emailed.

Investigation Findings:
13Licensing Program Analyst (LPA) Mary Shelton conducted a visit to the facility on 5/2/2024 at 1: PM, and LPA spoke with the supervisor to deliver findings of the investigation on the complaint allegations as stated. LPA Shelton informed the complaint investigation included a tour of the facility on 12/15/2023. The initial 10-day complaint inspection was conducted by LPA Mary Shelton, at the agency on 12/15/2024 which, included a Physical Plant Inspection of the facility and obtaining of relevant documents: face sheets for all youths in the home, the most current needs and services plans for each of the youths, and incident rep orts for the youths. For staff LPA Shelton requested any corrective action plans related to staff, a current LIC 500 and client roster. LPA Shelton informed the facility that the Department of Social Services IB Investigator, Sergio Guerra, Badge #249, conducted part of the investigation. The investigator conducted interviews with S2 and Bio-Mother and LPA Shelton conducted an interview with S1. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Hall LICENSING EVALUATOR NAME: Mary Shelton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: NEWPORT ACADEMY - GOLDENFACILITY NUMBER: VISIT DATE: 05/02/2024

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

met_with: Dinnielle Saravia, Residential Supervisor


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Investigation showed that facility staff were aware that C1 and C2 were "too friendly" with one another and staff attempted to supervise the youth at all times but, given the staffing ratio of one staff to three clients, and the acuity of the youth in care, it was difficult at times to maintain supervision. Interviews with current and previous staff members indicated that C1 and C2 were "overly friendly" and "sneaky" in their relationship with one another, leading to a time when C1 and C2 left their respective rooms at least one time at night to "meet up in the hallway". Confidential interviews with staff failed to indicate any staff members being aware of any inappropriate touching or a romantic relationship between C1 and C2 and failing to intervene. LPA Hill was informed that there were some boundary violations between C2 and S1 in that S1 discussed their personal life with C2 and that C2 may have "held that over [S1]", indicating that C2 may have been granted privileges including not being supervised appropriately. LPA Hill found that no additional staff that could corroborate this allegation but another youth in care indicated that one of the youths would "sneak into their room" at night without staff knowing to "make out" with their roommate. LPA Hill attempted to reach out to C1 and C2 but neither youth would consent to an interview. Youths' respective parent/guardian relayed that, since their youth returned from care, they were concerned about the supervision of the youth in the facility due to this relationship developing and being allowed to "blossom", causing undue harm and further trauma since being in care. Regarding the allegation that staff sleep during their shift, confidential interviews revealed that there were numerous allegations made by youth about various staff but there was never any evidence to corroborate this allegation against any of the staff employed by the agency. Confidential interviews with staff indicate that Residential Supervisors and other staff did sporadic check-ins during the overnight shift to verify allegations as they surfaced but were unsuccessful. While the allegations continued to be made, investigation did not indicate a time when any staff were found to be asleep during that shift or any other shift despite the continued allegations. As a result of the investigation and interviews conducted, the allegations that staff are allowing minors to engage in inappropriate behavior(s) while in care, that staff do not provide adequate supervision to minors, and that staff sleep during shift(s) are UNSUBSTANTIATED at this time meaning the allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Exit interview was conducted to Ms. Saravia and documentation was provided.

Investigation Findings:
13Licensing Program Analyst (LPA) Tamara Hill made an unannounced complaint inspection on 5/29/24 at 2: PM and met with Dinnielle Saravia, Resident Supervisor to discuss the complaint findings. LPA Hill informed Ms. Saravia that the investigation included an initial inspection on 3/6/24 and a subsequent inspection on 5/6/24. Collateral inspections were conducted on 4/24/24 and 5/10/24 where interviews were conducted. LPA Hill interviewed six staff, including previous staff, and one previous client. LPA Hill attempted to interview C1 and C2 (see LIC811 dated DATE) but the parent/guardian for these youth refused to cooperate with the investigation citing trauma-related concerns. The allegations that staff are allowing minors to engage in inappropriate behavior(s) while in care and that staff are not providing adequate supervision to minors are related to allegations that C1 and C2 had an inappropriate relationship while in care and that while the staff were present and knew, they did little to nothing to maintain supervision and boundaries between the youth as needed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Hall LICENSING EVALUATOR NAME: Tamara Jensen-Hill LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: NEWPORT ACADEMY - GOLDENFACILITY NUMBER: VISIT DATE: 05/29/2024

