summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On June 29, 2023, at 10: AM, Licensing Program Analyst (LPA) Michael Almaraz conducted an unannounced inspection. The purpose of the inspection was to conduct an inspection for STRTP annual inspection. LPA completed the physical inspection of the facility, reviewed operational requirements, disaster preparedness, emergency intervention plan, core/therapeutic services, staffing records, and client records. During this annual inspection continuation LPA reviewed files to ensure they contained all required documentation per Title Regulations and Interim Licensing Standards (ILS). Based on observation and file review, the facility is being cited on the following area: physical plant operational requirements, and core/therapeutic services. An exit interview was conducted and a copy of this report, LIC 809-d and appeal rights were provided to supervising administrator Phillip Ferree.

Deficiencies:
87089.1(d): Mental Health

(d) A short-term residential therapeutic program shall provide or ensure access to mental health services, including specialty mental health services and mental health supports that meet short and long term mental and behavioral health goals and treatment as identified by the Qualified Individual, as appropriate to the needs of the child or nonminor dependent in its care. This shall include all of the following


state: CA

facility_name: FERREE'S GROUP HOME #3

summary: Facility Evaluation

raw_content:
Narrative:
On May 27, 2021 at 12: PM, Licensing Program Analyst (LPA), Michael Almaraz met with Ferree's Group Home # Supervising Facility Manager, Michael Barnett, to discuss an incident that occurred involving clients (C1, C2) see LIC 811 confidential names list dated May 27, 2021. LPA obtained supplemental information regarding Ferree's Group Home #3 staff not reporting an incident that occurred on or around March 10, 2021. The incident involved an allegation of inappropriate interactions between C1 and C2. This incident was not reported to the Department in a timely manner. During interviews with confidential witnesses, it was reported that C1 and C2 engaged in inappropriate interactions while in care. According to facility records, and confidential witness statement the serious incident report (SIR) was not sent to the Department in a timely manner. Based on facility records and confidential interviews, the facility is being issued a citation in accordance with the California Code of Regulations (CCR) section 80061(b)(1)(E) Reporting Requirements. Facility staff neglected to report an incident involving C1 and C2 engaging in inappropriate interactions. This poses a potential health, safety and personal rights risk of harm to children placed in care. See page 2 for the cited deficiencies. An exit interview was conducted, and appeals rights discussed. A copy of this report was provided to Michael Barnett.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Michael Barnett


facility_name: FERREE'S GROUP HOME, INC. #5

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Confidential witnesses added that C1 and C2 had conflict, but they had not seen clients inappropriately touching one another. Confidential witnesses added that facility staff increased supervision of C1 after being made aware of the conflict C1 had with C2. County social worker (CSW) stated that she was informed that C2 had poked C1, but it was not in a sexual manner. County social worker 2 (CSW2) stated that he felt that the supervision that staff provided was appropriate. Other confidential witness stated that C2 walked in on C1 while he was changing and pushed C1. Furthermore, it was disclosed that C2 had bothered C1 often, but facility did not do anything to prevent or stop C2's behavior. Based on confidential interviews and record reviews, the allegation due to lack of supervision C2 walked in on C1 while C1 was changing clothing and inappropriately touched C1 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 provided to Pat Prior.

Investigation Findings:
13On February 8, 2023, at 9: AM Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with facility manager, Pat Prior, to issue the finding for the above stated allegation. On November 1, 2022, at 10: AM LPA Almaraz initiated the investigation and conducted a safety inspection. During the safety inspection, LPA interviewed one facility staff, interviewed one of the four clients as listed on the confidential names list (LIC 811) dated February 8, 2023, and reviewed four client records. Additionally, LPA conducted interviews with three county social workers, one staff, two clients, and Riverside Out of Home Investigations (OHI). One of four clients was unavailable for LPA interview. On October 26, 2022, the Department received a complaint that alleged minor inappropriately touched another minor in care. It was specified that due to lack of supervision client 2 (C2) walked in on client 1 (C1) while C1 was changing clothing and inappropriately touched C1. Confidential witnesses stated that staff positioned themselves in the hallway of the facility to supervise the clients when the clients were in their bedroom.(continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: Ferree's Group Home, INC. #5FACILITY NUMBER: VISIT DATE: 02/08/2023

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

report_type: Complaint Investigation

met_with: Pat Prior

complaint_status: unsubstantiated


raw_content:
Narrative:
During the investigation, confidential witnesses stated that S1 treated all clients equally and S1 did not demonstrate favoritism. County social worker (CSW) stated that she was not informed that C1 was treated differently than other clients. County social worker 2 (CSW2) stated that he was not informed that some clients were treated better than others. Other confidential witnesses stated that S1 treated client 2 (C2) better than other clients and they felt that S1 mistreated C1. Regarding the allegation that S1 called C1 names confidential witnesses stated that they had not heard S1 call C1 any names and that it was C1 who called S1 names. CSW stated that she was not informed that S1 called C1 names. Other confidential witnesses stated that they had heard S1 call C1 names. LPA receive inconsistent information. In regard to the allegation that C1 was not accorded dignity and respect and S1 would tell other staff and clients that S1 did not like C1. Confidential witnesses stated that they had not heard S1 say to C1, staff, and clients that S1 did not like C1. CSW stated that she was not told that S1 or any staff had said they disliked C1. Other confidential witnesses stated that they heard S1 saying that S1 did not like C1. LPA received conflicting information. Based on confidential interviews and record reviews, the allegations that S1 did not treat clients equally, S1 spoke inappropriately to C1, and S1 did not accord C1 dignity and respect while in care, may have occurred, however, they are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Pat Prior.

Investigation Findings:
13On February 8, 2023, at 10: AM Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with facility manager, Pat Prior, to issue the finding for the above stated allegations. On August 23, 2022 at 10: AM, LPA Almaraz initiated the investigation and conducted a safety inspection. During the safety inspection, LPA interviewed two facility staff and reviewed three client records (see confidential names list LIC 811) dated February 8, 2023. Additionally, LPA conducted interviews with three county social workers, one staff, and two of three clients. One of three clients was unavailable for interview. On August 15, 2022, the Department received a complaint that staff do not treat minors in care equally, staff do not speak appropriately to minor in care and staff did not accord minor in care dignity and respect. It was specified that staff #1 (S1) demonstrated favoritism to certain clients, S1 called client #1 (C1) inappropriate names, and S1 would tell C1, other clients and staff that S1 did not like C1. (continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: Ferree's Group Home, INC. #5FACILITY NUMBER: VISIT DATE: 02/08/2023

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


raw_content:
Narrative:
Regarding the allegation that staff did not ensure minor attended school, it was specified that the facility has allowed C1 to miss 52 days of school. During investigation, confidential interview stated that facility has many in-house incident reports about C1's lack of school attendance. It was added that C1 and other client would procrastinate then be late to school. Additionally, it was stated that the facility would make multiple trips to school so no client would be late due to others taking to long to get ready. Confidential interview stated staff would encourage clients to get ready earlier so they could arrive to school on time. Additional confidential interview stated that C1 would always be late to school by choice. It was added that staff would encourage C1 to be on time and explained the importance of being at school and on time. Another confidential interview stated that it was staff's fault C1 was late to school because staff would take C1 to school late. It was added that sometimes the staff would take too long and so C1 would refuse to go to school rather than be late. LPA received conflicting information. In regard to the allegation that staff did not ensure minor attended appointment, it was specifically alleged that C1 had driver's training and staff wouldn't get C1 up after informing staff about the appointment in the same morning. Confidential interviews disclosed that messages would be received over the weekend for appointments for the following day, but the problem was that only facility managers have access to the voicemail box. It was added that drivers training was never confirmed with staff. Additionally confidential interview stated that staff ensured they went to their appointments and got them there on time. Another confidential interview stated that C1's mother called and left a message over the weekend about drivers training but that the day of the training staff did not wake C1 up and C1 missed the appointment. LPA received conflicting information. Based on confidential interviews, the allegations that staff did not ensure C1 attended school and staff did not ensure C1 attended appointment may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, these allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report was reviewed and provided to facility representative.

