raw_content:
Investigation Findings:
13On 11/9/2023 at 10:21am, Licensing Program Analyst (LPA) Christine Wilson made an unannounced inspection to the above listed facility, and met with (PM) for the purpose of concluding the investigation on the above allegation: The investigation included confidential interviews with, including but not limited to, clients, facility staff members, and administrative staff. The investigation revealed enough evidence to determine that the allegation did take place and was subject to a formal, verbal and written warning to staff (S1) from administrtaive staff. Based on information from record review and confidential interviews, the preponderance of the evidence standard has been met. Licensing Program Analyst has determined a substantiated finding for a violation of personal rights of (C1), therefore the finding is substantiated, thus, posing an immediate health, safety and personal rights risk of harm to children placed in care. The facility is issued a citation Type A [See page LIC9099-D for cited deficiencies]. An exit interview was conducted, and appeal rights were discussed. A copy of this report, Confidential LIC811, comfidential names list and appeal rights were provided to Facility Manager. (Continued on page LIC9099-D). SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Christine Wilson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION WOODLAND HILLS S.Ro, Ventura Blvd., STE. WOODLAND HILLS, CA FACILITY NAME: OLIVE CREST-HOPE REFUGEFACILITY NUMBER: 425802141

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

met_with: Program Manager


state: CA

facility_name: OLIVE CREST-HOPE REFUGE

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
The allegations may have happened, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the finding is unsubstantiated. There are no deficiencies to be cited, at this time, regarding the above allegations.

Investigation Findings:
13On January 30, 2024 at 11:08 am, Licensing Program Analyst (LPA) Christine Wilson made an unannounced inspection to Olive Crest Hope Refuge Short Term Residential Therapeutic Program (STRTP) for the purpose of concluding the investigation on the above allegations. Based on the confidential interviews conducted during the investigation process, record review, and statements obtained, LPA Wilson concluded the allegations: are unsubstantiated. Supporting evidence includes: interviews with facility residents and staff denying any observance of staff handling minors inappropriately or neglecting personal rights. Additionally, interviews reveal that general pest control services took place during the time of the allegations. Further, though staff have been trained to make reasonable prudent standard determinations of transport of clients, there is no actual report of witnessing a staff deny onsite medical care, that required transport of client to receive medical attention when needed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Christine Wilson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION WOODLAND HILLS S.Ro, Ventura Blvd., STE. WOODLAND HILLS, CA FACILITY NAME: OLIVE CREST-HOPE REFUGEFACILITY NUMBER: VISIT DATE: 01/30/2024

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

report_type: Complaint Investigation

complaint_status: unsubstantiated


raw_content:
Investigation Findings:
13On January 30, 2024 at 11:08 am, Licensing Program Analyst (LPA) Christine Wilson made an unannounced inspection to Olive Crest Hope Refuge Short Term Residential Therapeutic Program (STRTP) for the purpose of concluding the investigation on the above allegation. Based on the confidential interviews conducted during the investigation process, record review, and statements obtained, LPA Wilson concluded the allegations: are unsubstantiated. Supporting evidence includes: interviews with facility residents and staff denying any observance of staff neglecting personal rights. Additionally, interviews reveal that staff acted to move all clients to new rooms when client C1 reported the complaint and C1 stated there have been no further incidents. The allegations may have happened, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the finding is unsubstantiated. There are no deficiencies to be cited, at this time, regarding the above allegation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Christine Wilson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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


raw_content:
Narrative:
Page Supporting evidence includes the following: There is not enough evidence to support that children or non-minor dependents in care were unenrolled improperly by the licensee. Although children were transferred to a different educational setting, there is not enough evidence to support that children in care did not have educational needs met. Lastly, there is not enough evidence to support that non-minor dependents did not have educational needs met as a result of the licensee.. There are no deficiencies to be cited at this time. Exit Interview conducted, and a copy of this report was emailed to the facility.

Investigation Findings:
13On 04/17/2024 at 11:03am, Licensing Program Analyst (LPA), Christine Wilson met with Program Director, Administrator (PD), and concluded the investigation of the above allegation. During the course of this investigation, LPA Wilson conducted witness interviews, record reviews, and made observations. The investigation included confidential interviews with clients, facility and administrative staff, school staff and probation officers. Based on all interviews conducted and documents obtained, the above allegation was found to be unsubstantiated, meaning that the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred Continued on 9099C page UnsubstantiatedEstimated Days of Completion: Notes:///882583BF005BEA7A/987F12826F87F44788256AF6007A4A7A/20F16C9881ED602488258B010082CEE SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Christine Wilson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION WOODLAND HILLS S.Ro, Ventura Blvd., STE. WOODLAND HILLS, CA FACILITY NAME: OLIVE CREST-HOPE REFUGEFACILITY NUMBER: VISIT DATE: 04/17/2024

Allegations:
- UnsubstantiatedEstimated Days of Completion: Notes:///882583BF005BEA7A/987F12826F87F44788256AF6007A4A7A/20F16C9881ED602488258B010082CEE9 LIC9099-C Unsubstantiated Estimated Days of Completion: Notes:///882583BF005BEA7A/987F12826F87F44788256AF6007A4A7A/20F16C9881ED602488258B010082CEE9 LIC9099-C Unsubstantiated Estimated Days of Completion: Notes:///882583BF005BEA7A/987F12826F87F44788256AF6007A4A7A/20F16C9881ED602488258B010082CEE9 LIC9099-C

met_with: Program Director/Administrator


raw_content:
Investigation Findings:
13On October 22, 2024 at 10:43 am, Licensing Program Analyst (LPA) Christine Wilson made an unannounced inspection to the above listed facility for the purpose of concluding the investigation on the above allegation. Based on the confidential interviews with all relevant persons, conducted during the investigation process, record review, and statements obtained, LPA Wilson concluded the allegation is unsubstantiated. Although the client has graduated from high school; the youth is a minor and rejected admission to college or a vocational training program. The licensee provides life skills education which the youth's probation officers and social worker have agreed to. Although the allegations may have happened, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the finding is unsubstantiated. There are no deficiencies to be cited, at this time, regarding the above allegations. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Christine Wilson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Facility Administrator


raw_content:
Investigation Findings:
13On October 22, 2024 at 10:43 am, Licensing Program Analyst (LPA) Christine Wilson made an unannounced inspection to the above listed facility for the purpose of concluding the investigation on the above allegation: (1) Staff engaged in physical altercations with minors in care, The investigation included confidential interviews with, including but not limited to,clients, facility staff members and administrative staff, as well as client probation officer and records review. Staff (S1) engaged in physical and verbal aggression against clients, that resulted in a violation of personal rights. Based on information from record review and confidential interviews, the preponderance of the evidence standard has been met. The Department has determined substantiated finding for a violation of personal rights; thus, posing an immediate health, safety and personal rights risk of harm to children placed in care. The facility is issued a citation [See page LIC9099-D for cited deficiencies]. Report continues on LIC9099A. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Christine Wilson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION WOODLAND HILLS S.Ro, Ventura Blvd., STE. WOODLAND HILLS, CA This is an official report of an unannounced visit/investigation of a complaint received in our office on 08/19/2024 and conducted by Evaluator Christine Wilson COMPLAINT CONTROL NUMBER: 31-CR- FACILITY NAME:OLIVE CREST-HOPE REFUGEFACILITY NUMBER: ADMINISTRATOR:DAVID HARPERFACILITY TYPE: ADDRESS: REFUGIO ROADTELEPHONE: (805) 243- CITY:GOLETASTATE: CAZIP CODE: CAPACITY:16CENSUS: 6DATE: 10/22/ UNANNOUNCEDTIME BEGAN: 10: AM MET WITH:Facility AdministratorTIME COMPLETED:11: AM 9Staff do not ensure facility is kept free of pests INVESTIGATION FINDINGS: On October 22, 2024 at 10:43 am, Licensing Program Analyst (LPA) Christine Wilson made an unannounced inspection to the above listed facility for the purpose of concluding the investigation on the above allegation: (2) Staff do not ensure facility is kept free of pests The investigation included confidential interviews with, including but not limited to, facility staff members, and administrative staff, as well as review of pest service records for the facility. Based on the confidential interviews with all relevant persons, conducted during the investigation process, record review, and statements obtained, LPA Wilson concluded the allegation is unsubstantiated. Although the clients may have seen pests on the property, the licensee receives monthly pest control services for both indoor and outdoor pest control. Although the allegations may have happened, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the finding is unsubstantiated. There are no deficiencies to be cited, at this time, regarding the above allegation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Christine Wilson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION WOODLAND HILLS S.Ro, Ventura Blvd., STE. WOODLAND HILLS, CA FACILITY NAME: OLIVE CREST-HOPE REFUGEFACILITY NUMBER: 425802141

