summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Latricia Rogers conducted a case management inspection Tuesday, August 13, 2024, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 10 out of Direct Care Staff and 5 out of 5 youth files were reviewed. 2 out of Direct Care Staff and 2 out of 5 youth were interviewed. (See the Confidential Names List, LIC 811, dated August 13, 2024). The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, youth case plans, quarterly assessments, and crisis intervention plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Latricia Rogers observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to LaKeicha Donald- Lead Facility Manager

met_with: LaKeicha Donald- Lead Facility Manager


state: CA

facility_name: STELLA MARIS GROWTH CENTER II

summary: Facility Evaluation

raw_content:
Narrative:
On September 13, 2024, Licensing Program Analyst (LPA) Cynthia Velasquez conducted an annual inspection of the facility. Upon arrival, LPA was met by Youth Care Counselor, Brigid Osonwa. LPA was escorted to an adjoining office area for use during the inspection. The facility's census is 5, with 4 clients present in the home and 1 was attending school. There were 2 staff available and Lead Facility Manager, LaKeicha Donald, was available to meet with LPA. Record review was initiated at 11:05 am. Client files were made available for LPA. All files were complete with information necessary for placement, medical and dental examinations, needs and services plans, contact information, personal rights, and approved contact lists. Staff files were reviewed and had identification, drivers licenses, child abuse, CPR, continuing training documents, and educational requirements. The facility was toured inside and out at 12: PM with LaKeicha Donald, Lead Facility Manager. Facility grounds are clean; free of debris and observable hazards. There is adequate indoor and outdoor activity space. Sports equipment/toys/books/games were observed for client's recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguisher is properly charged and serviced. Licensee maintains an abundant supply of perishable and non-perishable foods. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Medications are locked and centrally stored in the hallway closet. The facility has 3 bedrooms and are arranged so that no more than two clients share a room. Each bedroom has two beds and there is one client per bed. Clients agree to share rooms, where applicable. There is adequate shelf and closet space for client's belongings. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. The facility has two bathrooms for clients' use. The bathrooms were in working order. Appropriate staff/client ratios were verified during this inspection. The therapy/office room was an additional room added to the home. It contains a couch, additional seating area, an office desk, and a refrigerator. There are activities for youth, air conditioning, and a group area. Available at all time for clients are books, extra sundries, snack boxes, and fresh fruits. Facility does not have a pool or any open bodies of water. Per Facility Manager, there are no firearms or weapons in the facility. Facility appears to be meeting the terms and conditions of their license. There were no deficiencies cited at this annual inspection. An Exit interview was conducted and a copy of this report, along with LIC811, and Appeal Rights will be provided to the facility.

report_type: Facility Evaluation

visit_type: Annual

met_with: LaKeicha Donald, Lead Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On June 16, 2021, Licensing Program Manager (LPM) Natasha Dunlap and Licensing Program Analyst (LPA) Jazmond Harris conducted a post-licensing inspection of the facility. Upon arrival, LPM and LPA met with Designated Manager, Brigid Osonwa. The facility was toured inside and out at 9: AM with Designated Manager There are currently five residents in placement (See Confidential Names List (LIC 811) dated June 16, 2021. General Manager, Tracy Mitchell met with LPM and LPA during the inspection. A physical plant inspection was completed and included the following checks: Facility grounds are clean; free of debris and observable hazards. There is adequate indoor and outdoor activity space. Sports equipment/toys/books/games were observed for client's recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguisher is properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Medications are locked and centrally stored in the hallway closet. The facility has 3 bedrooms and are arranged so that no more than two clients share a room. Each bedroom has two beds and there is one client per bed. There is adequate shelf and closet space for client's belongings. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. The facility has two bathrooms for clients' use. The bathrooms were in working order. The hot water in the client bathroom sink was measured and deemed to be safe. Facility does not have a pool or any open bodies of water. Per General Manager, there are no firearms or weapons in the facility. Facility appears to be meeting the terms and conditions of their license. Administrator, Charles Ohaeri is present at the facility a minimum of 20 hours a week, as verified by staff schedule and interviews. Appropriate staff/client ratios were verified during this inspection. The facility employes General Manager, Designated Managers, Child Care Worker, and Social Worker. Licensee is in the process of obtaining Mental Health Certification. LPM and LPA reviewed five clients files. Client files were missing pertinent documentation such as personal rights forms, emergency and identification information forms, and personal valuables documentation. This poses a personal rights and health and safety risk to all clients in care. Deficiencies will cited. Per Head of Service Manager, Frances Ohaeri advised LPA Harris that will the updated needs and service plans will be sent at a later time. Head of Service Manager stated the needs and service plans are up to date. Three staff files were reviewed. Staff files were missing Tuberculosis Test Results. LPM and LPA discussed the following with the General Manager: Incident reporting, including incidents related to Assembly Bill 388 law enforcement contacts as well as incidents involving emergency interventions. LPM and LPA discussed procedures for Child and Family Team (CFT) meetings, including an overview of required Core Services and Supports. Based upon the inspection of client records and interviews with staff, the Licensee appears to be meeting CFT and Core Services/Supports requirements. LPA Harris discussed with Head of Service Manager the importance of the upkeep of client files. Exit interview conducted and copy of this report will be provided to the facility.

met_with: General Manager-Tracy Mitchell


summary: Facility Evaluation

raw_content:
Narrative:
On November 15, 2021, Licensing Program Analyst (LPA) Sarah Smith arrived at the facility and met with Stella Maris Facility Administrator, Charles Ohaeri. During a Health and Safety inspection at the facility, LPA Smith observed a broken window in client bedroom (bedroom #2). It was explained to LPA Smith that the window was broken by Client 3 (C3) on 11/12/2021. In addition, LPA Smith observed missing shower faucet knob covers. Based on LPA observations, facility is cited for Title Regulations 80087 (a) Buildings and Grounds which poses a potential health, safety and/or personal rights risk to clients in care. A copy of this report along with appeals rights were provided to Administrator, Charles Ohaeri.

visit_type: Case Management

met_with: Charles Ohaeri, Facility Administrator


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On February 14, at 1:23pm Licensing Program Analyst (LPA), Nicole Strickland arrived to Stella Maris Growth Center II unannounced. While at the facility LPA conducted a Health and Safety Inspection. During the inspection LPA observed a plastic container with blue lid holding the sharps (Knives, scissors, etc.) in an unsecured area of the facility. Facility Manager stated that the facility uses this area of the facility as storage and refers to it as staff closet. The staff closet does not have any doors to the area. The area has three curtains hanging to cover the storage however, items in this area are not secure. The facility is cited for violation of California Code of Regulations (CCR) Regulation Buildings and Grounds (g): Disinfectants, cleaning solutions, poisons, firearms and other items that could pose a danger if readily available to clients shall be stored where inaccessible to clients. An immediate civil penalty is assessed. A copy of this report was discussed and provided to Facility Manager Tracy Mitchell.