Investigation Findings:
13On February 16, 2023, Licensing Program Analyst (LPA) Rafael Enriquez arrived at Ferree's Group Home and met with Supervising Facility Manager Tina Willis to deliver the finding for the allegations stated above involving the GH staff (S1 & S2) and clients (C1 & C2) as listed on the Confidential Names List (LIC 811) dated February 16, 2023. On June 27, 2022, Community Care Licensing (CCL) received a complaint alleging that staff did not ensure minor attended school and that staff did not ensure minor attended appointment. On July 06, 2022, at 10: AM, LPA Almaraz initiated the investigation at the GH and obtained documents from the files and conducted a safety inspection. There were no immediate hazards observed. LPA interviewed S1, S2, and C2. LPA was unable to contact the County Social Worker. On February 02, 2023, LPA Almaraz conducted collateral interview for C1. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Rafael Enriquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: Ferree's Group Home, INC. #5FACILITY NUMBER: VISIT DATE: 02/16/2023

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

met_with: Supervising Facility Manager- Tina Willis


raw_content:
Narrative:
Confidential witness stated that clients had not been provided with marijuana or cigarettes from staff. Confidential witnesses added that they had not witnessed or been informed that staff were smoking at the facility. County social worker 7 (CSW7) stated that she was not informed that staff provided clients with contraband or staff smoked at the facility. County social worker 3 (CSW3) stated that he did not suspect staff were providing the clients with contraband. Additionally, CSW3 reported that he was never told that staff smoked at the facility and CSW3 never observed signs that staff were smoking at the facility. Other confidential witnesses maintained that staff provided clients with marijuana and cigarettes and staff smoked at the facility. Based on confidential interviews and records review, the allegations staff gave C1 marijuana and cigarettes, and that facility staff would smoke at the facility may have occurred, however, they are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Tina Willis.

Investigation Findings:
13On July 20, 2023, at 3: PM Licensing Program Analyst (LPA), Michael Almaraz, arrived at the facility and met with facility manager, Tina Willis, to issue the finding for the above stated allegations. On April 18, 2023, at 9: AM LPA Almaraz arrived at the facility to initiate the investigation and conducted a safety inspection. During the safety inspection, LPA interviewed two facility staff, interviewed two clients, and reviewed six client's records. Additionally, LPA conducted interviews with six of seven clients (C2, C3, C4, C5, C6, and C7) listed on the confidential names list (LIC 811) dated July 20, 2023, two county social workers, and one additional staff. LPA Almaraz was unable to interview one of seven clients due to the client's parents declining the interview. On April 10, 2023, the Department received a complaint that alleged staff were providing marijuana to children in care, staff were providing cigarettes to children in care, and staff were smoking in the facility. More specifically, it was alleged that staff gave client #1 (C1) marijuana and cigarettes, and facility staff would smoke at the facility. (continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: Ferree's Group Home, INC. #5FACILITY NUMBER: VISIT DATE: 07/20/2023

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

met_with: Tina Willis


raw_content:
Narrative:
Confidential witnesses stated that on the evening of the incident, the clients at the facility were rowdy and not following staff directives. In addition, it was disclosed to LPA that C2 had a broom and entered C1's bedroom while C1 slept and poked C1 with the broom handle. It was reported to LPA that staff was present, and C2 did this against the staff's orders not to enter C1's room. Confidential interviews stated that the County Social Worker (CSW) was informed that the clients were joking around, and CSW was never told that C1 did not feel safe at the facility. Furthermore, CSW stated that facility staff always provided suitable client supervision. Other confidential witnesses stated that when the incident occurred, staff were not present, and staff did not attempt to redirect C2. LPA received conflicting information regarding the staff supervision surrounding the incident. Based on inconsistent confidential interviews and record reviews, the allegation that staff did not prevent an inappropriate sexual interaction between minors (C1 and C2) while in care is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Tina Willis.

Investigation Findings:
13On January 26, 2024, at 10: AM, Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with Supervising Manager, Tina Willis, to issue the finding for the above stated allegation. On August 16, 2023, at 11: AM, LPA Almaraz conducted a health and safety inspection, and no immediate health and safety hazards were observed. During the inspection, LPA reviewed six clients' (C1-C6) records (see confidential names list LIC 811 dated January 26, 2024) and conducted interviews with two (C4 and C5) of the six clients, a County Social Worker (CSW5), and one staff (S4). Additionally, LPA interviewed three clients (C2, C3, C6) two County Social Workers, and three staff members. One of six clients (C1) refused to participate in the LPA interview. On August 7, 2023, the Department received a lack of supervision complaint alleging that staff did not prevent an inappropriate sexual interaction between minors (C1 and C2) while in care. More specifically, due to a lack of supervision on August 4, 2023, C2 inappropriately touched C1 with an object. (continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: Ferree's Group Home, INC. #5FACILITY NUMBER: VISIT DATE: 01/26/2024

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


raw_content:
Narrative:
Additionally, confidential witnesses revealed that facility staff did refuse to accept C1 back to the facility. LPA was provided with copy of the policy that prohibits weapons on facility grounds. LPA received other information that C1 was not arrested, and it was unknown if C1 ever had the gun at the facility. LPA received conflicting information regarding the allegation. Based on confidential interviews and record reviews, the allegation that C1 was not allowed to return to the facility after being arrested with a gun 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, appeal rights explained, and a copy of this report was provided to Alisha Jones.

Investigation Findings:
13On May 1, 2024, at 10: AM Licensing Program Analyst (LPA) Michael Almaraz met with facility administrator, Alisha Jones, to issue the finding for the above stated allegations. On September 18, 2023, at 10: AM, LPA Almaraz initiated the investigation and conducted a safety inspection, no deficiencies were noted. During the inspection LPA interviewed one facility staff and reviewed two of six client's records (see confidential names list LIC 811 dated May 1, 2024). Additionally, LPA conducted interviews with four clients, three county social workers, and four staff. Two of four clients were not interviewed due to LPA being unable to locate one client who was absent without leave (AWOL) and LPA being unable to contact another client. On September 8, 2023, the Department received a complaint that staff are not allowing youth to return to the facility after being arrested. It was specified that client #1 (C1) was not allowed to return to the facility after being arrested with a gun. Confidential witnesses informed LPA that C1 had gone AWOL, stolen a car, and was arrested with a gun in the stolen car. (continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Ferree's Group Home, INC. #5FACILITY NUMBER: VISIT DATE: 05/01/2024