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


raw_content:
Investigation Findings:
13On 12/02/24, at 10:46am, Licensing Program Analyst (LPA) Christine Wilson made an unannounced inspection to the above facility for the purpose of concluding the investigation on the above allegation and deliver the finding. LPA met with with Facility Administrator and together, discussed the investigative findings. During the investigative process by LPA Wilson, relevant parties have been accounted for. Supporting evidence includes: interviews with house residents reporting conflicting information related to allegatiosn. Further, key witnesses that could determine the validity of the allegations were either not available or declined to be interviewed. The above allegations are unsubstantiated meaning, although the allegations may have happened or is valid, there is not a preponderance of evidence to prove th ealleged violations did or did not occur. 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: Christine Wilson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION WOODLAND HILLS S.Ro, Ventura Blvd., STE. WOODLAND HILLS, CA This is an official report of an unannounced visit/investigation of a complaint received in our office on 08/16/2024 and conducted by Evaluator Christine Wilson COMPLAINT CONTROL NUMBER: 31-CR- FACILITY NAME:OLIVE CREST-HOPE REFUGEFACILITY NUMBER: ADMINISTRATOR:DAVID HARPERFACILITY TYPE: ADDRESS: REFUGIO ROADTELEPHONE: (805) 243- CITY:GOLETASTATE: CAZIP CODE: CAPACITY:16CENSUS: 6DATE: 12/02/ UNANNOUNCEDTIME BEGAN: 10: AM MET WITH:Program AdninistratorTIME COMPLETED:12: PM 9Staff served expired food to minors in care. INVESTIGATION FINDINGS: 13On 12/02/24, at 10:46am, Licensing Program Analyst (LPA) Christine Wilson made an unannounced inspection to the above facility for the purpose of concluding the investigation on the above allegation and deliver thefindings. LPA met with with Facility Administrator and together, discussed the investigative findings. During the investigative process by LPA Wilson, relevant parties have been accounted for. Supporting evidence includes: interviews with house residents and parole officers reporting corroborating information related to the allegation. During the course of the investigation it was discovered by LPA Wilson that expired food was made avaiable and being served to clients. Further, key witnesses that could determine the validity of the allegation were interviewed and provided supporting information. The above allegation is substantiated meaning,there is a preponderance of evidence to prove the alleged violation did occur, posing an immediate health, safety and personal rights risk of harm to children placed in care. A (1) Type A deficiency is being cited at this time (See LIC9099D). Exit Interview conducted, appeal rights and Plan of Correction were discussed and a copy of this report was left at the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Christine Wilson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION WOODLAND HILLS S.Ro, Ventura Blvd., STE. WOODLAND HILLS, CA FACILITY NAME: OLIVE CREST-HOPE REFUGEFACILITY NUMBER: 425802141

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

met_with: Program Adninistrator


facility_name: OLIVE CREST TREATMENT CENTERS - MALENA

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews and record review revealed that on 11/14/2020, C1 and C2 were outside of the STRTP smoking and S2 asked the clients to give up what they were smoking. The clients refused and began walking away from the facility. At that time, S2 and S1 followed the two clients and there was a verbal altercation as staff were trying to get clients to go back to the facility. One confidential interview revealed C1 pushed S1 after S1 grabbed C1's hand, while another interview and record review revealed C1 pushed S1 when S1 stood in front of C1. Confidential interviews revealed that after C1 pushed S1, S2 told C1 if C1 put hands on staff again, S2 would push C1. S2 admitted to saying to both clients, not either one specifically, that S2 would push them if they pushed staff. S2 revealed at that time, S1 told S2, S2 could not say those things to the clients. S2 stated it was S2's first month on the job and admitted S2 made a mistake in saying that. Based on confidential interviews and record review, the preponderance of evidence standard has been met. The department has determined the allegation that S2 threatened C1 while in care is substantiated. The facility is being cited for violation of the Short-Term Residential Therapeutic Program Interim Licensing Standards (ILS) Chapter 7. Version 3.1, Regulation Section 87072 (d)(11) Personal Rights, which poses a potential health, safety and personal rights risk to children in care. An exit interview was conducted and a copy of this report, LIC 811 and appeal rights were provided to Facility Manager Michael Cabrera.

Investigation Findings:
13On August 19, 2021 at 12:45 pm, Licensing Program Analyst (LPA), Jessica Rubio met with Olive Crest Treatment Center (STRTP), Facility Manager (FM) Michael Cabrera to deliver the investigative finding for the above stated allegation. LPA received verbal authorization from Administrator Amy Ahern to have FM sign the report. On 11/30/2020 at 3:40 pm, LPA Ann Valenzuela conducted a safety tele-inspection of the STRTP and no safety concerns or deficiencies were observed. During the investigation, LPA Rubio interviewed one client (C1), one staff (S1) and county social worker of C1 (CSW). LPA Rubio also reviewed the staff roster, the needs and services plan for C1 and a special incident report. On 11/20/2020, Community Care Licensing (CCL) received an allegation staff threatened minor while in care; specifically, that S2 told C1 that S2 would push C1 into the street. (Continued on LIC 9099-C) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Jessica M Rubio 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: OLIVE CREST TREATMENT CENTERS - MALENAFACILITY NUMBER: VISIT DATE: 08/19/2021

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

met_with: Residential Manager Michael Cabrera

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
Confidential interviews reported that C1 did not admit to what substances if any, they were under the influence of. Confidential interviews reported that a vape pen was found in C1's room. Confidential interviews reported that C2 sometimes did and didn't comply with searches upon returning from being absent without permission. Confidential interviews reported that C2 never brought back marijuana upon returning from being absent without authorization and consistently adhered to search requests from staff. Confidential interviews reported that C1 never received any marijuana from C2. Confidential interviews reported that C2 denied the allegation of ever supplying C1 with marijuana or other drugs. Confidential interviews reported that it was suspected C2 was bringing drugs into the facility, but the facility never found contraband on C2 during room searches or upon C2's return from being absent without permission. Community Care Licensing also received an allegation that facility staff is not adequately supervising a minor and another resident in the home. Confidential interviews reported that on 05/24/2022, C2 was discovered in the same bed as C1. Confidential interviews reported that C1 and C2 were instructed to get out of bed, but both refused. Confidential interviews reported this was a concern as C2 was an adult and C1 was still a minor. Confidential interviews reported that C2 was placed in this facility as a minor and transitioned into adulthood during their placement. Confidential interviews reported that when C2 was a minor, they received permission from staff to visit C1's room. Confidential interviews reported that C1 and C2 never admitted to being in each other's beds. Confidential interviews reported that if C1 and C2 were discovered in each other's room, staff would redirect them to exit the bedroom. Confidential interviews reported that if C1 or C2 didn't comply, staff would directly supervise them outside the room, with the door open, until they complied. Confidential interviews reported that C1 and C2 were never permitted to be in each other's room, which was against facility rules. Based on inconsistent confidential interviews, the allegations that a resident (C2) in the home supplied another minor (C1) with marijuana and that facility staff are not adequately supervising a minor (C1) and other resident (C2) in the home may have occurred, however, is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and provided to Residential Coordinator Mayra Medina.