Deficiencies:
80087(g): Disinfectants, cleaning solutions, poisons, firearms and other items that could pose a danger if readily available to clients shall be stored where inaccessible to clients. An immediate civil penalty is assessed.

met_with: Tracy Mitchell

title:
1
2
3
4
5
6
780087 Buildings and Grounds (g)


summary: Facility Evaluation

raw_content:
Narrative:
***This is an amended report to the original report dated January 27, 2026*** On January 27, 2026, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the corporate address located at Barton Rd., Suite Grand Terrace, CA 91313 to review two employees files. No one was present at the office and LPA contacted emergency contact Patience Bledue and Ms. Bledue confirmed no one was at the office, however, agreed to drive to the office to meet with LPA. Ms. Bledue contacted LPA at 12:05 pm to let LPA know they arrived and LPA met with Ms. Bledue in the corporate office to review two employee files. A copy of this report was provided to Ms. Bledue.

met_with: Patience Bledue


facility_name: STELLA MARIS GROWTH CENTER III

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Client #1 requested a couple of more minutes to finish getting dressed for work. At that time, Staff Member, Client #2, and Client #3 sat in the car while Client #1 finished. It was advised that as soon as Client #1 came outside, Staff Member began to pull out of the driveway and transport Client #2 to work. Information obtained from Administrator and County Social Worker stated the incident was not detrimental to the health and safety of Client #1 due to their age and behaviors. LPA received inconsistent information regarding the allegation as interviews deny C1 was left unattended and other interviews state C1 was left unattended for a short period of time at the facility. It was also reported that Administrator referred to client in an inappropriate manner and failed to treat client with dignity. It was reported that Administrator stated, "We can not treat you like a retarded infant." Administrator denied making the claim. Administrator stated he attempted to help Client #1 understand that their cooperation in the program would be beneficial to everyone. Administrator stated that he said Client #1 is not a child anymore. Information obtained from staff and county social worker stated that everyone treated Client #1 with dignity and respect, but there was always a complaint or issue. County Social Worker stated Client #1 was not satisfied with any placement, very defiant, and has a history of making false allegations in order to be removed. LPA Harris received inconsistent information regarding the allegations. Based on interviews and information obtained, Administrator referred to client in an inappropriate manner, Staff Member left Client #1 unsupervised, and staff failed to treat client with dignity, may or may not have occurred; therefore, the allegations are unsubstantiated at this time. Exit interview conducted and a copy of the report will be provided to the facility.

Investigation Findings:
13On November 10, 2021, Licensing Program Analyst (LPA), Jazmond Harris met with Facility Manager, Doris Santiago to deliver the findings for the investigation pertaining to the listed allegations. LPA Cheraki Davis initiated the investigation on April 28, 2021. During the investigation, LPA Davis conducted interviews with Out of Home Investigator and Client #1. LPA Harris interviewed Administrator, Facility Manager, Staff Member, County Social Worker, and Client #2. LPA Harris reviewed pertinent documentation. On April 21, 2021, Community Care Licensing (CCL) received information which stated Administrator referred to client in an inappropriate manner, staff left client unsupervised, and staff failed to treat client with dignity. It was reported that Client #1 was left at the home unattended and was told to stop "acting childish." It was also reported that staff failed to treat client with dignity. In regards to Client #1 being unattended, Client #1 was preparing to leave the home in order to go to work. It was advised that Client #1 had their own means of transportation. Due to the client ratio at the time, there was only one staff member there to transport the other client who also needed to go to work. Staff Member asked Client #1 to ride with the clients, but they refused. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Jazmond D Harris LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 11/10/2021

report_type: Complaint Investigation

met_with: Facility Manager-Doris Santiago

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
that any client had to sit on the floor while being transported. Additional information corroborated that all vehicles were safe; seats and seat belts. LPA was unable to obtain detailed information regarding the allegation due to clients refused to be interviewed. Other confidential information received reported that the allegation was true. Based on interviews and information obtained, Facility Staff transported minor in an unsafe manner, may or may not have occurred; therefore, the allegations are unsubstantiated at this time. Exit interview conducted and a copy of the report will be provided to the facility.

Investigation Findings:
13On November 13, 2021 at 10: AM, Licensing Program Analyst (LPA) Jazmond Harris met with Facility Manager, Wanda Smalls to deliver the findings for the investigation pertaining to the listed allegations. LPA Harris initiated the investigation on June 24, 2021. During the investigation, LPA Harris conducted interviews with Facility Manager, Staff Members, and Client #3. LPA Harris attempted to interview additional clients, but they refused. LPA Harris also attempted to interview County Social Worker, Jasmine Alvarez, but LPA Harris was unable to obtain contact with the worker. LPA Harris observed and reviewed documents pertaining to vehicle inspections. On June 18, 2021, Community Care Licensing (CCL) received information which stated facility staff transported minor in an unsafe manner. Information obtained from interviews denied that the facility vehicles are unsafe. Information obtained stated that all vehicles are maintenance on a regular basis. Additional information stated that all vehicles had seats and belts. LPA Harris observed the facility vehicles and all the current facility vehicles had seats and belts. Information obtained from confidential interviews denied UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Jazmond D Harris LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 11/13/2021

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

met_with: Facility Manager-Wanda Smalls


raw_content:
Narrative:
granted by County Social Worker. Information obtained stated that staff always picked Client #3 up from the visit on the day that it was scheduled. Confidential information stated that Client #3 no longer has any supervised visitation with family members. It was noted that Client #3's unsupservised visitation was terminated due to inappropriate interaction with a sibling. It was denied that Client #3 had any overnight visit with biological family members. Information obtained from County Social Worker stated that Client #3 was allowed overnight visitations by staff members. County Social Worker was unable to advise when the visit occurred or how many times. County Social Worker stated she advised the facility administration during intake that Client #3 was not allowed to have overnight visitation with family members. County Social Worker denied that the information was documented; only verbally. LPA Harris was unable to determine if an overnight visit with Client #3's family was granted. LPA received inconsistent information regarding the allegation. Based on interviews and information obtained, Staff allowed Client #3 to have an overnight unsupervised visit, may or may not have occurred; therefore, the allegations are unsubstantiated at this time. Exit interview conducted and a copy of the report, along with appeal rights, will be provided to the facility.

Investigation Findings:
13On November 17, 2021, Licensing Program Analyst (LPA) Jazmond Harris conducted a visit to the facility and met with Facility Manager, Doris Santiago in order to deliver the findings for the listed allegation. LPA Harris initiated the investigation on June 24, 2021. During the investigation, LPA Harris conducted interviews with Facility Manager, Staff Member, two out of six clients, and County Social Worker. LPA Harris attempted to interview additional clients, but they refused. LPA Harris was also unable to interview additional witnesses pertaining to the allegation. LPA Harris observed and reviewed documents pertaining to visitation. On June 22, 2021, Community Care Licensing (CCL) received information which stated facility staff allowed minors to have unsupervised visits. It was reported that Client #5 (See Confidential Names List (LIC 811) dated November 16, 2021) had an unsupervised visit. It was later reported that Client #3 had an overnight unsupervised visit. Information obtained from staff stated that Client #3 was granted two hour visitation with biological father. It was denied that Client #3 ever was granted permission to spend a night with biological father. Further information obtained stated that Client #3 did ask for additional time for visitation and it was UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Jazmond D Harris LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 11/17/2021