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

met_with: Alisha Jones


raw_content:
Narrative:
It was specified that staff did not prevent C1 from being bullied by other clients, staff bullied C1, staff did not protect C1 from other clients, and staff did not allow C1 to contact C1's parent or responsible party when there were concerns for C1's safety. Additionally, it was reported that staff allow clients to smoke marijuana and blow smoke in C1's face and staff did not prevent clients from taking C1's food and destroying C1's property. Regarding the allegation that staff did not prevent C1 from being bullied by other clients. Confidential witnesses stated that staff did not allow bullying to take place and staff would redirect bullying behavior. County social worker 5 (CSW5) stated that they were never informed that bullying was occurring or that staff was allowing their client or other clients to be bullied. Other confidential witness stated that most staff prevent and redirect bullying but one staff allowed it. An additional confidential witness stated that they were informed that staff was allowing C1 to be bullied by other clients. In reference to the allegation that staff bullied C1. Confidential witnesses stated that they had not observed staff bullying C1 or been informed that staff was bullying clients. County social worker 3 (CSW3) stated that staff had good interaction with their client and CSW3 was never informed that staff were mean or bullies to clients. Other confidential witnesses stated that they were informed staff were mean, one staff calls clients names, and a staff pushed a client. Concerning the allegation that staff did not protect C1 from other clients. Confidential witnesses stated that facility staff always protect clients and redirect clients when they become aggressive with one another. County social worker 5 (CSW5) stated that they were never informed that staff allowed clients to behave aggressively toward one another. Another confidential witness stated that C1 was slapped by other clients when staff was not present. With regard to the allegation that staff did not allow C1 to contact his parent or responsible party. Confidential witnesses stated that they had never seen clients denied the telephone. Additionally, it was reported to LPA that C1 was often on the phone for long periods of time and would get upset if other clients or staff needed to use the phone. County social worker (CSW) stated that they were informed that staff would not allow C1 to use phone to contact approved individuals. (continued on page 3...) ***This is an amended report which was originally issued on page 5/1/24*** For the allegation that staff allowed clients to smoke marijuana and blow smoke in C1's face. It was revealed to LPA by confidential witnesses that facility staff did not allow marijuana use. Additionally, it was reported to LPA that staff would document any drug use and notify client's authorized representatives immediately. Another confidential witness stated that they observed staff allow clients to smoke marijuana in the facility on at least one occasion. In relation to the allegation that staff did not safeguard C1's belongings or staff were not preventing C1 from having C1's food taken away. Confidential witnesses informed LPA that staff did not allow clients in rooms that did not belong to them. Additionally, LPA was informed that staff would intervene if they observed a client's food being taken by another client. CSW3 couldn't recall being informed of their client having had items stolen or food taken from them. Other confidential witnesses stated that clients had items stolen and they felt it was due to staff not properly safeguarding client's belongings. LPA received conflicting information regarding all the allegations. Based on confidential interviews and record review, the allegations: staff did not prevent C1 from being bullied by other clients, staff bullied C1, staff did not protect C1 from other clients, staff did not allow C1 to contact C1's parent or responsible party when there were concerns for C1's safety, staff allow clients to smoke marijuana and blow smoke in C1's face and staff did not prevent clients from taking C1's food and destroying C1's property may have occurred, however, they are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Tina Willis.

Investigation Findings:
13***This is an amended report which was originally issued on page 5/1/24*** On May 16, 2024, at 12: PM Licensing Program Analyst (LPA) Michael Almaraz met with facility manager, Tina Willis, to issue the finding for the above stated allegations. On November 8, 2023, at 9: AM, LPA Almaraz initiated the investigation and conducted a safety inspection, no deficiencies were noted. During the inspection LPA interviewed one facility staff and reviewed six client's (C1, C2, C3, C4, C5, C6) records (see confidential names list LIC 811 dated May 1, 2024). Additionally, LPA conducted interviews with four of six clients, three county social workers, and two staff. Two of six clients were not interviewed due to LPA being unable to locate the clients. On November 2, 2023, the Department received a complaint that: staff did not prevent youth from being bullied by other group home minors, staff bullied minor while in care, staff did not protect minor from harm, staff do not allow minor to contact responsible party, staff allow minors to smoke marijuana while in care, and staff do not safeguard minor's personal belongings. (continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Ferree's Group Home, INC. #5FACILITY NUMBER: VISIT DATE: 05/01/2024

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


raw_content:
Narrative:
Confidential witnesses informed LPA that sometimes the refrigerator did not have adequate amount of food and when clients would ask staff to restock the refrigerator staff would say no. An additional confidential witness informed LPA that they observed the facility with an inadequate amount of food. During LPA inspection LPA observed the refrigerator did not have an adequate amount of food. LPA observed the refrigerator to have a half full gallon of milk, half a loaf of sandwich bread, lettuce, condiments, and a packet of deli meat. The freezer had a few frozen meals, and a package of ground meat. The pantry had seven cans of different canned meats, vegetables and fruit. Regarding the allegation that the facility was in disrepair with a broken window that did not operate appropriately. Confidential witnesses informed LPA that the bedroom window was broken and not properly working. Additionally, LPA was informed that due to the window being broken the bedroom would be either too hot or too cold. During LPA inspection LPA observed a bedroom window in disrepair and not functioning properly. LPA observed the window had been repaired but the new glass that was installed did not fit properly allowing for air to come in from outside the facility. Based on confidential interviews and inspection, the preponderance of evidence standard has been met and the Department has determined that facility was not stocked with sufficient amounts of food and the facility was in disrepair. Therefore, the allegations are substantiated. The facility is being cited for violation of the Interim Licensing Standards, Chapter 7. Short-Term Residential Therapeutic Program, Articles Through 10, Version 5, 87072(c)(2) Personal Rights and Title 22 80087(a) Building and Grounds. when they requested records. Confidential witnesses stated that facility staff ensured children's dietary needs were met. County social worker (CSW) informed LPA that C1 did not have special dietary needs. Another confidential witness informed LPA that C4 had special dietary needs which staff were informed of, but staff did not purchase special food products for C4. In reference to the allegation that the facility's ventilation system did not work properly leading to the facility being at an uncomfortable temperature. LPA was informed by confidential witnesses that the facility was always at a comfortable temperature. CSW and county social worker 3 (CSW3) informed LPA that during their visits to the facility the facility was at a comfortable temperature. During LPA inspection the facility was at an appropriate temperature. Other confidential witnesses informed LPA that the facility was sometimes too hot and other times too cold. LPA received conflicting information regarding this allegation. Regarding the allegation that staff did not provide child's records to authorized person. LPA was informed by confidential witnesses that staff always provided any and all records to children's authorized person. Another confidential witness informed LPA that it may be possible that staff did not provide children's authorized person records that were requested. Additionally, LPA was informed that some documents that were requested from the facility were not provided to client's authorized person. Based on confidential interviews and record reviews, the allegations that the facility did not meet C1's special dietary needs, the ventilation system was not working properly causing the facility to be at an uncomfortable temperature, and facility was not responsive to client's authorized representatives when they requested records may have occurred, however, they are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Tina Willis.

Investigation Findings:
13On May 16, 2024, at 10: AM Licensing Program Analyst (LPA) Michael Almaraz met with facility manager, Tina Willis, to issue the finding for the above stated allegations. On January 26, 2024, at 11: AM, LPA Almaraz initiated the investigation and conducted a safety inspection. During the inspection LPA interviewed one facility staff and reviewed five client's (C1, C2, C3, C4, C5) records (see confidential names list LIC 811 dated May 16, 2024). Additionally, LPA conducted interviews with four of five clients, three county social workers, and three staff. One of the five clients was not interviewed due to LPA being unable to locate the client. On January 25, 2024, the Department received a complaint that staff did not ensure the facility was stocked with sufficient amounts of food and the facility is in disrepair. It was specified that there was not sufficient food in the refrigerator and the primary pantry was locked. Also, it was specifically alleged that the facility had broken windows that did not operate appropriately.(continued on page 2...) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Ferree's Group Home, INC. #5FACILITY NUMBER: VISIT DATE: 05/16/2024

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:
Regarding the allegation that C1 smoked in the facility confidential witnesses informed LPA that facility staff did not allow clients to smoke at the facility, but some clients smoked in their bedrooms anyway. Additionally, LPA was informed that clients smoked vape pens when staff were not present. LPA was informed vape pens did not release a strong scent which made it difficult for staff to notice if clients were smoking. Other complaint information revealed that C1 smoked inside the facility. In relation to the allegation that C1 had gone AWOL from the facility several times confidential witnesses informed LPA that staff would redirect clients when staff suspected that clients were going to go AWOL. Furthermore, it was disclosed to LPA that facility staff would shadow clients, offer clients other options when clients were going AWOL, and search for clients in the community when clients went AWOL. LPA was informed by another confidential witness that C1 went AWOL from the facility over three times, and they did not believe that the facility staff did enough to prevent C1's AWOL. Concerning the allegation that C1 missed three mental health appointments confidential witnesses informed LPA that C1 would refuse to attend mental health and other appointments. Additionally, LPA was informed that when the facility would reschedule C1's appointments C1 would refuse them again. During confidential witness interviews LPA was informed that the other children attended their appointments and staff would ensure that they did not miss any appointments. Other confidential witness revealed that facility staff did not ensure that C1 attended C1's appointments and staff did not reschedule missed appointments for C1. LPA received conflicting information regarding this allegation. Based on confidential interviews and record reviews, the allegations that C1 smoked in the facility, C1 had gone AWOL several times, and C1 missed three mental health appointments may have occurred, however, they are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Tina Willis.