Investigation Findings:
13On 01/24/2023, at 11: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit to Olive Crest - Malena Short Term Residential Treatment Facility (STRTP) to deliver the investigative findings for the allegations listed above. On 05/25/2022, LPA Leslie Covarrubias conducted an initial health and safety Inspection at the facility, and no immediate health and safety hazards were observed. On 12/29/2022, LPA Choi conducted a follow-up health and safety inspection of the facility, and no immediate health and safety hazards were observed. The investigation included interviews with clients (C1, C2, and C3) and staff (S1, S2, and S3). LPA obtained pertinent documentation during this investigation, such as the Special Incident Reports relating to this complaint and the Orange County Child Protective Services Cross Report Documents. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Joon R Choi 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, FACILITY NAME: OLIVE CREST TREATMENT CENTERS - MALENAFACILITY NUMBER: VISIT DATE: 01/24/2023

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

met_with: Mayra Medina, Residential Coordinator


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
allegations that C1 was physically assaulted by other clients and stated that it was C1 who instigated the fight with Child # 2 (C2) by calling C2 a racial slur and by getting in C2's face as well as throwing a rolling pin at C2. According to confidential interviews, staff immediately intervened in altercation by attempting to separate clients by getting in between C1 and C2, and by giving verbal prompts to both C1 and C2. According to confidential interviews, C1 was assessed by paramedics after the altercation and refused any type of medical treatment. Confidential information obtained by LPA Mena showed that C1 was seen the following day by a medical doctor. While other confidential information received by Licensing stated that the allegations had occurred and that staff did not offer to take C1 to seek medical care the day of the incident, and the staff also did not intervene in physical altercation. There were no other known witnesses to this incident. Based on confidential information obtained during the course of this investigation, the allegations that Foster Child # 1 (C1) was physically assaulted by other minors in care and that staff did not seek medical attention for Child # 1 (C1), may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Residential Manager, Michael Cabrera to discuss the investigative findings for the above stated allegations. LPAs Leslie Covarrubias, Joon Choi and Daniel Mena conducted an inspection to the Short Term Residential Therapeutic Program (STRTP) on August 10, 2022, December 29, 2022, and on May 5, 2023. No immediate hazards observed. LPAs Covarrubias and Mena interviewed five staff (S1, S2, S3, S4 & S5), five of five foster children (C1, C2, C3, C4 & C5), as well as reviewed client medical and facility records. Community Care Licensing received information on August 03, 2022, alleging that Foster Child # 1 (C1) was physically assaulted by other minors in care and that staff did not seek medical attention for Child # 1 (C1). Information obtained in confidential interviews did not corroborate the allegations with a preponderance of evidence. LPAs Covarrubias and Mena obtained conflicting information during interviews. Confidential interviews denied UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena 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, FACILITY NAME: OLIVE CREST TREATMENT CENTERS - MALENAFACILITY NUMBER: VISIT DATE: 05/09/2023

met_with: Michael Cabrera


raw_content:
Narrative:
S5 discussed C1's inappropriate drawings when S5 started their work shift. Confidential interviews stated that S1 discussed the drawings with C1. Confidential interviews stated that C1 denied the allegation of staff requesting C1 to draw inappropriate pictures. Confidential interviews indicated that no clients had been coerced by S1 or any staff to draw, talk about or do wrong things. Based on record review and confidential interviews, the allegation that a staff (S1) requested a minor (C1) to draw an inappropriate picture may have occurred, however, it is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report, LIC 811, and appeal rights were explained and given to Administrator, Amy Ahern.

Investigation Findings:
13On August 10, 2023, at 10: AM, Licensing Program Analyst (LPA) Leslie Covarrubias met with Administrator, Amy Ahern to deliver the findings for the above-stated allegation. On 06/08/2022 at 10:30AM, LPA Covarrubias inspected the physical plant and observed no immediate health and safety hazards. The investigation included an interview with Clients (C1- C4), Facility Staff (S1-S6), Probation Officer, and County Social Worker. The Department received an allegation on May 31, 2023, that a staff (S1) requested a minor (C1) to draw an inappropriate picture. A confidential interview stated that C1 drew inappropriate pictures of body parts. Other confidential interviews revealed that S1 did not request C1 to draw the inappropriate pictures, C1 willingly drew the pictures of body parts, and when S1 noticed, S1 stated to C1 that it was inappropriate. The record review revealed that the incident was not logged into the communication logbook by the staff (S1) that witnessed the drawing. (Continue on next page...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Leslie Y Covarrubias 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, FACILITY NAME: OLIVE CREST - MALENAFACILITY NUMBER: VISIT DATE: 08/10/2023

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

met_with: Administrator, Amy Ahern


raw_content:
Narrative:
Specifically, it was reported that the Staff allowed minor (C1) to visit their boyfriend's grandmother's home on April 5, 2025, and C1 missed the bus and had no means of returning to the facility due to the facility refusing to pick up C1. The facility reported C1 as an unauthorized absence on April 5, 2025, and did not report unauthorize absence to CSW and PO until April 7, 2025. In addition, facility did not report or submit report to the Department until April 17, 2025, when 10-day notice of complaint was delivered. Confidential interviews revealed consistent information. Confidential interviews entailed that C1 was denied transportation home, marked as an unauthorized absence, and was not reported to CSW, PO, and the Department per requirements. Confidential interviews entailed that C1 was denied transportation home until two days after the facility dropped off C1 at C1's boyfriend's grandmother's home. Based on confidential interviews and documents reviewed, the preponderance of evidence standard has been met and the allegations that facility staff did not ensure reporting requirements were followed, and facility staff did not ensure transportation was provided to youth in a timely manner are substantiated. The Short Term Residential Treatment Agency is being cited for violations of Interim Licensing Standards (ILS), version 6, subchapter 1, section 87061 (b)(4) - Reporting Requirements: (b)The licensee shall ensure that the child's authorized representative is notified no later than the next business day if the following circumstances have occurred without the authorized representative's participation: (4) Any unusual absence or failure of a child to return or inform the facility that they are not returning for a specified period of time, and 87074 (3) - Transportation -Unless other arrangements are specified in the needs and services plan or the Transitional Independent Living Plan for a child or nonminor dependent, a licensee shall ensure transportation is provided to the following: (3)Extracurricular, personal enrichment, cultural, racial, ethnic, and social activities, in accordance with the reasonable and prudent parent standard specified in Section 87067. An exit interview was conducted with Residential Coordinator, Leticia Rodriguez. A copy of this report and LIC811 dated 06/04/2025 was provided to Residential Coordinator, Leticia Rodriguez.