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

met_with: Dinnielle Saravia, Resident Supervisor


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an announced visit on 1/24/22 at 1: PM and met with Michelle Good, Residential Director to conduct a Pre-Licensing Visit. LPA observed that the facility is clean and safe for potential clients. LPA observed that there are three dual occupancy rooms for clients. One of the rooms needs dowels in the closet for clients to hang their belongings. LPA observed that the smoke detectors are not inner-linked and that they were functioning during the inspection. LPA did not find a carbon monoxide detector on the top floor where client rooms are located and did advise that it needs to be installed prior to accepting clients. LPA observed that the hot water is not functioning at this time and Ms. Good states that it was due to an electrical part that needs to be ordered and installed. LPA advised that no clients can be accepted until the hot water is fixed and functioning. Ms. Good shall provide proof of water heater being fixed prior to accepting any clients in care. LPA observed several fire extinguishers throughout the house but none of them are tagged with the last inspection date by the fire department. The facility shall ensure that all fire extinguishers are tagged with the proper inspection tag as required. Other than the issues discussed in this document, LPA found no other issues barring the facility from obtaining their license. LPA is recommending licensure at this time. Exit interview conducted and document provided to the agency.

met_with: Michelle Good, Residential Director


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced case management inspection to the facility on 5/5/22 and met with Michelle Good, Residential Director to discuss the following incident. The incident happened on 4/4/22 where C1 went to the hospital as a result of an unauthorized absence and another incident that occurred on 4/11/22 where C1 placed a pillow over the face of another client in the facility. C1 was subsequently taken to the hospital to be evaluated and then discharged from the program. LPA arrived at the facility on 5/5/2022 to ask facility for client face sheet, Needs and Services Plan, pre-placement appraisal documentation, and a copy of the discharge policy signed by the parent/guardian. LPA informed Ms. Good that the incident report from 4/4/22 documenting an unauthorized absence is not required to be reported to the Department as the document states "Client was never out of staff's sight." meaning that while C1 walked about and even left the property, it is not an unauthorized absence requiring notification to the Department as C1 was not out of staff's sight. The incident of 4/11/22 where C1 engaged in an unsafe behavior needs further evaluation and LPA shall return to conclude the evaluation of this incident. LPA also requested case notes related to behaviors that lead to the decision to discharge C1 as Ms. Good states that there was more than the incident articulated in the 4/11/22 incident. LPA did provide the agency with a copy of the regulation related to Removal and Discharge Procedures 84068.4 in Title Regulations. Exit interview was conducted and documents were provided to the facility.


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced annual inspection visit on 5/27/22 at 8: AM and met with Michelle Good, Residential Director who assisted with the inspection. LPA toured the facility inside and out and observed that the physical plant of the facility was in substantial compliance with Title Regulations. LPA observed that the facility had three dual occupancy client rooms, two full restrooms were stocked with appropriate soap, paper towels and toilet paper as required and were all functioning and had hot water. LPA observed that the fire extinguishers are placed throughout the facility and were inspected as on 1/26/22. LPA observed that one of the client's beds were not made and that fitted sheet was in the room but not on the bed. LPA observed that the facility kitchen was well stocked and had the required perishable and non perishable food as required. LPA observed that there were adequate snacks for clients at the facility. LPA did speak to the facility about nutritional needs for one of the youth at the facility. LPA reviewed two client files and two staff files while at the facility and observed that the facility is not doing Needs and Services Plans as required. LPA did observe treatment plans for the youth but they did not have the required elements as noted on the Needs and Services Plans. During the annual inspection, the facility was cited for 84065(d)(3) Personnel Requirements for no proof of facility manager training; 84065(i)(3)(M) Personnel Requirements for not having proof of Medication Training for staff; 80069(a) Client Medical Assessment for not having the proper medical assessment completed for C1 who had been at the facility for more than 30 days; 84070(c)(1) Children's Records for not having a Needs & Services Plan in the clients' files. Exit interview was conducted and documents were provided.