Investigation Findings:
13On June 26, 2024, at 9: AM Licensing Program Analyst (LPA) Michael Almaraz met with facility manager, Tina Willis, to issue the finding for the above stated allegations. On January 26, 2024, at 11: AM, LPA Almaraz initiated the investigation and conducted a safety inspection. During the inspection LPA interviewed one facility staff and reviewed five client's (C1, C2, C3, C4, C5) records (see confidential names list LIC 811 dated June 26, 2024). Additionally, LPA conducted interviews with four of five clients, three county social workers, and three staff. One of the five clients was not interviewed due to LPA being unable to locate the client. On January 25, 2023, the Department received a complaint that minor smokes on the premises, staff did not prevent minor from AWOLing, and staff did not make sure minor attended three medical appointments. It was specified that the C1 smoked in the facility, C1 had gone absent without leave (AWOL) several times, and C1 missed three mental health appointments. (continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Ferree's Group Home, INC. #5FACILITY NUMBER: VISIT DATE: 06/26/2024

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


raw_content:
Narrative:
Community Care Licensing received information on September 25, 2024, alleging that staff do not prevent minor from being harassed and staff do not prevent minor from being physically abused by other minors while in care. It was specified that client #1(C1) has been picked on and beat up by other boys in the STRTP. It was further reported that C1 was afraid to tell the staff what has been happening due to fears it would make things worse with the other boys. There were no specific details or incidents reported. Confidential interviews stated not witnessing harassment or abuse from the clients in the STRTP. Other confidential interviews stated C1 would disrupt the other clients in care and would call some of the boys' racial slurs. A confidential interview stated clients would respond to C1's constant instigation. Another confidential interview stated staff try to prevent physical altercations between the clients by de-escalation techniques and taking them out for a drive. Additional interviews reported that there were no witnesses to physical abuse or harassment in the STRTP between clients in care. County Social Workers stated not having concerns regarding the stated allegations. Based on confidential interviews, the allegations that staff do no prevent C1 from being harassed and staff do not prevent C1 from being physically abused by other clients in care may have occurred, however, there was not a preponderance of evidence to support or deny the alleged violations. Therefore, these allegations are unsubstantiated at this time. An exit interview was conducted and a copy of this report, LIC 811, and Appeal Rights were provided to Tina Willis

Investigation Findings:
13On March 24, 2025, at 11:15AM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Ferree's Group Home # Short Term Residential Therapeutic Program (STRTP) Facility Manager Tina Willis to discuss the investigative finding for the above stated allegations involving clients in care. LPA Babatunde Aborchie began the investigation at the facility on September 30, 2024, at 10:15AM. During the investigation, LPA Caballero interviewed (clients #2,4,6,7) four staff, and two County Social Workers. Client #3 and client #5 declined an interview, and client #1's whereabouts are unknown due to C1's runaway status. LPA reviewed pertinent documents from clients' files. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Adaleyci Caballero LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Ferree's Group Home, INC. #5FACILITY NUMBER: VISIT DATE: 03/24/2025

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

met_with: Facility Manager-Tina Willis


raw_content:
Narrative:
On October 2, 2024, Community Care Licensing received information alleging that staff member physically abuses minor in care and staff member caused injury to minor in care. It was specifically alleged that at the STRTP staff #2(S2), and Client #2(C2) physically abuse C1. It was reported that C1 was seen with a fat lip and bloody nose. A confidential interview reported that C1 was constantly instigating fights with the clients in the STRTP and that C1 would call the clients racial slurs. Other confidential interviews denied witnessing C1 with a fatty lip. Three confidential interviews reported that C1 obtained a bloody nose from a physical altercation with client #3(C3). Confidential interviews denied witnessing S2 physically abuse or using any type of physical punishment with the clients in care. Other confidential interviews did not have information on the alleged violations. County social workers stated not receiving reports on physical abuse or physical punishment at the STRTP. Based on confidential interviews, the allegations that S2 physically abuses C1 in care and S2 caused injury to C1 may have occurred, however, there was not a preponderance of evidence to support or deny the alleged violations. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted and a copy of this report, LIC 811, and Appeal Rights were provided to Tina Willis

Investigation Findings:
13On March 24, 2025, at 11:46AM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Ferree's Group Home # Short Term Residential Therapeutic Program (STRTP) Facility Manager Tina Willis to discuss the investigative finding for the above stated allegations involving clients in care. LPA Babatunde Aborchie began the investigation at the facility on October 10, 2024, at 10:10AM. During the investigation, LPA Caballero interviewed (Clients #2,4,6,7) four staff, and two County Social Workers. Client #3 and client #5 declined an interview and client #1's whereabouts are unknown due to C1's runaway status. LPA reviewed pertinent documents from clients' files. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Adaleyci Caballero LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Ferree's Group Home, INC. #5FACILITY NUMBER: VISIT DATE: 03/24/2025

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

met_with: Facility Manger-Tina Willis


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Regarding the allegation that staff member transported minors in care in an unsafe manner, it was alleged that staff #1(S1) was seen driving C2, C3, and C4 in a vehicle without the clients' seatbelts fastened through a social media post. It was further reported that the vehicle was moving, and clients' seatbelts were not fastened. S1 admitted that S1 was taking C2 and C4 out shopping to Ontario Mills and C2 and C4 took their seatbelts off on their way to the mall. S1 stated that S1 continued to drive to the mall even though C2 and C4 had their seatbelts off. Another confidential interview stated that staff do not have control over the clients' decisions and S1 just tells the clients to put their seatbelt on. One confidential interview stated that S1 does not drive in an unsafe manner, but S1 advises clients to put their seatbelts on, but clients choose to take their seat belts off. Some confidential interviews stated not having any knowledge of the allegation. Other confidential interviews refused to provide any information regarding the allegation. County Social Worker stated having concerns about the clients not having their seatbelts on during transportation. In regard to the allegation that staff member did not prevent minors in care from possessing alcohol, it was specifically alleged that S1 was seen in a vehicle with C2, C3, and C4 through a social media post. It was further indicated that C2 and C4 had alcohol bottles in their hands while S1 was driving the vehicle. S1 admitted to C2 and C4 already having the alcohol bottle when S1 was driving C2 and C4 to the mall. S1 admitted that S1 didn't take the bottle from the clients because they were already on their way to the mall, and S1 was the only staff with C2 and C4. S1 admitted to driving the clients C2 and C4 to the mall with alcohol in the client's possession. S1 reported that the alcohol was discarded when they returned from the mall. One confidential interview stated that S1 did not know that the clients had the alcohol bottles. The same interview stated that S1 was not paying attention because S1 was driving and when S1 realized the clients had alcohol in their possession, S1 made the clients throw out the alcohol at the mall. Other confidential interviews stated not having any knowledge regarding the alleged violation. County Social Worker stated not receiving any reports regarding the alleged violation. Regarding the allegation staff do not report incident(s) involving minors in care as necessary, it was reported that staff do not report all incidents that occur to avoid doing paperwork. Confidential interviews stated that all incidents regarding the health and safety of the clients in care are reported to Community Care Licensing. Records reviews indicate that the above incidents regarding seatbelts not being fastened while clients being transported and clients having alcohol in their possession were not reported to Community Care Licensing. Based on confidential interviews and records review, the preponderance of evidence standard has been met, therefore, the allegations that staff #1(S1) transported clients in care in an unsafe manner, S1 did not prevent minors in care from possessing alcohol, and staff do not report incident(s) involving clients in care as necessary are substantiated at this time. The facility is being cited for the violation Title General Licensing Requirements Reporting Requirements 80061(b)(E) and Interim Licensing Standards 87065.2 (b)(1) Personnel Duties on the attached LIC 9099D. An exit interview was conducted and a copy of this report, LIC9099D, Appeal Rights, and LIC811 was provided to Facility Manager Tina Willis.