Investigation Findings:
13On June 4, 2025, at 12: PM, Licensing Program Analyst (LPA) Stefanie Mutialu conducted an unannounced inspection and met with Residential Coordinator, Leticia Rodriguez to deliver and discuss the investigative findings for the allegations noted above. During the investigation, LPA interviewed one of six Children (C1), one County Social Worker (CSW), one Probation Officer (PO), and two Staff (S1-S2), please see LIC811 for confidential names. During the investigation, the following documents were reviewed: facility documentation, C1 file, and county documentation for C1. On April 11, 2025, Community Care Licensing (CCL) received allegations that facility staff did not ensure reporting requirements were followed, and facility staff did not ensure transportation was provided to youth in a timely manner. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Stefanie Mutialu 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 ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: OLIVE CREST - MALENAFACILITY NUMBER: VISIT DATE: 06/04/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
On June 04, 2021, at 8: AM Licensing Program Analyst (LPA) Jesus Cervantes conducted an unannounced annual inspection. The facility converted from a Group Home to a STRTP (Short Term Therapeutic Program) on June 04, 2018. LPA was met at the facility by Residential Manager Karla Loera. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris. There is adequate indoor and outdoor activity space. Sports equipment/toys/books/games were observed for children's recreation time. All facility smoke detectors and carbon monoxide detectors were tested and observed to be in working order; fire extinguisher is properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods to prepare the items on the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster, the Emergency Disaster Plan was also posted. Clients medications were observed to be inaccessible and stored in a locked file cabinet in the staff office. Medication records were reviewed and observed to be completed with dates and staff initials on dispensing records. Individual beds were observed with clean linens, pillows, comforters, and mattresses in good repair. All three bedrooms contain two twin beds. The facility has one full client bathroom and one-half client bathroom. The water temperature in the bathroom one of two was tested at 9: AM and registered at 115.8 degrees which is within the appropriate range of 105 degrees to 120 degrees. Per facility staff, no firearms or weapons are allowed in the facility. Administrator Amy Ahern is present at the facility a minimum of 20 hours a week, as verified by staff schedule and interviews. Appropriate staff/client ratios were verified during this inspection. See Page Two The facility employs one Intensive Services Director, one Administrator, one Clinical Supervisor, one Residential Manager, one Care Coordinator, two Rehab Specialist, two Mental Health Clinicians, and ten direct care staff that are used in accordance with regulatory requirements. Licensee obtained Mental Health (MH) Certification in December 2019. Due to delays caused by COVID-19, the Department of Health Care Services is in the process of renewing the facilities Mental Health Program Approval. Licensee has obtained National Accreditation through COA. The Accreditation is valid through October 31, 2021. Licensing fee payments are current. All the client files are stored and locked in the file cabinet in the staff office. At 10: AM, LPA reviewed a sample of five clients files during the time of inspection. Two clients, and two facility staff were interviewed during the inspection. Three clients declined to be interviewed. LPA discussed the following with the Administrator: Facility procedures related to requesting exceptions. Assembly Bill 388 law enforcement contacts as well as incidents involving emergency interventions. LPA discussed procedures for Child and Family Team (CFT) meetings, including an overview of required Core Services and Supports. LPA also discussed Reasonable and Prudent Parenting Standards, and resident involvement in development of planned activities. Due to time constraints and employee files being housed in their corporate office, LPA will return to the facility to conduct a continuation of staff file reviews. No deficiencies were found. Exit interview was conducted and a copy of this report was provided to Residential Manager Karla Loera

report_type: Facility Evaluation

visit_type: Annual

met_with: Residential Manager Karla Loera


summary: Facility Evaluation

raw_content:
Narrative:
On June 08, 2021, at 11: AM Licensing Program Analysts (LPA) Jesus Cervantes, and Licensing Program Manager (LPM) Ann Valenzuela conducted an unannounced annual continuation inspection from June 01, 2021. Employee files were not located at the facility and required employee files to be reviewed at Olive Crest Headquarters located at E. Fourth Street, Santa Ana, CA 92705. LPA and LPM meet with Madison Mazzone and Denise Griffiths. Five random personnel files were reviewed to ensure they contained all required documentation per Title Regulations. Personnel Files are maintained on-site in a locked cabinet in the Human Resource office. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. Client and staff interviews were conducted on 06/04/2021. No deficiencies were noted during time of inspection.

visit_type: Case Management

met_with: Madison Mazzone


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Dahl Larios conducted a case management inspection August 9, 2022, at 9:22 am based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection,10 out of Direct Care Staff and 6 out of 6 youth files were reviewed. 5 out of Direct Care Staff and 5 out of 6 youth were interviewed. (See the Confidential Names List, LIC 811, dated August 9, 2022). The Plan of Operation including policies and procedures were reviewed. Based on the analysis of the confidential interviews and youth file review including the care plan, and Child Family Team Meeting records, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Dahl Larios observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Program Supervisor Amy Ahern.

met_with: Program Supervisor - Amy Ahern


facility_name: OLIVE CREST TREATMENT CENTERS - SAYLOR

raw_content:
Narrative:
Other confidential interview revealed that the staff had recently left the GH and the new staff were not fully trained in the new positions. On 07/01/21, LPA observed the snack drawer to be empty, a lack of perishable foods in the refrigerator and no posted menu. Confidential interviews disclosed that the menu had not been posted for over a week. Interviews with staff revealed that the menu was torn down sometime the week before and that the staff are in the process of creating a grocery shopping list for today. Interview with Administrator (ADM) disclosed that the staff has recently changed and the new Residential Coordinator and Residential Manager have recently been scheduled for training in the next week. ADM informed LPA that quality assurance was in the STRTP last Tuesday and that they come once a month to be sure the STRTP is running up to licensing standards. ADM informed LPA the menu for July is in the process of being created and will be posted by end of day. Based on confidential interviews, LPA observations and record review the preponderance of evidence standard has been met and the department has determined the allegation that the STRTP did not have adequate food supply available for clients is substantiated. The facility is being cited for violation of the STRTP Interim Licensing Standards (ILS), section 87076(c) (1) Food Service, the STRTP did not have fresh perishable foods for a minimum of two days readily available to clients in care on at least one occasion. This poses a potential health, safety, or personal rights risk to the youth in care. An exit interview was completed and a copy of this report, LIC 811 and appeal rights were provided to facility representative.

Investigation Findings:
13On July 27, 2021 at 10: AM, Licensing Program Analysts (LPA's) Anastasia Flores and Valerie Wilso met with (STRTP) Olive Crest Treatment Center -Saylor House, Residential Manager Brittany Bounds, to deliver the findings on the above allegation. On July 1, 2021 at 10: AM, LPA conducted a health and safety inspection of the STRTP and found there were no immediate safety hazards present. However, LPA observed the GH to have less than a day's worth of snacks for the clients in care. Copies of STRTP grocery receipts, electronic copies of STRTP menus, client roster, LIC500 and photos of the STRTP food supply were obtained. Interviews were conducted with five of six clients (C1, C2, C3, C4, C5), two staff and facility Administrator. Client #6 (C6) was unavailable at the time of inspection. On June 29, 2021, this agency received allegation that the STRTP did not have adequate food supply available for clients. Confidential interviews disclosed that the staff had changed in the past two weeks, leaving the GH with a low amount of funds available for the staff to go shopping. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Anastasia Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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: OLIVE CREST TREATMENT CENTERS - SAYLORFACILITY NUMBER: 300605577

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

met_with: Brittany Bounds


raw_content:
Narrative:
Regarding the allegation that minor was not afforded privacy while in care; specifically that on 9/14/2021, C1 was not given privacy for religious practices and staff excessively checked on C1, confidential interviews revealed that C1's religious practices include burning candles. Confidential interviews revealed on 9/14/2021, C1 was in C1's bedroom with the door closed performing religious practices that included burning a candle and staff was informed by another client that C1 was burning a candle. One confidential interview revealed that staff were checking on C1 excessively that day, while other interviews revealed staff were checking on C1 every 15 minutes as required. Interviews revealed that once S1 learned of the candle being burned, S1 went into C1's bedroom and informed C1 that C1 was not able to burn the candle in the room. Confidential interviews revealed that clients are not allowed to have glass candles or to burn candles in the STRTP for safety reasons. Confidential interviews also revealed that C1 is afforded privacy to practice their religion and is also offered alternate places to perform their religious practices. Regarding the allegations staff did not prevent a minor from self-harming, staff behavior poses as a risk to the minor while in care, and staff did not seek timely medical services for a minor; specifically that S1 minimized C1's threats to self-harm and staff denied C1 mental health care. Confidential interviews and record review revealed that also on 9/14/2021, C1 became upset for not being able to burn a candle in the STRTP and as a result C1 wanted to leave the STRTP on respite care or wanted to be hospitalized. Interviews also revealed C1 wanted to speak with mental health staff and was making self-harming statements. Interviews revealed C1 requested to speak to a mental health staff while others revealed C1 did not. Confidential interviews further revealed that S4 who is a mental health clinician spoke to and evaluated C1 and C1 did not meet the criteria to be hospitalized, as C1 had no plan to self-harm. Interviews revealed C1 then went into C1's bedroom, broke the glass candle jar and cut C1's self with the broken glass. Interviews revealed staff then contacted the sheriff and EMT services. Confidential interviews revealed staff did not do anything until C1 actually self-harmed while other interviews revealed that staff were looking for other options for C1 and also offering C1 other coping mechanisms, however C1 refused. Interviews also revealed no staff were heard belittling or minimizing C1's feelings or threats of harm. (Continued on LIC 9099-C) Regarding the allegation staff did not provide adequate transportation for a minor and staff demonstrated an inappropriate form of discipline, confidential interviews and record review revealed that on 9/5/2021, C1 was on a self-transporting community pass and called the STRTP and requested a ride back to the STRTP. Interviews revealed C1 asked S3 for a ride and S3 denied C1 a ride and ended the call. As a result, C1 found their own ride and arrived back to the STRTP late from the community pass. This interview further revealed that as a consequence, C1 had their community passes taken away for a couple days. Other interviews revealed C1 did call the STRTP while on a community pass after the time C1 was supposed to be back and informed S3 that C1 would be returning to the STRTP, however C1 did not request a ride home. Interviews revealed that C1 was dropped off late near the STRTP by an unknown male who was not authorized to drive C1. This interview revealed C1 had their community passes taken away for 3 days as a consequence. Several interviews revealed that losing community passes is a known consequence of coming home late. Based on confidential interviews and conflicting statements, the allegations C1 was not afforded privacy while in care, staff did not prevent C1 from self-harming, staff behavior poses as a risk to C1 while in care, staff did not seek timely medical services for C1, S3 did not provide adequate transportation for C1, and staff demonstrated inappropriate form of discipline, may have occurred however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated. An exit interview was conducted and a copy of this report, LIC 811 and appeal rights were provided to Residential Coordinator Naomi Ruiz.