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced annual inspection on 1/25/23 at 12: PM and met with Shanic Davidson, Residential Supervisor. Michelle Good finalized the report and signed and received documentation related to the inspection. LPA toured the inside of the facility and observed that the facility was clean and sanitary during the inspection. LPA observed that the smoke detectors were functioning as required and that the facility has a carbon monoxide detector on each floor that functioned as required. LPA observed that there are three dual occupancy rooms in the facility that were all equipped with the required bedding, storage and furniture as required for the clients in care. LPA observed that the bathrooms were clean and toilets, showers and sinks were functioning as required. LPA observed that the water temperature in the client bathrooms was 118 degrees Fahrenheit. LPA observed that the fire extinguishers in the facility were last inspected on 1/11/2023 by the fire inspector. LPA observed that the kitchen was appropriately stocked with food and snacks as required. LPA observed that there were three cooks that were doing meal preparation during the inspection. LPA did not issue any citations at the facility during the inspection but did provide the facility with two technical violations and one technical assistance. The technical violations are related to making the air conditioner inaccessible to clients and maintaining documentation related to drills. The technical assistance document is related to training facility staff on emergencies and disasters. LPA interviewed clients who were willing to be interviewed and interviewed three staff during the inspection. LPA advised Ms. Good that the inspection is not complete and that an additional inspection is needed. Exit interview conducted and documentation was provided to the facility.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced annual inspection on 1/26/23 at 9: AM and met with Breana Bertolino, Administrator. The purpose of the inspection today was to review medication records for clients and to review client files. LPA Hill observed that there were several missing items related to client files and citations were issued as follows: Children's Records - psychotropic medication authorization is required in the client files and refusal documentation. In addition, documentation related to needs and service plan authorization by parent/guardian prior to implementation, proof of client vaccinations are obtained upon admission, proof that the authorized representative has been provided discipline policies, removal/discharge polices, and complaint/grievance procedures, and that the facility has treatment plans that are thorough and include all required aspects of the needs and services as required. Exit interview was conducted with Ms. Bertolino and documents were provided.

Deficiencies:
84068.2(b): Needs and Services Plan

(b) The needs and services plan shall identify the child's needs in the following areas

met_with: Breana Bertolino, Administrator


facility_name: NEWPORT ACADEMY - HAPPY VALLEY

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Per the Performance Improvement Plan signed by S1 and Administrator, S1 was put on the plan due to the following behavior: "Demonstrates inappropriate responses/boundaries with clients (I.E., "Cussing at clients when they give pushback/do not follow redirection"). Based on the confidential interviews and record review, the allegations that staff used inappropriate language toward clients in care and staff did not treat clients with dignity and respect while in care have met the preponderance of doubt and therefore the allegation is substantiated. LPA delivered a Type B citation for California Code of Regulations Title 22 80072 (a)(1) (see LIC 9099D). LPA conducted an exit interview and provided appeal rights with Priscilla Hernandez, Administrator at 12:35PM. Documentation was sent for signature due to connection issues.

Investigation Findings:
13On 7/20/2023 at 12:14PM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the licensed facility. The purpose of this visit was to deliver the findings for the listed allegation. LPA Madeleine Fremont initially opened the investigation with the facility on 4/6/2023. During the course of the investigation, LPA Hood, LPA Fremont, and LPM Helga Wong conducted eleven confidential interviews. LPA Hood reviewed clients' treatments plans, staff performance improvement plan, and shift notes. Based on confidential interview, five interviews stated that S1 had cussed directed towards youth in care. There were inconsistencies in what exactly was said between the three interviewed. LPA was not able to interview the youth involved due to lack of parental permission. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: NEWPORT ACADEMY - HAPPY VALLEYFACILITY NUMBER: 015650119

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

met_with: Priscilla Hernandez

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
Based on confidential interviews and record review, the allegation that facility nurse made a threat to client may or may not be true. The allegation has not met the preponderance of doubt and is therefore unsubstantiated. No deficiencies were cited at this time. LPA conducted an exit interview with Priscilla Hernandez, Program Director at 12:01PM whose signature confirms the receipt of this document.