Investigation Findings:
13On March 24, 2025, at 12:12PM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Ferree's Group Home # Short Term Residential Therapeutic Program (STRTP) Facility Manager Tina Willis to discuss the investigative finding for the above stated allegations involving clients in care listed on the Confidential Names List (LIC811). On October 21, 2024, Community Care Licensing received information alleging that staff member transported minors in care in an unsafe manner, staff member did not prevent minors in care from possessing alcohol, and staff do not report incident(s) involving minors in care as necessary. On October 30, 2024, at 2:18PM, LPA Babatunde Aborchie initiated the investigation at the STRTP. During the investigation, LPA Caballero interviewed (Clients #2,4,6,7) four staff, and two County Social Workers. Client #3 and client #5 declined an interview and client #1's whereabouts are unknown due to C1's runaway status. LPA reviewed pertinent documents from clients' files. LPA obtained photographic evidence of the above incidents. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Adaleyci Caballero LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Ferree's Group Home, INC. #5FACILITY NUMBER: VISIT DATE: 03/24/2025

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

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
Regarding the allegations that staff did not provide a safe environment for children in care and staff conduct poses a risk to children in care, it was alleged that on January 29, 2025, the Facility Manager's ex-boyfriend tried to break into the STRTP to get to the Facility Manager. It was specifically alleged that clients in the home attempted to stop the male from trying to attack the Facility Manager. Furthermore, it was reported that the clients in care were all in the street fighting with the male, law enforcement was called out to the home, and no one was hurt. During the investigation, a confidential interview stated that Adult #1(A1) came inside the STRTP to fight a resident because the resident said something to the Facility Manager (FM) that A1 did not like while the FM was on the phone with A1 prior to A1's arrival to the STRTP. Another confidential interview stated not witnessing the incident, but it was reported that client #1(C1) saw A1 inside the STRTP assisting FM with FM's belongings and C1 was verbally aggressive to A1 because C1 wanted to start something with A1. The same interview stated that FM and A1 were already inside their car getting ready to leave when C1 opened their car door and started swinging at A1 and a fight broke out. One confidential interview stated that C1 was arguing with FM while FM was on the phone with A1. Then, A1 showed up to the STRTP and C1 was following A1 and FM to the car and C1 opened the door and A1 got out and A1 and C1 started to fight. One confidential interview stated that C1 was being verbally aggressive towards FM and when A1 picked up FM from FM's shift at the STRTP, C1 opened the driver's side door and assaulted A1. Then, A1 got out of the vehicle and responded while staff #2(S2) was assisting in blocking C1. The interview continued by stating that C1 got away from S2 and ran towards an opened field to grab a metal pipe and assaulted A1 with the metal pipe. The same interview reported that C1 was hit by A1 once during the physical altercation. An additional confidential interview reported that C1 had been harassing FM the entire morning during FM's shift and making threats to FM. The confidential interview continued stating that FM was leaving for the day and A1 was waiting for FM at the STRTP's front door. Then, C1 began to yell at A1 and A1 got upset and FM walked A1 to their car. C1 went around the house and opened A1's car door and began to assault A1. A1 got out the car and confronted C1. The interviewer tried to deescalate C1 and asked FM to walk A1 up the street; however, C1 got a hold of a metal pipe and hit A1 on the head. The interviewer stated C1, and A1 exchanged punches and law enforcement showed up. County social worker stated not having concerns on the safety in the STRTP because C1 was the aggressor. Based on confidential interviews and records review, the preponderance of evidence standard has been met, therefore, the allegations that staff did not provide a safe environment for children in care and staff conduct poses a risk to children in care are substantiated at this time. The facility is being cited for the violation of Interim Licensing Standards 87078.2 (a)(3) Trauma Informed Interventions and Treatment Practices and 87065.2 (b)(1) Personnel Duties on the attached LIC 9099D. An exit interview was conducted and a copy of this report, LIC9099D, Appeal Rights, and LIC811 were provided to Facility Manager Tina Willis.

Investigation Findings:
13On May 19, 2025, at 11:28AM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Ferree's Group Home # Short Term Residential Therapeutic Program (STRTP) Facility Manager Tina Willis to discuss the investigative finding for the above stated allegations involving client in care listed on the Confidential Names List (LIC811) dated 05/19/25. On February 3, 2025, Community Care Licensing received information that staff did not provide a safe environment for children in care and staff conduct poses a risk to children in care. On February 6, 2025, at 9:08AM, LPA Babatunde Aborchie initiated the investigation at the STRTP, and no immediate deficiencies were observed. During the investigation, LPA Caballero interviewed (Clients #2 and #3), three staff, and one County Social Worker. Client #1 declined an interview. LPA reviewed pertinent documents from clients' files and obtained a Police Report dated 01/29/25. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Adaleyci Caballero LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Ferree's Group Home, INC. #5FACILITY NUMBER: VISIT DATE: 05/19/2025

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


raw_content:
Narrative:
Regarding the allegations that staff do not prevent minor from being bullied by other minors while in care and staff did not provide a safe environment for minor; it was specifically alleged that client #1 had self-harming thoughts due to the treatment C1 was receiving from the clients at the STRTP. It was additionally reported that C3 was heard name calling C1 during a phone conversation with C1. Furthermore, it was reported that C3 had threated to kill C1. During investigation, a confidential interview stated that C1 would antagonize the clients, and C1 would say C1 was going to take revenge on them by hurting them. The same interview reported witnessing clients call C1 names, but they were redirected by staff. Other confidential interviews stated that C1 was not called any names and clients in care left C1 alone. Another confidential interview stated that C1 would bully the other clients in care and caused drama at the STRTP. The same interview reported that C1 had a 1:1 supervision during C1's short stay at the STRTP. Confidential interviews did not witness C3 threatening C1. Other information stated the violations occurred. In regard to the allegations that staff member mismanaged minor's medications, and minor did not receive medications as prescribed, it was alleged that client #1(C1) had not received medications and staff were aware of the situation and were not putting any protective measures in place. A confidential interview stated that when C1 was placed at the STRTP C1 came with a bag of medications but without forms or instructions on the medications. The same interview stated that it appeared that the medication was old because C1 was on runaway status for a long time before being placed at the STRTP. Another confidential interview stated that when the STRTP finally received C1's JV220 and medications, C1 would refuse to take C1's medication because C1 would say that the medications would make C1 sleepy. One confidential interview stated C1 did not have a psychiatric appointment because C1 was placed at the STRTP for only a week. Other confidential interviews did not have information regarding the alleged violations. Based on confidential interviews, the allegations that staff do not prevent client #1 from being bullied by other minors while in care, staff did not provide a safe environment for client #1, and staff mismanaged client #1's medications, and client #1 did not receive medications as prescribed may have occurred, however, there was not a preponderance of evidence to support or deny the alleged violations. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted and a copy of this report, Appeal Rights, and LIC811 were provided to Facility Manager Tina Willis.

Investigation Findings:
13On May 19, 2025, at 1:03PM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Ferree's Group Home # Short Term Residential Therapeutic Program (STRTP) Facility Manager Tina Willis to discuss the investigative findings for the above stated allegations involving client in care listed on the Confidential Names List (LIC811) dated 05/19/25. On December 12, 2024, Community Care Licensing received information alleging that staff do not prevent minor from being bullied by other minors while in care, staff did not provide a safe environment for minor, staff mismanaged minor's medications, and minor did not receive medications as prescribed. On December 18, 2024, at 10:18AM, LPA Babatunde Aborchie initiated the investigation at the STRTP. There were no immediate deficiencies observed. On April 30, 2025, at 12:30PM, LPA Caballero visited the facility to conduct additional interviews, and no immediate deficiencies were observed. During the investigation, LPA Caballero interviewed (Clients #1, #2 and #3) and three staff. County Social Worker was not interviewed due to unsuccessful attempts. LPA reviewed pertinent documents from clients' files. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Adaleyci Caballero LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Ferree's Group Home, INC. #5FACILITY NUMBER: VISIT DATE: 05/19/2025