Investigation Findings:
13On December 30, 2021 at 1:00 pm, Licensing Program Analyst (LPA), Jessica Rubio met with Olive Crest Treatment Center (STRTP), Residential Coordinator, Naomi Ruiz to deliver the investigative findings for the above stated allegations. Residential Manager Amy Ahern gave LPA verbal authorization for Naomi Ruiz to sign the licesning report. On 9/27/2021 at 2:15 pm, LPA Jessica Rubio conducted a safety inspection of the STRTP and no safety hazards were observed and no deficiencies were cited. During the investigation, LPA Rubio interviewed four clients (C1, C2, C3, C4), six staff (S1, S3, S4, S5, S7, S8), and county social worker for C1 (CSW). LPA Rubio also reviewed the client and staff rosters and special incident reports for C1. On September 17, 2021, Community Care Licensing (CCL) received a complaint alleging minor was not afforded privacy while in care, staff did not prevent a minor from self-harming, staff behavior poses as a risk to the minor while in care and staff did not seek timely medical services for a minor. There were also allegations that staff did not provide adequate transportation for a minor and staff demonstrated inappropriate form of discipline. Allegations were related to events that occurred on 9/5/2021 and 9/14/2021. (Continued on LIC 9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Jessica M Rubio 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: OLIVE CREST TREATMENT CENTERS - SAYLORFACILITY NUMBER: VISIT DATE: 12/30/2021

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

met_with: Naomi Ruiz


raw_content:
Narrative:
Confidential interviews reported that C1 returned from being absent without permission and that C1 had left placement two days prior. Confidential interviews reported that staff conducts their room checks on a routine basis. Confidential interviews reported that the facility is not a lockdown facility and that clients can run away by sneaking out of their room windows. Confidential interviews reported that staff would hear these windows opening and attempt to redirect a minor trying to run away. Confidential interviews reported that staff are aware when a client tries to run away from placement and supervises clients regularly. Confidential interviews indicated that staff attempts to prevent clients from leaving the facility without permission by encouraging them to stay at the facility. Based on inconsistent confidential interviews and since we were unable to interview client (C1), the allegation that lack of supervision resulted in a minor (C1) AWOling, may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and provided to Residential Manager Priscilla Hernandez.

Investigation Findings:
13On 01/24/2023, at 12: PM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit to Olive Crest - Saylor Short Term Residential Treatment Facility (STRTP) to deliver the investigative findings for the allegation listed above. On 02/18/2022, LPA Jessica Rubio conducted an initial health and safety Inspection at the facility, and no immediate health and safety hazards were observed. On 12/29/2022, LPA Choi conducted a follow-up health and safety inspection of the facility, and no immediate health and safety hazards were observed. The investigation included interviews with client #2 (C2) and staff (S1 and S2). LPA obtained pertinent documentation during this investigation, such as the Special Incident Report relating to this complaint and the most recent County Court Report regarding the client (C1). LPA attempted to interview C1, but C1's whereabouts were unknown. On 02/11/2022, Community Care Licensing received an allegation that lack of supervision resulted in a minor (C1) running away from placement. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Joon R Choi 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, FACILITY NAME: OLIVE CREST TREATMENT CENTERS - SAYLORFACILITY NUMBER: VISIT DATE: 01/24/2023

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

met_with: Priscilla Hernandez, Residential Manager


raw_content:
Narrative:
Based on interviews and record reviews the allegations that C1's belongings were not safeguarded and C1 did not feel safe in the home, may have occurred, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Aisea Tongilava.

Investigation Findings:
13On February 2, 2023 at 11:25 am , Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegations. LPA met with Aisea Tongilava. LPA Jessica Rubio conducted an inspection of the facility on February 18, 2022 at 03:15 pm and no immediate deficiencies were observed. Three of three (C1, C2, C3) clients, three staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that C1's belongings were not safeguarded and C1 did not feel safe in the home. Confidential staff interviews reported that C1 and C2 got into a verbal argument and began insulting each other. Confidential staff interviews reported that staff separated C1 and C2 and C1 went to the staff office, while C2 was still being verbally aggressive. Confidential interviews reported that C2 and C3 then went into C1's bedroom and began destroying C1's personal belongings. Confidential staff interviews reported that staff was giving C2 and C3 verbal directives but were unsuccessful. Confidential interviews reported that law enforcement was contacted for assistance. The interviews that were provided to the LPA were not consistent regarding the allegations that C1's belongings were not safeguarded and C1 did not feel safe in the home and did not provide any further specific details regarding a personal rights violation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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, FACILITY NAME: OLIVE CREST TREATMENT CENTERS - SAYLORFACILITY NUMBER: VISIT DATE: 02/02/2023

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

met_with: Aisea Tongilava


raw_content:
Narrative:
Other confidential interviews reported that S6 discovered C1 was in C2's bedroom during a routine 15-minute bedroom check. Confidential interviews reported that S6 provided verbal directions for C1 to exit C2's bedroom. Confidential interviews reported that while C1 was in C2's bedroom, C1 touched C2 inappropriately on C2's chest and groin area, and then C1 tried to choke C2 by grabbing their neck. Other confidential interviews reported that C2 was the one that inappropriately touched C1's chest and groin area and that it was C2 who grabbed C1's neck. Confidential interviews reported that S6 and S5 were able to separate C1 and C2 from the bedroom successfully. Confidential interviews reported that this incident was documented in a Special Incident Report. Confidential interviews also reported that a Police Report concluded that there was not enough evidence of inappropriate touching by any client (C1-C2). Based on inconsistent confidential interviews, the allegation that lack of supervision resulting in a child (C1) inappropriately touching another child (C2) in care, may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report, LIC 811 and appeal rights were explained and given to Residential Manager Elvis Radillo.