raw_content:
Narrative:
On May 25, 2022, Community Care Licensing received a complaint alleging that staff did not prevent the spread of lice, shampoo is not accessible to minors, and staff did not provide a client with a safe place to store personal belongings. Regarding the allegation that staff did not prevent the spread of lice, a confidential interview stated that C1 was provided a head lice shampoo treatment at the STRTP. Confidential interview continued stating that staff combed C1's hair daily. Confidential interview added that C1's lice problem did not go away and C1's former resource mother was treating C1's lice outside of the facility. Another confidential interview stated that C1 did not have lice while placed at the facility, however, another client placed at the facility came into placement with lice and was being treated for lice when C1 was placed at the facility. Confidential interview continued stating that C1 was concern about the client's head lice and was fearful that lice could spread at the STRTP. A confidential interview stated not knowing if C1 had lice when placed at the facility. Confidential interview continued stating that C1 did not report issues with lice. Confidential interview continued stating that CSW may have gotten a report of C1's lice but could not recall. In regard to shampoo not being accessible to minors, a confidential interview stated that STRTP staff provided shampoo, but it was locked inside the STRTP's office. Confidential interviews indicated that currently all clients have personal boxes that contain a variety of hygiene products. Confidential interviews continued stating that although when C1 was placed at the facility shampoo was kept locked in the office, but staff provided shampoo to clients upon request. Concerning staff not providing a minor with a safe place to store personal belongings allegation, a confidential interview stated that C1's personal belongings were stored in C1's bedroom. Confidential interviews stated that clients have storage space in their rooms, and dressers where clients can store personal belongings. A confidential interview stated that C1 did not report concerns about not having a safe place to store personal belongings. Based on confidential interviews, the allegations that staff did not prevent the spread of lice, shampoo is not accessible to C1, and staff does not provide C1 with a safe place to store personal belongings, may have occurred, however, there was not a preponderance of evidence to support or deny the allegations, therefore, the allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights was provided to STRTP's Lead Facility Manager, LaKeicha Chaney.

Investigation Findings:
13On October 4, 2022, at 8: AM, Licensing Program Analyst (LPA) Cynthia Urena met with Stella Maris III Lead Facility Manager, LaKeicha Chaney to deliver the investigative findings for the above stated allegations. On May 25, 2022, at 1:00PM, Licensing Program Analyst (LPA) S. Smith initiated the investigation at Stella Maris III Short Term Residential Therapeutic Program (STRTP). At 1:30PM LPA S. Smith conducted a health and safety inspection, and no immediate hazards were observed. On August 31, 2022, at 4: PM, LPA C. Urena conducted interviews with two staff members at the STRTP, LPA C. Urena attempted to interview two clients, however, both clients refused to be interviewed. On September 28, 2022, LPA C. Urena interviewed a County Social Worker (CSW), and on September 29, 2022, LPA C. Urena conducted a collateral interview with one client. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 10/04/2022

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

met_with: Lead Facility Manager- LaKeicha Chaney


raw_content:
Narrative:
During the investigation, Confidential interviews stated that staff have expressed concerns to management about C3's ongoing behaviors, however, nothing has been done. Confidential interviews stated that C3 bully's clients, likes to stir up conflict among clients and threatens other clients. Confidential interviews stated that S3 and S4 have a relationship with C3's family members that is causing the program from removing C3 from placement. Confidential interviews further stated that the relationship between C3, S3 and S4 is affecting consequences to be enforced. A confidential interview stated that if S3 and S4 did not have a relationship with C3's family members C3 would have been removed from placement due to ongoing behaviors that have placed other clients at risk. A confidential interview stated that the altercation that occurred between C1, C2, C3, and C4 was due to C3 stirring up conflict among clients. Confidential interview further stated C1 has spoken up about the issues with C3 and C4, but it has not made a difference. Confidential interview further stated that when C1 has spoken up about the issues it has made C3 and C4 more upset. A confidential interview stated that there is a staff member at the STRTP that has a relationship with C3's family and has been cleared for placement of C3. Confidential interview further stated that management from C3's County Social Worker and management for the STRTP are aware of the relationship. Based on confidential interviews, the preponderance of evidence standard has been met, and the allegation that staff are not providing a safe environment for minors is supported and proven by evidence. The facility is cited for violation of Short-Term Residential Treatment Facility (STRTP) Interim Licensing Standards Section 87072(c)(11) PERSONAL RIGHTS. Exit interview was conducted. A copy of this report, LIC 811, and appeal rights were explained and provided to Facility Manager, Doris Santiago During the investigation, a confidential interview stated that S5 and S6 were present during the altercation and attempted to diffuse the fight but were unsuccessful. Confidential interview further stated that S5 called law enforcement and reported the incident to management. Other confidential interviews stated that when staff witness a physical altercation among client's, staff are trained to break up the fight, talk to clients, and conduct group meetings with clients and staff to address the situation further. Another confidential interview stated that S1 assisted C1 in obtaining medical attention after the altercation. A confidential interview stated that C3 instigated the altercation between C1 and C2. Another confidential interview stated that C3 and C4 made the situation worst which resulted in C1's overall injuries. Another confidential interview stated that staff did not report the altercation to C1's county social worker. Confidential interview further stated that C1's county social worker found out about the altercation through a third party. Confidential interview continued stating that shortly after the altercation there was a meeting conducted and program staff did not have a solid plan. Confidential interview further stated that program staff were back and forth on whether to remove C3 from placement or not. Other Confidential interviews admitted that C1 and C2 were involved in a verbal altercation earlier in the day. Another confidential interview stated that C1 did not expect to get "jumped" by all three clients later that evening. Confidential interview further stated that staff were aware of the issues that were occurring between C1, C3 and C4. Based on the confidential interviews, the allegation that minors engaged in a physical altercation resulting in injuries due to lack of supervision, may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights was provided to Facility Manager, Doris Santiago.

Investigation Findings:
13On December 5, 2022, at 11: AM, Licensing Program Analysts (LPAs) Cynthia Urena and Karen Beal met with Stella Maris Growth Center III Short Term Residential Therapeutic Program (STRTP) Facility Manager, Doris Santiago, to deliver the investigative findings for the above stated allegation. On September 12, 2022, at 09: AM, Licensing Program Analyst (LPA) Cynthia Urena initiated the investigation at the STRTP. LPA Urena conducted a health and safety inspection, and no immediate deficiencies were observed. Additionally, LPA Urena interviewed four staff and three clients. On December 1, 2022, LPA Urena interviewed two County Social Workers, and on December 2, 2022, LPA Urena interviewed a staff member. On September 7, 2022, Community Care Licensing received a complaint alleging that staff are not providing a safe environment for minors. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 12/05/2022