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


raw_content:
Narrative:
On November 12, 2024, Community Care Licensing received information alleging that staff did not ensure the facility was stocked with a sufficient amount of food and staff do not safeguard minor's personal belongings. It was alleged that the facility was in poor condition and there was a lack of food with no details. Confidential interviews stated that there was always food at the facility, but clients sometimes didn't like the food. A confidential interview stated food is always stocked and a supply of food is always stored in a storage closet. Another confidential interview stated that C1 would throw away his food and ask for different types of food and staff would try to accommodate C1's needs. County social worker did not have concerns about the amount of food at the STRTP. LPA was unable to gather additional information. Regarding the allegation that staff do not safeguard minor's personal belongings, It was reported that staff would take money from the residents as well as steal their belongings such as personal items and food with no further details. Confidential interviews stated that clients would receive their allowance on a weekly basis. A confidential interview stated that at one-point C1's cash allowance was withheld due to substance abuse, but C1 would still receive the allowance in a gift card. Other confidential interviews did not witness stealing from staff members. One confidential stated that clients would take belongings from each other here and there, but did not remember the details or the clients specifically. County Social Worker did not have concerns about the alleged violation. County Social Worker stated that C1 had a history of giving away personal belongings. Based on confidential interviews, the allegations that staff did not ensure the facility was stocked with a sufficient amount of food and staff do not safeguard client #1's personal belongings may have occurred, however, there was not a preponderance of evidence to support or deny the alleged violations. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted and a copy of this report, LIC 811, and Appeal Rights were provided to Tina Willis.

Investigation Findings:
13On May 19, 2025, at 12:47PM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Ferree's Group Home # Short Term Residential Therapeutic Program (STRTP) Facility Manager Tina Willis to discuss the investigative findings for the above stated allegations involving client in care listed on the Confidential Names List (LIC811) dated 05/19/25. LPA Babatunde Aborchie began the investigation at the facility on November 14, 2024, at 10:00AM. On April 30, 2025 at 1:19PM, LPA Caballero visited the facility to conduct additional interviews and took photographic evidence of STRTP's food pantry and refrigerators. During the investigation, LPA Caballero interviewed (Clients #2 and #3), three staff, and County Social Worker. Client #1's(C1) interview was unsuccessful due to C1 running away during LPA's visit at C1's school. LPA reviewed pertinent documents from client's files. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Adaleyci Caballero LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Ferree's Group Home, INC. #5FACILITY NUMBER: VISIT DATE: 05/19/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
An informal conference was held with Ferree's Group Home Inc. (FGH) to discuss current licensing concerns. Present at the meeting was LaCresha Cook, Regional Manager (RM), Abdoulaye Traore, Licensing Unit Manager, Michael Almaraz, Licensing Program Analyst, FGH Head of Service Mitchica Smith, Ferree's Group Home # Administrator, Alisha Jones, Ferree's Group Home # Executive Director Phillip Ferree, Riverside Behavioral Health Nisha Elliot, San Bernardino County Hannah Gutierrez, Riverside County Jonelle Ross, Riverside County Alan Dominque, Riverside County Probation Juan Bretado, Riverside County Probation Naomi Durley, Riverside County Sofia Williams, Department of Health Care Services Sandi Shelgrove and Department of Health Care Services Dave Gutierrez. The following information was discussed: · Expiration of provisional license. · Medi- Cal certification. · Mental Health program approval. · Closure plan. · RM discussed withdrawal of application. · Facility referred to Community Care Licensing Legal Department for review of Administrative Action. The facility has agreed to the following · Facility has submitted the corrections to insurance that were requested by Riverside Behavioral Health. · Facility has hired a Licensed Vocational Nurse and will submit this information to Mary Walsh with Riverside Behavioral Health by August 31, 2021. · Facility will submit their Mental Health application to the Department of Health Care Services by August 31, 2021. (...) · Facility will submit possible closure plan by September 3, 2021. The possible closure plan will include an update to the counties and the Department of what is occurring and provide dates as to when expected Mental Health Program Approval or closure date of facility. A copy of this report was given and explained to Alisha Jones.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst, (LPA) Michael Almaraz and Adaleyci Caballero arrived at the facility to conduct an annual inspection. During the inspection, the facility was inspected inside and out with Facility Manager Tina Willis. The home is a one-story residence with three bedrooms, four bathrooms, three staff offices. Five clients were present at time of inspection. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. LPAs observed vents covered with dirt and dust and walls in need of repair. Bedroom #3 had a cracked bathroom sink. The facility is not clean, safe, sanitary, and in good repair. The temperatures in rooms that clients occupy are maintained between 68 and 85 degrees (F). Passageways, stairways, inclines, ramps, and open porches are unobstructed. The hot water in the client bathroom was measured at 111 degrees (F). The medications were stored and locked in a locker in the closet. There are no guns or weapons in the facility as stated by Facility Manager Willis. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Ombudsman Poster, and current menu. The facility license was not posted in an area accessible to the public. Clients medications were observed to be inaccessible and stored in the medical room. LPA observed a minimum 7-day non-perishable and a 2-day perishable supply of food. The outside facility grounds were inspected. LPAs observed the outside grounds littered with a washer, refrigerator debris, trash, and an unmaintained overgrown, tilled lawn. There is no swimming pool located at facility, and emergency exits were free from obstruction. (...) A sample of seven staff files were reviewed during the inspection. A review of administrative records indicate that the facility has paid their current licensing fees. Supervising Facility manager was present at time of inspection, and there were five clients present at time of inspection. Facility cited for violation of Health-Related Services, Building and Grounds, Fixtures, Furniture and Equipment Supplies, Personnel Records, Personnel Requirement, Food Service, Posting of License and Criminal Record Clearance. A copy of this report was reviewed and provided to Facility Manager Tina Willis along with a Confidential Names List (LIC 811).

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On the above date Licensing Program Analyst (LPA), Michael Almaraz, arrived at the facility to continue the the Annual Inspection which was started on September 30, 2021. Due to technical difficulties LPA will have to return at a later date to continue the annual. LPA explained this report to Tisha Robbins and provided her with a copy of the signed report.

met_with: Tisha Robbins


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA), Michael Almaraz, conducted an inspection and met with Supervising Facility Managers, Tina Willis and Tisha Robbins. During the course of an annual inspection on September 29, 2021, LPA observed several violations. The violations included Health-Related Services, Building and Grounds, Fixtures, Furniture and Equipment Supplies, Personnel Records, Personnel Requirement, and Criminal Record Clearance. A plan of correction for the citations was given a date of October 14, 2021. Facility did not meet plan of correction in a timely manner therefore the facility will be cited for failure to correct violations. An exit interview was conducted, a copy of this report, LIC421FC, and appeal rights was provided to Tina Willis.


summary: Facility Evaluation

raw_content:
Narrative:
On December 2, 2021, at 11: AM, Licensing Program Analyst (LPA), Michael Almaraz, conducted an unannounced inspection. The purpose of the inspection was to complete the continuation inspection for STRTP annual inspection that was initiated on September 30, 2021. LPA's already completed the physical inspection of the facility and reviewed facility staff files. During this annual inspection continuation LPAs reviewed six client files to ensure they contained all required documentation per Title Regulations and Interim Licensing Standards (ILS). Lpa M. Almaraz conducted interviews with two of two available clients. Clients were able to provide sufficient information in relation to the facility's STRTP phone policy, needs and services plan, and mental health services. Based on interview with clients, the facility appears to be meeting Core Services/Supports requirements. An exit interview was conducted and a copy of this report and appeal rights were provided to supervising facility manager Tina Willis.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On June 28, 2023, at 1: PM, Licensing Program Analysts (LPA), Michael Almaraz, conducted an annual inspection. Facility manager Shane Williamson granted LPA access into the facility. There were four out four clients present during the inspection. A physical plant inspection was completed at 1: PM and included the following checks: Facility grounds were clean and free of debris and observable hazards. There was adequate indoor and outdoor activity space. All facility smoke detectors and carbon monoxide detectors were in appropriate working order. The fire extinguishers were properly charged and serviced. LPA observed adequate supply of perishable and non-perishable foods and the facility appears to be following the posted menu. All required forms are posted including the Grievance Procedures, visitation policies, personal rights, and Foster Care Ombudsman posters. Medications were locked and centrally stored in a locked closet. The hot water temperature was measured, and it was within the range. Facility had cameras in common areas of the facility. Per facility staff, no firearms or weapons are allowed in the facility. Based on observation the facility is being cited on the following area: Physical plant. Deficiencies were observed and cited on 809Ds. A case management inspection will be conducted at a later date to complete the annual inspection. Exit interview was conducted, 809 and 809Ds were provided and deficiencies were advised to Shane Williamson.