Investigation Findings:
13On 10/23/2023, at 10: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit to Olive Crest - Saylor Short Term Residential Treatment Program (STRTP) to deliver the investigative findings for the allegation listed above. On 04/18/2023, LPA Leslie Covarrubias visited the facility, obtained pertinent documents, interviewed clients and staff members, and conducted a health and safety inspection at the STRTP; no immediate health and safety hazards were observed. During the investigation, LPA Covarrubias interviewed Client 2 (C2), Client 3 (C3), Client 5 (C5), Residential Coordinator Staff 1 (S1) and Administrator Staff 2 (S2). LPA Choi interviewed Client 1 (C1), Client 4 (C4), Staff 3 (S3), Staff 4 (S4), Staff 5 (S5), and Staff 6 (S6). On 04/12/2023, Community Care Licensing received an allegation that lack of supervision resulted in a child (C1) inappropriately touching another child in care (C2). Confidential interviews reported that during an overnight shift at the facility, C1 entered C2's room without permission and staff (S5 and S6) noticing. CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Joon R Choi 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, FACILITY NAME: OLIVE CREST - SAYLORFACILITY NUMBER: VISIT DATE: 10/23/2023

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

met_with: Elvis Radillo, Residential Manager


raw_content:
Narrative:
C1 and C2 discharge paperwork disclosed that the removal of C1 and C2 was due to aggressive behaviors, and they no longer reside in the facility. The Department also received an allegation that staff do not prevent children (C1-C2) from bringing drugs, drug paraphernalia, and alcohol into the group home. Confidential interviews indicated that C1 and C2 would leave the facility without permission and would bring back vape pens and alcohol bottles upon return. Confidential interviews stated that staff (S1-S6) would conduct individual searches for C1 and C2 upon return of absence without permission due to a history of C1 and C2 bringing contraband into the facility. The history of substance abuse was noted on the Child and Family Team Meeting (CFT) held for C1 on 05/02/2023 and 07/14/2023 and for C2 on 05/11/2023 and 06/08/2023. Confidential interviews indicated that the individual searches consisted of searching C1 and C2's pockets, shoes, socks, and bags, conducting room searches, and perimeter checks. Confidential interviews disclosed that C1 and C2 would hide vape pens in their undergarment. In addition, confidential interviews revealed that staff (S1-S6) would request C1 and C2 to hand over contraband. If C1 and C2 refused to turn it in, staff would document it, supervise C1 and C2, and confiscate the contraband when it's safe and appropriate. The Department also received an allegation that staff (S4) were involved in a physical altercation with a youth (C2). Confidential interviews corroborated that staff did not engage in a physical altercation with any clients in care. Confidential interviews revealed that C2 was aggressive and physically assaulted S4, while S4 stepped back and S6 verbally redirected C2. Confidential interviews stated that staff use verbal crisis intervention according to their emergency intervention plan, which minimize the aggression C2 had toward S4. S4 removed self to allow C2 to calm down, and S6 continued to use emergency intervention procedures. Per the record review, the facility's early emergency intervention plan is to de-escalate the youth using verbal crisis intervention, identifying consequences, and voluntary self-isolation. Per record review, restraints are used as a last resort if needed. Based on inconsistent confidential interviews, the allegation that staff are not providing a safe environment for the child (C4) in care, staff do not prevent children (C1-C2) from bringing drugs, drug paraphernalia and alcohol into the group home, and staff (S4) were involved in a physical altercation with youth (C2) are unsubstantiated. The allegations may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of this report and appeal rights were discussed and provided to Residential Manager, Elvis Radillo.

Investigation Findings:
13On December 28, 2023, at 12: PM, Licensing Program Analyst's (LPA's) Leslie Covarrubias and Cynthia Robinson met with Olive Crest Saylor Home (STRTP), Residential Manager, Elvis Radillo to deliver the findings for the above-stated allegations. On 06/15/2023 at 11: AM, LPA Covarrubias inspected the physical plant and observed no immediate health and safety hazards. The investigation included interviews with Clients (C1-C4), Staff (S1-S3 and S5-S6), and County Social Workers. LPA made several attempts to interview S4 but was unsuccessful due to S4 working the midnight shift and being unavailable. The Department received an allegation on June 8, 2023, that staff are not providing a safe environment for the child (C4) in care. Confidential interviews indicated that clients (C1 and C2) would be aggressive toward staff and other clients. Other confidential interviews revealed that staff would redirect clients (C1 and C2) when they became aggressive and follow the facility's emergency intervention plan. Confidential interviews indicated that S5 would offer C4 more community passes so that C4 could be more comfortable and away from home. (Continue on next page...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Leslie Y Covarrubias 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: OLIVE CREST - SAYLORFACILITY NUMBER: VISIT DATE: 12/28/2023

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

met_with: Residential Manager, Elvis Radillo


raw_content:
Narrative:
found the items. Confidential interviews indicated that the staff followed facility drug and alcohol policy and conducted room searches and attempted a search of youth when youth returned to the facility and there was a reasonable belief that the youth had hidden smoking paraphernalia on them, however youth would decline. Confidential interviews did not entail a safety plan for when the clients declined searches. It is unknown if a search of minors would have prevented youth smoking paraphernalia in the home. Based on confidential interviews, that facility staff did not prevent minors from bringing smoking paraphernalia into the home may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained. A copy of this report, LIC 811, and appeal rights was provided to the Administrator. Confidential interviews revealed that S4 would curse in conversations with the clients, roll their eyes at clients, and give clients a negative attitude when clients were not complying with S4's directives. Confidential interviews also confirmed that S4 was addressed multiple times to address this behavior. LPA viewed the video where S4 could be heard speaking to clients and making the statement "you're lucky this is a hands-off facility" to minors in care. LPA was unable to interview S4 because S4 no longer works at STRTP. Based on confidential interviews and records reviewed, the preponderance of evidence standard has been met and the allegations that staff do not treat minors with dignity and respect and that staff member emotionally abuses minors in care. is substantiated. The Short-Term Residential Treatment Program (STRTP) facility is being cited for violation of Interim Licensing Standards version 5, Article 6, Continuing Requirements: 87072(c)(15) Personal Rights. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Residential Manager. A copy of this report, LIC 811, and appeal rights was provided to the Residential Manager.

Investigation Findings:
13On July 17, 2024, at 10: AM, Licensing Program Analyst (LPA) Guadalupe Munoz arrived unannounced at the facility and met with Agustin Rojas, to discuss the investigative finding for the allegation noted above. LPA conducted an inspection of the facility on 01/11/24 at 1:30 pm and no deficiencies were observed. LPA Interviewed four staff (S1-3, S5), S4 could not be interviewed due to no longer working at STRTP, interviewed four clients (C2-5), LPA attempted to interview two clients (C3, C6), however both clients declined. During the investigation, the following documents were reviewed: staff schedule, special incident reports, video recording, and needs and services plans for minors in care. On 01/03/2024, Community Care Licensing (CCL) received allegations that staff do not treat minors with dignity and respect, and that a staff member emotionally abuses minors in care. Specifically, it was reported that that there was a video made that showed S4 making the comment, "you're lucky this is a hands-off facility" to C1 and that S1 "curses at the youth." SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Guadalupe Munoz 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 ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: OLIVE CREST - SAYLORFACILITY NUMBER: 300605577

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


raw_content:
Narrative:
marijuana at the facility and that on one occasion a "blunt" was obtained by S1 while at the facility and C6 was able to obtain the same "blunt" later the same day when it fell out of S1's pants pocket before it could be secured at the facility. Confidential interviews revealed conflicting statements on how S1 obtained the "blunt" and conflicting statements on how C6 later obtained the same "blunt" and whether S1 provided the "blunt" to minor. Based on confidential interviews, that staff is providing drugs (marijuana) to minors may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Ruta Peterson and Janessa Arauz. A copy of this report, LIC 811, and appeal rights was provided to the Administrator.