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

met_with: Facility Manager, Doris Santiago


raw_content:
Narrative:
On October 11, 2022, Community Care Licensing received a complaint alleging that staff uses profanity towards minors and staff makes minors feel uncomfortable. In regard to the allegation that staff uses profanity towards minors, it was specified that S4 uses profanity towards clients. Confidential interviews denied that S4 uses profanity when speaking to clients. Confidential interviews further stated that C1 and C3 have not expressed concerns or stated that S4 was using profanity when speaking to clients. Confidential interviews stated that S4 was liked by clients and clients engaged in therapy sessions without concerns. A confidential interview stated that S4 was using profanity when speaking to C3. Confidential interview continued stating that S4 intimidated C3 when C3 talked back to S4. A confidential interview stated that during one-on-one visits with C1's County Social Worker, C1 has not expressed concerns about S4. Confidential interview further stated that C1 is very open and informs County Social Worker about everything but C1 has not reported any problems or concerns with staff. Confidential interview also stated that C1 has asked County Social Worker to stay in the program and expressed liking the placement. Another confidential interview further stated that C1 and C3 became aggressive towards S4 after S4 requested the removal of C3 from the program. Confidential interview further stated that C1 and C3 attempted to attack S4 due to S4's comments during a meeting. Another confidential interview stated that S4 was observed being professional and engaging well with clients. Another confidential interview stated that clients are the ones that use profanity during therapy sessions when expressing emotions. Regarding the allegation that staff makes minors feel uncomfortable, confidential interviews reported feeling comfortable around S4. Confidential interviews stated that the reason clients participate in therapy sessions was due to S4 making clients feel comfortable. Confidential interviews reported that staff have not heard about any statements or comments from clients that S4 makes clients feel uncomfortable. A confidential interview denied being inappropriate with C1 and C3. Confidential interview further stated that when S4 addresses clients it is with a trauma informed approach. Confidential interview further stated that C3 would become jealous when S4 would not speak to C3 first. Confidential interview further stated that clients and staff have made comments when C3 refers to S4. Another confidential interview stated that S4 made C3 feel uncomfortable due to the questions being asked and the way S4 looks at C3. Another confidential interview stated that it was difficult to pinpoint the truth due to client's behaviors and history of lying. Continued on LIC C page 3... Based on the confidential interviews, the allegations that S4 uses profanity towards clients, and S4 makes clients feel uncomfortable, may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights was provided to Facility Manager, Doris Santiago

Investigation Findings:
13On December 5, 2022, at 11: AM, Licensing Program Analysts (LPAs) Cynthia Urena and Karen Beal met with Stella Maris Growth Center III Short Term Residential Therapeutic Program (STRTP) Facility Manager, Doris Santiago to deliver the investigative findings for the above stated allegations. On October 20, 2022, at 10: AM, Licensing Program Analyst (LPA) Cynthia Urena initiated the investigation at the STRTP. LPA Urena conducted a health and safety inspection, and no immediate deficiencies were observed. LPA Urena conducted interviews with two staff members. LPA Urena attempted to interview two clients however, both refused to be interviewed. Additionally, at 12: PM, LPA Urena conducted two collateral interviews. On November 3, 2022, LPA Urena interviewed a client (C5) three staff members (S S2 and S3)and attempted to interview an additional client. On December 1, 2022, LPA Urena interviewed a County Social Worker and on December 2, 2022, LPA Urena interviewed a staff member (S4) Continued on LIC C page 2... UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 12/05/2022

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


raw_content:
Narrative:
The interviews that were provided to the LPA were not consistent and did not provide any specific details regarding lack of supervision and staff falsifying client's documents. Based on interviews and record reviews the allegations that due to lack of supervision the clients are absent without leave (AWOL) from the facility and S1 is falsifying the client's documents, may have occurred, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to LaKeicha Chaney.

Investigation Findings:
13On February 8, 2023 at 12:31pm, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegations. LPA met with LaKeicha Chaney. LPA Sarah Smith conducted an inspection of the facility on February 17, 2022 at 1:32 pm and no immediate deficiencies were observed. Three of three clients (C1, C2, C3), four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that due to lack of supervision the clients are absent without leave (AWOL) from the facility and S1 is falsifying the client's documents. Confidential staff interviews reported that staff verbal counsel all of the clients prior to AWOLing. Confidential staff interviews reported that staff will physically follow the clients until staff loses sight of them. Confidential interviews reported that staff does not falsifying any information about the clients to any entity or department. Additional information reported that staff will lie about the client's (known name) to law enforcement and the clients authorized representative. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 02/08/2023

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

met_with: LaKeicha Chaney


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Narrative:
Continued from LIC 9099 pg 1** On January 26, 2023, LPA Urena interviewed another client (C2) and attempted to interview client#3 (C3). On February 1, 2023, LPA Urena interviewed client#4 (C4) and attempted to interview client #5 (5). During investigation, a confidential interview stated that staff use personal money when taking clients out on outings but stated that staff are reimbursed for the expenses at a later date. Other confidential interviews stated that there were times when client's outings were canceled due to the limited funds available for outings. Another confidential interview stated that Licensee provides S1 with weekly funds for outings that were scheduled for the week. Other confidential interviews reported that clients go out and funding is provided for client outings. Based on the confidential interviews, the allegation that staff are not ensuring they have enough money for outings may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights was provided to Head of Service, Ogechi Nkwocha

Investigation Findings:
13On February 8, 2023, at 10: AM, Licensing Program Analyst (LPA) Cynthia Urena met with Stella Maris Growth Center III Short Term Residential Therapeutic Program (STRTP) Head of Service, Ogechi Nkwocha to deliver the investigative finding for the above stated allegation. On November 28, 2022, Community Care Licensing received a complaint alleging that staff are not ensuring they have enough money for outings for the minors. On December 5, 2022, at 9: AM, Licensing Program Analysts (LPAs) Cynthia Urena and Karen Beal initiated the investigation at the STRTP. LPAs conducted a Health and Safety inspection, and no immediate deficiencies were observed. LPA Urena obtained copies of the Short-Term Residential Therapeutic Program staff and client files and interviewed three staff (S1, S2, S3) and one client (C1). **Continued on LIC C pg 2** UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 02/08/2023

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

met_with: Head of Service, Ogechi Nkwocha


raw_content:
Narrative:
It was noted on a Special Incident Report that C1 was playing a prank for fun on social media by allowing other clients (C3 and C5) to take a video of C1, which showed that C3 and C5 were bullying C1. When the staff saw what was happening, they immediately stopped C1, C3, and C5 and asked them to return to their rooms. It was later reported to the staff and law enforcement that it was a prank to be posted on social media for C1's friend to watch. Based on confidential interviews, the allegation that the facility is not providing adequate supervision to minors in care 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 were explained, and a copy of this report and LIC 811 was provided to LakFacility Manager, LaKeicha Chaney.

Investigation Findings:
13On 05/26/2023 at 01: PM, Licensing Program Analyst (LPA) Sarah Lo met with Lead Facility Manager, LaKeicha Chaney, to deliver the findings for the above complaint allegation at Stella Maris Growth Center III Short Term Residential Therapeutic Program (STRTP). On 05/12/2023 at 11: AM, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with the Facility Manager, three Staffs (S1-S3), and four Clients (C1-C4). Needs and Services Plans, Special Incident Reports, and case notes were reviewed. On May 10, 2023, Community Care Licensing received an allegation that stated that the facility is not providing adequate supervision to minor (C1) in care. The confidential interviews revealed that the staff is trained to conduct room checks every 15 minutes, and the staff-to-client ratio is always one staff to three clients. If help is needed, the staff can call the Facility Manager for assistance. (Continue on LIC 812C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Sarah Lo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 05/26/2023

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

met_with: LaKeicha Chaney, Lead Facility Manager


raw_content:
Narrative:
Confidential Interviews reported that C1 and C3 like to argue with S3 due to S3 being a new staff. Confidential interviews stated that S3 has always remained calm and never talked back to the clients. A confidential interview denied speaking inappropriately to clients in care and calling C1 "dirty." Based on inconsistent confidential interviews, the allegation that staff (S3) spoke inappropriately to minor (C1) in care 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 were explained, and a copy of this report and LIC 811 was provided to Facility Manager, Doris Santiago.