Deficiencies:
80087(a): Deficient Practice Statement
1
2
3
4Based on observation, the licensee did not comply with the section cited above in the hallway of the facility and the cabinets in bedroom 1 restroom which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/12/2023
Plan of Correction
1
2
3
4

met_with: Shane Williamson

title:
Buildings and Grounds

(a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.

This requirement is not met as evidenced by


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On July 26, 2023, at 10: AM, Licensing Program Analysts (LPA), Michael Almaraz, conducted an annual inspection. Facility manager, Shane Williamson, granted LPA access into the facility. There were four out five clients present during the inspection. LPA arrived to conduct a continuation to an annual inspection initiated on June 28, 2023. During the inspection LPA conducted a review of Operational Requirements, Disaster Preparedness, Emergency Intervention Plan, Staffing Records, Client Records, and Core/Therapeutic Services. Based on observation the facility is being cited on the following area: Client Records, and Core/Therapeutic Services. Deficiencies were observed and cited on 809Ds. Exit interview was conducted, 809 and 809Ds were provided and deficiencies were advised to Shane Williamson.

Deficiencies:
87089.1(d): Mental Health

(d) A short-term residential therapeutic program shall provide or ensure access to mental health services, including specialty mental health services and mental health supports that meet short and long term mental and behavioral health goals and treatment as identified by the Qualified Individual, as appropriate to the needs of the child or nonminor dependent in its care. This shall include all of the following


summary: Facility Evaluation

raw_content:
Narrative:
On November 14, 2024, licensing program analyst (LPA) Babatunde Aborchie conducted an unannounced annual inspection. LPA met with facility manager {FM} Tina Willis and administrator (A1), Alisha Jones. The facility was toured inside and out with A1. There were three clients in placement, all three clients were present during the walk through. Bedrooms were set up so there were two clients per room and one client per bed. There was adequate shelf and closet space for client's belongings. The bathrooms were observed to be clean and in good repair. The hot water in the client master restroom was measured to be 112 degrees Fahrenheit. All hazardous items have been properly made inaccessible to areas where clients will have access. The medications and sharp knives were made inaccessible and stored in a locked hallway closet near the cool down room. Cleansers/chemicals were locked and stored in a cabinet in the activity room. The facility's smoke detectors and carbon monoxide detector were checked and were operable. There were no guns or weapons in the facility as stated by A1. All Client bedrooms had proper window screens, and they were in good condition. The following required posted items were observed accessible to clients: fire evacuation procedures, facility disaster plan, personal rights, and foster care ombudsman poster. LPA observed a minimum 7-day non-perishable and a 2-day perishable supply of food. There was a variety of snacks available for clients. The facility outside grounds was inspected and it was observed to be clean, and the landscape well maintained. Emergency exits were free from obstruction. There was no swimming pool located on the facility grounds. There were no deficiencies observed at the time of inspection. LPA will continue the inspection later. A copy of this report was provided to Tina Willis, administrator.

met_with: Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On November 20, 2024, Licensing Program Analyst (LPA), Babatunde Aborchie, conducted an annual inspection. Facility manager, Tina Willis, granted LPA access into the facility. LPA arrived to conduct a continuation to an annual inspection initiated on November 14, 2024. During the inspection LPA conducted a review of Operational Requirements, Disaster Preparedness, Emergency Intervention Plan, Staffing Records, Client Records, and Core/Therapeutic Services. No deficiencies were found during this inspection. An exit interview was conducted and a copy of this report was provided to facility manager, Tina Willis.

met_with: Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA), Michael Almaraz, was met at the facility by manager Shane Williamson. The purpose of the site inspection was to address information that was obtained on May 15, 2022. It was discovered that the facility had a change in Head of Services. The facility did not have a Head of Service at the time of inspection and had not had a Head of Service since November 10, 2022. LPA contacted facility administrator, Alisha Jones, during time of inspection to verify the information. Ms. Jones verified that there had not been a Head of Service since November 2022. This is a violation of Short Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS) Version 4 section 87061(f) Reporting Requirements which states the licensee shall notify the Department, in writing, within ten (10) *calendar* days of any change in the mental health program head of service, See page 2 for violation cited. Exit interview conducted with Mr. Williamson and a copy of this report was also provided and explained along with the Appeal Rights.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Joon Choi on May 20, 2024 at 11: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Choi met with Administrator Alisha Jones. LPA Choi conducted a health and safety inspection of the facility. LPA reviewed one child's records and three staff personnel files on site at the facility. LPA reviewed one child's psychotropic medications and medication records. LPA interviewed two staff on site to discuss the facilities policies and procedures of operation. During the facility visit, one child that is prescribed psychotropic medication, was interviewed. After a record review, one Technical Advisory is being provided and one Type B deficiency is being cited at this time: ILS 87070(b)(14)(F): (b) The following information regarding the child shall be obtained and maintained in the child's record: (14)*A separate log for each psychotropic medication prescribed to a child documenting all of the following: (F) The date and time of each dose taken by the child. See LIC 809D. LPA conducted an exit interview with Administrator Alisha Jones and provided a copy of this report and appeals rights.

met_with: Alisha Jones, Administrator


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Regarding the allegation that staff locked C1 in a room, a confidential interview disclosed that no reports were received regarding C1 being locked in a room. The confidential interview further revealed that C1 has a history of fabricating stories. An additional confidential interview declined to respond to questions and stated that C1 could not remember what had occurred. Regarding the allegation that staff (S) physically assaulted C1, a confidential interview disclosed that C1 did not report any incident of physical abuse. The confidential interview further stated that C1 derives pleasure from provoking others. Another confidential interview declined to provide information and stated they did not recall any incident at this time. Regarding the allegation that staff behavior poses a risk to C1 in care, a confidential interview disclosed that no reports were received related to this allegation and stated they were unsure whether the alleged incident occurred. An additional confidential interview was unwilling to discuss the allegation. Regarding the allegation that staff do not ensure firearms are properly stored and maintained out of reach of C1 in care, a confidential interview disclosed that there are no firearms in the facility and believed the allegation to be inaccurate. LPA received conflicting information regarding this allegation. Based on confidential interviews, the allegations that staff locked C1 in a room, staff physically assaulted C1, staff behavior poses a risk to minors in care, and staff do not ensure firearms are properly stored and maintained out of reach of minors in care may have occurred; however, there is not a preponderance of the evidence to support that the alleged violations occurred. Therefore, these allegations are determined to be unsubstantiated at this time. A copy of the report was not discussed and provided to the administrator, due to LPA was unable to get in contact with facility representative.