Investigation Findings:
13On 8/7/2023 at 11:57AM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the licensed facility. The purpose of this visit was to deliver the findings for the above allegation. LPA met with Priscilla Hernandez, Program Director. During the course of the investigation, LPA conducted eight confidential interviews. LPA reviewed C1's file, internal investigation notes, and the staff schedule. Based on confidential interviews, there were no witnesses to the alleged threat. Based on two interviews, the client involved had a history of making false allegations.The client involved is on an extended AWOL from home and was not available to interview. Based on record review, the internal investigation did not find conclusive evidence either way. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: NEWPORT ACADEMY - HAPPY VALLEYFACILITY NUMBER: VISIT DATE: 08/07/2023

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


raw_content:
Narrative:
information. According to record review of one client's drug test that was administered on 5/15/2023, one client had test positive for marijuana. This client was admitted to the facility on 3/31/2023 and there were no records AWOLs at this point. Based on record review of treatment plans, all three clients involved had a goal of lessening substance abuse. Based on record review of the daily notes for 5/13/2023, three clients had gone on an outing with S1 due to the carbon monoxide detector being set off. Based on confidential interviews and record review of the incident report, S1 had taken the three clients in their personal car. Per confidential interviews and review of the facility protocols, staff members are prohibited from utilizing their personal cars to transport clients. Based on review of the staff schedule, S1 was one of the two staff members on shift on 5/13/2023 from 3PM-11PM. According to internal investigation and two confidential interviews, S1 had allowed a client to drive their personal car while other youth were in the car. This client did not have their driver's license. Based on record review and confidential interviews the allegation that staff member provided marijuana to minor in care has met the preponderance of doubt and is therefore substantiated. This poses an immediate threat to the health, safety, and/or personal rights of clients in care. LPA delivered a Type A citation for Health and Safety Code 1568.092 (see LIC809D). Based on record review and confidential interviews the allegation that staff member took minor in care on unauthorized outings has met the preponderance of doubt and is therefore substantiated. This poses an immediate threat to the health, safety, and/or personal rights of clients in care. LPA delivered a Type A citation for California Code of Regulations Title 22 84074(d). Based on record review and confidential interviews the allegation that staff member allowed minor in care to behave in an unsafe manner while on an outing has met the preponderance of doubt and is therefore substantiated. This poses an immediate threat to the health, safety, and/or personal rights of clients in care. LPA delivered a Type A citation for California Code of Regulations Title 22 84065.2(b)(1) (see LIC809D). LPA Hood conducted an exit interview with Brad Lovegren, Associate Clinical Director at 1:35PM and provided appeal rights. The allegation has not met the preponderance of doubt and is therefore unsubstantiated. No deficiencies were cited in regards to this allegation. LPA conducted an exit interview with Brad Lovegren, Associate Clinical Director at 1:37PM whose signature confirms the receipt of this document.

Investigation Findings:
13On 8/31/2023 at 12:40PM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the licensed facility. The purpose of this visit was to deliver the findings for the listed allegations. LPA met with Brad Lovegren, Associate Clinical Director. During the course of the investigation, LPA Hood, LPA Madi Fremont, and Licensing Program Manager (LPM) Helga Wong conducted sixteen interviews with fourteen participants. LPA Hood reviewed the shift notes for 5.13.2023, treatment plans for three clients, staff schedule, pertinent incident reports, drug test results for one client, and S1's Guardian clearance. Based on confidential interviews, one interviewee was a primary witness to a staff member providing clients marijuana and nicotine vape pens. According to confidential interviews, seven of the other participants were aware that S1 had provided marijuana vape pens to the clients in care. Of the three clients involved in the allegations, two clients were unavailable to speak due to lack of parental authorization and lack of contact SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: NEWPORT ACADEMY - HAPPY VALLEYFACILITY NUMBER: VISIT DATE: 08/31/2023

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

met_with: Brad Lovegren


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
The purpose of this meeting was to deliver the finding for the listed allegations. LPA Hood initially informed the facility of the listed allegation on 9/21/2023. LPA Hood received the following documents: C1's service plan, C1's shift notes, C1's face sheet, staff schedule, S1's training, S1's clearance information, and S1's personal information. LPA Hood conducted one confidential interview. During the course of the investigation, Investigations Branch Investigator Eddie Phung had conducted eight interviews from 9/29/2023 to 11/14/2023. Investigator Phung also reviewed the staff schedule, S1's file, C1's file, written staff testimony, and the Alameda County Sheriff's Office police report. Based on confidential interviews and record reviews, the allegation of sexual abuse had maintained consistent through multiple interviews. Four confidential interviews reported that they had viewed concerning behavior between one staff and one client [S1 and C1]. Based on one firsthand account and record review, on 9/1/2023 one staff member viewed S1 and C1 holding hands with each other. Based on record review, the facility had documented that multiple staff had concerns with S1's boundary-crossing in the facility, especially pertaining to C1. According to confidential interviews, during one of their shifts S1 had relieved the night shift early and texted the other morning shift person to inform them when they would be arriving to the facility. Based on Investigator Phung's record review, S1's early arrival at the facility had been logged on the staff timesheet. The allegations were also investigated by the Alameda County Sheriff's Office. Investigator Phung and LPA Hood reviewed the police report, the charges were sent to the Alameda County District Attorney's Office for review of criminal charges. Based on the confidential interviews and record review, the allegation that staff sexually abused a youth in care has met the preponderance of doubt and is therefore substantiated. Community Care Licensing (CCL) delivered a Type A citation for California Health and Safety Code 1568.092(a)(2) (see LIC 9099D). LPA Hood delivered appeal rights and created a plan of correction with the facility representative. LPA conducted an exit interview with Crystal Goodwin, Compliance Officer at 12:20PM. This meeting was conducted virtually, this report will be sent virtually for signature.