Investigation Findings:
13On May 26, 2023 at (TIME), Licensing Program Analyst (LPA) Sarah Lo met with Facility Manager, Doris Santiago, to deliver the findings for the above complaint allegation at Stella Maris Growth Center III Short Term Residential Therapeutic Program (STRTP). On 05/02/2023 at 12: PM, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with five Staff (S1-S5) and Clients (C1-C5). Needs and Services Plans and case notes were reviewed. On May 02, 2023, Community Care Licensing received an allegation that stated that staff spoke inappropriately to a minor (CX) in care. The confidential interviews reported that S3 called C1 "dirty" during an outing and had a verbal altercation. Another confidential interview revealed that S3 has never spoke to any of the clients in the facility inappropriately. (Continued on LIC 9099-c) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Sarah Lo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 05/26/2023

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

met_with: Doris Santiago, Facility Manager


raw_content:
Narrative:
Specifically, it was reported that C4 grabbed and pinched C6's nipples over C6's clothing; C4 pulled C5's pants down looking for something; and C4 ripped out C3's nose ring. The confidential interviews stated that the staff always supervises the clients, complete room checks every 15-30 minutes and uses verbal redirection with the clients. A confidential interview stated during one of the room checks, S3 observed C4 was room visiting C5 and saw C4 pulling C5's pants down; S3 immediately gave verbal redirection to C4 to stop the action and leave the room. S3 also observed C4 grabbed and pinched C6's nipples over C6's clothes and immediately gave verbal redirection to C4 to stop the action. Additionally, a confidential interview stated C4 did not pull C3's nose ring and that C5 made up the story. Furthermore, a confidential interview stated the minors had never reported any inappropriate interactions and do not have any concerns with the facility and the staffs at the facility. Lastly, a confidential interview stated staff tried to make the client stop but could not. Based on inconsistent confidential interviews, the allegation that the staff did not prevent inappropriate interactions between minors (C3, C4, C5 and C6) in care 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 were explained, and a copy of this report and LIC 811 was provided to Shawnte Arredondo, Facility Manager.

Investigation Findings:
13On October 19, 2023 at 12: PM, Licensing Program Analyst (LPA) Sarah Lo met with Shawnte Arredondo, Facility Manager, to deliver the finding for the above complaint allegation at Stella Maris Growth Center III Short Term Residential Therapeutic Program (STRTP). On 06/26/2023 at 01: PM, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with four staff [Staff #1 (S1), Staff #2 (S2), Staff #3 (S3) and Staff #4 (S4)], six clients [Client #1(C1), Client #2 (C2), Client #3 (C3), Client #4 (C4), Client #5 (C5) and Client #6 (C6)], and six County Social Workers [(County Social Worker #1 (CSW1), County Social Worker #2 (CSW2), County Social Worker #3 (CSW3), County Social Worker #4 (CSW4), County Social Worker #5 (CSW5) and County Social Worker #6 (CSW6)]. Needs and Services Plans and case notes were reviewed. On June 22, 2023, Community Care Licensing received an allegation that the staff did not prevent inappropriate interactions between minors (C3, C4, C5 and C6) in care. *continued on LIC 9099c* UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Sarah Lo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 10/19/2023

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

met_with: Shawnte Arredondo, Facility Manager


raw_content:
Narrative:
Specifically, it was reported that a youth witnessed a staff slap C7. A confidential interview stated that they witnessing a staff slap C7 on the side of the face, but no other youth or staff had witnessed the incident. Additional confidential interviews stated that they have never witnessed any staff at the facility slap or hit a youth while in care. Furthermore, other confidential interviews stated that it was never reported to them that the staff using corporal punishment and have no concerns of the staff at the facility. The Department also received an allegation that the staff yelled at youths while in care. Specifically, it was reported staff would yell at them a lot. A confidential interview stated that the staff are always yelling at the youths. Additional confidential interviews stated that they never seen or heard any staff yell at youths while in care and the staff are trained in trauma informed care. Furthermore, other confidential interviews stated that it was never reported or observed that the staff yelled at the youths and have no concerns of the staff at the facility. Based on the conflicting confidential interviews, the allegations that a staff member hit a youth (C7) while in care and the staff yelled at youths while in care may have occurred, however, are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights were explained, and a copy of this report and LIC 811 was provided to Ogechi Nkwocha, Head of Service.

Investigation Findings:
13On 01/18/2024 at 02: PM, Licensing Program Analyst (LPA) Sarah Lo met with Ogechi Nkwocha, Head of Service, to deliver the finding for the above complaint allegations at Stella Maris Growth Center III Short Term Residential Therapeutic Program (STRTP). On 06/30/2023 at 11: AM, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with five staff [Staff #1 (S1), Staff #2 (S2), Staff #3 (S3), Staff #4 (S4) and Staff #5 (S5)], seven clients [Client #1(C1), Client #2 (C2), Client #3 (C3), Client #4 (C4), Client #5 (C5), Client #6 (C6) and Client #8 (C8)], and six County Social Workers [(County Social Worker #1 (CSW1), County Social Worker #2 (CSW2), County Social Worker #3 (CSW3), County Social Worker #4 (CSW4), County Social Worker #5 (CSW5) and County Social Worker #6 (CSW6)]. Needs and Services Plans and case notes were reviewed. On June 26, 2023, Community Care Licensing received an allegation that a staff member hit a youth (C7) while in care. (continued on LIC 812c) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Sarah Lo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 01/18/2024

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

met_with: Ogechi Nkwocha, Head of Service


raw_content:
Narrative:
preponderance of evidence. Based on confidential interviews and records reviewed the allegation that the licensee was verbally abusive towards staff in the presence of youth, which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed and provided to LaKeicha Donald. A copy of this report will be placed in the facility file.

Investigation Findings:
13On May 14, 2024, at 2:25 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with LaKeicha Donald, Facility Manager, to discuss the investigative finding for the allegation noted above. Lpa S. Lo conducted an inspection of the facility on August 16, 2023, at 11:10 am and no deficiencies were observed. LPAs Lo and Linley interviewed seven clients (C1-7), seven staff (S1-7), and seven County Social Workers (CSW1-7). LPA reviewed the following documents during the investigation: Client Roster, Personnel Roster, Staff Schedules, C1- Needs and Services Plan, and C1- Placement Agreements. On August 10, 2023, Community Care Licensing (CCL) received an allegation that the licensee (S3) was verbally abusive towards staff in the presence of youth. Confidential interviews revealed that the conversations were held behind closed doors. Confidential interviews revealed conflicting statements to whether the clients heard the conversations. Confidential interviews did not corroborate the allegation with a UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 05/14/2024

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

met_with: LaKeicha Donald


raw_content:
Narrative:
During investigation, it was reported that C2 inappropriately touched C1, and staff did not intervene. Other confidential interviews stated that C2 did not inappropriately touch any clients in the home. Another confidential interview went on to say that C2 does not have any history of this type of sexual behavior. LPA was unable to gather additional information. Based on inconsistent confidential interviews, the allegation that there was lack of supervision resulting in C1 and C2 engaging in inappropriate activity may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights were explained, and a copy of this report and LIC 811 was provided to head of service Ashton Porter.