Investigation Findings:
13On August 8,2024, at 2: PM, Licensing Program Analyst (LPA) Guadalupe Munoz arrived unannounced at the facility and met with Ruta Peterson, to discuss the investigative finding for the allegation noted above. LPA conducted an inspection of the facility on 01/29/24 at 1:00 pm and no deficiencies were observed. LPA Interviewed five staff (S1-5), four clients (C1-4), and clients (C5-6) declined to be interviewed. LPA obtained and reviewed the following documents: Needs and Service Plans, Staff Schedule, Client Roster, and Incident Reports. On 01/26/24, Community Care Licensing (CCL) received an allegation that staff is providing drugs (marijuana) to minors. Specifically, that staff gave drugs (marijuana) obtained from a child to another child in the facility and that staff allowed another youth to smoke their wax pen. Confidential interviews confirmed that youth were using marijuana at the facility. Interviews revealed that on multiple occasions clients had UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Guadalupe Munoz 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 ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: OLIVE CREST - SAYLORFACILITY NUMBER: VISIT DATE: 08/08/2024

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

met_with: Ruta Peterson and Janessa Arauz


facility_name: OLIVE CREST TREATMENT CENTERS - WHEELER

raw_content:
Narrative:
A confidential interview revealed staff did not care if C1 took C1's medication and also that S1 would not offer C1 their medication due to C1 refusing medication often. That same interview revealed that C1 asked S1 to take C1's medication however S1 did not provide it due to C1 refusing medication often. Other confidential interviews revealed there were no known issues with S1 withholding or not offering C1 medication. Record review revealed C1 was placed in the STRTP from 3/2/2020 - 5/27/2020 and was prescribed three different medications: Melatonin, Fluoxetine and Adderall. Record review indicated C1 started Melatonin and Fluoxetine on 4/8/2020 and Adderall on 5/16/2020. One confidential interview revealed it was believed there had been an issue with staff not obtaining C1's medication around April or May 2020 however, no additional details could be provided. Another confidential witness interview revealed blank entries on clients' MAR logs were often observed and appeared medication had not been provided to some clients, however, no observations were recalled regarding C1's MAR entries specifically. Other confidential interview revealed there was a lapse from when C1's Adderall was prescribed to when it was initially filled, however there were no missed doses once C1 began the medication. Additionally, a confidential interview and record review revealed that C1's Adderall was not started at the same time as the other medications due to C1 not being on any medication for several months prior. Record review corroborated and stated C1's treatment plan indicated re-initiating the medication as "staggered and gradual" to see how C1 adjusted to and was affected by the medication. Furthermore, CSW1 had no concerns of staff withholding medication from C1. At one point in April 2020, CSW2 was made aware by C1 that C1 was not yet receiving Adderall, however, CSW2 explained to C1 that it was likely due to the psychotropic medication evaluation process and C1's current assessment. Based on record review and conflicting statements, the allegation staff did not ensure minor received medications may have occurred however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated. An exit interview was conducted and a copy of this report, LIC 811 and appeal rights were provided to Youth Care Specialist Aisea Tongilava.

Investigation Findings:
13On September 15, 2021 at 4:53 pm, Licensing Program Analyst (LPA), Jessica Rubio arrived at Olive Crest Treatment Center (STRTP). LPA received a verbal authorization over the phone from Residential Manager David Owens to deliver the investigative finding for the above stated allegation to Youth Care Specialist Aisea Tongilava. On 2/22/2021 at 11:00 am, LPA Ann Valenzuela conducted a safety tele-inspection of the STRTP and no safety concerns or deficiencies were observed. During the investigation, LPA Rubio interviewed one client (C1), three current staff (S2, S3, S6), one former staff (S5) and two county social workers of C1 (CSW1 and CSW2). LPA attempted interviews with additional former staff (S1 and S4) however was unsuccessful due to no responses from those individuals. LPA Rubio also reviewed the client and staff rosters, the medication administration records (MAR) and special incident reports for C1. On 2/12/2021, Community Care Licensing (CCL) received an allegation staff did not ensure minor received medications; specifically, that the STRTP withheld psychotropic medication from C1. (Continued on LIC 9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Jessica M Rubio 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: OLIVE CREST TREATMENT CENTERS - WHEELERFACILITY NUMBER: VISIT DATE: 09/15/2021

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

met_with: David Owens


raw_content:
Narrative:
Confidential interviews revealed that S1 would antagonize C1 by bringing up topics that were trauma triggers for C1. Confidential interviews also confirmed that S1 was aware that C1 was easily triggered by certain topics and S1 continued to make the comments. Due to unknown whereabouts, LPA was unable to interview C1, therefore LPA was unable to view the video that showed S1 speaking inappropriately to C1. Based on confidential interviews and records reviewed, the preponderance of evidence standard has been met and the allegation that staff spoke inappropriately to minors in care is substantiated. The Short-Term Residential Treatment Program (STRTP) facility is being cited for violation of Interim Licensing Standards version 5, Article 6, Continuing Requirements: 87072(c)(15) Personal Rights. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Residential Manager, Ruta Peterson. A copy of this report, LIC 811, and appeal rights was provided to the Residential Manager.

Investigation Findings:
13On July 12, 2024, at 10: AM, Licensing Program Analyst (LPA) Guadalupe Munoz arrived unannounced at the facility and met with Residential Manger, Ruta Peterson, to discuss the investigative finding for the allegation noted above. LPA conducted an inspection of the facility on 11/13/2023 at 1:00 pm and no deficiencies were observed. LPA Interviewed three staff (S1-3), interviewed four clients (C2-5), LPA attempted to interview Client #1 (C1), however was unsuccessful due to no contact information available. During the investigation, the following documents were reviewed: staff schedule, communication logs, grievance forms, and needs and services plans for minors in care. On 11/08/2023, Community Care Licensing (CCL) received an allegation that staff spoke inappropriately to minors in care. Specifically, it was reported that that there was a video made that showed S1 speaking inappropriately to C1 and that S1 antagonizes the youth in care. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Guadalupe Munoz 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 ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: OLIVE CREST - WHEELERFACILITY NUMBER: VISIT DATE: 07/12/2024

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

met_with: Ruta Peterson


raw_content:
Narrative:
C1 allowed C3 to spend the night in their bedroom by climbing in through the bedroom window. Confidential interviews further revealed that C1 and C3 slept in the bedroom for several hours without facility staff conducting room checks inside of the client bedroom. Confidential interviews confirmed that S3 did not routinely conduct room checks of client's bedroom and did not follow agency policy of communicating client information on digital shift log. Based on confidential interviews and records reviewed, the preponderance of evidence standard has been met and the allegation that there was a lack of supervision of clients in care. is substantiated. The Short-Term Residential Treatment Program (STRTP) facility is being cited for violation of Interim Licensing Standards version 5, Article 6, Continuing Requirements: 87065.2 (b)(1)Personnel Duties An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with XXX. A copy of this report, LIC 811, and appeal rights was provided to the Administrator.

Investigation Findings:
13On September 13, 2024, at 1: PM, Licensing Program Analyst (LPA) Guadalupe Munoz arrived unannounced at the facility and met with Administrator,Brenda Solano and Residential Manager, Ruta Peterson, to discuss the investigative finding for the allegation noted above. LPA conducted an inspection of the facility on 2/7/2024, at 12:00 pm and no deficiencies were observed. LPA Interviewed two staff (S1-2) and attempted to interview S3. IB Investigator Smith and LPA interviewed two clients C1 and C3. Investigator Smith attempted to interview C2, however was unsuccessful due to no contact information available. and interviewed C4. During the investigation, the following documents were reviewed: staff schedule, communication logs, community pass form, needs and services plans, and Investigative Branch Report. On 01/31/2024, Community Care Licensing (CCL) received an allegation that there was a lack of supervision of clients in care. Specifically, it was reported that C1 was able to have C3, a client from another facility, spend the night in their bedroom without any facility staff being aware. Confidential interviews revealed that SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Guadalupe Munoz 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 ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: OLIVE CREST - WHEELERFACILITY NUMBER: VISIT DATE: 09/13/2024