Investigation Findings:
13On 12/7/2023 at 12:10, Licensing Program Analyst (LPA) Selena Hood, LPA Brenda Rodriguez, Licensing Program Manager (LPM) Helga Wong, and Regional Manager (RM) Nelson Martinez conducted a meeting with the following attendees: Kristina Schmenitzer, Regional Executive Director Annie Gendaszek, Associate Vice President of Compliance and Licensing Heather Hagen, Executive Director of Clinical Outpatient Services Priscilla Hernandez, Program Director Crystal Goodwin, Compliance Officer Alvaro Zambrano, Administrator of Newport Oasis Rayjay Peralta, Administrator of Newport Happy Valley and Newport Willow Hill Rebecca Whitehead, Vice President of Residential Services Joe Procopio, CEO of Newport Academy, Board Member SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN BRUNO ASC, TRAEGER AVE., SUITE FACILITY NAME: NEWPORT ACADEMY - HAPPY VALLEYFACILITY NUMBER: VISIT DATE: 12/07/2023

met_with: Crystal Goodwin


raw_content:
Narrative:
Based on confidential interviews and record review of an internal investigation, multiple clients had alleged that one staff member had brought these magazines into the facility. Based on confidential interviews, the allegations made were consistent with each other. Based on record review of incident reports, two inappropriate magazines were brought into the facility by one staff member. One client involved had declined to interview with LPA, but had made multiple documented statements to facility staff. Based on the consistency of allegations made in confidential interviews, LPA observation, and record review, the allegation that staff had provided minor with an inappropriate magazine has met the preponderance of doubt. This poses an immediate risk to the health, safety, and/or personal rights of clients in care. LPA delivered a Type A citation for Health and Safety Code 1568.092(a)(2). The facility was previously cited for this code on 12/7/2023, based on this LPA assessed a $250 immediate civil penalty for repeat violations on an LIC421FC. LPA delivered appeal rights and conducted an exit interview with Patrick Protacio, Counselor at 12:30pm whose signature confirms the receipt of this document.

Investigation Findings:
13On 5/3/2024 at 12:15pm, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the licensed facility. The purpose of this visit was to deliver the findings for the listed allegation. LPA met with Patrick Protacio, Counselor. During the course of the investigation, LPA conducted nine confidential interviews. LPA reviewed the staff schedule, daily notes, staff member training, clients' treatment plans, pertinent incident reports, contraband found inside the facility, and therapist notes. LPA observed that a magazine with adult content including lewd depictions of intercourse was retrieved from a client in care. According to record review and confidential interview, parts of another adult magazine with similar content was found in the facility. These parts of the magazine were disposed of before LPA reviewed. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN BRUNO ASC, TRAEGER AVE., SUITE FACILITY NAME: NEWPORT ACADEMY - HAPPY VALLEYFACILITY NUMBER: 015650119

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

met_with: Patrick Protacio


raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation occurred. Therefore, the allegation is UNSUBSTANTIATED. A technical violation was issued during the inspection. A copy of this report was given to Douglas Mucheke, Residential Supervisor.