Investigation Findings:
13On October 9, 2024, at 10: AM, Licensing Program Analyst (LPA) Maryjane Perez conducted an unannounced visit at Stella Maris Growth Center III Short Term Residential Therapeutic Program (STRTP) and met with head of service Ashton Porter to deliver the findings for the above stated allegation. On September 25, 2024, Community Care Licensing received complaint allegations that there was lack of supervision resulting in minors engaging in inappropriate activity. On October 2, 2024, LPA M. Perez conducted a health and safety inspection of the facility, and no hazards were observed. Lpa M. Perez also obtained pertinent documents and interviewed facility manager (staff 1, S1), staff 2, 3 and 4 (S2, S3, S4) as well as clients 1 and 2 (C1 and C2). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: MaryJane Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 10/09/2024

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

met_with: Ashton Porter- Head of Service


raw_content:
Narrative:
Meanwhile other confidential interviews stated that C6 along with other clients in the home would miss school periodically. Confidential interviews went on to say that if clients missed school, it was because they were too tired to wake up since they didn't have the proper rest from the night prior due to staying out late from an unauthorized absence or behaviors happening in the home. Other confidential interviews stated that independent study was offered as an alternative educational plan. While another confidential interview stated clients did not have an option to do independent study. LPA received conflicting information. Based on confidential interviews and a review of pertinent documents, the allegation that staff are not ensuring minor's educational needs are met may have happened or are valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights were explained, and a copy of this report was reviewed and provided to facility manager LaKiecha Donald.

Investigation Findings:
13On October 24, 2024, at 11: PM, Licensing Program Analyst (LPA) Maryjane Perez conducted an unannounced visit at Stella Maris Growth Center III Short Term Residential Therapeutic Program (STRTP) and met with facility manager LaKeicha Donald to deliver the finding for the above stated allegation. On February 6th, 2024, Community Care Licensing received a complaint allegation that staff are not ensuring minor's educational needs are met. On February 15, 2024, LPA Rafael Enriquez conducted a health and safety inspection where no immediate health or safety hazards were observed. Lpa R. Enriquez collected pertinent documents and interviewed staff 1 (S1), staff 2 (S2), client 2 (C2), client 5 (C5) and attempted to interview client 6 (C6). Additionally, LPA M. Perez interviewed staff 3 (S3), client 3 (C3), and client 4 (C4). In regard to the allegation, it was specifically reported that C6 is refusing to go to school. During investigation, confidential interviews stated that C6 attended school regularly while at the Stella Maris III home. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: MaryJane Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 10/24/2024

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

met_with: Facility Manager- LaKiecha Donald


raw_content:
Narrative:
Another confidential interview stated this adult male raped and choked C5 because another client in the home convinced C5 to get involved with the unknown adult. Other confidential interviews stated C5 was not forced to do any sexual acts but C5 consensually had intercourse with the adult male. Another confidential interview stated that incidents usually happen when a client goes on an unauthorized absence so there is no control on what the client does when they leave the facility. Other confidential interviews stated C5 reported the rape because C5 was scared they were going to get in trouble. It was also stated in a confidential interview that law enforcement and social workers were called and C5 was taken to the hospital. Based on confidential interviews and a review of pertinent documents, the allegation that staff did not provide adequate supervision to minors in care resulting in minor engaging in inappropriate behavior with another minor in care may have happened or are valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights were explained, and a copy of this report was reviewed and provided to facility manager Lakeicha Donald.

Investigation Findings:
13On October 24, 2024, at 12: PM, Licensing Program Analyst (LPA) Maryjane Perez conducted an unannounced visit at Stella Maris Growth Center III Short Term Residential Therapeutic Program (STRTP) and met with facility manager Lakiecha Donald to deliver the finding for the above stated allegation. On March 1st, 2024, community care licensing received a complaint allegation that staff did not provide adequate supervision to minors in care resulting in minor engaging in inappropriate behavior with another minor in care. On March 6th, 2024, LPA Karen Beal interviewed staff1 (S1), staff 2 (S2) and client 1 (C1) as well as collected pertinent documents. Lpa M. Perez conducted additional interviews with S1, S2, C1, and interviewed client 2 (C2) and client 3 (C3). During investigation, confidential interviews stated that C5 went to the mall with C2 and an adult male. Other confidential interviews stated that only C5 went to the mall with the adult male but C2 knew that C5 was getting in the car with the adult male. It was stated in a confidential interview that staff did not know where C5 was going or who C5 was going with due to C5 leaving on an unauthorized absence. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: MaryJane Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 10/24/2024

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

met_with: Facility Manager- LaKiecha Donlad


raw_content:
Narrative:
Confidential interviews corroborated and stated that staff don't do anything when clients are fighting unless they hear it or see it happening. Another confidential interview went on to say that staff check on clients in their room every 15 minutes to prevent any wrong doings. It was also stated in confidential interviews that the procedure for when a clients become physical with one another is to keep them separated, write SIR's, call social workers or law enforcement if needed. Based on confidential interviews and a review of pertinent documents, the allegation that staff did not prevent inappropriate interaction between youth may have happened or are valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights were explained, and a copy of this report was reviewed and provided to facility manager LaKiecha Donald.

Investigation Findings:
13On October 24, 2024, at 12: PM, Licensing Program Analyst (LPA) Maryjane Perez conducted an unannounced visit at Stella Maris Growth Center III Short Term Residential Therapeutic Program (STRTP) and met with facility manager Lakiecha Donald to deliver the findings for the above stated allegation. On August 15, 2024, Community care licensing received complaint allegations that staff did not prevent inappropriate interaction between youth. On August 19, 2024, LPA Karen Beal conducted a health and safety inspection where no immediate hazards were observed. Lpa K. Beal also collected pertinent documents. In addition, LPA M. Perez interviewed facility manager, client 4, staff 2 (S2), staff 3 (S3), staff 4 (S4), staff 5 (S5) as well as clients 2 and 3 (C2 and C3). During the investigation, confidential interviews stated that the clients don't often engage in physical altercations with each other but when they do, staff separate them and have clients switch rooms if they are roommates. Other confidential interviews stated that staff do not do anything when there is a fight between clients. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: MaryJane Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 10/24/2024

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

met_with: Facility Manager- LeKicha Donald


raw_content:
Narrative:
Other confidential interviews stated that the food in the home was too complicated to make and require using the stove. Another confidential interview stated they like the food and stated there were noodles to make and frozen foods to put in the microwave. Other confidential interviews stated there is only dinner that is prepared for them. While other confidential interviews stated there is no food at the end of the week and snacks go fast. LPA received conflicting information. Based on LPA observations and confidential interviews the complaint allegation that staff do not provide enough food for minors in care may have happened or are valid, but there is not a preponderance of evidence to prove that the alleged violations occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights were explained, and a copy of this report was reviewed and provided to facility manager Lakeicha Donald.