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

met_with: Ruta Peterson and Brenda Solano


summary: Facility Evaluation

raw_content:
Narrative:
On June 29, 2021, at 3:45PM Licensing Program Analysts (LPA's) Adrian Mendez and Jesus Cervantes, conducted an unannounced Required Annual inspection of the facility. The facility converted from a Group Home to STRTP (Short Term Therapeutic Program) on June 4, 2018. LPA's were met at the facility by Youth Care Specialists Andrew Bertalan, and Aisea Tongilavea, and Program Supervisor Amy Ahern. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris. There is adequate indoor and outdoor activity space. Sports equipment/toys/books/games were observed for children's recreation time. All facility smoke detectors and carbon monoxide detectors were tested and observed to be in working order; fire extinguisher is properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods to prepare the items on the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster, the Emergency Disaster Plan was also posted. Medications are locked and centrally stored in the staff office. Medication records were reviewed and observed to be completed with dates and staff initials on dispensing records. Individual beds were observed with clean linens, pillows, comforters, and mattresses in good repair. Three bedrooms contained two twin beds. The facility has two bathrooms. The water temperature in one of the client bathrooms was tested at 4:03pm and registered at 119.3 degrees which is within the appropriate range of 105 degrees to 120 degrees. Per facility staff, no firearms or weapons are allowed in the facility. Cont. on 809-C The facility employs three Clinical Support Staff, four facility managers and seven direct care staff that are used in accordance with regulatory requirements. Licensee obtained Mental Health (MH) Certification in June 2019. Licensee has obtained National Accreditation through COA. The Accreditation is valid through October 30, 2021. All the client files are stored and locked in the file cabinet in the staff office. LPA's reviewed a sample of four client's files during the time of inspection. No deficiencies were found. Due to time constraints and employee files being housed in their corporate office, LPA will return to the facility to conduct a continuation of staff file reviews and staff and client interviews. No deficiencies were found. Exit interview was conducted and a copy of this report was provided to Program Supervisor Amy Ahern.

met_with: Amy Ahern


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Dahl Larios and Licensing Program Manager Angela King conducted a case management inspection July 27, 2022 at 9:05 am based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection 9 out of Direct Care Staff and 5 out of 5 youth files were reviewed. 5 out of Direct Care Staff and 5 out of 5 youth were interviewed. (See the Confidential Names List, LIC 811, dated July 27, 2022). The Plan of Operation including policies and procedures were reviewed. Based on the analysis of the confidential interviews and youth file review including the care plan, and Child Family Team Meeting records, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Dahl Larios observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Program Supervisor Amy Ahern.


summary: Facility Evaluation

raw_content:
Narrative:
On January 30, 2023, at 3: PM Licensing Program Manager (LPM) Ann Valenzuela arrived at the facility to conduct an interview with a client regarding an incident that occurred at their previous placement. LPM met with Aisea Tongilava, Youth Care Specialist.. LPM conducted an inspection of the facility and no deficiencies were noted. Exited interview was conducted and a copy of this report was emailed to David Owens.


summary: Facility Evaluation

raw_content:
Narrative:
On April 17, 2023, at 10: AM Licensing Program Analyst (LPA) Sarah Lo, conducted an unannounced annual inspection of the facility. The facility converted from a Group Home to STRTP (Short Term Therapeutic Program) on June 4, 2018. LPA was met at the facility by Residential Coordinator, Eriyan Odom and at 11: AM Administrator/Residential Manager, David Owens arrived at the facility and continued with the annual inspection. LPA began a physical plant inspection at 10: AM and included the following checks: Facility grounds are clean, free of debris and hazards free. There is adequate indoor and outdoor activity space. Sports equipment, books, games were observed for client's recreation time. All facility smoke detectors and carbon monoxide detectors were tested and observed to be in working order; fire extinguisher is properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods to prepare the items on the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster, the Emergency Disaster Plan was also posted. Medications are locked and centrally stored in the staff office inside the staff restroom. Medication records were reviewed and observed to be completed with dates and staff initials on dispensing records. Chemicals/poisons are locked in a closet in the hallway and sharp objects are locked and stored in the staff office inside the staff restroom. First Aid Kits are also stored in the staff office and are complete. Contraceptives are available in the staff office and is available to be held individually by clients. Individual beds were observed with clean linens, pillows, comforters, and mattresses in good repair. Three bedrooms contained two twin beds. The facility has one bathroom for the client to use. The hot water in the client's bathroom was deemed safe and measured between 105 degrees to 120 degrees Fahrenheit. (Continued on LIC 809-C). Per Residential Manager, no firearms or weapons are allowed in the facility. Administrator/Residential Manager, David Owens is present at the facility a minimum of 20 hours a week, as verified by staff schedule. Appropriate staff/client ratios were verified during this inspection. The facility employs one facility manager, five direct care staff, and two therapists. Licensee has obtained National Accreditation, The Accreditation is valid through October 31, 2025. Annual Fees are current. Licensee has mental health approval from May 20, 2022, until May 20, 2023. LPA reviewed two out of two client files to ensure they contained all required documentation per Title Regulations. Client files are maintained in a locked cabinet inside staff office (See Confidential Names List (LIC 811) dated April 17, 2023) were also completed. Per review, Client 2 is missing the initial medical assessment, per CCR 80069(a) Except for licensees of ARFs, prior to or within 30 calendar days following the acceptance of a client, the licensee shall obtain a written medical assessment of the client, as specified in Section 80069(c), which enables the licensee to determine his/her ability to provide necessary health related services to the client. The assessment shall be used in developing the Needs and Services Plan. Per review, Client 1 and Client 2 is missing the TB test result, per CCR 80069(c)(1) The medical assessment shall include the following: The results of an examination for communicable tuberculosis and other contagious/infectious diseases. LPA reviewed five personnel files to ensure they contained all required documentation per Title Regulations. Personnel files are maintained off-site in a locked cabinet in staff corporate office in Santa Ana, and the Administrator brought over the files and were available for review. CPR/First Aid Certificates were observed and were valid. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. No deficiencies were found during this inspection. LPA interviewed two staffs and one client. The client interviewed deemed that their needs were being met and they feel safe and secure in the facility. Staffs and client have no issues or concerns regarding the facility. Based upon the inspection of facility records and interviews with staff and clients, the Licensee appears to be meeting CFT and Core Services/Supports requirements. An exit interview was conducted, a copy of this report was discussed and will be provided to Administrator/Residential Manager, David Owens.

met_with: David Owens, Residential Manager


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Guadalupe Munoz on May 24, 2024 at 10: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Munoz met with Administrator Brenda Solano and Program Manger, Ruta Peterson and inspected the facility inside and out. LPA reviewed one of one child's records and two of staff personnel files on site at the facility. LPA reviewed one of child's psychotropic medications and medication records. LPA interviewed three of staff on site to discuss the facilities policies and procedures of operation. LPA will interview one of one youth currently prescribed psychotropic medication at a later time. During the inspection the LPA,.no deficiencies are being cited at this time. The facility was provided with a Technical Assistance (TA) note. LPAs conducted exit interview with Administrator, Brenda Solano and a copy of this report, LIC 811 dated 5/24/24 and the TA were provided to administrator.

met_with: Brenda Solano


facility_name: OPEN ARMS SAFE HAVEN-TRC

summary: Facility Evaluation

raw_content:
Narrative:
On December 30th, 2025 at 9:30AM, Licensing Program Analyst (LPA) Hanako Primer and Licensing Program Manager (LPM) Joel Segura met with Applicant representatives, Rhonda Jones, Chief Operating Officer, Taiwan Jones, Chief Executive Officer, Lanesha Morris, facility staff, Petrina Moreau, Director of Operations, and Akila Crane, Interim Director for the scheduled Component II face-to-face meeting. The meeting was held virtually via Microsoft Teams. The following items were discussed: - Ages served by the STRTP - Harm reduction techniques - Discipline methods - Needs and Services Plans - Medication administration procedures - Reporting Requirements - Policies on cameras - Administrator qualifications - Background Clearance/Guardian Process - Rates application process LPA described the next steps in the application process. Applicant sent the second revisions to LPA on 12/30/2025 via email. Component III was scheduled for 01/14/2026 from 9:30AM to 1:30PM. A copy of this report was provided to Applicant via email for digital signature.

met_with: Rhonda Jones - Chief Operating Officer