Investigation Findings:
13On 05/06/25 at 9:55AM, Licensing Program Analysts (LPAs) Mona Lam and Jonathan Medina conducted an unannounced inspection at the above listed facility with Douglas Mucheke, Residential Supervisor, who helped with the inspection. The purpose of the inspection was to deliver the complaint findings. At the time of the inspection, there were four clients on the property and two clients were sent to higher levels of care. The complaint alleged that staff do not properly maintain the facility. LPA Mona Lam and LPA Hanako Primer conducted confidential interviews and conducted physical plant inspection, in which inconsistent information was provided. At the beginning of today's inspection, LPAs Lam and Medina observed a doorbell which was not working. Staff informed LPAs that doorbell has not been working for over a week and submitted a ticket for repair. LPAs issued a technical violation under 80087(a) Buildings and Grounds. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Joel Segura LICENSING EVALUATOR NAME: Mona Lam LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN BRUNO RO, TRAEGER AVE., SUITE FACILITY NAME: NEWPORT ACADEMY - HAPPY VALLEYFACILITY NUMBER: VISIT DATE: 05/06/2025

met_with: Douglas Mucheke, Residential Supervisor


raw_content:
Investigation Findings:
13On 05/21/25 at 10: AM, Licensing Program Analysts (LPAs) Mona Lam and Hanako Primer conducted an unannounced inspection at the above listed facility with Patrick Partachio, Counselor who helped with the inspection. The purpose of the inspection was to deliver the complaint findings. At the time of the inspection, there were five clients on the property. The complaint alleged that staff conducts unreasonable searches. LPA Mona Lam and LPA Hanako Primer conducted confidential interviews. Based on the confidential interviews, a search was warranted due to a phone charger went missing from a classroom at the time of the incident. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation occurred. Therefore, the allegation is UNSUBSTANTIATED. A copy of this report was given to Patrick Partachio, Counselor. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Joel Segura LICENSING EVALUATOR NAME: Mona Lam LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Patrick Partachio, Counselor


raw_content:
Investigation Findings:
13On 07/08/2025 at 9: AM, Licensing Program Analyst (LPA) Mona Lam conducted an unannounced inspection at the above listed facility with Kimeeco Epps, Residential Manger who helped with the inspection. The purpose of the inspection was to deliver the complaint findings. At the time of the inspection, there were five clients on the property. The complaint alleged that staff are not preventing inappropriate interaction between minor's in care. LPA Mona Lam and LPA Hanako Primer conducted confidential interviews. Based on the confidential interviews, interviews had discrepancies regarding whether an incident had occurred or not due to not having any staff witnesses. In addition, some clients involved with alleged incidents were not available to interview. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation occurred. Therefore, the allegation is UNSUBSTANTIATED. A copy of this report was given to Kimeeco Epps, Residential Manger. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Joel Segura LICENSING EVALUATOR NAME: Mona Lam LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Kimeeco Epps, Residential Manger


facility_name: NEWPORT ACADEMY - HIGHCLIFF

raw_content:
Narrative:
Confidential witness statements revealed that C1's injury was self-inflicted. Confidential interviews revealed that the facility did not report the incident to C1's authorized representatives. Other confidential interviews revealed that the facility did report the incident to C1's authorized representatives. C1 was unable to be interviewed. Documented attempts to interview C1 are in the facility file. Based on confidential interviews, and records reviewed, the allegations that C1 sustained a fracture while in care, and staff did not report incident to C1's responsible party, may have occurred, however are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report, along with the appeal rights were explained and provided to Director Amanda Seymour.

Investigation Findings:
13On May 10, 2022, at 2:40pm, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced to the facility and met with Director Amanda Seymour of Newport Academy-Highcliff to discuss the investigative findings for the allegations noted above. LPA conducted an inspection with the facility on October 7, 2021, at 10:31am, no deficiencies were noted. During the investigation, LPA interviewed three Group Home staff (S1, S2, S3), two biological parents (BP1, BP4) of clients #1, and #4 (C1, C4), and three clients (C2, C3, C5). LPA also reviewed one Serious Incident Report (SIR) dated September 19, 2021, and one police report. Client #1 and Client #4 (C1, C4) were unavailable to be interviewed. On September 28, 2021, the Department received allegations that a youth sustained a fracture while in care, and staff did not report incident to youth's responsible party. It was reported that C1 had fractured C1's right hand during an incident that took place on 09/19/2021, at the facility. Confidential witness statements revealed that C1 was observed hitting walls and objects inside the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Adrian Mendez 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 22-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, THE CITY DR., SUITE FACILITY NAME: NEWPORT ACADEMY - HIGHCLIFFFACILITY NUMBER: VISIT DATE: 05/10/2022

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

met_with: Amanda Seymour