Investigation Findings:
13On October 24, 2024, at 12: PM, Licensing Program Analyst (LPA) Maryjane Perez conducted an unannounced visit at Stella Maris Growth Center III Short Term Residential Therapeutic Program (STRTP) and met with facility manager LaKiecha Donald to deliver the findings for the above stated allegation. On August 23, 2024, Community Care Licensing received complaint allegation that staff do not provide enough food for minors in care. On August 28, LPA M. Perez conducted a health and safety inspection and observed there to be a repeat violation on physical plant. In addition, LPA obtained pertinent documents and interviewed staff 1 (S1). On September 25, 2024, LPA M. Perez interviewed client 6 (C6). Moreover, LPA M. Perez interviewed staff 2 (S2), staff 3 (S3) and staff 4 (S4). Furthermore, LPA M. Perez interviewed staff 5 (S5), client (C1), client 3 (C3), client 4 (C4), and later made a collateral visit to interview client 7 (C7). In regard to the stated allegation, it was specifically reported that C5 and C7 were not getting food. During investigation, confidential interviews stated that clients get three meals a day consisting of breakfast, lunch and dinner, with snacks in between. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: MaryJane Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 10/24/2024

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

met_with: Facility manager Lakiecha Donald


raw_content:
Narrative:
It was further reported that C1 kissed C2 on C2's face and breasts and that C1 inserted C1's finger into C1's private area. Confidential interviews reported that C2 maintained that this incident happened within the facility. Confidential interviews reported that facility staff conduct routine room checks every 15 minutes, and the described incident was not observed or suspected. Other confidential interviews reported that C1 denied making the stated inappropriate gestures towards C2. Other confidential interviews reported that C2 modified their testimony to the San Bernardino County Open Case Investigator (OCI) and stated C2 indicated that these allegations happened at C2's classroom and not at the facility. LPA received inconsistent information. Confidential interviews reported that OCI evaluated out (aka EVO) their investigation after speaking with C2's school staff. Based on confidential interviews, the allegation that staff did not prevent inappropriate sexual interactions between minors may have occurred, however, there was not a preponderance of evidence to support the alleged violation. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Direct Care Staff Trelanie Harris.

Investigation Findings:
13On 01/30/2025, at 09: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit at Plan It Life Short Term Residential Treatment Program (STRTP) and met with Direct Care Staff Trelanie Harris to deliver the investigative finding for the above stated allegation involving the STRTP staff and clients as listed on the confidential names list (LIC811). On 11/21/2024, Community Care Licensing received a complaint alleging that staff did not prevent inappropriate sexual interactions between minors. On 11/22/2024, LPA Joon Choi arrived at the facility, conducted a health and safety inspection, and no immediate health and safety hazards were observed. In addition, LPA obtained pertinent documents interviewed client 1 (C1) facility staff 1, 2, and 3 (S1-3). LPA Maryjane Perez interviewed client 2 (C2). In regard to the allegation that facility staff (no names provided) did not prevent inappropriate sexual interactions between minors (C1, C2); it was reported that C1 made inappropriate sexual contact with C2. CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 01/30/2025

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

met_with: Trelanie Harris, Direct Care Staff


raw_content:
Narrative:
C1 feel uncomfortable because C2 "has been making sexual advances, comments, and talks about self-pleasuring" in the presence of C1. Confidential interviews reported that C2 engaged in inappropriate sexual behavior in the presence of C1 while in their assigned room. Other confidential interviews reported that it was C1 who was making inappropriate sexual gestures toward C2. LPA received inconsistent information. Confidential interviews reported that facility staff conduct routine 15-minute room checks to ensure the safety of the clients. Confidential interviews reported that neither C1 nor C2 alerted facility staff about inappropriate behavior. In regard to the allegation that staff (name not provided) does not prevent a minor (C1) from causing self-harm; it was reported that C1 engaged in self-harm behavior by making themselves vomit on purpose because of C2's inappropriate behaviors. Confidential interviews reported that C1 engaged in self-harm behavior (intentionally making themselves vomit), as a result of being exposed to C2's inappropriate sexual gestures. Other confidential interviews reported that C1 did not intentionally make themselves vomit, rather they "just felt like throwing up" as a result of being roommates with C2. Other confidential interviews reported that after C1 and C2 were no longer roommates; C1 had no feelings of wanting to vomit. Based on confidential interviews, the allegations that staff does not prevent C1 or C2 from engaging in inappropriate sexual behavior while C1 or C2 is present and staff does not prevent C2 from causing self-harm may have occurred or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report (LIC 9099) and appeal rights were explained and given to Direct Care Staff Martha Garcia.

Investigation Findings:
13On 03/14/2025, at 10: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit to Stella Maris Growth Center III Short Term Residential Treatment Program (STRTP) and met with Direct Care Staff Martha Garcia, to deliver the investigative finding for the allegations listed above. On 12/16/2024, Community Care Licensing received allegations that staff does not prevent a minor from engaging in inappropriate sexual behavior while another minor is present, and staff does not prevent a minor from causing self-harm. On 12/18/2024, LPA Joon Choi conducted a health and safety inspection at the RFH, and no immediate health and safety hazards were observed. During the investigation, LPA Choi obtained documents pertinent to the investigation and interviewed client 1 and 2 (C1, C2) and staff 1, 2 and 3 (S1-S3). In regard to the allegation that staff (name not provided) does not prevent a minor (C2) from engaging in inappropriate sexual behavior while another minor (C1) is present; it was reported that C2 has been making CONTINUED ONTHE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 03/14/2025

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

met_with: Martha Garcia, Direct Care Staff


raw_content:
Narrative:
that S1 did not yell or use profanity at C1 or other clients when getting the clients ready for school. Other confidential interviews reported that S1 provides loud and clear verbal instructions to the clients to get them ready for school in the morning. LPA received inconsistent information. Based on confidential interviews, the allegation that staff spoke inappropriately to minor in care may have occurred or are valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report (LIC 9099) and appeal rights were explained and given to Direct Care Staff Martha Garcia

Investigation Findings:
13On 03/14/2025, at 10: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit to Stella Maris Growth Center III Short Term Residential Treatment Program (STRTP) and met with Direct Care Staff Martha Garcia to deliver the investigative finding for the allegations listed above. On 12/16/2024, Community Care Licensing received an allegation that staff spoke inappropriately to minor in care. On 12/18/2024, LPA Joon Choi conducted a health and safety inspection at the RFH, and no immediate health and safety hazards were observed. During the investigation, LPA Choi obtained documents pertinent to the investigation and interviewed client 1 and 2 (C1, C2) and staff 1 and 2 (S1, S2). In regard to the allegation that staff (S1) spoke inappropriately to minor in care (C1); it was reported that S1 yelled at C1 and said, "you need to go! You need to fucking go to school!" It was further reported that C1 cannot cope with the mental anguish C1 experiences from being yelled or screamed at. Confidential interviews reported that S1 cursed and yelled at C1 to attend school. Other confidential interviews reported CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 03/14/2025

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

met_with: Martha Garcia, Direct Care Staf


raw_content:
Narrative:
Emergency Treatment Services (ETS). Other confidential interviews stated that clients in the home don't actually self-harm; however, clients would just say they will self-harm in order for staff to call ETS. Another confidential interview reported that when clients inflicted self-harming behaviors, it's because they are trying to feel pain. Regarding the allegation that there was lack of staff supervision resulting in minor being physically abused by other minors, it was specifically reported that a minor in the home was "presented with bites and bruises". Confidential interviews stated that clients in the home did not show any signs of bruising or bite marks. Other confidential interviews stated that a client did have bruises, but not bite marks and staff does 15 minutes room checks daily. Another confidential interview stated that C1 was hurting another client so that client bit C1. The confidential interview continued stating that staff are always supervising clients. Based on confidential interviews and a review of pertinent documents, the allegations that staff did not prevent C1 from self-harming behavior and there was lack of staff supervision resulting in C1 being physically abused by other minors may have happened or are valid, but there is not a preponderance of evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Martha Garcia, Youth Care Counselor.