Investigation Findings:
13On December 18, 2025, Licensing Program Analyst (LPA) Babatunde Aborchie attempted to deliver investigative finding at Ferree's Group Home for the above allegations involving the Short Term Residential Therapeutic Program (STRTP) and clients listed in the Confidential Names List (LIC 811) dated 12/18/2025. LPA was unable to meet with STRTP's administrator. On July 14, 2025, a complaint report was referred to Community Care Licensing (CCL) alleging Staff locked minor in room, staff physically assaulted minor, staff behavior poses a risk to minors in care and staff do not ensure firearms are properly stored and maintained out of reach of minors in care. On July 23, 2025, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at the GH to initiate investigation and met with the Executive Director Mr. Ferree Phillip. In addition, LPA interviewed client 1 (C1) facility manager (FM), and County Social Worker (CSW). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Babatunde Aborchie LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE S CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Ferree's Group Home, INC. #5FACILITY NUMBER: VISIT DATE: 12/18/2025

met_with: Adiministrator


facility_name: FIELDS COMPREHENSIVE YOUTH SERVICES CORP.

raw_content:
Narrative:
The Department received a report alleging a client threatened another client with a gun, a client consumed contraband at the facility, and contraband is present at the facility. FM denied the allegations. It was reported Ref #2 threatened to cause harm to Ref #1 and wielded a gun at Ref #1. Statements obtained from confidential interviews conducted did not reveal witnesses who observed Ref #2 threaten to harm Ref #1. Furthermore, confidential interviews conducted indicated there are no weapons at the facility. It was reported Ref #1 consumed contraband at the facility. Statements obtained from confidential interviews conducted revealed clients leave the facility without permission to consume contraband, and not at the facility. Based on information gathered through interviews conducted and records reviewed the allegations are Unsubstantiated. Although the allegations may have occurred or are valid, the standard of the preponderance of evidence was not met. No deficiencies were cited. Exit interview conducted and a copy of this report was provided to the facility representative.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 10/27/21 at 2: PM. During the inspection LPA Larios met with Facility Manager (FM) Lekeba Riley and delivered findings for the above-mentioned complaint allegations. During the course of the investigation LPA Larios conducted interviews with one client on 6/11/21, three clients on 6/16/21, one client on 10/26/21, two County Social Workers (CSW) on 10/22/21 and one Facility Manager (FM) on 10/22/21. LPA Larios conducted a record review on 6/18/21 and obtained copies of staff and client rosters, special incident reports, one client's needs and services plans, and staff shift log notes. Three CSW's were not available for statement and one client was not located for statement. (Reference Confidential Names list LIC811 dated 10/27/21. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Christopher Larios 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 32-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, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: Fields Comprehensive Youth Services CORP.FACILITY NUMBER: VISIT DATE: 10/27/2021

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

met_with: Lekeba Riley


raw_content:
Narrative:
On 06/21/2021, the Department received a complaint alleging that a staff handled a client in a rough manner. The focused staff (FS) who was identified in the referral denied the allegation that he hit or handled a client in a rough manner on 06/17/2021, two other staff workers who were present corroborated the explanation and has denied any form of abuse towards the client(s). The FS explained after retrieving some contraband items from a client's bedroom, it was reported that the one focused client (FC) was agitated and was walking behind him in a very aggressive manner and believed that he was going to be attacked. The FS worker turn around and bumped into the focused client, causing the FC to loose his balance and fell on top of his bed. No injuries were reported. Interviews obtained by several staff workers denied the allegation and stated that clients at the facility are never mistreated. All staff workers commented that the FS worker is not that type of a person that would intentionally treat a client in a rough manner. In confidential interviews, the one focused client (FC) declined to provide a statement related the incident that occurred on 6/17/2021. Other clients when interviewed stated that they have no direct information to provide as one client was not present and the other clients stated "I did not see anything and will not provide any information, including they could not recall the specifics of the alleged allegation. Statements provided by the clients interviewed stated they have no complaints about staff working at the facility. The assigned county social worker (CSW) for the one focused client (FC) does not believe the allegation and stated that the FC has a history of being defiant. The CSW has no concerns about staff working at the facility. The interviews revealed that there was some form of contact between one staff and one client that was described as being an accidental contact. However, statements obtained could not corroborate the allegation reported. Therefore, the above allegation is determined unsubstantiated at this time. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged abuse occurred. An exit interview was conducted and copy of this report was provided to the facility representative for review and signature. No deficiencies were cited at this time.

Investigation Findings:
13On 11/10/21 at 12: PM, Licensing Program Analyst (LPA) Joseph Vargas conducted a follow-up inspection for the purpose of providing findings for the above complaint. LPA met with Facility Manager Ms. Riley. During the course of the investigation, LPA conducted in-person visits, telephone and video interviews with four staff workers, two clients on 6/24/2021, one staff worker on 6/24/21, one client on 6/26/21, county social worker and an attempted contact with two clients on 07/01/2021 (reference confidential names list LIC811 dated 11/10/2021). During the inspection LPA requested for review and obtained copy of the staff and client facility roster reports, special incident reports, clients Needs and Service Plan and placement history, including a review of the county report associated to this complaint investigation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Joseph Vargas 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 32-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, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: Fields Comprehensive Youth Services CORP.FACILITY NUMBER: VISIT DATE: 11/10/2021

met_with: Ms. Riley, Facility Manager


summary: Complaint Investigation - Substantiated - 1 deficiency - 1 allegation

raw_content:
Narrative:
Based on the information gathered, the preponderance of evidence to prove the allegation was met, therefore the allegation is substantiated per California Code of Regulations Title 22 - refer to LIC9099-D for deficiencies. A copy of this report, Confidential Names Form, LIC 9099-D for deficiency and Appeal Rights were provided to the agency representative.

Investigation Findings:
13On August 8, 2022 at 11: AM, Licensing Program Analyst (LPA) Joshua Rarela conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegation above. During the course of the investigation, LPA Rarela interviewed the facility manager (see Confidential Names Form dated August 8, 2022). LPA Rarela also reviewed documents including facility incident reports and placing agency service logs. It was alleged that the facility is out of ratio. The investigation revealed that the facility had only one staff on shift during the night when incidents occurred where facility clients engaged in physical altercation, an incident where a client was aggressive toward staff requiring law enforcement to be summoned, and incident where clients left the facility during the night without permission. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Joshua Rarela 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 32-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, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: Fields Comprehensive Youth Services CORP.FACILITY NUMBER: VISIT DATE: 08/08/2022

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

Deficiencies:
87065.51: 1
2
3
4
5
6
7

met_with: Angela Cox, Facility Manager

title:
2
3
4
5
6
787065.5(a)(2) DIRECT CARE STAFF/CHILD RATIOS - During the hours of 10 pm to 7 am, there shall be one awake and on duty direct care staff for every six children, or fraction thereof, present, at a minimum.

This requirement is not met as evidence by

description:
1
2
3
4
5
6
7


raw_content:
Narrative:
On 05/27/2022, the Department received a complaint alleging that clients are allowed to smoke marijuana while at the facility. Staff members who were interviewed denied the allegation that clients are allowed to smoke in the facility, including activities outside of the facility grounds. LPA was informed by some staff members that at times they have caught client(s) smoking or vaping inside their bedroom while conducting routine checks and were able to confiscate the contraband and document the incident. Staff workers, including the Administrator, stated that staff are always present and are working professionally. In confidential interviews, all clients interviewed denied the allegation that staff working at the facility allowed them to smoke marijuana or any other form of tobacco or device such as a vape. Two clients denied that clients ever smoke at the facility and were not aware of others doing so. Other clients admitted smoking marijuana away from the facility. The other clients disclosed that they obtained the marijuana from other students at the school and were smoking on the school grounds. One individual identified as other reportedly disclosed that a client commented that staff knows and does nothing when they see clients smoking. Individual identified as other could not be contacted and therefore no statement was obtained. County Social Worker that was mentioned in the county referral could not be contacted, therefore no statement was obtained. When interviewed, the County Emergency Response Worker (ER) did not have any immediate concerns at that time. Statements obtained could not corroborate the allegation reported. Therefore, the above allegation of neglect/lack of supervision is determined unsubstantiated at this time. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged abuse occurred. An exit interview was conducted and a copy of this report was provided to the facility representative for review and signature. No deficiencies were cited at this time

Investigation Findings:
13On 10/04/2022 at 11: AM, Licensing Program Analyst (LPA) Joseph Vargas conducted a follow-up inspection for the purpose of providing findings for the above complaint. LPA met with Facility Manager Ms. Riley. During the course of the investigation, LPA conducted in-person visits, and telephone interviews with four staff workers, five clients, on 5/31/2022, county emergency response worker (ER) on 06/02/2022, that included two attempted contacts with two individuals that could not be contacted. (reference confidential names list LIC811 dated 10/04/2022. During the inspection LPA requested for review and obtained copy of the staff and client facility roster reports, special incident reports, clients Needs and Service Plan and placement history, including a review of the county report associated to this complaint investigation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Joseph Vargas 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: Fields Comprehensive Youth Services CORP.FACILITY NUMBER: VISIT DATE: 10/04/2022