Investigation Findings:
13On March 21, 2025, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit at Stella Maris Growth Center III Short Term Residential Therapeutic Program (STRTP) and met with Youth Care Counselor Martha Garcia, to deliver the finding for the above stated allegations. On 10/07/24, Community Care Licensing received complaint allegations that staff did not prevent minor from self-harming behavior and that there was lack of staff supervision resulting in minor being physically abused by other minors. On October 9, 2024, LPA M. Perez conducted a health and safety inspection of the facility, and no hazards were observed. Lpa M. Perez also obtained pertinent documents and interviewed staff 1, staff 2, staff 3 and staff 4 (S1, S2, S3, & S4) as well as client 1, client 2, client 3, client 4 and client 5 (C1, C2, C3, C4, & C5). In regard to the allegation that staff did not prevent minor from self-harming behavior, confidential interviews stated that when a client is exhibiting self-harming behaviors; staff makes sure to redirect the client and if needed staff will call Emergency Treatment Services (ETS). Other confidential interviews stated that clients in the home don't actually self-harm; however, clients would just say they will self-harm in order for staff to call UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 03/21/2025

met_with: Martha Garcia, Youth Care Counselor


raw_content:
Narrative:
Enforcement spoke with C1, but they did not arrest C1 due to C1 being a minor. Confidential interviews reported that C2 "digitally penetrated" C1 in their vaginal area without consent. Other confidential interviews reported that C2 did not "digitally penetrate" C1. Other confidential interviews reported that C1 persuaded C2 to engage in inappropriate behaviors with C1. LPA received inconsistent information in this regard. Confidential interviews reported that facility staff conducted their routine room checks and did not encounter any inappropriate activities when C1 and C2 were roommates. Confidential interviews reported that facility staff were advised to monitor C1 carefully upon C1 returning from the hospital. Confidential interviews reported that C2 was transferred from the facility approximately two weeks after this incident. Based on confidential interviews, the allegation that staff did not prevent inappropriate sexual interactions between C1 and C2 may have occurred or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report (LIC 9099) and appeal rights were explained and given to Youth Care Counselor Martha Garcia.

Investigation Findings:
13On 03/21/20205, at 10: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit to Stella Maris Growth Center III Short Term Residential Treatment Program (STRTP) and met with Youth Care Counselor Martha Garcia to deliver the investigative finding for the allegation listed above. On 12/30/2024, Community Care Licensing received allegations that staff did not prevent inappropriate sexual interactions between minors. On 01/02/2024, LPA Joon Choi conducted a health and safety inspection at the facility , and no immediate health and safety hazards were observed. During the investigation, LPA Choi obtained documents pertinent to the investigation and interviewed client 1 and 2 (C1, C2) and staff 1, 2 and 3 (S1-S3). In regard to the allegation that staff (names not provided) did not prevent inappropriate sexual interactions between minors (C1, C2); it was reported that Law Enforcement (LE) was notified that C2 sexually assaulted C1 on 12/27/2024. It was further reported that C2 was sent to the hospital and that Law CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 03/21/2025

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


raw_content:
Narrative:
touched C1 on the chest area without permission. Other confidential interviews reported that C2 did not touch C1 at any time while they were roommates. Confidential interviews reported C1 and C2 were separated as roommates shortly after C1's disclosure. Other confidential interviews reported that staff conducted routine room checks and did not encounter any inappropriate activities between C1 and C2. Confidential interviews reported that facility staff were advised to monitor C1 and C2 during group activities and make sure they were not left alone. Based on confidential interviews, the allegation that staff did not prevent inappropriate sexual interactions between C1 and C2 may have occurred or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report (LIC 9099) and appeal rights were explained and given to Martha Garcia, Youth Care Counselor.

Investigation Findings:
13On 03/21/2025, at 10: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit to Stella Maris Growth Center III Short Term Residential Treatment Program (STRTP) and met with Youth Care Counselor Martha Garcia to deliver the investigative finding for the allegation listed above. On 12/18/2024, Community Care Licensing received allegations that staff did not prevent inappropriate sexual interactions between minors. On 12/18/2024, LPA Joon Choi conducted a health and safety inspection at the RFH, and no immediate health and safety hazards were observed. During the investigation, LPA Choi obtained documents pertinent to the investigation and interviewed client 1 and 2 (C1, C2) and staff 1 and 2 (S1, S2). In regard to the allegation that staff (names not provided) did not prevent inappropriate sexual interactions between minors (C1, C2); it was reported that C1 was "touched on the breast over C1's clothes" by C2. It was further reported that C2 touched C1 on two total occasions. Confidential interviews reported C CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 03/21/2025

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


raw_content:
Narrative:
a fight between C1 and C2 (no other details were provided). Confidential interviews reported that upon returning to the facility after running away, C1 and C2 engaged in a physical fight in the facility. Confidential interviews reported that facility staff were present, responded to the situation and assisted in breaking up the fight between C1 and C2. Other confidential interviews reported that C1 and C2 fought because they were accusing each other of advising staff what behaviors they engaged in while away (AWOL) from the facility. Other confidential interviews reported that facility staff did not know there was tension between C1 and C2, but facility staff responded in a proper manner. In regard to the allegation that staff (names not provided) did not prevent minors (C1, C2, C4) from engaging in inappropriate interactions while in care; it was reported that C2 pressured C1 and C4 to do sexual acts with each other and C2. Confidential interviews reported C2 pressured C1 and C4 into engaging in inappropriate sexual behaviors with each other in the facility. Other confidential interviews reported that C1, C2 and C4 engaged in inappropriate sexual behaviors with each other and other people in the community while in AWOL. Confidential interviews reported that staff are required to conduct regular room checks on and follow through on this directive. Other confidential interviews reported that staff have not encountered clients engaged in inappropriate sexual activities in the facility. Other confidential interviews reported that the clients engaged in inappropriate sexual activities with each while outside of the facility during running away. Based on confidential interviews, the allegations that staff did not prevent the minors engaging in a physical altercation while in care, staff did not prevent minors from engaging in inappropriate interactions while in care may have occurred or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report (LIC 9099) and appeal rights were explained and given to Lakeicha Donald, Facility Manager.

Investigation Findings:
13On 03/27/2025, at 10: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit to Stella Maris Growth Center III Short Term Residential Treatment Program (STRTP) and met with Lakeicha Donald Facility Manager, to deliver the investigative findings for the allegations listed above. On 01/14/2025, Community Care Licensing received allegations that staff did not prevent the minors engaging in a physical altercation while in care, and staff did not prevent minors from engaging in inappropriate interactions while in care. On 01/02/2024, LPA Joon Choi conducted a health and safety inspection at the RFH, and no immediate health and safety hazards were observed. During the investigation, LPA Choi obtained documents pertinent to the investigation and interviewed client 1, 2, 3 and 4 (C1-C4) and staff 1, 2, 3 and 4 (S1-S4). In regard to the allegation that staff (names not provided) did not prevent the minors (C1, C2) engaging in a physical altercation while in care; it was reported that law enforcement responded to the facility due to continued on the next page UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 03/27/2025

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

met_with: Lakeicha Donald, Facility Manager